chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 37.0
Sex: M
Vaccine: FLU3, FLU3
Symptoms: Ocular hyperaemia, Pulmonary congestion, Pyrexia
Clinical narrative: Had influenza vaccine approx 1:30 pm.  About thre hours later, eyes began to swell, red and itching.  Approx 1/2 hr later lungs felt congested, face flushed, bottom lip swelling.  Muschle ache/pain and fever followed.  He took his regular nebulizer albuterol that he has for asthma, dayquil
Age: 61.0
Sex: M
Vaccine: FLU3, FLU3
Symptoms: Angioedema, Diarrhoea, Dysphagia, Lip swelling, Swollen tongue
Clinical narrative: had flu shot at 6pm.  10 pm felt throat itchy & woke up at midnight with swollen lower lip & tongue, some wheezing and loose BM. Took two motrin.  Some difficulty swallowing.  Went to local emergency room, given Benadryl 50 mg. IM and Zyrtec 10 mg po.  Dx angioedema after flu vaccine.  Observed for two hours.  No wheezing, itchy throat upon discharge.  Swollen lip continued till next day.  Sent home with medrol dose pack (6 days) XYZZL 5 mg.  No symptoms as of this writing except feeling tired.
Age: 61.0
Sex: M
Vaccine: FLU3, FLU3
Symptoms: Throat irritation, Wheezing
Clinical narrative: had flu shot at 6pm.  10 pm felt throat itchy & woke up at midnight with swollen lower lip & tongue, some wheezing and loose BM. Took two motrin.  Some difficulty swallowing.  Went to local emergency room, given Benadryl 50 mg. IM and Zyrtec 10 mg po.  Dx angioedema after flu vaccine.  Observed for two hours.  No wheezing, itchy throat upon discharge.  Swollen lip continued till next day.  Sent home with medrol dose pack (6 days) XYZZL 5 mg.  No symptoms as of this writing except feeling tired.
Age: 61.0
Sex: M
Vaccine: FLU3, FLU3
Symptoms: Angioedema, Diarrhoea, Dysphagia, Fatigue, Lip swelling
Clinical narrative: had flu shot at 6pm.  10 pm felt throat itchy & woke up at midnight with swollen lower lip & tongue, some wheezing and loose BM. Took two motrin.  Some difficulty swallowing.  Went to local emergency room, given Benadryl 50 mg. IM and Zyrtec 10 mg po.  Dx angioedema after flu vaccine.  Observed for two hours.  No wheezing, itchy throat upon discharge.  Swollen lip continued till next day.  Sent home with medrol dose pack (6 days) XYZZL 5 mg.  No symptoms as of this writing except feeling tired.
Age: 61.0
Sex: M
Vaccine: FLU3, FLU3
Symptoms: Swollen tongue, Throat irritation, Wheezing
Clinical narrative: had flu shot at 6pm.  10 pm felt throat itchy & woke up at midnight with swollen lower lip & tongue, some wheezing and loose BM. Took two motrin.  Some difficulty swallowing.  Went to local emergency room, given Benadryl 50 mg. IM and Zyrtec 10 mg po.  Dx angioedema after flu vaccine.  Observed for two hours.  No wheezing, itchy throat upon discharge.  Swollen lip continued till next day.  Sent home with medrol dose pack (6 days) XYZZL 5 mg.  No symptoms as of this writing except feeling tired.
Age: 40.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Asthenia, Chills, Dehydration, Heart rate increased, Hyperhidrosis
Clinical narrative: Extreme pain at injection site, unable to move arm. Extreme flu like symptoms, all muscles in pain, migraine that won't go away, chills, vomiting, fever 104, unable to get up from bed two days so far, unable to sleep due to symptoms, all over weakness, racing heartbeat, sweating, dehydration.
Age: 40.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Influenza like illness, Injected limb mobility decreased, Injection site pain, Migraine, Mobility decreased
Clinical narrative: Extreme pain at injection site, unable to move arm. Extreme flu like symptoms, all muscles in pain, migraine that won't go away, chills, vomiting, fever 104, unable to get up from bed two days so far, unable to sleep due to symptoms, all over weakness, racing heartbeat, sweating, dehydration.
Age: 40.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Myalgia, Pyrexia, Sleep disorder, Vomiting
Clinical narrative: Extreme pain at injection site, unable to move arm. Extreme flu like symptoms, all muscles in pain, migraine that won't go away, chills, vomiting, fever 104, unable to get up from bed two days so far, unable to sleep due to symptoms, all over weakness, racing heartbeat, sweating, dehydration.
Age: 8.0
Sex: F
Vaccine: FLUN3, TYP
Symptoms: Bacterial culture, C-reactive protein increased, Chest X-ray abnormal, Cough, Hypoxia
Clinical narrative: Flumist vaccine was given intranasally to apparently healthy child on 8.17.09.  Approximately 48 hours later, developed fever, sore throat, nasal congestion and cough.  Admitted 72 hours later with diagnosis of right lower lobe pneumonia with hypoxemia, leukocytosis, and elevated CRP.  This happened today, so I do not have the outcome.  I do not think this event is related to the immunization, but thought it should be reported anyway.  11/17/09 medical records received for DOS 9/20/09 Final DX: R lower lobe pneumonia, hypoxemia Three days S/P flumist C/O sore throat, fever.  HA, nasal. l cong. Cough. exposed to strep A. Breathing diff in PMD office.  Tachypnea, tachycardia. R LL consolidation. Prob bacterial. Hypotension r/o hypovolemia. D/C to home. ICD9 Codes: 786.9, 486.
Age: 8.0
Sex: F
Vaccine: FLUN3, TYP
Symptoms: Influenza serology negative, Leukocytosis, Lobar pneumonia, Nasal congestion, Neutrophil count increased
Clinical narrative: Flumist vaccine was given intranasally to apparently healthy child on 8.17.09.  Approximately 48 hours later, developed fever, sore throat, nasal congestion and cough.  Admitted 72 hours later with diagnosis of right lower lobe pneumonia with hypoxemia, leukocytosis, and elevated CRP.  This happened today, so I do not have the outcome.  I do not think this event is related to the immunization, but thought it should be reported anyway.  11/17/09 medical records received for DOS 9/20/09 Final DX: R lower lobe pneumonia, hypoxemia Three days S/P flumist C/O sore throat, fever.  HA, nasal. l cong. Cough. exposed to strep A. Breathing diff in PMD office.  Tachypnea, tachycardia. R LL consolidation. Prob bacterial. Hypotension r/o hypovolemia. D/C to home. ICD9 Codes: 786.9, 486.
