chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 0.5
Sex: M
Vaccine: FLU3
Symptoms: Lumbar puncture, Pyrexia, Respiratory disorder, Respiratory tract congestion
Clinical narrative: Patient had 103.5 temperature and continued with 101.7 temperature for 3 days.  Respiratory illness started after temperature with decreased appetite and cough with congestion for approximately 2 weeks.  Had atonic/drop seizure x 2 and was hospitalized 01/22/08 - 01/30/08 had convulsive seizure x 2 in hospital.  All tests came back and was diagnosed with viral encephalitis and seizures.  Hospitalized in February due to poor seizure control. 6/3/08-records received for DOS 1/22-1/30/08-DC DX: Seizures. Mild viral encephalitis. Presented with two atonic episodes. Cough. Sleepier, high pitched cry. Abnormal movements with facial twitching. Post-ictal. Altered mental status with high pitched cry, failure to focus, fussiness and loss of truncal stability. Developed diarrhea.
Age: 32.0
Sex: M
Vaccine: SMALL
Symptoms: Amnesia, Anorexia, Brain neoplasm, Computerised tomogram normal, Full blood count normal
Clinical narrative: 32 y/o ANG SM, presents to medical clinic for 1-2 day hx of skin rash, stiff neck, and memory loss.  He received Smallpox vaccine some 10 days earlier, on 13 Apr 2008.  Symptoms: Rash, diffuse, Muscle Spasm, Memory Loss, short term, Anorexia.  07/07/2008 MR received for DOS 4/24-25/2008 with D/C DX: Reaction to Smallpox vaccine (few pustules on back). Pt presented to ER with 11 day hx of feeling groggy, memory loss, difficulty with word finding, headaches, neck stiffness and pustules on back. PE(+) for pustules on back, scabbing at injection site and 1/5 motor strength on the L side.  Improvement noted and pt d/c next day for f/u MRI 5/17/08.
Age: 32.0
Sex: M
Vaccine: SMALL
Symptoms: Laboratory test normal, Muscle spasms, Musculoskeletal stiffness, Nuclear magnetic resonance imaging brain abnormal, Rash
Clinical narrative: 32 y/o ANG SM, presents to medical clinic for 1-2 day hx of skin rash, stiff neck, and memory loss.  He received Smallpox vaccine some 10 days earlier, on 13 Apr 2008.  Symptoms: Rash, diffuse, Muscle Spasm, Memory Loss, short term, Anorexia.  07/07/2008 MR received for DOS 4/24-25/2008 with D/C DX: Reaction to Smallpox vaccine (few pustules on back). Pt presented to ER with 11 day hx of feeling groggy, memory loss, difficulty with word finding, headaches, neck stiffness and pustules on back. PE(+) for pustules on back, scabbing at injection site and 1/5 motor strength on the L side.  Improvement noted and pt d/c next day for f/u MRI 5/17/08.
Age: 32.0
Sex: M
Vaccine: SMALL
Symptoms: Scan brain
Clinical narrative: 32 y/o ANG SM, presents to medical clinic for 1-2 day hx of skin rash, stiff neck, and memory loss.  He received Smallpox vaccine some 10 days earlier, on 13 Apr 2008.  Symptoms: Rash, diffuse, Muscle Spasm, Memory Loss, short term, Anorexia.  07/07/2008 MR received for DOS 4/24-25/2008 with D/C DX: Reaction to Smallpox vaccine (few pustules on back). Pt presented to ER with 11 day hx of feeling groggy, memory loss, difficulty with word finding, headaches, neck stiffness and pustules on back. PE(+) for pustules on back, scabbing at injection site and 1/5 motor strength on the L side.  Improvement noted and pt d/c next day for f/u MRI 5/17/08.
Age: 29.0
Sex: F
Vaccine: YF
Symptoms: Nausea, Pain in extremity, Vomiting
Clinical narrative: Nausea & vomiting, pain in legs "like a rubber band cutting off circulation".  Patient went to doctor on Saturday night.
Age: 16.0
Sex: F
Vaccine: YF
Symptoms: Fatigue, Headache, Myalgia, Pain, Pyrexia
Clinical narrative: Vaccinated 5/8/08.  Pt developed myalgias, fever, headache, fatigue starting 5/9/08 in P.M.  Pt given ADVIL for fever and aches.  Pt showed improvement on 5/12; completely resolved 5/13/08.
Age: 0.2
Sex: M
Vaccine: DTAP, HBHEPB, RV5
Symptoms: Discomfort, Gastrooesophageal reflux disease
Clinical narrative: 5/12/08 parents allege that persistent reflux and discomfort date from RV given 4/10/08 started on PREVACID. Good weight gain. No disorder
Age: 11.0
Sex: M
Vaccine: TDAP, VARCEL
Symptoms: Inappropriate schedule of drug administration, No adverse event
Clinical narrative: No adverse event.  This is only to report that the child's parent requested to varicella & that I administered it in school setting.  Later, on data entry, notation on data shows that child had chickenpox 1/9/98.
Age: 74.0
Sex: M
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling
Clinical narrative: Pt. developed itching, swelling & redness at site at 4PM 5/15/08.
Age: 20.0
Sex: F
Vaccine: HPV4
Symptoms: Dizziness, Nausea, Pruritus generalised, Rash generalised
Clinical narrative: Patient complained of rash/itching all over. Patient also complained of nausea and dizziness. Patient denies any fever or vomiting. Patient reports symptoms started the evening after getting the injection. Per patient symptoms lasted one week. Patient did not notify us right away.
Age: 14.0
Sex: F
Vaccine: TDAP
Symptoms: Chills, Dizziness, Dyspnoea, Heart rate increased, Pain
Clinical narrative: Mom reports child came home sick from school the day after receiving Tdap with 100 degrees F temp, chilling & body aches - also reported feeling winded when walking & hard to breath with fast heart rate & dizziness - also pale - fever gone today & went to school.
Age: 14.0
Sex: F
Vaccine: TDAP
Symptoms: Pallor, Pyrexia
Clinical narrative: Mom reports child came home sick from school the day after receiving Tdap with 100 degrees F temp, chilling & body aches - also reported feeling winded when walking & hard to breath with fast heart rate & dizziness - also pale - fever gone today & went to school.
