chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 27.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Pruritus, Pulmonary embolism, Umbilical cord short
Clinical narrative: A serious, spontaneous report of received H1N1 and found out pregnant, pulmonary embolism, the umbilical cord was short and when the doctor tugged on it the cord snapped, heartburn and itching was received from a 27-year-old registered nurse/healthcare professional concerning herself, subsequent to H1N1 vaccine, Intranasal. This case is linked to MEDI-0011469. Neither relevant medical and obstetrical history nor concomitant medications have been reported for this patient. The expected delivery date was 30-Jul-2010. On 05-Nov-2009, the patient received H1N1, Intranasal for an unknown indication. On 15-Nov-2009, the patient found out that she was pregnant. The patient started taking prenatal vitamins. From the middle of the 2nd trimester, the patient was taking diphenhydramine for itching and ranitidine hydrochloride for heartburn, both on a daily basis. On 24-Jun-2010, she delivered a baby girl at 35 weeks and six days gestation. The birth weight of the baby was 6 lbs and 4 ounces; apgar score at both one and five minutes was nine. The delivery was vaginal, the only complication was the umbilical cord was short and when the doctor tugged on it, the cord snapped. The doctor therefore had to deliver the placenta manually. The baby was perfectly healthy at birth. Four weeks after delivery, the patient had a pulmonary embolism, she was unsure if that was related to the H1N1 vaccine. The patient was hospitalised on 26-Jul-2010 and treated with intravenous heparin and was discharged on 31-Jul-2010 and was on warfarin sodium at the time of report. The outcome of 'vaccine exposure during pregnancy' and 'the umbilical cord was short and when the doctor tugged on it the cord snapped' was considered recovered. The outcome of pulmonary embolism, heartburn and itching was unknown at the time of report. Additional information was received on 09-Aug-2010 and incorporated into the narrative: Case upgraded from AESI to 15-day, since information of two serious events received. Serious events experienced by the patient are "pulmonary embolism" and 'the umbilical cord was short and when the doctor tugged on it the cord snapped" and two non-serious events are "heartburn" and "itching". Medications during pregnancy, newborn information, treatment medications.
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Drug exposure during pregnancy, Jaundice neonatal
Clinical narrative: A serious spontaneous report of jaundice has been received from a health professional/mother concerning her newborn baby daughter, subsequent to H1N1, Intranasal. This case is linked with MEDI-0009558. Neither relevant medical history nor concomitant medications have been reported for this patient. The patient did not received the H1N1, Intranasal. On 05-Nov-2009, the patient's mother received the H1N1. The patient was perfectly healthy at the time of birth. On 28-Jun-2010, the patient was admitted overnight for jaundice and put under bili lights and discharged on 29-Jun-2010. The patient was fine since she discharged from the hospital. The outcome of the event jaundice was considered resolved.
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Drug exposure during pregnancy, Hyperbilirubinaemia, Phototherapy
Clinical narrative: A serious spontaneous report of hyperbilirubinemia has been received from a registered nurse/health professional concerning a female infant, subsequent to her mother receiving H1N1, intranasal. This case is linked to MEDI-001038. The patient's past medical history and concomitant medications were not reported. The patient did not receive H1N1, intranasal. On 20-Jan-2010, the patient's mother received H1N1, intranasal for an unknown indication. The infant was delivered vaginally on 16-Jun-2010 at 39 weeks gestation. The infant was a female who weighed seven pounds and four ounces; apgar at one minute was eight and at five minutes was nine. There were no complications at delivery for mother or the infant. While hospitalized after birth, the infant experienced hyperbilirubinemia and received photo therapy. She was discharged with her mother on 20-Jun-2010. The outcome  of hyperbilirubinemia was unknown.
Age: 55.0
Sex: M
Vaccine: TDAP
Symptoms: Injection site erythema, Injection site oedema, Injection site warmth
Clinical narrative: Pt with erythema & edema & warmth at site of injection (L) upper arm.
Sex: F
Vaccine: TDAP
Symptoms: Injection site erythema, Injection site pain
Clinical narrative: Pt with erythema; tenderness at site of injection.
Age: 16.0
Sex: F
Vaccine: HPV4
Symptoms: Hemiparesis, Paraesthesia, Red blood cell sedimentation rate increased
Clinical narrative: Developed tingling & weakness (L) side of her body that lasted > 1 month. Started > 1 wk after IZ. No previous hx anxiety sx.
Age: 13.0
Sex: M
Vaccine: TDAP
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Arm is red, tender, swollen about 6cm in diameter at injection site.
Age: 78.0
Sex: M
Vaccine: UNK
Symptoms: Biopsy skin abnormal, Blister, Death, Pemphigoid
Clinical narrative: Approximately 6 weeks after vaccine broke out with blisters - diagnosed after biopsy as Bullous Pemphigoid.
Age: 60.0
Sex: F
Vaccine: TDAP
Symptoms: Injected limb mobility decreased, Injection site erythema, Injection site pain, Injection site pruritus, Injection site swelling
Clinical narrative: Swelling, redness, heat, unbearable itching, pain. Unable to lift arm or have anything on site for a radius of 2 1/2" around injection point. Initial treatment-Hydrocortizone cream (did nothing to make the symptoms subside). Redness and swelling expanding around site, pain and itching still occuring as of 08/20/2010.
Age: 60.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site warmth
Clinical narrative: Swelling, redness, heat, unbearable itching, pain. Unable to lift arm or have anything on site for a radius of 2 1/2" around injection point. Initial treatment-Hydrocortizone cream (did nothing to make the symptoms subside). Redness and swelling expanding around site, pain and itching still occuring as of 08/20/2010.
Age: 11.0
Sex: F
Vaccine: TDAP, VARCEL
Symptoms: Injection site erythema, Injection site rash, Injection site warmth, Musculoskeletal pain
Clinical narrative: Left shoulder ache, redness, heat to touch, rash - Pt. seen in office 8/19/10.
