chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Sex: U
Vaccine: DTAP, DTP, HEP
Symptoms: Pyrexia, Staphylococcus test positive, Streptococcus test positive, Therapeutic aspiration
Clinical narrative: Initial report received on 08 July 2011 from a literature citation (abstract). The following is verbatim per the abstract: "We reviewed reports to VAERS to determine the clinical and microbiologic characteristics of serious injection site abscesses following vaccination. Methods: VAERS is a passive surveillance system for collecting adverse events following vaccination. We reviewed reports coded as "abscess" or "sterile abscess" submitted from 7/90 to 4/01 and described by the reporter as serious (causing life-threatening illness, hospitalization or disability). To meet the case definition, reports described localized soft tissue collection of fluid at the injection site following vaccination, with spontaneous or surgical drainage or fluid collection diagnosed by imaging. Results: 69 reports met the case definition. Of 61 cases for which the associated vaccine could be identified, abscesses occurred at injection sites of DTP, DTaP or DTP/DTaP- based combinations in 32 and hepatitis B vaccine in 11 reports, 66 cases required hospitalization and 51 reported needle aspiration, surgical drainage or excision. Fever was reported in 16 cases. There were 9 reports of recurrent abscess at the same site after initial resolution and 5 reports of new abscess formation following subsequent vaccination. Median age was 0.8 yrs (range: birth-78) and 38 were females. Cultures were noted in 35 reports with organisms identified in 20, no growth reported in 12, and unspecified results in 3. For 31 reports, no information was provided on whether cultures were obtained. Organisms included S. aureus (11 reports), Group A streptococci (7), S. epidermidis (2), S. pneumoniae (2), unspecified streptococci (2), unspecified staphylococci (1), A. radiobacter (1), H. parainfluenzae (1), unspecified enterococci (1) and M. chelonae (1). 9 reports mentioned 2 organisms. Discussion: Abscesses after vaccination have been associated with hospitalization, surgical drainage and fever. Cultures of abscesses were often not reported or were negative. When reported, the majority of isolated organisms were common skin flora. A standardized approach to evaluate abscesses is warranted to better delineate etiology and to guide possible prevention efforts." Outcomes were not reported. Documents held by sender: None.
Age: 26.0
Sex: F
Vaccine: HPV4
Symptoms: Caesarean section, Drug exposure during pregnancy, Failed trial of labour, Pregnancy test negative, Pregnancy test positive
Clinical narrative: Information has been received from a nurse practitioner for GARDASIL, a pregnancy registry product, concerning a 26 year old female with no pertinent medical history, drug reaction and allergies,  who on 21-OCT-2009 was vaccinated intramuscularly with the first dose of GARDASIL (Lot # no reported). On 22-DEC-2009 received the second dose of GARDASIL (Lot # and route no reported) and on 08-SEP-2010 was vaccinated with the third dose of GARDASIL (Lot # and route no reported). Concomitant therapy included prenatal vitamins. The nurse reported that on 01-AUG-2010 a pregnancy test was performed which was negative. On 08-SEP-2010 another pregnancy test was performed after receiving the third dose and it was positive. No adverse events were reported. The patient last menstrual period (LMP) was on 06-JUN-2010 and the estimated delivery date is on 13-MAR-2011. Follow up information has been received from a triage nurse who reported that on approximately 20-MAR-2011 the patient delivered a healthy female neonate. Gestational age was 41 weeks. The neonate weighed 7 pounds, 15 ounces and American Pediatric Gross Assessment Record (APGAR) scores were 9/9. There were no congenital anomalies reported in OB/delivery record. Follow up information has been received from the nurse practitioner and a health professional concerning the female patient with polycystic ovarian syndrome (PCOS) and with no significant past medical history and with no previous pregnancy who was vaccinated with GARDASIL (lot # of the third dose: 0318Z). On 22-SEP-2010 ultrasound for pregnancy revealed 5 weeks and 5 days. On 19-APR-2011 ultrasound was performed (result not reported). The health professional reported that there were no complication during pregnancy and no diagnostic test during pregnancy. On 29-MAR-2011 the patient had a cesarean section due to failure to progress and delivered a normal female baby (previously reported as approximately 20-MAR-2011, gestational age was 41 week). There were no congenital anomalies and no other complications or abnormalities. Upon internal review, cesarean section/failure to progress was considered to be an other important medical event. Additional information is not expected.
Age: 26.0
Sex: F
Vaccine: HPV4
Symptoms: Ultrasound antenatal screen
Clinical narrative: Information has been received from a nurse practitioner for GARDASIL, a pregnancy registry product, concerning a 26 year old female with no pertinent medical history, drug reaction and allergies,  who on 21-OCT-2009 was vaccinated intramuscularly with the first dose of GARDASIL (Lot # no reported). On 22-DEC-2009 received the second dose of GARDASIL (Lot # and route no reported) and on 08-SEP-2010 was vaccinated with the third dose of GARDASIL (Lot # and route no reported). Concomitant therapy included prenatal vitamins. The nurse reported that on 01-AUG-2010 a pregnancy test was performed which was negative. On 08-SEP-2010 another pregnancy test was performed after receiving the third dose and it was positive. No adverse events were reported. The patient last menstrual period (LMP) was on 06-JUN-2010 and the estimated delivery date is on 13-MAR-2011. Follow up information has been received from a triage nurse who reported that on approximately 20-MAR-2011 the patient delivered a healthy female neonate. Gestational age was 41 weeks. The neonate weighed 7 pounds, 15 ounces and American Pediatric Gross Assessment Record (APGAR) scores were 9/9. There were no congenital anomalies reported in OB/delivery record. Follow up information has been received from the nurse practitioner and a health professional concerning the female patient with polycystic ovarian syndrome (PCOS) and with no significant past medical history and with no previous pregnancy who was vaccinated with GARDASIL (lot # of the third dose: 0318Z). On 22-SEP-2010 ultrasound for pregnancy revealed 5 weeks and 5 days. On 19-APR-2011 ultrasound was performed (result not reported). The health professional reported that there were no complication during pregnancy and no diagnostic test during pregnancy. On 29-MAR-2011 the patient had a cesarean section due to failure to progress and delivered a normal female baby (previously reported as approximately 20-MAR-2011, gestational age was 41 week). There were no congenital anomalies and no other complications or abnormalities. Upon internal review, cesarean section/failure to progress was considered to be an other important medical event. Additional information is not expected.
