chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 63.0
Sex: F
Vaccine: VARZOS, VARZOS, VARZOS
Symptoms: Fatigue, Parasite stool test negative, Rash, Vulvovaginal pruritus, White blood cells stool negative
Clinical narrative: Information has been received from a 63 year old female consumer concerning herself with drug reactions/allergies to penicillin and sulfa and no pertinent medical history who on 02-MAR-2012 was vaccinated with a dose of ZOSTAVAX (Merck) (Lot# and route were not reported). Concomitant therapy included NORVASC. The patient reported that she experiencing extremely dry skin, and a rash everywhere on her body except her feet and head after receiving ZOSTAVAX (Merck). The patient also reported severe rectal and vaginal itching. The patient reached out to her health care physician (HCP) and they did not believe this was a case of the shingles. The patient was prescribed prednisone to counteract these symptoms. The patient had not improved and was concerned she might experience these symptoms the rest of her life. The patient was advised to work with her HCP. The patient sought medical attention by talking with a physician assistant. No lab diagnostics study was performed. Follow-up information was received from a physician's assistant concerning a 63 year old female with asthma and allergies to penicillin, sulfa, dust and ragweed. On 02-MAR-2012, the patient was vaccinated with ZOSTAVAX (Merck). Concomitant medications included NORVASC, albuterol, montelukast sodium (MSD), progesterone and ASA. She experienced rash, anal pruritis, loose stools and fatigue. The reporter indicated the events required emergency room/doctor visit. On 29-MAY-2012, stool studies were negative for ova, parasites and white blood cells. On 17-JUL-2012, a skin biopsy was performed (results pending at the time of the report). The patient had not yet recovered from the events. The physician's assistant considered the events to be medically significant. Additional information has been requested.
Age: 33.0
Sex: M
Vaccine: TYP
Symptoms: Abdominal pain upper, Chills, Diarrhoea, Nausea, Vomiting
Clinical narrative: PT HAS COMPLAINTS OF NAUSEA, VOMITING X3, DIARRHEA X2 (WATERY), CHILLS, AND STOMACH CRAMPING.  SYMPTOMS SHOWED WITHIN AN HOUR AND A HALF OF GETTING SHOT.  PT STATES HE ATE BURGER KING BEFORE HE RECEIVED THE TYPHOID SHOT.  PT GIVEN PHENERGAN PO TAB AT THIS TIME AND 24 HRS SIQ.
Age: 1.01
Sex: F
Vaccine: DTAPH
Symptoms: Crying, Decreased appetite, Ear piercing, Injection site induration, Injection site swelling
Clinical narrative: Severe Irritability, Ear piercing crying, fever of 103 and higher, huge hard ball at site of injection, hurt to walk for a few days, sleeplessness, lack of appetite.
Age: 1.01
Sex: F
Vaccine: DTAPH
Symptoms: Insomnia, Irritability, Pain, Pyrexia
Clinical narrative: Severe Irritability, Ear piercing crying, fever of 103 and higher, huge hard ball at site of injection, hurt to walk for a few days, sleeplessness, lack of appetite.
Age: 76.0
Sex: F
Vaccine: TDAP
Symptoms: Blood culture, Body temperature increased, Chest X-ray, Chills, Cystitis
Clinical narrative: Patient received Tdap vaccine on 7-25-12. Woke up next AM 7-26-12 with chills and temp of 102.6. Pt phoned PCP - sent her to ER. Pt was admitted to ER on 7-26-12. Dx. with slight bladder infection and pneumonia, now currently recovering. Still in hospital as of 7/30/12.
Age: 76.0
Sex: F
Vaccine: TDAP
Symptoms: Echocardiogram, Pneumonia
Clinical narrative: Patient received Tdap vaccine on 7-25-12. Woke up next AM 7-26-12 with chills and temp of 102.6. Pt phoned PCP - sent her to ER. Pt was admitted to ER on 7-26-12. Dx. with slight bladder infection and pneumonia, now currently recovering. Still in hospital as of 7/30/12.
Age: 64.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site pain, Injection site swelling
Clinical narrative: After two days of injection - pt complaining of swelling, tenderness, on touch at the site.
Age: 50.0
Sex: F
Vaccine: VARZOS
Symptoms: Erythema, Injection site exfoliation, Oedema peripheral, Pain, Pruritus
Clinical narrative: Redness, swelling from elbow to armpit that lasted about one week. Pt also complained of pain & itching. She used cold compresses, ibuprofen, & BENADRYL to treat symptoms. About 3 wks after vaccine some skin around injection site peeled off.
Age: 0.52
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC, RV5
Symptoms: Computerised tomogram head normal, Dyskinesia, Erythema, Foaming at mouth, Hypotonia
Clinical narrative: Red in face, head jerking, foaming at mouth, limp x 5 minutes.
Age: 18.0
Sex: F
Vaccine: MNQ
Symptoms: Dizziness, Nausea
Clinical narrative: Became lightheaded and nauseated. Patient remained seated. Head between legs. Deep breathing. Gave water and lollypop.
Age: 0.5
Sex: M
Vaccine: DTAPIPVHIB, HEP, PNC, RV5
Symptoms: Body temperature increased, Injection site erythema, Irritability, Local reaction
Clinical narrative: Pt had localized reaction with mild redness at injection site, (L) anterior thigh. Mild fussiness for 24 hours. Low grade temp. KEFLEX susp. ordered TYLENOL.
Age: 53.0
Sex: F
Vaccine: VARZOS
Symptoms: Blister, Headache, Injection site pruritus, Musculoskeletal stiffness, Pain
Clinical narrative: 7/26/12 Pain & swelling appeared after vaccine placement on 7/29/12 pt described vaccine site to be, itchy, hot swollen, tender to touch, and 2 bubbles on same arm also c/o headaches & neck stiffness.
