chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 1.1
Sex: M
Vaccine: HEPA, HIBV, MMR, VARCEL
Symptoms: Immediate post-injection reaction, Injection site erythema, Injection site pallor, Injection site swelling
Clinical narrative: IMMEDIATELY AFTER GIVING MMR SQ ON LT THIGH PT THIGH BECAME RED, SWOLLEN AND BLANCHING WAS NOTED DR NOTIFIED AND HE EXAMINED PT BENADRYL WAS GIVEN PT OBSERVED FOR 30 MINS. MOM INSTRUCTED TO APPLY COLD COMPRESSES AND GO TO ED IF GETS WORSE ALSO INSTRUCTED TO RETURN FOR FOLLOWUP APPT MADE NEXT MORNING AT 840. PT LT THIGH SITE SWELLING DECREASED BEFORE LEAVING PT STABLE UPON DISCHARGE CALLED MOM PT DOING FINE ALL REDNESS IS GONE MOM CANCELLED RETURN APPT
Age: 20.0
Sex: F
Vaccine: YF
Symptoms: Fatigue, Injection site erythema, Injection site swelling
Clinical narrative: Redness and swelling at injection site. Fatigue.
Age: 61.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: On 1/9/09 the patient called the office to say that as of 1/7/09, her arm from the injection site to the elbow was red, warm, and swollen.
Age: 4.0
Sex: M
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Cellulitis, Immunisation reaction, Injection site erythema, Injection site swelling, Oedema peripheral
Clinical narrative: Patient received the vaccination on Monday 5/4/2009.  Mother called office on 5/5/09 and stated that child's Right arm where he had received his Dtap vaccination was red and swollen.  RN asked mother if she has put ice on his arm at all and mother stated no.  Advised mother to put ice child's arm for 15 minutes every four hours while awake and to contact office back on 5/6/09 if swellling and redness do not subside.  Mother brought child to clinic on 5/6/09.  Child's right arm was swollen 2 times the size of left, and red.  Redness of arm was approximately 5 to 6 inches in diameter (mother had drawn an ink line around the redness). Mother stated that she did not have a physician, advised her to take him to a physician to be seen in order to rule out any problems.  Mother called office on 5/7/09 and stated that she had taken child to Hospital and he was diagnosed with cellulitus, and given PO antibiotics.  Physician in office on 5/7/09, mother brought child to office for appointment.  Dr. assessed child's arm  Dr. stated that due to the decrease in swelling as reported by mother and the decrease in redness as seen by the redness being far inside the ink line that mother had drawn one day before that this was not likely to be cellulitus, most likely a reaction to the Dtap.
Age: 1.5
Sex: M
Vaccine: DPP, HEPA, HIBV, MEN, PER
Symptoms: Diarrhoea, Hypophagia, Screaming, Sleep disorder, Tremor
Clinical narrative: Infant screaming in tantrums which would last 15minutes to one hour off an on.  Flailing arms, legs, shaking head.  Diarhea, vomiting, no fever.  Initial symptoms were on and off for 48 hours.  Additionally infant is now unable to sleep through the night, as well as will no longer take milk.
Age: 1.5
Sex: M
Vaccine: DPP, HEPA, HIBV, MEN, PER
Symptoms: Vomiting
Clinical narrative: Infant screaming in tantrums which would last 15minutes to one hour off an on.  Flailing arms, legs, shaking head.  Diarhea, vomiting, no fever.  Initial symptoms were on and off for 48 hours.  Additionally infant is now unable to sleep through the night, as well as will no longer take milk.
Age: 1.25
Sex: F
Vaccine: VARCEL
Clinical narrative: Per ER Physician varicella rash on back, stomach and arms with no fever
Age: 71.0
Sex: U
Vaccine: PNC
Symptoms: Colitis
Clinical narrative: Subject in pneumococcal vaccine trial, with severe COPD, was admitted to the hospital fro severe colitis on 11/8/2008. Vaccination took place on 9/10/2007. According to the physician, the relationship to treatment is 'Unlikely'. We would be happy to forward the Study's SAE Reporting Form upon request.  5/14/09 Received SAE for 11/8-11/18/2008. FINAL DX: severe colitis Records reveal patient experienced abdominal pain, vomiting & diarrhea. Had left hemicolectomy, appendectomy & colostomy for impending perforation.  Developed colostomy necrosis & returned to OR POD 3 for revision.  Readmitted to hospital for CHF.
Age: 71.0
Sex: U
Vaccine: PNC
Symptoms: Cardiac failure congestive
Clinical narrative: Subject in pneumococcal vaccine trial, with severe COPD, was hospitalized on 11/18/2008 with CHF. Vaccination took place on 9/10/2007. According to the physician the relationship is 'None'. We would be happy to forward on the Study's SAE Reporting Form upon request.  5/14/09 Received SAE medical records of 11/19-11/26/2008. FINAL DX: CHF exacerbation and cardiomyopathy w/apical left ventricle akinesia & EF of 25%. Records reveal patient experienced lung heaviness x 1 day, DOE, chronic cough.  Responded well to meds & d/c to home.
Age: 64.0
Sex: M
Vaccine: DTAP
Symptoms: Erythema, Injection site induration, Oedema peripheral, Tenderness
Clinical narrative: Pt received Tdap injection 3/17/09. 3/24/09 reported as walkin to PCP reporting that arm is red and swollen. Per NP note that day "left deltoid area has a 10cm x 8cm area of enduration with a firm center that measures 4cm.  No pustules noted.  Slight tenderness to palpation." Pt was given benadryl 25 mg every 6 hours x 3 days and Keflex 250mg every 6  hours x 7 days.
Sex: F
Vaccine: HEP
Symptoms: Apnoea, Dyspnoea, Intensive care, Respiratory arrest
Clinical narrative: patient had no signs of complications after birth.    Shortly after receiving hepatitis vaccination by the nurse the baby began experiencing stopped breathing at intervals experiencing apnea and  shortness of breath.  Th e baby is currently in the nic unit of the Huntsville East Women and Childrens Center.   Pt.  has shown an  abnormal CT scan.  Currently awaiting other test results.  5/14/09 newborn admission info and vax info received from hospital of birth. Hep B GSK-AHBVB608AA given at 1525 on 5/11/2009. 7/7/09 D/C summary recd for DOS 5/9-30/2009 with D/C DX:  Term birth.  Suspected sepsis.  Apnea.  Seizures. On day 2 of life infant began having apnea episodes and transferred to NICU. Sepsis w/u (-). Neuro consult dx seizures based on abnormal EEG. Apnea resolved once on phenobarb.
