chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 0.82
Sex: M
Vaccine: DTAP
Symptoms: Coma, Flushing, Staring
Clinical narrative: Received vaccine at 9 a.m., reaction occurred at 4 p.m.  Reaction duration 60 seconds.  Reaction symptoms:  flashed from interactive state to a completely glazed over eyes, flushed face, unresponsive to motion or noise state.  Never done this before or since, but coincidence of epileptic symptoms with the date of vaccination is very suspicious.
Age: 24.0
Sex: M
Vaccine: ANTH
Symptoms: Headache, Meningitis, Nausea, Viral infection
Clinical narrative: Severe headaches and nausea. Hospitalized for 2 days with eventual resolution of symptoms.  Discharge diagnosis: viral meningitis.  Patient currently with no notable residual symptoms.
Age: 1.01
Sex: F
Vaccine: DTAP, HIBV, IPV, MMR, PNC, VARCEL
Symptoms: Erythema, Rash maculo-papular, Skin nodule, Skin ulcer
Clinical narrative: The child developed a fever of 102 F and a red maculopapular rash (many 3-5 mm lesions) on the trunk on 9/21, 8 days after receiving MMR and other vaccines (DTaP, IPV, HIB, Prevnar, and Varicella).  Fever persisted for approx 3 days and rash persisted through visit on 9/24, with extension of skin lesions down the extremities.  A red nodule appeared.
Age: 1.75
Sex: M
Vaccine: RAB, RAB
Symptoms: Feeling hot, Injection site erythema, Injection site rash, Pyrexia
Clinical narrative: From initial information received on 11/25/03 from another manufacturer regarding an adverse event occurring in the USA, it was reported by the patient's mother that a 21 month old male patient received RabAvert, lot number not reported, administered IM in the thigh and Immunoglobulin Human Anti-rabies, lot number not reported, administered by injection 9/25/03 as part of a post-exposure series. The toddler had been discovered by his mother standing over a bat, but was not bitten. He was taken to the pediatric emergency department for the administration of rabies vaccine and immunoglobulin. On 9/26/03, the child developed a rash consisting of red dots surrounding the injection sites on both thighs in a circular pattern. The rash on one thigh was worse than the other one and it was not known by the emergency room staff which medication went into which thigh. The toddler also felt warm for 24 hours and the fever was treated with Tylenol. The fever resolved and the rash has improved spontaneously without treatment. The bat was tested and was negative for rabies. The events are considered possibly related to the RabAvert and the HRIG. The patient did not recover from all of the events at the time of this report. The other manufacturer considered these events as serious. Phone contact with the other manufacturer on 11/26/03 was initiated to obtain additional information. The patient and reporter's initials were provided. The mother had inquired at the emergency room as to the manufacturer of the HRIG product and was unable to obtain this information. No additional information was provided. (OMIC)
Age: 1.75
Sex: M
Vaccine: RAB, RAB
Symptoms: Feeling hot, Malaise, Pyrexia, Rash
Clinical narrative: From initial information received on 11/25/03 from another manufacturer regarding an adverse event occurring in the USA, it was reported by the patient's mother that a 21 month old male patient received RabAvert, lot number not reported, administered IM in the thigh and Immunoglobulin Human Anti-rabies, lot number not reported, administered by injection 9/25/03 as part of a post-exposure series. The toddler had been discovered by his mother standing over a bat, but was not bitten. He was taken to the pediatric emergency department for the administration of rabies vaccine and immunoglobulin. On 9/26/03, the child developed a rash consisting of red dots surrounding the injection sites on both thighs in a circular pattern. The rash on one thigh was worse than the other one and it was not known by the emergency room staff which medication went into which thigh. The toddler also felt warm for 24 hours and the fever was treated with Tylenol. The fever resolved and the rash has improved spontaneously without treatment. The bat was tested and was negative for rabies. The events are considered possibly related to the RabAvert and the HRIG. The patient did not recover from all of the events at the time of this report. The other manufacturer considered these events as serious. Phone contact with the other manufacturer on 11/26/03 was initiated to obtain additional information. The patient and reporter's initials were provided. The mother had inquired at the emergency room as to the manufacturer of the HRIG product and was unable to obtain this information. No additional information was provided. (OMIC)
Age: 3.0
Sex: F
Vaccine: RAB, RAB
Symptoms: Convulsion, Epilepsy, Febrile convulsion, Grand mal convulsion, Salivary hypersecretion
Clinical narrative: This initial spontaneous report was provided by a consumer and was received on 1/28/04. A child (DOB and gender not specified) was treated with BAYRAB for an unknown indication. Patient received BAYRAB (along with a 5-dose vaccine schedule) beginning on 10/22/01. The child was 3 years of age at the time of BAYRAB administration and since vaccine/IgG administration, patient has developed a severe seizure disorder uncontrolled by anti-epileptics. Mother of the patient states she was told by many pharmacists that vaccine can cause seizures. Concomitant medication and history were not provided. For the suspect drug BAYRAB (rabies immune globulin, human), SEIZURE DISORDER: Action taken: unknown. Outcome of event: Unknown. Follow up information received on 2/6/04 and medically confirmed by a health professional provided as follows: Date of event 10/21/01, Event Details = The patient at that time was a 3 year old female playing in the yard, suddenly was attacked by a ground hog causing her to have scratches on her legs and back. The father saw the incident, took a weapon and then shot the ground hog dead. Testing on the hog was made and was positive for rabies. Causality = The child had generalized seizures that occurred 7 months later (May 2002). Lot number = 286011 was a lot number for a vaccine manufacturer by another manufacturer. She said the lot number for BAYRAB is unknown. Concomitant drugs = Vitamins. Relevant History = No prior significant history. Therapy dates provided were for the vaccine manufactured by another manufacturer. Outcome of the events + Patient still has episodes of seizure that are difficult to control and patient is having learning difficulties and development delays since age 3. Additional information on 2/9/04 provided by the patient's mother that she will provide the information regarding the name of the other rabies vaccine by another manufacturer received by her daughter as soon as she receives the information from the medical records of the hospital. 3/31/04: Despite attempts to obtain information, no response has been received. Case closed. Follow up information received on 6/17/04 from the reporter provided the manufacturer of the co-suspect medication and the dosage of Immune Globulin Drug RIB as stated by the reporter as 260 IU. (OMIC)
