chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 1.33
Sex: M
Vaccine: DTAP
Symptoms: Febrile convulsion, Pyrexia, Staring
Clinical narrative: DTaP on wednesday 4/30 and Friday May 2nd Fever started about 6 that was noticable temp read 102.7 and a dose of motrin was given and then tylenol ater one hour when the fever was still 102 and then about 15-20 after last dose fever seizure started ans last for about 1.5 min of convulsions and then a few min of dazed stare. called 911 during the episode and ambulance and fire department arrived to take him directly to hospital.
Age: 41.0
Sex: M
Vaccine: ANTH
Symptoms: Abdominal pain, Asthenia, Diarrhoea, Headache, Injection site erythema
Clinical narrative: This is a 41 y/o man who received his routine annual antrax booster immunization on 5/03/08. He is a member of the Air National Guard.  Once he got home, he developed abdominal cramping and around 6 pm, diarrhea started having several episodes in a 2-3 hours period.  It was clear diarrhea without blood.  No more diarrhea since his last episode the same day.  After the diarrhea he developed malaise and weakness, which is not severe, but still present.  Also has mild generalized body icthing but without rash.  He recalls that the last time he had the antrax booster, he developed tingling sensations in the arm associated with itching- he never reported it.  He denies ear pain, nasal congestion, sore throat, difficulty swallowing or breathing, chest pain, palpitations, DOE, nausea, vomiting , skin rash except for redness where the immunization was placed, focal sensory or motor loss or LEE.  He refers mild headache since last night.
Age: 41.0
Sex: M
Vaccine: ANTH
Symptoms: Malaise, Pruritus generalised, Reaction to previous exposure to any vaccine
Clinical narrative: This is a 41 y/o man who received his routine annual antrax booster immunization on 5/03/08. He is a member of the Air National Guard.  Once he got home, he developed abdominal cramping and around 6 pm, diarrhea started having several episodes in a 2-3 hours period.  It was clear diarrhea without blood.  No more diarrhea since his last episode the same day.  After the diarrhea he developed malaise and weakness, which is not severe, but still present.  Also has mild generalized body icthing but without rash.  He recalls that the last time he had the antrax booster, he developed tingling sensations in the arm associated with itching- he never reported it.  He denies ear pain, nasal congestion, sore throat, difficulty swallowing or breathing, chest pain, palpitations, DOE, nausea, vomiting , skin rash except for redness where the immunization was placed, focal sensory or motor loss or LEE.  He refers mild headache since last night.
Age: 15.0
Sex: M
Vaccine: TD
Symptoms: Chills, Headache, Pyrexia, Respiratory tract congestion, Vomiting
Clinical narrative: VOMITING,FEVER OVER 104,CHILLS,CONGESTED,HEADACHE
Age: 24.0
Sex: M
Vaccine: SMALL
Symptoms: Axillary pain, Erythema, Polymerase chain reaction, Pruritus, Rash pustular
Clinical narrative: SECONDARY TRANSMISSION NON-VACCINEE: c/o a left forearm pustule since this past Friday, 12/16/05.  The patient noticed itching in the area on Friday.  The itching is what drew his attention to the left forearm. He then noticed a lesion which was a pustule.  The lesion has yielded initially yellow pus and now more watery fluid.  The pustule sits on an area of redness.  The patient became more concerned as the redness began to move up the forearm towards the left armpit.  He has also noticed some left axillary soreness in the last few days.  The patient went to one medic who told him the lesion was a spider bite.  He was not impressed with that opinion and wanted to see a PA.  The PA said the lesion is possibly a smallpox lesion.  Another medic saw the lesion and thought it was smallpox as well.  The patient denies ever receiving smallpox vaccine.  He does know several of his colleagues have been immunized with SPV.  The patient has had interaction with them through playing football and "rough-housing" (They received their SPV around 11/10/05). The patient denied trauma, scrapes, cuts or wounds to the left forearm area prior to the pustule development.  He has not been out in the field recently and denies any insect bites.  The patient lives at home with his wife and son. Evaluated at  Dermatologist; cultures obtained.
Age: 24.0
Sex: M
Vaccine: SMALL
Symptoms: Secondary transmission, Skin lesion, Vaccinia
Clinical narrative: SECONDARY TRANSMISSION NON-VACCINEE: c/o a left forearm pustule since this past Friday, 12/16/05.  The patient noticed itching in the area on Friday.  The itching is what drew his attention to the left forearm. He then noticed a lesion which was a pustule.  The lesion has yielded initially yellow pus and now more watery fluid.  The pustule sits on an area of redness.  The patient became more concerned as the redness began to move up the forearm towards the left armpit.  He has also noticed some left axillary soreness in the last few days.  The patient went to one medic who told him the lesion was a spider bite.  He was not impressed with that opinion and wanted to see a PA.  The PA said the lesion is possibly a smallpox lesion.  Another medic saw the lesion and thought it was smallpox as well.  The patient denies ever receiving smallpox vaccine.  He does know several of his colleagues have been immunized with SPV.  The patient has had interaction with them through playing football and "rough-housing" (They received their SPV around 11/10/05). The patient denied trauma, scrapes, cuts or wounds to the left forearm area prior to the pustule development.  He has not been out in the field recently and denies any insect bites.  The patient lives at home with his wife and son. Evaluated at  Dermatologist; cultures obtained.
