chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Sex: U
Vaccine: FLU3, TD
Symptoms: Medication error
Clinical narrative: Tetanus and diphtheria toxoid vaccine was refilled in hospital medication dispensing cabinet refrigerator instead of influenza virus vaccine (syringe version of product).  The wrong product selected in the pharmacy, then delivered to the ADC.  Nurse caught before medication administered.  Concern: When vaccines are removed from outer box, they look identical.  Concern for potential that this could happen again and patients could receive.  Differentiate inside packaging of products since outer box will most likely not be used in hospital settings when automated dispensing cabinets are utilized.  We separated products by storing in separate refrigerators, highlighted, shored information.
Age: 15.0
Sex: F
Vaccine: HPV4
Symptoms: Contusion, Erythema, Full blood count, Joint swelling, Metabolic function test
Clinical narrative: Pt came into office 12/28/07 complaining of red spots to both lower legs for 3 weeks. At that time had bruises over shins. Blood work checked(CBC) in office. Pt came into office 1/3/08 still complaining of bruising to legs, swollen right ankle, and painful bumps along shin and some on palm of hand. Further lab work ordered.
Age: 15.0
Sex: F
Vaccine: HPV4
Symptoms: Thyroid function test, Urine analysis
Clinical narrative: Pt came into office 12/28/07 complaining of red spots to both lower legs for 3 weeks. At that time had bruises over shins. Blood work checked(CBC) in office. Pt came into office 1/3/08 still complaining of bruising to legs, swollen right ankle, and painful bumps along shin and some on palm of hand. Further lab work ordered.
Age: 11.0
Sex: F
Vaccine: HEP
Symptoms: Asthenia, Body temperature increased, Cold sweat, Dizziness, Dyspnoea
Clinical narrative: About 3 pm receive Hepatitis B shot.  About 4:30 began to feel ill.  By 5pm she was reporting a severe headache across the back of her head and into her neck (throbbing).  Her neck was very painful.  Also dizzy, weak, achy, cold sweat, hot and cold, elevated temperature.  Spoke to the after-hours nurse who said we should take pt to emergency.  Went to Hospital.  There her symptoms continued to worsen (she was in tears from the headache).  She also had some shortness of breath and found it difficult to stand up (complained her legs were weak and sore).  A minor rash developed on her face (nothing was visible on her arm at the site of the shot).  Symptoms peaked around 7pm.  By the time she was seen by a doctor, she was already improving.  She was given 500 mg Tylenol and felt almost well by 8:30pm.  She woke up around midnight with a headache again and we gave her more Tylenol.  She slept through the night, until late the next AM.  Throughout the following day she continued to have a minor headache, neckache and complained about her legs feeling stiff and sore.  She was also fatigued and slept during part of the day.  After about 24 hr she was largely back to normal.
Age: 11.0
Sex: F
Vaccine: HEP
Symptoms: Dysstasia, Fatigue, Headache, Malaise, Pain
Clinical narrative: About 3 pm receive Hepatitis B shot.  About 4:30 began to feel ill.  By 5pm she was reporting a severe headache across the back of her head and into her neck (throbbing).  Her neck was very painful.  Also dizzy, weak, achy, cold sweat, hot and cold, elevated temperature.  Spoke to the after-hours nurse who said we should take pt to emergency.  Went to Hospital.  There her symptoms continued to worsen (she was in tears from the headache).  She also had some shortness of breath and found it difficult to stand up (complained her legs were weak and sore).  A minor rash developed on her face (nothing was visible on her arm at the site of the shot).  Symptoms peaked around 7pm.  By the time she was seen by a doctor, she was already improving.  She was given 500 mg Tylenol and felt almost well by 8:30pm.  She woke up around midnight with a headache again and we gave her more Tylenol.  She slept through the night, until late the next AM.  Throughout the following day she continued to have a minor headache, neckache and complained about her legs feeling stiff and sore.  She was also fatigued and slept during part of the day.  After about 24 hr she was largely back to normal.
Age: 11.0
Sex: F
Vaccine: HEP
Symptoms: Rash, Somnolence
Clinical narrative: About 3 pm receive Hepatitis B shot.  About 4:30 began to feel ill.  By 5pm she was reporting a severe headache across the back of her head and into her neck (throbbing).  Her neck was very painful.  Also dizzy, weak, achy, cold sweat, hot and cold, elevated temperature.  Spoke to the after-hours nurse who said we should take pt to emergency.  Went to Hospital.  There her symptoms continued to worsen (she was in tears from the headache).  She also had some shortness of breath and found it difficult to stand up (complained her legs were weak and sore).  A minor rash developed on her face (nothing was visible on her arm at the site of the shot).  Symptoms peaked around 7pm.  By the time she was seen by a doctor, she was already improving.  She was given 500 mg Tylenol and felt almost well by 8:30pm.  She woke up around midnight with a headache again and we gave her more Tylenol.  She slept through the night, until late the next AM.  Throughout the following day she continued to have a minor headache, neckache and complained about her legs feeling stiff and sore.  She was also fatigued and slept during part of the day.  After about 24 hr she was largely back to normal.
Age: 18.0
Sex: F
Vaccine: HEPA, MNQ, HEPA, MNQ
Symptoms: Guillain-Barre syndrome, Hypoaesthesia, Polyneuropathy, Viral infection
Clinical narrative: Developed numbness in her feet, right more than left. No weakness of the muscle. Developed sometime in October 2007. Mother reports patient did develop a viral syndrome about a month before the onset of the numbness. She was not seen by any Doctors for that. I saw her on November 11,07 and sent her to see the pediatric neurologist on 11-27-07 . Nerve conduction study showed mild polyneuropathy and diagnosis of Guillain-Barre syndrome was made. No treatment was given.  01/10/2008 MR received for OVs 7/26/07 to 11/20/07 and Neuro report dated 11/27/07.  WCC on 7/26/07 with normal exam. Next visit 11/20/07 with c/o "feet falling asleep x 3-4 weeks".  PE (+) for decreased sensation R foot, DTRs decreased.  Referred to Neuro.  Neuro visit 11/27/07 with c/o numbness and foot pain when walking.  Reduced sensation upper and lower extremities. OV 12/13/07 with PE (+) for areflexia and distal decreased appreciation of touch and temp. DX:  Guillain-Barre Syndrome 9/04/2008 MR received from Neuro including EMG/NCS as reported above.  F/U 12/13/07 with numbness ongoing. Seen again 1/03/2008. Pt had some resolution, but numbness returned, most pronounced in R leg and now hands.  Unable to elicit DTRs in upper extremities. F/U 8/21/08 with increased pain in feet. DTRs absent in upper and lower extremities with normal sensation. (+) Pes planus.