Age: 8.0
Sex: F
Vaccine: FLUN3, TYP
Symptoms: Oropharyngeal pain, Pyrexia, Streptococcal identification test negative, Virus culture
Clinical narrative: Flumist vaccine was given intranasally to apparently healthy child on 8.17.09.  Approximately 48 hours later, developed fever, sore throat, nasal congestion and cough.  Admitted 72 hours later with diagnosis of right lower lobe pneumonia with hypoxemia, leukocytosis, and elevated CRP.  This happened today, so I do not have the outcome.  I do not think this event is related to the immunization, but thought it should be reported anyway.  11/17/09 medical records received for DOS 9/20/09 Final DX: R lower lobe pneumonia, hypoxemia Three days S/P flumist C/O sore throat, fever.  HA, nasal. l cong. Cough. exposed to strep A. Breathing diff in PMD office.  Tachypnea, tachycardia. R LL consolidation. Prob bacterial. Hypotension r/o hypovolemia. D/C to home. ICD9 Codes: 786.9, 486.
Age: 9.0
Sex: M
Vaccine: FLUN3, FLUN3
Symptoms: Abdominal discomfort, Blood test, Computerised tomogram, Headache, Nasal congestion
Clinical narrative: Patient was administered LAIV even though patient was contraindicated due to aspirin therapy.  LAIV administered on 09/17/2009; on 09/20/2009, at 7AM, patient complained of severe throbbing headache and belly was "jumpy". Patient transported to Medical Center.  Blood sample and urine sample, CT Scan.  Possible MRI tomorrow, because of brain surgery that occured approximately 4 years ago (due to moyamoya disease).  Patient presented with nasal congestion, headache and "jumpy" belly.
Age: 9.0
Sex: M
Vaccine: FLUN3, FLUN3
Symptoms: Urine analysis
Clinical narrative: Patient was administered LAIV even though patient was contraindicated due to aspirin therapy.  LAIV administered on 09/17/2009; on 09/20/2009, at 7AM, patient complained of severe throbbing headache and belly was "jumpy". Patient transported to Medical Center.  Blood sample and urine sample, CT Scan.  Possible MRI tomorrow, because of brain surgery that occured approximately 4 years ago (due to moyamoya disease).  Patient presented with nasal congestion, headache and "jumpy" belly.
Age: 9.0
Sex: M
Vaccine: FLUN3, FLUN3
Symptoms: Computerised tomogram abnormal, Contraindication to vaccination, Headache
Clinical narrative: Patient was administered LAIV even though patient was contraindicated due to aspirin therapy.  LAIV administered on 09/17/2009; on 09/20/2009, at 7AM, patient complained of severe throbbing headache and belly was "jumpy". Patient transported to Medical Center.  Blood sample and urine sample, CT Scan.  Possible MRI tomorrow, because of brain surgery that occured approximately 4 years ago (due to moyamoya disease).  Patient presented with nasal congestion, headache and "jumpy" belly.
Age: 0.17
Sex: M
Vaccine: RVX
Symptoms: Diarrhoea, Faeces discoloured, Pyrexia
Clinical narrative: low grade fever (100.5F), diarrhea initially normal color and explosive, turning to green and chunky within 24 hours.
Age: 70.0
Sex: M
Vaccine: FLUX
Symptoms: Chills, Cough, Feeling abnormal, Flushing, Pain
Clinical narrative: Onset of symptoms within a few hours: aches, chills, fever (to 103F), foggy thought processes (trouble articulating thoughts), flushed face, minor cough with wheeziness.
Age: 70.0
Sex: M
Vaccine: FLUX
Symptoms: Pyrexia, Wheezing
Clinical narrative: Onset of symptoms within a few hours: aches, chills, fever (to 103F), foggy thought processes (trouble articulating thoughts), flushed face, minor cough with wheeziness.
Age: 39.0
Sex: F
Vaccine: FLUX
Symptoms: Rash pruritic
Clinical narrative: Itchy rash across chest.
Age: 10.0
Sex: M
Vaccine: FLUN3
Symptoms: Electroencephalogram abnormal, Grand mal convulsion
Clinical narrative: Ongoing tonic-clonic seizures for several hours.
Sex: F
Vaccine: FLU3
Symptoms: Injection site pruritus, Injection site swelling
Clinical narrative: Patient had swelling and itching at site of injection. Parent reported no breathing problems and was told to apply a cold compress to site.
Age: 54.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Urticaria
Clinical narrative: Patient stated she broke out in hives 24hrs after receiving flu shot. She has been taking Benadryl 50mg every 4 hours and apply Hydrocortisone cream .
Age: 55.0
Sex: M
Vaccine: FLU3
Symptoms: Injection site swelling
Clinical narrative: Swelling at the injection site.
Age: 19.0
Sex: F
Vaccine: FLU3
Symptoms: Dizziness, Dyspnoea, Pallor
Clinical narrative: Patient became light headed, dizzy, pale and complained of trouble breathing, 911 was called and EMT's arrived. Symptoms resolved and patient did not require hospitalization.
Age: 19.0
Sex: F
Vaccine: PPV
Symptoms: Chills, Headache, Pain in extremity, Pyrexia
Clinical narrative: Patient given PNEUMOVAX on 9/14/09 at 12:00 in left deltoid. Patient called 9/16/09 11:35 - fever 102.4 - c/o headache and chills- left arm pain. 9/18/09 patient admitted to hospital -Adm DX is sepsis- + fevers >101. No cx. Available. Currently in hospital. 10/30/09 DC summary received for dates 9/16/09 to 9/19/09. DX: Acute febrile illness of unknown etiology, sepsis, leukocytosis. Secondary DX: dehydration, iron deficiency anemia. Presented to ER with SX: fever, dizziness, achiness, tachycardia, dehydration, left shoulder pain x1 day after receiving the pneumonia vax. At time of vax did not feel well and had c/o HA. Assessment: Relative to c/o. PE WNL except left arm was warm to touch... Labs drawn, pt. later D/C AMA.