Age: 0.29
Sex: F
Vaccine: RV5
Symptoms: Abdominal X-ray, Culture stool, Haematochezia
Clinical narrative: bloody stool one day after receiving the Rotateq vaccine
Age: 25.0
Sex: M
Vaccine: SMALL
Symptoms: Biopsy skin abnormal, Blister, Erythema, Malaise, Oedema
Clinical narrative: SECONDARY TRANSMISSION NON-VACCINEE: This SPV-naïve 25 y/o male reported to the ER on December 14, 2004 with complaint of a rash on his L upper chest that had been present for about a week. The examining MDdescribed 2 round discrete pearly like papules with central umbilication on L anterior upper chest with erythematous base, as well as similar lesion apparently starting to develop on his face over the R mandibular area. He gave a history of having bumped into another service member who had an uncovered smallpox vaccination site while playing basketball, while both were wearing tank tops. He was referred to a Dermatologist who performed a shave biopsy of the two sites on patient's chest. Dr also prescribed Atarax 25 mg prn itch and Motrin 800mg prn swelling. The pathology report stated that both biopsies were consistent with small pox inoculation. The samples were to be sent on to Pathology for consultation. Patient returned for follow-up on December 17, 2004 and was seen by Dr, who noted that there was serous fluid on chest dressing, 2 dry scabs without surrounding edema present at upper L chest, decreased tenderness in area, no remaining axillary pain, no myalgias, and no F/C/NS, although still mild malaise present. He also described the developing facial lesions: 10 white/yellow raised papules at the R mandibular angle and in anterior cervical triangle, some with overlying early scab; no V1/V2 involvement, mild surrounding erythema. He photographed the lesions, took bacterial and viral wound cultures of the facial lesions, and prescribed clindamycin 300 mg po q6h for 7 days. On December 20 he had felt much better for a full 24 hours with no further GI complaints. The chest lesions were then two brown scabs without discharge, and no lymphadenitis, and the R mandibular area was yellow blisters with scabs, no drainage, and no V1/V2 involvement.
Age: 25.0
Sex: M
Vaccine: SMALL
Symptoms: Rash, Rash papular, Scab, Secondary transmission, Skin lesion
Clinical narrative: SECONDARY TRANSMISSION NON-VACCINEE: This SPV-naïve 25 y/o male reported to the ER on December 14, 2004 with complaint of a rash on his L upper chest that had been present for about a week. The examining MDdescribed 2 round discrete pearly like papules with central umbilication on L anterior upper chest with erythematous base, as well as similar lesion apparently starting to develop on his face over the R mandibular area. He gave a history of having bumped into another service member who had an uncovered smallpox vaccination site while playing basketball, while both were wearing tank tops. He was referred to a Dermatologist who performed a shave biopsy of the two sites on patient's chest. Dr also prescribed Atarax 25 mg prn itch and Motrin 800mg prn swelling. The pathology report stated that both biopsies were consistent with small pox inoculation. The samples were to be sent on to Pathology for consultation. Patient returned for follow-up on December 17, 2004 and was seen by Dr, who noted that there was serous fluid on chest dressing, 2 dry scabs without surrounding edema present at upper L chest, decreased tenderness in area, no remaining axillary pain, no myalgias, and no F/C/NS, although still mild malaise present. He also described the developing facial lesions: 10 white/yellow raised papules at the R mandibular angle and in anterior cervical triangle, some with overlying early scab; no V1/V2 involvement, mild surrounding erythema. He photographed the lesions, took bacterial and viral wound cultures of the facial lesions, and prescribed clindamycin 300 mg po q6h for 7 days. On December 20 he had felt much better for a full 24 hours with no further GI complaints. The chest lesions were then two brown scabs without discharge, and no lymphadenitis, and the R mandibular area was yellow blisters with scabs, no drainage, and no V1/V2 involvement.
Age: 25.0
Sex: M
Vaccine: SMALL
Symptoms: Virus culture positive
Clinical narrative: SECONDARY TRANSMISSION NON-VACCINEE: This SPV-naïve 25 y/o male reported to the ER on December 14, 2004 with complaint of a rash on his L upper chest that had been present for about a week. The examining MDdescribed 2 round discrete pearly like papules with central umbilication on L anterior upper chest with erythematous base, as well as similar lesion apparently starting to develop on his face over the R mandibular area. He gave a history of having bumped into another service member who had an uncovered smallpox vaccination site while playing basketball, while both were wearing tank tops. He was referred to a Dermatologist who performed a shave biopsy of the two sites on patient's chest. Dr also prescribed Atarax 25 mg prn itch and Motrin 800mg prn swelling. The pathology report stated that both biopsies were consistent with small pox inoculation. The samples were to be sent on to Pathology for consultation. Patient returned for follow-up on December 17, 2004 and was seen by Dr, who noted that there was serous fluid on chest dressing, 2 dry scabs without surrounding edema present at upper L chest, decreased tenderness in area, no remaining axillary pain, no myalgias, and no F/C/NS, although still mild malaise present. He also described the developing facial lesions: 10 white/yellow raised papules at the R mandibular angle and in anterior cervical triangle, some with overlying early scab; no V1/V2 involvement, mild surrounding erythema. He photographed the lesions, took bacterial and viral wound cultures of the facial lesions, and prescribed clindamycin 300 mg po q6h for 7 days. On December 20 he had felt much better for a full 24 hours with no further GI complaints. The chest lesions were then two brown scabs without discharge, and no lymphadenitis, and the R mandibular area was yellow blisters with scabs, no drainage, and no V1/V2 involvement.
Age: 40.0
Sex: F
Vaccine: ANTH
Symptoms: Injection site swelling, Injection site urticaria, Pyrexia
Clinical narrative: Fever and swelling at injection site. 6" raised wheal around injection site. No drainage
Age: 1.29
Sex: M
Vaccine: MMR, PNC
Symptoms: Pyrexia, Rash maculo-papular
Clinical narrative: Maculopapular rash on face trunk & legs fever 101.3 -  6 days after admin of vaccine.
Age: 0.17
Sex: M
Vaccine: DTAP, HEP, HIBV, IPV, PPV
Symptoms: Death
Clinical narrative: Less than 24 hours after shots patient was dead....I asked his pediatrician IF this should be reported and he never gave straight answer....asked on another occasion and he said he had reported it but I didn't believe him.....so I found this site and thought I could report it.
Age: 60.0
Sex: F
Vaccine: DTAP, DT
Symptoms: Infection
Clinical narrative: Pt states she received a DT 03/26/2008 (confirmed).  Came back to ED 03/28/08.  Refused to be seen but complained of infection at DT site.