Age: 53.0
Sex: F
Vaccine: VARZOS
Symptoms: Swelling, Vaccination site pain, Vaccination site swelling, Vaccination site warmth
Clinical narrative: 7/26/12 Pain & swelling appeared after vaccine placement on 7/29/12 pt described vaccine site to be, itchy, hot swollen, tender to touch, and 2 bubbles on same arm also c/o headaches & neck stiffness.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV
Symptoms: Injection site erythema, Injection site haematoma, Injection site induration, Injection site pain, Injection site reaction
Clinical narrative: Shot given approx 2" below shoulder on left arm, area red & bruised with pink area about 3" diameter surrounding site. Then area below site to elbow had rxn with redness, swelling, skin firm and mottled, very painful, low grade fever. Given TYLENOL & BENADRYL - parent has pictures of the reaction.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV
Symptoms: Injection site swelling, Livedo reticularis, Pyrexia
Clinical narrative: Shot given approx 2" below shoulder on left arm, area red & bruised with pink area about 3" diameter surrounding site. Then area below site to elbow had rxn with redness, swelling, skin firm and mottled, very painful, low grade fever. Given TYLENOL & BENADRYL - parent has pictures of the reaction.
Age: 21.0
Sex: F
Vaccine: TD
Symptoms: Pruritus, Rash
Clinical narrative: Truncal rash and pruritus.
Age: 42.0
Sex: F
Vaccine: TDAP
Symptoms: Pain in extremity, Skin warm, Swelling
Clinical narrative: Intense left arm pain. (L) arm hot to touch oral temp 99 degrees. Swelling in the left subacromial region the morning after injection given. BACTRIM BID #20 & VICODIN 5/500 1 q 6 hours PRN pain #20. Follow-up Tues with health services. Go to ED if symptoms worsen.
Age: 73.0
Sex: F
Vaccine: VARZOS
Symptoms: Feeling abnormal, Nausea, Vertigo, Visual impairment
Clinical narrative: Intermittent vertigo, wavy sensation in her head, eyes felt wobbly, nausea.
Age: 63.0
Sex: F
Vaccine: HEPA
Symptoms: Pain
Clinical narrative: Pt. c/o of "severe pain", one month after injection. No pain with palpation but states she has pain with movement. But ROM intact. Able to take off blouse over head and replace it. Recommended ice/heat alternating.
Age: 11.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Injection site swelling, Local reaction
Clinical narrative: Pt. had localized swallow on the (R) deltoid IM. Give the second HPV.
Age: 11.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Injection site swelling
Clinical narrative: Pt. had localized swallow on the (R) deltoid IM. Give the second HPV.
Age: 11.0
Sex: M
Vaccine: MNQ, TDAP
Symptoms: Rash
Clinical narrative: 1d s/p MENACTRA/DTaP developed rash (L) axilla and lower back. Questionable hives in same area. Responded to steroids/antihistamines. No resp./GI, neuro symptoms.
Age: 0.56
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Crying, Gaze palsy, Hypotonia, Pallor
Clinical narrative: 5 min after vaccine infant became limp, pale after eyes rolling back, no cyanosis, no tremors or shaking of extremities. Lasted about 1 min. Initial weak cry then nl. No wheezing or swelling. Observed 20 min. Recovered.
Age: 11.0
Sex: F
Vaccine: HEPA, HPV4, MNQ, TDAP, VARCEL
Symptoms: Injection site erythema, Injection site pruritus, Injection site warmth
Clinical narrative: Child rec'd 11 yo imms on 7/3/12. Mom reported child woke up 7/4 AM with bil. deltoid redness/warmness/itching; Mom reports giving Motenil PRN and applying BENADRYL cream, clinic closed d/t holiday; Mom brought child to clinic 7/5 at 1:30; child seen by nurse; bil deltoid areas noted with redness/warm to touch/pt. c/o itching with no pain or increased temp reported; (R) deltoid with redness extending down to elbow area, child moves both arms freely - encouraged to apply wet begs or cold compress to both arms and to have child seen by PCP today, non verbalized.
Age: 15.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Convulsion, Disorientation, Syncope
Clinical narrative: Patient received the GARDASIL vaccine and within 5 minutes fainted and had a seizure while in the doctor's office. She was disoriented for about 10 minutes.
Age: 15.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Convulsion, Syncope
Clinical narrative: Patient received the GARDASIL vaccine and within 5 minutes fainted and had a seizure while in the doctor's office. She was disoriented for about 10 minutes.
Age: 20.0
Sex: M
Vaccine: HPV4
Symptoms: Arthralgia, Cold sweat, Lymphadenopathy, Muscular weakness, Pain
Clinical narrative: This spontaneous report was received from a nurse practitioner concerning a 20 year old male patient who on 20-JUL-2011 was vaccinated intramuscularly with the first dose of GARDASIL (dose and lot # not provided), on 14-SEP-2012 was vaccinated intramuscularly with the second dose of GARDASIL (dose and lot # not provided) and on 17-JUL-2012 was vaccinated intramuscularly with the third dose of GARDASIL (dose and lot # not provided). No other co-suspects were reported. No concomitant medications were reported. There were no adverse symptoms after the first and second dose of GARDASIL. On 18-JUL-2012, the patient went to the office complaining of swollen axillary glands, pain, aching and fever. The patient was advised to rest and take ibuprofen. On 20-JUL-2012, the patient called the office to report he was not improved. On 23-JUL-2012, the patient returned to the office complaining of joint aching, "cold sweats" and loss of hand strength. At the time of the report, the patient had not recovered from the events. The relatedness for joint aching, loss of hand strength, cold sweats, fever, pain, aching and swollen axillary glands was unknown for GARDASIL. The reporting nurse considered joint aching, loss of hand strength, cold sweats, fever, pain, aching and swollen axillary glands to be disabling. Additional information has been requested.
Age: 20.0
Sex: M
Vaccine: HPV4
Symptoms: Pyrexia
Clinical narrative: This spontaneous report was received from a nurse practitioner concerning a 20 year old male patient who on 20-JUL-2011 was vaccinated intramuscularly with the first dose of GARDASIL (dose and lot # not provided), on 14-SEP-2012 was vaccinated intramuscularly with the second dose of GARDASIL (dose and lot # not provided) and on 17-JUL-2012 was vaccinated intramuscularly with the third dose of GARDASIL (dose and lot # not provided). No other co-suspects were reported. No concomitant medications were reported. There were no adverse symptoms after the first and second dose of GARDASIL. On 18-JUL-2012, the patient went to the office complaining of swollen axillary glands, pain, aching and fever. The patient was advised to rest and take ibuprofen. On 20-JUL-2012, the patient called the office to report he was not improved. On 23-JUL-2012, the patient returned to the office complaining of joint aching, "cold sweats" and loss of hand strength. At the time of the report, the patient had not recovered from the events. The relatedness for joint aching, loss of hand strength, cold sweats, fever, pain, aching and swollen axillary glands was unknown for GARDASIL. The reporting nurse considered joint aching, loss of hand strength, cold sweats, fever, pain, aching and swollen axillary glands to be disabling. Additional information has been requested.
