chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 14.0
Sex: F
Vaccine: HPV4
Symptoms: Hyperhidrosis, Loss of consciousness, Pallor
Clinical narrative: Became pale diaphoretic, and passed out.  Was out for a minute. Layed on floor for 10 min and recovered well.  Went home from clinic after 15 more minutes of recovery.
Age: 15.0
Sex: F
Vaccine: HPV4
Symptoms: Abdominal pain upper, Cold sweat, Dizziness, Hyperhidrosis, Peripheral coldness
Clinical narrative: The vaccine was given at approximately 5:00pm without incident.  At 6:00am the next morning, the patient awakened with what she described as the worst stomach ache she'd ever had.  She quickly became cold, clammy, diaphoretic, light-headed, faint and began retching.  After about 15 minutes, this all passed and she felt OK.
Age: 15.0
Sex: F
Vaccine: HPV4
Symptoms: Retching, Syncope
Clinical narrative: The vaccine was given at approximately 5:00pm without incident.  At 6:00am the next morning, the patient awakened with what she described as the worst stomach ache she'd ever had.  She quickly became cold, clammy, diaphoretic, light-headed, faint and began retching.  After about 15 minutes, this all passed and she felt OK.
Age: 52.0
Sex: F
Vaccine: VARZOS
Symptoms: Inappropriate schedule of drug administration, Injection site erythema, Injection site warmth, Rash
Clinical narrative: Patient had a large red and warm area near the injection site about 6 hours after shot.  she also got a rash around her neck the next day, about 20 hours after shot
Age: 0.67
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Injection site mass
Clinical narrative: MOM STATES CHILD HAS A LUMP ON LEFT THIGH SINCE INJECTION OF IMMUNIZATION.
Age: 2.0
Sex: F
Vaccine: DTAP, VARCEL
Symptoms: Cough, Dyspnoea, Oxygen saturation decreased, Pyrexia, Wheezing
Clinical narrative: Patient woke up wheezing and coughing at 9pm on 7/31/08. She was having trouble breathing, was coughing (sounded like croup), and had a fever. She was taken by her parents to the emergency room at Hospital. When we arrived her oxygen level was low.  She was treated with oral steroids. She had no sickness on the evening of 7/31/08 and was otherwise healthy. The symptoms came on suddenly, and the next day she seemed fine.
Age: 0.33
Sex: U
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Pyrexia, White blood cell count increased
Clinical narrative: fever 101.4 and elevated white blood cell count
Age: 8.0
Sex: M
Vaccine: HEPA, VARCEL
Symptoms: Erythema, Induration, Skin warm, Swelling
Clinical narrative: large - 4 to 5 inch diameter - round, red and warm swelling with induration, treated with benadryl and ibuprofen
Age: 9.0
Sex: F
Vaccine: VARCEL
Symptoms: Injection site erythema, Injection site mass
Clinical narrative: 8-1-08 Mom called to report that Dusty has a 3 inch sized diameter of redness on his left upper arm, where VZV vaccine was administered on 7-29-2008.  Mom also reports that there is a lump underneath the redness the size of her thumbnail.  Mom denies any distress other than the site is painful. Mom declined an office visit.
Age: 13.0
Sex: F
Vaccine: UNK
Symptoms: Fall, Syncope
Clinical narrative: After receiving Gardasil patient fainted and fell to floor.   Patient's vital signs were taken and monitored for about 30 mins after episode.
Age: 6.0
Sex: F
Vaccine: VARCEL
Symptoms: Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Pt presented to clinic with R arm swollen, hot to touch, c/o pain at injection site.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Erythema, Oedema peripheral, Pain in extremity, Tenderness
Clinical narrative: Pt. was given Tylenol 1 1/2hr after vaccine and about 4 hr later complained about a sore arm.  According to Mom, pt. arm was not swollen, or red at this time.  The next morning (about 18hr after shot) his arm was tender, red, & swollen.  At 48hr later, his reaction was warm to the touch, red, sore, and swollen approx. 19cm length & 15cm wide on arm where DTaP vaccine given.
Age: 11.0
Sex: M
Vaccine: MEN, TDAP
Symptoms: Asthenia, Chills, Pyrexia
Clinical narrative: He experienced extreme weakness, chills and high fever for about 48 hours.
Age: 10.0
Sex: M
Vaccine: VARCEL
Symptoms: Injection site erythema, Injection site induration, Injection site swelling, Injection site warmth
Clinical narrative: Pt presented to clinic with swollen, red raised area at injection site - size 8mm, hot to touch.  Postive induration, no abscess.  Pt placed on Keflex for 10 days.  Advised to continue Benadryl and Motrin.
Age: 14.0
Sex: M
Vaccine: MNQ, TDAP
Symptoms: Rash pruritic, Urticaria
Clinical narrative: Received immunization on 7/31/2008 in the afternoon. Normal day. Awoke next morning with pruritic wheals. Most were on right arm near immunization site, but also over right trunk and leg. Few scattered lesions on left side of body.  No difficulty breathing.