Age: 18.0
Sex: F
Vaccine: HEPA, MNQ, HEPA, MNQ
Symptoms: Areflexia, Guillain-Barre syndrome, Hypoaesthesia, Hyporeflexia, Nerve conduction studies abnormal
Clinical narrative: Developed numbness in her feet, right more than left. No weakness of the muscle. Developed sometime in October 2007. Mother reports patient did develop a viral syndrome about a month before the onset of the numbness. She was not seen by any Doctors for that. I saw her on November 11,07 and sent her to see the pediatric neurologist on 11-27-07 . Nerve conduction study showed mild polyneuropathy and diagnosis of Guillain-Barre syndrome was made. No treatment was given.  01/10/2008 MR received for OVs 7/26/07 to 11/20/07 and Neuro report dated 11/27/07.  WCC on 7/26/07 with normal exam. Next visit 11/20/07 with c/o "feet falling asleep x 3-4 weeks".  PE (+) for decreased sensation R foot, DTRs decreased.  Referred to Neuro.  Neuro visit 11/27/07 with c/o numbness and foot pain when walking.  Reduced sensation upper and lower extremities. OV 12/13/07 with PE (+) for areflexia and distal decreased appreciation of touch and temp. DX:  Guillain-Barre Syndrome 9/04/2008 MR received from Neuro including EMG/NCS as reported above.  F/U 12/13/07 with numbness ongoing. Seen again 1/03/2008. Pt had some resolution, but numbness returned, most pronounced in R leg and now hands.  Unable to elicit DTRs in upper extremities. F/U 8/21/08 with increased pain in feet. DTRs absent in upper and lower extremities with normal sensation. (+) Pes planus.
Age: 18.0
Sex: F
Vaccine: HEPA, MNQ, HEPA, MNQ
Symptoms: Pain in extremity, Paraesthesia, Polyneuropathy, Sensory loss, Viral infection
Clinical narrative: Developed numbness in her feet, right more than left. No weakness of the muscle. Developed sometime in October 2007. Mother reports patient did develop a viral syndrome about a month before the onset of the numbness. She was not seen by any Doctors for that. I saw her on November 11,07 and sent her to see the pediatric neurologist on 11-27-07 . Nerve conduction study showed mild polyneuropathy and diagnosis of Guillain-Barre syndrome was made. No treatment was given.  01/10/2008 MR received for OVs 7/26/07 to 11/20/07 and Neuro report dated 11/27/07.  WCC on 7/26/07 with normal exam. Next visit 11/20/07 with c/o "feet falling asleep x 3-4 weeks".  PE (+) for decreased sensation R foot, DTRs decreased.  Referred to Neuro.  Neuro visit 11/27/07 with c/o numbness and foot pain when walking.  Reduced sensation upper and lower extremities. OV 12/13/07 with PE (+) for areflexia and distal decreased appreciation of touch and temp. DX:  Guillain-Barre Syndrome 9/04/2008 MR received from Neuro including EMG/NCS as reported above.  F/U 12/13/07 with numbness ongoing. Seen again 1/03/2008. Pt had some resolution, but numbness returned, most pronounced in R leg and now hands.  Unable to elicit DTRs in upper extremities. F/U 8/21/08 with increased pain in feet. DTRs absent in upper and lower extremities with normal sensation. (+) Pes planus.
Age: 70.0
Sex: M
Vaccine: FLU3
Symptoms: Urticaria
Clinical narrative: Patient stated he developed hives on legs, lower back and gluteus after receiving influenza vaccine.  He was seen by his primary care provider two days after vaccination and was prescribed diphenhydramine and prednisone taper with instructions to report to ER if rash worsened or if he developed problems with breathing.
Age: 41.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Culture negative, Injection site cellulitis, Injection site erythema, Injection site pain, Injection site scar
Clinical narrative: Possible cellulitis of right upper arm 4 days after the administration of the vaccine.  Patient presented in the Emergency Department and complained of redness and pain at the injection site.  A 5x4 cm red area was noted on the right upper arm.  She was ordered on an oral antibiotic. She subsequently had 5 additional visits for this issue, 4 in the Emergency Department and one with her Primary Care Provider. A culture taken on 12/6/06 was negative for growth.  She reports that she has residual scar tissue in the are of the injection.   The individual reported that she had received the vaccinations in the same arm.  Medical record documentation indicates that she received the Influenza vaccine in the left deltiod and the Pneumovax vaccine in the right deltiod.
Age: 15.0
Sex: F
Vaccine: FLUX, HPV4, HPV4, HPV4
Symptoms: Blood test normal, Convulsion, Corrective lens user, Decreased appetite, Diplegia
Clinical narrative: Blisters on roof of mouth paralysis in legs passing out, bad headaches in back of her head, not being able to eat much food or drink felt overly full onset of Guillain Barre syndrome, still passing out and feeling dizzy after 2 months heavieness in legs sleeping excessivly feeling fatigued alot. 1/18/08-records received for DOS 1/11/08-ER visit for syncopal episode. Previously hospitalized for diffuse neurologic complaints. Guillain-Barre syndrome ruled out with negative MRI. Continues to have syncopal episodes, occasional fatigue, stomach upset, decreased oral intake. Tachycardia, anxiety, rapid respirations and syncope. No memory loss. Referred to outpatient neurology and pediatric psychiatry. DX: Persistent syncopal episodes. Per information received from annual follow up, it has been almost 5 mos, she still passes out, she gets dizzy on a daily basis. she now has to wear glasses from the seizures and passing out. And has a hard time keeping food down. Has lost 25 lbs and always tired, very fatigued. Many stays in the Hosp. and many tests. My daughters only got one shot out of 3. I would like more answers, is this ever going to stop-and if you could recommend any immunization attorneys that would be great. 1/19/2010 Last time she had a seizure was 2 months ago it seems to be backing off accept for all last year.
