chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Sex: M
Vaccine: VARZOS
Symptoms: Ear pain, Facial pain, Herpes zoster, Skin lesion
Clinical narrative: This spontaneous report as received from a registered nurse refers to a male patient of unknown age. The patient was vaccinated with 0.65ml ZOSTAVAX (lot number unknown) subcutaneously on an unspecified date and contracted shingles on an unspecified date in December 2012. The patient only experienced one lesion on the side of his face and severe pain on his face and ear. The patient did not seek medical attention. The outcome of adverse events was recovered. The relatedness for adverse events was unknown for ZOSTAVAX. Additional information is not expected.
Age: 2.0
Sex: M
Vaccine: DTAP
Symptoms: Injection site erythema, Injection site induration, Injection site warmth
Clinical narrative: 8 cm area of erythema warmth and induration on the right arm by the occipital area.
Age: 11.0
Sex: M
Vaccine: MNQ
Symptoms: Erythema, Skin warm, Swelling
Clinical narrative: Sl. red, swollen, warm to touch according to phone call from pt's mom.
Age: 51.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site rash
Clinical narrative: This spontaneous report as received from a pharmacist refers to a 51 year old female patient with allergic to penicillin VK. On 22-MAR-2013 the patient was vaccinated with ZOSTAVAX (lot # J000433 expiry date on 10-APR-2014) subcutaneous. Co-suspect product included Influenza Virus Vaccine (manufacturer unknown) received on 21-JAN-2013. Lot# was unspecified. There were no relevant concomitant medications. On an unspecified date in March 2013 the patient experienced bumps and a red flare around the injection site. Exact site was unspecified. As of 23-MAR-2013, patient was still experiencing bumps and a red flare around the injection site. Additional information has been requested.
Age: 0.41
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC13, RV1
Symptoms: Abdominal symptom, Enterocolitis, Intensive care, Mechanical ventilation, Megacolon
Clinical narrative: This pt has Hirschsprung. Had pull through procedure on 1-4-12. ROTARIX on 1-18-12 (his 1st) same day developed abdominal symptoms & developed severe enterocolitis -megacolon toxic. Was on ventilator - recovered.
Age: 30.0
Sex: F
Vaccine: HEP, VARCEL
Symptoms: Heart rate increased, Throat tightness
Clinical narrative: Approximately 50 min. after receiving a varicella and Hepatitis B vaccine patient c/o throat tightening and increased Ht. rate. Instructed to go immediately to Emergency Dept.
Age: 0.16
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Foaming at mouth, Muscle twitching
Clinical narrative: 1 hour after leaving office child had twitching and foaming at the mouth 911 was called. Took to hospital. Follow up in our office 3/29/13.
Age: 77.0
Sex: M
Vaccine: FLU3
Symptoms: Rash
Clinical narrative: Patient states he has had a rash ever since receiving flu shot.
Age: 19.0
Sex: M
Vaccine: SMALL
Symptoms: Generalised vaccinia, Varicella
Clinical narrative: Generalized vaccinia to small pox vaccine approx 3 wks after administration. Chicken pox on hands, elbows, feet, knees.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Rash generalised
Clinical narrative: Pt. was present with body rash for 1 week.
Age: 65.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Asthenia, Blood test, Chills, Feeling abnormal, Injection site erythema
Clinical narrative: First, chills, then 102.7 degree fever. Weakness and lethargic. No appetite, drank fluids. Applied ice pack to red swollen inj. site. This lasted 3+ days. Felt puny and weak. Saw pharmacist who gave shot, said it was new batch, me and 2nd patient had same reactions. Saw Dr. gave me blood tests.
Age: 65.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Injection site swelling, Lethargy, Pyrexia, Stool analysis normal
Clinical narrative: First, chills, then 102.7 degree fever. Weakness and lethargic. No appetite, drank fluids. Applied ice pack to red swollen inj. site. This lasted 3+ days. Felt puny and weak. Saw pharmacist who gave shot, said it was new batch, me and 2nd patient had same reactions. Saw Dr. gave me blood tests.
Age: 65.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Aphthous stomatitis, Asthenia, Chills, Decreased appetite, Haematocrit decreased
Clinical narrative: First, chills, then 102.7 degree fever. Weakness and lethargic. No appetite, drank fluids. Applied ice pack to red swollen inj. site. This lasted 3+ days. Felt puny and weak. Saw pharmacist who gave shot, said it was new batch, me and 2nd patient had same reactions. Saw Dr. gave me blood tests.
Age: 65.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Haemoglobin decreased, Injection site erythema, Injection site swelling, Lethargy, Myalgia
Clinical narrative: First, chills, then 102.7 degree fever. Weakness and lethargic. No appetite, drank fluids. Applied ice pack to red swollen inj. site. This lasted 3+ days. Felt puny and weak. Saw pharmacist who gave shot, said it was new batch, me and 2nd patient had same reactions. Saw Dr. gave me blood tests.
Age: 65.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Oral herpes, Pyrexia, Red blood cell count decreased, Stool analysis normal, Weight decreased
Clinical narrative: First, chills, then 102.7 degree fever. Weakness and lethargic. No appetite, drank fluids. Applied ice pack to red swollen inj. site. This lasted 3+ days. Felt puny and weak. Saw pharmacist who gave shot, said it was new batch, me and 2nd patient had same reactions. Saw Dr. gave me blood tests.
Age: 78.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site haemorrhage, Injection site papule, Injection site scab
Clinical narrative: This spontaneous report was received from an approximately 77 year-old female patient with penicillin allergy. Her husband contributed as well. The patient's medical history included heart attack 2 years ago. On an unspecified date in 2012, "a year ago", the patient was vaccinated with ZOSTAVAX injection in left arm to prevent shingles. Lot# and administration route were unspecified. Concomitant medication included unspecified heart and blood pressure medication. Since vaccination the patient had had what she described as a pimple that appeared to have burst at the injection site. Sometimes it bleed and sometimes it scab. She had been having it looked at by the doctor who told her to keep it covered with a band aid. No treatment was given. Blood work was done, and no result was reported. The outcome of events was reported as not recovered. The patient sought medical attention via doctor visit. Additional information has been requested.