Age: 32.0
Sex: F
Vaccine: HEP, MMR, TDAP
Symptoms: Disorientation, Dreamy state, Dyskinesia, Gaze palsy, Lacrimation increased
Clinical narrative: Pt receiving injection, started dreaming & got really disoriented.  Pt started a jerking motion & became cross eyed & teary eyed.  Passed out for about 3-5 seconds & became conscious again.
Age: 32.0
Sex: F
Vaccine: HEP, MMR, TDAP
Symptoms: Loss of consciousness
Clinical narrative: Pt receiving injection, started dreaming & got really disoriented.  Pt started a jerking motion & became cross eyed & teary eyed.  Passed out for about 3-5 seconds & became conscious again.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Erythema, Injection site swelling, Injection site warmth, Swelling
Clinical narrative: Mother reports noted redness & mild swelling evening of 5/13/08.  Next AM, 5/14/08, client's (R) arm is swollen from above elbow to shoulder socket.  Reports hot to touch.  States she rubbed 1% hydrocortisone cream to area 5/13/08 evening & 5/14/08 morning.  Has given 1 1/2 tsp TYLENOL 5/14/08 AM.
Age: 9.0
Sex: F
Vaccine: HEPA, HPV4, VARCEL
Symptoms: Pain of skin, Pyrexia, Skin warm
Clinical narrative: Left upper arm 3in x 3in warm, tender area fever 101 deg; BENADRYL/Ice
Age: 13.0
Sex: F
Vaccine: MNQ, TD
Symptoms: Erythema, Tenderness
Clinical narrative: 6x6 cm redness on left deltoid, tenderness.  No pus or d/c.  No fevers or other symptoms.
Age: 20.0
Sex: F
Vaccine: HPV4
Symptoms: Face oedema, Urticaria
Clinical narrative: Hives developed ~24 hrs after GARDASIL #2 (5-16-08).  On call MD called 5-18-08 when facial edema began.  BENADRYL recommended & taken.  5-19-08 - hives cont'd - seen in office - rec 24 hr antihistamine QD-BID x7d.
Age: 11.0
Sex: M
Vaccine: HEPA, MNQ, TDAP, VARCEL
Symptoms: Erythema, Inflammation, Skin warm
Clinical narrative: 5.5 cm x 6.7 cm area of erythema, inflammation & warmth L deltoid.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Eschar, Injection site discharge, Injection site erythema, Injection site pain, Injection site warmth
Clinical narrative: ~36 hrs after vaccines given, mom noted pt had redness, warm & slight pain of R deltoid area.  Pt came -> MD office that day.  Likely vaccine rxn secondary 5th DTaP.  However, sm exchar with one drop of pus expressed at site of injection.  Monitor clinically.  If increased purulent fluid/pain will start KEFLEX (250 mg/5 ml) 10 ml TID x 7 days.
Age: 5.0
Sex: F
Vaccine: DTAP, HEPA, IPV, MMR, VARCEL
Symptoms: Crying, Fall
Clinical narrative: Mother reported that child "fell flat on her back" after receiving kindergarten shots. Mother did not take child to physician or emergency room. Child was crying after fall, did not have LOC and participated in all usual activities after the event. Mother states did give TYLENOL after immunization visit but child never ran fever.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMRV, PPV
Symptoms: Headache, Pain in extremity, Pyrexia, Tachycardia, Tremor
Clinical narrative: Fever - left arm swollen - painful arm when moving - headache - vomiting - tachycardia - "shaky".
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMRV, PPV
Symptoms: Vomiting
Clinical narrative: Fever - left arm swollen - painful arm when moving - headache - vomiting - tachycardia - "shaky".
Age: 14.0
Sex: F
Vaccine: VARCEL
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling, Injection site warmth
Clinical narrative: Mom reported over the phone that her daughter had swelling, redness, warmth, and itching at injection site for 3 days. Not seen by a provider. Mom was told we would report to VAERS.
Age: 51.0
Sex: F
Vaccine: HEP
Symptoms: Injection site vesicles
Clinical narrative: Hep #2 vaccine administered 5/13/08, employee tolerated well.  Reported at 0800 5/14/08 3 fluid filled blister-like areas at injection site.  Patient with no c10's, have monitored partial area 5/14/08 and 5/15/08, no voiced c10's, area unchanged.
Age: 10.0
Sex: F
Vaccine: HEPA
Symptoms: Blood pressure, Fall, Syncope
Clinical narrative: Syncope episode ~20 min after vaccine given - while pt in parking lot - fell to ground -> carried back to office VSS - got rest, elevate legs, fluids.
Age: 4.0
Sex: F
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Client was brought into clinic by mother with redness and swelling at right deltoid injection site.
Age: 26.0
Sex: M
Vaccine: ANTH
Symptoms: Erythema, Injection site erythema, Injection site streaking, Skin warm, Swelling
Clinical narrative: Redness, swelling (baseball size) hot to touch, red lines at injection site.  Sent to ER.
Age: 1.5
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Body temperature increased, Rash
Clinical narrative: Mom states rash started on 5/14/08 on chin.  By the a.m. rash was all over legs and continues to spread.  Patient also running low grade temperature (100.2 rectal) for past 2 days.
Age: 7.0
Sex: M
Vaccine: VARCEL
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Pt complained of pain at injection site on the night he received. Next morning leg was red/swollen at inj. site and warm to touch. Redness was 3 1/2 in long and 2 1/2 inch wide. On Day 2 Pt came into office advised to use Motrin and Benadryl
Age: 57.0
Sex: M
Vaccine: PPV
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Local reaction, Pain
Clinical narrative: Administer vaccine on 05/09/08 - patient being having symptoms on 05/10/08 around 2:00pm.  Had fever, body aches and local reaction at injection site.  Red and swelling at injection site and painful.  9 1/2 cm x 10 cm.
Age: 57.0
Sex: M
Vaccine: PPV
Symptoms: Pyrexia
Clinical narrative: Administer vaccine on 05/09/08 - patient being having symptoms on 05/10/08 around 2:00pm.  Had fever, body aches and local reaction at injection site.  Red and swelling at injection site and painful.  9 1/2 cm x 10 cm.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Oedema peripheral, Pruritus
Clinical narrative: Itching, swelling (50 cent size) left arm.
