chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 80.0
Sex: M
Vaccine: VARZOS, VARZOS, VARZOS
Symptoms: Muscular weakness
Clinical narrative: Information has been received from a physician concerning an 80 year old male who on 29-APR-2008 was vaccinated subcutaneously (SC) with ZOSTAVAX in the left deltoid (Lot #658844/0204X). On 30-APR-2008 the patient developed generalized muscle weakness. On 02-May-2008 the patient presented to the emergency room with profound muscle weakness thought to be Guillain-Barre syndrome or transverse myelitis. At the time of this report, the outcome of the events of Guillain Barre syndrome and transverse myelitis were unknown. Upon internal review, Guillain Barre syndrome and transverse myelitis were considered other important medical event. Additional information received from the physician regarding this patient with no known allergies reported that this patient's concurrent conditions included hypothyroidism, gastroesophageal reflux disease (GERD), bipolar disorder, depression, benign prostatic hyperplasia, dyslipidemia, and a history of hip replacement, cataract, and chickenpox in approximately 1940. There was no history of shingles. Concomitant medications included levothyroxine sodium, pantoprazole, and divalproex sodium. Within 24-48 hours of vaccination with ZOSTAVAX, the patient noticed the onset of weakness in his hands (while driving), followed by gait disturbance and some difficulty with balance. The patient was admitted to the hospital a few days later for evaluation. A lumbar puncture performed on 03-May-2008 (also reported as 04-May-2008) revealed cerebrospinal fluid results as follows: protein "59"l, glucose 67, red blood ells 83, and white blood cells 1. The physician reported that the patient had not worsened, but was still decreased from his baseline. The patient had bilateral foot drop and 3/5 motor strength in both arms and legs. He was receiving IVIG while hospitalized. Hospitalization continued at the time of the report. The physician reported the leading diagnosis was Guillain Barre syndrome; "however they are still working up the patient, and it might change". Additional information has been requested.
Age: 80.0
Sex: M
Vaccine: VARZOS, VARZOS, VARZOS
Symptoms: Activities of daily living impaired, CSF oligoclonal band absent, CSF protein increased, Electromyogram abnormal, Mobility decreased
Clinical narrative: Information has been received from a physician concerning an 80 year old male who on 29-APR-2008 was vaccinated subcutaneously (SC) with ZOSTAVAX in the left deltoid (Lot #658844/0204X). On 30-APR-2008 the patient developed generalized muscle weakness. On 02-May-2008 the patient presented to the emergency room with profound muscle weakness thought to be Guillain-Barre syndrome or transverse myelitis. At the time of this report, the outcome of the events of Guillain Barre syndrome and transverse myelitis were unknown. Upon internal review, Guillain Barre syndrome and transverse myelitis were considered other important medical event. Additional information received from the physician regarding this patient with no known allergies reported that this patient's concurrent conditions included hypothyroidism, gastroesophageal reflux disease (GERD), bipolar disorder, depression, benign prostatic hyperplasia, dyslipidemia, and a history of hip replacement, cataract, and chickenpox in approximately 1940. There was no history of shingles. Concomitant medications included levothyroxine sodium, pantoprazole, and divalproex sodium. Within 24-48 hours of vaccination with ZOSTAVAX, the patient noticed the onset of weakness in his hands (while driving), followed by gait disturbance and some difficulty with balance. The patient was admitted to the hospital a few days later for evaluation. A lumbar puncture performed on 03-May-2008 (also reported as 04-May-2008) revealed cerebrospinal fluid results as follows: protein "59"l, glucose 67, red blood ells 83, and white blood cells 1. The physician reported that the patient had not worsened, but was still decreased from his baseline. The patient had bilateral foot drop and 3/5 motor strength in both arms and legs. He was receiving IVIG while hospitalized. Hospitalization continued at the time of the report. The physician reported the leading diagnosis was Guillain Barre syndrome; "however they are still working up the patient, and it might change". Additional information has been requested.
Age: 80.0
Sex: M
Vaccine: VARZOS, VARZOS, VARZOS
Symptoms: Muscular weakness, Polymerase chain reaction, Viral DNA test negative
Clinical narrative: Information has been received from a physician concerning an 80 year old male who on 29-APR-2008 was vaccinated subcutaneously (SC) with ZOSTAVAX in the left deltoid (Lot #658844/0204X). On 30-APR-2008 the patient developed generalized muscle weakness. On 02-May-2008 the patient presented to the emergency room with profound muscle weakness thought to be Guillain-Barre syndrome or transverse myelitis. At the time of this report, the outcome of the events of Guillain Barre syndrome and transverse myelitis were unknown. Upon internal review, Guillain Barre syndrome and transverse myelitis were considered other important medical event. Additional information received from the physician regarding this patient with no known allergies reported that this patient's concurrent conditions included hypothyroidism, gastroesophageal reflux disease (GERD), bipolar disorder, depression, benign prostatic hyperplasia, dyslipidemia, and a history of hip replacement, cataract, and chickenpox in approximately 1940. There was no history of shingles. Concomitant medications included levothyroxine sodium, pantoprazole, and divalproex sodium. Within 24-48 hours of vaccination with ZOSTAVAX, the patient noticed the onset of weakness in his hands (while driving), followed by gait disturbance and some difficulty with balance. The patient was admitted to the hospital a few days later for evaluation. A lumbar puncture performed on 03-May-2008 (also reported as 04-May-2008) revealed cerebrospinal fluid results as follows: protein "59"l, glucose 67, red blood ells 83, and white blood cells 1. The physician reported that the patient had not worsened, but was still decreased from his baseline. The patient had bilateral foot drop and 3/5 motor strength in both arms and legs. He was receiving IVIG while hospitalized. Hospitalization continued at the time of the report. The physician reported the leading diagnosis was Guillain Barre syndrome; "however they are still working up the patient, and it might change". Additional information has been requested.
