chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Sex: F
Vaccine: HPV4, UNK
Symptoms: Syncope
Clinical narrative: Information has been received from a physician's assistant concerning a female (age unknown) who on an unspecified date was vaccinated intramuscularly with a 0.5 ml first dose of Gardasil. Subsequently the patient fainted. At the time of this report, the outcome was unknown. No product quality complaint was involved. This is one of two reports from the same source. No further information is available. 10/08/07 This is in follow-up to report(s) previously submitted on 7/16/2007. Information has been received from a physician's assistant concerning a female (age unknown) who on an unspecified date was vaccinated intramuscularly with a 0.5 ml first dose of GARDASIL. An unknown vaccination was administered at the same appointment. Subsequently the patient fainted. At the time of this report, the outcome was unknown. No product quality complaint was involved. This is one of two reports from the same source. No further information is available.
Sex: F
Vaccine: HPV4
Symptoms: Dizziness, Hyperhidrosis, Nausea
Clinical narrative: Information has been received from a registered nurse concerning female patient with no medical history who on approximately 22-JUN-2007 was vaccinated with a dose of the Gardasil. There was no concomitant medication. Five minutes after receiving the vaccination, the patient became dizzy, nauseous and diaphoretic. The symptoms lasted for 10 minutes. Unspecified medical attention was sought. The patient recovered from the dizziness, nausea, and diaphoresis on the same day she received the Gardasil. This report is one of several reports received from the same source. Additional information has been requested.
Sex: F
Vaccine: HPV4
Symptoms: Dizziness, Hyperhidrosis, Nausea
Clinical narrative: Information has been received from a registered nurse concerning female patient with no pertinent medical history who on approximately 22-JUN-2007 was vaccinated with a dose of the Gardasil. There was no concomitant medication. Five minutes after receiving the vaccination, the patient became dizzy, nauseous and diaphoretic. The symptoms lasted for 10 minutes. Unspecified medical attention was sought. The patient recovered from the
Sex: F
Vaccine: HPV4
Symptoms: Unevaluable event
Clinical narrative: Information has been received from a registered nurse concerning a female patient who on an unspecified date was vaccinated with Gardasil. Subsequently the patient had a "terrible reaction to the vaccine". It was reported that the patient had such a bad reaction that she was not allowed to get the next two vaccines. No further information was provided. Additional information is not expected. This is one of two reports from the same source.
Age: 18.0
Sex: F
Vaccine: HPV4
Symptoms: Syncope
Clinical narrative: Information has been received from a Registered Nurse (R.N.) concerning around an 18 year old female who was vaccinated with a dose of Gardasil. The patient fainted after receiving the Gardasil. Unspecified medical attention was sought by the patient, the patient recovered. The reporter reported that two other patient experienced fainting after receiving the dose of Gardasil. Additional information has been requested.
Sex: F
Vaccine: HPV4
Symptoms: Syncope
Clinical narrative: Information has been received from a Registered Nurse (R.N.) concerning a female patient (age unknown) who was vaccinated with a dose of Gardasil. The patient fainted after receiving the Gardasil. Unspecified medical attention was sought, the patient recovered. The reporter reported that two other patient experienced fainting after receiving the dose of Gardasil. Additional information has been requested.
Age: 11.0
Sex: F
Vaccine: HPV4
Symptoms: Cold compress therapy, Syncope
Clinical narrative: Information has been received from a health professional concerning a 11 year old female who on 08-JUN-2007 was vaccinated with the second dose (date of first dose not provided) of Gardasil (Lot # not provided). Concomitant therapy included Menactra. On 08-JUN-2007 the patient experienced syncope after being vaccinated with the three vaccines. It was reported that the episode of syncope last 10 to 15 minutes. The patient was treated with a cold compress, put her head between her legs and was "fine after that". The health professional reported that the patient will be scheduled to receive the third dose of Gardasil on an unspecified date. Additional information has been requested.
Sex: F
Vaccine: HPV4
Symptoms: Syncope
Clinical narrative: Information has been received from a physician concerning a female who was vaccinated with the first dose of Gardasil (Lot# not provided). It was reported that the patient fainted at the check out. The patient was treated with smelling salts of ammonia and drank a Mountain Dew soda. Her parents picked her up at the physicians office. Subsequently, the patient recovered. Additional information has been requested.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMRV, DTAP, IPV, MMRV
Symptoms: Erythema, Skin warm, Swelling
Clinical narrative: s/s (L) arm was red and swollen, hot to touch. Advised to apply cool moist towel to area
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMRV, DTAP, IPV, MMRV
Symptoms: Cold compress therapy, Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: s/s (L) arm was red and swollen, hot to touch. Advised to apply cool moist towel to area
Age: 35.0
Sex: F
Vaccine: HEPA, IPV, MMR, RAB, TDAP
Symptoms: Cardiac flutter, Dyspnoea, Eye swelling, Paraesthesia, Pruritus
Clinical narrative: Uncontrolled sneezing, swollen eyes tingling itching extremities, SOB, "fullness" in throat, increased P, "fluttery" feeling-lasted approx. 12-18 hours. Called advice nurse on 7/15-took antihistamine and symptoms resolved.
Age: 35.0
Sex: F
Vaccine: HEPA, IPV, MMR, RAB, TDAP
Symptoms: Sneezing, Throat tightness
Clinical narrative: Uncontrolled sneezing, swollen eyes tingling itching extremities, SOB, "fullness" in throat, increased P, "fluttery" feeling-lasted approx. 12-18 hours. Called advice nurse on 7/15-took antihistamine and symptoms resolved.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMRV
Symptoms: Injection site swelling
Clinical narrative: Swelling of right thigh at IPV site symptomatic case only
Age: 0.33
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC, RV5
Symptoms: Crying, Pyrexia
Clinical narrative: Fever 100.6 prolonged crying
Age: 0.3
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Erythema
Clinical narrative: Pt received Pediarix, PCV, Hib, Rotateq at 1835. At 1840 parents reported pts legs were red. Assessment BLE bright red. Pts face and head also bright red. Dr notified and Benadryl given at 1844. no s/s respiratory distress. Pt left at 1910 and skin color normal.
