chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 54.0
Sex: F
Vaccine: FLU(H1N1), FLU3
Symptoms: Rash pruritic
Clinical narrative: Patient developed rash on abdomen/trunk today. Rash is pruritic. Denies dyspnea, difficulty swallowing, rash at injection site. Denies new medications, products, etc. Pt took 2 BENADRYL at 2 hours ago pt called physician. Has appointment with physician this afternoon. Rash has spread to back since she first notice it this morning.
Age: 17.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Asthenia, Fall, Head injury, Laceration, Pallor
Clinical narrative: Client fell forward when leaving clinic and hit head on door-fainting episode-cut above R eyebrow area-alert quickly-B/P 84/46-pulse weak-pale-brother witnessed-ice to site and referred to MD for further evaluation.
Age: 17.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Syncope
Clinical narrative: Client fell forward when leaving clinic and hit head on door-fainting episode-cut above R eyebrow area-alert quickly-B/P 84/46-pulse weak-pale-brother witnessed-ice to site and referred to MD for further evaluation.
Age: 4.0
Sex: M
Vaccine: DTAP, FLU(H1N1), FLUN3, IPV, MMR, VARCEL
Symptoms: Abscess
Clinical narrative: Abscess L arm 2 hrs after vaccine reaction warm compresses, AUGMENTIN 600mg BID x 10d, Refer to Surgeon.
Age: 0.75
Sex: F
Vaccine: FLU(H1N1), FLU3
Symptoms: No adverse event
Clinical narrative: Vaccinated with flu vaccine and H1N1 vaccine. Pt already had 2 doses flu vaccine (seasonal). Follow up 2/16/2010 She had no adverse effects from getting 3 seasonal flu vaccines.
Age: 7.0
Sex: M
Vaccine: FLU(H1N1), FLU3
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Swelling, erythema and tenderness surrounding injection site. 16 x 15 cm right arm (seasonal flu), 5 x 6 cm left arm (H1N1)- responded slowly to Benadryl.
Sex: M
Vaccine: UNK
Symptoms: Vaccination error
Clinical narrative: HIB was not mixed with diluent.  Patient only received diluent.  Immunizations were prepared by MA and I assisted her in giving immunizations.  Will notify parents to bring child back for immunization.
Age: 26.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Reported today a local reaction at injection site. Described 5" swelling, painful & warm to touch. Taking BENEDRYL po. Today reports less swelling - 2" - less discomfort. 1-22-2010 Reported fever 100.8 degrees.
Age: 0.36
Sex: F
Vaccine: DTAPHEPBIP, HEP, PNC
Symptoms: Wrong drug administered
Clinical narrative: Gave patient PEDIARIX and Hep B and Hep B is already a component of PEDARIX. (2 doses).
Age: 66.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Blindness, Electrocardiogram, Full blood count, Laboratory test, Metabolic function test
Clinical narrative: loss of vision L eye - transient (minutes)
Age: 66.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Nuclear magnetic resonance imaging, Ultrasound Doppler
Clinical narrative: loss of vision L eye - transient (minutes)
Age: 42.0
Sex: F
Vaccine: FLU3
Symptoms: Pain in extremity, Radiculitis brachial
Clinical narrative: Left arm pain since Seasonal flu shot.
Age: 41.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Dizziness, Headache, Malaise, Nausea, Tremor
Clinical narrative: Employee began to feel ill on 01/29/2010 at 6 pm. "Vomiting, dizziness, shaking, headache, extreme nausea, felt like a vise was squeezing my torso."
Age: 41.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Vomiting
Clinical narrative: Employee began to feel ill on 01/29/2010 at 6 pm. "Vomiting, dizziness, shaking, headache, extreme nausea, felt like a vise was squeezing my torso."
Age: 5.0
Sex: M
Vaccine: DTAPIPV, HEPA, MMR, VARCEL
Symptoms: Erythema, Injection site erythema
Clinical narrative: Patient presented with 5 cm erythema to the left thigh. Area is site of KINRIX injection given 1/28/10. Patient went to ER 1/30/2010 given Benadryl and told to follow up with Dr. today 2/1/10 at which time he ordered Allegra q day.
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Dyspnoea, Pruritus, Rash, Wheezing
Clinical narrative: Patient received the H1N1 vaccine 0.5cc. into the Rt deltoid @ 3:55pm, at 5:30 pm she reported red spots and itching on the right arm- she also c/o shortness of breath. Bilateral breathing sounds clear with wheezes. Treated with Benadryl 25mg. in the ER and returned to facility.
Age: 4.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Urticaria
Clinical narrative: 1-27-10 staff made a reminder call for the second H1N1 shot and was told by dad that both  pts developed hives approx 1 1/2 hours after receiving first H1N1 nasal spray. Upon F/U call dad stated pt #1 hives were mild only on extremities and pt #2 hives were worse on extremities, chest and neck. Neither children had respiratory sx, no fever, no other sx. Parent gave children BENADRYL. Per dad, hives disappeared within 5 minutes. Advised dad to contact children's physician to discuss reaction and discuss if flu with H1N1 injection rather than nasal spray would be appropriate. T.C. to clinic and informed nurse of my conversation with dad.
Age: 17.0
Sex: F
Vaccine: HPV4
Symptoms: Abortion induced, Drug exposure during pregnancy
Clinical narrative: Information has been received from a physician, for the Pregnancy Registry for GARDASIL, concerning a 17 year old female with no pertinent medical history and no drug reactions/allergies who on 09-OCT-2008 was vaccinated with the first dose of GARDASIL, 0.5 milliliter, intramuscular. Concomitant therapy included MENACTRA and tetanus toxoid. The physician reported the patient who received her first dose of GARDASIL was pregnant. The patient said she was not pregnant at the time of the office visit and refused a pregnancy test at that time. The patient's mother called the office later in the day and said the patient was pregnant and her last menstrual period was "2-3 weeks ago" which was on approximately 18-SEP-2008-25-SEP-2008. No adverse effect reported. The patient sought medical attention at office visit. Follow-up information was received from the physician who reported that the teenager and parent decided terminated pregnancy with parental consent. Upon internal review, terminated pregnancy was considered to be an other important medical event. Additional information has been requested.