Age: 70.0
Sex: M
Vaccine: PPV
Symptoms: Meningitis pneumococcal
Clinical narrative: Information has been received from a physician's assistant concerning a male patient in his 70's, who in the March time frame of 2011, was vaccinated with a dose of PNEUMOVAX 23 (Lot # not reported). The physician's assistant reported that 2 months later vaccination in May 2011, the patient got pneumococcal meningitis. The patient was hospitalized for two weeks. At the time of the report, the patient had recovered. Pneumococcal meningitis was considered to be immediately life-threatening by physician assistant. Additional information has been requested.
Age: 1.01
Sex: F
Vaccine: HIBV, MMR, PNC13, VARCEL, HIBV, MMR, PNC13, VARCEL
Symptoms: Decreased appetite, Dyskinesia, Injection site pain, Pyrexia, Rash
Clinical narrative: 103 fever and jerking 7/19 again fever and jerking with rash on neck Pt has low appetite as well as soreness in at injection site
Age: 1.01
Sex: F
Vaccine: HIBV, MMR, PNC13, VARCEL, HIBV, MMR, PNC13, VARCEL
Symptoms: Dyskinesia, Pyrexia, Rash generalised
Clinical narrative: 103 fever and jerking 7/19 again fever and jerking with rash on neck Pt has low appetite as well as soreness in at injection site
Age: 1.1
Sex: F
Vaccine: VARCEL
Symptoms: Expired drug administered
Clinical narrative: Child received expired varicella vaccine (expired 06/22/2011) on 07/06/2011.
Age: 12.0
Sex: F
Vaccine: TDAP
Symptoms: Fall, Head injury, Syncope
Clinical narrative: Client fainted and hit her head. Alert, oriented after fall. Transported to hospital via ambulance for further evaluation. Mother with client. AOX4 after fall.
Age: 5.0
Sex: M
Vaccine: DTAPIPV, MMRV
Symptoms: Erythema, Oedema peripheral, Pain in extremity
Clinical narrative: Pt given KINRIX and MMRV on 7/14/11. Arm became swollen & red within 1hr of visit. Worsened next 24hrs painful to touch.
Age: 40.0
Sex: F
Vaccine: VARCEL
Symptoms: Rash macular, Rash papular, Scab, Skin lesion
Clinical narrative: Developed pruritic lesions - (3) erythematous, macule/papule - ok - then scabs on (R) forearm, left upper arm & left thighs - 17 days after varicella vaccine.
Age: 72.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site pain, Injection site pruritus, Injection site swelling, Injection site warmth
Clinical narrative: Patient returned to pharmacy 1 week after administration of ZOSTAVAX complaining of pain at injection site. Patient is blind, so I examined area which was red and a little warm. Patient also said it itched it has been a month and red, raised circle is still there but patient says it is feeling better. Continuing to monitor and recommend therapy for symptoms.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site induration, Injection site pain, Injection site pruritus, Injection site warmth
Clinical narrative: Child noted to have 2cm x 2cm circular area with redness with hard center to (L) thigh very itchy, mildly warm to touch with mild tenderness. Cont w/ warm compresses.
Age: 32.0
Sex: F
Vaccine: TDAP
Symptoms: Fibromyalgia, Laboratory test, Muscle spasms, Pain, Vitamin D
Clinical narrative: Tdap given 7/24/2009. During routine office visit because she was due for update. Later that week she had muscle spasm in back. Went to urgent care in state. Started physical therapy went 3 times & major spasm went away. Still has constant pain. Dx: Fibromyalgia. Never told doctor she questioned vaccine as cause.
Age: 1.68
Sex: F
Vaccine: MMR, PNC13, VARCEL
Symptoms: Chest X-ray, Drooling, Gaze palsy, Pyrexia, Salivary hypersecretion
Clinical narrative: Started shaking & eyes rolled ups & increased saliva drooling. Mom called ambulance. Took to ER. Was given Ibuprofen in ER & observed. Sent home after "an hour or two" fever in ER was 104.?.
Age: 1.68
Sex: F
Vaccine: MMR, PNC13, VARCEL
Symptoms: Tremor
Clinical narrative: Started shaking & eyes rolled ups & increased saliva drooling. Mom called ambulance. Took to ER. Was given Ibuprofen in ER & observed. Sent home after "an hour or two" fever in ER was 104.?.
Age: 1.0
Sex: U
Vaccine: HEPA, MMR, PNC13, VARCEL
Symptoms: Pyrexia
Clinical narrative: 16hrs after Immn, baby had fever of 106 axillary (reported by mom) continued to have temp up to 102-103 next 36hrs. Still has low grade fever.
Age: 54.0
Sex: M
Vaccine: VARZOS
Symptoms: Erythema, Swelling, Tenderness
Clinical narrative: 3 days after vaccination, patient still reporting, redness, tenderness & area swollen.
Age: 4.0
Sex: F
Vaccine: DTAPIPV, MMR, PNC13, VARCEL
Symptoms: Injection site erythema, Injection site warmth
Clinical narrative: PCV13 vaccine (L) deltoid on 7-12-11. Hot & red 4 x 3 1/2". Dtap/IPV (R) deltoid on 7-12-11. Hot & red irreg shape 2 1/4 x 4".
Age: 65.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema
Clinical narrative: Redness around injection site - told her to try some BENADRYL to help redness.
Age: 8.0
Sex: M
Vaccine: DTAP
Symptoms: Injection site erythema, Injection site pain, Injection site pruritus, Injection site swelling
Clinical narrative: Received Tdap (Dtap) Iz to left deltoid on 7/11/11 at clinic. Pt. c/o itching to left shoulder after injection. On 7/12/11 pt returned to clinic with c/o redness, pain & swelling to (L) deltoid. Adv ice packs to area & rx for MOTRIN.