Age: 2.0
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Blister, Pyrexia, Rash
Clinical narrative: ran low grade fevers a few days ago noted last pm to have some small bumps on his back-Today 4-5 small blistered bumps on back, 2 on abd. and 2 on legs
Age: 46.0
Sex: F
Vaccine: HEPA, TDAP, TYP, YF
Symptoms: Injection site erythema, Injection site warmth
Clinical narrative: Pt presented 3 days after vaccines given with sudden onset of LVE erythema and warmth. no fluctuance or edema no tenderness The patch was located on dorsal aspect of distal upper arm measuring approx 4x6 cm triangular shape found site of injection. localized tx if ice prn ibuprofen/Benadryl rec. but pt admits at f/u that she only used ice. All sx resolved 3 days.
Age: 14.0
Sex: F
Vaccine: MNQ
Symptoms: Chorea
Clinical narrative: This case was received from a health professional on 09 July 2007. A 14-year-old female patient experienced "possible chorea" after receiving an injection of Menactra (lot number not reported). The vaccine was administered on 26 June 2007, and 24 hours later, on 27 June 2007, the patient developed possible chorea. No additional information was provided.
Age: 0.4
Sex: F
Vaccine: DTAP, HIBV, IPV, PNC, RV5
Symptoms: Intussusception, Surgery
Clinical narrative: Information has been received from a physician's assistant concerning a patient who was vaccinated PO with a dose of Rotateq. Subsequently the patient experienced intussusception and was hospitalized. Surgery was required. The patient recovered. No additional information was available. Intussusception was considered to be immediately life-threatening by the reporter. Additional information has been requested. 10/12/07-records received for DOS 5/23-5/29/07- DC DX: Intussusception. Open reduction with decompressive enterotomy and appendectomy. Presented with 2 day history of vomiting and alternating lethargy and crying. Post operative ileus
Age: 0.4
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Intussusception, Surgery
Clinical narrative: Information has been received from a physician concerning a 6 month old male who on 30-MAY-2007 was vaccinated with a second dose of Rotateq. Concomitant vaccinations received on the same day included Hib conj vaccine (unspecified carrier), DTaP (unspecified) and poliovirus vaccine. On 03-Jul -2007 the patient experienced intussusception and was hospitalized until 11-JUL-2007. The patient had exploratory surgery but intussusception corrected without any surgical procedure. On 11-JUL-2007, the patient recovered from intussusception. There was no product quality complaint. Additional information has been requested. 8/15/07-records received from facility for DOS- 7/3-7/6/07-DC DX: Intussusception Reduction. Presented to ED with symtpoms of projectile vomiting times 4 days with every oral intake. Dehydration. No fever no diarrhea. Fontanelles depressed a little. Surgery. Laparotomy reduction of intussusception and appendectomy
Age: 65.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Abdominal pain, Back pain, Blister, Herpes zoster, Musculoskeletal pain
Clinical narrative: Information has been received from a registered nurse concerning a 65 year old female who on 05-JUN-2007 was vaccinated with a dose of Zostavax. On 07-JUN-2007 the patient experienced a shingles rash on left buttock. The patient returned to the clinic on 07-Jun-2007 with back pain that felt like it was musculoskeletal. "On 17-Jun-2007 the patient went to the emergency department with some breaking out rash and it they felt it was shingles on the left buttock area". The patient had four small blisters and was having pain that rotated around to the abdomen. She was given Famvir and Lortab for treatment. Patient was hospitalized for unspecified period of time. Follow-up information received from a registered nurse indicating that the lot # was 0290U. The patient had fully recovered. The nurse did not know if the patient had a history of chicken pox or not. The patient was seen in the emergency room and discharged ("not hospitalized as previously reported"). The patient did not have recent exposure to chicken pox or herpes zoster. Follow-up information received from the physician indicating that the patient received the vaccination in the left deltoid. The patient did not complain of any pain. There was mo direct flourescent antibody done. A specimen for PCR was not collected, nor was a photo of the rash taken. Patient did recover.  No further information is expected.
Age: 65.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Pain, Rash
Clinical narrative: Information has been received from a registered nurse concerning a 65 year old female who on 05-JUN-2007 was vaccinated with a dose of Zostavax. On 07-JUN-2007 the patient experienced a shingles rash on left buttock. The patient returned to the clinic on 07-Jun-2007 with back pain that felt like it was musculoskeletal. "On 17-Jun-2007 the patient went to the emergency department with some breaking out rash and it they felt it was shingles on the left buttock area". The patient had four small blisters and was having pain that rotated around to the abdomen. She was given Famvir and Lortab for treatment. Patient was hospitalized for unspecified period of time. Follow-up information received from a registered nurse indicating that the lot # was 0290U. The patient had fully recovered. The nurse did not know if the patient had a history of chicken pox or not. The patient was seen in the emergency room and discharged ("not hospitalized as previously reported"). The patient did not have recent exposure to chicken pox or herpes zoster. Follow-up information received from the physician indicating that the patient received the vaccination in the left deltoid. The patient did not complain of any pain. There was mo direct flourescent antibody done. A specimen for PCR was not collected, nor was a photo of the rash taken. Patient did recover.  No further information is expected.