Age: 62.0
Sex: F
Vaccine: PPV
Symptoms: Allergy test positive, Erythema, Induration, Pain, Swelling
Clinical narrative: 1) Severe swelling 5 hrs after shot - down to elbow. 2) Redness of arm shoulder to elbow & armpit. 3) Hardness of arm shoulder to elbow & armpit. 4) Extreme pain. These symptoms lasted 5 days - emergency room trip day following shot.
Age: 42.0
Sex: F
Vaccine: TDAP
Symptoms: Adverse reaction, Diarrhoea, Headache, Pyrexia, Vomiting
Clinical narrative: Pt reported moderate reaction on 7/30/12. Pt states symptoms started on 7/19/12 aprox 1 hour after getting Tdap. Pt states she developed severe HA, fever (not measured), diarrhea, & vomiting. Symptoms lasted aprox. 1/2 hour then subsided. Pt has had no other symptoms.
Age: 52.0
Sex: F
Vaccine: TDAP
Symptoms: Arthralgia, Headache, Pain, Pyrexia
Clinical narrative: Received routine update Tdap 0715 7/24/12 - called to let me know by the evening she had body aches & headache. Ran fever up to 102 the next day & had joint pain. Temp gradually came down. Reports it lasted 48 hours.
Age: 2.0
Sex: F
Vaccine: DTAP, IPV
Symptoms: Convulsion, Immediate post-injection reaction, Loss of consciousness, Postictal state
Clinical narrative: Patient received immunizations. Immediately had a witnessed convulsion and then passed out for approximately 45 minutes (post-ictal state).
Age: 46.0
Sex: F
Vaccine: TD
Symptoms: Headache, Injected limb mobility decreased, Injection site pain, Injection site swelling, Motor dysfunction
Clinical narrative: Severe pain & swelling at injection site. Headache, limited use & movement and extreme weakness of right arm & shoulder. Upper arm & shoulder pain - decreased motor skills right arm & hand. Frozen shoulder.
Age: 46.0
Sex: F
Vaccine: TD
Symptoms: Muscular weakness, Musculoskeletal pain, Periarthritis
Clinical narrative: Severe pain & swelling at injection site. Headache, limited use & movement and extreme weakness of right arm & shoulder. Upper arm & shoulder pain - decreased motor skills right arm & hand. Frozen shoulder.
Age: 0.5
Sex: U
Vaccine: DTAPIPVHIB
Symptoms: Pertussis
Clinical narrative: Initial report was received on 19 July 2012 from a healthcare professional which involved a cluster of two infant patients who had received PENTACEL, lot number C4144AA. One of these two patients (not specified) had also received a second dose of PENTACEL (lot number C4165AB). This case captures one patient. The other patient has been captured in case number 2012-07019. A six-month-old patient (sex and date of birth not reported) had received an injection of PENTACEL, lot number C4144AA (route and site not reported; date of administration unknown) and an unspecified amount of time later, the patient was hospitalized and diagnosed with Pertussis. Outcome was not recovered. No additional information was provided at the time of the report. Documents held by sender: None.
Age: 14.0
Sex: F
Vaccine: HPV4
Symptoms: Arthralgia, Cholecystectomy, Decreased appetite, Dyspnoea, Fatigue
Clinical narrative: -Since 2009 she had been diagnosed with chronic migraines - between 15 to 20 a month. - Loss of appetite from 115lbs to 86 lbs. - Nausea - Rashes. - Bruises easily. -Shortness of breath. - Fatigued easy.  - Gallbladder removal. - Joint pain received the regular dosage as prescribed by a doctor in the three time interval.
Age: 14.0
Sex: F
Vaccine: HPV4
Symptoms: Increased tendency to bruise, Migraine, Nausea, Rash, Weight decreased
Clinical narrative: -Since 2009 she had been diagnosed with chronic migraines - between 15 to 20 a month. - Loss of appetite from 115lbs to 86 lbs. - Nausea - Rashes. - Bruises easily. -Shortness of breath. - Fatigued easy.  - Gallbladder removal. - Joint pain received the regular dosage as prescribed by a doctor in the three time interval.
Age: 0.8
Sex: M
Vaccine: DTAPIPVHIB
Symptoms: Chest X-ray normal, Cough, Laboratory test abnormal, Nasopharyngitis, Polymerase chain reaction
Clinical narrative: Initial report received on 19 July 2012 from the Investigator participating in the post-marketing study under the reference number M5A16. A case of pertussis disease in a 21-month-old male subject (initials not collected) was identified by the investigator based on review of data from Electronic Disease Surveillance electronic database. The subject had received 3 doses of PENTACEL; lot number C3658AA received on 29 October 2010, lot number C3748AB received on 30 December 2010, and lot number C3755AA received on 16 June 2011 (routes and sites of administration not reported). The subject developed cold-like symptoms and cough on 18 June 2012, approximately one year after the last dose. On 20 June 2012 the subject developed a paroxysmal cough without whoop. The subject also experienced sleep disturbance. Laboratory testing included positive PCR on 21 June 2012. Chest x-ray findings were negative for pneumonia. Corrective treatments consisted of Azithromycin starting on 21 June 2012 for five days. The subject was not hospitalized. At the time of final contact on 09 July 2012, the subject's cough was still persisting. The duration of the cough was reported at that time as 21 days. Investigator causality assessment is not required as per protocol. Documents held by sender: None.
