chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 22.0
Sex: M
Vaccine: ANTH, SMALL, TYP
Symptoms: Injection site erythema, Injection site oedema, Injection site vesicles
Clinical narrative: Dr. calls clinic (06May09) re 22 y/o AD WM SM w/ 10-12 tiny vesicular lesions surrounding primary SPV injection site RUE.  SM received primary SPV (RUE), AVA #1 and TYPHOID IM (LUE) on 29APR09.  Symptoms:  Edema/ erythema @ injection site 50-120mm with tiny satellite lesions around Jennerian Pustule.  Robust take primary SPV injection site RUE.
Age: 49.0
Sex: F
Vaccine: PPV, TDAP
Symptoms: Rash, Swelling
Clinical narrative: Pt has rash left arm, swelling, no fever or vomit. Pt was seen today Doctor 5-22-09.
Age: 14.0
Sex: F
Vaccine: HPV4
Symptoms: Induration, Injection site erythema, Injection site pruritus, Injection site swelling, Rash erythematous
Clinical narrative: Swelling, itchiness, redness at site of injection (L deltoid) 5 - 6 cm reaction - round - slightly erythematous lesion. Slight induration, no fluctuance.
Age: 0.7
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Facial palsy
Clinical narrative: Lip droops down on R side of face when crying or drinking.  Began 1 week ago (approximately 4/30) ? mild Bells Palsy.
Sex: U
Vaccine: DTAPIPV, HEPA, MMR, VARCEL
Symptoms: Injection site urticaria
Clinical narrative: Large 3 1/2" urticarial patch over injection sites on right thigh - started at the MMR site - enlarged to cover both sites.
Age: 11.0
Sex: F
Vaccine: HEPA, TDAP, VARCEL
Symptoms: Induration, Lip swelling, Oedema peripheral, Skin warm, Urticaria
Clinical narrative: After vaccination on way home mom said lips got swollen and child broke out in fine whelps. Gave TYLENOL and BENADRYL. On 5-7-09 left arm at top raised area warm to touch. Not broke out all over on 5-7-09. Concern due to past flu shot making knot
Age: 60.0
Sex: M
Vaccine: VARZOS
Symptoms: Lymphadenopathy
Clinical narrative: Noticed 2 swollen lymph nodes under jaw on April 30.
Age: 64.0
Sex: F
Vaccine: VARCEL
Symptoms: Anorexia, Asthenia, Back pain, Chills, Musculoskeletal chest pain
Clinical narrative: 1 wk symptoms 2 wk recovery complete physical breakdown felt as if hit by a truck" weak, chills, pain back + ribs; chills; nausea; loss of appetite; chest congestion. all cold symptoms. Slept for 3 days; should have been hospitalized.
Age: 64.0
Sex: F
Vaccine: VARCEL
Symptoms: Nasopharyngitis, Nausea
Clinical narrative: 1 wk symptoms 2 wk recovery complete physical breakdown felt as if hit by a truck" weak, chills, pain back + ribs; chills; nausea; loss of appetite; chest congestion. all cold symptoms. Slept for 3 days; should have been hospitalized.
Age: 4.0
Sex: F
Vaccine: DTAPIPV, MMR, VARCEL
Symptoms: Injection site rash, Injection site warmth
Clinical narrative: 2 1/2 round rash on 1 thigh, warm to touch
Age: 23.0
Sex: M
Vaccine: FLU3, HEP, HEPA
Symptoms: Asthenia, Blood pressure decreased, Chest discomfort, Dizziness
Clinical narrative: 0840- IM injection given - HEPA. HEPB & INFLUENZA given  0845 - Patient feeling weak, dizzy, chest tightness, HR60 blood pressure 60/40  0850 - Patient laid in trendelenbung position  08:53 - Blood pressure 90/70, patient given water, juice  0855 - Blood pressure 100/70
Age: 63.0
Sex: F
Vaccine: VARZOS
Symptoms: Erythema, Induration, Pain, Pruritus, Swelling
Clinical narrative: Shingles vaccination: Next few days had increased swelling hardness, heat (hot) Redness cont to spread also itching + aching + soreness - spoke with a pharmacist 2 days after vaccination. She encouraged me to see MD or nurse if not better the next day - not better in am - used ice packs at nite (on+off) no relief first two nights - Then 4 days later had decreased symptoms - only slight red now (12 days later) no relief with ice the first nite + minimal the next nite.
Age: 63.0
Sex: F
Vaccine: VARZOS
Symptoms: Tenderness
Clinical narrative: Shingles vaccination: Next few days had increased swelling hardness, heat (hot) Redness cont to spread also itching + aching + soreness - spoke with a pharmacist 2 days after vaccination. She encouraged me to see MD or nurse if not better the next day - not better in am - used ice packs at nite (on+off) no relief first two nights - Then 4 days later had decreased symptoms - only slight red now (12 days later) no relief with ice the first nite + minimal the next nite.
Age: 65.0
Sex: F
Vaccine: FLU3
Symptoms: Pruritus generalised
Clinical narrative: Ongoing severe generalized itching since October 26,2008.
Age: 2.0
Sex: M
Vaccine: HEPA, MMR, VARCEL, HEPA, MMR, VARCEL
Symptoms: Immediate post-injection reaction, Injection site erythema, Injection site swelling, Urticaria
Clinical narrative: PT. REACTED IMMEDIATELY TO VARICELLA AND MMR WITH REDNESS AND SWELLING AT THE SITES, GENERALIZED URTICARIA ON LEGS,ARMS,BACK AND ABDOMEN. GIVEN 0.2CC BENADRYL IM AND MONITORED FOR 30 MINUTES. SIGNIFICANT REDUCTION OF URTICARIA, BREATHING NORMAL THROUGHOUT. GIVEN PRESCRIPTION FOR BENADRYL 2.5-3.0CC Q 4HRS PRN. PARENTS TOLD TO CALL 911 FOR BREATHING DIFFICULTY OR INCREASE IN SYMPTOMS. F/U CALL MADE 5/15/2009, PT. RECOVERED COMPLETELY, NEVER REQUIRING ANY FURTHER DOSES OF BENADRYL, REDNESS AND SWELLING AT SITES COMPLETELY RESOLVED.
Age: 10.0
Sex: M
Vaccine: TDAP
Symptoms: Erythema
Clinical narrative: Localized erythema - mom described as the size of a baseball tx with BENADRYL
Age: 36.0
Sex: M
Vaccine: TDAP
Symptoms: Erythema, Lymph node palpable, Malaise, Pyrexia, Rash macular
Clinical narrative: 05-12-09, Feverish, C/o "feeling sick" 5-15-09 Employee came to Employee health with pea sized knot left upper inner arm. lymph node also red blotchy area, not over injection site.
