chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 66.0
Sex: M
Vaccine: PPV, PPV
Symptoms: Anaemia, Anaphylactic reaction, Arthralgia, Blood creatinine increased, Chills
Clinical narrative: Pneumonia vaccine on 2/16/06 patient had chills, fever up to 105 and redness around injection site. Seen in office on 2/17/06 temp 102 and WBC of 25.3. Patient admitted to infirmary with sepsis and renal failure. 3/13/06 Received Discharge Summary2/17/06-2/25/06 hospitalization which revealed patient experienced: acute renal failure, hematuria, acute tubular necrosis, hypotension, anemia, fever, edema & rash of his arm, myalgias & arthralgias & late anaphylaxis.  Abnormal labs included a max serum creatinine of 7.9 & nonanion gap metabolic acidosis./ss 3/30/06 Received Discharge Summary from 3/8/06-3/15/06 hospitalization which revealed patient experienced dx: probable recurrent serum sickness, improving renal function, anemia & sinusitis. He had recurrent fever, anorexia & malaise.  WBC's were elevated, sed rate was elevated & all cultures were neg. 60 day Follow-up Information 17-MAY-2006: Pt readmitted
Age: 66.0
Sex: M
Vaccine: PPV, PPV
Symptoms: Haematuria, Hypotension, Myalgia, Pyrexia, Renal failure
Clinical narrative: Pneumonia vaccine on 2/16/06 patient had chills, fever up to 105 and redness around injection site. Seen in office on 2/17/06 temp 102 and WBC of 25.3. Patient admitted to infirmary with sepsis and renal failure. 3/13/06 Received Discharge Summary2/17/06-2/25/06 hospitalization which revealed patient experienced: acute renal failure, hematuria, acute tubular necrosis, hypotension, anemia, fever, edema & rash of his arm, myalgias & arthralgias & late anaphylaxis.  Abnormal labs included a max serum creatinine of 7.9 & nonanion gap metabolic acidosis./ss 3/30/06 Received Discharge Summary from 3/8/06-3/15/06 hospitalization which revealed patient experienced dx: probable recurrent serum sickness, improving renal function, anemia & sinusitis. He had recurrent fever, anorexia & malaise.  WBC's were elevated, sed rate was elevated & all cultures were neg. 60 day Follow-up Information 17-MAY-2006: Pt readmitted
Age: 66.0
Sex: M
Vaccine: PPV, PPV
Symptoms: Serum sickness, Sinusitis, White blood cell count increased
Clinical narrative: Pneumonia vaccine on 2/16/06 patient had chills, fever up to 105 and redness around injection site. Seen in office on 2/17/06 temp 102 and WBC of 25.3. Patient admitted to infirmary with sepsis and renal failure. 3/13/06 Received Discharge Summary2/17/06-2/25/06 hospitalization which revealed patient experienced: acute renal failure, hematuria, acute tubular necrosis, hypotension, anemia, fever, edema & rash of his arm, myalgias & arthralgias & late anaphylaxis.  Abnormal labs included a max serum creatinine of 7.9 & nonanion gap metabolic acidosis./ss 3/30/06 Received Discharge Summary from 3/8/06-3/15/06 hospitalization which revealed patient experienced dx: probable recurrent serum sickness, improving renal function, anemia & sinusitis. He had recurrent fever, anorexia & malaise.  WBC's were elevated, sed rate was elevated & all cultures were neg. 60 day Follow-up Information 17-MAY-2006: Pt readmitted
Age: 66.0
Sex: M
Vaccine: PPV, PPV
Symptoms: Anaphylactic shock
Clinical narrative: Pneumonia vaccine on 2/16/06 patient had chills, fever up to 105 and redness around injection site. Seen in office on 2/17/06 temp 102 and WBC of 25.3. Patient admitted to infirmary with sepsis and renal failure. 3/13/06 Received Discharge Summary2/17/06-2/25/06 hospitalization which revealed patient experienced: acute renal failure, hematuria, acute tubular necrosis, hypotension, anemia, fever, edema & rash of his arm, myalgias & arthralgias & late anaphylaxis.  Abnormal labs included a max serum creatinine of 7.9 & nonanion gap metabolic acidosis./ss 3/30/06 Received Discharge Summary from 3/8/06-3/15/06 hospitalization which revealed patient experienced dx: probable recurrent serum sickness, improving renal function, anemia & sinusitis. He had recurrent fever, anorexia & malaise.  WBC's were elevated, sed rate was elevated & all cultures were neg. 60 day Follow-up Information 17-MAY-2006: Pt readmitted
Age: 1.08
Sex: F
Vaccine: PNC, VARCEL
Symptoms: Urticaria
Clinical narrative: Pt received PCV-7 #4 and Varivax L arm. Immediately, 1.5cm welt appeared. No respiratory distress. Benadryl given. No other problem, pt's parent.
Age: 4.0
Sex: M
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Cellulitis, Feeling hot
Clinical narrative: Cellulitis Rt knee, warm to touch. Treatment with Keflex 125mg/5ml & Motrin Susp. 100mg/5ml on 2/1/06.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema
Clinical narrative: L deltoid erythematous protein
Age: 4.0
Sex: F
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Erythema, Feeling hot, Swelling
Clinical narrative: Rt leg swelling, red, warm to touch. Treatment with Cephalexin 250mg.
Age: 53.0
Sex: F
Vaccine: TTOX
Symptoms: Feeling hot, Injection site erythema, Injection site infection, Pain
Clinical narrative: Redness and swollen left deltoid site. Painful. Hot to the touch.
Age: 3.0
Sex: F
Vaccine: DTAP, PNC
Symptoms: Convulsion, Pyrexia, Swelling, Tenderness, Vomiting
Clinical narrative: Fever 103-104.7, vomiting, seizure-seen in ER. Swelling, tenderness L thigh
Age: 0.34
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Dermatitis acneiform, Erythema, Irritability, Swelling
Clinical narrative: Patient had hive like rash within 2-3 hours of receiving vaccine. Also developed red swollen area on R lateral thigh (beneath shot sites). Increased fussiness over next 2 days, no fevers.
Age: 38.0
Sex: F
Vaccine: PPV
Symptoms: Cellulitis, Erythema, Injection site inflammation, Joint range of motion decreased, Pain
Clinical narrative: Inflammation, severe pain, and redness started in PM on 2/17/06. By the evening of 2/18/06, patient reports severe pain, inability to move right arm, increasing redness of arm passing down past elbow with streaking. Went to ER at this point where she was given Keflex, Percocet and Benadryl. To return to primary MD on 2/21/06.
Age: 13.0
Sex: F
Vaccine: TDAP
Symptoms: Myalgia, Pyrexia
Clinical narrative: 11-30-05 Adacel given. Next day T 103. Started on Benadryl. Sore arm for 2 days. Reported 2-16-06.
