chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Arthralgia, Difficulty in walking, Injection site erythema, Injection site swelling, Musculoskeletal stiffness
Clinical narrative: Child received vaccinations on 09/02/04 in AM.  That evening child developed 101 degree temperature and complained of legs hurting. During the weekend of 09/04 & 09/05/04, child with complaints of legs hurting, stiff and sore joints and was unable to walk. Right arm on 09/02/04 evening where shots were given had large raised, red area. Seen LMD on 09/04/04 which he was placed on ATB for red arm.  09/07/04, mom reported child slowly getting better.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Pain, Pyrexia
Clinical narrative: Child received vaccinations on 09/02/04 in AM.  That evening child developed 101 degree temperature and complained of legs hurting. During the weekend of 09/04 & 09/05/04, child with complaints of legs hurting, stiff and sore joints and was unable to walk. Right arm on 09/02/04 evening where shots were given had large raised, red area. Seen LMD on 09/04/04 which he was placed on ATB for red arm.  09/07/04, mom reported child slowly getting better.
Age: 17.0
Sex: F
Vaccine: HEP, TD
Symptoms: Dyspnoea, Pruritus, Rash
Clinical narrative: 07/28/04: Grandmother called, child spent the night with a friend while at friends house, broke out in a rash on back.  Itching and states "trouble breathing last night". Child is still at friends house called her grandmother who called nurse.  Counselor and phone # for CDC. Take Benadryl as needed. Deny distress at this time. Client took Benadryl (next day), rash stayed 2 days, no other symptoms.
Age: 1.01
Sex: M
Vaccine: MMR, PNC, VARCEL
Symptoms: Febrile convulsion
Clinical narrative: 09/09/04: Febrile seizure, ER, blood work.
Age: 1.64
Sex: F
Vaccine: DTAP, MMR
Symptoms: Injury
Clinical narrative: Administered DTaP Vaccine that expired on 08/14/03.  No adverse effects.
Age: 0.2
Sex: F
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Petechiae, Rash
Clinical narrative: "Petechiae like" rash developed on right lower leg. Rash resolved spontaneously over 72 hours with no treatment.
Age: 1.06
Sex: M
Vaccine: HIBV, MMR, PNC, VARCEL
Symptoms: Injection site erythema
Clinical narrative: Quarter size reddened area at site of immunization with in 3 minutes.  No other signs and symptoms difficulty.
Age: 1.56
Sex: M
Vaccine: DTAP, HIBV, MMR, PNC, VARCEL
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Pt developed half-dollar size area of redness with raised area at center of red area. No other signs and symptoms of difficulty. Pt sent home with Benadryl per mouth (parents to dispense for 2 days).
Age: 0.09
Sex: M
Vaccine: HEP
Symptoms: Apnoea, Cardiac arrest, Unevaluable event
Clinical narrative: NONE.  Nurse follow up on 09/23/04 states: "cardiac arrest, pulmonary arrest."  Nurse follow up on 10/05/04 states: "none, awaiting autopsy report."
Age: 6.0
Sex: M
Vaccine: DTAP
Symptoms: Injection site erythema, Injection site oedema, Injection site pain, Injection site warmth
Clinical narrative: Pt received immunization on 09/07/04. Area was little red that evening. Next day was worse, by 09/09/04, area was 5x4.5 inches, red, warm to touch, swollen and painful. Pt was given Zyrtec and to follow up if got worse.
Age: 6.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site oedema, Injection site warmth
Clinical narrative: Left arm swelled, became hot and warm. Entire left arm.
Age: 0.17
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Convulsion, High-pitched crying
Clinical narrative: High pitched dry, focal seizure;
Age: 65.0
Sex: F
Vaccine: TD
Symptoms: Injection site erythema, Injection site mass, Injection site oedema, Injection site pain, Injection site warmth
Clinical narrative: Started with lump at injection site then increased redness, swelling, heat, soreness involving most of upper arm over 3 days starting about 24 hours after shot. Treated with Prednisone per mouth and antibiotic if needed.
Age: 47.0
Sex: F
Vaccine: HEP, TD
Symptoms: Amenorrhoea, Blister, Chills, Deafness, Myocardial infarction
Clinical narrative: 09/10/04: Pt presents with signs and symptoms reaction to "Hepatitis B" #3 vaccine. Vomiting, chills, fever, deafness in right ear, blisters in vaginal area.  No menses in 3 months all since 05/18/04-reports "4 heart attacks after having 1st full 2nd shot in series of Hepatitis B.  Reports "vomiting continuously since 3rd shot". MD advised her to come report to health department in July but its just now coming back. Taking Lasix 40mg daily, Methimah 5mg three times a day, Aldatone 25mg twice per day. Has begun all these meds for several years but did not report them to RN at time of vaccination. Saw MD on 07/21/04.  He ran "blood tests", she got no answer. Renewed meds because of fluid (doubled Lasix prescription). Pt was in presence of RN x40 minutes. No vomiting occurred. RN advised pt to see gastroenterologist for continual problems. Also needs to be seen in STD clinic.  09/10/04: Telephone call with MD who concerns with advise if RN to see Gastroenterologist MD.
Age: 47.0
Sex: F
Vaccine: HEP, TD
Symptoms: Pyrexia, Vomiting
Clinical narrative: 09/10/04: Pt presents with signs and symptoms reaction to "Hepatitis B" #3 vaccine. Vomiting, chills, fever, deafness in right ear, blisters in vaginal area.  No menses in 3 months all since 05/18/04-reports "4 heart attacks after having 1st full 2nd shot in series of Hepatitis B.  Reports "vomiting continuously since 3rd shot". MD advised her to come report to health department in July but its just now coming back. Taking Lasix 40mg daily, Methimah 5mg three times a day, Aldatone 25mg twice per day. Has begun all these meds for several years but did not report them to RN at time of vaccination. Saw MD on 07/21/04.  He ran "blood tests", she got no answer. Renewed meds because of fluid (doubled Lasix prescription). Pt was in presence of RN x40 minutes. No vomiting occurred. RN advised pt to see gastroenterologist for continual problems. Also needs to be seen in STD clinic.  09/10/04: Telephone call with MD who concerns with advise if RN to see Gastroenterologist MD.
Age: 1.0
Sex: F
Vaccine: VARCEL
Symptoms: Pyrexia, Vomiting
Clinical narrative: Pt given Varivax at 9AM. About 18:00 developed temperature. Third night temperature max 103.  Then started with vomiting x3 in early AM 0200.