Age: 4.0
Sex: M
Vaccine: DTAP, HEPA, IPV, MMRV
Symptoms: Cellulitis, Injection site erythema, Injection site swelling
Clinical narrative: Mother reports noticing a red area on 8/5/10 and she called and spoke to a person giving immunization. She was told that redness/swelling at injection site was normal. By 5 PM on 8/5/10 the redness was expanding so she marked it with a marker. On 8/6/10, redness had expanded outside marked area so she brought child in to be evaluated by a PA.
Age: 0.41
Sex: M
Vaccine: DTAPIPVHIB, HEP, PNC
Symptoms: Emotional distress, Irritability
Clinical narrative: 6-10-10 Pt. given PENTACEL, PREVNAR and Hep B (1st series). 8-5-10 Return visit for second series. Mother informed me that after first series child had TYLENOL remained fussy and inconsolable for 24 hrs. at that time pt was deferred for #2 series.
Age: 27.0
Sex: F
Vaccine: ANTH, SMALL
Symptoms: Rash papular
Clinical narrative: Rash and small bumps on lt. upper arm.
Age: 13.0
Sex: M
Vaccine: HPV4, MNQ, TDAP
Symptoms: Anxiety, Blood test, Convulsion, Electrocardiogram, Fall
Clinical narrative: Information has been received from a consumer concerning her 13 year old son with no known drug reactions or allergies or pertinent medical history who on 06-AUG-2010, was intramuscularly vaccinated in the left arm with the first dose of GARDASIL, in the physician office. There was no concomitant medication. On 06-AUG-2010, following the administration of GARDASIL, the patient walked to the waiting room to sit with his mother. Within two or three minutes the patient fell to the ground seizing. The seizure activity lasted approximately three minutes. Emergency medical service was called because of sustained tachycardia and low blood pressure. It was noted that this resolved with a lengthening of the postictal phase of the seizure. The patient was then transported to the emergency room by his mother where blood work and electrocardiogram were performed (results not provided). The patient was then discharged to his home. According to the patient's mother he was currently very anxious. "Patient fell to the ground seizing", sustained tachycardia, low blood pressure and very anxious were considered to be disabling and life-threatening by the reporter. Additional information has been requested.
Age: 13.0
Sex: M
Vaccine: HPV4, MNQ, TDAP
Symptoms: Hypotension, Postictal state, Tachycardia
Clinical narrative: Information has been received from a consumer concerning her 13 year old son with no known drug reactions or allergies or pertinent medical history who on 06-AUG-2010, was intramuscularly vaccinated in the left arm with the first dose of GARDASIL, in the physician office. There was no concomitant medication. On 06-AUG-2010, following the administration of GARDASIL, the patient walked to the waiting room to sit with his mother. Within two or three minutes the patient fell to the ground seizing. The seizure activity lasted approximately three minutes. Emergency medical service was called because of sustained tachycardia and low blood pressure. It was noted that this resolved with a lengthening of the postictal phase of the seizure. The patient was then transported to the emergency room by his mother where blood work and electrocardiogram were performed (results not provided). The patient was then discharged to his home. According to the patient's mother he was currently very anxious. "Patient fell to the ground seizing", sustained tachycardia, low blood pressure and very anxious were considered to be disabling and life-threatening by the reporter. Additional information has been requested.
Age: 47.0
Sex: F
Vaccine: PPV, TDAP
Symptoms: Chills, Gastrooesophageal reflux disease, Headache, Impaired work ability, Injection site erythema
Clinical narrative: Within 24 hrs of vaccination: Achiness, chills, low grade fever (documented T 100.1 oral). Headache, stiffness in back and neck, GE reflux. Lasted 36 hrs despite NSAID. Also (B) swollen, tender muscles & erythema at injection sites - (very large on Rt). Had to miss work on 8/6/10.
Age: 47.0
Sex: F
Vaccine: PPV, TDAP
Symptoms: Injection site swelling, Musculoskeletal stiffness, Myalgia, Pain, Pyrexia
Clinical narrative: Within 24 hrs of vaccination: Achiness, chills, low grade fever (documented T 100.1 oral). Headache, stiffness in back and neck, GE reflux. Lasted 36 hrs despite NSAID. Also (B) swollen, tender muscles & erythema at injection sites - (very large on Rt). Had to miss work on 8/6/10.
Age: 13.0
Sex: M
Vaccine: HEPA, MNQ, TDAP, VARCEL
Symptoms: Erythema, Mass, Pyrexia, Swelling
Clinical narrative: Swelling, redness, feverish. Lump 1 1/2 diameter. No nausea or headache. TYLENOL and Ibuprofen every 3 hrs.
Age: 9.0
Sex: F
Vaccine: UNK
Symptoms: Skin papilloma
Clinical narrative: She developed planters warts on the bottom of her foot.
Age: 11.0
Sex: M
Vaccine: TDAP
Symptoms: Cough, Decreased appetite, Diarrhoea, Pain, Pyrexia
Clinical narrative: C/O body aches, low grade fever, lack of appetite, and diarrhea--developed wheezy cough 8/19/10-used albuterol inhaler x1 with relief 8/20/10 feels much better-eating again.
Age: 11.0
Sex: M
Vaccine: TDAP
Symptoms: Wheezing
Clinical narrative: C/O body aches, low grade fever, lack of appetite, and diarrhea--developed wheezy cough 8/19/10-used albuterol inhaler x1 with relief 8/20/10 feels much better-eating again.
Age: 11.0
Sex: F
Vaccine: HEP, MMR, PER
Symptoms: Blood test, Pyrexia, Rash
Clinical narrative: Low Grade fever on Saturday 8/14/10. Rash all over upper torso Monday 8/16/2010
Age: 16.0
Sex: M
Vaccine: HEP, MMR, PER
Symptoms: Pallor, Syncope, Vomiting
Clinical narrative: Became pale, faint and threw up.
