chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 60.0
Sex: F
Vaccine: TDAP
Symptoms: Lymphadenopathy, Myalgia
Clinical narrative: Initial report received on 7/6/06 from the pt's husband. A 59 year old female pt had received her 1st dose of Adacel, lot C2491AA, in the left deltoid on 6/26/06. The route of administration was not reported. Reportedly, the pt has a past medical history of 2 TIA's without any residual effect, Type II Diabetes Mellitus, and hyperlipidemia. The pt is foreign born with an unknown immunization history. The pt was taking Aspirin 81mg, Altace and Pravachol, at the time of the vaccination. Two days, post-immunization, the pt developed local reaction of erythema and swelling at the injection site, in the left deltoid, chest pain, back pain, myalgia, fatigue and swollen lymph nodes under the left arm. The pt was evaluated by a cardiologist on 6/30/06 and reportedly, the exam was negative. The erythema and swelling resolved at an unspecified amount of time later. The recovery status of the pt was reported as unknown. (OMIC)
Age: 66.0
Sex: F
Vaccine: PPV
Symptoms: Feeling hot, Injection site hypersensitivity, Injection site oedema, Injection site pain
Clinical narrative: Information has been received from a general practitioner concerning a 66 year old female with a history of pituitary adenoma, diabetes insipidus, pituitary hormone deficiency, pancreatitis, chronic obstructive pulmonary disease, allergic rhinoconjunctivitis and nephrolithiasis who on 16 June 2006, was vaccinated (route unknown) in the left upper arm with a dose of pneumococcal 23v polysaccharide vaccine (Lot # 650833/0882P, Batch # NC72130). About twelve hours later, she developed severe swelling of the whole left upper arm including the elbow joint, with redness, warmth and severe pain in this arm. She had to call the emergency doctor, who administered cooling and prescribed ciprofloxacin. The outcome was not reported. No further information is available. (OMIC)
Age: 1.0
Sex: F
Vaccine: MMR
Symptoms: Balance disorder, Convulsion, Pyrexia, Speech disorder
Clinical narrative: Information has been received from a licensed practical nurse (LPN) concerning her 12 month old daughter with an allergy to "claferin" and a history of kidney reflux as a newborn, who in June 2004, at one year of age, was vaccinated with a dose of measles virus vaccine live (+) mumps virus vaccine live (+) rubella virus vaccine live (lot number unspecified). Concomitant therapy included acetaminophen (TYLENOL). Within an hour of receiving the vaccination, the patient developed a high fever which was treated with acetaminophen (TYLENOL). The fever remained high and the patient experienced seizures 4 to 5 hours after vaccination. The patient was not hospitalized but treated at an after hours clinic associated with the hospital. It was noted that routine blood work was performed but no results were reported. The fever remitted after 1 week but the patient had speech and balance problems that lasted 1 month. The patient fully recovered in July 2004. The reporter considered the adverse experiences to be disabling. Additional information has been requested. It was mentioned that this case was reported to VAERS at the time of occurrence.
Age: 55.0
Sex: M
Vaccine: TDAP
Symptoms: Headache, Laboratory test abnormal, Meningitis aseptic, Mental impairment, Nausea
Clinical narrative: On 07/05/2006, severe headache, nausea, vomiting decreased mentation and unable to work.8/11/06 Received medical records from hospital which reveal patient admitted 7/5/06 w/dx: aseptic meningitis, thrombophlebitis at PICC line site, thrush, hyponatremia.  Patient is a physician, opththalmologist.  PMH: antiphospholipid antibody syndrome, mixed collagen vascular disease, GERD, anxiety, MVP, pericarditis, diverticulosis & coagulopathy.  Headaches progressed from 6/29 until admission.  Temp max 100.8.  Received antibiotics & antivirals until all c/s were neg.  D/C home on 7/11/06 on oral antibiotics & anticoagulants.  Patient was improved but still required Dilaudid for HA pain on d/c.  Consults done for ID, neuro, heme/ss
Age: 55.0
Sex: M
Vaccine: TDAP
Symptoms: Pyrexia, Vomiting
Clinical narrative: On 07/05/2006, severe headache, nausea, vomiting decreased mentation and unable to work.8/11/06 Received medical records from hospital which reveal patient admitted 7/5/06 w/dx: aseptic meningitis, thrombophlebitis at PICC line site, thrush, hyponatremia.  Patient is a physician, opththalmologist.  PMH: antiphospholipid antibody syndrome, mixed collagen vascular disease, GERD, anxiety, MVP, pericarditis, diverticulosis & coagulopathy.  Headaches progressed from 6/29 until admission.  Temp max 100.8.  Received antibiotics & antivirals until all c/s were neg.  D/C home on 7/11/06 on oral antibiotics & anticoagulants.  Patient was improved but still required Dilaudid for HA pain on d/c.  Consults done for ID, neuro, heme/ss
Age: 0.32
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Apnoea, Autopsy, Cardio-respiratory arrest, Chromosome abnormality, Decreased appetite
Clinical narrative: Fussiness all night, became apneoic on the way to ER. CP arrest on arrival to ER, died at 13:50 7/2/06. 7/17/06 Received provisional autopsy report which revealed COD as sudden unexplained infant death.  Pathologic dx of cardiomegaly.  7/27/06 Received medical records from PCP which reveal patient had normal c-section delivery.  Newborn blood screen revealed acylcamitine profile abnormality & was referry to genetists.  Had frequent spitting up & runny nose.  On day of vax, had diarrhea, diaper rash & continued to spit up.  Had been fussy for several days with decreased appetite & episode of emesis. PCP sent patient to ER & arrested on the way.  7/27/06 Arrived at ER in full arrest & resuscitation was unsuccessful.  7/5/07 Received t/c from coroner stating has received final autopsy report & will mail copy to VAERS.  States COD as SUDS.  Also stated 2nd child in family died approx 2 wks ago from apparent cardiac condition as heart size was approx 2x normal.  ALthough suspicious, deaths are probably unrelated. 7/11/07-final autopsy report received-COD-Sudden Unexplained Infant Death Syndrome.  Parent stated patient had been irritable all day & had wheezing & difficulty breathing.  Parent took to ER where patient was found to be unresponsive. Intubated w/much effort due to very swollen trachea & resuscitation efforts were unsuccessful.