Age: 65.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Arthralgia, Herpes zoster
Clinical narrative: Information has been received from a registered nurse concerning a 65 year old female who on 05-JUN-2007 was vaccinated with a dose of Zostavax. On 07-JUN-2007 the patient experienced a shingles rash on left buttock. The patient returned to the clinic on 07-Jun-2007 with back pain that felt like it was musculoskeletal. "On 17-Jun-2007 the patient went to the emergency department with some breaking out rash and it they felt it was shingles on the left buttock area". The patient had four small blisters and was having pain that rotated around to the abdomen. She was given Famvir and Lortab for treatment. Patient was hospitalized for unspecified period of time. Follow-up information received from a registered nurse indicating that the lot # was 0290U. The patient had fully recovered. The nurse did not know if the patient had a history of chicken pox or not. The patient was seen in the emergency room and discharged ("not hospitalized as previously reported"). The patient did not have recent exposure to chicken pox or herpes zoster. Follow-up information received from the physician indicating that the patient received the vaccination in the left deltoid. The patient did not complain of any pain. There was mo direct flourescent antibody done. A specimen for PCR was not collected, nor was a photo of the rash taken. Patient did recover.  No further information is expected.
Age: 1.67
Sex: F
Vaccine: MMR
Symptoms: Body temperature increased, Convulsion, Ear infection, Loss of consciousness, Pyrexia
Clinical narrative: Information has been received from a registered nurse concerning a 20 month old female who on 06-JUN-2007 was vaccinated with a dose of MMR II (lot number 654897/1031F). On 25-JUN-2007 the patient experienced a fever of 103.1F, she passed out, vomited, stopped breathing, and had a seizure. The patient was taken to the emergency room the same day, 25-JUN-2007 and was diagnosed with a severe ear infection. She was prescribed antibiotics (unspecified). On 26-JUN-2007 her temperature went up to 103.8F and she vomited. On 27-JUN-2007 her temperature ranged from 99-101F and the ear infection continued. The patient's status at the time of the report was unknown. No product quality complaint was involved. The patient's convulsion and the event of stopped breathing were considered to be other important medical events and to be serious by the reporter. Additional information has been requested.
Age: 1.67
Sex: F
Vaccine: MMR
Symptoms: Respiratory arrest, Vomiting
Clinical narrative: Information has been received from a registered nurse concerning a 20 month old female who on 06-JUN-2007 was vaccinated with a dose of MMR II (lot number 654897/1031F). On 25-JUN-2007 the patient experienced a fever of 103.1F, she passed out, vomited, stopped breathing, and had a seizure. The patient was taken to the emergency room the same day, 25-JUN-2007 and was diagnosed with a severe ear infection. She was prescribed antibiotics (unspecified). On 26-JUN-2007 her temperature went up to 103.8F and she vomited. On 27-JUN-2007 her temperature ranged from 99-101F and the ear infection continued. The patient's status at the time of the report was unknown. No product quality complaint was involved. The patient's convulsion and the event of stopped breathing were considered to be other important medical events and to be serious by the reporter. Additional information has been requested.
Age: 0.5
Sex: F
Vaccine: DTP, HIBV, IPV
Symptoms: Diabetes mellitus insulin-dependent
Clinical narrative: juvenile diabetes diagnosed at age 11 on may, 2005.  7/27/07 Received hospital medical records from ER visit of 5/20/05.  Included endocrinology consult which reveals 10 pound wt loss in 5 mos, polyuria, polydipsia, bedwetting.  Seen by PCP earlier same day & sent to ER for fingerstick glucose greater than 500.  Tx w/IVF & insulin & was to be admitted to higher level of care facility via parents. FINAL DX: Type I diabetes, newly diagnosed w/early DKA resolved. 8/23/07 Received t/c from transfer hospital med recs.  States patient not admitted.  Was seen by MD only in Endocrinology clinic. 8/28/07 Reviewed medical records from transfer Clinic where patient was seen only as outpatient.  Notes of 7/19/05, 4/21/06, 11/6/06, 3/19/07  indicate patient w/IDDM, in excellent to very good control via insulin pump.   8/28/07 Reviewed medical records from initial provider from 5/94-11/97 reveals PMH: neveus flammus, small rectal fissure, mild anemia, viral pharyngitis, rash, URI.
Age: 24.0
Sex: M
Vaccine: ANTH, FLUX, HEP, SMALL, TYP
Symptoms: Abnormal behaviour, Acne, Migraine, Pain, Rash
Clinical narrative: Severe body pain and joint, severe acne, spot of skin, rash, migraine, changes of behavior, severe back pain, etc.  7/31/07 Received medical records from VAMC for 9/04-7/07 which reveal patient experienced chronic neck & LBP s/p fall in 2004, hallux valgus deformity & severe pes planus deformity & arthritis of bilat feet, acne, hypertriglyceridemia, headaches w/photophobia, myositis, left knee pain   Tx w/PT for neck & back pain.  8/3/07 Received vax record from patient.  Does not include lot #s. VAERS database updated w/same.
Age: 24.0
Sex: M
Vaccine: ANTH, FLUX, HEP, SMALL, TYP
Symptoms: Skin discolouration
Clinical narrative: Severe body pain and joint, severe acne, spot of skin, rash, migraine, changes of behavior, severe back pain, etc.  7/31/07 Received medical records from VAMC for 9/04-7/07 which reveal patient experienced chronic neck & LBP s/p fall in 2004, hallux valgus deformity & severe pes planus deformity & arthritis of bilat feet, acne, hypertriglyceridemia, headaches w/photophobia, myositis, left knee pain   Tx w/PT for neck & back pain.  8/3/07 Received vax record from patient.  Does not include lot #s. VAERS database updated w/same.
Age: 64.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth, White blood cell count
Clinical narrative: Pt had large amount of swelling with redness and warmth. Approximately 10 inches by 4 inches-covering most of right upper arm.
Age: 1.0
Sex: F
Vaccine: HBHEPB, MMRV, PNC
Symptoms: Injection site erythema, Injection site warmth
Clinical narrative: localized redness at the injection site approx 6-7 cm, warmth
Age: 15.0
Sex: U
Vaccine: HEPA, MNQ, TDAP
Symptoms: Anorexia, Body temperature increased, Dizziness, Full blood count normal, Injection site rash
Clinical narrative: Tdap-Menactra Hep A given-next day mom called. Chile temp-c/o Dizziness small red raised area at site of all injections, size of 1-2mm. Temp in office 101.3. No appetite. Dr ordered CBC and BI culture.