Age: 19.0
Sex: M
Vaccine: MNQ, TDAP
Symptoms: Urticaria
Clinical narrative: MOTHER PHONED AT 09:42 AM TO REPORT CHILD HAD BROKEN OUT IN LARGE HIVES. SHE HAD GOOGLED SIDE EFFECTS OF VACCINE AND BECAME ALARMED AT THE FINDINGS. SHE STATED THAT HER SON HAS STARTED TAKING BENADRYL ORALLY. THE HIVES STARTED OUT ON HIS RIGHT SIDE. GRAVITATED TOWARDS THE MIDDLE OF THE STOMACH AND GOES DOWN FROM THERE. INFORMED MOTHER TO SEEK MEDICAL ATTENTION IMMEDIATELY. SHE VOICED CONCERN THAT SHE DID NOT HAVE MEDICAL INSURANCE. I EXPLAINED THAT THE SYMPTOMS SHE DESCRIBED ON THE PHONE AND WITH THE RECOMMENDATION OF THE REGISTERED NURSE IT IS OUR RECOMMENDATION THAT SHE SEEK MEDICAL ATTENTION FOR THE HIVES. WILL CHECK BACK WITH MOTHER TO DOCUMENT FOLLOW-UP CARE.
Age: 40.0
Sex: M
Vaccine: TDAP
Symptoms: Diarrhoea, Nausea, Pyrexia, Skin exfoliation, Vomiting
Clinical narrative: Pt received TDap on 3/31/10.  She had peeling on soles of feet and hands, N/V, fever, and diarrhea.  These symptoms started after she received vaccine and lasted for about 1 week.  Skin exfoliation has improved, but still present over 3 months later.
Age: 67.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site pruritus
Clinical narrative: LEFT ARM WHERE I RECEIVED MY SHINGLE SHOT WAS ALL RED AND ITCHY.  I GOT THE SHOT ON A MONDAY AND STILL AS OF FRIDAY, IT IS STILL RED AND ITCHY.  I TOOK A BENADRYL PILL FOR THE ITCHINESS.
Age: 17.0
Sex: F
Vaccine: MEN, VARCEL
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: mother states arm red and swollen at site of injections
Age: 5.0
Sex: M
Vaccine: DTAPIPV
Symptoms: Injection site erythema, Injection site induration
Clinical narrative: Variegated erythema on (R) thigh at KINRIX injection site measuring 19 x 12 cm with medial extension and central induration.
Age: 47.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site erythema, Injection site induration, Injection site warmth, Pain
Clinical narrative: Pt said she received TDAP on 8-11-10. She said she had no problem until 8-16-10 when her (RT) arm started throbbing & a lg. red, hard, hot area was noted at inj. site. Pt said she took TYLENOL yesterday & last night. Inst pt to cont. TYLENOL x 2 days, & apply cool cloth or ice.
Sex: M
Vaccine: DTAPIPV, MMR, PNC13, VARCEL
Symptoms: Lip swelling, Penile swelling, Urticaria
Clinical narrative: Mother called around 7:30pm - 745pm describing widespread urticaria with lip swelling and penile swelling. No respiratory involvement occurred. Advised to give oral BENADRYL and head to ER for further evaluation.
Age: 11.0
Sex: F
Vaccine: HEPA, HPV4, MNQ, TDAP
Symptoms: Abdominal pain upper, Chills, Headache, Lip swelling, Oropharyngeal pain
Clinical narrative: Vaccines given 8-11-10. Grandmother called 8-12-10 at 12:10 pm. Stating child last night had swollen face & lips and fever/chills, but temp NOT taken. Today, c/o headache, sore throat & swollen tongue. Denies fever/chills today. Denies difficulty breathing. Also c/o stomach ache. Decided not to go to ER or MD. Gave TYLENOL and sent back to school on 8/13/10.  Advised she take her to her physician or ER for further evaluation. Advised the grandmother to call the Health Department to report results of her evaluation. August 13, 2010 - Client's grandmother did not call to report status. Called grandmother and she stated she did not take her to the doctor or the emergency room on August 12th but had given pt TYLENOL. She states that she was okay during the night and she sent her to school today and the school had not called her to come and get her so she thought she did okay.
Age: 11.0
Sex: F
Vaccine: HEPA, HPV4, MNQ, TDAP
Symptoms: Pyrexia, Swelling face, Swollen tongue
Clinical narrative: Vaccines given 8-11-10. Grandmother called 8-12-10 at 12:10 pm. Stating child last night had swollen face & lips and fever/chills, but temp NOT taken. Today, c/o headache, sore throat & swollen tongue. Denies fever/chills today. Denies difficulty breathing. Also c/o stomach ache. Decided not to go to ER or MD. Gave TYLENOL and sent back to school on 8/13/10.  Advised she take her to her physician or ER for further evaluation. Advised the grandmother to call the Health Department to report results of her evaluation. August 13, 2010 - Client's grandmother did not call to report status. Called grandmother and she stated she did not take her to the doctor or the emergency room on August 12th but had given pt TYLENOL. She states that she was okay during the night and she sent her to school today and the school had not called her to come and get her so she thought she did okay.
Age: 21.0
Sex: F
Vaccine: FLU(H1N1), HEPAB, MNQ, TDAP, TYP, YF
Symptoms: Back pain, Bone pain, Headache, Neck pain, Pain
Clinical narrative: Evening of 8-05-10 body aches, fever. 8-06-10 intermittent shooting pain in lower back/spine. PM of 8-06-10 headache - continued x 3 days. 8-08-10 Visit to Care Clinic. Dr diagnosed symptoms as viral. 8-08-10 visit to clinic. Dr diagnosed symptoms as viral. 8-10-10 shooting pain from back of neck to lower back. Visit to family MD diagnosed symptoms as vaccine related. Rx-MOTRIN.
Age: 21.0
Sex: F
Vaccine: FLU(H1N1), HEPAB, MNQ, TDAP, TYP, YF
Symptoms: Pyrexia, Vaccination complication, Viral infection
Clinical narrative: Evening of 8-05-10 body aches, fever. 8-06-10 intermittent shooting pain in lower back/spine. PM of 8-06-10 headache - continued x 3 days. 8-08-10 Visit to Care Clinic. Dr diagnosed symptoms as viral. 8-08-10 visit to clinic. Dr diagnosed symptoms as viral. 8-10-10 shooting pain from back of neck to lower back. Visit to family MD diagnosed symptoms as vaccine related. Rx-MOTRIN.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Rash generalised, Rash vesicular
Clinical narrative: Pt developed chicken pox like rash with only a few scattered lesion and also developed a slightly rough generalized rash over most of body.