Age: 14.0
Sex: F
Vaccine: HPV4, MNQ, HPV4
Symptoms: Blood calcium normal, Blood folate normal, Blood magnesium normal, Blood test normal, Chest pain
Clinical narrative: Information has been received from a physician, concerning a 14 year old female patient, who on an unknown date was vaccinated with the first dose of GARDASIL, and subsequently developed tingling and numbness in her arm.  Following the vaccination with the second dose (date not specified), the patient again developed numbness and tingling in her arm, as well as peripheral neuropathy.  Following the vaccination with the third dose (date not specified), she again developed peripheral neuropathy.  The physician sent her to a neurologist (details not provided).  At the time of this report, the patient had not recovered from peripheral neuropathy.  Additional information has been requested.
Age: 14.0
Sex: F
Vaccine: HPV4, MNQ, HPV4
Symptoms: Headache, Heart rate decreased, Pain, Palpitations, Paraesthesia
Clinical narrative: Information has been received from a physician, concerning a 14 year old female patient, who on an unknown date was vaccinated with the first dose of GARDASIL, and subsequently developed tingling and numbness in her arm.  Following the vaccination with the second dose (date not specified), the patient again developed numbness and tingling in her arm, as well as peripheral neuropathy.  Following the vaccination with the third dose (date not specified), she again developed peripheral neuropathy.  The physician sent her to a neurologist (details not provided).  At the time of this report, the patient had not recovered from peripheral neuropathy.  Additional information has been requested.
Age: 14.0
Sex: F
Vaccine: HPV4, MNQ, HPV4
Symptoms: Paraesthesia, Vitamin B12 normal
Clinical narrative: Information has been received from a physician, concerning a 14 year old female patient, who on an unknown date was vaccinated with the first dose of GARDASIL, and subsequently developed tingling and numbness in her arm.  Following the vaccination with the second dose (date not specified), the patient again developed numbness and tingling in her arm, as well as peripheral neuropathy.  Following the vaccination with the third dose (date not specified), she again developed peripheral neuropathy.  The physician sent her to a neurologist (details not provided).  At the time of this report, the patient had not recovered from peripheral neuropathy.  Additional information has been requested.
Age: 14.0
Sex: F
Vaccine: HPV4, MNQ, HPV4
Symptoms: Hypoaesthesia, Neuropathy peripheral, Paraesthesia, Vaccine positive rechallenge
Clinical narrative: Information has been received from a physician, concerning a 14 year old female patient, who on an unknown date was vaccinated with the first dose of GARDASIL, and subsequently developed tingling and numbness in her arm.  Following the vaccination with the second dose (date not specified), the patient again developed numbness and tingling in her arm, as well as peripheral neuropathy.  Following the vaccination with the third dose (date not specified), she again developed peripheral neuropathy.  The physician sent her to a neurologist (details not provided).  At the time of this report, the patient had not recovered from peripheral neuropathy.  Additional information has been requested.
Age: 20.0
Sex: F
Vaccine: HPV4, MNQ
Symptoms: Dyspnoea
Clinical narrative: Information has been received from a physician concerning a 20 year old female patient who on 06-MAY-2008 "two days ago" was vaccinated a dose of Gardasil (lot # not available).  Concomitant therapy included MENACTRA.  The physician in the hospital reported that one half hour after the patient received a dose of Gardasil, she started to have trouble breathing and was admitted to the hospital.  At the time of this report the patient was in the hospital and had been there for "two day so far."  No further information was available.  The patient had not recovered.  Additional information has been requested.
Age: 26.0
Sex: F
Vaccine: HPV4
Symptoms: Abortion spontaneous, Drug exposure during pregnancy, Menstruation delayed
Clinical narrative: Information has been received from a Nurse for the pregnancy registry, concerning a 26 year old female with asthma and an allergy to Vicodin who on 29-MAY-2007 was vaccinated IM in the left deltoid with a first dose of Gardasil.  Concomitant therapy included ALLEGRA, albuterol and vitamins (unspecified).  On 13-JUL-2007 the patient was seen in the doctor's office for suppressed menses and later determined to be pregnant.  Follow-up information was received from the physician's office.  Concomitant therapy also included "DUET DHA" (therapy unspecified) and ZYRTEC.  On 29-AUG-2007 the patient had a spontaneous abortion 12 3/7 weeks from LMP.  The products of conception were examined and were normal.  Upon internal review spontaneous abortion was considered to be an other medical event.  Additional information is not expected.
Age: 18.0
Sex: F
Vaccine: HPV4
Symptoms: Abortion spontaneous, Drug exposure during pregnancy, Pregnancy test positive
Clinical narrative: Information has been received from an 18 year old female with no pertinent medical history and no known drug reactions/allergies who on 22-JAN-2008 was vaccinated with a first dose 0.5 mL of GARDASIL.  There was no concomitant medication.  The patient reported that on 28-JAN-2008 she went to her gynecologist, "had a pap smear done and found out she was pregnant".  Her gestation was two weeks and five days.  Her last menstrual period was on 10-DEC-2007 and estimated delivery date was 15-SEP-2008.  No other information was provided.  Follow up information was obtained via telephone call with the patient on 12-MAY-2008 to obtain the patient's obstetrician (OB)/gynecologist (GYN).  The patient reported that she was not pregnant any more.  When she was asked if she miscarried or decided to terminate, she reported that she "lost it" (date not reported).  Upon internal review "lost it" (miscarriage) was determined to be an other important medical event.  No additional information is expected.
Age: 11.0
Sex: F
Vaccine: HPV4, HPV4, HPV4
Symptoms: Encephalopathy, Lumbar puncture abnormal
Clinical narrative: Information has been received from a physician concerning a 11 year old female patient with hypothyroidism who on 01-MAY-2008 was vaccinated with a first dose of Gardasil.  Concomitant therapy included SYNTHROID.  On 03-MAY-2008 the patient experienced encephalopathy after receiving the first injection, was seen at the emergency room (ER).  Subsequently she was hospitalized.  Laboratory diagnostic test spinal tap was done.  No further information was provided.  The patient had not recovered.  Additional information has been requested.  06/16/2008 MR received from CDC for DOS 5/6-27/2008 with D/C DX:  Meningoencephalitis.  Hypothyroidism.  Hypocalcemia. Pt presented to local ER with c/o pain in the arms and legs, headache and then episodes of shaking of the arms and legs, stool incontinence and unresponsiveness and progressive changes in mental status. In local ER had witnessed episode of eye rolling and shaking of the arms and legs. Transfered to current facility for further w/u.  CSF showed WBC pleocytosis. PE (+) for brisk DTRs on the L and difficult to elicit on the R. 10/6/2008 Additional records received from initial ER 5/3/08. Pt presented with disorientation and not feeling well since 5/2/08. Had Gardasil 5/1/08. In ER had several episodes of tremors, clenched teeth, rigid, downward going toes and clenched hands drawn to the chest. Transfered to above facility to r/o meningitis.