Age: 26.0
Sex: F
Vaccine: ANTH
Symptoms: Dizziness, Feeling abnormal, Headache, Injection site bruising, Injection site erythema
Clinical narrative: Bad headache, flighty, just not right.  Felt "out of it", pain and extreme redness at injection site with ping pong size lump. Body fever and fever at the site.  Now, it is a marble size. (2 1/2 weeks later)  2nd anthrax vaccine bruised instantly and has gotten bigger.  Same ping pong sized lump. (2 days post immunization)
Age: 26.0
Sex: F
Vaccine: ANTH
Symptoms: Injection site mass, Injection site warmth, Pyrexia
Clinical narrative: Bad headache, flighty, just not right.  Felt "out of it", pain and extreme redness at injection site with ping pong size lump. Body fever and fever at the site.  Now, it is a marble size. (2 1/2 weeks later)  2nd anthrax vaccine bruised instantly and has gotten bigger.  Same ping pong sized lump. (2 days post immunization)
Age: 18.0
Sex: F
Vaccine: HPV4
Symptoms: Computerised tomogram normal, Disturbance in attention, Dizziness, Feeling abnormal, Head discomfort
Clinical narrative: A day or two after receiving the first Gardasil shot, I experienced a headache on the left side of my head, concentrated in the mid-to-frontal lobe.  The headache improved a bit with over-the-counter medication.  About two weeks after receiving the shot, I was sitting in class when all of a sudden my right hand went numb and a portion of my right lip and chin.  It was very difficult to comprehend the instructor and I could not spell any of the notes I was taking down.  The episode lasted only about 10 to 15 minutes.  After this episode, I continued to have the headaches-it felt like the left side of my head was heavy and full.  The left part of my neck and scalp were also enlarged.  After this, I went to my primary care physician, not thinking that the shot and headache were related.  The headaches alarmed me because in the past I had headaches very rarely, and never a migraine.  My physician diagnosed me with migraines and gave me a prescription medication for tension headaches.  She said that if the medication did not work, I should get a CT scan of my head.  In the next three months I continued having the headaches-they came on in episodes: first I would start to not think as clear and my hands and arms would sometimes start tingling or feeling numb.  During a few of the episodes there were changes in the vision of my right eye-blurs of color.  I would take the migraine medicine and the symptoms improved within an hour. I also had a rapid heart rate, and when I worked out, often felt dizzy.  A weird effect: when I drank coffee, the headache would become severe- I used to drink at least two cups of coffee a day with out much effect.  In March, I received a second Gardasil shot and the severe headache returned as in the first time and I was very dizzy and a bit faint (I realize that some of these minor side effects are listed in the Gardasil info pamphlet).  I decided to get the CT scan and the results were normal.  I felt reassured by these results and the fact that the symptoms improved over the next few months.  I still had some tingling in my wrists and ankles, and the left side of my head and neck were still more swollen than on the right.  Although the symptoms have improved dramatically, now in August, I still feel my thinking is not as clear as it used to be, and still feel a dull persistent pain in the left side of my head.  Although mild, day to day I do not think as clear and have more difficulties comprehending and explaining. This type of fuzzy thinking increases before a headache.  I would like to have some peace of mind as to what happened and to know if it is serious or not.
Age: 18.0
Sex: F
Vaccine: HPV4
Symptoms: Headache, Heart rate increased, Hypoaesthesia, Hypoaesthesia facial, Migraine
Clinical narrative: A day or two after receiving the first Gardasil shot, I experienced a headache on the left side of my head, concentrated in the mid-to-frontal lobe.  The headache improved a bit with over-the-counter medication.  About two weeks after receiving the shot, I was sitting in class when all of a sudden my right hand went numb and a portion of my right lip and chin.  It was very difficult to comprehend the instructor and I could not spell any of the notes I was taking down.  The episode lasted only about 10 to 15 minutes.  After this episode, I continued to have the headaches-it felt like the left side of my head was heavy and full.  The left part of my neck and scalp were also enlarged.  After this, I went to my primary care physician, not thinking that the shot and headache were related.  The headaches alarmed me because in the past I had headaches very rarely, and never a migraine.  My physician diagnosed me with migraines and gave me a prescription medication for tension headaches.  She said that if the medication did not work, I should get a CT scan of my head.  In the next three months I continued having the headaches-they came on in episodes: first I would start to not think as clear and my hands and arms would sometimes start tingling or feeling numb.  During a few of the episodes there were changes in the vision of my right eye-blurs of color.  I would take the migraine medicine and the symptoms improved within an hour. I also had a rapid heart rate, and when I worked out, often felt dizzy.  A weird effect: when I drank coffee, the headache would become severe- I used to drink at least two cups of coffee a day with out much effect.  In March, I received a second Gardasil shot and the severe headache returned as in the first time and I was very dizzy and a bit faint (I realize that some of these minor side effects are listed in the Gardasil info pamphlet).  I decided to get the CT scan and the results were normal.  I felt reassured by these results and the fact that the symptoms improved over the next few months.  I still had some tingling in my wrists and ankles, and the left side of my head and neck were still more swollen than on the right.  Although the symptoms have improved dramatically, now in August, I still feel my thinking is not as clear as it used to be, and still feel a dull persistent pain in the left side of my head.  Although mild, day to day I do not think as clear and have more difficulties comprehending and explaining. This type of fuzzy thinking increases before a headache.  I would like to have some peace of mind as to what happened and to know if it is serious or not.
Age: 18.0
Sex: F
Vaccine: HPV4
Symptoms: Paraesthesia, Swelling, Thinking abnormal, Vaccine positive rechallenge, Visual disturbance
Clinical narrative: A day or two after receiving the first Gardasil shot, I experienced a headache on the left side of my head, concentrated in the mid-to-frontal lobe.  The headache improved a bit with over-the-counter medication.  About two weeks after receiving the shot, I was sitting in class when all of a sudden my right hand went numb and a portion of my right lip and chin.  It was very difficult to comprehend the instructor and I could not spell any of the notes I was taking down.  The episode lasted only about 10 to 15 minutes.  After this episode, I continued to have the headaches-it felt like the left side of my head was heavy and full.  The left part of my neck and scalp were also enlarged.  After this, I went to my primary care physician, not thinking that the shot and headache were related.  The headaches alarmed me because in the past I had headaches very rarely, and never a migraine.  My physician diagnosed me with migraines and gave me a prescription medication for tension headaches.  She said that if the medication did not work, I should get a CT scan of my head.  In the next three months I continued having the headaches-they came on in episodes: first I would start to not think as clear and my hands and arms would sometimes start tingling or feeling numb.  During a few of the episodes there were changes in the vision of my right eye-blurs of color.  I would take the migraine medicine and the symptoms improved within an hour. I also had a rapid heart rate, and when I worked out, often felt dizzy.  A weird effect: when I drank coffee, the headache would become severe- I used to drink at least two cups of coffee a day with out much effect.  In March, I received a second Gardasil shot and the severe headache returned as in the first time and I was very dizzy and a bit faint (I realize that some of these minor side effects are listed in the Gardasil info pamphlet).  I decided to get the CT scan and the results were normal.  I felt reassured by these results and the fact that the symptoms improved over the next few months.  I still had some tingling in my wrists and ankles, and the left side of my head and neck were still more swollen than on the right.  Although the symptoms have improved dramatically, now in August, I still feel my thinking is not as clear as it used to be, and still feel a dull persistent pain in the left side of my head.  Although mild, day to day I do not think as clear and have more difficulties comprehending and explaining. This type of fuzzy thinking increases before a headache.  I would like to have some peace of mind as to what happened and to know if it is serious or not.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Erythema, Oedema peripheral
Clinical narrative: Entire front of right thigh reddened and swollen.  DTaP was administered in this thigh. Onset day after vaccine administration.  Patient treated with oral antihistamine and topical hydrocortisone.