Age: 27.0
Sex: F
Vaccine: TDAP
Symptoms: Cough, Lymphadenopathy, Pharyngeal oedema, Respiratory tract congestion, Sleep disorder
Clinical narrative: Employee had TDAP about 2 weeks ago. States could not talk the next day and last X 3 days, had swollen glands, dry cough, chest congestion, had to sit up to sleep, felt swelling of her throat, notified EH on 8/11/10, told her supervisor. 8/13/10 can to office for evaluation. Had Dr. review her on phone - VSS T=98 degrees, HR 82, B/P 113/78, RR 16, site unremarkable, still c/o dry cough, trouble sleeping, at night feels throat closing up, glands slight swelling, tried OTC antihistamine, cough syrup.  Advised to F/U with her doctor and to keep in communication with EH.
Age: 27.0
Sex: F
Vaccine: TDAP
Symptoms: Speech disorder, Throat tightness
Clinical narrative: Employee had TDAP about 2 weeks ago. States could not talk the next day and last X 3 days, had swollen glands, dry cough, chest congestion, had to sit up to sleep, felt swelling of her throat, notified EH on 8/11/10, told her supervisor. 8/13/10 can to office for evaluation. Had Dr. review her on phone - VSS T=98 degrees, HR 82, B/P 113/78, RR 16, site unremarkable, still c/o dry cough, trouble sleeping, at night feels throat closing up, glands slight swelling, tried OTC antihistamine, cough syrup.  Advised to F/U with her doctor and to keep in communication with EH.
Age: 12.0
Sex: M
Vaccine: HEPA, MNQ, TDAP, VARCEL
Symptoms: Abdominal discomfort, Syncope, Vomiting
Clinical narrative: 8/17/10 approx. 10:30 am child present with mother fainted post vaccination onto chair. B/P taken. 98/60 (L) arm HR=72. Res=14 unlabored, alert & oriented after few secs. EMS contacted arrived after 5 mins VS taken B/P 110/70 P=74 R=14. O2 Sat=97% mother requested EMS transport to ER at hospital, child x1 vomited outside clinic prior to transport. Child Disch from hospital ER at 12:36, F.U call from MOC doing well at home slight upset stomach.
Age: 70.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Red swollen painful left arm for several days after administration of PNEUMOVAX 23- reported by patient - she did not come in, but reported this later.
Age: 39.0
Sex: M
Vaccine: MNQ, PPV
Symptoms: Pain, Pyrexia, Rash
Clinical narrative: Patient developed fever, achiness, rash.
Age: 11.0
Sex: M
Vaccine: HEPA, HPV4, MNQ, TDAP
Symptoms: Cough, Decreased appetite, Pyrexia, Rash, Viral infection
Clinical narrative: 8/13/10 mom calls Health Dept. & says child had fever of 101.9 orally. Giving ibuprofen every 4 hrs. w/some relief & then goes back up after 3-4 hours. Woke up today w/rash under his armpits extending down to his upper thighs. Denies itching. Loss of appetite. Mom calls physician after talking w/PHN. Has Dr. appt today & was told it is probably strep throat. 8/16/10 PC to mom - rash is gone. Still has fever & now has cough, saw Dr. 8/13/10 & no meds prescribed. Told is probably viral infection.
Age: 3.0
Sex: M
Vaccine: PNC13
Symptoms: Injection site erythema, Injection site induration, Injection site swelling
Clinical narrative: Area around injection site, about 3 X 5 ", of swelling, firm, pink, not tender.
Age: 5.0
Sex: M
Vaccine: DTAPIPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: (R) arm erythema, swelling warmth - Prescribed BENADRYL, and amoxicillin 250 mg one q 8 hours x 10 days.
Age: 38.0
Sex: F
Vaccine: MMR, TD
Symptoms: Injection site erythema, Injection site induration, Injection site warmth
Clinical narrative: Localized induration at site in left deltoid measuring 4cm, red and warm but not particularly tender. No streaking. Also has significant PPD reaction.
Age: 60.0
Sex: M
Vaccine: FLUN3
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: A non-serious spontaneous report of ADMINISTRATION OF FLUMIST TO A 60 YEAR OLD was received from a health professional concerning a 60 year old male subsequent to administration of FLUMIST.  Relevant medical history and concomitant medications were not reported.  On 31-Oct-2009, the patient received FLUMIST.  There was no adverse event associated with this medication error; therefore treatment and reporter/sponsor causality assessments are not applicable and the event is considered to be resolved.
Age: 38.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site discolouration, Injection site erythema, Injection site induration, Injection site mass
Clinical narrative: REDNESS WITH GOLD BALL SIZE HARD LUMP ON LEFT DELTOID AREA WHERE INJECTION GIVEN. SHE WAS OUT OF THE COUNTRY AND HAD TAKEN SOME BACTRUM WITH HER AND TOOK 500 MG, THREE TIMES A DAY FOR 7 DAYS. DID NOT SEE MD AND THE RX WAS NOT PRESCRIBED FOR THIS EVENT. DID NOT STOP HER FROM DOING ANYTHING. QUESTIONABLE ADVERSE EVENT.
Age: 1.32
Sex: M
Vaccine: MMRV
Symptoms: Dyspnoea, Irritability, Rash
Clinical narrative: Patient was sleeping in the same room with me because we were visiting family. He began to fuss around 2:30 AM, so I took him out of his pack n play and laid down on the couch with him. He fell asleep on my chest and woke up app an hour later with a breathing problem.  He was having a hard time catching his breath, almost as if he had been crying hysterically, but wasn't.  He was more or less gasping for air for app 10 minutes.  I went down to get him a cold drink of water and the problem subsided.  It hasn't returned, but he has developed a bumpy rash on his cheeks today.  This happened less than 48 hours after receiving his MMR and chicken pox vaccinations. I read the information sheet on the vaccinations, and saw difficulty breathing listed as a side effect.  That's why I decided to report it--just in case something else comes up.
