chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Sex: F
Vaccine: VARCEL
Symptoms: Erythema, Local reaction, Pain, Swelling
Clinical narrative: This spontaneous report as received from a nurse via a company representative refers to a female patient of unknown age. The patient's medical history, concurrent conditions and concomitant medications were not reported. On an unknown date, the patient was vaccinated with a dose of VARIVAX (Merck) (subcutaneously, lot # L044524 (also reported as LO: 44524), expiration date 09-NOV-2017; dose was not reported). On an unknown date, the patient experienced local reaction, swelling, redness and pain. She sought medical attention via speaking with the nurse. The outcome of the adverse events was reported as recovering. The relatedness between the adverse events and VARIVAX (Merck) was not provided. This is one of two reports received from the same reporter. One of the patients (unspecified) received an unspecified imaging test (results were unavailable at the time of this report). Additional information is not expected as the reporter did not provide her contact details.
Sex: U
Vaccine: VARCEL
Symptoms: Incorrect product storage, No adverse event
Clinical narrative: This spontaneous report was received registered nurse regarding unspecified number of patients of unknown age and gender. The medical history of patients and their concurrent conditions were not reported. On an unknown date the patients were vaccinated with improperly stored VARIVAX (Merck) (therapy type digital logger) (lot # L048467, expiry date 02-DEC-2017) dosing details and route unknown. Concomitant medications were not reported. The vaccines were subjected to temperature excursion of -0.9 degrees C for a time frame of 2 hours  and 33 minutes. No other symptoms reported. Product quality complaint was not filed. This is one of the four reports received from the same reporter. Additional information has been requested.
Sex: U
Vaccine: PPV
Symptoms: Hypoaesthesia, Mobility decreased, Peripheral swelling
Clinical narrative: This spontaneous report was received from a pharmacist via a company representative referring to a three to four unspecified patients of an unknown age and gender. The patient's concurrent conditions and medical history were not provided. On an unknown date, the patients were vaccinated with a dose of PNEUMOVAX 23 25/0.5 ml (dose number, route, anatomical location, lot number and expiration date were not provided). Concomitant therapies were not provided. On an unknown date, the patient's whole arm became swollen, they couldn't felt their fingers and they couldn't move their fingers. The outcome of peripheral swelling, movement disorder and feeling abnormal was reported as recovered. No product quality complaint was involved. The reporter did not assess the relatedness between the event and suspect therapy. Additional information has been requested.
Sex: F
Vaccine: HPV9
Symptoms: Exposure during pregnancy, No adverse event
Clinical narrative: This spontaneous prospective pregnancy report was received from a physician assistant and refers to a female patient of unknown age. There was no information about the patient's concurrent conditions, concomitant therapies or medical history provided. On 26-APR-2016, the patient was vaccinated with GARDASIL 9 injection, lot # L043213, expiration date: 28-AUG-2017 (exact dose, dose number, anatomical location and route of administration were not provided). The reporter, stated, that the patient received a dose of GARDASIL 9 inadvertently while being pregnant at the time of administration. There were no adverse effects reported. The last menstrual period (LMP) and estimated date of delivery (EDD), date of conception and trimester of exposure were unknown. The pregnancy outcome was pending. Additional information has been requested.
Sex: U
Vaccine: MMRV
Symptoms: Incorrect product storage, No adverse event
Clinical narrative: This spontaneous report was received from a nurse and refers to multiple patients of unknown age and gender. No information regarding the patients' pertinent medical history, concomitant medication and drug reactions or allergies was reported. On unknown dates, the patients were vaccinated with improperly stored doses of PROQUAD (Merck) (strength, dose, route of administration, anatomical location, lot # and expiration date were not provided). The reporter stated that the vaccines reached a temperature of -11 Celsius degrees for an unspecified amount of time (dates were not provided). No adverse effects were reported. This is one of several reports received from the same source. Additional information has been requested.
Sex: M
Vaccine: PPV
Symptoms: Injection site pain, Injection site rash, Injection site swelling
Clinical narrative: Initial and follow-up information has been received from a pharmacist and a pharmacy technician (also reported as a registered pharmacist) concerning a male patient of unknown age. No information regarding medical history or concurrent conditions was provided. On 11-APR-2016, the patient was vaccinated with a dose of PNEUMOVAX 23 injection (lot# M000386; dose, route of administration and expiry date were not reported). There were no concomitant therapies reported. Within a day of vaccination, on approximately 12-APR-2016, the patient experienced rash, swollen and sore arm at the injection site. The patient recovered from these events on an unspecified date in April 2016. The relatedness between PNEUMOVAX 23 and the events was not provided. This is one of several reports received from the same reporter. Additional information has been requested.
Sex: M
Vaccine: VARCEL
Symptoms: Erythema, Local reaction, Pain, Swelling
Clinical narrative: This spontaneous report as received from a nurse via a company representative refers to a male patient of unknown age. The patient's medical history, concurrent conditions and concomitant medications were not reported. On an unknown date, the patient was vaccinated with a dose of VARIVAX (Merck) (subcutaneously, lot # reported as L044524, expiration date 09-NOV-2017; dose was not reported). On an unknown date, the patient experienced local reaction, swelling, redness and pain. He sought medical attention via speaking with the nurse. The outcome of the adverse events was reported as recovering. The relatedness between the adverse events and VARIVAX (Merck) was not provided. This is one of two reports received from the same reporter. One of the patients (unspecified) received an unspecified imaging testy (results were unavailable at the time of this report). Additional information has been requested.
Age: 27.0
Sex: M
Vaccine: FLU3, FLU3
Symptoms: Asthenia, Blood copper decreased, Blood folate normal, Blood zinc increased, Borrelia test negative
Clinical narrative: Within a few day of vaccination, pt developed fever, weakness, numbness and tingling in both feet and lower extremities.  Pt was worked up for mononucleosis and Lyme disease.  His providers felt Guillain Barre syndrome was most likely.  About the time lumbar puncture was to be pursued, symptoms spontaneously resolved.  Symptoms lasted about 5 months.