Age: 4.0
Sex: M
Vaccine: FLUN(H1N1)
Symptoms: Urticaria
Clinical narrative: 1/27/10 Staff made a reminder call for the second H1N1 shot and was told by Dad that both children developed hives approx 1 1/2 hours after receiving first H1N1 nasal spray. Upon f/u call Dad stated daughter's hives were mild only on extremities and son's hives were worse on extremities, chest and neck. Neither children had respiratory sx, no fever, no other sx. Parent gave children BENADRYL. Per Dad, hives disappeared within 5 minutes. Advised Dad to contact children's physician to discuss reaction and discuss if f/u with H1N1 injection rather than nasal spray would be appropriate. T.C. to clinic and informed nurse of my conversation with Dad.
Age: 27.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Back pain, Chest discomfort, Chest pain, Dizziness, Fatigue
Clinical narrative: Pt. experienced "extreme pain" at the time of injection that radiated to her neck, back and chest. She became dizzy and nauseous 1 hour after injection , she developed hives all over her body - experienced "deep muscle pain" in her legs 5 hours after, she also c/o fatigue and an uncomfortable chest sensation. Leg pain is worsening and headache for 2 days.
Age: 27.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Injection site pain, Myalgia, Nausea, Neck pain, Urticaria
Clinical narrative: Pt. experienced "extreme pain" at the time of injection that radiated to her neck, back and chest. She became dizzy and nauseous 1 hour after injection , she developed hives all over her body - experienced "deep muscle pain" in her legs 5 hours after, she also c/o fatigue and an uncomfortable chest sensation. Leg pain is worsening and headache for 2 days.
Age: 35.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Joint swelling, Laboratory test, Pain in extremity, Paraesthesia
Clinical narrative: Pt. experienced tingling in hands and feet 15 min. after receiving the H1N1 vaccine. She felt that her knees were "swollen"' but had no visible edema. C/o sore thighs for two days after.
Age: 4.0
Sex: F
Vaccine: DTAPIPV, MMR, VARCEL
Symptoms: Cellulitis, Oedema peripheral
Clinical narrative: Patient had entire thigh swell 2 days after receiving KINRIX, MMR, Varicella and FLUMIST. Patient went to Immediate Care Center and was treated for cellulitis. Within 1 day of treatment almost completely healed.
Age: 74.0
Sex: M
Vaccine: PPV
Symptoms: Erythema, Malaise, Pyrexia
Clinical narrative: Pt's arm got red, he ran fever and felt ill.
Age: 49.0
Sex: F
Vaccine: FLUN3
Symptoms: Full blood count, Rhinitis, Sinus congestion, X-ray
Clinical narrative: Sinus congestion, rhinitis.
Age: 1.03
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Injection site erythema, Injection site swelling, Vaccination complication
Clinical narrative: Redness & slight swelling @ injection site.
Age: 4.0
Sex: M
Vaccine: DTAPIPV, HEPA, MMR, VARCEL
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Child c/o painful arm shortly after vaccination. Evening of 1/14/10 arm was noticeably swollen, red, warm to touch. Site of injection was raised- right arm. Dad is elevating arm, applying ice, giving Benadryl and Tylenol. Redness, swelling lasted 48hrs. All symptoms resolved in 3-4 days. Did not take to provider or ER.
Age: 1.56
Sex: M
Vaccine: DTAP
Symptoms: Amblyopia strabismic
Clinical narrative: Mother reported pt's eye (Right) started to become crossed within 24 hours of vaccine administration. Did not report to office until next well check 6 months later. Referred->oph. Dx. Strabismic Amblyopia of right eye (high hyperopia).
Age: 1.03
Sex: F
Vaccine: MMR
Clinical narrative: Pt went to ER next morning had seizure like activity next morning.
Age: 58.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Back pain, Chills, Myalgia, Nausea, Pyrexia
Clinical narrative: Nausea, fever, violent chills, muscle pains mostly in lower back.
Age: 8.0
Sex: F
Vaccine: FLU(H1N1), HEP, VARCEL
Symptoms: Injection site erythema, Injection site pain, Injection site warmth
Clinical narrative: THERE IS A RED RAISED ZONE IN THE RIGHT DELTOID MEASURING ABOUT 65 MM AROUND, WARM TO TOUCH AND CHILD COMPLAINS OF SIGHT BEING PAINFUL
Age: 83.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Abdominal discomfort, Blood creatinine normal, Blood sodium decreased, Blood urea increased, Brain natriuretic peptide increased
Clinical narrative: Approximately 4 hours after recieving H1N1, pt. began to experience muscle jumping and tremors in both lower extremities, unable to ambulate without being entirely supported. Upon arising the following morning reported nausea, vomiting with abdominal discomfort and severe vertigo. Admitted as inpatient to Hospital for management of symptoms and IV fluids.
Age: 83.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Gait disturbance, Muscle twitching, Nausea, Tremor, Vertigo
Clinical narrative: Approximately 4 hours after recieving H1N1, pt. began to experience muscle jumping and tremors in both lower extremities, unable to ambulate without being entirely supported. Upon arising the following morning reported nausea, vomiting with abdominal discomfort and severe vertigo. Admitted as inpatient to Hospital for management of symptoms and IV fluids.
Age: 83.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Vomiting
Clinical narrative: Approximately 4 hours after recieving H1N1, pt. began to experience muscle jumping and tremors in both lower extremities, unable to ambulate without being entirely supported. Upon arising the following morning reported nausea, vomiting with abdominal discomfort and severe vertigo. Admitted as inpatient to Hospital for management of symptoms and IV fluids.