Age: 0.32
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Diarrhoea, Infantile spitting up, Irritability, Pathology test, Rhinorrhoea
Clinical narrative: Fussiness all night, became apneoic on the way to ER. CP arrest on arrival to ER, died at 13:50 7/2/06. 7/17/06 Received provisional autopsy report which revealed COD as sudden unexplained infant death.  Pathologic dx of cardiomegaly.  7/27/06 Received medical records from PCP which reveal patient had normal c-section delivery.  Newborn blood screen revealed acylcamitine profile abnormality & was referry to genetists.  Had frequent spitting up & runny nose.  On day of vax, had diarrhea, diaper rash & continued to spit up.  Had been fussy for several days with decreased appetite & episode of emesis. PCP sent patient to ER & arrested on the way.  7/27/06 Arrived at ER in full arrest & resuscitation was unsuccessful.  7/5/07 Received t/c from coroner stating has received final autopsy report & will mail copy to VAERS.  States COD as SUDS.  Also stated 2nd child in family died approx 2 wks ago from apparent cardiac condition as heart size was approx 2x normal.  ALthough suspicious, deaths are probably unrelated. 7/11/07-final autopsy report received-COD-Sudden Unexplained Infant Death Syndrome.  Parent stated patient had been irritable all day & had wheezing & difficulty breathing.  Parent took to ER where patient was found to be unresponsive. Intubated w/much effort due to very swollen trachea & resuscitation efforts were unsuccessful.
Age: 0.32
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Sudden infant death syndrome, Vomiting
Clinical narrative: Fussiness all night, became apneoic on the way to ER. CP arrest on arrival to ER, died at 13:50 7/2/06. 7/17/06 Received provisional autopsy report which revealed COD as sudden unexplained infant death.  Pathologic dx of cardiomegaly.  7/27/06 Received medical records from PCP which reveal patient had normal c-section delivery.  Newborn blood screen revealed acylcamitine profile abnormality & was referry to genetists.  Had frequent spitting up & runny nose.  On day of vax, had diarrhea, diaper rash & continued to spit up.  Had been fussy for several days with decreased appetite & episode of emesis. PCP sent patient to ER & arrested on the way.  7/27/06 Arrived at ER in full arrest & resuscitation was unsuccessful.  7/5/07 Received t/c from coroner stating has received final autopsy report & will mail copy to VAERS.  States COD as SUDS.  Also stated 2nd child in family died approx 2 wks ago from apparent cardiac condition as heart size was approx 2x normal.  ALthough suspicious, deaths are probably unrelated. 7/11/07-final autopsy report received-COD-Sudden Unexplained Infant Death Syndrome.  Parent stated patient had been irritable all day & had wheezing & difficulty breathing.  Parent took to ER where patient was found to be unresponsive. Intubated w/much effort due to very swollen trachea & resuscitation efforts were unsuccessful.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Cellulitis, Erythema, Pain, Swelling
Clinical narrative: Right upper thigh cellulitis going into knee. Put in hospital and given IV antibiotics, released in 24 hours.  7/18/06 Medical records from hospital received which reveal patient w/cellulitis of right lower extremity which involved swelling & erythema and painful knee extension & flexion.  Hospitalized for antibiotics w/rapid resolution of all symptoms.  Discharged home on oral antibiotics for 10 days but on day 9 developed hives & antibiotics were d/c'd.  Blood c/s were neg.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Blister, Cellulitis, Injection site erythema, Injection site swelling
Clinical narrative: 48 hours after administration of IPV and Dtap to left arm, there was swelling and redness noted. The patient was taken to the emergency department, diagnosed with cellulitis and started on oral antibiotics. Symptoms progressed with 2 blisters forming. 12 hours later she returned to the emergency department with greater than 50% of arm red with 2 blisters. This required admission for less than 24 hours, treatment with one dose IV antibiotic and then 10 day oral course, with resolution.
Age: 4.0
Sex: M
Vaccine: MNQ, TD
Symptoms: Nausea, Vomiting
Clinical narrative: Patient experienced nausea and vomiting 10 to 15 minutes after injection, which lasted approximately 20 to 30 minutes. No nausea, vomiting or diarrhea prior to immunization.
Age: 27.0
Sex: F
Vaccine: TDAP
Symptoms: Chills, Decreased activity, Headache, Oedema peripheral, Pain
Clinical narrative: Shot given 06/29/06, after which her arm became sore and then became swollen. On 06/30/06, the patient vomited twice, had body aches, chills, and a temperature of 101.3 degrees. By 07/01/06, she had a headache and sore arm. She was better by 07/02/06. Had adacel 6/29/06; 6/30/06 had sore arm, swollen , fever of 101.3 degrees, body aches, dull, recovered by 7-2-06.
Age: 27.0
Sex: F
Vaccine: TDAP
Symptoms: Pain in extremity, Pyrexia, Vomiting
Clinical narrative: Shot given 06/29/06, after which her arm became sore and then became swollen. On 06/30/06, the patient vomited twice, had body aches, chills, and a temperature of 101.3 degrees. By 07/01/06, she had a headache and sore arm. She was better by 07/02/06. Had adacel 6/29/06; 6/30/06 had sore arm, swollen , fever of 101.3 degrees, body aches, dull, recovered by 7-2-06.
Age: 59.0
Sex: F
Vaccine: HEPAB, TDAP
Symptoms: Rash, Rash macular, Stomach discomfort
Clinical narrative: Approximately 2 hours post immunization, the patient states she had blotch rash around her neck and upper body. "Beginnings of hives". No shortness of breath. Went to allergist, was given single dose of singular and the symptoms subsided. States she had upset stomach for 2 days, but better now.