Age: 60.0
Sex: F
Vaccine: DTAP, DT
Symptoms: Injection site infection
Clinical narrative: Pt states she received a DT 03/26/2008 (confirmed).  Came back to ED 03/28/08.  Refused to be seen but complained of infection at DT site.
Age: 1.4
Sex: M
Vaccine: DTAP, PNC, DTAP, PNC
Symptoms: Erythema, Oedema
Clinical narrative: Left thigh redness at injection site.  No abscess, no nodule.  Reassurance to parent given.
Age: 1.4
Sex: M
Vaccine: DTAP, PNC, DTAP, PNC
Symptoms: Injection site erythema
Clinical narrative: Left thigh redness at injection site.  No abscess, no nodule.  Reassurance to parent given.
Age: 0.2
Sex: M
Vaccine: DTP, HEP, HIBV, IPV, PPV, RVX
Symptoms: Convulsion, Epistaxis, Hypersomnia, Hypoventilation, Mouth haemorrhage
Clinical narrative: After the shots were administered on 4/8/08 patient ran a slight fever, about 99. He mostly slept for 2 days, sometimes rousing to eat. Normally he is very alert, sociable, and has a large appetite. 4/11/08 patient woke at 7 for a bottle. Seemed fine. Stayed awake for around 2 hours and then went down for a nap. I also laid down for a nap. I awoke to find him breathing very shallow and rapid. Blood coming from his nose and mouth. He was taken to Medical Center where his temperature was 94 degrees. He was mis-diagnosed with pneumonia of the right lung. Chest xrays showed alot of clouding, possibly fluid and blood. He was immediately airlifted to Hosptial, during which he began to have seizures. There it was determined he has a pulmonary infection that was causing bleeding of the lungs. He was given a shotgun effect of antibiotics and was medically paralyzed and sedated. He was also on an anti-seizure medicine and remained on a breathing tube for 7 days. He is now on steroids to prevent further bleeding and is also on an Albuterol inhaler.  5/14/2008 MR received w/o D/C summary for DOS 4/11-19/2008 with D/C DX: Ideopathic Pulmonary Hemorrhage.  Respiratory Distress 2' to #1-resolved.  Seizures 2' to hypoxia. Infant presented to local ER after parent found child in crib not breathing and with bloody discharge from child's nose and mouth. Pt had 100'F temp 2 days prior following vax with diarrheas and mild URI sx. Upon arrival pt noted to be in respiratory distress and dusky.  Improved with fluid bolus and transfered via life flight to current facility.  En route pt seized with O2 sats dropping into the 80's and progressed to respiratory failure. Intubated upon arrival with frothy, bloody secretions noted in ETT. PE (+) for tachycardia, rhonchi bilaterally, inspiratory and expiratory rales in all LFs and cyanosis.  Pt continued to have frank pulmonary hemorrhage with high pulmonary pressures. Extubated on 4/17/08. Tx with high dose steroids. No further seizures. Given PRBCs and FFP. D/C in stable condition.
Age: 0.2
Sex: M
Vaccine: DTP, HEP, HIBV, IPV, PPV, RVX
Symptoms: Pulmonary haemorrhage, Pyrexia, Respiratory rate increased
Clinical narrative: After the shots were administered on 4/8/08 patient ran a slight fever, about 99. He mostly slept for 2 days, sometimes rousing to eat. Normally he is very alert, sociable, and has a large appetite. 4/11/08 patient woke at 7 for a bottle. Seemed fine. Stayed awake for around 2 hours and then went down for a nap. I also laid down for a nap. I awoke to find him breathing very shallow and rapid. Blood coming from his nose and mouth. He was taken to Medical Center where his temperature was 94 degrees. He was mis-diagnosed with pneumonia of the right lung. Chest xrays showed alot of clouding, possibly fluid and blood. He was immediately airlifted to Hosptial, during which he began to have seizures. There it was determined he has a pulmonary infection that was causing bleeding of the lungs. He was given a shotgun effect of antibiotics and was medically paralyzed and sedated. He was also on an anti-seizure medicine and remained on a breathing tube for 7 days. He is now on steroids to prevent further bleeding and is also on an Albuterol inhaler.  5/14/2008 MR received w/o D/C summary for DOS 4/11-19/2008 with D/C DX: Ideopathic Pulmonary Hemorrhage.  Respiratory Distress 2' to #1-resolved.  Seizures 2' to hypoxia. Infant presented to local ER after parent found child in crib not breathing and with bloody discharge from child's nose and mouth. Pt had 100'F temp 2 days prior following vax with diarrheas and mild URI sx. Upon arrival pt noted to be in respiratory distress and dusky.  Improved with fluid bolus and transfered via life flight to current facility.  En route pt seized with O2 sats dropping into the 80's and progressed to respiratory failure. Intubated upon arrival with frothy, bloody secretions noted in ETT. PE (+) for tachycardia, rhonchi bilaterally, inspiratory and expiratory rales in all LFs and cyanosis.  Pt continued to have frank pulmonary hemorrhage with high pulmonary pressures. Extubated on 4/17/08. Tx with high dose steroids. No further seizures. Given PRBCs and FFP. D/C in stable condition.
Age: 45.0
Sex: M
Vaccine: SMALL
Symptoms: Influenza, Injection site pustule, Malaise, Nasopharyngitis, Pyrexia
Clinical narrative: Received Small Pox vaccine as a child.  1st Small Pox vaccine on 9 Apr'08 did not take.  Small Pox re-vaccinated on 21 Apr'08.  Within 5 days, caught very hard cold/flu.  Coincided with Small Pox vaccination site pussing and reacting.  Fever (100.8) and malaise for 4 days.  Cold symptoms very, very strong.
Age: 21.0
Sex: F
Vaccine: HPV4
Symptoms: Abortion spontaneous, Drug exposure during pregnancy
Clinical narrative: Information has been received from a 21 year old female consumer that is also the patient, who has no pertinent medical history, drug reaction/allergies or concomitant medication usage. On 05-DEC-2007, the consumer was vaccinated (route and site not reported) with the 1st dose of GARDASIL (lot# not reported). The consumer found out she was pregnant after receiving the 1st dose of GARDASIL. The consumer reported that she was 6 weeks pregnant. The patient did receive unspecified medical attention. No lab diagnostic test were performed. Follow up from the consumer indicated that she had a miscarriage on 31-JAN-2008. She added that "everything is OK now," and added that she had no problems since then. Upon internal review, had a miscarriage was considered to be serious as an other important medical event. No additional information is expected.