Age: 20.0
Sex: M
Vaccine: FLUX
Symptoms: Fatigue, Guillain-Barre syndrome, Headache, Hypoaesthesia, Intensive care
Clinical narrative: My son had a flu shot on 10/6/09 at his schoo in Texas.  When he came home(ny) for Thanksgiving weekend, he said he had a sore neck and severe headaches for weeks.  When he came back home back home for Christas break, he was very tired all the time.  When he returned to school in early January, he noticed numbness and tingling in his hands and feet.  He visited the school doctor, a private physicain, and eventually the emergency room.  His condition worstened to the point of complete paralysis.  Finally a neurologist diagnosed him with Guillain Barre syndrome where he was immediately hospitalized in the ICU.  He has been there for 11 days now.  He is going to be moved to a rehab facility tomorrow.
Age: 20.0
Sex: M
Vaccine: FLUX
Symptoms: Neck pain, Paraesthesia, Paralysis
Clinical narrative: My son had a flu shot on 10/6/09 at his schoo in Texas.  When he came home(ny) for Thanksgiving weekend, he said he had a sore neck and severe headaches for weeks.  When he came back home back home for Christas break, he was very tired all the time.  When he returned to school in early January, he noticed numbness and tingling in his hands and feet.  He visited the school doctor, a private physicain, and eventually the emergency room.  His condition worstened to the point of complete paralysis.  Finally a neurologist diagnosed him with Guillain Barre syndrome where he was immediately hospitalized in the ICU.  He has been there for 11 days now.  He is going to be moved to a rehab facility tomorrow.
Age: 65.0
Sex: F
Vaccine: FLU3
Symptoms: Immediate post-injection reaction, Injection site pain, Insomnia, Muscular weakness
Clinical narrative: Immediate stinging pain on upper right arm  site of the vaccination.  Continuing pain in upper arm (severe enough to cause sleepless nights), weakness in lower arm, inability to lift heavy items, etc. This pain has not abated even a month later.  Frequent use of Advil which does not work well.
Age: 65.0
Sex: F
Vaccine: FLU(H1N1), PPV
Symptoms: Contusion, Erythema, Skin warm
Clinical narrative: That evening, right arm became hot, reddened, progressing to bluish the next day.  Went to doctor who advised against getting the H1N1.
Age: 61.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Rash papular, Rash pruritic
Clinical narrative: Red, itchy, raised bumpy rash above breast bone, below neck
Age: 66.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Pruritus
Clinical narrative: Red spot size of 2 silver dollars at site of injection. Itching but otherwise no symptoms.
Age: 67.0
Sex: M
Vaccine: PPV
Symptoms: Asthenia, Cardiac enzymes normal, Cellulitis, Chest pain, Electrocardiogram normal
Clinical narrative: Information has been received from a registered nurse concerning a 67 year old male patient with coronary artery disease, hyperlipidaemia, anxiety, depression, allergy to PERCOCET and a history of left shoulder rotator cuff in the past who on 15-DEC-2009 was vaccinated intramuscularly with a 0.5ml dose of PNEUMOVAX 23 (lot# 664864/1365Y) in the left arm. Concomitant therapy included CELEXA, ZOCAR, ATIVAN (as needed), CARDUAR or finasteride (the nurse wasn't sure which one). On 15-DEC-2009 the patient developed an adverse reaction including swelling, heat, redness and cellulitis of his left arm. Approximately 3 hours after vaccination the patient had chest pain, left shoulder pain and pain of his left arm. The patient went to the emergency room and was admitted from 15-DEC-2009 through 17-DEC-2009. The patient was treated with antibiotics. A myocardial infarction was ruled out. It was reported that the patient was put on aspirin and his arm was put in a sling. It was also indicated that the patient said it took a month for his arm pain to go away and for his strength in his arm to return. The results of EKG and enzymes were all negative. These events were considered to be disabling. This is one of several reports received from the same source. Additional information has been requested.
Age: 67.0
Sex: M
Vaccine: PPV
Symptoms: Erythema, Feeling hot, Musculoskeletal pain, Oedema peripheral, Pain in extremity
Clinical narrative: Information has been received from a registered nurse concerning a 67 year old male patient with coronary artery disease, hyperlipidaemia, anxiety, depression, allergy to PERCOCET and a history of left shoulder rotator cuff in the past who on 15-DEC-2009 was vaccinated intramuscularly with a 0.5ml dose of PNEUMOVAX 23 (lot# 664864/1365Y) in the left arm. Concomitant therapy included CELEXA, ZOCAR, ATIVAN (as needed), CARDUAR or finasteride (the nurse wasn't sure which one). On 15-DEC-2009 the patient developed an adverse reaction including swelling, heat, redness and cellulitis of his left arm. Approximately 3 hours after vaccination the patient had chest pain, left shoulder pain and pain of his left arm. The patient went to the emergency room and was admitted from 15-DEC-2009 through 17-DEC-2009. The patient was treated with antibiotics. A myocardial infarction was ruled out. It was reported that the patient was put on aspirin and his arm was put in a sling. It was also indicated that the patient said it took a month for his arm pain to go away and for his strength in his arm to return. The results of EKG and enzymes were all negative. These events were considered to be disabling. This is one of several reports received from the same source. Additional information has been requested.
Age: 3.0
Sex: F
Vaccine: VARCEL
Symptoms: Acute lymphocytic leukaemia, Rash vesicular, Varicella zoster virus serology positive
Clinical narrative: Information has been received from a physician concerning a 41 month old patient who on an unspecified date was vaccinated with a dose of VARVAX (Oka/Merck). The patient was diagnosed with Acute Lymphocytic Leukemia (ALL) by a pediatric oncologist in April 2008. A the time of her ALL diagnosis in April 2008, VZV IgG titers test was done. The titer result was 2.43 which was positive (titer results above 1.1 were positive) and meant that the patient was vaccinated prior to her diagnosis with leukemia. On an unspecified date, the patient had a rash compatible with chickenpox. On 18-JAN-2010, the patient was hospitalized. But the reporter was not sure if chickenpox was the reason for the patient's hospitalization. It was noted that the patient was hospitalized frequently because of her leukemia. On 18-JAN-2010, the samples were obtained and will be sent on 20-JAN-2010. At the time of the report, the patient's outcome was unknown. Acute Lymphocytic Leukemia (ALL) was considered to be an other important medical event. VZVIP case# 610. Additional information has been requested.
