chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 4.0
Sex: F
Vaccine: DPP, IPV, MMR, TTOX
Symptoms: Abdominal pain upper, Auricular swelling, Cough, Eye swelling, Hypersensitivity
Clinical narrative: My daughter has a allergy to eggs, yesterday june 16  2008 she received her 4 years vaccine (MMR), (POLIO) and (DIPHTHERIA, TETANUS and PERTUSSIS) and shortly after having her vaccines (15-20) she had and allergy reacction to the medicine I was told the she react to the MMR vaccine the contains egg, she was coughing, stomach cramps, itchy rash, swelling of the eyes, face, ears. this happen in my way home, when back to the facility and the give her, epi, benadryl and openex. after that they call, 911 and send us to the Hospital where they give her albuterol 3 treatments, and prednisolone. the Primary Provider there was MD, ED Attending, and the Primary Nurse was RN, Registered Nurse. 7/21/08-records received for DOS:6/16/08-DC DX: Anaphylaxis. Presented to ED with shortness of breath times two hours. Wheezing, peri-oral urticaria, non-productive cough, face and ears turning purple.
Age: 4.0
Sex: F
Vaccine: DPP, IPV, MMR, TTOX
Symptoms: Rash pruritic, Swelling face
Clinical narrative: My daughter has a allergy to eggs, yesterday june 16  2008 she received her 4 years vaccine (MMR), (POLIO) and (DIPHTHERIA, TETANUS and PERTUSSIS) and shortly after having her vaccines (15-20) she had and allergy reacction to the medicine I was told the she react to the MMR vaccine the contains egg, she was coughing, stomach cramps, itchy rash, swelling of the eyes, face, ears. this happen in my way home, when back to the facility and the give her, epi, benadryl and openex. after that they call, 911 and send us to the Hospital where they give her albuterol 3 treatments, and prednisolone. the Primary Provider there was MD, ED Attending, and the Primary Nurse was RN, Registered Nurse. 7/21/08-records received for DOS:6/16/08-DC DX: Anaphylaxis. Presented to ED with shortness of breath times two hours. Wheezing, peri-oral urticaria, non-productive cough, face and ears turning purple.
Age: 12.0
Sex: F
Vaccine: HPV4
Symptoms: Injection site pain, Injection site urticaria, Injection site warmth, Urticaria
Clinical narrative: DIFFUSE HIVES COVERING ENTIRE BODY & FACE, MORE CONCENTRATED ON ARM WERE INJECTION GIVEN, PAIN AT SITE, WARM TO TOUCH. HIVES STARTED AT APPROX. 5PM AND GOT WORSE AS THE NIGHT WENT ON. TX- BENDRYL ZANTAC, PRELONE.
Age: 15.0
Sex: F
Vaccine: HEPA, HPV4, MNQ
Symptoms: Syncope
Clinical narrative: Patient fainted and quickly recovered. The fainting spell lasted approximately 15 seconds. Patient was monitored for 20 minutes after fainting spell occurred. No further incidents were monitored during that time.
Age: 26.0
Sex: F
Vaccine: MMR
Symptoms: Drug exposure during pregnancy
Clinical narrative: Patient attended Adult Immunization Clinic on 5/28/2008.  Patient requested MMR vaccine for employment purposes.  Patient appropriately screened for pregnancy and denied pregnancy.  Patient counseled regarding postponing pregnancy for 4 weeks following receipt of live virus vaccine.  Vaccine administrator notified on 6/17/2008 from a RN at patients medical provider, that patient is 6 weeks pregnant.  Vaccine administrator provided counselling regarding receipt of MMR vaccine during pregnancy, quoting 2007 Epidemilogy and Prevention of Vaccine Preventable Diseases - Pink Book.  Medical provider instructed to provide individual counseling to patient.  Otherwise, no adverse event or untoward symptoms have occured as of this writing.
Age: 18.0
Sex: M
Vaccine: HEP, MNQ
Symptoms: Disorientation, Gaze palsy, Pallor, Unresponsive to stimuli
Clinical narrative: After administration of menactra, the patient laid back on the exam table; eyes rolled back, arms flexed; and patient was nonresponsive and very pale.  This lasted less than one minute.  When patient came to, he stood up and was very disoriented for a few minutes.  Once I was able to get him to sit back down on the exam table, he was able to hear me and was able to talk to me and make sense.  He said that he just felt as if he were dreaming or something. He said that he hadn't had anything to eat this morning, so I did give him some orange juice.  After about 5 minutes, he started getting some color back in his lips and said he was feeling OK.
Age: 1.33
Sex: M
Vaccine: DTAP, PNC
Symptoms: Anorexia, Cough, Pyrexia
Clinical narrative: About one hour after receiving vaccine child beganto have hacking cough, fever, no appetite. ER visit 06/14/08.  06/17/08 child is better, eating well but still has cough.
Age: 24.0
Sex: F
Vaccine: VARCEL
Symptoms: Injection site bruising, Injection site erythema, Injection site pain, Injection site pruritus, Injection site swelling
Clinical narrative: Varivax given sq in Emp Health on 5/29/2008 due to low titer. on 6/10/2008 employee noticed pain and itching at injection site.  Presented to Emp Health Dept on 6/12,  40X55cm area of erythema, slightly raised wiht clean margins, hot and itching.  No vesicles seen. Beige spot directly where injection given. Seen in Acute care by MD, prescribed doxicycline and zyrtec.  ?cellulitis.
Age: 24.0
Sex: F
Vaccine: VARCEL
Symptoms: Injection site warmth
Clinical narrative: Varivax given sq in Emp Health on 5/29/2008 due to low titer. on 6/10/2008 employee noticed pain and itching at injection site.  Presented to Emp Health Dept on 6/12,  40X55cm area of erythema, slightly raised wiht clean margins, hot and itching.  No vesicles seen. Beige spot directly where injection given. Seen in Acute care by MD, prescribed doxicycline and zyrtec.  ?cellulitis.
Age: 71.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site pain, Injection site warmth
Clinical narrative: 3 DAYS AFTER ADMINISTRATION PATIENT PRESENTED WITH A HALF-DOLLAR SIZED RED/WARM/ACHY AREA APPEARED AT INJECTION SITE. RECOMMENDED MD VISIT TO CHECK.
Age: 70.0
Sex: M
Vaccine: VARZOS
Symptoms: Pruritus
Clinical narrative: Itching on trunk, back, and groin, starting about 5 days after administration of vaccine.  No significant rash.