Age: 4.0
Sex: M
Vaccine: DTAPIPV, DTAPIPV, DTAPIPV
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Immunization (KINRIX) given on 5/12/2009; mom noticed and reported localized swelling of L arm on 5/14/09, arm swollen to twice the normal size from elbow to shoulder, warm to touch, pinkish - red in color, pain to touch but no impaired ROM; received no localized or systemic treatment.
Age: 4.0
Sex: M
Vaccine: DTAPIPV, DTAPIPV, DTAPIPV
Symptoms: Injection site erythema, Injection site pain, Injection site reaction, Injection site swelling, Injection site warmth
Clinical narrative: Immunization (KINRIX) given on 5/12/2009; mom noticed and reported localized swelling of L arm on 5/14/09, arm swollen to twice the normal size from elbow to shoulder, warm to touch, pinkish - red in color, pain to touch but no impaired ROM; received no localized or systemic treatment.
Age: 4.0
Sex: M
Vaccine: DTAPIPV, DTAPIPV, DTAPIPV
Symptoms: Injection site discomfort, Injection site erythema, Injection site reaction, Injection site swelling, Injection site warmth
Clinical narrative: Immunization (KINRIX) given on 5/12/2009; mom noticed and reported localized swelling of L arm on 5/14/09, arm swollen to twice the normal size from elbow to shoulder, warm to touch, pinkish - red in color, pain to touch but no impaired ROM; received no localized or systemic treatment.
Age: 4.0
Sex: M
Vaccine: DTAPIPV, DTAPIPV, DTAPIPV
Symptoms: No reaction on previous exposure to drug
Clinical narrative: Immunization (KINRIX) given on 5/12/2009; mom noticed and reported localized swelling of L arm on 5/14/09, arm swollen to twice the normal size from elbow to shoulder, warm to touch, pinkish - red in color, pain to touch but no impaired ROM; received no localized or systemic treatment.
Age: 16.0
Sex: F
Vaccine: MNQ
Symptoms: Dermatitis, Urticaria
Clinical narrative: Scattered hives occurred that pm or next am. Patient has DX of urticaria Dermatitis. HX of local reaction to latex band aids- only RX for this incidence was OTC BENADRYL.
Age: 4.0
Sex: M
Vaccine: DTAPIPV, HEPA, MMR, VARCEL
Symptoms: Inflammation, Oedema peripheral
Clinical narrative: 4/29/09 - Rt arm inflamed and swollen from shoulder to elbow - no pain, no fever - when picked up from day care. 4/30/09 - Arm unchanged - still no pain or fever. Seeing Dr. 5/1/09 - mother will call if any concerns or abnormal findings.
Age: 18.0
Sex: F
Vaccine: MNQ
Symptoms: Blister, Urticaria
Clinical narrative: Hives and blisters up both arms. Treated with BENADRYL 25mg x 2 doses and antibiotic cream to blisters.
Age: 1.6
Sex: U
Vaccine: DTAP, HEPA
Symptoms: Urticaria
Clinical narrative: Mild hives treated with BENADRYL 6.25mg Q4hr prn.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site reaction, Injection site swelling, Injection site warmth
Clinical narrative: Localized reaction at IM injection site left deltoid. + redness, swelling and warm to touch. Treated with TYLENOL, BENADRYL and warm compresses.
Age: 0.4
Sex: F
Vaccine: DTAPIPVHIB, PNC, RV5
Symptoms: Diarrhoea, Irritability, Pyrexia
Clinical narrative: Low grade fever (101), diarrhea, mild irritability starting 48 hours after vaccination.
Age: 32.0
Sex: M
Vaccine: HEP, VARCEL
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Oedema peripheral
Clinical narrative: Pain, redness and swelling in L arm 24 hours after injection at site of Sub Q injection of VARIVAX.
Age: 26.0
Sex: F
Vaccine: VARCEL
Symptoms: Injection site pruritus
Clinical narrative: Itching, onset one hour after vaccination, at site. Treated with 25 mg Diphenhydramine P.O. .
Age: 10.0
Sex: F
Vaccine: TDAP
Symptoms: Asthenia, Chest pain, Chills, Dizziness, Fatigue
Clinical narrative: Received Tdap around 9:00-9:30 am at school; felt drowsy all day afterwards. Later that evening felt tired, weak, dizzy, chills and fever of 102.6. complain of chest pains with deep breath on 5/6/09 at Doctors office.
Age: 10.0
Sex: F
Vaccine: TDAP
Symptoms: Influenza serology negative, Pyrexia, Somnolence, Urine analysis abnormal, Urine protein, quantitative
Clinical narrative: Received Tdap around 9:00-9:30 am at school; felt drowsy all day afterwards. Later that evening felt tired, weak, dizzy, chills and fever of 102.6. complain of chest pains with deep breath on 5/6/09 at Doctors office.
Age: 11.0
Sex: M
Vaccine: MNQ, TDAP, VARCEL
Symptoms: Expired drug administered
Clinical narrative: Nurse administered 0.5 cc of Tdap to client.  Expiration date was checked before administration of vaccine but still was not realized til entered into grits.  Vaccine expired on 5/2/09 but was given on 5/4/09.  Reported to supv.  No report of reaction.
Age: 1.1
Sex: M
Vaccine: HEPA, MMR, VARCEL
Symptoms: Blister, Influenza serology positive, Pallor, Pyrexia, Streptococcal identification test negative
Clinical narrative: Received IZ's 4.29.09 -   5-1-09 pale, fever by evening was in Reno all day that day.  5-1-09 Fever increased- unknown temp as no thermometer.  Went to ER = sent home.  Flu + Strep negative.  5-2-09 checked with ER = Blister on tip of tongue from fever.  Ears neg.  5-4-09 Motrin decrease fever to 99.  Did better.  5-5-09 Low grade fever still-  Blisters going away.
Age: 77.0
Sex: F
Vaccine: VARZOS
Symptoms: Rash erythematous, Rash papular
Clinical narrative: 24 hours -->72 hours : 5 x 7 cm erythematous raised area with small papules (no vesicles). Recovered with Rx. Sl. increased color. Afebrile.
Age: 13.0
Sex: M
Vaccine: HEPA, MNQ, TDAP, VARCEL
Symptoms: Injection site urticaria, Urticaria
Clinical narrative: Hives began at injection sites on right arm. Patient received Varicella and Hep A vaccines in right arm. Hives spread to legs, groin and upper arms. No shortness of breath or difficulty breathing. Mother administered BENADRYL to patient.