Age: 3.0
Sex: F
Vaccine: FLU(H1N1), PPV
Symptoms: Injection site erythema, Injection site induration, Injection site pain, Injection site warmth
Clinical narrative: On injection site pt developed redness and hardness. Site was also hot to touch and painful.
Age: 3.0
Sex: M
Vaccine: HIBV
Symptoms: Injection site erythema
Clinical narrative: Red area on left thigh, localized reaction, responded to Benadryl.
Age: 68.0
Sex: F
Vaccine: PPV
Symptoms: Cellulitis, Injection site erythema, Injection site swelling
Clinical narrative: Redness & swelling at injection site & circumferentially around arm (cellulitis).
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Erythema, Oedema peripheral, Tenderness
Clinical narrative: L arm redness, swelling, tenderness.
Age: 36.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Chromosomal analysis, Drug exposure during pregnancy, Stillbirth
Clinical narrative: Initial information received from a consumer on 22 Jan 2010: This pregnant patient was vaccinated with S-OIV FLUVIRIN (lot no 1008131P) on 29 Oct 2009. The patient delivered a stillborn on 14 Jan 2010. The reporter stated that the doctor believed that the baby died on 31 Dec 2009. It was reported that chromosomal testing was performed to investigate the causes, however the cause remains unknown. It was also reported that the doctor did not identify any outward deformity. No other adverse reaction occurred.
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Influenza, Rash erythematous, Rash generalised, Rash pruritic
Clinical narrative: Initial consumer report received on 20 Jan 2010: The patient was vaccinated with H1N1 influenza A virus vaccine monovalent (manufacturer and batch number unknown) on 11 Dec 2009. The patient was diagnosed with H1N1 infection on 19 Dec 2009. The patient presented with rash on 02 Jan 2010 that developed from the arm pit to the wrist and then spread all over the body. The rash was itchy and red. The events did not recover. Outcome of the event was reported as condition unchanged.
Age: 40.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Drug exposure during pregnancy, Intra-uterine death, Vaginal haemorrhage
Clinical narrative: Vaginal spotting.  Spotting continued for 10 days and then she miscarried on 12/26/2009.
Age: 52.0
Sex: F
Vaccine: FLU3
Symptoms: Anti-cyclic citrullinated peptide antibody positive, Gait disturbance, Injected limb mobility decreased, Oedema peripheral, Pain in extremity
Clinical narrative: Initially had difficulty ambulating, edema to left leg and foot also reports episode of "shaking all-over"; Next day continued but worsened; 10/25/2009 bil leg pain and right hand pain and edema-unable to lift right arm; 10/26/2009 MD visit-labs drawn; further eval by Rheumotologist; 11/02/2009 cont. pain and edema-ER visit for pain control
Age: 52.0
Sex: F
Vaccine: FLU3
Symptoms: Parvovirus B19 serology negative, Rheumatoid factor positive, Tremor
Clinical narrative: Initially had difficulty ambulating, edema to left leg and foot also reports episode of "shaking all-over"; Next day continued but worsened; 10/25/2009 bil leg pain and right hand pain and edema-unable to lift right arm; 10/26/2009 MD visit-labs drawn; further eval by Rheumotologist; 11/02/2009 cont. pain and edema-ER visit for pain control
Age: 0.11
Sex: M
Vaccine: HEP
Symptoms: Asphyxia, Death, Sudden infant death syndrome
Clinical narrative: well child check 1-20-2010. Infant received Hepatitis B vaccine on 1-20-2010. Aunt found infant ,on the morning of 1-21-2010, dead in the bed with mother,who was asleep. suspect SIDS or accidental suffocation.
Age: 63.0
Sex: F
Vaccine: FLUX(H1N1)
Symptoms: Nausea, Pain, Productive cough, Skin warm
Clinical narrative: Felt feverish and achy the next day and continue to feel achy, occassional sore, cough up flem and have waves of nausea.
Age: 33.0
Sex: F
Vaccine: TD
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Pain, Pain in extremity
Clinical narrative: Redness swelling and pain at site of injection and pain of whole arm.  Aching of whole body.
Age: 0.8
Sex: M
Vaccine: DTAPIPVHIB, FLU(H1N1), FLU3, HEP, PNC
Symptoms: Chest X-ray abnormal, Crying, Drooling, Febrile convulsion, Full blood count
Clinical narrative: Febrile seizure in am after finishing half portion of baby food. Sudden color change and seizure activity in upper arms and hands, with vomiting. Seizure lasted approx 15 min. Pt continued to drool. Cried all during the night on 1/27/10. Fever in am. Brought to ER by paramedics/ambulance.
Age: 0.8
Sex: M
Vaccine: DTAPIPVHIB, FLU(H1N1), FLU3, HEP, PNC
Symptoms: Metabolic function test, Pneumonia, Pyrexia, Skin discolouration, Urine analysis
Clinical narrative: Febrile seizure in am after finishing half portion of baby food. Sudden color change and seizure activity in upper arms and hands, with vomiting. Seizure lasted approx 15 min. Pt continued to drool. Cried all during the night on 1/27/10. Fever in am. Brought to ER by paramedics/ambulance.
Age: 0.8
Sex: M
Vaccine: DTAPIPVHIB, FLU(H1N1), FLU3, HEP, PNC
Symptoms: Vomiting
Clinical narrative: Febrile seizure in am after finishing half portion of baby food. Sudden color change and seizure activity in upper arms and hands, with vomiting. Seizure lasted approx 15 min. Pt continued to drool. Cried all during the night on 1/27/10. Fever in am. Brought to ER by paramedics/ambulance.