Age: 15.0
Sex: F
Vaccine: HEPA
Symptoms: Hypersensitivity, Rash
Clinical narrative: Rash that started on abdomen and spread outward over entire body. Used Benadryl cream at home without relief and at that time went to ER where she was given Epinephrine SC. Diagnosed with allergic reaction and sent home with instruction for Benadryl 25mg PO.
Age: 1.04
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Rash, Urticaria, Viral infection
Clinical narrative: Patient received MMR and Varicella vaccine on 1/30/06. Present in out office on 2/20/06 with varicella. Hive rash and symptoms. Diagnosis: Varicella
Age: 36.0
Sex: F
Vaccine: HEP
Symptoms: Erythema, Eye swelling, Rash, Rash macular
Clinical narrative: Awoke day after receiving vaccine with swollen eyelids (1/2 closed), blotchy red flat rash-volar surface of wrists 3 inches in length.
Age: 0.15
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Pruritus, Urticaria
Clinical narrative: Child has acute onset total body urticaria and pruritus. No lip swelling. No difficulty breathing.
Age: 14.0
Sex: F
Vaccine: HEP, TD, HEP, TD
Symptoms: Erythema, Injection site reaction
Clinical narrative: Slight induration in arm below administration site. Notice side of vaccination was red 1 mo after injection.
Age: 14.0
Sex: F
Vaccine: HEP, TD, HEP, TD
Symptoms: Injection site hypersensitivity, Injection site induration
Clinical narrative: Slight induration in arm below administration site. Notice side of vaccination was red 1 mo after injection.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Pyrexia, Swelling
Clinical narrative: Swelling and redness to left thigh, temp 101. Advised to apply cool compress and give Tylenol for discomfort - was later seen by MD on 2/22/06.
Age: 0.34
Sex: M
Vaccine: DTAP, HBHEPB, HIBV, PNC
Symptoms: Medication error, Unevaluable event
Clinical narrative: Pt is a 4 month old boy who came in for his well child check. He needed Dtap #2, IPV #2 and COMVAX, also PREVNAR. In the order sheet I erroneously marked COMVAX (Hep B/Hib) and Hib in addition to the rest, except I did not mark IPV. Pt got both COMVAX and Hib - 2 dose of Hib, different sites- Hib-left thigh, COMVAX-right thigh. Pt was clinically well. No adverse events noted after administration.
Age: 58.0
Sex: F
Vaccine: TD, TD
Symptoms: Angioneurotic oedema, Face oedema, Influenza like illness, Pain, Urticaria
Clinical narrative: From initial information received on 5/20/2005 from the patient regarding an adverse event occurring, it was reported that the 57 year old female received her first dose of Decavac, lot number U1211DA, administered in the left deltoid on 5/14/2005 at 12:00pm due to a cat scratch. Two days later, on 5/16/2005, the patient developed flu like symptoms, aching all over and welts (also reported as hives) on her back and chest, which enlarged to pancake size the following day. The patient was seen in the ER and was treated with Benadryl and Zyrtec. At the time of this report, the patient continues to have hives and has contacted a physician. She has not recovered from these events. Follow up received on 9/23/2005. No additional information received. Further information requested. Case upgrade to Serious 2/7/2006 (OMIC). Follow up information received on 2/7/2006 from the patient. The Decavac vaccination was the patients second dose of Tetanus. She received her first dose 10-12 years ago for a dog bite. Per the patient, she has had persistent large welts and facial swelling since 5/15/2005. She was seen by an allergist (date not reported) and was told that this was angioedema. She has been treated for this with Benadryl, Singulair, and Allegra. An MRI and CAT scan have been completed (date and results not reported). The patient has an extensive history of allergies to cats, latex, shellfish, eggs, acidic foods, dust, mold and penicillin. Per the patient, she had a cat bite at the time of vaccination. The patient has not recovered from these events at the time of this report.
Age: 33.0
Sex: F
Vaccine: FLU3
Symptoms: Hypoaesthesia, Paraesthesia
Clinical narrative: Left arm numb and tingly. Dec to present needle pricks randomly off and on thru out body.
Age: 45.0
Sex: F
Vaccine: FLU3
Symptoms: Dizziness, Fatigue, Headache, Myalgia, Pyrexia
Clinical narrative: 2 hrs after receiving flu vaccine C/O headache, intermittent dizziness with fever. No Dx. 2/7/06 C/O fatigue, muscle aches. No fever.
Age: 44.0
Sex: F
Vaccine: UNK
Symptoms: Asthenia, Hypoaesthesia, Paraesthesia, Radiculitis brachial, Shoulder pain
Clinical narrative: Left shoulder pain, left arm weakness, left arm numbness tingling. Consistent with brachial plexus neuritis. Physical therapy initiated.
Age: 2.0
Sex: M
Vaccine: HEPA
Symptoms: Anaphylactic reaction, Rash
Clinical narrative: Rash on face, arms, legs, and back. Used Benadryl PO and hydrocortisone cream at home with relief. Sought med attention for assurance. Reviewed signs and symptoms of anaphylaxis and instructed to continue Benadryl PRN.
Age: 37.0
Sex: F
Vaccine: MMR
Symptoms: Dyskinesia, Sleep disorder, Tremor
Clinical narrative: Fine tremors in hands and feet, constant, 8 days following vaccination, paroxysmal generalized body jerking. Also nocturnal. Body jerks resolved in 4 days without treatment, fine residual tremor still persist in hands.
Age: 1.01
Sex: M
Vaccine: HBHEPB, MMR, VARCEL
Symptoms: Rash, Urticaria
Clinical narrative: Child was noted to have breakout of hives about 1 1/2 hrs after vaccines were given. Rash began on lower back and spread over entire body. Child was given Benadryl every 4 hrs. x 3 days.
Age: 1.0
Sex: F
Vaccine: HBHEPB, PNC, VARCEL
Symptoms: Pyrexia
Clinical narrative: Fever of 104, Prescribed Tylenol.
Age: 4.0
Sex: F
Vaccine: DTAP, HIBV, IPV, MMR
Symptoms: Injection site erythema
Clinical narrative: Receives DTaP booster about 24 hours after large localized reaction approx 7cm in diameter was demarcated edges, erythematous non tender to touch.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Irritability, Pain, Pyrexia, Vomiting
Clinical narrative: 99.4 temp, pain in left side of body, arm leg, side, abd, vomiting 1x, irritable.
Age: 1.4
Sex: M
Vaccine: DTAP, HIBV, MMR
Symptoms: Viral infection
Clinical narrative: Vaccinated child contracted varicella 02/06.
Age: 4.0
Sex: M
Vaccine: DTAP, HEP, MMR
Symptoms: Viral infection
Clinical narrative: Vaccinated child contracted varicella 02/06
Age: 1.0
Sex: F
Vaccine: HBHEPB, MMRV
Symptoms: Convulsion
Clinical narrative: Brief generalized Seizure.