Age: 0.8
Sex: M
Vaccine: DTAPIPVHIB
Symptoms: Sleep disorder
Clinical narrative: Initial report received on 19 July 2012 from the Investigator participating in the post-marketing study under the reference number M5A16. A case of pertussis disease in a 21-month-old male subject (initials not collected) was identified by the investigator based on review of data from Electronic Disease Surveillance electronic database. The subject had received 3 doses of PENTACEL; lot number C3658AA received on 29 October 2010, lot number C3748AB received on 30 December 2010, and lot number C3755AA received on 16 June 2011 (routes and sites of administration not reported). The subject developed cold-like symptoms and cough on 18 June 2012, approximately one year after the last dose. On 20 June 2012 the subject developed a paroxysmal cough without whoop. The subject also experienced sleep disturbance. Laboratory testing included positive PCR on 21 June 2012. Chest x-ray findings were negative for pneumonia. Corrective treatments consisted of Azithromycin starting on 21 June 2012 for five days. The subject was not hospitalized. At the time of final contact on 09 July 2012, the subject's cough was still persisting. The duration of the cough was reported at that time as 21 days. Investigator causality assessment is not required as per protocol. Documents held by sender: None.
Sex: M
Vaccine: IPV
Symptoms: Autism, Poliomyelitis
Clinical narrative: Initial report was received from a consumer, who was also the patient's parent, on 18 July 2012. A male patient who was currently 13-years-old had received all of his vaccines as an infant including an injection of IPV (brand name, manufacturer, lot number, route, site and date of administration not reported). The reporter believed his child had "polio disease" from the previous polio vaccinations as an infant and autism as a result of those vaccines. No further information was available at the time of the report. The patient's outcome was not recovered. Documents held by sender: None.
Age: 0.3
Sex: U
Vaccine: DTAPIPVHIB
Symptoms: Pertussis
Clinical narrative: Initial report was received on 19 July 2012 from a healthcare professional which involved a cluster of two infant patients who had received PENTACEL, lot number C4144AA. One of these two patients (not specified) had also received a second dose of PENTACEL (lot number C4165AB). This case captures one patient. The other patient has been captured in case number 2012-07018. A four-month-old patient (sex and date of birth not reported) had received an injection of PENTACEL, lot number C4144AA (route and site not reported; date of administration unknown) and an unspecified amount of time later, the patient was hospitalized and diagnosed with Pertussis. Outcome was not recovered. No additional information was provided at the time of the report. Documents held by sender: None.
Age: 0.53
Sex: F
Vaccine: DTAPIPVHIB
Symptoms: Apnoea, Chest X-ray normal, Cough, Culture negative, Laboratory test abnormal
Clinical narrative: Initial report received on 19 July 2012 from the Investigator participating in the post-marketing study under the reference number M5A16. A case of pertussis disease in a 11-month-old female subject was identified by the investigator based on review of data from the Electronic Disease Surveillance (EDS) electronic database. The subject had received 3 doses of PENTACEL; dose one on 21 September 2011, dose two on 22 November 2011 and dose three on 02 February 2012 (lot numbers, routes and sites of administration not reported). The subject developed cold-like symptoms and cough on 30 June 2012, approximately 4 months after the last dose. On 02 July 2012, the subject developed a paroxysmal cough without a whoop. The subject also experienced apnea. Laboratory testing included positive PCR on 02 July 2012. Culture date 02 July 2012 with negative results. Chest x-ray findings were negative for pneumonia. Corrective treatments consisted of Azithromycin starting on 02 July 2012 for five days. The subject was not hospitalized. At the time of final contact on 16 July 2012, the subject's cough had resolved. The duration of the cough was reported at that time as 17 days. No investigator causality assessment as per protocol. Documents held by sender: None.
Age: 0.53
Sex: F
Vaccine: DTAPIPVHIB
Symptoms: Nasopharyngitis, Polymerase chain reaction
Clinical narrative: Initial report received on 19 July 2012 from the Investigator participating in the post-marketing study under the reference number M5A16. A case of pertussis disease in a 11-month-old female subject was identified by the investigator based on review of data from the Electronic Disease Surveillance (EDS) electronic database. The subject had received 3 doses of PENTACEL; dose one on 21 September 2011, dose two on 22 November 2011 and dose three on 02 February 2012 (lot numbers, routes and sites of administration not reported). The subject developed cold-like symptoms and cough on 30 June 2012, approximately 4 months after the last dose. On 02 July 2012, the subject developed a paroxysmal cough without a whoop. The subject also experienced apnea. Laboratory testing included positive PCR on 02 July 2012. Culture date 02 July 2012 with negative results. Chest x-ray findings were negative for pneumonia. Corrective treatments consisted of Azithromycin starting on 02 July 2012 for five days. The subject was not hospitalized. At the time of final contact on 16 July 2012, the subject's cough had resolved. The duration of the cough was reported at that time as 17 days. No investigator causality assessment as per protocol. Documents held by sender: None.
Age: 5.0
Sex: M
Vaccine: DTAPIPV, MMR, VARCEL
Symptoms: Injection site pain, Injection site warmth, Local reaction
Clinical narrative: Started 24 hours after vaccine, began to recede 72 hours after vaccine. No systemic complaints. Warm, tender, 8 x 8.5 cm localized reaction at site of KINRIX.
Age: 22.0
Sex: M
Vaccine: SMALL
Symptoms: Blister, C-reactive protein, Chlamydia test, Full blood count, Genital lesion
Clinical narrative: On 6/22/12 the pt had intimate contact with a secondary contact transmission case despite the fact that she had visible lesions on her buttocks. The pt is a 22 yo circumcised, male with a history of childhood eczema (per pt last noted at 3 years of age), childhood allergies (allergy shots 2003-2004) and adult seasonal allergies. Aside from probable atopic dermatitis, he has no other contraindications to receipt of the SPV (cardiac hx; hypertension; DM or other chronic illness; hypercholesterolemia; family hx of CVD before the age of 50). He works and lives at a camp for children. On 6/24/12 he noted two papular lesions on the shaft of his penis. On 6/25/12 he went to the ER and 6-8 small papules/vesicles were noted. These were tested and  on 6/27/12 it was reported that they were PCR positive for non-variola orthopox. On 6/28/12 the pt reported 12-13 lesions on his penis, a lesion on his right forearm and two suprapubic lesions. Communication ensued between the clinic, the Infectious Disease physician, and representatives of the CDC familiar with the index case and it was decided that this pt would go to hospital for admission and VIG administration. VIG has been ordered from the CDC and administered 6/29/12. The pt was provided extensive guidance regarding contact transmission and autoinoculation avoidance. On 7/2/12 the pt noted 4 new penile lesions, a scrotal lesion, penile swelling and erythema. The use of topical Cidofovir was discussed but was not administered. The pt was discharged on 7/2/12 and with frequent follow-up. He returned to work on 7/15/12 and reported all lesions as healed on 7/18/12.