Sex: F
Vaccine: HPV4
Symptoms: Encephalitis
Clinical narrative: Information has been received from a physician concerning a female patient who on an unspecified date was vaccinated with a dose of GARDASIL.  It was reported by the physician, that a daughter of a friend, developed encephalitis after a dose of GARDASIL.  The physician could not provide any additional information.  At the time of this report the patient's outcome was unknown.  No product quality complaint was involved.  Upon internal review, encephalitis was considered to be an other important medical event.  Additional information has been requested.
Age: 16.0
Sex: F
Vaccine: HPV4, TDAP
Symptoms: Blister, Skin hyperpigmentation
Clinical narrative: Hyperpigmentation with central blistering developed over the course of the day -> pt was given topical spray anesthetic at time of vaccination - area consistent with area topical was sprayed.
Age: 0.3
Sex: F
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Blood culture positive, Pneumonia pneumococcal, Sepsis
Clinical narrative: Patient had received 2 doses of Prevnar on 10/31/07 and on 01/03/08.  Admitted to hospital on 01/30/08.  Diagnosed with strep pneumo sepsis. 5/6/08-records received for DOS 1/30-2/5/08-DC DX: Streptococcoal pneumonia, sepsis. Bronchiolitis. Otitis media. Fever resolved. Emesis resolved. Presented with 2 day history of vomiting and diarrhea. Increasing lethargy and temperature 101.8. 1/29/08 reevaluation with fever up to 103. Developed red man syndrome after Vancomycin administration. Cough developed 2/1/08 CXR suspicious for mild infiltrates.
Age: 66.0
Sex: F
Vaccine: VARZOS
Symptoms: Anorexia, Body temperature increased, Chills, Cough, Diarrhoea
Clinical narrative: Pt. had shivering x 2 days, 3 days cough, temp 38.2, dry mouth, no appetite, nausea diarrhea and burning of eyes. Night of 5/3/05 attached as seen by MD.
Age: 66.0
Sex: F
Vaccine: VARZOS
Symptoms: Dry mouth, Eye irritation, Nausea
Clinical narrative: Pt. had shivering x 2 days, 3 days cough, temp 38.2, dry mouth, no appetite, nausea diarrhea and burning of eyes. Night of 5/3/05 attached as seen by MD.
Age: 52.0
Sex: F
Vaccine: TDAP
Symptoms: Body temperature increased, Chills, Dysphonia, Injection site pain, Pain
Clinical narrative: 5/2/08 around 2200 c/o aching, chills, and generalized aching all over body. Took Motrin 600 mg that night. 5/3/08 used compress to injection site, aching, took Tylenol 1000 mg and then started taking Benadryl 10 p.m. 5/4/08 felt better continued Tylenol and Benadryl. c/o change in voice, sore throat. Temp 98.4. Going to see her physician.
Age: 52.0
Sex: F
Vaccine: TDAP
Symptoms: Pharyngolaryngeal pain
Clinical narrative: 5/2/08 around 2200 c/o aching, chills, and generalized aching all over body. Took Motrin 600 mg that night. 5/3/08 used compress to injection site, aching, took Tylenol 1000 mg and then started taking Benadryl 10 p.m. 5/4/08 felt better continued Tylenol and Benadryl. c/o change in voice, sore throat. Temp 98.4. Going to see her physician.
Age: 11.0
Sex: F
Vaccine: TDAP
Symptoms: Erythema, Induration, Musculoskeletal pain, Skin warm, Tenderness
Clinical narrative: (L) shoulder pain, warm to touch, firm and tender to palp, "knot" to (L) delt
Age: 0.2
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: High-pitched crying, Irritability, Nervousness, Pallor
Clinical narrative: Routine follow up phone call to mom-states had strange higher pitched cry for 2 hrs following vaccine and on and off for next week. Gave child Tylenol and seemed better. Child not seen by MD, but MD office was called-told to come in if no change or worse. Child very irritable, noticeably pale and very jumpy according to mom. Mom has nx of food/medicine intolerances. Older 1/2 sibling had some swallowing and fever with previous shots. Refer to MD for future vaccines.
Age: 11.0
Sex: M
Vaccine: MNQ, TDAP, VARCEL
Symptoms: Swelling, Tenderness
Clinical narrative: (L) upper arm 4cm x 2 cm raised tender area from Varivax.
Age: 11.0
Sex: F
Vaccine: DTAPHEPBIP, HPV4, MNQ, TDAP
Symptoms: No adverse event, Wrong drug administered
Clinical narrative: Patient was inadvertently given a PEDIARIX vaccine instead of HAV. No adverse reaction per mother. Reported to CDC.
Age: 81.0
Sex: M
Vaccine: VARZOS
Symptoms: Dysstasia, Injection site erythema, Injection site warmth, Muscular weakness, Nausea
Clinical narrative: Redness and warm in injection site. 4/3/08 nausea and leg weakness difficulty standing
Age: 0.3
Sex: F
Vaccine: DTAP, HIBV, IPV, PNC, RV5
Symptoms: Anticonvulsant drug level therapeutic, Convulsion, Full blood count normal, Urinary tract infection, Urine analysis normal
Clinical narrative: Child had a seizure about 20 hrs after imm. It may have been febrile-temp not taken-child acting normal before and shortly afterward. Child had seizure with a few hrs after last imm. but found to have UTI at that time so felt it was probably febrile-but had 1-2 other seizures so put on Phenobarb
Age: 26.0
Sex: F
Vaccine: TDAP
Symptoms: Headache, Nausea, Pyrexia, Restlessness
Clinical narrative: Nausea; Fever; Restlessness; Headache.
