chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 18.0
Sex: F
Vaccine: MNQ
Symptoms: Incorrect route of drug administration
Clinical narrative: None stated
Age: 19.0
Sex: F
Vaccine: IPV, MNQ
Symptoms: Incorrect route of drug administration
Clinical narrative: Menactra vaccine was given SQ instead of IM.
Age: 19.0
Sex: F
Vaccine: HEPA, MNQ
Symptoms: Incorrect route of drug administration, Unevaluable event
Clinical narrative: None stated
Age: 18.0
Sex: F
Vaccine: MNQ
Symptoms: Incorrect route of drug administration, Unevaluable event
Clinical narrative: None stated
Age: 59.0
Sex: F
Vaccine: FLU3
Symptoms: Injected limb mobility decreased, Pain
Clinical narrative: Pt complains of pain after one week following flu shot, can not raise arm.
Age: 75.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Erythema, Pyrexia, Swelling
Clinical narrative: Moderate swelling on the day when administered. Redness the following day with fever of 102.6. The 3rd day started feeling better, redness remains and less painful. Pt took Benadryl 50mg and aspirin 325mg twice the day after vaccines administered.
Age: 11.0
Sex: F
Vaccine: HPV4, TDAP, VARCEL
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling
Clinical narrative: Erythema, slight swelling and itching per patient to injection site, right arm.
Age: 13.0
Sex: M
Vaccine: MNQ, VARCEL
Symptoms: Injection site induration, Injection site pain, Injection site swelling
Clinical narrative: Right arm swelling at site of varicella/immunization. Complained "painful and hard" raised area 6cm. Benadryl 25mg q 8 hrs prn, cold compress to site.
Age: 26.0
Sex: M
Vaccine: ANTH, TDAP
Symptoms: Injection site erythema, Injection site induration, Injection site pruritus, Injection site swelling
Clinical narrative: 9/27/07 received anthrax #3; 9/28/07 redness and swelling at injection site; 10/3/07 increased redness,induration and itching at site
Sex: F
Vaccine: VARCEL
Symptoms: Herpes zoster
Clinical narrative: My child is currently 7yrs old. when she was 3yrs old she was diagnosed with shingles. This is very bizzare considering she has never had chicken pox. I believe the vaccine caused this virus. We have documentation and pictures with a local dermatologist when she was first dx. Since then, every summer she has outbreaks. We keep an active prescription of accylovir on hand just for that reason. I believe this is a dangerous vaccine and others should know the possible side effects and dangers related to this.
Age: 1.5
Sex: M
Vaccine: DTAP, HEPA, HIBV, PPV
Symptoms: Crying, Erythema, Injection site erythema, Injection site swelling, Irritability
Clinical narrative: mother states child has been doing well until about 11-11:30 a.m. on 9/27.  Had been a little fussy since 7 a.m. crying - at about 11-11:30 noticed right upper thigh swelling and redness about 3 inches across.  Had not noticed this earlier today.  Mother instructed to contact her physician - in meantime try covered ice pack on 20 min off 20 min and continue with tylenol for age 9/28/07 site of Prevnar remains red and swollen 10/01/07 child ok - still slightly red
Age: 1.5
Sex: M
Vaccine: DTAP, HEPA, HIBV, PPV
Symptoms: Oedema peripheral
Clinical narrative: mother states child has been doing well until about 11-11:30 a.m. on 9/27.  Had been a little fussy since 7 a.m. crying - at about 11-11:30 noticed right upper thigh swelling and redness about 3 inches across.  Had not noticed this earlier today.  Mother instructed to contact her physician - in meantime try covered ice pack on 20 min off 20 min and continue with tylenol for age 9/28/07 site of Prevnar remains red and swollen 10/01/07 child ok - still slightly red
Age: 44.0
Sex: M
Vaccine: HEP
Symptoms: Urticaria
Clinical narrative: Initial dose Hep B Vaccine 24 hours later generalized urticaria.
Age: 59.0
Sex: M
Vaccine: FLU3
Symptoms: Asthenia, Dizziness, Pallor
Clinical narrative: Weakness,Paleness,Dizziness
Age: 12.0
Sex: M
Vaccine: TDAP
Symptoms: Full blood count, Injection site oedema, Local reaction, Malaise, Muscular weakness
Clinical narrative: Received Adacel 10/03/07. Seen today by Dr. Complaint of diffuse raised itchey pink/red rash over back, chest, upper abd. Looks like mosquito bites. C/O leg weakness, malaise. Half dollar size red slightly edematous local reaction at site of injection
Age: 12.0
Sex: M
Vaccine: TDAP
Symptoms: Neutrophil count decreased, Rash erythematous, Rash macular, Rash pruritic, Red blood cell count normal
Clinical narrative: Received Adacel 10/03/07. Seen today by Dr. Complaint of diffuse raised itchey pink/red rash over back, chest, upper abd. Looks like mosquito bites. C/O leg weakness, malaise. Half dollar size red slightly edematous local reaction at site of injection
Age: 12.0
Sex: M
Vaccine: TDAP
Symptoms: White blood cell count decreased
Clinical narrative: Received Adacel 10/03/07. Seen today by Dr. Complaint of diffuse raised itchey pink/red rash over back, chest, upper abd. Looks like mosquito bites. C/O leg weakness, malaise. Half dollar size red slightly edematous local reaction at site of injection
Age: 45.0
Sex: F
Vaccine: FLU3
Symptoms: Chest X-ray normal, Tuberculosis skin test positive
Clinical narrative: Received PPD L FA on 10-2-07 for yearly check. On 10-04, pt. came to me and showed me the PPD site. Induration was measured at 40mm and redness was also present. Pt. states that she noticed yesterday evening that it was red and swollen. No itching. Pt. was refered to occupational health on this same day. Chest X-ray was done and results were negative. Pt. states that it remained red and indurated until evening of 10-7-07.
Age: 12.0
Sex: M
Vaccine: MNQ, TDAP, VARCEL
Symptoms: Anorexia, Headache, Pyrexia, Vomiting
Clinical narrative: headache, high fever, loss of apetite; vomiting on the 25th, along with high fever, loss of apetite.
Age: 12.0
Sex: F
Vaccine: MNQ, TDAP, VARCEL
Symptoms: Injected limb mobility decreased, Sleep disorder
Clinical narrative: only could lift arms up less than a 45 degree angle, and couldn't sleep on left arm for 3 days.