Age: 4.0
Sex: M
Vaccine: DTAPIPV, FLU3, MMR
Symptoms: Body temperature increased, Bronchitis, Crying, Dyspnoea, Heart rate increased
Clinical narrative: 5-7-09 Crying, sore arms, couldn't move arms; temp 105 degrees F; mother gave Tylenol suppository; child projectile vomiting. Tylenol lowered fever but not completely. 5-8-09  Fever broke 1pm; couldn't move both arms; left arm swollen twice size of right arm; hot to touch.  5-9-09 Arms same, running nose.                 5-10-09  7am Difficulty breathing, increased heart rate; 1pm to ER; Diagnosis:  Bronchitis
Age: 4.0
Sex: M
Vaccine: DTAPIPV, FLU3, MMR
Symptoms: Injected limb mobility decreased, Oedema peripheral, Pain in extremity, Rhinorrhoea, Skin warm
Clinical narrative: 5-7-09 Crying, sore arms, couldn't move arms; temp 105 degrees F; mother gave Tylenol suppository; child projectile vomiting. Tylenol lowered fever but not completely. 5-8-09  Fever broke 1pm; couldn't move both arms; left arm swollen twice size of right arm; hot to touch.  5-9-09 Arms same, running nose.                 5-10-09  7am Difficulty breathing, increased heart rate; 1pm to ER; Diagnosis:  Bronchitis
Age: 4.0
Sex: M
Vaccine: DTAPIPV, FLU3, MMR
Symptoms: Vomiting projectile
Clinical narrative: 5-7-09 Crying, sore arms, couldn't move arms; temp 105 degrees F; mother gave Tylenol suppository; child projectile vomiting. Tylenol lowered fever but not completely. 5-8-09  Fever broke 1pm; couldn't move both arms; left arm swollen twice size of right arm; hot to touch.  5-9-09 Arms same, running nose.                 5-10-09  7am Difficulty breathing, increased heart rate; 1pm to ER; Diagnosis:  Bronchitis
Age: 70.0
Sex: F
Vaccine: VARZOS
Symptoms: Herpes zoster ophthalmic
Clinical narrative: pT DEVELOPED SIGNS AND SYMPTOMS OF hERPES zOSTER OPHTHALMIC BRANCH  OF 5TH NERVE l SIDE 4 days after receiving Zostavax
Age: 0.19
Sex: M
Vaccine: DTAP, RV5
Symptoms: Decreased appetite, Erythema, Irritability, Lymphadenitis, Mass
Clinical narrative: A hard, red lump the size of a blueberry appeared behind his right ear (this was diagnosed as lymphadenitis by Dr.) the day after his vaccination, and was given an antibiotic for 10-days.  He also experienced a decrease in appetite, sleepiness, and fussiness.  To date (5/12/2009) the lump has decreased in redness and size (about the size of a pea), however it is still there.
Age: 0.19
Sex: M
Vaccine: DTAP, RV5
Symptoms: Somnolence
Clinical narrative: A hard, red lump the size of a blueberry appeared behind his right ear (this was diagnosed as lymphadenitis by Dr.) the day after his vaccination, and was given an antibiotic for 10-days.  He also experienced a decrease in appetite, sleepiness, and fussiness.  To date (5/12/2009) the lump has decreased in redness and size (about the size of a pea), however it is still there.
Age: 36.0
Sex: F
Vaccine: PPV, TD
Symptoms: Injected limb mobility decreased, Injection site pain
Clinical narrative: On Wednesday May 13th I visited my primary care physician for a routine physical examination.  He recommended that I receive both Tetanus and Pneumococcal vacciations.  The pneumococcal vaccine was recommended due to an underlying chronic condition-Crohn's disease.  He did not administer either vaccine himself which was performed by a female nurse in the injection clinic.  I do not know her name.  She did clean each injection site with alcohol swabs prior to administering the vaccines.  The evening of May 13th, I experienced a moderate amount of injection site pain in my left shoulder (site of the Tetnus injection).  I also experienced moderate to severe injection site pain in my right shoulder (site of the pneumococcal vaccine) which radiated down my arm ending before the joint of my elbow.  That evening I experienced severe pain whenever I attempted to lift my right arm.  I actually could not move my arm from my right side without experiencing severe pain.  Later that evening I took 600 mg Motrin for the pain.  The following morning the pain in both arms was tolerable.  By the middle of the day (Thursday) my right arm (bicep and tricep) was swollen, red, painful-hot and hard to the touch.  The injection site was moderately painful.  Later that evening I took another 600 mg Motrin.  The following morning (May 8th) the right arm pain (bicep/tricep) and swelling worsened.  I visited my PCP mid Friday morning at 9:45AM.  He diagnosed my symptoms as being a "moderate allergic reaction- to the pneumococcal vaccine".  He prescribed Atarax for itching (although I had not experienced itching at this point) and cold compresses.  He also recommended that if my symptoms did not improve or worsened overnight to visit the emergency room.  I did not begin the prescribed treatment until later that evening after work taking Atarax and applied cold compresses.  Over the next two days the pain improved but the swelling, hardness and redness did not.  On Sunday, May 10, my arm (bicep/tricep) started itching and red raised bumps appeared.  I continued the prescribed treatment and as of today Tuesday May 12, all symptoms have resolved.