Age: 5.0
Sex: F
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Injection site erythema, Injection site oedema, Urticaria
Clinical narrative: Otherwise healthy 4 year old seen on 09/07/04 for follow up after presentation to ED 09/04/04 with hives. Began with redness and swelling surrounding vaccine injection site left deltoid, then noted hives on chest. Treated with dose steroids and symptoms reolved in 20 minutes. No recurrence of symptoms. No respiratory symptoms. No GI symptoms.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site oedema, Injection site pain
Clinical narrative: Left arm erythema, swelling, pain. 4x3cm area. Benadryl given and Keflex.
Age: 6.0
Sex: M
Vaccine: PNC
Symptoms: Injection site erythema, Injection site oedema, Injection site warmth
Clinical narrative: Right lateral bicep red, swollen, hot, spread to elbow.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Urticaria
Clinical narrative: Urticaria over arms, legs, trunk anterior and posterior within 8 hours after vaccines. Treatment: Zyrtec 3/4 tsp every day.
Age: 44.0
Sex: M
Vaccine: HEPAB
Symptoms: Feeling cold, Injection site pain, Nausea, Stomach discomfort, Vision blurred
Clinical narrative: Left arm cold-internally, blurry vision, upset stomach/ nausea, pain under right arm into pectoral muscles. Pt had not eaten at all and at 1:15 reported these developments. Instructed to eat something and lie down.
Age: 5.0
Sex: F
Vaccine: DTAP, MMR
Symptoms: Injection site erythema, Injection site oedema, Injection site warmth, Pruritus
Clinical narrative: Right arm swollen, red, warm to touch. Pt complained of itchiness-had DTaP immunization day before.
Age: 1.0
Sex: M
Vaccine: DTAP, HIBV, IPV, MMR, VARCEL, DTAP, HIBV, IPV, MMR, VARCEL
Symptoms: Rash
Clinical narrative: Rash starting on neck and face continuing to torso. Arms and legs unaffected. No fever.
Age: 1.0
Sex: M
Vaccine: DTAP, HIBV, IPV, MMR, VARCEL, DTAP, HIBV, IPV, MMR, VARCEL
Symptoms: Erythema, Rash
Clinical narrative: Rash starting on neck and face continuing to torso. Arms and legs unaffected. No fever.
Age: 0.2
Sex: M
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Crying, Feeling hot, Skin discolouration
Clinical narrative: Body was okay after vaccination, ate, slept, then woke up in the afternoon with intractable crying for 1.5 hours. Right thigh slightly warm and pink. Rocked and fell asleep here.
Age: 1.0
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Gait disturbance
Clinical narrative: Limp for a few days starting 9/3/04 xrays negative. Limp resolved with treatment in a few days.
Age: 1.0
Sex: F
Vaccine: PNC, VARCEL
Symptoms: Urticaria
Clinical narrative: Positive urticaria: pt treated with Benadryl
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Erythema, Injection site swelling
Clinical narrative: Red and raised area of 3 cm after 2-3 min of being given. Doctor advised mother to give Benadryl and bring pt back to be seen if swelling worsens. Will follow up with mother with phone call.
Age: 1.2
Sex: M
Vaccine: DTAP, HBHEPB
Symptoms: Erythema, Feeling hot, Swelling
Clinical narrative: Left leg red, swollen, hot to touch.
Age: 21.0
Sex: F
Vaccine: TD
Symptoms: Erythema, Injection site induration, Medication error, Pruritus, Tenderness
Clinical narrative: In error: Administered 0.1 ml Td ID instead of PPD. Left forearm 80 mm x 40 mm area of erythema with 10 mm induration central. Tender, itches 4 days post injection erythema, induration decreased. Symptoms subsided.
Age: 2.0
Sex: F
Vaccine: DTAPH, HEPA, IPV, MMR
Symptoms: Erythema, Feeling hot, Swelling
Clinical narrative: Right thigh red, hot, swollen size of grapefruit. Omnicef.
Age: 0.3
Sex: F
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Cellulitis, Injection site erythema
Clinical narrative: Both legs red at injection site, mild cellulitis. Zyrtec.
Age: 0.3
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Pyrexia
Clinical narrative: Fever Temp 106, sent to ER.
Age: 1.0
Sex: M
Vaccine: MMR, PNC, VARCEL
Symptoms: Erythema, Feeling hot, Injection site discolouration, Injection site swelling, Rash
Clinical narrative: 9-4: had red, swollen thigh around MMR vaccine site, noticed two days after shot. Treated with cold/ ice compress, Motrin or Tylenol. Mom called back 9-6, 9-9, 9-10 with rash on legs, red spots, + blanching. Treated with Benadryl. Called 9-12 with red leg (varicella vaccine 9-2) red, swollen, hot. Seen, treated with Keflex.
Age: 1.0
Sex: M
Vaccine: MMR, PNC, VARCEL
Symptoms: Swelling
Clinical narrative: 9-4: had red, swollen thigh around MMR vaccine site, noticed two days after shot. Treated with cold/ ice compress, Motrin or Tylenol. Mom called back 9-6, 9-9, 9-10 with rash on legs, red spots, + blanching. Treated with Benadryl. Called 9-12 with red leg (varicella vaccine 9-2) red, swollen, hot. Seen, treated with Keflex.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV
Symptoms: Erythema, Injection site erythema, Injection site swelling, Swelling
Clinical narrative: Mother states child had severe swelling and redness to left deltoid area on 8/26/04. Pt seen at clinic 8/27/04: site was slightly swollen and redness to area. Mother states no fever occurred.
Age: 44.0
Sex: F
Vaccine: TD
Symptoms: Cellulitis, Injection site reaction
Clinical narrative: Cellulitis at injection site; not just vaccine reaction 48 hours after injection.
Age: 65.0
Sex: F
Vaccine: PPV, TD
Symptoms: Unevaluable event
Clinical narrative: Vaccine reaction
Age: 64.0
Sex: F
Vaccine: PPV
Symptoms: Erythema, Injection site erythema, Injection site swelling, Swelling
Clinical narrative: Redness and swelling in right arm and site of vaccine. Add Amoxicillin 500 mg bid x 7 days.
Age: 38.0
Sex: M
Vaccine: ANTH
Symptoms: Injection site mass, Injection site pain, Musculoskeletal stiffness
Clinical narrative: Sore shoulder 1 inch lump where vaccine administered, pain moved to same side within 2 days. 3rd day pain moved to same side upper thigh very tender sore stiffness.
Age: 1.36
Sex: F
Vaccine: DTAP
Symptoms: Rash, Urticaria
Clinical narrative: Mother states that the child has rash of welts all over body. Started 22 hours after shots.