Age: 16.0
Sex: F
Vaccine: HPV4
Symptoms: Convulsion, Urine analysis
Clinical narrative: Patient received the series of Gardasil vaccines beginning 6/07.  The second vaccine was administered 9/5/07.  Ten days following patient had a seizure for the first time in her life.  There is no family history of seizures. Patient was taken to the hospital, had a follow up appointment with her pediatrician and referred to a neurologist.  Testing completed at that time was within normal expectations.  A second seizure occurred in January '08.  After additional testing recommended by another neurologist in the same practice, patient has now been diagnosed with a seizure disorder and is taking medication to prevent the seizures from reoccurring.  The Gardasil vaccine was the only difference from her normal routine and without the family history of seizures, I question the vaccine.  8/19/2008 MR received from consulting neurologist including ER record from 9/15/2007 and OVs to 6/18/2008 with DX: Primary Generalized Epilepsy. Pt had 1st seizure 9/15/2007. Pt's eyes glassed over and pt developed full body shaking and stiffening. Pt fell off couch, bit tongue and was incontinent of urine. PE WNL except bite on tongue. DX: Seizure-new onset. Neuro consult 9/20/07 notes equivocal EEG, but will not start meds at this time. 2nd seizure 1/17/2008 lasting 2-3 minutes with post ictal confusion and disorientation. Started on anti-seizure med. F/U 2/22/08 now dx with generalized epilepsy, most likely juvenile myoclonic epilepsy without myoclonus. F/u 6/18/08 no further seizures.
Age: 65.0
Sex: F
Vaccine: PPV
Symptoms: Erythema, Local swelling, Pain
Clinical narrative: Local swelling, continuing to spread deltoid to elbow - lateral and medial, erythema, pain  8/26/08 Reviewed hospital medical records of 7/29-8/3/2008. FINAL DX: mild pancreatitis; cholelithiasis s/p lap chole. Records reveal patient experienced crampy abdominal pain, diarrhea, nausea x 2 days, 1 episode of emesis.  In ER had fever & shaking chills.  Had laproscopic cholecyctectomy done.  Progressed & d/c to home. .
Age: 10.0
Sex: F
Vaccine: VARCEL
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: left upper arm sq red hot, swollen down to her elbow
Age: 46.0
Sex: F
Vaccine: HEP
Symptoms: Computerised tomogram normal, Convulsion, Lumbar puncture normal
Clinical narrative: Seizure two days after vaccination
Age: 5.0
Sex: M
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Injection site erythema, Injection site rash, Injection site swelling, Nausea, Pyrexia
Clinical narrative: Rash, swelling and erythema at site of injection.  Mild nausea and tactile fever
Age: 0.35
Sex: M
Vaccine: DTAPHEPBIP, HEPA, HIBV, MMR, PNC, VARCEL
Symptoms: Wrong drug administered
Clinical narrative: Patient came this morning for 4 month well child exam.  He received Pediarix, Hib, Prevnar as ordered.  He also inadvertantly received MMR, Varicella, and Hepatitis A vaccines which were intended for a different patient after a nursing error (wrong yellow vaccine card).  Mother realized what had happened immediately after vaccinations and notified staff while still in office.  I immediately contacted CDC for guidance, and was given verbal instructions on how to proceed.  Patient has had no adverse effects thus far.  VIS statements were given to mom and reviewed.  Mother aware that we are entering a VAERS report, and to contact our office if any adverse effects occur.
Age: 14.0
Sex: F
Vaccine: HPV4
Symptoms: Inappropriate schedule of drug administration, Incorrect dose administered, Overdose
Clinical narrative: Patient was given a fourth dose of HPV gardisil inadvertently because documentation in patient's chart was done poorly. Patient has not had any adverse reaction to date but the CDC asked us to fill out an adverse event about the incident.
Age: 42.0
Sex: F
Vaccine: HEPAB, MMR
Symptoms: Pyrexia, Rash generalised, Rash pruritic
Clinical narrative: MOnday 14 July I developed a fever (101.5) and MOnday night a rash started on my face. Tuesday it spread to my arms and body. Wednesday i felt better but the rash was bright and itchy. By Friday it was fading.
Age: 23.0
Sex: F
Vaccine: ANTH
Symptoms: Anaphylactic shock, Dizziness, Fatigue, Gastrointestinal disorder, Loss of consciousness
Clinical narrative: I was on my second series of my anthrax vaccine when I got my vaccine and become very dizzy and sick.  Called the clinic and they told me to go a head and get my third shot since they didnt see me get dizzy. I got my third series vaccine and within 7 minutes of it being administered to me, I went into sever anaphylatic shock and had to get two epi shots and two shots of benadryl.  Since then, I have been tired, fatigued, aching, I radomly pass out.  I have never felt the same since the vaccine.  Everytime I got to the VA the REFUSE to recognize that it just may be the anthrax vaccine that is causing all these weird gastro problems and everything else.