Age: 1.0
Sex: F
Vaccine: MMR, PNC, VARCEL
Symptoms: Fatigue, Pyrexia
Clinical narrative: FEVER BETWEEN 102.5 AND 103.7 FOR 50 HOURS; DIFFICULT TO CONTROL WITH MOTRIN AND UNRESPONSIVE TO TYLENOL // RASH: PENCIL POINT RED/PINK DOTS ALL OVER FACE&ARMS, SOME ON CHEST&BACK, A FEW ON HANDS, FEET AND LEGS--LASTING MORE THAN 5 DAYS (CURRENT) // EXTREME TIREDNESS LASTING MORE THAN 4 DAYS (CURRENT)
Age: 22.0
Sex: F
Vaccine: HPV4
Symptoms: Abdominal pain, Blood test, Bradyphrenia, Cardiac stress test, Depression
Clinical narrative: At 1248am, I fainted, had possible seizure, unconscious for 1 hour, several months of testings, Dr's can't find what's wrong, since vaccine have several daily headaches, nausea, dizziness, difficulty thinking, depression, abdominal pains, extreme fatigue, no symptoms have improved. After faint, left arm and left leg became numb for approximately 5 hours.  5/14/09 Vax rec received from provider.  HPV#1 7/3/07 0523U.  HPV#2 7/15/08 1757U. HPV#3 11/17/08 0651X. Neuro consults date 11/19/08 and 12/17/o8 received with dx:  syncopal episode, cervicalgia, headaches, mild anxiety, obesity. Pt presented for eval following syncopal episode (? vasovagal, cardiac or seizure) 2 days prior. Now with c/o H/A, numbness of the face, lips and neck-mostly on the L and dizziness. C/o "fogginess" on 12/17/08.  8/13/09 ER records received DOS 11/18/09. Assessment: Dizziness and Giddiness. Syncope and Collapse.  Patient presents with anxiety and head trauma. States "I woke up on the floor". Does not remember falling on the floor. Last memory was going to bed. Bruise left cheek. Tenderness. Internal lacerations left side of mouth/lips. Hematoma. Headache.
Age: 22.0
Sex: F
Vaccine: HPV4
Symptoms: Dizziness, Echocardiogram, Electrocardiogram, Fatigue, Headache
Clinical narrative: At 1248am, I fainted, had possible seizure, unconscious for 1 hour, several months of testings, Dr's can't find what's wrong, since vaccine have several daily headaches, nausea, dizziness, difficulty thinking, depression, abdominal pains, extreme fatigue, no symptoms have improved. After faint, left arm and left leg became numb for approximately 5 hours.  5/14/09 Vax rec received from provider.  HPV#1 7/3/07 0523U.  HPV#2 7/15/08 1757U. HPV#3 11/17/08 0651X. Neuro consults date 11/19/08 and 12/17/o8 received with dx:  syncopal episode, cervicalgia, headaches, mild anxiety, obesity. Pt presented for eval following syncopal episode (? vasovagal, cardiac or seizure) 2 days prior. Now with c/o H/A, numbness of the face, lips and neck-mostly on the L and dizziness. C/o "fogginess" on 12/17/08.  8/13/09 ER records received DOS 11/18/09. Assessment: Dizziness and Giddiness. Syncope and Collapse.  Patient presents with anxiety and head trauma. States "I woke up on the floor". Does not remember falling on the floor. Last memory was going to bed. Bruise left cheek. Tenderness. Internal lacerations left side of mouth/lips. Hematoma. Headache.
Age: 22.0
Sex: F
Vaccine: HPV4
Symptoms: Hypoaesthesia, Loss of consciousness, Nausea, Syncope, Urine analysis
Clinical narrative: At 1248am, I fainted, had possible seizure, unconscious for 1 hour, several months of testings, Dr's can't find what's wrong, since vaccine have several daily headaches, nausea, dizziness, difficulty thinking, depression, abdominal pains, extreme fatigue, no symptoms have improved. After faint, left arm and left leg became numb for approximately 5 hours.  5/14/09 Vax rec received from provider.  HPV#1 7/3/07 0523U.  HPV#2 7/15/08 1757U. HPV#3 11/17/08 0651X. Neuro consults date 11/19/08 and 12/17/o8 received with dx:  syncopal episode, cervicalgia, headaches, mild anxiety, obesity. Pt presented for eval following syncopal episode (? vasovagal, cardiac or seizure) 2 days prior. Now with c/o H/A, numbness of the face, lips and neck-mostly on the L and dizziness. C/o "fogginess" on 12/17/08.  8/13/09 ER records received DOS 11/18/09. Assessment: Dizziness and Giddiness. Syncope and Collapse.  Patient presents with anxiety and head trauma. States "I woke up on the floor". Does not remember falling on the floor. Last memory was going to bed. Bruise left cheek. Tenderness. Internal lacerations left side of mouth/lips. Hematoma. Headache.
Age: 12.0
Sex: M
Vaccine: TDAP
Symptoms: Injection site induration, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Swelling, warmth & hardness at site, pain at site.
Age: 74.0
Sex: F
Vaccine: VARZOS
Symptoms: Chest X-ray normal, Herpes zoster, Musculoskeletal pain
Clinical narrative: 12/27/08 --> Lt scapular pain - gen OXYCONTIN 20mg. ? nerve root. 1/1/09 - shingles --> given FAMVIR 500mg: PO Q8 hours.
Age: 4.0
Sex: M
Vaccine: MMR
Symptoms: Injection site swelling, Local swelling, Tenderness
Clinical narrative: ?Neck swelling w/ slight tenderness 12 days after Merck vaccine.  Lasted approximately 12-24 hours.  Could move neck freely;  R swollen upper arm onset 4/10/09.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Injection site inflammation, Injection site pain
Clinical narrative: Inflammation , tenderness left upper arm Tylenol or Ibuprofen cold pack to and comfort.
Age: 0.5
Sex: M
Vaccine: DTAP, HEP, HIBV, IPV, PNC, RV5
Symptoms: Granuloma
Clinical narrative: Per Dr possible granuloma.
Age: 27.0
Sex: F
Vaccine: HEPA, TDAP, TYP, YF
Symptoms: Immediate post-injection reaction, Syncope
Clinical narrative: Patient fainted after administration of yellow fever vaccine, also received IM vaccines for Havrix & Adacel.  Lasted about 30 seconds recovered completely.
Age: 11.0
Sex: M
Vaccine: MNQ
Symptoms: Blood glucose abnormal, Condition aggravated, Fall, Syncope
Clinical narrative: About 20 minutes after receiving immunizations had syncopal episode and fell onto concrete outside clinics, V/s normal, hadn't eaten that day, Dad states this happened with labs being drawn. Blood sugar 120mg 1dl random
Age: 4.0
Sex: M
Vaccine: DTAP, IPV
Symptoms: Blister, Injection site erythema, Injection site mass, Injection site pain, Injection site swelling
Clinical narrative: Mother of child reports that child had redness, swelling and warmth at injection site within only a few minutes (<30). Site remained tender to touch until present and is still swollen with a centralized knot. He also has a blister like rash on left hand and in scalp.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV
Symptoms: Injection site warmth
Clinical narrative: Mother of child reports that child had redness, swelling and warmth at injection site within only a few minutes (<30). Site remained tender to touch until present and is still swollen with a centralized knot. He also has a blister like rash on left hand and in scalp.