Age: 3.0
Sex: F
Vaccine: RAB, RAB
Symptoms: Tremor
Clinical narrative: This initial spontaneous report was provided by a consumer and was received on 1/28/04. A child (DOB and gender not specified) was treated with BAYRAB for an unknown indication. Patient received BAYRAB (along with a 5-dose vaccine schedule) beginning on 10/22/01. The child was 3 years of age at the time of BAYRAB administration and since vaccine/IgG administration, patient has developed a severe seizure disorder uncontrolled by anti-epileptics. Mother of the patient states she was told by many pharmacists that vaccine can cause seizures. Concomitant medication and history were not provided. For the suspect drug BAYRAB (rabies immune globulin, human), SEIZURE DISORDER: Action taken: unknown. Outcome of event: Unknown. Follow up information received on 2/6/04 and medically confirmed by a health professional provided as follows: Date of event 10/21/01, Event Details = The patient at that time was a 3 year old female playing in the yard, suddenly was attacked by a ground hog causing her to have scratches on her legs and back. The father saw the incident, took a weapon and then shot the ground hog dead. Testing on the hog was made and was positive for rabies. Causality = The child had generalized seizures that occurred 7 months later (May 2002). Lot number = 286011 was a lot number for a vaccine manufacturer by another manufacturer. She said the lot number for BAYRAB is unknown. Concomitant drugs = Vitamins. Relevant History = No prior significant history. Therapy dates provided were for the vaccine manufactured by another manufacturer. Outcome of the events + Patient still has episodes of seizure that are difficult to control and patient is having learning difficulties and development delays since age 3. Additional information on 2/9/04 provided by the patient's mother that she will provide the information regarding the name of the other rabies vaccine by another manufacturer received by her daughter as soon as she receives the information from the medical records of the hospital. 3/31/04: Despite attempts to obtain information, no response has been received. Case closed. Follow up information received on 6/17/04 from the reporter provided the manufacturer of the co-suspect medication and the dosage of Immune Globulin Drug RIB as stated by the reporter as 260 IU. (OMIC)
Age: 3.0
Sex: F
Vaccine: RAB, RAB
Symptoms: Convulsion
Clinical narrative: This initial spontaneous report was provided by a consumer and was received on 1/28/04. A child (DOB and gender not specified) was treated with BAYRAB for an unknown indication. Patient received BAYRAB (along with a 5-dose vaccine schedule) beginning on 10/22/01. The child was 3 years of age at the time of BAYRAB administration and since vaccine/IgG administration, patient has developed a severe seizure disorder uncontrolled by anti-epileptics. Mother of the patient states she was told by many pharmacists that vaccine can cause seizures. Concomitant medication and history were not provided. For the suspect drug BAYRAB (rabies immune globulin, human), SEIZURE DISORDER: Action taken: unknown. Outcome of event: Unknown. Follow up information received on 2/6/04 and medically confirmed by a health professional provided as follows: Date of event 10/21/01, Event Details = The patient at that time was a 3 year old female playing in the yard, suddenly was attacked by a ground hog causing her to have scratches on her legs and back. The father saw the incident, took a weapon and then shot the ground hog dead. Testing on the hog was made and was positive for rabies. Causality = The child had generalized seizures that occurred 7 months later (May 2002). Lot number = 286011 was a lot number for a vaccine manufacturer by another manufacturer. She said the lot number for BAYRAB is unknown. Concomitant drugs = Vitamins. Relevant History = No prior significant history. Therapy dates provided were for the vaccine manufactured by another manufacturer. Outcome of the events + Patient still has episodes of seizure that are difficult to control and patient is having learning difficulties and development delays since age 3. Additional information on 2/9/04 provided by the patient's mother that she will provide the information regarding the name of the other rabies vaccine by another manufacturer received by her daughter as soon as she receives the information from the medical records of the hospital. 3/31/04: Despite attempts to obtain information, no response has been received. Case closed. Follow up information received on 6/17/04 from the reporter provided the manufacturer of the co-suspect medication and the dosage of Immune Globulin Drug RIB as stated by the reporter as 260 IU. (OMIC)
Age: 23.0
Sex: M
Vaccine: ANTH, TYP, ANTH
Symptoms: Amnesia, Convulsion, Depression, Disturbance in attention, Dizziness
Clinical narrative: Muscle pain, confusion, unable to concentrate, shut down of thyroid (hypothyroidism), mental disorder, unable to make decisions, psychotic, not remembering (or losing memory), fever.
Age: 23.0
Sex: M
Vaccine: ANTH, TYP, ANTH
Symptoms: Fatigue, Hallucination, Headache, Hypothyroidism, Liver function test abnormal
Clinical narrative: Muscle pain, confusion, unable to concentrate, shut down of thyroid (hypothyroidism), mental disorder, unable to make decisions, psychotic, not remembering (or losing memory), fever.