Age: 5.0
Sex: M
Vaccine: DTAP, HEPA, IPV, MMRV
Symptoms: Erythema, Injection site reaction, Injection site swelling, Pruritus, Pyrexia
Clinical narrative: Mother states site of MMRV on left arm swelled to size of an egg w/ onset 24h after administration.  Child's knees were itchy, areas around his ears were red, and he had a fever of 100-101.2 x 2days.  Mother took child to doctor she works with; mother gave Benadryl and applied ice x 3d.  Mother also states site where DTaP given was red x 3-4d w/ onset 2d after vaccine administration.
Age: 7.0
Sex: F
Vaccine: HEP, MMR, TD, VARCEL
Symptoms: Cold compress therapy, Injection site erythema, Injection site pain
Clinical narrative: Pain, redness at injection site Rt arm.  Denies fever. Father states child did not go to school today. Recommended child be given either Tylenol or Ibuprofen for pain.  Cool compresses to site; may use warm compresses for relief if cool not helpful.
Age: 16.0
Sex: M
Vaccine: FLU3
Symptoms: Anaphylactic reaction, Dyspnoea, Pallor, Pruritus
Clinical narrative: SEVERE SHORTNESS OF BREATH, GRAY COLOR, ITCHINESS OF FACE AND HEAD; NO HIVES
Age: 15.0
Sex: F
Vaccine: MNQ, TDAP, VARCEL
Symptoms: Injected limb mobility decreased, Sleep disorder
Clinical narrative: only able to lift arm up less than a 45 degree angle, and couldn't sleep on left arm for 3 days.
Age: 62.0
Sex: F
Vaccine: VARZOS
Symptoms: Rash vesicular, Skin lesion
Clinical narrative: 28 hours post vaccination, patient developed a generalized varicella like rash. She describes the rash as not being itchy but the lesions sting. no other symptoms noted. as of 10/05/2007, she continues to develop new lesions. Some of the lesions are fluid filled, others just red and raised. her family doctor prescribed famvir.
Age: 52.0
Sex: F
Vaccine: PPV
Symptoms: Blister, Headache, Injection site bruising, Injection site erythema, Injection site pain
Clinical narrative: Janan received PPV23 on 10-03-2007.  She experienced achiness and headache on 10-4-07 for which she took Tylenol. 10-05-07 she presented in the office with c/o fever (100.6), headache, body aches, and swelling, redness, and pain at the injection site.  Ibuprofen 600mg and Benadryl were ordered.  10-9-07 she presented in the office with an increase in symptoms of the left upper arm.  She has an approx area of 7cm x 12cm around the injection site, which is erythematous and indurated.  There is an approx. 1cm area of bruising at the injection site.  Distal to the injection site is an approx 2cm area of coalesced small yellowish-pink vesicles.  There is no discharge at the site. Her arm is tender, but improving.  A Medrol dose pack was prescribed today.
Age: 52.0
Sex: F
Vaccine: PPV
Symptoms: Injection site swelling, Pain, Pyrexia, Tenderness
Clinical narrative: Janan received PPV23 on 10-03-2007.  She experienced achiness and headache on 10-4-07 for which she took Tylenol. 10-05-07 she presented in the office with c/o fever (100.6), headache, body aches, and swelling, redness, and pain at the injection site.  Ibuprofen 600mg and Benadryl were ordered.  10-9-07 she presented in the office with an increase in symptoms of the left upper arm.  She has an approx area of 7cm x 12cm around the injection site, which is erythematous and indurated.  There is an approx. 1cm area of bruising at the injection site.  Distal to the injection site is an approx 2cm area of coalesced small yellowish-pink vesicles.  There is no discharge at the site. Her arm is tender, but improving.  A Medrol dose pack was prescribed today.
Sex: U
Vaccine: DT
Symptoms: Local reaction
Clinical narrative: Localized reaction to vaccine.
Age: 13.0
Sex: F
Vaccine: MNQ, TDAP, VARCEL
Symptoms: Injection site erythema, Pain, Pain in extremity, Pyrexia
Clinical narrative: fever of 101 degrees F, left arm, and whole body ache. site to LA (tdap site) reddened
Age: 39.0
Sex: F
Vaccine: FLU3
Symptoms: Rash
Clinical narrative: Got flu vaccine and PPD on 10/8/07 about 11am,  Around 1pm noticed red spots around abdomen area, spreading to back, no itching, no swelling, no difficulty breathing.  Rash gone by morning of 10/9/07
Age: 13.0
Sex: F
Vaccine: MNQ, VARCEL
Symptoms: Dizziness, Injection site erythema, Injection site pain, Injection site warmth
Clinical narrative: Varicella injection site red, warm, painful, felt woozy.  Better by 9-26-07 later afternoon
Age: 54.0
Sex: M
Vaccine: FLU3
Symptoms: Jaw disorder, Swelling face
Clinical narrative: 0.5 ml fluvirin shot was given approximately at 9:30am.  Pt returned to clinic at 11:40am with complaints left side of jaw and face swollen.  Denied ss of SOB, itching or rash.  He stated at this time "a few weeks ago he had bells palsy".  He refused benadryl and siad that he was headed to the walkin clinic at Hospital.
Age: 49.0
Sex: M
Vaccine: FLUX
Symptoms: Dyspnoea
Clinical narrative: Difficulty breathing, began about 2.5 hours after FLU vaccination, unable to come back to normal as of 5:45 pm, time of completing this form
Age: 31.0
Sex: F
Vaccine: MEN
Symptoms: Asthenia, Chest discomfort, Dizziness, Dyspnoea, Headache
Clinical narrative: The Meningococcal vaccination came due 26 Feb 2007 while stationed aboard the USS Bataan. Within 5 minutes post vaccination she experienced similar symptoms of dizziness and wooziness felt with TD/typhoid vaccines in 2004. She returned to medical with increasing dizziness, headaches, nausea w/o vomiting, weakness and "out of body sensation", difficulty breathing with "squeezing lower lungs", and difficulty inhaling. She was placed on oxygen, administered a inhalation treatment without relief. She c/o her chest squeezing and "caving in". She was treated with 2 shots of Epinephrine with slow resolution of symptoms. After several hours observation she was released to her bunk (on ship).  She was treated with oral steroids, albuterol inhaler x 3 days for tightness in chest and shortness of breath. Within 48 hours she reported being "back to normal" and by 72 hours only c/o sore thigh muscles with activity (climbing ladders). She reported no residual effects.
