chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 1.0
Sex: M
Vaccine: HEPA, MMR, PNC13, VARCEL
Symptoms: Rash, Rash vesicular
Clinical narrative: Pt. developed vesicular rash on (L) arm same day as vaccine then vesicular rash on forehead day 2, progression to abdomen/chest days 3-4, scalp day 5. No fever, no cough, no coryza, no exposure to varicella milk-type.
Age: 7.0
Sex: M
Vaccine: MMR
Symptoms: Diplopia, Headache, Vision blurred, Visual impairment
Clinical narrative: Mom concerned that vision concerns - double vision, blurry vision due to getting MMR vaccine. Dx with vision conversion per optometry. MMR given 4/11/14 and sx started several days after vaccine.
Age: 58.0
Sex: F
Vaccine: PPV
Symptoms: Local swelling, Pain in extremity
Clinical narrative: 5-15-14 pt started with (L) arm swelling and pain from shoulder to elbow.
Age: 65.0
Sex: F
Vaccine: PPV
Symptoms: Erythema, Injection site pain, Pyrexia, Skin warm, Swelling
Clinical narrative: A few hours after receiving injection pt experienced redness in arm and shoulder, she also states it was swollen, warm to touch. Pt has a fever of 102. She took TYLENOL and ibuprofen. She states she is still experiencing tenderness at injection site.
Age: 20.0
Sex: F
Vaccine: FLU3
Symptoms: Urticaria
Clinical narrative: Urticaria, hives left neck, right side of face, bilateral lower legs topical anti-itch applied in occupational health. Advise f/u with PCP.
Age: 0.3
Sex: F
Vaccine: PNC13
Symptoms: Induration, Injection site reaction, Rash papular
Clinical narrative: 16 weeks old patient with papular rash, non-erythematous over whole of antero-lateral aspect of left thigh. Had a small 4 mm induration underneath area below site of vaccine injection.
Age: 46.0
Sex: F
Vaccine: PNC13
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth, Lymphadenopathy
Clinical narrative: Starting on 5/20/14 (day after shot) upper arm became very sore, red, swollen, warm to touch with swollen gland on same side (neck). On 5/22/14 woke in AM with 102.9 fever and general malaise.
Age: 46.0
Sex: F
Vaccine: PNC13
Symptoms: Malaise, Pyrexia
Clinical narrative: Starting on 5/20/14 (day after shot) upper arm became very sore, red, swollen, warm to touch with swollen gland on same side (neck). On 5/22/14 woke in AM with 102.9 fever and general malaise.
Age: 16.0
Sex: M
Vaccine: HEP, IPV, MMR, TDAP
Symptoms: Headache, Malaise, Pyrexia, Viral infection, Vomiting
Clinical narrative: Receive vaccines (listed below) Monday, 5/19/14, c/o headache after receiving vaccines. WED 5/21 developed fever 103.9 and vomiting, malaise. Taken to ER for Eval. Had been with friends over WE and they were sick with similar symptoms - ER physician dx with viral syndrome exacerbated by vaccine.
Age: 0.42
Sex: M
Vaccine: PNC13
Symptoms: Incorrect storage of drug
Clinical narrative: Temperature excursions of vaccine(s) listed in item 13.
Age: 23.0
Sex: M
Vaccine: TDAP
Symptoms: Local swelling, Skin warm, Staphylococcal infection, Staphylococcus test
Clinical narrative: Pt called hospital to say she went to doctors due to heat and swelling in a 3 inch radius of left arm.  Doctor thought MRSA cultured site and gave pt antibiotics.
Age: 32.0
Sex: F
Vaccine: TDAP, UNK, VARCEL
Symptoms: Fatigue, Headache, Injection site pain, Nausea
Clinical narrative: Patient states she felt pain at the injection site, nausea, fatigue, and HA. She states the symptoms began late early 21MAY14. However, she did not report until 23MAY14.
Age: 17.0
Sex: M
Vaccine: MNQ
Symptoms: Cough, Oropharyngeal pain, Petechiae, Rash, Rash erythematous
Clinical narrative: Woke up with mild scratchy sore throat, cough and runny nose. Then in the afternoon noticed a red rash on chest. This rash is in 2 places on chest and is petechiae. Otherwise pt is asymptomatic.
Age: 17.0
Sex: M
Vaccine: MNQ
Symptoms: Rhinorrhoea, Throat irritation
Clinical narrative: Woke up with mild scratchy sore throat, cough and runny nose. Then in the afternoon noticed a red rash on chest. This rash is in 2 places on chest and is petechiae. Otherwise pt is asymptomatic.
Age: 24.0
Sex: M
Vaccine: RAB
Symptoms: Abasia, Back pain, Myalgia, Pain in extremity
Clinical narrative: Severe muscle pain in both legs and lower back. The next morning the pain was so intense it hurt to even walk or sit.
Age: 65.0
Sex: F
Vaccine: VARZOS
Symptoms: Arthralgia, Feeling abnormal, Pain in extremity
Clinical narrative: Opposite arm sore for 9 days post injection; brain fog; achy joints.
Age: 17.0
Sex: M
Vaccine: TYP, YF
Symptoms: Urticaria
Clinical narrative: Hives throughout body.
Age: 65.0
Sex: F
Vaccine: PPV, TDAP
Symptoms: Arthralgia, Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Swelling, redness, pain & warmth at injection site, swelling approx 6"x6".  Also c/o muscle & joint aches all over. Where Pneumovax vaccine given.
Age: 65.0
Sex: F
Vaccine: PPV, TDAP
Symptoms: Myalgia
Clinical narrative: Swelling, redness, pain & warmth at injection site, swelling approx 6"x6".  Also c/o muscle & joint aches all over. Where Pneumovax vaccine given.