Age: 14.0
Sex: F
Vaccine: TDAP
Symptoms: Erythema, Pallor, Urticaria
Clinical narrative: Left arm lateral surface 3 concentric circles with erythematous borders, welts, blanching of an area approximately 5" x 3", that is nontender.
Age: 17.0
Sex: F
Vaccine: MNQ
Symptoms: Alopecia
Clinical narrative: Patient had pre-existing small spot of vitiligo for 3 years on the right chest. Patient got vaccine on 7/11/2005 in the left arm, five months later patient got 2 areas of alopecia on back of head, with increasing patches of hair loss and generalized hair thinning over the next 6 months.
Age: 16.0
Sex: M
Vaccine: MNQ
Symptoms: Alopecia
Clinical narrative: The patient had, unknown to him until seen by a dermatologist, a pre-existing but static site of alopecia for years on his lower left leg. Sometime after December 2005, he noticed hair loss on his head. It progressed and he was seen on 3/3/06 by the reporting physician. The hair loss has progressed steadily since then.
Age: 54.0
Sex: F
Vaccine: FLU3
Symptoms: Blood creatine phosphokinase increased, Injection site pain, Muscular weakness
Clinical narrative: Patient feels pain at the injection site, left arm deltoid region, with tenderness to the "touch or pressure" and weakness of elevation of the left arm. No atrophy. Presented on 05/17/06; improving on Diclofenac 75 mg twice daily.
Age: 12.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site erythema, Injection site warmth
Clinical narrative: A 2 x 2 1/4 area of erythema and warmth a site of vaccination, no induration. Given a prescription for cephalexin 500mg twice day for 7 days.
Age: 48.0
Sex: M
Vaccine: ANTH
Symptoms: Agitation, Amnesia, Arthralgia, Asthenia, Back pain
Clinical narrative: Having muscle aches, agitation, leg cramps, blood pressure varies, depression, energy loss, headaches, impotence, insomnia, memory loss, leg pain, lower back pain, lower back skin rashes, infection with rash, herpes simplex, pain in shoulder and hips and leg.
Age: 48.0
Sex: M
Vaccine: ANTH
Symptoms: Cardiovascular disorder, Depression, Erectile dysfunction, Headache, Herpes simplex
Clinical narrative: Having muscle aches, agitation, leg cramps, blood pressure varies, depression, energy loss, headaches, impotence, insomnia, memory loss, leg pain, lower back pain, lower back skin rashes, infection with rash, herpes simplex, pain in shoulder and hips and leg.
Age: 48.0
Sex: M
Vaccine: ANTH
Symptoms: Infection, Insomnia, Muscle spasms, Myalgia, Pain
Clinical narrative: Having muscle aches, agitation, leg cramps, blood pressure varies, depression, energy loss, headaches, impotence, insomnia, memory loss, leg pain, lower back pain, lower back skin rashes, infection with rash, herpes simplex, pain in shoulder and hips and leg.
Age: 48.0
Sex: M
Vaccine: ANTH
Symptoms: Rash
Clinical narrative: Having muscle aches, agitation, leg cramps, blood pressure varies, depression, energy loss, headaches, impotence, insomnia, memory loss, leg pain, lower back pain, lower back skin rashes, infection with rash, herpes simplex, pain in shoulder and hips and leg.
Age: 0.43
Sex: F
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Dyskinesia
Clinical narrative: Patient's mother called 2.5 hours after immunization appointment, complaining child having 4 episodes of body jerking during sleep, since injection. Physician referred client to health department. Patient sent to emergency room for possible seizures. Evaluated in emergency room for possible seizure, but not sure because she was ver coherent after. Mother instructed to monitor and return to emergency room if another episode occurred.
Age: 3.0
Sex: M
Vaccine: IPV, MMR, VARCEL
Symptoms: Infection
Clinical narrative: Patient developed varicella verified by emergency room.
Age: 17.0
Sex: F
Vaccine: RAB
Symptoms: Cold sweat, Nausea, Pallor, Syncope, Vomiting
Clinical narrative: In lobby patient became faint, clammy and pale, with nausea and vomiting a small amount of clear liquid. She ate breakfast at 6:10 AM, lunch was a bag of chips. She had drank little amount of fluids during the day. (Blood pressure 113/70;Heart Rate 65) Rescue squad called their assessment and EKG were normal. Mother declined having daughter transported to emergency room, she elect to see PMD the next day. Mother reported daughter being evaluated for cardiac issues by PMD. Third rabies shot not given on advise of clinic.
Age: 0.17
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Crying, Irritability, Pyrexia
Clinical narrative: Experienced high pitched crying day of vaccines, as well as day after. Developed fever of 102. Extremely fussy. Fever is related to vaccination and was diagnosed on 06/16/2006.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Patient has redness and swelling to injection site. The area is 4.5 cm x 6 cm on the left deltoid.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site pain, Injection site swelling
Clinical narrative: Right thigh swollen, tender but has no warmth, fever or redness.
Age: 0.22
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Hyperhidrosis, Pallor, Tremor
Clinical narrative: Patient got shaky, pale and had diaphoresis soon after the shoots. Got better after 45 seconds.
Age: 1.02
Sex: M
Vaccine: HIBV, MMR, PNC
Symptoms: Erythema, Nausea, Pyrexia, Rash papular
Clinical narrative: Approximately 9 days after vaccine given, on 07/06/2006, developed a fever of 101 degrees Fahrenheit, small erythematous papular rash. Complained of mild nausea now queasy, likely secondary to MMR.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site hypersensitivity, Injection site induration, Injection site oedema
Clinical narrative: Forty eight hours after receiving vaccine in the left arm, arm found to be red with slight swelling, slightly indurated but not painful. Treated for cellulitis by covering doctor with full resolution.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site pain
Clinical narrative: Forty eight hours after vaccination, left upper arm tender. No redness or swelling, otherwise well. Treated by covering doctor with oral antibiotics, resolution in 48 hours.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Cellulitis, Injection site hypersensitivity, Injection site oedema, Injection site pain
Clinical narrative: Forty hours after vaccine, right arm became red, swollen and painful. Patient was taken to the emergency room and diagnosed with cellulitis and treated with oral antibiotics, with resolution.