Age: 44.0
Sex: M
Vaccine: ANTH
Symptoms: Discomfort, Fatigue, Furuncle, Nasal discomfort, Skin exfoliation
Clinical narrative: This is a 44 year old who had been in his usual health prior to receiving his first anthrax vaccination. He developed "a boil on his left buttocks" which eventually opened and drained. Following the second anthrax vaccination, he developed a second boil just proximal to the first boil. He also reports that he developed several pustules on bilateral buttocks. In addition, he reports penile irritation that lead to peeling of the skin along the shaft. He also reports that the inside of his nose feels excoriated and burning. He is also experiencing burning in his internal rectal area. He experiences blood on tissue when he wipes. He denies any fever, chills, nausea, vomiting or diarrhea.  He denies having hemorrhoids. He reports some right shoulder discomfort relieved by Motrin. He experienced bad and fatigued feeling that was relieved by Motrin.   He presents today for evaluation. He received his third anthrax today and is concerned about managing these possible side effects in light of his eminent deployment.
Age: 44.0
Sex: M
Vaccine: ANTH
Symptoms: Skin irritation
Clinical narrative: This is a 44 year old who had been in his usual health prior to receiving his first anthrax vaccination. He developed "a boil on his left buttocks" which eventually opened and drained. Following the second anthrax vaccination, he developed a second boil just proximal to the first boil. He also reports that he developed several pustules on bilateral buttocks. In addition, he reports penile irritation that lead to peeling of the skin along the shaft. He also reports that the inside of his nose feels excoriated and burning. He is also experiencing burning in his internal rectal area. He experiences blood on tissue when he wipes. He denies any fever, chills, nausea, vomiting or diarrhea.  He denies having hemorrhoids. He reports some right shoulder discomfort relieved by Motrin. He experienced bad and fatigued feeling that was relieved by Motrin.   He presents today for evaluation. He received his third anthrax today and is concerned about managing these possible side effects in light of his eminent deployment.
Age: 29.0
Sex: M
Vaccine: HEP, HEPA, SMALL, TYP
Symptoms: Chills, Ear pain, Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: 9/2/04- spv (left upper arm), Hep A #2, Hep B #2, and typhoid (right upper arm). 9/3/04- started to notice erythema/edema/tenderness around the smallpox vaccine inoculation site. 9/7/04- pain now radiated up to left-sided neck/jaw/ear- c/o neck stiffness and limited ROM due to pain. 9/13/04- anthrax #2 (right upper arm)- above mentioned symptoms worsened- c/o fever (temp not taken) and chills. 9/15/04- pt. seen by his Case Manager- states inoculation site appears much improved- pain in his left-sided neck/jaw/ear has not spread to the right side- limited ROM of neck and left shoulder now worse.
Age: 29.0
Sex: M
Vaccine: HEP, HEPA, SMALL, TYP
Symptoms: Joint range of motion decreased, Musculoskeletal stiffness, Neck pain, Pain in jaw, Pyrexia
Clinical narrative: 9/2/04- spv (left upper arm), Hep A #2, Hep B #2, and typhoid (right upper arm). 9/3/04- started to notice erythema/edema/tenderness around the smallpox vaccine inoculation site. 9/7/04- pain now radiated up to left-sided neck/jaw/ear- c/o neck stiffness and limited ROM due to pain. 9/13/04- anthrax #2 (right upper arm)- above mentioned symptoms worsened- c/o fever (temp not taken) and chills. 9/15/04- pt. seen by his Case Manager- states inoculation site appears much improved- pain in his left-sided neck/jaw/ear has not spread to the right side- limited ROM of neck and left shoulder now worse.
Age: 6.0
Sex: M
Vaccine: MMR
Symptoms: Anaphylactic reaction, Face oedema, Lethargy, Nausea, Tongue oedema
Clinical narrative: 2 minutes after MMR administered, client's tongue and lips began to swell. Client became lethargic and nausea was noted. Adm. 1cc Benadryl. 10 minutes after adm. client vomited. 20 min. after adm., client was transported to ER for treatment and observation. At ER, client was treated as if anaphylactic reaction occured, observed for 2 hours and released to home.
Age: 6.0
Sex: M
Vaccine: MMR
Symptoms: Vomiting
Clinical narrative: 2 minutes after MMR administered, client's tongue and lips began to swell. Client became lethargic and nausea was noted. Adm. 1cc Benadryl. 10 minutes after adm. client vomited. 20 min. after adm., client was transported to ER for treatment and observation. At ER, client was treated as if anaphylactic reaction occured, observed for 2 hours and released to home.
Age: 78.0
Sex: F
Vaccine: TD
Symptoms: Contusion, Hypokinesia, Injection site swelling, Pain, Skin discolouration
Clinical narrative: Received Td booster on 4/19/2004 - does not recall previous vaccination or reactions.  Had significant swelling in posterior aspect left arm over the next several days associated with discoloration of blue/black bruising and pain.  Swelling has persisted along with the pain in the posterior arm but the discoloration has resolved.  Tender to touch over the area of visible swelling, but no erythema or warmth, no induration, no skin breakdown.  She has pain with movement and use of the left arm.
Age: 78.0
Sex: F
Vaccine: TD
Symptoms: Tenderness
Clinical narrative: Received Td booster on 4/19/2004 - does not recall previous vaccination or reactions.  Had significant swelling in posterior aspect left arm over the next several days associated with discoloration of blue/black bruising and pain.  Swelling has persisted along with the pain in the posterior arm but the discoloration has resolved.  Tender to touch over the area of visible swelling, but no erythema or warmth, no induration, no skin breakdown.  She has pain with movement and use of the left arm.
Age: 33.0
Sex: M
Vaccine: SMALL, SMALL
Symptoms: Infection transmission via personal contact, Rash
Clinical narrative: Patient's son came down with rash 1 week after visit with patient. Later diagnosed as a recurrent case of chicken pox.
Age: 33.0
Sex: M
Vaccine: SMALL, SMALL
Symptoms: Rash, Viral infection
Clinical narrative: Patient's son came down with rash 1 week after visit with patient. Later diagnosed as a recurrent case of chicken pox.
Sex: M
Vaccine: OPV
Symptoms: Dyspnoea, Lung neoplasm malignant, Neoplasm malignant
Clinical narrative: Information regarding ORIMUNE vaccine was received from an attorney regarding a male patient who developed mesothelioma and subsequently expired. The decedent received a dose of ORIMUNE vaccine on an unspecified date. Relevant medical history was not provided. Indication for ORIMUNE vaccine was immunization. Product was administered on an unspecified date. Dose regimen was not provided. Concomitant medications were not reported. It is alleged that the decedent's exposure to asbestos and asbestos-containing products and the Simian virus 40 contained within the polio vaccine, caused severe and permanent injury to the decedent, including, but not limited to breathing difficulties, asbestosis, lung and/or other cancer, mesothelioma, and/or other lung damage. It is further alleged that on or about 9/02, the decedent was diagnosed with mesothelioma and subsequently expired on 6/15/03. The cause of death was reported as mesothelioma. No additional informatin was available at the time of this report.
