chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 42.0
Sex: M
Vaccine: FLUX, PPV, FLUX, PPV
Symptoms: Confusional state, Dizziness, Grand mal convulsion, Headache, Hearing impaired
Clinical narrative: Severe swelling and pain in arms, high fever, nausea, headache, grand mal seizure with loss of consciousness, head injury with broken nose, hearing and vision problems, dizziness, mental confusion, muscle weakness, lethargy.  MR received from vax provider for date of vax. and f/u phone calls.  No treatment sought for AE.  Pt. seen 12/07/2006 for prescription refill for back pain meds.  Vax. received. Pt. called office on 12/11/2007 (4 days s/p vax.) to report reaction.  Office was unable to reach pt. until 12/20/2006.  Phone contacts show patient states he was not seen for his AE, but is looking for compensation.  No further records to request.
Age: 42.0
Sex: M
Vaccine: FLUX, PPV, FLUX, PPV
Symptoms: Injury, Lethargy, Loss of consciousness, Mental impairment, Muscular weakness
Clinical narrative: Severe swelling and pain in arms, high fever, nausea, headache, grand mal seizure with loss of consciousness, head injury with broken nose, hearing and vision problems, dizziness, mental confusion, muscle weakness, lethargy.  MR received from vax provider for date of vax. and f/u phone calls.  No treatment sought for AE.  Pt. seen 12/07/2006 for prescription refill for back pain meds.  Vax. received. Pt. called office on 12/11/2007 (4 days s/p vax.) to report reaction.  Office was unable to reach pt. until 12/20/2006.  Phone contacts show patient states he was not seen for his AE, but is looking for compensation.  No further records to request.
Age: 42.0
Sex: M
Vaccine: FLUX, PPV, FLUX, PPV
Symptoms: Nausea, Oedema, Pain, Pyrexia, Visual disturbance
Clinical narrative: Severe swelling and pain in arms, high fever, nausea, headache, grand mal seizure with loss of consciousness, head injury with broken nose, hearing and vision problems, dizziness, mental confusion, muscle weakness, lethargy.  MR received from vax provider for date of vax. and f/u phone calls.  No treatment sought for AE.  Pt. seen 12/07/2006 for prescription refill for back pain meds.  Vax. received. Pt. called office on 12/11/2007 (4 days s/p vax.) to report reaction.  Office was unable to reach pt. until 12/20/2006.  Phone contacts show patient states he was not seen for his AE, but is looking for compensation.  No further records to request.
Age: 64.0
Sex: F
Vaccine: VARZOS
Symptoms: Skin ulcer, Viral infection
Clinical narrative: Information has been received from a physician concerning a 64 year old female who was vaccinated with one dose of varicella zoster virus vaccine live. Subsequently the patient developed chickenpox. No information was provided regarding the number of lesions. The patient had an "Emergency Visit".  It was reported that at the time of the report the patient had not recovered. There was no product quality complaint involved.  No further information is available.
Age: 1.98
Sex: M
Vaccine: MMR
Symptoms: Agitation, Fatigue, Feeling hot, Irritability, Pyrexia
Clinical narrative: 9-6-06 4pm increased fever to 102F. Very fussy and difficult to console throughout night. Tylenol every 4 hours decreased fever and discomfort. Increased need for breastfeeding. Voiding within normal limits. 9-7-06 Client was not as fussy this day-but he was "tired" and "not himself" and "warm". One dose of Tylenol given. Decreased appetite. Increased breastfeeding. Voiding within normal limits. 9-8-06 appearance of rash noticed by clients mom on extremities, palms of hands, torso, face and ears. Rash describe as "lots of tiny dots-some flat and some raised, with no fluid." Mom says that in some areas, there were so many dots, that it created a "solid red area"-(most notable on torso and legs). She says that rash did not appear to cause itching or pain to client. Client afebrile this day. Behavior appearing more normal. Still wanting increased breastfeeding today. Mom called doctor about 5:30pm and left a message. 9-9-06 mom attempts to reach doctor again. Leaves message. symptoms same as 9-8-06. 9-11-06 mom contacts doctor who recommends calling Public Health for concern. At this time, mom reports that client is "back to himself", afebrile, appetite and behavior are within normal limits. Mom says rash is clearing up today.
