chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 1.69
Sex: M
Vaccine: DTP, DTP, IPV
Symptoms: Difficulty in walking, Pyrexia, Vomiting
Clinical narrative: On July 1st, 1994, patient was 1 year 6 months, I brought my son in; he was sick with fever. He was vaccinated by doctor. Same night, he vomited, loss his balance, drooling, eye cross. MRI showed there was a damage in the brain. The follow up states, "diagnosed with PDD, ADD, heart valve disorder, tic syndrome."
Age: 1.0
Sex: F
Vaccine: PNC, VARCEL
Symptoms: Pyrexia, Rash
Clinical narrative: Temperature increased to 102F with in 24 hours after immunizations on 3/6/03. Rash developed mostly on torso on 3/10/03.
Age: 31.0
Sex: F
Vaccine: TD
Symptoms: Injection site mass, Injection site rash, Joint range of motion decreased, Pain, Pruritus
Clinical narrative: Monday evening pain in shoulder and elbow. Tuesday a 2" knot at the injection site. Tuesday PM, had a rash around injection site. Wednesday had itching. Unable to life arm from Tuesday AM until Friday. On 3/12/03 continued to have some tenderness in shoulder and elbow but can lift. Knot is pin-sized and mild itching.
Age: 0.2
Sex: F
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Screaming
Clinical narrative: Inconsolable crying for 3 hours.
Age: 0.25
Sex: M
Vaccine: DTAP, HIBV, IPV
Symptoms: Screaming
Clinical narrative: Infant began crying non-stop for more than 3 hours. Vaccine given on Monday and crying began Thursday and continued until Friday evening.
Age: 1.75
Sex: M
Vaccine: MMR, PNC, VARCEL
Symptoms: Blister, Pruritus
Clinical narrative: Scattered vesicles on back, itchy and some slightly crusted.
Age: 44.0
Sex: M
Vaccine: DTAP, HEPA, IPV
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: On 3/7/03, in the office, pt had red and swollen right deltoid (4 1/2" X 3 3/4"). No temperature. Treated with Tylenol and Benadryl.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site warmth
Clinical narrative: 9X9cm area of erythema and warmth L deltoid area.
Age: 1.0
Sex: M
Vaccine: HEP, MMR, PNC, VARCEL
Symptoms: Febrile convulsion, Pyrexia
Clinical narrative: On 2/23 pt developed fever 105.8F (ear) was evaluated at  hospital for febrile seizures
Age: 12.0
Sex: F
Vaccine: TD
Symptoms: Loss of consciousness
Clinical narrative: Pt walked from pt room to lobby, she then fell to the floor. she momentarily lost consciousness, when I came around the corner she was already regaining consciousness and was alert and  oriented X 3.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR, DTP, IPV, MMR
Symptoms: Injection site erythema, Type III immune complex mediated reaction
Clinical narrative: Pt seen on 3/13/03 after MMR given on 3/11/03. L arm with erythema covering 2/3 of circumference of shoulder. Tx: Atarax. Thought to be an Arthrus reaction.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR, DTP, IPV, MMR
Symptoms: Erythema, Rash maculo-papular
Clinical narrative: Pt seen on 3/13/03 after MMR given on 3/11/03. L arm with erythema covering 2/3 of circumference of shoulder. Tx: Atarax. Thought to be an Arthrus reaction.
Age: 1.25
Sex: F
Vaccine: HIBV, MMR, PNC, VARCEL, HIBV, MMR, PNC, VARCEL
Symptoms: Cellulitis, Feeling hot, Injection site erythema, Injection site induration, Injection site reaction
Clinical narrative: Pt seen on 3/12/03. Eight hours after immunization given. L thigh with erythema encompassing 1/3 ? of thigh. ? induration with violaceous coloration, warm. Started on Augumentin as possible cellulitis, however cleared in 48 hrs and did not come back for follow up. Interesting second patient came in with a similar reaction with only more in common.
Age: 1.25
Sex: F
Vaccine: HIBV, MMR, PNC, VARCEL, HIBV, MMR, PNC, VARCEL
Symptoms: Skin discolouration
Clinical narrative: Pt seen on 3/12/03. Eight hours after immunization given. L thigh with erythema encompassing 1/3 ? of thigh. ? induration with violaceous coloration, warm. Started on Augumentin as possible cellulitis, however cleared in 48 hrs and did not come back for follow up. Interesting second patient came in with a similar reaction with only more in common.
Age: 1.25
Sex: F
Vaccine: HIBV, MMR, PNC, VARCEL, HIBV, MMR, PNC, VARCEL
Symptoms: Injection site erythema, Injection site induration
Clinical narrative: Pt seen on 3/12/03. Eight hours after immunization given. L thigh with erythema encompassing 1/3 ? of thigh. ? induration with violaceous coloration, warm. Started on Augumentin as possible cellulitis, however cleared in 48 hrs and did not come back for follow up. Interesting second patient came in with a similar reaction with only more in common.
Age: 34.0
Sex: M
Vaccine: SMALL
Symptoms: Lymphadenopathy, Pain, Pyrexia, Vaccination complication
Clinical narrative: 2 areas of accidential implantation - day 4 of vaccine 1-right jugular area 2-left scapula c/o lymphadenopathy, low grade fever, soreness at sites.
Age: 34.0
Sex: F
Vaccine: MEN, SMALL, TYP
Symptoms: Unevaluable event
Clinical narrative: Patient had positive HCG on 12 Mar 03.  Had conducted home pregnancy test prior to receiving vaccination with negative results; LMP 25 Jan 03
Age: 5.0
Sex: F
Vaccine: DTAP
Symptoms: Injection site erythema, Injection site swelling, Pruritus, Tenderness
Clinical narrative: Right thigh swelling and redness 24 hrs after DTaP immunization. Also very tender with itching.
Age: 25.0
Sex: M
Vaccine: ANTH
Symptoms: Cellulitis, Injection site erythema, Injection site reaction, Injection site warmth
Clinical narrative: PT C/O A HOT WARM RED PATCH FROM INJECTION SITE TO IN HIS RIGHT ARM TO HIS RIGHT ELBOW. PT WAS SEEN BY FAMILY PHYSICIAN THAT DX HIM AS HAVING CELLULLITIS.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Drug administration error
Clinical narrative: Child in advertently received two doses of DTaP.  she is one of a set of twins who were to be immunized, each receiving a DTaP, IPV and MMR.  However, this child received 2 DTaP both in the right leg.