Sex: M
Vaccine: HEP
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: Infant received Hepatitis B vaccine following birth on 7/30. Resident ordered Hepatitis vaccine again on 8/4/09 at 09:35, RN requested Hepatitis vaccine on 8/5/09 at 0025 when baby transferred without realizing that it was given.
Age: 0.2
Sex: F
Vaccine: RV5
Symptoms: Diarrhoea
Clinical narrative: 2.5 mo. female vaccinated with ROTATEQ-R- vaccine on 8/18/09 under FDA IND #13843. Patient tolerated vaccine. On 8/25/09 follow-up visit, mother related infant had loose, water stools. 8/22 - 1 loose stool, 8/23 and 8/24 - 4 to 5 loose stools. 8/25 and 8/26/09 patient had 2 watery, loose stools. All symptoms resolved on 8/27/09. Patient had normal feedings throughout the duration of symptoms. No other symptoms were noted. This serves as the final report and 15 day report for this adverse event.
Age: 75.0
Sex: F
Vaccine: VARZOS
Symptoms: Asthenia, Blood test abnormal, Chest discomfort, Chronic fatigue syndrome, Electrocardiogram
Clinical narrative: E.R. on 04-29-09: Dry heaves - headaches - tightness in chest - 05-13-09  Dr. Nausea/headaches- spleen pain/swollen- weakness/fatigue - Dr - 6-16-09 - Chronic fatigue syndrome by blood test - continues to this date -09-11-09.
Age: 75.0
Sex: F
Vaccine: VARZOS
Symptoms: Fatigue, Headache, Nausea, Pain, Retching
Clinical narrative: E.R. on 04-29-09: Dry heaves - headaches - tightness in chest - 05-13-09  Dr. Nausea/headaches- spleen pain/swollen- weakness/fatigue - Dr - 6-16-09 - Chronic fatigue syndrome by blood test - continues to this date -09-11-09.
Age: 75.0
Sex: F
Vaccine: VARZOS
Symptoms: Ultrasound abdomen, X-ray with contrast upper gastrointestinal tract
Clinical narrative: E.R. on 04-29-09: Dry heaves - headaches - tightness in chest - 05-13-09  Dr. Nausea/headaches- spleen pain/swollen- weakness/fatigue - Dr - 6-16-09 - Chronic fatigue syndrome by blood test - continues to this date -09-11-09.
Sex: F
Vaccine: DTP
Symptoms: Wrong drug administered
Clinical narrative: RN requested DPT vaccine but received DPT + Polio Vaccine -KINRIX-. Patient did not receive the vaccine as the RN double checked the drug content. DPT + Polio vaccine was returned to pharmacy and correct vaccine was sent to NICU.
Age: 4.0
Sex: F
Vaccine: DTAPIPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: One day after immunization, child developed redness and swelling of R deltoid are. Came to office and was prescribed ZURTEC prn and Cephalexin.
Age: 27.0
Sex: M
Vaccine: MMR
Symptoms: Erythema, Rash maculo-papular, Rash pruritic
Clinical narrative: Maculo papular rash on Bilat upper and lower extremities. Pruritic and bright red about 12 days from vaccine.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site mass, Injection site pruritus, Injection site swelling, Injection site warmth
Clinical narrative: Left deltoid 5 1/2 cm wide to 4 1/2 cm long red, raised knot.  Itching.  Mom described 0 pain.  (Warm to touch).  Mom informed to apply warm compresses.
Age: 0.23
Sex: M
Vaccine: DTAPIPVHIB, RV5, DTAPIPVHIB, RV5
Symptoms: Anal fissure, Diarrhoea, Enteritis, Haematochezia, Mucous stools
Clinical narrative: Enteritis (loose, mucousy stools x 10, some blood- probable fissure. 10/9/2009 MR from PCP for visit 9/18/2009. Patient received vaccine 9/17/2009, presenting with sx of increased # of mucuousy stools (12) w/in last 24 hrs. Mother also noted blood in stools.  Dx: gastroenteritis ? reaction to vaccine. 10/20/09 Medical records received for dates 9/17/09 to 10/13/09 DX on 9/18/09: Enteritis, possible reaction to vaccination. Assessment: pt. seen for routine exam 9/17/09 received vaccinations. Exam WNL. 9/18/09 pt. seen with parent complaint of increase stools x12 in 24hrs, mucousy, with blood visible. Pt. appeared uncomfortable. Exam was (+)guiac. Pt. seen 9/22/09 with parent c/o green mucous stools. (-)guiac. Labs ordered. 10/13/09 exam: issue resolved. Per notes pt "looks great".
Age: 0.23
Sex: M
Vaccine: DTAPIPVHIB, RV5, DTAPIPVHIB, RV5
Symptoms: Occult blood positive
Clinical narrative: Enteritis (loose, mucousy stools x 10, some blood- probable fissure. 10/9/2009 MR from PCP for visit 9/18/2009. Patient received vaccine 9/17/2009, presenting with sx of increased # of mucuousy stools (12) w/in last 24 hrs. Mother also noted blood in stools.  Dx: gastroenteritis ? reaction to vaccine. 10/20/09 Medical records received for dates 9/17/09 to 10/13/09 DX on 9/18/09: Enteritis, possible reaction to vaccination. Assessment: pt. seen for routine exam 9/17/09 received vaccinations. Exam WNL. 9/18/09 pt. seen with parent complaint of increase stools x12 in 24hrs, mucousy, with blood visible. Pt. appeared uncomfortable. Exam was (+)guiac. Pt. seen 9/22/09 with parent c/o green mucous stools. (-)guiac. Labs ordered. 10/13/09 exam: issue resolved. Per notes pt "looks great".