Age: 23.0
Sex: M
Vaccine: ANTH, TYP, ANTH
Symptoms: Muscular weakness, Pruritus, Psychotic disorder, Pyrexia, Thyroiditis
Clinical narrative: Muscle pain, confusion, unable to concentrate, shut down of thyroid (hypothyroidism), mental disorder, unable to make decisions, psychotic, not remembering (or losing memory), fever.
Age: 23.0
Sex: M
Vaccine: ANTH, TYP, ANTH
Symptoms: Xeroderma
Clinical narrative: Muscle pain, confusion, unable to concentrate, shut down of thyroid (hypothyroidism), mental disorder, unable to make decisions, psychotic, not remembering (or losing memory), fever.
Age: 23.0
Sex: M
Vaccine: ANTH, TYP, ANTH
Symptoms: Amnesia, Confusional state, Disturbance in attention, Hypothyroidism, Laboratory test abnormal
Clinical narrative: Muscle pain, confusion, unable to concentrate, shut down of thyroid (hypothyroidism), mental disorder, unable to make decisions, psychotic, not remembering (or losing memory), fever.
Age: 23.0
Sex: M
Vaccine: ANTH, TYP, ANTH
Symptoms: Myalgia, Psychotic disorder, Pyrexia
Clinical narrative: Muscle pain, confusion, unable to concentrate, shut down of thyroid (hypothyroidism), mental disorder, unable to make decisions, psychotic, not remembering (or losing memory), fever.
Age: 58.0
Sex: M
Vaccine: PPV, PPV
Symptoms: Atrial fibrillation, Cough, Laboratory test abnormal, Oedema peripheral, Sleep apnoea syndrome
Clinical narrative: Paroxysmal Atrial Fib; now in sinus; question secondary to pneumonia vaccine local reaction to pneumonia vaccine at the injection site. When he presented to the CPC, he received a pneumonia vaccine in the left upper limb, and following that, he underwent a routine EKG, which showed atrial fib with rapid ventricular response. Because of this, the patient was admitted to the Telemetry Unit, but by the time he came to the Telemetry Unit, he was in sinus rhythm, and he remained in sinus rhythm. EKG on admission showed atrial fib, with a ventricular response of 118 beats per minute. The follow up EKG showed normal sinus rhythm, with occasional premature ventricular complexes. The patient had an echocardiogram done on 4/7/04, which showed a technically difficult study, and a mildly dilated aortic rest, with a top normal left atrial chamber size. Well-preserved left ventricular systolic wall motion, with ejection fraction of 50 to 55%. No left ventricular diastolic relaxation abnormality noted. Minimal MR; minimal TR; and a right ventricular systolic pressure of 35, of mercury, suggestive of mild pulmonary hypertension. During the study, the patient was in sinus rhythm. The Telemetry monitoring was sinus rhythm throughout the hospitalization. COURSE IN THE HOSPITAL: The patient was admitted to the medical floor, and discussed with the cardiologist. He advised to start the patient on Atenolol, 25mg, QD and aspirin. No anticoagulation at this time. Please refer to the HAP for detail. The atrial fib was so transient, and this happened after a pneumonia vaccine, and there was a question whether this was related to the pneumonia vaccine. The PDR does not state this as a side effect. The cardiac markers were negative. Telemetry was uneventful. The patient remained in sinus rhythm. The patient was doing fine, except that he developed a local reaction to the pneumonia vaccine at the site where it was given. Please not that the pneumonia vaccine was given far below the deltoid area, and he had induration. Today he has mild redness in that area, but the induration is loosening up. The area is mildly warm, and we decided to start him on oral antibiotics, and NSAIDS, after discussion with the doctor. The patient had a temperature of 100.2 maximum, and this is probably secondary to the pneumonia vaccine. Per my request, there will be a photograph taken of this area, and it will be attached to the computerized chart. From the time of admission, the patient was insisting on discharge, because of his personal business, and today, he was insisting on discharge, and he waws discharged, per his request. The patient was adivsed to stay in the hospital, to address his local reaction to the pneumonia vaccine. CONDITION: The patient's atrial fib has resolved, considered possibly related to his pneumonia vaccine, but this is not well documented in PDR. THe patient has a local reaction to the pneumonia vaccine.