Age: 27.0
Sex: M
Vaccine: FLU3, FLU3
Symptoms: C-reactive protein, Cytomegalovirus test, Epstein-Barr virus antibody positive, Full blood count normal, Glycosylated haemoglobin normal
Clinical narrative: Within a few day of vaccination, pt developed fever, weakness, numbness and tingling in both feet and lower extremities.  Pt was worked up for mononucleosis and Lyme disease.  His providers felt Guillain Barre syndrome was most likely.  About the time lumbar puncture was to be pursued, symptoms spontaneously resolved.  Symptoms lasted about 5 months.
Age: 27.0
Sex: M
Vaccine: FLU3, FLU3
Symptoms: Guillain-Barre syndrome, Hypoaesthesia, Mononucleosis heterophile test, Paraesthesia, Pyrexia
Clinical narrative: Within a few day of vaccination, pt developed fever, weakness, numbness and tingling in both feet and lower extremities.  Pt was worked up for mononucleosis and Lyme disease.  His providers felt Guillain Barre syndrome was most likely.  About the time lumbar puncture was to be pursued, symptoms spontaneously resolved.  Symptoms lasted about 5 months.
Age: 27.0
Sex: M
Vaccine: FLU3, FLU3
Symptoms: Red blood cell sedimentation rate normal, Vitamin B12 normal
Clinical narrative: Within a few day of vaccination, pt developed fever, weakness, numbness and tingling in both feet and lower extremities.  Pt was worked up for mononucleosis and Lyme disease.  His providers felt Guillain Barre syndrome was most likely.  About the time lumbar puncture was to be pursued, symptoms spontaneously resolved.  Symptoms lasted about 5 months.
Age: 27.0
Sex: M
Vaccine: FLU3, FLU3
Symptoms: Asthenia, Blood copper, Blood folate normal, Blood zinc, Borrelia test negative
Clinical narrative: Within a few day of vaccination, pt developed fever, weakness, numbness and tingling in both feet and lower extremities.  Pt was worked up for mononucleosis and Lyme disease.  His providers felt Guillain Barre syndrome was most likely.  About the time lumbar puncture was to be pursued, symptoms spontaneously resolved.  Symptoms lasted about 5 months.
Age: 27.0
Sex: M
Vaccine: FLU3, FLU3
Symptoms: C-reactive protein, Cytomegalovirus test negative, Epstein-Barr virus antibody positive, Full blood count normal, Glycosylated haemoglobin normal
Clinical narrative: Within a few day of vaccination, pt developed fever, weakness, numbness and tingling in both feet and lower extremities.  Pt was worked up for mononucleosis and Lyme disease.  His providers felt Guillain Barre syndrome was most likely.  About the time lumbar puncture was to be pursued, symptoms spontaneously resolved.  Symptoms lasted about 5 months.
Age: 27.0
Sex: M
Vaccine: FLU3, FLU3
Symptoms: Guillain-Barre syndrome, Haemoglobin decreased, Hypoaesthesia, Paraesthesia, Pyrexia
Clinical narrative: Within a few day of vaccination, pt developed fever, weakness, numbness and tingling in both feet and lower extremities.  Pt was worked up for mononucleosis and Lyme disease.  His providers felt Guillain Barre syndrome was most likely.  About the time lumbar puncture was to be pursued, symptoms spontaneously resolved.  Symptoms lasted about 5 months.
Age: 35.0
Sex: F
Vaccine: PPV, TDAP
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth, Mobility decreased
Clinical narrative: Redness, warmth, swelling at injection site, limited mobility of arm.
Age: 3.0
Sex: M
Vaccine: FLU3
Symptoms: Arm amputation, Brain operation, Cerebral haemorrhage, Dehydration, Dialysis
Clinical narrative: Patient had a fever the afternoon of Oct 19 and was very sleepy, he seemed to be dehydrated. Once he began vomiting we took him to an urgent care that afternoon where he was treated for dehydration. Later that Friday evening he went into septic shock. Patient was at hospital where he was on dialysis once he arrived and a few days later patient developed a brain hemorrhage and received emergency brain surgery. About a week following the brain surgery the hospital sent a jet to transport patient elsewhere. He hands and feet became necrotic which led to amputations below the knee and elbow.
Age: 3.0
Sex: M
Vaccine: FLU3
Symptoms: Extremity necrosis, Leg amputation, Pyrexia, Septic shock, Somnolence
Clinical narrative: Patient had a fever the afternoon of Oct 19 and was very sleepy, he seemed to be dehydrated. Once he began vomiting we took him to an urgent care that afternoon where he was treated for dehydration. Later that Friday evening he went into septic shock. Patient was at hospital where he was on dialysis once he arrived and a few days later patient developed a brain hemorrhage and received emergency brain surgery. About a week following the brain surgery the hospital sent a jet to transport patient elsewhere. He hands and feet became necrotic which led to amputations below the knee and elbow.
Age: 3.0
Sex: M
Vaccine: FLU3
Symptoms: Vomiting
Clinical narrative: Patient had a fever the afternoon of Oct 19 and was very sleepy, he seemed to be dehydrated. Once he began vomiting we took him to an urgent care that afternoon where he was treated for dehydration. Later that Friday evening he went into septic shock. Patient was at hospital where he was on dialysis once he arrived and a few days later patient developed a brain hemorrhage and received emergency brain surgery. About a week following the brain surgery the hospital sent a jet to transport patient elsewhere. He hands and feet became necrotic which led to amputations below the knee and elbow.