Age: 31.0
Sex: M
Vaccine: HEP, HEPA, IPV, MNQ, TDAP
Symptoms: Chills, Pyrexia
Clinical narrative: Pt received vaccines late afternoon, played sports in early evening, and during the night began to experience fever(102.9) and chills. These continued through the night and into the next day with fever breaking during the afternoon.
Age: 10.0
Sex: M
Vaccine: VARCEL
Symptoms: Injection site erythema, Injection site induration, Injection site pain, Injection site warmth, Otitis media acute
Clinical narrative: Patient received 2nd Varivax on 6/9/08 as part of a well-child exam.  Within 24 hours (6/10/08), parent noticed erythema, tenderness, warmth, and a "baseball-sized knot" at injection site (Left thigh); also mild fever. Mom notified office on 6/10/2008.  Physician advised mom to use cold compresses and motrin and to continue to monitor.  6/11/2008:  Day 2 after injection, mom called back to office--no improvement of symptoms; continued redness, tenderness and fever (max 102), so advised immediate appt for same-day, 6/11/2008.  Office Visit 6/11/2008:  Physician prescribed Cephalexin 250mg/5ml, to take 3 teaspoons q 12 hours x 7 days.  May also use Tylenol PRN.  VAERS report to be filed.
Age: 10.0
Sex: M
Vaccine: VARCEL
Symptoms: Pyrexia, Upper respiratory tract infection
Clinical narrative: Patient received 2nd Varivax on 6/9/08 as part of a well-child exam.  Within 24 hours (6/10/08), parent noticed erythema, tenderness, warmth, and a "baseball-sized knot" at injection site (Left thigh); also mild fever. Mom notified office on 6/10/2008.  Physician advised mom to use cold compresses and motrin and to continue to monitor.  6/11/2008:  Day 2 after injection, mom called back to office--no improvement of symptoms; continued redness, tenderness and fever (max 102), so advised immediate appt for same-day, 6/11/2008.  Office Visit 6/11/2008:  Physician prescribed Cephalexin 250mg/5ml, to take 3 teaspoons q 12 hours x 7 days.  May also use Tylenol PRN.  VAERS report to be filed.
Age: 0.33
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Rash
Clinical narrative: MINUTES AFTER IMMUNIZATIONS GIVEN, CHILD BROKE OUT IN RASH OVER FACE, TRUNK, AND LEGS.
Sex: M
Vaccine: HEP
Symptoms: Unevaluable event
Clinical narrative: Test
Age: 22.0
Sex: F
Vaccine: ANTH
Symptoms: Chest discomfort, Chills, Dizziness, Dyskinesia, Dyspnoea
Clinical narrative: At approx. 08:00 this morning,  the patient arrived to facility, was processed and screened for her 2nd dose of Antrax Vaccine in her left deltoid region. She sat in the waiting area for 20 minutes and was released without incident. She said approx. 12:00, she experienced chills & fever, nausea, dizziness, difficulty breathing, tightness in her chest, neck pain, pain in her right eye and right arm and uncontrollable jerking and twitching. She was assessed by Dr. Treatment: IV of Lactated Ringers, 02 via nasal cannula, and Phenergan 25 mg at 14:35hr. Pt was transferred at 15:00 to Hospital. 6/27/08-ER records received for DOS 6/17/08-Impression: allergic reaction to Anthrax vaccine. C/O diffuse body pain, sudden onset of chest tight, PE WNL. Treated with Promethazine, symptoms improved.
Age: 22.0
Sex: F
Vaccine: ANTH
Symptoms: Eye pain, Muscle twitching, Nausea, Neck pain, Pain in extremity
Clinical narrative: At approx. 08:00 this morning,  the patient arrived to facility, was processed and screened for her 2nd dose of Antrax Vaccine in her left deltoid region. She sat in the waiting area for 20 minutes and was released without incident. She said approx. 12:00, she experienced chills & fever, nausea, dizziness, difficulty breathing, tightness in her chest, neck pain, pain in her right eye and right arm and uncontrollable jerking and twitching. She was assessed by Dr. Treatment: IV of Lactated Ringers, 02 via nasal cannula, and Phenergan 25 mg at 14:35hr. Pt was transferred at 15:00 to Hospital. 6/27/08-ER records received for DOS 6/17/08-Impression: allergic reaction to Anthrax vaccine. C/O diffuse body pain, sudden onset of chest tight, PE WNL. Treated with Promethazine, symptoms improved.
Age: 22.0
Sex: F
Vaccine: ANTH
Symptoms: Pyrexia
Clinical narrative: At approx. 08:00 this morning,  the patient arrived to facility, was processed and screened for her 2nd dose of Antrax Vaccine in her left deltoid region. She sat in the waiting area for 20 minutes and was released without incident. She said approx. 12:00, she experienced chills & fever, nausea, dizziness, difficulty breathing, tightness in her chest, neck pain, pain in her right eye and right arm and uncontrollable jerking and twitching. She was assessed by Dr. Treatment: IV of Lactated Ringers, 02 via nasal cannula, and Phenergan 25 mg at 14:35hr. Pt was transferred at 15:00 to Hospital. 6/27/08-ER records received for DOS 6/17/08-Impression: allergic reaction to Anthrax vaccine. C/O diffuse body pain, sudden onset of chest tight, PE WNL. Treated with Promethazine, symptoms improved.
Age: 0.17
Sex: F
Vaccine: DTPIHI
Symptoms: Crying
Clinical narrative: Prolonged crying for about 9 hours, following 1st series of immunization. Mom gave tylenol which seems to help.
Age: 0.75
Sex: M
Vaccine: HBHEPB, IPV
Symptoms: Injection site erythema, Injection site swelling, Local reaction
Clinical narrative: Local reaction with redness and swelling at injection site.
Age: 12.0
Sex: F
Vaccine: HPV4, VARCEL, HPV4, VARCEL
Symptoms: Syncope
Clinical narrative: Pt given HPV vaccine IM injection as well as Varicella SQ injection. Pt had syncope at check out desk and required staff intervention.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Swelling and redness at injection sited on 6/12/2008. Left thigh silver dollar size- right thigh quarter size. Went to after hours clinic on 6/14/2008 because Left thigh now has painful, red, hot swelling baseball size. Prednisone once a day  x 3 days and Benadryl prescribed by after hours clinic.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV
Symptoms: Injection site erythema, Injection site induration, Injection site swelling
Clinical narrative: RECEIVED DTaP &IPV ON 6/9/08.DEVELOPED SWELLING & REDNESS ON LEFT ARM.WAS PLACED ON AUGMENTIN FOR POSSIBLE CELLULITIS OR ADVERSE REACTION. WAS SEEN AGAIN ON 6/11/08. THOUGH SWELLING INCREASED, INDURATION HAD RESOLVED & LOOKED BETTER. ADVISED TO CONT AUGMENTIN, & FU PRN .WE CALLED & LEFT MESSAGE TO CALL US HOW CHILD WAS.