Age: 1.6
Sex: M
Vaccine: DTAP, IPV
Symptoms: Erythema, Swelling
Clinical narrative: Redness and swelling on "inner left thigh", not tender, does not cross mid-line.  Injections given on "outer left thigh" 18 cm vertical, 4 cm across.  29 cm around left thigh vs. 26 1/2 cm around right thigh.  Antibiotic of BACTRIM 7cc bid x 7 days started.  No temperature currently.  Check temperature, recheck site 48 hours.
Age: 5.0
Sex: M
Vaccine: HEPA
Symptoms: Rash erythematous
Clinical narrative: Red rash on face - per mom via telephone 6 hrs after administration.  Rash spread to arms & chest as of 5/9/08-no acute distress.
Age: 0.2
Sex: M
Vaccine: HIBV
Symptoms: Erythema, Oedema, Skin warm
Clinical narrative: HiB Vaccine given left leg; Area of warmth/edema/redness upper left thigh approx 3 1/2in x 3 1/2in
Age: 69.0
Sex: F
Vaccine: MMR
Symptoms: Headache, Musculoskeletal pain, Myalgia, Pain in extremity
Clinical narrative: 5/7 shots=2:30 (Taking Ibuprofen/rest), 5/8 3:00=Headache, under arm pit pain and across back of shoulder pain, 5/9 muscle pain upper arms and lower leg muscles, 5/10-To prevent=aching muscles-move around during day.
Age: 22.0
Sex: F
Vaccine: RAB
Symptoms: Erythema, Feeling hot, Pain in extremity
Clinical narrative: Came in on 5/14/08 to have injection site of left arm examined.  Is red, hot and complained of soreness area measures 3" x 1 1/2".
Age: 5.0
Sex: F
Vaccine: HEPA, VARCEL
Symptoms: Injection site erythema, Injection site swelling, Local reaction
Clinical narrative: Patient has a large local reaction (redness, swelling) to injection site R anterolateral thigh.  The patient was vaccinated on 5May08 and noticed swelling on 6May08.  Patient is being treated with BENADRYL and KEFLEX.
Age: 8.0
Sex: M
Vaccine: HEPA, VARCEL
Symptoms: Injection site erythema, Injection site warmth, Pyrexia
Clinical narrative: 2in x 2in circular red warm area left deltoid. Fever 101 degrees. Ice, BENADRYL, ADVIL.
Age: 23.0
Sex: F
Vaccine: HEP, TD
Symptoms: Arthralgia, Musculoskeletal discomfort, Oedema, Rash
Clinical narrative: Non pitting edema with small rash <1 cm.  Area warm to touch - c/o muscle & joint discomfort afebrile at 96.0 - ibuprofen or TYLENOL for discomfort.  RTC PRN f/u PCI of s/s change.  C/O reaction to Td vaccine.
Age: 1.3
Sex: M
Vaccine: DTAP
Symptoms: Injection site erythema, Injection site swelling, Pyrexia, Rash generalised, Urticaria
Clinical narrative: Pt received DTaP #4 5/10/08-> 5/11/08 with swelling and redness at vaccine site -> 5/12/08 with rash all over. Subjective fever per mom. Pt brought into clinic 5/16/08: Temp=99.6, on exam with diffuse urticaria. Rx'd Benadryl 12.5/5mg one tspn Q6 hr prn and Hydrocortisone cream. Will follow up in clinic 5/20/08.
Age: 1.0
Sex: M
Vaccine: HEPA, MMR, PNC, VARCEL
Symptoms: Injection site erythema, Injection site rash, Injection site warmth
Clinical narrative: Lt upper thigh at injection site, redness, and slightly raised area, 8 cm around. Slightly warm to touch. No S/S of pain. Instructed pt's mom to apply cool compress a notify us/MD immediately if it gets worse.
Age: 4.0
Sex: M
Vaccine: DTAP, HEPA, IPV, MMR, VARCEL
Symptoms: Erythema, Swelling
Clinical narrative: Patient had redness and swelling in right thigh.  Treated with Keflex.
Age: 1.6
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Pallor, Rash erythematous, Rash generalised, Rash macular
Clinical narrative: Generalized trunkal rash - macular, red raised - not vesicular; blanching with pressure.  No mucous membrane involvement.
Age: 14.0
Sex: F
Vaccine: HEPA, VARCEL
Symptoms: Injection site erythema, Injection site rash
Clinical narrative: Site of Varicella got red and rash the next ay. 5/5/08 is better now.
Age: 64.0
Sex: F
Vaccine: HEPA
Symptoms: Pain in extremity
Clinical narrative: Arm is still sore 3 weeks after getting Hep A vaccine (04-22-08).  Aggravated it again pulling on bulgate.
Age: 15.0
Sex: M
Vaccine: HEP, VARCEL
Symptoms: Injection site erythema, Injection site rash, Injection site swelling
Clinical narrative: Pt got immunizations Hep A #2 and Varicella #2 on 5/9/08. He noted some mild swelling and redness of (R) upper extremity, where both shots were given, on 5/10 and 5/11. Yesterday 5/12/08, redness and swelling resolved, but petechial rash appeared at (R) upper extremity where shots were given and remained today. Pt feeling well and CBC WNL.
Age: 6.0
Sex: F
Vaccine: VARCEL
Symptoms: Cellulitis, Erythema, Induration
Clinical narrative: 5/10/08 local reaction 7 x 5 cm erythema/induration.  Treated with cool compresses/BENADRYL/observation - follow up visit on 5/11/08 for report of worsening redness.  No fever, no systemic reaction.  Mild increase in erythema but induration is improved.  Prescribed Keflex for 10 days as a precautionary for cellulitis.
Age: 10.0
Sex: F
Vaccine: VARCEL
Symptoms: Injection site erythema
Clinical narrative: 17x16cm erythema surrounding site of vaccine in (L) mid outer forearm. Onset was 1-2 hours after administration of vaccine.
