chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 17.0
Sex: F
Vaccine: MNQ
Symptoms: Immediate post-injection reaction, Lip injury, Syncope, Urinary incontinence
Clinical narrative: Immediately after Menactra vaccine was administered patient experienced sudden syncope and fell forward from her seated position on the exam table striking her head on the floor and receiving a small L lip laceration. She had a brief 1-2 minute tonic-clonic seizure with bladder incontinence. Seizure was followed by some confusion. Patient was transported to Medical Center by EMS.
Age: 0.51
Sex: F
Vaccine: DTAP, RV5
Symptoms: Grand mal convulsion
Clinical narrative: Generalized tonic-clonic seizure activity lasting approximately 15 seconds with return to normal activity afterwards. No specific treatment given.
Age: 15.0
Sex: M
Vaccine: MNQ
Symptoms: Fall, Gaze palsy, Hypotonia, Localised oedema, Tremor
Clinical narrative: Initial report was received from a health care professional on 05 June 2012. A male patient (age not reported) had received an injection of MENACTRA (lot number U42628C, not a valid Sanofi Pasteur lot number) (date, route and site of administration not reported) and a finger stick for a lipid panel. After the finger stick and vaccination, the patient lost tone, eyes rolled back and he fell onto the floor. The incident lasted less than one minute. The patient's mother and sibling witnessed the event. The staff heard the patient fall and the patient's mother came out for help. The doctor and medical assistant (MA) went into the room and the patient was on the floor on his stomach and was tremoring. They turned the patient to his side, he woke up and stood up. The patient was assisted to the examination table and was examined. He passed examination but there was an area of "adema" near the right eyebrow. The patient was given juice and peanut butter. The patient's past medical history and concomitant medications were not reported. The patient's outcome was not reported. Documents held by sender: None.
Age: 5.0
Sex: M
Vaccine: MMR
Symptoms: Anaphylactic reaction, Lip swelling, Surgery
Clinical narrative: Information has been received from a physician concerning a 5 year old male patient, who on unknown date was vaccinated with a dose of MMR II (lot# and route not reported), 0.5ml. The doctor reported that on approximately 16-MAY-2012 ("3 weeks ago") the patient experienced swollen lip, which the doctor believed may be an allergic reaction to gelatin. Also it was reported that at some point after, the patient had surgery that required a gel foam placement which was gelatin based (manufacturer unspecified) and he experienced anaphylaxis. It was also mentioned that the patient was given MMR II 6 weeks apart when he was 1 year old and had no adverse event. At the time of report the patient's status was not reported. The patient sought unspecified medical attention. Upon internal review, surgery and anaphylaxis were determined to be an other important medical event. Additional information has been requested.
Age: 52.0
Sex: F
Vaccine: MMR
Symptoms: Muscle spasms, Tenderness, Ultrasound scan
Clinical narrative: Patient states muscle spasms and tenderness in axilla.
Age: 65.0
Sex: F
Vaccine: VARZOS
Symptoms: Erythema
Clinical narrative: 6 x 10 redness locally.
Age: 47.0
Sex: F
Vaccine: TDAP
Symptoms: Muscular weakness
Clinical narrative: (Bayer aspirin 325 mg tablet, EXCEDRIN 250/250 mg tablet). 3 hours after Tdap pt experienced bilateral leg weakness that occurred for 2 days and then resolved.
Age: 30.0
Sex: F
Vaccine: TDAP
Symptoms: Body temperature increased, Injection site pain, Muscular weakness, Pain, Pruritus generalised
Clinical narrative: 1 hour post immunization bilateral upper arm weakness. 6 hours post immunization full body itching, temp 104 degrees. BENADRYL 25 mg Q4 hours x 48 hours. 72 hrs post immunization body aches. Pain at injection site.
Age: 64.0
Sex: F
Vaccine: VARZOS
Symptoms: Erythema, Injection site erythema, Injection site pruritus, Injection site swelling, Pruritus
Clinical narrative: Redness, swelling, and very mild itching at injection site and surrounding area (spreading to majority of back upper arm).
Age: 64.0
Sex: F
Vaccine: VARZOS
Symptoms: Swelling
Clinical narrative: Redness, swelling, and very mild itching at injection site and surrounding area (spreading to majority of back upper arm).
Age: 1.08
Sex: F
Vaccine: HEPA, MMR, VARCEL
Symptoms: Blister, Papule, Varicella
Clinical narrative: Diffuse papules & vesicles predominantly in extremities consistent with primary varicella infection.
Age: 29.0
Sex: F
Vaccine: TDAP
Symptoms: Chills, Injection site swelling, Pain, Pyrexia
Clinical narrative: Fever, chills, body aches, swelling at site. Onset several hours post vaccination. Seen in ER that evening about 1800.
Age: 58.0
Sex: F
Vaccine: TDAP
Symptoms: Body temperature increased, Injection site pain, Nausea
Clinical narrative: Developed severe (L) upper arm pain within 6-8 hrs after injection. The day after injection developed nausea & temp of 100.3 for 3 days following injection. No redness or swelling at site.
Age: 77.0
Sex: F
Vaccine: VARZOS
Symptoms: Epistaxis
Clinical narrative: I'm on PRADAXA, a blood thinner. Had 1st nosebleed within an hour of inj. 2nd nosebleed within 2-3 hours. 3rd nosebleed within 8 hours. Have been on PRADAXA 10 mos & no nosebleed.
Age: 60.0
Sex: F
Vaccine: VARZOS
Symptoms: Fatigue, Hypoaesthesia, Laboratory test normal, Lumbar puncture normal, Neuropathy peripheral
Clinical narrative: 3 days after shingles vac - feet fell asleep - now legs, arms, abd & back peripheral neuropathy - severe fatigue.
Age: 60.0
Sex: F
Vaccine: VARZOS
Symptoms: Nuclear magnetic resonance imaging normal
Clinical narrative: 3 days after shingles vac - feet fell asleep - now legs, arms, abd & back peripheral neuropathy - severe fatigue.
Age: 5.0
Sex: M
Vaccine: VARCEL
Symptoms: Headache, Pyrexia, Vomiting
Clinical narrative: Headache, vomiting & fever of 103 x 2-3 hours, beginning 3 1/2 hours after vaccine administration.