Age: 64.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling, Injection site warmth
Clinical narrative: 1. Redness, swelling, warmth, itching at injection site
Age: 78.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Chest discomfort, Injection site bruising, Injection site pruritus, Injection site warmth
Clinical narrative: 1) Chest heaviness / tightness, 24 hours post vaccination. Rx in Emergency Room/ NTG X 2/ 02. Admitted for cardiac work-up. Hospitalized 1 day (overnight). 2) Itching, bruise, warmth at injection site within 24 hours.
Age: 78.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Angiogram, Catheterisation cardiac, Chest discomfort, Electrocardiogram, Palpitations
Clinical narrative: 1) Chest heaviness / tightness, 24 hours post vaccination. Rx in Emergency Room/ NTG X 2/ 02. Admitted for cardiac work-up. Hospitalized 1 day (overnight). 2) Itching, bruise, warmth at injection site within 24 hours.
Age: 78.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Thyroid function test normal
Clinical narrative: 1) Chest heaviness / tightness, 24 hours post vaccination. Rx in Emergency Room/ NTG X 2/ 02. Admitted for cardiac work-up. Hospitalized 1 day (overnight). 2) Itching, bruise, warmth at injection site within 24 hours.
Age: 47.0
Sex: F
Vaccine: ANTH
Symptoms: Arthritis, Chest pain, Dyspnoea, Gastrooesophageal reflux disease, Injection site pain
Clinical narrative: Patient is a 47-year-old female who reported no problems with her first 3 anthrax (AVA) immunizations. On 28 June 04 she received AVA # 4. At that time she reported an initial lump that resolved after 3 wks. She had no further soreness. Then around the beginning of August she noticed some soreness and "mosquito bite" like lesions around the injection site. She also stated that the lump, approx size of a pea, had returned. She stated that the lesions lasted 2 days, and then followed by a period of itching for 2-3 days and then 7-10 days later she started to notice the bumps again that lasted 2-3 days before it cleared. She also reported itching again following clearing of the lesions. She stated that even though the lesions would clear, her arm would always feel sore in the area. She described the lesions as raised little bumps, no fluid filled, soft, and usually 3 separate bumps. She would notice slight itching but nothing like the itching that followed the clearing. No lesions on any other parts of her body. She stated that she never had lesions like this before. Patient denied any other problems but during a review of systems additional areas of concern were noted. She began to notice that the joints in her hand had increased in size. She was told that she had osteoarthritis of her hands and that she first noticed symptoms in Dec/Jan last year. She stated that only her left hand is involved and that she is left handed. She stated that she has pain in the mornings and that the pain increases with use during the day. Did not notice any change in the pain in relation to her anthrax immunizations. She also has left knee pain but stated that this was due to a fall that she sustained while in Iraq. She also reported left shoulder pain. She began to notice this around mid August. She has decrease range of motion and has a possible rotator cuff injury. She reports that a physical therapy consult is pending. She does not recall an injury and initially though it was from sleeping wrong. During the week of 06 Sep 04 she developed an episode of chest pain that woke her up from her sleep. She stated that it was a sharp pain that lasted 20 minutes and that she did experience shortness of breath. She denied diaphoresis and stated that nothing made the pain better or worse. Pain was # 6 on scale of 1-10 with 10 being worse. Did have one other episode since the first that was similar to the first episode and again occurred at night. She thought it was gas. She stated that her colonoscopy in Aug found 3 polyps and her endoscopy revealed esophagitis and reflux. Symptom: Nodule, epidermal Start: 06/28/2004 Comment: resolving in three weeks Symptom: Lesions, Vesicle Start: 08/01/2004 Symptom: Pain start: 08/01/2004 Comment: soreness Symptom: Pruritus Start: 08/01/2004
Age: 47.0
Sex: F
Vaccine: ANTH
Symptoms: Injection site papule, Injection site pruritus, Mass, Nodule, Oesophagitis
Clinical narrative: Patient is a 47-year-old female who reported no problems with her first 3 anthrax (AVA) immunizations. On 28 June 04 she received AVA # 4. At that time she reported an initial lump that resolved after 3 wks. She had no further soreness. Then around the beginning of August she noticed some soreness and "mosquito bite" like lesions around the injection site. She also stated that the lump, approx size of a pea, had returned. She stated that the lesions lasted 2 days, and then followed by a period of itching for 2-3 days and then 7-10 days later she started to notice the bumps again that lasted 2-3 days before it cleared. She also reported itching again following clearing of the lesions. She stated that even though the lesions would clear, her arm would always feel sore in the area. She described the lesions as raised little bumps, no fluid filled, soft, and usually 3 separate bumps. She would notice slight itching but nothing like the itching that followed the clearing. No lesions on any other parts of her body. She stated that she never had lesions like this before. Patient denied any other problems but during a review of systems additional areas of concern were noted. She began to notice that the joints in her hand had increased in size. She was told that she had osteoarthritis of her hands and that she first noticed symptoms in Dec/Jan last year. She stated that only her left hand is involved and that she is left handed. She stated that she has pain in the mornings and that the pain increases with use during the day. Did not notice any change in the pain in relation to her anthrax immunizations. She also has left knee pain but stated that this was due to a fall that she sustained while in Iraq. She also reported left shoulder pain. She began to notice this around mid August. She has decrease range of motion and has a possible rotator cuff injury. She reports that a physical therapy consult is pending. She does not recall an injury and initially though it was from sleeping wrong. During the week of 06 Sep 04 she developed an episode of chest pain that woke her up from her sleep. She stated that it was a sharp pain that lasted 20 minutes and that she did experience shortness of breath. She denied diaphoresis and stated that nothing made the pain better or worse. Pain was # 6 on scale of 1-10 with 10 being worse. Did have one other episode since the first that was similar to the first episode and again occurred at night. She thought it was gas. She stated that her colonoscopy in Aug found 3 polyps and her endoscopy revealed esophagitis and reflux. Symptom: Nodule, epidermal Start: 06/28/2004 Comment: resolving in three weeks Symptom: Lesions, Vesicle Start: 08/01/2004 Symptom: Pain start: 08/01/2004 Comment: soreness Symptom: Pruritus Start: 08/01/2004