Age: 63.0
Sex: F
Vaccine: TDAP, VARZOS
Symptoms: Facial palsy
Clinical narrative: Bell's Palsy (r sided facial paralysis)
Age: 5.0
Sex: F
Vaccine: DTAPIPV, MMR, VARCEL
Symptoms: Cellulitis, Immunisation reaction, Injection site erythema, Injection site induration, Injection site warmth
Clinical narrative: RED, HOT, HARD AREA APPROX. 3 INCH DIA. ON LEFT THIGH
Age: 5.0
Sex: F
Vaccine: IPV, MMR, VARCEL
Symptoms: Abdominal pain, Condition aggravated, Diarrhoea haemorrhagic
Clinical narrative: Began with abdominal cramping on evening of 8-5-10 continuing into hemorrhagic diarrhea on 8-7-10. Treated with probiotics, steroid taper and homeopathic therapy.
Age: 4.0
Sex: M
Vaccine: DTAPHEPBIP, MMR, VARCEL
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Redness and swelling to left arm
Age: 19.0
Sex: M
Vaccine: MEN, TDAP
Symptoms: Syncope
Clinical narrative: Stated at entrance to clinic that he faints w/ vaccines/injections, sat on table; after Tdap he laid down, after Menactra he said "I am going" then fainted.
Age: 0.22
Sex: F
Vaccine: DTAPIPVHIB, HEP, PNC13
Symptoms: Convulsion, Electroencephalogram abnormal, Gaze palsy, Musculoskeletal stiffness
Clinical narrative: EYES ROLLED BACK IN HER HEAD. BODY STIFFENED. ADMITTED TO THE HOSPITAL ON 08/15/2010 EEG CONFIRMED SEIZURES.
Age: 5.0
Sex: F
Vaccine: DTAPIPV, MMR, VARCEL
Symptoms: Cellulitis, Immunisation reaction, Injection site erythema, Injection site induration, Injection site warmth
Clinical narrative: RED, HOT HARD AREA ON LEFT THIGH, APPROX. 3IN DIAMETER
Age: 60.0
Sex: M
Vaccine: TDAP
Symptoms: Asthenia, Diarrhoea, Gastrointestinal disorder, Hyperhidrosis
Clinical narrative: GI symptoms, diarrhea, weakness, short-lived diaphoresis
Age: 18.0
Sex: F
Vaccine: MNQ, TDAP
Symptoms: Cold sweat, Feeling abnormal, Loss of consciousness
Clinical narrative: Pt laid down for imminization, five minutes into sitting down, she said she felt funny and passed out, resopnded immediately to her name. She was slightly cold a clammy.
Age: 1.25
Sex: F
Vaccine: DTAP, MMR, PNC, VARCEL
Symptoms: Contusion, Fall, Immunoglobulin therapy, Platelet count decreased, Rhinorrhoea
Clinical narrative: Approximately 6 or 7 days ago patient's mom noticed increased bruising. On 8/19/2010 patient fell and mom noted significant bruising within 45 minutes of the fall.  Patient was seen by her PCP who did a CBC which was significant for a platelet count of 2000.  Following this finding patient's mom was instructed to bring her to Hospital for treatment.  Following admission a CBC was obtained which was significant for a platelet count of 6000.  Treatment was initiated with IVIG 1 gram per kilogram (10 gram dose given).  A few hours after finishing the IVIG her platelet count was 16,000.  A repeat check of platelets will be performed later this afternoon.  Patient has been otherwise healthy with the exception of some clear rhinorrhea which was noted to have begun within the last 4 or 5 days.
Age: 5.0
Sex: M
Vaccine: DTAP
Symptoms: Erythema, Injection site erythema, Injection site swelling, Injection site warmth, Rash macular
Clinical narrative: 8/18/10 skin around injection site became blotchy, reddened and warm to touch. 8/19 warmth, swelling and redness around injection site has extended above and below injection site. Pt prescribed prednisone 5 mg tab 1 po q am for 5 days.
Age: 5.0
Sex: M
Vaccine: DTAP
Symptoms: Skin warm, Swelling
Clinical narrative: 8/18/10 skin around injection site became blotchy, reddened and warm to touch. 8/19 warmth, swelling and redness around injection site has extended above and below injection site. Pt prescribed prednisone 5 mg tab 1 po q am for 5 days.
Age: 76.0
Sex: F
Vaccine: TDAP
Symptoms: Inflammation, Injection site erythema, Injection site pain, Injection site swelling, Pruritus
Clinical narrative: Injection site swelling, erythema and pain.  Excessive itching and increasing inflammatory affect.
Age: 12.0
Sex: M
Vaccine: HPV4, MEN, TDAP
Symptoms: Loss of consciousness, Pallor
Clinical narrative: BECAME PALE AND PASSED OUT AFTER HPV VACCINE # 1
Age: 4.0
Sex: M
Vaccine: DTAPIPV, MMR, VARCEL
Symptoms: Erythema, Skin warm, Swelling, Tenderness
Clinical narrative: warmth, redness, swelling, tenderness
Age: 18.0
Sex: F
Vaccine: MNQ
Symptoms: Dizziness, Immediate post-injection reaction, Paraesthesia
Clinical narrative: Dizzy & Light-headed immediately following immunization.  Continued to feel light-headed and right arm 'tingled' several hours in to evening.  Parents called this RN.  Instructed to take to ER if symptoms persist or worsen.
Age: 5.0
Sex: F
Vaccine: DTAPIPV
Symptoms: Injection site erythema, Injection site pruritus, Pyrexia
Clinical narrative: Noted 1 " from injection site redness, itching, no pain, fever x 3 days (103) after injection.  Dr. assessed pt in office on 8-20-10.
Age: 12.0
Sex: F
Vaccine: HPV4, MNQ, TDAP, VARCEL
Symptoms: Convulsion, Dyskinesia, Hypotonia
Clinical narrative: Rcvd Tdap, Varicella, MCV4 and HPV.  After receiving the last dose (was HPV) - started to seize - lasted approximately 30 seconds of jerking and then went limp.  Came to immediately and was alert and oriented.