Age: 74.0
Sex: F
Vaccine: VARZOS
Symptoms: Herpes zoster
Clinical narrative: Patient got an outbreak at shingles shortly after the vaccine at about 30-40 eruptions going form spine to (L) breast.
Age: 87.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema
Clinical narrative: Redness at injection site for about 10 days.
Age: 0.39
Sex: F
Vaccine: DTAP, RV5
Symptoms: Irritability, Pyrexia, Vomiting projectile
Clinical narrative: Fussiness started 4/16/12. Projectile vomiting started 4/17/12  through 4/20/12. Low grade fever throughout 4/17/12 - 4/20/12. 99' ax -> 99.9 ax.
Age: 11.0
Sex: F
Vaccine: DTAP, HEPA, HIBV
Symptoms: Injection site induration, Injection site oedema, Injection site warmth
Clinical narrative: (Lt) upper thigh with edema, induration & warmth day following routine imm. Afebrile. Seen in office x 2 days after imm. given. TX PRN with TYLENOL or MOTRIN; gave BENADRYL.
Age: 59.0
Sex: M
Vaccine: PPV
Symptoms: Arthralgia, Dizziness, Fall, Local swelling
Clinical narrative: Patient fell, severe knee pain, very dizzy. Patient took his pain medication to relieve his pain. Patients arm had swelling the size of a "rock".
Age: 0.99
Sex: M
Vaccine: DTAPHEPBIP, FLU3, HIBV, PNC13
Symptoms: Febrile convulsion, Pyrexia, Vaccination complication
Clinical narrative: Child awoke early morning with very high fever and had a seizure. Mother called 911 and EMS came and took him to ER. Was given Tylenol and IV Fluids in ER. Dx with Febrile Seizure due to Vaccine.
Age: 32.0
Sex: F
Vaccine: HEP
Symptoms: Diarrhoea, Influenza A virus test negative, Influenza B virus test, Nausea, Pyrexia
Clinical narrative: Gastrointestinal symptoms of diarrhea, nausea, vomiting and fever for 5 days. No blood in stool.  Started after having hepatitis vaccination.
Age: 32.0
Sex: F
Vaccine: HEP
Symptoms: Vomiting
Clinical narrative: Gastrointestinal symptoms of diarrhea, nausea, vomiting and fever for 5 days. No blood in stool.  Started after having hepatitis vaccination.
Age: 11.0
Sex: M
Vaccine: MNQ
Symptoms: Erythema, Local swelling, Pruritus
Clinical narrative: Child reported to mom, area was itchy, red, and swollen.  Mom gave Benadryl Medication, and applied ice to area. Symptoms lasted for 2 days.
Age: 47.0
Sex: F
Vaccine: TDAP
Symptoms: Erythema, Pain, Pruritus, Swelling
Clinical narrative: Swelling, redness, itching, pain started 24 hrs after injection. Prednisone 30mg PO x 3 days ordered by Primary Care Physician.
Age: 29.0
Sex: F
Vaccine: DTAP, MMR
Symptoms: Rash erythematous, Urticaria
Clinical narrative: RED RASH and HIVES on abdomen and back.
Age: 27.0
Sex: M
Vaccine: IPV, TYP
Symptoms: Asthenia, Nausea, Pyrexia, Weight decreased
Clinical narrative: 100+ Fever, weakness, nausea, weight loss.
Age: 54.0
Sex: F
Vaccine: HEP, MMR, TDAP, VARCEL
Symptoms: Axillary pain, Erythema, Local swelling, Pain, Skin warm
Clinical narrative: LARGE RED HARH HOT PAINFUL AREA ON LEFT UPPER ARM TO ELBOW. ALSO HAS A PAINFUL RED AREA UNDER LEFT ARM PIT. RIGHT ARE SORE AND PAINFUL WITH SOME SWELLING.
Age: 38.0
Sex: F
Vaccine: MMR
Symptoms: Erythema, Oedema peripheral, Pruritus
Clinical narrative: Pt c/o arm being red, itching, sore and swollen.  States "it's warm to touch and Saturday it was the size of a baseball in diameter (resolved).  Pt took Ibuprofen and alternated ice pack and heat to site. States it is better but still itches.
Age: 53.0
Sex: F
Vaccine: HEPAB
Symptoms: Abasia, Asthenia, Blood test, Dyspnoea, Guillain-Barre syndrome
Clinical narrative: I had three total vaccinations series shots for Hep C. The vaccinations were Hep A & B series shots that were given to me in May 18 of 2010, August 9 of 2010 and November 18 of 2010. I was also given a flu shot between Sept/Oct of 2010 there is no record of this in my medical records. Also I began Hep C chemo treatment (Interferon injections weekly) beginning on July 3, 2010 - May 27, 2011. I became very ill with so many symptoms beginning in October of 2010, major was breathing and very weak. I also came down with the Guillain Barre Syndrome beginning as early in late April of 2011. I was dismissed of my symptoms at my ER Hospital. As they could see that I was in severe pain and could not walk. This was on May 26, 2011 and June 1, 2011. On June 6, 2011 my husband made a complete vocal fit advising ER staff that if they refuse admitting me they might as well have him arrested. They admitted me. I was completely paralyzed/quadriplegic on June 6, 2011.  I was is my local hospital from June 6 - June 17, 2011. Then I was transferred to a higher level of medical needs and medicine beginning on June 17, 2011 - June 27, 2011. I was then transferred to a Rehab Hospital for 3 long gruesome months of therapy. I was there from June 27, 2011 - September 27, 2011. I still have not recovered as I am still dependent on my wheelchair and walker and still in pain. I look forward to hearing for you.