Age: 22.0
Sex: F
Vaccine: TDAP
Symptoms: Abdominal pain upper, Chills, Nausea, Pyrexia, Retching
Clinical narrative: 4-29-08 - 1:00 AM - Fever/chills. 4-29-08 - 8:00 AM - Nausea/chills, stomach cramping. Dry heaves - done at 10:00 AM. Fever gone at 8:00 PM on 4-29-08.
Age: 22.0
Sex: F
Vaccine: HPV4
Symptoms: Antinuclear antibody negative, Full blood count normal, Injected limb mobility decreased, Musculoskeletal pain, Musculoskeletal stiffness
Clinical narrative: Left shoulder pain, stiffness, decreased range of motion.  Persistent/worsening since vaccine administered on 4/16/08.
Age: 22.0
Sex: F
Vaccine: HPV4
Symptoms: Red blood cell sedimentation rate normal, Rheumatoid factor
Clinical narrative: Left shoulder pain, stiffness, decreased range of motion.  Persistent/worsening since vaccine administered on 4/16/08.
Age: 75.0
Sex: M
Vaccine: VARZOS
Symptoms: Dizziness postural
Clinical narrative: Extreme dizziness upon waking (could not stand up).  Recovery: <4 hrs.
Age: 0.3
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC, RV5
Symptoms: Convulsion, Neurological examination
Clinical narrative: He had seizures.  He was admitted to the hospital.  He was seen in the emergency room first.  5/23/08 Reviewed hospital medical records of 4/28/2008. FINAL DX: no d/c summary as was less that 24 hr admit.  Admit dx: possible seizures.  Neuro consult states new onset seizures likely dx. Records reveal patient experienced bilateral high frequency shaking movements of arms, legs stiff, eyes staring lasting approx 30-40 secs then was irritable before returning to baseline. Episode was repeated x 2 & taken to ER.  Transferred to higher level of care.  LP done, labs repeated & tx w/antibiotics.  Neuro consult done.  Was being treated for bacterial conjunctivitis on day of vaccination.  No further seizure like activity observed while hospitalized.  D/c to home on no meds.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV
Symptoms: Unevaluable event
Clinical narrative: None stated
Age: 1.3
Sex: M
Vaccine: DTAP, HIBV, PNC
Symptoms: Injection site nodule, Pyrexia
Clinical narrative: High fever, up/down fever for 48 hours.  Small tiny mark no redness or swelling at site.
Age: 1.6
Sex: F
Vaccine: DTAPHEPBIP, HEPA, MMR, VARCEL
Symptoms: Apnoea, Cyanosis, Electroencephalogram, Hypotonia, Loss of consciousness
Clinical narrative: 2 events involving loss of tone and consciousness, apnea, and turning purple lasting less than 1 minute. For 2-3 hours following events, pt was still and did not talk or move much. Then back to normal. No fever.
Age: 34.0
Sex: M
Vaccine: ANTH, YF
Symptoms: Injection site erythema, Injection site induration, Injection site swelling, Pruritus
Clinical narrative: Has redness and swelling at injection site - (L) deltoid area. Induration approx 10 cm in diameter with redness about 2 cm beyond induration. Also has itching, is able to move arm without prob.
Age: 47.0
Sex: F
Vaccine: PPV
Symptoms: Erythema, Oedema peripheral
Clinical narrative: Redness and swelling of left upper arm.  Patient received Percocet and ice packs.
Age: 25.0
Sex: F
Vaccine: HPV4
Symptoms: Pain in extremity
Clinical narrative: Gardasil #2 given 4/11/08 right deltoid.  Acute pain right deltoid - seen 4/18.  Doing light weight training.  Pain in deltoid only.
Age: 68.0
Sex: F
Vaccine: VARZOS
Symptoms: Blister, Eschar, Rash papular, Virus culture
Clinical narrative: Skin/subcutaneous-red papules with white heads scattered in right groin, crossing the midline in the fold under the belly, with some eschar/opened blisters noted near the midline.
Age: 54.0
Sex: U
Vaccine: TDAP
Symptoms: Injection site discomfort, Injection site erythema, Injection site induration, Injection site pruritus, Nausea
Clinical narrative: Tdap 0.5 mL IM 4/24/08.  On 4/26/08: "Nausea, fever, inj. site knot & discomfort."  Also noted ~6 cm below inj site an area of minor pruritis, erythema ~9x4 mm now resolving.
Age: 54.0
Sex: U
Vaccine: TDAP
Symptoms: Pyrexia
Clinical narrative: Tdap 0.5 mL IM 4/24/08.  On 4/26/08: "Nausea, fever, inj. site knot & discomfort."  Also noted ~6 cm below inj site an area of minor pruritis, erythema ~9x4 mm now resolving.
Age: 60.0
Sex: F
Vaccine: TDAP
Symptoms: Erythema, Oedema peripheral, Skin warm
Clinical narrative: Pt had swelling, heat and redness of arm vaccinated from elbow to shoulder. Dx began 4 days post vaccine - seen private MD - Pt states PMD advised was reaction to pertussis portion of Tdap. gave Pt "steroid" and advised pt to avoid pertussis containing vaccines in future.
Age: 25.0
Sex: F
Vaccine: HPV4
Symptoms: Syncope
Clinical narrative: Patient had a procedure done in office.  40 minutes passed and GARDASIL given.  2-3 minutes later patient fainted, fell to floor.  BP: 120/62.  Recovered 2-3 minutes.
Age: 13.0
Sex: F
Vaccine: HEPA, HPV4, MNQ, TDAP, VARCEL
Symptoms: Rash vesicular
Clinical narrative: Rash on face/ext/chest/abdomen consistent with varicella.
Age: 1.3
Sex: M
Vaccine: HIBV, PNC
Symptoms: Abdominal distension, Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Reaction started <24 hours after injection with quarter size redness at injection site.  Continued to get larger with swelling & warm to touch, redness advancing to violet/red.  By Saturday pm 4-5-08 swelling was from abdomen to knee & inside to outside of thigh.  On call Dr was contacted, pt was treated with Benadryl, Motrin & Orapred.  Within 24 hrs of treatment onset redness & swelling were greatly reduced.  Mother of pt. is also a doctor.