Age: 38.0
Sex: F
Vaccine: SMALL
Symptoms: Headache, Hypersensitivity, Malaise, Pruritus, Sinusitis
Clinical narrative: Patient is a 38 years old nurse who immediately after vaccination on 3/14/03 described "itch all over her body ". After a few minutes she expressed it was increasing and started to scratch herself, specially in her back. The attending MD at the Smallpox vaccination clinic saw her; they did not observe any objective evidence of allergic reaction in her skin; and physical exam did not show any relevant signs or symptoms. She received Benadryl 50 mg p.o. She described some improvement, but since the immunization clinic was closing the patient was sent to the ER as a precaution for 1 hour observation; ER attending decided to administer a doses of prednisone IM, before sending the patient home and prescribed benadryl every 6 hours. Patient was daily followed by DHHS, disease control, and she complained of minor itch, with no evidence of skin lesions for the following 48 hours. On Sunday 3/16/03 she expressed to be experiencing headache and malaise. On Monday 3/17/03 we (DHHS Disease Control) asked her to attend her local ER for a consult. Attending MD did not find any objective evidence of allergic reaction, but made a clinical diagnosis, confirmed by X-Ray of severe acute sinusitis. Antibiotics were prescribed. Patient is improving and since 3/18/03 she experiences no more itch.
Age: 19.0
Sex: M
Vaccine: SMALL
Symptoms: Injection site pain, Injection site reaction, Vaccination complication
Clinical narrative: Robust local reaction, satellite lesions, pain at injection site beginning 3/12/03.  He was vaccinated 3/7/03
Age: 21.0
Sex: F
Vaccine: SMALL
Symptoms: Difficulty in walking, Dysuria, Injection site mass, Skin ulcer, Vaccination complication
Clinical narrative: Noticed 1 bump (swollen inguinal node) in groin region got sore then the lesions began to appear on labia, L labia began to swell interfering w/ walking. Pt went to ER secondary to swelling impeding with urination and walking.
Age: 22.0
Sex: M
Vaccine: SMALL
Symptoms: Viral infection
Clinical narrative: Acute Viral Syndrome
Age: 19.0
Sex: M
Vaccine: SMALL
Symptoms: Cellulitis, Injection site erythema, Injection site induration, Injection site reaction, Injection site swelling
Clinical narrative: S/P small pox vaccine X 9 days, swelling redness, tenderness, local induration, L arm with supraclavicular shoulder reaction, cellulitis. Cipro 500mg #6 bid, follow up 2 days.
Age: 19.0
Sex: M
Vaccine: SMALL
Symptoms: Tenderness
Clinical narrative: S/P small pox vaccine X 9 days, swelling redness, tenderness, local induration, L arm with supraclavicular shoulder reaction, cellulitis. Cipro 500mg #6 bid, follow up 2 days.
Age: 23.0
Sex: M
Vaccine: SMALL
Symptoms: Cellulitis, Injection site reaction
Clinical narrative: Cellulitis into left axilla.
Age: 22.0
Sex: M
Vaccine: SMALL
Symptoms: Influenza like illness, Injection site erythema, Injection site swelling, Lymphadenopathy
Clinical narrative: Received Smallpox immunization on 2/26/03. Had noted flu-like symptoms. Developed localized redness, swelling and adenopathy over the past 3 days. Observing.
Age: 0.0
Sex: M
Vaccine: ANTH, SMALL
Symptoms: Cough, Dyspnoea, Fatigue, Pneumonia
Clinical narrative: Received Smallpox Vaccination 14 FEB 03.  On 2 MAR, pt developed non-productive cough, fatigue.  Denies chest pain, fevers, n/v or rash.  Robust take on left arm at site of vaccination. Pt seen 4 MAR thought to be dehydrated, given fluids (2L NS).  Next day (5 MAR) patient's SOB worsened with pronounced fatigue.  CXR with bilat infiltrates--thought to be CHF.  Echocardiogram wnl.  Pt. eventually diagnosed with bilat viral pneumonia.
Age: 29.0
Sex: M
Vaccine: SMALL
Symptoms: Chills, Cough, Headache, Hyperhidrosis, Pain
Clinical narrative: Vaccinated with Smallpox 13 days ago and last night started with body aches, hot/cold sweats, headache and cough. No treatment.
Age: 23.0
Sex: M
Vaccine: SMALL
Symptoms: Lymphadenopathy, Rash papular
Clinical narrative: Developed diffuse erythema over arms and trunk, 10 days after Smallpox vaccine. Mostly papular in nature with 2 pustules (1 on chest and 1 on small of back). No fever. A single post cervical node (L).
Age: 38.0
Sex: F
Vaccine: SMALL
Symptoms: Blister, Rash maculo-papular
Clinical narrative: 38 years old EMT female who on day 13 after vaccination (3/16/03) noticed bilaterally a maculo-papular rash in her ante-cubital region; no other symptoms associated were reported. On 3/17/03 I observed 4 pearl like small vesicles (1 to 2 mm diameter) in her back and neck. Patient denied noticing this type of lesions earlier, but states that occasioanlly she have had acne lesions in her back and neck. We unroofed one of the vesicles, make a swab and  plate and submitted the material for testing at our Public Health Lab. On 3/18/03 vesicles were almost gone, with no scabbing. As of today the patient still has some noticeable rash, with no other symptoms associated. No treatment has been prescribed. Patient continues to work.
Age: 47.0
Sex: F
Vaccine: SMALL
Symptoms: Arthralgia, Pain, Upper respiratory tract infection
Clinical narrative: Pt. presented to PMD on 3-12-03 with c/o intermittent "deep" aches in hands, knees, elbows, beginning around 2-21-03.  Normal joint exam.  No fever, no rash, normal vaccination eschar.  Conservative treatment advised.  f/u 3-17-03.  Pt. also with URI symptoms. arthralgias reportedly unchanged as of 3-17-03
Age: 54.0
Sex: M
Vaccine: ANTH
Symptoms: Arthralgia
Clinical narrative: JOINT ACHE IN FINGERS,ELBOW(S), KNEES, AND FEET. THIS WAS SPROADIC FOR 3 WEEKS.  NO TREATMENT JUST TOOK ADVIL AND TYLENOL.