Age: 31.0
Sex: F
Vaccine: MEN
Symptoms: Myalgia, Nausea, Oxygen supplementation, Reaction to previous exposure to any vaccine
Clinical narrative: The Meningococcal vaccination came due 26 Feb 2007 while stationed aboard the USS Bataan. Within 5 minutes post vaccination she experienced similar symptoms of dizziness and wooziness felt with TD/typhoid vaccines in 2004. She returned to medical with increasing dizziness, headaches, nausea w/o vomiting, weakness and "out of body sensation", difficulty breathing with "squeezing lower lungs", and difficulty inhaling. She was placed on oxygen, administered a inhalation treatment without relief. She c/o her chest squeezing and "caving in". She was treated with 2 shots of Epinephrine with slow resolution of symptoms. After several hours observation she was released to her bunk (on ship).  She was treated with oral steroids, albuterol inhaler x 3 days for tightness in chest and shortness of breath. Within 48 hours she reported being "back to normal" and by 72 hours only c/o sore thigh muscles with activity (climbing ladders). She reported no residual effects.
Age: 74.0
Sex: F
Vaccine: FLU3
Symptoms: Dizziness, Gaze palsy, Hyperhidrosis, Hypotension, Pallor
Clinical narrative: Pt received vaccination and stated felt dizzy, wanted to lay down; reclined on exam table and became diaphoretic, eyes rolled back, gray/ ashen color, did not respond to name or brisk shaking for approx 15-20 secs; weak/ th ready pulse 70s, BP 84/40s, RR=12, Pulse ox= 99%; 911 called immediately; 0.3 mg SQ epi administered while awaiting ambulance; Pt responding by time ambulance arrived in approximately 5 minutes; BP 100s/70s, then 140s/70s, responsive, A&OX3; taken to ER via ambulance by Fire Dept.
Age: 74.0
Sex: F
Vaccine: FLU3
Symptoms: Pulse abnormal, Pulse pressure decreased, Unresponsive to stimuli
Clinical narrative: Pt received vaccination and stated felt dizzy, wanted to lay down; reclined on exam table and became diaphoretic, eyes rolled back, gray/ ashen color, did not respond to name or brisk shaking for approx 15-20 secs; weak/ th ready pulse 70s, BP 84/40s, RR=12, Pulse ox= 99%; 911 called immediately; 0.3 mg SQ epi administered while awaiting ambulance; Pt responding by time ambulance arrived in approximately 5 minutes; BP 100s/70s, then 140s/70s, responsive, A&OX3; taken to ER via ambulance by Fire Dept.
Age: 16.0
Sex: F
Vaccine: HEP, HPV4, IPV, MNQ, TDAP, VARCEL
Symptoms: Nodule, Pruritus, Rash, Rash generalised
Clinical narrative: Patient received vaccine 10/5/07.  She came to clinic 10/9/07 and states she has a reaction from the vaccine of itching, bumps and rash generalized over the body.  Patient was encouraged to seek treatment from her primary care physician or urgent care for any unresolved symptoms.
Age: 53.0
Sex: F
Vaccine: TD
Symptoms: Erythema, Oedema peripheral, Pain in extremity
Clinical narrative: Patient stated that she noticed that evening that her arm ached [the same day she received the vaccine].  She stated that she noticed on 10-5 that it was swollen the size of a half dollar and red.  On 10-8 she stated that it was still red, hard as a rock, and swollen but less red than 10-5.
Age: 52.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Dyspnoea, Injection site inflammation
Clinical narrative: Immunized flu and pneumonia same arm 10-01-07. On 10-02-07 patient's arm was imflamed at injection site.  shortness of breath. called ambulance to ER.
Age: 17.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Amnesia, Blood test, Computerised tomogram, Confusional state, Convulsion
Clinical narrative: 3 events: #1 ~10 days afer Gardasil injection #1 on 7/26/07,, pt awoke with nearly complete amnesia of events of the day before and confusion as to her whereabouts lasting ~ 1 hour; was somnolent , fell asleep, improved within a few hours after awakening. No history of any such episode previously. Event #2- 5 minutes after receiving Gardasil injection #2 on 9/18/07, patient became faint, diaphoretic and nearly lost consciousness. Quickly recovered. No prior history of such reaction to vaccinations. EVENT #3 - ~ 5 DAYS AFTER SECOND GARDASIL VACCINATION ON 9/18/07, PATIENT EXPERIENCED A GENERALIZED SEIZURE, NEW ONSET. FULL EVALUATION IN ER REVEALED NO OTHER ABNORMALITIES. RESULTS OF 48 HOUR AMBULATORY EEG MONITOR ARE PENDING. SHE HAS BEEN RECIEVING AED, TOPAMAX, AT LOW DOSE WITHOUT RECURRENCE OF SEIZURES.
Age: 17.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Electroencephalogram, Hyperhidrosis, Nuclear magnetic resonance imaging, Presyncope, Somnolence
Clinical narrative: 3 events: #1 ~10 days afer Gardasil injection #1 on 7/26/07,, pt awoke with nearly complete amnesia of events of the day before and confusion as to her whereabouts lasting ~ 1 hour; was somnolent , fell asleep, improved within a few hours after awakening. No history of any such episode previously. Event #2- 5 minutes after receiving Gardasil injection #2 on 9/18/07, patient became faint, diaphoretic and nearly lost consciousness. Quickly recovered. No prior history of such reaction to vaccinations. EVENT #3 - ~ 5 DAYS AFTER SECOND GARDASIL VACCINATION ON 9/18/07, PATIENT EXPERIENCED A GENERALIZED SEIZURE, NEW ONSET. FULL EVALUATION IN ER REVEALED NO OTHER ABNORMALITIES. RESULTS OF 48 HOUR AMBULATORY EEG MONITOR ARE PENDING. SHE HAS BEEN RECIEVING AED, TOPAMAX, AT LOW DOSE WITHOUT RECURRENCE OF SEIZURES.
Age: 17.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Syncope
Clinical narrative: 3 events: #1 ~10 days afer Gardasil injection #1 on 7/26/07,, pt awoke with nearly complete amnesia of events of the day before and confusion as to her whereabouts lasting ~ 1 hour; was somnolent , fell asleep, improved within a few hours after awakening. No history of any such episode previously. Event #2- 5 minutes after receiving Gardasil injection #2 on 9/18/07, patient became faint, diaphoretic and nearly lost consciousness. Quickly recovered. No prior history of such reaction to vaccinations. EVENT #3 - ~ 5 DAYS AFTER SECOND GARDASIL VACCINATION ON 9/18/07, PATIENT EXPERIENCED A GENERALIZED SEIZURE, NEW ONSET. FULL EVALUATION IN ER REVEALED NO OTHER ABNORMALITIES. RESULTS OF 48 HOUR AMBULATORY EEG MONITOR ARE PENDING. SHE HAS BEEN RECIEVING AED, TOPAMAX, AT LOW DOSE WITHOUT RECURRENCE OF SEIZURES.