Age: 63.0
Sex: F
Vaccine: PPV
Symptoms: Back pain, Musculoskeletal pain, Neck pain, Pain in extremity, Pain in jaw
Clinical narrative: Shoulder, jaw, neck, back, and arm pain. 14 hours after injection.
Age: 51.0
Sex: F
Vaccine: TD
Symptoms: Urticaria
Clinical narrative: Patient developed hives on April 20th. Possible related to tetanus vaccine. Also was taking amoxicillin and ibuprofen. No prior hx of adverse reaction to either med or tetanus vaccine.
Sex: U
Vaccine: VARCEL
Symptoms: Incorrect product storage, No adverse event
Clinical narrative: This spontaneous report was received from a nurse refers to a patient of unknown gender and age. Information regarding patient's medical history, concurrent condition, drug reactions/allergies and concomitant therapy were unspecified. On an unknown date in April 2016 (reported as on or after 06-APR-2016), the patient was vaccinated with an improperly stored doses of (Oka/Merck) VARIVAX (lot # L040422, expiry date: 15-OCT-2017). Nurse reported that the vaccine underwent temperature excursion at -10.2 degree Celsius for a duration for 15 hours, 37 minutes and 30 seconds. No adverse effect was reported. This is one of the two reports received from the same reporter. Additional information has been requested.
Age: 8.0
Sex: F
Vaccine: PPV
Symptoms: Asthenia, Crying, Emotional disorder, Fatigue
Clinical narrative: Mom states no energy, feels tired a lot of the time, is sensitive/emotional - cries a lot.
Age: 12.0
Sex: M
Vaccine: HEPA, HPV4
Symptoms: Rash pruritic, Urticaria
Clinical narrative: Acute onset of generalized pruritic urticarial rash a few hours after Hep A 2 / HPV 3
Age: 70.0
Sex: F
Vaccine: FLU3
Symptoms: Abasia, Back pain, Myalgia, Nuclear magnetic resonance imaging spinal abnormal, Paralysis
Clinical narrative: Started complaining that back hurt; to the point that had to take bra off. On 11/8 went to ER and after testing diagnosed with muscle pain; prescribed pain medicine but never took it. 18 days later collapsed in bedroom and paralyzed waist down. Went to ER and later admitted to the hospital. The MRI identified a spinal sepsis, they scraped off T4->T9; admitted for surgery. 6 days later transferred to another facility. Stayed there from November 24 thru January 10. Today still in physical therapy, using wheelchair and relearning how to walk.
Age: 70.0
Sex: F
Vaccine: FLU3
Symptoms: Sepsis, Spinal operation, Syncope, Wheelchair user
Clinical narrative: Started complaining that back hurt; to the point that had to take bra off. On 11/8 went to ER and after testing diagnosed with muscle pain; prescribed pain medicine but never took it. 18 days later collapsed in bedroom and paralyzed waist down. Went to ER and later admitted to the hospital. The MRI identified a spinal sepsis, they scraped off T4->T9; admitted for surgery. 6 days later transferred to another facility. Stayed there from November 24 thru January 10. Today still in physical therapy, using wheelchair and relearning how to walk.
Age: 24.0
Sex: F
Vaccine: RAB
Symptoms: Lymph node pain, Lymphadenopathy
Clinical narrative: Developed a swollen tender lymph node in the right Supraclavicular area, no other symptoms noted. No treatment to date.
Age: 12.0
Sex: F
Vaccine: HPV4
Symptoms: Pruritus, Rash generalised
Clinical narrative: Patient was in PE in the morning when someone sprayed perfume, and her family is skin sensitive to perfumes. She began to itch and reported it to the front office. They gave her BENADRYL. When she got home her mother told her to shower and gave her more BENADRYL. The next day her rash was worse, head to toe. She was taken to the ER, where she was not given anything, but was told to keep giving her BENADRYL until the rash went away.
Age: 70.0
Sex: F
Vaccine: PNC13
Symptoms: Cough, Wheezing
Clinical narrative: Patient reports 2 days post injection she developed wheezing and coughing after taking a long walk. These sx persisted while exercising for 2 months. Wheezing lasted 10-15 mins post exercise, cough 30-45 mins post exercise. Saw allergy/asthma specialist. No wheezing, but continued to cough.
Age: 58.0
Sex: F
Vaccine: VARZOS
Symptoms: Erythema, Induration, Pain
Clinical narrative: Induration 4 cm with 9 cm erythema painful. Began 24 hours after vaccine administration ice MOTRIN BENADRYL. Improved by 4/24/16 with treatment.
Age: 2.0
Sex: M
Vaccine: HEPA
Symptoms: Urticaria
Clinical narrative: Mom called on 4/25/16 and stated that patient got his 2nd Hep A dose on 4/15/16 and had hives on his back of legs, chest, tummy and bottom. The hives started 24 hours after the Hep A shot and resolved by 4/20/16. No breathing difficulty no fever.
Age: 88.0
Sex: F
Vaccine: PNC13
Symptoms: Asthenia, Erythema, Pain, Peripheral swelling, Pruritus
Clinical narrative: Severe pain over the whole body, swelling of left upper arm with dark red coloring and irritating itchiness, weakness - 6 days.
Age: 88.0
Sex: F
Vaccine: PNC13
Symptoms: Skin irritation
Clinical narrative: Severe pain over the whole body, swelling of left upper arm with dark red coloring and irritating itchiness, weakness - 6 days.
Age: 0.33
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC13, RV1
Symptoms: Dyspnoea, Pyrexia, Respiratory rate increased, Wheezing
Clinical narrative: 1/26/16 - fever, wheezing, labored breathing starting 5 hours after vaccines. Frequent breathing concerns and hospital admits since initial reaction.
Age: 66.0
Sex: F
Vaccine: PNC13
Symptoms: Erythema, Induration, Pruritus, Upper extremity mass
Clinical narrative: Hard lump on arm with redness and itching.