Age: 54.0
Sex: M
Vaccine: TDAP
Symptoms: Body temperature increased, Chills
Clinical narrative: Rigors, increased temperature. Seen in Hospital emergency room.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site induration, Injection site mass, Injection site swelling
Clinical narrative: Right arm- red and swollen with small hard lump.
Age: 27.0
Sex: F
Vaccine: SMALL, SMALL
Symptoms: Arthralgia, Erythema, Fatigue, Injection site pain, Lymphadenopathy
Clinical narrative: 2/27/09 Day 8- joint and muscle pain, fatigue and lymph node swelling. 2/28/09 Day 9- symptoms became severe, site painful. 3/3/09 Day 12- evaluated by Dr. 3/7/09 Day 16- rash-raised red itchy bumps, neck and knees- evaluated by Dr on day 18.  6/22/09 Medical records received DOS 3/9/09 3/18/09. Assessment: Allergic reaction to smallpox vaccination. Patient presents with myalgias, macupapular rash on arms legs stomach neck. Itches. Drainage, bleeding from vaccine site.  7/1/09 Received ER medical records of 5/21/09. FINAL DX: myalgias, vaccine related Records reveal patient experienced malaise, joint pain, body aches, chest pain, SOB, localized injection site swelling, nausea, chills, dizziness & migraine HA  1 day & 2 days s/p DTaP vaccine.  Tx w/NSAIDs & d/c to home for PCP f/u.
Age: 27.0
Sex: F
Vaccine: SMALL, SMALL
Symptoms: Myalgia, Pruritus, Urticaria
Clinical narrative: 2/27/09 Day 8- joint and muscle pain, fatigue and lymph node swelling. 2/28/09 Day 9- symptoms became severe, site painful. 3/3/09 Day 12- evaluated by Dr. 3/7/09 Day 16- rash-raised red itchy bumps, neck and knees- evaluated by Dr on day 18.  6/22/09 Medical records received DOS 3/9/09 3/18/09. Assessment: Allergic reaction to smallpox vaccination. Patient presents with myalgias, macupapular rash on arms legs stomach neck. Itches. Drainage, bleeding from vaccine site.  7/1/09 Received ER medical records of 5/21/09. FINAL DX: myalgias, vaccine related Records reveal patient experienced malaise, joint pain, body aches, chest pain, SOB, localized injection site swelling, nausea, chills, dizziness & migraine HA  1 day & 2 days s/p DTaP vaccine.  Tx w/NSAIDs & d/c to home for PCP f/u.
Age: 27.0
Sex: F
Vaccine: SMALL, SMALL
Symptoms: Allergy to vaccine, Arthralgia, Fatigue, Injection site discharge, Injection site haemorrhage
Clinical narrative: 2/27/09 Day 8- joint and muscle pain, fatigue and lymph node swelling. 2/28/09 Day 9- symptoms became severe, site painful. 3/3/09 Day 12- evaluated by Dr. 3/7/09 Day 16- rash-raised red itchy bumps, neck and knees- evaluated by Dr on day 18.  6/22/09 Medical records received DOS 3/9/09 3/18/09. Assessment: Allergic reaction to smallpox vaccination. Patient presents with myalgias, macupapular rash on arms legs stomach neck. Itches. Drainage, bleeding from vaccine site.  7/1/09 Received ER medical records of 5/21/09. FINAL DX: myalgias, vaccine related Records reveal patient experienced malaise, joint pain, body aches, chest pain, SOB, localized injection site swelling, nausea, chills, dizziness & migraine HA  1 day & 2 days s/p DTaP vaccine.  Tx w/NSAIDs & d/c to home for PCP f/u.
Age: 27.0
Sex: F
Vaccine: SMALL, SMALL
Symptoms: Injection site pain, Lymphadenopathy, Myalgia, Rash erythematous, Rash maculo-papular
Clinical narrative: 2/27/09 Day 8- joint and muscle pain, fatigue and lymph node swelling. 2/28/09 Day 9- symptoms became severe, site painful. 3/3/09 Day 12- evaluated by Dr. 3/7/09 Day 16- rash-raised red itchy bumps, neck and knees- evaluated by Dr on day 18.  6/22/09 Medical records received DOS 3/9/09 3/18/09. Assessment: Allergic reaction to smallpox vaccination. Patient presents with myalgias, macupapular rash on arms legs stomach neck. Itches. Drainage, bleeding from vaccine site.  7/1/09 Received ER medical records of 5/21/09. FINAL DX: myalgias, vaccine related Records reveal patient experienced malaise, joint pain, body aches, chest pain, SOB, localized injection site swelling, nausea, chills, dizziness & migraine HA  1 day & 2 days s/p DTaP vaccine.  Tx w/NSAIDs & d/c to home for PCP f/u.
Age: 27.0
Sex: F
Vaccine: SMALL, SMALL
Symptoms: Rash pruritic
Clinical narrative: 2/27/09 Day 8- joint and muscle pain, fatigue and lymph node swelling. 2/28/09 Day 9- symptoms became severe, site painful. 3/3/09 Day 12- evaluated by Dr. 3/7/09 Day 16- rash-raised red itchy bumps, neck and knees- evaluated by Dr on day 18.  6/22/09 Medical records received DOS 3/9/09 3/18/09. Assessment: Allergic reaction to smallpox vaccination. Patient presents with myalgias, macupapular rash on arms legs stomach neck. Itches. Drainage, bleeding from vaccine site.  7/1/09 Received ER medical records of 5/21/09. FINAL DX: myalgias, vaccine related Records reveal patient experienced malaise, joint pain, body aches, chest pain, SOB, localized injection site swelling, nausea, chills, dizziness & migraine HA  1 day & 2 days s/p DTaP vaccine.  Tx w/NSAIDs & d/c to home for PCP f/u.
Age: 13.0
Sex: M
Vaccine: VARCEL
Symptoms: Cellulitis, Injection site erythema, Injection site swelling
Clinical narrative: vaccinate site red and swollen x 1 day, diagnosed with cellulitis. Treated with a 7 day course of amoxicillin
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site rash, Injection site swelling, Injection site urticaria, Injection site warmth
Clinical narrative: Child was brought in for office visit two days after immunizations d/t fever and localized rash to L thigh. Described by NP as tennis ball sized, raised, red, circular, warm rash at injection site (L thigh). Treated w/ ice and benadryl. No other treatment needed. Note this office also reported another local reaction w/ the same Dtap lot number.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Pyrexia
Clinical narrative: Child was brought in for office visit two days after immunizations d/t fever and localized rash to L thigh. Described by NP as tennis ball sized, raised, red, circular, warm rash at injection site (L thigh). Treated w/ ice and benadryl. No other treatment needed. Note this office also reported another local reaction w/ the same Dtap lot number.