Age: 57.0
Sex: M
Vaccine: HEPA, YF
Symptoms: Chills, Diarrhoea, Vomiting
Clinical narrative: Vomiting, Diarrhea, Chills
Age: 0.16
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Apnoea, Breath holding, Crying, Cyanosis, Irritability
Clinical narrative: Approx 20 mins after 1st set vaccines in car seat outside office with aunt- crying, quiet then face blue/no vomiting/no car. Position for picks  up - color pink - with cry, increase temp, resp response with cyanotic spells. Questionable vac rx- cyanosis.3/3/06 Received medical records from PCP which revealed patient experienced apnea, fussiness, pallor & cyanosis. 3/7/06 Received Discharge Summary which revealed patient experienced apnea, viral URI & was mottled in ER w/abdominal pain.  Admitted overnight for observation.  H&P: abnormal placenta w/thrombotic infarct.  Patient was SGA & had hyperbilirubinemia at birth.
Age: 0.16
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Livedo reticularis, Pallor, Pyrexia, Small for dates baby, Upper respiratory tract infection
Clinical narrative: Approx 20 mins after 1st set vaccines in car seat outside office with aunt- crying, quiet then face blue/no vomiting/no car. Position for picks  up - color pink - with cry, increase temp, resp response with cyanotic spells. Questionable vac rx- cyanosis.3/3/06 Received medical records from PCP which revealed patient experienced apnea, fussiness, pallor & cyanosis. 3/7/06 Received Discharge Summary which revealed patient experienced apnea, viral URI & was mottled in ER w/abdominal pain.  Admitted overnight for observation.  H&P: abnormal placenta w/thrombotic infarct.  Patient was SGA & had hyperbilirubinemia at birth.
Age: 47.0
Sex: F
Vaccine: FLU3, HEPAB, TDAP, FLU3, HEPAB, TDAP
Symptoms: Asthenia, CSF test abnormal, Demyelination, Guillain-Barre syndrome, Hyporeflexia
Clinical narrative: Admission date 1/13/2006 AIDP- Acute Inflammatory Demyelinating polyneuropathy. Information received from discharge summary states GBS, urinary incontience, fecal incontinence, decreased reflexes, asthenia, paresthesis. msv
Age: 47.0
Sex: F
Vaccine: FLU3, HEPAB, TDAP, FLU3, HEPAB, TDAP
Symptoms: Inflammation, Laboratory test abnormal, Paraesthesia, Polyneuropathy
Clinical narrative: Admission date 1/13/2006 AIDP- Acute Inflammatory Demyelinating polyneuropathy. Information received from discharge summary states GBS, urinary incontience, fecal incontinence, decreased reflexes, asthenia, paresthesis. msv
Age: 47.0
Sex: F
Vaccine: FLU3, HEPAB, TDAP, FLU3, HEPAB, TDAP
Symptoms: Guillain-Barre syndrome, Injection site inflammation, Laboratory test abnormal
Clinical narrative: Admission date 1/13/2006 AIDP- Acute Inflammatory Demyelinating polyneuropathy. Information received from discharge summary states GBS, urinary incontience, fecal incontinence, decreased reflexes, asthenia, paresthesis. msv
Age: 47.0
Sex: F
Vaccine: LYME
Symptoms: Anaemia, Arthralgia, Arthralgia, Chills, Fatigue
Clinical narrative: Began with joint Stiffness which moved around to different joints, eventually becoming symmetrical affecting ankles, knees, elbows, hands with pain, stiffness, heaviness. Did not go to DR until worsened. Problem walking, stairs. Referred to rheumatologist who diagnosed autoimmune disorder, reactive arthritis. Ongoing managed with medications. 3/21/06 Received medical records from rheumatologist which revealed patient experienced dx: inflammatory reactive polyarthritis, allergic rhinitis, fever, chills, fatigue, pain of joints, edema, limited ROM, anemia, decreased hand grip. 3/21/06 Received medical records from rheumatologist which revealed patient received vax 2001 & presented in 2002 w/fatigue, fever, chills, night sweats, weight loss, sudden symmetrical continuous joint pain & stiffness which awakened her at night.  PMH: skin cancer, anemia & pneumonia.  DX: inflammatory reactive polyarthritis & allergic rhinitis.  Tx: steroids, arthrocentesis & added actonel & plaquenil.  3/31/06 Received medical records from PCP w/vax lot numbers.  No hx arthritix & no trauma.  Was not on any meds & had no allergies.  DX: arthralgias./ss. Follow up received 04/09/2007. I continue to need prescription medication to manage the joint stiffness.
Age: 47.0
Sex: F
Vaccine: LYME
Symptoms: Immune system disorder, Joint stiffness, Laboratory test abnormal, Night sweats, Oedema
Clinical narrative: Began with joint Stiffness which moved around to different joints, eventually becoming symmetrical affecting ankles, knees, elbows, hands with pain, stiffness, heaviness. Did not go to DR until worsened. Problem walking, stairs. Referred to rheumatologist who diagnosed autoimmune disorder, reactive arthritis. Ongoing managed with medications. 3/21/06 Received medical records from rheumatologist which revealed patient experienced dx: inflammatory reactive polyarthritis, allergic rhinitis, fever, chills, fatigue, pain of joints, edema, limited ROM, anemia, decreased hand grip. 3/21/06 Received medical records from rheumatologist which revealed patient received vax 2001 & presented in 2002 w/fatigue, fever, chills, night sweats, weight loss, sudden symmetrical continuous joint pain & stiffness which awakened her at night.  PMH: skin cancer, anemia & pneumonia.  DX: inflammatory reactive polyarthritis & allergic rhinitis.  Tx: steroids, arthrocentesis & added actonel & plaquenil.  3/31/06 Received medical records from PCP w/vax lot numbers.  No hx arthritix & no trauma.  Was not on any meds & had no allergies.  DX: arthralgias./ss. Follow up received 04/09/2007. I continue to need prescription medication to manage the joint stiffness.
Age: 47.0
Sex: F
Vaccine: LYME
Symptoms: Polyarthritis, Pyrexia, Rhinitis allergic, Sensation of heaviness, Weight decreased
Clinical narrative: Began with joint Stiffness which moved around to different joints, eventually becoming symmetrical affecting ankles, knees, elbows, hands with pain, stiffness, heaviness. Did not go to DR until worsened. Problem walking, stairs. Referred to rheumatologist who diagnosed autoimmune disorder, reactive arthritis. Ongoing managed with medications. 3/21/06 Received medical records from rheumatologist which revealed patient experienced dx: inflammatory reactive polyarthritis, allergic rhinitis, fever, chills, fatigue, pain of joints, edema, limited ROM, anemia, decreased hand grip. 3/21/06 Received medical records from rheumatologist which revealed patient received vax 2001 & presented in 2002 w/fatigue, fever, chills, night sweats, weight loss, sudden symmetrical continuous joint pain & stiffness which awakened her at night.  PMH: skin cancer, anemia & pneumonia.  DX: inflammatory reactive polyarthritis & allergic rhinitis.  Tx: steroids, arthrocentesis & added actonel & plaquenil.  3/31/06 Received medical records from PCP w/vax lot numbers.  No hx arthritix & no trauma.  Was not on any meds & had no allergies.  DX: arthralgias./ss. Follow up received 04/09/2007. I continue to need prescription medication to manage the joint stiffness.