Age: 17.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Electroencephalogram abnormal, Grand mal convulsion, Muscle twitching, Myoclonic epilepsy
Clinical narrative: 3 events: #1 ~10 days afer Gardasil injection #1 on 7/26/07,, pt awoke with nearly complete amnesia of events of the day before and confusion as to her whereabouts lasting ~ 1 hour; was somnolent , fell asleep, improved within a few hours after awakening. No history of any such episode previously. Event #2- 5 minutes after receiving Gardasil injection #2 on 9/18/07, patient became faint, diaphoretic and nearly lost consciousness. Quickly recovered. No prior history of such reaction to vaccinations. EVENT #3 - ~ 5 DAYS AFTER SECOND GARDASIL VACCINATION ON 9/18/07, PATIENT EXPERIENCED A GENERALIZED SEIZURE, NEW ONSET. FULL EVALUATION IN ER REVEALED NO OTHER ABNORMALITIES. RESULTS OF 48 HOUR AMBULATORY EEG MONITOR ARE PENDING. SHE HAS BEEN RECIEVING AED, TOPAMAX, AT LOW DOSE WITHOUT RECURRENCE OF SEIZURES.
Age: 0.6
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Pyrexia
Clinical narrative: Mom reported fever 103 F night of vacc. followed by quarter-sized red area of vaccine.
Age: 4.0
Sex: M
Vaccine: DTAP, HIBV, IPV, MMR, VARCEL
Symptoms: Unevaluable event
Clinical narrative: Patient experienced no adverse reactions.
Age: 8.0
Sex: F
Vaccine: HEPA, VARCEL
Symptoms: Erythema, Oedema peripheral, Pruritus
Clinical narrative: 8 yo given Varivax RLE, Hep A LVE, with swelling redness and itching - predominantly RUE - starting 2 days after vaccine. Improved with Benadryl and Atronix.
Age: 1.5
Sex: F
Vaccine: DTAP, HIBV
Symptoms: Rash
Clinical narrative: Rash coming and going.
Age: 42.0
Sex: M
Vaccine: DTAP
Symptoms: Wrong drug administered
Clinical narrative: Individual received single dose of DTaP instead of Tdap.
Age: 34.0
Sex: F
Vaccine: DTAP
Symptoms: Wrong drug administered
Clinical narrative: Individual received single dose of DTaP instead of Tdap.
Age: 56.0
Sex: F
Vaccine: DTAP
Symptoms: Wrong drug administered
Clinical narrative: Individual received single dose of DTaP instead of Tdap.
Age: 45.0
Sex: F
Vaccine: DTAP
Symptoms: Wrong drug administered
Clinical narrative: Individual received single dose of DTaP instead of Tdap.
Age: 52.0
Sex: F
Vaccine: DTAP
Symptoms: Wrong drug administered
Clinical narrative: Individual received single dose of DTaP instead of Tdap.
Age: 57.0
Sex: F
Vaccine: DTAP
Symptoms: Wrong drug administered
Clinical narrative: Individual received single dose of DTaP instead of Tdap.
Age: 46.0
Sex: M
Vaccine: DTAP
Symptoms: Wrong drug administered
Clinical narrative: Individual received single dose of DTaP instead of Tdap.
Age: 53.0
Sex: F
Vaccine: DTAP
Symptoms: Wrong drug administered
Clinical narrative: Individual received single dose of DTaP instead of Tdap.
Age: 43.0
Sex: F
Vaccine: DTAP
Symptoms: Wrong drug administered
Clinical narrative: Individual received single dose of DTaP instead of Tdap.
Age: 71.0
Sex: F
Vaccine: PNC, TD
Symptoms: Erythema, Pain, Skin warm
Clinical narrative: One day after receiving Pneumovax right arm, patient presented with pain, redness, warmth 8-9cm area circumferentially right upper arm. Received oral dicloxacillin 250mg 4 times a day for 5 days.
Age: 76.0
Sex: F
Vaccine: PNC, TD
Symptoms: Cellulitis, Injection site erythema, Injection site pain, Vaccination complication
Clinical narrative: Patient reported pain at injection site immediately after vaccine. Reported increased pain and developed redness evening of vaccination. Saw PCP - diagnosis vaccine reaction vs. cellulitis. Patient afebrile. Treatment with oral dicloxacillin.
Age: 35.0
Sex: F
Vaccine: MMR
Symptoms: Body temperature increased, Feeling abnormal, Rash morbilliform
Clinical narrative: 10-02 101.0 temp, felt bad from 9-26-07. Broke out in a measles like rash 9-28-07. Told to go to her doctor and call us back to tell us what he said but this occurrs1 out of 900 MMR's. MD said was 3 day measles.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Pruritus, Rash
Clinical narrative: Pt got shots and left, about 10 min. later Dad came running back in with child saying the pt is itching a lot. Upon assessing pt - she was scratching around her neck and face area, back and stomach area. SHE had a red area that encircled her lips and went along her jawbone up to her ears and around her neck. She never had any trouble breathing. Referred to local ER. Also saw a colostomy at that time when pt was moving her arms around scratching (which Dad never mentioned). On 9/20 Mom stated pt doing well, rash and itching was gone.
Age: 26.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Discomfort, Dizziness, Injection site irritation, Injection site pain, Nausea
Clinical narrative: Patient states about 2 hrs after receiving Gardasil on 6/11/07 experienced severe burning at injection site and became nauseated. States 4 hives symptoms lasted about 20 minutes.
Age: 26.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Injection site irritation, Nausea, Urticaria
Clinical narrative: Patient states about 2 hrs after receiving Gardasil on 6/11/07 experienced severe burning at injection site and became nauseated. States 4 hives symptoms lasted about 20 minutes.
Age: 0.2
Sex: F
Vaccine: RV5, DTAPHEPBIP, HIBV, PNC, RV5, DTAP, IPV, RV5, RV5
Symptoms: Computerised tomogram, Enema administration, Intussusception, Urinary system X-ray
Clinical narrative: Bloody diarrhea, vomiting. Intussusception, surgical reduction.
Age: 0.2
Sex: F
Vaccine: RV5, DTAPHEPBIP, HIBV, PNC, RV5, DTAP, IPV, RV5, RV5
Symptoms: Diarrhoea haemorrhagic, Intussusception, Surgery, Vomiting, X-ray
Clinical narrative: Bloody diarrhea, vomiting. Intussusception, surgical reduction.
Age: 0.2
Sex: F
Vaccine: RV5, DTAPHEPBIP, HIBV, PNC, RV5, DTAP, IPV, RV5, RV5
Symptoms: Diarrhoea haemorrhagic, Intussusception, Surgery
Clinical narrative: Bloody diarrhea, vomiting. Intussusception, surgical reduction.