Age: 15.0
Sex: F
Vaccine: FLUX, HPV4, HPV4, HPV4
Symptoms: Dizziness, Fatigue, Fatigue, Headache, Hypersomnia
Clinical narrative: Blisters on roof of mouth paralysis in legs passing out, bad headaches in back of her head, not being able to eat much food or drink felt overly full onset of Guillain Barre syndrome, still passing out and feeling dizzy after 2 months heavieness in legs sleeping excessivly feeling fatigued alot. 1/18/08-records received for DOS 1/11/08-ER visit for syncopal episode. Previously hospitalized for diffuse neurologic complaints. Guillain-Barre syndrome ruled out with negative MRI. Continues to have syncopal episodes, occasional fatigue, stomach upset, decreased oral intake. Tachycardia, anxiety, rapid respirations and syncope. No memory loss. Referred to outpatient neurology and pediatric psychiatry. DX: Persistent syncopal episodes. Per information received from annual follow up, it has been almost 5 mos, she still passes out, she gets dizzy on a daily basis. she now has to wear glasses from the seizures and passing out. And has a hard time keeping food down. Has lost 25 lbs and always tired, very fatigued. Many stays in the Hosp. and many tests. My daughters only got one shot out of 3. I would like more answers, is this ever going to stop-and if you could recommend any immunization attorneys that would be great. 1/19/2010 Last time she had a seizure was 2 months ago it seems to be backing off accept for all last year.
Age: 15.0
Sex: F
Vaccine: FLUX, HPV4, HPV4, HPV4
Symptoms: Hypophagia, Loss of consciousness, Nuclear magnetic resonance imaging normal, Oral mucosal blistering, Sensation of heaviness
Clinical narrative: Blisters on roof of mouth paralysis in legs passing out, bad headaches in back of her head, not being able to eat much food or drink felt overly full onset of Guillain Barre syndrome, still passing out and feeling dizzy after 2 months heavieness in legs sleeping excessivly feeling fatigued alot. 1/18/08-records received for DOS 1/11/08-ER visit for syncopal episode. Previously hospitalized for diffuse neurologic complaints. Guillain-Barre syndrome ruled out with negative MRI. Continues to have syncopal episodes, occasional fatigue, stomach upset, decreased oral intake. Tachycardia, anxiety, rapid respirations and syncope. No memory loss. Referred to outpatient neurology and pediatric psychiatry. DX: Persistent syncopal episodes. Per information received from annual follow up, it has been almost 5 mos, she still passes out, she gets dizzy on a daily basis. she now has to wear glasses from the seizures and passing out. And has a hard time keeping food down. Has lost 25 lbs and always tired, very fatigued. Many stays in the Hosp. and many tests. My daughters only got one shot out of 3. I would like more answers, is this ever going to stop-and if you could recommend any immunization attorneys that would be great. 1/19/2010 Last time she had a seizure was 2 months ago it seems to be backing off accept for all last year.
Age: 15.0
Sex: F
Vaccine: FLUX, HPV4, HPV4, HPV4
Symptoms: Weight decreased
Clinical narrative: Blisters on roof of mouth paralysis in legs passing out, bad headaches in back of her head, not being able to eat much food or drink felt overly full onset of Guillain Barre syndrome, still passing out and feeling dizzy after 2 months heavieness in legs sleeping excessivly feeling fatigued alot. 1/18/08-records received for DOS 1/11/08-ER visit for syncopal episode. Previously hospitalized for diffuse neurologic complaints. Guillain-Barre syndrome ruled out with negative MRI. Continues to have syncopal episodes, occasional fatigue, stomach upset, decreased oral intake. Tachycardia, anxiety, rapid respirations and syncope. No memory loss. Referred to outpatient neurology and pediatric psychiatry. DX: Persistent syncopal episodes. Per information received from annual follow up, it has been almost 5 mos, she still passes out, she gets dizzy on a daily basis. she now has to wear glasses from the seizures and passing out. And has a hard time keeping food down. Has lost 25 lbs and always tired, very fatigued. Many stays in the Hosp. and many tests. My daughters only got one shot out of 3. I would like more answers, is this ever going to stop-and if you could recommend any immunization attorneys that would be great. 1/19/2010 Last time she had a seizure was 2 months ago it seems to be backing off accept for all last year.
Age: 15.0
Sex: F
Vaccine: FLUX, HPV4, HPV4, HPV4
Symptoms: Convulsion, Dizziness, Guillain-Barre syndrome, Hyperventilation, Hypoaesthesia
Clinical narrative: Blisters on roof of mouth paralysis in legs passing out, bad headaches in back of her head, not being able to eat much food or drink felt overly full onset of Guillain Barre syndrome, still passing out and feeling dizzy after 2 months heavieness in legs sleeping excessivly feeling fatigued alot. 1/18/08-records received for DOS 1/11/08-ER visit for syncopal episode. Previously hospitalized for diffuse neurologic complaints. Guillain-Barre syndrome ruled out with negative MRI. Continues to have syncopal episodes, occasional fatigue, stomach upset, decreased oral intake. Tachycardia, anxiety, rapid respirations and syncope. No memory loss. Referred to outpatient neurology and pediatric psychiatry. DX: Persistent syncopal episodes. Per information received from annual follow up, it has been almost 5 mos, she still passes out, she gets dizzy on a daily basis. she now has to wear glasses from the seizures and passing out. And has a hard time keeping food down. Has lost 25 lbs and always tired, very fatigued. Many stays in the Hosp. and many tests. My daughters only got one shot out of 3. I would like more answers, is this ever going to stop-and if you could recommend any immunization attorneys that would be great. 1/19/2010 Last time she had a seizure was 2 months ago it seems to be backing off accept for all last year.