Age: 23.0
Sex: F
Vaccine: ANTH
Symptoms: Injection site erythema, Injection site pain, Oedema peripheral
Clinical narrative: Pt received anthrax vaccine #4 on 16 May, 2008, pt presented adverse reaction on 19 May, 2008. Site: posterior aspect of left arm appears erythematous and was tender to palpation, arm was not weak showed full range of motion left arm was edematous.
Age: 44.0
Sex: M
Vaccine: FLUX
Symptoms: Blister, Blood pressure normal, Body temperature, Discomfort, Dyspnoea
Clinical narrative: Received smallpox vaccination 31MAR08.  Arrived in country 09APR08. Reports some SOB/discomfort on 10APR08 but attributed it to travel.  Came in 12APR08 c/o swollen lymph nodes.  Seen in EMT and sent home.  Rash appeared during the night 13APR08 and member returned to outpatient clinc on 14APR08.  States rash started as small bumps then increased. VSS @ 122/73, HR 87, RR 21, T 98.3 F. Physician noted "multiple fluid filled vesicles on erythematous base on arms, back of hands, back of neck, and upper back.  No pustules/no crusting yet.  Eschar over L deltoid at site of vaccination, scaley/irregular annular plaque on L calf."  Patient placed on contact precautions with daily follow ups.  Redness to eye noted and seen by optometrist who gave him some steroid eye drops.  Over the next few days rash resolved.
Age: 44.0
Sex: M
Vaccine: FLUX
Symptoms: Eschar, Heart rate normal, Lymphadenopathy, Ocular hyperaemia, Rash
Clinical narrative: Received smallpox vaccination 31MAR08.  Arrived in country 09APR08. Reports some SOB/discomfort on 10APR08 but attributed it to travel.  Came in 12APR08 c/o swollen lymph nodes.  Seen in EMT and sent home.  Rash appeared during the night 13APR08 and member returned to outpatient clinc on 14APR08.  States rash started as small bumps then increased. VSS @ 122/73, HR 87, RR 21, T 98.3 F. Physician noted "multiple fluid filled vesicles on erythematous base on arms, back of hands, back of neck, and upper back.  No pustules/no crusting yet.  Eschar over L deltoid at site of vaccination, scaley/irregular annular plaque on L calf."  Patient placed on contact precautions with daily follow ups.  Redness to eye noted and seen by optometrist who gave him some steroid eye drops.  Over the next few days rash resolved.
Age: 44.0
Sex: M
Vaccine: FLUX
Symptoms: Rash erythematous, Respiratory rate, Slit-lamp examination
Clinical narrative: Received smallpox vaccination 31MAR08.  Arrived in country 09APR08. Reports some SOB/discomfort on 10APR08 but attributed it to travel.  Came in 12APR08 c/o swollen lymph nodes.  Seen in EMT and sent home.  Rash appeared during the night 13APR08 and member returned to outpatient clinc on 14APR08.  States rash started as small bumps then increased. VSS @ 122/73, HR 87, RR 21, T 98.3 F. Physician noted "multiple fluid filled vesicles on erythematous base on arms, back of hands, back of neck, and upper back.  No pustules/no crusting yet.  Eschar over L deltoid at site of vaccination, scaley/irregular annular plaque on L calf."  Patient placed on contact precautions with daily follow ups.  Redness to eye noted and seen by optometrist who gave him some steroid eye drops.  Over the next few days rash resolved.
Age: 4.0
Sex: M
Vaccine: DTAP, HEPA, IPV, MMR, VARCEL
Symptoms: Cellulitis, Injection site erythema, Injection site pain, Injection site swelling, Oedema peripheral
Clinical narrative: Evening of 5/15, dad noticed left upper arm was red, swollen and painful down to his elbow. He called his physician and he told him to take him to the local hospital's urgent care. The urgent care physician diagnosed him with cellulitis and started patient on a 7 day course of Keflex.
Age: 15.0
Sex: M
Vaccine: HEPA, MNQ, TDAP
Symptoms: Aphasia, Headache, Nuclear magnetic resonance imaging, Paraesthesia
Clinical narrative: Onset of rt hand parakensia "fell asleep" while typing on computer.  Sx's progressed to entire arm and to rt foot and leg.  Pt also experienced expressive aphasia.   Sx's lasted 30 minutes and severe headache followed, lasted 8-12 hours then resolved.  No recurrance.  No Hx of similar Sx.
Age: 28.0
Sex: M
Vaccine: ANTH
Symptoms: Blood pressure, Body temperature, Burning sensation, Heart rate increased, Hypersensitivity
Clinical narrative: Pt presented on 27APR08 c/o allergic reaction to vaccine.  PA notes "expected purulent nodule at innoculation site with 3 surrounding small putstules, anterior and posterior trunk with scattered erythematous papules in a generalized distirbution."  Vitals: BP 134/90, HR 104, RR 18, T 98.4 F.  Pt reports flew out from states 23APR but symptoms of burning and itching all over stomach, back, L) arm below site, and ankles started around the 24th or 25th or April.
Age: 28.0
Sex: M
Vaccine: ANTH
Symptoms: Injection site nodule, Injection site pustule, Pruritus generalised, Purulence, Rash erythematous
Clinical narrative: Pt presented on 27APR08 c/o allergic reaction to vaccine.  PA notes "expected purulent nodule at innoculation site with 3 surrounding small putstules, anterior and posterior trunk with scattered erythematous papules in a generalized distirbution."  Vitals: BP 134/90, HR 104, RR 18, T 98.4 F.  Pt reports flew out from states 23APR but symptoms of burning and itching all over stomach, back, L) arm below site, and ankles started around the 24th or 25th or April.
Age: 28.0
Sex: M
Vaccine: ANTH
Symptoms: Rash papular, Respiratory rate
Clinical narrative: Pt presented on 27APR08 c/o allergic reaction to vaccine.  PA notes "expected purulent nodule at innoculation site with 3 surrounding small putstules, anterior and posterior trunk with scattered erythematous papules in a generalized distirbution."  Vitals: BP 134/90, HR 104, RR 18, T 98.4 F.  Pt reports flew out from states 23APR but symptoms of burning and itching all over stomach, back, L) arm below site, and ankles started around the 24th or 25th or April.
