chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 0.6
Sex: F
Vaccine: DTAPHEPBIP, PNC, RV5, DTAPHEPBIP, PNC, RV5
Symptoms: Barium double contrast, Inappropriate schedule of drug administration, Intussusception, Surgery
Clinical narrative: Information has been received from an agency (VAERS# 79315) concerning an 8 month old female who on 28-MAR-2007 was vaccinated with a second dose of Rotateq (656102/1165F). On 10-MAY-2007 the patient experienced intussusception. Procedure: surgical reduction. Upon internal review, intussusception was determined to be an other important medical event. In follow-up information, it was reported that the patient, with no medical history, was vaccinated on 28-MAR-2007 with a third dose of PEDIARIX and a third dose of PREVNAR. There was no concomitant medication. On 10-MAY-2007, the patient experienced intussusception requiring surgical reduction. The patient went to the ER and was hospitalized. The patient had an abdominal ultrasound, air enema. The patient recovered. A lot check had been requested. A review of the initial release testing for the lot number in question was found to conform to specifications. The lot complies with the standards of an agency and was released. Intussusception was considered life-threatening. Additional information is not expected.
Age: 0.6
Sex: F
Vaccine: DTAPHEPBIP, PNC, RV5, DTAPHEPBIP, PNC, RV5
Symptoms: Barium double contrast, Intussusception, Surgery, Ultrasound abdomen
Clinical narrative: Information has been received from an agency (VAERS# 79315) concerning an 8 month old female who on 28-MAR-2007 was vaccinated with a second dose of Rotateq (656102/1165F). On 10-MAY-2007 the patient experienced intussusception. Procedure: surgical reduction. Upon internal review, intussusception was determined to be an other important medical event. In follow-up information, it was reported that the patient, with no medical history, was vaccinated on 28-MAR-2007 with a third dose of PEDIARIX and a third dose of PREVNAR. There was no concomitant medication. On 10-MAY-2007, the patient experienced intussusception requiring surgical reduction. The patient went to the ER and was hospitalized. The patient had an abdominal ultrasound, air enema. The patient recovered. A lot check had been requested. A review of the initial release testing for the lot number in question was found to conform to specifications. The lot complies with the standards of an agency and was released. Intussusception was considered life-threatening. Additional information is not expected.
Age: 0.2
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5, DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Intussusception, Vomiting
Clinical narrative: Information has been received from an agency (VAERS# 279922) concerning a 15 week old male who on 27-FEB-2007 was vaccinated with a dose of Rotateq (654663/0942F). On 16-APR-2007 the patient experienced intussusception. Upon internal review, intussusception was determined to be an other important medical event. In follow-up information, it was reported that the patient, with no history or pre-existing conditions, was vaccinated on 27-FEB-2007 with a first dose of Rotateq (654663/0942F). Vaccinations on the same day included a first dose of PEDVAXHIB, a first dose of PEDIARIX, and a first dose of PREVNAR. On 16-APR-2007, the patient experienced intussusception, was seen at the hospital and admitted for emesis. The patient recovered. A lot check was requested. A review of the initial released testing for the lot number in question was found to conform to specifications. The lot complies with the standards of an agency and was released. Additional information is note expected.
Age: 0.5
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC, RV5, DTAP, HIBV, IPV, PNC, RV5
Symptoms: Intussusception
Clinical narrative: Information has been received from an agency (VAERS# 280057) concerning an 8 month old male who on 13-MAR-2007 was vaccinated with a third dose of Rotateq (655317/0980F). On 16-MAY-2007 the patient experienced intussusception. Procedure: air enema. Upon internal review, the patient's intussusception was determined to be an other important medical event. Follow-up information was received from an agency. The patient has 3 doses of oral Rotateq, at 2 months, 4 months, and 6 months of age. The patient was diagnosed with intussusception at 8 months of age, 16-MAY-2007. On 12-JUN-2007 hospital records received for admission, 16-MAY-2007 to 18-MAY-2007: intussusception. Infant presented to emergency department with persistent vomiting, black stool, decreased PO fluids, and not seeming quite himself. He may have fallen out of bed the morning of admission. PE: WNL except for tenderness of the abdomen with decreased bowel sounds. Hydrostatic reduction done under general anesthesia. Discharge diagnosis: Intussusception. Medical history was reported as None. The patient had a KUB which showed evidence of bowel obstruction. Barium enema attempted however, the patient desaturated and became tachycardic. Concomitant vaccinations on 13-MAR-2007 included a third dose of Hib conj vaccine (unspecified carrier), a third dose of Dtap, a third dose of PREVNAR, and a third dose of poliovirus vaccine inactivated (unspecified). A lot check had been requested. A review of the initial released testing for the lot number in question was found to conform to specifications. The lot complies with the standards for an agency and was released. Additional information is not expected.
Age: 0.5
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC, RV5, DTAP, HIBV, IPV, PNC, RV5
Symptoms: Abdominal tenderness, Abnormal behaviour, Barium double contrast, Bowel sounds abnormal, Faeces discoloured
Clinical narrative: Information has been received from an agency (VAERS# 280057) concerning an 8 month old male who on 13-MAR-2007 was vaccinated with a third dose of Rotateq (655317/0980F). On 16-MAY-2007 the patient experienced intussusception. Procedure: air enema. Upon internal review, the patient's intussusception was determined to be an other important medical event. Follow-up information was received from an agency. The patient has 3 doses of oral Rotateq, at 2 months, 4 months, and 6 months of age. The patient was diagnosed with intussusception at 8 months of age, 16-MAY-2007. On 12-JUN-2007 hospital records received for admission, 16-MAY-2007 to 18-MAY-2007: intussusception. Infant presented to emergency department with persistent vomiting, black stool, decreased PO fluids, and not seeming quite himself. He may have fallen out of bed the morning of admission. PE: WNL except for tenderness of the abdomen with decreased bowel sounds. Hydrostatic reduction done under general anesthesia. Discharge diagnosis: Intussusception. Medical history was reported as None. The patient had a KUB which showed evidence of bowel obstruction. Barium enema attempted however, the patient desaturated and became tachycardic. Concomitant vaccinations on 13-MAR-2007 included a third dose of Hib conj vaccine (unspecified carrier), a third dose of Dtap, a third dose of PREVNAR, and a third dose of poliovirus vaccine inactivated (unspecified). A lot check had been requested. A review of the initial released testing for the lot number in question was found to conform to specifications. The lot complies with the standards for an agency and was released. Additional information is not expected.