Age: 0.2
Sex: F
Vaccine: RV5, DTAPHEPBIP, HIBV, PNC, RV5, DTAP, IPV, RV5, RV5
Symptoms: Barium double contrast, Haematochezia, Intussusception, Surgery, Vomiting
Clinical narrative: Bloody diarrhea, vomiting. Intussusception, surgical reduction.
Age: 0.16
Sex: F
Vaccine: DTAP, HBHEPB, IPV, PNC, RV5, DTAP, HBHEPB, IPV, PNC, RV5
Symptoms: Haematochezia, Occult blood
Clinical narrative: Blood in stool within 1 day of vaccine. No fever, no vomiting, no fussiness. *Treatment observation.
Age: 0.16
Sex: F
Vaccine: DTAP, HBHEPB, IPV, PNC, RV5, DTAP, HBHEPB, IPV, PNC, RV5
Symptoms: Haematochezia, Occult blood positive
Clinical narrative: Blood in stool within 1 day of vaccine. No fever, no vomiting, no fussiness. *Treatment observation.
Sex: F
Vaccine: DTP
Symptoms: Anaphylactic reaction
Clinical narrative: This case was reported by a health professional on 03 October 2007. Seriousness criteria:Other-Medically Significant A female received a DTaP vaccination (manufacturer and lot number unknown) "when she was younger" and experienced an anaphylactic reaction. She recovered, and has since received other vaccines "without any problems". No additional information was provided.
Age: 0.5
Sex: M
Vaccine: DTAPHEPBIP, FLU3, HIBV, PNC, RV5, RV5, UNK
Symptoms: Abdominal X-ray, Intussusception, Urinary system X-ray
Clinical narrative: intussusception confirmed by abdominal x ray, abdominal ultrasound at 10-5-07 10/22/07-records received for DOS 10/5-10/7/07-DC DX: Intussusception. Laparotomy, appendectomy. Operative reduction of intussusception. Hydrostatically irreducible. Three days prior to admission C/O abdominal pain and emesis, HX of episodic pain, no bloody bowel movements.
Age: 0.5
Sex: M
Vaccine: DTAPHEPBIP, FLU3, HIBV, PNC, RV5, RV5, UNK
Symptoms: Intussusception, Ultrasound scan abnormal, Vomiting
Clinical narrative: intussusception confirmed by abdominal x ray, abdominal ultrasound at 10-5-07 10/22/07-records received for DOS 10/5-10/7/07-DC DX: Intussusception. Laparotomy, appendectomy. Operative reduction of intussusception. Hydrostatically irreducible. Three days prior to admission C/O abdominal pain and emesis, HX of episodic pain, no bloody bowel movements.
Age: 0.2
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5, DTAPHEPBIP, HEPA, PNC, RV5
Symptoms: Diarrhoea haemorrhagic, Vomiting
Clinical narrative: Bloody diarrhea, vomiting, intussusception. Surgical reduction. 10/22/07-records received for DOS 8/22-8/26/07-DC DX: Intussusception, status post resection. C/O abdominal pain and bloody bowel movement, emesis, diarrhea lasting 1 day. Ileocolic intussusception with gangrenous terminal ileum and sweep, terminal ileum, cecum and ascending colon. Laparotomy, end to end ileal process anastomosis.
Age: 0.2
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5, DTAPHEPBIP, HEPA, PNC, RV5
Symptoms: Diarrhoea haemorrhagic, Inappropriate schedule of drug administration, Intussusception, Surgery, Vomiting
Clinical narrative: Bloody diarrhea, vomiting, intussusception. Surgical reduction. 10/22/07-records received for DOS 8/22-8/26/07-DC DX: Intussusception, status post resection. C/O abdominal pain and bloody bowel movement, emesis, diarrhea lasting 1 day. Ileocolic intussusception with gangrenous terminal ileum and sweep, terminal ileum, cecum and ascending colon. Laparotomy, end to end ileal process anastomosis.
Age: 0.2
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5, DTAPHEPBIP, HEPA, PNC, RV5
Symptoms: X-ray
Clinical narrative: Bloody diarrhea, vomiting, intussusception. Surgical reduction. 10/22/07-records received for DOS 8/22-8/26/07-DC DX: Intussusception, status post resection. C/O abdominal pain and bloody bowel movement, emesis, diarrhea lasting 1 day. Ileocolic intussusception with gangrenous terminal ileum and sweep, terminal ileum, cecum and ascending colon. Laparotomy, end to end ileal process anastomosis.
Age: 0.4
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Intussusception
Clinical narrative: 1st dose Rotateq given @ 2 mo 2/2/07 2nd dose Rotateq given @ 4 mo 4/6/07 Intussusception 6/18/07 no Rotateq given @ "6 mo" checkup done @ 6/29/07. 10/10/2007 VAERS report submitted with MR attached. Infant with PMH of intussusception in 6/2007 presented with crying and abdominal pain on 10/3/2007.  A therapeutic enema was given with successful reduction of the ileocolic intussusception. 10/24/2007 Vax record received.  Rotateq Lot # 0403F added to database, otherwise correlates with VAERS submission. 11/05/2007 MR received for DOS 6/17/2007 for D/C DX Intussusception. Child presented to ER with vomiting, abdominal cramping x 12 hrs. Pt had a bloody stool in The ER. Pt had barium enema which sucessfully reduced the IS. D/Cd home same day in good condition. Repeat IS with BE reduction 10/3/07 as above.
Age: 49.0
Sex: F
Vaccine: FLU3
Symptoms: Anxiety, Electrocardiogram normal, Pallor, Restlessness, Tachycardia
Clinical narrative: Routine annual employee flu vaccination (R) 1510 deltoid 0.5 ml IM with rapid response - no anxiety, pallor, tachycardia, restlessness - refusal at 1st by staff member/client of emergency SRI with return of color, decreased pulse, decreased anxiety followed by another rapid episode of pallor, anxiety, tachycardia. ).5 ml Epinephrine SQ given 15:25 hrs just prior to ambulance arrival - transport to ER for further Rx - O2, Benadryl, fluids.  10/15/2007 MR received for ER visit 10/03/2007 with DX of Reaction.  Pt presented to ER with onset of light-headedness, tunnel vision, palpitations and feelings that her heart was racing and just not feeling right within a few minutes of receiving flu shot. Similar reaction to bee stings and shrimp in past. Epi and Benadryl given at the scene.  PE WNL. No true signs of anaphylaxis, cardiac ischemia, or hypoglycemia.  D/ C home.