Age: 38.0
Sex: M
Vaccine: ANTH, HEP, HEPA
Symptoms: Blood creatine phosphokinase increased, Blood creatinine increased, Haematocrit decreased, Hyperhidrosis, Hypokinesia
Clinical narrative: 38 year old male received first dose of AVA on 7/21/04, along with HAV and HBV vaccine. Also received PPD test in left arm. 2-3 hours later he experienced sweats (no rigors) and tender pectoral muscle. The next morning he was unable to lift his arm because of pain and went to the clinic. Large reaction at PPD site left arms (approximately 15mm redness, heat and tenderness). Subject was hospitalized to rule out cardiac problems. Recovery status unknown. Follow-up: BioPort Corp. has no further information on this case. In the event that additional relevant medical informtion is received a follow-up report will be submitted.
Age: 38.0
Sex: M
Vaccine: ANTH, HEP, HEPA
Symptoms: Laboratory test abnormal, Musculoskeletal chest pain, Myalgia, Pain, Tuberculin test positive
Clinical narrative: 38 year old male received first dose of AVA on 7/21/04, along with HAV and HBV vaccine. Also received PPD test in left arm. 2-3 hours later he experienced sweats (no rigors) and tender pectoral muscle. The next morning he was unable to lift his arm because of pain and went to the clinic. Large reaction at PPD site left arms (approximately 15mm redness, heat and tenderness). Subject was hospitalized to rule out cardiac problems. Recovery status unknown. Follow-up: BioPort Corp. has no further information on this case. In the event that additional relevant medical informtion is received a follow-up report will be submitted.
Age: 38.0
Sex: M
Vaccine: ANTH, HEP, HEPA
Symptoms: White blood cell count
Clinical narrative: 38 year old male received first dose of AVA on 7/21/04, along with HAV and HBV vaccine. Also received PPD test in left arm. 2-3 hours later he experienced sweats (no rigors) and tender pectoral muscle. The next morning he was unable to lift his arm because of pain and went to the clinic. Large reaction at PPD site left arms (approximately 15mm redness, heat and tenderness). Subject was hospitalized to rule out cardiac problems. Recovery status unknown. Follow-up: BioPort Corp. has no further information on this case. In the event that additional relevant medical informtion is received a follow-up report will be submitted.
Age: 5.0
Sex: F
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Anorexia, Bone disorder, Fatigue, Hepatosplenomegaly, Laboratory test abnormal
Clinical narrative: Pancytopenia/rash; diagnosed with hemophagocytic lymphohistiocytosis.  Discharge Summary received on 11/29/2004 states pt experienced anorexia, fever, fatigue, and heptosplenomegaly.
Age: 5.0
Sex: F
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Liver function test abnormal, Neutropenia, Pancytopenia, Pyrexia, Rash
Clinical narrative: Pancytopenia/rash; diagnosed with hemophagocytic lymphohistiocytosis.  Discharge Summary received on 11/29/2004 states pt experienced anorexia, fever, fatigue, and heptosplenomegaly.
Age: 5.0
Sex: F
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Viral infection
Clinical narrative: Pancytopenia/rash; diagnosed with hemophagocytic lymphohistiocytosis.  Discharge Summary received on 11/29/2004 states pt experienced anorexia, fever, fatigue, and heptosplenomegaly.
Age: 0.36
Sex: F
Vaccine: DTAP
Symptoms: Convulsion, Vaccine positive rechallenge
Clinical narrative: Seizure following the DTaP #2 (04/29/04), but in retrospect occurred following the DTaP #1. Required hospitalization and has been treated with phenobarbital which is going to be changed soon my pediatric neurologist. Follow up received on 02/03/2005:  Patient is still having seizures and is still on anti-siezure medication.  Nurse follow up on 09/29/04 states: "Hospital d/c summary confirms final diagnosis of seizure."  No seizures since 3/05. Pt. now receives Pediatrics DT instead of DTAP
Age: 46.0
Sex: M
Vaccine: ANTH
Symptoms: Hypoaesthesia, Hypokinesia, Pain, Urinary tract disorder
Clinical narrative: Developed numbness in 3rd and 4th finger after AVA #1 and large local rx. Pain in left arm with certain range of motion. On 28Jan04 he received AVA #1 at an unknown site in left arm. Reports no systemic effects but developed very sore left arm for about 1 month. Because of this soreness he avoided use of the arm whenever possible. After one month, the continuous pain subsided but he had sharp discreet pain when raising the arm over his head as well as reaching around to the back or holding the arm straight out in front of him. This pain has continued to the present. He also states that the strength in the left arm is considerably weaker than in the right and that he has intermittent numbness in the superior aspects of the left 3rd and 4th fingers. Referral to neurology showed an EMG consistent with left cervical radiculopathy at approximately c6-c7. Neurological exam was normal.  The lack of neck pain or true radicular components to the pain suggested that the symptoms are not related to the electrodiagnostic abnormalities. MRI of the cervical spine showed "a minimal 1mm retrolistheses with small disk/ osteophyte complex at c5-c6 with degenerative changes and mild left foraminal narrowing with no nerve impingement. Consequently he was referred to orthopedics for further evaluation.  Orthopedics diagnosed left shoulder impingement. His shoulder impingement radiologic series was WNL. On physical exam he demonstrated a positive Hawkins and O'Brien's sign and decreased ROM due to pain. He received an intrarticular steroid/lidocaine injection to the shoulder and was placed on a COX-2 inhibitor. During the evaluation period pt was referred to nephrology for evaluation of microscopic hematuria and to pulmonary for intermittent cough and previous pulmonary nodule. Nephrology diagnosed a benign asymptomatic urinary abnormality vs early stage of chronic kidney disease after obtaining a normal renal ultrasound. Pulmonology discontinued his ace inhibitor and initiated irbesartin after the CAT scan of the lungs and PFTs proved normal.
Age: 6.0
Sex: M
Vaccine: DTAP, MMR
Symptoms: Myalgia, Pyrexia
Clinical narrative: 104 temp x 3 days. Starting on 8/21/04. Then 27th-29th 101 fever. Pt c/o aching all over, these dates.
Age: 16.0
Sex: M
Vaccine: VARCEL
Symptoms: Chills, Headache, Hyperhidrosis, Rash vesicular
Clinical narrative: Started to develop HA's started 9/5/04, chills, sweating. Vesicular rash started on head, face, neck, few scattered on chest, few on legs and upper arms on 9/6/04.
