chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 11.0
Sex: M
Vaccine: MNQ, TDAP
Symptoms: Muscle spasms, Musculoskeletal stiffness, Myalgia, Neck pain, Pain in extremity
Clinical narrative: Initial report received on 09 November 2008 from the consumers parent. An 11-year-old male patient with no concurrent illnesses, and unknown past medical history, had received an intramuscular injection of ADACEL, lot number C3003 (lot number UF452CA); and an intramuscular injection of MENACTRA (Lot number U2734AA) on 17 October 2008. The routes and sites of administration were not provided. At an unspecified amount of time later, the patient began having symptoms of severe headache (head pain), severe back pain/soreness (including low back pain), and his back was stiff with numbness and spasms. The patient was evaluated by his physician ten days later, and at that time, the back pain had improved somewhat, and the patient was additionally experiencing muscular tenderness, left arm pain, neck pain; and continued head pain. He also had chills, however he was afebrile. Diagnostic tests performed revealed the patient was positive for Lupus. Date, name, type and results of diagnostic tests were not provided. It was not reported whether the patient had received any corrective treatments. At the time of this report, the patient had not recovered. Documents held by sender: None.  11/26/2008 MR received from PCP including neuro consults.  Mencatra (U2734AA) and Adacel  (UF452CA) given 10/17/08. Pt RTO 10/23/08 with c/o muscle stiffness and soreness and arm and shoulder pain, as well as not sleeping well. Nummbness and tingling in fingers of L hand. Assessment: Muscular tenderness post vaccination. Returned 10/27/08 and 10/28/08 with c/o arm, head, neck and back pain-unimproved. Referred to neurology.  Neuro consult 10/28/08. Pt reported injection site burning following vax on 10/17/08 and since then has had H/A, neck pain, burning patches in extremities, difficulty sleeping and stiff neck. PE (+) for inability to flex head forward- severe pain. Sent for MRI. Started on neurontin. F/U 11/12/08 still with sx.  Sleeping better. Pain 10/10 all over. ? RSD. 1/20/2009 Additional records received from recent Neuro consult 12/9/08. PE WNL except decreased sensation to cold and pinprick on R arm from elbow to wrist. Likely conversion disorder, no neurological cause for sx. F/u with PCP 1/9/09 almost completely recovered from RSD.
Age: 11.0
Sex: M
Vaccine: MNQ, TDAP
Symptoms: Systemic lupus erythematosus
Clinical narrative: Initial report received on 09 November 2008 from the consumers parent. An 11-year-old male patient with no concurrent illnesses, and unknown past medical history, had received an intramuscular injection of ADACEL, lot number C3003 (lot number UF452CA); and an intramuscular injection of MENACTRA (Lot number U2734AA) on 17 October 2008. The routes and sites of administration were not provided. At an unspecified amount of time later, the patient began having symptoms of severe headache (head pain), severe back pain/soreness (including low back pain), and his back was stiff with numbness and spasms. The patient was evaluated by his physician ten days later, and at that time, the back pain had improved somewhat, and the patient was additionally experiencing muscular tenderness, left arm pain, neck pain; and continued head pain. He also had chills, however he was afebrile. Diagnostic tests performed revealed the patient was positive for Lupus. Date, name, type and results of diagnostic tests were not provided. It was not reported whether the patient had received any corrective treatments. At the time of this report, the patient had not recovered. Documents held by sender: None.  11/26/2008 MR received from PCP including neuro consults.  Mencatra (U2734AA) and Adacel  (UF452CA) given 10/17/08. Pt RTO 10/23/08 with c/o muscle stiffness and soreness and arm and shoulder pain, as well as not sleeping well. Nummbness and tingling in fingers of L hand. Assessment: Muscular tenderness post vaccination. Returned 10/27/08 and 10/28/08 with c/o arm, head, neck and back pain-unimproved. Referred to neurology.  Neuro consult 10/28/08. Pt reported injection site burning following vax on 10/17/08 and since then has had H/A, neck pain, burning patches in extremities, difficulty sleeping and stiff neck. PE (+) for inability to flex head forward- severe pain. Sent for MRI. Started on neurontin. F/U 11/12/08 still with sx.  Sleeping better. Pain 10/10 all over. ? RSD. 1/20/2009 Additional records received from recent Neuro consult 12/9/08. PE WNL except decreased sensation to cold and pinprick on R arm from elbow to wrist. Likely conversion disorder, no neurological cause for sx. F/u with PCP 1/9/09 almost completely recovered from RSD.
Age: 37.0
Sex: F
Vaccine: JEV
Symptoms: Abdominal pain, Chills, Dizziness, Gastritis, Headache
Clinical narrative: Initial non-serious case received from a health care professional on 14 October 2008. A 37-year-old female patient reported symptoms of fever, chills, headache, dizziness, nausea and abdominal pain three days after receiving a subcutaneous left arm injection of JE-VAX (lot number EJN234A). She had no vomiting or rash. Patient outcome reported as 'not recovered'. Follow-up information received on 10 November 2008 from the original reporter who is a health care professional. Per the reporter, the patient was taking concomitant medication FLORINEF (previously reported as "Floranase") at the time of the vaccination on 10 October 2008 for low potassium/sodium blood levels to help with reabsorption of sodium and potassium. The JE-VAX vaccine administered on 10 October 2008 was the first dose the patient had received. When the reporter spoke with the patient on 05 October 2008, the patient reported that she sought medical attention for her symptoms after receiving the JE-VAX vaccine and received help with the symptoms that had persisted including the nausea, vomiting (newly reported symptom) and abdominal pain. The patient stated she subsequently developed gastritis and was hospitalized for treatment. She was later released from the hospital to home and went on leave from work for recuperation. The patient declined to complete the vaccine series. The patient is willing to provide any further details if necessary. The recovery status of the patient was reported as recovered. Per this new information, this case is being upgraded to serious. Documents held by sender: None.