Age: 22.0
Sex: M
Vaccine: SMALL
Symptoms: HIV test, Herpes simplex serology negative, Immunoglobulin therapy, Liver function test, Orthopoxvirus test positive
Clinical narrative: On 6/22/12 the pt had intimate contact with a secondary contact transmission case despite the fact that she had visible lesions on her buttocks. The pt is a 22 yo circumcised, male with a history of childhood eczema (per pt last noted at 3 years of age), childhood allergies (allergy shots 2003-2004) and adult seasonal allergies. Aside from probable atopic dermatitis, he has no other contraindications to receipt of the SPV (cardiac hx; hypertension; DM or other chronic illness; hypercholesterolemia; family hx of CVD before the age of 50). He works and lives at a camp for children. On 6/24/12 he noted two papular lesions on the shaft of his penis. On 6/25/12 he went to the ER and 6-8 small papules/vesicles were noted. These were tested and  on 6/27/12 it was reported that they were PCR positive for non-variola orthopox. On 6/28/12 the pt reported 12-13 lesions on his penis, a lesion on his right forearm and two suprapubic lesions. Communication ensued between the clinic, the Infectious Disease physician, and representatives of the CDC familiar with the index case and it was decided that this pt would go to hospital for admission and VIG administration. VIG has been ordered from the CDC and administered 6/29/12. The pt was provided extensive guidance regarding contact transmission and autoinoculation avoidance. On 7/2/12 the pt noted 4 new penile lesions, a scrotal lesion, penile swelling and erythema. The use of topical Cidofovir was discussed but was not administered. The pt was discharged on 7/2/12 and with frequent follow-up. He returned to work on 7/15/12 and reported all lesions as healed on 7/18/12.
Age: 22.0
Sex: M
Vaccine: SMALL
Symptoms: Papule, Penile erythema, Penile swelling, Polymerase chain reaction, Red blood cell sedimentation rate
Clinical narrative: On 6/22/12 the pt had intimate contact with a secondary contact transmission case despite the fact that she had visible lesions on her buttocks. The pt is a 22 yo circumcised, male with a history of childhood eczema (per pt last noted at 3 years of age), childhood allergies (allergy shots 2003-2004) and adult seasonal allergies. Aside from probable atopic dermatitis, he has no other contraindications to receipt of the SPV (cardiac hx; hypertension; DM or other chronic illness; hypercholesterolemia; family hx of CVD before the age of 50). He works and lives at a camp for children. On 6/24/12 he noted two papular lesions on the shaft of his penis. On 6/25/12 he went to the ER and 6-8 small papules/vesicles were noted. These were tested and  on 6/27/12 it was reported that they were PCR positive for non-variola orthopox. On 6/28/12 the pt reported 12-13 lesions on his penis, a lesion on his right forearm and two suprapubic lesions. Communication ensued between the clinic, the Infectious Disease physician, and representatives of the CDC familiar with the index case and it was decided that this pt would go to hospital for admission and VIG administration. VIG has been ordered from the CDC and administered 6/29/12. The pt was provided extensive guidance regarding contact transmission and autoinoculation avoidance. On 7/2/12 the pt noted 4 new penile lesions, a scrotal lesion, penile swelling and erythema. The use of topical Cidofovir was discussed but was not administered. The pt was discharged on 7/2/12 and with frequent follow-up. He returned to work on 7/15/12 and reported all lesions as healed on 7/18/12.
Age: 22.0
Sex: M
Vaccine: SMALL
Symptoms: Skin lesion, Treponema test
Clinical narrative: On 6/22/12 the pt had intimate contact with a secondary contact transmission case despite the fact that she had visible lesions on her buttocks. The pt is a 22 yo circumcised, male with a history of childhood eczema (per pt last noted at 3 years of age), childhood allergies (allergy shots 2003-2004) and adult seasonal allergies. Aside from probable atopic dermatitis, he has no other contraindications to receipt of the SPV (cardiac hx; hypertension; DM or other chronic illness; hypercholesterolemia; family hx of CVD before the age of 50). He works and lives at a camp for children. On 6/24/12 he noted two papular lesions on the shaft of his penis. On 6/25/12 he went to the ER and 6-8 small papules/vesicles were noted. These were tested and  on 6/27/12 it was reported that they were PCR positive for non-variola orthopox. On 6/28/12 the pt reported 12-13 lesions on his penis, a lesion on his right forearm and two suprapubic lesions. Communication ensued between the clinic, the Infectious Disease physician, and representatives of the CDC familiar with the index case and it was decided that this pt would go to hospital for admission and VIG administration. VIG has been ordered from the CDC and administered 6/29/12. The pt was provided extensive guidance regarding contact transmission and autoinoculation avoidance. On 7/2/12 the pt noted 4 new penile lesions, a scrotal lesion, penile swelling and erythema. The use of topical Cidofovir was discussed but was not administered. The pt was discharged on 7/2/12 and with frequent follow-up. He returned to work on 7/15/12 and reported all lesions as healed on 7/18/12.
Age: 58.0
Sex: M
Vaccine: VARZOS
Symptoms: Injection site erythema, Malaise, Myalgia, Neutrophil percentage increased, Pyrexia
Clinical narrative: FEVER UP TO 102, MYALGIAS, MALAISE INJECTION SITE REDNESS.
Age: 58.0
Sex: M
Vaccine: VARZOS
Symptoms: White blood cell count increased
Clinical narrative: FEVER UP TO 102, MYALGIAS, MALAISE INJECTION SITE REDNESS.
Age: 64.0
Sex: F
Vaccine: VARZOS
Symptoms: Cough, Myalgia, Pyrexia
Clinical narrative: Extreme muscle pain in thighs and calves for continuing for 20 hours with no let up. I used heating pad and drank 10 bottles of water no food. High temp and coughing until blood appeared. 07/29/2012 all pain and cough were gone completely. The muscle pain was not on the hand out the doctor issued me. Should be added to the reaction list for this vaccine.
Age: 46.0
Sex: F
Vaccine: TDAP
Symptoms: Arthralgia, Myalgia, Neck pain, Oedema peripheral, Skin warm
Clinical narrative: Lt arm swelled and was warm. Lt side of neck ached as well as widespread muscle/joint pain for one week.