Age: 1.13
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Rash
Clinical narrative: Bumps on back, arms and bottom for 2 days.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site hypersensitivity, Injection site oedema, Irritability
Clinical narrative: Red and swollen left arm, onset 06/29/2006, with a duration of 2 days ending on 07/01/2006. Had no fever but was irritable. Treated with Benadryl (1 teaspoon every 4 hours for 2 days) and Acetaminophen (2 tablets every 4 hrs for 1 day).
Sex: F
Vaccine: VARCEL
Symptoms: Cough, Eye irritation, Eye swelling, Urticaria
Clinical narrative: At 11:40, patient presented with hives, coughing, eyes swollen, and itching. Patient was taken to treatment room and given PO Benadryl 5mL and subsequently given Epi 0.2mL in right arm after 5 minutes. Rash started to diminish and stopped itching and coughing. Patient taken to ER for observation accompanied by mom, doctor and RN.
Age: 0.54
Sex: M
Vaccine: DTAP, HIBV, PNC
Symptoms: Urticaria
Clinical narrative: Urticaria, severe.
Age: 8.0
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Blister, Headache, Pyrexia
Clinical narrative: 8 year old female presented with fever and vesicle in back of left ear, on scalp, and forehead. 2-3 vesicles on back and abdomen. Also complained of headache. T 100.7 PO.
Age: 1.12
Sex: M
Vaccine: HIBV, MMR, PNC, VARCEL
Symptoms: Contusion, Erythema, Injection site warmth
Clinical narrative: 6/22/06: Patient received MMR, Varicella, PCV7 and HIB. 6/22/06: At 5 PM, noted bruising, redness, and warmth at left thigh. Patient fretful, hot reaction, bruising, redness and warmth at lateral left thigh radiating up to buttock and down to knee.
Age: 28.0
Sex: M
Vaccine: HEPA
Symptoms: Headache
Clinical narrative: Several days after vaccination, had a prolonged, multi-day headache. The headache lasted approximately 3 to 4 days following initial symptoms and was treated with OTC pain relievers.
Age: 34.0
Sex: M
Vaccine: YF
Symptoms: Injection site reaction, Pruritus, Urticaria
Clinical narrative: pt had yellow fever vaccine, after arriving home dev itching around site of vaccine, then dev hives on back neck, no constriction of throat, trouble breathing - returned to health center at 1235 and seen by doctor at 1240; received benadryl 50 mg at 1255
Age: 29.0
Sex: M
Vaccine: ANTH, SMALL, TYP
Symptoms: Diarrhoea, Injection site erythema, Injection site swelling, Pharyngolaryngeal pain, Pyrexia
Clinical narrative: Patient received Anthrax vaccine among other vaccinations on 7/6/06. On 7/8/06 began having sx. of scratchy throat, diarrhea, and low grade fever with temp up to 101.1. 7/11/06 returned to clinic with continuation of sx. Low grade temperature of 99.3. Vaccination site R anterior upper arm with 1 by 1.5 inch dark erythematous area and 3 by 3.5 inch light erythematous area present with mild swelling. Diagnosed with URI and Anthrax reaction. Placed on quarters for 48 hours, Tessalon pearls and Immodium prescribed. To RTC 13July06 for follow up.
Age: 29.0
Sex: M
Vaccine: ANTH, SMALL, TYP
Symptoms: Upper respiratory tract infection
Clinical narrative: Patient received Anthrax vaccine among other vaccinations on 7/6/06. On 7/8/06 began having sx. of scratchy throat, diarrhea, and low grade fever with temp up to 101.1. 7/11/06 returned to clinic with continuation of sx. Low grade temperature of 99.3. Vaccination site R anterior upper arm with 1 by 1.5 inch dark erythematous area and 3 by 3.5 inch light erythematous area present with mild swelling. Diagnosed with URI and Anthrax reaction. Placed on quarters for 48 hours, Tessalon pearls and Immodium prescribed. To RTC 13July06 for follow up.
Age: 49.0
Sex: F
Vaccine: TDAP
Symptoms: Bone pain, Hypersensitivity, Pyrexia, Viral infection
Clinical narrative: Patient received Tdap as a booster on 6/7/06. A few hours later developed fever, returned on 6/9/06 with a swollen right deltoid and complained that her bones still ache. MD reported as ADR to Tdap vaccine with a viral syndrome and delayed hypersensitivity to the vaccine
Age: 21.0
Sex: F
Vaccine: TYP
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Pruritus
Clinical narrative: Swelling, redness and soreness at injection site several days later.  Palm of both hands itchy.
Age: 37.0
Sex: F
Vaccine: TDAP
Symptoms: Headache, Paraesthesia, Vision blurred
Clinical narrative: Patient reported headache, facial tingling and blurry vision within 20 minutes of receiving vaccine.
Age: 17.0
Sex: F
Vaccine: MNQ, TDAP
Symptoms: Blood pressure decreased, Hypotonia, Musculoskeletal stiffness, Opisthotonus, Syncope
Clinical narrative: July 12, 2006  At 1:20pm received 2 vaccines (MCV4 and Tdap) and fainted after receiving the 2nd one. While her Mother and I were assisting her to the reclining chair, she arched her body and became stiff, lasting about 15 seconds then she went limp. We placed her in the reclining chair and elevated her feet, placed ice pack behind her neck, cool cloth on  forehead and wrists. BP 104/61 pulse-64. She started to waken and verbalized she was hot. At 1:55pm BP 122/69 pulse-77. Questioned mother about history of seizures and she denies any history, but that she has always had anxiety with immunizations. Was becoming more coherent and ate one cracker and drank some water. Encourage  mother to have her seen by doctor. Mother called the doctor and spoke with the NP.  While she was doing that I slowly raised the chair to an upright position. Right after sitting up she started to faint again and her BP dropped to 90/70. Laid her back down and spoke with the NP, made her aware of inability to maintain BP. Called 911. Called Immunization Program Manager, and made her aware of situation. After phone calls and her lying down her BP 107/68 pulse-61. Ambulance arrived and transported her to hospital. She was alert on transport.  July 13,2006  Telephoned mother. She said that she is doing much  better. Had head CT and EKG. Reports all were normal. She will have follow up with her doctor.