Age: 65.0
Sex: M
Vaccine: PPV, TD, VARZOS
Symptoms: Dizziness, Influenza, Mass, Nausea, Pain in extremity
Clinical narrative: Patient noticed that his right arm was sore on 6-10 about 6 pm.  On 6-12 he noticed a lump on his right arm and experienced nausea and dizziness, "like the flu".  These symptoms continued for a day and a half.  The pain is now gone. He can still feel a lump.
Age: 15.0
Sex: F
Vaccine: HEP, HPV4, MEN, MMR
Symptoms: Caesarean section, Drug exposure during pregnancy, Labour complication, Smear cervix abnormal, Ultrasound scan normal
Clinical narrative: Information has been received from a physician assistant concerning a female (age not reported) with a history of abnormal Papanicolaou smear (CINI) who on 25-JUL-2007 was vaccinated with a dose of GARDASIL (lot # 654741/1208F) and was 5 weeks pregnant.  The patient's last menstrual period was reported to be on 24-JUN-2007 and an estimated delivery date of 30-MAR-2008.  Concomitant therapy vaccination included MMR, vitamins (unspecified), hepatitis B virus vaccine (unspecified) and meningococcal vaccine (unspecified).  On 23-AUG-2007 an ultrasound was performed with normal results.  A "full prenatal panel" was also performed with an abnormal PAP smear.  The patient's status was reported as "good".  Follow up information received on 09-JUN-2008.  The physician assistant reported that the patient gave birth to a baby boy at 40 weeks gestation.  He was 8lbs 8oz and Apgars were 7 and 8.  He is healthy and normal and there were no gross anomalies listed.  It was reported that the mother did have a c-section for failure to progress and no dilation, but there were no complications.  Upon internal review c-section for failure to progress and no dilation was considered to be an other medical event.  Additional information is not expected.
Age: 26.0
Sex: F
Vaccine: FLU3
Symptoms: Biopsy bone marrow normal, Biopsy liver normal, Hepatic enzyme increased, Malaise, Pyrexia
Clinical narrative: This case was received from a consumer on 03 June 2008.  A 26-year-old female patient, with no medical history, received a first injection of FLUZONE (lot number U1128AA) on 15 November 2003.  In December 2003, the patient reported feeling unwell.  On 02 December 2003, she experienced a fever of 102 degrees.  Subsequent laboratory testing revealed elevated liver enzymes; per the patient, her blood work was "all off".  A liver biopsy was negative for "auto immune attacks", and a bone marrow biopsy was negative for leukemia and lymphoma.  According to the reporter, the event had resulted in prolongation of hospitalization.  The event had not yet resolved.
Age: 0.4
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Full blood count normal, Metabolic function test normal, Oral intake reduced, Pyrexia, Screaming
Clinical narrative: Vomiting, fever 5 days following 4 month immunizations. also had vomiting after 2 month immunizations - decreased PO, screaming.  06/18/2008 MR received for DOS 6/2-6/2008 with D/C DX: Gastroesophageal reflux and vomiting, questionable hypertension.  Infant presented with 4 day hx of vomiting, fever and high pitched screaming.(Similar episode after 2 mon vax without high pitched screaming.) Admitted due to impending dehydration and eval of GERD.  PE (+) for irritability and lethargy. Tx with IVF and Prevacid for GERD with good response. ? HTN with auto cuffs, WNL manually. Will f/u as outpt.
Age: 0.4
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Vaccine positive rechallenge, Vomiting
Clinical narrative: Vomiting, fever 5 days following 4 month immunizations. also had vomiting after 2 month immunizations - decreased PO, screaming.  06/18/2008 MR received for DOS 6/2-6/2008 with D/C DX: Gastroesophageal reflux and vomiting, questionable hypertension.  Infant presented with 4 day hx of vomiting, fever and high pitched screaming.(Similar episode after 2 mon vax without high pitched screaming.) Admitted due to impending dehydration and eval of GERD.  PE (+) for irritability and lethargy. Tx with IVF and Prevacid for GERD with good response. ? HTN with auto cuffs, WNL manually. Will f/u as outpt.
Age: 6.0
Sex: F
Vaccine: HEPA, VARCEL
Symptoms: Anaphylactic reaction, Angioedema, Cough, Immediate post-injection reaction, Respiratory disorder
Clinical narrative: Pt had coughing and gagging within minutes of Hep A and VZV vaccines. Within 10 minutes had wheezing and urticaria all over her body and respiratory compromises. Given 20mg of Diphenhydramine IM. Ambulance arrived and taken to ER. Pt had severe angioedema almost requiring intubation but resolved with epinephrine and Solumedrol. Admitted to hospital for continued treatment and discharged after 24 hours on steroids, antihistamines and epi. pen. Will also see allergist.  7/17/2008 MR received for DOS 6/2-/2008 with DX: Allergic reaction with angioedema and anaphylaxis. Pt presented to ER from MD's office . Pt developed hives, breathing and swallowing difficulty, rash, itching and swelling which began just after receipt of Hep A and Varicella vax. PE (+) for facial angioedema, muffled voice, drooling and urticaria. Sx resolving with Epi, Benadryl, solumedrol. Admitted o/n for observation.
Age: 6.0
Sex: F
Vaccine: HEPA, VARCEL
Symptoms: Retching, Urticaria, Wheezing
Clinical narrative: Pt had coughing and gagging within minutes of Hep A and VZV vaccines. Within 10 minutes had wheezing and urticaria all over her body and respiratory compromises. Given 20mg of Diphenhydramine IM. Ambulance arrived and taken to ER. Pt had severe angioedema almost requiring intubation but resolved with epinephrine and Solumedrol. Admitted to hospital for continued treatment and discharged after 24 hours on steroids, antihistamines and epi. pen. Will also see allergist.  7/17/2008 MR received for DOS 6/2-/2008 with DX: Allergic reaction with angioedema and anaphylaxis. Pt presented to ER from MD's office . Pt developed hives, breathing and swallowing difficulty, rash, itching and swelling which began just after receipt of Hep A and Varicella vax. PE (+) for facial angioedema, muffled voice, drooling and urticaria. Sx resolving with Epi, Benadryl, solumedrol. Admitted o/n for observation.