Age: 18.0
Sex: F
Vaccine: HEP, MNQ, TDAP, MNQ
Symptoms: Culture, Death, Serology test
Clinical narrative: fatal meningococcal disease serogroup C confirmed by BOL.  10/19/07 Reviewed hospital medical records 9/6-9/9/2007. FINAL DX: Neisseria bacterial meningitis, serogroup C Records reveal patient experienced URI, sore throat, HA, stiff neck & high fever.  Seen in ER on 9/6/07 where LP done.  D/c to home w/dx viral infection.  Smptoms worsened & became lethargic.  Returned to ER.  Admitted 9/8-9/9/2007.  Tx w/IV antibiotics, antivirals & steroids.  Cerebral edema increased after 2nd LP.  Neurology & neurosurgery consults done (reports not available).  Pupils were fixed & dilated. Declared brain dead then experienced ventricular fibrillation & resuscitation unsuccessful.  Family refused autopsy.  11/09/2007 Received death certificate which states COD as cerebral edema +/- herniation: Bacterial Meningitis; cerebral edema; brain herniation.
Age: 18.0
Sex: F
Vaccine: HEP, MNQ, TDAP, MNQ
Symptoms: Culture, Death, Meningococcal infection
Clinical narrative: fatal meningococcal disease serogroup C confirmed by BOL.  10/19/07 Reviewed hospital medical records 9/6-9/9/2007. FINAL DX: Neisseria bacterial meningitis, serogroup C Records reveal patient experienced URI, sore throat, HA, stiff neck & high fever.  Seen in ER on 9/6/07 where LP done.  D/c to home w/dx viral infection.  Smptoms worsened & became lethargic.  Returned to ER.  Admitted 9/8-9/9/2007.  Tx w/IV antibiotics, antivirals & steroids.  Cerebral edema increased after 2nd LP.  Neurology & neurosurgery consults done (reports not available).  Pupils were fixed & dilated. Declared brain dead then experienced ventricular fibrillation & resuscitation unsuccessful.  Family refused autopsy.  11/09/2007 Received death certificate which states COD as cerebral edema +/- herniation: Bacterial Meningitis; cerebral edema; brain herniation.
Age: 19.0
Sex: F
Vaccine: FLU3
Symptoms: Dizziness, Full blood count, Headache, Laboratory test normal, Nausea
Clinical narrative: Rash, vomiting, dizzy, headache, nausea, light-headed.
Age: 19.0
Sex: F
Vaccine: FLU3
Symptoms: Rash, Vomiting
Clinical narrative: Rash, vomiting, dizzy, headache, nausea, light-headed.
Age: 75.0
Sex: F
Vaccine: VARZOS
Symptoms: Eye swelling, Pruritus
Clinical narrative: Itchy skin with swollen eyes, took Benadryl.
Age: 31.0
Sex: F
Vaccine: TDAP
Symptoms: Muscle spasms, Pain in extremity
Clinical narrative: Tdap vaccine administered approx 10 AM. Employee c/o (L) lower leg cramping around 5 pm. Employee c/o pain in (L) lower leg also.
Sex: F
Vaccine: TDAP
Symptoms: Pain in extremity
Clinical narrative: Employee c/o pain in (R) thigh several hours after Tdap vaccine injection.
Age: 36.0
Sex: F
Vaccine: TDAP
Symptoms: Myalgia, Pyrexia
Clinical narrative: Sudden onset fever (101.0), myalgias 24 hours post vaccine.
Age: 16.0
Sex: F
Vaccine: HPV4
Symptoms: Dizziness, Nausea, Paraesthesia
Clinical narrative: Nausea, dizziness, tingling in face.
Age: 1.3
Sex: M
Vaccine: HIBV, MMRV, PNC
Symptoms: Injection site erythema, Injection site vesicles
Clinical narrative: Approximately 3 wks after injection a red dot followed by a fluid filled vesicle appeared at site of injection. Parent advised to keep patient at home for 5-7 days or until vesicle dries and scabs over. Injection site location: upper (L) arm.
Age: 0.3
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Blood culture negative, Chest X-ray, Cough, Fatigue, Nasal congestion
Clinical narrative: Fever 102 15 hours after vaccines given. Cough, fatigue, nasal congestion. Treatment - observation, fluids, Tylenol.
Age: 0.3
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Pyrexia, Urine analysis normal, White blood cell count increased
Clinical narrative: Fever 102 15 hours after vaccines given. Cough, fatigue, nasal congestion. Treatment - observation, fluids, Tylenol.
Age: 65.0
Sex: F
Vaccine: VARZOS
Symptoms: Skin exfoliation
Clinical narrative: Skin on legs began peeling one week post vaccine. Peeling started at top of thighs and went to shins. One week later, peeling began again in same area in same way. Total time until skin was normal: 3 weeks.
Age: 54.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site erythema, Oedema peripheral, Skin warm
Clinical narrative: Erythematous from site of injection around arm - mid section of bicep/arm is 1.5 cm larger than opposite arm. Warm to touch. Pt instructed to use ice, Tylenol for any discomfort.
Age: 29.0
Sex: F
Vaccine: TDAP
Symptoms: Asthenia, Chills, Dysstasia, Hyperhidrosis, Nausea
Clinical narrative: Patient called to report that evening of injection (09/07/07) she had developed chills/sweats, nausea, difficulty standing x 2 days. Weak feeling x 2 days. Patient notified this office of above on 10/02/07.
Age: 20.0
Sex: M
Vaccine: ANTH, TYP
Symptoms: Pharyngeal oedema
Clinical narrative: Swollen uvula 1 day post vaccination of Typhoid and Anthrax vaccine.
Age: 75.0
Sex: F
Vaccine: VARZOS
Symptoms: Skin lesion
Clinical narrative: 1 pox on left shoulder/back.
Age: 12.0
Sex: F
Vaccine: HPV4, TDAP, VARCEL
Symptoms: Erythema, Inflammation, Pruritus, Tenderness
Clinical narrative: Pt has inflammation and erythema 2 inches in diameter. + tenderness and pruritus.
Age: 16.0
Sex: F
Vaccine: HPV4
Symptoms: Swelling face
Clinical narrative: Intermittent facial swelling since vaccine administered. Benadryl given orally.
Sex: M
Vaccine: DTAP, FLU3
Symptoms: Erythema, Injection site warmth, Oedema peripheral, Pyrexia
Clinical narrative: Had shot on 10/1/07 (L) arm, became very swollen, red, site warm, had fever. Size per Dr (L) arm 4.7, (R) 6x8.
Age: 0.2
Sex: M
Vaccine: DTAP, HBHEPB, IPV, PNC, RV5
Symptoms: Vomiting
Clinical narrative: Severe vomiting starting the day after vaccines given.