Age: 0.5
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC, RV5, DTAP, HIBV, IPV, PNC, RV5
Symptoms: Intussusception, Obstruction, Oral intake reduced, Tachycardia, Urinary system X-ray
Clinical narrative: Information has been received from an agency (VAERS# 280057) concerning an 8 month old male who on 13-MAR-2007 was vaccinated with a third dose of Rotateq (655317/0980F). On 16-MAY-2007 the patient experienced intussusception. Procedure: air enema. Upon internal review, the patient's intussusception was determined to be an other important medical event. Follow-up information was received from an agency. The patient has 3 doses of oral Rotateq, at 2 months, 4 months, and 6 months of age. The patient was diagnosed with intussusception at 8 months of age, 16-MAY-2007. On 12-JUN-2007 hospital records received for admission, 16-MAY-2007 to 18-MAY-2007: intussusception. Infant presented to emergency department with persistent vomiting, black stool, decreased PO fluids, and not seeming quite himself. He may have fallen out of bed the morning of admission. PE: WNL except for tenderness of the abdomen with decreased bowel sounds. Hydrostatic reduction done under general anesthesia. Discharge diagnosis: Intussusception. Medical history was reported as None. The patient had a KUB which showed evidence of bowel obstruction. Barium enema attempted however, the patient desaturated and became tachycardic. Concomitant vaccinations on 13-MAR-2007 included a third dose of Hib conj vaccine (unspecified carrier), a third dose of Dtap, a third dose of PREVNAR, and a third dose of poliovirus vaccine inactivated (unspecified). A lot check had been requested. A review of the initial released testing for the lot number in question was found to conform to specifications. The lot complies with the standards for an agency and was released. Additional information is not expected.
Age: 0.5
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC, RV5, DTAP, HIBV, IPV, PNC, RV5
Symptoms: Vomiting
Clinical narrative: Information has been received from an agency (VAERS# 280057) concerning an 8 month old male who on 13-MAR-2007 was vaccinated with a third dose of Rotateq (655317/0980F). On 16-MAY-2007 the patient experienced intussusception. Procedure: air enema. Upon internal review, the patient's intussusception was determined to be an other important medical event. Follow-up information was received from an agency. The patient has 3 doses of oral Rotateq, at 2 months, 4 months, and 6 months of age. The patient was diagnosed with intussusception at 8 months of age, 16-MAY-2007. On 12-JUN-2007 hospital records received for admission, 16-MAY-2007 to 18-MAY-2007: intussusception. Infant presented to emergency department with persistent vomiting, black stool, decreased PO fluids, and not seeming quite himself. He may have fallen out of bed the morning of admission. PE: WNL except for tenderness of the abdomen with decreased bowel sounds. Hydrostatic reduction done under general anesthesia. Discharge diagnosis: Intussusception. Medical history was reported as None. The patient had a KUB which showed evidence of bowel obstruction. Barium enema attempted however, the patient desaturated and became tachycardic. Concomitant vaccinations on 13-MAR-2007 included a third dose of Hib conj vaccine (unspecified carrier), a third dose of Dtap, a third dose of PREVNAR, and a third dose of poliovirus vaccine inactivated (unspecified). A lot check had been requested. A review of the initial released testing for the lot number in question was found to conform to specifications. The lot complies with the standards for an agency and was released. Additional information is not expected.
Age: 0.5
Sex: F
Vaccine: DTAP, HBHEPB, PNC, RV5, RV5
Symptoms: Abdominal X-ray, Computerised tomogram, Vomiting
Clinical narrative: Information has been received from a physician concerning a 6 month old female with cardiac murmur who was vaccinated with Rotateq 2 ml PO six month dose which was the second dose. The physician reported that the patient received the two month dose and the six month dose and did not receive the 4 month dose. The physician reported that 4 days after receiving the 6 month dose the patient developed a twisted bowel, was hospitalized and had a 2 1/2 inch section of intestine removed. The patient had a CT scan and blood work. Subsequently, the patient recovered totally from twisted intestine. Twisted intestine was considered to be life threatening, caused hospitalization and required intervention to prevent serious criteria. Additional information has been requested.
Age: 0.5
Sex: F
Vaccine: DTAP, HBHEPB, PNC, RV5, RV5
Symptoms: Computerised tomogram, Inappropriate schedule of drug administration, Intestinal operation, Laboratory test, Volvulus
Clinical narrative: Information has been received from a physician concerning a 6 month old female with cardiac murmur who was vaccinated with Rotateq 2 ml PO six month dose which was the second dose. The physician reported that the patient received the two month dose and the six month dose and did not receive the 4 month dose. The physician reported that 4 days after receiving the 6 month dose the patient developed a twisted bowel, was hospitalized and had a 2 1/2 inch section of intestine removed. The patient had a CT scan and blood work. Subsequently, the patient recovered totally from twisted intestine. Twisted intestine was considered to be life threatening, caused hospitalization and required intervention to prevent serious criteria. Additional information has been requested.
Age: 46.0
Sex: F
Vaccine: TDAP, TDAP
Symptoms: Asthenia, Body temperature increased, Chest X-ray, Cough, Dizziness
Clinical narrative: A case was received from a health care professional on 13 June 2007. SERIOUSNESS CRITERIA: OTHER - MEDICALLY SIGNIFICANT. A 46-year-old female patient with a medical history of mitral valve prolapse and morphine allergy had received an injection of Adacel (lot number C2734AA) on 04 Jun 2007. "One and one-half hours: after vaccination she began experiencing nausea, and on 07 June 2007 developed a sore throat and was achey. On 08 June 2007 she presented to the hospital with complaints of shortness of breath and weakness: CBC, chest x-ray, and liver profile were all within normal limits. She was treated with compazine, Zofran, Toradol, and Benadryl. On 11 June 2007 she was seen by her family doctor with continued complaints of nausea, in addition to fever (over 100 degrees Fahrenheit), dizziness, and an "extreme pressure headache". She also complained of chills, excess mucus, and loss of appetite. Concomitant medication included hormone replaced. The events had not yet resolved.