Age: 23.0
Sex: F
Vaccine: ANTH
Symptoms: Malaise, Pain
Clinical narrative: I was on my second series of my anthrax vaccine when I got my vaccine and become very dizzy and sick.  Called the clinic and they told me to go a head and get my third shot since they didnt see me get dizzy. I got my third series vaccine and within 7 minutes of it being administered to me, I went into sever anaphylatic shock and had to get two epi shots and two shots of benadryl.  Since then, I have been tired, fatigued, aching, I radomly pass out.  I have never felt the same since the vaccine.  Everytime I got to the VA the REFUSE to recognize that it just may be the anthrax vaccine that is causing all these weird gastro problems and everything else.
Age: 1.25
Sex: F
Vaccine: MMR
Symptoms: Convulsion, Electroencephalogram, Nuclear magnetic resonance imaging, Pyrexia
Clinical narrative: Fever and seizure 8 days after vaccination was administered. Had 2 more seizures with no fever one and two months later. Was then placed on antiseizure medication to control seizures.
Sex: M
Vaccine: HEP
Symptoms: Crying, Haematochezia, Insomnia
Clinical narrative: Shortly after vaccination he started crying, not sleeping and then shortly after blood in stool.  08/18/2008 MR received for ER visit  6/7/05 with DX: primary milk protein intolerance and admission DOS 7/3-6/2005 with D/C DX:  Milk allergy colitis. GE reflux. Pt presented with hx of blood in stool from age of 1 week. Multiple formula changes but bloody stool with mucus persisted. Infant was cranky and gassy. PE (+) for abdominal distention and increased BS, otherwise WNL.  GI consult with dx:  allergic colitis. GERD.
Age: 0.3
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Clinical narrative: Patient received shots 48 hours prior to death.  9/30/08 Autopsy states COD as sudden unexpected death of an infant.  Manner of death undetermined.  Report also states patient found unresponsive, face down on comforters, in bed surrounded by pillows.
Age: 1.0
Sex: F
Vaccine: HEPA, MMR, PNC, VARCEL
Symptoms: Blood culture positive, Febrile convulsion, Pyrexia, Staphylococcal identification test positive, Vomiting
Clinical narrative: Fever, repeated vomiting and febrile seizure leading to hospitalization.  High fever for 6 days.  Blood culture grew staph treated by antibiotic.  Blood culture negative on repeat.  08/13/2008 MR received for DOS 7/23-27/2008 with D/C DX: Febrile Seizure.  Pt presented to ER with 2 day hx of fever, several episodes of vomiting, and lethargy following recent vax. En route to hospital pt had seizure consisting of becoming still and stiff, head turned to the side and blank stare x 30 seconds. No further episodes of seizure even with fever.
Age: 33.0
Sex: F
Vaccine: VARCEL
Symptoms: Respiratory distress
Clinical narrative: Approximately 15 minutes after receiving VARIVAX the employee/patient developed severe respiratory distress. 9/9/08 Reviewed medical records from provider office. FINAL DX: anaphylaxis Records reveal patient received vaccine secondary to a negative titer & experienced respiratory distress, stridor, tachycardia, nasal congestion & pulse ox 86%.  Tx w/epi, nebs & O2, seen in ER & released same day w/epi-pen.
Age: 13.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Immediate post-injection reaction, Injection site atrophy, Injection site pain, Muscle atrophy
Clinical narrative: Muscle/tissue atrophy at injection site almost immediately apparent - after 5 months approximately has not resolved.  Patient had Kenalog injection 2 days prior at another injection site. This is in follow-up report(s) previously submitted on 9/15/2008. Intial and follow-up inforamtion has been recieved froma a nurse practitioner concerning a 11 year old female with no pertinent medical history or history of drug reactions or drug allergies who on 30-OCT-2007 was vaccinated witht he first does of GRADASIL. On aaproximately 03-MAR-2008, "two days prior to" the second vacciantion of GRADASIL, the patient had recieved triamcinolicne acetonide injrction in the gluteal area, "another injection site", for the treatment of allergian. On 05-MAR-2008 the patient was vaccianted intramuscularly in theleft arm woth the second 0.5ml dose of GRADASIL (lot no. 655604/0052X). Concomitant therapy included drospirenous (+) ethinyl entradiol, loratadine and imphatamine espartate.amphetamineSO4/dex. On the same day, "almost immediately after her second immunization", the patient developed pain and muscle tissue atrophy at the injection site. On 01-AUG-2008, the patient was vaccinated witht he third dose of GRADASIL. As of 01-AUG-08, it was reportedthat the patient was recovering from the injection site pain. As of 08-SEP-2008, it was reported that muscle tissue athrophy at the injection site still persisted "five months later". The patient sought unspecified medical attention via office visist. Muscle tissue athrophy at the injection site was considered to be disabling and pther important medical event. Additional information is not expected.
Age: 13.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Injection site atrophy, Injection site pain
Clinical narrative: Muscle/tissue atrophy at injection site almost immediately apparent - after 5 months approximately has not resolved.  Patient had Kenalog injection 2 days prior at another injection site. This is in follow-up report(s) previously submitted on 9/15/2008. Intial and follow-up inforamtion has been recieved froma a nurse practitioner concerning a 11 year old female with no pertinent medical history or history of drug reactions or drug allergies who on 30-OCT-2007 was vaccinated witht he first does of GRADASIL. On aaproximately 03-MAR-2008, "two days prior to" the second vacciantion of GRADASIL, the patient had recieved triamcinolicne acetonide injrction in the gluteal area, "another injection site", for the treatment of allergian. On 05-MAR-2008 the patient was vaccianted intramuscularly in theleft arm woth the second 0.5ml dose of GRADASIL (lot no. 655604/0052X). Concomitant therapy included drospirenous (+) ethinyl entradiol, loratadine and imphatamine espartate.amphetamineSO4/dex. On the same day, "almost immediately after her second immunization", the patient developed pain and muscle tissue atrophy at the injection site. On 01-AUG-2008, the patient was vaccinated witht he third dose of GRADASIL. As of 01-AUG-08, it was reportedthat the patient was recovering from the injection site pain. As of 08-SEP-2008, it was reported that muscle tissue athrophy at the injection site still persisted "five months later". The patient sought unspecified medical attention via office visist. Muscle tissue athrophy at the injection site was considered to be disabling and pther important medical event. Additional information is not expected.