Age: 17.0
Sex: M
Vaccine: HEP, MNQ, TDAP
Symptoms: Chills, Depressed level of consciousness, Hypoaesthesia oral, Pallor, Syncope vasovagal
Clinical narrative: 10 mins from recieving injection client became pale. ammonia used with minimum improvement, miminum respone to verbal stimuli c/o chilling and numbness to tongue Ems Called
Age: 17.0
Sex: M
Vaccine: HEP, MNQ, TDAP
Symptoms: Vaccination complication
Clinical narrative: 10 mins from recieving injection client became pale. ammonia used with minimum improvement, miminum respone to verbal stimuli c/o chilling and numbness to tongue Ems Called
Age: 1.58
Sex: M
Vaccine: DTAP
Symptoms: Bruxism, Full blood count normal, Gait disturbance, Injection site bruising, Vomiting
Clinical narrative: Was fine until one week after the vaccine.  Vommited once seven days after the vaccine.  On the eighth day he started to limp on the right leg which is where the vaccine was injected.  Has continued to limp for eight days so far.  Bruise appeared over vaccination injection site on the 13th day after the vaccination was given.  Started to grind teeth on the 14th day after vaccination.  Today is the 15th day after vaccination and he's still limping.
Age: 1.58
Sex: M
Vaccine: DTAP
Symptoms: X-ray normal
Clinical narrative: Was fine until one week after the vaccine.  Vommited once seven days after the vaccine.  On the eighth day he started to limp on the right leg which is where the vaccine was injected.  Has continued to limp for eight days so far.  Bruise appeared over vaccination injection site on the 13th day after the vaccination was given.  Started to grind teeth on the 14th day after vaccination.  Today is the 15th day after vaccination and he's still limping.
Age: 19.0
Sex: M
Vaccine: FLU3
Symptoms: Blood pressure, Blood test, Convulsion, Electroencephalogram, Heart rate
Clinical narrative: Approx, 10 minutes after a flu shot was given, the pt. passed out. Ammonia inhalants were used to revive pt. After 30 sec. to 1 min, pt. passed out again. He did this two more times. EMS personnel were called and arrived a few minutes later. Emergency personnel walked him to the ambulance and transported to the Hospital ER. Vitals signs were taken before pt. left. BP-128/102, Resp. 32, Pulse- 108. In the ER the pt. was given ativan, then transferred on 5/16, treated with Cerebyx (fosphenytoin), then onto dilantin, evaluated with EEGs, discharged on 5/18, with diagnosis of new onset of seizures.  6/9/2008 MR received for DOS 5/16-18/2008 with D/C Dx: Vasovagal Syncope. Pt presented to ER after an episode of loss of consciousness after flu vax with jerking movements bilaterally. Pt was awake and talking while the jerking movements were happening. Tx with Ativan as thought to be Grand Mal Seizures. Neuro consult with Impression:  Loss of consciousness. ? vasovagal syncope. Seen 5/17 following episode with no LOC. Atypical seizures vs vasovagal Seen 5/18/08 with reported chest tightness, dizziness. Pt swaying upon standing and walking. D/C to f/u with PCP.
Age: 19.0
Sex: M
Vaccine: FLU3
Symptoms: Hepatitis A antibody positive, Hepatitis B antibody positive, Loss of consciousness, Measles antibody positive, Respiratory rate
Clinical narrative: Approx, 10 minutes after a flu shot was given, the pt. passed out. Ammonia inhalants were used to revive pt. After 30 sec. to 1 min, pt. passed out again. He did this two more times. EMS personnel were called and arrived a few minutes later. Emergency personnel walked him to the ambulance and transported to the Hospital ER. Vitals signs were taken before pt. left. BP-128/102, Resp. 32, Pulse- 108. In the ER the pt. was given ativan, then transferred on 5/16, treated with Cerebyx (fosphenytoin), then onto dilantin, evaluated with EEGs, discharged on 5/18, with diagnosis of new onset of seizures.  6/9/2008 MR received for DOS 5/16-18/2008 with D/C Dx: Vasovagal Syncope. Pt presented to ER after an episode of loss of consciousness after flu vax with jerking movements bilaterally. Pt was awake and talking while the jerking movements were happening. Tx with Ativan as thought to be Grand Mal Seizures. Neuro consult with Impression:  Loss of consciousness. ? vasovagal syncope. Seen 5/17 following episode with no LOC. Atypical seizures vs vasovagal Seen 5/18/08 with reported chest tightness, dizziness. Pt swaying upon standing and walking. D/C to f/u with PCP.
Age: 19.0
Sex: M
Vaccine: FLU3
Symptoms: Rubella antibody positive
Clinical narrative: Approx, 10 minutes after a flu shot was given, the pt. passed out. Ammonia inhalants were used to revive pt. After 30 sec. to 1 min, pt. passed out again. He did this two more times. EMS personnel were called and arrived a few minutes later. Emergency personnel walked him to the ambulance and transported to the Hospital ER. Vitals signs were taken before pt. left. BP-128/102, Resp. 32, Pulse- 108. In the ER the pt. was given ativan, then transferred on 5/16, treated with Cerebyx (fosphenytoin), then onto dilantin, evaluated with EEGs, discharged on 5/18, with diagnosis of new onset of seizures.  6/9/2008 MR received for DOS 5/16-18/2008 with D/C Dx: Vasovagal Syncope. Pt presented to ER after an episode of loss of consciousness after flu vax with jerking movements bilaterally. Pt was awake and talking while the jerking movements were happening. Tx with Ativan as thought to be Grand Mal Seizures. Neuro consult with Impression:  Loss of consciousness. ? vasovagal syncope. Seen 5/17 following episode with no LOC. Atypical seizures vs vasovagal Seen 5/18/08 with reported chest tightness, dizziness. Pt swaying upon standing and walking. D/C to f/u with PCP.
Age: 0.3
Sex: F
Vaccine: DTAP, HIBV, IPV, PPV, RVX
Symptoms: Abnormal faeces, Bowel movement irregularity, Constipation, Crying, Diarrhoea
Clinical narrative: Drowsiness for about two days after the vaccine was administered.  Moderate diarrhea (foul-smelling and oddly-colored, in a breast-fed baby) lasting six days (so far) after the vaccine was administered.  Within the most recent 2-3 days she has also been having what appears to be periods of constipation/difficulty having a bowel movement (again, in a breast-fed baby).  Also, she occasionally seems to have a mild fever and just seems generally uncomfortable/not herself (strange cry/grunting noise has developed within the past few days).  She has also had trouble eating the past few days.  We have been giving her some infant Tylenol (generic brand) at night and occasionally during the day, but that is mostly to help with teething pain that she has been having (and was having prior to the vaccinations).