Age: 45.0
Sex: F
Vaccine: SMALL
Symptoms: Pharyngolaryngeal pain, Rash erythematous, Rash papular
Clinical narrative: "hundreds" of erythematous papular lesions of various sizes (reportedly, ~1/8th to 1/4th inches in diameter) on neck, arms, dorsal surface of hands, and fingers (including areas between fingers). No new lesions since then, but size of lesions and degree of erythema may have increased. Also has "a bit of a" sore throat (viral illness? seasonal allergies?). Recommend daily follow-up and dermatologic evaluation, esp. if rash persists or evolves to become vesicular/pustular.
Age: 24.0
Sex: M
Vaccine: SMALL
Symptoms: Arthralgia, Joint stiffness, Rash erythematous, Rash papular
Clinical narrative: On 13 Feb 2003, smallpox vaaince administered in L arm - Robust take.  21 Feb pt presented c/o rash on shoulders, chest, neck - painless, nonpuritic, erythematous papules.  2 days later, rash resolved but pt had Bilat inguinal tenderness without LAD.  2 days later, inguinal pain resolved but multiple joint tenderness, stiffness developed - no erythema, swelling, warmth.  2 days later all sx resolved.  Pt never had fever, malaise.
Age: 51.0
Sex: F
Vaccine: SMALL
Symptoms: Unevaluable event
Clinical narrative: This RN with pre-existing ulcerative colitis was asked by her private physician how long she had to wait after her vaccination before taking steroids-she felt she could delay for awhile and went on vacation. Expected to recover.
Age: 1.0
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Decreased appetite, Diarrhoea, Pyrexia, Vomiting
Clinical narrative: Decrease in appetite - vomiting 10 times - diarrhea twice - mild fever night of vaccination
Age: 20.0
Sex: F
Vaccine: SMALL
Symptoms: Laboratory test abnormal
Clinical narrative: Received smallpox vaccination on 18 Feb 03; positive HCG on 17 Mar 03
Age: 4.0
Sex: M
Vaccine: DTAP, HEP, IPV, MMR
Symptoms: Erythema, Pallor, Rash
Clinical narrative: 1025 per our policy after a 20 minute wait, injection sites x4 on child were checked. Fine rash noted at DTap, IPV, and MMR injection sites.  Rash was very red and extended over a large area on arms bilt. 1027 Benadryl PO given. Child's skin color pale. 1030 rash climbing up neck on to chin and moving across back and chest.  Epinephrine sq administered per protocol for generalized anaphylaxis reaction. No respiratory distress noted. No coughing. No SOB. Breath sounds clear upon auscultation. P.84 R.36. Health Officer called.  MD covering for health officer called. 1039 Rash decreasing.  Color improved. Child talking without difficulty.1103 Rashes almost completely gone. Skin W/D/P. Breath sounds remain clear. 1110 Child to MD who was covering for health officer.
Age: 32.0
Sex: F
Vaccine: SMALL
Symptoms: Vaccination complication
Clinical narrative: Inadvertant autoinnoculation from smallpox vaccination.  Vaccinee had large amount of drainage from vaccination site.  On the wrist of the arm that was vaccianted, she developed a lesion that resembled a vaccination lesion. Size of approximately the tip of a pencil eraser. Lesion went through the vaccination lesion evolution.The lesion was covered  as per vaccination bandaging and resolved to scab
Age: 34.0
Sex: M
Vaccine: ANTH
Symptoms: Cellulitis, Erythema, Feeling hot
Clinical narrative: hot redness to back left arm. physican dx as cellulitis.
Age: 1.0
Sex: F
Vaccine: MMR, PNC, VARCEL
Symptoms: Rash erythematous, Rash papular
Clinical narrative: Two days after vaccines (MMR, varicella, Prevnar) sudden onset of widespread rash, on trunk, scalp, arms, legs, palms and soles. Is erythematous but also papular (and not always both). Feels a bit lumpy on the legs.
Age: 23.0
Sex: M
Vaccine: MEN, TYP
Symptoms: Post vaccination autoinoculation
Clinical narrative: Inadvertant secondary auto inoculation approx 2 inches distal from original inoculation site noted approx 4 to 5 days after vaccination.  Normal healing at both sites.
Age: 34.0
Sex: F
Vaccine: SMALL
Symptoms: Headache, Miosis, Mydriasis
Clinical narrative: 3/14/03 Left pupil largely dilated.  Instructed to see an ophthalmologist.  Dr. instilled drops into left eye and then left eye pupil became constricted more than the right eye. Developed a headache an hour after she noted left pupil dilation.   3/15/03 Left pupil equal to right pupil, stated they were normal size.
Age: 4.0
Sex: F
Vaccine: DTAP
Symptoms: Injection site erythema, Injection site induration, Tenderness
Clinical narrative: Redness and Induration 3 inches x 2 1/4 inches 20 hours after vaccination. No joint involvement. Tenderness at site, touch easily tolerated. No activity impairment. Afebrile. Cool compresses to site recommended.
Age: 21.0
Sex: M
Vaccine: ANTH, SMALL
Symptoms: Injection site erythema, Injection site induration, Injection site swelling, Injection site warmth
Clinical narrative: Vax given on 3/17/03. This morning noticed soreness with movement/activity.  Observed red, swollen, slightly warm area on lateral, medial upper arm extending to just distal to elbow.  Slightly swollen joint; Denies systemic symptoms.  Exam consistent with above description: redness in excess of 120mm with mild calor and slight induration. Joint with small effusion (elbow) but full ROM and no warmth.  Patient afebrile with normal VS. Treated with 60mg bid allegra for itch/reaction; topical triamcinolone over read area sparing one inch diameter around injection site, and PRN NSAIDs for pain control (very mild); Injection #4 will be delayed until all symptoms have resolved completely and the injection mode will be changed from SQ to IM.  Patient placed on duty restrictions pending resolution and cessation of medications.  Patient will follow up with occupational health to resolution.