Age: 1.6
Sex: M
Vaccine: DTAP, HEPA, HIBV, PNC
Symptoms: Rash, Urticaria
Clinical narrative: Pt developed urticaria (generalized) after receiving DTP/aP (TRIPEDIA), PREVNAR & HIB. Per mother rash quickly subsided within 10 Min & completely disappeared after 20 min.
Age: 77.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Cough, Erythema, Heart rate increased, Increased upper airway secretion, Limb discomfort
Clinical narrative: Pt walked into clinic at 10:00 am on 11-3-08.  She reported 4-5 hrs after getting vaccines pt noted redness, warmth, soreness and itching on upper left arm and pulse went to 1:15 & returned to normal w/5 min after doing valsalua movement - hx of evt.  The next day 11-1-08, the redness had spread to up her neck to the side of her face & was warm/itchy.  At night 11-1-09 pt had constant cough, phlegm production, wheezing when she layed down .  The redness is now decreased to 6" & 0 soreness and itching 0 cough.  Pt did not seek medical care with acute sx.
Age: 77.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Pruritus, Skin warm, Wheezing
Clinical narrative: Pt walked into clinic at 10:00 am on 11-3-08.  She reported 4-5 hrs after getting vaccines pt noted redness, warmth, soreness and itching on upper left arm and pulse went to 1:15 & returned to normal w/5 min after doing valsalua movement - hx of evt.  The next day 11-1-08, the redness had spread to up her neck to the side of her face & was warm/itchy.  At night 11-1-09 pt had constant cough, phlegm production, wheezing when she layed down .  The redness is now decreased to 6" & 0 soreness and itching 0 cough.  Pt did not seek medical care with acute sx.
Age: 12.0
Sex: F
Vaccine: HPV4, TDAP
Symptoms: Expired drug administered
Clinical narrative: HPV vaccine give with expired date Lot 00114 Exp 21 Mar 09 - Saw date as 21 May 09.
Age: 30.0
Sex: F
Vaccine: HEP, TDAP
Symptoms: Body temperature increased
Clinical narrative: Approximately 24 hrs post receiving vaccines, pt reported temp of 102 degrees F.  Temp went down in the evening but next afternoon (48 hrs later, temp increased to 102.7 degrees F.
Age: 61.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site erythema, Injection site pain, Injection site warmth, Pruritus
Clinical narrative: Injection site {erythema warm sensation pain} with in 4 hrs of shot; then in 24 hrs --> pruritis + (increased) redness 5 treatment (resolved in 1 wk).
Age: 71.0
Sex: F
Vaccine: VARZOS
Symptoms: Burning sensation, Pruritus, Rash erythematous, Urticaria
Clinical narrative: Client had ZOSTAVAX injection 5/28/09. Awakened this morning (5-1-09) with a raised, red rash over "upper chest." States the rash "itches and burns" with "moderate" intensity. Denies fever or any other symptoms. Used cortisone cream on area with some relief of sx. Has called her doctor.
Age: 73.0
Sex: F
Vaccine: VARZOS
Symptoms: Blindness, Laboratory test abnormal, Neuralgia, Pain, Rash
Clinical narrative: Rash, pain, loss of eye sight for 2 weeks. Nerve pain. Experience - still being treated for nerve pain in head.
Age: 1.04
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Rash papular, Rash pustular
Clinical narrative: Multiple papules + pustuls on back + arms.
Age: 13.0
Sex: F
Vaccine: HPV4
Symptoms: Contusion, Fall, Fatigue, Hand fracture, Nausea
Clinical narrative: Pt was home 1 1/2 hrs post vaccine & started to faint (Dad is a Dr. (cardiologist) and called it a "near syncopal episode" she also felt nauseous & tired.  When she fell she fractured her rt pinky & bruised her right knee (taped up by orthopedist).  Felt sluggish this am but went to school.  * Also has menstrual period.
Age: 13.0
Sex: F
Vaccine: HPV4
Symptoms: Presyncope
Clinical narrative: Pt was home 1 1/2 hrs post vaccine & started to faint (Dad is a Dr. (cardiologist) and called it a "near syncopal episode" she also felt nauseous & tired.  When she fell she fractured her rt pinky & bruised her right knee (taped up by orthopedist).  Felt sluggish this am but went to school.  * Also has menstrual period.
Age: 48.0
Sex: F
Vaccine: PPV, TDAP
Symptoms: Oedema peripheral, Pain in extremity
Clinical narrative: Left arm pain and swelling saw Dr 5/9/09
Age: 11.0
Sex: F
Vaccine: MNQ, TDAP, VARCEL
Symptoms: Cellulitis
Clinical narrative: 5/9 Cellulitis left arm s/p Tdap placed on Keflex per clinic & now doing well.
Age: 67.0
Sex: M
Vaccine: PPV
Symptoms: Cough, Pulmonary congestion, Pyrexia
Clinical narrative: Next day developed cough and congestion in lungs, Dr prescribed antibiotic (Amox-clav 500 mg) 3 days later they gave no relief or made any difference. Cough still persisting 24/7. Patient has been for whole month. Still suffering. Had some fever first two wks.
Age: 4.0
Sex: M
Vaccine: DTAP, MMR, VARCEL
Symptoms: Gait disturbance, Injection site induration, Injection site pain
Clinical narrative: DTaP administered @ thigh on 5-3-09.  On 5-4-09 in office for eval -- leg pain & refusal to walk since vaccine administered.  Are firm.  Are on L thigh 3" x 2 1/2" of induration zero warmth or redness.  Tx with cold compresses, Keflex & encouraging use of leg.
Age: 61.0
Sex: F
Vaccine: PPV
Symptoms: Erythema, Oedema, Pain
Clinical narrative: Local edema, pain, redness.