Age: 46.0
Sex: F
Vaccine: TDAP, TDAP
Symptoms: Dyspnoea, Full blood count, Laboratory test, Metabolic function test, Nausea
Clinical narrative: A case was received from a health care professional on 13 June 2007. SERIOUSNESS CRITERIA: OTHER - MEDICALLY SIGNIFICANT. A 46-year-old female patient with a medical history of mitral valve prolapse and morphine allergy had received an injection of Adacel (lot number C2734AA) on 04 Jun 2007. "One and one-half hours: after vaccination she began experiencing nausea, and on 07 June 2007 developed a sore throat and was achey. On 08 June 2007 she presented to the hospital with complaints of shortness of breath and weakness: CBC, chest x-ray, and liver profile were all within normal limits. She was treated with compazine, Zofran, Toradol, and Benadryl. On 11 June 2007 she was seen by her family doctor with continued complaints of nausea, in addition to fever (over 100 degrees Fahrenheit), dizziness, and an "extreme pressure headache". She also complained of chills, excess mucus, and loss of appetite. Concomitant medication included hormone replaced. The events had not yet resolved.
Age: 46.0
Sex: F
Vaccine: TDAP, TDAP
Symptoms: Pain, Pharyngolaryngeal pain
Clinical narrative: A case was received from a health care professional on 13 June 2007. SERIOUSNESS CRITERIA: OTHER - MEDICALLY SIGNIFICANT. A 46-year-old female patient with a medical history of mitral valve prolapse and morphine allergy had received an injection of Adacel (lot number C2734AA) on 04 Jun 2007. "One and one-half hours: after vaccination she began experiencing nausea, and on 07 June 2007 developed a sore throat and was achey. On 08 June 2007 she presented to the hospital with complaints of shortness of breath and weakness: CBC, chest x-ray, and liver profile were all within normal limits. She was treated with compazine, Zofran, Toradol, and Benadryl. On 11 June 2007 she was seen by her family doctor with continued complaints of nausea, in addition to fever (over 100 degrees Fahrenheit), dizziness, and an "extreme pressure headache". She also complained of chills, excess mucus, and loss of appetite. Concomitant medication included hormone replaced. The events had not yet resolved.
Age: 46.0
Sex: F
Vaccine: TDAP, TDAP
Symptoms: Anorexia, Asthenia, Chest X-ray normal, Chills, Dizziness
Clinical narrative: A case was received from a health care professional on 13 June 2007. SERIOUSNESS CRITERIA: OTHER - MEDICALLY SIGNIFICANT. A 46-year-old female patient with a medical history of mitral valve prolapse and morphine allergy had received an injection of Adacel (lot number C2734AA) on 04 Jun 2007. "One and one-half hours: after vaccination she began experiencing nausea, and on 07 June 2007 developed a sore throat and was achey. On 08 June 2007 she presented to the hospital with complaints of shortness of breath and weakness: CBC, chest x-ray, and liver profile were all within normal limits. She was treated with compazine, Zofran, Toradol, and Benadryl. On 11 June 2007 she was seen by her family doctor with continued complaints of nausea, in addition to fever (over 100 degrees Fahrenheit), dizziness, and an "extreme pressure headache". She also complained of chills, excess mucus, and loss of appetite. Concomitant medication included hormone replaced. The events had not yet resolved.
Age: 46.0
Sex: F
Vaccine: TDAP, TDAP
Symptoms: Dyspnoea, Full blood count normal, Headache, Liver function test normal, Nausea
Clinical narrative: A case was received from a health care professional on 13 June 2007. SERIOUSNESS CRITERIA: OTHER - MEDICALLY SIGNIFICANT. A 46-year-old female patient with a medical history of mitral valve prolapse and morphine allergy had received an injection of Adacel (lot number C2734AA) on 04 Jun 2007. "One and one-half hours: after vaccination she began experiencing nausea, and on 07 June 2007 developed a sore throat and was achey. On 08 June 2007 she presented to the hospital with complaints of shortness of breath and weakness: CBC, chest x-ray, and liver profile were all within normal limits. She was treated with compazine, Zofran, Toradol, and Benadryl. On 11 June 2007 she was seen by her family doctor with continued complaints of nausea, in addition to fever (over 100 degrees Fahrenheit), dizziness, and an "extreme pressure headache". She also complained of chills, excess mucus, and loss of appetite. Concomitant medication included hormone replaced. The events had not yet resolved.
Age: 46.0
Sex: F
Vaccine: TDAP, TDAP
Symptoms: Pain, Pharyngolaryngeal pain, Pyrexia, Rhinorrhoea
Clinical narrative: A case was received from a health care professional on 13 June 2007. SERIOUSNESS CRITERIA: OTHER - MEDICALLY SIGNIFICANT. A 46-year-old female patient with a medical history of mitral valve prolapse and morphine allergy had received an injection of Adacel (lot number C2734AA) on 04 Jun 2007. "One and one-half hours: after vaccination she began experiencing nausea, and on 07 June 2007 developed a sore throat and was achey. On 08 June 2007 she presented to the hospital with complaints of shortness of breath and weakness: CBC, chest x-ray, and liver profile were all within normal limits. She was treated with compazine, Zofran, Toradol, and Benadryl. On 11 June 2007 she was seen by her family doctor with continued complaints of nausea, in addition to fever (over 100 degrees Fahrenheit), dizziness, and an "extreme pressure headache". She also complained of chills, excess mucus, and loss of appetite. Concomitant medication included hormone replaced. The events had not yet resolved.