Age: 1.07
Sex: F
Vaccine: DTAP, HIBV, MMRV
Symptoms: Blister, Erythema, Infection, Pruritus
Clinical narrative: Erythematous vesicles scattered on face, torso, extremities and diaper area, started 7/7/06. Seen on 7/11/06 then followed up with doctor on 7/12/05.  Treated with Benedryl (12.5 mg/5 ml) 4 ml po q6h.  Also with secondary infection treated with Cleocin (75 mg/5 ml) 5 ml po TID.  Calmoseptine to help with pruritis.  Doctor felt condition was improving upon discharge.
Age: 0.8
Sex: F
Vaccine: HIBV, IPV, PNC
Symptoms: Hyperhidrosis, Pyrexia
Clinical narrative: 10:45 vaccines given. 11am-3pm child fussy. 3:30-4pm child laid down for a nap. 4pm awoke in a pool of sweat and had an axillary temp of 104.6 = to 105.5 oral. Child was given 80 mg of children's Tylenol. Fever reduced to 101.6. Fever continued to range from a low of 101.2 to a high of 105.4, with the treatment of Tylenol 80mg q4 hrs, for a total of three days. The child's pediatrician was notified.
Age: 64.0
Sex: F
Vaccine: HEP, HEPA, TYP
Symptoms: Hypoaesthesia, Paraesthesia
Clinical narrative: Patient states that she began experiencing tingling and numbness in her right hand approximately 10 minutes after receiving Hepatitis A vaccine in right deltoid. Patient did not complain of any other symptoms at time of report.
Age: 60.0
Sex: M
Vaccine: HEPA, MMR, TTOX
Symptoms: Joint range of motion decreased, Shoulder pain
Clinical narrative: Sore right shoulder joint, limited ROM.  Referred to physician.
Age: 54.0
Sex: F
Vaccine: TDAP
Symptoms: Hypokinesia, Pain
Clinical narrative: client came to heath department with compliant of left arm hurting and not able to raise left arm up more than a couple of inches. client taking ibuprofen and putting warm compact on arm.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Injection site erythema, Pyrexia, Rash macular
Clinical narrative: GENERAL APPEARANCE WITH FEVER FOR 2 DAYS AFEBRILE TODAY. NAD, ALERT, ACTIVE. PATIENT PRESENT TO CLINIC WITH REDNESS @INJECTION SITE SKIN MOIST,WARM WITH ERYTHEMATOUS WARM MACULE ON LEFT UPPER ARM @VACCINE SITE. TX. START ACETAMINOPHEN AND COLD COMPRESS LOCALLY.
Sex: M
Vaccine: HEPA, IPV, TD
Symptoms: Chills, Leukopenia, Pyrexia, White blood cell disorder
Clinical narrative: This case was reported by a physician via a sales representative and described the occurrence of neutophilic leukopenia in a male subject of unspecified age, who was vaccinated with Hep-A vaccine (Havrix) and diphtheria tetanus and poliomyelitis vaccine (Revaxis) for prophylaxis. On an unspecified date, the subject received unspecified dose of Havrix together with unspecified dose of Revaxis. At an unspecified time after vaccination with Havrix and Revaxis, the subject experienced fever and chills. The neutrophilic leukocyte count was low. This case was assessed as medically serious by mfr. At the time of reporting, the outcome of the events was unspecified. Follow-up info has been requested.
Age: 65.0
Sex: F
Vaccine: FLUX
Symptoms: Anaphylactic reaction
Clinical narrative: The following report was received from another manufacturer. This case was reported by a pharmacist and described the occurrence of anaphylactic reaction in a 65 year old female subject who was vaccinated with influenza virus vaccine live for prophylaxis. Medical conditions included allergy to strawberries, drug reaction/allergy to Demerol, depression and hypertension. On an unspecified date, a number of years ago, the subject received an unspecified dose of Flu vaccine. An unspecified time after vaccine with the Flu vaccine, the subject developed an anaphylactic reaction. The subject sought medical attention. This case was assessed as medically serious (OMIC). At the time of reporting, the event was resolved.