Age: 1.04
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Cyanosis, Febrile convulsion, Otitis media, Pyrexia, Respiratory disorder
Clinical narrative: Pt seen 1/23/2006 for well visit and immunizations. On evening of 1/24/06 pt had fever all day and at about 16:00 on 1/24/06 dad noted pt breathing funny. Went into room noted her seizing. Seizure lasted about 2 minutes and temp 105.6 3/13/06 Received medical records from ER which revealed patient experienced fever, febrile seizures, cyanosis.  She was teething at the time & also was dx w/bilateral otitis media
Age: 57.0
Sex: M
Vaccine: FLU3
Symptoms: Idiopathic thrombocytopenic purpura, Platelet count decreased, Thrombocytopenia
Clinical narrative: ITP, Platelet transfusion +. Information received from Discharge summry states thrombocytopenia. 60 Day Follow-up Information 12-May-2006: Lost contact.
Age: 1.25
Sex: M
Vaccine: DTAP, IPV, VARCEL
Symptoms: Skin ulcer
Clinical narrative: Broke out with two lesions, one on stomach and one on right thigh. Afebrile presently.
Age: 1.24
Sex: M
Vaccine: MMR
Symptoms: Decreased appetite, Insomnia, Irritability, Pyrexia, Thirst
Clinical narrative: My son started running high fevers 8 days after his MMR vaccine.  The fevers lasted 3 days. He was very irritable, exhibited decreased appetite and thirst, and had some problems sleeping.
Age: 11.0
Sex: F
Vaccine: MNQ, TDAP
Symptoms: Nausea, Pyrexia, Viral infection, Vomiting
Clinical narrative: Nausea/vomiting. Tempature of 102 oral that night and tempature up and down for 2 days.  Mother took her to PMD's office the day after the shot.  Dx. was gastrointestinal virus with possible reaction to shot.
Age: 0.35
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Blood culture negative, Computerised tomogram normal, Culture wound negative, Fontanelle bulging, Hyperhidrosis
Clinical narrative: Within 48 hrs of receiving the shot, began experiencing; redness at the site, swelling, fever, abcess occured at site and had to be cut and drained by ER doctor. Later, after we left the hospital, began experiencing bulging of the fontanel area, sweating, and had a chemical strange odor to him.  Went back to ER, was admitted to hospital. 5/8/06 Received medical records from hospital which reveal patient was admitted 2/12/06 w/dx left thigh cellulitis & r/o meningitis 2 d s/p DTap.  I&D done 2/11 in ER & sent home.  No c/s done on pus.  Returned to ER w/increased irritability & bulging fontanelle.  ID consult done & suggested adverse reaction to DTaP.  Wound c/s done at that time revealed no growth.  Neuro consult done.
Age: 0.35
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Injection site abscess, Injection site cellulitis, Injection site erythema, Injection site swelling, Irritability
Clinical narrative: Within 48 hrs of receiving the shot, began experiencing; redness at the site, swelling, fever, abcess occured at site and had to be cut and drained by ER doctor. Later, after we left the hospital, began experiencing bulging of the fontanel area, sweating, and had a chemical strange odor to him.  Went back to ER, was admitted to hospital. 5/8/06 Received medical records from hospital which reveal patient was admitted 2/12/06 w/dx left thigh cellulitis & r/o meningitis 2 d s/p DTap.  I&D done 2/11 in ER & sent home.  No c/s done on pus.  Returned to ER w/increased irritability & bulging fontanelle.  ID consult done & suggested adverse reaction to DTaP.  Wound c/s done at that time revealed no growth.  Neuro consult done.
Age: 0.35
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Lumbar puncture, Nuclear magnetic resonance imaging abnormal, Pyrexia, Sinusitis, Skin odour abnormal
Clinical narrative: Within 48 hrs of receiving the shot, began experiencing; redness at the site, swelling, fever, abcess occured at site and had to be cut and drained by ER doctor. Later, after we left the hospital, began experiencing bulging of the fontanel area, sweating, and had a chemical strange odor to him.  Went back to ER, was admitted to hospital. 5/8/06 Received medical records from hospital which reveal patient was admitted 2/12/06 w/dx left thigh cellulitis & r/o meningitis 2 d s/p DTap.  I&D done 2/11 in ER & sent home.  No c/s done on pus.  Returned to ER w/increased irritability & bulging fontanelle.  ID consult done & suggested adverse reaction to DTaP.  Wound c/s done at that time revealed no growth.  Neuro consult done.
Age: 0.35
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: X-ray normal
Clinical narrative: Within 48 hrs of receiving the shot, began experiencing; redness at the site, swelling, fever, abcess occured at site and had to be cut and drained by ER doctor. Later, after we left the hospital, began experiencing bulging of the fontanel area, sweating, and had a chemical strange odor to him.  Went back to ER, was admitted to hospital. 5/8/06 Received medical records from hospital which reveal patient was admitted 2/12/06 w/dx left thigh cellulitis & r/o meningitis 2 d s/p DTap.  I&D done 2/11 in ER & sent home.  No c/s done on pus.  Returned to ER w/increased irritability & bulging fontanelle.  ID consult done & suggested adverse reaction to DTaP.  Wound c/s done at that time revealed no growth.  Neuro consult done.
Age: 3.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Cellulitis, Erythema, Injection site erythema, Injection site induration, Injection site reaction
Clinical narrative: MOM NOTED REDNESS AND SWELLING OF LEG DAY AFTER VACCINE GIVEN- WORSE THE NEXT DAY AND WAS TAKEN TO ER WITH DX OF CELLULITIS, GIVEN CLINDAMYCIN. NEXT DAY AFTER 2 DOSES MOM CONTACTED OUR OFFICE AND WAS ADVISED TO HAVE PATIENT RE-EXAMINED, SHE WAS CONCERNED IT WAS NOT IMPROVING. EXAM SHOWED LARGE AREA OF ERYTHEMA AND INDURATION IN THE THIGH WHERE DTaP AND IPV HAD BEEN GIVEN. HOWEVER THIS WAS ACTUALLY DECREASED FROM THE AREA WHICH WAS MARKED IN THE ER. IN ADDITION THE AREA WAS NOT AND NEVER HAD BEEN WARM OR TENDER.THE PATIENT HAD NOT HAD FEVER AND WAS ACTIVE PLAYFUL AND ABLE TO JUMP ON THE LEG WITHOUT PAIN. THERE WERE NO ENLARGED INGUINAL NODES. I ADVISED MOM THAT THIS WAS PROBABLY A SEVERE LOCAL REACTION TO DTaP AND TO HOLD FURTHER DOSES OF CLINDAMYCIN. PHONE CONTACT WAS MADE 24 HOURS LATER AND THE PATIENT IS CONTINUING TO IMPROVE.