Age: 80.0
Sex: M
Vaccine: FLUX
Symptoms: Abasia, Asthenia, Death, Electromyogram abnormal, Guillain-Barre syndrome
Clinical narrative: Tingling in extremities followed by weakness and inability to walk.  Hospitalized and received plasmapheresis for GBS. D/c to nursing home for rehab therapy.
Age: 80.0
Sex: M
Vaccine: FLUX
Symptoms: Lumbar puncture abnormal, Paraesthesia, Plasmapheresis
Clinical narrative: Tingling in extremities followed by weakness and inability to walk.  Hospitalized and received plasmapheresis for GBS. D/c to nursing home for rehab therapy.
Age: 67.0
Sex: M
Vaccine: VARZOS
Symptoms: Computerised tomogram, Convulsion, Laboratory test, X-ray
Clinical narrative: Seizure. Transported by ambulance to hospital.
Age: 12.0
Sex: F
Vaccine: FLUN3, HPV4, TDAP, VARCEL, FLUN3, HPV4, MNQ
Symptoms: Amnesia, Anxiety, Asthenia, Blood test normal, Cardiac monitoring normal
Clinical narrative: Flu like symtoms, sore arm, swollen at injection site,tingily feeling all over skin, twitching of hands, feet, arms, legs. Missed lots of school due to NO energy and feeling bad. will somestimes sleep 12 to 20 hours a day. was fainting 10 to 20 times per day for 7 weeks, anxiety at times, some good days some bad days, never can tell when it will hit or how. very healthy before the shot, had slite cat allergies when she was 6. nothing more than that. she is tired of being sick. Dizzy, memorey loss, some head pressure. I know there are more, I'll have to add later.
Age: 12.0
Sex: F
Vaccine: FLUN3, HPV4, TDAP, VARCEL, FLUN3, HPV4, MNQ
Symptoms: Chest X-ray normal, Computerised tomogram normal, Dizziness, Electrocardiogram normal, Feeling abnormal
Clinical narrative: Flu like symtoms, sore arm, swollen at injection site,tingily feeling all over skin, twitching of hands, feet, arms, legs. Missed lots of school due to NO energy and feeling bad. will somestimes sleep 12 to 20 hours a day. was fainting 10 to 20 times per day for 7 weeks, anxiety at times, some good days some bad days, never can tell when it will hit or how. very healthy before the shot, had slite cat allergies when she was 6. nothing more than that. she is tired of being sick. Dizzy, memorey loss, some head pressure. I know there are more, I'll have to add later.
Age: 12.0
Sex: F
Vaccine: FLUN3, HPV4, TDAP, VARCEL, FLUN3, HPV4, MNQ
Symptoms: Headache, Hypersomnia, Influenza like illness, Injection site swelling, Malaise
Clinical narrative: Flu like symtoms, sore arm, swollen at injection site,tingily feeling all over skin, twitching of hands, feet, arms, legs. Missed lots of school due to NO energy and feeling bad. will somestimes sleep 12 to 20 hours a day. was fainting 10 to 20 times per day for 7 weeks, anxiety at times, some good days some bad days, never can tell when it will hit or how. very healthy before the shot, had slite cat allergies when she was 6. nothing more than that. she is tired of being sick. Dizzy, memorey loss, some head pressure. I know there are more, I'll have to add later.
Age: 12.0
Sex: F
Vaccine: FLUN3, HPV4, TDAP, VARCEL, FLUN3, HPV4, MNQ
Symptoms: Muscle twitching, Pain in extremity, Paraesthesia, Syncope, Urine analysis normal
Clinical narrative: Flu like symtoms, sore arm, swollen at injection site,tingily feeling all over skin, twitching of hands, feet, arms, legs. Missed lots of school due to NO energy and feeling bad. will somestimes sleep 12 to 20 hours a day. was fainting 10 to 20 times per day for 7 weeks, anxiety at times, some good days some bad days, never can tell when it will hit or how. very healthy before the shot, had slite cat allergies when she was 6. nothing more than that. she is tired of being sick. Dizzy, memorey loss, some head pressure. I know there are more, I'll have to add later.
Age: 12.0
Sex: F
Vaccine: FLUN3, HPV4, TDAP, VARCEL, FLUN3, HPV4, MNQ
Symptoms: Amnesia, Confusional state, Disturbance in attention, Dyspnoea, Hypersensitivity
Clinical narrative: Flu like symtoms, sore arm, swollen at injection site,tingily feeling all over skin, twitching of hands, feet, arms, legs. Missed lots of school due to NO energy and feeling bad. will somestimes sleep 12 to 20 hours a day. was fainting 10 to 20 times per day for 7 weeks, anxiety at times, some good days some bad days, never can tell when it will hit or how. very healthy before the shot, had slite cat allergies when she was 6. nothing more than that. she is tired of being sick. Dizzy, memorey loss, some head pressure. I know there are more, I'll have to add later.
Age: 12.0
Sex: F
Vaccine: FLUN3, HPV4, TDAP, VARCEL, FLUN3, HPV4, MNQ
Symptoms: Hypoaesthesia, Muscle twitching, Skin papilloma, Syncope, Vision blurred
Clinical narrative: Flu like symtoms, sore arm, swollen at injection site,tingily feeling all over skin, twitching of hands, feet, arms, legs. Missed lots of school due to NO energy and feeling bad. will somestimes sleep 12 to 20 hours a day. was fainting 10 to 20 times per day for 7 weeks, anxiety at times, some good days some bad days, never can tell when it will hit or how. very healthy before the shot, had slite cat allergies when she was 6. nothing more than that. she is tired of being sick. Dizzy, memorey loss, some head pressure. I know there are more, I'll have to add later.
Age: 3.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: 3 year old given Novartis .5 ml. Novartis licensed for 4 year old and up.