Age: 11.0
Sex: F
Vaccine: HPV4, HPV4, HPV4
Symptoms: Abasia, Activities of daily living impaired, Aphasia, Computerised tomogram, Convulsion
Clinical narrative: Information has been received from a physician concerning a 11 year old female patient with hypothyroidism who on 01-MAY-2008 was vaccinated with a first dose of Gardasil.  Concomitant therapy included SYNTHROID.  On 03-MAY-2008 the patient experienced encephalopathy after receiving the first injection, was seen at the emergency room (ER).  Subsequently she was hospitalized.  Laboratory diagnostic test spinal tap was done.  No further information was provided.  The patient had not recovered.  Additional information has been requested.  06/16/2008 MR received from CDC for DOS 5/6-27/2008 with D/C DX:  Meningoencephalitis.  Hypothyroidism.  Hypocalcemia. Pt presented to local ER with c/o pain in the arms and legs, headache and then episodes of shaking of the arms and legs, stool incontinence and unresponsiveness and progressive changes in mental status. In local ER had witnessed episode of eye rolling and shaking of the arms and legs. Transfered to current facility for further w/u.  CSF showed WBC pleocytosis. PE (+) for brisk DTRs on the L and difficult to elicit on the R. 10/6/2008 Additional records received from initial ER 5/3/08. Pt presented with disorientation and not feeling well since 5/2/08. Had Gardasil 5/1/08. In ER had several episodes of tremors, clenched teeth, rigid, downward going toes and clenched hands drawn to the chest. Transfered to above facility to r/o meningitis.
Age: 11.0
Sex: F
Vaccine: HPV4, HPV4, HPV4
Symptoms: Diagnostic procedure, Encephalopathy, Lumbar puncture, Nuclear magnetic resonance imaging, Pyrexia
Clinical narrative: Information has been received from a physician concerning a 11 year old female patient with hypothyroidism who on 01-MAY-2008 was vaccinated with a first dose of Gardasil.  Concomitant therapy included SYNTHROID.  On 03-MAY-2008 the patient experienced encephalopathy after receiving the first injection, was seen at the emergency room (ER).  Subsequently she was hospitalized.  Laboratory diagnostic test spinal tap was done.  No further information was provided.  The patient had not recovered.  Additional information has been requested.  06/16/2008 MR received from CDC for DOS 5/6-27/2008 with D/C DX:  Meningoencephalitis.  Hypothyroidism.  Hypocalcemia. Pt presented to local ER with c/o pain in the arms and legs, headache and then episodes of shaking of the arms and legs, stool incontinence and unresponsiveness and progressive changes in mental status. In local ER had witnessed episode of eye rolling and shaking of the arms and legs. Transfered to current facility for further w/u.  CSF showed WBC pleocytosis. PE (+) for brisk DTRs on the L and difficult to elicit on the R. 10/6/2008 Additional records received from initial ER 5/3/08. Pt presented with disorientation and not feeling well since 5/2/08. Had Gardasil 5/1/08. In ER had several episodes of tremors, clenched teeth, rigid, downward going toes and clenched hands drawn to the chest. Transfered to above facility to r/o meningitis.
Age: 11.0
Sex: F
Vaccine: HPV4, HPV4, HPV4
Symptoms: Scan brain
Clinical narrative: Information has been received from a physician concerning a 11 year old female patient with hypothyroidism who on 01-MAY-2008 was vaccinated with a first dose of Gardasil.  Concomitant therapy included SYNTHROID.  On 03-MAY-2008 the patient experienced encephalopathy after receiving the first injection, was seen at the emergency room (ER).  Subsequently she was hospitalized.  Laboratory diagnostic test spinal tap was done.  No further information was provided.  The patient had not recovered.  Additional information has been requested.  06/16/2008 MR received from CDC for DOS 5/6-27/2008 with D/C DX:  Meningoencephalitis.  Hypothyroidism.  Hypocalcemia. Pt presented to local ER with c/o pain in the arms and legs, headache and then episodes of shaking of the arms and legs, stool incontinence and unresponsiveness and progressive changes in mental status. In local ER had witnessed episode of eye rolling and shaking of the arms and legs. Transfered to current facility for further w/u.  CSF showed WBC pleocytosis. PE (+) for brisk DTRs on the L and difficult to elicit on the R. 10/6/2008 Additional records received from initial ER 5/3/08. Pt presented with disorientation and not feeling well since 5/2/08. Had Gardasil 5/1/08. In ER had several episodes of tremors, clenched teeth, rigid, downward going toes and clenched hands drawn to the chest. Transfered to above facility to r/o meningitis.
Age: 11.0
Sex: F
Vaccine: HPV4, HPV4, HPV4
Symptoms: Bacterial culture negative, CSF white blood cell count increased, Encephalitis, Virus culture negative
Clinical narrative: Information has been received from a physician concerning a 11 year old female patient with hypothyroidism who on 01-MAY-2008 was vaccinated with a first dose of Gardasil.  Concomitant therapy included SYNTHROID.  On 03-MAY-2008 the patient experienced encephalopathy after receiving the first injection, was seen at the emergency room (ER).  Subsequently she was hospitalized.  Laboratory diagnostic test spinal tap was done.  No further information was provided.  The patient had not recovered.  Additional information has been requested.  06/16/2008 MR received from CDC for DOS 5/6-27/2008 with D/C DX:  Meningoencephalitis.  Hypothyroidism.  Hypocalcemia. Pt presented to local ER with c/o pain in the arms and legs, headache and then episodes of shaking of the arms and legs, stool incontinence and unresponsiveness and progressive changes in mental status. In local ER had witnessed episode of eye rolling and shaking of the arms and legs. Transfered to current facility for further w/u.  CSF showed WBC pleocytosis. PE (+) for brisk DTRs on the L and difficult to elicit on the R. 10/6/2008 Additional records received from initial ER 5/3/08. Pt presented with disorientation and not feeling well since 5/2/08. Had Gardasil 5/1/08. In ER had several episodes of tremors, clenched teeth, rigid, downward going toes and clenched hands drawn to the chest. Transfered to above facility to r/o meningitis.