Age: 0.23
Sex: M
Vaccine: DTAPIPVHIB, RV5, DTAPIPVHIB, RV5
Symptoms: Abdominal pain, Abdominal pain upper, Blood test, Culture stool, Faeces discoloured
Clinical narrative: Enteritis (loose, mucousy stools x 10, some blood- probable fissure. 10/9/2009 MR from PCP for visit 9/18/2009. Patient received vaccine 9/17/2009, presenting with sx of increased # of mucuousy stools (12) w/in last 24 hrs. Mother also noted blood in stools.  Dx: gastroenteritis ? reaction to vaccine. 10/20/09 Medical records received for dates 9/17/09 to 10/13/09 DX on 9/18/09: Enteritis, possible reaction to vaccination. Assessment: pt. seen for routine exam 9/17/09 received vaccinations. Exam WNL. 9/18/09 pt. seen with parent complaint of increase stools x12 in 24hrs, mucousy, with blood visible. Pt. appeared uncomfortable. Exam was (+)guiac. Pt. seen 9/22/09 with parent c/o green mucous stools. (-)guiac. Labs ordered. 10/13/09 exam: issue resolved. Per notes pt "looks great".
Age: 0.23
Sex: M
Vaccine: DTAPIPVHIB, RV5, DTAPIPVHIB, RV5
Symptoms: Frequent bowel movements, Haematochezia, Mucous stools
Clinical narrative: Enteritis (loose, mucousy stools x 10, some blood- probable fissure. 10/9/2009 MR from PCP for visit 9/18/2009. Patient received vaccine 9/17/2009, presenting with sx of increased # of mucuousy stools (12) w/in last 24 hrs. Mother also noted blood in stools.  Dx: gastroenteritis ? reaction to vaccine. 10/20/09 Medical records received for dates 9/17/09 to 10/13/09 DX on 9/18/09: Enteritis, possible reaction to vaccination. Assessment: pt. seen for routine exam 9/17/09 received vaccinations. Exam WNL. 9/18/09 pt. seen with parent complaint of increase stools x12 in 24hrs, mucousy, with blood visible. Pt. appeared uncomfortable. Exam was (+)guiac. Pt. seen 9/22/09 with parent c/o green mucous stools. (-)guiac. Labs ordered. 10/13/09 exam: issue resolved. Per notes pt "looks great".
Age: 59.0
Sex: M
Vaccine: FLU3
Symptoms: Feeling abnormal, Paraesthesia
Clinical narrative: Patient complained of tingling in left arm, spreading to side of body. Lips maybe felt funny.
Age: 4.0
Sex: F
Vaccine: DTAP, HEPA, IPV, MMR, VARCEL
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: Pt had got 4 yo imms in May in another state.  9/14/09 We did physical and had no data gave again.
Age: 36.0
Sex: F
Vaccine: FLU3
Symptoms: Angiogram, Computerised tomogram, Mydriasis
Clinical narrative: Reports left pupil dilated 60" after injection.  Went to ophth - resolved with PILOCORPINE & sent to ED for neuro work up CT, CTA work up was inconclusive.
Age: 2.0
Sex: F
Vaccine: DTAP, HEPA, MMR, PNC, VARCEL
Symptoms: Abasia, Cellulitis, Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Shots recd 9-9-09 PM.  Lt. leg a little red & sore on 9-10.  On 9-11 Lt. leg red & swollen, hot to touch.  Child wouldn't walk.  Lt. leg swollen & red to knee & almost to the hip.  Taken to pmd on 9-11.  Given abx in case of abscess or cellulitis.  Told to give BENADRYL & use warm compresses.  9-13-09 TC to dad.  Child doing fine.  Much improved.  Dad will contact PMD if condition warrants.
Age: 2.0
Sex: F
Vaccine: DTAP, HEPA, MMR, PNC, VARCEL
Symptoms: Injection site warmth
Clinical narrative: Shots recd 9-9-09 PM.  Lt. leg a little red & sore on 9-10.  On 9-11 Lt. leg red & swollen, hot to touch.  Child wouldn't walk.  Lt. leg swollen & red to knee & almost to the hip.  Taken to pmd on 9-11.  Given abx in case of abscess or cellulitis.  Told to give BENADRYL & use warm compresses.  9-13-09 TC to dad.  Child doing fine.  Much improved.  Dad will contact PMD if condition warrants.
Age: 4.0
Sex: M
Vaccine: DTAP, HEPA, IPV, MMR, VARCEL
Symptoms: Body temperature increased, Pyrexia, Vomiting
Clinical narrative: Low grade fever noted @ "bed time" 9/3/09. Temp 102 degrees F @ 7:15am 9/4/09. Child had been given TYLENOL: Ibuprofen night before and in morning. Child began vomiting @ 8am 9/4/09. Continuing with medication, giving tepid baths: Urged to ensure adequate fluid intake.
Age: 9.0
Sex: M
Vaccine: FLU3
Symptoms: Erythema, Local reaction, Skin warm, Tenderness
Clinical narrative: 9/1/09 - Left arm red, hot, tender no increase in size on 9/2/09.  Rx: ORAPRED, BENADRYL, cool compresses.  Rev 9/3/09 - Resolving local Rxn .
Age: 35.0
Sex: F
Vaccine: HEP, TDAP
Symptoms: Rash pruritic
Clinical narrative: Client made a phone call to clinic on 8-31-09.  States she received HBV #2 & TDAP vaccine on Friday 8-28-09.  Last night, 8-30-09, developed a rash (itchy) starting on chest moving towards stomach - back then arms & legs.  Took P.O. BENEDRYL slept well and woke up & red was gone.  Denies fever, n/v.  Never experienced this before with vaccines.  No other changes noted with personal products or med. changes.
Age: 11.0
Sex: F
Vaccine: VARCEL
Symptoms: Abdominal discomfort, Abdominal pain, Nausea
Clinical narrative: On 9-16-09 clients aunt called clinic @ approx 16:30 stated client was c/o "abd. pain & discomfort."  Stated "she was feeling "pukey".  Denied fever.  Advised to go to urgent care or ER.
Age: 11.0
Sex: F
Vaccine: RAB
Symptoms: Incorrect dose administered, Overdose
Clinical narrative: Patient received all 5 doses of Rabies vaccination series at one time.
Age: 35.0
Sex: F
Vaccine: ANTH
Symptoms: Erythema, Mass, Pruritus
Clinical narrative: Itching, 4.5 cm X 4.5 cm erythema and lump 9/16/09.
Sex: M
Vaccine: UNK
Symptoms: Speech disorder
Clinical narrative: When pt was a little over 1yr old he received 4 shots- one in each extremity. He stopped saying "MD" and "DA" did it and saying words again until 3 yrs old. He cont'd to babble. Mom contacted doctor due to event.