Age: 16.0
Sex: F
Vaccine: MNQ, TDAP, VARCEL
Symptoms: Erythema, Oedema peripheral, Pain in extremity, Skin warm
Clinical narrative: 1 day after injection, pt had swelling, redness and warmth to left arm and soreness measuring 7.25cm x 7.5cm.
Age: 12.0
Sex: F
Vaccine: HPV4
Symptoms: Appendicitis, Ultrasound scan abnormal
Clinical narrative: Acute appendicitis 10/11/07-ER records received with report for DOS 10/8/07-Developed nausea, fever, chills, headaches and neck stiffness. No neurological complaints, no numbness or tingling. PE: some rigidity moving her neck from side to side.LP performed. Admitted with possible meningitis.  11/16/07-for DOS 10/7/07-DC DX: acute nonperforated appendicitis. Presented to ED 3 days prior with C/O pain in lower abdomen most in right lower quadrant.
Age: 0.36
Sex: F
Vaccine: DTAP, HBHEPB, IPV, PNC, RV5, DTAP, IPV, RV5
Symptoms: Apnoea, Blood lead increased, Brain injury, Diastolic dysfunction, Gastroenteritis viral
Clinical narrative: Apnea x 3 - patient intubated.  10/16/07 Reviewed vax records from pcp which confirm RO lot # as reported.  11/30/07 Reviewed hospital medical records which reveal patient experienced crying inconsolably, irritability, feeding, vomiting, arched back, stiffened & mottled then went limp & pale.  Became alert again then episode recurred.  Taken to outlying ER where had several more episodes & was bradycardic.  Then experienced cardiopulmonary failure.  Intubated & resuscitated.  Transferred to higher level of care.  Admitted 10/10-11/02/2007.  Patient had been exposed to stomach virus within 2-3 wks prior to admit. Immunology, neuro, opthalmology consult done.  Received blood transfusion & apparently had reaction.  Developed ARDS & had bilateral chest tubes placed.  Felt to have poor visual fixation & likely damage to optic pathways & poor head control.  Was to be followed by opth & developmental outpatient clinics. FINAL DX: no d/c summary available.  Immunology dx: Hypotonic-hyporesponsive episode s/p non-immune mediated adverse vaccine reaction, likely acellular pertussis component. Per 60 day follow up: She has permenant brain damage. Her brain has atrophied, she has extensive damage to her cortex & occipital lobe. 1/12/2010 She still and will always have brain damage.. She is 17 months old and still cannot sit up, crawl, stand and walk.
Age: 0.36
Sex: F
Vaccine: DTAP, HBHEPB, IPV, PNC, RV5, DTAP, IPV, RV5
Symptoms: Intubation
Clinical narrative: Apnea x 3 - patient intubated.  10/16/07 Reviewed vax records from pcp which confirm RO lot # as reported.  11/30/07 Reviewed hospital medical records which reveal patient experienced crying inconsolably, irritability, feeding, vomiting, arched back, stiffened & mottled then went limp & pale.  Became alert again then episode recurred.  Taken to outlying ER where had several more episodes & was bradycardic.  Then experienced cardiopulmonary failure.  Intubated & resuscitated.  Transferred to higher level of care.  Admitted 10/10-11/02/2007.  Patient had been exposed to stomach virus within 2-3 wks prior to admit. Immunology, neuro, opthalmology consult done.  Received blood transfusion & apparently had reaction.  Developed ARDS & had bilateral chest tubes placed.  Felt to have poor visual fixation & likely damage to optic pathways & poor head control.  Was to be followed by opth & developmental outpatient clinics. FINAL DX: no d/c summary available.  Immunology dx: Hypotonic-hyporesponsive episode s/p non-immune mediated adverse vaccine reaction, likely acellular pertussis component. Per 60 day follow up: She has permenant brain damage. Her brain has atrophied, she has extensive damage to her cortex & occipital lobe. 1/12/2010 She still and will always have brain damage.. She is 17 months old and still cannot sit up, crawl, stand and walk.
Age: 0.36
Sex: F
Vaccine: DTAP, HBHEPB, IPV, PNC, RV5, DTAP, IPV, RV5
Symptoms: Aorta coarctation repair, Apnoea, Cardiac operation, Convulsion, Coronary artery disease
Clinical narrative: Apnea x 3 - patient intubated.  10/16/07 Reviewed vax records from pcp which confirm RO lot # as reported.  11/30/07 Reviewed hospital medical records which reveal patient experienced crying inconsolably, irritability, feeding, vomiting, arched back, stiffened & mottled then went limp & pale.  Became alert again then episode recurred.  Taken to outlying ER where had several more episodes & was bradycardic.  Then experienced cardiopulmonary failure.  Intubated & resuscitated.  Transferred to higher level of care.  Admitted 10/10-11/02/2007.  Patient had been exposed to stomach virus within 2-3 wks prior to admit. Immunology, neuro, opthalmology consult done.  Received blood transfusion & apparently had reaction.  Developed ARDS & had bilateral chest tubes placed.  Felt to have poor visual fixation & likely damage to optic pathways & poor head control.  Was to be followed by opth & developmental outpatient clinics. FINAL DX: no d/c summary available.  Immunology dx: Hypotonic-hyporesponsive episode s/p non-immune mediated adverse vaccine reaction, likely acellular pertussis component. Per 60 day follow up: She has permenant brain damage. Her brain has atrophied, she has extensive damage to her cortex & occipital lobe. 1/12/2010 She still and will always have brain damage.. She is 17 months old and still cannot sit up, crawl, stand and walk.
Age: 0.36
Sex: F
Vaccine: DTAP, HBHEPB, IPV, PNC, RV5, DTAP, IPV, RV5
Symptoms: Cyanosis, Echocardiogram abnormal, Hypotonia, Irritability, Pallor
Clinical narrative: Apnea x 3 - patient intubated.  10/16/07 Reviewed vax records from pcp which confirm RO lot # as reported.  11/30/07 Reviewed hospital medical records which reveal patient experienced crying inconsolably, irritability, feeding, vomiting, arched back, stiffened & mottled then went limp & pale.  Became alert again then episode recurred.  Taken to outlying ER where had several more episodes & was bradycardic.  Then experienced cardiopulmonary failure.  Intubated & resuscitated.  Transferred to higher level of care.  Admitted 10/10-11/02/2007.  Patient had been exposed to stomach virus within 2-3 wks prior to admit. Immunology, neuro, opthalmology consult done.  Received blood transfusion & apparently had reaction.  Developed ARDS & had bilateral chest tubes placed.  Felt to have poor visual fixation & likely damage to optic pathways & poor head control.  Was to be followed by opth & developmental outpatient clinics. FINAL DX: no d/c summary available.  Immunology dx: Hypotonic-hyporesponsive episode s/p non-immune mediated adverse vaccine reaction, likely acellular pertussis component. Per 60 day follow up: She has permenant brain damage. Her brain has atrophied, she has extensive damage to her cortex & occipital lobe. 1/12/2010 She still and will always have brain damage.. She is 17 months old and still cannot sit up, crawl, stand and walk.