Age: 1.1
Sex: F
Vaccine: MMR, VARCEL, MMR, VARCEL
Symptoms: Cough, Drooling, Erythema, Immediate post-injection reaction, Injection site erythema
Clinical narrative: Immediately after giving vaccine, erythema of 8 cm appeared and began to spread. The patient began to cough, gag and drool. The nurse practitioner administered epinephrine IM after seeing a compromised airway. Pt. began to move air better and turn pink. Pt given dexamethasone 8 mg IM and admitted for 23 hr observation.  7/15/2008 MR received for DOS 6/10/2008 with D/C DX:  Anaphylaxis after MMR vaccine. Immediatley after MMR surrounding area became red, face turned red, Pt coughing and unable to catch breath. (+) stridor. Tx with epipen, O2, Steroids and Benadryl with resolution
Age: 1.1
Sex: F
Vaccine: MMR, VARCEL, MMR, VARCEL
Symptoms: Retching
Clinical narrative: Immediately after giving vaccine, erythema of 8 cm appeared and began to spread. The patient began to cough, gag and drool. The nurse practitioner administered epinephrine IM after seeing a compromised airway. Pt. began to move air better and turn pink. Pt given dexamethasone 8 mg IM and admitted for 23 hr observation.  7/15/2008 MR received for DOS 6/10/2008 with D/C DX:  Anaphylaxis after MMR vaccine. Immediatley after MMR surrounding area became red, face turned red, Pt coughing and unable to catch breath. (+) stridor. Tx with epipen, O2, Steroids and Benadryl with resolution
Age: 1.1
Sex: F
Vaccine: MMR, VARCEL, MMR, VARCEL
Symptoms: Anaphylactic reaction
Clinical narrative: Immediately after giving vaccine, erythema of 8 cm appeared and began to spread. The patient began to cough, gag and drool. The nurse practitioner administered epinephrine IM after seeing a compromised airway. Pt. began to move air better and turn pink. Pt given dexamethasone 8 mg IM and admitted for 23 hr observation.  7/15/2008 MR received for DOS 6/10/2008 with D/C DX:  Anaphylaxis after MMR vaccine. Immediatley after MMR surrounding area became red, face turned red, Pt coughing and unable to catch breath. (+) stridor. Tx with epipen, O2, Steroids and Benadryl with resolution
Age: 0.5
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Anaemia haemolytic autoimmune
Clinical narrative: Child had autoimmune hemolytic anemia 6 weeks after her 6 mos old shots and had no previous illness.  07/11/2008 MR received for DOS 3/17-20/2008 with D/C DX:  Acquired autoimmune hemolytic anemia. Infant presented to ER from PCP's office with anemia and splenomegaly for eval and tx. Pt had decreased eating x several days now listless, pale and with mild jaundice. (+) fussiness and decreased activity. 1 episode of vomiting. PE (+) for pallor, jaundice, tachycardia with a flow murmur. Abdomen firm with organomegaly. Tx with steroids and PRBC transfusions x 5. D/c home for outpt f/u.
Age: 2.0
Sex: M
Vaccine: HEPA, PNC
Symptoms: Abasia, Abnormal behaviour, Asthenia, Cerebellar ataxia, Mobility decreased
Clinical narrative: Trying to walk couldn't walk, trembling, severe attitude changed, couldn't hold spoon or cup, things got worse and worse, loss of mobility, hospitalized and diagnosed with Ataxia; Acute cerebellum. 8/26/08-records received for DOS 7/12/8/12/05-DC DX: Acute onset cerebellar ataxia, likely post viral and nystagmus, dysphagia. Presented to ED with C/O new onset trembling, difficulty walking, emesis and behavioral problems. Symptoms began 4 days prior with hands and arms shaking. Screaming, acting violent. Four days prior to onset of current symptoms had a viral upper respiratory infection with conjunctivitis.
Age: 2.0
Sex: M
Vaccine: HEPA, PNC
Symptoms: Tremor
Clinical narrative: Trying to walk couldn't walk, trembling, severe attitude changed, couldn't hold spoon or cup, things got worse and worse, loss of mobility, hospitalized and diagnosed with Ataxia; Acute cerebellum. 8/26/08-records received for DOS 7/12/8/12/05-DC DX: Acute onset cerebellar ataxia, likely post viral and nystagmus, dysphagia. Presented to ED with C/O new onset trembling, difficulty walking, emesis and behavioral problems. Symptoms began 4 days prior with hands and arms shaking. Screaming, acting violent. Four days prior to onset of current symptoms had a viral upper respiratory infection with conjunctivitis.
Age: 0.21
Sex: F
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Audiogram normal, Blood test normal, Convulsion, Crying, Developmental delay
Clinical narrative: High pitched cry that was un-consoling for hours at a time, constant spitting up.  Non-stop kicking of both legs.  Ultra sensitive to sunlight.  Seizure like activity.  Delayed milestones and hypotonia. 1/14/09-records received-DOS 4/9/08, DX: Developmental dealy gross motor and expressive language of unknown etiology. Hypotonia, probable central, no evidence of neuromuscular problem.  Follow-up: My daughter still has to attend weekly therapy sessions for P.T. OT and Speech.
Age: 0.21
Sex: F
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Electroencephalogram normal, Fluorescent in situ hybridisation, High-pitched crying, Hypotonia, Irritability
Clinical narrative: High pitched cry that was un-consoling for hours at a time, constant spitting up.  Non-stop kicking of both legs.  Ultra sensitive to sunlight.  Seizure like activity.  Delayed milestones and hypotonia. 1/14/09-records received-DOS 4/9/08, DX: Developmental dealy gross motor and expressive language of unknown etiology. Hypotonia, probable central, no evidence of neuromuscular problem.  Follow-up: My daughter still has to attend weekly therapy sessions for P.T. OT and Speech.
Age: 0.21
Sex: F
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Nuclear magnetic resonance imaging normal, Photophobia, Vomiting, X-ray gastrointestinal tract normal
Clinical narrative: High pitched cry that was un-consoling for hours at a time, constant spitting up.  Non-stop kicking of both legs.  Ultra sensitive to sunlight.  Seizure like activity.  Delayed milestones and hypotonia. 1/14/09-records received-DOS 4/9/08, DX: Developmental dealy gross motor and expressive language of unknown etiology. Hypotonia, probable central, no evidence of neuromuscular problem.  Follow-up: My daughter still has to attend weekly therapy sessions for P.T. OT and Speech.