Age: 3.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Swelling
Clinical narrative: MOM NOTED REDNESS AND SWELLING OF LEG DAY AFTER VACCINE GIVEN- WORSE THE NEXT DAY AND WAS TAKEN TO ER WITH DX OF CELLULITIS, GIVEN CLINDAMYCIN. NEXT DAY AFTER 2 DOSES MOM CONTACTED OUR OFFICE AND WAS ADVISED TO HAVE PATIENT RE-EXAMINED, SHE WAS CONCERNED IT WAS NOT IMPROVING. EXAM SHOWED LARGE AREA OF ERYTHEMA AND INDURATION IN THE THIGH WHERE DTaP AND IPV HAD BEEN GIVEN. HOWEVER THIS WAS ACTUALLY DECREASED FROM THE AREA WHICH WAS MARKED IN THE ER. IN ADDITION THE AREA WAS NOT AND NEVER HAD BEEN WARM OR TENDER.THE PATIENT HAD NOT HAD FEVER AND WAS ACTIVE PLAYFUL AND ABLE TO JUMP ON THE LEG WITHOUT PAIN. THERE WERE NO ENLARGED INGUINAL NODES. I ADVISED MOM THAT THIS WAS PROBABLY A SEVERE LOCAL REACTION TO DTaP AND TO HOLD FURTHER DOSES OF CLINDAMYCIN. PHONE CONTACT WAS MADE 24 HOURS LATER AND THE PATIENT IS CONTINUING TO IMPROVE.
Age: 17.0
Sex: F
Vaccine: MNQ, MNQ
Symptoms: Fatigue, Headache, Muscular weakness, Paraesthesia
Clinical narrative: HEADACHE, WEAKNESS IN LEGS, FATIGUE, TINGLING ACROSS BODY WITHIN 11 HRS OF GETTING SHOT.
Age: 17.0
Sex: F
Vaccine: MNQ, MNQ
Symptoms: Asthenia, Fatigue, Headache, Paraesthesia
Clinical narrative: HEADACHE, WEAKNESS IN LEGS, FATIGUE, TINGLING ACROSS BODY WITHIN 11 HRS OF GETTING SHOT.
Age: 53.0
Sex: F
Vaccine: YF
Symptoms: Abasia, Arthralgia, Dizziness, Headache, Nausea
Clinical narrative: 11/21 stuffy heald,cold symptoms,11/22 achy joints,low grade fever,11/23 severe dizziness, nausea, vomiting, had to be carried out to car to go to Dr. Dr. came out to car to give phenergan IM and meclizine tabs, went home & slept. 11/24 nausea better, dizziness & headache remain 11/25 some improvement in dizziness until 11/27 could walk but headache continued until 11/28 and felt fine 11/29.
Age: 53.0
Sex: F
Vaccine: YF
Symptoms: Pharyngitis, Pyrexia, Rhinitis, Vomiting
Clinical narrative: 11/21 stuffy heald,cold symptoms,11/22 achy joints,low grade fever,11/23 severe dizziness, nausea, vomiting, had to be carried out to car to go to Dr. Dr. came out to car to give phenergan IM and meclizine tabs, went home & slept. 11/24 nausea better, dizziness & headache remain 11/25 some improvement in dizziness until 11/27 could walk but headache continued until 11/28 and felt fine 11/29.
Age: 59.0
Sex: F
Vaccine: FLUX
Symptoms: Arthralgia, Back pain, Dizziness, Fatigue, Feeling abnormal
Clinical narrative: 24 yr old patient vaccination developed body aches, fatigue, headache, joint pain, stiffness, neck pain, low back pain, felt "out of sorts" light headedness, intermittent nausea, feels the same, sometimes worse 2 1/2 weeks post vaccination.
Age: 59.0
Sex: F
Vaccine: FLUX
Symptoms: Headache, Joint stiffness, Nausea, Neck pain, Pain
Clinical narrative: 24 yr old patient vaccination developed body aches, fatigue, headache, joint pain, stiffness, neck pain, low back pain, felt "out of sorts" light headedness, intermittent nausea, feels the same, sometimes worse 2 1/2 weeks post vaccination.
Age: 27.0
Sex: F
Vaccine: HEP
Symptoms: Chills, Diarrhoea, Fatigue, Nausea, Pain
Clinical narrative: 1 day post vaccination tired "dragging", worse second day developed n?V?D evening of 2nd day, vomited x2 days, diarrhhea improved with peptobismol had body aches, chills, increased temp but has not checked temp. Reports hive-like rash day 2 on torso - has not seen medical provider, still ill-improved 5 days post onset of illness.
Age: 27.0
Sex: F
Vaccine: HEP
Symptoms: Pyrexia, Urticaria, Vomiting
Clinical narrative: 1 day post vaccination tired "dragging", worse second day developed n?V?D evening of 2nd day, vomited x2 days, diarrhhea improved with peptobismol had body aches, chills, increased temp but has not checked temp. Reports hive-like rash day 2 on torso - has not seen medical provider, still ill-improved 5 days post onset of illness.
Age: 37.0
Sex: F
Vaccine: FLU3
Symptoms: Asthenia, Bursitis, Hypokinesia, Joint range of motion decreased, Pain
Clinical narrative: Shot given and client states felt immediate intense sharp pain which continued until MD visit on 1/2/06. MD stated that bursa was possibly punctured from flu vaccination resulting in bursitis. Steroids given for 6 days in which pain subsided. Before medication client could not lift left arm above 45 degree angel. With medication client regained full ROM. Decreased strength which is slowly returning. On 1st day off med pain returned. Dr visit 1/10/06 and NASID given and MD stated to take indefinitely twice a day PRN for pain.
Age: 44.0
Sex: M
Vaccine: ANTH, FLUX, HEP, SMALL
Symptoms: Arthralgia, Rash
Clinical narrative: Skin rash severe Skin disorder, joint pain, night sweat. HBP, Headache.
Age: 1.37
Sex: F
Vaccine: DTAPH, FLU3, MMR, VARCEL
Symptoms: Erythema
Clinical narrative: C/O red leg, no pain. Apply cool compress. Call DR on Monday am. Per DR on call.
Age: 39.0
Sex: M
Vaccine: ANTH, FLUX, HEP, SMALL, ANTH, HEP
Symptoms: Arthralgia, Depression, Dizziness, Hypertension, Insomnia
Clinical narrative: Migraine headaches, dizziness, trouble sleeping, feeling sick, tired, muscle joint aches, memory problems, ringing in my ears, depressed, light hurting my eyes, high blood pressure, throwing up.