Age: 15.0
Sex: F
Vaccine: FLUX, HPV4, HPV4, HPV4
Symptoms: Laboratory test, Loss of consciousness, Neurological examination, Oropharyngeal blistering, Syncope
Clinical narrative: Blisters on roof of mouth paralysis in legs passing out, bad headaches in back of her head, not being able to eat much food or drink felt overly full onset of Guillain Barre syndrome, still passing out and feeling dizzy after 2 months heavieness in legs sleeping excessivly feeling fatigued alot. 1/18/08-records received for DOS 1/11/08-ER visit for syncopal episode. Previously hospitalized for diffuse neurologic complaints. Guillain-Barre syndrome ruled out with negative MRI. Continues to have syncopal episodes, occasional fatigue, stomach upset, decreased oral intake. Tachycardia, anxiety, rapid respirations and syncope. No memory loss. Referred to outpatient neurology and pediatric psychiatry. DX: Persistent syncopal episodes. Per information received from annual follow up, it has been almost 5 mos, she still passes out, she gets dizzy on a daily basis. she now has to wear glasses from the seizures and passing out. And has a hard time keeping food down. Has lost 25 lbs and always tired, very fatigued. Many stays in the Hosp. and many tests. My daughters only got one shot out of 3. I would like more answers, is this ever going to stop-and if you could recommend any immunization attorneys that would be great. 1/19/2010 Last time she had a seizure was 2 months ago it seems to be backing off accept for all last year.
Age: 15.0
Sex: F
Vaccine: FLUX, HPV4, HPV4, HPV4
Symptoms: Abasia, Blood test, Fatigue, Guillain-Barre syndrome, Hypoaesthesia
Clinical narrative: Blisters on roof of mouth paralysis in legs passing out, bad headaches in back of her head, not being able to eat much food or drink felt overly full onset of Guillain Barre syndrome, still passing out and feeling dizzy after 2 months heavieness in legs sleeping excessivly feeling fatigued alot. 1/18/08-records received for DOS 1/11/08-ER visit for syncopal episode. Previously hospitalized for diffuse neurologic complaints. Guillain-Barre syndrome ruled out with negative MRI. Continues to have syncopal episodes, occasional fatigue, stomach upset, decreased oral intake. Tachycardia, anxiety, rapid respirations and syncope. No memory loss. Referred to outpatient neurology and pediatric psychiatry. DX: Persistent syncopal episodes. Per information received from annual follow up, it has been almost 5 mos, she still passes out, she gets dizzy on a daily basis. she now has to wear glasses from the seizures and passing out. And has a hard time keeping food down. Has lost 25 lbs and always tired, very fatigued. Many stays in the Hosp. and many tests. My daughters only got one shot out of 3. I would like more answers, is this ever going to stop-and if you could recommend any immunization attorneys that would be great. 1/19/2010 Last time she had a seizure was 2 months ago it seems to be backing off accept for all last year.
Age: 15.0
Sex: F
Vaccine: FLUX, HPV4, HPV4, HPV4
Symptoms: Laboratory test, Loss of consciousness, Malaise, Nuclear magnetic resonance imaging, Paralysis
Clinical narrative: Blisters on roof of mouth paralysis in legs passing out, bad headaches in back of her head, not being able to eat much food or drink felt overly full onset of Guillain Barre syndrome, still passing out and feeling dizzy after 2 months heavieness in legs sleeping excessivly feeling fatigued alot. 1/18/08-records received for DOS 1/11/08-ER visit for syncopal episode. Previously hospitalized for diffuse neurologic complaints. Guillain-Barre syndrome ruled out with negative MRI. Continues to have syncopal episodes, occasional fatigue, stomach upset, decreased oral intake. Tachycardia, anxiety, rapid respirations and syncope. No memory loss. Referred to outpatient neurology and pediatric psychiatry. DX: Persistent syncopal episodes. Per information received from annual follow up, it has been almost 5 mos, she still passes out, she gets dizzy on a daily basis. she now has to wear glasses from the seizures and passing out. And has a hard time keeping food down. Has lost 25 lbs and always tired, very fatigued. Many stays in the Hosp. and many tests. My daughters only got one shot out of 3. I would like more answers, is this ever going to stop-and if you could recommend any immunization attorneys that would be great. 1/19/2010 Last time she had a seizure was 2 months ago it seems to be backing off accept for all last year.
Age: 15.0
Sex: F
Vaccine: FLUX, HPV4, HPV4, HPV4
Symptoms: Stress
Clinical narrative: Blisters on roof of mouth paralysis in legs passing out, bad headaches in back of her head, not being able to eat much food or drink felt overly full onset of Guillain Barre syndrome, still passing out and feeling dizzy after 2 months heavieness in legs sleeping excessivly feeling fatigued alot. 1/18/08-records received for DOS 1/11/08-ER visit for syncopal episode. Previously hospitalized for diffuse neurologic complaints. Guillain-Barre syndrome ruled out with negative MRI. Continues to have syncopal episodes, occasional fatigue, stomach upset, decreased oral intake. Tachycardia, anxiety, rapid respirations and syncope. No memory loss. Referred to outpatient neurology and pediatric psychiatry. DX: Persistent syncopal episodes. Per information received from annual follow up, it has been almost 5 mos, she still passes out, she gets dizzy on a daily basis. she now has to wear glasses from the seizures and passing out. And has a hard time keeping food down. Has lost 25 lbs and always tired, very fatigued. Many stays in the Hosp. and many tests. My daughters only got one shot out of 3. I would like more answers, is this ever going to stop-and if you could recommend any immunization attorneys that would be great. 1/19/2010 Last time she had a seizure was 2 months ago it seems to be backing off accept for all last year.