Age: 1.1
Sex: F
Vaccine: MMR
Symptoms: Measles antibody positive, Measles post vaccine, Rash
Clinical narrative: Information has been received from a physician concerning a 13 month old female who was vaccinated with her first dose of MMR II (Enders-Edmonston, Jeryl Lynn, Wistar RA 27/3).  One month later, the patient developed a rash and was hospitalized.  Laboratory diagnostic studies performed included a titer drawn at the hospital which was positive for measles.  It was unknown when the child went into the hospital, may have been last week, and it was unknown if the child was discharged from the hospital.  The outcome was unknown.  There was no product quality complaint.  No other information.  Additional information has been requested.
Age: 0.5
Sex: M
Vaccine: RV5
Symptoms: Barium enema, Intussusception
Clinical narrative: Information has been received from a nurse concerning a 6 month old male who on 18-MAR-2008 was vaccinated orally with "one tube", a third and final dose of ROTATEQ.  On 10-APR-2008 the patient was hospitalized with intussusception.  The patient was treated twice with therapeutic barium enema.  The patient recovered and was discharged on 13 APR 2008.  The patient had two follow up visits "to the office" since discharge, and had no problems.  Additional information has been requested.
Age: 0.2
Sex: F
Vaccine: RV5
Symptoms: Abdominal distension, Pain, Screaming
Clinical narrative: Information has been received from a physician concerning a 10-week-old female who on 15-APR-2008 was vaccinated orally with a first dose of ROTATEQ (lot # 660288/1828U). On 15-APR-2008 the patient experienced a distended stomach, pain and was screaming post vaccination. On an unspecified date the patient was hospitalized but no treatments were given. The patient sought unspecified medical attention via a phone call to the physician's office. On an unspecified date, the patient recovered. A product quality complaint was not involved. Additional information has been requested.
Age: 0.2
Sex: M
Vaccine: DTAPHEPBIP, HIBV, RV5
Symptoms: Intussusception
Clinical narrative: Information has been received from a physician concerning an approximately 17 week old male who on 25-MAR-2008 was vaccinated PO with his first 2.0 ml dose of Rotateq. The patient was hospitalized for 8 days from 25-APR-2008 to 02-MAY-2008 with intussusception requiring surgery with a loss of a section of the terminal ileum. The patient was noted to be recovering. There was no product quality complaint. No additional information at this time. Intussusception was also considered to be an other important medical event (surgery) by the physician. Additional information has been requested. 7/23/08-records received for DOS 4/25-4/30/08-DC DX: Intussusception. Presented with 2 day history of abdominal pain and bright red blood per rectum morning of 4/24/08-Not interested in eating and decrease of diapers/decreased urine output. Pain, severe fussiness, lethargy, rectal bleeding. PE: abdomen positive bowel sounds with a palpable wave. Partial colectomy with excision of terminal ileum.
Sex: F
Vaccine: DTAP, HBHEPB, PNC, RV5
Symptoms: Appetite disorder, Blood test abnormal, Haematochezia, Pyrexia, Sleep disorder
Clinical narrative: Information has been received from a physician concerning a female who on 05-MAR-2008 was vaccinated PO with her first 2.0 ml dose of ROTATEQ (lot# 655406/1114F). Suspect vaccination administered on that same day included a dose of COMVAX. Concomitant vaccinations administered on that same day included a dose of PREVNAR, and a dose of diphtheria toxoid (+) pertussis acellular vaccine (unspecified) (+) tetanus toxoid. On 10-MAR-2008 the patient experienced streaks of blood on his stool, a little fever and changes in appetite and sleep pattern. On 17-MAR-2008 the parent brought the patient to the physician's office and the physician ordered a GI Test and blood test. The results came out that the streak of blood was indeed blood. The outcome was unknown. There was no product quality complaint. No further information provided. Upon internal review, streaks of blood on stool was determined to be an other important medical event. Additional information has been requested.
Age: 82.0
Sex: F
Vaccine: VARZOS
Symptoms: Computerised tomogram normal, Feeling hot, Nuclear magnetic resonance imaging normal, Syncope, Tremor
Clinical narrative: Information has been received from a registered pharmacist concerning an 82-year-old female with hypertension and hypercholesterolaemia who on 07-FEB-2008 was vaccinated subcutaneous with a 0.65 ml dose of ZOSTAVAX. Concomitant therapy included ACUPRIL and LIPITOR. In April 2008, the patient started to have "spells". During these spells she would feel hot and "trembly", and in some cases fainted. After the patient's most recent incident she was hospitalized. MRI and CAT scans of her head and chest were negative. However, she did have an increased white blood count. The patient was treated with IV antibiotics LEVAQUIN and over the counter MUCINEX. At the time of the report the patient's status was not recovered. A product quality complaint was not involved. Additional information has been requested.
Age: 82.0
Sex: F
Vaccine: VARZOS
Symptoms: White blood cell count increased
Clinical narrative: Information has been received from a registered pharmacist concerning an 82-year-old female with hypertension and hypercholesterolaemia who on 07-FEB-2008 was vaccinated subcutaneous with a 0.65 ml dose of ZOSTAVAX. Concomitant therapy included ACUPRIL and LIPITOR. In April 2008, the patient started to have "spells". During these spells she would feel hot and "trembly", and in some cases fainted. After the patient's most recent incident she was hospitalized. MRI and CAT scans of her head and chest were negative. However, she did have an increased white blood count. The patient was treated with IV antibiotics LEVAQUIN and over the counter MUCINEX. At the time of the report the patient's status was not recovered. A product quality complaint was not involved. Additional information has been requested.