Age: 37.0
Sex: F
Vaccine: JEV
Symptoms: Nausea, Pyrexia, Vomiting
Clinical narrative: Initial non-serious case received from a health care professional on 14 October 2008. A 37-year-old female patient reported symptoms of fever, chills, headache, dizziness, nausea and abdominal pain three days after receiving a subcutaneous left arm injection of JE-VAX (lot number EJN234A). She had no vomiting or rash. Patient outcome reported as 'not recovered'. Follow-up information received on 10 November 2008 from the original reporter who is a health care professional. Per the reporter, the patient was taking concomitant medication FLORINEF (previously reported as "Floranase") at the time of the vaccination on 10 October 2008 for low potassium/sodium blood levels to help with reabsorption of sodium and potassium. The JE-VAX vaccine administered on 10 October 2008 was the first dose the patient had received. When the reporter spoke with the patient on 05 October 2008, the patient reported that she sought medical attention for her symptoms after receiving the JE-VAX vaccine and received help with the symptoms that had persisted including the nausea, vomiting (newly reported symptom) and abdominal pain. The patient stated she subsequently developed gastritis and was hospitalized for treatment. She was later released from the hospital to home and went on leave from work for recuperation. The patient declined to complete the vaccine series. The patient is willing to provide any further details if necessary. The recovery status of the patient was reported as recovered. Per this new information, this case is being upgraded to serious. Documents held by sender: None.
Age: 0.2
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC, RV5
Symptoms: Blood culture, Crying, Full blood count, Hypertonia, Lumbar puncture
Clinical narrative: Whimpering, very sleepy - unable to wake. Arm would go out straight. Whole body would shake. Possible seizure.  11/17/08 Case closed w/medical records of 11/4-11/6/2008 that accompanied report. FINAL DX: seizure, probable DTaP vaccine induced Records reveal patient experienced good health on 11/3 w/concerns of constipation & possible hemangioma of arm.  Developed irritability, very sleepy, jerky shaking movements x overnight s/p vaccinations.  Seen by PCP, LP done & sent to ER.  Tx w/IV antibiotics.  Neuro consult done.  No further episodes & d/c to home w/recommendation to separate vaccines at 4mo.
Age: 0.2
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC, RV5
Symptoms: Somnolence, Tremor
Clinical narrative: Whimpering, very sleepy - unable to wake. Arm would go out straight. Whole body would shake. Possible seizure.  11/17/08 Case closed w/medical records of 11/4-11/6/2008 that accompanied report. FINAL DX: seizure, probable DTaP vaccine induced Records reveal patient experienced good health on 11/3 w/concerns of constipation & possible hemangioma of arm.  Developed irritability, very sleepy, jerky shaking movements x overnight s/p vaccinations.  Seen by PCP, LP done & sent to ER.  Tx w/IV antibiotics.  Neuro consult done.  No further episodes & d/c to home w/recommendation to separate vaccines at 4mo.
Age: 0.2
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Abdominal X-ray, Vomiting, X-ray abnormal
Clinical narrative: Gastric distention and vomiting developed 2 days after vaccines.  12/5/08 Reviewed hospital medical records of 10/29-11/1/2008. FINAL DX: abdominal distention & emesis Records reveal patient experienced complication s/p delivery & had been d/c from NICU on 10/25/08.  See by PCP 10/27, doing well.  Returned to PCP 10/29 w/emesis x 1 day, decreased UO, oral intake reduced, intermittent tacypnea, abdominal distention.  Readmitted to NICU.
Age: 8.0
Sex: F
Vaccine: FLUN3, VARCEL
Symptoms: Blood glucose increased, Glucose urine, Type 1 diabetes mellitus, Urine analysis abnormal, Urine ketone body present
Clinical narrative: Onset type I diabetes mellitus  1/7/09 Reviewed hospital records for 10/18-10/22/2008. FINAL DX: new onset type 1 diabetes mellitus; DKA Records reveal patient experienced polyuria, polydipsia, nocturia & weight loss over 6 wk period.  Admitted to PICU on insulin drip for DKA.  Stabilized on sq insulin & d/c to home w/continued diabetes education & management in clinic.
Age: 8.0
Sex: F
Vaccine: FLUN3, VARCEL
Symptoms: Urine potassium increased
Clinical narrative: Onset type I diabetes mellitus  1/7/09 Reviewed hospital records for 10/18-10/22/2008. FINAL DX: new onset type 1 diabetes mellitus; DKA Records reveal patient experienced polyuria, polydipsia, nocturia & weight loss over 6 wk period.  Admitted to PICU on insulin drip for DKA.  Stabilized on sq insulin & d/c to home w/continued diabetes education & management in clinic.
Age: 46.0
Sex: F
Vaccine: TD
Symptoms: Nuclear magnetic resonance imaging abnormal, Oedema, Optic neuritis, Visual impairment
Clinical narrative: Bilateral optic neuritis with associated visual defects. 12/22/2008 MR received for 2 admission 10/28-31/08 and 11/12-14/08 with D/C DX: Optic Neuritis. Pt presented with 3 week hx of L eye pain, tearing, and blurry vision of the L eye, then blurry, darkened vision with visal field defects on the R. B/L disc edema, subnormal acuity, dyschromatopsia, pupillary defect, and inferior field defects noted on exam. Assumed to be 2' to Lyme's and tx with Doxycycline and steroids with improvement noted. Returned to hospital 11/12/08 with recurrent R eye visual loss now involving entire visual field. Malaise for weeks. Again tx with abx and sterois with improvement.
Age: 30.0
Sex: F
Vaccine: FLU3
Symptoms: Chest discomfort, Erythema, Hypersensitivity, Pain, Pruritus
Clinical narrative: "Chest pressure", bilat. palms red, itchy swollen, left side of body "heavy and achy". Sx started at - 21:00 10-10-08 at - 16:00 10-11-08 went to an urgent care center.  Per Pt. Dr. told her it was an allergic reaction to the flu vaccine and gave her an injection of DIPHENHYDRAMINE.
Age: 30.0
Sex: F
Vaccine: FLU3
Symptoms: Swelling
Clinical narrative: "Chest pressure", bilat. palms red, itchy swollen, left side of body "heavy and achy". Sx started at - 21:00 10-10-08 at - 16:00 10-11-08 went to an urgent care center.  Per Pt. Dr. told her it was an allergic reaction to the flu vaccine and gave her an injection of DIPHENHYDRAMINE.
Age: 43.0
Sex: F
Vaccine: FLU3
Symptoms: Pruritus
Clinical narrative: Pt presented to clinic for FLUARIX. Asked patient standard info (ie allergies, adverse reactions) Pt responded negative. Gave FLUARIX 15 min later patient back to clinic c/o job, itchy cheeks. Adminstred .3 benedryl, 02, caled. Retrieved vitals, 147/70, 87, bpm, 100%; govl .3 epl ogin. No further incident.