Age: 1.0
Sex: F
Vaccine: VARCEL
Symptoms: Blister, Gait disturbance, Herpes zoster, Neuralgia, Rash
Clinical narrative: Information has been received from a physician's assistant concerning an approximately 1 year old female patient who on 08-APR-1999 was vaccinated with the first dose of VARIVAX (Merck) (lot number not reported). On 19-OCT-1999 the patient experienced a rash which was identified as shingles. The rash started on the lower back above the buttocks and moved to the lower leg. These areas were described as blisters. The infection made the patient walking difficult and was considered to be disabling. Unspecified medical attention was sought. It was unknown if there were lab studies performed. The symptoms improved on therapy. On an unspecified date the patient recovered, but she was still experiencing flare ups of nerve pain in her lower leg (discrepant information). The physician's assistant considered the patient's events to be disabling. Additional information has been requested.
Age: 16.0
Sex: F
Vaccine: HPV4
Symptoms: Activities of daily living impaired, Alopecia, Blood test, Emotional disorder, Fatigue
Clinical narrative: Patient had her second injection of the Gardasil Shot in June 2009 and since then she has lost most of her hair. She is also getting scabs on her head also and itching.  She is fatigued and very emotional.  She continues to miss days at school because of the humiliation she faces at school with the loss of her hair.
Age: 16.0
Sex: F
Vaccine: HPV4
Symptoms: Pruritus, Scab
Clinical narrative: Patient had her second injection of the Gardasil Shot in June 2009 and since then she has lost most of her hair. She is also getting scabs on her head also and itching.  She is fatigued and very emotional.  She continues to miss days at school because of the humiliation she faces at school with the loss of her hair.
Age: 70.0
Sex: F
Vaccine: FLU3
Symptoms: Cough, Headache, Oropharyngeal pain, Pain, Pyrexia
Clinical narrative: sore throat, headache, fever, body aches, cough
Age: 61.0
Sex: F
Vaccine: HEP
Symptoms: Unevaluable event
Clinical narrative: This is a test, please ignore
Age: 1.5
Sex: F
Vaccine: DTAP
Symptoms: Abnormal behaviour, Head banging, Irritability, Pyrexia, Rhinorrhoea
Clinical narrative: After a few hours, runny nose, rubbing eyes and nose; later fever over 101, very irritable; head-banging and biting (occured after previous 2 Dtap, but had resolved)
Age: 1.5
Sex: F
Vaccine: DTAP
Symptoms: Vaccine positive rechallenge
Clinical narrative: After a few hours, runny nose, rubbing eyes and nose; later fever over 101, very irritable; head-banging and biting (occured after previous 2 Dtap, but had resolved)
Age: 9.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Pt received influenza vaccination at 8:30 a.m. Pt developed a red, raised area the size of a nickel at the injection site by 1:00 p.m.  By the next day, the area was as large as a baseball and warm to touch.  Mother applied Triamcinolone Ace Tonide Ointment 1% to the injection site.  Area is less reddened 48 hours after injection.
Age: 12.0
Sex: M
Vaccine: MNQ, TDAP, VARCEL
Symptoms: Abdominal pain upper, Chills, Crying, Headache, Malaise
Clinical narrative: My son developed a low grade fever from 99.5-100. degrees. He had chills, a severe pounding headache- where he was grabbing his head in pain with the throbbing and crying out.  He developed a rash on his chest, back of both arms and tops of thighs.  He also had nausea and dry heaves and some minimal vomiting, continued stomach cramping  and general malaise for at least 4 days. 11/16/09:  Primary Care records received for dates of service 9/16/09 to 9/22/09.  Assessment:  Pts. mother called to state that pt. experienced feeling sick to his stomach, headaches, broke out into a rash on both arms and legs, and ran a slight fever after receiving his vaccinations.  Also had pain in his right arm at injection site.
Age: 12.0
Sex: M
Vaccine: MNQ, TDAP, VARCEL
Symptoms: Nausea, Pyrexia, Rash, Retching, Vomiting
Clinical narrative: My son developed a low grade fever from 99.5-100. degrees. He had chills, a severe pounding headache- where he was grabbing his head in pain with the throbbing and crying out.  He developed a rash on his chest, back of both arms and tops of thighs.  He also had nausea and dry heaves and some minimal vomiting, continued stomach cramping  and general malaise for at least 4 days. 11/16/09:  Primary Care records received for dates of service 9/16/09 to 9/22/09.  Assessment:  Pts. mother called to state that pt. experienced feeling sick to his stomach, headaches, broke out into a rash on both arms and legs, and ran a slight fever after receiving his vaccinations.  Also had pain in his right arm at injection site.
Age: 36.0
Sex: F
Vaccine: TDAP
Symptoms: Fatigue, Headache, Pain, Pyrexia
Clinical narrative: Pt developed headache the next afternoon after receiving the Tdap vaccination.  By that evening, pt had fever of 100.6 degrees and then went up to 103 degrees.  Pt experienced shooting pain going down to her fingertips in the arm that received the injection.  Pt also experienced much fatigue.
Age: 12.0
Sex: F
Vaccine: HEPA, MNQ, TDAP, VARCEL
Symptoms: Swelling face, Urticaria
Clinical narrative: Mom called 6 days after immunizations to say that child's face was swollen and that he had hives.  Started on Friday, Septmeber 11, 2009.  Instructed mom to see primary care physician.  Spoke with mom on on Tuesday September 15th.  Mom state physician did not think that the hives were vaccine related.   Child placed on clarinex and was doing better.
Age: 12.0
Sex: F
Vaccine: HPV4, MNQ
Symptoms: Hyperhidrosis, Pallor
Clinical narrative: Pt was given HPV & meningitis vaccines. After receiving shots, pt became very pale. She was assisted to lying position. Pt did not lose consciousness; however, did become very pale and somewhat diaphoretic. This lasted approx.10-15 seconds and then pt symptoms significantly improved. She denied any nausea or vomiting with this episode.