Age: 0.92
Sex: F
Vaccine: VARCEL
Symptoms: Drug administered to patient of inappropriate age, No adverse event
Clinical narrative: This spontaneous report was received from a registered nurse refers to an approximately 11 month old patient(gender unspecified). No medical history was reported. On 19-AUG-1999 the patient was vaccinated with dose 1 (merck) VARIVAX ( lot#, expiry not reported), 0.5 ml, subcutaneously 9 days prior to first birthday. No concomitant medications were reported. On an unknown date in 2007, the patient was vaccinated with dose 2 of (merck) VARIVAX (lot # 658431/1184U, expiry:24-JUL-2009(reported as 29-JUL-2009)), 0.5 ml, subcutaneously. No adverse effects reported. Additional information has been requested.
Sex: F
Vaccine: VARZOS
Symptoms: Injection site mass
Clinical narrative: This spontaneous report as received from another health professional (Market Research Agency: Barriers to ZOSTAVAX Co-administration) via a pharmacist refers to a female patient of unknown age. On an unknown date the patient was vaccinated with ZOSTAVAX (subcutaneous injection). Dose number, dose and lot number were not provided. The pharmacist administered the vaccine. The reporter believed the patient was on other medications, but was not sure what those medications were. On an unknown date the patient experienced really hard lump where the vaccine was administered. The outcome of really hard lump where the vaccine was administered was reported as recovered/resolved, a couple months after initial onset. The reporter considered really hard lump where the vaccine was administered to be related to ZOSTAVAX. Additional information is not expected.
Age: 4.0
Sex: M
Vaccine: MMRV
Symptoms: Pain, Polymerase chain reaction, Rash, Varicella virus test positive
Clinical narrative: This spontaneous report as received from a registered nurse refers to a 4 year old male patient. On 12-MAR-2013 the patient was vaccinated with PROQUAD (lot number H015792, expiry date 24-FEB-2014) dose 2, 0.5 ml, subcutaneous. The first dose of the vaccination was on 13-SEP-2010. No adverse events were reported for that dose. On 17-MAR-2013 the patient experienced broke out with rash and pain. The patient was seen in a clinic and was prescribed oral steroid, only one dose given. The patient was also seen in physician's office shortly after and was tested for varicella with PCR testing (identified Varicella zoster, unsure of wild type or vaccine strain). The patient was prescribed with oral and topical valcyclovir (manufacturer unspecified), and MOTRIN (manufacturer unspecified) for relief of pain which was effective. The outcome of broke out with rash and pain was reported as recovering/resolving. Additional information has been requested.
Sex: U
Vaccine: RV5
Symptoms: Expired drug administered, No adverse event
Clinical narrative: This spontaneous report was received from a pharmacist refers to a patient of unknown age and gender. No medical history was reported. On an unknown date, the patient was vaccinated with an expired dose of ROTATEQ, (lot#, expiry, dose, route not reported). No concomitant medications were reported. No adverse effect reported. The pharmacist did not have the date of administration or the lot number and expiration date of the ROTATEQ. Additional information has been requested.
Age: 43.0
Sex: F
Vaccine: DTAPIPV
Symptoms: Accidental exposure to product, Immediate post-injection reaction, Injury associated with device, Product quality issue
Clinical narrative: This case was reported by a healthcare professional (nurse and also subject) and described the occurrence of needle stick injury in a 43-year-old female subject who was administering KINRIX (GlaxoSmithKline). On 25 March 2013 at 14:35 the subject administered a dose of KINRIX (unknown details) and experienced inadvertent exposure to vaccine. On 25 March 2013, immediately after vaccination with KINRIX, the subject experienced needle stick injury to the "top left hand". The subject (also nurse) stated that "after administering the vaccine", the plunger "fell right off" and the subject (nurse) "got pricked." This case is also associated with a product quality complaint. The healthcare professional considered the events were clinically significant (or requiring intervention). The nurse stated that "now I have to get bloodwork done to make sure I have not been infected by anything." At the time of reporting the event was resolved. The healthcare professional considered the event was probably related to vaccination with KINRIX.
Age: 62.0
Sex: F
Vaccine: VARCEL
Symptoms: Asthenia, Chills, Dizziness, Headache, Nausea
Clinical narrative: Pt called on 3/29/13 at 0930 reporting on the evening of 3/27/13, she developed fever, chills, nausea, vomiting, headache, dizziness, weakness, palpitations that persisted through 3/28/13. Pt had to take 3/28/13 off but s/s have resolved and pt is back to work today feeling well.
Age: 62.0
Sex: F
Vaccine: VARCEL
Symptoms: Palpitations, Pyrexia, Varicella virus test, Vomiting
Clinical narrative: Pt called on 3/29/13 at 0930 reporting on the evening of 3/27/13, she developed fever, chills, nausea, vomiting, headache, dizziness, weakness, palpitations that persisted through 3/28/13. Pt had to take 3/28/13 off but s/s have resolved and pt is back to work today feeling well.
Age: 36.0
Sex: F
Vaccine: FLU3
Symptoms: Lymphadenopathy, Musculoskeletal pain, Ocular hyperaemia
Clinical narrative: Patient reports shoulder pain, enlarged node and red eye within 5 days of receiving vaccine.
Age: 42.0
Sex: F
Vaccine: DTAP
Symptoms: Injection site erythema, Injection site warmth
Clinical narrative: Erythema to injection site 4 inches long x 2 inches wide. Warm to touch lasted 72 hours. Treated with Benadryl PO and topically.