Age: 2.0
Sex: M
Vaccine: FLUN4, HEPA
Symptoms: Cough, Decreased appetite, Diarrhoea, Pyrexia, Rhinorrhoea
Clinical narrative: Woke up with a cough, runny nose, fever 99 degrees, diarrhea and poor appetite. Lasted couple of days and got better.  Three weeks later  runny nose, cough and the rest of the family got sick too.  Since then continues to get sick on and off with cough, runny nose occasionally diarrhea. Mother feels that the FluMist weakened his immune system.  She says she and her husband both get sick with Flu shots.
Age: 1.59
Sex: F
Vaccine: DTAP, MMR
Symptoms: Pyrexia, Rash, Rash erythematous
Clinical narrative: Fever 101.6, then 5/22/2014 rash all over tummy and back and face. Little red bumps everywhere. Probably over 100. Still has rash and now worse 5/23/2014.
Age: 0.16
Sex: F
Vaccine: DTAPIPVHIB, HEP, PNC13, RV5
Symptoms: Aerophagia, Injection site haemorrhage, Injection site swelling, Irritability, Vomiting
Clinical narrative: Infant was quite irritable the night of vaccine and swallowing air and vomiting, woke with swollen left thigh (where Pentacel was administered), petechiae on the site, measured 22cm vs 21cm on unaffected leg (where hep B and prevnar were administered), less irritable today.
Age: 66.0
Sex: M
Vaccine: FLUX
Symptoms: Deafness unilateral, Dizziness, Ear haemorrhage, Ear irrigation, Influenza
Clinical narrative: I got the flu on 2/18/14 and it lasted approx. 1 wk. I felt dizzy on 2/25 and felt fluid coming out of my right ear. It was light red and than it became darker. I also got Vertigo I notified my private Dr. and he told me to come in the morning. I gave him samples of the blood on the cotton balls I provided. I lost hearing in my right ear. He ran some tests and I failed the test. Note-- Dr. was off that day so I see another Dr. She flushed out my ear and I still couldn't hear. She gave me prescription of Amoxicillin. I called the office to schedule appt. and they didn't get me in til May.
Age: 66.0
Sex: M
Vaccine: FLUX
Symptoms: Laboratory test abnormal, Otorrhoea, Vertigo
Clinical narrative: I got the flu on 2/18/14 and it lasted approx. 1 wk. I felt dizzy on 2/25 and felt fluid coming out of my right ear. It was light red and than it became darker. I also got Vertigo I notified my private Dr. and he told me to come in the morning. I gave him samples of the blood on the cotton balls I provided. I lost hearing in my right ear. He ran some tests and I failed the test. Note-- Dr. was off that day so I see another Dr. She flushed out my ear and I still couldn't hear. She gave me prescription of Amoxicillin. I called the office to schedule appt. and they didn't get me in til May.
Age: 46.0
Sex: F
Vaccine: VARZOS
Symptoms: Haematoma, Headache, Influenza like illness, Pain, Pain in extremity
Clinical narrative: Began to itch, but very painful to touch. I reported it to the clinic, and they stated it was normal. Throughout the day and into the night, the hematoma grew to the size of an adult fist. I have circled the progress with photos. I also began having flu-like symptoms with headache and general aches. I have also run fever into the 101 range. The left arm is painful to move or lean onto. I have not sought medical attention due to the fact the clinic is closed, and the closest hospital is 75 miles away, and I can not afford a ER visit.
Age: 46.0
Sex: F
Vaccine: VARZOS
Symptoms: Pruritus, Pyrexia, Tenderness
Clinical narrative: Began to itch, but very painful to touch. I reported it to the clinic, and they stated it was normal. Throughout the day and into the night, the hematoma grew to the size of an adult fist. I have circled the progress with photos. I also began having flu-like symptoms with headache and general aches. I have also run fever into the 101 range. The left arm is painful to move or lean onto. I have not sought medical attention due to the fact the clinic is closed, and the closest hospital is 75 miles away, and I can not afford a ER visit.
Age: 0.36
Sex: M
Vaccine: HIBV, PNC13, RV5
Symptoms: Crying, Pyrexia, Restlessness
Clinical narrative: Fever 101, restless and inconsolable crying.
Age: 0.33
Sex: F
Vaccine: DTAPIPVHIB, PNC, RV5
Symptoms: Abdominal pain, Intussusception, Ultrasound abdomen abnormal, Vomiting
Clinical narrative: Patient developed abd pain/bilious vomiting 5 wks post vaccine dx intussusception which was reduced without complication.
Age: 54.0
Sex: M
Vaccine: FLU3
Symptoms: Bone pain, Erythema, Erythromelalgia, Flushing, Immune system disorder
Clinical narrative: Case number PHEH2014US010194, is an initial spontaneous report received from a nurse on 16 May 2014. This report refers to 54 year old male patient. His medical history and concomitant medication was not reported. He was vaccinated with FLUVIRIN (batch number: 1206901) intramuscular on 13 Jan 2013. Physician reported that he has erythromelalgia on an unknown date post vaccination. Rheumatologist wrote in chart "immunological phenomenon". The patient had the symptoms of pain in shins, flushing hands and feet, burning pain on both the legs, hand and both ears with erythema and swelling with any exercise including walking and swimming or any exercise from Feb 2014. The symptoms continued as of 02 May 2014. He will be having an evaluation from a neurologist. Treatment medications included NEURONTIN, ATIVAN and CYMBALTA. Outcome of the events, seriousness and causality assessment was not reported. No further information was provided.
Age: 54.0
Sex: M
Vaccine: FLU3
Symptoms: Pain, Pain in extremity, Swelling
Clinical narrative: Case number PHEH2014US010194, is an initial spontaneous report received from a nurse on 16 May 2014. This report refers to 54 year old male patient. His medical history and concomitant medication was not reported. He was vaccinated with FLUVIRIN (batch number: 1206901) intramuscular on 13 Jan 2013. Physician reported that he has erythromelalgia on an unknown date post vaccination. Rheumatologist wrote in chart "immunological phenomenon". The patient had the symptoms of pain in shins, flushing hands and feet, burning pain on both the legs, hand and both ears with erythema and swelling with any exercise including walking and swimming or any exercise from Feb 2014. The symptoms continued as of 02 May 2014. He will be having an evaluation from a neurologist. Treatment medications included NEURONTIN, ATIVAN and CYMBALTA. Outcome of the events, seriousness and causality assessment was not reported. No further information was provided.