Age: 53.0
Sex: F
Vaccine: HEPAB
Symptoms: Laboratory test, Lumbar puncture, Nerve conduction studies, Nuclear magnetic resonance imaging, Pain
Clinical narrative: I had three total vaccinations series shots for Hep C. The vaccinations were Hep A & B series shots that were given to me in May 18 of 2010, August 9 of 2010 and November 18 of 2010. I was also given a flu shot between Sept/Oct of 2010 there is no record of this in my medical records. Also I began Hep C chemo treatment (Interferon injections weekly) beginning on July 3, 2010 - May 27, 2011. I became very ill with so many symptoms beginning in October of 2010, major was breathing and very weak. I also came down with the Guillain Barre Syndrome beginning as early in late April of 2011. I was dismissed of my symptoms at my ER Hospital. As they could see that I was in severe pain and could not walk. This was on May 26, 2011 and June 1, 2011. On June 6, 2011 my husband made a complete vocal fit advising ER staff that if they refuse admitting me they might as well have him arrested. They admitted me. I was completely paralyzed/quadriplegic on June 6, 2011.  I was is my local hospital from June 6 - June 17, 2011. Then I was transferred to a higher level of medical needs and medicine beginning on June 17, 2011 - June 27, 2011. I was then transferred to a Rehab Hospital for 3 long gruesome months of therapy. I was there from June 27, 2011 - September 27, 2011. I still have not recovered as I am still dependent on my wheelchair and walker and still in pain. I look forward to hearing for you.
Age: 53.0
Sex: F
Vaccine: HEPAB
Symptoms: Paralysis, Quadriplegia, Walking aid user
Clinical narrative: I had three total vaccinations series shots for Hep C. The vaccinations were Hep A & B series shots that were given to me in May 18 of 2010, August 9 of 2010 and November 18 of 2010. I was also given a flu shot between Sept/Oct of 2010 there is no record of this in my medical records. Also I began Hep C chemo treatment (Interferon injections weekly) beginning on July 3, 2010 - May 27, 2011. I became very ill with so many symptoms beginning in October of 2010, major was breathing and very weak. I also came down with the Guillain Barre Syndrome beginning as early in late April of 2011. I was dismissed of my symptoms at my ER Hospital. As they could see that I was in severe pain and could not walk. This was on May 26, 2011 and June 1, 2011. On June 6, 2011 my husband made a complete vocal fit advising ER staff that if they refuse admitting me they might as well have him arrested. They admitted me. I was completely paralyzed/quadriplegic on June 6, 2011.  I was is my local hospital from June 6 - June 17, 2011. Then I was transferred to a higher level of medical needs and medicine beginning on June 17, 2011 - June 27, 2011. I was then transferred to a Rehab Hospital for 3 long gruesome months of therapy. I was there from June 27, 2011 - September 27, 2011. I still have not recovered as I am still dependent on my wheelchair and walker and still in pain. I look forward to hearing for you.
Age: 0.13
Sex: F
Vaccine: HEP
Symptoms: Constipation
Clinical narrative: Constipation for 7 days... there was one release at day 7, but now is constipated going on day 4.
Age: 65.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth, Rash
Clinical narrative: Swelling, redness, tenderness, warm to touch at injection area. After 3 days, no improvement, seemed to get worse. Pt stated small 'rash' on other part of arms and legs.  Those not visible on 6/18/2012 when pt returned to pharmacy.
Age: 52.0
Sex: F
Vaccine: TDAP
Symptoms: Pruritus, Rash, Skin lesion
Clinical narrative: Linear rash L forearm, itchy back, lesions bilateral lower legs beginning hours post injection.
Age: 1.51
Sex: F
Vaccine: DTAP, HIBV
Symptoms: Injection site erythema, Injection site induration, Injection site swelling, Injection site warmth
Clinical narrative: Redness, swelling, mild warmth, mild induration of left upper arm to elbow. Pt treated with 10 day course of Augmentin.
Age: 1.26
Sex: F
Vaccine: DTAP, MMR, VARCEL
Symptoms: Blister, Ear infection, Pyrexia, Rash, Scab
Clinical narrative: Fever that evening, went to DR, diagnosed with ear infection, next morning had rash on abd and in mouth. Rash with small blisters now crusting over.
Age: 22.0
Sex: F
Vaccine: MMR
Symptoms: Arthralgia, Lymphadenopathy, Pain in extremity, Pyrexia, Rash
Clinical narrative: Fever 104 degrees,not resolved with Tylenol x48 hrs. Joint pain, knees, feet, hands. Swollen lymph nodes, Right cervical & bilateral axillary nodes. Fine rash, arms bilaterally & on her neck. She was seen at a local walk-in clinic but cannot recall the exact date. Today, 6-18-12, she is at Co Health Dept., still complaining of joint pain in her fingers, knees, ankles and the arches of her feet.
Age: 59.0
Sex: F
Vaccine: PPV
Symptoms: Pain, Pallor
Clinical narrative: Mom comes over in immense pain. Looks pale and states this is the worst pain she has ever felt.
Age: 67.0
Sex: F
Vaccine: VARZOS
Symptoms: Administration site pain, Injection site erythema, Injection site pruritus
Clinical narrative: Severe itching, soreness and redness around site of administration.
Age: 1.01
Sex: F
Vaccine: PNC13, VARCEL
Symptoms: Injection site erythema, Injection site induration, Injection site warmth
Clinical narrative: Hardness, redness, and heat at injection site.
Age: 1.17
Sex: F
Vaccine: HIBV, MMR, VARCEL
Symptoms: Blister, Erythema, Erythema multiforme, Pruritus, Scab
Clinical narrative: 5/25/12 - VARIVAX. 5/31/12 - Itching red vesicles c/w chicken pox rash. 6/16/12 - Target lesions on face/arms/back c/w e. multiforme. 6/18/12 - Target lesions noted to be where the previous pox lesions were (still with tiny scabs in center of e. multiforme).
Age: 1.17
Sex: F
Vaccine: HIBV, MMR, VARCEL
Symptoms: Varicella post vaccine
Clinical narrative: 5/25/12 - VARIVAX. 5/31/12 - Itching red vesicles c/w chicken pox rash. 6/16/12 - Target lesions on face/arms/back c/w e. multiforme. 6/18/12 - Target lesions noted to be where the previous pox lesions were (still with tiny scabs in center of e. multiforme).
Age: 65.0
Sex: F
Vaccine: VARZOS
Symptoms: Pruritus, Rash
Clinical narrative: Circular rash 1" x 1" - Itching. BP normal (144/67) at 3pm on 6/18/12).
Age: 71.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site swelling, Injection site vesicles
Clinical narrative: Approximately 2 inch diameter raised, swollen, red with small blisters in the center at the injection site. Given BENADRYL to take orally and calamine topically with cool compresses.
Age: 14.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Syncope
Clinical narrative: Fainted 1 min after the shot and didn't remember the event.