Age: 0.5
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Otitis media, Rash papular
Clinical narrative: Received 6 month vaccinations on Friday. That evening onset of scattered papular rash bilateral thighs.  No fever, no other symptoms.  Rash reached peak on Sunday, starting to fade some by Monday PM (when photos were taken).  Also found bilateral otitis media on Monday, but only symptom was ear tugging.  No rash anywhere else on body.
Age: 12.0
Sex: M
Vaccine: MNQ, VARZOS
Symptoms: Wrong drug administered
Clinical narrative: Patient was given Zostavax instead of varicella on 07/30/08. Mother contacted, no adverse reaction noted. Merck contacted and ok to count as second dose of varicella as patient had received 1 previous dose of varicella.
Age: 9.0
Sex: M
Vaccine: VARZOS
Symptoms: Wrong drug administered
Clinical narrative: Patient was given ZOSTAVAX instead of Varicella on 7/15/08.  Error was found on 7/30/08.  Mother contacted - no adverse reactions noted.  Authority contacted and ok to count as second dose of Varicella as patient had received 1 previous dose of Varicella.
Age: 55.0
Sex: F
Vaccine: VARZOS
Symptoms: Blister, Borrelia burgdorferi serology negative, Erythema, Immunology test, Rash pruritic
Clinical narrative: 3 weeks after receiving ZOSTAVAX, pt noticed a small series of red, itchy bumps that looked like mosquito bites surrounding a larger one with fluid-filled blisters.  She had redness & tenderness at the area.  It took 6 wks to clear.  It was in her left leg, pubic area & R. groin, & back down on her R. tibia.  The ZOSTAVAX injection did not cause pain, swelling, fever or systemic sx's.
Age: 55.0
Sex: F
Vaccine: VARZOS
Symptoms: Tenderness
Clinical narrative: 3 weeks after receiving ZOSTAVAX, pt noticed a small series of red, itchy bumps that looked like mosquito bites surrounding a larger one with fluid-filled blisters.  She had redness & tenderness at the area.  It took 6 wks to clear.  It was in her left leg, pubic area & R. groin, & back down on her R. tibia.  The ZOSTAVAX injection did not cause pain, swelling, fever or systemic sx's.
Age: 18.0
Sex: F
Vaccine: HPV4
Symptoms: Diarrhoea, Headache, Vomiting
Clinical narrative: Gardasil administered on 07/23/08. Patient developed headache, vomiting and diarrhea early AM on 07-24-08. Came to see MD on 07-24-08 and saw that per vaccine information the symptoms could be related to shot.
Age: 60.0
Sex: F
Vaccine: VARZOS
Symptoms: Dizziness, Somnolence
Clinical narrative: Patient was dizzy x 24 hours after vaccine administered - positive somnolence for 1 day - symptoms resolved - no other symptoms.
Age: 24.0
Sex: F
Vaccine: HPV4
Symptoms: Immediate post-injection reaction, Partial seizures
Clinical narrative: Partial seizure immediately after vaccine given.
Age: 11.0
Sex: F
Vaccine: HEPA, TDAP
Symptoms: Injection site erythema, Injection site pain, Injection site warmth
Clinical narrative: Right arm is sore down to the armpit and a little red warm to touch no fever.
Age: 21.0
Sex: U
Vaccine: SMALL, TYP
Symptoms: Anaemia, Aplastic anaemia, Aspiration bone marrow, Basophil count normal, Biopsy bone marrow abnormal
Clinical narrative: SM was participating in SPV protocol and was noted to have a low plt ct prior to receipt or SPV on 4/15/08.  Subsequent blood draws indicated thrombocytopenia and anemia as well. Symptoms: Ecchymosis.
Age: 21.0
Sex: U
Vaccine: SMALL, TYP
Symptoms: Bone marrow failure, Ecchymosis, Eosinophil count normal, Granulocyte count decreased, Haematocrit normal
Clinical narrative: SM was participating in SPV protocol and was noted to have a low plt ct prior to receipt or SPV on 4/15/08.  Subsequent blood draws indicated thrombocytopenia and anemia as well. Symptoms: Ecchymosis.
Age: 21.0
Sex: U
Vaccine: SMALL, TYP
Symptoms: Haemoglobin normal, Lymphocyte count decreased, Mean cell haemoglobin concentration, Mean cell haemoglobin increased, Mean cell volume abnormal
Clinical narrative: SM was participating in SPV protocol and was noted to have a low plt ct prior to receipt or SPV on 4/15/08.  Subsequent blood draws indicated thrombocytopenia and anemia as well. Symptoms: Ecchymosis.
Age: 21.0
Sex: U
Vaccine: SMALL, TYP
Symptoms: Monocyte count decreased, Neutrophil count decreased, Pancytopenia, Platelet count decreased, Red blood cell count decreased
Clinical narrative: SM was participating in SPV protocol and was noted to have a low plt ct prior to receipt or SPV on 4/15/08.  Subsequent blood draws indicated thrombocytopenia and anemia as well. Symptoms: Ecchymosis.
Age: 21.0
Sex: U
Vaccine: SMALL, TYP
Symptoms: Red blood cell count increased, Thrombocytopenia, White blood cell count decreased
Clinical narrative: SM was participating in SPV protocol and was noted to have a low plt ct prior to receipt or SPV on 4/15/08.  Subsequent blood draws indicated thrombocytopenia and anemia as well. Symptoms: Ecchymosis.