Age: 0.3
Sex: F
Vaccine: DTAP, HIBV, IPV, PPV, RVX
Symptoms: Eating disorder, Faeces discoloured, Feeling abnormal, Grunting, Pyrexia
Clinical narrative: Drowsiness for about two days after the vaccine was administered.  Moderate diarrhea (foul-smelling and oddly-colored, in a breast-fed baby) lasting six days (so far) after the vaccine was administered.  Within the most recent 2-3 days she has also been having what appears to be periods of constipation/difficulty having a bowel movement (again, in a breast-fed baby).  Also, she occasionally seems to have a mild fever and just seems generally uncomfortable/not herself (strange cry/grunting noise has developed within the past few days).  She has also had trouble eating the past few days.  We have been giving her some infant Tylenol (generic brand) at night and occasionally during the day, but that is mostly to help with teething pain that she has been having (and was having prior to the vaccinations).
Age: 0.3
Sex: F
Vaccine: DTAP, HIBV, IPV, PPV, RVX
Symptoms: Somnolence
Clinical narrative: Drowsiness for about two days after the vaccine was administered.  Moderate diarrhea (foul-smelling and oddly-colored, in a breast-fed baby) lasting six days (so far) after the vaccine was administered.  Within the most recent 2-3 days she has also been having what appears to be periods of constipation/difficulty having a bowel movement (again, in a breast-fed baby).  Also, she occasionally seems to have a mild fever and just seems generally uncomfortable/not herself (strange cry/grunting noise has developed within the past few days).  She has also had trouble eating the past few days.  We have been giving her some infant Tylenol (generic brand) at night and occasionally during the day, but that is mostly to help with teething pain that she has been having (and was having prior to the vaccinations).
Age: 17.0
Sex: F
Vaccine: HPV4, MNQ, VARCEL
Symptoms: Drug exposure during pregnancy
Clinical narrative: Patient was ~34-35 weeks pregnant at time of the immunization administration.  No UPT was done prior to administration.  Patient delivered an infant girl on 5/19/2008 at ~37 weeks EGA.  No prenatal care received.  Infant appears well at this time, but will report this immunization administration if adverse events were to occur at a later date.
Age: 79.0
Sex: M
Vaccine: PPV
Symptoms: Erythema, Limb discomfort, Skin warm
Clinical narrative: Light pink erythema noted entire right deltoid area with voiced discomfort by the resident. Area invoved warm to touch. Ice applied.
Age: 26.0
Sex: F
Vaccine: MU
Symptoms: Lymphadenopathy
Clinical narrative: PT REPORTS BY PHONE THAT SHE  HAS "SWOLLEN GLANDS BEHIND BOTH EARS", NOTED 10 DAYS AFTER VACCINE ADMINISTERED.  DENIES FEVER, MALAISE, RASH, OTHER L'ADENOPATHY. PT PREFERS NOT TO COME IN TO OFFICE. WILL COME IF SYMPTOMS PERISIST OR INCREASE.
Age: 66.0
Sex: F
Vaccine: VARZOS
Symptoms: Blister, Injection site rash, Pruritus, Rash macular
Clinical narrative: 1 day after receiving shingles shot multiple blisters (pea sized spots) formed on lower right leg, also, blotchiness at injection site and in the same area on the other arm.  Follow-up discussion with primary physician - wash only with soap and water, also recommended a lotion to temper itchiness.
Age: 0.17
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC, RV5
Symptoms: Haematochezia, Mucous stools
Clinical narrative: blood and mucous in stool 1 day after vaccine administered and lasted about 2 weeks
Age: 21.0
Sex: F
Vaccine: MNQ
Symptoms: Anxiety, Muscle rigidity, Tremor
Clinical narrative: Received her injection at 3 pm. She awoke at 1:30 am the next day with intense whole body shaking and rigidity - like chills but she was not feeling cold and did not have a fever. She had a general feeling of anxiety and apprehension. No other symptoms.
Age: 70.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Pruritus generalised
Clinical narrative: Patient reports generalized itching beginning on 5/17/08 PM. Itching has increased daily and became much worse 5/19/08 PM. Taking Benadryl without relief. Patient did start taking Mucinex and Z-Pack on same date as immunization. No rash noted. Did expreience some redness at injection site.
Age: 13.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Heart rate increased, Hypersensitivity, Immediate post-injection reaction, Pallor, Pharyngeal oedema
Clinical narrative: Severe allergic reaction to HPV vaccine immediately after injection including hives, swelling of throat, wheezing, paleness and increased heart rate.  Given Epi injection with improvement.  Taken to ER via ambulance and was observed for several hours.  Started on Prednisone for the next 4 days and given an Epipen.
Age: 13.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Urticaria, Wheezing
Clinical narrative: Severe allergic reaction to HPV vaccine immediately after injection including hives, swelling of throat, wheezing, paleness and increased heart rate.  Given Epi injection with improvement.  Taken to ER via ambulance and was observed for several hours.  Started on Prednisone for the next 4 days and given an Epipen.
Age: 13.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Flushing, Throat tightness, Urticaria, Wheezing
Clinical narrative: Severe allergic reaction to HPV vaccine immediately after injection including hives, swelling of throat, wheezing, paleness and increased heart rate.  Given Epi injection with improvement.  Taken to ER via ambulance and was observed for several hours.  Started on Prednisone for the next 4 days and given an Epipen.