Age: 1.58
Sex: M
Vaccine: DTAP, HIBV
Symptoms: Injection site oedema
Clinical narrative: Swelling of left thigh 1 day, after vaccines administration
Age: 1.02
Sex: F
Vaccine: MMR
Symptoms: Viral infection
Clinical narrative: Clinical finding consistent w/ modified varicella.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV
Symptoms: Cough, Hypertonia, Injection site mass, Pyrexia, Sensory disturbance
Clinical narrative: Pt developed the following symptoms within 24 hours: fever x 2-3 days, knots at injection sites, URI symptoms with croupy cough, sensory issues- hypertonicity, didn't want water to touch him.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV
Symptoms: Upper respiratory tract infection
Clinical narrative: Pt developed the following symptoms within 24 hours: fever x 2-3 days, knots at injection sites, URI symptoms with croupy cough, sensory issues- hypertonicity, didn't want water to touch him.
Age: 1.0
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Rash maculo-papular
Clinical narrative: Vaccine on 8/17/04, red macular papular lesions to torso, arms, upper thighs on 8/28/04-rash faded by 9/5/04.
Age: 38.0
Sex: M
Vaccine: HEPAB
Symptoms: Medication error
Clinical narrative: Pt received Twinrix #2 on 8/19/04 without problem-Afterwards, the nurse noted that the expiration date was 7/5/04.
Age: 17.0
Sex: M
Vaccine: HEP, MMR, TD, VARCEL
Symptoms: Cough, Erythema, Face oedema, Hypersensitivity, Loss of consciousness
Clinical narrative: 4 vaccines administered. Pt fainted after last vaccine. Reclined on cot, ice to face, BP=12/74, P:76 R=20. Recovered, color good, alert, oriented after 5 min. 8:10 forehead, reddened and swollen lips and nose swollen. Frequent congested cough. 911 called for possible allergic reaction, Epi-pen 0.3mg admin 8:15.
Age: 17.0
Sex: M
Vaccine: HEP, MMR, TD, VARCEL
Symptoms: Nasal congestion
Clinical narrative: 4 vaccines administered. Pt fainted after last vaccine. Reclined on cot, ice to face, BP=12/74, P:76 R=20. Recovered, color good, alert, oriented after 5 min. 8:10 forehead, reddened and swollen lips and nose swollen. Frequent congested cough. 911 called for possible allergic reaction, Epi-pen 0.3mg admin 8:15.
Age: 18.0
Sex: F
Vaccine: MEN
Symptoms: Dizziness, Headache, Tremor
Clinical narrative: Pt reported sleeping four hours after receiving vaccine. Upon awaking, dizzy and shakey and headache until late that night.
Age: 1.0
Sex: F
Vaccine: VARCEL
Symptoms: Infection transmission via personal contact, Viral infection
Clinical narrative: Father, not patient, contracted chicken pox. Healthy, white male, 39 years old, no complications resulted.
Age: 16.0
Sex: F
Vaccine: HEP
Symptoms: Diarrhoea, Fatigue, Nausea, Pain, Tenderness
Clinical narrative: Hep B vaccine #1 given 8/11/04- By 8/16 developed sx of daily nausea, epig pain, diarrhea (not watery, but soupy stools) 4x 1 days feels brown or green, feels fatigued seen 9/7-WT stable-NAD-exam neg- no jaundice- mild tenderness RVA + epig. Labs ordered- Hep panel, LFT, CBC diff, ESR-BMP. Stool C/s. O+P-RBC, WBC. BoPhenergan, dietary A's.
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Feeling hot, Injection site mass, Injection site pain
Clinical narrative: R upper an, red hot to touch and hard w/ pain immunization given right arm, DTaP, IM, IPO, IM, MMR, Antibiotics prescribed and advised ice to arm.
Age: 5.0
Sex: F
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Injection site oedema, Injection site reaction
Clinical narrative: Left leg red swollen from immunization 15-20cm, local reaction vs immunization reaction but getting worse. Hot packs, Duricef 250/5
Age: 13.0
Sex: F
Vaccine: TD, VARCEL
Symptoms: Injection site mass, Oedema, Pyrexia
Clinical narrative: C/o localized swelling, lump and fever in arm. Within 1 hr of injection, Tylenol, or ibuprofen, ice pack to arm. Improved by afternoon of this day (9/10/04)
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Oedema
Clinical narrative: Red and swollen left arm within 24 hours of shots
Age: 66.0
Sex: F
Vaccine: HEPA, MMR, TD
Symptoms: Chills, Fatigue, Fibromyalgia, Headache, Myalgia
Clinical narrative: 8/19 fatigue at 3PM by 6PM fever 103-4, headache, body aches, chills, rash started 8/21, face, head, itchy, sl raised, no swelling of lymph nodes. Took Advil and Tylenol per MD's Instructions, ID specialist felt it was Td-serum sickness, very sick til 8/28.
Age: 66.0
Sex: F
Vaccine: HEPA, MMR, TD
Symptoms: Pruritus, Pyrexia, Rash, Serum sickness
Clinical narrative: 8/19 fatigue at 3PM by 6PM fever 103-4, headache, body aches, chills, rash started 8/21, face, head, itchy, sl raised, no swelling of lymph nodes. Took Advil and Tylenol per MD's Instructions, ID specialist felt it was Td-serum sickness, very sick til 8/28.
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Feeling hot, Oedema
Clinical narrative: Right arm redness/swelling/warmth 7-8cm area of erythema.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR, PNC
Symptoms: Erythema, Pain
Clinical narrative: 9/9/04 When child presented for PPD reading on arm, red area on left upper arm about 2 1/2 inches in diameter noted. Child told mother it hurts a little (in Spanish). Mother instructed to try using warm compress to area for relief in next couple of days.
Age: 0.16
Sex: M
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Injection site erythema, Injection site mass
Clinical narrative: Received immunization 8/24/2004 right thigh 3 days later rx'ed erythema and induration at site. No fever. ~ 8mm erythema/induration right lat thigh.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Injection site oedema
Clinical narrative: Redness, non tender- size of tennis ball at injection site. Advised cool compresses.
Age: 4.0
Sex: F
Vaccine: MMR
Symptoms: Unevaluable event
Clinical narrative: Reaction not stated.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Grand mal convulsion, Hallucination
Clinical narrative: Seizure like grand mal activity; hallucination.
Age: 33.0
Sex: M
Vaccine: ANTH, SMALL
Symptoms: Erythema, Skin nodule, Skin ulcer
Clinical narrative: Patient developed multiple firm cutaneous nodules surrounded by erythema on the neck b/l as well as on the forarms.  First lesion noted on day 9.