Age: 58.0
Sex: M
Vaccine: PPV, PPV
Symptoms: Wheezing
Clinical narrative: Paroxysmal Atrial Fib; now in sinus; question secondary to pneumonia vaccine local reaction to pneumonia vaccine at the injection site. When he presented to the CPC, he received a pneumonia vaccine in the left upper limb, and following that, he underwent a routine EKG, which showed atrial fib with rapid ventricular response. Because of this, the patient was admitted to the Telemetry Unit, but by the time he came to the Telemetry Unit, he was in sinus rhythm, and he remained in sinus rhythm. EKG on admission showed atrial fib, with a ventricular response of 118 beats per minute. The follow up EKG showed normal sinus rhythm, with occasional premature ventricular complexes. The patient had an echocardiogram done on 4/7/04, which showed a technically difficult study, and a mildly dilated aortic rest, with a top normal left atrial chamber size. Well-preserved left ventricular systolic wall motion, with ejection fraction of 50 to 55%. No left ventricular diastolic relaxation abnormality noted. Minimal MR; minimal TR; and a right ventricular systolic pressure of 35, of mercury, suggestive of mild pulmonary hypertension. During the study, the patient was in sinus rhythm. The Telemetry monitoring was sinus rhythm throughout the hospitalization. COURSE IN THE HOSPITAL: The patient was admitted to the medical floor, and discussed with the cardiologist. He advised to start the patient on Atenolol, 25mg, QD and aspirin. No anticoagulation at this time. Please refer to the HAP for detail. The atrial fib was so transient, and this happened after a pneumonia vaccine, and there was a question whether this was related to the pneumonia vaccine. The PDR does not state this as a side effect. The cardiac markers were negative. Telemetry was uneventful. The patient remained in sinus rhythm. The patient was doing fine, except that he developed a local reaction to the pneumonia vaccine at the site where it was given. Please not that the pneumonia vaccine was given far below the deltoid area, and he had induration. Today he has mild redness in that area, but the induration is loosening up. The area is mildly warm, and we decided to start him on oral antibiotics, and NSAIDS, after discussion with the doctor. The patient had a temperature of 100.2 maximum, and this is probably secondary to the pneumonia vaccine. Per my request, there will be a photograph taken of this area, and it will be attached to the computerized chart. From the time of admission, the patient was insisting on discharge, because of his personal business, and today, he was insisting on discharge, and he waws discharged, per his request. The patient was adivsed to stay in the hospital, to address his local reaction to the pneumonia vaccine. CONDITION: The patient's atrial fib has resolved, considered possibly related to his pneumonia vaccine, but this is not well documented in PDR. THe patient has a local reaction to the pneumonia vaccine.
Age: 58.0
Sex: M
Vaccine: PPV, PPV
Symptoms: Atrial fibrillation, Injection site erythema, Injection site induration, Injection site reaction, Injection site warmth
Clinical narrative: Paroxysmal Atrial Fib; now in sinus; question secondary to pneumonia vaccine local reaction to pneumonia vaccine at the injection site. When he presented to the CPC, he received a pneumonia vaccine in the left upper limb, and following that, he underwent a routine EKG, which showed atrial fib with rapid ventricular response. Because of this, the patient was admitted to the Telemetry Unit, but by the time he came to the Telemetry Unit, he was in sinus rhythm, and he remained in sinus rhythm. EKG on admission showed atrial fib, with a ventricular response of 118 beats per minute. The follow up EKG showed normal sinus rhythm, with occasional premature ventricular complexes. The patient had an echocardiogram done on 4/7/04, which showed a technically difficult study, and a mildly dilated aortic rest, with a top normal left atrial chamber size. Well-preserved left ventricular systolic wall motion, with ejection fraction of 50 to 55%. No left ventricular diastolic relaxation abnormality noted. Minimal MR; minimal TR; and a right ventricular systolic pressure of 35, of mercury, suggestive of mild pulmonary hypertension. During the study, the patient was in sinus rhythm. The Telemetry monitoring was sinus rhythm throughout the hospitalization. COURSE IN THE HOSPITAL: The patient was admitted to the medical floor, and discussed with the cardiologist. He advised to start the patient on Atenolol, 25mg, QD and aspirin. No anticoagulation at this time. Please refer to the HAP for detail. The atrial fib was so transient, and this happened after a pneumonia vaccine, and there was a question whether this was related to the pneumonia vaccine. The PDR does not state this as a side effect. The cardiac markers were negative. Telemetry was uneventful. The patient remained in sinus rhythm. The patient was doing fine, except that he developed a local reaction to the pneumonia vaccine at the site where it was given. Please not that the pneumonia vaccine was given far below the deltoid area, and he had induration. Today he has mild redness in that area, but the induration is loosening up. The area is mildly warm, and we decided to start him on oral antibiotics, and NSAIDS, after discussion with the doctor. The patient had a temperature of 100.2 maximum, and this is probably secondary to the pneumonia vaccine. Per my request, there will be a photograph taken of this area, and it will be attached to the computerized chart. From the time of admission, the patient was insisting on discharge, because of his personal business, and today, he was insisting on discharge, and he waws discharged, per his request. The patient was adivsed to stay in the hospital, to address his local reaction to the pneumonia vaccine. CONDITION: The patient's atrial fib has resolved, considered possibly related to his pneumonia vaccine, but this is not well documented in PDR. THe patient has a local reaction to the pneumonia vaccine.
Age: 58.0
Sex: M
Vaccine: PPV, PPV
Symptoms: Pyrexia
Clinical narrative: Paroxysmal Atrial Fib; now in sinus; question secondary to pneumonia vaccine local reaction to pneumonia vaccine at the injection site. When he presented to the CPC, he received a pneumonia vaccine in the left upper limb, and following that, he underwent a routine EKG, which showed atrial fib with rapid ventricular response. Because of this, the patient was admitted to the Telemetry Unit, but by the time he came to the Telemetry Unit, he was in sinus rhythm, and he remained in sinus rhythm. EKG on admission showed atrial fib, with a ventricular response of 118 beats per minute. The follow up EKG showed normal sinus rhythm, with occasional premature ventricular complexes. The patient had an echocardiogram done on 4/7/04, which showed a technically difficult study, and a mildly dilated aortic rest, with a top normal left atrial chamber size. Well-preserved left ventricular systolic wall motion, with ejection fraction of 50 to 55%. No left ventricular diastolic relaxation abnormality noted. Minimal MR; minimal TR; and a right ventricular systolic pressure of 35, of mercury, suggestive of mild pulmonary hypertension. During the study, the patient was in sinus rhythm. The Telemetry monitoring was sinus rhythm throughout the hospitalization. COURSE IN THE HOSPITAL: The patient was admitted to the medical floor, and discussed with the cardiologist. He advised to start the patient on Atenolol, 25mg, QD and aspirin. No anticoagulation at this time. Please refer to the HAP for detail. The atrial fib was so transient, and this happened after a pneumonia vaccine, and there was a question whether this was related to the pneumonia vaccine. The PDR does not state this as a side effect. The cardiac markers were negative. Telemetry was uneventful. The patient remained in sinus rhythm. The patient was doing fine, except that he developed a local reaction to the pneumonia vaccine at the site where it was given. Please not that the pneumonia vaccine was given far below the deltoid area, and he had induration. Today he has mild redness in that area, but the induration is loosening up. The area is mildly warm, and we decided to start him on oral antibiotics, and NSAIDS, after discussion with the doctor. The patient had a temperature of 100.2 maximum, and this is probably secondary to the pneumonia vaccine. Per my request, there will be a photograph taken of this area, and it will be attached to the computerized chart. From the time of admission, the patient was insisting on discharge, because of his personal business, and today, he was insisting on discharge, and he waws discharged, per his request. The patient was adivsed to stay in the hospital, to address his local reaction to the pneumonia vaccine. CONDITION: The patient's atrial fib has resolved, considered possibly related to his pneumonia vaccine, but this is not well documented in PDR. THe patient has a local reaction to the pneumonia vaccine.