Age: 17.0
Sex: F
Vaccine: HEPA, HPV4, HEPA, HPV4
Symptoms: Cyanosis, Immediate post-injection reaction, Loss of consciousness, Syncope
Clinical narrative: Pt was in for routine physical. She had fasted overnight. Immediately after HPV injection pt passed out. Mild perioral cyanosis. Episode 1 minute. Pt did not remember syncope.
Age: 60.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site pain, Injection site rash, Pain in extremity, Rash
Clinical narrative: Rash at injection site and erythema; arm pain (R) at and around injection site; rash on (R) side of trunk.
Age: 61.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Pain, redness, warmth, swelling at injection site. Started day after injection was given and continued for at least 2 days.
Age: 65.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Pain, redness, warmth, and swelling at injection site. Started day after injection was given and lasted several days (duration unknown, but was less than 4 days).
Age: 39.0
Sex: F
Vaccine: PPV
Symptoms: Feeling hot, Local swelling
Clinical narrative: Received vaccine Friday afternoon (R) deltoid 530pm noticed a swollen area arm. Keep spreading 12 hrs later swelling was up into her neck. Area swollen, hot. Went to center at 330 AM on Saturday.
Age: 53.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Asthenia, Back pain, Decreased appetite, Dizziness, Erythema
Clinical narrative: Severe headache, severe dizziness (room spinning) fast heartbeat, left carotid artery twitching (throbbing) tingle/redness in the back left of neck. Feeling lethargy and weakness. No appetite. Took ADVIL and to lie down from 2:30 pm until next day. Do feel better the next day, but still feel weak.
Age: 53.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Headache, Heart rate increased, Lethargy, Muscle twitching, Paraesthesia
Clinical narrative: Severe headache, severe dizziness (room spinning) fast heartbeat, left carotid artery twitching (throbbing) tingle/redness in the back left of neck. Feeling lethargy and weakness. No appetite. Took ADVIL and to lie down from 2:30 pm until next day. Do feel better the next day, but still feel weak.
Age: 53.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Asthenia, Decreased appetite, Dizziness, Erythema, Headache
Clinical narrative: Severe headache, severe dizziness (room spinning) fast heartbeat, left carotid artery twitching (throbbing) tingle/redness in the back left of neck. Feeling lethargy and weakness. No appetite. Took ADVIL and to lie down from 2:30 pm until next day. Do feel better the next day, but still feel weak.
Age: 53.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Heart rate increased, Lethargy, Paraesthesia
Clinical narrative: Severe headache, severe dizziness (room spinning) fast heartbeat, left carotid artery twitching (throbbing) tingle/redness in the back left of neck. Feeling lethargy and weakness. No appetite. Took ADVIL and to lie down from 2:30 pm until next day. Do feel better the next day, but still feel weak.
Age: 0.44
Sex: F
Vaccine: DTAPIPVHIB
Symptoms: Eating disorder, Insomnia, Irritability, Pyrexia, Screaming
Clinical narrative: For the next week my daughter was screaming and fussy beyond control. Maintained a fairly high fever and had trouble sleeping and eating. Symptoms lasted for one week exactly and then all returned to normal.
Age: 0.53
Sex: F
Vaccine: DTAPH, DTP, HEP, IPV, RVX
Symptoms: Blepharospasm, Gaze palsy, Muscle tightness, Pyrexia, Seizure like phenomena
Clinical narrative: Fever around 101.7 for a few days.  Seizure like symptoms (Muscles clinching, eyes twitching and moving back in her head.
Age: 9.0
Sex: M
Vaccine: TDAP
Symptoms: Erythema, Oedema peripheral, Pruritus, Skin induration, Skin warm
Clinical narrative: A large portion of the upper arm became very swollen, skin very hot to the touch, itchy, red, and hard. Was worse two days after the shot, resulting in a follow up consultation with the doctor's office. Treatment was advised with ice packs, Benadryl, and pain medication. It is now 5 days after the shot and most symptoms are starting to reduce in severity and extent.
Age: 0.4
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC13, RV5
Symptoms: Injection site erythema, Injection site nodule, Injection site rash
Clinical narrative: Patient presented to EC on 5/3/12 with complaints of red raised nickel-sized nodule and rash at site of immunization on left thigh and small pea-sized nodule on right thigh.  Unclear as to when these appeared.
Age: 4.0
Sex: M
Vaccine: PPV
Symptoms: Abasia, Musculoskeletal stiffness, Myelitis transverse, Pain, Pain in extremity
Clinical narrative: Patient began to complain of pain in his legs and soreness.  He refused to participate in a soccer camp he was enrolled in and instead sat on the sidelines.  He then ate lunch and napped.  When it woke from nap he complained he couldn't walk.  He was encouraged to do so and appeared to not be able to straighten his legs.  This continued throughout the day until he was seen by Dr. on the evening of the 30th.  Dr. confirmed that he was unable to walk properly.
Age: 0.19
Sex: F
Vaccine: RV5
Symptoms: Dysentery, Pyrexia, Vomiting
Clinical narrative: Vomited twice - on 11/01/2011 and the next day. Had dysentery and fever 103 F.
Age: 53.0
Sex: F
Vaccine: TDAP
Symptoms: Fatigue, Injection site erythema, Injection site pain, Injection site swelling, Rash macular
Clinical narrative: Erythema, swelling, tenderness at injection site.  Macular rash from neck to waist that lasted five days.  Fatigue for three days.
Age: 32.0
Sex: M
Vaccine: SMALL
Symptoms: Arteriogram coronary normal, Blood creatine phosphokinase increased, Chest discomfort, Chest pain, Electrocardiogram ST segment elevation
Clinical narrative: Initial case was retrieved from the scientific literature on 12 June 2012. The following is verbatim from the article: "A 32-year-old male developed myocarditis after immunisation with smallpox vaccine. The man received the smallpox vaccine [dosage and route not stated] 14 days before presenting with chest pain. He had been diagnosed with erythema surrounding the deltoid site of vaccination 3 days earlier. He reported gradual onset of mid-sternal chest pressure, radiating to his right arm and neck, with intermittent nausea, 12 hours before presentation. ECG showed ST elevation, while cardiac enzyme assay showed elevated creatine kinase. The man was initially treated with aspirin, morphine and nitroglycerine for acute coronary syndrome. He was hospitalised and received heparin, a B-adrenergic receptor antagonist and a platelet glycoprotein GPIIb IIIa complex inhibitor. His pain continued and repeat ECG showed persistent ST elevation. Coronary angiography found no evidence of coronary artery disease. He was diagnosed with myopericarditis temporally associated with smallpox vaccination. He was discharged receiving NSAIDS on hospital day 3. Author comment: In assessing patients presenting with chest pain and a history of vaccination, particularly smallpox vaccination within 30 days, myocarditis should be considered in the differential diagnosis.". The patient's outcome was not reported. Documents held by sender: None.