Age: 46.0
Sex: F
Vaccine: SMALL
Symptoms: Breast tenderness, Lymphadenopathy
Clinical narrative: May 2003, patient presented in hospital with bilateral lymph edema.  Rt arm was significant more edematous than the left.  Mild swollen glands in neck with Lt breast tenderness. Doctor was notified and pt instructed to take tylenol and use ice packs for comfort.  This should subside in 5-7 days.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR, PPV
Symptoms: Diarrhoea, Vomiting
Clinical narrative: First bout of diarrhea occurred at 9:30pm on 9/14/04.  Second bout of explosive diarrhea and first and only occurrence of vomitting occurred at 7:30am on 9/15/04.
Age: 74.0
Sex: M
Vaccine: PPV, PPV, PPV
Symptoms: Contusion, Erythema, Injection site pain, Pyrexia
Clinical narrative: Allergies:LISINOPRIL, FELODIPINE Have you ever received a Pneumovax? No___x  CLINICAL REMINDER ACTIVITY *Pneumovax: Patient given handout on Pneumococcal Vaccine, Injection. Level of Understanding: Good Outpatient Pneumococcal vaccine ordered Patient received pneumo-vac at this encounter. Site: l-arm  TITLE: WALK-IN NURSING NOTE DATE OF NOTE: SEP 13,2004@13:20 ENTRY DATE:SEP13,2004@13:20:28 VITAL SIGNS: Temperature (F) 97.9Temperature (C) 36.6 Pulse 64 Systolic 152/Diastolic 66 Height (in)72 Height (cms) 182.9 Respiration 20 Vitals Date: September 13, 2004 Vitals Time: 13:20:38 Patient is in Pain Patient rate pain: 1  The patient has  received a pneumovax. Date: 9-10-04 ALLERGIES:LISINOPRIL, FELODIPINE CLINICAL REMINDER ACTIVITY S: HERE AS WALK-IN D/T HAD PNEUMONIA VACCINE FRIDAY, 9-10-04 & IS CONCERNED BECAUSE THE SITE WAS REALLY SORE UNTIL TODAY. NOW IT'S TENDER AT THE SITE. HE TOOK (2) ALEVES FRIDAY NIGHT & SATURDAY NITE & LAST NIGHT. THE SHEETS COULDN'T  EVEN TOUCH THE SITE IT WAS THAT SORE. HE ALSO HAD A PPD SKIN TEST DONE IN (L)FA. AREA IS BRUISED. AREA ON (L)ARM IS REDDENED FROM UNDERNEATH AXILLA DOWN TO JUST ABOVE THE WRIST AREA. NOT WARM TO TOUCH & DENIES ANY FEVER. 09/13/2004 ADDENDUM   PPD:Patient had a NEGATIVE ppd skin test reading. Comment: NO DURATION/RAISED AREA. BRUISING ONLY AT SITE. DOCTOR LOOKED AT SITE. NOTED LOCAL REACTION. P: INSTRUCTED TO KEEP COOL COMPRESS AT SITE & TAKE ALEVE PRN FOR DISCOMFORT. WILL  NOTE REACTION FOR IN CHART. 09/13/2004 ADDENDUM  O: NOTE: SITE CHECKED BY MD WAS THAT OF PNEUMONIA VACCINE & NOT PPD.
Age: 74.0
Sex: M
Vaccine: PPV, PPV, PPV
Symptoms: Contusion, Injection site erythema, Injection site pain
Clinical narrative: Allergies:LISINOPRIL, FELODIPINE Have you ever received a Pneumovax? No___x  CLINICAL REMINDER ACTIVITY *Pneumovax: Patient given handout on Pneumococcal Vaccine, Injection. Level of Understanding: Good Outpatient Pneumococcal vaccine ordered Patient received pneumo-vac at this encounter. Site: l-arm  TITLE: WALK-IN NURSING NOTE DATE OF NOTE: SEP 13,2004@13:20 ENTRY DATE:SEP13,2004@13:20:28 VITAL SIGNS: Temperature (F) 97.9Temperature (C) 36.6 Pulse 64 Systolic 152/Diastolic 66 Height (in)72 Height (cms) 182.9 Respiration 20 Vitals Date: September 13, 2004 Vitals Time: 13:20:38 Patient is in Pain Patient rate pain: 1  The patient has  received a pneumovax. Date: 9-10-04 ALLERGIES:LISINOPRIL, FELODIPINE CLINICAL REMINDER ACTIVITY S: HERE AS WALK-IN D/T HAD PNEUMONIA VACCINE FRIDAY, 9-10-04 & IS CONCERNED BECAUSE THE SITE WAS REALLY SORE UNTIL TODAY. NOW IT'S TENDER AT THE SITE. HE TOOK (2) ALEVES FRIDAY NIGHT & SATURDAY NITE & LAST NIGHT. THE SHEETS COULDN'T  EVEN TOUCH THE SITE IT WAS THAT SORE. HE ALSO HAD A PPD SKIN TEST DONE IN (L)FA. AREA IS BRUISED. AREA ON (L)ARM IS REDDENED FROM UNDERNEATH AXILLA DOWN TO JUST ABOVE THE WRIST AREA. NOT WARM TO TOUCH & DENIES ANY FEVER. 09/13/2004 ADDENDUM   PPD:Patient had a NEGATIVE ppd skin test reading. Comment: NO DURATION/RAISED AREA. BRUISING ONLY AT SITE. DOCTOR LOOKED AT SITE. NOTED LOCAL REACTION. P: INSTRUCTED TO KEEP COOL COMPRESS AT SITE & TAKE ALEVE PRN FOR DISCOMFORT. WILL  NOTE REACTION FOR IN CHART. 09/13/2004 ADDENDUM  O: NOTE: SITE CHECKED BY MD WAS THAT OF PNEUMONIA VACCINE & NOT PPD.