Age: 47.0
Sex: F
Vaccine: ANTH
Symptoms: Osteoarthritis, Pruritus, Rash vesicular
Clinical narrative: Patient is a 47-year-old female who reported no problems with her first 3 anthrax (AVA) immunizations. On 28 June 04 she received AVA # 4. At that time she reported an initial lump that resolved after 3 wks. She had no further soreness. Then around the beginning of August she noticed some soreness and "mosquito bite" like lesions around the injection site. She also stated that the lump, approx size of a pea, had returned. She stated that the lesions lasted 2 days, and then followed by a period of itching for 2-3 days and then 7-10 days later she started to notice the bumps again that lasted 2-3 days before it cleared. She also reported itching again following clearing of the lesions. She stated that even though the lesions would clear, her arm would always feel sore in the area. She described the lesions as raised little bumps, no fluid filled, soft, and usually 3 separate bumps. She would notice slight itching but nothing like the itching that followed the clearing. No lesions on any other parts of her body. She stated that she never had lesions like this before. Patient denied any other problems but during a review of systems additional areas of concern were noted. She began to notice that the joints in her hand had increased in size. She was told that she had osteoarthritis of her hands and that she first noticed symptoms in Dec/Jan last year. She stated that only her left hand is involved and that she is left handed. She stated that she has pain in the mornings and that the pain increases with use during the day. Did not notice any change in the pain in relation to her anthrax immunizations. She also has left knee pain but stated that this was due to a fall that she sustained while in Iraq. She also reported left shoulder pain. She began to notice this around mid August. She has decrease range of motion and has a possible rotator cuff injury. She reports that a physical therapy consult is pending. She does not recall an injury and initially though it was from sleeping wrong. During the week of 06 Sep 04 she developed an episode of chest pain that woke her up from her sleep. She stated that it was a sharp pain that lasted 20 minutes and that she did experience shortness of breath. She denied diaphoresis and stated that nothing made the pain better or worse. Pain was # 6 on scale of 1-10 with 10 being worse. Did have one other episode since the first that was similar to the first episode and again occurred at night. She thought it was gas. She stated that her colonoscopy in Aug found 3 polyps and her endoscopy revealed esophagitis and reflux. Symptom: Nodule, epidermal Start: 06/28/2004 Comment: resolving in three weeks Symptom: Lesions, Vesicle Start: 08/01/2004 Symptom: Pain start: 08/01/2004 Comment: soreness Symptom: Pruritus Start: 08/01/2004
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMRV
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: (L) arm with mod erythema 10.1 cm x 7.5 cm in deltoid area with mild swelling
Age: 17.0
Sex: F
Vaccine: TDAP
Symptoms: Headache, Pain, Pyrexia
Clinical narrative: Headache, fever, body aches
Age: 13.0
Sex: F
Vaccine: HEPA, HPV4, VARCEL
Symptoms: Skin hypopigmentation, Skin lesion
Clinical narrative: Within 1 week of receiving vaccines, pt developed a raised, pale line from ankle to knee, was tender initially and grad. became non tender
Age: 11.0
Sex: F
Vaccine: HPV4, MNQ, TDAP, VARCEL
Symptoms: Injection site erythema, Injection site induration, Injection site pain, Injection site warmth
Clinical narrative: (R) upper arm 1 inch area of induration/warmth 2 inch area redness/warmth-tenderness to palpitation Tx-Ibuprofen/Benadryl
Age: 87.0
Sex: M
Vaccine: VARZOS
Symptoms: Asthenia, Dizziness, Headache
Clinical narrative: Lightheaded, dizziness, weakness, low grain headaches (applies to both of us husband and wife)
Age: 82.0
Sex: F
Vaccine: VARZOS
Symptoms: Asthenia, Dizziness, Headache
Clinical narrative: Lightheaded, dizziness, weakness, low grain headaches (applies to both of us husband and wife)
Age: 17.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Syncope
Clinical narrative: Pt received Gardasil injection. 10 minutes later proceeded to reception area to schedule next appointment and fainted.
Age: 10.0
Sex: F
Vaccine: TDAP, VARCEL
Symptoms: Erythema, Local reaction, Swelling, Tenderness
Clinical narrative: local reaction-4 cm swelling, redness, tenderness
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMRV
Symptoms: Injection site erythema, Injection site rash, Injection site swelling
Clinical narrative: (L) thigh swollen, red w/diffuse rash after receiving DTaP on 7-10-07 (AM). No fever. 19x19cm
Age: 11.0
Sex: M
Vaccine: TDAP, VARCEL
Symptoms: Injection site erythema, Injection site oedema
Clinical narrative: Erythema, edema at site of injection.
Age: 11.0
Sex: M
Vaccine: MNQ, TDAP, VARCEL
Symptoms: Injection site erythema, Injection site induration, Injection site pruritus, Injection site warmth
Clinical narrative: Started 24 hr after vaccination, peak at 72 hr Arthrus type rxn at site of varicella dose #2 4" area warm, red, minimal induration initially puritic
Age: 17.0
Sex: F
Vaccine: HEPA, HPV4
Symptoms: Dizziness, Fall, Loss of consciousness, Syncope
Clinical narrative: Following the administration of Hep A vaccine (second) and 1st Gardasil, pt became lightheaded and fainted, falling from sitting positive on table to floor. Pt awakened after few seconds Hr-2, BP 98/58 Rested in office 30 minutes, given fluids p.o. Hr 62, BP 118/10
Age: 41.0
Sex: F
Vaccine: TDAP
Symptoms: Erythema, Injection site movement impairment, Pruritus, Urticaria
Clinical narrative: Urticaria with very faint pinkness. (L) leg, pain with movement of raising arm (L) upper arm shoulder same arm as injection. Pruritis (L) arm, abdomen and (L) leg after appt. tx with Benadryl
Age: 0.2
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Diarrhoea, Vomiting
Clinical narrative: Child had vomiting and diarrhea for 4 days after receiving Rotateq.