Age: 32.0
Sex: F
Vaccine: FLU3
Symptoms: Anaphylactic reaction, Dyspnoea, Hyperventilation, Pharyngeal oedema, Tachycardia
Clinical narrative: Acute anaphylactic reaction approx. 2-3 minutes after injection. Airway began to swell with difficulty in breathing.  Heart beat tachycardic in the 160's with BP of 117/90. Epipen administered EMS called.  Oxygen placed on and I.V. Benadryl 50 mg. given.  Transported to E.R.. Hands and fingers began to draw from hyperventilating and unable to visualize or open eyes. I.V. Solu-Medrol given in E.R. along with Zantac.  Finally became alert and orientated.  Reaction lasted about 90-120 min.
Age: 32.0
Sex: F
Vaccine: FLU3
Symptoms: Visual impairment
Clinical narrative: Acute anaphylactic reaction approx. 2-3 minutes after injection. Airway began to swell with difficulty in breathing.  Heart beat tachycardic in the 160's with BP of 117/90. Epipen administered EMS called.  Oxygen placed on and I.V. Benadryl 50 mg. given.  Transported to E.R.. Hands and fingers began to draw from hyperventilating and unable to visualize or open eyes. I.V. Solu-Medrol given in E.R. along with Zantac.  Finally became alert and orientated.  Reaction lasted about 90-120 min.
Age: 11.0
Sex: F
Vaccine: HPV4, MNQ, TDAP
Symptoms: Computerised tomogram, Concussion, Erythema, Fall, Head injury
Clinical narrative: Pt was given 3 immunizations and was being instructed by MA to remain seated when pt had an episode of vasovagal syncope and fell off exam table and onto floor. She did strike her head. Pt was noted to be unresponsive for no more than several seconds by MA. Dr. was called into room immediately and found pt responsive at that time, breathing, with good color, and sitting on floor. Pt was lifted to table with assist of 3 staff and found to be diaphoretic and nauseated but did not vomit. Pt showed no focal neurologic signs. She did have mild erythema over the forehead, otherwise no head or facial swelling. On physical assessment, no other signs were noted and pt was following commands. Pt was observed for approx 10-15 minutes prior to being sent for head CT, which was negative for skull fx or internal head injury. Pt mother was advised by Dr. that pt sustained a concussion from the fall, and pt may c/o HA for a week or so. Pt mother advised to call if any change in pt condition or onset of new symptoms. Pt was observed in clinic setting for total of about 2 hours prior to leaving.
Age: 11.0
Sex: F
Vaccine: HPV4, MNQ, TDAP
Symptoms: Hyperhidrosis, Nausea, Syncope, Unresponsive to stimuli
Clinical narrative: Pt was given 3 immunizations and was being instructed by MA to remain seated when pt had an episode of vasovagal syncope and fell off exam table and onto floor. She did strike her head. Pt was noted to be unresponsive for no more than several seconds by MA. Dr. was called into room immediately and found pt responsive at that time, breathing, with good color, and sitting on floor. Pt was lifted to table with assist of 3 staff and found to be diaphoretic and nauseated but did not vomit. Pt showed no focal neurologic signs. She did have mild erythema over the forehead, otherwise no head or facial swelling. On physical assessment, no other signs were noted and pt was following commands. Pt was observed for approx 10-15 minutes prior to being sent for head CT, which was negative for skull fx or internal head injury. Pt mother was advised by Dr. that pt sustained a concussion from the fall, and pt may c/o HA for a week or so. Pt mother advised to call if any change in pt condition or onset of new symptoms. Pt was observed in clinic setting for total of about 2 hours prior to leaving.
Age: 4.0
Sex: M
Vaccine: DTAPIPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site induration, Injection site warmth
Clinical narrative: Pt was given pre-kindergarten immunizations while seen for well child exam on 09/08/09. Pt then returned 09/10/09 and was seen by Dr. with c/o induration & redness reaction in R deltoid area. Pt denies fever or pain in affected area. Physical exam by Dr.: R arm from mid biceps up to mid deltoid muscle laterally shows erythema and also significant amount of induration. No tenderness noted to area, but slightly warm to touch. Dr. then explained induration & erythema reactions to vaccines in entity to parents. Pt parents were instructed to watch for any symptom of secondary infection and to contact our office as needed.
Age: 5.0
Sex: M
Vaccine: DTAPIPV, MMR, VARCEL
Symptoms: Injection site erythema
Clinical narrative: ON 09/17/09 IN THE AFTERNOON, A 5 CM X 5 CM AREA OF REDNESS NOTED INFERIOR DTAP/IPV (KINRIX) INJECTION SITE IN LEDT ARM. ADVISED BENADRYL PRN.
Age: 58.0
Sex: M
Vaccine: FLU3
Symptoms: Metabolic function test, Urine analysis, Urticaria, Vasculitis
Clinical narrative: Torso and upper extremity urticaria, lower extremity vasculitis.  Pt to see internist for labs this week.
Age: 74.0
Sex: F
Vaccine: PPV
Symptoms: Cellulitis, Chills, Erythema, Fatigue, Hypersensitivity
Clinical narrative: I was a patient in the hospital for a cellulitis on my left leg and was on Bancomyacin IV. I was given the pneumonia vaccine in my right outer thigh which became very painful, red, hot, hard lump in center. Flu symptoms of extreme body aching, chills & exhaustion. Only slight fever. Allergic reaction area continued to spread accompanied by extreme itching, exhaustion, chills and pain. Released from hospital 9-16 and doctor visits were required 9-17 & 9-18. The area of the swelling was greater than 3" x 4". It is one week since injection. There is still a painful lump about 3" in diameter about 1/4" thick. It is no longer red or hot. Still feel exhausted. The only treatment was Benadryl & Vicodin for symptoms & bed rest. I have had pneumonia vaccines previously as I have had pneumonia several times and never had an allergic reaction before to this or any vaccine. I get flu vaccine regularly.
Age: 74.0
Sex: F
Vaccine: PPV
Symptoms: Induration, Influenza, Pain, Pruritus, Pyrexia
Clinical narrative: I was a patient in the hospital for a cellulitis on my left leg and was on Bancomyacin IV. I was given the pneumonia vaccine in my right outer thigh which became very painful, red, hot, hard lump in center. Flu symptoms of extreme body aching, chills & exhaustion. Only slight fever. Allergic reaction area continued to spread accompanied by extreme itching, exhaustion, chills and pain. Released from hospital 9-16 and doctor visits were required 9-17 & 9-18. The area of the swelling was greater than 3" x 4". It is one week since injection. There is still a painful lump about 3" in diameter about 1/4" thick. It is no longer red or hot. Still feel exhausted. The only treatment was Benadryl & Vicodin for symptoms & bed rest. I have had pneumonia vaccines previously as I have had pneumonia several times and never had an allergic reaction before to this or any vaccine. I get flu vaccine regularly.