Age: 17.0
Sex: F
Vaccine: HPV4
Symptoms: Unevaluable event
Clinical narrative: After patient received her vaccination at about 11:25 am she sat down in the waiting room chair next to mom. About 3-5 minutes later she told her mom her arm felt heavy. Her mom reported patient's head then fell backwards and she made a grunting sound with her breathing and seemed tense. She was reported stiff with neck flexed and arms flexed. When Dr. arrived maybe 30 seconds later she was limp and relaxed and looked pale per Dr. I arrived maybe about 5 minutes after episode started. Patient was then conscious and talking and aware of surroundings. No incontinence. No post-ictal period. She was helped up and walked into an exam room to lay down on exam table. Glucose checked and was 98. Patient had banana only for breakfast around 8:30 amand nothing except dinner night before. Not much fluid intake. Patient then able to sit up. Did not feel dizzy. BP checked sitting and normal. She said she felt back to normal. This was around 12 noon now. Patient then walked downstairs with mom and brother and went to lab for lytes, CBC. Will phone f/u tomorrow.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site warmth, Local reaction, Skin lesion
Clinical narrative: 5 x4 1/2 cm red, warm skin lesion on the upper Rt thigh. No limping, seems fine, no fever, no adenopathy. Local reaction.
Age: 17.0
Sex: M
Vaccine: MNQ, TDAP, VARCEL
Symptoms: Epistaxis, Head injury, Syncope
Clinical narrative: Patient fainted after receiving Tdap, MCV4 and Varicella vaccine. Patient fainted and hit his front head. Patient was bleeding from his nose. Paramedics were called to evaluated patient. Patient was taken by mother to hospital to be evaluated by MD.
Age: 59.0
Sex: F
Vaccine: TDAP
Symptoms: Activities of daily living impaired, Chills, Headache, Injected limb mobility decreased, Injection site pain
Clinical narrative: Headaches, fevers/chills, muscle aches, unable to get out of bed. Unable to use right arm where injection given, injection site hurting a lot.
Age: 59.0
Sex: F
Vaccine: TDAP
Symptoms: Myalgia, Pyrexia
Clinical narrative: Headaches, fevers/chills, muscle aches, unable to get out of bed. Unable to use right arm where injection given, injection site hurting a lot.
Age: 23.0
Sex: M
Vaccine: TDAP
Symptoms: Dizziness, Muscular weakness
Clinical narrative: Muscle weakness - generalized. Minor lightheadedness.
Age: 1.5
Sex: F
Vaccine: DTAP, MMR, VARCEL
Symptoms: Crying
Clinical narrative: Persistent inconsolable crying lasting greater than 3 hours within 48 hours.
Age: 17.0
Sex: F
Vaccine: MNQ
Symptoms: Asthenia, Dyspnoea, Headache, Hypoaesthesia, Injection site anaesthesia
Clinical narrative: Complains of weakness, headache, low fever, difficulty breathing at times. Numbness around site & legs.
Age: 17.0
Sex: F
Vaccine: MNQ
Symptoms: Pyrexia
Clinical narrative: Complains of weakness, headache, low fever, difficulty breathing at times. Numbness around site & legs.
Age: 1.27
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Injection site rash, Rash, Rash erythematous
Clinical narrative: Rash began day of exam red & raised. Began on the patient's back & spread to the face, neck, & lower extremities. No fever.
Age: 1.29
Sex: F
Vaccine: DTAP, VARCEL
Symptoms: Irritability, Pyrexia
Clinical narrative: Onset of fever 4 days after vaccination, fussy....102 rectally - ran temp in that range till 7/12/11 when temp increased to 103 degrees. Then began to subside now no longer fussy....fever free. 7/13/11.
Age: 43.0
Sex: U
Vaccine: HEP
Symptoms: Unevaluable event
Clinical narrative: None stated.
Age: 17.0
Sex: M
Vaccine: MNQ, PPV, VARCEL
Symptoms: Back pain, Chills, Lethargy, Neck pain, Oedema peripheral
Clinical narrative: Fever x 2 days, pain in the neck, back & swelling of left arm, lethargic & chills. Tx: warm soaks, AUGMENTIN 875 bid & Ibuprofen.
Age: 17.0
Sex: M
Vaccine: MNQ, PPV, VARCEL
Symptoms: Pyrexia
Clinical narrative: Fever x 2 days, pain in the neck, back & swelling of left arm, lethargic & chills. Tx: warm soaks, AUGMENTIN 875 bid & Ibuprofen.
Age: 10.0
Sex: M
Vaccine: VARCEL
Symptoms: Erythema, Injection site urticaria, Skin induration, Skin warm
Clinical narrative: Received vaccine approx 4pm - the next morning mom noticed a 50 cent piece size welt at injection site. Today 7-13-11 mom states he has a large size red, warm, hard area on arm (measured 5 1/2" diameter).
Age: 3.0
Sex: M
Vaccine: PNC13
Symptoms: Angioedema, Urine analysis normal
Clinical narrative: Patient received PCV13 Right thigh IM 6/29/11 - within next 24 hours giant urticaria developed. No immediate reaction, no local vaccine site reaction, no fever, no shortness of breath/cough, no vomit. Treatment = CLARITIN/BENADRYL.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Pt received shots 7/11/11, mom noticed area was red, swollen, 7/12/11, hot to touch area measured 1.5in x 1.5in. Pt was told to ice area and use BENADRYL q 6 hours. 7/13/11 pt returned area was larger 3 1/2 in x 2 1/2in. Red, swollen, hot to touch. Painful. Pt given TOPICORT to apply BID, continue BENADRYL q 6 hours & apply ice. DTaP shot was given in affected area.
Age: 58.0
Sex: M
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site pain, Injection site pruritus, Injection site swelling, Injection site warmth
Clinical narrative: Body ached all over for 2 days after inject. Had 9 x 3.5 inch area of redness, swelling, tenderness, itching and warmth around site of injection x 5 days.
Age: 58.0
Sex: M
Vaccine: VARZOS
Symptoms: Pain
Clinical narrative: Body ached all over for 2 days after inject. Had 9 x 3.5 inch area of redness, swelling, tenderness, itching and warmth around site of injection x 5 days.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV
Symptoms: Hypersensitivity, Local reaction, Vaccination site swelling
Clinical narrative: On 7/7/11 pt had a dose of PENTACEL given IM to his left arm (deltoid). He presented with 14cm x 14cm warm swollen local allergic reaction around the site of the vaccination. He was afebrile and not in significant pain.
Age: 4.0
Sex: M
Vaccine: DTAPIPVHIB, MMR, PNC13, VARCEL
Symptoms: Expired drug administered
Clinical narrative: Child received expired varicella vaccine (expired 06/22/2011) on 07/06/2011.
Age: 1.06
Sex: M
Vaccine: DTAPIPVHIB, HEPA, MMR, PNC13, VARCEL
Symptoms: Expired drug administered
Clinical narrative: Child received expired varicella vaccine (expired 06/22/2011) on 06/30/2011.