Age: 42.0
Sex: F
Vaccine: TDAP
Symptoms: Body temperature increased, Chills, Ear pain, Ear, nose and throat examination normal, Headache
Clinical narrative: Patient received Adacel 7-30-2008 in the afternoon.  That evening achy and chills, no fever.  7-31-08 temperature 102, headache, chills and body aches and bil ear pain.  8-1-08 no fever, no chills, no headache, some body aches.  Some ear pain.  (Ears assessed in office 8-1-08 WNL).
Age: 42.0
Sex: F
Vaccine: TDAP
Symptoms: Pain
Clinical narrative: Patient received Adacel 7-30-2008 in the afternoon.  That evening achy and chills, no fever.  7-31-08 temperature 102, headache, chills and body aches and bil ear pain.  8-1-08 no fever, no chills, no headache, some body aches.  Some ear pain.  (Ears assessed in office 8-1-08 WNL).
Age: 11.0
Sex: F
Vaccine: HEP, HEPA, MNQ, TDAP, VARCEL
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Swelling and redness to both arms.  Mother states R arm is going down but L arm does not appear to be going down.
Age: 0.4
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC, RV5
Symptoms: Urticaria
Clinical narrative: Diffuse hives - scalp + body.
Age: 25.0
Sex: F
Vaccine: TDAP
Symptoms: Local reaction, Urticaria
Clinical narrative: Local urticarial rxn at 48 hours.
Age: 15.0
Sex: F
Vaccine: HEPA, HPV4, TDAP, VARCEL
Symptoms: Angioedema, Lip swelling
Clinical narrative: Angioedema of upper lip.
Age: 4.0
Sex: M
Vaccine: DTAPHEPBIP, HEPA, MMR, PNC, VARCEL
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: On 7/28/08 client received a PEDIARIX and PREVNAR and should not have received these 2 vaccines. Client had no adverse reactions.
Age: 66.0
Sex: F
Vaccine: PPV
Symptoms: Cellulitis, Injection site reaction
Clinical narrative: Cellulitis - like local reaction to 2nd PNEUMOVAX dose (given >5 yrs after initial dose). Tx'd with ice packs, Levaquin 500mg PO Q24 hours x 5 days with marked improvement in 1st 24 hour of treatment.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Conjunctivitis, Erythema multiforme
Clinical narrative: Amox for OM/Conjunctivitis on 7/204/08 4y/o well check and immunizations on 7/28/08, erythema multiforme minor on 7/31/08.
Age: 0.8
Sex: F
Vaccine: HIBV, PNC
Symptoms: Expired drug administered
Clinical narrative: Expired vaccine Hep B was administered on 4-8-08
Age: 8.0
Sex: F
Vaccine: VARCEL
Symptoms: Erythema, Skin warm
Clinical narrative: Developed a red hot area on left arm 1 1/2 diameter.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV
Symptoms: Injection site pruritus, Injection site swelling, Injection site warmth, Local reaction
Clinical narrative: Severe local reaction to INFANRIX, she was scratching injection site on and off x 24h then area became much more swollen and "hot".
Age: 5.0
Sex: F
Vaccine: DTAP, IPV
Symptoms: Hypokinesia, Local reaction
Clinical narrative: Severe local reaction to the INFANRIX. Some limitation of arm movement (L) - no compromise of use of hand.
Age: 12.0
Sex: M
Vaccine: VARCEL
Symptoms: Injection site erythema, Injection site induration, Injection site warmth
Clinical narrative: Varicella injection L arm,  Area red, indurated, warm to touch and hard. Measures 6 1/2 cm L  x 6 1/2 cm W. No drainage. Patient has no temperature. Varicella injection given in L arm SQ on 7/30/08 at 1212. Mom noticed area within 24 hrs of vaccine. Benadryl and cool compresses to be applied to area per FAC.
Age: 14.0
Sex: F
Vaccine: VARCEL
Symptoms: Injection site erythema, Injection site induration, Injection site warmth
Clinical narrative: Varicella injection red indurated area without drainage, slight warmth to touch present. Area measures 20 cm L x 1cm W, no temp. Varicella injection given 7/30/08 at 12:08 pm. Mom noticed red area within 24 hrs of vaccine. Benadryl and Alternate warm and cold compresses L arm.
Age: 1.2
Sex: F
Vaccine: DTAPHEPBIP, MMR, VARCEL
Symptoms: Rash
Clinical narrative: With 5 minutes of receiving vaccines, child developed rash on back and legs. Vital signs stable. No respiratory distress. Benadryl given immediately. Child observed for 30 minutes. No more symptoms noted Dr and f/u appt made. No fever present, rash still present when patient left.
Age: 1.6
Sex: F
Vaccine: DTAP, HIBV, MMR, VARCEL
Symptoms: Overdose
Clinical narrative: Child's mother, a physician, administered vaccines at her place of employment. Child's father brought patient in to office for well visit. Pt received same vaccines at our office. Our office was unaware that pt was current with vaccines.
Age: 36.0
Sex: F
Vaccine: TD
Symptoms: Injection site pain
Clinical narrative: Pt complaint of localized pain at injection site R upper arm, pain still increasing after 10 days. No redness, no swelling, no tenderness.
Age: 8.0
Sex: F
Vaccine: VARCEL
Symptoms: Injection site erythema, Injection site oedema, Injection site pain
Clinical narrative: Moderate to severe injection site erythema, edema and tenderness, lasting several days.
Age: 1.0
Sex: F
Vaccine: HEPA, MMR, PNC, VARCEL
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Red, swollen around site.
Age: 24.0
Sex: F
Vaccine: ANTH, HEP
Symptoms: Dizziness, Dyspnoea, Feeling hot, Gait disturbance, Hyperhidrosis
Clinical narrative: LIGHTHEADED/DIZZY/FELT HOT SWEATING  (LASTED 3 DAYS) RIGHT AFTER IMMUNIZATION (ICE PACK APPLIED AND DRANK WATER).  A VERBERATION WITH SPEECH (STOPED DAY OF THE SHOT).  VERY SHAKY.  DIFFACULT TO WALK DUE TO DIZZYNESS. OUT OF BREATH.