Age: 0.36
Sex: F
Vaccine: DTAP, HBHEPB, IPV, PNC, RV5, DTAP, IPV, RV5
Symptoms: Surgery, Viral infection, Vomiting
Clinical narrative: Apnea x 3 - patient intubated.  10/16/07 Reviewed vax records from pcp which confirm RO lot # as reported.  11/30/07 Reviewed hospital medical records which reveal patient experienced crying inconsolably, irritability, feeding, vomiting, arched back, stiffened & mottled then went limp & pale.  Became alert again then episode recurred.  Taken to outlying ER where had several more episodes & was bradycardic.  Then experienced cardiopulmonary failure.  Intubated & resuscitated.  Transferred to higher level of care.  Admitted 10/10-11/02/2007.  Patient had been exposed to stomach virus within 2-3 wks prior to admit. Immunology, neuro, opthalmology consult done.  Received blood transfusion & apparently had reaction.  Developed ARDS & had bilateral chest tubes placed.  Felt to have poor visual fixation & likely damage to optic pathways & poor head control.  Was to be followed by opth & developmental outpatient clinics. FINAL DX: no d/c summary available.  Immunology dx: Hypotonic-hyporesponsive episode s/p non-immune mediated adverse vaccine reaction, likely acellular pertussis component. Per 60 day follow up: She has permenant brain damage. Her brain has atrophied, she has extensive damage to her cortex & occipital lobe. 1/12/2010 She still and will always have brain damage.. She is 17 months old and still cannot sit up, crawl, stand and walk.
Age: 5.0
Sex: M
Vaccine: FLU3, VARZOS
Symptoms: Wrong drug administered
Clinical narrative: Nothing has happened at this time. Parent notified to give pain meds as needed per nurse.
Age: 48.0
Sex: F
Vaccine: FLU3
Symptoms: Urticaria
Clinical narrative: Severe hives, cortisone injection, Zyrtec at bedtime, Allegra 180 during day, 8 dys Prednisone.
Age: 11.0
Sex: F
Vaccine: MNQ, TDAP, VARCEL
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site vesicles
Clinical narrative: Pt developed marked redness and swelling at injection site. Site was tender to touch. Linear vesicles to middle of arm at injection site.
Age: 76.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Erythema, Musculoskeletal pain, Oedema peripheral
Clinical narrative: Pain on shoulder. Redness on shoulder and swelling moving to above elbow.
Age: 1.0
Sex: M
Vaccine: HEPA, HIBV, MMRV, PNC
Symptoms: Convulsion, Pyrexia
Clinical narrative: Immunizations given in the morning. Developed high fever (104) later that evening and patient had a short seizure lasting a few seconds.
Age: 0.8
Sex: M
Vaccine: FLU3, HEP
Symptoms: Convulsion
Clinical narrative: Seizure <1 hr after receiving HBV #3 and 1st flu vaccine.
Age: 11.0
Sex: F
Vaccine: TDAP, VARCEL
Symptoms: Inappropriate schedule of drug administration, Injection site erythema, Injection site pain, Overdose
Clinical narrative: This child received a second Tdap-a little over 1 month after her first one on 8-30-07 as there was no record of it on her immunization record and parent did not inform PHN that she had had one earlier when PHN was reviewing VIS form for Tdap and explaining about the vaccine. Per Tel. call on 10-10-07 she continues to have a sore arm (started in 1st 24 hours) and a silver dollar sized area of redness around injection site. No fever, warmth, swelling. No missed school.
Age: 31.0
Sex: M
Vaccine: SMALL
Symptoms: Headache, Lymphangitis, Night sweats, Pyrexia
Clinical narrative: Lymphangitis, fevers, night sweats, headache x 3 days.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMRV
Symptoms: Oedema peripheral, Skin warm, Tenderness
Clinical narrative: Pt received 5 year old imms on 9/18/07. 2 days later returns to the office with a swollen, warm and tender left arm. Suspect cellulitis. Pt treated with Benadryl and Cephalexin.
Age: 58.0
Sex: F
Vaccine: TDAP
Symptoms: Erythema, Oedema peripheral, Pain, Skin warm
Clinical narrative: 5x9cm erythema, heat, pain, swelling (L) arm onset 48 hours post Tdap administration. Afebrile. Treated with Ice and Ibuprofen.
Age: 1.3
Sex: F
Vaccine: HBHEPB, MMRV
Symptoms: Ear infection, Erythema multiforme, Joint swelling, Pyrexia, Rash
Clinical narrative: At the same appointment for 15 mo. check up/vaccinations, patient was also diagnosed with an ear infection and was prescribed amoxicillin. She was then given the immunizations - one being MMR-V. Exactly one week later she had a very pronounced rash (large-different sized and shaped, raised red blotches) from head to toe. She also had a high fever (104 degrees). I took her back into pediatrician and they felt very strongly that she was having a reaction to the amoxicillin and they called her reaction erythema multiforme. I was told to watch her closely, give her Motrin or Tylenol for fever as well as 2 different anti-histamines Atarax (prescription) and Benadryl. Her condition continued to worsen - fever continued and then joints swelled up (hands and feet). I took her back into pediatrician again (3 days after 1st visit) and he put her on a steroid (Prednisone). This cleared her symptoms very quickly. As of now, she is fine and we see no adverse events. She had amoxicillin on two other occasions before this and had no other reactions. I personally feel that her reaction had something to do with the immunization (particularly MMR-V) and the amoxicillin anti-biotic given simultaneously. Our pediatrician encouraged up to send this information in to you so that it is documented.
Age: 13.0
Sex: M
Vaccine: MNQ
Symptoms: Pruritus, Swelling, Urticaria
Clinical narrative: Hives over arm, face and swelling/itching. Treated with Benadryl 50mg PO.
Age: 0.3
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Urticaria
Clinical narrative: 5 min after admin. of vaccines pt presented with urticaria on lower extrem, chest clear. Pt was comfortable, resolved with treatment, observed in office x 15 min.
Age: 48.0
Sex: F
Vaccine: FLU3
Symptoms: Chest discomfort
Clinical narrative: Client received flu vaccine during drive thru exercise on 10-3-07 at park. She called today 10-4-07 at 11:25 and stated she was having tightness in her chest. She was referred to her Dr. to seek medical advice. 10-8-07 Follow up TC to pt. Pt. states that she felt better on 10-4-07 and no complaints since.