Age: 50.0
Sex: F
Vaccine: FLU3
Symptoms: Injected limb mobility decreased, Musculoskeletal pain, Pain in extremity
Clinical narrative: C/O pain and decreased mobility of deltoid/shoulder, getting progressively worse since vaccination administered. Onset of pain @ time of vaccination, decreased mobility a few days later. No swelling or ecchymosis @ site. To have appointment evaluated by PCP 11/11/2008. Per follow-up: She was seen by her PCP on 11/11/08 and provided with anti-inflammatory medication. She feels well now.
Sex: U
Vaccine: FLU3
Symptoms: Device leakage
Clinical narrative: Leaking from the vial stopper of FLUVIRIN lot #89685 after withdrawing second dose. Vial was discarded and 8 doses were wasted.
Age: 24.0
Sex: F
Vaccine: FLU3, TDAP
Symptoms: Diarrhoea, Dizziness, Eye movement disorder, Hyperhidrosis
Clinical narrative: Diarrhea, dizziness, diaphoresis, "feeling of eyes jerking " began at 130 am approximately 12 hrs after vaccine.
Age: 26.0
Sex: F
Vaccine: FLU3
Symptoms: Muscular weakness, Nuclear magnetic resonance imaging, Pain in extremity, Ultrasound scan
Clinical narrative: Persistent and severe pain L arm with shoulder/deltoid weakness over greater than 2 weeks.
Age: 84.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Injection site erythema, Injection site warmth, Pyrexia
Clinical narrative: 4cmx4cm red,hot,circular area to PNEUMOVAX injection site fever 101.5
Age: 12.0
Sex: F
Vaccine: FLU3, TDAP, VARCEL
Symptoms: Body temperature increased, Erythema, Nausea, Pruritus, Vomiting
Clinical narrative: Itchy, erythematous nausea/vomiting/wheezing.  Temperature 100 ER.  Epi loaded.  Patient refused the injection (got better) 1/12/10 follow up ; itchy eyes, throat irritaion,
Age: 12.0
Sex: F
Vaccine: FLU3, TDAP, VARCEL
Symptoms: Wheezing
Clinical narrative: Itchy, erythematous nausea/vomiting/wheezing.  Temperature 100 ER.  Epi loaded.  Patient refused the injection (got better) 1/12/10 follow up ; itchy eyes, throat irritaion,
Age: 48.0
Sex: M
Vaccine: FLU3
Symptoms: Pruritus generalised
Clinical narrative: Generalized pruritis-1hr-after vaccination-lasted approx. 5hrs until took Benadryl.
Age: 18.0
Sex: M
Vaccine: FLU3
Symptoms: Immediate post-injection reaction, Loss of consciousness, Pallor
Clinical narrative: Shortly after receiving vaccine, patient looked very pale.  He was still sitting in the chair and lost consciousness for 1-2 seconds.  He regained color immediately and said he felt fine.  He remained on site another 20 minutes to make sure he was okay.  Patient was called 3 hours after incident and reported to be doing great.
Age: 3.0
Sex: F
Vaccine: FLUN3
Symptoms: Urticaria
Clinical narrative: Acute onset urticaria 4 hours after flu-mist administered.  No dyspnea or dysphagia.  No new exposures otherwise.  Concurrent allergic coryza (patient has history of this).  No medications at time of vaccine.  Patient has received flu-shot previously without reaction.  Suspect urticaria related to flu-mist and will not administer in future.
Age: 66.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site pain
Clinical narrative: The customer stated that the injection hurt at the time. I rubbed the arm and she had no other complaints - she came in after 3 days and stated she had spoken to her Dr. and he thought I had nicked a nerve.
Age: 76.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site pruritus
Clinical narrative: Pt experienced itching & redness on the arm vaccine was administered. Not at the administration site but along the forearm. She didn't know if she got poison ivy or if this was a reaction.
Age: 65.0
Sex: F
Vaccine: FLU3, PPV, TDAP
Symptoms: Abnormal dreams, Headache, Injection site erythema, Injection site rash, Injection site warmth
Clinical narrative: -Erythematous rash @ injection site that's warm 9cm mv x 9"2cm mv  -strange dreams -very bad headache 8/10
Age: 25.0
Sex: F
Vaccine: FLU3
Symptoms: Erythema, Pallor
Clinical narrative: Small 1.8cm area of superficia blanching erythema without induration.
Age: 22.0
Sex: F
Vaccine: FLU3
Symptoms: Body temperature increased, Dizziness, Excoriation, Head injury, Hot flush
Clinical narrative: Patient received FLUZONE 0.5 cc . Color good. No distress. reported patient walked with husband across the room, sat down, got up and walked a few steps, then fainted, hitting head on windowsill. Reported feeling nauseous, dizzy, felt hot flash. Nurse reported immediately. Patient stable, blood pressure 110 over 84, temperature 97.3. Aroused with ammonia inhalant. Left forehead abrasion, left knee hit wall. Blood pressure 114 over 88. Paramedics responded and took over care at 11:40.
Age: 22.0
Sex: F
Vaccine: FLU3
Symptoms: Immediate post-injection reaction, Joint injury, Nausea, Syncope
Clinical narrative: Patient received FLUZONE 0.5 cc . Color good. No distress. reported patient walked with husband across the room, sat down, got up and walked a few steps, then fainted, hitting head on windowsill. Reported feeling nauseous, dizzy, felt hot flash. Nurse reported immediately. Patient stable, blood pressure 110 over 84, temperature 97.3. Aroused with ammonia inhalant. Left forehead abrasion, left knee hit wall. Blood pressure 114 over 88. Paramedics responded and took over care at 11:40.
Age: 69.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Erythema, Oedema peripheral
Clinical narrative: Right arm redness and swelling in deltoid area 10/28 patient took BENADRYL and applied ice 10/26, 10/27, 10/28. Dr. appt at 3:30pm 10-28-08.
Age: 1.8
Sex: M
Vaccine: FLU3, PNC
Symptoms: Convulsion, Respiratory arrest
Clinical narrative: 11-05-2008 11AM. Child had "convulsion" and was on way to ED when he "stopped breathing"-family stopped at fire dept and child was transported to ER supportive care given. Child was given supportive care and discharged home cond. good at 2PM.
Age: 20.0
Sex: F
Vaccine: HEPA, HPV4
Symptoms: Menorrhagia, Menstruation irregular, Papilloma viral infection
Clinical narrative: States she has GARDASIL (1) dose  & 2 days later she had HPV.  Her period came early & heavy & lasted 7 days she then stopped & 2 wks later had a regular cycle.  She feels it was due to both shots so close.