Age: 74.0
Sex: F
Vaccine: PPV
Symptoms: Skin warm
Clinical narrative: I was a patient in the hospital for a cellulitis on my left leg and was on Bancomyacin IV. I was given the pneumonia vaccine in my right outer thigh which became very painful, red, hot, hard lump in center. Flu symptoms of extreme body aching, chills & exhaustion. Only slight fever. Allergic reaction area continued to spread accompanied by extreme itching, exhaustion, chills and pain. Released from hospital 9-16 and doctor visits were required 9-17 & 9-18. The area of the swelling was greater than 3" x 4". It is one week since injection. There is still a painful lump about 3" in diameter about 1/4" thick. It is no longer red or hot. Still feel exhausted. The only treatment was Benadryl & Vicodin for symptoms & bed rest. I have had pneumonia vaccines previously as I have had pneumonia several times and never had an allergic reaction before to this or any vaccine. I get flu vaccine regularly.
Age: 48.0
Sex: M
Vaccine: ANTH
Symptoms: Blood glucose, Convulsion, Cyanosis, Dyskinesia, Dyspnoea
Clinical narrative: After pt properly screened and identified, at 1120 AM anthrax #2 was administered IM to the left deltoid.  Within 20 seconds the patient began to feel "funny", pt was offered to lay down and help was called. Within 5 seconds:  Pt inspirations were prolonged, strained (stridorous), with intermittent gasping.  Simultaneously pt color went from pink to red then bluish purple and stopped breathing and lost conciousness; pt upper extremity musculature became rigid and exhibited rythmic jerking motions as observed with seizure activity lasting approximately 15 seconds accompanied by observation of pt eyes rolled back into head while open with only the whites visible. (Epipen administered immediately by LPN when pt was moved to the floor in a lying position 0.5 ml to the left thigh LOT 8EM563 Exp March 2010).  Pt respirations observed to improve to slightly labored approximately 30-45 seconds after administration of EPI.  Pt observed to have marked palor and be diaphoretic.  At approximately 11:22:34 pt transported via gurney to MAC-D by 2 doctors and 2 nurses.  Pt had emesis x 1.
Age: 48.0
Sex: M
Vaccine: ANTH
Symptoms: Electrocardiogram, Feeling abnormal, Gaze palsy, Hyperhidrosis, Immediate post-injection reaction
Clinical narrative: After pt properly screened and identified, at 1120 AM anthrax #2 was administered IM to the left deltoid.  Within 20 seconds the patient began to feel "funny", pt was offered to lay down and help was called. Within 5 seconds:  Pt inspirations were prolonged, strained (stridorous), with intermittent gasping.  Simultaneously pt color went from pink to red then bluish purple and stopped breathing and lost conciousness; pt upper extremity musculature became rigid and exhibited rythmic jerking motions as observed with seizure activity lasting approximately 15 seconds accompanied by observation of pt eyes rolled back into head while open with only the whites visible. (Epipen administered immediately by LPN when pt was moved to the floor in a lying position 0.5 ml to the left thigh LOT 8EM563 Exp March 2010).  Pt respirations observed to improve to slightly labored approximately 30-45 seconds after administration of EPI.  Pt observed to have marked palor and be diaphoretic.  At approximately 11:22:34 pt transported via gurney to MAC-D by 2 doctors and 2 nurses.  Pt had emesis x 1.
Age: 48.0
Sex: M
Vaccine: ANTH
Symptoms: Loss of consciousness, Muscle rigidity, Pallor, Respiratory arrest, Stridor
Clinical narrative: After pt properly screened and identified, at 1120 AM anthrax #2 was administered IM to the left deltoid.  Within 20 seconds the patient began to feel "funny", pt was offered to lay down and help was called. Within 5 seconds:  Pt inspirations were prolonged, strained (stridorous), with intermittent gasping.  Simultaneously pt color went from pink to red then bluish purple and stopped breathing and lost conciousness; pt upper extremity musculature became rigid and exhibited rythmic jerking motions as observed with seizure activity lasting approximately 15 seconds accompanied by observation of pt eyes rolled back into head while open with only the whites visible. (Epipen administered immediately by LPN when pt was moved to the floor in a lying position 0.5 ml to the left thigh LOT 8EM563 Exp March 2010).  Pt respirations observed to improve to slightly labored approximately 30-45 seconds after administration of EPI.  Pt observed to have marked palor and be diaphoretic.  At approximately 11:22:34 pt transported via gurney to MAC-D by 2 doctors and 2 nurses.  Pt had emesis x 1.
Age: 90.0
Sex: M
Vaccine: FLU3
Symptoms: Contusion, Incorrect dose administered, Injected limb mobility decreased, Injection site haematoma, International normalised ratio
Clinical narrative: Within days of receiving Fluvirin patient experienced sore arms, difficulty raising arms and bruising. He received a fluvirin injection in each arm in error.  His right arm had bruising to the elbow, across the shoulder and under the collar bone.  His left arm is bruised several inches around the injection site. The patient take warfarin. He went to Dr. and the doctor took him off the warfarin.
Age: 90.0
Sex: M
Vaccine: FLU3
Symptoms: Pain in extremity
Clinical narrative: Within days of receiving Fluvirin patient experienced sore arms, difficulty raising arms and bruising. He received a fluvirin injection in each arm in error.  His right arm had bruising to the elbow, across the shoulder and under the collar bone.  His left arm is bruised several inches around the injection site. The patient take warfarin. He went to Dr. and the doctor took him off the warfarin.