Age: 24.0
Sex: F
Vaccine: HPV4
Symptoms: Erythema, Injection site rash, Pruritus, Rash generalised, Urticaria
Clinical narrative: Received first Gardasil HPV vaccine on 3/19/07, received second vaccine on 5/21/07 by 5/23/07 had a rash on upper arms and shins (front bottom legs), worsened and spread as each week went on. Took Claritin, went to Urgent Care on 6/13/07 received steroid shot in rear and 6 day Predizone pack, rash continued to spread and worsen all over body (arms, legs, stomach, back, butt, hands, neck etc. (not currently on face or feet)- thousands of small bumps, circular patches, hive type bumps (raised and dry) - very itchy and red) went to primary care physican on 6/22/07 told to continue with Claritin during the day and Benedryl at night, also applying Coritizone Cream and Cortaid sent to lab for blood work and urine sample will have results on 6/25/07.
Age: 26.0
Sex: F
Vaccine: HPV4
Symptoms: Blood corticotrophin normal, Drug exposure during pregnancy, Pre-eclampsia, Ultrasound scan normal
Clinical narrative: Information has been received through the Merck pregnancy registry and from a 26 year old female with a sulfonamide allergy who on 30-OCT-2006 was vaccinated with the first dose of Gardasil (Lot#653735/0688F). Concomitant therapy included prenatal vitamins. On 16-NOV-2006 the patient had an ultrasound which confirmed she was pregnant. No adverse event was noted. Additional information received from a pediatrician indicated that on 04-JUN-2007 the patient gave birth by c-section due to pre-eclampsia to a 4lb 4oz female. The patient was 35.6 weeks from LMP. On 16-JAN-2007, laboratory diagnostic studies included tetra-screening at 16 weeks and was reported to be normal. The infant was reported to be normal. Upon internal review, pre-eclampsia was considered to an other important medical event. Additional information is not expected.
Sex: U
Vaccine: HPV4
Symptoms: Death
Clinical narrative: Information has been received from a physician who attended a conference that mentioned two patients who were vaccinated with Gardasil. Subsequently the patients died. The cause of death not reported. Attempts are being made to obtain additional identifying information to distinguish the individual patients mentioned in this report. Additional information will be provided if available. Additional information has been requested.
Age: 0.3
Sex: M
Vaccine: DTAP, HBHEPB, PNC, RV5
Symptoms: Barium double contrast, Intussusception
Clinical narrative: Information has been received from a physician concerning a male infant who was vaccinated with a first and second oral dose of Rotateq (Lot# 655483/1116F and 656191/1365F) on 13-FEB-2007 and 13-APR-2007, respectively. Concomitant vaccine included a dose of Comvax and a dose of Dtap. On 01-JUN-2007 the patient developed intussusception. The patient was hospitalized where an air contrast enema was performed which resolved the problem. The number of days of hospitalization was not provided. No product quality complaint was involved. No other information was provided. Additional information has been requested. 7/11/07-ER note received for DOS-06/01/2007-DC DX: Intussception. C/O abdominal pain with history of not acting like himself. NG tube placed KUB suspicion of intussception vx. volvulus. Abrupt onset. 2-3 weeks prior fussy after his nightime feeds only. One BM today, blood found in rectum. Air contrast enema was completed and intussception was diagnosed.  8/15/07-DC Summary received-DC DX: Intussusception, status post reduction barium enema.
Sex: M
Vaccine: RV5
Symptoms: Fluid replacement
Clinical narrative: Information has been received from a physician concerning a male patient who was vaccinated with an oral dose of Rotateq. Subsequently the patient was admitted to a hospital for "rehydration." Subsequently the patient recovered. Unspecified medical attention was sought. No product quality complaint was involved. No other information was provided. Additional information has been requested.
Age: 1.67
Sex: M
Vaccine: DTAPHEPBIP, HIBV, MMR
Symptoms: Injection site erythema, Injection site induration, Injection site swelling, Injection site warmth, Pyrexia
Clinical narrative: Information has been received from a woman working in a physician's office concerning a 20 month old male with no medical history and no allergies who on 28-MAR-2007 was vaccinated with a subcutaneous dose of MMR II (Lot # 654820/1027F) in the left vastus lateralus. Concomitant vaccines administered on the same day included a third intramuscular dose of PedvaxHib (Lot # 653523/0063U) in the right vastus lateralus and a third intramuscular dose of Pediarix (Lot # AC218084BA) in the right vastus lateralus. There was no illness at the time of vaccination. On 29-MAR-2007 the patient developed a quarter sized knot at the injection site with injection site redness, swelling, warmth and fever. The patient was treated with cefdinir (OMNICEF) 125/5 twice a day for 10 days. There were no laboratory or diagnostic tests performed. Subsequently, the patient recovered on 08-APR-2007. The patient's experiences were considered to be other important medical events by the reporter. No further information is expected.
Age: 0.2
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Blood culture negative, Body temperature increased, CSF culture negative, Chest X-ray normal, Convulsion
Clinical narrative: Seizure like episode approx 24 hr af Imm. on 3/23/07. Hospitalised. Discharged on 3/27/07. Also had temp of 101.3 at the time of visit to ER. 8/21/07 Received records from pcp office which included hospital D/C summary.  Admitted 3/23-3/27/07.  When awoke from nap, found red, choking, stiffness, very sleepy after episode.  Temp 101.3.Tx w/IV antivirals & antibiotics.   FINAL DX: fever, no source, likely febrile seizure; developmental dysplasia of right hip. 8/31/07 Reviewed hospital medical records which reveal patient experienced fever, red face & choking when awakened from nap.  Appeared very sleepy following episode of stiffness.  Fever 101.3.  Admitted 3/23-3/27/07.  Peds ID & Neuro consults.  Tx w/antivirals & antibiotics.  Afebrile in hospital & no further seizure like activity.  D/C to home w/pcp f/u. FINAL DX: Fever, no source, likely febrile seizure.
Age: 0.2
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Culture urine negative
Clinical narrative: Seizure like episode approx 24 hr af Imm. on 3/23/07. Hospitalised. Discharged on 3/27/07. Also had temp of 101.3 at the time of visit to ER. 8/21/07 Received records from pcp office which included hospital D/C summary.  Admitted 3/23-3/27/07.  When awoke from nap, found red, choking, stiffness, very sleepy after episode.  Temp 101.3.Tx w/IV antivirals & antibiotics.   FINAL DX: fever, no source, likely febrile seizure; developmental dysplasia of right hip. 8/31/07 Reviewed hospital medical records which reveal patient experienced fever, red face & choking when awakened from nap.  Appeared very sleepy following episode of stiffness.  Fever 101.3.  Admitted 3/23-3/27/07.  Peds ID & Neuro consults.  Tx w/antivirals & antibiotics.  Afebrile in hospital & no further seizure like activity.  D/C to home w/pcp f/u. FINAL DX: Fever, no source, likely febrile seizure.