Age: 10.0
Sex: F
Vaccine: HEPA, HEPA
Symptoms: Musculoskeletal stiffness, Paraesthesia
Clinical narrative: Tingling at site of injection, down to fingertips, felt a "zing" across chest when injection given. No other systemic symptoms. No local reaction at site at all. Tingling disappeared after 2 days.
Age: 10.0
Sex: F
Vaccine: HEPA, HEPA
Symptoms: Paraesthesia, Sensory disturbance
Clinical narrative: Tingling at site of injection, down to fingertips, felt a "zing" across chest when injection given. No other systemic symptoms. No local reaction at site at all. Tingling disappeared after 2 days.
Age: 31.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Sinusitis
Clinical narrative: From initial information received on 9/21/04 from the patient regarding an adverse event occurring in the USA, it was reported that a 30 year old female patient received an INFLUENZA VACCINE, lot number and manufacturer were not reported, administered in the arm on approximately 12/18/03. On approximately 12/24/03, the patient developed severe congestion, shortness of breath, difficulty breathing, constipation and chronic fatigue that lasted for months and still continues, but is less severe. The patient had emergency room visits, but was never admitted (dates unknown). She has had IV oxidation treatments. The difficulty breathing, constipation and chronic fatigue continued to persist. The patient reports severe allergies to foods, including eggs, wheat and corn. She has a follow up visit scheduled with a pulmonologist and plans to follow up with another alternative medicine doctor. The patient reported that she is not sure if she received Fluzone or Fluvirin in December 2003. The patient has not recovered from these events. (OMIC) From additional information received on 13OCT2004 from a health care professional, it was reported that the patient experienced symptoms of a "chest cold" on 26DEC2003. She was seen multiple times in the ER and urgent care facilities and underwent a thorough evaluation including an electrocardiogram and a chest x ray , which showed bibasilar atelectasis and infiltrates. Blood work included D. dimer and arterial blood gasses, however, no results were provided. A CT scan of the chest on 15MAR2004 was normal. She has a pulmonary consult and it was felt that she had a respiratory infection, as well as a history of asthma. I was not reported whether the patient recovered from these events.  From additional information received on 8NOV2004 from a health care facility, the patient's consent for influenza vaccine administration was provided. According to the consent, the pt does not have allergies to eggs, chicken , chicken feathers, chicken dander, mercury or thimerosal. In addition, the patient does not have sever latex sensitivity or an acute illness with fever. She did not have a fever within the 24 hours prior to vaccination. Reportedly, she received a dose of Influenza Vaccine, expiration date 30JUN2004 , in the right deltoid. Patient's pulmonologist's contact information was provided. The patient was last seen by the pulmonologist on 1MAR2004. At that time, she was felt to have bronchial asthma, cough and allergic rhino sinusitis. She underwent a chest x ray and a CT scan. Per pulmonologist, the chest xray demonstrated congestion, but was "better than the lat one" and the CT scan was "okay". Cspine x ray obtained on an unspecified date demonstrated soft tissue swelling. PA chest xray, obtained on 4MAR2004, demonstrated atelectasis. Patient's concomitant medicatioons at the time of vaccination included Albuterol, Aerobid, Biaxin, Zithromax and other unspecified antibiotics. The patient did not receive an influenza vaccine last year. No further information is anticipated. The case is considered closed.
Age: 4.0
Sex: F
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Bacterial infection, Dermatitis bullous, Dermatitis exfoliative, Face oedema, Laboratory test abnormal
Clinical narrative: This patient developed probable staphylococcal scalded skin syndrome within 24 hours of receiving these vaccines. She was treated at hospital with an anticipated full recovery. Discharge Summary received on 12/15/2004 states final diagnosis of staph-scalded skin syndrome confirmed. Pt also experienced symptoms of facial edema, facial excoriations, pruritus, blisters and edema of arms and chest, neck pain, fever, emesis, and epidermolysis of neck, chest, bilateral upper extremities, back and buttocks with some sloughing noted.
Age: 4.0
Sex: F
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Oedema, Pain, Pruritus, Pyrexia, Skin disorder
Clinical narrative: This patient developed probable staphylococcal scalded skin syndrome within 24 hours of receiving these vaccines. She was treated at hospital with an anticipated full recovery. Discharge Summary received on 12/15/2004 states final diagnosis of staph-scalded skin syndrome confirmed. Pt also experienced symptoms of facial edema, facial excoriations, pruritus, blisters and edema of arms and chest, neck pain, fever, emesis, and epidermolysis of neck, chest, bilateral upper extremities, back and buttocks with some sloughing noted.