Age: 0.4
Sex: M
Vaccine: HIBV
Symptoms: Autopsy, Cyanosis, Respiratory arrest
Clinical narrative: 4/27/08 woke up wasn't breathing- Blue called 911- Sheriff and paramedics.  6/20/08 Autopsy states COD as undetermined.  Report states no injuries or disease; all tests neg; history of co-sleeping w/adult.  Found supine & unresponsive in bed w/parent w/numerous pillows arranged to keep patient from rolling.  CPR initiated.
Age: 1.0
Sex: F
Vaccine: HEPA, HIBV, MMR, VARCEL
Symptoms: Aspiration, Convulsion, Endotracheal intubation, Mechanical ventilation, Pyrexia
Clinical narrative: Fever few hours after vaccines seizure, unresponsiveness, aspiration and respiratory failure 24 hr after vaccine admitted and intubated and placed on mechanical ventilator for five days.  06/11/2008 MR received for DOS 5/9-20/2008 with DX: Complex Febrile Seizures.  Respiratory Failure. Pt presented from local hospital with altered mental status, possible seizure.  Pt had 2 day hx of fever, and was becoming increasingly lethargic with decreased responsiveness. Jerking movements of all extremities noted by mom with upward eye deviation. EMS call. Upon arrival in ER pt was intubated, sedated and paralyzed and transferred to current facility. Pt suffered a R lung collapse, recovered and was extubated 5/15/08.
Age: 1.0
Sex: F
Vaccine: HEPA, HIBV, MMR, VARCEL
Symptoms: Respiratory failure, Unresponsive to stimuli
Clinical narrative: Fever few hours after vaccines seizure, unresponsiveness, aspiration and respiratory failure 24 hr after vaccine admitted and intubated and placed on mechanical ventilator for five days.  06/11/2008 MR received for DOS 5/9-20/2008 with DX: Complex Febrile Seizures.  Respiratory Failure. Pt presented from local hospital with altered mental status, possible seizure.  Pt had 2 day hx of fever, and was becoming increasingly lethargic with decreased responsiveness. Jerking movements of all extremities noted by mom with upward eye deviation. EMS call. Upon arrival in ER pt was intubated, sedated and paralyzed and transferred to current facility. Pt suffered a R lung collapse, recovered and was extubated 5/15/08.
Age: 60.0
Sex: F
Vaccine: HEP, VARZOS
Symptoms: Asthenia, Feeling abnormal, Pain, Pruritus, Rash papular
Clinical narrative: Pt reports received ZOSTAVAX and hepatitis B #2 in left arm 4D ago. Awoke last night with stinging pain and itch underside left upper arm. This AM noticed rash. Other Sx-low energy today and "funny feeling" left side of neck X several hours. Denies fever, rash elsewhere, arthralgias, URI sx or GI sx. Meds ZOCOR, bupropion, ZOLOFT, ALBUTEROL inhaler, vitamins, calcium and PREMARIN cream. Allergies-Multiple see list. Varicella zoster titer positive last month. No prior hx zoster. Not immunocompromised. On exam pleasant well nourished, well developed 60 yo female in NAD. Skin-papular vesicular rash over left upper arm lateral underside, along C-2 dermatone. A: zoster like rash 4D after ZOSTAVAX vaccine: Dr consulted and saw pt. review up to date zoster vaccine- <1% post marketing reports herpes zoster. Rx- VALTREX. Discussed med. how to take and side effects. Counseled RE: illness, course and treatment. Followup with primary provider sx persist or call back sooner sx increase
Age: 60.0
Sex: F
Vaccine: HEP, VARZOS
Symptoms: Rash vesicular
Clinical narrative: Pt reports received ZOSTAVAX and hepatitis B #2 in left arm 4D ago. Awoke last night with stinging pain and itch underside left upper arm. This AM noticed rash. Other Sx-low energy today and "funny feeling" left side of neck X several hours. Denies fever, rash elsewhere, arthralgias, URI sx or GI sx. Meds ZOCOR, bupropion, ZOLOFT, ALBUTEROL inhaler, vitamins, calcium and PREMARIN cream. Allergies-Multiple see list. Varicella zoster titer positive last month. No prior hx zoster. Not immunocompromised. On exam pleasant well nourished, well developed 60 yo female in NAD. Skin-papular vesicular rash over left upper arm lateral underside, along C-2 dermatone. A: zoster like rash 4D after ZOSTAVAX vaccine: Dr consulted and saw pt. review up to date zoster vaccine- <1% post marketing reports herpes zoster. Rx- VALTREX. Discussed med. how to take and side effects. Counseled RE: illness, course and treatment. Followup with primary provider sx persist or call back sooner sx increase
Age: 0.2
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Kawasaki's disease, Laboratory test abnormal
Clinical narrative: Pt treated for Kawasaki disease ?related to vaccine?  5/27/08 Reviewed hospital medical records of 1/29-1/31/2008. FINAL DX: Kawasaki disease Records reveal patient experienced fever, irritability, maculopapular erythematous rash & red eyes w/conjuntivitis, cracked & swollen lips, & strawberry tongue x 4 days.  Tx w/IVIG & high dose ASA.  Improved & was afebrile but had continued red eyes & slightly swollen tongue, cracked peeling lips, & faint rash at D/C to home on continued high dose ASA.
Age: 0.5
Sex: M
Vaccine: DTAP, HIBV, PNC, RV5
Symptoms: Kawasaki's disease
Clinical narrative: Patient treated for Kawasaki disease.  ? related to Rotovirus immunization?  5/22 Received vaccine record. 5/27/08 Reviewed hospital medical records of 2/1-2/3/2008. FINAL DX: atypical Kawasaki disease; fever; leukocytosis; bilateral acute OM. Records reveal no H&P available.  Patient tx w/IVIG & high dose ASA.  Improved & d/c home on low dose ASA.
Age: 19.0
Sex: F
Vaccine: HPV4
Symptoms: Drug exposure during pregnancy, Pregnancy test positive
Clinical narrative: Positive pregnancy on 4/7/08, 5 6/7 week gestation.
Age: 27.0
Sex: F
Vaccine: TDAP
Symptoms: Fatigue, Headache, Oedema peripheral, Skin warm
Clinical narrative: Swollen arm, arm feverish, headaches, very tired - symptoms lasted 4-5 days.