Age: 0.05
Sex: F
Vaccine: HEP
Symptoms: Aphagia, Crying, Insomnia, Pain, Screaming
Clinical narrative: Cried/screamed constantly, wouldn't sleep or eat, obviously in pain.  Up for 8 hours straight.
Age: 0.18
Sex: M
Vaccine: DTPPHIB, HEP, PNC13, RV5
Symptoms: Diarrhoea, Faeces discoloured, Flatulence, Irritability, Vomiting
Clinical narrative: Patient became very fussy and gassy. Having multiple episodes loose bright green stools. Vomited x1.
Age: 36.0
Sex: F
Vaccine: DTAP, PPV
Symptoms: Axillary pain, Erythema, Fatigue, Headache, Induration
Clinical narrative: Extreme itching at site within 15 mins.  Fatigue within and headache with 1 hour.  2.5 hrs muscle spasms in chest while laying down and fever of 100.1.  3.5 hours skin hot, swollen and hard from elbow to shoulder.  4.5 hrs baseball size lump in same area. DAY 2 after vaccine headache entire day, redness hot to touch looks like sunburn in upper arm and very swollen still. Entire arm and hand and armpit and neck area very sore barely can function with affected arm low grade fever 100.3  DAY 3 redness like a sunburn hot to touch swollen now moved to elbow joint cannot barely bend elbow hand affected and hurt a great deal. temp is 99.9
Age: 36.0
Sex: F
Vaccine: DTAP, PPV
Symptoms: Injection site pruritus, Joint swelling, Mass, Mobility decreased, Muscle spasms
Clinical narrative: Extreme itching at site within 15 mins.  Fatigue within and headache with 1 hour.  2.5 hrs muscle spasms in chest while laying down and fever of 100.1.  3.5 hours skin hot, swollen and hard from elbow to shoulder.  4.5 hrs baseball size lump in same area. DAY 2 after vaccine headache entire day, redness hot to touch looks like sunburn in upper arm and very swollen still. Entire arm and hand and armpit and neck area very sore barely can function with affected arm low grade fever 100.3  DAY 3 redness like a sunburn hot to touch swollen now moved to elbow joint cannot barely bend elbow hand affected and hurt a great deal. temp is 99.9
Age: 36.0
Sex: F
Vaccine: DTAP, PPV
Symptoms: Neck pain, Oedema peripheral, Pain in extremity, Pyrexia, Skin warm
Clinical narrative: Extreme itching at site within 15 mins.  Fatigue within and headache with 1 hour.  2.5 hrs muscle spasms in chest while laying down and fever of 100.1.  3.5 hours skin hot, swollen and hard from elbow to shoulder.  4.5 hrs baseball size lump in same area. DAY 2 after vaccine headache entire day, redness hot to touch looks like sunburn in upper arm and very swollen still. Entire arm and hand and armpit and neck area very sore barely can function with affected arm low grade fever 100.3  DAY 3 redness like a sunburn hot to touch swollen now moved to elbow joint cannot barely bend elbow hand affected and hurt a great deal. temp is 99.9
Age: 36.0
Sex: F
Vaccine: DTAP, PPV
Symptoms: Sunburn
Clinical narrative: Extreme itching at site within 15 mins.  Fatigue within and headache with 1 hour.  2.5 hrs muscle spasms in chest while laying down and fever of 100.1.  3.5 hours skin hot, swollen and hard from elbow to shoulder.  4.5 hrs baseball size lump in same area. DAY 2 after vaccine headache entire day, redness hot to touch looks like sunburn in upper arm and very swollen still. Entire arm and hand and armpit and neck area very sore barely can function with affected arm low grade fever 100.3  DAY 3 redness like a sunburn hot to touch swollen now moved to elbow joint cannot barely bend elbow hand affected and hurt a great deal. temp is 99.9
Age: 23.0
Sex: M
Vaccine: PPV
Symptoms: Blood count, Incorrect dose administered, Muscular weakness, Walking aid user
Clinical narrative: About 16 hours after PNEUMOVAX vaccine was given, pt had total muscle weakness, no strength for both legs, went to ER at hospital. After about 12 hours they released him. His heart rate was 148; 17,000 was his blood count after 24 hours he was a little better. Still 60 days later and after a regiment of physical therapy, pt still has major muscle weakness, more so on the right leg, pt used to walk with a cane. He now can only walk with a walker. Pt was given this PNEUMOVAX vaccine 4 times in 7 years. The last one which has more disabled him was given 6 months after the previous one. Overdose.  - 7/27/04, 8/16/05, 10/26/10, 5/13/11.
Age: 35.0
Sex: M
Vaccine: DTAP
Symptoms: Computerised tomogram normal, Grand mal convulsion
Clinical narrative: Grand Mal Seizure at 5:00 AM requiring 911 call, ambulance to ER, CT scan (clear), and release.  Second grand mal seizure at 11:00 AM requiring another 911 call, ambulance to ER, overnight stay including IV with dilantin. Follow up visits with neurologist ongoing.
Age: 21.0
Sex: M
Vaccine: SMALL, SMALL
Symptoms: Rash, Rash papular, Rash pruritic
Clinical narrative: Papular pruritic rash on legs and buttock
Age: 12.0
Sex: F
Vaccine: HPV4
Symptoms: Dizziness, Laboratory test normal, Nausea, Pallor, Presyncope
Clinical narrative: Patient came back feeling very lightheaded, dizzy and nauseous.  She appeared very pale.  She was feeling like she was going to pass out and went to the floor.  After a few minutes she was able to stand and she rested in a recliner with her feet up.  After about 15 minutes of this with a cool cloth on her forehead she was feeling better and left the office.
Age: 1.06
Sex: F
Vaccine: MMR, PNC, VARCEL
Symptoms: Injection site rash, Oral disorder, Pruritus, Scab, Skin lesion
Clinical narrative: On 7-18-2011 at night rash on foot. New lesions continue to break out. Itchy, no fever, no associated illness symptoms. On 7-20-11 some of lesions are scabbing. New lesion in mouth developed.
Age: 62.0
Sex: F
Vaccine: VARZOS
Symptoms: Allergy to chemicals, Angioedema, Local reaction, Urticaria
Clinical narrative: Severe histamine reaction locally, with angioedema entire (R) arm. Urticaria lasting 48 hours.