Age: 26.0
Sex: F
Vaccine: SMALL, SMALL
Symptoms: Genital lesion, Herpes simplex serology negative, Polymerase chain reaction, Pyrexia, Secondary transmission
Clinical narrative: Probable secondary transmission of vaccinia: Patient is not vaccinee. VAERS filed on vaccinee. 26 year old female patient whose boyfriend received his SPV on 16 April (patient said he received the SPV at Air Force Reserve Base; had lab work drawn on 23 April). Patient noted painful, perineal lesions on 30 April. Pt also developed a lesion on her right thumb and lesions on her upper left thigh. She experienced a fever (max temp of 101) without significant systemic symptoms. She sought evaluation and was treated initially for herpes with VALTREX and pain medication. HSV culture came back negative. Currently afebrile and under the care of Dr. . PCR war sent of state lab for vaccinia PCR and cultures. Precautions to avoid spread of vaccinia reviewed with patient.  6/4/09 ER records received DOS 5/5/09. FINAL DIAGNOSIS: Herpes genitalis. Post vaccination presents with left neck soreness, bilateral inguinal adenopathy, rash left genitalia, thighs. Ulcerative and vesicular. Was previously thought to have herpes zoster and prescribed Valtrex. Progressive pain, fever. Vaginal discharge.  6/9/09 PCP medical records received DOS 5/4/09 to 5/8/09. FINAL DIAGNOSIS: "vaccinia reaction small pox vaccine reaction" Patient presented with right and left inquinal adenopathy, low grade fever, fatigue, malaise, joint aches. Rash on back of left thigh extends to genital region and L lower introitus. Boyfriend vaccinated with smallpox. Pt later presents with pustule on R thumb. Vesicular pustular rash to perineum extending into labia. Older lesions begining to scab.
Age: 26.0
Sex: F
Vaccine: SMALL, SMALL
Symptoms: Skin lesion
Clinical narrative: Probable secondary transmission of vaccinia: Patient is not vaccinee. VAERS filed on vaccinee. 26 year old female patient whose boyfriend received his SPV on 16 April (patient said he received the SPV at Air Force Reserve Base; had lab work drawn on 23 April). Patient noted painful, perineal lesions on 30 April. Pt also developed a lesion on her right thumb and lesions on her upper left thigh. She experienced a fever (max temp of 101) without significant systemic symptoms. She sought evaluation and was treated initially for herpes with VALTREX and pain medication. HSV culture came back negative. Currently afebrile and under the care of Dr. . PCR war sent of state lab for vaccinia PCR and cultures. Precautions to avoid spread of vaccinia reviewed with patient.  6/4/09 ER records received DOS 5/5/09. FINAL DIAGNOSIS: Herpes genitalis. Post vaccination presents with left neck soreness, bilateral inguinal adenopathy, rash left genitalia, thighs. Ulcerative and vesicular. Was previously thought to have herpes zoster and prescribed Valtrex. Progressive pain, fever. Vaginal discharge.  6/9/09 PCP medical records received DOS 5/4/09 to 5/8/09. FINAL DIAGNOSIS: "vaccinia reaction small pox vaccine reaction" Patient presented with right and left inquinal adenopathy, low grade fever, fatigue, malaise, joint aches. Rash on back of left thigh extends to genital region and L lower introitus. Boyfriend vaccinated with smallpox. Pt later presents with pustule on R thumb. Vesicular pustular rash to perineum extending into labia. Older lesions begining to scab.
Age: 26.0
Sex: F
Vaccine: SMALL, SMALL
Symptoms: Culture, Fatigue, Herpes simplex serology negative, Lymphadenopathy, Malaise
Clinical narrative: Probable secondary transmission of vaccinia: Patient is not vaccinee. VAERS filed on vaccinee. 26 year old female patient whose boyfriend received his SPV on 16 April (patient said he received the SPV at Air Force Reserve Base; had lab work drawn on 23 April). Patient noted painful, perineal lesions on 30 April. Pt also developed a lesion on her right thumb and lesions on her upper left thigh. She experienced a fever (max temp of 101) without significant systemic symptoms. She sought evaluation and was treated initially for herpes with VALTREX and pain medication. HSV culture came back negative. Currently afebrile and under the care of Dr. . PCR war sent of state lab for vaccinia PCR and cultures. Precautions to avoid spread of vaccinia reviewed with patient.  6/4/09 ER records received DOS 5/5/09. FINAL DIAGNOSIS: Herpes genitalis. Post vaccination presents with left neck soreness, bilateral inguinal adenopathy, rash left genitalia, thighs. Ulcerative and vesicular. Was previously thought to have herpes zoster and prescribed Valtrex. Progressive pain, fever. Vaginal discharge.  6/9/09 PCP medical records received DOS 5/4/09 to 5/8/09. FINAL DIAGNOSIS: "vaccinia reaction small pox vaccine reaction" Patient presented with right and left inquinal adenopathy, low grade fever, fatigue, malaise, joint aches. Rash on back of left thigh extends to genital region and L lower introitus. Boyfriend vaccinated with smallpox. Pt later presents with pustule on R thumb. Vesicular pustular rash to perineum extending into labia. Older lesions begining to scab.
Age: 26.0
Sex: F
Vaccine: SMALL, SMALL
Symptoms: Neck pain, Perineal pain, Polymerase chain reaction, Pyrexia, Secondary transmission
Clinical narrative: Probable secondary transmission of vaccinia: Patient is not vaccinee. VAERS filed on vaccinee. 26 year old female patient whose boyfriend received his SPV on 16 April (patient said he received the SPV at Air Force Reserve Base; had lab work drawn on 23 April). Patient noted painful, perineal lesions on 30 April. Pt also developed a lesion on her right thumb and lesions on her upper left thigh. She experienced a fever (max temp of 101) without significant systemic symptoms. She sought evaluation and was treated initially for herpes with VALTREX and pain medication. HSV culture came back negative. Currently afebrile and under the care of Dr. . PCR war sent of state lab for vaccinia PCR and cultures. Precautions to avoid spread of vaccinia reviewed with patient.  6/4/09 ER records received DOS 5/5/09. FINAL DIAGNOSIS: Herpes genitalis. Post vaccination presents with left neck soreness, bilateral inguinal adenopathy, rash left genitalia, thighs. Ulcerative and vesicular. Was previously thought to have herpes zoster and prescribed Valtrex. Progressive pain, fever. Vaginal discharge.  6/9/09 PCP medical records received DOS 5/4/09 to 5/8/09. FINAL DIAGNOSIS: "vaccinia reaction small pox vaccine reaction" Patient presented with right and left inquinal adenopathy, low grade fever, fatigue, malaise, joint aches. Rash on back of left thigh extends to genital region and L lower introitus. Boyfriend vaccinated with smallpox. Pt later presents with pustule on R thumb. Vesicular pustular rash to perineum extending into labia. Older lesions begining to scab.