Age: 24.0
Sex: F
Vaccine: ANTH, HEP
Symptoms: Speech disorder, Tremor
Clinical narrative: LIGHTHEADED/DIZZY/FELT HOT SWEATING  (LASTED 3 DAYS) RIGHT AFTER IMMUNIZATION (ICE PACK APPLIED AND DRANK WATER).  A VERBERATION WITH SPEECH (STOPED DAY OF THE SHOT).  VERY SHAKY.  DIFFACULT TO WALK DUE TO DIZZYNESS. OUT OF BREATH.
Age: 12.0
Sex: M
Vaccine: HEPA, TDAP, VARCEL
Symptoms: Abdominal pain upper, Asthenia, Disorientation, Dry skin, Headache
Clinical narrative: Patient experienced syncope episode after receiving vaccinations listed. Patient was sitting on exam table and stated he felt nauseated and fainted. Patient was placed in lateral recumbent position and exacerbated tonoclonic spasms to all extremities for approximatley 30 seconds. He was responive to verbal stimulus immediately thereafter. He appeared pale, skin cool/dry, drowsy, weak and disoriented for several minutes. Patient  complained of stomach hurting, arms weak, head ache and nausea. Vitals signs obtained and normal. Doctor was notified, arrived and provided details of events. Patient evaluated and monitored for 1 hour after onset and released to father by attending provider.
Age: 12.0
Sex: M
Vaccine: HEPA, TDAP, VARCEL
Symptoms: Nausea, Pallor, Somnolence, Syncope, Tonic clonic movements
Clinical narrative: Patient experienced syncope episode after receiving vaccinations listed. Patient was sitting on exam table and stated he felt nauseated and fainted. Patient was placed in lateral recumbent position and exacerbated tonoclonic spasms to all extremities for approximatley 30 seconds. He was responive to verbal stimulus immediately thereafter. He appeared pale, skin cool/dry, drowsy, weak and disoriented for several minutes. Patient  complained of stomach hurting, arms weak, head ache and nausea. Vitals signs obtained and normal. Doctor was notified, arrived and provided details of events. Patient evaluated and monitored for 1 hour after onset and released to father by attending provider.
Age: 11.0
Sex: M
Vaccine: HEPA
Symptoms: Asthenia, Disorientation, Feeling cold, Headache, Hyperhidrosis
Clinical narrative: Patient experienced syncope episode after receiving vaccination listed. Patient was sitting on exam table and fainted. Patient was placed in lateral recumbent position. He was responive to verbal stimulus immediately thereafter. He appeared pale, diaphoretic and cool to touch. Patient evaluated for other anaphylactic signs /symptoms and none were noted. Appeared drowsy, weak and disoriented for several minutes. Patient alert and oriented to person, place and events but complained of headache and nausea 4 to six minutes after onset. Vitals signs obtained and normal. Doctor was notified and provided details of events.  Patient was evaluated and released to father by provider approximately one hour following onset of adverse event.
Age: 11.0
Sex: M
Vaccine: HEPA
Symptoms: Nausea, Pallor, Somnolence, Syncope
Clinical narrative: Patient experienced syncope episode after receiving vaccination listed. Patient was sitting on exam table and fainted. Patient was placed in lateral recumbent position. He was responive to verbal stimulus immediately thereafter. He appeared pale, diaphoretic and cool to touch. Patient evaluated for other anaphylactic signs /symptoms and none were noted. Appeared drowsy, weak and disoriented for several minutes. Patient alert and oriented to person, place and events but complained of headache and nausea 4 to six minutes after onset. Vitals signs obtained and normal. Doctor was notified and provided details of events.  Patient was evaluated and released to father by provider approximately one hour following onset of adverse event.
Age: 7.0
Sex: M
Vaccine: VARCEL
Symptoms: Dry skin, Feeling cold, Nausea, Pallor, Presyncope
Clinical narrative: Patient experienced near syncope episode after receiving vaccination listed. Patient was sitting on exam table and fainted. Patient was placed in lateral recumbent position. He was responive to verbal stimulus immediately thereafter. He appeared pale, dry and cool to touch. Patient evaluated for other anaphylactic signs /symptoms and none were noted. Appeared drowsy, but alert and oriented to person, place and events. Complained of nausea up to 5 minutes after onset. Vitals signs obtained and normal. Doctor was notified and provided details of events.  Patient was evaluated and released to father by provider approximately 25 minutes following onset of adverse event.
Age: 7.0
Sex: M
Vaccine: VARCEL
Symptoms: Somnolence, Syncope
Clinical narrative: Patient experienced near syncope episode after receiving vaccination listed. Patient was sitting on exam table and fainted. Patient was placed in lateral recumbent position. He was responive to verbal stimulus immediately thereafter. He appeared pale, dry and cool to touch. Patient evaluated for other anaphylactic signs /symptoms and none were noted. Appeared drowsy, but alert and oriented to person, place and events. Complained of nausea up to 5 minutes after onset. Vitals signs obtained and normal. Doctor was notified and provided details of events.  Patient was evaluated and released to father by provider approximately 25 minutes following onset of adverse event.