Age: 28.0
Sex: U
Vaccine: VARCEL
Symptoms: Chills, Fatigue, Headache, Injection site erythema, Injection site swelling
Clinical narrative: Pt got chills, rash under arms with itching, HA. Injection site red & swollen. Fever spiked at 7pm to 102.4, then fever broke. Swelling of site gone by 7/16/11 as well as itching & rash. 7/16 felt "queasy" & very tired. Felt back to normal by 7/18/11.
Age: 28.0
Sex: U
Vaccine: VARCEL
Symptoms: Nausea, Pruritus, Pyrexia, Rash
Clinical narrative: Pt got chills, rash under arms with itching, HA. Injection site red & swollen. Fever spiked at 7pm to 102.4, then fever broke. Swelling of site gone by 7/16/11 as well as itching & rash. 7/16 felt "queasy" & very tired. Felt back to normal by 7/18/11.
Age: 31.0
Sex: F
Vaccine: MMR
Symptoms: Pruritus, Rash, Rash vesicular
Clinical narrative: Forearms started itching and developed a fine rash, rash worsened at night, became slightly vesicular.
Age: 21.0
Sex: F
Vaccine: PPV, TDAP
Symptoms: Rash erythematous
Clinical narrative: Flat red rash around arm about one inch below injection site.
Age: 10.0
Sex: F
Vaccine: HPV4, VARCEL
Symptoms: Injection site rash, Rash vesicular
Clinical narrative: Varicella-like rash at injection site - observation.
Age: 8.0
Sex: F
Vaccine: HEPA
Symptoms: Cold sweat, Fatigue, Nausea, Pain in extremity, Syncope
Clinical narrative: Arm pain then fainted, felt clammy and woke up feeing nauseuos and tired. Nurse called Dr. and brought smelling salts - both Dr and nurse talked with patient - nurse brought water and took temperature at parent's request.
Age: 0.33
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC13, RV1
Symptoms: Anticonvulsant drug level, Computerised tomogram, Convulsion, Lumbar puncture, Nuclear magnetic resonance imaging
Clinical narrative: Prolonged Seizure
Age: 1.0
Sex: F
Vaccine: HEPA, MMR
Symptoms: Injection site rash, Insomnia, Irritability, Pyrexia, Rash
Clinical narrative: Low grade fever of 99-101 for a week before rash developed.  Rash began on the morning of 7/18, spread all over arms, hands, legs, feet, buttocks, face/cheeks/ears, and a little bit on chest.  Child was also very cranky and not sleeping well.
Age: 21.0
Sex: F
Vaccine: TDAP
Symptoms: Erythema, Injection site erythema, Injection site swelling, Swelling
Clinical narrative: Injection site swelling and erythema, Facial erythema and swelling
Age: 4.0
Sex: M
Vaccine: DTAPIPV, HEPA, MMR, VARCEL
Symptoms: Erythema, Pruritus, Urticaria
Clinical narrative: Welps all over entire body. Mother reports he c/o feet itching when they left here.  In a little while noticed welps all over.  No wheezing or respiratory symptoms. Significant itching. Was given 18.75 mg Benadryl by mouth at 11AM. At 11:25 am gave 15 mg Orapred by mouth.  Released at 12:30 pm. Welps still apparent and still no respiratory issues.  Gave Rx to give Orapred ODTs 15 mg bid x 3 days. Text from mother at 2:00 pm same day (7/19/2011) and welps and redness were completely gone.  Text from mother at my request 7/20/2011 at 3:00 pm - no further welps, redness or itching.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Injection site nodule, Injection site rash
Clinical narrative: knot and rash at injection site of right deltoid
Age: 17.0
Sex: M
Vaccine: TDAP
Symptoms: Allergy to vaccine, Eye swelling, Lip swelling, Pyrexia, Rash
Clinical narrative: PER PT DEVELOPED A FEVER OVERNIGHT, SWELLING ON EYES AND UPPER LIPS, AND DEVELOPED A RASH IN AM
Age: 1.08
Sex: M
Vaccine: VARCEL
Symptoms: Diarrhoea, Rash, Rash papular, Skin lesion
Clinical narrative: 8-12 lesions erupted on patients face Watery, large volume stool  7/20/2011: no concerning rashes or lesions except for one erythematous papule with halo just beside lateral epicantheal fold of right eye.
Age: 1.49
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Pyrexia
Clinical narrative: Fever (101-102.8)
Age: 0.18
Sex: F
Vaccine: DTAPIPVHIB, PNC13, RV5
Symptoms: Cough, Dyspnoea, Feeding disorder of infancy or early childhood, Hypotonia, Irritability
Clinical narrative: Wasn't eating the night before very well, coughing, fussy, Seizure like symptoms, stiffened up then went limp and took a gasp for air about every 5 seconds.  Called 911 ambulance took to Hospital, then transferred to another Hospital by life flight.
Age: 0.18
Sex: F
Vaccine: DTAPIPVHIB, PNC13, RV5
Symptoms: Musculoskeletal stiffness, Seizure like phenomena
Clinical narrative: Wasn't eating the night before very well, coughing, fussy, Seizure like symptoms, stiffened up then went limp and took a gasp for air about every 5 seconds.  Called 911 ambulance took to Hospital, then transferred to another Hospital by life flight.
Age: 52.0
Sex: F
Vaccine: TDAP
Symptoms: Incorrect dose administered
Clinical narrative: Patient was given Tdap vaccine // was later noted that patient had been given Tdap immunization in 2009.
Age: 0.17
Sex: F
Vaccine: DTAP, IPV
Symptoms: Discomfort, Injection site erythema, Irritability, Pyrexia, Screaming
Clinical narrative: Patient woke from her nap crankier than normal; within an hour, she was screaming inconsolably. Her legs became red and swollen at each vaccination site. She seemed to be running a slight fever, but nothing over 101F. At our pediatrician's advice, we gave her a dose of infant Tylenol, and applied cold compresses to the vaccination sites; this eased her discomfort. We needed to repeat the Tylenol at two more doses to keep her from becoming extremely upset at those times; irritability continued for about 36 hours after the vaccination.