Age: 0.91
Sex: F
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Body temperature increased, Bowel movement irregularity, Decreased appetite, Erythema multiforme, Joint swelling
Clinical narrative: Patient was diagnosed with otitis media on 12/27/07 and treated with amoxicillin after 2 days of temperature to 100 F, decreased appetite and slight increase in the number of bowel movements.  She returned 4 days later for a regularly scheduled checkup for delayed immunizations and had been without fever since the prior visit and ears were improving.  On 12/31/07, she received DTaP3, Hib3, IPV3, PCV3.  In the evening on 1/3/08, she began developing a red, raised rash and possible swollen knee (L).  She also reported eating shrimp near (but probably after) the rash appeared.  The rash was seen by me on 1/4 and was red, raised, with target lesions and some with purple centers.  There were no mouth lesions.  CBC was unremarkable, ESR was elevated.  The rash became worse and she was seen in the ER at Hospital on 1/4 and 1/5 as the swelling of the lower extremities and rash spread.  It was felt to be erythema multiforme.  Amoxicillin was stopped on 1/3/08 and patient's rash resolved spontaneously by 1/7/08.
Age: 0.91
Sex: F
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Otitis media, Rash erythematous, Skin discolouration, Skin lesion
Clinical narrative: Patient was diagnosed with otitis media on 12/27/07 and treated with amoxicillin after 2 days of temperature to 100 F, decreased appetite and slight increase in the number of bowel movements.  She returned 4 days later for a regularly scheduled checkup for delayed immunizations and had been without fever since the prior visit and ears were improving.  On 12/31/07, she received DTaP3, Hib3, IPV3, PCV3.  In the evening on 1/3/08, she began developing a red, raised rash and possible swollen knee (L).  She also reported eating shrimp near (but probably after) the rash appeared.  The rash was seen by me on 1/4 and was red, raised, with target lesions and some with purple centers.  There were no mouth lesions.  CBC was unremarkable, ESR was elevated.  The rash became worse and she was seen in the ER at Hospital on 1/4 and 1/5 as the swelling of the lower extremities and rash spread.  It was felt to be erythema multiforme.  Amoxicillin was stopped on 1/3/08 and patient's rash resolved spontaneously by 1/7/08.
Age: 0.42
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV
Symptoms: Erythema, Rash, Urticaria
Clinical narrative: Administered Pediarix, Hib, Prevnar & Rotavirus vaccines at 9:20 am on 1/9/08.  At 9:35 mom stated, "His head is breaking out just like with the Rocephin reaction."  Red rash with hives noted on scalp, no resp distress noted R-34, even & unlabored P 124 Admin Benadryl 4 ml PO  at 9:40.  At 9:45, R-34, P-120, red rash noted on head, no hives noted.  At 9:5o R-36,P-126 decresed redness of rash noted on head, no hives.  At 10:00 R-30, P 120, mild redness on head, no hives.  Pt to home at 10:30, no redness, rash or hives noted on scalp or at injection sites infant sleeping, resp even, unlabored, 28 breaths/min.
Age: 14.0
Sex: F
Vaccine: HPV4, TDAP
Symptoms: Dizziness, Loss of consciousness, Malaise, Nausea, Panic attack
Clinical narrative: Patient received a Tdap vaccine and a Gardasil vaccine on 1/3/08.  She passed out from the vaccines.  She has had no trouble with vaccines or shots in the past, including her last Tdap. She became very dizzy, and then passed out about 5-10 minutes after receiving the vaccines. She also was nauseated and didn't feel well for several days. In addition, she takes medicines for panic disorder and the condition has been well controlled.  After the vaccines, she experienced severe panic attacks for several days and required an additional anxiety medicine. She had a follow-up visit with her pediatrician and her psychiatrist to evaluate her symptoms.
Age: 0.5
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, DTAPHEPBIP, HIBV, PNC
Symptoms: Injection site induration
Clinical narrative: Induration at injection site measures 7mm.
Age: 47.0
Sex: U
Vaccine: PPV
Symptoms: Erythema, Pruritus generalised, Rash
Clinical narrative: After recieving shot within 10 minutes patient experienced rash, redness at cheeks with raised bumps and c/o itching all over. Patient was given Benadryl 25mg Im. Patient responded to tx with-in 20min redness gone and rash started to resolve.
Age: 49.0
Sex: M
Vaccine: FLUX
Symptoms: Periorbital oedema
Clinical narrative: Periorbital edema noted 6-8hrs after vaccination, resolved within 48hrs.
Age: 60.0
Sex: F
Vaccine: FLU3
Symptoms: Abdominal pain upper, Asthenia, Back pain, Balance disorder, Burning sensation
Clinical narrative: Presented to hospital 11/29/07 with severe low back pain, tingling, numbness and burning sensation in BLE. Dizziness, unsteadiness & weakness. Developed severe paraesthesias follwoing the flu shot. Diagnosed Guillian Barre Syndrome 2nd to flu shot. Demyelinating Polyneuritis. Pain under control by discharge to home 12/21/07 2/6/08-records received for DOS-11/28-12/21/07-DC summary not available. C/O severe low back pain, tingling, numbness and burning sensation in both lower extremities. Unsteadiness and weakness. After flu shot developed diarrhea and nauseous feeling. PE: positive Romberg phenomena, areflexia in both lower extremities without affecting the bulbar muscles or cranial nerves. Severe stabbing pain low back area radiating to thoracic region. Developed severe pain in epigastric area with bloating. DX: acute pancreatitis. 4/3/08-DC Summary received for DOS 11/28-12/21/07-DC DX: Acute inflammatory demyelinating polyneuropathy or Guillain-Barre syndrome following vaccineation. Acute or subacute onset of pancreatitis, probably related to IVIG immunoglobulin-G treatment. Severe neuropathy in both lower extremities. Pneumonia. Severe ataxic gait. Abdominal pain from pancreatitis. Chronic pain as result of demyelination of dorsal ganglion resulting in acute Guillain-Barre syndrome. Ptient recovered enough to go home but had residual neurological findings for which she was to recieve home rehab.