Age: 46.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Asthenia, Chills, Pyrexia
Clinical narrative: Weakness, fever, chills lasting approximately 12 hours. Motrin 600mg every 6 hours x2
Age: 23.0
Sex: M
Vaccine: FLU(H1N1), FLU3
Symptoms: Asthenia, Chills, Pyrexia
Clinical narrative: Awoke with chills, fever and weakness lasting approximately 24 hours. Took Tylenol every 6 hours x4
Age: 53.0
Sex: F
Vaccine: FLUX(H1N1)
Symptoms: Photopsia, Sinus headache, Visual field defect
Clinical narrative: loss of peripheral vision (like when you have a migraine coming on...flashing lights, etc), followed by a bad "sinus type" headache.  Took sinus medicine and it made little difference although the peripheral vision thing cleared up almost immediately.
Age: 23.0
Sex: F
Vaccine: RAB
Symptoms: Chills, Diet refusal, Nausea, Pyrexia, Rash erythematous
Clinical narrative: I gave her first vaccine on Wednesday (1-27). About 9 hours later she had a red, raised rash on the arm of the injection. She stated that this was not specifically at the injection site but on most of the arm. She took Benadryl and the rash resolved in a short time. Then, about 12-13 hours after the vaccine she began vomiting, fever 102 (by thermometer) and chills. She continued these symptoms through 1-28.  On 1-29 she was feeling "queasy"/nausea and "can't eat". She was taking fluids well and reports no symptoms of dehydration and reports that the temp is normal. She was able to perform her normal activities.
Age: 23.0
Sex: F
Vaccine: RAB
Symptoms: Vomiting
Clinical narrative: I gave her first vaccine on Wednesday (1-27). About 9 hours later she had a red, raised rash on the arm of the injection. She stated that this was not specifically at the injection site but on most of the arm. She took Benadryl and the rash resolved in a short time. Then, about 12-13 hours after the vaccine she began vomiting, fever 102 (by thermometer) and chills. She continued these symptoms through 1-28.  On 1-29 she was feeling "queasy"/nausea and "can't eat". She was taking fluids well and reports no symptoms of dehydration and reports that the temp is normal. She was able to perform her normal activities.
Age: 43.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Body temperature increased, Chest X-ray normal, Fatigue, Laboratory test normal, Muscular weakness
Clinical narrative: Achiness and pain in muscles, shoulder blades, described as severe also legs and arms with general weakness and factique. T 101  called Physician on Tuesday 1/26 who prescribed Tamiflu, took 2 tabs and went to ER on 1/27.  ER physician did test for H1N1 influenze which was neg. also chest xray negative.
Age: 43.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Musculoskeletal pain, Myalgia
Clinical narrative: Achiness and pain in muscles, shoulder blades, described as severe also legs and arms with general weakness and factique. T 101  called Physician on Tuesday 1/26 who prescribed Tamiflu, took 2 tabs and went to ER on 1/27.  ER physician did test for H1N1 influenze which was neg. also chest xray negative.
Age: 47.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Pruritus, Swelling face, Urticaria
Clinical narrative: Next day around 1pm experienced swelling in face and itchyness, hives in abdomen which was relieved by Benadryl.
Age: 6.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Convulsion, Respiratory arrest, Resuscitation
Clinical narrative: Patient had her second dose of the H1N1 vaccine on Saturday, Jan. 9, 2010. On Wednesday, Jan. 13, she had her 1st seizure while waking from a nap lasting 20 seconds. Called EMT. Back at home with hospital telling us they did not think it was a seizure because blood work came back normal. At 11:00 PM same day, within 2 minutes of falling asleep, second seizure,this one lasting 2 minutes and stopped breathing. Gave her CPR and called EMT. Was transferred up to Hospital. On the way up, at 3:30 AM in the ambulance, she fell asleep for 1 minute and had third seizure. EMT administered adavan to settle her down. At hospital she had EEG, MRI and Cat Scan which all showed normal conditions.  She was put on Keppra and has not had seizure since.
Age: 7.0
Sex: M
Vaccine: FLU3
Symptoms: Convulsion, Eye rolling, Fall, Musculoskeletal stiffness
Clinical narrative: Shortly after receiving immunization, watching siblings get their shots, fell backwards having what appeared to be a seizure with stiffness, rolling eyes backwards.  Recovered soon.  Mom denies seizure disorder.  EMTs called, they said that he was ok.   Mom said that she would take him to the hospital to be checked out.
Age: 69.0
Sex: M
Vaccine: PPV
Symptoms: Chills, Flatulence, Oedema peripheral, Pain in extremity, Rash
Clinical narrative: Chills, felt like he had a fever, pain/swelling to right arm, flatulence, rash on arm. Saw PCP 1/22/10 who gave Benadryl, hydrocortisone cream.
Age: 69.0
Sex: M
Vaccine: PPV
Symptoms: Skin warm
Clinical narrative: Chills, felt like he had a fever, pain/swelling to right arm, flatulence, rash on arm. Saw PCP 1/22/10 who gave Benadryl, hydrocortisone cream.
Age: 14.0
Sex: M
Vaccine: HEPA, MNQ, VARCEL
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Red raised area on R D approx 50 mm in size c/o pain @ site and warm to touch Temp 97.5 TWIN #1
Age: 14.0
Sex: M
Vaccine: HEPA, MNQ, VARCEL
Symptoms: Rash papular
Clinical narrative: Red raised area on RD approx 40mm in size temp 98 (Twin #2).
Age: 6.0
Sex: F
Vaccine: HEPA, VARCEL
Symptoms: Injection site reaction, Injection site warmth, Rash erythematous
Clinical narrative: 30mm red, raised area on LOA, warm to touch.
Age: 5.0
Sex: F
Vaccine: DTAPIPV, MMR, VARCEL
Symptoms: Injection site erythema
Clinical narrative: 7 x 4.5 in area of erythema on R thigh F T - P, started on BACTRIM 40 mg/5 1 tbs BID x 10 days. ORAPRED 15 mg/5 - 1/4 tsp BID x 5 days; F/U on 2-1-10
Age: 44.0
Sex: F
Vaccine: FLUN(H1N1), FLUN(H1N1)
Symptoms: Pruritus, Skin warm, Swelling
Clinical narrative: Itchy, swelling, hot.