Age: 64.0
Sex: M
Vaccine: VARZOS
Symptoms: Injection site cellulitis
Clinical narrative: Cellulitis surrounding injection site, antibiotic treatment.
Age: 50.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site erythema, Injection site warmth
Clinical narrative: Warmth and redness at injection site (R delt). No other symptoms.
Age: 10.0
Sex: F
Vaccine: HPV4, MNQ, TDAP, HPV4, MNQ, TDAP
Symptoms: Erythema, Induration, Local reaction, Pruritus, Tenderness
Clinical narrative: Local reaction with induration and surrounding erythema, pruritus and tenderness. Developed 2 days post vaccination. Treated with antihistamine, cold packs, PO antibiotics to cover possible cellulitis (L) arm.
Age: 4.0
Sex: M
Vaccine: MMRV
Symptoms: Injection site erythema, Injection site swelling, Local reaction
Clinical narrative: On 5/22/2014 at the childs visit - redness and mild swelling (L) upper arm below the deltoid area - region where the shot was given subcutaneously. No tenderness, no itching - local reaction only. Diphenhydramine was given 1 1/2 teaspoonful.
Age: 10.0
Sex: F
Vaccine: HEPA, TDAP
Symptoms: Cellulitis, Erythema, Skin warm, Swelling
Clinical narrative: Redness, swelling and warmth approx 24hrs after vaccine administration with continued worsening. Started on KEFLEX BID x 10 days for concerns with cellulitis.
Age: 32.0
Sex: M
Vaccine: HEPA, IPV, MNQ, YF
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling, Pyrexia
Clinical narrative: Patient received immunizations on Monday 5-19-14. Late that evening the area became red, swollen and itchy. He also developed a fever of 102. The patient was seen in the office on 5-22-14 and was feeling better and afebrile. Returned to office 5/23/14 to have redness on arm assessed.
Age: 2.0
Sex: F
Vaccine: DTAP, HEPA
Symptoms: Erythema, Inflammation, Local reaction, Pain in extremity, Skin warm
Clinical narrative: Patient had a local reaction to left thigh no fevers, leg warm to touch, red inflamed and painful, size 10 x 10. Has been going on for four days. No evidence of infection will watch may need antibiotics if not improving.
Age: 63.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site reaction, Injection site swelling
Clinical narrative: Injection site reaction, redness and swelling 2 inches up and down from injection site.
Age: 0.39
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC13, RV5
Symptoms: Differential white blood cell count, Full blood count normal, Irritability, Metabolic function test normal, Pyrexia
Clinical narrative: Started with shaking spells - arms, legs 2 hours after vaccines. Vomited once. Held her breath and would fuss after shaking. Spells would last 30 seconds. Low-grade fever. ED visit that night - normal CBCD, BMP. Improved 48 hours after vaccines were given.
Age: 0.39
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC13, RV5
Symptoms: Tremor, Vomiting
Clinical narrative: Started with shaking spells - arms, legs 2 hours after vaccines. Vomited once. Held her breath and would fuss after shaking. Spells would last 30 seconds. Low-grade fever. ED visit that night - normal CBCD, BMP. Improved 48 hours after vaccines were given.
Sex: U
Vaccine: RV5
Symptoms: Expired drug administered, No adverse event
Clinical narrative: This spontaneous report as received from a certified medical assistant refers to a patient of unknown age and gender. On 09-MAY-2014, the patient was vaccinated with an expired dose of ROTATEQ (dose, route and frequency were not reported) (lot # H020559: expiration date: 17-APR-2014). There were no adverse effects reported. At the time of the report, the patient's outcome of expired dose of ROTATEQ administered was unknown. Additional information has been requested.
Age: 5.0
Sex: F
Vaccine: MMR
Symptoms: Mumps antibody test negative
Clinical narrative: This spontaneous report as received from a consumer refers to her 5 years old daughter. On an unknown date, the patient was vaccinated with a dose of MMR II (dose, route, strength, lot# and expiration date not reported). The reporter stated that as a result of blood test performed on 09-MAY-2014 (also reported that there was no lab diagnostic studies performed), it was determined that the patient did not have immunity against mumps after receiving MMR II. There was no treatment given for the event. The patient did not seek any medical attention. The outcome of the event was unknown. The relatedness between the event and MMR II was not reported. Additional information has been requested.
Sex: U
Vaccine: PPV
Symptoms: Inappropriate schedule of drug administration, No adverse event
Clinical narrative: This spontaneous report was received from a pharmacist via company representative refers to unspecified number of non immunocompromised patients of unknown demographics. On an unknown date the patients were vaccinated with PNEUMOVAX 23, (lot number and expiration date unknown), (dose, dosage schedule, route of administration and anatomical location were not reported). On an unknown date the unspecified number of non immunocompromised patients received two doses of PNEUMOVAX 23 within a two to three year period. No adverse effects reported. Additional information has been requested.
Age: 20.0
Sex: F
Vaccine: HPV4
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: This spontaneous report as received from the patient's mother refers to a 20 year old female patient. In approximately 2009 "four or five years ago", the patient had already completed the series of three GARDASIL injections (dose, route and frequency were not reported), given by her primary physician. On 16-APR-2014, the patient was vaccinated with the "first" injection of GARDASIL (dose, route and frequency were not reported), by her gynecologist. The patient's mother stated that the patient was not complaining of any adverse reactions at the time of the report. The patient did not seek medical attention. At the time of the report, the patient's outcome of "received an injection of GARDASIL after already completing the series of three" was unknown. Additional information has been requested.