Age: 60.0
Sex: F
Vaccine: FLU3
Symptoms: CSF protein increased, Demyelinating polyneuropathy, Dizziness, Escherichia infection, Guillain-Barre syndrome
Clinical narrative: Presented to hospital 11/29/07 with severe low back pain, tingling, numbness and burning sensation in BLE. Dizziness, unsteadiness & weakness. Developed severe paraesthesias follwoing the flu shot. Diagnosed Guillian Barre Syndrome 2nd to flu shot. Demyelinating Polyneuritis. Pain under control by discharge to home 12/21/07 2/6/08-records received for DOS-11/28-12/21/07-DC summary not available. C/O severe low back pain, tingling, numbness and burning sensation in both lower extremities. Unsteadiness and weakness. After flu shot developed diarrhea and nauseous feeling. PE: positive Romberg phenomena, areflexia in both lower extremities without affecting the bulbar muscles or cranial nerves. Severe stabbing pain low back area radiating to thoracic region. Developed severe pain in epigastric area with bloating. DX: acute pancreatitis. 4/3/08-DC Summary received for DOS 11/28-12/21/07-DC DX: Acute inflammatory demyelinating polyneuropathy or Guillain-Barre syndrome following vaccineation. Acute or subacute onset of pancreatitis, probably related to IVIG immunoglobulin-G treatment. Severe neuropathy in both lower extremities. Pneumonia. Severe ataxic gait. Abdominal pain from pancreatitis. Chronic pain as result of demyelination of dorsal ganglion resulting in acute Guillain-Barre syndrome. Ptient recovered enough to go home but had residual neurological findings for which she was to recieve home rehab.
Age: 60.0
Sex: F
Vaccine: FLU3
Symptoms: Hypoaesthesia, Intervertebral disc protrusion, Lumbar puncture, Pancreatitis acute, Paraesthesia
Clinical narrative: Presented to hospital 11/29/07 with severe low back pain, tingling, numbness and burning sensation in BLE. Dizziness, unsteadiness & weakness. Developed severe paraesthesias follwoing the flu shot. Diagnosed Guillian Barre Syndrome 2nd to flu shot. Demyelinating Polyneuritis. Pain under control by discharge to home 12/21/07 2/6/08-records received for DOS-11/28-12/21/07-DC summary not available. C/O severe low back pain, tingling, numbness and burning sensation in both lower extremities. Unsteadiness and weakness. After flu shot developed diarrhea and nauseous feeling. PE: positive Romberg phenomena, areflexia in both lower extremities without affecting the bulbar muscles or cranial nerves. Severe stabbing pain low back area radiating to thoracic region. Developed severe pain in epigastric area with bloating. DX: acute pancreatitis. 4/3/08-DC Summary received for DOS 11/28-12/21/07-DC DX: Acute inflammatory demyelinating polyneuropathy or Guillain-Barre syndrome following vaccineation. Acute or subacute onset of pancreatitis, probably related to IVIG immunoglobulin-G treatment. Severe neuropathy in both lower extremities. Pneumonia. Severe ataxic gait. Abdominal pain from pancreatitis. Chronic pain as result of demyelination of dorsal ganglion resulting in acute Guillain-Barre syndrome. Ptient recovered enough to go home but had residual neurological findings for which she was to recieve home rehab.
Age: 0.15
Sex: F
Vaccine: FLU3, MMR, VARCEL
Symptoms: Injection site cellulitis, Injection site mass
Clinical narrative: 2 SMALL MASSES AT AREA OF INJECTIONS WITH MILD CELLULITIS
Age: 60.0
Sex: F
Vaccine: PPV
Symptoms: Cellulitis, Injection site erythema, Injection site pain
Clinical narrative: Redness and pain at site. Dx cellulitis - antibiotic given.
Age: 15.0
Sex: F
Vaccine: HEPA, HPV4, MNQ, VARCEL
Symptoms: Headache, Malaise, Musculoskeletal stiffness
Clinical narrative: Headache, stiff neck, feels sick, treated w/ Tylenol and Ibuprofen.
Age: 1.3
Sex: M
Vaccine: DTAP, FLU3, HBHEPB, MMR
Symptoms: Bronchiolitis, Cough, Dyspnoea, Pneumonia
Clinical narrative: Patient was sent to ER 12/18/07 with cough and breathing difficulty.  No fever.  Diagnosed with pneumonia and bronchiolitis.  Child received influenza vaccine 12/12/07 - mother won't give 2nd influenza - feels this is cause. 1/17/08-records received for DOS 12/18/07-Assessment:Pneumonia. Broncholitis. Presented to ED with cough and difficulty breathing.  PE: some grunting respirations without stridor.
Age: 33.0
Sex: F
Vaccine: TDAP
Symptoms: Injected limb mobility decreased, Pain in extremity
Clinical narrative: After receiving Tdap - 2-3 days her arm hurt and unable to lift (L) arm. "With hurting", no redness noted.
Age: 69.0
Sex: M
Vaccine: VARZOS
Symptoms: Injection site pain
Clinical narrative: Pain in arm at injection site since immunized 12/26/07.
Age: 17.0
Sex: M
Vaccine: DTAP, MNQ, VARCEL
Symptoms: Wrong drug administered
Clinical narrative: None known; wrong vaccine given.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Erythema, Oedema peripheral, Pruritus
Clinical narrative: Redness, swelling, itching to left deltoid.  Symptoms started 12-18 hours after vaccine administered.
Age: 1.0
Sex: M
Vaccine: FLU3, HEPA, MMR, VARCEL
Symptoms: Injection site abscess, Injection site erythema, Injection site nodule, Injection site swelling, Rash
Clinical narrative: Rash-cleared on own early Nov. 07.  12-31-07, 1-8-08, 1-9-08 seen for abscess on L leg, red, swollen nodule.
Age: 11.0
Sex: M
Vaccine: MNQ
Symptoms: Erythema, Swelling
Clinical narrative: Increased swelling, erythema about 24 hours after with erythematous patch 12 3/4 cm. No fever.
Age: 1.0
Sex: M
Vaccine: HEPA, MMR
Symptoms: Body temperature increased, Crying, Dyskinesia, Mydriasis
Clinical narrative: Inconsolable, thrashing tongue, arms unable to grasp, rapid hand movement.  Temp 100.4.  Pupils dilated.