Age: 37.0
Sex: F
Vaccine: VARCEL
Symptoms: Headache, Pain, Pharyngolaryngeal pain, Pyrexia, Rash
Clinical narrative: 4/9&10/08-Headache, fever, aches.  4/24/08 Rash erupted.  4/27/08-Headache, sore throat.
Age: 37.0
Sex: F
Vaccine: VARCEL
Symptoms: Serology negative
Clinical narrative: 4/9&10/08-Headache, fever, aches.  4/24/08 Rash erupted.  4/27/08-Headache, sore throat.
Age: 0.2
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Body temperature, Decreased appetite, Infantile spitting up, Irritability, Rash
Clinical narrative: Mom called to report infant still running 99.2 rectal temp. after 6 days as well as spitting up more all week & never had done this before.  Also increased irritability reported.  On day 3 mom noted small raised bumps on infants lower legs & under chin-not red or itching.  Reports decreased appetite with normal urine output & bowel movements.
Age: 0.2
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Ultrasound abdomen
Clinical narrative: Mom called to report infant still running 99.2 rectal temp. after 6 days as well as spitting up more all week & never had done this before.  Also increased irritability reported.  On day 3 mom noted small raised bumps on infants lower legs & under chin-not red or itching.  Reports decreased appetite with normal urine output & bowel movements.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site swelling, Reaction to previous exposure to any vaccine
Clinical narrative: Reaction to vaccine -> DTaP.  Hx of reactions.  Red, swollen on leg.
Age: 1.3
Sex: F
Vaccine: DTAPH
Symptoms: Contusion, Erythema, Oedema peripheral
Clinical narrative: Patient received DTaP-HIB vaccine on 4/2/08 and returned on 4/3/08 with red, swollen, bruised arm.  Had pain but able to move.  Includes entire upper arm.
Age: 46.0
Sex: F
Vaccine: HEPA
Symptoms: Injection site erythema, Injection site reaction, Skin hypertrophy, Tuberculin test negative
Clinical narrative: Although test read normal, there was thickening under skin for over a week.  Site remained red, dime size area for two weeks and still hasn't completely faded after four weeks.
Age: 8.0
Sex: F
Vaccine: VARCEL
Symptoms: Erythema, Paraesthesia, Pyrexia
Clinical narrative: Given VARIVAX immunization 4/23/08.  5 days after administration, felt tingling sensation, red, running on skin and fever low grade.  Symptoms worsened - sent to E.R.  Treated Naproxin and Tylenol.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Erythema, Oedema peripheral, Skin warm
Clinical narrative: Red, swollen area to left arm (deltoid), fever to area; site approximately 14cm in diameter.  Afebrile.
Age: 44.0
Sex: F
Vaccine: HEP
Symptoms: Fatigue, Injection site pain, Rash erythematous, Rash pruritic
Clinical narrative: Hep B given on 4/2/08.  Client reports feeling tired & soreness at injection site by the evening.  On 4/4/08 she noticed an itchy red bumps starting on her legs and progressing to her arms, hands, face and entire body.  She took Advil on Friday for soreness & feeling tired.  She took Benadryl only one dose on Sunday (4/6/08).  Rash gradually subsided by Tuesday 4/08/08.  She denies respiratory problems.  Dr. notified for guidance 5-1-08.  See email Hep B vaccine not to be completed.
Age: 8.0
Sex: M
Vaccine: HEPAB
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: 8 yr old presents to clinic for immunizations, this 8 yr old given TWINRIX (Hep A and B) x 2 dosage on 3-16-08 and 4-16-08. CSC called. Recommended to give Hep A #3 10-17-08 and Hep B #3 7/16/08. Doctor also agreed with recommendation.
Age: 10.0
Sex: F
Vaccine: HEPAB
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: 10 yr. old presents to TCPH for immunization.  This 10 yr old given Twinrix (Hep A & B) x2 dosage on 3/16/08 & 4/16/08.  CDC called.  Recommended to give Hep A #3 10-17-08 & Hep B #3 7-16-08.  Dr., medical director TCPH also agrees with recommendations.  Parent reports no reaction or side effects-adverse reaction from Twinrix.
Age: 2.0
Sex: F
Vaccine: VARCEL
Symptoms: Unevaluable event
Clinical narrative: Zoster (L) inner thigh.
Age: 2.0
Sex: F
Vaccine: VARCEL
Symptoms: Herpes zoster
Clinical narrative: C7 Zoster.  Treated with Acyclovir.
Age: 6.0
Sex: F
Vaccine: VARCEL
Symptoms: Herpes zoster
Clinical narrative: C3 zoster.  Rx with acyclovir.
Age: 1.06
Sex: F
Vaccine: VARCEL
Symptoms: Herpes zoster, Viral test positive
Clinical narrative: C7 Zoster.
Age: 47.0
Sex: F
Vaccine: MU
Symptoms: Blood immunoglobulin G, Blood immunoglobulin M, Mumps antibody test, Parotitis, Virus culture
Clinical narrative: Mumps vaccine administered 4/1/08 (for titer 0.81 3/27/08).  Unilateral parotitis began 4/20/08.  Improved but continues as of 4/28/08.  Started Ceftin & Benadryl 4/23/08.
Age: 2.0
Sex: F
Vaccine: DTAP, HEPA, MMR
Symptoms: Rash, Swelling face
Clinical narrative: Nurse received telephone call from client's parent stating child woke up with "rash and swelling on face" the morning after vaccines were administered. Parent took child to pediatrician, was given hydrocortisone cream and Tavist prescription. 4-9-08 TC from mom. Client much improved. Nurse advised mom to follow up with ped for future vaccines. Bring note from doctor if returning to clinic.