Age: 43.0
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Rash generalised, Urticaria
Clinical narrative: Severe rash with welts over 80% of body, including ear canals, eyes, throat, and vagina. Lasting 6 days.
Age: 66.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site mass, Injection site pain, Rash, Rash macular, Rash pruritic
Clinical narrative: Patient states she had some pain and a "lump" at the injection site, although that has resolved now.  She states now that she has a rash that covers the majority of her scalp but is "splotchy".  It is itchy and in places, "crusty".  She said they rash started about 5 days ago which was 5 days post injection.  Patient has scheduled a dermatology appointment in 3 days  but was told to seek medical treatment if neccessary before that day.
Age: 66.0
Sex: F
Vaccine: VARZOS
Symptoms: Scab
Clinical narrative: Patient states she had some pain and a "lump" at the injection site, although that has resolved now.  She states now that she has a rash that covers the majority of her scalp but is "splotchy".  It is itchy and in places, "crusty".  She said they rash started about 5 days ago which was 5 days post injection.  Patient has scheduled a dermatology appointment in 3 days  but was told to seek medical treatment if neccessary before that day.
Age: 0.68
Sex: M
Vaccine: IPV
Symptoms: Decreased appetite, Dysstasia, Inability to crawl, Lethargy, Pyrexia
Clinical narrative: Possible discomfort in leg where shot was administered.  Stopped standing and crawling.  Very lethargic and would not move over long distances.  Fever up to 101.5  Decrease in appetite.  Symptoms lasted 7 days before they began to subside.
Age: 52.0
Sex: F
Vaccine: FLUX
Symptoms: Mobility decreased, Musculoskeletal stiffness, Neck pain, Spinal pain
Clinical narrative: Extreme spinal and neck pain, stiffness and immobility lasting approx. 48 hours.
Age: 0.21
Sex: M
Vaccine: DTAPIPV, HIBV, PNC13, RV1
Symptoms: Appendicectomy, Barium enema abnormal, Blood bicarbonate normal, Blood chloride normal, Blood creatinine normal
Clinical narrative: 4/21 - 10 week old male went for well care visit and got immunizations below. 4/28 - See H and P on additional sheet. Also progress in house. Patient is an 11 week old ex 37.4 week male infant. Prenatal care obtained, pregnancy reportedly unremarkable, infant born at Hospital. BW 2722 g. DC weight 2637 g. Baby exclusively formula fed with Enfamil GentleEase. Patient was well until approx 0300 on 4/27/14 when he vomited up his 0300 feed of 3 oz. His last "good feed" had been at 2100 the evening prior - 6oz. Parents later tried offering another 2 oz which he also vomited up. The called the advice RN who suggested PEDIALYTE via syringe. Parents tried all morning and initially it seemed to work, however he had an emesis at 1500 that appeared to be the entire volume of PEDIALYTE he had previously consumed. At that time he also had a 'wet fart' that was bloody and mucous-like. Parents took him to hospital for evaluation at approx 1730 pm. There his stool guaiac was grossly positive. Labs as follows: CBC 14.4/1.9/36 Chem-7 133/5.2/102/23/14/0.4/93 C-reactive protein elevated at 11.2. Urine bag sample is pending. Stool cultures pending. ED unable to obtain IV access. Office contacted Pedi HBS for transfer and admission. KUB requested by MD. Reportedly unremarkable save a dilated loop of bowel in RUQ. No free air, no pneumatosis intestinalis. Allergies: No Known Allergies. Patient is a 5KG week old boy admitted at 1 AM from hospital with emesis. The emesis was copious, non-bilious, blood tinged. No pain to mom and dad's recall. Has a 2 year old brother but no-one else ill in family. On exam he is afebrile, pulse 150, peeking out from blanket burrito. Well rehydrated with moist mucosa and Flat fontanelle. Abdomen soft, non-tender. No hernias. Normal anus. No labs recorded. We proceeded to UGI: Normal sized stomach (not large like seen with HPS). Normal ligament of Treitz location. Normal infant reflux. A/P: 11 week old with emesis. No evidence of the common surgical etiologies for this age such as HPS, volvulus, or incarcerated hernia. We then headed to US where intussusception was discovered. Proceeded on to BAE where intussusception confirmed but could not be reduced. To OR for laparoscopic, possible open reduction of intussusception with incidental appendectomy. 11 week old male presented with emesis and hematochezia. Malrotation and pyloric stenosis were ruled out with upper GI. Ultrasound showed intussusception, which was unable to be reduced by contrast enema. The patient was therefore taken to the operating room for laparoscopic exploration. Intraoperatively it was found that his intussusception had already reduced. Appendectomy was performed incidentally. Post-operatively, the infant had 2 normal stools and consistently passed gas. He tolerated regular feeds and was discharge home with parents, who are well aware of signs to watch for should he develop recurrent intussusception.