Age: 36.0
Sex: F
Vaccine: TYP
Symptoms: Abdominal discomfort, Diarrhoea, Headache, Retching, Vomiting
Clinical narrative: Woke with stomach upset and headache. Fell asleep again until 8 AM and began to have loose stool and vomited. Loose stool turned to diarrhea. Dry heaved a few more times and vomited a second time. Still having symptoms but mostly diarrhea.
Age: 24.0
Sex: F
Vaccine: HEP, IPV, MNQ, YF
Symptoms: Alanine aminotransferase increased, Anion gap normal, Arthralgia, Aspartate aminotransferase increased, Blood bilirubin decreased
Clinical narrative: She states that she was seen for travel here at our clinic on March 14th for pre-travel in preparation to a trip (see records).  She received yellow fever, typhoid, hep B, polio and meningitis vaccines at that time.  She states she had a sore arm for two days.  Then approximately on 03/21 she developed a "mild sore throat, stuffy nose and headache" and thought she would develop a "cold" but "never developed a full-blown cold".  On 03/23 she developed a full body rash ('somewhat raised and bright red like a sun burn and kind-of blotchy").  She felt she had "chills" like when "you have a sunburn".  She felt she developed a fever (tactile--since not documented) that "broke yesterday".  Her rash and tactile fever seem to have resolved over the last 24 hours but her myalgias and arthralgias have worsened.  They are in her hand and feet (all digits), ankles, elbows, and shoulders.  In addition, her fingers, hands and feet have swollen over the last 24 hours and her digits feel like "sausages".  On ROS she reports one day of diarrhea (03/23) which has resolved.  Some mild "chest discomfort" she gets when she has a cold and needs her inhaler.  The remainder of her complete ROS is negative. Her "boyfriend" developed "bad" diarrhea (very watery) and a tactile fever starting on ~03/23.  They were both seen last night where her boyfriend was told he had a "fever" but wasn't given the actual temperature and she recalled being told, "there is nothing I can do, take ibuprofen and call the travel clinic in the morning".  No other know exposures, no recent travel, single sexual partner (boyfriend), no recent animal exposures (bitten by a dog 1.5 years ago), sister with Crohn's disease and father with celiac.
Age: 24.0
Sex: F
Vaccine: HEP, IPV, MNQ, YF
Symptoms: Blood calcium normal, Blood chloride normal, Blood creatinine normal, Blood glucose normal, Blood potassium normal
Clinical narrative: She states that she was seen for travel here at our clinic on March 14th for pre-travel in preparation to a trip (see records).  She received yellow fever, typhoid, hep B, polio and meningitis vaccines at that time.  She states she had a sore arm for two days.  Then approximately on 03/21 she developed a "mild sore throat, stuffy nose and headache" and thought she would develop a "cold" but "never developed a full-blown cold".  On 03/23 she developed a full body rash ('somewhat raised and bright red like a sun burn and kind-of blotchy").  She felt she had "chills" like when "you have a sunburn".  She felt she developed a fever (tactile--since not documented) that "broke yesterday".  Her rash and tactile fever seem to have resolved over the last 24 hours but her myalgias and arthralgias have worsened.  They are in her hand and feet (all digits), ankles, elbows, and shoulders.  In addition, her fingers, hands and feet have swollen over the last 24 hours and her digits feel like "sausages".  On ROS she reports one day of diarrhea (03/23) which has resolved.  Some mild "chest discomfort" she gets when she has a cold and needs her inhaler.  The remainder of her complete ROS is negative. Her "boyfriend" developed "bad" diarrhea (very watery) and a tactile fever starting on ~03/23.  They were both seen last night where her boyfriend was told he had a "fever" but wasn't given the actual temperature and she recalled being told, "there is nothing I can do, take ibuprofen and call the travel clinic in the morning".  No other know exposures, no recent travel, single sexual partner (boyfriend), no recent animal exposures (bitten by a dog 1.5 years ago), sister with Crohn's disease and father with celiac.
Age: 24.0
Sex: F
Vaccine: HEP, IPV, MNQ, YF
Symptoms: Blood sodium normal, Blood urea normal, C-reactive protein, Carbon dioxide normal, Chest discomfort
Clinical narrative: She states that she was seen for travel here at our clinic on March 14th for pre-travel in preparation to a trip (see records).  She received yellow fever, typhoid, hep B, polio and meningitis vaccines at that time.  She states she had a sore arm for two days.  Then approximately on 03/21 she developed a "mild sore throat, stuffy nose and headache" and thought she would develop a "cold" but "never developed a full-blown cold".  On 03/23 she developed a full body rash ('somewhat raised and bright red like a sun burn and kind-of blotchy").  She felt she had "chills" like when "you have a sunburn".  She felt she developed a fever (tactile--since not documented) that "broke yesterday".  Her rash and tactile fever seem to have resolved over the last 24 hours but her myalgias and arthralgias have worsened.  They are in her hand and feet (all digits), ankles, elbows, and shoulders.  In addition, her fingers, hands and feet have swollen over the last 24 hours and her digits feel like "sausages".  On ROS she reports one day of diarrhea (03/23) which has resolved.  Some mild "chest discomfort" she gets when she has a cold and needs her inhaler.  The remainder of her complete ROS is negative. Her "boyfriend" developed "bad" diarrhea (very watery) and a tactile fever starting on ~03/23.  They were both seen last night where her boyfriend was told he had a "fever" but wasn't given the actual temperature and she recalled being told, "there is nothing I can do, take ibuprofen and call the travel clinic in the morning".  No other know exposures, no recent travel, single sexual partner (boyfriend), no recent animal exposures (bitten by a dog 1.5 years ago), sister with Crohn's disease and father with celiac.