Age: 13.0
Sex: F
Vaccine: HPV4, MNQ, TDAP
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling
Clinical narrative: Swelling and redness noted at area of injection after 24 hr. After 72 hr pt c/o itching at site. Pt fully recovered.
Age: 68.0
Sex: M
Vaccine: VARZOS
Symptoms: Paraesthesia
Clinical narrative: On 6-27-07, pt called to report the following reaction: "Tingling feeling (like the kind one feels before getting a fever blister) occurred in the face and scalp area, lasting 2-3 days." All is now resolved.
Age: 14.0
Sex: F
Vaccine: HPV4
Symptoms: Syncope
Clinical narrative: child fainted after receiving Gardasil #2
Age: 0.2
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Diarrhoea, Faeces discoloured, Screaming, Vomiting
Clinical narrative: called on 7/10 to report child screamed x 3 hrs after 3 hr nap 7/5 began vomiting with each feeding (breast) green watery diarrhea x 3 days. No fever. Alert Did not call before now as thought it needed to run its course and not life threatening.
Age: 0.2
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Culture stool negative, Diarrhoea, Occult blood negative, Parasite blood test, Stool analysis normal
Clinical narrative: Diarrhea since immunizations given
Age: 0.2
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: White blood cells stool negative
Clinical narrative: Diarrhea since immunizations given
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Pruritus
Clinical narrative: Itching in bilateral hands and feet with red raised areas on back. Redness to face. Benadryl given IM in office - sent to ER for observation.
Age: 16.0
Sex: F
Vaccine: HPV4
Symptoms: Dyspnoea, Swelling, Swelling face
Clinical narrative: Injection was administer at Pediatrics and went home before any symptom started. The child's mom notice swelling to face, arms, neck, SOB child was rushed to ER where she received treatment.
Age: 11.0
Sex: M
Vaccine: MNQ, TDAP, VARCEL
Symptoms: Rash, Streptococcal identification test positive, Varicella
Clinical narrative: Rash described as chickenpox by MD after examination on 7-7-07. No fever. Diagnosis confirmed on 7-9-07, after examination by MD. On 7-10-07, approximately 167 skin lesions; still developing and spreading.
Age: 26.0
Sex: F
Vaccine: TDAP
Symptoms: Arthralgia, Musculoskeletal discomfort
Clinical narrative: Moderate to severe pain over the weekend (7/7-8), popping sensation in shoulder and joint pain. Currently will be OK during the day, then will feel popping and onset of pain in the afternoon and evening, through late morning.
Sex: F
Vaccine: HPV4
Symptoms: Muscle fatigue
Clinical narrative: Patient reports muscle fatigue one hour after vaccine.
Age: 1.0
Sex: M
Vaccine: HEPA, MMRV
Symptoms: Blood chloride decreased, Blood culture negative, Blood glucose increased, Blood sodium decreased, Body temperature increased
Clinical narrative: 6-6-07 Child seen for routine well-child PE/immunization approximately 6:00 PM temp 101.4 (ax), decrease with acetaminophen (tactile), 6-7-07 approx 1:00 AM child shaking, did not appear to respond, ambulance called and taken to hospital. Temp 104 (ax) blood drawn, attempt at urine by cath. unsuccessful - told febrile seizure and sent home. 6-8-07 Child sent for follow-up bagged for urine, seemed fine and was afebrile.
Age: 1.0
Sex: M
Vaccine: HEPA, MMRV
Symptoms: Culture urine positive, Febrile convulsion, Full blood count normal, Klebsiella infection, Tremor
Clinical narrative: 6-6-07 Child seen for routine well-child PE/immunization approximately 6:00 PM temp 101.4 (ax), decrease with acetaminophen (tactile), 6-7-07 approx 1:00 AM child shaking, did not appear to respond, ambulance called and taken to hospital. Temp 104 (ax) blood drawn, attempt at urine by cath. unsuccessful - told febrile seizure and sent home. 6-8-07 Child sent for follow-up bagged for urine, seemed fine and was afebrile.
Age: 1.0
Sex: M
Vaccine: HEPA, MMRV
Symptoms: Unresponsive to stimuli, Urine analysis abnormal
Clinical narrative: 6-6-07 Child seen for routine well-child PE/immunization approximately 6:00 PM temp 101.4 (ax), decrease with acetaminophen (tactile), 6-7-07 approx 1:00 AM child shaking, did not appear to respond, ambulance called and taken to hospital. Temp 104 (ax) blood drawn, attempt at urine by cath. unsuccessful - told febrile seizure and sent home. 6-8-07 Child sent for follow-up bagged for urine, seemed fine and was afebrile.
Age: 16.0
Sex: F
Vaccine: HPV4, TDAP
Symptoms: Dizziness, Heart rate decreased, Hypotonia, Oxygen saturation, Tremor
Clinical narrative: Patient became limp, dizzy. Body tremors approximately 45 seconds after Gardasil injected to left deltoid, while TDaP was given to right deltoid. Body tremors lasted a few seconds. Patient was placed on recumbent position, had no complaint of GI symptoms, no shortness of breath. Patient was observed for 45-60 minutes after incident.