Age: 0.21
Sex: M
Vaccine: DTAPIPV, HIBV, PNC13, RV1
Symptoms: Blood glucose normal, Blood potassium normal, Blood sodium decreased, Blood urea normal, C-reactive protein increased
Clinical narrative: 4/21 - 10 week old male went for well care visit and got immunizations below. 4/28 - See H and P on additional sheet. Also progress in house. Patient is an 11 week old ex 37.4 week male infant. Prenatal care obtained, pregnancy reportedly unremarkable, infant born at Hospital. BW 2722 g. DC weight 2637 g. Baby exclusively formula fed with Enfamil GentleEase. Patient was well until approx 0300 on 4/27/14 when he vomited up his 0300 feed of 3 oz. His last "good feed" had been at 2100 the evening prior - 6oz. Parents later tried offering another 2 oz which he also vomited up. The called the advice RN who suggested PEDIALYTE via syringe. Parents tried all morning and initially it seemed to work, however he had an emesis at 1500 that appeared to be the entire volume of PEDIALYTE he had previously consumed. At that time he also had a 'wet fart' that was bloody and mucous-like. Parents took him to hospital for evaluation at approx 1730 pm. There his stool guaiac was grossly positive. Labs as follows: CBC 14.4/1.9/36 Chem-7 133/5.2/102/23/14/0.4/93 C-reactive protein elevated at 11.2. Urine bag sample is pending. Stool cultures pending. ED unable to obtain IV access. Office contacted Pedi HBS for transfer and admission. KUB requested by MD. Reportedly unremarkable save a dilated loop of bowel in RUQ. No free air, no pneumatosis intestinalis. Allergies: No Known Allergies. Patient is a 5KG week old boy admitted at 1 AM from hospital with emesis. The emesis was copious, non-bilious, blood tinged. No pain to mom and dad's recall. Has a 2 year old brother but no-one else ill in family. On exam he is afebrile, pulse 150, peeking out from blanket burrito. Well rehydrated with moist mucosa and Flat fontanelle. Abdomen soft, non-tender. No hernias. Normal anus. No labs recorded. We proceeded to UGI: Normal sized stomach (not large like seen with HPS). Normal ligament of Treitz location. Normal infant reflux. A/P: 11 week old with emesis. No evidence of the common surgical etiologies for this age such as HPS, volvulus, or incarcerated hernia. We then headed to US where intussusception was discovered. Proceeded on to BAE where intussusception confirmed but could not be reduced. To OR for laparoscopic, possible open reduction of intussusception with incidental appendectomy. 11 week old male presented with emesis and hematochezia. Malrotation and pyloric stenosis were ruled out with upper GI. Ultrasound showed intussusception, which was unable to be reduced by contrast enema. The patient was therefore taken to the operating room for laparoscopic exploration. Intraoperatively it was found that his intussusception had already reduced. Appendectomy was performed incidentally. Post-operatively, the infant had 2 normal stools and consistently passed gas. He tolerated regular feeds and was discharge home with parents, who are well aware of signs to watch for should he develop recurrent intussusception.
Age: 0.21
Sex: M
Vaccine: DTAPIPV, HIBV, PNC13, RV1
Symptoms: Culture stool, Explorative laparotomy, Flatulence, Haematochezia, Haematocrit normal
Clinical narrative: 4/21 - 10 week old male went for well care visit and got immunizations below. 4/28 - See H and P on additional sheet. Also progress in house. Patient is an 11 week old ex 37.4 week male infant. Prenatal care obtained, pregnancy reportedly unremarkable, infant born at Hospital. BW 2722 g. DC weight 2637 g. Baby exclusively formula fed with Enfamil GentleEase. Patient was well until approx 0300 on 4/27/14 when he vomited up his 0300 feed of 3 oz. His last "good feed" had been at 2100 the evening prior - 6oz. Parents later tried offering another 2 oz which he also vomited up. The called the advice RN who suggested PEDIALYTE via syringe. Parents tried all morning and initially it seemed to work, however he had an emesis at 1500 that appeared to be the entire volume of PEDIALYTE he had previously consumed. At that time he also had a 'wet fart' that was bloody and mucous-like. Parents took him to hospital for evaluation at approx 1730 pm. There his stool guaiac was grossly positive. Labs as follows: CBC 14.4/1.9/36 Chem-7 133/5.2/102/23/14/0.4/93 C-reactive protein elevated at 11.2. Urine bag sample is pending. Stool cultures pending. ED unable to obtain IV access. Office contacted Pedi HBS for transfer and admission. KUB requested by MD. Reportedly unremarkable save a dilated loop of bowel in RUQ. No free air, no pneumatosis intestinalis. Allergies: No Known Allergies. Patient is a 5KG week old boy admitted at 1 AM from hospital with emesis. The emesis was copious, non-bilious, blood tinged. No pain to mom and dad's recall. Has a 2 year old brother but no-one else ill in family. On exam he is afebrile, pulse 150, peeking out from blanket burrito. Well rehydrated with moist mucosa and Flat fontanelle. Abdomen soft, non-tender. No hernias. Normal anus. No labs recorded. We proceeded to UGI: Normal sized stomach (not large like seen with HPS). Normal ligament of Treitz location. Normal infant reflux. A/P: 11 week old with emesis. No evidence of the common surgical etiologies for this age such as HPS, volvulus, or incarcerated hernia. We then headed to US where intussusception was discovered. Proceeded on to BAE where intussusception confirmed but could not be reduced. To OR for laparoscopic, possible open reduction of intussusception with incidental appendectomy. 11 week old male presented with emesis and hematochezia. Malrotation and pyloric stenosis were ruled out with upper GI. Ultrasound showed intussusception, which was unable to be reduced by contrast enema. The patient was therefore taken to the operating room for laparoscopic exploration. Intraoperatively it was found that his intussusception had already reduced. Appendectomy was performed incidentally. Post-operatively, the infant had 2 normal stools and consistently passed gas. He tolerated regular feeds and was discharge home with parents, who are well aware of signs to watch for should he develop recurrent intussusception.