Age: 26.0
Sex: F
Vaccine: SMALL, SMALL
Symptoms: Skin lesion, Vaccinia virus infection
Clinical narrative: Probable secondary transmission of vaccinia: Patient is not vaccinee. VAERS filed on vaccinee. 26 year old female patient whose boyfriend received his SPV on 16 April (patient said he received the SPV at Air Force Reserve Base; had lab work drawn on 23 April). Patient noted painful, perineal lesions on 30 April. Pt also developed a lesion on her right thumb and lesions on her upper left thigh. She experienced a fever (max temp of 101) without significant systemic symptoms. She sought evaluation and was treated initially for herpes with VALTREX and pain medication. HSV culture came back negative. Currently afebrile and under the care of Dr. . PCR war sent of state lab for vaccinia PCR and cultures. Precautions to avoid spread of vaccinia reviewed with patient.  6/4/09 ER records received DOS 5/5/09. FINAL DIAGNOSIS: Herpes genitalis. Post vaccination presents with left neck soreness, bilateral inguinal adenopathy, rash left genitalia, thighs. Ulcerative and vesicular. Was previously thought to have herpes zoster and prescribed Valtrex. Progressive pain, fever. Vaginal discharge.  6/9/09 PCP medical records received DOS 5/4/09 to 5/8/09. FINAL DIAGNOSIS: "vaccinia reaction small pox vaccine reaction" Patient presented with right and left inquinal adenopathy, low grade fever, fatigue, malaise, joint aches. Rash on back of left thigh extends to genital region and L lower introitus. Boyfriend vaccinated with smallpox. Pt later presents with pustule on R thumb. Vesicular pustular rash to perineum extending into labia. Older lesions begining to scab.
Age: 70.0
Sex: M
Vaccine: HEPAB, IPV, YF, HEPAB, IPV, YF
Symptoms: Pyrexia, Rash vesicular, Sciatica, Urticaria
Clinical narrative: Initial report received on 01 May 2009 from a health care professional. A 70-year-old male patient had received a right arm subcutaneous booster injection of IPOL (lot number A1229-2); a second subcutaneous left arm injection of YF-VAX (lot number UF431AA); and a first intramuscular left arm injection of TWINRIX (manufacturer GlaxoSmithKline, lot number AHABB160AA) on 16 April 2009 at 13:00 pm. The patient had no concurrent illnesses at the time, but had medical history of throat cancer in 2005 that has not required treatment in the last four years. The patient has been well from 2006 to 2009; however he was taking PREVACID and LIPITOR as concomitant medications (indications not reported). Ten days post-vaccination on 26 April 2009 (time of onset unknown), the patient developed dried like zoster rash to the forehead for three days with mild fever only. Subsequently (date not reported), the patient developed vesicular rash (also reported as urticaria) and sciatica. At that time, the patient did not have a fever. Subsequently (date no reported) the patient developed respiratory issues (not described) and his physician started him on VALTREX. The patient was recommended to get further medical evaluation and treatment for symptoms. Per the reporter, at the time of this report, this was in process. The recovery status of the patient was not reported. Documents held by sender: None.
Age: 70.0
Sex: M
Vaccine: HEPAB, IPV, YF, HEPAB, IPV, YF
Symptoms: Pyrexia, Rash vesicular, Respiratory disorder, Sciatica, Urticaria
Clinical narrative: Initial report received on 01 May 2009 from a health care professional. A 70-year-old male patient had received a right arm subcutaneous booster injection of IPOL (lot number A1229-2); a second subcutaneous left arm injection of YF-VAX (lot number UF431AA); and a first intramuscular left arm injection of TWINRIX (manufacturer GlaxoSmithKline, lot number AHABB160AA) on 16 April 2009 at 13:00 pm. The patient had no concurrent illnesses at the time, but had medical history of throat cancer in 2005 that has not required treatment in the last four years. The patient has been well from 2006 to 2009; however he was taking PREVACID and LIPITOR as concomitant medications (indications not reported). Ten days post-vaccination on 26 April 2009 (time of onset unknown), the patient developed dried like zoster rash to the forehead for three days with mild fever only. Subsequently (date not reported), the patient developed vesicular rash (also reported as urticaria) and sciatica. At that time, the patient did not have a fever. Subsequently (date no reported) the patient developed respiratory issues (not described) and his physician started him on VALTREX. The patient was recommended to get further medical evaluation and treatment for symptoms. Per the reporter, at the time of this report, this was in process. The recovery status of the patient was not reported. Documents held by sender: None.
Age: 4.0
Sex: M
Vaccine: DTAP, MMR, DTAP
Symptoms: C-reactive protein, Haematology test, Red blood cell sedimentation rate, Synovitis, Ultrasound scan
Clinical narrative: Toxic Synovitis of hip.
Age: 4.0
Sex: M
Vaccine: DTAP, MMR, DTAP
Symptoms: X-ray
Clinical narrative: Toxic Synovitis of hip.
Age: 24.0
Sex: F
Vaccine: FLUX, PPV
Symptoms: Incorrect route of drug administration, No adverse event
Clinical narrative: Information has been received from a pharmacist reported that a 25 year old female with no allergies received PNEUMOVAX (Lot# 662742/1117X), unknown dose, once, intravenously instead of intramuscularly (IM), a few minutes ago, on 31-JAN-2009 for vaccination. The patient's relevant medical history includes that she was post surgery; admission date was 31-JAN-2009. She had PERCOCET, so it was in her system and also had the influenza virus vaccine (manufacturer unknown) today 31-JAN-2009 before the PNEUMOVAX vaccine. The patient's relevant concomitant medications included COLACE, DILAUDID, CHROMAGEN CAPSULES, PHENERGAN, and TORADOL. The patient's relevant past drug history was unknown. On 31-JAN-2009, a nurse administered the PNEUMOVAX a few minutes ago IV instead of IM. The physician had been notified. It was unknown if any laboratory testing had been performed. As of 31-JAN-2009, it was unknown if the patient continued to take PNEUMOVAX vaccine and the pharmacist stated that she assumed that the patient was okay right now because she had not heard anything or gotten any orders for any medications and that the physician was monitoring the patient and was considering the Epipen. Follow-up information was received from the physician concerning the 24 year old female with no illness at time of vaccination, pre-existing allergies, birth defects or medical conditions. It was reported that there was no adverse event. The patient was observed in hospital for 12-24 hours after the event which prolonged hospitalization. No relevant diagnostic tests were performed. No further information is available.