Age: 0.17
Sex: F
Vaccine: DTAP, IPV
Symptoms: Vaccination site swelling
Clinical narrative: Patient woke from her nap crankier than normal; within an hour, she was screaming inconsolably. Her legs became red and swollen at each vaccination site. She seemed to be running a slight fever, but nothing over 101F. At our pediatrician's advice, we gave her a dose of infant Tylenol, and applied cold compresses to the vaccination sites; this eased her discomfort. We needed to repeat the Tylenol at two more doses to keep her from becoming extremely upset at those times; irritability continued for about 36 hours after the vaccination.
Age: 63.0
Sex: M
Vaccine: VARZOS
Symptoms: Skin warm, Swelling
Clinical narrative: PATIENT STATES THE AREA AS WARM TO THE TOUCH, RAISED WITH A 2" DIAMETER AT THE PEAK OF SYMPTOMS
Age: 24.0
Sex: M
Vaccine: MNQ, PPV, TDAP
Symptoms: Back pain, Chills, Headache, Lymph node pain, Lymphadenopathy
Clinical narrative: 102.4 Temperature, Swollen and painful Lymph Node under right armpit, extreme chills and shaking, Headache, Painful Lower back, all over body aches, fever continues to spike after Tylenol wears off.
Age: 24.0
Sex: M
Vaccine: MNQ, PPV, TDAP
Symptoms: Pain, Pyrexia, Tremor
Clinical narrative: 102.4 Temperature, Swollen and painful Lymph Node under right armpit, extreme chills and shaking, Headache, Painful Lower back, all over body aches, fever continues to spike after Tylenol wears off.
Age: 1.3
Sex: F
Vaccine: DTAP, HIBV, PNC13
Symptoms: Injection site swelling, Irritability, Pyrexia
Clinical narrative: SIGNIFICANT SWELLING OF BOTH LEGS WITH A FEVER OF 101.6. CHILD WAS VERY FUSSY.
Age: 17.0
Sex: F
Vaccine: TDAP
Symptoms: Asthenia, Dizziness
Clinical narrative: Weakness, dizziness.
Age: 2.0
Sex: F
Vaccine: HEPA, PNC13
Symptoms: Injection site papule, Injection site rash
Clinical narrative: 4 cm in diameter papular rash on vaccine site of right outer thigh. Mom stated rash began the day after vaccination. No fever. No itch or pain of the rash. Pt. treated with BENADRYL & KEFLEX with a follow-up in 7 days.
Age: 71.0
Sex: M
Vaccine: VARZOS
Symptoms: Chills, Pyrexia
Clinical narrative: Gave ZOSTAVAX at 11:30AM 7-19-11 -> patient developed fever at around 1:30-2pm on 7-19-11. Used TYLENOL to control it. Back to normal by today approximately 2PM. "Chills" & "fever".
Age: 6.0
Sex: M
Vaccine: DTAP
Symptoms: Ecchymosis, Erythema, Induration, Skin warm, Tenderness
Clinical narrative: Pt with large round 8cm x 7cm warm to touch indurated & tender area (red with ecchymosis) treated with AUGMENTIN x 10 days.
Age: 11.0
Sex: F
Vaccine: MNQ, TDAP
Symptoms: Injected limb mobility decreased, Injection site erythema, Injection site induration, Injection site pain, Injection site swelling
Clinical narrative: Patient has a swollen left shoulder that is tender to touch. There is a 1 cm area of induration with erythema. She reports it is hard to move the arm above her shoulder.
Age: 0.51
Sex: F
Vaccine: DTAPIPVHIB, HEP, PNC13, RV5
Symptoms: Pyrexia, Rash erythematous, Rash generalised, Rash maculo-papular, Roseola
Clinical narrative: Less than 24 hours after receiving vaccines, patient developed fever to 102 degrees x 2-3 days. Subsequently developed full body maculopapular erythematous rash after fever stopped. Working dx: roseola v. vaccine reaction.
Age: 0.51
Sex: F
Vaccine: DTAPIPVHIB, HEP, PNC13, RV5
Symptoms: Vaccination complication
Clinical narrative: Less than 24 hours after receiving vaccines, patient developed fever to 102 degrees x 2-3 days. Subsequently developed full body maculopapular erythematous rash after fever stopped. Working dx: roseola v. vaccine reaction.
Age: 13.0
Sex: F
Vaccine: HPV4
Symptoms: Face injury, Fall, Syncope, Tooth fracture
Clinical narrative: Pt had a syncopal episode several minutes after receiving the GARDASIL vaccine, while sitting on the exam table, she fell to the floor and hit her face. After approximately 20 mins pt was stable and discharged from office. Was instructed to see dentist, she chipped her  tooth when she hit the floor.
Age: 2.0
Sex: M
Vaccine: HEPA, HIBV
Symptoms: Injection site swelling
Clinical narrative: Swelling on (R) arm has gone down.
Age: 14.0
Sex: F
Vaccine: TDAP
Symptoms: Lethargy, Musculoskeletal stiffness, Pyrexia
Clinical narrative: Low grade temperature, stiff neck, lethargy for several days after vaccine.
Age: 21.0
Sex: F
Vaccine: HPV4, TDAP, HPV4, TDAP
Symptoms: Eye swelling, Swelling face
Clinical narrative: Information has been received from a consumer and registered nurse concerning a 21 year old consumer's daughter with sulfa allergy, a cyst on her head (the nurse reported onset date unknown, but prior to of GARDASIL dose), migraine headaches and anxiety who on 08-JUL-2011, was vaccinated with the first dose of GARDASIL (dose and route not reported) (lot number 1560Z). Secondary suspect therapy included vaccination on 08-JUL-2011, with a dose of ADACEL. Concomitant therapy included paroxetine, XANAX, rizatriptan benzoate, SEASONALE, AUGMENTIN and ibuprofen. The father of the patient reported that "almost immediately" on 08-JUL-2011, the daughter of the consumer began to swell up. The consumer stated that her face swelled to the point that she looked "like someone had beat her to death", and that her eyes were swollen shut. The consumer stated that she could not drive due to the swelling on her face. On 09-JUL-2011, the nurse reported that an incision and drainage of the cyst was performed and VICODIN was prescribed as needed for pain. The consumer took her daughter to physician's partner on Monday 11-JUL-2011, where the cyst on her head was examined, he stated that he and the physician were questioning if the swelling might had been due to the cyst. However, the swelling continued to progress and she returned to the physician again. On 11-JUL-2011 (also reported as 12-JUL-2011), the nurse reported that that patient received an injectable steroid possibly betamethasone for facial swelling. On 12-JUL-2011, she received oral prednisone to ease the progression of what the physician diagnosed as an allergic reaction to the vaccine. The nurse stated that she had not heard from the patient since 12-JUL-2011, "so assumed as not getting worse". At the time of the report the father of the patient stated that his daughter had not recovered. Could not drive due to the swelling on her face and the allergic reaction to the vaccine were considered to be disabling by the father of the patient. Additional information has been requested.