Age: 24.0
Sex: F
Vaccine: HEP, IPV, MNQ, YF
Symptoms: Chills, Diarrhoea, Eosinophil count normal, Eosinophil percentage, Feeling abnormal
Clinical narrative: She states that she was seen for travel here at our clinic on March 14th for pre-travel in preparation to a trip (see records).  She received yellow fever, typhoid, hep B, polio and meningitis vaccines at that time.  She states she had a sore arm for two days.  Then approximately on 03/21 she developed a "mild sore throat, stuffy nose and headache" and thought she would develop a "cold" but "never developed a full-blown cold".  On 03/23 she developed a full body rash ('somewhat raised and bright red like a sun burn and kind-of blotchy").  She felt she had "chills" like when "you have a sunburn".  She felt she developed a fever (tactile--since not documented) that "broke yesterday".  Her rash and tactile fever seem to have resolved over the last 24 hours but her myalgias and arthralgias have worsened.  They are in her hand and feet (all digits), ankles, elbows, and shoulders.  In addition, her fingers, hands and feet have swollen over the last 24 hours and her digits feel like "sausages".  On ROS she reports one day of diarrhea (03/23) which has resolved.  Some mild "chest discomfort" she gets when she has a cold and needs her inhaler.  The remainder of her complete ROS is negative. Her "boyfriend" developed "bad" diarrhea (very watery) and a tactile fever starting on ~03/23.  They were both seen last night where her boyfriend was told he had a "fever" but wasn't given the actual temperature and she recalled being told, "there is nothing I can do, take ibuprofen and call the travel clinic in the morning".  No other know exposures, no recent travel, single sexual partner (boyfriend), no recent animal exposures (bitten by a dog 1.5 years ago), sister with Crohn's disease and father with celiac.
Age: 24.0
Sex: F
Vaccine: HEP, IPV, MNQ, YF
Symptoms: Glomerular filtration rate decreased, Granulocyte percentage, Haematocrit decreased, Haemoglobin decreased, Headache
Clinical narrative: She states that she was seen for travel here at our clinic on March 14th for pre-travel in preparation to a trip (see records).  She received yellow fever, typhoid, hep B, polio and meningitis vaccines at that time.  She states she had a sore arm for two days.  Then approximately on 03/21 she developed a "mild sore throat, stuffy nose and headache" and thought she would develop a "cold" but "never developed a full-blown cold".  On 03/23 she developed a full body rash ('somewhat raised and bright red like a sun burn and kind-of blotchy").  She felt she had "chills" like when "you have a sunburn".  She felt she developed a fever (tactile--since not documented) that "broke yesterday".  Her rash and tactile fever seem to have resolved over the last 24 hours but her myalgias and arthralgias have worsened.  They are in her hand and feet (all digits), ankles, elbows, and shoulders.  In addition, her fingers, hands and feet have swollen over the last 24 hours and her digits feel like "sausages".  On ROS she reports one day of diarrhea (03/23) which has resolved.  Some mild "chest discomfort" she gets when she has a cold and needs her inhaler.  The remainder of her complete ROS is negative. Her "boyfriend" developed "bad" diarrhea (very watery) and a tactile fever starting on ~03/23.  They were both seen last night where her boyfriend was told he had a "fever" but wasn't given the actual temperature and she recalled being told, "there is nothing I can do, take ibuprofen and call the travel clinic in the morning".  No other know exposures, no recent travel, single sexual partner (boyfriend), no recent animal exposures (bitten by a dog 1.5 years ago), sister with Crohn's disease and father with celiac.
Age: 24.0
Sex: F
Vaccine: HEP, IPV, MNQ, YF
Symptoms: Lymphocyte count normal, Lymphocyte percentage decreased, Mean cell haemoglobin concentration normal, Mean cell volume normal, Monocyte count normal
Clinical narrative: She states that she was seen for travel here at our clinic on March 14th for pre-travel in preparation to a trip (see records).  She received yellow fever, typhoid, hep B, polio and meningitis vaccines at that time.  She states she had a sore arm for two days.  Then approximately on 03/21 she developed a "mild sore throat, stuffy nose and headache" and thought she would develop a "cold" but "never developed a full-blown cold".  On 03/23 she developed a full body rash ('somewhat raised and bright red like a sun burn and kind-of blotchy").  She felt she had "chills" like when "you have a sunburn".  She felt she developed a fever (tactile--since not documented) that "broke yesterday".  Her rash and tactile fever seem to have resolved over the last 24 hours but her myalgias and arthralgias have worsened.  They are in her hand and feet (all digits), ankles, elbows, and shoulders.  In addition, her fingers, hands and feet have swollen over the last 24 hours and her digits feel like "sausages".  On ROS she reports one day of diarrhea (03/23) which has resolved.  Some mild "chest discomfort" she gets when she has a cold and needs her inhaler.  The remainder of her complete ROS is negative. Her "boyfriend" developed "bad" diarrhea (very watery) and a tactile fever starting on ~03/23.  They were both seen last night where her boyfriend was told he had a "fever" but wasn't given the actual temperature and she recalled being told, "there is nothing I can do, take ibuprofen and call the travel clinic in the morning".  No other know exposures, no recent travel, single sexual partner (boyfriend), no recent animal exposures (bitten by a dog 1.5 years ago), sister with Crohn's disease and father with celiac.