Age: 0.3
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Cough, Irritability, Pyrexia, Respiratory tract congestion, Sneezing
Clinical narrative: Immunizations administered 2/21/08.  No fever at that time.  However, had congestion, sneeze, cough.  Amoxicillin started for 10 days.  Mother called 2/25/08 - complained of fever 102 that night, took 2 days to break fever.  Patient is now very irritable.  Mother is questioning if this is a reaction to shots and would like to discuss with doctor.  2 attempts to call mother back - phone line busy.  Reached mother at 5:10 PM - said she would call for same day appointment next day if not any better.  Mother called 2/26 - took patient off antibiotic and he's fine now.  Sleeping - no vomiting - no crying.  Next visit 4/7/08 complained of not sleeping through night - choking on liquids.  Questioning if from immunization.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, VARCEL
Symptoms: Erythema, Injection site erythema, Injection site swelling, Pallor, Skin warm
Clinical narrative: Onset redness and swelling on (R) deltoid at site of DTaP vaccine (#5) about 24 hrs after vaccine. No fever/ V/D/chills/exudate/resp distress. In clinic today, pat with 3 3/4" x 2" area erythema, warm, blanching, nontender, swollen on (R) deltoid. NO purulent fluid, no exudate.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Cellulitis, Erythema, Swelling, Tenderness
Clinical narrative: Mild edema with erythematous base irregular margins, warm slight tenderness no systemic manifestation i.e. no fever, no wheezs-tx'd as a cellulitis with Cephalexin and antipyretics.
Age: 19.0
Sex: M
Vaccine: SMALL
Symptoms: Scab, Secondary transmission, Skin lesion, Viral DNA test positive
Clinical narrative: SECONDARY TRANSMISSION NONVACCINEE - To prevent an altercarion, the patient (contact) grabbed the arms of a barracks-mate (vaccinee), who had recently been vaccinated with the smallpox vaccine. The vaccinee's vaccine site was not covered with a dressing or shirt. When the patient restrained the barracks-mate (vaccinee), the vessicle at his smallpox site popped and the patient's right upper arm came in contact with vaccinia-containing fluid. About 2 days later, the patient (contact) noted about 5-7 "red bumps" on his upper right arm where the contact had been. These bumps later became "whiteheads", and then scabbed over (about 2 weeks after exposure). A few days after the initial lesions on the upper arm appeared, the patient (contact) developed 2 lesions on his left posterior neck; he believes that he might have scratched the lesions on his arm during sleep, and then scratched his neck. The vaccinee had told the patient that the lesions looked similar to his SPV site, and instructed him on the importance of handwashing. The patient had also changed the barracks-mate's (vaccinee's) SPV site bandage on a few occasions prior to this incident. The patient only sought medical evaluation because his 1st SGT instructed him to do so. Patient had never received SPV himself. He denies any history of chronic skin conditions, increased risks for CAD, or chronic diseases affecting his immune system. He is taking no medications. Over the past 2 weeks, he denies significant systemic symptoms such as headaches, fever, chills, bodyaches, or fatigue.
Age: 13.0
Sex: M
Vaccine: MNQ
Symptoms: Convulsion, Staring
Clinical narrative: 03/21/08 MOTHER REPORTED BRIEF EPISODE OF BLANK STARE AND HEAD TILTED TO ONE SIDE.  NO MEDICAL ATTENTION SOUGHT.  ON 05/01/2008 STUDENT HAD A SEIZURE AND WAS TAKEN TO ALL HOSPITAL FOR EVALUATION AND TESTS. MD'S STATE ALLERGY TO MENACTRA AND TDAP.  NO TDAP GIVEN. DIASTAT PRESCRIBED.
Age: 6.0
Sex: F
Vaccine: VARCEL
Symptoms: Erythema, Swelling
Clinical narrative: Mom sts" her arm is red and swollen where the shot was given extending down to the elbow.  I've been putting cool compresses on it since it was given." Mom asked if she has massaged the area sts "no." Mom was informed if feels uncomfortable, can follow up with doctor.
Age: 18.0
Sex: F
Vaccine: HEPA, MNQ
Symptoms: Blood glucose, Blood pressure, Loss of consciousness
Clinical narrative: Pt passed out. Woke up immediately after passing out, Blood pressure was normal including orthostatics and and blood sugar was normal as well. Pt reported no pain to vaccine administration.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Pt has redness, swelling and pain to lt deltoid area and also warm to touch. Pt saw md 05/04/08 and was started on oral abx
Age: 26.0
Sex: F
Vaccine: ANTH, ANTH
Symptoms: Eyelid oedema, Oedema, Pruritus
Clinical narrative: Edma of eyelids, fluid edema, pruitis treated with Benadryl
Age: 26.0
Sex: F
Vaccine: ANTH, ANTH
Symptoms: Erythema, Eye swelling, Swelling face, Urticaria
Clinical narrative: Edma of eyelids, fluid edema, pruitis treated with Benadryl
Age: 1.0
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Convulsion, Dyskinesia, Fall, Febrile convulsion, Full blood count
Clinical narrative: two days post vaccination had fever,day after vaccination fell on mouth, no LOC,no vomiting,next day started fever, Tmax 104, on evening of 2nd day of fever had seizure with shaking all 4 extremities, lasted <5 mins as per dad On day of visit 5/3/08 had seizure with jerking of all 4 ext.,eyes rolling back & lip smaking the whole episode lasted >15 mins, diagnosed complex febrile seizure & send to ER, CT scan neg, spinal tap neg, plan is to do EEG & MRI, currently in step down unit, no more seizures 7/25/08-records received for DOS 5/3-5/6/08-DC DX:Febrile complex seizure. Vomiting and diarrhea (resolved). Day after fever had multiple seizures with one prolonged seizure of 30 minutes. Temp 101.5, spiked fevers treated with antibiotics.
Age: 1.0
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Gaze palsy, Laboratory test, Mouth injury, Pyrexia, Tardive dyskinesia
Clinical narrative: two days post vaccination had fever,day after vaccination fell on mouth, no LOC,no vomiting,next day started fever, Tmax 104, on evening of 2nd day of fever had seizure with shaking all 4 extremities, lasted <5 mins as per dad On day of visit 5/3/08 had seizure with jerking of all 4 ext.,eyes rolling back & lip smaking the whole episode lasted >15 mins, diagnosed complex febrile seizure & send to ER, CT scan neg, spinal tap neg, plan is to do EEG & MRI, currently in step down unit, no more seizures 7/25/08-records received for DOS 5/3-5/6/08-DC DX:Febrile complex seizure. Vomiting and diarrhea (resolved). Day after fever had multiple seizures with one prolonged seizure of 30 minutes. Temp 101.5, spiked fevers treated with antibiotics.