Age: 0.21
Sex: M
Vaccine: DTAPIPV, HIBV, PNC13, RV1
Symptoms: Haemoglobin decreased, Intestinal dilatation, Intussusception, Laboratory test, Mucous stools
Clinical narrative: 4/21 - 10 week old male went for well care visit and got immunizations below. 4/28 - See H and P on additional sheet. Also progress in house. Patient is an 11 week old ex 37.4 week male infant. Prenatal care obtained, pregnancy reportedly unremarkable, infant born at Hospital. BW 2722 g. DC weight 2637 g. Baby exclusively formula fed with Enfamil GentleEase. Patient was well until approx 0300 on 4/27/14 when he vomited up his 0300 feed of 3 oz. His last "good feed" had been at 2100 the evening prior - 6oz. Parents later tried offering another 2 oz which he also vomited up. The called the advice RN who suggested PEDIALYTE via syringe. Parents tried all morning and initially it seemed to work, however he had an emesis at 1500 that appeared to be the entire volume of PEDIALYTE he had previously consumed. At that time he also had a 'wet fart' that was bloody and mucous-like. Parents took him to hospital for evaluation at approx 1730 pm. There his stool guaiac was grossly positive. Labs as follows: CBC 14.4/1.9/36 Chem-7 133/5.2/102/23/14/0.4/93 C-reactive protein elevated at 11.2. Urine bag sample is pending. Stool cultures pending. ED unable to obtain IV access. Office contacted Pedi HBS for transfer and admission. KUB requested by MD. Reportedly unremarkable save a dilated loop of bowel in RUQ. No free air, no pneumatosis intestinalis. Allergies: No Known Allergies. Patient is a 5KG week old boy admitted at 1 AM from hospital with emesis. The emesis was copious, non-bilious, blood tinged. No pain to mom and dad's recall. Has a 2 year old brother but no-one else ill in family. On exam he is afebrile, pulse 150, peeking out from blanket burrito. Well rehydrated with moist mucosa and Flat fontanelle. Abdomen soft, non-tender. No hernias. Normal anus. No labs recorded. We proceeded to UGI: Normal sized stomach (not large like seen with HPS). Normal ligament of Treitz location. Normal infant reflux. A/P: 11 week old with emesis. No evidence of the common surgical etiologies for this age such as HPS, volvulus, or incarcerated hernia. We then headed to US where intussusception was discovered. Proceeded on to BAE where intussusception confirmed but could not be reduced. To OR for laparoscopic, possible open reduction of intussusception with incidental appendectomy. 11 week old male presented with emesis and hematochezia. Malrotation and pyloric stenosis were ruled out with upper GI. Ultrasound showed intussusception, which was unable to be reduced by contrast enema. The patient was therefore taken to the operating room for laparoscopic exploration. Intraoperatively it was found that his intussusception had already reduced. Appendectomy was performed incidentally. Post-operatively, the infant had 2 normal stools and consistently passed gas. He tolerated regular feeds and was discharge home with parents, who are well aware of signs to watch for should he develop recurrent intussusception.
Age: 0.21
Sex: M
Vaccine: DTAPIPV, HIBV, PNC13, RV1
Symptoms: Occult blood positive, Ultrasound abdomen abnormal, Urinary system X-ray, Urine analysis, Vomiting
Clinical narrative: 4/21 - 10 week old male went for well care visit and got immunizations below. 4/28 - See H and P on additional sheet. Also progress in house. Patient is an 11 week old ex 37.4 week male infant. Prenatal care obtained, pregnancy reportedly unremarkable, infant born at Hospital. BW 2722 g. DC weight 2637 g. Baby exclusively formula fed with Enfamil GentleEase. Patient was well until approx 0300 on 4/27/14 when he vomited up his 0300 feed of 3 oz. His last "good feed" had been at 2100 the evening prior - 6oz. Parents later tried offering another 2 oz which he also vomited up. The called the advice RN who suggested PEDIALYTE via syringe. Parents tried all morning and initially it seemed to work, however he had an emesis at 1500 that appeared to be the entire volume of PEDIALYTE he had previously consumed. At that time he also had a 'wet fart' that was bloody and mucous-like. Parents took him to hospital for evaluation at approx 1730 pm. There his stool guaiac was grossly positive. Labs as follows: CBC 14.4/1.9/36 Chem-7 133/5.2/102/23/14/0.4/93 C-reactive protein elevated at 11.2. Urine bag sample is pending. Stool cultures pending. ED unable to obtain IV access. Office contacted Pedi HBS for transfer and admission. KUB requested by MD. Reportedly unremarkable save a dilated loop of bowel in RUQ. No free air, no pneumatosis intestinalis. Allergies: No Known Allergies. Patient is a 5KG week old boy admitted at 1 AM from hospital with emesis. The emesis was copious, non-bilious, blood tinged. No pain to mom and dad's recall. Has a 2 year old brother but no-one else ill in family. On exam he is afebrile, pulse 150, peeking out from blanket burrito. Well rehydrated with moist mucosa and Flat fontanelle. Abdomen soft, non-tender. No hernias. Normal anus. No labs recorded. We proceeded to UGI: Normal sized stomach (not large like seen with HPS). Normal ligament of Treitz location. Normal infant reflux. A/P: 11 week old with emesis. No evidence of the common surgical etiologies for this age such as HPS, volvulus, or incarcerated hernia. We then headed to US where intussusception was discovered. Proceeded on to BAE where intussusception confirmed but could not be reduced. To OR for laparoscopic, possible open reduction of intussusception with incidental appendectomy. 11 week old male presented with emesis and hematochezia. Malrotation and pyloric stenosis were ruled out with upper GI. Ultrasound showed intussusception, which was unable to be reduced by contrast enema. The patient was therefore taken to the operating room for laparoscopic exploration. Intraoperatively it was found that his intussusception had already reduced. Appendectomy was performed incidentally. Post-operatively, the infant had 2 normal stools and consistently passed gas. He tolerated regular feeds and was discharge home with parents, who are well aware of signs to watch for should he develop recurrent intussusception.