Age: 4.0
Sex: M
Vaccine: DTAP, HIBV, MMR, PNC
Symptoms: Cellulitis, Injection site rash
Clinical narrative: Child was brought in for an office visit six days after immunizations were given for localized rash of R arm around injection(s) site. Was treated for diagnosis of cellulitis. Was advised ibuprofen, benadryl, and ice as treatment. Note this office has reported another localized reaction to same Dtap lot number.
Age: 32.0
Sex: F
Vaccine: TTOX
Symptoms: Chills, Erythema, Oedema peripheral, Pain, Pyrexia
Clinical narrative: Received vaccine on may 12,2009 at 4:19pm. Later in evening developed body aches, chills and "fever in side". Left arm became swollen and red.
Age: 14.0
Sex: F
Vaccine: MNQ
Symptoms: Injection site cellulitis, Injection site swelling
Clinical narrative: Patient presented to our office on 5/14/09 with a 2.5in circular swelling @ the injection site.  She was diagnosed with either cellulitis of the injection site or a vaccine reaction.  Patient was treated with Keflex 500mg TID for 10 days. Mom reports improvement after 1 day of antibiotics.
Age: 5.0
Sex: F
Vaccine: DTAPIPV
Symptoms: Erythema, Swelling
Clinical narrative: 3 inch red, swollen, hot area on left upper thigh, no discomfort and gait problems
Age: 29.0
Sex: F
Vaccine: RAB
Symptoms: Chills, Cough, Fatigue, Increased upper airway secretion, Influenza like illness
Clinical narrative: Ct received her first rabies vaccine on 3/25/09 and 2 days later had flu-like symptoms, sore throat, "bad" cough, fever, chills, excessive tiredness and congestion.  The s/s persisted until 1 week before second vaccination.  The health dept told ct to postpone the 2nd vaccination until she felt better.  Ct also saw her general practitioner after 1st vaccine and was given a Z-pack.  Ct states she improved "a little bit".  Ct came in for 2nd vaccine on 4/15/09.  A couple of days after vaccination she had the same symptoms, swollen tonsils, cough and fatigue, but they were not as severe.  Ct came in for her 3rd dose on 5/6/09.  A couple of days after the 3rd dose she had swollen tonsils/glands and her cough is back and is producing phlegm this time.  Ct is planning to see a Dr again today to follow-up.
Age: 29.0
Sex: F
Vaccine: RAB
Symptoms: Oropharyngeal pain, Pyrexia, Respiratory tract congestion, Tonsillar hypertrophy, Vaccine positive rechallenge
Clinical narrative: Ct received her first rabies vaccine on 3/25/09 and 2 days later had flu-like symptoms, sore throat, "bad" cough, fever, chills, excessive tiredness and congestion.  The s/s persisted until 1 week before second vaccination.  The health dept told ct to postpone the 2nd vaccination until she felt better.  Ct also saw her general practitioner after 1st vaccine and was given a Z-pack.  Ct states she improved "a little bit".  Ct came in for 2nd vaccine on 4/15/09.  A couple of days after vaccination she had the same symptoms, swollen tonsils, cough and fatigue, but they were not as severe.  Ct came in for her 3rd dose on 5/6/09.  A couple of days after the 3rd dose she had swollen tonsils/glands and her cough is back and is producing phlegm this time.  Ct is planning to see a Dr again today to follow-up.
Age: 15.0
Sex: M
Vaccine: VARCEL
Symptoms: Cellulitis, Injection site erythema, Pain
Clinical narrative: Right outer aspect of arm extending light redness 100mm radiating from injection site with darker redness extending 50mm from injection site radially. Denies itchyness but complains of slight pain.
Age: 15.0
Sex: F
Vaccine: HPV4
Symptoms: Chest pain, Palpitations
Clinical narrative: developed chest pain and palpations after second gardasil vaccine. Cardiac evaluation is underway.  5/26/09 Medical records received DOS 12/30/08 - 5/13/09 FINAL DIAGNOSIS: Postural Hypotension, PACs Post vaccination presents with rapid health beat and chest pain. ICD-9 Codes: 31401 ATTN DEFICIT W HYPERACT, 3090 ADJUSTMENT DIS-DEPRESSED, 71946 JOINT PAIN-L/LEG.
Age: 10.0
Sex: F
Vaccine: VARCEL
Symptoms: Injection site erythema, Injection site pain, Injection site warmth, Skin lesion
Clinical narrative: Warm, erythamatous, tender lesion at injection site
Age: 11.0
Sex: F
Vaccine: MNQ, TDAP
Symptoms: Injection site erythema, Injection site induration, Injection site swelling, Injection site warmth
Clinical narrative: Rt arm swollen and knot the size of a quarter at first on5/13/09 pm.  Arm s/s increased and pt seen in ER and tx with Benadryl.  Mom reported on 5/15/09 am knot increased to size of a hamburger patty and became hard to touch and site was also red and warm to touch. Pt was seen in Doctors office that afternoon. Arm had improved size decrease slightly, not as hard to touch, not warm to touch.  Mom to continue with benadryl and warm compresses and rtc if site worsens.
Age: 4.0
Sex: M
Vaccine: DTAPIPV, MMR, VARCEL
Symptoms: Injection site pruritus, Injection site rash, No reaction on previous exposure to drug, Rash pruritic, Urticaria
Clinical narrative: Received 5 yo vaccines today, kinrix, MMR and var.  Rash developed about 20 minutes after they left the clinic.  Very itchy.  Started on neck and went to his leg and his arm.  Rash is on the left that MMR was given. The patient is a 4 year old male who presents with a complaint of a skin rash. Got KG vaccines an hour ago, and mom noted itchy rash at injection site and on chin and on arm. Feels ok, no trouble breathing. Got MMR on R leg. Mom feels like the rash was hives, as her other child has had hives. He is not egg allergic and feels good. Has had all other prior vaccines without problem.  Hives have now come and gone, but were present beneath chin, on R thigh medial to the injection site, and on R lateral elbow. He had a cough and crusty nose before shots and neither have worsened. He has no joint pain, odd oral sensations, shortness of breath, fever or malaise. Child recalls (and nurse Lainie concurs) that Lainie wore gloves to give Kinrix and Var in L thigh; he cannot recall if gloves were worn for R injection of MMR. No systemic signs of reaction, but mom gives a good hx of hives on the side of body where MMR was given. We have disc to watch for oral itching, cough, pallor, wheezing or any changes and to go directly to Ed if any occur. For tonight, I would avoid Benadryl unless he is actively itching so we can monitor the natural hx of the rash.