Age: 44.0
Sex: M
Vaccine: TDAP
Symptoms: Body temperature increased, Chills, Pain
Clinical narrative: Temp 103.2 - 24 hour - antipyretics, body aches, chills
Age: 1.3
Sex: F
Vaccine: MMRV
Symptoms: Inappropriate schedule of drug administration, Otitis media, Pyrexia, Rash
Clinical narrative: Patient received ProQuad 3/1/07 and it was given again at 6/11/07 visit. On 6/25/07 patient developed a fever, rash and otitis media. There was concern, the rash may have been due to the duplicate vaccines.
Age: 13.0
Sex: M
Vaccine: MNQ, TDAP, VARCEL
Symptoms: Oedema peripheral, Skin warm
Clinical narrative: Left arm SQ- swelling warmth to touch called ER nurse line advise to put ice and give Benadryl or Ibuprofen sx worsened take to ER swelling got as large as grapefruit ER treatment with antibiotics.
Age: 16.0
Sex: F
Vaccine: HPV4, TDAP
Symptoms: Loss of consciousness, Unresponsive to stimuli
Clinical narrative: Received HPV and Tdap at which time patient passed out and was non responsive for about 10 minutes. Patient did not come to several seconds after passed out before passing out again. She was transported to hospital per ambulance after IV started and blood work done.
Age: 16.0
Sex: F
Vaccine: TDAP, VARCEL
Symptoms: Injection site induration, Injection site pain, Injection site swelling, Myalgia, Nausea
Clinical narrative: Local pain, induration and swelling at injection site. Urticaria 48 hours after shot. Myalgia, fever, nausea.
Age: 16.0
Sex: F
Vaccine: TDAP, VARCEL
Symptoms: Pyrexia, Urticaria
Clinical narrative: Local pain, induration and swelling at injection site. Urticaria 48 hours after shot. Myalgia, fever, nausea.
Age: 25.0
Sex: F
Vaccine: FLU3, HEPAB, TDAP
Symptoms: Rash pruritic
Clinical narrative: Rash with itching on both arms below the shoulder above the elbows.
Age: 76.0
Sex: M
Vaccine: VARZOS
Symptoms: Rash
Clinical narrative: Rah 3 days after and lasting x 1 week.
Age: 24.0
Sex: M
Vaccine: MMR, TDAP, VARCEL
Symptoms: Chills, Dizziness, Headache, Pyrexia, Rash
Clinical narrative: Two weeks after vaccine given developed headache, fever, chills, dizziness. Two days later "mosquito bite like" bumps on body, thought to be chicken pox. Developed approx. 100 pox to entire body. Lasted about 2 weeks, then resolved.
Age: 24.0
Sex: M
Vaccine: MMR, TDAP, VARCEL
Symptoms: Varicella
Clinical narrative: Two weeks after vaccine given developed headache, fever, chills, dizziness. Two days later "mosquito bite like" bumps on body, thought to be chicken pox. Developed approx. 100 pox to entire body. Lasted about 2 weeks, then resolved.
Age: 22.0
Sex: F
Vaccine: MNQ
Symptoms: Erythema, Induration
Clinical narrative: Local (faint) redness and induration 6.5 cm x 8cm. 4 days post vaccination.
Age: 23.0
Sex: F
Vaccine: ANTH, SMALL, TYP
Symptoms: Burning sensation, Erythema, Injection site erythema, Injection site rash, Injection site swelling
Clinical narrative: 0000 hrs SAT 30 July 07 (admitted to hospital). Symptoms: vaccine area spread, red line going to under arms, all of infected areas on right arm was swollen, red and bumpy. Pain in right shoulder. Infected area was itchy and felt like it was burning pain under arm and by right breast. 8/17/07 Received hospital medical records which reveal patient experienced redness, swelling, streaking & pain of right upper arm, a pimple & recent cough.  Admitted 6/30-7/2/07 for cellulitis/abscess.  Tx w/IV antibiotics w/good response. D/C to home on continued oral antibiotics. FINAL DX: Vaccinia vs superinfection; adenopathy in healthy military patient  s/p smallpox vaccine.
Age: 23.0
Sex: F
Vaccine: ANTH, SMALL, TYP
Symptoms: Musculoskeletal pain, Oedema peripheral, Pain, Pruritus
Clinical narrative: 0000 hrs SAT 30 July 07 (admitted to hospital). Symptoms: vaccine area spread, red line going to under arms, all of infected areas on right arm was swollen, red and bumpy. Pain in right shoulder. Infected area was itchy and felt like it was burning pain under arm and by right breast. 8/17/07 Received hospital medical records which reveal patient experienced redness, swelling, streaking & pain of right upper arm, a pimple & recent cough.  Admitted 6/30-7/2/07 for cellulitis/abscess.  Tx w/IV antibiotics w/good response. D/C to home on continued oral antibiotics. FINAL DX: Vaccinia vs superinfection; adenopathy in healthy military patient  s/p smallpox vaccine.
Age: 0.4
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Erythema, Mass, Pyrexia
Clinical narrative: Fever of 103 for 3-4 days. Patient received baby Motrin which helped ease fever but it would go back up if he didn't receive more Motrin every 6-8 hours. He also got red, hard lumps on both legs - redness went away within 1-2 weeks, but lumps lasted 5 weeks.
Age: 7.0
Sex: F
Vaccine: VARCEL
Symptoms: Injection site abscess, Injection site oedema
Clinical narrative: Patient received Varicella booster 6/29/07, Parent phones office on 7/18/07. Reported patient presented with edema, redness at site of injection, no blisters noted. Edema, redness showed up 6/30/07 - lasted approx 3 days.
Age: 1.3
Sex: M
Vaccine: HBHEPB, MMR
Symptoms: Pyrexia, Rash generalised
Clinical narrative: Rash all over body, fever
Age: 2.0
Sex: F
Vaccine: UNK
Symptoms: Injection site erythema, Injection site warmth
Clinical narrative: 24 Hours after Varicella injection, mom noticed child's leg at site of injection, warm, red, area redness 1 1/2" x 3", no fever.