Age: 19.0
Sex: F
Vaccine: HPV4
Symptoms: Arthralgia, Malaise
Clinical narrative: Patient had felt sick all weekend (received vaccine on friday); joint pain significantly increased 4 days following injection; patient given opoid medication for pain
Age: 10.0
Sex: F
Vaccine: VARCEL
Symptoms: Computerised tomogram normal, Convulsion, Electroencephalogram abnormal, Nuclear magnetic resonance imaging normal
Clinical narrative: Patient began having seizures 8 days after receiving the Varicella vaccine.  Seizures have continued to the present.  Patient has had 20 seizures from August 15, 2007 to the time of the filing of this report on May 20, 2008.  MRI and CT scans show no physical damage, and two EEGs have been performed, one showing normal, one showing abnormal electrical brain activity. 6/2/08-records received ER visit 8/24/07-altered mental status, seizure then fell and hit head, positive for urinary incontinenece. Seen in ER seizure. Transferred to another facility.  6/26/08-records received for DOS 8/23/07-ER visit. Impression 2 events consistent with unprovoked complex partail seizures. Given history patient has complex seizure disorder.
Age: 1.0
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Herpes zoster
Clinical narrative: Patient developed Herpes zoster on right arm 0n 5/15/08; seen in office 5/20/08 by pediatric dermatologist
Age: 8.0
Sex: F
Vaccine: MMR, TDAP
Symptoms: Inappropriate schedule of drug administration, Off label use
Clinical narrative: Child recently moved from another country, no immunizations available.  Child was on catch up schedule.  First dose of DTaP given 2/5/08.  Second DTaP ordered on 5/16/08.  Tdap was given to patient.  CDC was called to report vaccine incident.  At this time CDC also notified that this was the incorrect catch up schedule for child over 7.  Child should have started series with Td.  CDC informed us that these two immunizations should be counted as off label usage and child should receive next Td in 6 mo.  No adverse event reported at the time of incident or since 5/16/08.
Age: 20.0
Sex: M
Vaccine: HEPA, MNQ, TYP
Symptoms: Asthenia, Dizziness, Feeling hot, Heart rate increased
Clinical narrative: Patient stats,awoke at 8:00am on 5-20-08 feeling dizzy, weak, feverish, and felt like increased heart rate. By 4:30p.m. patient states is feeling better still a little dizzy and weak.
Age: 5.0
Sex: M
Vaccine: MMR, TDAP
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: Child recently moved from another country, no immunizations available.  Child was on catch up schedule.  First dose of DtaP given 2/5/08.  Second dose DtaP ordered on 5/16/08.  Tdap was given to patient.  CDC was called to report vaccine incident.  CDC informed that this dose of Tdap will not count towards DtaP series.  Child will need next dose of Dtap in 4 weeks.  No adverse reaction noted at time of immunization or since 5/16/08.
Age: 11.0
Sex: F
Vaccine: TDAP
Symptoms: Body temperature increased, Paraesthesia
Clinical narrative: On 5/18/08, about 24 hours after vaccine patient experienced tingling in face and legs, temp 100, seen at ER, thought to be possible reaction to preservative in the vaccine. Motrin was given. Patient's symptoms have resolved.
Age: 42.0
Sex: M
Vaccine: ANTH
Symptoms: Chills, Nausea, Pain, Pyrexia, Urine analysis
Clinical narrative: high fever over 101, body aches, chills, nausea
Age: 42.0
Sex: M
Vaccine: ANTH
Symptoms: White blood cell count decreased
Clinical narrative: high fever over 101, body aches, chills, nausea
Age: 74.0
Sex: F
Vaccine: VARZOS
Symptoms: Angioedema, Injection site pain, Injection site pruritus, Lip swelling, Pruritus
Clinical narrative: Thursday 4/24/08, patient received Zostavax injection.  According to patient, injection soreness and itch at injection site began on 4/25/08.  The itch progressed to other sites and she developed a rash over her body.  On Tuesday 4/29, patient experienced angioedema of her lips (swollen to more than double normal size) and esophageal tightness but no trouble breathing.  Patient took several Benadryl-D to help with the swelling and rash.  It was at this point, 4/29 that the patient returned to the pharmacy to report her symptoms.  The pharmacist on duty advised the patient to contact her physician immediately regarding a possible delayed hypersensitivity reaction.  The pharmacist also advised the patient to continue plain Benadryl (not D) 1-2 every 4-6 hours until recommendation by MD.  Pharmacist emphasized the need to contact MD.  Patient was called by pharmacy 1 week later to follow up.  She reports her MD advised her to continue Benadryl but did not require her to come in for a visit.  Patient reports symptoms went away on their own over the next couple days.  She is currently fine.
Age: 74.0
Sex: F
Vaccine: VARZOS
Symptoms: Rash generalised, Throat tightness
Clinical narrative: Thursday 4/24/08, patient received Zostavax injection.  According to patient, injection soreness and itch at injection site began on 4/25/08.  The itch progressed to other sites and she developed a rash over her body.  On Tuesday 4/29, patient experienced angioedema of her lips (swollen to more than double normal size) and esophageal tightness but no trouble breathing.  Patient took several Benadryl-D to help with the swelling and rash.  It was at this point, 4/29 that the patient returned to the pharmacy to report her symptoms.  The pharmacist on duty advised the patient to contact her physician immediately regarding a possible delayed hypersensitivity reaction.  The pharmacist also advised the patient to continue plain Benadryl (not D) 1-2 every 4-6 hours until recommendation by MD.  Pharmacist emphasized the need to contact MD.  Patient was called by pharmacy 1 week later to follow up.  She reports her MD advised her to continue Benadryl but did not require her to come in for a visit.  Patient reports symptoms went away on their own over the next couple days.  She is currently fine.
Age: 72.0
Sex: M
Vaccine: TDAP, VARZOS
Symptoms: Wrong drug administered
Clinical narrative: Upon arrival to the clinic ic for his shingles vaccination (with Zostavax, by MERCK), he was asked if he would want to receive a tetanus booster. Pt agreed and was administed Tdap (Adacel, by Sanofi-Pasteur).   Mr. Bettis received the Tdap (Adacel by Sanofi-Pasteur) vaccine instead of the TD-adult vaccine for his tetanus booster. This was reported as a medication error and submitted through PER. The patient was notified and reported no ADR or  problems with the Tdap vaccine. Mr. Bettis was instructed to give the facility a call if there were any apparent reactions to the vaccine.  Tdap (Adacel by Sanofi-Pasteur) is approved for patients between the ages of 11 to 64. TD-adult is indicated for patients greater than or equal to 65 years old. Mr. Bettis is 72 years old and should have received the Td-adult vaccine.