Age: 14.0
Sex: M
Vaccine: HEPA, HPV4, TDAP, VARCEL
Symptoms: Wrong drug administered
Clinical narrative: Patient was given Gardisil instead of Menactra
Age: 38.0
Sex: M
Vaccine: SMALL, TYP, SMALL, TYP
Symptoms: Chest pain, Electrocardiogram abnormal, Troponin I
Clinical narrative: Chest Pain  (786.59) 5-000009  6/10/09 Medical records received DOS 1/21/09 to 2/3/09. CLINICAL IMPRESSION: Palpitations resolved. Post vaccination patient c/o substernal chest pain and palpitations at rest. "Chest lightness', jaw pain, "I feel anxious". ICD-9 Code: Chest Pain  (786.59) 5-000009
Age: 38.0
Sex: M
Vaccine: SMALL, TYP, SMALL, TYP
Symptoms: Activated partial thromboplastin time shortened, Anxiety, Blood creatine phosphokinase increased, Blood glucose increased, Chest X-ray normal
Clinical narrative: Chest Pain  (786.59) 5-000009  6/10/09 Medical records received DOS 1/21/09 to 2/3/09. CLINICAL IMPRESSION: Palpitations resolved. Post vaccination patient c/o substernal chest pain and palpitations at rest. "Chest lightness', jaw pain, "I feel anxious". ICD-9 Code: Chest Pain  (786.59) 5-000009
Age: 38.0
Sex: M
Vaccine: SMALL, TYP, SMALL, TYP
Symptoms: Chest discomfort, Chest pain, Computerised tomogram abnormal, Electrocardiogram abnormal, Neutrophil count increased
Clinical narrative: Chest Pain  (786.59) 5-000009  6/10/09 Medical records received DOS 1/21/09 to 2/3/09. CLINICAL IMPRESSION: Palpitations resolved. Post vaccination patient c/o substernal chest pain and palpitations at rest. "Chest lightness', jaw pain, "I feel anxious". ICD-9 Code: Chest Pain  (786.59) 5-000009
Age: 38.0
Sex: M
Vaccine: SMALL, TYP, SMALL, TYP
Symptoms: Pain in jaw, Palpitations, Troponin I, White blood cell count increased
Clinical narrative: Chest Pain  (786.59) 5-000009  6/10/09 Medical records received DOS 1/21/09 to 2/3/09. CLINICAL IMPRESSION: Palpitations resolved. Post vaccination patient c/o substernal chest pain and palpitations at rest. "Chest lightness', jaw pain, "I feel anxious". ICD-9 Code: Chest Pain  (786.59) 5-000009
Age: 11.0
Sex: M
Vaccine: MNQ, MNQ
Symptoms: Arthropathy, Ataxia, Blood product transfusion, CSF protein increased, CSF white blood cell count increased
Clinical narrative: Within a few days of receiving Menactra vaccine, patient developed toe numbness then headache, nausea, followed by foot dragging, impaired joint position sense leading to ataxia.  He was admitted to Hospital.  Neurologist treated him with IVIG after diagnosing Chronic Inflammatory Demyelinating Polyneuropathy. His spinal fluid had Protein of 222 and WBC of 13. MRI is normal.  He had decreased appetite and required IV fluids.  After treatment with IVIG he was dischared on IV fluids at home (his mother is a doctor), a walker for balance.  7/1/09 Hospital records received DOS 4/30/09 to 5/22/09. Assessment: Guillain-Barre Syndrome/CIDP. Presented with paresthesias in both lower extremities, abnormal gait, headaches, vomiting. Dysautonomia, pseudotumor cerebri. IVIG. Hemolytic anemia. Pale, knees buckling, not feeling good. Nystagmus. Altered perception to touch, deep tendon refexes reduced. Unable to tolerate oral intake. Placed on total parenteral nutrition.
Age: 11.0
Sex: M
Vaccine: MNQ, MNQ
Symptoms: Chronic inflammatory demyelinating polyradiculoneuropathy, Decreased appetite, Demyelinating polyneuropathy, Gait disturbance, Headache
Clinical narrative: Within a few days of receiving Menactra vaccine, patient developed toe numbness then headache, nausea, followed by foot dragging, impaired joint position sense leading to ataxia.  He was admitted to Hospital.  Neurologist treated him with IVIG after diagnosing Chronic Inflammatory Demyelinating Polyneuropathy. His spinal fluid had Protein of 222 and WBC of 13. MRI is normal.  He had decreased appetite and required IV fluids.  After treatment with IVIG he was dischared on IV fluids at home (his mother is a doctor), a walker for balance.  7/1/09 Hospital records received DOS 4/30/09 to 5/22/09. Assessment: Guillain-Barre Syndrome/CIDP. Presented with paresthesias in both lower extremities, abnormal gait, headaches, vomiting. Dysautonomia, pseudotumor cerebri. IVIG. Hemolytic anemia. Pale, knees buckling, not feeling good. Nystagmus. Altered perception to touch, deep tendon refexes reduced. Unable to tolerate oral intake. Placed on total parenteral nutrition.
Age: 11.0
Sex: M
Vaccine: MNQ, MNQ
Symptoms: Hypoaesthesia, Intracranial pressure increased, Nausea, Nuclear magnetic resonance imaging normal, Walking aid user
Clinical narrative: Within a few days of receiving Menactra vaccine, patient developed toe numbness then headache, nausea, followed by foot dragging, impaired joint position sense leading to ataxia.  He was admitted to Hospital.  Neurologist treated him with IVIG after diagnosing Chronic Inflammatory Demyelinating Polyneuropathy. His spinal fluid had Protein of 222 and WBC of 13. MRI is normal.  He had decreased appetite and required IV fluids.  After treatment with IVIG he was dischared on IV fluids at home (his mother is a doctor), a walker for balance.  7/1/09 Hospital records received DOS 4/30/09 to 5/22/09. Assessment: Guillain-Barre Syndrome/CIDP. Presented with paresthesias in both lower extremities, abnormal gait, headaches, vomiting. Dysautonomia, pseudotumor cerebri. IVIG. Hemolytic anemia. Pale, knees buckling, not feeling good. Nystagmus. Altered perception to touch, deep tendon refexes reduced. Unable to tolerate oral intake. Placed on total parenteral nutrition.