Age: 28.0
Sex: F
Vaccine: TDAP
Symptoms: Hypoaesthesia
Clinical narrative: Numbness in left arm and hand.
Age: 40.0
Sex: F
Vaccine: MMR, TDAP
Symptoms: Diarrhoea, Dyspnoea, Erythema, Oedema peripheral, Pain in extremity
Clinical narrative: MMR and TDaP given 4-17-08.  That evening, patient states arm was sore by AM, swollen, red by the following Monday.  4-21-08 arm still red, swollen, vomiting, loose stool, face red with rash, felt shortness of breath, went to see doctor.  Patient stated previous week her son had nausea, vomiting.
Age: 40.0
Sex: F
Vaccine: MMR, TDAP
Symptoms: Rash, Sick relative, Vomiting
Clinical narrative: MMR and TDaP given 4-17-08.  That evening, patient states arm was sore by AM, swollen, red by the following Monday.  4-21-08 arm still red, swollen, vomiting, loose stool, face red with rash, felt shortness of breath, went to see doctor.  Patient stated previous week her son had nausea, vomiting.
Age: 28.0
Sex: F
Vaccine: TDAP
Symptoms: Asthenia, Dizziness, Feeling abnormal, Paraesthesia, Tunnel vision
Clinical narrative: Client received TDAP.  After waiting in health department 20 minutes without problems.  Went to department store.  While in store, became weak, head felt "funny", dizzy, tunnel vision, "felt like pins and needles in chest and abdomen."  Episode lasting for 1 hour.
Age: 46.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site pain, Injection site urticaria, No reaction on previous exposure to drug
Clinical narrative: Friday 11/16/07 about 930AM received flu shot, felt tender that night, was like whelp hasn't gotten bigger. Allergy PCN; has gotten flu shot before; No other symptom. (3cm diameter); Patient also had sinus infection given CIPRO 500mg 1 tab po Bid #20
Sex: F
Vaccine: FLU3
Symptoms: Burning sensation, Contusion, Pain in extremity
Clinical narrative: 11/28/07 patient stated she had bruise on her left arm after getting flu shot 11/14/07; it hurt the day after and constantly since.  Bruise went away this past weekend.  Deep hurting inside arm with burning per phone call to clinic 3 PM today.  Information per phone 11/28/07 cancelled 3 PM appointment.
Age: 20.0
Sex: F
Vaccine: HPV4
Symptoms: Hypoaesthesia oral, Lip swelling
Clinical narrative: C/O upper lip feeling numb & swollen x 4 days (since vaccine).  Denies any other factors, possible allergy triggers or other symptoms.  Recommended antihistamine - ZYRTEC as directed & call if not resolved.  Clinically - no rash, swelling no alteration of facial movements or symmetry.  No sensation loss.
Age: 60.0
Sex: F
Vaccine: DT, PPV, VARZOS
Symptoms: Influenza like illness, Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: She reported to the nurse at the convent that she had "flu-like" symptoms x1 week that started the day after receiving immunizations & her right arm was swollen & sore from the shoulder down past her elbow - also reddened in color - left arm fine.
Age: 64.0
Sex: M
Vaccine: TDAP
Symptoms: Body temperature increased, Bowel movement irregularity, Chills, Inflammation, Influenza like illness
Clinical narrative: Injection site red. Left arm discoloration to elbow; Left-arm inflammation, left supra clavicular inflammation of the lymph node. Bowel movement x3 5/10/08. General body ache. Temp 101.0 deg F, chills - Flu-like Symptoms.
Age: 64.0
Sex: M
Vaccine: TDAP
Symptoms: Injection site erythema, Lymphadenitis, Pain, Skin discolouration
Clinical narrative: Injection site red. Left arm discoloration to elbow; Left-arm inflammation, left supra clavicular inflammation of the lymph node. Bowel movement x3 5/10/08. General body ache. Temp 101.0 deg F, chills - Flu-like Symptoms.
Age: 40.0
Sex: F
Vaccine: HEP, TDAP
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Left deltoid: swelling the size of a tennis ball, erythema, and pain.  Site measures 6.5cm by 8.5cm.  Pt was seen by her doctor.  Pt given ZYRTEC 10mg bid until improved.
Age: 11.0
Sex: M
Vaccine: HEPA, TDAP, VARCEL
Symptoms: Erythema, Pruritus, Skin warm, Swelling
Clinical narrative: Red, swollen, itchy and warm seen 5-10-08 given KEFLEX.
Age: 15.0
Sex: F
Vaccine: HPV4, VARCEL
Symptoms: Oedema peripheral
Clinical narrative: Swelling size of golf ball to RA - getting larger -> advised ice and MOTRIN.  Pt seen by doc on 5/16 good ROM, no fever, recheck if worsens.
Age: 8.0
Sex: F
Vaccine: MMRV
Symptoms: Erythema, Oedema peripheral, Tenderness, Wrong drug administered
Clinical narrative: Patient was given PROQUAD instead of VARIVAX. Patient developed redness, tenderness and edematous arm 5/16/08 - Patient went to school nurse, FR; On 5/17/08 - mother called PMD 3P - he recommended warm compresses - Patient went to bed at 8P.
Age: 46.0
Sex: M
Vaccine: HEPAB
Symptoms: Hypoaesthesia facial, Induration, Irritability, Mouth ulceration, Pyrexia
Clinical narrative: Pt states day after received second TWINRIX started with fever & irritability, on 21st had facial numbness, knot in L cheek and ulcers on roof of mouth.  Saw MD, no medications given.
Age: 16.0
Sex: F
Vaccine: HEPAB
Symptoms: Inappropriate schedule of drug administration, Medication error
Clinical narrative: Administered TWINRIX vaccine to client.  Misadministration of vaccine.  No licensed for this age pt.
Age: 7.0
Sex: F
Vaccine: VARCEL
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: 3/24/08 VZV administered in L arm.  Mom called 3/25/08 stated injection site had dime size redness & swelling and later on went to quarter side.  3/26/08 patient came in and redness is size of tennis ball.  Instructed mother to give MOTRIN for swelling and discomfort.  If redness swelling, and pain persist to go to PCP for further evaluation.