Age: 52.0
Sex: F
Vaccine: FLU3
Symptoms: Arthralgia, Musculoskeletal pain, Pain in extremity, Periarthritis
Clinical narrative: Pain in shoulders, arms, elbows, and tops of hands. Diagnosed with shoulder adhesive capsulitis on July 18, 2012. Received steroid shot in shoulder that same afternoon. Start Physical Therapy on July 31, 2012.
Age: 41.0
Sex: F
Vaccine: MMR, PPV
Symptoms: Injection site erythema, Injection site pain, Injection site pruritus, Injection site swelling, Injection site warmth
Clinical narrative: Pain at injection site, swelling, large red area warm to touch, itching.
Age: 10.0
Sex: F
Vaccine: HEPA, TDAP
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Redness and swelling at injection site on left arm. Feels hot to touch and is painful. Ice was applied to ice and patient was adviced to use Motrin and / or Benadryl as needed.
Age: 45.0
Sex: F
Vaccine: MMR
Symptoms: Musculoskeletal pain, Musculoskeletal stiffness, Paraesthesia, Rash
Clinical narrative: "Breakout" on face, muscle stiffness, pain in L. shoulder and neck. On 7/27/12 began feeling tingling in neck, L. shoulder, forehead, and face. Has continued.
Age: 28.0
Sex: F
Vaccine: TDAP
Symptoms: Pain, Swelling, Tenderness
Clinical narrative: Patient notice swelling underneath left arm radiating to the left breast. Noted soreness, pain at a level of 6/10, and tenderness. No redness noted, skin is not warm. No swelling or redness noted on the injection site.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site warmth
Clinical narrative: Pt with large area of erythema and warmth at injection site.
Age: 5.0
Sex: M
Vaccine: DTAPHEPBIP, HEPA, MMR, VARCEL
Symptoms: Injection site erythema
Clinical narrative: Bilateral arm redness since received immunizations.
Age: 1.02
Sex: M
Vaccine: HIBV, MMR, PNC13, VARCEL
Symptoms: Irritability, Rash macular
Clinical narrative: Rash macular rash over head and trunk accompanied by irritability, rash resolved over 2 days, when seen by pediatrician it was completely resolved.
Age: 16.0
Sex: F
Vaccine: HPV4, VARCEL
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Redness and swelling to L upper arm.  Swelling size of a nickel and redness the size of a small egg, slightly warm to touch.
Age: 2.0
Sex: M
Vaccine: MNQ, PPV
Symptoms: Cellulitis, Erythema, Pain, Swelling, Ultrasound Doppler
Clinical narrative: Severe swelling, redness and pain, treated for cellulitis.
Age: 2.0
Sex: M
Vaccine: MNQ, PPV
Symptoms: X-ray
Clinical narrative: Severe swelling, redness and pain, treated for cellulitis.
Age: 19.0
Sex: M
Vaccine: PPV
Symptoms: Blood culture, Cellulitis, Discomfort, Swelling, X-ray
Clinical narrative: Servere swelling, discomfort, Developed into cellulitis.
Age: 11.0
Sex: M
Vaccine: PPV
Symptoms: Injection site pain, Injection site swelling
Clinical narrative: Pain and swelling at site.
Age: 16.0
Sex: M
Vaccine: DTAPIPVHIB
Symptoms: Drug administered to patient of inappropriate age
Clinical narrative: Pentacel given to child too old.
Age: 82.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Herpes zoster, Musculoskeletal pain
Clinical narrative: Pt got shingles 2 weeks after receiving ZOSTAVAX vaccine. Physician diagnosed with shingles on face. Pt was having pain on shoulder as well.
Age: 82.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Chest discomfort, Hypoaesthesia, Rash, Scab
Clinical narrative: Pt got shingles 2 weeks after receiving ZOSTAVAX vaccine. Physician diagnosed with shingles on face. Pt was having pain on shoulder as well.
Age: 57.0
Sex: F
Vaccine: HEP
Symptoms: Hepatitis, Hepatitis B surface antigen positive
Clinical narrative: This case was reported by a healthcare professional (nurse) and described the occurrence of hbsag positive (hepatitis) in a 57-year-old female subject who was vaccinated with ENGERIX B (GlaxoSmithKline). Concurrent medical conditions included diabetes, end stage renal disease and hemodialysis. On 6 July 2012 the subject received 3rd dose of ENGERIX B (40 mcg, intramuscular, left deltoid). The 40 mcg dose was administered as indicated for hemodialysis subject. On 11 July 2012, 5 days after vaccination with ENGERIX B, the subject experienced hbsag positive (hepatitis) ("tested positive for HBsAg"). The healthcare professional stated the test was not done mistakenly, but she suspected the test was false positive result due to vaccine. This case was assessed as medically serious by GSK. At the time of reporting the outcome of the event was unspecified.
Age: 1.1
Sex: U
Vaccine: HIBV, MMR, PNC13, VARCEL
Symptoms: Contusion, Full blood count abnormal, Petechiae, Platelet count decreased
Clinical narrative: Petechiae. Bruising.
Age: 1.08
Sex: F
Vaccine: HEPA, MMRV
Symptoms: Pyrexia, Rash
Clinical narrative: My daughter had a fever of 102 and a rash on her chest and legs for 3 days. Treated with Tylenol and Advil.
Age: 65.0
Sex: M
Vaccine: PPV
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Swollen red arm, at site.
Age: 62.0
Sex: M
Vaccine: VARZOS
Symptoms: Dyspnoea, Throat tightness
Clinical narrative: Pt. returned to clinic after experiencing difficulty breathing and throat tightness approx. 2-3 hours after Zostavax vaccine.
Age: 5.0
Sex: M
Vaccine: DTAPIPV, MMR, VARZOS
Symptoms: Wrong drug administered
Clinical narrative: Inadvertently administered Zostavax vaccine rather than Varicella.
Age: 11.0
Sex: F
Vaccine: MNQ, TDAP
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: PT REPORTS SWELLING AND REDNESS OF LEFT ARM ON AND AROUND SITE OF INJECTION. ON THE NEXT DAY SWELLING AND REDNESS INCREASED TO 5.5 INCHES IN LENGTH AND 3.5 INCHES WIDE. PT ALSO REPORTS PAIN AND TENDERNESS.