Age: 49.0
Sex: F
Vaccine: TD
Symptoms: Arthralgia, Asthenia, Blood test, Myalgia
Clinical narrative: Received DPT vaccine on 6-4-07 during routine physical. Shortly thereafter began experiencing excruciatingly painful muscle and joint pain in all extremities and back as well as losing strength in arms hands and legs. Most intense pain was in upper arms and thighs. Lost all strength in hands and arms and went to urgent care on 6-25-07; given script for pain referred to my primary MD. Have been confined to bed since then.
Age: 1.2
Sex: M
Vaccine: HIBV, MEA, PNC
Symptoms: Injection site erythema, Injection site induration, Injection site pain, Injection site swelling
Clinical narrative: Pain, swelling, redness, hard at site
Age: 6.0
Sex: F
Vaccine: VARCEL
Symptoms: Cellulitis, Erythema, Local reaction, Swelling, Tenderness
Clinical narrative: Received Varivax #2 on 7/10/2007 woke up 7/11/07 with red, swollen, tender to touch arm. Seen in office diagnosed with local reaction vs cellulitis secondary to Varivax. Treated with Keflex.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Cellulitis, Erythema, Eye swelling, Full blood count normal, Swelling
Clinical narrative: Patient began having redness and swelling on 7-12-07 in PM after administered that day in face, eyes, and both legs. Taken to ER on Saturday 7-14-07 given Benadryl, Amoxiclav and Tylenol. Cellulitis on right leg. Has reactions to bug bites. Very sensitive skin.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Swelling face
Clinical narrative: Patient began having redness and swelling on 7-12-07 in PM after administered that day in face, eyes, and both legs. Taken to ER on Saturday 7-14-07 given Benadryl, Amoxiclav and Tylenol. Cellulitis on right leg. Has reactions to bug bites. Very sensitive skin.
Age: 6.0
Sex: F
Vaccine: VARCEL
Symptoms: Erythema
Clinical narrative: Developed 3cm circular area of erythema along deltoid area the day after Varicella. Started to improve 3 days later.
Age: 8.0
Sex: M
Vaccine: VARCEL
Symptoms: Convulsion, Fall, Head injury, Syncope
Clinical narrative: Syncope, seizure (? secondary to hitting head when he fell).
Age: 8.0
Sex: F
Vaccine: HEPA, VARCEL
Symptoms: Headache, Pruritus, Urticaria
Clinical narrative: Mother called 7-16-07 at 8:15 AM and stated child began experiencing hives after Hep A and Varicella vaccine on 7-13-07 at approximately 6:00PM: Child complained of headache and itching and mother stated giving the child Benadryl and Tylenol every 4-6 hours as directed and would contact her primary physician as indicated and explained from VIS information sheets given.
Age: 19.0
Sex: F
Vaccine: HEP, UNK
Symptoms: Dyspnoea, Nausea, Rash, Syncope
Clinical narrative: Client came in. Her employer requires a Hepatitis B series for all employees. Her employer also needed a Tuberculosis test given to her. She arrived in my office at approx 11:30. I asked her if she had any allergies to any medications or foods. Ct stated that she is allergic to the following medications: Penicillin, Bi-axin, and ortho-evera birth control patches. I gave her the Hepatitis B immunization. She appeared to be ok after. She went to her car and drove to work. When she arrived at work she stated that she had become nauseated. About 5 minutes later client fainted. 911 was called and Ct was transported to hospital via ambulance. She also complained about having "a rash on her chest" and having trouble breathing. She is currently on the following medications: Zoloft, Nexium, Singular daily, with an Amytriptyline. Client has a history of having a stroke at Age 17 due to the birth control patch.
Age: 6.0
Sex: M
Vaccine: VARCEL
Symptoms: Asthenia, Dizziness, Dyspnoea, Headache, Pyrexia
Clinical narrative: Patient received vaccine yesterday 6/28-07. Later that day he developed a rash on his face, dizziness, headache, weakness and difficulty breathing (per patient) and fever, strep test done to rule out strep - negative. Blood drawn including LFT's. Given Tylenol and mom to observe.
Age: 6.0
Sex: M
Vaccine: VARCEL
Symptoms: Rash, Streptococcal identification test negative
Clinical narrative: Patient received vaccine yesterday 6/28-07. Later that day he developed a rash on his face, dizziness, headache, weakness and difficulty breathing (per patient) and fever, strep test done to rule out strep - negative. Blood drawn including LFT's. Given Tylenol and mom to observe.
Age: 2.0
Sex: M
Vaccine: DTAP, HEPA
Symptoms: Blister, Dry skin, Erythema, Oedema peripheral, Skin exfoliation
Clinical narrative: Right upper arm swollen, reddened, hot with approx 50mm patch of blistering. No signs and symptoms infection. Child not uncomfortable according to mother. Child taken to medical clinic 7/28/07.Child brought back to HD 7/2/07 RA swelling gone, area of blisters now, dry, peeling skin.
Age: 2.0
Sex: M
Vaccine: DTAP, HEPA
Symptoms: Skin warm
Clinical narrative: Right upper arm swollen, reddened, hot with approx 50mm patch of blistering. No signs and symptoms infection. Child not uncomfortable according to mother. Child taken to medical clinic 7/28/07.Child brought back to HD 7/2/07 RA swelling gone, area of blisters now, dry, peeling skin.
Age: 1.12
Sex: F
Vaccine: MMRV, PNC
Symptoms: Injection site erythema, Skin warm
Clinical narrative: Redness to left anterior thigh, measures 10.0 L x 7.5 W, warm to touch. No open areas. No blisters present. No discomfort upon assessment.
Age: 6.0
Sex: M
Vaccine: UNK, VARCEL
Symptoms: Injection site erythema, Injection site warmth
Clinical narrative: Redness, slight warmth to injection area. No complaint of pain.
Age: 7.0
Sex: F
Vaccine: VARCEL
Symptoms: Erythema, Pruritus, Swelling
Clinical narrative: Swollen pink red area, itchy