Age: 58.0
Sex: F
Vaccine: HEPAB, TYP, YF, HEPAB, TYP, YF, HEPAB, TYP
Symptoms: Chromaturia, Hepatitis, Jaundice, Lethargy, Liver function test abnormal
Clinical narrative: From correspondence received on 3/5/03, it was reported: "A nurse reported the occurrence of elevated liver enzymes in a 58 year old male who was vaccinated with Hep-A and Hep-B (Twinrix) for prophylaxis." "On 1/16/03, the subject received (Twinrix). On the same day, the subject was also administered a typhoid vaccine and yellow fever vaccine. On 1/22/03, 6 days post vax, the subject developed elevated liver enzymes (NOS), jaundice, lethargy and dark urine. At the time of the initial report, 2/6/03, the events had improved." The concomitant injection of several vaccines, make difficult the differentiation between them. Furthermore, there is no indication on the search for another possible cause. Accordingly, the full assessment can not be made for this case despite the delay of 6 days between the injection and the event. From additional information received at manufacturer on 04/09/2003 through email correspondence with the CDC, it was reported that the patient was not hospitalized, did not have a fever and the liver function test are now within nromal limits. The CDC reported that they spoke with the reporter of this case and that a physician felt the cause of the liver enzyme elevation was from the Hepatitis Vaccine (Twinrix). Patient has recovered. From additional information received on 12/21/03 from the Centers for Disease Control and Prevention Yellow Fever Working Group meeting, it was reported that the patient was not admitted to the hospital and he recovered on 3/27/03. He had a diagnosis of chemical hepatitis. No specimens were available to be sent to the CDC for testing. The final decision was reported as not enough information to classify. No other information was provided. Further information is not anticipated, this case is considered closed. From additional information received at manufacturer on 09/Apr/003 through email correspondence with the CDC (Center for Disease Control), it was reported that the patient was not hospitalized, did not have a fever and the liver function tests are now within normal limits. The CDC reported that they spoke with the reporter of this case and she stated that a physician felt the span of the liver enzyme elevation was from the Hepatitis vaccine (Twinrix). Patient has recovered.
Age: 58.0
Sex: F
Vaccine: HEPAB, TYP, YF, HEPAB, TYP, YF, HEPAB, TYP
Symptoms: Chromaturia, Hepatic enzyme abnormal, Jaundice, Lethargy
Clinical narrative: From correspondence received on 3/5/03, it was reported: "A nurse reported the occurrence of elevated liver enzymes in a 58 year old male who was vaccinated with Hep-A and Hep-B (Twinrix) for prophylaxis." "On 1/16/03, the subject received (Twinrix). On the same day, the subject was also administered a typhoid vaccine and yellow fever vaccine. On 1/22/03, 6 days post vax, the subject developed elevated liver enzymes (NOS), jaundice, lethargy and dark urine. At the time of the initial report, 2/6/03, the events had improved." The concomitant injection of several vaccines, make difficult the differentiation between them. Furthermore, there is no indication on the search for another possible cause. Accordingly, the full assessment can not be made for this case despite the delay of 6 days between the injection and the event. From additional information received at manufacturer on 04/09/2003 through email correspondence with the CDC, it was reported that the patient was not hospitalized, did not have a fever and the liver function test are now within nromal limits. The CDC reported that they spoke with the reporter of this case and that a physician felt the cause of the liver enzyme elevation was from the Hepatitis Vaccine (Twinrix). Patient has recovered. From additional information received on 12/21/03 from the Centers for Disease Control and Prevention Yellow Fever Working Group meeting, it was reported that the patient was not admitted to the hospital and he recovered on 3/27/03. He had a diagnosis of chemical hepatitis. No specimens were available to be sent to the CDC for testing. The final decision was reported as not enough information to classify. No other information was provided. Further information is not anticipated, this case is considered closed. From additional information received at manufacturer on 09/Apr/003 through email correspondence with the CDC (Center for Disease Control), it was reported that the patient was not hospitalized, did not have a fever and the liver function tests are now within normal limits. The CDC reported that they spoke with the reporter of this case and she stated that a physician felt the span of the liver enzyme elevation was from the Hepatitis vaccine (Twinrix). Patient has recovered.
Age: 58.0
Sex: F
Vaccine: HEPAB, TYP, YF, HEPAB, TYP, YF, HEPAB, TYP
Symptoms: Anorexia, Asthenia, Chromaturia, Diarrhoea, Jaundice
Clinical narrative: From correspondence received on 3/5/03, it was reported: "A nurse reported the occurrence of elevated liver enzymes in a 58 year old male who was vaccinated with Hep-A and Hep-B (Twinrix) for prophylaxis." "On 1/16/03, the subject received (Twinrix). On the same day, the subject was also administered a typhoid vaccine and yellow fever vaccine. On 1/22/03, 6 days post vax, the subject developed elevated liver enzymes (NOS), jaundice, lethargy and dark urine. At the time of the initial report, 2/6/03, the events had improved." The concomitant injection of several vaccines, make difficult the differentiation between them. Furthermore, there is no indication on the search for another possible cause. Accordingly, the full assessment can not be made for this case despite the delay of 6 days between the injection and the event. From additional information received at manufacturer on 04/09/2003 through email correspondence with the CDC, it was reported that the patient was not hospitalized, did not have a fever and the liver function test are now within nromal limits. The CDC reported that they spoke with the reporter of this case and that a physician felt the cause of the liver enzyme elevation was from the Hepatitis Vaccine (Twinrix). Patient has recovered. From additional information received on 12/21/03 from the Centers for Disease Control and Prevention Yellow Fever Working Group meeting, it was reported that the patient was not admitted to the hospital and he recovered on 3/27/03. He had a diagnosis of chemical hepatitis. No specimens were available to be sent to the CDC for testing. The final decision was reported as not enough information to classify. No other information was provided. Further information is not anticipated, this case is considered closed. From additional information received at manufacturer on 09/Apr/003 through email correspondence with the CDC (Center for Disease Control), it was reported that the patient was not hospitalized, did not have a fever and the liver function tests are now within normal limits. The CDC reported that they spoke with the reporter of this case and she stated that a physician felt the span of the liver enzyme elevation was from the Hepatitis vaccine (Twinrix). Patient has recovered.