Age: 85.0
Sex: F
Vaccine: PPV
Symptoms: Injection site cellulitis, Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Pt receives a PNA vaccine on 5-2-09 on her left deltoid. Develop a big red mark on the injection site c/o pain and feels swollen then put a marking on the inj site on 5-3-09. (L) arm appears more red and swollen and extends up to her elbow. Dx with cellulitis by ID place on Daptomycin IV AB x1 and BACTRIM DS po.  5/13/09 spoke with hospital's risk management RN after afttempting to reach reporter.  Pt's hospitalization was not prolonged as a result of the cellulitis. Pt was given 1 dose of IV abx with improvement and discharged on time. No f/u necessary.  Case closed
Age: 94.0
Sex: F
Vaccine: PPV
Symptoms: Injection site swelling
Clinical narrative: Pt called around 2100 on 5/2/09; spoke with one RH to report that her (L) arm where they injected Pneumococcal vaccine started to get swollen. Pt was instructed to schedule appointment with primary MD the next morning to be checked. Pharmacy notified about incident.
Age: 25.0
Sex: U
Vaccine: TD
Symptoms: Paraesthesia oral, Respiratory disorder
Clinical narrative: Pt c/o lip tingling and respiratory symptoms
Age: 63.0
Sex: F
Vaccine: VARZOS
Symptoms: Erythema, Induration, Oedema peripheral, Pain in extremity, Pruritus
Clinical narrative: Patient states awoke to arm red swollen tender to touch.  Noted hard spot near tender arm size of prune.  Patient able to use arm c/o area itchy.  Will follow up.
Age: 1.0
Sex: F
Vaccine: VARCEL
Symptoms: Erythema, Pruritus, Rash, Rash papular, Rash pustular
Clinical narrative: Rash on back itchy, especially on ABD. Trunk/Buttocks groups of vesicular/ papules/few tiny pustules on erythem. base.  Clinically - varicella (status post 2 immunization).
Age: 1.0
Sex: F
Vaccine: VARCEL
Symptoms: Rash vesicular
Clinical narrative: Rash on back itchy, especially on ABD. Trunk/Buttocks groups of vesicular/ papules/few tiny pustules on erythem. base.  Clinically - varicella (status post 2 immunization).
Age: 17.0
Sex: F
Vaccine: HEP, HPV4
Symptoms: Expired drug administered
Clinical narrative: Patient give hep B (peds) on 5-1-09 vac exp date 4-28-09
Age: 46.0
Sex: F
Vaccine: HEP
Symptoms: Rash
Clinical narrative: Vaccine administered to pt on 4-1-09 after she denied any allergies about 6pm.  Client states on 4-2-09 a red slightly raised rash developed on neck, upper back.  Pt stated she took Benadryl.  Pt stated no pain or itching from rash.  After 5 days of continued rash on neck + upper back she went to her MD.  Dr told her rash was from Hepatitis B vaccine and she should not receive any more Hep B vaccine.  Rash lasted 2 weeks.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Body temperature increased, Granulocyte percentage, Haematocrit normal, Haemoglobin normal, Injection site erythema
Clinical narrative: L upper 2 length area of redness + local temp - started ? 2cm x  2 in and elevated to 5cm X 5cm overnight. Fever > 99.8 (A)
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Injection site warmth, Lymphocyte percentage increased, Platelet count increased, Pyrexia, White blood cell count increased
Clinical narrative: L upper 2 length area of redness + local temp - started ? 2cm x  2 in and elevated to 5cm X 5cm overnight. Fever > 99.8 (A)
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site warmth
Clinical narrative: 8 by  7 cm area of erythema + warmth -> L biceps.
Age: 1.0
Sex: M
Vaccine: HEPA, MMR, VARCEL
Symptoms: Unevaluable event
Clinical narrative: None Stated
Age: 38.0
Sex: M
Vaccine: ANTH
Symptoms: Blindness, Constipation
Clinical narrative: Constipation, some lost of vision.
Age: 43.0
Sex: F
Vaccine: MMR
Symptoms: Arthralgia
Clinical narrative: "...began to hve severe joint pain
Age: 10.0
Sex: F
Vaccine: VARZOS
Symptoms: Wrong drug administered
Clinical narrative: Patient was given a Zostavax vaccine as opposed to a varicella vaccine.  Contacted patient's mother.  Patient is having no symptoms.
Age: 0.3
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV1
Symptoms: Abdominal mass, Bowel movement irregularity, Gastritis, Haematochezia, Intestinal resection
Clinical narrative: Pt seen in hospital on May 11, 2009 with bilious emesis, and low grade fever. She was sent home with the diagnosis of acute gastritis. The patient presented to our clinic on Tuesday morning with same complaint and also report of no bowel movement for three days. When Dr. examined baby she had a palpable mass in her left lower abdomen. He then noted after examining her rectum, a grossly bloody stool. Patient was then sent to hospital where she was diagnosed with intussusception. She underwent bowel resection oon May 12, 2009.  6/15/09 Hospital records received DOS 5/12/09. Assessment: Intussusception. Patient presented with abdominal pain, bilious vomiting, crying, blood per rectum, bloody stool, fussy, lethargic. Congestion past 24hrs. Decreased skin turgidity. Tachycardia.6/22/09-ICD-9 codes received 560.0, 787.03. V 641. 9/28/09 Discharge summary received for date of service 5/12/09 to 5/17/09 DX: Successful surgical open reduction of the intussusception
Age: 0.3
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV1
Symptoms: Intussusception, Pyrexia, Vomiting
Clinical narrative: Pt seen in hospital on May 11, 2009 with bilious emesis, and low grade fever. She was sent home with the diagnosis of acute gastritis. The patient presented to our clinic on Tuesday morning with same complaint and also report of no bowel movement for three days. When Dr. examined baby she had a palpable mass in her left lower abdomen. He then noted after examining her rectum, a grossly bloody stool. Patient was then sent to hospital where she was diagnosed with intussusception. She underwent bowel resection oon May 12, 2009.  6/15/09 Hospital records received DOS 5/12/09. Assessment: Intussusception. Patient presented with abdominal pain, bilious vomiting, crying, blood per rectum, bloody stool, fussy, lethargic. Congestion past 24hrs. Decreased skin turgidity. Tachycardia.6/22/09-ICD-9 codes received 560.0, 787.03. V 641. 9/28/09 Discharge summary received for date of service 5/12/09 to 5/17/09 DX: Successful surgical open reduction of the intussusception
Age: 33.0
Sex: F
Vaccine: HEPAB
Symptoms: Body temperature increased, Influenza like illness, Influenza serology negative, Injection site pain, Malaise
Clinical narrative: Employee received 2nd dose of Hep A/B TwinRix on 5/11/09.She had no problems with 1st dose on 1/12/09. Within an hour of receiving the shot, her arm at injection site started to hurt with pain and tingling going into the neck and up to face.  This lasted off and on for about 1 hr, then dissipated.  Thirty hours later she became febrile with aching all over.  Temp. went to 102.5 and remains over 101 today with flu like symptoms continuing. Follow-up Information 14-May-2009: The client went to the doctor on 5/13. She had the rapid flu test which was negative. The doctor stated he was not sure what it was but if the fever continued for another couple days, she was to contact the doctor and they would send the specimen to the state for testing. She has a temp this morning of 101.8 and feels very ill. She is not coughing but does have a sore throat.