Age: 66.0
Sex: M
Vaccine: FLU3
Symptoms: Arthralgia, Arthritis, Blood test abnormal, Musculoskeletal pain, Nuclear magnetic resonance imaging
Clinical narrative: Painful inflammation of the shoulders, hips, knees, hands, feet.
Age: 66.0
Sex: M
Vaccine: FLU3
Symptoms: Pain in extremity, Rheumatoid factor positive, Ultrasound scan
Clinical narrative: Painful inflammation of the shoulders, hips, knees, hands, feet.
Age: 16.0
Sex: M
Vaccine: MNQ
Symptoms: Hemicephalalgia, Injection site erythema, Injection site pain, Injection site swelling, Paraesthesia
Clinical narrative: Severe swelling, redness, tenderness at injection site of right deltoid.  Associated left sided headache and left leg tingling sensation.
Age: 1.08
Sex: F
Vaccine: HEPA, HIBV, MMR, VARCEL
Symptoms: Herpes zoster
Clinical narrative: Shingles (zoster) on right arm in C6 dermatomal distribution--same arm that she received the varicella vaccine in.
Age: 0.57
Sex: M
Vaccine: DTAPIPVHIB, HEP, PNC13, RV5
Symptoms: Reaction to previous exposure to any vaccine
Clinical narrative: None so far, history of vomiting and bloody stool in the past.
Age: 33.0
Sex: F
Vaccine: HEP
Symptoms: Abdominal discomfort, Chills, Diarrhoea, Dyspnoea, Hypoaesthesia
Clinical narrative: I felt these symptoms around 7:30 PM. Chills, fainting, hard time breathing, diarrhea and my body went numb. It is day five since I got the shot, and I have chills. And upset stomach.
Age: 33.0
Sex: F
Vaccine: HEP
Symptoms: Syncope
Clinical narrative: I felt these symptoms around 7:30 PM. Chills, fainting, hard time breathing, diarrhea and my body went numb. It is day five since I got the shot, and I have chills. And upset stomach.
Age: 26.0
Sex: F
Vaccine: DTAP
Symptoms: Oedema peripheral, Rash
Clinical narrative: Rash and swelling localized to the top of the hands and feet only.
Age: 36.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Abdominal pain upper, Anion gap decreased, Basophil count normal, Basophil percentage, Blood calcium decreased
Clinical narrative: 35 y/o ADAF with multiple symptoms within 30 minutes of receiving H1N1 on 7 July 2010. Service member (SM) received vaccine in her left arm and within 10 minutes, clinic staff noted "puffy eyes" and SM was asked if she was okay. She initially reported she was feeling fine, but within minutes began to c/o chest pain, arm pain, itchiness and was taken to the ER. In the ER, physical exam and ECG were normal. SM was treated with oral ZANTAC, BENADRYL, and KCl (Potassium level 3.3), IV TORADOL and Albuterol neb with symptoms resolved upon discharge. On 8 July, at follow up visit, symptoms reported following vaccine included chest pain, stomach and left arm pain, puffy/watery eyes, itchiness to fingers, left side of tongue, arm, chest, leg and ear. SM noted to be "doing much better...having some residual fatigue". However, during follow-up phone call on 30 July, SM reported continuing sharp chest pains and "just doesn't feeling right".
Age: 36.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Blood chloride normal, Blood creatinine normal, Blood glucose normal, Blood potassium decreased, Blood sodium normal
Clinical narrative: 35 y/o ADAF with multiple symptoms within 30 minutes of receiving H1N1 on 7 July 2010. Service member (SM) received vaccine in her left arm and within 10 minutes, clinic staff noted "puffy eyes" and SM was asked if she was okay. She initially reported she was feeling fine, but within minutes began to c/o chest pain, arm pain, itchiness and was taken to the ER. In the ER, physical exam and ECG were normal. SM was treated with oral ZANTAC, BENADRYL, and KCl (Potassium level 3.3), IV TORADOL and Albuterol neb with symptoms resolved upon discharge. On 8 July, at follow up visit, symptoms reported following vaccine included chest pain, stomach and left arm pain, puffy/watery eyes, itchiness to fingers, left side of tongue, arm, chest, leg and ear. SM noted to be "doing much better...having some residual fatigue". However, during follow-up phone call on 30 July, SM reported continuing sharp chest pains and "just doesn't feeling right".
Age: 36.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Blood urea decreased, Carbon dioxide normal, Chest pain, Electrocardiogram normal, Eosinophil count normal
Clinical narrative: 35 y/o ADAF with multiple symptoms within 30 minutes of receiving H1N1 on 7 July 2010. Service member (SM) received vaccine in her left arm and within 10 minutes, clinic staff noted "puffy eyes" and SM was asked if she was okay. She initially reported she was feeling fine, but within minutes began to c/o chest pain, arm pain, itchiness and was taken to the ER. In the ER, physical exam and ECG were normal. SM was treated with oral ZANTAC, BENADRYL, and KCl (Potassium level 3.3), IV TORADOL and Albuterol neb with symptoms resolved upon discharge. On 8 July, at follow up visit, symptoms reported following vaccine included chest pain, stomach and left arm pain, puffy/watery eyes, itchiness to fingers, left side of tongue, arm, chest, leg and ear. SM noted to be "doing much better...having some residual fatigue". However, during follow-up phone call on 30 July, SM reported continuing sharp chest pains and "just doesn't feeling right".
Age: 36.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Eosinophil percentage decreased, Eyelid oedema, Fatigue, Feeling abnormal, Glomerular filtration rate normal
Clinical narrative: 35 y/o ADAF with multiple symptoms within 30 minutes of receiving H1N1 on 7 July 2010. Service member (SM) received vaccine in her left arm and within 10 minutes, clinic staff noted "puffy eyes" and SM was asked if she was okay. She initially reported she was feeling fine, but within minutes began to c/o chest pain, arm pain, itchiness and was taken to the ER. In the ER, physical exam and ECG were normal. SM was treated with oral ZANTAC, BENADRYL, and KCl (Potassium level 3.3), IV TORADOL and Albuterol neb with symptoms resolved upon discharge. On 8 July, at follow up visit, symptoms reported following vaccine included chest pain, stomach and left arm pain, puffy/watery eyes, itchiness to fingers, left side of tongue, arm, chest, leg and ear. SM noted to be "doing much better...having some residual fatigue". However, during follow-up phone call on 30 July, SM reported continuing sharp chest pains and "just doesn't feeling right".