Age: 61.0
Sex: M
Vaccine: FLU3
Symptoms: Injection site pain, Pain
Clinical narrative: The day after receiving flu shot had tenderness at site which progressed to upper (waste to head) Rt delt to lt side. All upper body aches to point where home sick for a couple days and saw PCP. No fever or other sx just upper bodyaches
Age: 61.0
Sex: F
Vaccine: FLU3
Symptoms: Chest discomfort, Chills, Cough, Fatigue, Pain
Clinical narrative: 2:00 pm Chest tightening, achy all (Friday) over, dry cough and chills. Saturday morning doing fine, tired
Age: 1.0
Sex: M
Vaccine: FLU3, HBHEPB, MMR, PNC
Symptoms: Body temperature increased, Crying, Decreased appetite, Injection site erythema, Irritability
Clinical narrative: 8 pm irritability, crying, didn't sleep, up all night.  10 am mild rash on trunk, decreased appetite.  Normal HEENT, MUG, HRT, Abd exam.
Age: 1.0
Sex: M
Vaccine: FLU3, HBHEPB, MMR, PNC
Symptoms: Rash, Sleep disorder
Clinical narrative: 8 pm irritability, crying, didn't sleep, up all night.  10 am mild rash on trunk, decreased appetite.  Normal HEENT, MUG, HRT, Abd exam.
Age: 1.3
Sex: M
Vaccine: FLU3, PNC
Symptoms: Erythema, Tenderness
Clinical narrative: Localized redness upper lateral thigh, mild tenderness low
Age: 10.0
Sex: M
Vaccine: FLU3
Symptoms: Wrong drug administered
Clinical narrative: Patient given Influenza vaccine Flulaval instead Influenza vaccine Fluzone.
Age: 10.0
Sex: M
Vaccine: FLU3
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: Influenza - FLULAVAL given to pt <18 y.o.
Age: 8.0
Sex: M
Vaccine: FLU3
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: Influenza vaccine FLULOVAL given to pt < 184.0.
Age: 22.0
Sex: F
Vaccine: DTAP, FLU3
Symptoms: Wrong drug administered
Clinical narrative: Immunization DTAP 0.5 mL administered instead of T-DAP 0.5 mL.  No side effects reported.
Age: 26.0
Sex: F
Vaccine: FLU3
Symptoms: Local reaction
Clinical narrative: 2.0 cm local reaction.
Age: 62.0
Sex: M
Vaccine: FLUX
Symptoms: Bronchitis, Cough, Fatigue, Night sweats, Pain
Clinical narrative: 1 day after - tiredness, aches. 2 days after: fever 101.3, aches, very tired. Fever continued for 4 more days, night sweats. After fever left, began congested coughing. Went to doctor on Nov 12 and diagnosed w/ bronchitis. Have never had a lower resp. illness before in my life. Just wondered if there could be a connection.
Age: 62.0
Sex: M
Vaccine: FLUX
Symptoms: Pyrexia, Upper respiratory tract congestion
Clinical narrative: 1 day after - tiredness, aches. 2 days after: fever 101.3, aches, very tired. Fever continued for 4 more days, night sweats. After fever left, began congested coughing. Went to doctor on Nov 12 and diagnosed w/ bronchitis. Have never had a lower resp. illness before in my life. Just wondered if there could be a connection.
Age: 33.0
Sex: M
Vaccine: TD
Symptoms: No adverse event
Clinical narrative: No adverse events.  No treatment.
Age: 73.0
Sex: F
Vaccine: FLU3
Symptoms: Arthralgia, Injected limb mobility decreased, Injection site pain, Musculoskeletal pain, Shoulder arthroplasty
Clinical narrative: Patient called to report 24 hours after receiving flu shot in left deltoid, pain in injection site radiating down to elbow - back up to shoulder area - unable to lift arm.  Reports 11-10-08 that she had ball and socket replacement of left shoulder 4-08 - No aches or problems till after flu shot - doing ice; Ibuprofen - will consult with doctor if pain doesn't stop.
Age: 63.0
Sex: F
Vaccine: PPV
Symptoms: Chills, Flushing, Injection site erythema, Injection site warmth
Clinical narrative: Vaccinated with 0.5 ml subq.  PNEUMOVAX on 11/03/08, reported chills, flushed  face 4.5 X 5 cm red warm circular area to injection site on 11/5/08.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Ecchymosis, Erythema, Myalgia, Pyrexia, Skin warm
Clinical narrative: Developed fever and muscle aches over night. Ecchymosis, erythema, swelling, tenderness and warmth 5x8cm.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Swelling, Tenderness
Clinical narrative: Developed fever and muscle aches over night. Ecchymosis, erythema, swelling, tenderness and warmth 5x8cm.
Age: 58.0
Sex: M
Vaccine: ANTH
Symptoms: Abdominal pain, Culture stool negative, Diarrhoea
Clinical narrative: Severe abdominal cramping and acute diarrhea lasting approx. 1 week. No other symptoms.
Age: 56.0
Sex: M
Vaccine: RAB
Symptoms: Dizziness
Clinical narrative: Pt. noticed marked dizziness until Wednesday. CNS exam WNL.
Age: 71.0
Sex: F
Vaccine: PPV
Symptoms: Cellulitis, Infection, Inflammation, Skin warm, Swelling
Clinical narrative: Cellulitis with swelling and hot inflammation and infection. It progressed and spreaded down ford to arm area, pt was hospitalized with antibiotic drip
Age: 18.0
Sex: M
Vaccine: VARCEL
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Redness, swelling, warmth at injection site starting approximately 7-8 hours after shot.
Age: 57.0
Sex: F
Vaccine: FLU3, HEP
Symptoms: Dizziness, Immediate post-injection reaction, Injection site pain, Injection site swelling, Pallor
Clinical narrative: Hep B 20 mcg given IM right deltoid.  Pt. immediately c/o feeling pain to right deltoid; became dizzy, vasovagal; BP to 80 HR thready, Pt pale.  Diffuse swelling noted to right deltoid.
Age: 57.0
Sex: F
Vaccine: FLU3, HEP
Symptoms: Pulse abnormal, Syncope vasovagal
Clinical narrative: Hep B 20 mcg given IM right deltoid.  Pt. immediately c/o feeling pain to right deltoid; became dizzy, vasovagal; BP to 80 HR thready, Pt pale.  Diffuse swelling noted to right deltoid.