Age: 11.0
Sex: M
Vaccine: MNQ, MNQ
Symptoms: White blood cell count increased
Clinical narrative: Within a few days of receiving Menactra vaccine, patient developed toe numbness then headache, nausea, followed by foot dragging, impaired joint position sense leading to ataxia.  He was admitted to Hospital.  Neurologist treated him with IVIG after diagnosing Chronic Inflammatory Demyelinating Polyneuropathy. His spinal fluid had Protein of 222 and WBC of 13. MRI is normal.  He had decreased appetite and required IV fluids.  After treatment with IVIG he was dischared on IV fluids at home (his mother is a doctor), a walker for balance.  7/1/09 Hospital records received DOS 4/30/09 to 5/22/09. Assessment: Guillain-Barre Syndrome/CIDP. Presented with paresthesias in both lower extremities, abnormal gait, headaches, vomiting. Dysautonomia, pseudotumor cerebri. IVIG. Hemolytic anemia. Pale, knees buckling, not feeling good. Nystagmus. Altered perception to touch, deep tendon refexes reduced. Unable to tolerate oral intake. Placed on total parenteral nutrition.
Age: 11.0
Sex: M
Vaccine: MNQ, MNQ
Symptoms: Ataxia, Blood product transfusion, CSF protein increased, Demyelinating polyneuropathy, Gait disturbance
Clinical narrative: Within a few days of receiving Menactra vaccine, patient developed toe numbness then headache, nausea, followed by foot dragging, impaired joint position sense leading to ataxia.  He was admitted to Hospital.  Neurologist treated him with IVIG after diagnosing Chronic Inflammatory Demyelinating Polyneuropathy. His spinal fluid had Protein of 222 and WBC of 13. MRI is normal.  He had decreased appetite and required IV fluids.  After treatment with IVIG he was dischared on IV fluids at home (his mother is a doctor), a walker for balance.  7/1/09 Hospital records received DOS 4/30/09 to 5/22/09. Assessment: Guillain-Barre Syndrome/CIDP. Presented with paresthesias in both lower extremities, abnormal gait, headaches, vomiting. Dysautonomia, pseudotumor cerebri. IVIG. Hemolytic anemia. Pale, knees buckling, not feeling good. Nystagmus. Altered perception to touch, deep tendon refexes reduced. Unable to tolerate oral intake. Placed on total parenteral nutrition.
Age: 11.0
Sex: M
Vaccine: MNQ, MNQ
Symptoms: Headache, Hypoaesthesia, Intracranial pressure increased, Nausea, Nuclear magnetic resonance imaging normal
Clinical narrative: Within a few days of receiving Menactra vaccine, patient developed toe numbness then headache, nausea, followed by foot dragging, impaired joint position sense leading to ataxia.  He was admitted to Hospital.  Neurologist treated him with IVIG after diagnosing Chronic Inflammatory Demyelinating Polyneuropathy. His spinal fluid had Protein of 222 and WBC of 13. MRI is normal.  He had decreased appetite and required IV fluids.  After treatment with IVIG he was dischared on IV fluids at home (his mother is a doctor), a walker for balance.  7/1/09 Hospital records received DOS 4/30/09 to 5/22/09. Assessment: Guillain-Barre Syndrome/CIDP. Presented with paresthesias in both lower extremities, abnormal gait, headaches, vomiting. Dysautonomia, pseudotumor cerebri. IVIG. Hemolytic anemia. Pale, knees buckling, not feeling good. Nystagmus. Altered perception to touch, deep tendon refexes reduced. Unable to tolerate oral intake. Placed on total parenteral nutrition.
Age: 79.0
Sex: F
Vaccine: VARZOS
Symptoms: Erythema, Tenderness
Clinical narrative: Patient presented 24 hours later with redness about the size of a half dollar, with tenderness to the touch.  Recommended cool compresses and treating localized symptoms.  Will follow up with Physician.
Age: 13.0
Sex: F
Vaccine: HEPA, MNQ, TDAP, VARCEL
Symptoms: Urticaria
Clinical narrative: 3 RED "WELTS" ON LT ARM TOWARDS THE OUTSIDE-MENACTRA GIVEN IM ON OUTER ASPECT OF DELTOID MUSCLE & HEP A GIVEN TOWARDS INNER ASPECT OF DELTOID
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site induration, Injection site warmth
Clinical narrative: 4 year 7 month old male presents with c/o Skin Check: for 4 days had Immunizations on 4/17/09 and now has a red, hard, warm to touch area below injection site.
Age: 40.0
Sex: F
Vaccine: PPV
Symptoms: Erythema, Oedema, Pain, Pruritus, Skin warm
Clinical narrative: New admission from E.R., recieved Pneumovax in ER, c/o R tricep swelling, pain, itching, observed swelling, edema, warmth, redness, notified Dr., ordered Benadryl 25mg po x1, administered Bbenadryl and placed cold pack on arm.
Age: 40.0
Sex: F
Vaccine: PPV
Symptoms: Swelling
Clinical narrative: New admission from E.R., recieved Pneumovax in ER, c/o R tricep swelling, pain, itching, observed swelling, edema, warmth, redness, notified Dr., ordered Benadryl 25mg po x1, administered Bbenadryl and placed cold pack on arm.
Age: 17.0
Sex: F
Vaccine: HPV4
Symptoms: Headache, Musculoskeletal stiffness
Clinical narrative: Student came in to my office 5/15/09 1350 to report neck stiffness and head pressure that started 5/15/09 PM.
Age: 13.0
Sex: F
Vaccine: MNQ, VARCEL
Symptoms: Dyskinesia, Gaze palsy, Loss of consciousness, Musculoskeletal stiffness, Opisthotonus
Clinical narrative: Patient was given MCV4 and Var #2 in her left arm.  Mom stated that patient had a history of feeling light headed with any type of procedure/lab test.  Approx 40 sec. after shots were given and covered with a bandaide, I asked the patient if she felt okay.  She and her mother stated she did much better than she did when she was younger.  I had her stand up from the table before she left, at that time I noticed her color changing.  I immediately sat her in a nearby chair and was getting a cool cloth when her body stiffened and eyes rolled back into her head.  Her arms were contracting, back was arched and she did not respond to verbal or tactile stimulus.  She had loss of consciousness for about 15 - 20 seconds.  After waking, she responded appropriately to questions from Dr.  We had her drink some fruit juice and wait another 10 minutes, then I walked in the hall with her.  She and her mother left, she was feeling fine.