Age: 74.0
Sex: M
Vaccine: PPV, PPV, PPV
Symptoms: Injection site pain
Clinical narrative: Allergies:LISINOPRIL, FELODIPINE Have you ever received a Pneumovax? No___x  CLINICAL REMINDER ACTIVITY *Pneumovax: Patient given handout on Pneumococcal Vaccine, Injection. Level of Understanding: Good Outpatient Pneumococcal vaccine ordered Patient received pneumo-vac at this encounter. Site: l-arm  TITLE: WALK-IN NURSING NOTE DATE OF NOTE: SEP 13,2004@13:20 ENTRY DATE:SEP13,2004@13:20:28 VITAL SIGNS: Temperature (F) 97.9Temperature (C) 36.6 Pulse 64 Systolic 152/Diastolic 66 Height (in)72 Height (cms) 182.9 Respiration 20 Vitals Date: September 13, 2004 Vitals Time: 13:20:38 Patient is in Pain Patient rate pain: 1  The patient has  received a pneumovax. Date: 9-10-04 ALLERGIES:LISINOPRIL, FELODIPINE CLINICAL REMINDER ACTIVITY S: HERE AS WALK-IN D/T HAD PNEUMONIA VACCINE FRIDAY, 9-10-04 & IS CONCERNED BECAUSE THE SITE WAS REALLY SORE UNTIL TODAY. NOW IT'S TENDER AT THE SITE. HE TOOK (2) ALEVES FRIDAY NIGHT & SATURDAY NITE & LAST NIGHT. THE SHEETS COULDN'T  EVEN TOUCH THE SITE IT WAS THAT SORE. HE ALSO HAD A PPD SKIN TEST DONE IN (L)FA. AREA IS BRUISED. AREA ON (L)ARM IS REDDENED FROM UNDERNEATH AXILLA DOWN TO JUST ABOVE THE WRIST AREA. NOT WARM TO TOUCH & DENIES ANY FEVER. 09/13/2004 ADDENDUM   PPD:Patient had a NEGATIVE ppd skin test reading. Comment: NO DURATION/RAISED AREA. BRUISING ONLY AT SITE. DOCTOR LOOKED AT SITE. NOTED LOCAL REACTION. P: INSTRUCTED TO KEEP COOL COMPRESS AT SITE & TAKE ALEVE PRN FOR DISCOMFORT. WILL  NOTE REACTION FOR IN CHART. 09/13/2004 ADDENDUM  O: NOTE: SITE CHECKED BY MD WAS THAT OF PNEUMONIA VACCINE & NOT PPD.
Age: 0.0
Sex: M
Vaccine: PPV, PPV
Symptoms: Atrial fibrillation, Cough, Laboratory test abnormal, Oedema peripheral, Sleep apnoea syndrome
Clinical narrative: BP:160/91 (04/05/2004 08:19)T:96 F [35.6 C] (04/05/2004 08:19)  P:89 (04/05/2004 08:19) R:16 (04/05/2004 08:19) Allergies:   nkda Have you ever received a Pneumovax?        Yes__x_ date received: today Comments: P:  Routine check-up.  H/O DM.  C/O swelling in feet.  C/O cough x 4-5 weeks with wheezing.  Wife states he snores and he wants this evaluated. Checks BS every am, usually 120 or less. CLINICAL REMINDER ACTIVITY Pneumovax: Patient received pneumo-vac at this encounter.      Site: left deltoid ................................................ Temp:   96 F [35.6 C] (04/05/2004 08:19)Pulse:  89 (04/05/2004 08:19) B.P.: 157/85 (04/05/2004 08:28)Resp. 16 (04/05/2004 08:19)Chief Complaint: Leg swellings Lt >Rt x 3 months. patient came to the CPC and was given Pneumonia vaccine. Pt made this appt B/O B/L leg swelling x 3 months and improved with some " water pill" he got outside.  Wanted to D/W his PCP and came to the clinic. He also has wheezing and snoring and the wife think that the patient has sleep apnea. No HA,N,V. No SOB,CP. Occ cough. No palpitation. No Abd pain; No urinary symptoms; Normal BM's. No fever. Patient has no symtoms except for chronic leg swelling; No leg pain/ redness. No hemoptysis.  patient was found to have Atrial Fibrilation on  EKG and resolved without any intervension when he arrived to telemetry floor. Remain in sinus.
Age: 0.0
Sex: M
Vaccine: PPV, PPV
Symptoms: Wheezing
Clinical narrative: BP:160/91 (04/05/2004 08:19)T:96 F [35.6 C] (04/05/2004 08:19)  P:89 (04/05/2004 08:19) R:16 (04/05/2004 08:19) Allergies:   nkda Have you ever received a Pneumovax?        Yes__x_ date received: today Comments: P:  Routine check-up.  H/O DM.  C/O swelling in feet.  C/O cough x 4-5 weeks with wheezing.  Wife states he snores and he wants this evaluated. Checks BS every am, usually 120 or less. CLINICAL REMINDER ACTIVITY Pneumovax: Patient received pneumo-vac at this encounter.      Site: left deltoid ................................................ Temp:   96 F [35.6 C] (04/05/2004 08:19)Pulse:  89 (04/05/2004 08:19) B.P.: 157/85 (04/05/2004 08:28)Resp. 16 (04/05/2004 08:19)Chief Complaint: Leg swellings Lt >Rt x 3 months. patient came to the CPC and was given Pneumonia vaccine. Pt made this appt B/O B/L leg swelling x 3 months and improved with some " water pill" he got outside.  Wanted to D/W his PCP and came to the clinic. He also has wheezing and snoring and the wife think that the patient has sleep apnea. No HA,N,V. No SOB,CP. Occ cough. No palpitation. No Abd pain; No urinary symptoms; Normal BM's. No fever. Patient has no symtoms except for chronic leg swelling; No leg pain/ redness. No hemoptysis.  patient was found to have Atrial Fibrilation on  EKG and resolved without any intervension when he arrived to telemetry floor. Remain in sinus.
Age: 0.0
Sex: M
Vaccine: PPV, PPV
Symptoms: Atrial fibrillation, Injection site erythema, Injection site induration, Injection site reaction, Injection site warmth
Clinical narrative: BP:160/91 (04/05/2004 08:19)T:96 F [35.6 C] (04/05/2004 08:19)  P:89 (04/05/2004 08:19) R:16 (04/05/2004 08:19) Allergies:   nkda Have you ever received a Pneumovax?        Yes__x_ date received: today Comments: P:  Routine check-up.  H/O DM.  C/O swelling in feet.  C/O cough x 4-5 weeks with wheezing.  Wife states he snores and he wants this evaluated. Checks BS every am, usually 120 or less. CLINICAL REMINDER ACTIVITY Pneumovax: Patient received pneumo-vac at this encounter.      Site: left deltoid ................................................ Temp:   96 F [35.6 C] (04/05/2004 08:19)Pulse:  89 (04/05/2004 08:19) B.P.: 157/85 (04/05/2004 08:28)Resp. 16 (04/05/2004 08:19)Chief Complaint: Leg swellings Lt >Rt x 3 months. patient came to the CPC and was given Pneumonia vaccine. Pt made this appt B/O B/L leg swelling x 3 months and improved with some " water pill" he got outside.  Wanted to D/W his PCP and came to the clinic. He also has wheezing and snoring and the wife think that the patient has sleep apnea. No HA,N,V. No SOB,CP. Occ cough. No palpitation. No Abd pain; No urinary symptoms; Normal BM's. No fever. Patient has no symtoms except for chronic leg swelling; No leg pain/ redness. No hemoptysis.  patient was found to have Atrial Fibrilation on  EKG and resolved without any intervension when he arrived to telemetry floor. Remain in sinus.