Age: 59.0
Sex: F
Vaccine: FLUX
Symptoms: Dyspnoea
Clinical narrative: Difficulty breathing    TooK two benadryl tablets
Age: 1.33
Sex: F
Vaccine: DTAP, FLU3
Symptoms: Erythema, Injection site erythema, Injection site swelling, Oedema peripheral
Clinical narrative: Left arm swelling and redness
Age: 32.0
Sex: F
Vaccine: FLUX
Symptoms: Cough, Dyspnoea, Heart rate increased, Injection site pain, Wheezing
Clinical narrative: Severe pain in injection site. Coughing progressed to wheezing and extreme difficulty breathing. Fluid expelled from the lungs. Heart rate elevated.Was given medication and breathing treatments at Hospital ER. Had two more episodes after medication was given.  11/18/08 Reviewed hospital medical records of 11/13/2008. FINAL DX: allergic reaction to flu shot Records reveal patient experienced SOB, wheezing, coughing, nausea, vomiting x 1 day.  In ER was hypertensive, tachycardic w/O2 sat of 86% on RA.  Tx w/antihistamine, steroids, nebs.  Admitted overnight for observation.  Responded well to treatment & d/c to home on continued oral antihistamine, inhaler, antiibotics & steroid taper.
Age: 13.0
Sex: M
Vaccine: HEPA, MNQ, TDAP
Symptoms: Arthralgia, Dizziness, Headache, Nausea, Pyrexia
Clinical narrative: Client c/o Headache & dizziness shortly post vaccine administration - he had not eaten since having a light breakfast that morning & the time was now 2:30 PM. We had him lie down until the dizziness subsided - he left stating he was much better just still had the headache. Advised to get something to eat to see if that would help the Headache & continue with Tylenol alternating with Ibuprofen every 4-6 hrs. His mother called 11-13-08 stating the child was still experiencing Headache, but now has Fever, Nausea & joint pain in the knees. Mother states he can keep fluids down & Tylenol is controlling the fever; thus she was should the client have further problems that could not be controlled to seek medical attention.
Age: 83.0
Sex: F
Vaccine: VARZOS
Symptoms: Pharyngeal oedema, Swollen tongue
Clinical narrative: Tongue and throat swelling 11-13-08 6pm
Age: 4.0
Sex: M
Vaccine: FLUX
Symptoms: Injection site erythema, Injection site induration, Injection site oedema, Injection site pruritus, Injection site warmth
Clinical narrative: presented with entire upper arm (shoulder to below elbow) pruritis and edema, erythema, induration, warmth 11/14.  no airway or respiratory symptoms; no systemic rash.  will continue Zyrtec and add Benadryl 25 mg q6h prn & hydrocortisone 1% cream at margins bid prn
Sex: M
Vaccine: DTAP, FLUX, PPV
Symptoms: Erythema, Injected limb mobility decreased, Oedema peripheral, Pain in extremity, Pyrexia
Clinical narrative: Patient seen at ER with fever 102F which started 12hours after she had recieved on the right arm flu shot and tetanus boost shot, on the same day recieved also pneumoccocus shot on left arm. she informed that the fever had increased after take tylenol #3 2 tablets reason to come to the ER + pain and limited ROM on right arm.On exame she had significant swelling of right arm with local erythema well delimitated (area 15 x 15cm), local US showed fluid collection with deepest 0.5cm. NO signs of neuropathy, pulses simmetric.
Sex: M
Vaccine: DTAP, FLUX, PPV
Symptoms: Ultrasound scan abnormal
Clinical narrative: Patient seen at ER with fever 102F which started 12hours after she had recieved on the right arm flu shot and tetanus boost shot, on the same day recieved also pneumoccocus shot on left arm. she informed that the fever had increased after take tylenol #3 2 tablets reason to come to the ER + pain and limited ROM on right arm.On exame she had significant swelling of right arm with local erythema well delimitated (area 15 x 15cm), local US showed fluid collection with deepest 0.5cm. NO signs of neuropathy, pulses simmetric.
Age: 51.0
Sex: M
Vaccine: FLU3
Symptoms: Joint swelling, Pruritus, Rash
Clinical narrative: Rash on hands and legs; itching.  Swelling to knees started about 3 days after injection.
Age: 72.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Rash maculo-papular, Rash pruritic
Clinical narrative: Pt was at a swimming class and friends noticed a small dime size rash.  When she got home, she noted it is now quarter size wide and 1&1/2 inches long.  It is now raised and itches.  Reviewed that it can be covered with guaze but not to use a bandage with adhesive or any topical antibiotics on it.  Pt is interested in the VCVID option which Merck will be sending me more information on.
Age: 72.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Injection site rash
Clinical narrative: Pt was at a swimming class and friends noticed a small dime size rash.  When she got home, she noted it is now quarter size wide and 1&1/2 inches long.  It is now raised and itches.  Reviewed that it can be covered with guaze but not to use a bandage with adhesive or any topical antibiotics on it.  Pt is interested in the VCVID option which Merck will be sending me more information on.
Age: 25.0
Sex: F
Vaccine: FLU3, HEP, UNK
Symptoms: Pruritus, Urticaria
Clinical narrative: Patient went to ER 11-12-08 at approximately 11 pm. She was complaining of itching & had hives from her shoulders, down both arms to the elbows, and across her chest area.  Hives did not extend down onto her breasts.  She was treated with 125mg injection of Solu-Medrol & sent home with 2 additional 20mg tablets & a script (RN was unable to recall dosages written on script).  She was also advised to purchase some Benadryl over the counter and take as directed.  We saw her back in Employee Health around 0800 on Wednesday, 11-13-08, for new employee orientation.  RN reports patient showed no evidence of hives at that time.
Age: 55.0
Sex: F
Vaccine: TDAP
Symptoms: Chills, Cold sweat, Dizziness, Hyperhidrosis, Syncope
Clinical narrative: Fainted, dizziness, occasional chills and occasional episodes of clamminess and perspiration.  Occurred in the middle of the night 14 days after receiving the Tdap vaccine.
Age: 4.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site pain, Injection site pruritus, Injection site warmth, Local reaction
Clinical narrative: Patient received Fluzone influenza vaccine on 11/12/08 at 10:15 am.  On 11/13/08 patient returned to office with a local reaction on right thigh.  5 cm deep, 5 cm deep , 7 3/4 cm wide.  Deep red color, some tenderness, itching, warm to the touch.