Age: 13.0
Sex: F
Vaccine: MNQ, VARCEL
Symptoms: Unresponsive to stimuli
Clinical narrative: Patient was given MCV4 and Var #2 in her left arm.  Mom stated that patient had a history of feeling light headed with any type of procedure/lab test.  Approx 40 sec. after shots were given and covered with a bandaide, I asked the patient if she felt okay.  She and her mother stated she did much better than she did when she was younger.  I had her stand up from the table before she left, at that time I noticed her color changing.  I immediately sat her in a nearby chair and was getting a cool cloth when her body stiffened and eyes rolled back into her head.  Her arms were contracting, back was arched and she did not respond to verbal or tactile stimulus.  She had loss of consciousness for about 15 - 20 seconds.  After waking, she responded appropriately to questions from Dr.  We had her drink some fruit juice and wait another 10 minutes, then I walked in the hall with her.  She and her mother left, she was feeling fine.
Age: 25.0
Sex: F
Vaccine: HPV4, HPVX
Symptoms: Drug exposure during pregnancy, Foetal disorder
Clinical narrative: I had only experienced a short duration of minor pain and redness at injection site each time the vaccine was administered. I was pregnant during my last vaccination on 05/08/2008.  On 1/22/09 I delivered a son at 6 lb 8 oz.  On 1/23/09 Dr. discovered that my son had a right testicular torsion which occurred while in womb because the testicle was already considered dead and my son was not experiencing pain. My son's right testicle had to be removed and the left testicle was stitched into place to prevent  future twisting of the left testicle.   At the time of vaccination I was unaware I was pregnant. Dr. was not informed of this concern due to my pregnancy being transferred to another Dr.
Age: 25.0
Sex: F
Vaccine: HPV4, HPVX
Symptoms: Drug exposure during pregnancy, Foetal disorder, Injection site erythema, Injection site pain
Clinical narrative: I had only experienced a short duration of minor pain and redness at injection site each time the vaccine was administered. I was pregnant during my last vaccination on 05/08/2008.  On 1/22/09 I delivered a son at 6 lb 8 oz.  On 1/23/09 Dr. discovered that my son had a right testicular torsion which occurred while in womb because the testicle was already considered dead and my son was not experiencing pain. My son's right testicle had to be removed and the left testicle was stitched into place to prevent  future twisting of the left testicle.   At the time of vaccination I was unaware I was pregnant. Dr. was not informed of this concern due to my pregnancy being transferred to another Dr.
Age: 16.0
Sex: F
Vaccine: VARCEL
Symptoms: Erythema, Swelling, Urticaria
Clinical narrative: 10 X 9 welt with swelling and redness within 4-6 hours after immunization
Age: 2.0
Sex: F
Vaccine: PNC
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: (L) upper arm injection site swelling but not painful, with some redness.
Age: 1.0
Sex: M
Vaccine: MMR, PNC, VARCEL
Symptoms: Injection site erythema, Injection site rash
Clinical narrative: Developed erythematous rash at site of vaccine.
Age: 0.6
Sex: F
Vaccine: IPV, PNC, VARCEL
Symptoms: Eye swelling, Urticaria
Clinical narrative: Woke up day after shot with a rash widespread over the body and some puffiness to her eyes. Urticaria.
Age: 25.0
Sex: F
Vaccine: HEPA, PPV, TDAP
Symptoms: Local reaction, Myalgia, Pain in extremity, Pyrexia
Clinical narrative: Seriousness Criteria: Other- Medically Significant. Initial report received from another manufacturer (other manufacturer's control number: WAES 0904USA04463). The other manufacturer had received the original report from a physician assistant. The following is verbatim from the report: "Information has been received from a physician assistant concerning a 25 year old female with diabetes, hypothyroidism, sulfonamide allergy and penicillin allergy, who on 21-APR-2009 was vaccinated with PNEUMOVAX 23, 0.5mL IM left deltoid, (lot#: 662664/0981X). Concomitant therapy included SYNTHROID 0.15mg (manufacturer unknown), NOVOLOG (Manufacturer unknown) and LANTUS (manufacturer unknown). On 22-APR-2009, the physician reported, the patient had a significant left arm local reaction that was the size of a small orange. The patient also had fever of 102F and myalgias and had significant left arm pain. The physician assistant felt intervention to prevent serious criteria was prednisone and ibuprofen 800 mg for pain (manufacturer unknown). Also, the physician assistant would like a lot check on 0981X. The significant left arm pain was considered to be disabling. Follow-up has been received from the physician assistant who reported other vaccines administered on the same day (on 21-APR-2009); ADACEL (lot # AC52B024DB) (manufacturer unknown) in left deltoid and HAVRIX (lot # AHVB285AB) (manufacturer unspecified) in right deltoid. This is a one of several reports received from the same source. A lot check has been initiated. Additional information has been requested." It was noted that the lot number provided in the above narrative for the ADACEL vaccine (lot number: AC52B024DB) is not a valid Sanofi Pasteur lot number. Documents held by sender: None
Age: 5.0
Sex: U
Vaccine: DTAPHEPBIP
Symptoms: Injection site erythema, Injection site warmth
Clinical narrative: L thigh 7X9 cm, warm, erythematous area @ previous injection site. Mom states area doubled since injection.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Erythema, Local reaction
Clinical narrative: 4" x 5" red reaction right thigh.
Age: 13.0
Sex: F
Vaccine: HEPA, HPV4, MNQ, VARCEL, HEPA, HPV4, MNQ, VARCEL, HEPA, HPV4, MNQ, VARCEL, HEPA, HPV4, MNQ, VARCEL
Symptoms: Fall, Pallor, Syncope, Tremor
Clinical narrative: This case was reported by a healthcare professional and described the occurrence of fainting in a 13-year-old female subject who was vaccinated with HAVRIX (GlaxoSmithKline), MENACTRA (non-gsk) (Sanofi Pasteur), GARDASIL (non-gsk) (Merck) and VARIVAX (non-gsk) (Merck). On 12 May 2009 at 15:30 the subject received 1st dose of HAVRIX (unknown route, left arm). On 12 May 2009 the subject also received 1st dose of MENACTRA (Non-GSK) (details unknown), 1st dose of GARDASIL (Non-GSK) (details unknown), and 2nd dose of VARIVAX (Non-GSK) (details unknown). On 12 May 2009, 52 minutes after vaccination with HAVRIX, and less than one day after vaccination with GARDASIL (Non-GSK), MENACTRA (Non-GSK) and VARIVAX (Non-GSK), the subject experienced fainting, became pale and shaky, and fell. She had to sit for 10 minutes with her head between her legs and was given an energy bar and an unspecified drink. This case was assessed as medically serious by GSK. At the time of reporting the events were resolved.