Age: 21.0
Sex: F
Vaccine: HPV4, TDAP, HPV4, TDAP
Symptoms: Allergy to vaccine, Eye swelling, Immediate post-injection reaction, Impaired driving ability, Incisional drainage
Clinical narrative: Information has been received from a consumer and registered nurse concerning a 21 year old consumer's daughter with sulfa allergy, a cyst on her head (the nurse reported onset date unknown, but prior to of GARDASIL dose), migraine headaches and anxiety who on 08-JUL-2011, was vaccinated with the first dose of GARDASIL (dose and route not reported) (lot number 1560Z). Secondary suspect therapy included vaccination on 08-JUL-2011, with a dose of ADACEL. Concomitant therapy included paroxetine, XANAX, rizatriptan benzoate, SEASONALE, AUGMENTIN and ibuprofen. The father of the patient reported that "almost immediately" on 08-JUL-2011, the daughter of the consumer began to swell up. The consumer stated that her face swelled to the point that she looked "like someone had beat her to death", and that her eyes were swollen shut. The consumer stated that she could not drive due to the swelling on her face. On 09-JUL-2011, the nurse reported that an incision and drainage of the cyst was performed and VICODIN was prescribed as needed for pain. The consumer took her daughter to physician's partner on Monday 11-JUL-2011, where the cyst on her head was examined, he stated that he and the physician were questioning if the swelling might had been due to the cyst. However, the swelling continued to progress and she returned to the physician again. On 11-JUL-2011 (also reported as 12-JUL-2011), the nurse reported that that patient received an injectable steroid possibly betamethasone for facial swelling. On 12-JUL-2011, she received oral prednisone to ease the progression of what the physician diagnosed as an allergic reaction to the vaccine. The nurse stated that she had not heard from the patient since 12-JUL-2011, "so assumed as not getting worse". At the time of the report the father of the patient stated that his daughter had not recovered. Could not drive due to the swelling on her face and the allergic reaction to the vaccine were considered to be disabling by the father of the patient. Additional information has been requested.
Age: 21.0
Sex: F
Vaccine: HPV4, TDAP, HPV4, TDAP
Symptoms: Swelling face
Clinical narrative: Information has been received from a consumer and registered nurse concerning a 21 year old consumer's daughter with sulfa allergy, a cyst on her head (the nurse reported onset date unknown, but prior to of GARDASIL dose), migraine headaches and anxiety who on 08-JUL-2011, was vaccinated with the first dose of GARDASIL (dose and route not reported) (lot number 1560Z). Secondary suspect therapy included vaccination on 08-JUL-2011, with a dose of ADACEL. Concomitant therapy included paroxetine, XANAX, rizatriptan benzoate, SEASONALE, AUGMENTIN and ibuprofen. The father of the patient reported that "almost immediately" on 08-JUL-2011, the daughter of the consumer began to swell up. The consumer stated that her face swelled to the point that she looked "like someone had beat her to death", and that her eyes were swollen shut. The consumer stated that she could not drive due to the swelling on her face. On 09-JUL-2011, the nurse reported that an incision and drainage of the cyst was performed and VICODIN was prescribed as needed for pain. The consumer took her daughter to physician's partner on Monday 11-JUL-2011, where the cyst on her head was examined, he stated that he and the physician were questioning if the swelling might had been due to the cyst. However, the swelling continued to progress and she returned to the physician again. On 11-JUL-2011 (also reported as 12-JUL-2011), the nurse reported that that patient received an injectable steroid possibly betamethasone for facial swelling. On 12-JUL-2011, she received oral prednisone to ease the progression of what the physician diagnosed as an allergic reaction to the vaccine. The nurse stated that she had not heard from the patient since 12-JUL-2011, "so assumed as not getting worse". At the time of the report the father of the patient stated that his daughter had not recovered. Could not drive due to the swelling on her face and the allergic reaction to the vaccine were considered to be disabling by the father of the patient. Additional information has been requested.
Age: 1.01
Sex: F
Vaccine: HIBV, MMR, PNC13, VARCEL, HIBV, MMR, PNC13, VARCEL
Symptoms: Decreased appetite, Dyskinesia, Injection site pain, Pyrexia, Rash
Clinical narrative: HIGH FEVER (102-103F) FOR 3 DAYS, JERKING, RASH TREATED FEVER WITH ACETAMINOPHEN (EVERY 4 HRS) AND IBUPROFEN (EVERY 6 HOURS) SIMULTANEOUSLY WITH 2 HRS OF DIFFERENCE AND BATH W/ LUKE WARM WATER.  LOWER TEMPERATURE REACHED IT WAS 101F
Age: 1.01
Sex: F
Vaccine: HIBV, MMR, PNC13, VARCEL, HIBV, MMR, PNC13, VARCEL
Symptoms: Dyskinesia, Pyrexia, Rash generalised
Clinical narrative: HIGH FEVER (102-103F) FOR 3 DAYS, JERKING, RASH TREATED FEVER WITH ACETAMINOPHEN (EVERY 4 HRS) AND IBUPROFEN (EVERY 6 HOURS) SIMULTANEOUSLY WITH 2 HRS OF DIFFERENCE AND BATH W/ LUKE WARM WATER.  LOWER TEMPERATURE REACHED IT WAS 101F
Age: 75.0
Sex: F
Vaccine: VARZOS
Symptoms: Rash, Skin ulcer, Vaccination complication
Clinical narrative: 7/7/11 "Rash with sores on both legs from hip to ankle". 7/11/11 visit to Dr. who diagnosed a reaction to the vaccine. Gave steroid injection. 7/20/11 a lot better - most places are gone. Uses anti-itch powder.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Body temperature increased, Injection site erythema, Injection site pain, Injection site swelling, Injection site urticaria
Clinical narrative: Pain and swelling at DTaP injection site with heat, redness and severe hives. Oral Benadryl giving immediately and hives improved within 15 minutes. Hives never fully resolved until 10-11 days later. Patient had to recieve oral Benadryl every 6-8 hours during this time. A mild temperature (never exceeding 101.5deg) happened 24 hours after the vaccine and lasted 2 days. Only the DTaP injection site had this reaction. The other 3 vaccine injection sites were normal.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Injection site warmth
Clinical narrative: Pain and swelling at DTaP injection site with heat, redness and severe hives. Oral Benadryl giving immediately and hives improved within 15 minutes. Hives never fully resolved until 10-11 days later. Patient had to recieve oral Benadryl every 6-8 hours during this time. A mild temperature (never exceeding 101.5deg) happened 24 hours after the vaccine and lasted 2 days. Only the DTaP injection site had this reaction. The other 3 vaccine injection sites were normal.