Age: 10.0
Sex: M
Vaccine: VARCEL
Symptoms: Cough, Sneezing, Urticaria, Vomiting
Clinical narrative: 5 minutes after administration - vomiting.  15 minutes after administration - face, trunk and extremities developed erythematous bullae and hives.  20 minutes after administration - coughing, sneezing and vomiting.  Adverse reaction to varicella immunization.
Age: 6.0
Sex: M
Vaccine: HEP, HEPA
Symptoms: Erythema, Rash
Clinical narrative: Tuesday received shots. Wednesday, Mom noticed small red bump(s) on right arm, spread to left arm on Thursday and on to face and right arm by Friday. No Bumps on chest or legs, 1 small red bump on left side of back. A few bumps on right arm - small, red with small amount of crusting/weeping.
Age: 4.0
Sex: F
Vaccine: DTAP, HEPA, IPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Area of redness and swelling diameter ~ 4 1/2" L anterior thigh - no heat or tenderness.
Age: 4.0
Sex: M
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Anaphylactic reaction, Blood pressure decreased, Lethargy, Urticaria, Vomiting
Clinical narrative: Immunizations, PPD, & bloodwork were done for 4yo well child check. Pt <5 min broke out in hives body, decreased BP, vomiting, & lethargic.  IM/PO BENADRYL given.  O2 via blowby.  Sent to DCH via ambulance.  Rx for anaphylaxis-observed & sent home.
Age: 8.0
Sex: M
Vaccine: TD
Symptoms: Injection site erythema, Injection site swelling, Pain in extremity
Clinical narrative: 5/4/08 - 4 PM - swelling and redness around injection site.  Felt calling (like to mother of patient).  5 cm diameter.  5/5/08 - less red, but swollen, arm pain with reaction.  Some swelling.
Age: 5.0
Sex: F
Vaccine: HEPA
Symptoms: Dyspnoea, Panic attack
Clinical narrative: Client received Hep. A. 12/3/07. On 12/4/07 child awakening out of a sleep at night, panicked short of breath and frantically running out of room. Every night since that time child has had these episodes at night. Mom stated she will breathe regularly then decrease then stop, then wake up in a panic. Child has been to ER - had chest x-ray which was WNL - Had another x-ray 12/10 which was neg, All blood work was neg. (per mom)
Age: 1.0
Sex: M
Vaccine: HBHEPB, VARCEL
Symptoms: Erythema, Rash, Rash macular
Clinical narrative: Rash next day on trunk red blotchy - still had rash somewhat 2 week + later.
Age: 0.4
Sex: M
Vaccine: DTAP, HBHEPB, IPV, PPV
Symptoms: Attention deficit/hyperactivity disorder, Crying, Encephalopathy, Opisthotonus, Screaming
Clinical narrative: PM after vaccines, prolonged crying, screaming. Vomited, arching back unable to calm down - 6+ hours
Age: 0.4
Sex: M
Vaccine: DTAP, HBHEPB, IPV, PPV
Symptoms: Vomiting
Clinical narrative: PM after vaccines, prolonged crying, screaming. Vomited, arching back unable to calm down - 6+ hours
Age: 11.0
Sex: M
Vaccine: MNQ, TDAP
Symptoms: Swelling, Tenderness
Clinical narrative: Tender swelling L axilla and L chest wall (lateral).  No induration or redness (?lymphedema).
Age: 6.0
Sex: M
Vaccine: DTAP, HEPA, VARCEL
Symptoms: Pruritus, Rash, Skin lesion, Varicella post vaccine
Clinical narrative: Patient immunization 4-8-08.  Mom reported patient c/o itching and rash spots on body-back, stomach, under arms.  4-9-08 patient seen by primary care physician - pt given  ORAPRED 2x2 p.o. q 8-12 hours for itchy rash.  Next day on 4-10-08 4 lesions on back, 7 on stomach & neck-breakthrough varicella lesions-covered with calamine lotion.  Call made to CDC for consultation reference # 1-51742834.
Age: 28.0
Sex: F
Vaccine: RAB
Symptoms: Erythema, Oedema peripheral, Rash
Clinical narrative: Donor came to center on 5-9-08 to donate. Donor had red rash on right arm and some swelling which donor states believes is from Rabies immunization on 5-7-08.
Age: 40.0
Sex: M
Vaccine: PPV
Symptoms: Cellulitis, Erythema
Clinical narrative: Cellulitis vice local erythema.  Layer erythema area under right upper arm. Cellulitis at site and urticaria entire area. Pt given antibiotic and responded. Pt was administered vaccine correctly.
Age: 0.4
Sex: F
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Cyanosis, Erythema, Hypotonia, Pallor, Urticaria
Clinical narrative: Hives, both lower extremities, L>R, approximately 5 minutes following vaccinations. BENADRYL, O2 - 2 LTRS x 5-10 MIN. Erythema >5" on left thigh, pale, cyanotic, limp, SAT 96%; HR 142. Observed.
Age: 40.0
Sex: F
Vaccine: RAB
Symptoms: Asthenia, Fatigue, Headache, Pyrexia, Vomiting
Clinical narrative: Injection 4/25/08 04/26/2008 8am woke up to complaint of sinus drainage, low grade temp. general feeling of weakness,and tired. 5/5/08 headaches started, comes and goes. Vomiting at times. Has past history of migraines.
Age: 23.0
Sex: F
Vaccine: TD
Symptoms: Injection site erythema, Injection site pain
Clinical narrative: Pt c/o pain in L delt (site of admin) also tenderness, redness - onset eve of injection.
Age: 4.0
Sex: M
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Erythema, Oedema peripheral, Pyrexia, Skin warm
Clinical narrative: Received report from child's mom on 5/12/08 at 9:35 am by phone that child was taken to the emergency room on 5/8/08 - 2 days after shots were given due to redness, swelling of the left arm.  She stated that left arm felt hot and child's fever was 101F.  Child was given IV ABT and was checked by the doctor on 5/9/08 and 5/10/08 for follow-up.  She stated he has recovered well today.