Age: 70.0
Sex: F
Vaccine: PNC13
Symptoms: Chills, Headache, Injection site erythema, Injection site rash, Injection site warmth
Clinical narrative: Localized injection site rash, redness, heat; headache, chills, low-grade fever.
Age: 70.0
Sex: F
Vaccine: PNC13
Symptoms: Pyrexia
Clinical narrative: Localized injection site rash, redness, heat; headache, chills, low-grade fever.
Age: 5.0
Sex: F
Vaccine: DTAPIPV, MMR, VARCEL
Symptoms: Lymphadenitis
Clinical narrative: Child developed L-posterior cervical adenitis 2.5 x 2 cm after MMR 04.21.2016.
Age: 11.0
Sex: M
Vaccine: MNQ
Symptoms: Abasia, Pain, Pyrexia
Clinical narrative: On 3/19/16 child received meningococcal vaccine. Within 4 hrs of vaccine child had fever and was unable to walk. Body aches.
Sex: F
Vaccine: VARCEL
Symptoms: Antibody test negative, No adverse event
Clinical narrative: This spontaneous report was received from a pharmacy student regarding her friend's daughter, a female patient of unknown age. The patient's concurrent conditions, medical history and concomitant medications were not reported. On an unspecified date, the patient was vaccinated with (Oka/Merck) VARIVAX injection (dose, route, lot # and expiry date unknown). On an unspecified date, the patient had negative titers (antibody test negative) after receiving (Oka/Merck) VARIVAX. No adverse event was reported. The outcome of antibody test negative was unknown. Causality was not provided by the reporter. Additional information is not expected as the reporter did not provide contacts details to follow-up.
Age: 78.0
Sex: M
Vaccine: PNC13
Symptoms: Inappropriate schedule of drug administration, No adverse event
Clinical narrative: This spontaneous report was received from a physician, via Pfizer (2016164188) refers to a 78 year old male patient. Information about the patient's medical history and concurrent conditions was not provided. On an unspecified date in March 2008, and again in 30-SEP-2014, the patient was vaccinated with a dose of PNEUMOVAX 23. (dose, route of administration, anatomical location, lot number and expiration date were not provided). Some time after this last vaccination, on 02-OCT-2014, the patient was also vaccinated with PREVNAR 13 (dose, dosage number, route of administration, anatomical location, lot # and expiration date were not reported). Follow up information was received from the physician on 29-APR-2016. The patient had received the PNEUMOVAX 23 and PREVNAR 13 within three days of each other, carried out in an "outside" pharmacy. However, no adverse reaction was reported. Additional information has been requested.
Sex: U
Vaccine: VARCEL
Symptoms: Incorrect product storage
Clinical narrative: This spontaneous report was received from registered nurse, referring to multiple unspecified patients of unknown age and gender. The patient's medical history, concurrent conditions and concomitant medications were not reported. On an unknown date, the patients were vaccinated with improperly stored (Oka/Merck) VARIVAX lot # L039092 with expiry date on 06-OCT-2017, and lot # L040423 with expiry date on 15-OCT-2017 (strength, dose, frequency, anatomical location and route were not reported). No product quality complaint was involved. Additional information has been requested.
Sex: U
Vaccine: HPV4
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: This spontaneous report was received from a healthcare professional regarding a patient of unknown demographics. There was no information about concurrent condition and historical medication. On an unknown date in October 2015, the patient was vaccinated with GARDASIL dose 1 and on April 2016 with Dose 2 (inappropriate schedule of drug administration). No concomitant medication was reported. The outcome of the event was unknown. No PQC (product quality complaint was involved). Additional information has been requested.
Age: 13.0
Sex: M
Vaccine: HPV9, MNQ
Symptoms: Headache
Clinical narrative: 2-3 days after getting HPV9 and MCV4 pt started complaining to mom about severe headaches in back of head. Told he it had been going on for "couple days". Finally continued and was so bad they went to ER - Dr did not come in to see him - just said it was chronic HA and he could take TYLENOL. HA finally has stopped and he is no longer voicing any complaints at this time.
Age: 0.94
Sex: M
Vaccine: FLU4
Symptoms: Dehydration, Vomiting
Clinical narrative: Pt received influenza vaccine at 9:43. Mother brought him back to the clinic around noon - pt. vomited 12 times (per mother) since receiving the vaccine. Pt was sent to ER for dehydration.
Age: 74.0
Sex: M
Vaccine: PPV
Symptoms: Erythema, Peripheral swelling
Clinical narrative: Extensive erythema and swelling of most of the arm inferior to the injection site developing < 24 hrs after injection.
Age: 17.0
Sex: M
Vaccine: HEP, IPV
Symptoms: Pruritus
Clinical narrative: Patient came back to health unit approximately 3 hrs after vaccine administration with complaints of itching. Treated per school nurse. Pt. reported had similar symptoms with previous vaccination, but did not relay this information to us prior to administration.
Age: 44.0
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Arthralgia, Cellulitis, Erythema, Inflammation, Lymphadenopathy
Clinical narrative: S/S started day after injection on 4/21/16. Right arm inflamed, red, itching, hot to touch, painful down to wrist and enlarge lymph nodes in right leg. Seen at hospital 4/23/16 with dx of cellulitis per patient. States put on steroid, KEFLEX and BACTRIM.
Age: 44.0
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Pain in extremity, Pruritus, Skin warm
Clinical narrative: S/S started day after injection on 4/21/16. Right arm inflamed, red, itching, hot to touch, painful down to wrist and enlarge lymph nodes in right leg. Seen at hospital 4/23/16 with dx of cellulitis per patient. States put on steroid, KEFLEX and BACTRIM.