Age: 32.0
Sex: M
Vaccine: SMALL
Symptoms: Injection site erythema, Limb discomfort, Myocarditis, Myopericarditis, Nausea
Clinical narrative: Initial case was retrieved from the scientific literature on 12 June 2012. The following is verbatim from the article: "A 32-year-old male developed myocarditis after immunisation with smallpox vaccine. The man received the smallpox vaccine [dosage and route not stated] 14 days before presenting with chest pain. He had been diagnosed with erythema surrounding the deltoid site of vaccination 3 days earlier. He reported gradual onset of mid-sternal chest pressure, radiating to his right arm and neck, with intermittent nausea, 12 hours before presentation. ECG showed ST elevation, while cardiac enzyme assay showed elevated creatine kinase. The man was initially treated with aspirin, morphine and nitroglycerine for acute coronary syndrome. He was hospitalised and received heparin, a B-adrenergic receptor antagonist and a platelet glycoprotein GPIIb IIIa complex inhibitor. His pain continued and repeat ECG showed persistent ST elevation. Coronary angiography found no evidence of coronary artery disease. He was diagnosed with myopericarditis temporally associated with smallpox vaccination. He was discharged receiving NSAIDS on hospital day 3. Author comment: In assessing patients presenting with chest pain and a history of vaccination, particularly smallpox vaccination within 30 days, myocarditis should be considered in the differential diagnosis.". The patient's outcome was not reported. Documents held by sender: None.
Age: 32.0
Sex: M
Vaccine: SMALL
Symptoms: Sensation of pressure
Clinical narrative: Initial case was retrieved from the scientific literature on 12 June 2012. The following is verbatim from the article: "A 32-year-old male developed myocarditis after immunisation with smallpox vaccine. The man received the smallpox vaccine [dosage and route not stated] 14 days before presenting with chest pain. He had been diagnosed with erythema surrounding the deltoid site of vaccination 3 days earlier. He reported gradual onset of mid-sternal chest pressure, radiating to his right arm and neck, with intermittent nausea, 12 hours before presentation. ECG showed ST elevation, while cardiac enzyme assay showed elevated creatine kinase. The man was initially treated with aspirin, morphine and nitroglycerine for acute coronary syndrome. He was hospitalised and received heparin, a B-adrenergic receptor antagonist and a platelet glycoprotein GPIIb IIIa complex inhibitor. His pain continued and repeat ECG showed persistent ST elevation. Coronary angiography found no evidence of coronary artery disease. He was diagnosed with myopericarditis temporally associated with smallpox vaccination. He was discharged receiving NSAIDS on hospital day 3. Author comment: In assessing patients presenting with chest pain and a history of vaccination, particularly smallpox vaccination within 30 days, myocarditis should be considered in the differential diagnosis.". The patient's outcome was not reported. Documents held by sender: None.
Age: 1.1
Sex: F
Vaccine: HIBV, MMR, PNC13, VARCEL
Symptoms: Rash morbilliform
Clinical narrative: Measles-like rash, no fever/coryza.
Age: 55.0
Sex: F
Vaccine: VARZOS
Symptoms: Headache, Injection site erythema, Injection site pruritus, Local reaction, Vaccination site pain
Clinical narrative: Pt reported headache one day following immunization. Reported localized redness swelling, pain and itching at vaccination site. Symptoms are improving. Advise to use hydrocortisone cream, cool compresses & loratadine until resolved.
Age: 55.0
Sex: F
Vaccine: VARZOS
Symptoms: Vaccination site swelling
Clinical narrative: Pt reported headache one day following immunization. Reported localized redness swelling, pain and itching at vaccination site. Symptoms are improving. Advise to use hydrocortisone cream, cool compresses & loratadine until resolved.
Age: 67.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site erythema, Injection site inflammation, Injection site urticaria
Clinical narrative: Erythema, inflammation & urticarial like eruption around site. Rash to (L) deltoid.
Age: 17.0
Sex: M
Vaccine: MNQ
Symptoms: Convulsion
Clinical narrative: 3 minutes after receiving vaccine patient had seizures lasted 4-5 seconds. Paramedics called checked patient but patient refused transfer to ER. Said that will be taken later by family member.
Age: 65.0
Sex: F
Vaccine: PPV
Symptoms: Injected limb mobility decreased, Pain in extremity
Clinical narrative: Arm became very painful a few hours after vaccine was given, could not move the arm at all the next day.
Age: 9.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Alopecia
Clinical narrative: Alopecia following HPV vaccine #1. Of notice, mother has long standing hx of alopecia but she had never sought medical attention. Referral to derm clinic.
Age: 20.0
Sex: F
Vaccine: HPV4
Symptoms: Apgar score normal, Caesarean section, Foetal disorder, Human chorionic gonadotropin positive, Maternal exposure during pregnancy
Clinical narrative: Information has been received from a Registered Nurse for the pregnancy registry for GARDASIL via a complete pregnancy questionnaire concerning a 20 year old female patient with obesity and a history of two previous pregnancies and one spontaneous abortion or miscarriage (date unspecified). On 19-APR-2011 the patient was vaccinated with the first dose of GARDASIL (route not provided) (lot#667866/1437Z). A home pregnancy test performed on an unspecified date, confirmed the patient was pregnant. On 25-MAY-2011 and ultrasound was performed which showed the patient was 7 weeks and 4 days pregnant. The patient's LMP was on 30-MAR-2011, and the estimated delivery date was on approximately 07-JAN-2012. Follow up information has been received from a health care worker via telephone call concerning the patient, who on 08-JAN-2012, delivered a baby girl at 40 weeks of gestation via C-section. The health care worker reported that C-section was performed due to no reassuring fetal heart tracing. The baby weighted 6 pounds, 2 ounces with an APGAR scoring of 9-9. There were no congenital anomalies and no complications experienced by either mother or baby post delivery. At the time of the report, the patient's outcome regarding C-section was unknown. Upon internal review C-section due to no reassuring fetal heart tracing was considered to be an other important medical event. Additional information is not expected.