Age: 24.0
Sex: F
Vaccine: HEP, IPV, MNQ, YF
Symptoms: Monocyte percentage, Myalgia, Nasal congestion, Oedema peripheral, Oropharyngeal pain
Clinical narrative: She states that she was seen for travel here at our clinic on March 14th for pre-travel in preparation to a trip (see records).  She received yellow fever, typhoid, hep B, polio and meningitis vaccines at that time.  She states she had a sore arm for two days.  Then approximately on 03/21 she developed a "mild sore throat, stuffy nose and headache" and thought she would develop a "cold" but "never developed a full-blown cold".  On 03/23 she developed a full body rash ('somewhat raised and bright red like a sun burn and kind-of blotchy").  She felt she had "chills" like when "you have a sunburn".  She felt she developed a fever (tactile--since not documented) that "broke yesterday".  Her rash and tactile fever seem to have resolved over the last 24 hours but her myalgias and arthralgias have worsened.  They are in her hand and feet (all digits), ankles, elbows, and shoulders.  In addition, her fingers, hands and feet have swollen over the last 24 hours and her digits feel like "sausages".  On ROS she reports one day of diarrhea (03/23) which has resolved.  Some mild "chest discomfort" she gets when she has a cold and needs her inhaler.  The remainder of her complete ROS is negative. Her "boyfriend" developed "bad" diarrhea (very watery) and a tactile fever starting on ~03/23.  They were both seen last night where her boyfriend was told he had a "fever" but wasn't given the actual temperature and she recalled being told, "there is nothing I can do, take ibuprofen and call the travel clinic in the morning".  No other know exposures, no recent travel, single sexual partner (boyfriend), no recent animal exposures (bitten by a dog 1.5 years ago), sister with Crohn's disease and father with celiac.
Age: 24.0
Sex: F
Vaccine: HEP, IPV, MNQ, YF
Symptoms: Pain in extremity, Platelet count normal, Pyrexia, Rash erythematous, Rash generalised
Clinical narrative: She states that she was seen for travel here at our clinic on March 14th for pre-travel in preparation to a trip (see records).  She received yellow fever, typhoid, hep B, polio and meningitis vaccines at that time.  She states she had a sore arm for two days.  Then approximately on 03/21 she developed a "mild sore throat, stuffy nose and headache" and thought she would develop a "cold" but "never developed a full-blown cold".  On 03/23 she developed a full body rash ('somewhat raised and bright red like a sun burn and kind-of blotchy").  She felt she had "chills" like when "you have a sunburn".  She felt she developed a fever (tactile--since not documented) that "broke yesterday".  Her rash and tactile fever seem to have resolved over the last 24 hours but her myalgias and arthralgias have worsened.  They are in her hand and feet (all digits), ankles, elbows, and shoulders.  In addition, her fingers, hands and feet have swollen over the last 24 hours and her digits feel like "sausages".  On ROS she reports one day of diarrhea (03/23) which has resolved.  Some mild "chest discomfort" she gets when she has a cold and needs her inhaler.  The remainder of her complete ROS is negative. Her "boyfriend" developed "bad" diarrhea (very watery) and a tactile fever starting on ~03/23.  They were both seen last night where her boyfriend was told he had a "fever" but wasn't given the actual temperature and she recalled being told, "there is nothing I can do, take ibuprofen and call the travel clinic in the morning".  No other know exposures, no recent travel, single sexual partner (boyfriend), no recent animal exposures (bitten by a dog 1.5 years ago), sister with Crohn's disease and father with celiac.
Age: 24.0
Sex: F
Vaccine: HEP, IPV, MNQ, YF
Symptoms: Rash macular, Red blood cell count decreased, Red blood cell sedimentation rate increased, Red cell distribution width normal, White blood cell count normal
Clinical narrative: She states that she was seen for travel here at our clinic on March 14th for pre-travel in preparation to a trip (see records).  She received yellow fever, typhoid, hep B, polio and meningitis vaccines at that time.  She states she had a sore arm for two days.  Then approximately on 03/21 she developed a "mild sore throat, stuffy nose and headache" and thought she would develop a "cold" but "never developed a full-blown cold".  On 03/23 she developed a full body rash ('somewhat raised and bright red like a sun burn and kind-of blotchy").  She felt she had "chills" like when "you have a sunburn".  She felt she developed a fever (tactile--since not documented) that "broke yesterday".  Her rash and tactile fever seem to have resolved over the last 24 hours but her myalgias and arthralgias have worsened.  They are in her hand and feet (all digits), ankles, elbows, and shoulders.  In addition, her fingers, hands and feet have swollen over the last 24 hours and her digits feel like "sausages".  On ROS she reports one day of diarrhea (03/23) which has resolved.  Some mild "chest discomfort" she gets when she has a cold and needs her inhaler.  The remainder of her complete ROS is negative. Her "boyfriend" developed "bad" diarrhea (very watery) and a tactile fever starting on ~03/23.  They were both seen last night where her boyfriend was told he had a "fever" but wasn't given the actual temperature and she recalled being told, "there is nothing I can do, take ibuprofen and call the travel clinic in the morning".  No other know exposures, no recent travel, single sexual partner (boyfriend), no recent animal exposures (bitten by a dog 1.5 years ago), sister with Crohn's disease and father with celiac.
Age: 24.0
Sex: F
Vaccine: HEP, IPV, MNQ, YF
Symptoms: White blood cell morphology abnormal
Clinical narrative: She states that she was seen for travel here at our clinic on March 14th for pre-travel in preparation to a trip (see records).  She received yellow fever, typhoid, hep B, polio and meningitis vaccines at that time.  She states she had a sore arm for two days.  Then approximately on 03/21 she developed a "mild sore throat, stuffy nose and headache" and thought she would develop a "cold" but "never developed a full-blown cold".  On 03/23 she developed a full body rash ('somewhat raised and bright red like a sun burn and kind-of blotchy").  She felt she had "chills" like when "you have a sunburn".  She felt she developed a fever (tactile--since not documented) that "broke yesterday".  Her rash and tactile fever seem to have resolved over the last 24 hours but her myalgias and arthralgias have worsened.  They are in her hand and feet (all digits), ankles, elbows, and shoulders.  In addition, her fingers, hands and feet have swollen over the last 24 hours and her digits feel like "sausages".  On ROS she reports one day of diarrhea (03/23) which has resolved.  Some mild "chest discomfort" she gets when she has a cold and needs her inhaler.  The remainder of her complete ROS is negative. Her "boyfriend" developed "bad" diarrhea (very watery) and a tactile fever starting on ~03/23.  They were both seen last night where her boyfriend was told he had a "fever" but wasn't given the actual temperature and she recalled being told, "there is nothing I can do, take ibuprofen and call the travel clinic in the morning".  No other know exposures, no recent travel, single sexual partner (boyfriend), no recent animal exposures (bitten by a dog 1.5 years ago), sister with Crohn's disease and father with celiac.