Age: 0.21
Sex: M
Vaccine: DTAPIPV, HIBV, PNC13, RV1
Symptoms: White blood cell disorder, X-ray abnormal
Clinical narrative: 4/21 - 10 week old male went for well care visit and got immunizations below. 4/28 - See H and P on additional sheet. Also progress in house. Patient is an 11 week old ex 37.4 week male infant. Prenatal care obtained, pregnancy reportedly unremarkable, infant born at Hospital. BW 2722 g. DC weight 2637 g. Baby exclusively formula fed with Enfamil GentleEase. Patient was well until approx 0300 on 4/27/14 when he vomited up his 0300 feed of 3 oz. His last "good feed" had been at 2100 the evening prior - 6oz. Parents later tried offering another 2 oz which he also vomited up. The called the advice RN who suggested PEDIALYTE via syringe. Parents tried all morning and initially it seemed to work, however he had an emesis at 1500 that appeared to be the entire volume of PEDIALYTE he had previously consumed. At that time he also had a 'wet fart' that was bloody and mucous-like. Parents took him to hospital for evaluation at approx 1730 pm. There his stool guaiac was grossly positive. Labs as follows: CBC 14.4/1.9/36 Chem-7 133/5.2/102/23/14/0.4/93 C-reactive protein elevated at 11.2. Urine bag sample is pending. Stool cultures pending. ED unable to obtain IV access. Office contacted Pedi HBS for transfer and admission. KUB requested by MD. Reportedly unremarkable save a dilated loop of bowel in RUQ. No free air, no pneumatosis intestinalis. Allergies: No Known Allergies. Patient is a 5KG week old boy admitted at 1 AM from hospital with emesis. The emesis was copious, non-bilious, blood tinged. No pain to mom and dad's recall. Has a 2 year old brother but no-one else ill in family. On exam he is afebrile, pulse 150, peeking out from blanket burrito. Well rehydrated with moist mucosa and Flat fontanelle. Abdomen soft, non-tender. No hernias. Normal anus. No labs recorded. We proceeded to UGI: Normal sized stomach (not large like seen with HPS). Normal ligament of Treitz location. Normal infant reflux. A/P: 11 week old with emesis. No evidence of the common surgical etiologies for this age such as HPS, volvulus, or incarcerated hernia. We then headed to US where intussusception was discovered. Proceeded on to BAE where intussusception confirmed but could not be reduced. To OR for laparoscopic, possible open reduction of intussusception with incidental appendectomy. 11 week old male presented with emesis and hematochezia. Malrotation and pyloric stenosis were ruled out with upper GI. Ultrasound showed intussusception, which was unable to be reduced by contrast enema. The patient was therefore taken to the operating room for laparoscopic exploration. Intraoperatively it was found that his intussusception had already reduced. Appendectomy was performed incidentally. Post-operatively, the infant had 2 normal stools and consistently passed gas. He tolerated regular feeds and was discharge home with parents, who are well aware of signs to watch for should he develop recurrent intussusception.
Age: 23.0
Sex: F
Vaccine: HEPA, TDAP
Symptoms: Blood glucose, Dizziness, Syncope
Clinical narrative: Fainting spell, lightheadedness. (5 mins). Note!! Pt alert and responsive throughout episode.
Sex: U
Vaccine: MMRV
Symptoms: Incorrect storage of drug, No adverse event
Clinical narrative: This spontaneous report as received from a registered nurse refers to patient of unknown age and gender. No information about medical history, concurrent conditions and concomitant medications were reported. On an unknown date, the patient was vaccinated with PROQUAD (dose number, dose, lot # was not reported) that was improperly stored and which had been exposed to temperature as high as 8.5 F. No adverse effects were reported. The reporter was unable to locate lot numbers and expiration date of PROQUAD that experienced a temperature excursions. The outcome of the events reported is unknown. This case is linked tot he cases 1405USA010623, 1405USA010602, 1405USA008131 via same reporter link. Additional information has been requested.
Sex: U
Vaccine: MMRV
Symptoms: Incorrect storage of drug, No adverse event
Clinical narrative: This spontaneous reports as received from a registered nurse refers to patient of unknown age and gender. No information about medical history, concurrent conditions and concomitant medications were reported. On an unknown date, the patient was vaccinated with (Oka-Merck) PROQUAD (dose number, dose, lot # was not reported) that was improperly stored and which had been exposed to temperature as high as 8.5 F. No adverse effects were reported. The reporter was unable to locate lots numbers and expiration date of (Oka-Merck) PROQUAD that experienced a temperature excursions. The outcome of the events reported is unknown. This case is linked to the cases 1405USA010623, 1405USA008131, 1405USA010621 via same reporter link. Additional information has been requested.
Sex: U
Vaccine: MMRV
Symptoms: Incorrect storage of drug, No adverse event
Clinical narrative: This spontaneous report as received from a registered nurse refers to patient of unknown age and gender. No information about medical history, concurrent conditions and concomitant medications were reported. On an unknown date, the patient was vaccinated with PROQUAD (Merck) (dose number, dose, lot # was not reported) that was improperly stored and which had been exposed to temperature as high as 8.5 F. The reporter was unable to locate lots numbers and expiration date of PROQUAD (Merck) that experienced a temperature excursions. No adverse effects were reported. The outcome of the events reported is unknown. This case is linked to the cases 1405USA010621, 1405USA010602, 1405USA008131 via same reporter link. Additional information has been requested.
Sex: U
Vaccine: VARZOS, VARZOS
Symptoms: Injection site erythema, Injection site warmth
Clinical narrative: This spontaneous report as received from a nurse refers to a patient of unknown demography. On an unknown date, the patient was vaccinated with ZOSTAVAX Lot # J01456 (dose, route and frequency were not reported). On an unknown date, the patient experienced injection site reaction. The outcome of injection site reaction was unknown. The reporter did not provide the causality between the event and the suspect drug. This case is linked to the case 1405USA009462 (same reporter link). Additional information has been requested.
Sex: U
Vaccine: VARZOS, VARZOS
Symptoms: Injection site reaction
Clinical narrative: This spontaneous report as received from a nurse refers to a patient of unknown demography. On an unknown date, the patient was vaccinated with ZOSTAVAX Lot # J01456 (dose, route and frequency were not reported). On an unknown date, the patient experienced injection site reaction. The outcome of injection site reaction was unknown. The reporter did not provide the causality between the event and the suspect drug. This case is linked to the case 1405USA009462 (same reporter link). Additional information has been requested.