Age: 36.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Haematocrit normal, Haemoglobin normal, Lacrimation increased, Lymphocyte count normal, Lymphocyte percentage
Clinical narrative: 35 y/o ADAF with multiple symptoms within 30 minutes of receiving H1N1 on 7 July 2010. Service member (SM) received vaccine in her left arm and within 10 minutes, clinic staff noted "puffy eyes" and SM was asked if she was okay. She initially reported she was feeling fine, but within minutes began to c/o chest pain, arm pain, itchiness and was taken to the ER. In the ER, physical exam and ECG were normal. SM was treated with oral ZANTAC, BENADRYL, and KCl (Potassium level 3.3), IV TORADOL and Albuterol neb with symptoms resolved upon discharge. On 8 July, at follow up visit, symptoms reported following vaccine included chest pain, stomach and left arm pain, puffy/watery eyes, itchiness to fingers, left side of tongue, arm, chest, leg and ear. SM noted to be "doing much better...having some residual fatigue". However, during follow-up phone call on 30 July, SM reported continuing sharp chest pains and "just doesn't feeling right".
Age: 36.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Mean cell haemoglobin concentration, Mean cell haemoglobin increased, Mean cell volume normal, Mean platelet volume normal, Monocyte count normal
Clinical narrative: 35 y/o ADAF with multiple symptoms within 30 minutes of receiving H1N1 on 7 July 2010. Service member (SM) received vaccine in her left arm and within 10 minutes, clinic staff noted "puffy eyes" and SM was asked if she was okay. She initially reported she was feeling fine, but within minutes began to c/o chest pain, arm pain, itchiness and was taken to the ER. In the ER, physical exam and ECG were normal. SM was treated with oral ZANTAC, BENADRYL, and KCl (Potassium level 3.3), IV TORADOL and Albuterol neb with symptoms resolved upon discharge. On 8 July, at follow up visit, symptoms reported following vaccine included chest pain, stomach and left arm pain, puffy/watery eyes, itchiness to fingers, left side of tongue, arm, chest, leg and ear. SM noted to be "doing much better...having some residual fatigue". However, during follow-up phone call on 30 July, SM reported continuing sharp chest pains and "just doesn't feeling right".
Age: 36.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Monocyte percentage, Neutrophil count normal, Neutrophil percentage, Pain in extremity, Paraesthesia oral
Clinical narrative: 35 y/o ADAF with multiple symptoms within 30 minutes of receiving H1N1 on 7 July 2010. Service member (SM) received vaccine in her left arm and within 10 minutes, clinic staff noted "puffy eyes" and SM was asked if she was okay. She initially reported she was feeling fine, but within minutes began to c/o chest pain, arm pain, itchiness and was taken to the ER. In the ER, physical exam and ECG were normal. SM was treated with oral ZANTAC, BENADRYL, and KCl (Potassium level 3.3), IV TORADOL and Albuterol neb with symptoms resolved upon discharge. On 8 July, at follow up visit, symptoms reported following vaccine included chest pain, stomach and left arm pain, puffy/watery eyes, itchiness to fingers, left side of tongue, arm, chest, leg and ear. SM noted to be "doing much better...having some residual fatigue". However, during follow-up phone call on 30 July, SM reported continuing sharp chest pains and "just doesn't feeling right".
Age: 36.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Platelet count normal, Pruritus, Red blood cell count decreased, Red cell distribution width normal, Skin test negative
Clinical narrative: 35 y/o ADAF with multiple symptoms within 30 minutes of receiving H1N1 on 7 July 2010. Service member (SM) received vaccine in her left arm and within 10 minutes, clinic staff noted "puffy eyes" and SM was asked if she was okay. She initially reported she was feeling fine, but within minutes began to c/o chest pain, arm pain, itchiness and was taken to the ER. In the ER, physical exam and ECG were normal. SM was treated with oral ZANTAC, BENADRYL, and KCl (Potassium level 3.3), IV TORADOL and Albuterol neb with symptoms resolved upon discharge. On 8 July, at follow up visit, symptoms reported following vaccine included chest pain, stomach and left arm pain, puffy/watery eyes, itchiness to fingers, left side of tongue, arm, chest, leg and ear. SM noted to be "doing much better...having some residual fatigue". However, during follow-up phone call on 30 July, SM reported continuing sharp chest pains and "just doesn't feeling right".
Age: 36.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: White blood cell count normal
Clinical narrative: 35 y/o ADAF with multiple symptoms within 30 minutes of receiving H1N1 on 7 July 2010. Service member (SM) received vaccine in her left arm and within 10 minutes, clinic staff noted "puffy eyes" and SM was asked if she was okay. She initially reported she was feeling fine, but within minutes began to c/o chest pain, arm pain, itchiness and was taken to the ER. In the ER, physical exam and ECG were normal. SM was treated with oral ZANTAC, BENADRYL, and KCl (Potassium level 3.3), IV TORADOL and Albuterol neb with symptoms resolved upon discharge. On 8 July, at follow up visit, symptoms reported following vaccine included chest pain, stomach and left arm pain, puffy/watery eyes, itchiness to fingers, left side of tongue, arm, chest, leg and ear. SM noted to be "doing much better...having some residual fatigue". However, during follow-up phone call on 30 July, SM reported continuing sharp chest pains and "just doesn't feeling right".