Age: 20.0
Sex: F
Vaccine: HPV4
Symptoms: Ultrasound antenatal screen normal
Clinical narrative: Information has been received from a Registered Nurse for the pregnancy registry for GARDASIL via a complete pregnancy questionnaire concerning a 20 year old female patient with obesity and a history of two previous pregnancies and one spontaneous abortion or miscarriage (date unspecified). On 19-APR-2011 the patient was vaccinated with the first dose of GARDASIL (route not provided) (lot#667866/1437Z). A home pregnancy test performed on an unspecified date, confirmed the patient was pregnant. On 25-MAY-2011 and ultrasound was performed which showed the patient was 7 weeks and 4 days pregnant. The patient's LMP was on 30-MAR-2011, and the estimated delivery date was on approximately 07-JAN-2012. Follow up information has been received from a health care worker via telephone call concerning the patient, who on 08-JAN-2012, delivered a baby girl at 40 weeks of gestation via C-section. The health care worker reported that C-section was performed due to no reassuring fetal heart tracing. The baby weighted 6 pounds, 2 ounces with an APGAR scoring of 9-9. There were no congenital anomalies and no complications experienced by either mother or baby post delivery. At the time of the report, the patient's outcome regarding C-section was unknown. Upon internal review C-section due to no reassuring fetal heart tracing was considered to be an other important medical event. Additional information is not expected.
Age: 2.0
Sex: F
Vaccine: DTAP
Symptoms: Rash erythematous
Clinical narrative: Very red rash on sun-exposed areas after her DTaP vaccine, resolved on it own.
Sex: F
Vaccine: PPV
Symptoms: Erythema, Induration, Skin warm, Tenderness
Clinical narrative: Red hard very tender hot to touch couple of days.
Age: 0.17
Sex: F
Vaccine: DTAPIPVHIB, HEP, PNC13, RV1
Symptoms: Abdominal X-ray, Activated partial thromboplastin time, Barium enema, Blood culture, Full blood count
Clinical narrative: ? intussusception. Pt presented with bloody stool, vomiting. Sx within 2 weeks of getting 1st ROTARIX.
Age: 0.17
Sex: F
Vaccine: DTAPIPVHIB, HEP, PNC13, RV1
Symptoms: Haematochezia, Metabolic function test, Prothrombin time, Red blood cell sedimentation rate, Vomiting
Clinical narrative: ? intussusception. Pt presented with bloody stool, vomiting. Sx within 2 weeks of getting 1st ROTARIX.
Age: 0.17
Sex: F
Vaccine: DTAPIPVHIB, HEP, PNC13, RV1
Symptoms: X-ray with contrast upper gastrointestinal tract
Clinical narrative: ? intussusception. Pt presented with bloody stool, vomiting. Sx within 2 weeks of getting 1st ROTARIX.
Age: 75.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site reaction, Injection site warmth
Clinical narrative: Redness at injection site 3 days after vaccination warm to touch.
Age: 61.0
Sex: F
Vaccine: TDAP
Symptoms: Erythema, Pain, Rash, Swelling
Clinical narrative: Swelling, redness, rash, pain (throbbing) especially when using arm. Contacted physician asked to take BENADRYL.
Age: 50.0
Sex: M
Vaccine: TDAP
Symptoms: Cough
Clinical narrative: This case was reported by a physician and described the occurrence of possible pertussis in a 50-year-old male subject who was vaccinated with BOOSTRIX (GlaxoSmithKline). On 30 May 2012 the subject received a dose of BOOSTRIX (unknown route, right arm). On 1 June 2012, 2 days after vaccination with BOOSTRIX, the subject experienced possible "pertussis reaction/symptoms" and cough. The subject was seen in the emergency room (ER), but was not admitted. The physician considered the events were disabling and clinically significant (or requiring intervention). At the time of reporting the events were improved, but not resolved. The physician considered the events were possibly related to vaccination with BOOSTRIX.
Age: 16.0
Sex: F
Vaccine: MNQ
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth, Malaise, Pain
Clinical narrative: 13 x 9 mm erythemic area on (L) upper arm. Warm to touch; Sore to move swollen upper arm. General malaise.
Age: 16.0
Sex: F
Vaccine: MNQ
Symptoms: Urine analysis normal
Clinical narrative: 13 x 9 mm erythemic area on (L) upper arm. Warm to touch; Sore to move swollen upper arm. General malaise.
Age: 34.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site erythema, Injection site rash, Local reaction
Clinical narrative: Localized reaction - raised erythematous rash - 5 cm diameter at site of injection. Started 4 days after injection. Topical steroid applied. Pt took BENADRYL on own prior to coming to office.
Age: 66.0
Sex: F
Vaccine: VARZOS
Symptoms: Erythema, Skin warm
Clinical narrative: Pt called 3 days after receiving vaccine & stated arm was red (about size of palm) & warm. Pt advise to use ice & ibuprofen & if not better call to be seen.
Age: 65.0
Sex: M
Vaccine: PPV
Symptoms: Erythema, Injection site pain, Skin warm
Clinical narrative: Erythema & warmth onset 6/13/12. Injection site pain 6/12/12. No c.p. SOB, fever, chills, rigors.
Age: 5.0
Sex: F
Vaccine: DTAPIPV, HEPA, MMR, VARCEL
Symptoms: Dyskinesia, Syncope
Clinical narrative: Fainted and had arm/leg jerking per mom.
Age: 27.0
Sex: M
Vaccine: MMR, TDAP, VARCEL
Symptoms: Rash generalised, Rash pruritic
Clinical narrative: Itching rash over entire body.