Age: 14.0
Sex: F
Vaccine: HPV4
Symptoms: Dehydration, Dysarthria, Fall, Headache, Hyperventilation
Clinical narrative: Immediately after injection complained of severe pain at site. Fell off table and fainted for approximately 10 - 15 seconds. Hyperventilated and cried progressing Chvostek's sign in hands and feet. Rebreathing into a bag progressing to clearing of symptoms. Complained of headache, blurry vision; Vision test was normal. Vomiting x 1 in parking lot and speech was momentarily inarticulate. Sent to ER. At ER neuro exam was normal except for word recall "coffee instead of coughing" "Sired instead of tired." Continued complaint of headache. Vomited x 2. All symptoms spontaneously cleared approximately 6 hours after incident. Overnight hospitalization for observation. Neurological evaluation before discharge was normal. Diagnosis also included dehydration. No fluids were taken from 7/10/2006 PM until IV in ER. Anion gap noted on chemistries and concentration of urine obtained after several hours of hydration. Discharge diagnosis: Dehydration, Vasovagal syncope secondary to shot vs pain at injection site.  7/17/06 Medical records received from reporter/provider which included vax record, office note of 7/11 & neuro consult of 7/15 by MD who also saw her in the hospital on 7/11-12.  Neuro report indicates the CT scan of head was WNL & that dx is syncope probably precipitated by pain of vax injection along w/dehydration (no fluid intake since evening of 7/10 until IVF given in ER).  As of 7/15 patient continued to have throbbing HA when bending down & also c/o strong heart beats ocassionally.  PMH: dehydration requiring hospitalization at age 3 yo.  Also has hx of mild anxiety.  Family hx: patient's mother has Fuch's disease (genetic degenertive corneal disease which her mother also had) & patient's father has depression. There are no siblings.  It was noted that she had 3 episodes of emesis following vax along w/ sustaining mild concussion when fell from exam table which was characterized by brief episode of aphasia, slurred speech & possible right facial paresis noted only by patient's mother./ss 10/27/06 Received medical records from hospital which reveal patient seen in ER after LOC with head trauma.  Noted to have slurred speech, word finding difficulty, HA & emesis x 2 which resolved after several hours.  Admitted for overnight observation.  Given IVF & IV Toradol.  Head CT was WNL.  Neurology consult done which was essentially WNL with mild generalized weakness, speech intact & mental status clear.  Final dx: LOC with head trauma, vasovagal syncope.
Age: 14.0
Sex: F
Vaccine: HPV4
Symptoms: Injection site pain, Laboratory test abnormal, Muscle spasms, Speech disorder, Syncope
Clinical narrative: Immediately after injection complained of severe pain at site. Fell off table and fainted for approximately 10 - 15 seconds. Hyperventilated and cried progressing Chvostek's sign in hands and feet. Rebreathing into a bag progressing to clearing of symptoms. Complained of headache, blurry vision; Vision test was normal. Vomiting x 1 in parking lot and speech was momentarily inarticulate. Sent to ER. At ER neuro exam was normal except for word recall "coffee instead of coughing" "Sired instead of tired." Continued complaint of headache. Vomited x 2. All symptoms spontaneously cleared approximately 6 hours after incident. Overnight hospitalization for observation. Neurological evaluation before discharge was normal. Diagnosis also included dehydration. No fluids were taken from 7/10/2006 PM until IV in ER. Anion gap noted on chemistries and concentration of urine obtained after several hours of hydration. Discharge diagnosis: Dehydration, Vasovagal syncope secondary to shot vs pain at injection site.  7/17/06 Medical records received from reporter/provider which included vax record, office note of 7/11 & neuro consult of 7/15 by MD who also saw her in the hospital on 7/11-12.  Neuro report indicates the CT scan of head was WNL & that dx is syncope probably precipitated by pain of vax injection along w/dehydration (no fluid intake since evening of 7/10 until IVF given in ER).  As of 7/15 patient continued to have throbbing HA when bending down & also c/o strong heart beats ocassionally.  PMH: dehydration requiring hospitalization at age 3 yo.  Also has hx of mild anxiety.  Family hx: patient's mother has Fuch's disease (genetic degenertive corneal disease which her mother also had) & patient's father has depression. There are no siblings.  It was noted that she had 3 episodes of emesis following vax along w/ sustaining mild concussion when fell from exam table which was characterized by brief episode of aphasia, slurred speech & possible right facial paresis noted only by patient's mother./ss 10/27/06 Received medical records from hospital which reveal patient seen in ER after LOC with head trauma.  Noted to have slurred speech, word finding difficulty, HA & emesis x 2 which resolved after several hours.  Admitted for overnight observation.  Given IVF & IV Toradol.  Head CT was WNL.  Neurology consult done which was essentially WNL with mild generalized weakness, speech intact & mental status clear.  Final dx: LOC with head trauma, vasovagal syncope.
Age: 14.0
Sex: F
Vaccine: HPV4
Symptoms: Syncope vasovagal, Vision blurred, Vomiting
Clinical narrative: Immediately after injection complained of severe pain at site. Fell off table and fainted for approximately 10 - 15 seconds. Hyperventilated and cried progressing Chvostek's sign in hands and feet. Rebreathing into a bag progressing to clearing of symptoms. Complained of headache, blurry vision; Vision test was normal. Vomiting x 1 in parking lot and speech was momentarily inarticulate. Sent to ER. At ER neuro exam was normal except for word recall "coffee instead of coughing" "Sired instead of tired." Continued complaint of headache. Vomited x 2. All symptoms spontaneously cleared approximately 6 hours after incident. Overnight hospitalization for observation. Neurological evaluation before discharge was normal. Diagnosis also included dehydration. No fluids were taken from 7/10/2006 PM until IV in ER. Anion gap noted on chemistries and concentration of urine obtained after several hours of hydration. Discharge diagnosis: Dehydration, Vasovagal syncope secondary to shot vs pain at injection site.  7/17/06 Medical records received from reporter/provider which included vax record, office note of 7/11 & neuro consult of 7/15 by MD who also saw her in the hospital on 7/11-12.  Neuro report indicates the CT scan of head was WNL & that dx is syncope probably precipitated by pain of vax injection along w/dehydration (no fluid intake since evening of 7/10 until IVF given in ER).  As of 7/15 patient continued to have throbbing HA when bending down & also c/o strong heart beats ocassionally.  PMH: dehydration requiring hospitalization at age 3 yo.  Also has hx of mild anxiety.  Family hx: patient's mother has Fuch's disease (genetic degenertive corneal disease which her mother also had) & patient's father has depression. There are no siblings.  It was noted that she had 3 episodes of emesis following vax along w/ sustaining mild concussion when fell from exam table which was characterized by brief episode of aphasia, slurred speech & possible right facial paresis noted only by patient's mother./ss 10/27/06 Received medical records from hospital which reveal patient seen in ER after LOC with head trauma.  Noted to have slurred speech, word finding difficulty, HA & emesis x 2 which resolved after several hours.  Admitted for overnight observation.  Given IVF & IV Toradol.  Head CT was WNL.  Neurology consult done which was essentially WNL with mild generalized weakness, speech intact & mental status clear.  Final dx: LOC with head trauma, vasovagal syncope.