Age: 25.0
Sex: M
Vaccine: SMALL
Symptoms: Axillary pain, Blood creatine phosphokinase MB increased, Burning sensation, Cardiac disorder, Cardiac enzymes increased
Clinical narrative: Patient seen in consultation for myocarditis in temporal association to SPV. Pt received his primary SPV on 6/4/10 in his right upper arm (pt is left handed). He was in his normal state of good health at the time. On 6/9/10 the pt experienced 20-30 minutes of substernal chest pain (5/10) which he described as a squeezing pain which worsened with deep inspiration and improved with leaning forward. The chest pain was accompanied by dizziness, SOB and diaphoresis. The pt denied radiation of the pain, N or V. On 6/11/10 the pt experienced substernal and left sided chest pain (4/10; squeezing/pressure). The pt took 400mg on MOTRIN immediately and the pain resolved in about 45 minutes. The pt denied SOB, dizziness, diaphoresis, N or V. On 6/12/10 the pt noted about 5 inches of redness around the vaccination site, right axilla pain and swollen lymph nodes in the right axilla. On 6/13/10 the pt felt fatigued and he had an episode of chest pressure (3/10) across his upper chest (bilateral) with SOB; he took MOTRIN with improvement of his symptoms (1/10). Later in the evening he had a "burning" sensation in his chest. The pt took 400mg of MOTRIN without relief. The pain was not improved with positional change. After about 2 hours the "burning" increased and at that time the pt experienced SOB, diaphoresis, dizziness (no N or V). The pt decided to go to the ER. His EKG showed ST elevations in leads I, II and a VL; cardiac enzymes were elevated (Myoglobin 116 [0-98], CKMB 7.0 [0-4.0], Troponin I 2.01 [0.0-2]). He was subsequently admitted to Medical Center: cardiac cath: cardiomyopathy, mild/moderate LV dysfunction, normal coronaries; TTE: wall motion abnormalities, mild global hypokinesis, LVEF 45-50%; normal spiral chest CT; normal ESR (10); normal D-Dimer (178); and elevated Troponin I (6/14/10 6.77; 6/15/10 8.23). The pt was discharged on 6/15 on Ramipril 5mg qhs, ASA 81mg qd and CLINORIL 200mg bid. At that time he had constant (2/3) chest pressure and frequent SOB-- both of which increased with activity but quickly returned to baseline with rest. The pt had his initial cardiology appt at hospital on 6/21/10--he was diagnosed with myocarditis and placed on light duty, non-deployable for 6 months and scheduled for repeat TTE, EKG and stress test in 6 weeks. The pt returned to AFB on 6/23 with complaints of chest pressure (3/4) and SOB-(CK 31, CKMB < 0.5, Troponin I 0.05; CXR wnl; EKG SB)-he was released with instructions to keep scheduled appt in cardiology. The pt's last episode of chest pain was on 7/21/10. The pt was reevaluated by cardiology on 7/23/10. EKG: NSR-normal axis & intervals, no hypertrophy; Echo: EF 66%, normal; Stress test: (Bruce) for 14:21 minutes, PMHR 98% (193), METS 17.20, impression wnl. Found fit for full duty; given instructions for gradual increased activity and to d/c meds; non-deployable through mid Dec; f/u Dec.
Age: 25.0
Sex: M
Vaccine: SMALL
Symptoms: Cardiac stress test, Cardiomyopathy, Catheterisation cardiac abnormal, Chest discomfort, Chest pain
Clinical narrative: Patient seen in consultation for myocarditis in temporal association to SPV. Pt received his primary SPV on 6/4/10 in his right upper arm (pt is left handed). He was in his normal state of good health at the time. On 6/9/10 the pt experienced 20-30 minutes of substernal chest pain (5/10) which he described as a squeezing pain which worsened with deep inspiration and improved with leaning forward. The chest pain was accompanied by dizziness, SOB and diaphoresis. The pt denied radiation of the pain, N or V. On 6/11/10 the pt experienced substernal and left sided chest pain (4/10; squeezing/pressure). The pt took 400mg on MOTRIN immediately and the pain resolved in about 45 minutes. The pt denied SOB, dizziness, diaphoresis, N or V. On 6/12/10 the pt noted about 5 inches of redness around the vaccination site, right axilla pain and swollen lymph nodes in the right axilla. On 6/13/10 the pt felt fatigued and he had an episode of chest pressure (3/10) across his upper chest (bilateral) with SOB; he took MOTRIN with improvement of his symptoms (1/10). Later in the evening he had a "burning" sensation in his chest. The pt took 400mg of MOTRIN without relief. The pain was not improved with positional change. After about 2 hours the "burning" increased and at that time the pt experienced SOB, diaphoresis, dizziness (no N or V). The pt decided to go to the ER. His EKG showed ST elevations in leads I, II and a VL; cardiac enzymes were elevated (Myoglobin 116 [0-98], CKMB 7.0 [0-4.0], Troponin I 2.01 [0.0-2]). He was subsequently admitted to Medical Center: cardiac cath: cardiomyopathy, mild/moderate LV dysfunction, normal coronaries; TTE: wall motion abnormalities, mild global hypokinesis, LVEF 45-50%; normal spiral chest CT; normal ESR (10); normal D-Dimer (178); and elevated Troponin I (6/14/10 6.77; 6/15/10 8.23). The pt was discharged on 6/15 on Ramipril 5mg qhs, ASA 81mg qd and CLINORIL 200mg bid. At that time he had constant (2/3) chest pressure and frequent SOB-- both of which increased with activity but quickly returned to baseline with rest. The pt had his initial cardiology appt at hospital on 6/21/10--he was diagnosed with myocarditis and placed on light duty, non-deployable for 6 months and scheduled for repeat TTE, EKG and stress test in 6 weeks. The pt returned to AFB on 6/23 with complaints of chest pressure (3/4) and SOB-(CK 31, CKMB < 0.5, Troponin I 0.05; CXR wnl; EKG SB)-he was released with instructions to keep scheduled appt in cardiology. The pt's last episode of chest pain was on 7/21/10. The pt was reevaluated by cardiology on 7/23/10. EKG: NSR-normal axis & intervals, no hypertrophy; Echo: EF 66%, normal; Stress test: (Bruce) for 14:21 minutes, PMHR 98% (193), METS 17.20, impression wnl. Found fit for full duty; given instructions for gradual increased activity and to d/c meds; non-deployable through mid Dec; f/u Dec.