Age: 1.1
Sex: F
Vaccine: MMRV
Symptoms: Electroencephalogram normal, Lumbar puncture, Nuclear magnetic resonance imaging normal, Somnolence
Clinical narrative: extreme somnolence started 7 days after Proquad MRI nl EEG nl spinal  tap nl 6/27/07-records received from facility for DOS 6/8-6/9/07-DC DX: Somnolence and mild encephalopathic reaction to MMRV vaccine. Several day history of vomiting and lethargy. Mental status changes. No fever.
Age: 1.4
Sex: M
Vaccine: MMRV
Symptoms: Cyanosis, Electroencephalogram, Musculoskeletal stiffness, Nuclear magnetic resonance imaging
Clinical narrative: Mom called stated 5/2/07 child was in high chair and he turned blue and seemed stiff. EMS called and brought to ER for further evaluation. He was admitted for observation and management. 8/1/07-records received DC DX: Apneic spells not newborn. Possible seizure. Seen in ER per parent unresponsive and turned blue for 20-30 seconds. Patient was sitting in high chair and parent placed a piece of pizzza in front of him next time she looked at him he was cyanotic but food seemed to be untouched. Admitted for observation. PE WNL except for right tympanic membrane erythematous bulging.
Age: 0.5
Sex: M
Vaccine: DTAPHEPBIP, PNC, RV5
Symptoms: Dyskinesia, Dyspnoea, Electroencephalogram normal, Muscle twitching
Clinical narrative: Child received 3rd dose of Pediarix, Prevnar and Rotateq on 6/15/07. Mom took child with her on errand including a trip to the nail salon. Once there an episode of twitching and jerky movement, of arms legs and head, were noted with episode of shortness of breath, these resolved and mom brought child back to office for exam due to above.
Age: 41.0
Sex: F
Vaccine: RV5
Symptoms: Accidental exposure, Diarrhoea, Nausea, Vomiting
Clinical narrative: This person is the healthcare worker providing the Rotavirus vaccine to an infant in our Public Health Clinic upon receiving the vaccine the infant splatter it out of his mouth (projectile like) and the vaccine landed in the eyes and mouth of the Nurse. She didn't rinse her eyes and continued about her day, she developed nausea, vomiting and diarrhea lasting 48 hours.
Age: 12.0
Sex: M
Vaccine: MNQ
Symptoms: Urticaria
Clinical narrative: 1 hour after administration of MCV4 (Menomune) - pt developed urticarial rash on whole body. Resolved with medical treatment.
Age: 1.0
Sex: F
Vaccine: HIBV, MMRV, PNC
Symptoms: Injection site erythema, Injection site warmth
Clinical narrative: Injection site of Hib and PCV7 is red and has heat coming from it. Doctor recommend Benadryl and compresses. If patient not better - patient is to come back tomorrow.
Age: 17.0
Sex: F
Vaccine: HPV4, MNQ
Symptoms: Erythema, Injection site erythema
Clinical narrative: 2 Hours after vaccine - spreading erythema from site across chest, face. No wheezing; Rx; Benadryl 25mg.
Age: 5.0
Sex: M
Vaccine: UNK
Symptoms: Erythema, Oedema
Clinical narrative: Left arm edematous and erythematous shoulder to elbow. Benadryl 12.5mg PO given at 1400 on 6/14/07.
Age: 15.0
Sex: F
Vaccine: HPV4, MNQ, VARCEL
Symptoms: Asthma, Oedema peripheral
Clinical narrative: Swollen right arm, asthma attack on 6-13-07.
Age: 17.0
Sex: F
Vaccine: HPV4, MNQ, TDAP
Symptoms: Blood pressure decreased, Dizziness, Fall, Heart rate decreased, Hyperhidrosis
Clinical narrative: Became lightheaded, fell backwards and caught by mom. Placed on exam table where she became diaphoretic, pale, BP decrease 50/36, HR 40. Given fluids, Recovered after 15 minutes, Hct 13.5, VS stable after 1/2 hr.
Age: 17.0
Sex: F
Vaccine: HPV4, MNQ, TDAP
Symptoms: Pallor
Clinical narrative: Became lightheaded, fell backwards and caught by mom. Placed on exam table where she became diaphoretic, pale, BP decrease 50/36, HR 40. Given fluids, Recovered after 15 minutes, Hct 13.5, VS stable after 1/2 hr.
Age: 19.0
Sex: F
Vaccine: HPV4
Symptoms: Fluid retention, Musculoskeletal pain, Nuclear magnetic resonance imaging abnormal, Pain in extremity
Clinical narrative: Pain in arm where received Gardasil x 1 month waking up at night with arm and shoulder pain. Sent to orthopedic doctor and has MRI - found 8 mm fluid pocket in left deltoid. Go back to Ortho in 1 month.
Age: 14.0
Sex: F
Vaccine: HEPA, HPV4
Symptoms: Vaccine positive rechallenge, Wheezing
Clinical narrative: Significant exacerbation of wheezing. Pt had 2nd HPV 6/12/07 - Merck 0587V. Similar symptoms.
Age: 14.0
Sex: F
Vaccine: HPV4, MNQ, HPV4
Symptoms: Loss of consciousness
Clinical narrative: None stated
Age: 19.0
Sex: F
Vaccine: HPV4
Symptoms: Loss of consciousness, Muscle twitching, Musculoskeletal stiffness
Clinical narrative: After administering vaccine, patient passed out. After being eased to floor body became stiff and head twitched slightly. Patient was given fluids by mouth and crackers. Patient sent home.