Age: 21.0
Sex: F
Vaccine: HEP
Symptoms: Dizziness, Erythema, Flushing, Hyperhidrosis, Nausea
Clinical narrative: Became light headed, nauseated, emitted x 2. Face flushed/Skin on arms flushed. No redness, bruising or edema at injection site. (Right Deltoid), Fingers on left hand felt tingly. Bilateral lower extremeties felt tingly, diaphoretic. B/P 132/84, HR 84, R 22, Temp. 97.4. FSBS 98. Pulse Oximetry 100%. Gave Benadryl 25 mg po at 4:05pm. Was seen by Dr. Went to clinic for follow up exam. Phenergan was given there for nausea.
Age: 21.0
Sex: F
Vaccine: HEP
Symptoms: Paraesthesia, Vomiting
Clinical narrative: Became light headed, nauseated, emitted x 2. Face flushed/Skin on arms flushed. No redness, bruising or edema at injection site. (Right Deltoid), Fingers on left hand felt tingly. Bilateral lower extremeties felt tingly, diaphoretic. B/P 132/84, HR 84, R 22, Temp. 97.4. FSBS 98. Pulse Oximetry 100%. Gave Benadryl 25 mg po at 4:05pm. Was seen by Dr. Went to clinic for follow up exam. Phenergan was given there for nausea.
Age: 12.0
Sex: F
Vaccine: HPV4
Symptoms: Abdominal pain upper, Axillary pain, Diarrhoea, Injection site swelling, Injection site urticaria
Clinical narrative: Pain from elbow up to shoulder and under armpit. Large area of swelling about 3 inches in diameter and hives around the injection site.  Stomach ache, soft bowel movements.
Age: 12.0
Sex: F
Vaccine: HPV4
Symptoms: Pain in extremity
Clinical narrative: Pain from elbow up to shoulder and under armpit. Large area of swelling about 3 inches in diameter and hives around the injection site.  Stomach ache, soft bowel movements.
Age: 56.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site induration, Injection site pruritus
Clinical narrative: Injection site reaction (70mm X 40mm of induration). Characterized by local errythma and moderate puritis - resolved in 10 days with OTC topical medication.
Age: 18.0
Sex: F
Vaccine: HPV4, MNQ
Symptoms: Autoimmune thyroiditis, Fatigue, Hypersensitivity, Infectious mononucleosis, Myalgia
Clinical narrative: extreme fatigue, mono, chronic strep throat, Hashimoto's, extreme face and body swelling, aching muscles. Got first vaccine 7/10/09 Lot 0072X in conjunction with Menactra vaccine. Second vaccine 12/22/08 Lot 1311X. Went to college on cross country scholarship. Started off season great. She said she started noticing that she was having trouble running mid October and that her legs felt heavy. Starting getting facial swelling second week of January. Went to doctor and they said it was allergic reaction. Got sick in February - dx with strep. Didn't get better. Went to ER end of March with extreme facial swelling. Told her it was allergy and gave her prednisone. Re-dx with strep again in early April and then mono April 9th. Got really sick and could not get better. Extreme facial and body swelling. Dx with Hashimoto's June 29th. and started thyroid treatment. Was not able to return to college in August and is still home. Started getting muscle soreness in July. Made Gardasil connection 2 weeks ago and is going to begin treatment by doctor who has helped several other gardasil patients.  10/13/09 Medical records received, Dates of Service 4/19/09-8/10/09.  Dx:  Other Specified Acquired Hypothyroidism, Abnormal Weight Gain, Oligomenorrhea, Fatigue, Thyromegaly. Presenting Sx:  Pt. experienced an approximately 40 lb. weight gain over a 1 to 2 month period,  additionally she c/o fatigue, trouble sleeping and staying asleep, facial swelling, swelling around eyes, acne, one terminal hair periumbilical, headaches and a heavy period.  Pt. saw a nutritionist and was put on a diet plan.  She experienced menarche at age 13 and had irregular periods for several years (approximately 6 periods/yr.).  Ortho Tri-Cyclene-Low was initiated which she took for several years, but stopped early this year after missing several pills.  She re-started the pill a few months ago.  Concomitantly, she takes Synthroid, Cosyntropin and furosemide.  She was diagnosed with mononucleosis in April, and tested positive for Epstein-Barr Virus in May.  Her thyroid function testing has been essentially normal, with the exception of T-3 which has been testing slightly low.
Age: 18.0
Sex: F
Vaccine: HPV4, MNQ
Symptoms: Pharyngitis streptococcal, Sensation of heaviness, Streptococcal identification test positive, Swelling, Swelling face
Clinical narrative: extreme fatigue, mono, chronic strep throat, Hashimoto's, extreme face and body swelling, aching muscles. Got first vaccine 7/10/09 Lot 0072X in conjunction with Menactra vaccine. Second vaccine 12/22/08 Lot 1311X. Went to college on cross country scholarship. Started off season great. She said she started noticing that she was having trouble running mid October and that her legs felt heavy. Starting getting facial swelling second week of January. Went to doctor and they said it was allergic reaction. Got sick in February - dx with strep. Didn't get better. Went to ER end of March with extreme facial swelling. Told her it was allergy and gave her prednisone. Re-dx with strep again in early April and then mono April 9th. Got really sick and could not get better. Extreme facial and body swelling. Dx with Hashimoto's June 29th. and started thyroid treatment. Was not able to return to college in August and is still home. Started getting muscle soreness in July. Made Gardasil connection 2 weeks ago and is going to begin treatment by doctor who has helped several other gardasil patients.  10/13/09 Medical records received, Dates of Service 4/19/09-8/10/09.  Dx:  Other Specified Acquired Hypothyroidism, Abnormal Weight Gain, Oligomenorrhea, Fatigue, Thyromegaly. Presenting Sx:  Pt. experienced an approximately 40 lb. weight gain over a 1 to 2 month period,  additionally she c/o fatigue, trouble sleeping and staying asleep, facial swelling, swelling around eyes, acne, one terminal hair periumbilical, headaches and a heavy period.  Pt. saw a nutritionist and was put on a diet plan.  She experienced menarche at age 13 and had irregular periods for several years (approximately 6 periods/yr.).  Ortho Tri-Cyclene-Low was initiated which she took for several years, but stopped early this year after missing several pills.  She re-started the pill a few months ago.  Concomitantly, she takes Synthroid, Cosyntropin and furosemide.  She was diagnosed with mononucleosis in April, and tested positive for Epstein-Barr Virus in May.  Her thyroid function testing has been essentially normal, with the exception of T-3 which has been testing slightly low.