Age: 36.0
Sex: M
Vaccine: ANTH
Symptoms: Alanine aminotransferase increased, Blood immunoglobulin E, Blood phosphorus increased, Blood thyroid stimulating hormone normal, Chest X-ray
Clinical narrative: 44 y/o patient who received AVA #1-3 in Jan/Feb 2000 and developed diffuse pruritic hives onset 'sometime between the first and third doses'.  Symptoms cleared spontaneously over 3 days; episode was not medically-attended.  He then had recurrent episodes of skin eruptions, not temporally-related to vaccine receipt: hives in Jun 2000 and Dec 2002 which cleared after treatment with Benadryl; pruritic eruptions diagnosed as psoriasis onset Dec 2003 and lasting thru Dec 2004, which responded to steroid cream and antihistamines; and pruritic eruptions onset 5 days after taking Cipro and Flagyl in Oct 2007 which cleared with Benadryl.  Symptom: Pruritus start: 01/12/2000, end: 02/04/2000.  Comment: exact time frame not recalled: 'sometime between first and third dose of AVA'.  Symptom: Hives start: 01/12/2000, end: 02/04/2000.  Comment: same comment for pruritus.  Seen by dermatologist 10/30/2007 and diagnosed with urticaria vs. drug eruption.  Seen by allergist 12/13/2007 for skin patch testing - no results available at time of this report.
Age: 36.0
Sex: M
Vaccine: ANTH
Symptoms: Complement factor C3, Complement factor C4, Complement factor normal, Drug eruption, Full blood count normal
Clinical narrative: 44 y/o patient who received AVA #1-3 in Jan/Feb 2000 and developed diffuse pruritic hives onset 'sometime between the first and third doses'.  Symptoms cleared spontaneously over 3 days; episode was not medically-attended.  He then had recurrent episodes of skin eruptions, not temporally-related to vaccine receipt: hives in Jun 2000 and Dec 2002 which cleared after treatment with Benadryl; pruritic eruptions diagnosed as psoriasis onset Dec 2003 and lasting thru Dec 2004, which responded to steroid cream and antihistamines; and pruritic eruptions onset 5 days after taking Cipro and Flagyl in Oct 2007 which cleared with Benadryl.  Symptom: Pruritus start: 01/12/2000, end: 02/04/2000.  Comment: exact time frame not recalled: 'sometime between first and third dose of AVA'.  Symptom: Hives start: 01/12/2000, end: 02/04/2000.  Comment: same comment for pruritus.  Seen by dermatologist 10/30/2007 and diagnosed with urticaria vs. drug eruption.  Seen by allergist 12/13/2007 for skin patch testing - no results available at time of this report.
Age: 36.0
Sex: M
Vaccine: ANTH
Symptoms: Metabolic function test, Pruritus, Psoriasis, Rash, Red blood cell sedimentation rate normal
Clinical narrative: 44 y/o patient who received AVA #1-3 in Jan/Feb 2000 and developed diffuse pruritic hives onset 'sometime between the first and third doses'.  Symptoms cleared spontaneously over 3 days; episode was not medically-attended.  He then had recurrent episodes of skin eruptions, not temporally-related to vaccine receipt: hives in Jun 2000 and Dec 2002 which cleared after treatment with Benadryl; pruritic eruptions diagnosed as psoriasis onset Dec 2003 and lasting thru Dec 2004, which responded to steroid cream and antihistamines; and pruritic eruptions onset 5 days after taking Cipro and Flagyl in Oct 2007 which cleared with Benadryl.  Symptom: Pruritus start: 01/12/2000, end: 02/04/2000.  Comment: exact time frame not recalled: 'sometime between first and third dose of AVA'.  Symptom: Hives start: 01/12/2000, end: 02/04/2000.  Comment: same comment for pruritus.  Seen by dermatologist 10/30/2007 and diagnosed with urticaria vs. drug eruption.  Seen by allergist 12/13/2007 for skin patch testing - no results available at time of this report.
Age: 36.0
Sex: M
Vaccine: ANTH
Symptoms: Skin test, Urticaria
Clinical narrative: 44 y/o patient who received AVA #1-3 in Jan/Feb 2000 and developed diffuse pruritic hives onset 'sometime between the first and third doses'.  Symptoms cleared spontaneously over 3 days; episode was not medically-attended.  He then had recurrent episodes of skin eruptions, not temporally-related to vaccine receipt: hives in Jun 2000 and Dec 2002 which cleared after treatment with Benadryl; pruritic eruptions diagnosed as psoriasis onset Dec 2003 and lasting thru Dec 2004, which responded to steroid cream and antihistamines; and pruritic eruptions onset 5 days after taking Cipro and Flagyl in Oct 2007 which cleared with Benadryl.  Symptom: Pruritus start: 01/12/2000, end: 02/04/2000.  Comment: exact time frame not recalled: 'sometime between first and third dose of AVA'.  Symptom: Hives start: 01/12/2000, end: 02/04/2000.  Comment: same comment for pruritus.  Seen by dermatologist 10/30/2007 and diagnosed with urticaria vs. drug eruption.  Seen by allergist 12/13/2007 for skin patch testing - no results available at time of this report.
Age: 1.5
Sex: F
Vaccine: VARCEL
Symptoms: Ataxia, Balance disorder, Blood glucose, Crying, Gait disturbance
Clinical narrative: Pt returned to office on 1/7/08 for well care - waking this AM and shaking and off balance X several weeks. Low grade fever in office - "eyes shaking" wakes at night crying, irritable - 1/8/08 - child with shaking and unsteady gait "worse) - to ED. 1/9/08 Dad called did not go to ED yesterday - unable to start - seen in office - nystagmus - (L) arm tremor - ataxia, blood glucose 103 in office. Strong response of VZV reaction/side effect.
Age: 1.5
Sex: F
Vaccine: VARCEL
Symptoms: Irritability, Nystagmus, Pyrexia, Sleep disorder, Tremor
Clinical narrative: Pt returned to office on 1/7/08 for well care - waking this AM and shaking and off balance X several weeks. Low grade fever in office - "eyes shaking" wakes at night crying, irritable - 1/8/08 - child with shaking and unsteady gait "worse) - to ED. 1/9/08 Dad called did not go to ED yesterday - unable to start - seen in office - nystagmus - (L) arm tremor - ataxia, blood glucose 103 in office. Strong response of VZV reaction/side effect.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Left leg red & swollen.