Age: 69.0
Sex: F
Vaccine: VARZOS
Symptoms: Chest pain, Heart rate increased, Supraventricular tachycardia
Clinical narrative: Pt called shortly after leaving office and c/o chest pains, rapid heart rate - Advised to call 911 - Seen in ER - Dx with SVT and converted - Discharged to home from ER
Age: 22.0
Sex: F
Vaccine: HPV4
Symptoms: Dizziness, Vomiting
Clinical narrative: Vomited x 4, dizzy (light-headed) starting at 1 p.m.
Age: 11.0
Sex: F
Vaccine: HPV4
Symptoms: Dizziness, Hyperhidrosis, Nausea, Pallor, Presyncope
Clinical narrative: Pt had near syncopal episode. Pt became pale, diaphoretic, dizzy, nauseous.
Age: 27.0
Sex: U
Vaccine: TDAP
Symptoms: Erythema, Pallor, Pruritus, Urticaria
Clinical narrative: Itch red, blanching hive-like rash on arms, face, and legs
Age: 0.33
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Body temperature increased, Injection site erythema
Clinical narrative: Temp 103 - 104 x 2 days; onset at 8 hours after vaccination; no other symptoms except slight erythema at site of Hib vaccine.
Age: 15.0
Sex: F
Vaccine: VARCEL
Symptoms: Erythema, Swelling
Clinical narrative: localized erythema and swelling 4" diameter
Age: 10.0
Sex: M
Vaccine: TD, VARCEL, DTAP, VARCEL
Symptoms: Urticaria
Clinical narrative: Received call from Mom, stated child broke out in hives on torso, neck and legs. Recommended Benadryl.
Age: 10.0
Sex: M
Vaccine: TD, VARCEL, DTAP, VARCEL
Symptoms: Urticaria, Wrong drug administered
Clinical narrative: Received call from Mom, stated child broke out in hives on torso, neck and legs. Recommended Benadryl.
Age: 6.0
Sex: M
Vaccine: VARCEL
Symptoms: Eye swelling, Ocular hyperaemia, Pruritus, Rhinorrhoea
Clinical narrative: Pt began to have waken red eyes, itchy skin and then eyes swelled and had lots of mucous in throat. He was given 1/2 tsp of Benadryl without effect then 2 ml of IM epinephrine.
Age: 45.0
Sex: M
Vaccine: TD
Symptoms: Asthenia, Medical device complication, Medication error, Sensation of heaviness
Clinical narrative: Pt said needle came off first shot and nurse gave him a second shot of same vaccine in same arm because she didn't know how much went in. He was in ER for chemical spill. Says now his legs are heavy and he's weak all over.
Age: 5.0
Sex: F
Vaccine: VARCEL
Symptoms: Blister, Rash vesicular
Clinical narrative: Varicella-like rash on face and arms, approx. 6 crusted vesicles. No fever. No other symptoms of illness noted.
Age: 7.0
Sex: F
Vaccine: VARCEL
Symptoms: Erythema, Pain, Swelling
Clinical narrative: Mother noticed redness (half dollar size) around 6:00 AM on 5/24/2007 arrived home from school around 4:00 pm with large swelling/redness/pain fell asleep. No fever. Today with 83 cm x 83 cm swelling, redness - no pain, no fever to LT deltoid
Age: 9.0
Sex: F
Vaccine: RAB
Symptoms: Chills, Headache, Pharyngolaryngeal pain, Pyrexia
Clinical narrative: 5-28-07 (Day 7) Mother reported that pt had run fever of 103.8 on 5-24-07 (Day 3) after second dose of Rabavert. Also complained of chills and sore throat and headache CDC consulted and regimen resumed. Patient tolerated next dose well.
Age: 8.0
Sex: M
Vaccine: VARCEL
Symptoms: Abscess, Injection site erythema, Pruritus, Skin lesion
Clinical narrative: About 3cm diameters erythematous circular lesion at injections site with local itching negative signs of INFX/Abscess
Age: 35.0
Sex: F
Vaccine: UNK
Symptoms: Back pain, Fatigue, Full blood count, Headache, Influenza like illness
Clinical narrative: Severe back, neck pain, severe headache, sore throat, swollen gland, fever, vomiting, and skin sores, malaise, fatigue, general Flu-feeling. Required 72 hrs quarters.
Age: 35.0
Sex: F
Vaccine: UNK
Symptoms: Lymphadenopathy, Malaise, Mononucleosis heterophile test, Neck pain, Pharyngolaryngeal pain
Clinical narrative: Severe back, neck pain, severe headache, sore throat, swollen gland, fever, vomiting, and skin sores, malaise, fatigue, general Flu-feeling. Required 72 hrs quarters.
Age: 35.0
Sex: F
Vaccine: UNK
Symptoms: Pyrexia, Skin ulcer, Streptococcal identification test, Urine analysis, Vomiting
Clinical narrative: Severe back, neck pain, severe headache, sore throat, swollen gland, fever, vomiting, and skin sores, malaise, fatigue, general Flu-feeling. Required 72 hrs quarters.
Sex: F
Vaccine: VARCEL
Symptoms: Injection site induration
Clinical narrative: 6 cm induration at site of Varivax # 2, No systemic reaction.
Age: 0.23
Sex: F
Vaccine: HEP, HIBV, IPV, PNC
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: 2 month old was given Boostrix Tdap
Age: 60.0
Sex: F
Vaccine: PPV
Symptoms: Headache, Hypoaesthesia, Injection site discomfort, Myalgia, Nausea
Clinical narrative: L sided H/A, nausea, L arm numbness and tingling, myalgia, injection site discomfort.
Age: 60.0
Sex: F
Vaccine: PPV
Symptoms: Paraesthesia
Clinical narrative: L sided H/A, nausea, L arm numbness and tingling, myalgia, injection site discomfort.