Age: 39.0
Sex: M
Vaccine: ANTH, FLUX, HEP, SMALL, ANTH, HEP
Symptoms: Malaise, Memory impairment, Migraine, Myalgia, Photophobia
Clinical narrative: Migraine headaches, dizziness, trouble sleeping, feeling sick, tired, muscle joint aches, memory problems, ringing in my ears, depressed, light hurting my eyes, high blood pressure, throwing up.
Age: 39.0
Sex: M
Vaccine: ANTH, FLUX, HEP, SMALL, ANTH, HEP
Symptoms: Tinnitus, Vomiting
Clinical narrative: Migraine headaches, dizziness, trouble sleeping, feeling sick, tired, muscle joint aches, memory problems, ringing in my ears, depressed, light hurting my eyes, high blood pressure, throwing up.
Age: 39.0
Sex: M
Vaccine: ANTH, FLUX, HEP, SMALL, ANTH, HEP
Symptoms: Chest X-ray, Chest discomfort, Chest pain, Chills, Dizziness
Clinical narrative: Migraine headaches, dizziness, trouble sleeping, feeling sick, tired, muscle joint aches, memory problems, ringing in my ears, depressed, light hurting my eyes, high blood pressure, throwing up.
Age: 39.0
Sex: M
Vaccine: ANTH, FLUX, HEP, SMALL, ANTH, HEP
Symptoms: Dyspnoea, Fatigue, Feeling hot, Headache, Hypertension
Clinical narrative: Migraine headaches, dizziness, trouble sleeping, feeling sick, tired, muscle joint aches, memory problems, ringing in my ears, depressed, light hurting my eyes, high blood pressure, throwing up.
Age: 39.0
Sex: M
Vaccine: ANTH, FLUX, HEP, SMALL, ANTH, HEP
Symptoms: Laboratory test, Migraine, Pyrexia
Clinical narrative: Migraine headaches, dizziness, trouble sleeping, feeling sick, tired, muscle joint aches, memory problems, ringing in my ears, depressed, light hurting my eyes, high blood pressure, throwing up.
Age: 53.0
Sex: M
Vaccine: FLU3, TD
Symptoms: Depressed level of consciousness, Lethargy, Myalgia, Pain, Stomach discomfort
Clinical narrative: Tetanus Diphtheria Decavac - left deltoid - sore arm. Flu injection right deltoid - unsettled stomach, lethargic, pain everywhere, inability to focus.
Age: 32.0
Sex: M
Vaccine: FLU3
Symptoms: Asthenia, Dizziness, Dyspnoea, Heart rate increased, Tachycardia
Clinical narrative: C/O SOB and tachycardia shortly after receiving flu vaccine - went to ER - HR 120, BP 163/94. R 20 - placed on O2 - denied SOB, chest pain, labs drawn with EKLT. Accucheck 96 during MD eval HR increase 150, c/o weak, dizzy - 0920. HR 80's. referred to cardiologist  Echo (normal).
Age: 2.0
Sex: F
Vaccine: DTAP, FLU3
Symptoms: Convulsion, Nausea, Stupor, Vomiting
Clinical narrative: Pt has seizures with nausea and vomiting.
Age: 0.56
Sex: M
Vaccine: DTAPHEPBIP, FLU3, HEPA, HIBV, PNC
Symptoms: Asthma, Convulsion, Irritability, Pyrexia
Clinical narrative: 01-10-06 Mom called the clinic this AM to report patient had been taken to the ER at hospital after having a seizure. Mom reported 3 hrs after immunization a fever of 104. Medical records state irritability, Rhonchi. msv
Age: 13.0
Sex: F
Vaccine: MNQ, TDAP
Symptoms: Injection site hypersensitivity, Injection site swelling, Injection site warmth, Pharyngolaryngeal pain
Clinical narrative: Area was red, raised, warm to touch, sore throat.
Age: 1.07
Sex: F
Vaccine: FLUX, PNC
Symptoms: Bronchospasm, Haemoglobin decreased, Irritability, Pyrexia, Tachycardia
Clinical narrative: Fluvac- hives, temp - given Benadryl, given epinephrine right thigh. Projectile vomiting, bronchospasms. O2 SAT decrease, Tachycardia. Information received from medical records includes irritability, rhonchi. msv
Age: 1.07
Sex: F
Vaccine: FLUX, PNC
Symptoms: Urticaria, Vomiting
Clinical narrative: Fluvac- hives, temp - given Benadryl, given epinephrine right thigh. Projectile vomiting, bronchospasms. O2 SAT decrease, Tachycardia. Information received from medical records includes irritability, rhonchi. msv
Age: 43.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Asthenia, Hypokinesia, Injection site pain, Syncope
Clinical narrative: Severe pain at injection site. Right arm - arm was incapacitated. Pt stated he got weak and fainted. ER ov - Oxycodone, Percocet;IV.
Age: 0.61
Sex: F
Vaccine: FLU3
Symptoms: Erythema, Hypersensitivity, Pruritus, Pyrexia, Rash papular
Clinical narrative: Developed erythematous, pruritus papules over entire body/face after receiving second dose of influenza vaccine likely allergic reaction. Information received from medical records includes fever, vomiting, viral illness. msv
Age: 0.61
Sex: F
Vaccine: FLU3
Symptoms: Viral infection, Vomiting
Clinical narrative: Developed erythematous, pruritus papules over entire body/face after receiving second dose of influenza vaccine likely allergic reaction. Information received from medical records includes fever, vomiting, viral illness. msv
Age: 5.0
Sex: F
Vaccine: DTAP, FLU3, IPV, MMR
Symptoms: Pruritus, Rash, Urticaria
Clinical narrative: Rash, itching, hives
Age: 11.0
Sex: M
Vaccine: FLU3
Symptoms: Asthenia, Convulsion, Syncope
Clinical narrative: Client fainted app 5 minutes after receiving vaccine and hit his head on the floor. Client rested approximately 45 minutes but still felt weak. EMS called. On checking vital signs while standing client had seizure at approximately 10:30. Transported to hospital at 10:45 am.
Age: 16.0
Sex: F
Vaccine: MNQ
Symptoms: Unevaluable event
Clinical narrative: NONE Stated
Age: 1.04
Sex: M
Vaccine: FLU3, MMR, PNC, VARCEL
Symptoms: Ecchymosis, Erythema, Oedema, Oedema peripheral, Rash
Clinical narrative: Probable hemorrhagic edema of infancy 8 days after vaccine, parents state red eruption from feet to face - swollen feet (?tender); seen in office 6 days later with extensive ecchymoses.
Age: 4.0
Sex: F
Vaccine: DTAP, FLU3, HEPA, IPV, MMR, PNC
Symptoms: Erythema, Oedema
Clinical narrative: Left deltoid skin reaction. Erythema and Edema. Benadryl 1 tsp q 4 hours. Motrin 2 tsp q 3 pm T hours or pain.