Age: 44.0
Sex: F
Vaccine: FLUN(H1N1), FLUN(H1N1)
Symptoms: Hypersensitivity, Pruritus, Rash
Clinical narrative: Itchy, swelling, hot.
Age: 4.0
Sex: M
Vaccine: DTAPIPV, MMR, VARCEL
Symptoms: Endotracheal intubation, Guillain-Barre syndrome, Intensive care
Clinical narrative: Rapidly ascending muscle weakness requiring intubation & hospitalization in ICU. Guillain Barre suspected.
Age: 6.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Cough, Headache, Influenza, Influenza serology positive, Malaise
Clinical narrative: 1-27-10 evening-c/o HA and malaise-given MOTRIN-awoke during night with fever and increased cough-given MOTRIN. 1-28-10-ran temp around 102 all day-vomiting, cough deepens. 1-29-10-to Hosp ER-deep cough, emesis, malaise, increased temp.
Age: 6.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Pyrexia, Vomiting
Clinical narrative: 1-27-10 evening-c/o HA and malaise-given MOTRIN-awoke during night with fever and increased cough-given MOTRIN. 1-28-10-ran temp around 102 all day-vomiting, cough deepens. 1-29-10-to Hosp ER-deep cough, emesis, malaise, increased temp.
Age: 66.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Dizziness, Dyspnoea, Lip swelling, Swelling face, Swollen tongue
Clinical narrative: Swelling of face, tongue and lips.  dizziness, shortness of breath, shaking all over.  Emergency room -push iV predisone and Benadryl plus anti nausea drug.  Followed by four days of Prednisone and Benadryl by mouth
Age: 66.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Tremor
Clinical narrative: Swelling of face, tongue and lips.  dizziness, shortness of breath, shaking all over.  Emergency room -push iV predisone and Benadryl plus anti nausea drug.  Followed by four days of Prednisone and Benadryl by mouth
Age: 55.0
Sex: F
Vaccine: FLU3
Symptoms: Dysphonia, Immediate post-injection reaction, Injection site pruritus
Clinical narrative: Immediately after injection c/o itching at injection site, raspy voice, Used asthma inhaler, felt better after 30 minutes but went to ER to get checked out.
Age: 73.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Hypersensitivity, Lip swelling, Urticaria, Vulvovaginal pruritus
Clinical narrative: Patient developed an allergic rxn within 24 hours of receiving vaccination: hives, swollen lips, itching in the vulva area. Symptoms went away after a day or two of BENADRYL use.
Age: 10.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Eye swelling, Fatigue, Headache, Ocular hyperaemia, Oropharyngeal pain
Clinical narrative: Received H1N1 on 1/26/10 @ 15:45. 1/27/10 about 1000 developed headache, fatigue congestion, sore throat. 1/28/10 afternoon, red puffy under eyes and hives front and back of trunk. Called HCP who advised BENADRYL. Hives resolved by 1/31/10.
Age: 10.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Upper respiratory tract congestion, Urticaria
Clinical narrative: Received H1N1 on 1/26/10 @ 15:45. 1/27/10 about 1000 developed headache, fatigue congestion, sore throat. 1/28/10 afternoon, red puffy under eyes and hives front and back of trunk. Called HCP who advised BENADRYL. Hives resolved by 1/31/10.
Age: 65.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Injection site pain
Clinical narrative: achy pain on the arm where vaccine administered since date of administration 1/11/2010
Age: 78.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Asthenia, Diet refusal, Feeling hot, Gait disturbance, Syncope
Clinical narrative: Day of shot (1/16/2010) - no symptoms - felt fine. Day 2 (1/17/10)~10:00pm - felt hot - fainted & felt very weak afterwards - had trouble walking back to bed, crawled to bed, could not even brush teeth, or eat. Day 3-4 - still felt weak but was able to eat on Day 4. Pt called Pharmacy on 1/26 & made aware situation. Did not consult MD @ any point - Rph asked her consult MD.
Age: 67.0
Sex: F
Vaccine: FLU3
Symptoms: Diarrhoea, Dyspnoea, Erythema, Throat tightness
Clinical narrative: Sudden tightening in throat, SOB, turned red with difficulty breathing, then had severe diarrhea for several hours after.  EMTs called. Declined transport to hospital.
Age: 57.0
Sex: M
Vaccine: FLU3
Symptoms: Electromyogram, Glycosylated haemoglobin, Hypoaesthesia, Nerve conduction studies, Nuclear magnetic resonance imaging
Clinical narrative: Began with numbness and tingling in fingers.
Age: 57.0
Sex: M
Vaccine: FLU3
Symptoms: Paraesthesia, Vitamin B12
Clinical narrative: Began with numbness and tingling in fingers.
Age: 0.5
Sex: F
Vaccine: FLUX(H1N1)
Symptoms: Vomiting
Clinical narrative: Multiple episodes of emesis x 18. Resolved after 24 hours.
Age: 2.0
Sex: F
Vaccine: FLU(H1N1), FLU3, HEPA, FLU(H1N1), FLUX, HEPA
Symptoms: Drooling, Eye discharge, Eye disorder, Facial palsy, Hypoaesthesia facial
Clinical narrative: Woke with drooping left face, drooling L. mouth, draining L eye, L. eye not closing completely, numbness left face. same by clinic visit on 01/29/2010. did not keep F/U appts. Contacted by phone 02/01/2010, dad reported same.
Age: 2.0
Sex: F
Vaccine: FLU(H1N1), FLU3, HEPA, FLU(H1N1), FLUX, HEPA
Symptoms: Drooling, Ear discomfort, Eye discharge, Eye infection, Facial palsy
Clinical narrative: Woke with drooping left face, drooling L. mouth, draining L eye, L. eye not closing completely, numbness left face. same by clinic visit on 01/29/2010. did not keep F/U appts. Contacted by phone 02/01/2010, dad reported same.