Age: 4.0
Sex: M
Vaccine: DTAP, HEPA, MMR
Symptoms: Injection site erythema, Injection site oedema, Injection site swelling
Clinical narrative: Total extremity (R arm) swelling, onset a few hrs after injection with tense edema, erythema.  No fever.  Treated with ice packs and analgesic/anti-inflammatories, improved slowly without further intervention.  Imm given 5/3/08.  Seen in clinic for arm swelling 5/5, 5/6, and 5/8.
Age: 0.2
Sex: M
Vaccine: DTAP
Symptoms: Decreased appetite, Somnolence, Vomiting
Clinical narrative: 50% less cooling; less eye contact; more sleep; decreased appetite; increased spit up.
Age: 4.0
Sex: M
Vaccine: DTAP, MMR
Symptoms: Injection site swelling, Injection site warmth
Clinical narrative: L leg swollen & warm to touch x yesterday AM.
Age: 0.5
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Convulsion
Clinical narrative: Prolonged generalized seizure less than 24 hours after vaccines 6/6/08-records received for DOS 5/15/08-DX: First time seizure. Seen in ED with history of seizure that morning. Full tonic-clonic seizure, postictal state.
Age: 1.2
Sex: F
Vaccine: DTAPH, HEPA, MMR, PNC, VARCEL
Symptoms: Body temperature increased, Chest X-ray normal, Computerised tomogram normal, Convulsion, Laboratory test normal
Clinical narrative: 5/12/2008 7:45 PM patient had a seizure lasting 1-2 min.(patient no prior seizure hx) Paramedics called. Parent states cool compresses applied. Paramedics state temp 101.2 F, eyes fixed and dilated for 20 minutes. Transported to Sparrow Hops ED. Chest xray, CT scan, Labs normal. Sibling (sibling has prior seizure hx--not assoc. with immunization)brought to ER with seizure 2 hrs later. Both children dischared home on antibiotic. Although parents state no evidence of infection found. History as reported by father. Did not remember patient's birth weight. Father has history of febrile seizures as child, patient's older sibling has had 5 seizures and is being medically evaluated and has begun treatment for seizure activity.  3 previous doses of Dtap and 2 previous pedvax hib
Age: 1.2
Sex: F
Vaccine: DTAPH, HEPA, MMR, PNC, VARCEL
Symptoms: Mydriasis, Pupil fixed, Sick relative
Clinical narrative: 5/12/2008 7:45 PM patient had a seizure lasting 1-2 min.(patient no prior seizure hx) Paramedics called. Parent states cool compresses applied. Paramedics state temp 101.2 F, eyes fixed and dilated for 20 minutes. Transported to Sparrow Hops ED. Chest xray, CT scan, Labs normal. Sibling (sibling has prior seizure hx--not assoc. with immunization)brought to ER with seizure 2 hrs later. Both children dischared home on antibiotic. Although parents state no evidence of infection found. History as reported by father. Did not remember patient's birth weight. Father has history of febrile seizures as child, patient's older sibling has had 5 seizures and is being medically evaluated and has begun treatment for seizure activity.  3 previous doses of Dtap and 2 previous pedvax hib
Age: 10.0
Sex: M
Vaccine: VARCEL
Symptoms: Injection site erythema, Injection site induration, Injection site pruritus
Clinical narrative: 3cm X 3cm area of induration at injection site overlayed by a 8.5cm X 8.5 cm area of pruritic erythema; afebrile.  Rxn began 05/15/08, worse on 05/16/08, seen in our office on 05/16/08.  Advised Motrin PRN for discomfort.  Area circled, mom to call if it enlarged, no call from mom after visit.
Age: 41.0
Sex: U
Vaccine: HEP, HEPA, TDAP, TYP
Symptoms: Arthropod bite, Borrelia burgdorferi serology, Cold sweat, Feeling hot, Headache
Clinical narrative: CLT STATES THAT SHE AWOKE THE MORNING AFTER AND WAS HAVING GENERALIZED PAIN, HOT AND COLD SWEATS WITH HEADACHE AND NECK PAIN.  ALSO WAS BITTEN BY A TICK WITHIN A COUPLE OF DAYS OF IMMUNIZATIONS AND IS CURRENTLY BEING TESTED FOR LYME DIEASE,LABS ARE PENDING.  WILL START ANTIBIOTIC TX IF IS LYME DIEASE BUT NEED TO KNOW WHAT STRAIN SO THEY KNOW HOW TO TX.  CLT HAS BEEN PLAGUED WITH PROBLEMS OF DEPRESSION AFTER THE LOSS OF HER AUTISTIC SON IN AN SAD ACCIDENT AND IS BEING TXED WITH ZOLOFT AND ATIVAN.
Age: 41.0
Sex: U
Vaccine: HEP, HEPA, TDAP, TYP
Symptoms: Neck pain, Pain
Clinical narrative: CLT STATES THAT SHE AWOKE THE MORNING AFTER AND WAS HAVING GENERALIZED PAIN, HOT AND COLD SWEATS WITH HEADACHE AND NECK PAIN.  ALSO WAS BITTEN BY A TICK WITHIN A COUPLE OF DAYS OF IMMUNIZATIONS AND IS CURRENTLY BEING TESTED FOR LYME DIEASE,LABS ARE PENDING.  WILL START ANTIBIOTIC TX IF IS LYME DIEASE BUT NEED TO KNOW WHAT STRAIN SO THEY KNOW HOW TO TX.  CLT HAS BEEN PLAGUED WITH PROBLEMS OF DEPRESSION AFTER THE LOSS OF HER AUTISTIC SON IN AN SAD ACCIDENT AND IS BEING TXED WITH ZOLOFT AND ATIVAN.
Age: 11.0
Sex: F
Vaccine: DTAP, MNQ
Symptoms: Injection site erythema, Injection site haemorrhage, Injection site pain
Clinical narrative: Child had MENACTRA Vaccine administered in the lower left deltoid  area  at the same time ADACEL was administered in the upper left deltoid  area , ,child developed an approximately 5cm  area of eccymosis followed by redness under the eccymotic area with moderate pain to the MENACTRA injection site + bleeding at site after injection reported to pediatrician office no treatment received