Age: 12.0
Sex: M
Vaccine: IPV
Symptoms: Diarrhoea, Disorientation, Dizziness, Laboratory test normal, Pallor
Clinical narrative: Pt initially when walking out of office had dizziness, blurry vision. Brought back in and was pale and slightly disoriented. BP 98/54, pulse normal. Improved within 30 sec and resolved in 5 min of sitting with cool cloth. Developed persistent diarrhea in mid-November 2015 with negative testing including GI referral with colonoscopy. Mom believes IBS and vaccine are connected. Recovered from immediate effects.
Age: 12.0
Sex: M
Vaccine: IPV
Symptoms: Vision blurred
Clinical narrative: Pt initially when walking out of office had dizziness, blurry vision. Brought back in and was pale and slightly disoriented. BP 98/54, pulse normal. Improved within 30 sec and resolved in 5 min of sitting with cool cloth. Developed persistent diarrhea in mid-November 2015 with negative testing including GI referral with colonoscopy. Mom believes IBS and vaccine are connected. Recovered from immediate effects.
Age: 39.0
Sex: F
Vaccine: HEP, TDAP
Symptoms: Erythema, Nausea, Skin warm, Swelling
Clinical narrative: Got red, swollen, very warm, sick to stomach.
Age: 35.0
Sex: M
Vaccine: ANTH, JEV1, TYP
Symptoms: Ear pain, Myringotomy
Clinical narrative: Pt received below vaccines and reported to general medicine c/o significant bilateral ear pain and was referred to EENT who performed a myringotomy and pending required tympanostomy tube placement.
Age: 11.0
Sex: F
Vaccine: MNQ, VARCEL
Symptoms: Rash vesicular
Clinical narrative: Developed zoster rash to forehead/temple approximately 10 days after administration of VARIVAX. Started on Acyclovir PO 5/2/16 and monitoring for resolution. No fevers, pain, or itching.
Age: 81.0
Sex: F
Vaccine: PNC13
Symptoms: Erythema, Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Raised, hot red skin at site of injection and all over body. Pt. told to take diphenhydramine/APAP and seek medical attention.
Age: 49.0
Sex: F
Vaccine: FLU3
Symptoms: Computerised tomogram, Dysstasia, Electromyogram, Fall, Guillain-Barre syndrome
Clinical narrative: Started having really bad spasms in my legs and tingling. Over the next several weeks the spasms and tingling got steadily worse. Around 11/27/2014 I started noticing weakness in my legs when I stood up and my fingers were starting to get tingly. By December 8th I started falling as my legs weren't holding me up. On December 17th I went to the ER. I fell in the x-ray dept. as I couldn't stand on my own. I was sent home on December 22nd I could no longer stand at all and went to another emergency room where I was admitted and then diagnosed with Guillain-Barre Syndrome.
Age: 49.0
Sex: F
Vaccine: FLU3
Symptoms: Lumbar puncture, Muscle spasms, Muscular weakness, Nerve conduction studies, Nuclear magnetic resonance imaging
Clinical narrative: Started having really bad spasms in my legs and tingling. Over the next several weeks the spasms and tingling got steadily worse. Around 11/27/2014 I started noticing weakness in my legs when I stood up and my fingers were starting to get tingly. By December 8th I started falling as my legs weren't holding me up. On December 17th I went to the ER. I fell in the x-ray dept. as I couldn't stand on my own. I was sent home on December 22nd I could no longer stand at all and went to another emergency room where I was admitted and then diagnosed with Guillain-Barre Syndrome.
Age: 49.0
Sex: F
Vaccine: FLU3
Symptoms: Paraesthesia
Clinical narrative: Started having really bad spasms in my legs and tingling. Over the next several weeks the spasms and tingling got steadily worse. Around 11/27/2014 I started noticing weakness in my legs when I stood up and my fingers were starting to get tingly. By December 8th I started falling as my legs weren't holding me up. On December 17th I went to the ER. I fell in the x-ray dept. as I couldn't stand on my own. I was sent home on December 22nd I could no longer stand at all and went to another emergency room where I was admitted and then diagnosed with Guillain-Barre Syndrome.
Age: 76.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site pruritus, Injection site warmth
Clinical narrative: Patient had itchiness, redness, and warmth surrounding injection site in a 2 inch diameter surrounding site.
Age: 42.0
Sex: F
Vaccine: FLU4
Symptoms: Dyspnoea, Erythema, Pharyngeal paraesthesia, Pruritus generalised, Swollen tongue
Clinical narrative: The patient received a flu shot in the employee health clinic on November 4, 2015. Within a couple of minutes, she developed a tickling sensation in the throat followed by tongue swelling. She was seen by the Employee Health nurse and referred to the ED because she developed some wheezing. She had generalized itching, dyspnea, and there was some redness in the neck area as well. Review of the ED records report that she was evaluated. She did in fact have urticaria, but the rest of the physical exam was entirely normal. She received SOLU-MEDROL, BENADRYL, PEPCID, and IV fluids. With which, she improved and she was discharged after observation and stable status. The patient recalls that she has had flu shots several times in the past without any adverse reaction.
Age: 42.0
Sex: F
Vaccine: FLU4
Symptoms: Urticaria, Wheezing
Clinical narrative: The patient received a flu shot in the employee health clinic on November 4, 2015. Within a couple of minutes, she developed a tickling sensation in the throat followed by tongue swelling. She was seen by the Employee Health nurse and referred to the ED because she developed some wheezing. She had generalized itching, dyspnea, and there was some redness in the neck area as well. Review of the ED records report that she was evaluated. She did in fact have urticaria, but the rest of the physical exam was entirely normal. She received SOLU-MEDROL, BENADRYL, PEPCID, and IV fluids. With which, she improved and she was discharged after observation and stable status. The patient recalls that she has had flu shots several times in the past without any adverse reaction.