Age: 40.0
Sex: F
Vaccine: YF
Symptoms: Ear pain, Injection site mass, Injection site swelling, Myalgia
Clinical narrative: Swelling and lump-soreness at site of injection.  Pain in ear ( same side as injection site-left  ear).
Age: 46.0
Sex: M
Vaccine: HEP
Symptoms: Injection site inflammation, Injection site reaction, Skin ulcer, Urticaria
Clinical narrative: Injection Site Urticaria Information has been received from a health authority (case #66259) concerning a 46 year old male with no previously reported medical history who on 19-JUN-2006 was vaccinated in the left deltoid with a second dose of hepatitis B virus vaccine rHBsAg (yeast) (thimerosal free) (lot#653198/0957R, batch #NC60730). On 19-JUN-2006, 15 minutes after vaccination, the patient presented with a hive-like lesion on the left deltoid (injection site) and was hospitalized. Subsequently, the patient recovered. The duration of the event was not reported. Other business partner numbers include E2006-03298 and IT314-06
Age: 32.0
Sex: F
Vaccine: TDAP
Symptoms: Dizziness, Paraesthesia, Pyrexia
Clinical narrative: Developed dizziness evening after shot; day after had temp to 103 degrees-dizziness-tingling-all over not localized to injection site.
Age: 60.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site pain, Rash
Clinical narrative: Presented to health center 7-5-06 at 9 AM for evaluation of complaint of sore tender left deltoid since 1/day post vaccine. Observed circumferential rash pattern varied sizes raised and flat red areas measuring largest 1X2" and smallest less than 1/2". No complaints of itching. Patient evaluated by health center nurse and Immunization Nurse consultant. Advised over the counter anti-inflammatory and call medical provider today for evaluation.
Age: 11.0
Sex: F
Vaccine: TDAP
Symptoms: Erythema, Swelling
Clinical narrative: Received Adacel 6/22/2006. Woke up 6/23 with red swollen arm.
Age: 1.26
Sex: F
Vaccine: DTAP, HEPA, HIBV, MMRV, PNC
Symptoms: Pyrexia, Rash maculo-papular
Clinical narrative: Maculopapular rash all over body 7-6-05. V/ST: 100.3 7-7-06: rash worsening.
Age: 44.0
Sex: M
Vaccine: ANTH, HEP, HEPA
Symptoms: Blindness, Dizziness, Headache, Neoplasm, Sexual dysfunction
Clinical narrative: Sexual dysfunction, frequent strong headaches, loss of vision, occasional dizzy spells, small masses in different parts of the body. Erectile dysfunction and masses in the scrotum.
Age: 5.0
Sex: M
Vaccine: IPV, MMR
Symptoms: Unevaluable event
Clinical narrative: None stated
Age: 42.0
Sex: F
Vaccine: HEP, HEPA
Symptoms: Headache, Pruritus, Pyrexia, Rash
Clinical narrative: Complained of neck itching and rash on arms and right hip on Monday following vaccine (6/12/2006). Fever, headache also started 6/12/2006. vaccine given 6/08/2006 for hepatitis A and hepatitis B.
Age: 61.0
Sex: F
Vaccine: TDAP
Symptoms: Feeling hot, Joint range of motion decreased, Pain, Pyrexia, Rash erythematous
Clinical narrative: Patient received vaccination on 11 July 2006, the next day noticed arm was red and swollen, approx. 4 inches by 5 inches, area was raised, felt warm.  It was difficult for patient to raise left arm above head.  Also had a temperature of 104 degrees.  Went to the emergency room on 13 July 2006 at 3:30 pm.  Was seen by ER physician.  Prescribed Septra and Non-aspirin tablets for pain.  As of 14 July 2006, the red area has decreased in size, no longer warm and does not itch.
Age: 61.0
Sex: F
Vaccine: TDAP
Symptoms: Swelling
Clinical narrative: Patient received vaccination on 11 July 2006, the next day noticed arm was red and swollen, approx. 4 inches by 5 inches, area was raised, felt warm.  It was difficult for patient to raise left arm above head.  Also had a temperature of 104 degrees.  Went to the emergency room on 13 July 2006 at 3:30 pm.  Was seen by ER physician.  Prescribed Septra and Non-aspirin tablets for pain.  As of 14 July 2006, the red area has decreased in size, no longer warm and does not itch.
Age: 37.0
Sex: F
Vaccine: MMR, TDAP
Symptoms: Injection site swelling, Pain, Pharyngolaryngeal pain, Rash, Urticaria
Clinical narrative: Client c/o sore throat, body aches, swollen left deltoid (Tdap), within 6-8 hours following vaccination. The following day, client noticed a rash on her trunk and back (wheels, some smaller fluid-filled bumps, and other red bumps). Client denies itching. Client continued to experience increased body aches, rash, left deltoid swelling and pain. On day 5, client took Benedryl and reported some improvement. Client presented to Health Dept. with scant rash on trunk. Some hive-like wheels noted under breastline. Client plans to visit urgent care center for follow-up.
Age: 1.53
Sex: F
Vaccine: HEPA
Symptoms: Rash papular
Clinical narrative: Rash started this am fine papular rash over entire body
Age: 23.0
Sex: M
Vaccine: ANTH, HEP, HEPA, SMALL, YF
Symptoms: Abdominal pain upper, Rash
Clinical narrative: At this time I have a permanent rash in my left hand, stomach burn fluid, for the stomach give me some prescription (omaproxen) and for my rash give me Calamine I still with the problem. I have 4 shots of anthrax.
Age: 2.0
Sex: M
Vaccine: DTAPH, HEPA, MMR, VARCEL
Symptoms: Pruritus, Rash
Clinical narrative: Approximately 30 large and small red, itchy spots located over entire body except groin area no difficulty breathing, no temp, and no irritability noted per parent. Child found this way at 08:30 a.m. on 07/14/2006. Skilled nurse Instructed parent to seek medical attention thru family physician or the emergency room.