Age: 13.0
Sex: F
Vaccine: HPVX, MEN, TDAP, VARCEL
Clinical narrative: 1st HPV series done on 3/20/07. First grand mal seizure on 04/16/07; Has been diagnosed epileptic on 5/3/07 6/26/08-records received-seen in ED 4/9/07-C/Ogeneralized shaking, confused after event. Impression new onset of seizure. Seen on 5/11/07-Over past year and half has had events characterized by right foot tingling, sometimes shaking, head turning to right. These spells have increased over past 1-2 months, especially tingling sensation. Seizure event eyes rolled back, jerking and limp. Impression:complex partial seizures with secondary generalization except EEG is showing tendencies towards generalized epilepsy.
Age: 11.0
Sex: F
Vaccine: HEPA, HPV4, MNQ, TDAP
Symptoms: Dizziness, Nausea, Pallor
Clinical narrative: Patient left exam room after waiting 20 minutes past vaccinations. Medial assistant found patient laying down in front of exit door with mom. Patient was alert and oriented, however, patient pale and reported dizzy, nauseated. Patient ambulated with assistance to exam room. Patient laid down on exam table. Vitals checked. Physician notified. Patient kept an additional 25 mins and physician discharged patient.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARZOS, DTAP, IPV, MMR, VARZOS
Symptoms: Wrong drug administered
Clinical narrative: Given ZOSTAVAX instead of VARIVAX.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARZOS, DTAP, IPV, MMR, VARZOS
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: Given ZOSTAVAX instead of VARIVAX.
Age: 81.0
Sex: M
Vaccine: FLU3
Symptoms: Pain in extremity
Clinical narrative: Patient complains of arm pain from shoulder to wrist since day of getting vaccinated.
Age: 0.3
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Clostridium difficile toxin test, Culture stool negative, Haematochezia, White blood cells stool positive
Clinical narrative: Blood in stool 4 days after rotavirus vaccine.
Age: 14.0
Sex: M
Vaccine: DTAP, HEPA, MNQ
Symptoms: Wrong drug administered
Clinical narrative: Tdap indicated due to age, DTaP ordered and given.
Age: 0.3
Sex: F
Vaccine: DTAP, PNC, RV5
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Red swollen area around left thigh.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMRV
Symptoms: C-reactive protein increased, Full blood count, Headache, Hypersomnia, Pyrexia
Clinical narrative: Received DTaP #5, IPV #4 & PROQUAD (MMR #2, varicella #2) on 6/9/08.  Developed fever 103 degrees F rectal approx 15 hrs after immunizations & c/o frontal HA.  Was sleeping more than usual.  Had HA until 6/14/08.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMRV
Symptoms: Red blood cell sedimentation rate increased
Clinical narrative: Received DTaP #5, IPV #4 & PROQUAD (MMR #2, varicella #2) on 6/9/08.  Developed fever 103 degrees F rectal approx 15 hrs after immunizations & c/o frontal HA.  Was sleeping more than usual.  Had HA until 6/14/08.
Age: 70.0
Sex: F
Vaccine: VARZOS
Symptoms: Herpes zoster, Rash
Clinical narrative: Pt received inj. on 5/23/08. Broke out in rash on 6/6/08. Saw MD on 6/16/08 and confirmed shingle breakout.
Age: 11.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Echocardiogram, Electrocardiogram, Electrocardiogram ambulatory, Hot flush, Pain
Clinical narrative: Painful arm and entire side of body, leg hurt x 24 hrs. Hot flashes, tingling in arm, onset of palpitations. ? arrhythmia about 2 months post vaccine.
Age: 11.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Pain in extremity, Palpitations, Paraesthesia
Clinical narrative: Painful arm and entire side of body, leg hurt x 24 hrs. Hot flashes, tingling in arm, onset of palpitations. ? arrhythmia about 2 months post vaccine.
Age: 11.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Blood test normal, Blood thyroid stimulating hormone, Echocardiogram, Electrocardiogram ambulatory, Electrocardiogram normal
Clinical narrative: Painful arm and entire side of body, leg hurt x 24 hrs. Hot flashes, tingling in arm, onset of palpitations. ? arrhythmia about 2 months post vaccine.
Age: 11.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Full blood count normal, Hot flush, Laboratory test normal, Pain in extremity, Palpitations
Clinical narrative: Painful arm and entire side of body, leg hurt x 24 hrs. Hot flashes, tingling in arm, onset of palpitations. ? arrhythmia about 2 months post vaccine.
Age: 11.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Paraesthesia, Pharyngolaryngeal pain, Rhinorrhoea
Clinical narrative: Painful arm and entire side of body, leg hurt x 24 hrs. Hot flashes, tingling in arm, onset of palpitations. ? arrhythmia about 2 months post vaccine.
Age: 16.0
Sex: F
Vaccine: TDAP, VARCEL
Symptoms: Arthralgia, Injection site erythema, Injection site pain, Injection site pruritus, Injection site swelling
Clinical narrative: 4/17 received VAR#2 imm. Redness at site that evening. Next day injection site was red (4"), swollen, painful, itchy, elbow was crampy. 4/22 saw doctor. Dr ordered Claritin for 8 days; Cephalexin 500mg TID x 10d. Took 2 weeks before redness and swelling resolved.
Age: 81.0
Sex: F
Vaccine: VARZOS
Symptoms: Dysphagia, Injection site erythema, Injection site swelling, Pharyngeal oedema
Clinical narrative: Swelling of the throat, difficulty swallowing, redness and swelling at injection site. All occurred 10 min post injection. Paramedics were called. Pt refused transport to ER, but agreed to be taken to ER by husband.
Age: 29.0
Sex: F
Vaccine: TDAP
Symptoms: Burning sensation
Clinical narrative: Burning in shoulder and across back to spine immediately following injection.  After 24 hours sent to ER for evaluation as vaccine was administered as part of work-related vaccinations available to employees.
Age: 9.0
Sex: F
Vaccine: HPV4
Symptoms: Body temperature increased, Headache
Clinical narrative: Severe headaches and temp 104 axillary after 1 day HPV #2 given 2/4/08.