Age: 31.0
Sex: M
Vaccine: SMALL
Symptoms: Cellulitis, Injection site reaction, Tenderness
Clinical narrative: Received SP vaccine left deltoid, returned to clinic c/o red streaking tenderness at vaccine site. No fever, plus LA axilla. Levaquin 500 mg TPO qd x 5. Local cellulitis at smallpox site with streaking to left axilla. 2/21/06 - Spoke to pt; streaking redness resolved on 2/17/06 no fever, no chills feeling better.
Age: 1.39
Sex: M
Vaccine: DTAPHEPBIP, HIBV, MM, VARCEL
Symptoms: Lethargy, Somnolence, Tremor
Clinical narrative: Mom reported shaking/trembling 2-8-06 couldn't stand for 30 sec. Lethargic, sleeping a lot.
Age: 38.0
Sex: F
Vaccine: FLU3
Symptoms: Dyspnoea, Ocular hyperaemia
Clinical narrative: Approx 3-4 hrs after influenza vaccine, both eyes noted to be "red - otherwise eyes asymptomatic. Later that evening, had "tightness," difficulty breathing.
Age: 18.0
Sex: F
Vaccine: MNQ, MNQ
Symptoms: Demyelination, Hypoaesthesia, Myelitis transverse, Paraesthesia
Clinical narrative: Numbness and tingling soles of feet right leg. Briefly affected buttock, periurethral area. No motor weakness. Lasted questionable 3 weeks. Saw neurology and MRI demonstrated demyelinization consistent w/transverse myelitis.
Age: 1.03
Sex: M
Vaccine: FLU3, MMR, VARCEL
Symptoms: Erythema, Rash maculo-papular
Clinical narrative: Red maculopapular rash all over body.
Age: 3.0
Sex: F
Vaccine: DTAP, FLU3, HEP, HIBV, MMR, VARCEL
Symptoms: Medication error
Clinical narrative: Client was given MMR and Varicella vaccines using ActHib diluent. Incident occurred on 01/19/06.
Age: 16.0
Sex: M
Vaccine: MNQ, TDAP
Symptoms: Back pain, Chills, Headache, Injection site swelling, Musculoskeletal stiffness
Clinical narrative: Pt had Adacel and Menactra vaccines on 1-30-06. Father called 1-31-06 to report chills, headache, stiff neck, no fever. Lt arm sore and swollen but not red. Spoke with father 2-1-06. Feeling a little better but now pain into middle of back and still stiff neck and slight headache. Able to touch chin to chest but painful to do it.
Age: 16.0
Sex: M
Vaccine: MNQ, TDAP
Symptoms: Myalgia
Clinical narrative: Pt had Adacel and Menactra vaccines on 1-30-06. Father called 1-31-06 to report chills, headache, stiff neck, no fever. Lt arm sore and swollen but not red. Spoke with father 2-1-06. Feeling a little better but now pain into middle of back and still stiff neck and slight headache. Able to touch chin to chest but painful to do it.
Age: 47.0
Sex: M
Vaccine: FLU3, PPV, FLU3, PPV
Symptoms: Cellulitis, Erythema, Feeling hot, Nausea, Oedema
Clinical narrative: Left deltoid, red itchy, warm to touch and swollen. Distance line of where redness and edema stop. Used ice to site. Also stated had nausea/aching that lasted approx 12 hours.
Age: 47.0
Sex: M
Vaccine: FLU3, PPV, FLU3, PPV
Symptoms: Pain, Pruritus, Swelling
Clinical narrative: Left deltoid, red itchy, warm to touch and swollen. Distance line of where redness and edema stop. Used ice to site. Also stated had nausea/aching that lasted approx 12 hours.
Age: 47.0
Sex: M
Vaccine: FLU3, PPV, FLU3, PPV
Symptoms: Feeling hot, Injection site erythema, Injection site pain, Injection site swelling, Malaise
Clinical narrative: Left deltoid, red itchy, warm to touch and swollen. Distance line of where redness and edema stop. Used ice to site. Also stated had nausea/aching that lasted approx 12 hours.
Age: 47.0
Sex: M
Vaccine: FLU3, PPV, FLU3, PPV
Symptoms: Nausea, Pain, Pruritus
Clinical narrative: Left deltoid, red itchy, warm to touch and swollen. Distance line of where redness and edema stop. Used ice to site. Also stated had nausea/aching that lasted approx 12 hours.
Age: 16.0
Sex: M
Vaccine: MNQ
Symptoms: Cellulitis, Lymphangitis
Clinical narrative: Child with cellulitis of shoulder, spreading down into axilla, w/ lymphargitis, requiring Keflex treatment.
Age: 11.0
Sex: F
Vaccine: MNQ, TDAP
Symptoms: Asthenia, Dizziness, Nausea, Pain, Pyrexia
Clinical narrative: Pt had Adacel and Menactra vaccines on 1-16-06. Mother called 1-17-06 to report child was very weak, dizzy, nausea and achy. Had tactile fever, temp unknown. Missed 2 days of school then resolved.
Age: 45.0
Sex: F
Vaccine: FLU3
Symptoms: Contusion, Pain, Swelling, Tenderness
Clinical narrative: Within one hour of flu vaccine left arm painful. Deltoid had bruise and swelling. Pain had lasted and remains tender to touch.
Age: 14.0
Sex: F
Vaccine: MNQ
Symptoms: Difficulty in walking, Headache, Pharyngolaryngeal pain
Clinical narrative: Feeling well until evening of 2/23/06. Had headache when pt. went to bed, woke up with scratch throat, couldn't walk, due to dizziness, felt hot. Came to clinic 25 min after exam pt's gait improved pt able to walk without holding onto walls.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Feeling hot, Vaccination complication
Clinical narrative: Broad area of patchy redness on left thigh with a needle mark visible at the superior border of the reddened area. About 5-6cm involvement but nontender, no streaking, minimal if any warmth.
Age: 31.0
Sex: F
Vaccine: HEP, VARCEL
Symptoms: Injection site rash, Rash pruritic, Swelling, Viral infection
Clinical narrative: Rash (bumps) 5-7 @ injection site for six days. Pruritic on 2/17/06, no fever, positive swelling/redness; patients 11 month old infant came down with "mild" case of chicken pox on 2/20 (pt. breastfeeding infant)-resolved
Age: 0.33
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Erythema, Swelling
Clinical narrative: Phone call-red, swollen ~1/2 dollar size (R leg).