Age: 1.98
Sex: M
Vaccine: MMR
Symptoms: Rash
Clinical narrative: 9-6-06 4pm increased fever to 102F. Very fussy and difficult to console throughout night. Tylenol every 4 hours decreased fever and discomfort. Increased need for breastfeeding. Voiding within normal limits. 9-7-06 Client was not as fussy this day-but he was "tired" and "not himself" and "warm". One dose of Tylenol given. Decreased appetite. Increased breastfeeding. Voiding within normal limits. 9-8-06 appearance of rash noticed by clients mom on extremities, palms of hands, torso, face and ears. Rash describe as "lots of tiny dots-some flat and some raised, with no fluid." Mom says that in some areas, there were so many dots, that it created a "solid red area"-(most notable on torso and legs). She says that rash did not appear to cause itching or pain to client. Client afebrile this day. Behavior appearing more normal. Still wanting increased breastfeeding today. Mom called doctor about 5:30pm and left a message. 9-9-06 mom attempts to reach doctor again. Leaves message. symptoms same as 9-8-06. 9-11-06 mom contacts doctor who recommends calling Public Health for concern. At this time, mom reports that client is "back to himself", afebrile, appetite and behavior are within normal limits. Mom says rash is clearing up today.
Age: 43.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Arthralgia, Joint range of motion decreased
Clinical narrative: This case was reported by a healthcare professional and described the occurrence of joint pain in a 43-year-old female subject who was vaccinated with influenza virus vaccine (Fluarix) for prophylaxis. Medical history included right hand dominant and athletic. The subject had received influenza virus vaccine in previous years with no subsequent adverse events. Concurrent medications included Oral contraceptive (Oral contraceptive). On 02 November 2006 the subject received a dose of Fluarix in the left deltoid. On 02 November 2006, less than one day after vaccination with Fluarix, the subject experienced joint pain "that felt as though the injection was given in the interarticular joint". The subject was seen by a physician and referred to an orthopedic specialist for physical therapy. The subject must work at home because of the pain. The healthcare professional considered the event was disabling. At the time of reporting, 28 November 2006, the event was worse. Follow-up information received on 14 December 2006 indicated that the subject experienced joint pain in the left shoulder starting on 02 November 2006. The pain limited shoulder mobility. The events were reportedly improved at the time follow-up was provided. In the reporter's opinion, the events were possibly related to treatment with Fluarix. It was felt that the vaccine may have been administered into a joint space.
Age: 43.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Arthralgia
Clinical narrative: This case was reported by a healthcare professional and described the occurrence of joint pain in a 43-year-old female subject who was vaccinated with influenza virus vaccine (Fluarix) for prophylaxis. Medical history included right hand dominant and athletic. The subject had received influenza virus vaccine in previous years with no subsequent adverse events. Concurrent medications included Oral contraceptive (Oral contraceptive). On 02 November 2006 the subject received a dose of Fluarix in the left deltoid. On 02 November 2006, less than one day after vaccination with Fluarix, the subject experienced joint pain "that felt as though the injection was given in the interarticular joint". The subject was seen by a physician and referred to an orthopedic specialist for physical therapy. The subject must work at home because of the pain. The healthcare professional considered the event was disabling. At the time of reporting, 28 November 2006, the event was worse. Follow-up information received on 14 December 2006 indicated that the subject experienced joint pain in the left shoulder starting on 02 November 2006. The pain limited shoulder mobility. The events were reportedly improved at the time follow-up was provided. In the reporter's opinion, the events were possibly related to treatment with Fluarix. It was felt that the vaccine may have been administered into a joint space.
Age: 80.0
Sex: M
Vaccine: FLU3
Symptoms: Asthenia, Injection site pain, Injection site swelling, Monoplegia, Pain
Clinical narrative: This case was reported by a physician and described the occurrence of injection site pain in a 80-year-old male subject who was vaccinated with influenza virus vaccine (FluLaval) for prophylaxis. Concurrent medications included Atervastin calcium (Lipitor) and Cardiac medication. The subject has unspecified cardiac history. He received the flu injection last year without complaints. On 23 October the subject received 1st dose of FluLaval at 0.5 ml, intramuscularly in the right deltoid. That same day, the subject experienced injection site pain. Four days later, on 27 October 2006, the subject reported increased pain and swelling at the injection site. The subject also reported weakness in his right arm with progressive loss of arm above his shoulder. The physician stated that in order for the subject to lift his arm over his head he had to lift his right arm to fully extend the right arm. The physician considered the events were disabling significant (or requiring intervention) (OMIC). The subject reports significant pain and weakness when he has to lift his arm. At the time of reporting. the events were worse. In the reporter's opinion, the events are probably related to treatment with FluLaval.