Age: 4.0
Sex: F
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Vomiting
Clinical narrative: This patient developed probable staphylococcal scalded skin syndrome within 24 hours of receiving these vaccines. She was treated at hospital with an anticipated full recovery. Discharge Summary received on 12/15/2004 states final diagnosis of staph-scalded skin syndrome confirmed. Pt also experienced symptoms of facial edema, facial excoriations, pruritus, blisters and edema of arms and chest, neck pain, fever, emesis, and epidermolysis of neck, chest, bilateral upper extremities, back and buttocks with some sloughing noted.
Sex: M
Vaccine: PPV, PPV
Symptoms: Cough, Dyspnoea, Laboratory test abnormal, Pyrexia
Clinical narrative: Patient received Pneumovax 8/23/04. Normal physical exam and CXR at physician's office. Next morning, 5:30 AM, awakened with labored breathing, cough, and temp of 103 degrees F. Patient hospitalized. Infiltrates appeared on CXR. Within 24 hours, patient was afebrile and patient was discharged.
Sex: M
Vaccine: PPV, PPV
Symptoms: Cough, Dyspnoea, Pyrexia
Clinical narrative: Patient received Pneumovax 8/23/04. Normal physical exam and CXR at physician's office. Next morning, 5:30 AM, awakened with labored breathing, cough, and temp of 103 degrees F. Patient hospitalized. Infiltrates appeared on CXR. Within 24 hours, patient was afebrile and patient was discharged.
Age: 50.0
Sex: F
Vaccine: FLUX
Symptoms: Abnormal behaviour, Amnesia, Chills, Convulsion, Diplopia
Clinical narrative: On Thursday, 10/30/03, I had received a flu vaccine while on the job. The injection was given IM by the nurse. Immediately after I had received the injection, I began to feel very ill. A cold chill went through my body and I had to sit down in the pharmacy. The next day, 10/31/03, I was not able to get off the sofa at my home. I was not required to go to work until 11/5/03. I had then began to feel somewhat better, however, I still had a persistent headache. Then, on 11/6/03, I had such a severe headache I could not hold my head up. My friend drove me to the emergency room. The diagnosis at the ER was that I had the flu and a urinary tract infection and I was sent home with Levaquin 400mg for 4 days. My friend had informed the hospital that I have had a history of genital herpes, and that I did not have an outbreak at that time. I was then sent home from the hospital in the care of my mother and brother. The severe headache gradually got better, however, I developed double vision for part of the next day, 11/7 and was severely vomiting. I gradually began to feel better from 11/8 to 11/14, and returned to work on 11/16. I continued to have a dull headache and some neck pain and tingling in my fingers. On 12/10 I went to see the doctor. I explained my symptoms to the doctor and he suggested that I see a neurologist. The doctor told me that he though I had viral encephalitis. While I was at work on 12/14/03, I was transposing numbers on the computer. Suddenly, the telephone rang in the pharmacy but I picked up the stapler and was talking to it. I was immediately taken to the hospital. After a spinal tap was done, I was diagnosed as having herpes simplex encephalitis. While in the hospital for 4 days, I was given Acyclovir 550mg IV every 8 hours and was then sent home on this same medication through 12/24. I have enclosed documentation from the hospital. I am currently seeing a doctor. I am also seeing a neurologist at the hospital. Currently, I am going to speech therapy 3 times weekly. Soon I will begin to do work simulation at the rehab center. I hope to return to my job as a pharmacist soon.  Per the annual follow up report I am still taking Depatkote ER, I am taking Zovirax daily also. I truly believe that anyone who has active cold sore virus or herpes simplex should not receive a flu vaccine. Also whether the herpes is active or not active do not receive a flu vaccine. Once you have had herpes virus it is always in your system. I believe the flu vaccine activates a dormant herpes virus and causes a terrible reaction. When I received the flu vaccine I became very ill afterward. I then had a seizure and was hospitalized for 3 days. I had one year of speech therapy for memory loss. I am presently working 30 hours a week as a pharmacist.
Age: 50.0
Sex: F
Vaccine: FLUX
Symptoms: Encephalitis, Headache, Herpes simplex, Influenza, Malaise
Clinical narrative: On Thursday, 10/30/03, I had received a flu vaccine while on the job. The injection was given IM by the nurse. Immediately after I had received the injection, I began to feel very ill. A cold chill went through my body and I had to sit down in the pharmacy. The next day, 10/31/03, I was not able to get off the sofa at my home. I was not required to go to work until 11/5/03. I had then began to feel somewhat better, however, I still had a persistent headache. Then, on 11/6/03, I had such a severe headache I could not hold my head up. My friend drove me to the emergency room. The diagnosis at the ER was that I had the flu and a urinary tract infection and I was sent home with Levaquin 400mg for 4 days. My friend had informed the hospital that I have had a history of genital herpes, and that I did not have an outbreak at that time. I was then sent home from the hospital in the care of my mother and brother. The severe headache gradually got better, however, I developed double vision for part of the next day, 11/7 and was severely vomiting. I gradually began to feel better from 11/8 to 11/14, and returned to work on 11/16. I continued to have a dull headache and some neck pain and tingling in my fingers. On 12/10 I went to see the doctor. I explained my symptoms to the doctor and he suggested that I see a neurologist. The doctor told me that he though I had viral encephalitis. While I was at work on 12/14/03, I was transposing numbers on the computer. Suddenly, the telephone rang in the pharmacy but I picked up the stapler and was talking to it. I was immediately taken to the hospital. After a spinal tap was done, I was diagnosed as having herpes simplex encephalitis. While in the hospital for 4 days, I was given Acyclovir 550mg IV every 8 hours and was then sent home on this same medication through 12/24. I have enclosed documentation from the hospital. I am currently seeing a doctor. I am also seeing a neurologist at the hospital. Currently, I am going to speech therapy 3 times weekly. Soon I will begin to do work simulation at the rehab center. I hope to return to my job as a pharmacist soon.  Per the annual follow up report I am still taking Depatkote ER, I am taking Zovirax daily also. I truly believe that anyone who has active cold sore virus or herpes simplex should not receive a flu vaccine. Also whether the herpes is active or not active do not receive a flu vaccine. Once you have had herpes virus it is always in your system. I believe the flu vaccine activates a dormant herpes virus and causes a terrible reaction. When I received the flu vaccine I became very ill afterward. I then had a seizure and was hospitalized for 3 days. I had one year of speech therapy for memory loss. I am presently working 30 hours a week as a pharmacist.