Age: 8.0
Sex: F
Vaccine: DTAPHEPBIP, HEPA, MMR, VARCEL
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: DENIES ADVERSE REACTION. PEDIARIX GIVEN AT AGE 8.
Age: 44.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Back pain, Headache, Injection site pain, Musculoskeletal pain, Neck pain
Clinical narrative: Started with headache and soreness at injection site on day of injection.  Next morning aching goes down back, up neck and into shoulders.  Right upper arm slightly swollen, and warm to touch under right arm and deltoid to elbow. Fever this am 99.1
Age: 44.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Oedema peripheral, Pyrexia, Skin warm
Clinical narrative: Started with headache and soreness at injection site on day of injection.  Next morning aching goes down back, up neck and into shoulders.  Right upper arm slightly swollen, and warm to touch under right arm and deltoid to elbow. Fever this am 99.1
Age: 63.0
Sex: F
Vaccine: PPV
Symptoms: Erythema, Oedema peripheral, Pain in extremity
Clinical narrative: 11/13/08 Called EH office complaining of redness, pain and swelling in right upper arm from a Pneumoccal injection given 11/12/08. Advised warm compress and tylenol or advil and notify if becomes worse.11/14/08 AM called EH office again, states right upper arm worse with redness and pain and swelling extending down past elbow, advised to come and let us see it. She came into EH office (10am)noted redness and swelling extending down arm past elbow, complaining of pain on bending elbow. Advised to go see her personal physician.
Age: 33.0
Sex: F
Vaccine: MMR, TD
Symptoms: Drug exposure during pregnancy, Pregnancy test positive
Clinical narrative: On September 8, 2008, client received Td and MMR.  Screening question regarding possibility of pregnancy was answered no by client.  Prior to administration of vaccine, client was asked if there was any chance she was pregnant, client answered, no.  Was explained she should not be pregnant and receive the vaccine nor should she become pregnant for 4 weeks after receiving the vaccine.  Client stated agreement to information, and was also provided with MMR and Td VIS statements prior to vaccinating.  Client returned to HD for another appointment on Sept. 17, 2008.  During that visit, she stated to the nurse she thought she was pregnant.  Further inguiry found that clients LMP was 8/9/2008, she states her menses is the following month and two days past previous LMP date. Client states she believes her next menses should have started on 9/6/2008 and she believes she is 11 days past that due date.  States uses condoms, but did not use a condom one time.  Pregnancy test performed with positive results.  Referred client to OB Department with written information regarding receipt of MMR and instructions for client to discuss this with OB physician.
Age: 1.92
Sex: F
Vaccine: HBHEPB, MMR
Symptoms: Rash papular
Clinical narrative: RASH ON RIGHT THIGH /C RAISED CLUSTERS
Age: 43.0
Sex: M
Vaccine: ANTH, FLUN3, TYP
Symptoms: Asthenia, Hypoaesthesia, Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Anthrax vaccine received right arm and Typhoid received in left arm. Within 72 hours began to note redness, pain and swelling of upper right arm. By day 5 had numbness of all right finger with possible loss of grip stength.
Age: 43.0
Sex: M
Vaccine: ANTH, FLUN3, TYP
Symptoms: Pain in extremity
Clinical narrative: Anthrax vaccine received right arm and Typhoid received in left arm. Within 72 hours began to note redness, pain and swelling of upper right arm. By day 5 had numbness of all right finger with possible loss of grip stength.
Age: 19.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Discomfort, Injection site atrophy, Injection site discolouration, Injection site swelling, Muscular weakness
Clinical narrative: Swelling and discoloration of left shoulder.  Weakness/discomfort of left arm.  Atrophy of left deltoid.
Age: 19.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Blood aldosterone normal, Blood creatine phosphokinase normal, Injection site atrophy, Injection site induration, Injection site pain
Clinical narrative: Swelling and discoloration of left shoulder.  Weakness/discomfort of left arm.  Atrophy of left deltoid.
Age: 19.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Muscular weakness, Skin depigmentation, Skin discolouration, Tremor
Clinical narrative: Swelling and discoloration of left shoulder.  Weakness/discomfort of left arm.  Atrophy of left deltoid.
Age: 41.0
Sex: F
Vaccine: FLU3
Symptoms: Cough, Sinusitis
Clinical narrative: Patient received influenza vaccine on 10/3/08.  Reported that about 2 or 3 days later, developed cough and sinusitis.  Symptoms resolved in slightly over 1 week.
Age: 24.0
Sex: F
Vaccine: HEP
Symptoms: Abdominal pain upper, Nausea, Pain in extremity
Clinical narrative: Patient came back to clinic for 2nd shot. Said she was sick in bed for 3 days following her 1st injection. Said she had a stomach hurt, she was nausious and her arm hurt. She requested a different version of the vaccine made by a different manufacturer. Attempted to call following the second shot for f/u but unable to reach at this time.
Sex: F
Vaccine: FLU3
Symptoms: Musculoskeletal pain
Clinical narrative: Shoulder Pain
Age: 52.0
Sex: F
Vaccine: FLU3
Symptoms: Hypoaesthesia, Hypoaesthesia oral
Clinical narrative: Patient received influenza vaccine on 10/1/08.  15 minutes after the injection, patient reported her lip went numb and her jaw went numb.  Vitals were checked and were WNL.  Symptoms resolved.
Age: 45.0
Sex: F
Vaccine: HEP
Symptoms: Cold sweat, Diarrhoea, Dizziness, Dysgeusia, Hyperhidrosis
Clinical narrative: Tasted metal in mouth right after injection.Later that day felt dizzy, nauseated,sweaty, clammy, and feverish. She also started vomiting and having diarrhea. Her right arm was hurting and painful but it was not red or swollen.
Age: 45.0
Sex: F
Vaccine: HEP
Symptoms: Immediate post-injection reaction, Nausea, Pain in extremity, Pyrexia, Vomiting
Clinical narrative: Tasted metal in mouth right after injection.Later that day felt dizzy, nauseated,sweaty, clammy, and feverish. She also started vomiting and having diarrhea. Her right arm was hurting and painful but it was not red or swollen.
Age: 9.0
Sex: M
Vaccine: FLU3
Symptoms: Erythema, Skin warm
Clinical narrative: L deltoid has redness and warm to touch, moves well, no inderation
Age: 0.5
Sex: M
Vaccine: DTAPIPVHIB, FLU3, HEP, PNC
Symptoms: Injection site urticaria
Clinical narrative: GRANDMA ( LEGAL GUARDIAN) NOTED 3 LARGE HIVES ON HIS RIGHT THIGH, APPROXIMATELY ON 8:30 P.M. ON NOV 13 08, THESE SYMPTONS HAVE NOT GOTTEN ANY WORSE, NO SOB, DR. NOTIFED.