Age: 22.0
Sex: F
Vaccine: RAB, RAB
Symptoms: Asthenia, Hypoaesthesia, Palpitations, Pyrexia, Vision blurred
Clinical narrative: Patient states she felt numbness in both hands approximately 3 hours after receiving vaccine.  Approximately 6 hours after receiving vaccine, she states she began experiencing palpitations.  Later in the evening she felt she had a fever (Temp 99.4).  She states that she felt things were blurry at that time.  Patient stated that she felt weak later in the evening, and continues to feel weak the next morning.  She plans to visit her doctor today.
Age: 22.0
Sex: F
Vaccine: RAB, RAB
Symptoms: Abasia, Arthralgia, Dizziness, Gait disturbance, Headache
Clinical narrative: Patient states she felt numbness in both hands approximately 3 hours after receiving vaccine.  Approximately 6 hours after receiving vaccine, she states she began experiencing palpitations.  Later in the evening she felt she had a fever (Temp 99.4).  She states that she felt things were blurry at that time.  Patient stated that she felt weak later in the evening, and continues to feel weak the next morning.  She plans to visit her doctor today.
Age: 22.0
Sex: F
Vaccine: RAB, RAB
Symptoms: Hypoaesthesia, Nausea, Pyrexia
Clinical narrative: Patient states she felt numbness in both hands approximately 3 hours after receiving vaccine.  Approximately 6 hours after receiving vaccine, she states she began experiencing palpitations.  Later in the evening she felt she had a fever (Temp 99.4).  She states that she felt things were blurry at that time.  Patient stated that she felt weak later in the evening, and continues to feel weak the next morning.  She plans to visit her doctor today.
Age: 40.0
Sex: F
Vaccine: HEP
Symptoms: Bronchospasm, Neuropathy peripheral
Clinical narrative: Broncho spasms and neuropathy issues.
Age: 0.65
Sex: F
Vaccine: DTAPHEPBIP
Symptoms: Expired drug administered
Clinical narrative: Expired vaccine administered.
Age: 20.0
Sex: F
Vaccine: JEV1, PPV, RAB
Symptoms: Erythema, Full blood count, Injection site erythema, Nuclear magnetic resonance imaging normal, Pain in extremity
Clinical narrative: Mother states that patient awoke with redness and pain in left arm. Pain, fever and site redness persisted over the next 2-3 days.  Seen in ED.
Age: 20.0
Sex: F
Vaccine: JEV1, PPV, RAB
Symptoms: Pyrexia
Clinical narrative: Mother states that patient awoke with redness and pain in left arm. Pain, fever and site redness persisted over the next 2-3 days.  Seen in ED.
Age: 12.0
Sex: F
Vaccine: HEPA, IPV, MNQ, TDAP, VARCEL
Symptoms: Gaze palsy, Head injury, Nausea, Seizure like phenomena
Clinical narrative: Nausea, leaned by in chair, head went back & hit banister on wall and patient appeared to be seizing to <40 seconds.  Eyes rolled back. Placed patient on floor by express care nurse. B/P 107/73 HR 71.  After a few minutes patient was stable and escorted to FMC in wheelchair of injections of Benadryl 25mg & DepoMedrol 40 mg.  Vitals taken again 112/82 HR 76.  Patient laid in exam room so we could observe her and Mom was by her side.  Patient left @ noon after one hr of observing. Prior to D/C vitals 118/80 HR 84.  D/C home with Mom.
Age: 64.0
Sex: M
Vaccine: VARZOS
Symptoms: Fatigue, Influenza like illness, Injection site erythema, Injection site swelling
Clinical narrative: Redness and swelling distal injection site. Reported fatigue following day. Next day reported feeling of flu.
Age: 5.0
Sex: F
Vaccine: DTAPIPV, MMR, VARCEL
Symptoms: Syncope
Clinical narrative: Child fainted as 3rd vaccine was being administered. Used ammonia inhalent. Child responded quickly. No other symptoms presented. Child left the office at 12:40 PM.
Age: 64.0
Sex: M
Vaccine: VARZOS
Symptoms: Contusion, Headache, Injection site erythema, Injection site pain, Joint swelling
Clinical narrative: Redness and soreness around injection site, swelling, bruising to the elbow.  Patient is currently on Plavix.  Headache to the left side of the head by ear behind left eye.  Reaction lasted several days.
Age: 76.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site pruritus
Clinical narrative: RED ROUND RING ON INJECTION SITE. ITCHY.
Age: 69.0
Sex: M
Vaccine: VARZOS
Symptoms: Fatigue, Injection site erythema, Injection site pain, Laboratory test, Rash vesicular
Clinical narrative: Patient states symptoms resemble chicken pox he had as a young adult, but 'worse' and 'open and oozing'.  Patient complains of systemic effects, such as fatigue.  Redness and pain 2 to 3 inches around injection site in arm.
Age: 69.0
Sex: M
Vaccine: VARZOS
Symptoms: Wound secretion
Clinical narrative: Patient states symptoms resemble chicken pox he had as a young adult, but 'worse' and 'open and oozing'.  Patient complains of systemic effects, such as fatigue.  Redness and pain 2 to 3 inches around injection site in arm.
Age: 2.0
Sex: F
Vaccine: HEPA
Symptoms: Febrile convulsion, Laboratory test normal, Pyrexia, Vomiting
Clinical narrative: Early morning low grade fever less than 100.  Onset of vomiting around 10AM, followed by a febrile seizure and a spike in fever to around 102.  Patient was taken to the emergency room, tested for possible ailments (all tests were negative) and was released with an ongoing fever.
Age: 0.19
Sex: M
Vaccine: DTAPIPVHIB
Symptoms: Erythema, Hypersensitivity, Local reaction, Swelling
Clinical narrative: Local allergic reaction - red, swollen.
Age: 0.5
Sex: M
Vaccine: DTAPIPVHIB, PNC13, RV5
Symptoms: Injection site erythema, Injection site nodule, Injection site warmth, Irritability
Clinical narrative: Afebrile, fussy, area of injection (Rt) thigh warm, purplish, redden, knot - 25 cent size.
Age: 5.0
Sex: M
Vaccine: DTAPIPV
Symptoms: Anxiety, Erythema, Oedema peripheral, Pain in extremity, Poor quality sleep
Clinical narrative: Vaccine administered 4/11. On 4/11 and 4/12 slept poorly, sleep walking anxious also fever. Also leg pain on 4/13 mother called and said arm swollen, red, left message to follow up in clinic. She said she would send me a picture but didn't. On 4/16 called back and patient symptoms had resolved within the same day (4/13).