Age: 64.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site pruritus, Injection site reaction, Injection site swelling, Injection site warmth
Clinical narrative: Patient developed injection site reaction at the right deltoid where immunization was given. It swelled up and was warm and itchy, patient went to a physician to get it examined.
Age: 80.0
Sex: F
Vaccine: TDAP
Symptoms: Hypoaesthesia, Injection site erythema, Injection site pruritus, Musculoskeletal disorder, Vaccination site swelling
Clinical narrative: Pt had numbness in hand of immunized arm and could not use. Then developed itchy, redness and swelling at vaccination site.
Age: 0.26
Sex: F
Vaccine: DTAP
Symptoms: Condition aggravated, Crying, Diarrhoea, Gastrooesophageal reflux disease, Pain
Clinical narrative: Within an hour of getting the DTaP shot, she started throwing up and having diarrhea. Lasted 5 days. Reflux then became strong and painful. Thought it was teething, and treated it as such, but the reflux continued to get worse for several weeks. Finally on April 19th took her back in because she was crying uncontrollably, and was not teething but the reflux had gotten significantly worse. Still struggling with reflux symptoms.
Age: 0.26
Sex: F
Vaccine: DTAP
Symptoms: Vomiting
Clinical narrative: Within an hour of getting the DTaP shot, she started throwing up and having diarrhea. Lasted 5 days. Reflux then became strong and painful. Thought it was teething, and treated it as such, but the reflux continued to get worse for several weeks. Finally on April 19th took her back in because she was crying uncontrollably, and was not teething but the reflux had gotten significantly worse. Still struggling with reflux symptoms.
Age: 48.0
Sex: F
Vaccine: PPV
Symptoms: Chills, Productive cough, Pyrexia, Rhinorrhoea, Sputum discoloured
Clinical narrative: Onset of productive cough with green sputum, green rhinorrhea subjective fevers, chills.
Age: 64.0
Sex: F
Vaccine: PNC13
Symptoms: Erythema, Injection site erythema, Pain
Clinical narrative: Patient states on 4/26/16 she felt"achy" all over. On 4/27/16 she noticed some redness on her Rt. arm. Denies swelling or pain in arm. Yesterday(5/1/16) it began "itching" and she noticed increased redness. There is an approximate 6" area of redness on upper Rt. arm. No swelling or drainage noted. She is able to move her arm without difficulty or discomfort.
Age: 4.0
Sex: F
Vaccine: MMRV
Symptoms: Injection site erythema, Injection site nodule, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Pt developed w erythema, and swelling. Area warm to the touch. Knot present at injection site. The affected area w erythema and redness measured at 7.0x 8.5 cm. Tenderness to the touch.
Age: 17.0
Sex: M
Vaccine: HPV9, VARCEL
Symptoms: Extra dose administered, No adverse event
Clinical narrative: Patient arrived at the Mobile Unit after being called by the school office to come. He identified himself and his identification was confirmed by  LVN. Vaccines were administered.  It was only after they were administered, that it was discovered there were two students with the same name.  The mother we had in the office didn't tell us that he was not her son and that her son had not yet arrived.  He received two vaccines that he had received previously (VZV and HPV).  Both these series had been completed and he didn't need the ones administered.  He had no adverse effects and was eager to get back to class. His mother was called and the situation explained. The school administration and the administration was also notified.
Age: 19.0
Sex: M
Vaccine: SMALL, SMALL
Symptoms: Erythema, Injection site pain, Rash vesicular, Skin lesion
Clinical narrative: Patiernt stated that the symptoms started on April 27th. He was first evaluated on the 30th of April. Upon exam palmar and interdigital surfaces noted small erythemic raised lesions with vesicular lesions noted on the left index finger and the right ring MP joint. Due the the presentation and recent vaccination he was taken to Hospital for further evaluation. The Dermatologist specializing in infectious disease believed the symptoms did not correlate with the small pox vaccine and placed him on Claricort twice a day for 7 days. The dermatologist would like to follow up with him in one week. The patients symptoms did not progress until today May 02, with small eruptions forming over elbows. The patient has denied any other symptoms at this time. The sites are slightly tender to palpation.
Age: 19.0
Sex: M
Vaccine: SMALL, SMALL
Symptoms: Blister, Erythema, Injection site pain, Rash vesicular, Skin lesion
Clinical narrative: Patiernt stated that the symptoms started on April 27th. He was first evaluated on the 30th of April. Upon exam palmar and interdigital surfaces noted small erythemic raised lesions with vesicular lesions noted on the left index finger and the right ring MP joint. Due the the presentation and recent vaccination he was taken to Hospital for further evaluation. The Dermatologist specializing in infectious disease believed the symptoms did not correlate with the small pox vaccine and placed him on Claricort twice a day for 7 days. The dermatologist would like to follow up with him in one week. The patients symptoms did not progress until today May 02, with small eruptions forming over elbows. The patient has denied any other symptoms at this time. The sites are slightly tender to palpation.
Age: 19.0
Sex: M
Vaccine: SMALL, SMALL
Symptoms: Tenderness
Clinical narrative: Patiernt stated that the symptoms started on April 27th. He was first evaluated on the 30th of April. Upon exam palmar and interdigital surfaces noted small erythemic raised lesions with vesicular lesions noted on the left index finger and the right ring MP joint. Due the the presentation and recent vaccination he was taken to Hospital for further evaluation. The Dermatologist specializing in infectious disease believed the symptoms did not correlate with the small pox vaccine and placed him on Claricort twice a day for 7 days. The dermatologist would like to follow up with him in one week. The patients symptoms did not progress until today May 02, with small eruptions forming over elbows. The patient has denied any other symptoms at this time. The sites are slightly tender to palpation.