Age: 46.0
Sex: F
Vaccine: TDAP
Symptoms: Erythema, Incorrect route of drug administration, Oedema peripheral, Pain in extremity
Clinical narrative: Patent was given Adacel at incorrect site (not IM). Experienced pain, very red, sore and swelling in left arm.
Age: 0.71
Sex: F
Vaccine: DTAPIPVHIB, PNC13, RV5
Symptoms: Vomiting
Clinical narrative: VOMITING THE DAY AFTER VACCINE ADMINISTRATION.
Age: 2.0
Sex: M
Vaccine: DTAP, HIBV
Symptoms: Vomiting
Clinical narrative: VOMITING.
Age: 1.22
Sex: M
Vaccine: MMR
Symptoms: Pyrexia, Rash generalised, Rash morbilliform
Clinical narrative: Fever of 105 and rash all over body that looked like measles.
Age: 46.0
Sex: F
Vaccine: TDAP
Symptoms: Asthenia, Injection site erythema, Injection site reaction, Myalgia, Pyrexia
Clinical narrative: Severe deep muscle pain redness and blotches on site of shot and surrounding area. Fever ranging from 100.2 to 102 Degrees for 36 hours. Severe weakness for 36 hours.
Age: 46.0
Sex: F
Vaccine: TDAP
Symptoms: Rash macular
Clinical narrative: Severe deep muscle pain redness and blotches on site of shot and surrounding area. Fever ranging from 100.2 to 102 Degrees for 36 hours. Severe weakness for 36 hours.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Injection site erythema
Clinical narrative: Diffuse erythematous patch, nearly entire anterior portion of left thigh.
Age: 60.0
Sex: F
Vaccine: VARZOS
Symptoms: Blister, Herpes zoster, Rash, Varicella
Clinical narrative: A localized rash with vesicles filled with fluid on the right arm. Paitent has reported that rash is not painful, and that she had it checked with her doctor, and they think it's a minor chickenpox or shingles rash.
Age: 77.0
Sex: F
Vaccine: VARZOS
Symptoms: Cellulitis
Clinical narrative: 7/14/12 pt woke up with cellulitis near the right eye. Went to ER 7/16/12 after AUGMENTIN prescribed by PCP wasn't working. Treated in ER with IV antibiotics & continued at home with AUGMENTIN. ER physician wasn't completely sure that it was related to ZOSTAVAX administration.
Age: 18.0
Sex: F
Vaccine: MNQ
Symptoms: Syncope
Clinical narrative: Pt brought back by w/c with (X-ray), HO/PMD. Dr. stated pt. OK now he noted pt fainted in her car with mom. Pt walk out with mom after injection of MENACTRA ever informed about possible reaction after MENACTRA, suggested to stay at waiting room a least 15 min but she walk out with mom B.P 90/60 no apparent problem back to home with after 15 min.
Age: 4.0
Sex: M
Vaccine: DTAPIPV, MMR, PNC13, VARCEL
Symptoms: Abasia, Dysstasia, Muscular weakness, Pyrexia
Clinical narrative: On the evening after receiving the shot, his legs became very weak. He could not hold himself up, stand or walk. He had a high fever. He was able to walk and stand the next morning.
Age: 57.0
Sex: F
Vaccine: TDAP
Symptoms: Erythema, Skin warm
Clinical narrative: Redness (L) arm, warm to touch seen by MD today returned pt back to clinic.
Age: 89.0
Sex: M
Vaccine: VARZOS
Symptoms: Contusion, Purulent discharge
Clinical narrative: 48 hrs after vaccine (L) elbow developed a purulent sac that stayed 3-4 days. No with residual bruise 2" x 4 1/2". No temps, no joint pain no loss of ROM.
Age: 69.0
Sex: F
Vaccine: PPV
Symptoms: Fatigue, Glossodynia, Heart rate increased, Local reaction, Skin warm
Clinical narrative: Severe fatigue the next day. Rapid sounding heart beat the night after her injection was given lasting into her next day. Large local reaction on arm 3 x 4". Hot and warm to touch, pt stated her tongue was on fire after the injection.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Varicella post vaccine
Clinical narrative: Varicella s/p vaccine x 2. #1 11.10.04 Merck 0771P. #2 5.29.08 Merck 18996.
Age: 7.0
Sex: M
Vaccine: VARCEL
Symptoms: Varicella post vaccine
Clinical narrative: (+) Varicella following vaccine x 2 #1 11.02.03 Merck 0545N. #2 6.19.09 Merck 0471Y.
Sex: F
Vaccine: VARZOS
Symptoms: Local reaction, Vaccination site reaction
Clinical narrative: Pt had local reaction at vaccine site reported 7-30-12.
Age: 0.37
Sex: F
Vaccine: DTAP, HIBV, IPV, PNC13, RV5
Symptoms: Mydriasis, Respiratory arrest, Staring, Unresponsive to stimuli
Clinical narrative: Called 7/24/12 at 8:35 AM. Per grandmother of pt, the pt. had a blank stare on her face, pupils dilated, wasn't responding, and stopped breathing for 5-7 seconds this lasted. States they stimulated pt. and then she has been doing well ever since. Happened 10-15 minute after leaving our office.
Age: 5.0
Sex: F
Vaccine: DTAPIPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site vesicles, Injection site warmth
Clinical narrative: (L) deltoid red, swollen, hot to touch, c/o pain 3/10 measures 60 x 60 mm with small horizontal blister on lateral side of deltoid where bondage tape has placed.
Age: 65.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site haematoma, Injection site inflammation, Injection site pain
Clinical narrative: Daughter of patient called & reported that there is soreness on the injection site of her mom, inflamed are about 3x3 in & a pea sized bruise on the injection area. It hurts only when the area is touched. I advised them to have it seen also by MD.
Age: 69.0
Sex: F
Vaccine: VARZOS
Symptoms: Body temperature increased, Erythema, Headache, Lymph node pain, Lymphadenopathy
Clinical narrative: Received shot left arm at pharmacy at 1300 on July 9th by pharm. on duty. Next day had redness swelling, headache, low grade temp to 100 degrees, aches. On Wed had more swelling and pain in the lymph node areas. It took at least 5-6 days for all of this to go away. Took BENADRYL and topical BENADRYL for pain relief.