Age: 1.29
Sex: F
Vaccine: HIBV, VARCEL
Symptoms: Cerebellar ataxia, Laboratory test abnormal
Clinical narrative: Onset of acute cerebellar ataxia AM of 2/8/06. Could not walk. CBC, CRP NE Chems with CO218 Cl113 (101-111). CT of head NR. Neurologist evaluation confirms diagnosis.  Symptoms persist as of report.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Injection site inflammation, Injection site pain
Clinical narrative: Redness and inflammation at/near injection site. Pain at site on left arm. Benadryl Elixir and Tylenol.
Age: 8.0
Sex: F
Vaccine: VARCEL
Symptoms: Blister, Rash papular
Clinical narrative: Multiple papules, vesicles
Age: 1.0
Sex: F
Vaccine: HIBV, MMR, PNC, VARCEL
Symptoms: Injection site vesicles, Skin ulcer
Clinical narrative: One blister type lesion at injection site of varicella Per follow up: 3/10/06 pt received vaccine at Clinic. We don't have the information requested.
Age: 1.25
Sex: M
Vaccine: DTAP, MMR, PNC
Symptoms: Erythema, Laboratory test abnormal, Pyrexia, Swelling, Tenderness
Clinical narrative: R thigh-11x9cm area of erythema, swelling and tenderness with 3 days of fever.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Pruritus, Sneezing, Urticaria
Clinical narrative: Received MMR, DTAP, IPV~10 min later started to sneeze, itchy scalp. ~ 30 minutes later was covered with hives. Never developed wheezing, vomit, etc. Resolved after Benadryl. No known food or medicine allergies. Eats eggs alot.
Age: 1.02
Sex: F
Vaccine: PNC, VARCEL
Symptoms: Infection, Rash, Rash papular, Skin ulcer, Viral infection
Clinical narrative: Varicella vaccine breakthrough. Seen in office on 2-14-06 and diagnosed with varicella. Rash started 2-11-06. No fever. Had approximately 30 lesions-scattered papules and pustules trunk and buttocks. One lesion on buttocks was infected-treated with Augmentin.
Age: 1.27
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Dyskinesia, Hyperhidrosis, Pyrexia, Rash, Vomiting
Clinical narrative: Dec 2 6pm vomit, fever; Dec 3 4pm & 5pm vomit, fever 101.2 F; Dec 4 all day- fever 103.2, jerking, clenched fist, sweats, rash; Dec 5 fever 103.2, sweats; Dec 7 rash. Treated with Ibuprofen and Tylenol.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Feeling hot, Injection site pain, Pyrexia, Swelling
Clinical narrative: redness, warmth, swelling, pain of proximal right thigh at injection site. Fever to 104 F. Warm compresses, Motrin PRN.
Age: 1.04
Sex: F
Vaccine: HEP, PNC, VARCEL
Symptoms: Skin discolouration
Clinical narrative: Gray dot remains 4 + months after shots administered in thighs. Can not discern which shot (vaccine) it was. She has had 4 dots at a time. Present since beginning vaccinations.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site oedema
Clinical narrative: Developed 9.5 x 10.0 cm redden area around (Dtap) injection site. Warm moist heat recommended. area resolved by day 2.
Age: 1.26
Sex: F
Vaccine: HBHEPB, MMR, VARCEL
Symptoms: Abdominal discomfort, Dyskinesia, Erythema, Injection site inflammation, Pyrexia
Clinical narrative: Awoke "dazed in AM" with leg jerks, abdomen quivering and moaning, facial cheeks red, "lower half of body felt cold and upper flushed and hot". Fever 103. Injection site puffy and tender both arms and leg.
Age: 1.26
Sex: F
Vaccine: HBHEPB, MMR, VARCEL
Symptoms: Staring, Tenderness
Clinical narrative: Awoke "dazed in AM" with leg jerks, abdomen quivering and moaning, facial cheeks red, "lower half of body felt cold and upper flushed and hot". Fever 103. Injection site puffy and tender both arms and leg.
Age: 12.0
Sex: F
Vaccine: TD, VARCEL
Symptoms: Erythema, Injection site swelling, Pyrexia, Rash papular, Rash pruritic
Clinical narrative: Varicella vaccine administered to pt 2/1/06. 2 inch red raised area noted on outer part of left upper arm 2/12/06.  Febrile 2/14/06-100.7-101. Two small papular pruritic lesions on right chest. Prescribed Benadryl after 6 hrs PRN and Tylenol PRN.
Age: 12.0
Sex: F
Vaccine: TD, VARCEL
Symptoms: Skin ulcer
Clinical narrative: Varicella vaccine administered to pt 2/1/06. 2 inch red raised area noted on outer part of left upper arm 2/12/06.  Febrile 2/14/06-100.7-101. Two small papular pruritic lesions on right chest. Prescribed Benadryl after 6 hrs PRN and Tylenol PRN.
Age: 58.0
Sex: F
Vaccine: HEP
Symptoms: Dizziness, Headache, Nausea
Clinical narrative: dizziness, nausea, headache, light headed
Age: 0.37
Sex: M
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Pain, Pyrexia, Screaming
Clinical narrative: 4 hours after receiving shots developed L leg pain, low grade fever and screamed for next 16 hours.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Discomfort, Erythema, Injection site warmth, Swelling
Clinical narrative: Severe redness, swelling, heat, discomfort of L arm where shots were given.
Age: 1.02
Sex: F
Vaccine: UNK
Symptoms: Rash
Clinical narrative: Recurrent rash x8. Zovirax 200mg/5ml suspension. 1 teaspoon 5 times daily for 7 days.
Age: 54.0
Sex: F
Vaccine: TTOX
Symptoms: Erythema, Injection site induration, Muscular weakness, Nausea, Pain
Clinical narrative: Vaccine given 1-16-06 thru (treatment) 1-23-06. Area below injection site very hard, red and swollen. Morning after had 101.8 temp. Saw Dr. Prescribed Augmentin 500mg. Said early cellulitis. Meds caused nausea-changed to Keflex 500mg. Next day symptoms were worse. Dr gave IV Rocefyn. Patient believes the last antibiotic she was given was Levaquin by mouth. Redness is gone. Still have weak and tired painful muscle.
Age: 54.0
Sex: F
Vaccine: TTOX
Symptoms: Pyrexia, Swelling
Clinical narrative: Vaccine given 1-16-06 thru (treatment) 1-23-06. Area below injection site very hard, red and swollen. Morning after had 101.8 temp. Saw Dr. Prescribed Augmentin 500mg. Said early cellulitis. Meds caused nausea-changed to Keflex 500mg. Next day symptoms were worse. Dr gave IV Rocefyn. Patient believes the last antibiotic she was given was Levaquin by mouth. Redness is gone. Still have weak and tired painful muscle.
Age: 1.03
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Rash, Skin ulcer
Clinical narrative: Rash developed on chest and back arms and legs. Has about 15 lesions total. Treat symptomatically.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Swelling
Clinical narrative: Swelling, erythema of Left deltoid and h__________, no fever, acting fine, playful in life. Treatment-Atarax. Prescription for Orapred on hold if needed.