Age: 5.0
Sex: F
Vaccine: DTAPIPV, MMR, VARCEL
Symptoms: Injection site rash, Pruritus, Rash, Rash erythematous
Clinical narrative: Mother states rash appeared 5 days after vaccination - 7-10 red, raised, blister-like areas on trunk, arms (upper), thighs. C/o itching. By 7/13 lesions less red, drying.
Age: 30.0
Sex: U
Vaccine: TDAP
Symptoms: Unevaluable event
Clinical narrative: None stated.
Age: 64.0
Sex: M
Vaccine: FLU3
Symptoms: Abdominal pain upper, Cholecystectomy, Computerised tomogram, Electrocardiogram, Gastrooesophageal reflux disease
Clinical narrative: This spontaneous consumer report (initial receipt date 11-JUL-2011) concerns a 64-year old male patient. Concomitant medication included omeprazole, esomeprazole, metoprolol, trazodone, codaine phosphate; paracetamol combination and other unspecified medication. There were no known drug reactions or allergies. On 30-Sep-2009 the patient received a 0.5mL dose of AFLURIA (batch: 075491111A) by intra-muscular injection for influenza prevention. On 30-Sep-2009, since the patient had received the vaccine, he remained sick. He experienced pain throughout his body, mostly in the stomach. He said his physicians believed that the sickness was a coincidence and that the pain was acid reflux. The patient was hospitalised for the event (went to the emergency room for 5 hours after receiving his shot on 30-SEP-2009). Diagnostic tests have included CAT (computerized axial tomography) scans, stool samples taken, MRI's (magnetic resonance imaging), x-rays, EKG's (electrocardiographs) and other unspecified tests. The patient had his gall bladder removed around Jun-2011. The patient outcome is not recovered.
Age: 64.0
Sex: M
Vaccine: FLU3
Symptoms: Laboratory test, Malaise, Nuclear magnetic resonance imaging, Pain, Stool analysis
Clinical narrative: This spontaneous consumer report (initial receipt date 11-JUL-2011) concerns a 64-year old male patient. Concomitant medication included omeprazole, esomeprazole, metoprolol, trazodone, codaine phosphate; paracetamol combination and other unspecified medication. There were no known drug reactions or allergies. On 30-Sep-2009 the patient received a 0.5mL dose of AFLURIA (batch: 075491111A) by intra-muscular injection for influenza prevention. On 30-Sep-2009, since the patient had received the vaccine, he remained sick. He experienced pain throughout his body, mostly in the stomach. He said his physicians believed that the sickness was a coincidence and that the pain was acid reflux. The patient was hospitalised for the event (went to the emergency room for 5 hours after receiving his shot on 30-SEP-2009). Diagnostic tests have included CAT (computerized axial tomography) scans, stool samples taken, MRI's (magnetic resonance imaging), x-rays, EKG's (electrocardiographs) and other unspecified tests. The patient had his gall bladder removed around Jun-2011. The patient outcome is not recovered.
Age: 64.0
Sex: M
Vaccine: FLU3
Symptoms: X-ray
Clinical narrative: This spontaneous consumer report (initial receipt date 11-JUL-2011) concerns a 64-year old male patient. Concomitant medication included omeprazole, esomeprazole, metoprolol, trazodone, codaine phosphate; paracetamol combination and other unspecified medication. There were no known drug reactions or allergies. On 30-Sep-2009 the patient received a 0.5mL dose of AFLURIA (batch: 075491111A) by intra-muscular injection for influenza prevention. On 30-Sep-2009, since the patient had received the vaccine, he remained sick. He experienced pain throughout his body, mostly in the stomach. He said his physicians believed that the sickness was a coincidence and that the pain was acid reflux. The patient was hospitalised for the event (went to the emergency room for 5 hours after receiving his shot on 30-SEP-2009). Diagnostic tests have included CAT (computerized axial tomography) scans, stool samples taken, MRI's (magnetic resonance imaging), x-rays, EKG's (electrocardiographs) and other unspecified tests. The patient had his gall bladder removed around Jun-2011. The patient outcome is not recovered.
Age: 11.0
Sex: F
Vaccine: HPV4, MEN, TDAP
Symptoms: Breath sounds abnormal, Dyskinesia, Feeling abnormal, Muscle rigidity
Clinical narrative: AFTER ADMINSTERING TDAP, HPV AND MENNINGOCOCCAL, PT STARTED SHE DIDN'T FEEL GOOD AND LAID BACK ON EXAM TABLE. PT. STARTED MAKING GURLING SOUNDS  WITH ARMS AND LEGS BECAME TO JERK AND RIGID. EPISODE LASTED APRROX 15-20- SECONDS. SHE WAS WATCHED FOR 30 MINUTES AFTER WARDS WITH MOM FANNING PATIENT AFTER INCIDENT.
Age: 36.0
Sex: F
Vaccine: ANTH, TYP
Symptoms: Chills, Mobility decreased, Muscle spasms, Pain, Pyrexia
Clinical narrative: Pain, swelling, unable to move arm due to muscle spasm. Fever, Chills
Age: 36.0
Sex: F
Vaccine: ANTH, TYP
Symptoms: Swelling
Clinical narrative: Pain, swelling, unable to move arm due to muscle spasm. Fever, Chills
Age: 4.0
Sex: F
Vaccine: DTAPIPV, MMRV, PNC13
Symptoms: Blood culture negative, Chest X-ray normal, Culture urine negative, Full blood count normal, Grand mal convulsion
Clinical narrative: Patient with seizure disorder, hx of recurrent febrile seizures, 1st seizure of life after Hep A on 8/19/08. Other seizures since. Received KINRIX/PROQUAD/PREVNAR 13 -> developed redness at injection site, urticaria, generalized tonic-clonic seizure x 30-45 min.