Age: 16.0
Sex: F
Vaccine: HPV4, MNQ, HPV4
Symptoms: Blood test, Computerised tomogram normal, Convulsion, Electroencephalogram normal, Lumbar puncture
Clinical narrative: My daughter is 16 yrs old and on Feb 27, 2008 had her first HPV vaccine and the second one April 24, 08. On June 14-08 I heard my dog barking in the living room I went to see what he was barking at and I found my daughter lying on the carpet having a seizure. At the time this was happening I did not know she was having a seizure because she doesn't have a history of seizure problems. I thought my daughter was dying in my arms of course I dialed 911 and she was taken to the Emergency room. We have under gone several tests CAT scan, EEG, MRI, spinal tap, blood work and currently seeing a neurologist. The test have came back all negative and now she has to take medicine for epilepsy. The first medicine the ER put her on was phenytoin sodium. Now she is taking Keppra., I had ask her primary doctor if there could be some connection to having taking the HPV vaccine her answer was that there has been no evidence or research to prove that the HPV vaccine can cause seizures. The doctor also said she probably has epilepsy. Wow this has been my daughter's doctor since she was 5 yrs old. My daughter is an outgoing teenager who has plans to graduate from high school and go on to a 4 year college. She is active in sports and plays the violin. I would definitely like to know why the medical field will not even consider that the HPV vaccine may have cause the complications.  11/19/08 MR received from PCP which include neuro consult. Seen 6/16/08 in F/u for ER visit 6/14/08 with DX: Seizure/Probable Epilepsy. Started on phenytoin in ER.  Seen 7/10/08, now on Keppra. Seen for brownish scaley macules on back, chest, neck.  Dx:  Seizure d/o.  Tinea versicolor. Seen 7/14/08 for c/o back pain. PE (+) for decreased ROM upon flexion. Dx: Muscle spasm. Neuro consult dated 6/24/08 for eval of generalized tonic-clonic seizure on 6/14/08 and another on the morning of the exam. No memory of event. Headache and tiredness after. PE WNL. Sent for MRI. 12/2/08 Additional records received from Neuro. No new codes.
Age: 16.0
Sex: F
Vaccine: HPV4, MNQ, HPV4
Symptoms: Nuclear magnetic resonance imaging normal
Clinical narrative: My daughter is 16 yrs old and on Feb 27, 2008 had her first HPV vaccine and the second one April 24, 08. On June 14-08 I heard my dog barking in the living room I went to see what he was barking at and I found my daughter lying on the carpet having a seizure. At the time this was happening I did not know she was having a seizure because she doesn't have a history of seizure problems. I thought my daughter was dying in my arms of course I dialed 911 and she was taken to the Emergency room. We have under gone several tests CAT scan, EEG, MRI, spinal tap, blood work and currently seeing a neurologist. The test have came back all negative and now she has to take medicine for epilepsy. The first medicine the ER put her on was phenytoin sodium. Now she is taking Keppra., I had ask her primary doctor if there could be some connection to having taking the HPV vaccine her answer was that there has been no evidence or research to prove that the HPV vaccine can cause seizures. The doctor also said she probably has epilepsy. Wow this has been my daughter's doctor since she was 5 yrs old. My daughter is an outgoing teenager who has plans to graduate from high school and go on to a 4 year college. She is active in sports and plays the violin. I would definitely like to know why the medical field will not even consider that the HPV vaccine may have cause the complications.  11/19/08 MR received from PCP which include neuro consult. Seen 6/16/08 in F/u for ER visit 6/14/08 with DX: Seizure/Probable Epilepsy. Started on phenytoin in ER.  Seen 7/10/08, now on Keppra. Seen for brownish scaley macules on back, chest, neck.  Dx:  Seizure d/o.  Tinea versicolor. Seen 7/14/08 for c/o back pain. PE (+) for decreased ROM upon flexion. Dx: Muscle spasm. Neuro consult dated 6/24/08 for eval of generalized tonic-clonic seizure on 6/14/08 and another on the morning of the exam. No memory of event. Headache and tiredness after. PE WNL. Sent for MRI. 12/2/08 Additional records received from Neuro. No new codes.
Age: 16.0
Sex: F
Vaccine: HPV4, MNQ, HPV4
Symptoms: Computerised tomogram, Convulsion, Lumbar puncture
Clinical narrative: My daughter is 16 yrs old and on Feb 27, 2008 had her first HPV vaccine and the second one April 24, 08. On June 14-08 I heard my dog barking in the living room I went to see what he was barking at and I found my daughter lying on the carpet having a seizure. At the time this was happening I did not know she was having a seizure because she doesn't have a history of seizure problems. I thought my daughter was dying in my arms of course I dialed 911 and she was taken to the Emergency room. We have under gone several tests CAT scan, EEG, MRI, spinal tap, blood work and currently seeing a neurologist. The test have came back all negative and now she has to take medicine for epilepsy. The first medicine the ER put her on was phenytoin sodium. Now she is taking Keppra., I had ask her primary doctor if there could be some connection to having taking the HPV vaccine her answer was that there has been no evidence or research to prove that the HPV vaccine can cause seizures. The doctor also said she probably has epilepsy. Wow this has been my daughter's doctor since she was 5 yrs old. My daughter is an outgoing teenager who has plans to graduate from high school and go on to a 4 year college. She is active in sports and plays the violin. I would definitely like to know why the medical field will not even consider that the HPV vaccine may have cause the complications.  11/19/08 MR received from PCP which include neuro consult. Seen 6/16/08 in F/u for ER visit 6/14/08 with DX: Seizure/Probable Epilepsy. Started on phenytoin in ER.  Seen 7/10/08, now on Keppra. Seen for brownish scaley macules on back, chest, neck.  Dx:  Seizure d/o.  Tinea versicolor. Seen 7/14/08 for c/o back pain. PE (+) for decreased ROM upon flexion. Dx: Muscle spasm. Neuro consult dated 6/24/08 for eval of generalized tonic-clonic seizure on 6/14/08 and another on the morning of the exam. No memory of event. Headache and tiredness after. PE WNL. Sent for MRI. 12/2/08 Additional records received from Neuro. No new codes.
Age: 12.0
Sex: F
Vaccine: HEPA
Symptoms: Asthenia, Convulsion, Electroencephalogram normal, Fatigue, Nuclear magnetic resonance imaging normal
Clinical narrative: Soreness and weakness until first seizure exactly 1 year later.  Has had 3 since and is currently on Keppra, which make her a tired and non-functioning.  All MRIs, blood test, EEG's normal.  Nurtritionalist believe the vaccine damaged her nervous system which is going completely wacky during puberty.    Question #21 below does not  work properly.  The vaccine is Gardasil, my daughter had all three shots, last one on July 13th, 2007.