Age: 33.0
Sex: F
Vaccine: HEPAB
Symptoms: Oropharyngeal pain, Pain, Paraesthesia, Pyrexia
Clinical narrative: Employee received 2nd dose of Hep A/B TwinRix on 5/11/09.She had no problems with 1st dose on 1/12/09. Within an hour of receiving the shot, her arm at injection site started to hurt with pain and tingling going into the neck and up to face.  This lasted off and on for about 1 hr, then dissipated.  Thirty hours later she became febrile with aching all over.  Temp. went to 102.5 and remains over 101 today with flu like symptoms continuing. Follow-up Information 14-May-2009: The client went to the doctor on 5/13. She had the rapid flu test which was negative. The doctor stated he was not sure what it was but if the fever continued for another couple days, she was to contact the doctor and they would send the specimen to the state for testing. She has a temp this morning of 101.8 and feels very ill. She is not coughing but does have a sore throat.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Erythema, Urticaria
Clinical narrative: Immunizations administered at 12:40pm, 12:45pm face red, hives noted on face. Benadryl administered. 2:40pm face no longer red, hives gone.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Erythema, Immediate post-injection reaction, Local reaction, Urticaria
Clinical narrative: AS SOON AS THE VARICELLA AND MMR WAS GIVEN LOCAL REACTION OCCURRED IN THE FORM OF WHEAL, TWO OF THEM AND SOME REDNESS.  WE GAVE HER BENADRYL AND AFTER 40 MINUTES OBSERVATION THE WHEALS HAVE DISAPPEAR AND DURING THIS TIME NO RESPIRATORY DISTRESS WAS ELICITED.  SHE WAS SENT HOME.
Age: 30.0
Sex: F
Vaccine: VARCEL
Symptoms: Paraesthesia
Clinical narrative: Pt developed a raised red area on back of Left arm on Sunday, 4/26 after immunization on 4/16.  Area was hot and itchy when noticed.  Presented @ clinic on 4/28, area increased in size (approx. 50 mm X 50 mm)red, hot to touch with darker area posterior and distal (approx. 10mm X 10mm).  Pt c/o tingling down arm.  Per followup phone call to patient--patient was seen at Urgen Care clinic and given diagnosis of cellulitis that was not related to the varicella injection.  Patient states she was treated with Zithromax with improvement of symptoms.
Age: 38.0
Sex: F
Vaccine: TYP
Symptoms: Arthralgia, Eye swelling, Oropharyngeal pain
Clinical narrative: Ct satates that a couple of hours after taking 1st typhoid pill developed rash on wrists with swelling of one eye.  No difficulty breathing.    After taking 2nd pill rash began to spread, states rash was raised, red itchy.  Also developed joint pain and sore throat.  No hx of allergies per ct.  Currently on no medications with no underlying medical conditions per ct.  Ct. was seen by MD who recommended comfort measures only.  No difficulty breathing per ct. at any time.
Age: 31.0
Sex: F
Vaccine: MMR, TDAP
Symptoms: Pain in jaw, Swelling face
Clinical narrative: Patient stated she had received a MMR vaccine and later that night her jaw appeared swollen and painful. She stated that she felt feverish. She came to student health services 2 days after receiving the MMR with left sided facial swelling near jaw line, no erythema, no warmth and non tender at the time of the visit. Instructed to use Ibuprofen 600 mg 3 times daily.
Age: 0.26
Sex: F
Vaccine: PNC
Symptoms: Erythema, Nasal congestion, Pyrexia, Respiratory rate increased
Clinical narrative: Patient ran a 102 fever, breathing very fast and red cheeks and a very congested nose.  Pediatric emergency number advised us to go the hospital where they just assessed her told us to use Tylenol and released her.
Age: 26.0
Sex: M
Vaccine: HEP, MMR, VARCEL
Symptoms: Eye swelling, Lip swelling, Pyrexia, Swelling face, Urticaria
Clinical narrative: Reported to clinic 4/21/2009 with swollen cheeks, upper lip and left periorbital areas. Hives on trunk and arms since 4/6/2009 when he had his vaccines (MMR, Varicella and Hep B). Instructed to take Zyrtec and Zantac and Tylenol for the fever. Returned 2 days later no lip swelling but continued to have some facial swelling.
Age: 0.33
Sex: M
Vaccine: PNC
Symptoms: Rash
Clinical narrative: PATIENT'S MOTHER REFERS RASH IN ARMS, LEGS, BACK AND IN THE BACK OF THE NECK.
Age: 1.0
Sex: F
Vaccine: HEPA, HIBV, PNC, VARCEL
Symptoms: Injection site swelling, Injection site urticaria
Clinical narrative: Local hives and swelling at site of Varivax and Hep A vaccine, persisting swelling at site for 2 weeks.
Age: 44.0
Sex: F
Vaccine: VARCEL
Symptoms: Pruritus, Urticaria
Clinical narrative: PATIENT DEVELOPED ITCHY HIVES SIMILAR TO VARICELLA LESIONS ON HER FACE AND BODY.