Age: 51.0
Sex: F
Vaccine: TDAP, TDAP
Symptoms: Arthralgia, Injected limb mobility decreased, Movement disorder, Pain in extremity
Clinical narrative: On second day arm became very sore, Motrin helped. Immunized 11 days ago; Now any use causes intense pain, hurts with gripping, no numbness; pain in deltoid; radiates to elbow
Age: 51.0
Sex: F
Vaccine: TDAP, TDAP
Symptoms: Induration, Injected limb mobility decreased, Musculoskeletal pain, Musculoskeletal stiffness, Nodule
Clinical narrative: On second day arm became very sore, Motrin helped. Immunized 11 days ago; Now any use causes intense pain, hurts with gripping, no numbness; pain in deltoid; radiates to elbow
Age: 51.0
Sex: F
Vaccine: TDAP, TDAP
Symptoms: Oedema peripheral, Pain in extremity, Tenderness
Clinical narrative: On second day arm became very sore, Motrin helped. Immunized 11 days ago; Now any use causes intense pain, hurts with gripping, no numbness; pain in deltoid; radiates to elbow
Age: 1.2
Sex: F
Vaccine: DTAPHEPBIP, MMR, TDAP, VARCEL
Symptoms: Wrong drug administered
Clinical narrative: Pt was inadvertently given Tdap instead of Hep A vaccine. Pt was also given PEDIARIX.
Age: 21.0
Sex: M
Vaccine: MNQ
Symptoms: Pyrexia
Clinical narrative: Pt felt feverish the evening.
Age: 11.0
Sex: F
Vaccine: HPV4
Symptoms: Immediate post-injection reaction, Loss of consciousness
Clinical narrative: Passed out immediately for approximately 5 minutes.
Age: 0.3
Sex: F
Vaccine: DTAP, HIBV, IPV, RV5
Symptoms: Irritability, Vomiting
Clinical narrative: 4 hours after vaccine the pt became very fussy, started w/vomiting. Mother has Td allergy.
Age: 15.0
Sex: M
Vaccine: HEP, TDAP
Symptoms: Body temperature increased, Injection site pain, Vomiting
Clinical narrative: "Extreme pain" in rt. arm where Hep B was given.  Pain cont. for several hours then began vomiting twelve hours later.  Also ran temp of 102 degrees.  Took ibuprofen.
Age: 11.0
Sex: F
Vaccine: TDAP, VARCEL
Symptoms: Injection site erythema
Clinical narrative: 4cm x 6cm patch of erythema at the vaccine site 3 days following Tdap injection.
Age: 67.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site pain
Clinical narrative: Redness - pain at injection site. Still red 4 days after injection.
Age: 22.0
Sex: F
Vaccine: HPV4
Symptoms: Rash pruritic
Clinical narrative: Pruritic rash lower extremities and distal upper extremities.  Not raised.  Started 1 day after 1st HPV shot.
Age: 13.0
Sex: M
Vaccine: HEP, MNQ, TDAP, VARCEL
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth, Local reaction
Clinical narrative: On 5/31/08 left lower arm where varicella vaccine placed was red and hot, 3 3/4" width and 3 1/4 " length. Doctor said local reaction. Father stated it was worse before and better now.
Age: 68.0
Sex: F
Vaccine: VARZOS
Symptoms: Herpes zoster
Clinical narrative: The pt rec'd ZOSTAVAX 0.65 ml SQ x1 on 5/12/08, developed disseminated zoster and visited MD on 5/14/08.
Age: 26.0
Sex: F
Vaccine: HEPA, MMR, TDAP, VARCEL
Symptoms: Body temperature increased, Erythema, Migraine, Oedema peripheral, Rash macular
Clinical narrative: Stated had temp of 100 F Fri nite, Sat. 6/7 developed a migraine and (L) upper arm warm, 1/2" blotch. Fever continued thru Sun. Sunday arm "slightly worse". Monday "low grade" fever and upper arm increased redness and swelling. Instructed to notify MD.
Age: 26.0
Sex: F
Vaccine: HEPA, MMR, TDAP, VARCEL
Symptoms: Skin warm
Clinical narrative: Stated had temp of 100 F Fri nite, Sat. 6/7 developed a migraine and (L) upper arm warm, 1/2" blotch. Fever continued thru Sun. Sunday arm "slightly worse". Monday "low grade" fever and upper arm increased redness and swelling. Instructed to notify MD.
Age: 17.0
Sex: F
Vaccine: MNQ, VARCEL
Symptoms: Cellulitis, Feeling hot, Pain, Pyrexia
Clinical narrative: Cellulitis, fever, warmth to right back of arm, pain with movement.  Keflex 500 mg PO TID for 5 days.
Age: 69.0
Sex: M
Vaccine: VARZOS
Symptoms: Rash, Secretion discharge
Clinical narrative: Patient received ZOSTAVAX on 4/28/08 in left arm.  On 4/29/08, patient developed rash.  Rash first developed in the left inner arm by the elbow bend and later developed on the left abdomen to a lesser degree.  The area on the arm was seeping.  Patient denied pain, but the rash was seeping.  Rash only developed on the left side.  Patient was advised to use calamine lotion to the rash.  Patient stated the calamine did not seem to help, and that the reaction needed to run its course.  States it took several weeks to resolve.  Symptoms: 1. SkinRash
Age: 2.0
Sex: F
Vaccine: DTAP, HEPA, MMR, PNC
Symptoms: Rash, Vaccination complication
Clinical narrative: 06/14/08 started to break out in hairline. Spots red, raised all over trunk/extremities. T 104.4 06/14/08 pm. MOTRIN given at 1am and 7A on 6/15/08. Fever broke. BENADRYL q 5h. Saw ARNP on 6/16/08 8a-dx reaction to varicella shot.
Age: 20.0
Sex: M
Vaccine: HEP
Symptoms: Cough, Pharyngolaryngeal pain, Pyrexia
Clinical narrative: For approx 2 days 102 degree F fever, coughing, sore throat.