Age: 87.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Diarrhoea, Fatigue, Nausea, Retching
Clinical narrative: Patient began to feel tired, then began to have severe diarrhea, nausea, and dry heaves.  friday, 1/29/10 went to see her family physician who told her it was a reaction to the h1n1 flu vaccine, she was given a shot of phenergan to help with the nausea, patient was told to go to the ER if her symptoms worsened, but she did not need to go to the ER.
Age: 72.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Oral herpes
Clinical narrative: OUTBEAK OF THREE COLD SORES AROUND UPPER AND LOWER LIP AREA; IN ONE DAY ONE MORE COLD SORE DEVELOPED
Age: 13.0
Sex: F
Vaccine: HPV4, MNQ
Symptoms: Dizziness, Headache, Syncope, Tinnitus
Clinical narrative: As patient was walking out of building, approximately 15 minutes following vaccination, had sudden onset of ringing of ears, headache and lightheadedness.  Did not report this to facility. Headache persisted for 24 hours. On 1/30/10, while kneeling at church, fainted.  Mother raised her legs and child recovered quickly.  Did not seek medical care.
Age: 49.0
Sex: F
Vaccine: FLU3
Symptoms: Dizziness, Immediate post-injection reaction, Oral pruritus, Pharyngeal oedema, Wheezing
Clinical narrative: Immediately after receiving injection developed itchy roof of mouth, lightheadedness, "throat swelled shut".  EMTs called, transported to Hospital where she received steroids and ibuprofen.  She also used her asthma inhaler.  Symptoms improved slowly but still had wheezing for several days. She was released from the ER after several hours.
Age: 40.0
Sex: F
Vaccine: TDAP
Symptoms: Back pain, Crying, Headache, Nausea, Pain
Clinical narrative: Severe body aches, crying, back pain, fever to 102F, headache, nausea.  Patient recovered spontaneously after 2-3 days.
Age: 40.0
Sex: F
Vaccine: TDAP
Symptoms: Pyrexia
Clinical narrative: Severe body aches, crying, back pain, fever to 102F, headache, nausea.  Patient recovered spontaneously after 2-3 days.
Age: 10.0
Sex: F
Vaccine: HPV4, MNQ, TDAP, VARCEL
Symptoms: Blister, Rash erythematous
Clinical narrative: Small (<5mm) superficial blisters noted at ant upper thighs bilat - 2 on the rt, one of which is unroofed, and one on the left. Not vesicles. Not fluid-filled. Also, on the rt ant upper thigh, multiple (15-20) small avg 6mm diameter blanching erythematous macules - not raised, no blister or skin disruption, not indurated, not painful. No other lesions noted anywhere else on the skin.
Age: 2.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Incorrect dose administered
Clinical narrative: Gave H1N1 vaccine in our office.  Later received a call from local clinic stating that they gave same vaccine earlier that day. Client guarding didn't declare that it had be given when asked.  It wasn't in the state vaccine system when I looked because the clinic hadn't entered it yet. The documentation the clinic had given her did not have this vaccine listed as given.
Age: 3.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Crying, Diarrhoea, Immediate post-injection reaction, Inappropriate schedule of drug administration, Injection site haematoma
Clinical narrative: On 1/28/2010:  Child, 3yrs old, was given incorrect H1N1 vaccine.  He was given his 2nd H1N1 dose as Novartis on his left deltoid.  Novartis  H1N1 is only used to vaccinate children aged 4yr old and above.  Child screamed and cried at time vaccine was administered and was cranky rest of the day.  Soon after vaccine was administered by nurse,  nurse informed patient's mother of mistake.  Patient experienced on 1/29/2010, approximately 8pm:  Runny nose, episodes of crying and unable to calm down, bruise on arm where shot was administered, diarrhea.  Diarrhea stopped 1/30/2010 Runny nose -still persists Crying and unable to calm down - lasted about an hour on 1/29/2010, continues to have episodes everyday.  Visited patient's physician today.  Physician is doing research to find out what to do about overdose to child.
Age: 3.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Irritability, Rhinorrhoea, Screaming
Clinical narrative: On 1/28/2010:  Child, 3yrs old, was given incorrect H1N1 vaccine.  He was given his 2nd H1N1 dose as Novartis on his left deltoid.  Novartis  H1N1 is only used to vaccinate children aged 4yr old and above.  Child screamed and cried at time vaccine was administered and was cranky rest of the day.  Soon after vaccine was administered by nurse,  nurse informed patient's mother of mistake.  Patient experienced on 1/29/2010, approximately 8pm:  Runny nose, episodes of crying and unable to calm down, bruise on arm where shot was administered, diarrhea.  Diarrhea stopped 1/30/2010 Runny nose -still persists Crying and unable to calm down - lasted about an hour on 1/29/2010, continues to have episodes everyday.  Visited patient's physician today.  Physician is doing research to find out what to do about overdose to child.
Age: 60.0
Sex: M
Vaccine: HEPA
Symptoms: Rash erythematous
Clinical narrative: A red itching rash, starting on the back and chest and stomach, arms and legs.
Age: 8.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Cough, Dyspnoea, Oxygen saturation decreased
Clinical narrative: coughing, difficulty breathing, desaturation
Age: 5.0
Sex: F
Vaccine: HEPA, MMR, VARCEL
Symptoms: Fatigue, Pruritus, Pyrexia, Rash erythematous, Rash generalised
Clinical narrative: Pt woke up with rash all over body, red itchy, raised bumps, fatigued, declines fever, had low grade fever @ appt today of 100.5.
Age: 1.04
Sex: F
Vaccine: HIBV, VARCEL
Symptoms: Injection site erythema, Injection site papule
Clinical narrative: L thigh with 4-5 fine papular, (-) vesicles, (+) slt erythema at site of Varivax injection