Age: 63.0
Sex: F
Vaccine: TDAP
Symptoms: Erythema, Pain, Pruritus, Skin warm, Swelling
Clinical narrative: "I got a few hives that evening on my back and on my breasts. When I woke up the next morning they were on my back, breast, legs, arms, and buttocks. The worst areas were my back and breasts. Reports maybe 100 hives on back. They itched and were hot. Applied Calagel with Benadryl and the hives began to improve. The stinging and itching stopped Thursday morning. I continued to apply the gel to the hives. Friday they look like they are drying up and they don't look swollen anymore. They looked very red and puffy before." per patient
Age: 63.0
Sex: F
Vaccine: TDAP
Symptoms: Urticaria
Clinical narrative: "I got a few hives that evening on my back and on my breasts. When I woke up the next morning they were on my back, breast, legs, arms, and buttocks. The worst areas were my back and breasts. Reports maybe 100 hives on back. They itched and were hot. Applied Calagel with Benadryl and the hives began to improve. The stinging and itching stopped Thursday morning. I continued to apply the gel to the hives. Friday they look like they are drying up and they don't look swollen anymore. They looked very red and puffy before." per patient
Age: 55.0
Sex: F
Vaccine: FLU3
Symptoms: Alanine aminotransferase increased, Blood glucose, Chest X-ray, Chest discomfort, Coagulation time shortened
Clinical narrative: 12/21/12 Tingling in toes. 12/22/12 Chest pressure and headache. 12/24/12 Tingling all over body. 12/28/12 to 12/29/12 Increased headache and chest pressure.  "Paralysed", unable to move x 20mins x 2. 1/2/13 urinary frequency and retention. Continues at present day with tingling and muscle weakness.
Age: 55.0
Sex: F
Vaccine: FLU3
Symptoms: Haemoglobin decreased, Headache, Muscular weakness, Nuclear magnetic resonance imaging brain, Paraesthesia
Clinical narrative: 12/21/12 Tingling in toes. 12/22/12 Chest pressure and headache. 12/24/12 Tingling all over body. 12/28/12 to 12/29/12 Increased headache and chest pressure.  "Paralysed", unable to move x 20mins x 2. 1/2/13 urinary frequency and retention. Continues at present day with tingling and muscle weakness.
Age: 55.0
Sex: F
Vaccine: FLU3
Symptoms: Paralysis, Pollakiuria, Urinary retention, Urine analysis
Clinical narrative: 12/21/12 Tingling in toes. 12/22/12 Chest pressure and headache. 12/24/12 Tingling all over body. 12/28/12 to 12/29/12 Increased headache and chest pressure.  "Paralysed", unable to move x 20mins x 2. 1/2/13 urinary frequency and retention. Continues at present day with tingling and muscle weakness.
Age: 0.16
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV1
Symptoms: Pyrexia, Rash
Clinical narrative: Per ED and parent report the timeline for symptom onset varies.  ED records state that rash appeared 1-2 hours prior to admission at 0530 on 1/25/13.  The fever appeared 3 to 5 hours prior to ED admission.  Oral Tylenol and IM Benadryl given at 0615 on 1/25/13.  Baby released to home from ED at 0642.
Age: 17.0
Sex: F
Vaccine: HEPA, TYP, YF
Symptoms: Unevaluable event
Clinical narrative: None.
Age: 0.4
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC13
Symptoms: Injection site vesicles
Clinical narrative: Fine pinpoint vesicular rash in bilateral anterior thighs, where vaccines were administered. Resolved in 1 week with steroid ointment.
Age: 4.0
Sex: F
Vaccine: DTAPIPV, MMRV
Symptoms: Erythema, Injection site erythema, Injection site swelling, Swelling
Clinical narrative: Swelling and redness to LD and L outer aspect of arm.
Age: 21.0
Sex: F
Vaccine: TDAP
Symptoms: Gaze palsy, Hyperhidrosis, Muscle rigidity, Pallor, Syncope
Clinical narrative: Patient stated a history of Syncope only, measures taken to decrease response such as patient lying down during Tdap administration. Within 2 minutes noted diaphoresis, pale skin, patient fainted no injury sustained, eyes rolled back and body became rigid. Event lasted less than 5 minutes, vitals stable and patient fully reponsive within 5 minutes.
Age: 39.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Redness, heat, swelling at injection site. Went to my doctor and they gave me an injection in my glute (maybe antibiotic?)
Age: 65.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site cellulitis, Pain, Pruritus, Skin warm, Swelling
Clinical narrative: Diagnosed by physician as cellulitis at injection site.  Swelling (approx 5 inches in diameter), hot, itching, painful area. Treated by Dr. and prescribed Bactrim DS for 10 days.
Age: 62.0
Sex: M
Vaccine: VARZOS
Symptoms: Injection site cellulitis, Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: DIAGNOSED BY PHYSICIAN AS CELLULITIS.  SWOLLEN, RED, HOT AREA AT INJECTION SITE.  TREATED WITH CIPRO 250MG FOR 5 DAYS.
Age: 1.29
Sex: M
Vaccine: PNC13
Symptoms: Pyrexia, Restlessness
Clinical narrative: Fever of 103.7; General restlessness.
Age: 27.0
Sex: F
Vaccine: TDAP
Symptoms: Disorientation, Dyspnoea, Hypersensitivity
Clinical narrative: PT HAD AN ALLERGIC REACTION TO THE ADACEL (TDAP) VACCINATION THAT WAS ADMINISTERED TO HER. SHE REPORTED DIFFICULTY BREATHY AND DISORIENTATION.