Age: 69.0
Sex: F
Vaccine: VARZOS
Symptoms: Pain, Swelling
Clinical narrative: Received shot left arm at pharmacy at 1300 on July 9th by pharm. on duty. Next day had redness swelling, headache, low grade temp to 100 degrees, aches. On Wed had more swelling and pain in the lymph node areas. It took at least 5-6 days for all of this to go away. Took BENADRYL and topical BENADRYL for pain relief.
Age: 5.0
Sex: M
Vaccine: DTAPIPV, MMR, VARCEL
Symptoms: Injection site cellulitis
Clinical narrative: Apparent cellulitis/possible abscess 17x17 cm. Ant. Lt thigh Adjacent to injection site.
Age: 27.0
Sex: M
Vaccine: TDAP
Symptoms: Dizziness postural, Dyspnoea, Headache, Injection site erythema, Injection site pruritus
Clinical narrative: Redness, warmth swelling 8 x 12 cm to (L) upper arm, itching into, fever, on/off x 2 days, headache & neck tightness, dizziness with turning head. Shortness of breath.
Age: 27.0
Sex: M
Vaccine: TDAP
Symptoms: Injection site swelling, Injection site warmth, Muscle tightness, Pyrexia
Clinical narrative: Redness, warmth swelling 8 x 12 cm to (L) upper arm, itching into, fever, on/off x 2 days, headache & neck tightness, dizziness with turning head. Shortness of breath.
Age: 73.0
Sex: M
Vaccine: UNK
Symptoms: Cough, Fatigue, Pyrexia
Clinical narrative: Fever - cough - fatigue.
Age: 61.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Injection site erythema, Injection site pruritus, Injection site warmth
Clinical narrative: Pt received vaccine on 7/18/12 & came in on 7/21/12 with redness around the injection site measuring about 2" x 3". Pt stated the area was warm & itched w/o pain. Told pt to take diphenhydramine. Apply abx oint & use ice if necessary. If rxn remained unchanged or worsened pt was advised to go to urgent care. Inj. site was unchanged from 7/20-7/21. Called pt 7/23/12 to follow up & she said her arm is getting better. She had been using ice packs.
Age: 61.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Pt received vaccine on 7/18/12 & came in on 7/21/12 with redness around the injection site measuring about 2" x 3". Pt stated the area was warm & itched w/o pain. Told pt to take diphenhydramine. Apply abx oint & use ice if necessary. If rxn remained unchanged or worsened pt was advised to go to urgent care. Inj. site was unchanged from 7/20-7/21. Called pt 7/23/12 to follow up & she said her arm is getting better. She had been using ice packs.
Age: 13.0
Sex: M
Vaccine: HEPA, MNQ, TDAP
Symptoms: Erythema, Hypersensitivity, Pruritus, Swelling
Clinical narrative: Dad states patient had an allergic reaction to the ADACEL (Tdap) redness, swelling & itchy - approx 15-20 cm of redness. Has applied cold compresses & improving. No wheezing or difficulty breathing. Dad wanted reaction noted in chart.
Age: 60.0
Sex: F
Vaccine: VARZOS
Symptoms: Blister, Feeling hot, Hypoaesthesia, Oedema peripheral, Purulence
Clinical narrative: Swelling from upper arm to armpit and warmth within 24 hours, along with numbness in finger tips. Blistering within 36 hours, and oozing yellow/pinkish purulence after 48 hours. Resolving on day 6.
Age: 70.0
Sex: F
Vaccine: VARZOS
Symptoms: Polymyalgia rheumatica
Clinical narrative: 7-24-12 polymyalgia rheumatica on neck, back & shoulders. 7-30-12 still ongoing today. Received  rx MEDROL dose pack.
Age: 27.0
Sex: M
Vaccine: TDAP
Symptoms: Adverse drug reaction, Anxiety, Chills, Dyspnoea, Injection site pain
Clinical narrative: Went to local hospital ER about 1 1/2 hours after receiving Tdap shot with c/o itching, chills, "a little SOB" pain at inj site and anxiety. Dx'd with 1. anxiety 2. adverse drug reaction - rx'd with ATIVAN: DC'd in improved cond - pt left ER and took 2 BENADRYL pills feels better.
Age: 27.0
Sex: M
Vaccine: TDAP
Symptoms: Pruritus
Clinical narrative: Went to local hospital ER about 1 1/2 hours after receiving Tdap shot with c/o itching, chills, "a little SOB" pain at inj site and anxiety. Dx'd with 1. anxiety 2. adverse drug reaction - rx'd with ATIVAN: DC'd in improved cond - pt left ER and took 2 BENADRYL pills feels better.
Age: 55.0
Sex: F
Vaccine: TDAP
Symptoms: Feeling hot, Hypotonia, Pruritus
Clinical narrative: Feeling limp in feet & hot & itching from the bottom up. Called 911 & taken to E.R given IV & injections, & felt better.
Age: 67.0
Sex: F
Vaccine: VARZOS
Symptoms: Rash
Clinical narrative: Patient states that two hours after receiving the vaccine she developed a mild rash. It was not bad enough that she felt she needed to be seen by her physician. She is only taking BENADRYL and rash has not yet fully resolved but isn't worse.
Age: 28.0
Sex: F
Vaccine: HEP
Symptoms: Pruritus, Rash generalised, Swelling face, Throat irritation, Urticaria
Clinical narrative: Generalized rash upper extremities, torso, face. Swelling of face, pruritis, "throat feels weird". Seen in ER and tx with IV SOLUMEDROL, SQ epinephrine, IV ZANTAC, IV BENADRYL. Hives resolved, discharged with po BENADRYL and prednisone. Also had albuterol SVN tx in the ER.
Age: 15.0
Sex: F
Vaccine: HEPA
Symptoms: Asthenia, Cold sweat, Dizziness, Feeling hot
Clinical narrative: Patient received the Hep A vaccine at her 11AM appt on 7-20-12. She stated to her parents just before 12N: "I feel like I'm going to pass out." Father sat her down; mother stated she was not hot, clammy, and weak. She had an empty stomach. She did not loss conscious. She recovered within 5 minutes and at some food per her mother.