Age: 6.0
Sex: M
Vaccine: FLU3
Symptoms: Erythema
Clinical narrative: Large red area on L deltoid, no induration
Age: 0.17
Sex: F
Vaccine: DTAP, IPV
Symptoms: Lymphocyte count increased, Platelet count increased, Prothrombin level normal, Prothrombin time normal, Purpura
Clinical narrative: Non-blanching rash on leg- looks slightly purpuric. Afebrile. CBC,PT,PTT                   Followed up  in office in am. WBC repeated       Sustained elevated platlet count requiring hemotology visits- to be rechecked in 3 months
Age: 0.17
Sex: F
Vaccine: DTAP, IPV
Symptoms: White blood cell count increased
Clinical narrative: Non-blanching rash on leg- looks slightly purpuric. Afebrile. CBC,PT,PTT                   Followed up  in office in am. WBC repeated       Sustained elevated platlet count requiring hemotology visits- to be rechecked in 3 months
Age: 75.0
Sex: M
Vaccine: HPV4
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: None noted
Age: 2.0
Sex: M
Vaccine: DTAP, FLUN3, HEPA
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Right deltoid redness, pain and swelling
Age: 61.0
Sex: F
Vaccine: TD
Symptoms: Pruritus, Skin warm
Clinical narrative: slo mildly pruritic and warm.  Tx with Augmentin 500 mg po bid x 10 days (Pt already had taken 7 days of tx for another diagnosis).  Pt to f.u if no improvemnt or sorsened s/s.
Age: 10.0
Sex: F
Vaccine: FLU3, VARCEL
Symptoms: Erythema, Induration, Inflammation
Clinical narrative: LATERAL ASPECT OF RIGHT ARM WITH 4.8 X 5 CM AREA INFLAMED WITH ERYTHEMA , INDURATED
Age: 23.0
Sex: M
Vaccine: FLUN3
Symptoms: Chest pain, Dyspnoea
Clinical narrative: Pt states:  two days post Flu Mist he has sharp chest pain and was short of breath.  Seen in ER and was diagnosed with myocarditis.  Pt treated in hospital and was told to follow up with his Dr.  4/23/09 Received hospital medical records of 4/14-4/18/2008 & 10/20-10/21/2008. FINAL DX: myopericarditis; hypothyroidism Records reveal patient experienced chest pain, SOB, fever, chills, generalized weakness, fatigue & body aches x 1 day.  Admit temp 101.1.  Slowly improved but still had episodes of tachycardia, dyspnea & pleuritic chest pain intermittently w/activity.  D/C to home on continued NSAID w/cardio f/u.    Patient readmitted 10/20-10/21/2008. FINAL DX: retroperitoneal hematoma; hypothyroidism; mild pericarditis. Records reveal patient developed right groin pain which progressively worsened & moved from right groin into abdominal RLQ.  Improved & d/c to home.  3/19/09 Received multiple ER visits:  10/14/2008 ER visit: FINAL DX: endocarditis vs myocarditis, viral syndrome & chest pain Records reveal patient experienced myalgias & fevers, chest pain, SOB x 3 days.  Transferred to higher level of care for cardiac cath.  10/19/2008 ER visit: FINAL DX: right retroperitoneal hematoma s/p cardiac cath; s/p myocarditis Records reveal patient experienced abdominal pain, nausea, right groin swelling where catheter inserted.  Transferred to higher level of care.  11/12/2008 Outpatient PFT testing which was WNL.  12/1/2008 ER visit: FINAL DX: pleurisy Records reveal patient experienced chest pain x 1 day.  Tx w/NSAIDS & rest. D/C to home.
Age: 35.0
Sex: M
Vaccine: TDAP
Symptoms: Asthenia, Dizziness, Fatigue, Headache, Injection site pain
Clinical narrative: Mild fever of at least 100.4-102 x 10days, Tiredness, weakness, dizziness, aches & pains, headache, localized soreness @ injection site.
Age: 35.0
Sex: M
Vaccine: TDAP
Symptoms: Pain, Pyrexia
Clinical narrative: Mild fever of at least 100.4-102 x 10days, Tiredness, weakness, dizziness, aches & pains, headache, localized soreness @ injection site.
Age: 14.0
Sex: F
Vaccine: HPV4
Symptoms: Abdominal pain upper, Blister, Dizziness, Headache, Hypotension
Clinical narrative: 1st shot of Gardisil   Patient became ill with headache stomache ache (cramping) & mother told her it was probably just the flu & it lasted 3 days. The second time she got the shot 3 months later patient was dizzy & nauseated within 10 to 15 minutes after shot & other symptoms included achey all over blisters on skin & low blood pressure & headache & low grade fever.
Age: 14.0
Sex: F
Vaccine: HPV4
Symptoms: Immediate post-injection reaction, Nausea, Pyrexia
Clinical narrative: 1st shot of Gardisil   Patient became ill with headache stomache ache (cramping) & mother told her it was probably just the flu & it lasted 3 days. The second time she got the shot 3 months later patient was dizzy & nauseated within 10 to 15 minutes after shot & other symptoms included achey all over blisters on skin & low blood pressure & headache & low grade fever.
Age: 51.0
Sex: F
Vaccine: FLU3
Symptoms: Conjunctivitis, Dry eye, Eye pruritus, Eyelid oedema
Clinical narrative: Employee received a flu vaccine and 2 hours later developed ocular rosacea. Symptoms included dry itchy eyes, red and swollen eye lids. Symptoms resolved after 4 days.  No treatment provided.
Age: 49.0
Sex: F
Vaccine: FLU3
Symptoms: Dry eye, Eye pruritus
Clinical narrative: Received flu vaccine, a few hours later developed dry itchy eyes - lasting 48 hours.  No treatment needed
Age: 5.0
Sex: M
Vaccine: DTAP
Symptoms: Convulsion, Oedema peripheral
Clinical narrative: PT GOT 5 TH DOSE OF DTAP GOT VERY SWOLLEN ARM THEN WITH IN 24 HOURS HAD SEIZURE FOR 30 MINUTES.  12/4/08 MR received for DOS 11/4-6/2008 with D/C DX: Seizure.  Pt presented following tonic episode with eye deviation to the R.  Post ictal 45-60 minutes. Temp 101.3 on arrival to ED. Swelling and erythema noted to RUE. No further seizures. D/C with rectal Diazapam.