Age: 50.0
Sex: F
Vaccine: FLUX
Symptoms: Neck pain, Paraesthesia, Urinary tract infection, Vomiting
Clinical narrative: On Thursday, 10/30/03, I had received a flu vaccine while on the job. The injection was given IM by the nurse. Immediately after I had received the injection, I began to feel very ill. A cold chill went through my body and I had to sit down in the pharmacy. The next day, 10/31/03, I was not able to get off the sofa at my home. I was not required to go to work until 11/5/03. I had then began to feel somewhat better, however, I still had a persistent headache. Then, on 11/6/03, I had such a severe headache I could not hold my head up. My friend drove me to the emergency room. The diagnosis at the ER was that I had the flu and a urinary tract infection and I was sent home with Levaquin 400mg for 4 days. My friend had informed the hospital that I have had a history of genital herpes, and that I did not have an outbreak at that time. I was then sent home from the hospital in the care of my mother and brother. The severe headache gradually got better, however, I developed double vision for part of the next day, 11/7 and was severely vomiting. I gradually began to feel better from 11/8 to 11/14, and returned to work on 11/16. I continued to have a dull headache and some neck pain and tingling in my fingers. On 12/10 I went to see the doctor. I explained my symptoms to the doctor and he suggested that I see a neurologist. The doctor told me that he though I had viral encephalitis. While I was at work on 12/14/03, I was transposing numbers on the computer. Suddenly, the telephone rang in the pharmacy but I picked up the stapler and was talking to it. I was immediately taken to the hospital. After a spinal tap was done, I was diagnosed as having herpes simplex encephalitis. While in the hospital for 4 days, I was given Acyclovir 550mg IV every 8 hours and was then sent home on this same medication through 12/24. I have enclosed documentation from the hospital. I am currently seeing a doctor. I am also seeing a neurologist at the hospital. Currently, I am going to speech therapy 3 times weekly. Soon I will begin to do work simulation at the rehab center. I hope to return to my job as a pharmacist soon.  Per the annual follow up report I am still taking Depatkote ER, I am taking Zovirax daily also. I truly believe that anyone who has active cold sore virus or herpes simplex should not receive a flu vaccine. Also whether the herpes is active or not active do not receive a flu vaccine. Once you have had herpes virus it is always in your system. I believe the flu vaccine activates a dormant herpes virus and causes a terrible reaction. When I received the flu vaccine I became very ill afterward. I then had a seizure and was hospitalized for 3 days. I had one year of speech therapy for memory loss. I am presently working 30 hours a week as a pharmacist.
Age: 4.0
Sex: M
Vaccine: FLU3, MMR
Symptoms: Cough, Erythema, Lethargy
Clinical narrative: Lethargy, Diffuse erythema, Coughing
Age: 14.0
Sex: F
Vaccine: FLU3, TD
Symptoms: Convulsion
Clinical narrative: Seizure activity x 2 @ 6AM upon waking. Slept x 4 hours : fine now. Seizure medication level pending.  Nurse follow up on 10/30/04 states: "There are no new information."
Age: 1.4
Sex: F
Vaccine: HEP, VARCEL
Symptoms: Rash
Clinical narrative: Rash, abdomen, back spreading to legs and arms.
Age: 72.0
Sex: M
Vaccine: TD
Symptoms: Headache
Clinical narrative: Severe headache that has continued. Has been to doctors. has had CT scan. No source of HA has been found. Headache began about two days after Td
Age: 12.0
Sex: F
Vaccine: MMR
Symptoms: Fatigue, Lymphadenopathy, Pallor, Pharyngolaryngeal pain, Pyrexia
Clinical narrative: 9/2 came home from school tired and slight fever event up to 100 degrees and vomited 1 time, fever maintained 1 week. Treated with Ibuprofen. 94 degrees; lump under left ear lobe, glands swollen. Sore throat and mouth white. Went to doctor on 9/15/04 and was given Penicillin 3x day 250 mg 3 tabs. Out of school for two weeks.
Age: 12.0
Sex: F
Vaccine: MMR
Symptoms: Vomiting
Clinical narrative: 9/2 came home from school tired and slight fever event up to 100 degrees and vomited 1 time, fever maintained 1 week. Treated with Ibuprofen. 94 degrees; lump under left ear lobe, glands swollen. Sore throat and mouth white. Went to doctor on 9/15/04 and was given Penicillin 3x day 250 mg 3 tabs. Out of school for two weeks.