Age: 0.5
Sex: M
Vaccine: DTAPIPVHIB
Symptoms: Crying, Injected limb mobility decreased, Injection site erythema, Injection site rash, Injection site swelling
Clinical narrative: Constant crying and screaming beyond 3 hours. Inability to move leg that received injection. Deep red rash from hip to knee and swelling of the leg that received injection.
Age: 0.5
Sex: M
Vaccine: DTAPIPVHIB
Symptoms: Screaming
Clinical narrative: Constant crying and screaming beyond 3 hours. Inability to move leg that received injection. Deep red rash from hip to knee and swelling of the leg that received injection.
Age: 0.75
Sex: M
Vaccine: DTAP, HEP, RV5
Symptoms: Diarrhoea, Eczema, Vomiting
Clinical narrative: Persistent vomiting and diarrhea lasting roughly 4 days. Eczema spots starting for first time.
Age: 1.0
Sex: M
Vaccine: DTAP
Symptoms: Eczema
Clinical narrative: Eczema flare from the back of his head and all down his back. He was prescribed and treated with steroids but it made no improvement or change. It took months to clear on its own.
Age: 35.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling
Clinical narrative: Redness and swelling at the injection site, followed by itching.
Age: 19.0
Sex: M
Vaccine: SMALL
Symptoms: Rash
Clinical narrative: Rash On Chest and Abdomen.
Age: 5.0
Sex: M
Vaccine: VARCEL
Symptoms: Rash pruritic, Varicella post vaccine
Clinical narrative: Chicken pox looking very itchy bumps on abdomen, legs and arms. Next day also a rash more sand paper looking. 4 other children in classroom reported similar symptoms after vaccine.
Age: 24.0
Sex: F
Vaccine: ANTH, JEVX, SMALL, TYP
Symptoms: Exposure during pregnancy
Clinical narrative: 24 year old female. Patient recently found out she was pregnant. Her last period was 21 Feb 2016 and she has a due date of 27 Nov 2016. She received vaccines on 17 Mar 2016 in preparation for travel. She received (Typhoid) (Smallpox) (Anthrax) (Japanese Encephalitis). Patient was approximately 6 weeks gestation at time she reported inadvertent vaccination to her primary care provider. Primary Care provider referred patient to Immunization Healthcare Office to evaluate her following the inadvertent live virus vaccination while pregnant.
Age: 5.0
Sex: F
Vaccine: DTAPIPV, MMR, VARCEL
Symptoms: Eye swelling, Lip swelling, Pruritus generalised, Swelling face, Tachycardia
Clinical narrative: Intense generalized pruritus and tachycardia. Vomited 6 times after vaccine administration. Mild face, eye, et lip swelling. Treated with 7.5 ml of BENADRYL and 7.5 mg IM DECADRON. Reaction noted within 15 min of injection, symptoms resolved within 45 min of injection observed in office x 45 min.
Age: 5.0
Sex: F
Vaccine: DTAPIPV, MMR, VARCEL
Symptoms: Vomiting
Clinical narrative: Intense generalized pruritus and tachycardia. Vomited 6 times after vaccine administration. Mild face, eye, et lip swelling. Treated with 7.5 ml of BENADRYL and 7.5 mg IM DECADRON. Reaction noted within 15 min of injection, symptoms resolved within 45 min of injection observed in office x 45 min.
Age: 16.0
Sex: M
Vaccine: HEPA, MNQ
Symptoms: Local swelling, Pain, Tenderness
Clinical narrative: Within 24 hours of injection - complained of pain, swelling - 3.5 x 4.5 cm, tender, non-erythematous. Denies CP/SOB/problems breathing or swallowing.
Age: 1.02
Sex: F
Vaccine: FLU3, HEPA, MMR, VARCEL
Symptoms: Cellulitis, Injection site erythema, Injection site induration, Injection site rash, Oedema
Clinical narrative: Mom advised child received routine vaccines on 4/8/2016 to include Varicella (Merck K010441) and MMR (Merck K016154) to left thigh and Hep A (SK X22PA) and influenza (SK U5320AA) to right thigh, child reported to the health prior to vaccine with no recent illness. About 4/15/2016 child developed a fever of 102.7 that mom treated with TYLENOL. 4/17/2016 child's fever was 104.2 and mom noted child's right thigh was red in area vaccines were given and some red dots on left leg, stomach and arms. Child seen by medical 4/18/2016 where providers noted a 4x1 cm irregular shaped erythema area with mild induration to right thigh that was not warm or TTP, no restriction in ROM of leg. No other skin rashes/macules, etc documented. A soft tissue x-ray of area did not reveal an abscess but did show increased echo texture of SQ tissue seen in setting of edema or cellulitis. Providers prescribed 10 day course clindamycin for presumed MRSA and diagnosed URI (had concurrent symptoms of runny nose, congestion and fever). Follow up on 4/21/16 with HCP and other office reported redness resolving with no fever and right thigh measured at 3.5x2 cm patchy erythema. Mom advised child had no immediate adverse reactions to vaccines. Mom advised they did take a walk at the park on 4/17/16 otherwise no travel or exposure to others ill.
Age: 1.02
Sex: F
Vaccine: FLU3, HEPA, MMR, VARCEL
Symptoms: Pyrexia, Rash erythematous, Respiratory tract congestion, Rhinorrhoea, Upper respiratory tract infection
Clinical narrative: Mom advised child received routine vaccines on 4/8/2016 to include Varicella (Merck K010441) and MMR (Merck K016154) to left thigh and Hep A (SK X22PA) and influenza (SK U5320AA) to right thigh, child reported to the health prior to vaccine with no recent illness. About 4/15/2016 child developed a fever of 102.7 that mom treated with TYLENOL. 4/17/2016 child's fever was 104.2 and mom noted child's right thigh was red in area vaccines were given and some red dots on left leg, stomach and arms. Child seen by medical 4/18/2016 where providers noted a 4x1 cm irregular shaped erythema area with mild induration to right thigh that was not warm or TTP, no restriction in ROM of leg. No other skin rashes/macules, etc documented. A soft tissue x-ray of area did not reveal an abscess but did show increased echo texture of SQ tissue seen in setting of edema or cellulitis. Providers prescribed 10 day course clindamycin for presumed MRSA and diagnosed URI (had concurrent symptoms of runny nose, congestion and fever). Follow up on 4/21/16 with HCP and other office reported redness resolving with no fever and right thigh measured at 3.5x2 cm patchy erythema. Mom advised child had no immediate adverse reactions to vaccines. Mom advised they did take a walk at the park on 4/17/16 otherwise no travel or exposure to others ill.