Age: 0.08
Sex: M
Vaccine: PNC
Symptoms: Sepsis
Clinical narrative: Pt admitted to hospital for MS change. Had lumbar puncture and transferred to another hospital. Pt had Streptococcal meningitis and died. pt had received 3/4 of Prevnar vaccine.
Age: 42.0
Sex: M
Vaccine: TD
Symptoms: Atherosclerosis, Cardiovascular disorder, Dizziness, Hypoaesthesia
Clinical narrative: From initial correspondence received at manufacturer, on 03/11/2003 it was reported that a 42-year-old male pt who was a Tetanus Plasma Donor, received a Tetanus Toxoid Adsorbed vaccination, administered IM in the right deltoid on 03/06/2003. The pt was observed for 15 minutes post-vaccination and was fine Pt has no history of allergies to Tetanus. Reportedly the pt passed away on 03/06/2003 or 03/07/2003, this is still under investigation. According to further info received on 03/12/2003 frm reporter it was reported: "The donor (the patient) successfully and without incident donated a unit of Source Plasma on 03/06/2003, was found dead in his bed on either March 6 or 7, 2003. There appears to be no relationship between the donor's death and his donation of plasma on the previous day. In a telephone conversation with the Coroner's office this morning, March 12th, Aventis Bio Services were informed that the cause of death in this case was due to severe Atherosclerotic Cardiovascular Disease." "The decedent was a 42-year-old male who was a regular donor. He weighed 166 pounds, and had donated a unit of Source Plasma (approximately 30 mL) on 03/06/2003 between approximately 6:30 AM and 9:30 AM. The donor's vital signs, including his pulse (86), blood pressure (153/79), temperature (99.0 F), hematocrit (43) and total protein (7.5) were all within acceptable limits. Info obtained during annual physical examinations conducted on this donor on 02/19/2003 indicated that he was healthy and suitable to donate. On 03/10/2003, manufacturer was contacted by the donor's brother and was informed that when the donor returned home sometime after donating that he complained of lightheadedness and numbness below the elbows in both arms. The brother reported inquiring if medical care was needed but the donor declined and elected to 'lay down for a while and try to feel better.' The donor's brother reported that when he tried to wake the donor on either Thursday afternoon or evening or Friday morning, that the donor had passed away. The decedent's brother speculated that the donor might have taken the dietary supplement 'Minithins' which contain ephedra since he had known him to take the supplement in the past. An autopsy was performed; a copy of the post-mortem report will be forwarded to manufacturer. The cause of death was reported by the Indiana Coroner's Office on 03/12/2003 to manufacturer as being due to severe atherosclerotic cardiovascular disease.
Age: 0.3
Sex: F
Vaccine: DTAP, HEP, HIBV, IPV, PNC
Symptoms: Diarrhoea, Hypotonia, Pallor, Vomiting, White blood cell disorder
Clinical narrative: Pt had episode of repeated forceful vomiting (x7-8) approx. 6 hrs after immunization. Was pale/?/limp for approximately 60 min after vomiting. Taken to local ED for eval. Admitted for observation x one day. *F/UP report on 3/26/03: Add diarrhea to symptoms list. Discharge Dx's "Viral syndrome and reflux." (reflux was previously coded per box 19)
Age: 23.0
Sex: M
Vaccine: ANTH
Symptoms: Cough, Dizziness, Hyperventilation, Pain, Pyrexia
Clinical narrative: Reports Anthrax (3rd out of 6) vaccine in left arm at 14:30 today with onset of several hours later of fever and chills, lightheadedness and cough. No nausea or vomiting. Reports similar illness after initial vaccination 2 weeks ago but symptoms had onset 3 days after vaccination, but he did not seek treatment. Alert but very dramatic, hyperventilating at times, crying out with discomfort of the chills. Shows poor effort asked to sit up. Feels better and is calm at 20:45. At 21:30, feels somewhat better but body aches persist. Systemic treatment with Motrin/naproxen for pain. F/U with PCM in 3 days or in ER sooner with worsening.
Age: 25.0
Sex: M
Vaccine: ANTH, SMALL
Symptoms: Erythema, Injection site pain, Injection site vesicles, Lymphadenopathy, Pain
Clinical narrative: Pt began having left arm soreness 4 days to 5 days after shot. He had aches, chills and fever yesterday. Left arm at Smallpox injection site has "blister" that is starting to ooze plus itching at site. Left axilla has mild shoddy LAD. Left deltoid with 1 cm vesicle with 2 cm lesion and erythema with mild temperature increase. Treated with Naproxen 500 with food bid prn (15); Allegra 180 at as needed for itching (15).
Age: 25.0
Sex: M
Vaccine: ANTH, SMALL
Symptoms: Pruritus, Pyrexia
Clinical narrative: Pt began having left arm soreness 4 days to 5 days after shot. He had aches, chills and fever yesterday. Left arm at Smallpox injection site has "blister" that is starting to ooze plus itching at site. Left axilla has mild shoddy LAD. Left deltoid with 1 cm vesicle with 2 cm lesion and erythema with mild temperature increase. Treated with Naproxen 500 with food bid prn (15); Allegra 180 at as needed for itching (15).
Age: 28.0
Sex: M
Vaccine: HEP
Symptoms: Confusional state, Dyskinesia, Syncope
Clinical narrative: Pt fainted immediately after being given vaccine. Jerked when awakening and had slight confusion for a few seconds.
Age: 42.0
Sex: M
Vaccine: PPV
Symptoms: Injection site erythema, Injection site swelling, Pyrexia
Clinical narrative: Chills and fever of 101F with redness and swelling to site.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Pyrexia, Rhinorrhoea
Clinical narrative: Shots given on 3/14/03 and on 3/15/03 the pt had a fever of 102.3F, runny nose and mucous color is green, loss of appetite on 3/16/03. Treatment with Omnicef and Cardec DM.
Age: 1.4
Sex: M
Vaccine: DTAP
Symptoms: Injection site swelling
Clinical narrative: Non-erythematous, firm, raised, non-tender dome-like area about 10cm in diameter at the site of injection. No previous adverse reaction to DTAP (this was #4).
Age: 0.3
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Crying
Clinical narrative: That night after the immunizations were given, the pt began to cry uncontrollably for approx. 2 hours or so. The next day, he began the same crying and we took him to the doctor.