Age: 18.0
Sex: F
Vaccine: MEN
Symptoms: Convulsion
Clinical narrative: Pt reported a seizure that occurred AM of 9/12/04, had been drinking alcohol, unknown quantitiy. Stayed night in a hotel, unknown duration of seizure.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Feeling hot, Injection site induration, Pruritus, Tenderness
Clinical narrative: Right arm tenderness ++, localized reaction, warm to touch, and induration and noticeable itching.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema
Clinical narrative: Approximately 2:30 9/13 received DTaP, MMR , IPV. Woke up 9/15 with redness to left arm. Came to our office. Diagnosed with local reaction.
Age: 1.8
Sex: F
Vaccine: DTAP, VARCEL
Symptoms: Cellulitis, Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Received DTaP and Varivax approximately 9:30 am 9/14/04. Mom called office approximately 11AM 9/17/04 with swelling, redness and warmth at injection site. Evaluated here and placed on Augmentin for cellulitis.
Age: 0.36
Sex: M
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Drooling, Dyskinesia, Musculoskeletal stiffness
Clinical narrative: Drooling and jerking x 1-2 minutes. Stiffness.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Genitalia external painful, Infection, Lymphadenopathy
Clinical narrative: Infection in left leg, approximately 3" x  6". Lumps in groin area, very painful.
Age: 1.02
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Febrile convulsion
Clinical narrative: Febrile convulsion, very brief around 2 min. Seen at ER.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Feeling hot, Swelling
Clinical narrative: Left arm swollen and moderate entire upper arm with redness and warmth. Treated with Augmentin.
Age: 0.36
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Convulsion, Crying
Clinical narrative: Dad describes past S2  post vaccination. Child place DL hand behind head and was twisted right and odd cry. Recovered and then had another few second episode. Taken to ED. nl exam.
Age: 37.0
Sex: F
Vaccine: DT
Symptoms: Injection site erythema, Injection site mass, Injection site pain, Injection site swelling
Clinical narrative: pt called 9/20 to complain of swelling, redness, pain at site of injection. States had a "hard lump" under skin. No increase in temp. No other sxs. Had injection 9/16/04.
Age: 54.0
Sex: U
Vaccine: TD
Symptoms: Injection site pain, Injection site swelling, Pain, Pyrexia
Clinical narrative: TD vaccine was administered to employee's left deltoid on 9/15/04 at 9am. Employee informed me on 9/20/04 about her reaction. For two days 9/16 and 9/17 , she had swollen and painful injection site, body ache, low grade fever (no temp taken) Did not seek medical attention. , nor informed me until 9/20/04. No fever , no body ache, site soft and normal in skin color.
Age: 68.0
Sex: F
Vaccine: TD
Symptoms: Erythema, Feeling hot, Pruritus, Tenderness
Clinical narrative: On 9/12 began to develop redness from left shoulder to left elbow. On 9/13 this area red, not touch , sore. By 9/14 area still warm, red; less sore, but itchy. Advise to consult with doctor. Will see later this month.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Blister, Erythema, Feeling hot, Skin exfoliation, Swelling
Clinical narrative: Mother reported that on 9/3 in am, child was noted to have redness,warmth and swelling to left leg. Swelling from knee to groin. Hands were also red and swollen with blisters on fingers. Per hx, pt also had fever x 24 hours. Hands peeling over  next 2-3 days.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Feeling hot, Injection site induration
Clinical narrative: Left upper arm erythematous 4 inch area with 3 inch induration. Warm to touch. No history of fevers. No medication. Pt in office for routine physical. Given DTaP 9/13/04.
Age: 3.0
Sex: F
Vaccine: VARCEL
Symptoms: Rash
Clinical narrative: Postulant rash on body.
Age: 1.09
Sex: F
Vaccine: MMR
Symptoms: Contusion, Injury, Rash pruritic, Thrombocytopenia
Clinical narrative: Pt received MMR approximately x2 weeks prior to presenting on 08/27/04 with bruising on legs and arms without apparel trauma. Pt also fell on 08/26/04 and has a bruise in right forehead. Also has pruritic rash on buttocks x 1week.
Age: 12.0
Sex: F
Vaccine: TD
Symptoms: Rash
Clinical narrative: Child received Td shot 6/14/2004 and mother states she developed rash all over body 3 days later
Age: 0.64
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Irritability, Pyrexia
Clinical narrative: Fever high 102 with apical pulse 160's PM of 9/15/04 with fussiness. Fever and increased react rate continues and still present on 9/20/04 with temp 99-101 and HR 120-124 as of 9/20/04 child still had fever.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Cellulitis
Clinical narrative: Pt received shots on 2/29/04. Reportedly received on visit and Dx'd/Tx'd for cellulitis at injection site. Pt has not been seen for follow up.
Age: 56.0
Sex: F
Vaccine: PPV
Symptoms: Agitation, Cellulitis, Dyspnoea, Erythema, Headache
Clinical narrative: cellulitis developed 24 hr after injection, admitted to hospital for IV antibiotic therapy 48 hr after immunization.  R arm swollen, nauseated, ill felling; pain, but no lymphadenopathy in R axilla; extensive erythema and edema in right upper arm.  Temp 97.5; pulse 64; resp. 16; BP 127/81.  Nurse follow up on 10/05/04 states: "Confirmed diagnosis of cellulitis following pneumovax and allergy shot in R arm. Agitation, shortness of breath, and headache to symptoms." Per annual report-Upon review of discharge summary, noted that patient also had received an unspecified "allergy shot" in same arm when pneumovax was administered. DC summary states that patient was responding well to presumed cellulitis caused by staph or strep.