Age: 24.0
Sex: F
Vaccine: ANTH
Symptoms: Abortion spontaneous, Arthralgia, Caesarean section, Dermatitis contact, Drug exposure during pregnancy
Clinical narrative: reported that with each AVA she received she developed swelling that extended to her elbow associated with redness, warmth and the development of a knot. Each knot would last approx one month. One day after AVA #2 on 29 Jan 03 she reported to the clinic with a new rash over her arms x 2-3 days and denied the use of new products. She was diagnosed with dermatitis. She was seen again in 4 Apr 03 for extension of this rash to her inner thighs and popiteal fossa and was diagnosed with eczematous lesions. She denied any previous hx of skin problems. Currently this rash continues to persist with periods of exacerbations. She was evaluated by Dermatology and through skin testing was found to have a contact dermatitis to 3+ cobalt, 2+nickel, and 1+ formaldehyde. She reports issues of tendonitis involving her knees, feet and wrist since 2005-06. She reported that she received an anthrax vaccine in late June or early of 04 because she found out approx one week later that she was pregnant. The DEERS date base does not verify the administration of AVA #6. It was later discovered that she was pregnant with twins with fatal demise of one twin at 16wks gestation. Ultrasound report noted that one twin had multiple anomalies level 3. The other twin was delivered by C-section at 36-3/7 wks gestation and was healthy. Symptoms: Joint Pain, multiple joints, Miscarriage, Dermatitis, diffuse, generalized, Dermatitis, focal. Dx: 12/2007 Dermatitis, contact and other eczema NOS (692.9), 04/2006 Synovitis NEC (727.09) left knee; 10/01/2005 Tenosynovitis, radial styloid (727.04); 10/2004 Death, intrauterine (656.4) at 15-20 wks gestation, del Feb 05
Age: 24.0
Sex: F
Vaccine: ANTH
Symptoms: Eczema, Erythema, Foetal disorder, Intra-uterine death, Multiple congenital abnormalities
Clinical narrative: reported that with each AVA she received she developed swelling that extended to her elbow associated with redness, warmth and the development of a knot. Each knot would last approx one month. One day after AVA #2 on 29 Jan 03 she reported to the clinic with a new rash over her arms x 2-3 days and denied the use of new products. She was diagnosed with dermatitis. She was seen again in 4 Apr 03 for extension of this rash to her inner thighs and popiteal fossa and was diagnosed with eczematous lesions. She denied any previous hx of skin problems. Currently this rash continues to persist with periods of exacerbations. She was evaluated by Dermatology and through skin testing was found to have a contact dermatitis to 3+ cobalt, 2+nickel, and 1+ formaldehyde. She reports issues of tendonitis involving her knees, feet and wrist since 2005-06. She reported that she received an anthrax vaccine in late June or early of 04 because she found out approx one week later that she was pregnant. The DEERS date base does not verify the administration of AVA #6. It was later discovered that she was pregnant with twins with fatal demise of one twin at 16wks gestation. Ultrasound report noted that one twin had multiple anomalies level 3. The other twin was delivered by C-section at 36-3/7 wks gestation and was healthy. Symptoms: Joint Pain, multiple joints, Miscarriage, Dermatitis, diffuse, generalized, Dermatitis, focal. Dx: 12/2007 Dermatitis, contact and other eczema NOS (692.9), 04/2006 Synovitis NEC (727.09) left knee; 10/01/2005 Tenosynovitis, radial styloid (727.04); 10/2004 Death, intrauterine (656.4) at 15-20 wks gestation, del Feb 05
Age: 24.0
Sex: F
Vaccine: ANTH
Symptoms: Nodule on extremity, Oedema peripheral, Rash, Skin warm, Tendonitis
Clinical narrative: reported that with each AVA she received she developed swelling that extended to her elbow associated with redness, warmth and the development of a knot. Each knot would last approx one month. One day after AVA #2 on 29 Jan 03 she reported to the clinic with a new rash over her arms x 2-3 days and denied the use of new products. She was diagnosed with dermatitis. She was seen again in 4 Apr 03 for extension of this rash to her inner thighs and popiteal fossa and was diagnosed with eczematous lesions. She denied any previous hx of skin problems. Currently this rash continues to persist with periods of exacerbations. She was evaluated by Dermatology and through skin testing was found to have a contact dermatitis to 3+ cobalt, 2+nickel, and 1+ formaldehyde. She reports issues of tendonitis involving her knees, feet and wrist since 2005-06. She reported that she received an anthrax vaccine in late June or early of 04 because she found out approx one week later that she was pregnant. The DEERS date base does not verify the administration of AVA #6. It was later discovered that she was pregnant with twins with fatal demise of one twin at 16wks gestation. Ultrasound report noted that one twin had multiple anomalies level 3. The other twin was delivered by C-section at 36-3/7 wks gestation and was healthy. Symptoms: Joint Pain, multiple joints, Miscarriage, Dermatitis, diffuse, generalized, Dermatitis, focal. Dx: 12/2007 Dermatitis, contact and other eczema NOS (692.9), 04/2006 Synovitis NEC (727.09) left knee; 10/01/2005 Tenosynovitis, radial styloid (727.04); 10/2004 Death, intrauterine (656.4) at 15-20 wks gestation, del Feb 05
Age: 24.0
Sex: F
Vaccine: ANTH
Symptoms: Tenosynovitis, Twin pregnancy
Clinical narrative: reported that with each AVA she received she developed swelling that extended to her elbow associated with redness, warmth and the development of a knot. Each knot would last approx one month. One day after AVA #2 on 29 Jan 03 she reported to the clinic with a new rash over her arms x 2-3 days and denied the use of new products. She was diagnosed with dermatitis. She was seen again in 4 Apr 03 for extension of this rash to her inner thighs and popiteal fossa and was diagnosed with eczematous lesions. She denied any previous hx of skin problems. Currently this rash continues to persist with periods of exacerbations. She was evaluated by Dermatology and through skin testing was found to have a contact dermatitis to 3+ cobalt, 2+nickel, and 1+ formaldehyde. She reports issues of tendonitis involving her knees, feet and wrist since 2005-06. She reported that she received an anthrax vaccine in late June or early of 04 because she found out approx one week later that she was pregnant. The DEERS date base does not verify the administration of AVA #6. It was later discovered that she was pregnant with twins with fatal demise of one twin at 16wks gestation. Ultrasound report noted that one twin had multiple anomalies level 3. The other twin was delivered by C-section at 36-3/7 wks gestation and was healthy. Symptoms: Joint Pain, multiple joints, Miscarriage, Dermatitis, diffuse, generalized, Dermatitis, focal. Dx: 12/2007 Dermatitis, contact and other eczema NOS (692.9), 04/2006 Synovitis NEC (727.09) left knee; 10/01/2005 Tenosynovitis, radial styloid (727.04); 10/2004 Death, intrauterine (656.4) at 15-20 wks gestation, del Feb 05
Age: 5.0
Sex: F
Vaccine: DTAP
Symptoms: Body temperature, Convulsion, Foaming at mouth, Oxygen saturation normal, Syncope
Clinical narrative: Pt had a seizure: eyes closed, frothing at the mouth, pt collapsed, arms extended & pronated with fists clenched.  Seizure occurred within 2 mins after vaccinated.  Seizure lasted 10-15 secs; pt recovered completely.