Age: 38.0
Sex: F
Vaccine: FLUX
Symptoms: Headache, Influenza like illness, Pain
Clinical narrative: Vaccine was given around 2 pm, by 6 am felt extremely achy, headache, wanted to stay in bed, flu like. By 11 am symptoms were completely gone.
Age: 1.5
Sex: F
Vaccine: DTAPH, IPV
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Pt given immunization on 3/13/03. Mom brought pt back to clinic on 3/4/03 fir adverse rxn to immunization. 11X13cm, red, swollen, and warm to touch area to L thigh. Pt given Zyrtec 1 tsp. daily and motrin.
Age: 1.25
Sex: M
Vaccine: MMR
Symptoms: Pyrexia, Rash maculo-papular
Clinical narrative: Fever X 2 days 3/15/03, rash 3/17/03, moderate-severe maculo-papular  rash on trunk and neck.
Age: 1.25
Sex: F
Vaccine: MMR
Symptoms: Rash
Clinical narrative: Rash began 2/2/03
Age: 2.5
Sex: M
Vaccine: DTAP
Symptoms: Injection site swelling, Injection site warmth, Pain in extremity
Clinical narrative: DTaP placed in L forearm on 3/18/03, Mom called 3/19/03 @ 11am to report marked swelling, redness, heat on upper arm and guarding by pt since this am. Advised to use cold compress Q 10 min on 30 min off and children's motrin.
Age: 0.2
Sex: U
Vaccine: DTAP, HEP, HIBV, IPV, PNC
Symptoms: Bacterial infection, Injection site erythema, Injection site swelling, Pyrexia
Clinical narrative: Redness swelling at site of DTaP. Febrile to 105F.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth, Tenderness
Clinical narrative: L arm with swelling, redness, warmth, and tenderness. Treated with benadryl, motrin, and Zyrtec
Age: 48.0
Sex: F
Vaccine: MMR, TD
Symptoms: Arthralgia, Lymphadenitis, Pharyngolaryngeal pain, Throat tightness
Clinical narrative: Sore throat progressing to lymphadenitis (neck) airway constriction when lying down. Generalized joint pain, duration 16-48 hrs. No treatment.
Age: 33.0
Sex: M
Vaccine: DTAP
Symptoms: Injection site pain
Clinical narrative: Prolonged pain L shoulder following injection.
Age: 59.0
Sex: F
Vaccine: SMALL
Symptoms: Cellulitis, Injection site reaction, Lymphangitis
Clinical narrative: Cellulitis around injection site (vaccinia vaccine) with lymphangitis and tender L axillary L arm scant drainage from vaccination site. Treated with Z-pack.
Age: 24.0
Sex: F
Vaccine: YF
Symptoms: Injection site erythema, Injection site hypersensitivity, Injection site warmth, Pruritus, Throat tightness
Clinical narrative: Yellow fever vaccine given @ 0830 at 0845 pt c/o itchy arm @ site of injection site, erythemanous and warm. Given benadryl 25mg PO and ice pack. At 0850 complained of wheezing and throat tightness + upper airway wheezing. Lungs clear thorough out benadryl 50mg IM given VSS: resp rate 20, at 0853 epinephrine 0.3mg IM L arm. Remained in unit another 60 minutes. Symptoms resolved after 10" of epinephrine. Vital sign stable.
Age: 24.0
Sex: F
Vaccine: YF
Symptoms: Wheezing
Clinical narrative: Yellow fever vaccine given @ 0830 at 0845 pt c/o itchy arm @ site of injection site, erythemanous and warm. Given benadryl 25mg PO and ice pack. At 0850 complained of wheezing and throat tightness + upper airway wheezing. Lungs clear thorough out benadryl 50mg IM given VSS: resp rate 20, at 0853 epinephrine 0.3mg IM L arm. Remained in unit another 60 minutes. Symptoms resolved after 10" of epinephrine. Vital sign stable.
Sex: M
Vaccine: SMALL
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Pyrexia
Clinical narrative: On day 7, s/p vaccination, he developed a red and swollen left arm from the shoulder to the elbow. Complained of arm and axilla pain and a fever of 102F for 2 days. Relates being ill and in bed for 2 days.
Age: 41.0
Sex: F
Vaccine: ANTH
Symptoms: Injection site erythema, Injection site induration, Injection site warmth, Rash
Clinical narrative: Developed injection site erythema, induration and heat one day after second anthrax injection. Local lesions progressed and seen today. First anthrax shot 18 days prior.
Age: 47.0
Sex: M
Vaccine: FLUX, MEN, TTOX, TYP
Symptoms: Injection site pain, Injection site rash, Injection site swelling
Clinical narrative: Large rash around shot area, prolonged rash and swelling with soreness.
Age: 23.0
Sex: M
Vaccine: ANTH
Symptoms: Cellulitis, Injection site oedema, Injection site pain
Clinical narrative: PAIN AND SWELLING TO RIGHT UPPER ARM 10-12 HOURS AFTER VACCINATION. PATIENT REPORTED TO ER 48 HOURS AFTER RECEIVING VACCINE WITH COMPLATINT OF SWELLING AND TENDERNESS. DX WITH CELLULITUS TO RIGHT UPPER ARM. TREATED WITH NAFCILLIN 1 GM IV;TORADOL 30MG IV; ANCEF 1 GM IV AND TYLENOL 1 GM PO.
Age: 39.0
Sex: F
Vaccine: SMALL
Symptoms: Headache
Clinical narrative: COMPLAINED OF HEADACHE LASTING LONGER THAN 24 HOURS.  EVALUATED IN THE EMERGENCY ROOM AND THEN REFERRED TO LOCAL MEDICAL PHYSICIAN. PRESCRIBED IM AND ORAL MEDICATION.
Age: 42.0
Sex: F
Vaccine: SMALL
Symptoms: Diarrhoea, Myalgia, Nausea, Pyrexia, Vomiting
Clinical narrative: On Saturday 03/15/03 day 3 after vaccination Pt. awoke with nausea, vomiting, diarrhea, muscle aches and elevated temp of 100.3.  All symptoms continued until 03/19/03 when VSM and HAP were notified and consulted.  At 1500 on 03/19/03 Dr. discussed condition with pt who  stated feeling some better with little nausea, and no vomiting, diarrhea since the AM.  CDC was consulted and recommended use of VAERS. Pt awoke on 03/20/03 with headache and stiff neck which pt stated was due to how she slept. pt has not missed any work due to this illness.