Age: 1.02
Sex: F
Vaccine: FLU3, HEPA, MMR, VARCEL
Symptoms: X-ray limb abnormal
Clinical narrative: Mom advised child received routine vaccines on 4/8/2016 to include Varicella (Merck K010441) and MMR (Merck K016154) to left thigh and Hep A (SK X22PA) and influenza (SK U5320AA) to right thigh, child reported to the health prior to vaccine with no recent illness. About 4/15/2016 child developed a fever of 102.7 that mom treated with TYLENOL. 4/17/2016 child's fever was 104.2 and mom noted child's right thigh was red in area vaccines were given and some red dots on left leg, stomach and arms. Child seen by medical 4/18/2016 where providers noted a 4x1 cm irregular shaped erythema area with mild induration to right thigh that was not warm or TTP, no restriction in ROM of leg. No other skin rashes/macules, etc documented. A soft tissue x-ray of area did not reveal an abscess but did show increased echo texture of SQ tissue seen in setting of edema or cellulitis. Providers prescribed 10 day course clindamycin for presumed MRSA and diagnosed URI (had concurrent symptoms of runny nose, congestion and fever). Follow up on 4/21/16 with HCP and other office reported redness resolving with no fever and right thigh measured at 3.5x2 cm patchy erythema. Mom advised child had no immediate adverse reactions to vaccines. Mom advised they did take a walk at the park on 4/17/16 otherwise no travel or exposure to others ill.
Age: 1.11
Sex: M
Vaccine: HEPA, MMRV
Symptoms: Injection site erythema, Injection site pain
Clinical narrative: Mom reported when child was 1 year of age he received routine vaccines on 6/16/2014 (MMRV MSD lot K003817 SQ right thigh and Hep A SK lot 7973G IM to right thigh). She noted that night he had a red spot to top/side of his right leg and it was tender to touch. The next day she took to HCP who said was probably cellulitis but did not treat with antibiotics. Redness resolved on own in a few days. No report of wheezing, difficulty breathing, fevers or other systemic symptoms remembered. Child was being treated for recurrent runny nose, eczema, rhinitis and reflux at the time with ZANTAC, ZYRTEC, hydrocortisone creams. He has continued to receive vaccines per ACIP/CDC guidelines without adverse reactions.
Age: 1.08
Sex: F
Vaccine: FLU4, HEPA, MMR, VARCEL
Symptoms: Erythema, Injection site erythema, Injection site induration, Injection site nodule, Injection site pain
Clinical narrative: Mom reports received routine vaccines for her 12 month old daughter on 4/14/2016. Varicella (MSD lot L013067) to right thigh SQ and MMR (MSD lot L002873) SC left thigh and Hep A (SKB lot X22P4 and influenza quad pres free (SKB lot U5320AA) IM to left thigh. Approximately 4/23/15 (day 9 after vaccination) she developed a spot to right thigh varicella immunization site. Over next 24 hours it progressed to a large hard knot that was red and TTP. She had a fever of 101.5F. Mom denied any other symptoms (loss appetite, irritability, SOB, anaphylactic like symptoms, etc). on 4/25 she developed a generalized red macular rash all over body and was seen by HCP on 4/26/16. HCP noted rash first on abdomen then chest and face described as one firm nodule to right thigh not TTP or warm; multiple erythematosus papules to abdomen, back, chest legs and cheeks that blanch to touch, with T 97.6 F rectally. No other symptoms/exam nl. Diagnosed with mild pruritic rash and nodule to right thigh s/p immunization - rash unknown etiology and referred to clinic. Px ZYRTEC and topical hydrocortisone cream. 4/28/16 child doing well and playing happily with siblings w/o fever and rash is resolving - less red per mom.
Age: 1.08
Sex: F
Vaccine: FLU4, HEPA, MMR, VARCEL
Symptoms: Pallor, Papule, Pyrexia, Rash erythematous, Rash generalised
Clinical narrative: Mom reports received routine vaccines for her 12 month old daughter on 4/14/2016. Varicella (MSD lot L013067) to right thigh SQ and MMR (MSD lot L002873) SC left thigh and Hep A (SKB lot X22P4 and influenza quad pres free (SKB lot U5320AA) IM to left thigh. Approximately 4/23/15 (day 9 after vaccination) she developed a spot to right thigh varicella immunization site. Over next 24 hours it progressed to a large hard knot that was red and TTP. She had a fever of 101.5F. Mom denied any other symptoms (loss appetite, irritability, SOB, anaphylactic like symptoms, etc). on 4/25 she developed a generalized red macular rash all over body and was seen by HCP on 4/26/16. HCP noted rash first on abdomen then chest and face described as one firm nodule to right thigh not TTP or warm; multiple erythematosus papules to abdomen, back, chest legs and cheeks that blanch to touch, with T 97.6 F rectally. No other symptoms/exam nl. Diagnosed with mild pruritic rash and nodule to right thigh s/p immunization - rash unknown etiology and referred to clinic. Px ZYRTEC and topical hydrocortisone cream. 4/28/16 child doing well and playing happily with siblings w/o fever and rash is resolving - less red per mom.