Age: 56.0
Sex: F
Vaccine: PPV
Symptoms: Erythema, Feeling hot, Influenza like illness, Pyrexia, Swelling
Clinical narrative: PM 6/11/08 experienced flu like symptoms, temperature 100.  "Area from the top of her left shoulder to approximately 2 1/4" became swollen, red, warm to touch.  Unable to lift her left arm more than 90 degrees.  Symptoms became worse thru 6/12/08.  Patient applied cool compresses and ermida cream to area.  Patient called our office on 6/18/08 to report reaction.  Patient examined by doctor.  Slight swelling, no heat to area, area light pink in color.  Patient able to lift arm without pain or discomfort.
Age: 9.0
Sex: M
Vaccine: HEPA
Symptoms: Fatigue, Headache, Pharyngolaryngeal pain, Pyrexia, Vomiting
Clinical narrative: 6/10/08 Headache, sore throat, fever, fatigue, vomiting.
Age: 1.7
Sex: F
Vaccine: DTAPHEPBIP, HEPA, MMR, PNC
Symptoms: Erythema, Oedema peripheral, Pyrexia
Clinical narrative: Redness, swelling, fever of 102.5 of LD.
Age: 1.0
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Vaccination failure, Varicella
Clinical narrative: Dx Varicella s/p Varivax immunization.
Age: 1.0
Sex: F
Vaccine: DTAPHEPBIP, HEPA, HIBV, MMR, PNC, VARCEL
Symptoms: Injection site erythema, Injection site rash, Injection site warmth
Clinical narrative: Mom called today stating child has a "big" rash on RAT, some redness, no fever by mouth, ? feels hot to touch, child is eating drinking OK.  Appears to be fine other than mom's concern of rash on RAT.  Advised take child to her doctor.
Age: 40.0
Sex: F
Vaccine: HEPA
Symptoms: Diarrhoea, Malaise, Nausea
Clinical narrative: Felt ill, nauseous and had diarrhea.
Age: 9.0
Sex: M
Vaccine: VARCEL
Symptoms: Erythema, Rash pruritic
Clinical narrative: Red, itchy rash at vaccine site.  In office measured 8x9 cm.  Not tender.  Not cellulitis.
Age: 85.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Injection site warmth
Clinical narrative: Erythema + warmth on L UE on extensor side from axilla to elbow and over into axilla.
Age: 10.0
Sex: F
Vaccine: VARCEL
Symptoms: Exposure to communicable disease, Skin lesion
Clinical narrative: Pt. sick w/ fever, ST 5/12 (T decreased 97.4 in office) father presently with shingles, on 5/24/08 noted spots under arms, neck abdomen, 5/27 20-30 spots, probable vaccine reaction/Dr.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Erythema, Feeling hot, Rash
Clinical narrative: Patient received DTAP #5, VARICELLA #2 on 6/5/07.  Mom discovered red rash on left leg that is warm to touch on 6/7/08.  Patient not complaining of pain/itching.  No fever or activity change.  No vomiting/diarrhea.  Patient received MMR #2, and IPV #4 in right thigh on 6/5/07 also.
Age: 44.0
Sex: F
Vaccine: MMR
Symptoms: Lymphadenopathy, Palpitations, Rash, Rash pruritic
Clinical narrative: Developed fine rash, vaccine given 5/27/08. Rash is itchy, face and neck - rash onset June 7, felt heart racing. Swollen glands - glands behind ear and 2 at base of skull - onset June 7. Rash on face, neck, chest and back. Rash fading 6/10/08.
Age: 2.0
Sex: F
Vaccine: DTAP, MMR, VARCEL
Symptoms: Dysphonia, Otitis media, Pyrexia, Rhinorrhoea, Streptococcal identification test negative
Clinical narrative: Grandmother reports runny nose, hoarseness, fever the same night as vaccinations (5/5/08). Had otitis media also. She reports "welts" on bilat LE and face 1 wk later. Taken to doctor for follow up on 5/16/08 - no "welts" noted by MD, but otitis media remained - antibiotic changed. Report from patient's grandmother/guardian.
Age: 2.0
Sex: F
Vaccine: DTAP, MMR, VARCEL
Symptoms: Urticaria
Clinical narrative: Grandmother reports runny nose, hoarseness, fever the same night as vaccinations (5/5/08). Had otitis media also. She reports "welts" on bilat LE and face 1 wk later. Taken to doctor for follow up on 5/16/08 - no "welts" noted by MD, but otitis media remained - antibiotic changed. Report from patient's grandmother/guardian.
Age: 1.5
Sex: F
Vaccine: DTAP, HEPA, MMR, PNC, VARCEL
Symptoms: Erythema, Lymphadenopathy, Pallor, Rash papular
Clinical narrative: Erythematous blanching papules on cheeks, trunk & sparsely on arms & legs.  Lymphadenopathy - submandibular, anterior & posterior cervical.  No fever after day 1 post vaccination.  Good appetite.
Age: 0.3
Sex: F
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Crying, Dyspnoea, Eye disorder, Feeling hot, Musculoskeletal stiffness
Clinical narrative: Shots 4pm, 7pm short episode high pitched cry & sore legs; asleep 8pm, awoke 9:40pm crying, trouble breathing, then vomited; stiff & shaking, felt hot, eyes big, called 911.  Normal when paramedics checked.  Fine since.
Age: 0.3
Sex: F
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Nervousness, Pain in extremity, Vomiting
Clinical narrative: Shots 4pm, 7pm short episode high pitched cry & sore legs; asleep 8pm, awoke 9:40pm crying, trouble breathing, then vomited; stiff & shaking, felt hot, eyes big, called 911.  Normal when paramedics checked.  Fine since.
Age: 35.0
Sex: F
Vaccine: HEP, HEPA, TYP
Symptoms: Dizziness, Grand mal convulsion, Loss of consciousness
Clinical narrative: Client received all three vaccines.  Afterwards she stated she was feeling faint.  This RN called out for other nurses for help.  Patient passed out and tried to revive her with ammonia cap.  No response to ammonia.  Patient stiffened up and had grand mal seizure about 30-45 seconds.  911 was called.  Patient came around and was transferred by ambulance to ER.