Age: 66.0
Sex: F
Vaccine: PPV
Symptoms: Erythema, Injection site reaction, Pain, Skin discolouration, Swelling
Clinical narrative: Patient present to clinic on 2/10/06 with "20 x 16 cm red elevated sore"  Swelling started 2-3 hours after injection.  Given prescription of Keflex 500 mg qid x 7 days and ibuprofin 800 mg tid.  On 2/13/06 patient returned for follow up.  Per chart note, "inner elbow continues with swelling, upper arm with decreased swelling, discolored yellow around injection site, pain decreased.
Age: 0.0
Sex: M
Vaccine: HEP
Symptoms: Laboratory test abnormal
Clinical narrative: Pt failed to develop seroconversion after having completed the prescribed course of therapy.
Age: 21.0
Sex: F
Vaccine: HEP
Symptoms: Blister, Headache, Injection site rash, Malaise, Nausea
Clinical narrative: On 7/13/06 pt came in for 2nd of Hep B Series and on 7/14/06 (in the morning) pt. became ill and noticed a few clear bumps around the injection site. Pt received Hep B vaccine around 2pm 7/13 and by 6 pm had a headache, nausea & vomitting.  Today pt feels just as bad with constant headache, aches, bumps to L arm at injection site.  NAD, A/O x3, GCS 15/15, head NCAT, CNII-XII intact, speech WNL, gait normal, coordination normal, no oropharyngeal edema.  No facial edema.  Lungs CTAB No wheezes. Heart RRR.  Abd NTND BS+ x 4 quads.  VSS bP 128/72, pulse 70, rr16, temp 97.2.  L deltoid regsion mildly HP, no ecchymosis, no errythema, 3 small surrounding vessicles.
Age: 21.0
Sex: F
Vaccine: HEP
Symptoms: Vomiting
Clinical narrative: On 7/13/06 pt came in for 2nd of Hep B Series and on 7/14/06 (in the morning) pt. became ill and noticed a few clear bumps around the injection site. Pt received Hep B vaccine around 2pm 7/13 and by 6 pm had a headache, nausea & vomitting.  Today pt feels just as bad with constant headache, aches, bumps to L arm at injection site.  NAD, A/O x3, GCS 15/15, head NCAT, CNII-XII intact, speech WNL, gait normal, coordination normal, no oropharyngeal edema.  No facial edema.  Lungs CTAB No wheezes. Heart RRR.  Abd NTND BS+ x 4 quads.  VSS bP 128/72, pulse 70, rr16, temp 97.2.  L deltoid regsion mildly HP, no ecchymosis, no errythema, 3 small surrounding vessicles.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema
Clinical narrative: 4 cm erythema at site of vaccination (R deltoid), appearing 1 day after immunization and evaluated 2 days after immunization.  Otherwise well.
Age: 6.0
Sex: M
Vaccine: DTAP, HIBV, IPV
Symptoms: Feeling hot, Pruritus, Pyrexia, Swelling
Clinical narrative: local fever, limited to upper arm. Began at time of vaccination. Developed intense itchiness two hours after shot. Arm swelled significantly, continued to itch and be very hot after 48 hours. Treated with chilren's strength Motrin. One dose soon after vaccine, second dose accompanied by an oral antihistimine at 55 hours.
Age: 22.0
Sex: F
Vaccine: FLU3
Symptoms: Chills, Cough, Drug ineffective, Influenza like illness, Myalgia
Clinical narrative: In study female subject born on 02Dec1983 was vaccinated with 0.5ml, IM of investigational vaccine (study is still blinded). Per protocol, this 22 yr old female subject was seen at the investigative site for influenza-like illness including fever (102.0F) sore throat, cough, myalgia, and chills. Onset of symptoms was 07Apr06, 157 days after vaccination (vaccination date 01Nov05). Viral culture was positive for influenza B. The investigator considered the event as not related to vaccine. Follow up report pending with resolution date and outcome information. Seriousness criterion: medically significant (OMIC). Possible for vaccine failure. The reported events except for vaccine failure are not expected. On a case level, the case is considered expected due to vaccine failure. Follow up 26Apr06 Complete recovery. Concomitant medications: Trinessa started in 2000 and Zoloft started in 2002. The reported events except for vaccine failure are not expected. On a case level, the case is considered expected due to vaccine failure. Follow up 27Jun06 today we received the information that the study has been unblinded on 26Jun06. The subject received Fluvirin (lot 61122). The reported events except for vaccine failure are not expected. On a case level, the case is considered expected due to vaccine failure.
Age: 22.0
Sex: F
Vaccine: FLU3
Symptoms: Pharyngolaryngeal pain, Pyrexia, Viral infection
Clinical narrative: In study female subject born on 02Dec1983 was vaccinated with 0.5ml, IM of investigational vaccine (study is still blinded). Per protocol, this 22 yr old female subject was seen at the investigative site for influenza-like illness including fever (102.0F) sore throat, cough, myalgia, and chills. Onset of symptoms was 07Apr06, 157 days after vaccination (vaccination date 01Nov05). Viral culture was positive for influenza B. The investigator considered the event as not related to vaccine. Follow up report pending with resolution date and outcome information. Seriousness criterion: medically significant (OMIC). Possible for vaccine failure. The reported events except for vaccine failure are not expected. On a case level, the case is considered expected due to vaccine failure. Follow up 26Apr06 Complete recovery. Concomitant medications: Trinessa started in 2000 and Zoloft started in 2002. The reported events except for vaccine failure are not expected. On a case level, the case is considered expected due to vaccine failure. Follow up 27Jun06 today we received the information that the study has been unblinded on 26Jun06. The subject received Fluvirin (lot 61122). The reported events except for vaccine failure are not expected. On a case level, the case is considered expected due to vaccine failure.