Age: 13.0
Sex: F
Vaccine: HEPA, HPV4, MNQ, VARCEL, HEPA, HPV4, MNQ, VARCEL, HEPA, HPV4, MNQ, VARCEL, HEPA, HPV4, MNQ, VARCEL
Symptoms: Loss of consciousness, Syncope
Clinical narrative: This case was reported by a healthcare professional and described the occurrence of fainting in a 13-year-old female subject who was vaccinated with HAVRIX (GlaxoSmithKline), MENACTRA (non-gsk) (Sanofi Pasteur), GARDASIL (non-gsk) (Merck) and VARIVAX (non-gsk) (Merck). On 12 May 2009 at 15:30 the subject received 1st dose of HAVRIX (unknown route, left arm). On 12 May 2009 the subject also received 1st dose of MENACTRA (Non-GSK) (details unknown), 1st dose of GARDASIL (Non-GSK) (details unknown), and 2nd dose of VARIVAX (Non-GSK) (details unknown). On 12 May 2009, 52 minutes after vaccination with HAVRIX, and less than one day after vaccination with GARDASIL (Non-GSK), MENACTRA (Non-GSK) and VARIVAX (Non-GSK), the subject experienced fainting, became pale and shaky, and fell. She had to sit for 10 minutes with her head between her legs and was given an energy bar and an unspecified drink. This case was assessed as medically serious by GSK. At the time of reporting the events were resolved.
Age: 13.0
Sex: F
Vaccine: HEPA, HPV4, MNQ, VARCEL, HEPA, HPV4, MNQ, VARCEL, HEPA, HPV4, MNQ, VARCEL, HEPA, HPV4, MNQ, VARCEL
Symptoms: Immediate post-injection reaction, Pallor, Syncope
Clinical narrative: This case was reported by a healthcare professional and described the occurrence of fainting in a 13-year-old female subject who was vaccinated with HAVRIX (GlaxoSmithKline), MENACTRA (non-gsk) (Sanofi Pasteur), GARDASIL (non-gsk) (Merck) and VARIVAX (non-gsk) (Merck). On 12 May 2009 at 15:30 the subject received 1st dose of HAVRIX (unknown route, left arm). On 12 May 2009 the subject also received 1st dose of MENACTRA (Non-GSK) (details unknown), 1st dose of GARDASIL (Non-GSK) (details unknown), and 2nd dose of VARIVAX (Non-GSK) (details unknown). On 12 May 2009, 52 minutes after vaccination with HAVRIX, and less than one day after vaccination with GARDASIL (Non-GSK), MENACTRA (Non-GSK) and VARIVAX (Non-GSK), the subject experienced fainting, became pale and shaky, and fell. She had to sit for 10 minutes with her head between her legs and was given an energy bar and an unspecified drink. This case was assessed as medically serious by GSK. At the time of reporting the events were resolved.
Age: 76.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site pain, Injection site warmth
Clinical narrative: Patient received vaccine 5-8-09; noticed erythema, tenderness and warmth 5-9-09 (10x10 cm area at injection site). Doctor visit 5-11-09. Prescription for KEFLEX 500 mg 3x day x 7 days.
Age: 3.0
Sex: M
Vaccine: DTAP
Clinical narrative: Have noticed redness @ swelling to right deltoid area this morning.
Age: 5.0
Sex: M
Vaccine: HEPA
Symptoms: Flushing, Immediate post-injection reaction, Injection site inflammation
Clinical narrative: Red area of inflammation occurred immediately after injection given at injection site. Red are had pin point areas and facial areas also flushed. MD notified and he gave instructions to no give further vaccines and continue to observe. Pulse and resp WNL. Lungs clear. Redness resolved. Mom said possible allergies/asthma - no swelling - no coughing - no wheezing. Referred to FMP for evaluation - FMP notified as well.
Age: 5.0
Sex: F
Vaccine: DTAP
Symptoms: Injection site erythema, Injection site induration
Clinical narrative: Indurated red skin in roughly rectangular shape over left anterior thigh surrounding the injection site. About 9cm x 5cm. Emerged 6 days after vaccination. No fever.
Age: 13.0
Sex: F
Vaccine: HPV4, IPV, MMR, MNQ, TDAP, VARCEL
Symptoms: Cold sweat, Dizziness, Pallor, Vomiting
Clinical narrative: 1:35 Pt complaints of dizziness, Pt put head on desk.  At 1:38 pt vomited small amt, color pale, clammy, alert oriented B/P 100/72 - Pt states she is hungry.  Juice + cereal offered & taken is problem.  Pt states she is good - color normal.  B/P 98/64 - Seen by MD & left with no acute distress.
Age: 78.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site pain, Injection site pruritus
Clinical narrative: 12-18 Hours after receiving injection size 2X2 inch in circumference pruritus, pain + Erythema Tx Benadryl + Cold compress.
Age: 4.0
Sex: F
Vaccine: DTAPIPVHIB, PPV
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Developed 4.5mm x 5mm areas + redness, swelling and tenderness at site of injection L upper thigh. No significant systemic reactions due to vaccine.
Age: 4.0
Sex: M
Vaccine: DTAPIPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site oedema, Injection site pain
Clinical narrative: Local reaction Left deltoid; erythema/ edema and pain.
Age: 53.0
Sex: F
Vaccine: TDAP
Symptoms: Erythema, Oedema peripheral, Pain in extremity
Clinical narrative: Arm sore, red and swollen.
Age: 14.0
Sex: F
Vaccine: HPV4, HPV4, HPVX, HPV4
Symptoms: Activities of daily living impaired, Anorexia, Borrelia burgdorferi serology negative, Dizziness, Epstein-Barr virus antibody negative
Clinical narrative: Severe sore throat, followed by "migraine" type headache photophobia, inablity to eat, sleep,dizziness ,nausea.15 lb. weight loss, unable to read, INABILTY to walk without teetering from side side. Unable to attend school for past 21/2 months Wheelchair at present. receiving PT. different type medicine including Immetrix, lortabs, topamax elevil It should be noted there are other girls we know of from different ped. practices with very similiar systoms same lot # of gardsil vaccine this is the ONLY thing the girls have in common. Listed below first dose of Garasil was given 08/26/2008
Age: 14.0
Sex: F
Vaccine: HPV4, HPV4, HPVX, HPV4
Symptoms: Gait disturbance, Insomnia, Migraine, Nausea, Nuclear magnetic resonance imaging normal
Clinical narrative: Severe sore throat, followed by "migraine" type headache photophobia, inablity to eat, sleep,dizziness ,nausea.15 lb. weight loss, unable to read, INABILTY to walk without teetering from side side. Unable to attend school for past 21/2 months Wheelchair at present. receiving PT. different type medicine including Immetrix, lortabs, topamax elevil It should be noted there are other girls we know of from different ped. practices with very similiar systoms same lot # of gardsil vaccine this is the ONLY thing the girls have in common. Listed below first dose of Garasil was given 08/26/2008