Age: 25.0
Sex: F
Vaccine: TYP
Symptoms: Asthenia, Difficulty in walking, Fatigue, Hypoaesthesia, Sensory disturbance
Clinical narrative: sensory changes and weakness started on 2/25/03 patient presented to the ED on 2/27 with left sided numbness, head CT and MRI of brain and spine were performed and came back normal, discharged on 2/28/03 presented to ED again on 3/4/03 with increased weakness, fatigue, and difficulty walking, was treated with Solu-Medrol and discharged on 3/7/03 on oral prednisone
Age: 23.0
Sex: M
Vaccine: SMALL
Symptoms: Cow pox, Rash maculo-papular, Rash pruritic
Clinical narrative: Vaccine:  Smallpox (Vaccinia) 7 days after primary vaccination developed pruritic maculopapular rash on trunk with later spread to extremities.  Patient was well appearing and felt well except for pruritis.  No mucous membrane involvement.  No underlying medical conditions.  Pt diagnosed with GV and treated with antihistamines and NSAIDS.  Contact precautions given.
Age: 1.0
Sex: F
Vaccine: HEP, PNC
Symptoms: Coordination abnormal
Clinical narrative: Patient received Prevnar dose #2 and Hepatitis B #2.  Parents report that child was wobbly on feet, "floppy", and "disengaged for 2 weeks" following vaccine.
Age: 1.0
Sex: F
Vaccine: MMR
Symptoms: Abnormal behaviour, Cognitive disorder, Encephalitis, Fall, Grand mal convulsion
Clinical narrative: Information has been received from a consumer concerning her 12 month and four day old female daughter who in approximately 1999 was vaccinated with a dose of MMR II. Four days later, the pt developed the measles, which led to encephalitis. Later, it was reported, that the pt had a four-hour grand mal seizure and was hospitalized in intensive care for three days and was "literally minutes from life support." Six months later the pt had an hour and a half-long grand mal seizure. She was once again hospitalized and placed in intensive care "where life support was imminent" although not administered. Four years later, in approximately 2003, it was reported that "our lives are a living hell." The reporter stated that her daughter was developmentally delayed, speech delayed and typically had 5-6 seizures a month. The pt was enrolled in special education and all seizure medications had indicated that the falls from the seizures were extremely dangerous and could be fatal. The reporter is unable to work, which resulted in losing household revenue. The reporter stated that her daughter suffers from developmental and speech delay, vomiting daily, falling down, wearing a bicycle helmet and taking 2-3 medications that sedate her. No further info is available.
Age: 1.0
Sex: F
Vaccine: MMR
Symptoms: Neurodevelopmental disorder, Viral infection, Vomiting
Clinical narrative: Information has been received from a consumer concerning her 12 month and four day old female daughter who in approximately 1999 was vaccinated with a dose of MMR II. Four days later, the pt developed the measles, which led to encephalitis. Later, it was reported, that the pt had a four-hour grand mal seizure and was hospitalized in intensive care for three days and was "literally minutes from life support." Six months later the pt had an hour and a half-long grand mal seizure. She was once again hospitalized and placed in intensive care "where life support was imminent" although not administered. Four years later, in approximately 2003, it was reported that "our lives are a living hell." The reporter stated that her daughter was developmentally delayed, speech delayed and typically had 5-6 seizures a month. The pt was enrolled in special education and all seizure medications had indicated that the falls from the seizures were extremely dangerous and could be fatal. The reporter is unable to work, which resulted in losing household revenue. The reporter stated that her daughter suffers from developmental and speech delay, vomiting daily, falling down, wearing a bicycle helmet and taking 2-3 medications that sedate her. No further info is available.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site oedema, Injection site pain, Injection site warmth
Clinical narrative: Left arm swollen, "feels hard" warm to touch redness noted deltoid to midway of elbow. pt does use arm complaint of pain. The follow up received on 4/7/03 states child wsa hospitalized after receiving 4 year old shots DTaP, EIPV, and MMR  d/T severe local reactions. Pt's father does not feel he should be held responsible for payment of hospital bill and is requesting compensation.
Age: 49.0
Sex: M
Vaccine: ANTH
Symptoms: Circulatory collapse, Injection site erythema, Injection site mass, Pyrexia
Clinical narrative: Large lump with fever and a red rash. The lump is the size of a large egg.n Pt was innoculated by the army. He is now in active duty.
Age: 27.0
Sex: F
Vaccine: ANTH
Symptoms: Dizziness, Fatigue, Headache, Influenza like illness, Loss of consciousness
Clinical narrative: Member went to ER with extreme flu-like symptoms; vomiting, fever, passing out, dizziness, headaches and fatigue. Onset of symptoms started around 13:00 on 2/9/03 and progressed throughout the night.
Age: 27.0
Sex: F
Vaccine: ANTH
Symptoms: Pyrexia, Vomiting
Clinical narrative: Member went to ER with extreme flu-like symptoms; vomiting, fever, passing out, dizziness, headaches and fatigue. Onset of symptoms started around 13:00 on 2/9/03 and progressed throughout the night.
Age: 32.0
Sex: M
Vaccine: ANTH
Symptoms: Diarrhoea, Fatigue, Headache, Hypoaesthesia, Vomiting
Clinical narrative: Right arm went numb for 2 hours, sudden headache, extreme sudden fatigue, vomiting and diarrhea.
Age: 24.0
Sex: M
Vaccine: ANTH
Symptoms: Back pain, Blood disorder, Fatigue, Flank pain, Haematuria
Clinical narrative: Hematuria, back and side pain, sickle cell trait and fatigue.
Age: 1.25
Sex: F
Vaccine: DTAPH, PNC
Symptoms: Urticaria
Clinical narrative: Pt developed hives, approx. 1 hour, after vaccination. She was seen in the ER and treated with Benadryl.