Age: 18.0
Sex: F
Vaccine: DTAP, HEP, HEPA, HPV4, IPV, MMRV
Symptoms: Antibody test negative, Inappropriate schedule of drug administration, Measles antibody positive, Medication error, Mumps antibody test positive
Clinical narrative: Information has been received from a  registered nurse concerning an 18 (also reported as 16) year old female with a history in 2003 of Valley Fever who on 25-JUL-2007 was vaccinated in the left upper arm with a first dose of measles virus vaccine live (Enders-Edmonston) (+) mumps virus vaccine live (Jeryl Lynn) (+) rubella virus vaccine live (Wister RA 27/3) (+) varicella virus vaccine live (Oka/Merck upgrade process) (Lot #657879/0652U). Additional suspect vaccination included a first dose of hepatitis A virus vaccine inactivated (MSD) (lot # 656497/1213F) given in the right deltoid, a first dose of hepatitis B virus vaccine rHBsAg (yeast) (MSD) (lot # 650890/0144R) given in the left deltoid, and a first dose of HPV rL1 6 11 16 18 VLP vaccine (yeast) (MSD) (lot # 655620/0171U) given in the right deltoid. Concomitant therapy included a first dose of poliovirus vaccine inactivated (Vero) (IPOL) (lot # 20001-2) given in the right upper arm and a first dose of diphtheria toxoid (+) pertussis acellular 3-component vaccine (+) tetanus toxoid (INFANRIX) (Lot#AC52B03AA) given in the left deltoid. There was no illness at the time of vaccination. No symptoms were reported. There was no product quality complaint involved. Follow up information was received from the nurse who noted that the patient was an un-immunized teen, and she "glitched" and gave her the measles virus vaccine live (Enders-Edmonston) (+) mumps virus vaccine live (Jeryl Lynn) (+) rubella virus vaccine live (Wister RA 27/3) (+) varicella virus vaccine live (Oka/Merck upgrade process) without thinking about the patient's age. She received six vaccinations that day. The nurse added that the patient was fine afterwards. Additional follow-up information from the registered nurse indicated that the patient had some slight soreness in her arms from the multiple shots. It was noted that the right deltoid HPV rL1 6 11 16 18 VLP vaccine (yeast) (MSD) (lot # 655620/0171U) injection site was sore for 3-4 days. On 21-SEP-2007 specimens were collected, the patient's measles IgG antibody, mumps IgG antibody and rubella IgG antibody were all positive. The patient's varicella zoster IgG antibody was negative. There were no other problems and on an unspecicifed date the patient recovered. The patient had no adverse events following prior vaccination.  Additional information is not expected.
Age: 18.0
Sex: F
Vaccine: DTAP, HEP, HEPA, HPV4, IPV, MMRV
Symptoms: Pain in extremity, Rubella antibody positive
Clinical narrative: Information has been received from a  registered nurse concerning an 18 (also reported as 16) year old female with a history in 2003 of Valley Fever who on 25-JUL-2007 was vaccinated in the left upper arm with a first dose of measles virus vaccine live (Enders-Edmonston) (+) mumps virus vaccine live (Jeryl Lynn) (+) rubella virus vaccine live (Wister RA 27/3) (+) varicella virus vaccine live (Oka/Merck upgrade process) (Lot #657879/0652U). Additional suspect vaccination included a first dose of hepatitis A virus vaccine inactivated (MSD) (lot # 656497/1213F) given in the right deltoid, a first dose of hepatitis B virus vaccine rHBsAg (yeast) (MSD) (lot # 650890/0144R) given in the left deltoid, and a first dose of HPV rL1 6 11 16 18 VLP vaccine (yeast) (MSD) (lot # 655620/0171U) given in the right deltoid. Concomitant therapy included a first dose of poliovirus vaccine inactivated (Vero) (IPOL) (lot # 20001-2) given in the right upper arm and a first dose of diphtheria toxoid (+) pertussis acellular 3-component vaccine (+) tetanus toxoid (INFANRIX) (Lot#AC52B03AA) given in the left deltoid. There was no illness at the time of vaccination. No symptoms were reported. There was no product quality complaint involved. Follow up information was received from the nurse who noted that the patient was an un-immunized teen, and she "glitched" and gave her the measles virus vaccine live (Enders-Edmonston) (+) mumps virus vaccine live (Jeryl Lynn) (+) rubella virus vaccine live (Wister RA 27/3) (+) varicella virus vaccine live (Oka/Merck upgrade process) without thinking about the patient's age. She received six vaccinations that day. The nurse added that the patient was fine afterwards. Additional follow-up information from the registered nurse indicated that the patient had some slight soreness in her arms from the multiple shots. It was noted that the right deltoid HPV rL1 6 11 16 18 VLP vaccine (yeast) (MSD) (lot # 655620/0171U) injection site was sore for 3-4 days. On 21-SEP-2007 specimens were collected, the patient's measles IgG antibody, mumps IgG antibody and rubella IgG antibody were all positive. The patient's varicella zoster IgG antibody was negative. There were no other problems and on an unspecicifed date the patient recovered. The patient had no adverse events following prior vaccination.  Additional information is not expected.
Sex: M
Vaccine: MMRV
Symptoms: Rash
Clinical narrative: Information has been received from a medical assistant concerning a male patient who was vaccinated with a dose of ProQuad (Enders-Edmonston, Jeryl Lynn, Wistar RA 27/3, Oka/Merck upgrade process) (Lot # 654998/0827F).  On an unspecified date the patient developed a rash (site unspecified).  The patient sough unspecified medical attention.  At the time of the report the patient's status was unknown.  A product quality complaint was not involved.  Follow-up information was received on 20-SEP-2007 via a telephone call.  Medical assistant confirmed that a male patient developed a rash following vaccination.  This is one of several reports from the same source.  Additional information has been requested.