Age: 38.0
Sex: F
Vaccine: FLU3
Symptoms: Dizziness, Dyspnoea, Erythema, Injection site erythema, Injection site pruritus
Clinical narrative: Patient had severe itching, redness at site, Redness of both arms, hands, neck and face. Hives present.  C/o of mild nausea and dizziness.  Was placed supine on exam table and had mild SOB. Was given epinephrine pen 0.3mg/ 911 called due to sob. Paramedics evaluated, pt declined going to ER. Denied any further SOB. No acute distress. Took OTC Benadryl 50mg. Kept on site for  20 minutes. Parents present and driving. Left in stable condition.
Age: 38.0
Sex: F
Vaccine: FLU3
Symptoms: Nausea, Urticaria
Clinical narrative: Patient had severe itching, redness at site, Redness of both arms, hands, neck and face. Hives present.  C/o of mild nausea and dizziness.  Was placed supine on exam table and had mild SOB. Was given epinephrine pen 0.3mg/ 911 called due to sob. Paramedics evaluated, pt declined going to ER. Denied any further SOB. No acute distress. Took OTC Benadryl 50mg. Kept on site for  20 minutes. Parents present and driving. Left in stable condition.
Age: 4.0
Sex: F
Vaccine: DTAPHEPBIP, FLU3, PNC
Symptoms: Body temperature increased, Injection site pain
Clinical narrative: MILD TENDERNESS,LOW GRADE TEMP.
Age: 14.0
Sex: F
Vaccine: DTAP, HEPA, MMR, MNQ, VARCEL
Symptoms: Wrong drug administered
Clinical narrative: PT WAS GIVEN DTaP
Age: 1.0
Sex: M
Vaccine: FLU3, MMR, VARCEL
Symptoms: Idiopathic thrombocytopenic purpura, Platelet count decreased
Clinical narrative: Idiopathic thrombocytopenia Purpura   12/2/08 Reviewed hospital medical records of 11/13-11/15/2008 & 11/17-11/19/2008. FINAL DX: idiopathic thrombocytopenic purpura Records reveal patient experienced bruising & full body petechiae.  Har URI s/s x 2 days & gastroenteritis 10 days prior.  Seen by PCP, CBC revealed thrombocytopenia & admitted.  Tx w/Win Rho.  Improved & d/c to home w/serial labs by PCP.  Seen in Heme/Onc clinic 11/17 & readmitted for plts 15K.  Tx w/IVIG x 2.  Plts improved to 46K & d/c to home w/clinic f/u.
Age: 36.0
Sex: F
Vaccine: FLU3
Symptoms: Electrocardiogram, Electromyogram, Injection site pain, Lumbar puncture, Nerve conduction studies abnormal
Clinical narrative: Pain at site followed by paresthesia of arm and lip. No confirmed weakness. Abnormal nerve cond. R arm. 11/17/08 MR received for DOS 11/5-6/2008 with no specific dx.  Pt presented with c/o numbness and tingling of L sided extremities, face and lips R>L x 4 days.  Similar episode in 2001 with (-) w/u. Some dizziness and H/A.  Neuro consult PE (+) for give-way weakness on the L side and (-) sensation to pinprick and temp bilat.
Age: 36.0
Sex: F
Vaccine: FLU3
Symptoms: Paraesthesia, Paraesthesia oral, Scan brain
Clinical narrative: Pain at site followed by paresthesia of arm and lip. No confirmed weakness. Abnormal nerve cond. R arm. 11/17/08 MR received for DOS 11/5-6/2008 with no specific dx.  Pt presented with c/o numbness and tingling of L sided extremities, face and lips R>L x 4 days.  Similar episode in 2001 with (-) w/u. Some dizziness and H/A.  Neuro consult PE (+) for give-way weakness on the L side and (-) sensation to pinprick and temp bilat.
Age: 59.0
Sex: F
Vaccine: MNQ
Symptoms: Cellulitis, Erythema, Incorrect route of drug administration, Lymph node palpable, Pyrexia
Clinical narrative: Pt seen here on 11/03/2008. Received a MENACTRA injection last week by another MD. Was given SC on (L) forearm. Pt presented with redness, swelling area hot to touch, Pt febrile, (R) (L) axillary node. Dx with cellulitis. Rx ed with vom, IV ROCEPHIN X 3 QD and Keflex PO x 10 days.
Age: 59.0
Sex: F
Vaccine: MNQ
Symptoms: Skin warm, Swelling
Clinical narrative: Pt seen here on 11/03/2008. Received a MENACTRA injection last week by another MD. Was given SC on (L) forearm. Pt presented with redness, swelling area hot to touch, Pt febrile, (R) (L) axillary node. Dx with cellulitis. Rx ed with vom, IV ROCEPHIN X 3 QD and Keflex PO x 10 days.
Age: 1.25
Sex: F
Vaccine: DTAP, FLU3, PNC
Symptoms: Febrile convulsion, Full blood count normal, Urine analysis normal
Clinical narrative: Febrile seizure reported by Medical Center ER 18 hours after DTAP/PREVNAR/FLUZONE given
Age: 17.0
Sex: F
Vaccine: HPV4
Symptoms: Smear cervix abnormal
Clinical narrative: Patient was HPV neg.  Was given series of 3 GARDISIL vaccines summer of 2008. Aug 2008 PAP ASCUS and positive for high risk HPV PAPs previously were normal HPV neg.
Age: 39.0
Sex: F
Vaccine: FLUX
Symptoms: Abdominal distension, Diarrhoea, Malaise
Clinical narrative: Bloating, stomach hard, diarrhea, and over all feeling sick.
Age: 39.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Injection site cellulitis, Injection site pain
Clinical narrative: Vaccine given 11/07/2008 (L) deltoid. 11/9 (L) deltoid area cellulitis red. Painful. Keflex and Motrin ordered. 11/10 Keflex d/cd Bactrim ordered. 11/13/2008. No complaints and redness noted.
Age: 18.0
Sex: M
Vaccine: FLU3
Symptoms: Dizziness, Immediate post-injection reaction, Pallor
Clinical narrative: Patient was given flu shot and felt dizzy for minutes later.  Patient looked pale and always kept talking, never fainted.  Patient drank soda and felt better.