Age: 5.0
Sex: M
Vaccine: DTAPIPV
Symptoms: Pyrexia, Somnambulism
Clinical narrative: Vaccine administered 4/11. On 4/11 and 4/12 slept poorly, sleep walking anxious also fever. Also leg pain on 4/13 mother called and said arm swollen, red, left message to follow up in clinic. She said she would send me a picture but didn't. On 4/16 called back and patient symptoms had resolved within the same day (4/13).
Age: 83.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Injection site pain, Injection site warmth
Clinical narrative: Pt. developed (L) arm erythematous, warmth, tenderness to injection site.
Age: 63.0
Sex: F
Vaccine: VARZOS
Symptoms: Pain, Rash
Clinical narrative: Diffuse rash on neck/face, back of arm, belt line & legs 2 days after receiving ZOSTAVAX. No rash around injection site. More painful than itchy.
Age: 0.37
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC13, RV5
Symptoms: Decreased activity, Decreased eye contact, Staring, Unresponsive to stimuli
Clinical narrative: After her 4 month well check over 1 week the infant gradually decreased cooing and babbling, wasn't responding to being called by her name, would just stare looking up and around but not making eye contact and was much less interactive. After 5 days, she started grabbing things again, would look at mom and got loud/noisy again.
Age: 2.0
Sex: F
Vaccine: HEPA
Symptoms: Vomiting
Clinical narrative: Child vomited in the car after leaving office. No other symptoms. Acting fine.
Age: 52.0
Sex: F
Vaccine: TDAP
Symptoms: Arthralgia, Chest discomfort, Dyspnoea, Headache, Injection site joint pain
Clinical narrative: 4-5 hrs after vaccination pt started with (L) deltoid pain & shoulder, elbow, then pain to all joints & briefly lasted 24 - 30 hrs. Headache, anterior chest heaviness with some trouble breathing. Possible wheezing.
Age: 52.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site pain
Clinical narrative: 4-5 hrs after vaccination pt started with (L) deltoid pain & shoulder, elbow, then pain to all joints & briefly lasted 24 - 30 hrs. Headache, anterior chest heaviness with some trouble breathing. Possible wheezing.
Age: 59.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site irritation, Injection site pruritus, Injection site swelling
Clinical narrative: Pt had vaccine 6/11/12. Pt noticed irritation at site 6/12/12. On 6/13/12 she noticed it was red, swollen, mildly itchy & irritated.
Age: 11.0
Sex: M
Vaccine: HEPA, TDAP
Symptoms: Contusion, Induration, Oedema peripheral
Clinical narrative: Swollen, bruised, hard area on (L) arm.
Age: 3.0
Sex: M
Vaccine: PNC13
Symptoms: Body temperature increased, Urticaria
Clinical narrative: Per mom client broke out with hives 6/13/12 am - getting worse throughout day temp elevated 102 last evening 100.1 this am.
Age: 16.0
Sex: M
Vaccine: HPV4, MNQ, HPV4, MNQ
Symptoms: Unevaluable event
Clinical narrative: None stated.
Age: 63.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site swelling
Clinical narrative: Swelling around injection area.
Age: 69.0
Sex: F
Vaccine: FLU3
Symptoms: Pain in extremity
Clinical narrative: Soreness still in am. I was told at pharmacy a nerve could have been hit.
Age: 68.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site swelling
Clinical narrative: Swelling around injection site.
Age: 5.0
Sex: M
Vaccine: DTAP, HEP, IPV, MMR, VARCEL
Symptoms: Injection site erythema
Clinical narrative: Redness to (L) thigh. Supportive therapy - ice, ibuprofen, BENADRYL. RTC if worsening symptoms.
Age: 9.0
Sex: M
Vaccine: HEPA
Symptoms: Syncope
Clinical narrative: Patient fainted after administering vaccine.
Age: 4.0
Sex: F
Vaccine: DTAP
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth, Syncope, Urticaria
Clinical narrative: Right upper swelled, turned red & hot to touch (vaccines was administered in this arm); hives developed on forehead, chest, & under right arm. Pt fainted swelling was extreme. Went to ER. IV steroids given - symptoms quickly resolved. Mild swelling persists on 6/14.
Age: 54.0
Sex: F
Vaccine: TDAP, VARZOS
Symptoms: Hypoaesthesia
Clinical narrative: Patient described sxs starting about 1 week after vaccinations. She had numbness in her leg/back. Patient was seen by PCP given pain meds hydrocodone/APAP, Diclofenac.
Age: 44.0
Sex: F
Vaccine: TDAP
Symptoms: Arthralgia, Headache, Sensation of foreign body, Tongue disorder, Urticaria
Clinical narrative: 7 days after administration developed urticaria, thick tongue, lump in throat, headache, joint pain.
Age: 69.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling
Clinical narrative: Pt has redness, swelling and itching at the injection site. Approximately 3 inches in diameter.
Age: 51.0
Sex: F
Vaccine: HEPA
Symptoms: Erythema multiforme, Palatal disorder, Rash, Rash macular, Syncope
Clinical narrative: Painful macules started on hands, later on feet and progressed to mid arms. Fainted. Rash on abd & back with soft palate involvement. (Erythema multiforme) minor.
Age: 65.0
Sex: F
Vaccine: PPV
Symptoms: Injected limb mobility decreased, Injection site pain
Clinical narrative: Pt called stating that the injection site was sore than a few hrs or so after she was in so much pain she couldn't move her arm.
Age: 2.0
Sex: M
Vaccine: HIBV, PNC13
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Pyrexia
Clinical narrative: Pt had fever day after shot on right leg. Pt has site swelling, redness, and pain.
Age: 4.0
Sex: M
Vaccine: DTAPIPV, HEPA, MMR, VARCEL
Symptoms: Cellulitis, Erythema, Injected limb mobility decreased, Injection site pain, Injection site swelling
Clinical narrative: Swelling soreness at upper arm injection site. 6-9 am swelling from shoulder to elbow with decrease use of RUE. Ice, MOTRIN. Appt 6-9 localized reaction for warmth & redness. 6-10- worse swelling, redness, hot ER Dx cellulitis given KEFLEX.