Age: 0.0
Sex: M
Vaccine: PPV, PPV
Symptoms: Pyrexia
Clinical narrative: BP:160/91 (04/05/2004 08:19)T:96 F [35.6 C] (04/05/2004 08:19)  P:89 (04/05/2004 08:19) R:16 (04/05/2004 08:19) Allergies:   nkda Have you ever received a Pneumovax?        Yes__x_ date received: today Comments: P:  Routine check-up.  H/O DM.  C/O swelling in feet.  C/O cough x 4-5 weeks with wheezing.  Wife states he snores and he wants this evaluated. Checks BS every am, usually 120 or less. CLINICAL REMINDER ACTIVITY Pneumovax: Patient received pneumo-vac at this encounter.      Site: left deltoid ................................................ Temp:   96 F [35.6 C] (04/05/2004 08:19)Pulse:  89 (04/05/2004 08:19) B.P.: 157/85 (04/05/2004 08:28)Resp. 16 (04/05/2004 08:19)Chief Complaint: Leg swellings Lt >Rt x 3 months. patient came to the CPC and was given Pneumonia vaccine. Pt made this appt B/O B/L leg swelling x 3 months and improved with some " water pill" he got outside.  Wanted to D/W his PCP and came to the clinic. He also has wheezing and snoring and the wife think that the patient has sleep apnea. No HA,N,V. No SOB,CP. Occ cough. No palpitation. No Abd pain; No urinary symptoms; Normal BM's. No fever. Patient has no symtoms except for chronic leg swelling; No leg pain/ redness. No hemoptysis.  patient was found to have Atrial Fibrilation on  EKG and resolved without any intervension when he arrived to telemetry floor. Remain in sinus.
Age: 0.3
Sex: M
Vaccine: DTAP
Symptoms: Bacterial infection, Cough, Drug ineffective
Clinical narrative: From initial information received on 9/10/04 from the patient's parent regarding an adverse event occurring in the USA, it was reported that a four month old male patient received a dose of DIPHTHERIA, TETANUS AND ACELLULAR PERTUSSIS VACCINE on an unspecified date. No specifics regarding the vaccination were provided. Per the reporter, the patient was misdiagnosed twice before spending 10 days in the hospital with pertussis. He was scheduled for his second DIPHTHERIA, TETANUS AND ACELLULAR PERTUSSIS VACCINE immunization on 7/16. He received the immunization that day while still in the hospital. On 9/9/04, the patient received his third dose of DIPHTHERIA, TETANUS AND ACELLULAR PERTUSSIS VACCINE. Reportedly the patient is still recovering from the event. From additional information received from the patient's mother on 9/13/04, it ws reported that the patient received his first dose of DIPHTHERIA, TETANUS AND ACELLULAR PERTUSSIS VACCINE at two months of age. At four months of age he was hospitalized with pertussis. Reportedly the patient recovered from this event.
Age: 0.68
Sex: M
Vaccine: DTAP, PNC
Symptoms: Agitation, Laboratory test abnormal, Malaise, Neutropenia, Otitis media
Clinical narrative: Fever, otitis media (pseudomonas), neutropenia.  Nurse follow up on 09/29/04 states: "Extreme irritability and extreme listlessness."
Age: 0.68
Sex: M
Vaccine: DTAP, PNC
Symptoms: Pyrexia
Clinical narrative: Fever, otitis media (pseudomonas), neutropenia.  Nurse follow up on 09/29/04 states: "Extreme irritability and extreme listlessness."
Age: 30.0
Sex: M
Vaccine: ANTH
Symptoms: Injection site mass, Rash
Clinical narrative: Rash and hard lump. I received an SQ injection of the Anthrax vaccine in my left tricep. That day I had a rash on the entire surface of my left arm and the left side of my chest. This eventually subsided by now I have a hard lump approximately 5-7 cm at the injection site.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Swelling
Clinical narrative: Within 24 hours, anterior left thigh swelled and became erythematous. Large patch is well-demarcated and 22 x 25 cm.
Age: 4.75
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Dyspnoea, Lacrimation increased, Rhinorrhoea
Clinical narrative: About 5-10 minutes after getting shots, child starting having difficulty breathin, running nose, watery eyes
Age: 4.0
Sex: F
Vaccine: MMR
Symptoms: Unevaluable event
Clinical narrative: reaction unevaluable.
Age: 1.0
Sex: M
Vaccine: HBHEPB, MMR, PNC
Symptoms: Erythema, Feeling hot, Injection site induration
Clinical narrative: Left thigh 2.5x1.5 cm red, indurated, warm, observe x 24 hours if redness and warmth persists, to start Keflex 250 mg po bid x 7 days. 24x48 hours after ABXs start or sooner if worse.
Age: 0.2
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Erythema, Feeling hot, Irritability, Oedema
Clinical narrative: Right thigh slighly red, warm to touch, slight edema. DT fussy on and off. Afebrile T 97 degrees (parent refused to allow rectal temp to be taken). Tylenol 80 mg given when infant brought in. Tylenol given at home.
Age: 2.6
Sex: F
Vaccine: DTAP, HIBV, IPV
Symptoms: Injection site swelling, Pyrexia
Clinical narrative: Temperature 106 degrees at home: taken to ER at 11:30 pm after receiving shots at 10:30 am. Temperature 39 degrees C after Tylenol and Motrin at ER. 1 cm raised area on left thigh at ER. Treatment with Tylenol and Motrin.
Age: 52.0
Sex: M
Vaccine: PPV, TD
Symptoms: Chills, Headache, Lymphadenopathy, Malaise, Myalgia
Clinical narrative: Prolonged malaise, F/C, myalgia, Headache, ? localized adenopathy. x 9-7 days after vaccination.
Age: 52.0
Sex: M
Vaccine: PPV, TD
Symptoms: Pyrexia
Clinical narrative: Prolonged malaise, F/C, myalgia, Headache, ? localized adenopathy. x 9-7 days after vaccination.
Age: 12.0
Sex: M
Vaccine: HEP
Symptoms: Cough, Nasal congestion, Pyrexia, Vomiting
Clinical narrative: Fever, vomiting, cough, nasal congestion. Motrin, Rondec and Phenergan
Sex: F
Vaccine: TD
Symptoms: Eye irritation, Headache, Vomiting
Clinical narrative: Headaches on/off (bitemporal). Burning eyes. Vomited one time.
Age: 0.38
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Convulsion, Epilepsy, Somnolence
Clinical narrative: Seizure at home and in the emergency room. Still in hospital receiving medications and tests.  Nurse follow up on 11/01/04 states: "Drowsy." Per annual report-Pt. has epilepsy, first seizure was after immunization listed above.