Age: 1.0
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Tremor
Clinical narrative: two days post vaccination had fever,day after vaccination fell on mouth, no LOC,no vomiting,next day started fever, Tmax 104, on evening of 2nd day of fever had seizure with shaking all 4 extremities, lasted <5 mins as per dad On day of visit 5/3/08 had seizure with jerking of all 4 ext.,eyes rolling back & lip smaking the whole episode lasted >15 mins, diagnosed complex febrile seizure & send to ER, CT scan neg, spinal tap neg, plan is to do EEG & MRI, currently in step down unit, no more seizures 7/25/08-records received for DOS 5/3-5/6/08-DC DX:Febrile complex seizure. Vomiting and diarrhea (resolved). Day after fever had multiple seizures with one prolonged seizure of 30 minutes. Temp 101.5, spiked fevers treated with antibiotics.
Age: 1.0
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Rash
Clinical narrative: PATIENT HAD VACCINES ON 04/22/08 AND PATIENT WOKE UP WITH A RASH ON 05/02/08.
Age: 14.0
Sex: F
Vaccine: HPV4
Symptoms: Abdominal pain upper, Arthralgia, Pelvic pain, Vaginal discharge
Clinical narrative: beginning on the afternoon after the 2nd Gardasil shot, pelvic and stomach pain, joint pain, vaginal discharge with fishy odor, slight bloody discharge 6/9/08-records received for DOS 4/28-5/08/08-received vaccination #2 on 4/28/08-on 5/3/08 C/O middleschmertz pain few days ago. Extremely bad cervical pain, blood tinged fishy odor. 5/5/08 episodic pain since second vaccination. C/O positive urine urgency, polyuria. Pain intermittent. Pelvic exam normal. Impression likely middleschmertz vs. ovarian cyst.
Age: 55.0
Sex: F
Vaccine: TDAP
Symptoms: Erythema, Induration, Pain in extremity, Tenderness
Clinical narrative: 3 days after injection, started with increase of pain to the left upper arm with 8.5 x 11cm circular area of erythema  surrounding 3 x 4cm induration, warm and tender to the touch. Treatment: Motrin 600mg BID and apply ice 10-15min intervals BID-TID. Cipro 500mg BID for 7days.
Age: 30.0
Sex: F
Vaccine: JEV
Symptoms: Rash, Urticaria
Clinical narrative: PT STATES THAT ONE DAY AFTER VACCINATION SHE NOTED URTICARIA FOLLOWED BY A RASH ON UPPER AND LOWER EXTREMITIES IN ADDITION TO THE ABDOMEN.
Age: 9.0
Sex: M
Vaccine: VARCEL
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site vesicles
Clinical narrative: L arm tender with blister, red, swollen 4x1 cm
Age: 1.08
Sex: M
Vaccine: HBHEPB, VARCEL
Symptoms: Herpes zoster, Rash pruritic
Clinical narrative: dermatomal pruritic rash on left foot, leg, buttocks.  SHINGLES
Age: 12.0
Sex: M
Vaccine: HPV4, HPV4
Symptoms: Dizziness, Headache
Clinical narrative: Patient complained of headache and dizziness for approximately 14 hours after receiving the vaccine.  Patient was observed for 4 hours in the emergency department that evening, but no intervention except ibuprofen was given. Symptoms resolved subsequently.
Age: 76.0
Sex: F
Vaccine: UNK
Symptoms: Erythema, Pruritus generalised
Clinical narrative: Pt started itching all over her body approximately 24 hours after vaccine was administered. Never had this type of reaction to any other vaccine.  Red areas were seen by patient on skin, but no pustules or any other physical signs.  Reaction seen on her head, arms and neck.  Pt was told by RPH to take Benadryl (she called us approx. 42 hours after vaccine was administered) and this seemed to have helped the reaction.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Mother noted that childs left arm was swollen, red, and hot a day after vaccination. Child was taken to facility and diagnosed with a local site reaction. Mother was instructed to give child Benadryl. Mother states that swelling and redness are better since taking the Benadryl.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Had 4 y/o vaccines yesterday. Left deltoid red and swollen at site of DTaP.  Mother stated swelling was worse this morning.
Age: 12.0
Sex: F
Vaccine: HPV4
Symptoms: Arthralgia, Oedema peripheral, Pain in extremity, Pallor, Peripheral coldness
Clinical narrative: The morning after her injection she woke up complaining of upper right leg pain, near the groin area where the leg bends. No fever or reddness.Two days later the pain extended down to the knee, and by a week and a half later the pain extended down to the foot. She was also experiencing swelling of the leg and blanching of the skin accompanied by her leg getting cold to touch. Her right leg is painful to touch and she can not tolerate weight bearing. After a day at school the leg is very painful and swollen.So far nothing seems to help, heat, ice,  elavating the leg,or vicodin. So she takes extra strength tylenol for the pain.  5/28/2008 MR received from PCP for 2 OVs dated 4/29/08 and 5/02/08 with DX: R leg pain and R leg pain now with absent femoral pulse. Pt presented with c/o of R leg pain which began 1 day s/p HPV vax.  Initially started in the groin, then moved distally to the thigh and knee, and now to the ankle over the course of several weeks. Pt was unable to walk for several days but is ambulating with crutches. Pt reports occasional swelling and purplish skin discoloration. PE (+) for pain and tenderness to touch and with hip and ankle flexion and. extension. RTO 3 days later with worsening pain and now coldness of the R lower extremity as well as the purple color. PE (+) for purple discoloration and cool to touch especially in the calf area. No palpable femoral pulse.  Concern for acute arterial  obstruction. DDx spinal nerve impingement, bony abnormality, RSD.