Sex: U
Vaccine: MMR, PNC13, VARCEL
Symptoms: Eye swelling, Influenza virus test negative, Pyrexia, Respiratory syncytial virus test negative, Wheezing
Clinical narrative: Patient seen for well care on 3/27/2013 was given MMR, varicella, PREVNAR 13. Developed fever 102.8 with wheezing, within 24 hrs and swelling of the eyes within 48 hrs.
Sex: U
Vaccine: HPV4
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: This spontaneous report as received from a physician refers to a patient of unknown age (gender unspecified). Physician reported that a patient received 1st GARDASIL dose on an unspecified date about a year ago (in 2012) and was on 22-MAR-2013 back in the physician's office to continue series of GARDASIL. Lot # was not reported. Outcome and action taken was unspecified. Additional information has been requested.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Urticaria
Clinical narrative: Urticaria diffuse occurred 2-3 hrs after immunization administration. Tx included BENADRYL and DECADRON IM.
Age: 3.0
Sex: F
Vaccine: HIBV, TDAP
Symptoms: Blood lead normal, Full blood count normal, Wrong drug administered
Clinical narrative: Patient given Tdap instead of DTaP.
Age: 11.0
Sex: F
Vaccine: HPV4, MNQ, TDAP
Symptoms: Injection site erythema
Clinical narrative: Mild erythema no swelling at both arm at site of injection, no systemic symptoms. Supportive care, cold compress.
Age: 1.37
Sex: M
Vaccine: DTAPIPVHIB, HEP, PNC
Symptoms: Injection site erythema, Injection site induration, Pain
Clinical narrative: Pt. LT having redness, induration of 70 mm x 59 mm. Pt. complaining pain when touching. Also, pt. RT having redness, 53 mm x 48 mm induration. Grandmother notice this afternoon.
Age: 60.0
Sex: M
Vaccine: FLU3
Symptoms: Urticaria
Clinical narrative: Patient had never received flu shot before January 2013. After getting shot patient started experiencing hives. Patient tried ruling out food allergies. Patient believes is an allergy to Thimerosal.
Age: 67.0
Sex: M
Vaccine: PPV
Symptoms: Injection site induration
Clinical narrative: Day after PNEUMOVAX injection pt developed large area of induration on (R) deltoid inferior to inj. site.
Age: 0.17
Sex: F
Vaccine: DTAPIPVHIB, HEP, PNC13, RV5
Symptoms: Haematochezia
Clinical narrative: Blood in diaper today 3/29/13 with BM (stool).
Age: 17.0
Sex: M
Vaccine: HEPA, MNQ
Symptoms: Asthenia, Feeling abnormal, Nausea, Pallor, Syncope
Clinical narrative: Syncopal episode, pt states he "feels out of it", weakness, pale skin, nausea x 5 minutes. Pt recovered in supine position. (HR 54 / B/P 102/58 / SAO2 97% RA).
Age: 16.0
Sex: M
Vaccine: HEPA, HPV4
Symptoms: Dizziness, Syncope
Clinical narrative: Patient became dizzy and fainted within minutes of vaccine administration. BP 80/44, HR: 48. Patient vital signs monitored for half hour at 5 min interval. Head of.
Age: 43.0
Sex: F
Vaccine: PPV
Symptoms: Gait disturbance, Muscular weakness, Nuclear magnetic resonance imaging, Palpitations
Clinical narrative: Weakness lower extremities 3-25-13 to present. Heart racings 3-25-13. Concentration needed to walk 3/25/13 to present.
Age: 1.09
Sex: M
Vaccine: HEPA, MMRV
Symptoms: Haemoglobin normal, Lymphocyte percentage increased, Mean cell volume decreased, Otitis media, Petechiae
Clinical narrative: Petechial rash on neck - spreading to trunk/extremities on 2/27. Also diagnosed with RSV 2 wks ago = Dx with Otitis Media about 1-month ago- Rx with amoxicillin.
Age: 1.09
Sex: M
Vaccine: HEPA, MMRV
Symptoms: Platelet count decreased, Rash, Respiratory syncytial virus infection, White blood cell count normal
Clinical narrative: Petechial rash on neck - spreading to trunk/extremities on 2/27. Also diagnosed with RSV 2 wks ago = Dx with Otitis Media about 1-month ago- Rx with amoxicillin.
Age: 33.0
Sex: F
Vaccine: TYP
Symptoms: Abdominal distension, Abdominal pain upper, Chills, Decreased appetite, Diarrhoea
Clinical narrative: Loss of appetite began within 12 hours of first vaccination dose. This progressed to headache, nausea and severe bloating/stomach pain over the course of the next 24 hours. At the 44th hour, just prior to when the second dose was due, body aches, chills and a 101.0 fever developed. The bloating and cramping with the onset of watery diarrhea continued for 48 hours.
Age: 33.0
Sex: F
Vaccine: TYP
Symptoms: Muscle spasms, Nausea, Pain, Pyrexia
Clinical narrative: Loss of appetite began within 12 hours of first vaccination dose. This progressed to headache, nausea and severe bloating/stomach pain over the course of the next 24 hours. At the 44th hour, just prior to when the second dose was due, body aches, chills and a 101.0 fever developed. The bloating and cramping with the onset of watery diarrhea continued for 48 hours.
Age: 71.0
Sex: F
Vaccine: VARZOS
Symptoms: Pain, Skin fissures
Clinical narrative: Midriff torso skin feeling as chapped or chaffed badly.
Age: 37.0
Sex: M
Vaccine: TTOX
Symptoms: Feeling abnormal, Muscle tightness
Clinical narrative: Donor states that as soon as the immunization was given he felt his jaw get tight and feel odd. Donor stated this after his 20min wait time. Denied any other symptoms, not light headed, not sob. States not sure if its in his head after reading the risks. Donor stated symptom almost gone during wait time. Donor advised to call us with any questions or call his pmd with any concerns.