Age: 7.0
Sex: F
Vaccine: VARCEL
Symptoms: Body temperature increased, Oedema peripheral
Clinical narrative: Temp 103 entire upper arm swollen
Age: 8.0
Sex: M
Vaccine: VARCEL
Symptoms: Blister, Erythema, Injection site swelling, Swelling, Tenderness
Clinical narrative: Swollen L arm at injection site, reddened and swollen area with minimal tenderness, tiny cluster of vesicles in center. This is in follow-up to report (s) previously submitted on 5/16/2007. Information has been received from a physician concerning a 9 year old male who on 11-JUN-2007, at 14:00 was vaccinated subcutaneously into the left arm with a second dose of VARIVAX (Oka/Merck) ( Lot # 556990/03340). Within days after being vaccinated with the second dose of VARIVAX (Oka/Merck) the patient developed a local reaction, with a large area or erythema, warmth and swelling surrounding the injection site, as well as mild tenderness and a tiny cluster of vesicles at the needle site. It is unknown if medical attention was sought. The patient recovered on 13 JUN 2007. There was no product quality complaint. Additional information is not expected.
Age: 1.3
Sex: F
Vaccine: DTAP, HIBV, PNC
Symptoms: Injection site erythema, Injection site swelling, Pyrexia
Clinical narrative: Area of erythema and swelling at injections site, developing one day later. Over following 24 hours redness had continued to spread, now measuring 13cm x 6cm. Febrile today to 101.9.
Age: 77.0
Sex: F
Vaccine: TD
Symptoms: Induration, Rash
Clinical narrative: Rash right arm day after tetanus booster, lasted 10 days so far U/C antihistamine now resolving. local induration R arm.
Age: 29.0
Sex: F
Vaccine: RAB
Symptoms: Headache
Clinical narrative: Donor complaining of headaches after receiving rabies vaccines.
Age: 32.0
Sex: F
Vaccine: UNK
Symptoms: Arthralgia, Migraine
Clinical narrative: 1. Frequently migraines 2. Joint pain especially on elbows, knees and heels.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, VARCEL
Symptoms: Blister, Rash, Rash papular, Rash vesicular
Clinical narrative: Received Varivax vaccine 06/19/07 on 06/22/07 seen in office for rash on abdomen. Papular eruption on Abdomen in different stages some with vesicles. Varicelliform rash.
Age: 30.0
Sex: M
Vaccine: RAB
Symptoms: Anorexia, Blood creatinine increased, Decreased appetite, Eye swelling, Fatigue
Clinical narrative: 30 y/o AD SM receives rabies vaccinations on 5/21/2007 and 5/29/2007. He began to develop symptoms after the second shot on 5/29 including headache, malaise, fatigue, progressive whole body swelling, and acute renal failure over the next several days. Symptoms: Headache, general Start: 05/29/2007 End: 05/30/2007 Comment: Mild HA started the same evening of the vaccination. Symptom: Fatigue Start: 05/30/2007 End: 06/12/2007 Comment: Noted the day after the headache. Described as 'just feeling tired all of the time'. Symptoms: Swelling Start: 06/02/2007 End: 06/12/2007 Comment: Swelling noted in the legs, feet, and hips first and then continued to migrate upwards to involve his back, hands, and face. This swelling is best described as an edema. Symptom: Anorexia Start: 05/30/2007 End: 06/01/2007 Comment: Decreased appetite reports for 1-2 days after 2nd shot. 8/22/07-records received for DOS 6/7-8/20/07-DX: Acute renal failure. Rabies vaccine causing adverse effects in therapuetic use. Injury or poisoning occurring at/in other specified places. Evaluation of edema and possible kidney failure. Noted increasing edema over past 2-3 days and fatigue. Patient is a body builder and uses supplements extensively. Stopped about 10 days ago. Noted swelling 2 days after rabies vaccination. Swelling involved entire legs up to hips. Some swelling in sacral area of back. Dryness in mouth. On 6/4/07-swelling included puffiness around eyes, toson and tightness in hands.  Renal biopsy consistent with FSGS which developed immediately after Rabies Vaccines #2. Patient had antrax vaccine booster 15 days prior to Rabies vaccine.  Per 60 day follow up: The servicemember continues to have decreased renal function since the incident. His overall status has progressively improved but he is still not back to his prevaccination baseline. He continues on medication for control of blood pressure and lipids. Member continues under the care of a nephrologist at medical center. 1/11/2010 The member still exhibits abnormal serum creatinine levels. This reflects the now chronically impaired state of his kidneys.
Age: 30.0
Sex: M
Vaccine: RAB
Symptoms: Headache, Malaise, Oedema, Renal failure acute, Swelling
Clinical narrative: 30 y/o AD SM receives rabies vaccinations on 5/21/2007 and 5/29/2007. He began to develop symptoms after the second shot on 5/29 including headache, malaise, fatigue, progressive whole body swelling, and acute renal failure over the next several days. Symptoms: Headache, general Start: 05/29/2007 End: 05/30/2007 Comment: Mild HA started the same evening of the vaccination. Symptom: Fatigue Start: 05/30/2007 End: 06/12/2007 Comment: Noted the day after the headache. Described as 'just feeling tired all of the time'. Symptoms: Swelling Start: 06/02/2007 End: 06/12/2007 Comment: Swelling noted in the legs, feet, and hips first and then continued to migrate upwards to involve his back, hands, and face. This swelling is best described as an edema. Symptom: Anorexia Start: 05/30/2007 End: 06/01/2007 Comment: Decreased appetite reports for 1-2 days after 2nd shot. 8/22/07-records received for DOS 6/7-8/20/07-DX: Acute renal failure. Rabies vaccine causing adverse effects in therapuetic use. Injury or poisoning occurring at/in other specified places. Evaluation of edema and possible kidney failure. Noted increasing edema over past 2-3 days and fatigue. Patient is a body builder and uses supplements extensively. Stopped about 10 days ago. Noted swelling 2 days after rabies vaccination. Swelling involved entire legs up to hips. Some swelling in sacral area of back. Dryness in mouth. On 6/4/07-swelling included puffiness around eyes, toson and tightness in hands.  Renal biopsy consistent with FSGS which developed immediately after Rabies Vaccines #2. Patient had antrax vaccine booster 15 days prior to Rabies vaccine.  Per 60 day follow up: The servicemember continues to have decreased renal function since the incident. His overall status has progressively improved but he is still not back to his prevaccination baseline. He continues on medication for control of blood pressure and lipids. Member continues under the care of a nephrologist at medical center. 1/11/2010 The member still exhibits abnormal serum creatinine levels. This reflects the now chronically impaired state of his kidneys.