Age: 60.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Blood pressure decreased, Cold sweat, Dizziness, Hyperhidrosis, Syncope
Clinical narrative: with in 10 min of administration pt complained of light headedness and sweating / clammy.  She was sitting and put her head down between her knees.  An attempt to monitor blood pressure read 45/20. She then fainted for just a few seconds.  911 was called.  An Epi-pen was andministered and patient was helped to a lying postion on the floor where she remained until EMT's arrived.  Upon their evaluation pt was transported to the hospital for further monitoring.
Age: 60.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Cold sweat, Dizziness, Hyperhidrosis, Syncope
Clinical narrative: with in 10 min of administration pt complained of light headedness and sweating / clammy.  She was sitting and put her head down between her knees.  An attempt to monitor blood pressure read 45/20. She then fainted for just a few seconds.  911 was called.  An Epi-pen was andministered and patient was helped to a lying postion on the floor where she remained until EMT's arrived.  Upon their evaluation pt was transported to the hospital for further monitoring.
Age: 0.34
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC, RV5
Symptoms: Body temperature increased, C-reactive protein normal, CSF test normal, Crying, Differential white blood cell count normal
Clinical narrative: Unconsolable crying - temperature 100.8 F rectal.  06/26/2008 MR received for DOS 5/19-21/2008 with D/C DX:  Irritability. Infant presented with fever, inconsolable crying and fussiness following vax. Admitted for sepsis w/u which was (-).
Age: 0.34
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC, RV5
Symptoms: Full blood count normal, Lumbar puncture, Metabolic function test normal, Urine analysis normal, Virus culture
Clinical narrative: Unconsolable crying - temperature 100.8 F rectal.  06/26/2008 MR received for DOS 5/19-21/2008 with D/C DX:  Irritability. Infant presented with fever, inconsolable crying and fussiness following vax. Admitted for sepsis w/u which was (-).
Age: 17.0
Sex: F
Vaccine: HPV4
Symptoms: Computerised tomogram normal, Lymphadenopathy
Clinical narrative: Pt developed groin nodal enlargements.  Obtained ID consult.  Negative w/u.  Hematology/oncology consult suggest possible vaccine related.  Now, it is resolved.
Age: 73.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site induration, Injection site pruritus
Clinical narrative: Patient received ZOSTAVAX vaccine 5/13/08 afterwards after injection, patient noted a 2" circular raised area at the injection site. It was somewhat hard and slightly itchy. Patient called me 5/16 to report this to me and said she has seen no improvement.
Age: 5.0
Sex: F
Vaccine: MNQ
Symptoms: No adverse event
Clinical narrative: No adverse events.
Age: 14.0
Sex: F
Vaccine: MNQ
Symptoms: Oedema peripheral, Pain in extremity
Clinical narrative: Pain/swelling in L hand.  Warm compress, MOTRIN 400 mg 1 6 hours; if swelling or sensation increase go to ER.
Age: 40.0
Sex: F
Vaccine: TDAP
Symptoms: Chills, Feeling hot, Pain, Swelling, Tenderness
Clinical narrative: Chills and achiness for a day.  One day after tender swollen axilla on injection side - improved but persists on 5/20 - 4 days later, tiny sequela at injection site with improved but persistent swelling and warmth.
Age: 65.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Patient given Pneumovax approximately 2:46 pm on Monday 5/19/08. By evening patient stated her Rt arm began getting sore and swollen. Came to clinic with c/o pain 2-3 on scale of 1-10. Rt arm swollen hot to touch and slight red. Patient seen by physician and given ice packs to apply to arm.
Age: 29.0
Sex: F
Vaccine: MMR
Symptoms: Pain, Photophobia, Pyrexia, Rash generalised
Clinical narrative: 1. All over body rash began 5-19-08.  2. Fever X48 hours.  3. Light sensitivity X1 week.  4. Body aches 3-4 days.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Injection site rash
Clinical narrative: Rash on right thigh on 4/28.  Vaccine given 4-25-08.  DURICEF prescribed.
Age: 1.0
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Irritability, Pyrexia, Screaming
Clinical narrative: During sleep on Friday (3/28/08) night, child woke up screaming for one hour and fever of 103.  Child continued with fever 102-103 and "fits of fussiness and screaming" through 3/29/08-3/31/08.
Age: 12.0
Sex: M
Vaccine: TD
Symptoms: Dizziness
Clinical narrative: Complained of dizziness, BG 103, states legs felt weak.  Treatment: BENADRYL 50 mg PO. 6/6/08-records received for ER DOS 5/19/08-Assessment:Allergic reaction. C/O weakness all over, dizzy, felt hot and cold. Same symptoms that 10 other kids felt from same school.
Age: 12.0
Sex: M
Vaccine: TD
Symptoms: Dizziness, Feeling hot, Headache
Clinical narrative: C/O dizziness, HA, weakness, hot - 30 min after immz.  Trtmt. BENADRYL 50 mg po. 6/6/08-records received for ER visit DOS 5/19/08-Assessment:allergic reaction. C/O feeling weak all over, dizzy, chills and sweats. One of several children seen in ED from same school.
Age: 12.0
Sex: F
Vaccine: TD
Symptoms: Chills, Dizziness, Stomach discomfort
Clinical narrative: Complained of dizziness and chills and complained of upset stomach.  Treatment BENADRYL 50mg PO. 6/6/08-records received-ER report for DOS 5/19/08-Assessment:Allergic reaction. C/O feeling hot and cold, dizzy, weakness all over, some nausea. Other kids in school started feeling same symptoms. Stable during entire ER visit.
Age: 12.0
Sex: F
Vaccine: TD
Symptoms: Dizziness, Feeling of body temperature change
Clinical narrative: Pt c/o dizziness with hot & cold flashes at about 1015.  Trtmt: BENADRYL 50 mg PO 3/4 hr. after injection. 6/6/08-records received for ER visit DOS 5/19/08-Assessment:allergic reaction. C/O dizzy, felt hot and cold flashes. Weak all over. One of several children from same school.
Age: 36.0
Sex: F
Vaccine: TD
Symptoms: Chills, Pyrexia
Clinical narrative: Fever, Chills for 2 days