Age: 0.2
Sex: F
Vaccine: DTAPHEPBIP, PNC13, RV5, DTAPHEPBIP, HIBV, PNC13, RV5
Symptoms: Blood albumin decreased, Chest X-ray normal, Dehydration, Electrocardiogram normal, Feeding disorder neonatal
Clinical narrative: Temperature began to rise, increased fussiness, less appetite (baby is breastfed).  By morning, temp was almost 104 and mother took her to the doctor.  Where they had sent her to the ER before for a temp of 100.5 this time they told her to go home and give Tylenol and ibuprofen.  They gave an antibiotic shot (cefalexin) and told her to come back the next day for recheck. Gave another antibiotic shot and said blood work was clear except slightly low neutrophils.  Checking for dehydration as baby was barely nursing. Recommended Pedialyte. Baby had stopped nursing altogether by 3/24.  Mom on phone with doc was told to push fluids with syringe as well as continue fever meds.  No recheck on Sunday - appt for 3/25 AM.  Sent to the ER for dehydration. Placed on IV fluids and antibiotics.  Had had a fine red rash that seemed to come and go with fever.  Developed dark red mottled rash by 3/26 (regular room, not ICU).
Age: 0.2
Sex: F
Vaccine: DTAPHEPBIP, PNC13, RV5, DTAPHEPBIP, HIBV, PNC13, RV5
Symptoms: Irritability, Livedo reticularis, Lumbar puncture normal, Neutrophil count decreased, Pyrexia
Clinical narrative: Temperature began to rise, increased fussiness, less appetite (baby is breastfed).  By morning, temp was almost 104 and mother took her to the doctor.  Where they had sent her to the ER before for a temp of 100.5 this time they told her to go home and give Tylenol and ibuprofen.  They gave an antibiotic shot (cefalexin) and told her to come back the next day for recheck. Gave another antibiotic shot and said blood work was clear except slightly low neutrophils.  Checking for dehydration as baby was barely nursing. Recommended Pedialyte. Baby had stopped nursing altogether by 3/24.  Mom on phone with doc was told to push fluids with syringe as well as continue fever meds.  No recheck on Sunday - appt for 3/25 AM.  Sent to the ER for dehydration. Placed on IV fluids and antibiotics.  Had had a fine red rash that seemed to come and go with fever.  Developed dark red mottled rash by 3/26 (regular room, not ICU).
Age: 0.2
Sex: F
Vaccine: DTAPHEPBIP, PNC13, RV5, DTAPHEPBIP, HIBV, PNC13, RV5
Symptoms: Rash erythematous, Streptococcus test negative, Ultrasound scan normal, White blood cell count increased
Clinical narrative: Temperature began to rise, increased fussiness, less appetite (baby is breastfed).  By morning, temp was almost 104 and mother took her to the doctor.  Where they had sent her to the ER before for a temp of 100.5 this time they told her to go home and give Tylenol and ibuprofen.  They gave an antibiotic shot (cefalexin) and told her to come back the next day for recheck. Gave another antibiotic shot and said blood work was clear except slightly low neutrophils.  Checking for dehydration as baby was barely nursing. Recommended Pedialyte. Baby had stopped nursing altogether by 3/24.  Mom on phone with doc was told to push fluids with syringe as well as continue fever meds.  No recheck on Sunday - appt for 3/25 AM.  Sent to the ER for dehydration. Placed on IV fluids and antibiotics.  Had had a fine red rash that seemed to come and go with fever.  Developed dark red mottled rash by 3/26 (regular room, not ICU).
Age: 0.2
Sex: F
Vaccine: DTAPHEPBIP, PNC13, RV5, DTAPHEPBIP, HIBV, PNC13, RV5
Symptoms: Abnormal behaviour, Bacterial test, Crying, Dehydration, Depressed mood
Clinical narrative: Temperature began to rise, increased fussiness, less appetite (baby is breastfed).  By morning, temp was almost 104 and mother took her to the doctor.  Where they had sent her to the ER before for a temp of 100.5 this time they told her to go home and give Tylenol and ibuprofen.  They gave an antibiotic shot (cefalexin) and told her to come back the next day for recheck. Gave another antibiotic shot and said blood work was clear except slightly low neutrophils.  Checking for dehydration as baby was barely nursing. Recommended Pedialyte. Baby had stopped nursing altogether by 3/24.  Mom on phone with doc was told to push fluids with syringe as well as continue fever meds.  No recheck on Sunday - appt for 3/25 AM.  Sent to the ER for dehydration. Placed on IV fluids and antibiotics.  Had had a fine red rash that seemed to come and go with fever.  Developed dark red mottled rash by 3/26 (regular room, not ICU).
Age: 0.2
Sex: F
Vaccine: DTAPHEPBIP, PNC13, RV5, DTAPHEPBIP, HIBV, PNC13, RV5
Symptoms: Diet refusal, Discomfort, Fatigue, Human rhinovirus test positive, Immunoglobulin therapy
Clinical narrative: Temperature began to rise, increased fussiness, less appetite (baby is breastfed).  By morning, temp was almost 104 and mother took her to the doctor.  Where they had sent her to the ER before for a temp of 100.5 this time they told her to go home and give Tylenol and ibuprofen.  They gave an antibiotic shot (cefalexin) and told her to come back the next day for recheck. Gave another antibiotic shot and said blood work was clear except slightly low neutrophils.  Checking for dehydration as baby was barely nursing. Recommended Pedialyte. Baby had stopped nursing altogether by 3/24.  Mom on phone with doc was told to push fluids with syringe as well as continue fever meds.  No recheck on Sunday - appt for 3/25 AM.  Sent to the ER for dehydration. Placed on IV fluids and antibiotics.  Had had a fine red rash that seemed to come and go with fever.  Developed dark red mottled rash by 3/26 (regular room, not ICU).