Age: 61.0
Sex: M
Vaccine: PPV
Symptoms: Anaemia, Cardiomegaly, Chest X-ray abnormal, Computerised tomogram normal, Diabetes mellitus
Clinical narrative: Patient received Pneumovax 10-25-06, Presented 6 days later complaining of voice hoarseness 24h after the shot. Found to have (L) vocal cord paralysis after rhinoscopy. Has failed to clear 6 months after 1st presented 6/27/07-records received from physician for DOS 10/25/06-5/7/07-seen for viral cold. Impression bronchitis, asthma. Presented on 11/15/06 with C/O horseness since receiving vaccine. Increased congestion, postnasal drip. Rhinoscopy positive for left side vocal cord paralysis.  Admitted to hospital on 12/26/06 for tracheostomy 7/25/07-records received for DOS 12/28/06-1/5/07- DC DX: True vocal cord paralysis. Severe obstructive sleep apena. Diabetes. Anemia. Haemophilus influenzae pneumonia. Deconditioning. Hypertension. Dyslipidemia. History of vocal cord immobility which began suddenly late October 2006 about 2 days after Pneumovax vaccine. Continues to C/O vocal cord fatigue, near aphonia and aspirations of liquids. Emergency tracheotomy for respiratory failure.  1/1/10 follow up - still has ? voice hoarseness but mostly better. 02/02/2010 At first complete vocal cord paralysis. Currenlty he is much better but has some mild residual symptoms.
Age: 61.0
Sex: M
Vaccine: PPV
Symptoms: Dyslipidaemia, Dysphonia, Hypertension, Lung hyperinflation, Pneumonia haemophilus
Clinical narrative: Patient received Pneumovax 10-25-06, Presented 6 days later complaining of voice hoarseness 24h after the shot. Found to have (L) vocal cord paralysis after rhinoscopy. Has failed to clear 6 months after 1st presented 6/27/07-records received from physician for DOS 10/25/06-5/7/07-seen for viral cold. Impression bronchitis, asthma. Presented on 11/15/06 with C/O horseness since receiving vaccine. Increased congestion, postnasal drip. Rhinoscopy positive for left side vocal cord paralysis.  Admitted to hospital on 12/26/06 for tracheostomy 7/25/07-records received for DOS 12/28/06-1/5/07- DC DX: True vocal cord paralysis. Severe obstructive sleep apena. Diabetes. Anemia. Haemophilus influenzae pneumonia. Deconditioning. Hypertension. Dyslipidemia. History of vocal cord immobility which began suddenly late October 2006 about 2 days after Pneumovax vaccine. Continues to C/O vocal cord fatigue, near aphonia and aspirations of liquids. Emergency tracheotomy for respiratory failure.  1/1/10 follow up - still has ? voice hoarseness but mostly better. 02/02/2010 At first complete vocal cord paralysis. Currenlty he is much better but has some mild residual symptoms.
Age: 61.0
Sex: M
Vaccine: PPV
Symptoms: Rhinoscopy, Sleep apnoea syndrome, Upper respiratory tract congestion, Vocal cord paralysis
Clinical narrative: Patient received Pneumovax 10-25-06, Presented 6 days later complaining of voice hoarseness 24h after the shot. Found to have (L) vocal cord paralysis after rhinoscopy. Has failed to clear 6 months after 1st presented 6/27/07-records received from physician for DOS 10/25/06-5/7/07-seen for viral cold. Impression bronchitis, asthma. Presented on 11/15/06 with C/O horseness since receiving vaccine. Increased congestion, postnasal drip. Rhinoscopy positive for left side vocal cord paralysis.  Admitted to hospital on 12/26/06 for tracheostomy 7/25/07-records received for DOS 12/28/06-1/5/07- DC DX: True vocal cord paralysis. Severe obstructive sleep apena. Diabetes. Anemia. Haemophilus influenzae pneumonia. Deconditioning. Hypertension. Dyslipidemia. History of vocal cord immobility which began suddenly late October 2006 about 2 days after Pneumovax vaccine. Continues to C/O vocal cord fatigue, near aphonia and aspirations of liquids. Emergency tracheotomy for respiratory failure.  1/1/10 follow up - still has ? voice hoarseness but mostly better. 02/02/2010 At first complete vocal cord paralysis. Currenlty he is much better but has some mild residual symptoms.
Age: 26.0
Sex: F
Vaccine: TDAP
Symptoms: Blood test, Erythema, Oedema peripheral
Clinical narrative: Pt in to the office on 6/25/07 for blood work. She reported arm that Adacel given in became red and swollen for 03 days after injection given. SX now resolved on 6/25/07.
Age: 13.0
Sex: F
Vaccine: HPV4, TDAP
Symptoms: Muscle twitching, Rash macular, Swelling face
Clinical narrative: Blotchy rash and puffiness on face, muscle twitching face, arms, legs, felt tight, twitching feeling and tightness resolved with Benadryl all Sx resided with in 2 days.
Age: 0.2
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Local reaction
Clinical narrative: Rt leg had Prevnar and Hib 2 days later large local RX per parent. We saw child on 6/19/07 and only 2x3cm reaction left where Hib had been given.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMRV
Symptoms: Injection site erythema, Injection site swelling, Pyrexia
Clinical narrative: Morning after immunizations pt developed redness and swelling by site of vaccines on left delt. Also had a fever. Doing much better today according to dad. No pain at site.
Age: 4.0
Sex: F
Vaccine: DTAP, VARCEL
Symptoms: Erythema, Inflammation, Oedema, Pruritus, Skin warm
Clinical narrative: Varicella and Dtap administered to R ant. thigh on 6/21/07 developed overlying erythematous, edematous, inflamed patch, itchy and warm.
Age: 30.0
Sex: F
Vaccine: MMR, TD, VARCEL
Symptoms: Pain, Pyrexia, Rash, Varicella
Clinical narrative: Patient given vaccines (Td, MMR and Varicella) on 6/21/07. Patient called 6/25/07 - states had a reaction to the chickenpox vaccine - began with fever and generalized achiness - developed rash. Went to Urgent Care on 6/23/07  was told has chickenpox.