Age: 64.0
Sex: M
Vaccine: VARZOS, VARZOS
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling
Clinical narrative: This spontaneous report as received from a pharmacist refers to a 64 year old male patient with muscle problems. The patient did not have any drug reactions/allergies. On 22-APR-2014 the patient was vaccinated with a dose of ZOSTAVAX (lot # J013134, expiry date 17-JAN-2015, 0.65 ml, subcutaneous). Concomitant therapies included ELAVIL 10 mg (2-3 tablets at bedtime). On 03-MAY-2014 the patient had a low grade fever of 100F. On 04-MAY-2014 the patient noticed a raised red bump at the injection site. Pharmacist stated the patient might have already had the raised red bump previous to 04-MAY-2014 and might have only noticed it on 04-MAY-2014. The patient called pharmacist and sought medical attention. The outcome of events was reported as recovering/resolving. It was also reported as "no lab diagnosis studies performed". Additional information has been requested.
Age: 64.0
Sex: M
Vaccine: VARZOS, VARZOS
Symptoms: Injection site erythema, Injection site swelling, Pyrexia
Clinical narrative: This spontaneous report as received from a pharmacist refers to a 64 year old male patient with muscle problems. The patient did not have any drug reactions/allergies. On 22-APR-2014 the patient was vaccinated with a dose of ZOSTAVAX (lot # J013134, expiry date 17-JAN-2015, 0.65 ml, subcutaneous). Concomitant therapies included ELAVIL 10 mg (2-3 tablets at bedtime). On 03-MAY-2014 the patient had a low grade fever of 100F. On 04-MAY-2014 the patient noticed a raised red bump at the injection site. Pharmacist stated the patient might have already had the raised red bump previous to 04-MAY-2014 and might have only noticed it on 04-MAY-2014. The patient called pharmacist and sought medical attention. The outcome of events was reported as recovering/resolving. It was also reported as "no lab diagnosis studies performed". Additional information has been requested.
Age: 43.0
Sex: F
Vaccine: TYP
Symptoms: Hypoaesthesia, Paraesthesia
Clinical narrative: Developed tingling/numbness in hand and fingers on side of shoulder that received injection. Tingling reduced overtime to just middle, ring and pinky fingers. It persisted throughout the night and was mostly gone by the next day. However, it has reoccurred three different days since the day of the injection. It most recently re-occurred yesterday (05/25/2014) and is still persisting this morning (05/26/14) so figured it should probably be reported as a reaction.  I saw no mention of finger numbness/tingling as a possible reaction on the vaccine information sheet so had not reported it previously.
Age: 46.0
Sex: F
Vaccine: PPV
Symptoms: Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Vaccine given in LUE. Soon after became swollen from shoulder to elbow, warm and painful.
Age: 12.0
Sex: F
Vaccine: MNQ, TDAP
Symptoms: Immediate post-injection reaction, Presyncope, Urticaria
Clinical narrative: Pre syncope immediately following injection. Whole body urticaria (hive/wheals) developing within 15 minutes of injection, enlarging and spreading for approximately 30 minutes before beginning to resolve.
Age: 1.02
Sex: F
Vaccine: HEPA, MMR, PPV
Symptoms: Body temperature increased, Rash
Clinical narrative: On Tuesday, patient ran a temperature that maxed at 101.5, Motrin given. Wednesday 101.5 again and Thursday 102.5. Motrin was given all days. Saturday morning, day 5, patient woke with a rash on her trunk and face...
Age: 0.17
Sex: M
Vaccine: 6VAX-F, IPV, RVX
Symptoms: Decreased appetite, Diarrhoea, Injection site pain, Pyrexia, Vomiting
Clinical narrative: Diarrhea, loss of appetite, sore legs, fever, vomiting - Pedilayte.
Age: 8.0
Sex: M
Vaccine: TD
Symptoms: Injection site erythema, Injection site induration, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Child woke with large indurated red swollen area to left deltoid, approximately 4" in diameter.  Red, hot and painful to the touch.
Age: 73.0
Sex: M
Vaccine: VARZOS
Symptoms: Hypoaesthesia, Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Pt came to pharmacy 5/25/14 and showed a swollen and red area at site of ZOSTAVAX administration. He complained of numbness radiating down arm and pain at site of injection given on 5/23/14. He was going to consult his doctor if pain persists.
Sex: F
Vaccine: HPV4
Symptoms: Inappropriate schedule of drug administration, No adverse event
Clinical narrative: This spontaneous report was received from a pharmacy student refers to a female patient of unknown age. The reporter stated that on 09-JUL-2012, the patient received first dose of GARDASIL 120 Y (dose, route and frequency was not reported). The reporter stated that the patient would like to receive her second dose of GARDASIL on 21-MAY-2014. No adverse symptoms reported. No further information provided. Additional information has been requested.
Age: 4.0
Sex: U
Vaccine: HPV4
Symptoms: Drug administered to patient of inappropriate age, No adverse event
Clinical narrative: This spontaneous report was received from a healthcare worker refers to a 4 year old patient. On 20-MAY-2014, the 4 year old patient was inadvertently administered with GARDASIL, 0.5 ml, intramuscular. No adverse effects reported. No PQC. No further AE information was provided. Additional information has been requested.
Sex: U
Vaccine: HPV4
Symptoms: Inappropriate schedule of drug administration, No adverse event
Clinical narrative: This spontaneous report was received from a Nurse refers to a patient of unknown demography. On 23-JAN-2014, the patient was vaccinated with first dose of GARDASIL 0.5 ml, intramuscular. On 20-MAY-2014, the patient was vaccinated with second dose of GARDASIL 0.5 ml intramuscular. No adverse effects reported. No further information was provided. This case is linked to the case 1405USA012483 (same reporter link). Additional information has been requested.