Age: 14.0
Sex: F
Vaccine: DT, HEP
Symptoms: Injection site mass, Injection site reaction, Injection site swelling
Clinical narrative: Mother phoned the clinic today and states daughter's upper left arm has been swollen since yesterday and has a knot under the skin since receiving a shot in that arm on Tuesday, 3/4/03.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site pain, Injection site warmth
Clinical narrative: Received DTAP on 3/3/03 and developed erythema and warmth on 3/4/03 with increased erythema, warmth and soreness today, 3/5/03. Area to left arm measured 8cm X 7cm. Arm was warm to touch with mild to moderate soreness. Mother treated with Tylenol and Benadryl and cool compresses. Instructed to see PMD if symptoms worsen. Recovered on 3/7/03, per mother.
Age: 1.08
Sex: F
Vaccine: HBHEPB, MMR, VARCEL
Symptoms: Injection site mass, Injection site reaction
Clinical narrative: Mother brought child to ER on 2/16/03 with a complaint of a knot on the pt's right anterior thigh. Symptoms started on 2/12/03. She was no better on 2/16/03. Mother states knot is still the same size (size of a quarter). The mother was advised to use ice pack alternating with warm cloth, Benadryl every 6 hours and Tylenol or Motrin every 4 hours.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Left arm began to swell and warm to touch on 2/22/03. Child began complaining of tenderness in left arm on 2/22/03 PM. Mother reports that arm was swollen to her shoulder on 2/23/03. Mother took child to ER on 2/23/03 and ER doctor Dx'd child with encapsulated site to left arm and treated with Keflex antibiotic. Mother arm looked better on 2/24/03.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Cellulitis, Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Received vaccines on 2/13/03 and had swelling, redness and warmth noted to left arm. On 2/14/03, was taken to ER. On 2/15/03, dx'd with cellulitis. Mom stated that child developed bacterial infection (result of puncture sites) and was given Rocephin injection and PO antibiotics. Mom states no redness, swelling or warmth now; crisis resolved.
Age: 4.08
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site swelling, Pyrexia
Clinical narrative: Redness and moderate swelling to left deltoid. Mother states temperature of 102F and giving Tylenol alternating with Motrin. Instructed pt to go to MD if symptoms continue tomorrow. If symptoms increase go to ER, ASAP.
Age: 33.0
Sex: F
Vaccine: MMR
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Pruritus, Rash vesicular
Clinical narrative: Reports having itching in area on 11/22/02. Saw vesicles around area on 11/25/02 and reported. Client states redness and swelling began on 12/2/02; 4cm X 11 1/2cm (3 1/2" X 4 1/2"), left mid upper arm. Client reports she has used ice and Eucerin Cream when area started itching and began using ice soaks when area started hurting on 11/28/02. Above symptoms gone after 48 hours. At ER, was given Keflex 500mg TID, Naproxen and Allegra and to follow-up with PMD in 4 days, (12/05/02).
Age: 0.75
Sex: M
Vaccine: DT, HEP, PNC
Symptoms: Injection site reaction, Rash maculo-papular
Clinical narrative: Erythematous macularpapular rash on right thigh/hip posterior to site of injection.
Age: 4.0
Sex: M
Vaccine: DTAPH, MMR, OPV, VARCEL
Symptoms: Infection, Pruritus
Clinical narrative: Child dx'd with chickenpox per ER physician. Mother states he has small pustules, not yet crusted, but "somewhat itchy".
Age: 52.0
Sex: F
Vaccine: TTOX
Symptoms: Myalgia, Pain
Clinical narrative: Pt complained of arm/shoulder pain and bilateral hamstring (calf pain) started Tuesday AM after receiving TD booster on Monday afternoon. Went to see covering PCP who drew blood and give Rx for Celebrex after seeing. Worse the evening of 3/19/03. Seen by employee health and drove to MD and after normal lab results, was given Medrol Dosepak and Pepcid. To follow-up with PCP.
Age: 1.3
Sex: F
Vaccine: HIBV, MMR
Symptoms: Rash maculo-papular, Urticaria
Clinical narrative: Pt developed a diffuse nonspecific red maculo-papular rash covering entire body approx 1 wk after MMR. Had no fever, cough,V/D, URI sx. This rash resolved and was followed by another  bout of rash several days after onset of urticarial rash. The latter rash was localized to L thigh and was urticarial & confluent in appearance.
Age: 69.0
Sex: M
Vaccine: PPV
Symptoms: Fluid retention, Injection site erythema, Injection site pain, Injection site warmth
Clinical narrative: Soreness L arm, erythema, warm from deltoid to mid lower arm with fluid pooling under skin dependently. TX: Cephalexin 500mg QID for 10 days, benadryl 25mg.
Age: 17.0
Sex: F
Vaccine: HEPA
Symptoms: Injection site haemorrhage, Injection site induration, Nausea, Pain, Petechiae
Clinical narrative: Pt had Hep A given on left deltoid on 3/15/03. No reaction on 2nd day. Follow up nausea and vomiting and some pain. On 3/18/03 pt was seen here at the office with indurated 1.5 petechia and ecchyoma 2" x 2.5 with no colic.
Age: 17.0
Sex: F
Vaccine: HEPA
Symptoms: Vomiting
Clinical narrative: Pt had Hep A given on left deltoid on 3/15/03. No reaction on 2nd day. Follow up nausea and vomiting and some pain. On 3/18/03 pt was seen here at the office with indurated 1.5 petechia and ecchyoma 2" x 2.5 with no colic.
Age: 11.0
Sex: F
Vaccine: HEP
Symptoms: Rash maculo-papular
Clinical narrative: Student seen at local hospital ER about 36 hours post vaccine for "maculopapular rash noted to the anterior/posterior trunk and all four extremities". Vital signs were: T-99.0, HR=80. Student was given Visteril 25 mg po PER and discharged with prescription for Atarax 25 mg PO TID for 3 days.
Age: 1.08
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Injection site erythema, Pyrexia, Rash papular
Clinical narrative: Generalized faint pink papular exanthem with fever of 102.9.
Age: 0.2
Sex: F
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Malaise, Meningitis
Clinical narrative: I was informed by a doctor from a hospital that the child was admitted with a diagnosis of pneumococcal meningitis. I was also informed by the pt's grand mother last week that the child was sick next day.