Age: 0.18
Sex: F
Vaccine: DTAP, HIBV, IPV, PNC, RV5
Symptoms: Diarrhoea, Viral infection, Vomiting
Clinical narrative: Information has been received from a physician concerning a 9 week old female, with no medical history and no allergies, but who had an unrelated family history of 2 siblings who had severe cases of rotavirus, who on 27 Nov 2006 was vaccainted with a first dose of rotavirus vaccine (lot 654794/0776F). Concomitant vaccines administered on the same day included a dose of Dtap, a dose of Hib vaccine, a dose of Ipol and a dose of Prevnar. Three days post vaccination, on 30 Nov 2006, the patient developed severe diarrhea and vomiting. The patient was taken to the emergency room where a stool culture showed that the child had rotavirus. The patient was not hospitalized and subsequently recovered. The physician felt that the patients experienced was related to vaccination with Rotavirus vaccine as none of the patients family members had been ill and since she does not see many rotavirus cases this time of year. No product quality complaint was involved. No other information was provided. The reporter considered the patient's experienced to be disabling and immediately life threatening. A lot check has been requested. Additional information has been requested.
Age: 0.13
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: CSF test abnormal, Meningitis, Sepsis
Clinical narrative: Information has been received from a physician concerning a 59 day old female, with no medical history and no allergies, who on 13 Nov 2006 was vaccinated with a first oral dos of rotavirus vaccine (lot 654664/0726F). Concomitant vaccines administered on the same day included a dose of Prevnar, a dose of Hib vaccine, and a dose of Pediarix. On 23 Nov 2006, 10 days later, the patient experienced septic meningitis, which was diagnosed by cerebrospinal fluid. The patient was admitted to the hospital for 4 days. On 27 Nov 2006 the patient was considered to be recovered. no product quality complaint was involved. No other information was provided. Additional information has been requested.
Age: 0.17
Sex: F
Vaccine: RV5
Symptoms: Haematochezia
Clinical narrative: Information has been received from a physician concerning a 2-month-old female who on 24-Nov-2006 was vaccinated PO with a dose of rotavirus G1 G2 G3 G4 P1 reassortant vaccine live (human-bovine). The physician reported that on 25-Nov-2006, the patient developed bloody stool. Unspecified medical attention was sought. No laboratory/diagnostic tests were performed. At the time of this report, the outcome was unknown. Upon internal review, bloody stool was determined to be an other important medical event (OMIC). Additional information has been requested.
Age: 0.25
Sex: F
Vaccine: RV5
Symptoms: Dehydration, Diarrhoea, Hypoxia, Immune system disorder, Pneumonia
Clinical narrative: Information was received from a physician concerning a 3 month old female, with on allergies, who on 29 Nov 2006 was vaccinated with a second oral dose of rotavirus vaccine. Concomitant therapy included nystatin, for thrush. On 30 Nov 2006 the patient developed vomiting and diarrhea. The patient then became dehydrated and had to be hospitalized. The patient had tested positive for rotavirus. The patient was confirmed to have rotavirus and pneumonia. The physician indicated that the patient may have possible severe combined immunodeficiency syndrome, but at the time of the report testing was ongoing to verify the diagnosis. The patient was in respiratory distress and was on oxygen. At the time of the report the patients symptoms had not resolved and were getting worse. At the time of the report the patient was still intubated and was in the intensive care unit. No product quality complaint was involved. No other information was provided. The patient's experiences were considered to be disabling and other important medical events by the reporter (OMIC). Additional information has been requested.
Age: 0.25
Sex: F
Vaccine: RV5
Symptoms: Respiratory distress, Viral infection, Vomiting
Clinical narrative: Information was received from a physician concerning a 3 month old female, with on allergies, who on 29 Nov 2006 was vaccinated with a second oral dose of rotavirus vaccine. Concomitant therapy included nystatin, for thrush. On 30 Nov 2006 the patient developed vomiting and diarrhea. The patient then became dehydrated and had to be hospitalized. The patient had tested positive for rotavirus. The patient was confirmed to have rotavirus and pneumonia. The physician indicated that the patient may have possible severe combined immunodeficiency syndrome, but at the time of the report testing was ongoing to verify the diagnosis. The patient was in respiratory distress and was on oxygen. At the time of the report the patients symptoms had not resolved and were getting worse. At the time of the report the patient was still intubated and was in the intensive care unit. No product quality complaint was involved. No other information was provided. The patient's experiences were considered to be disabling and other important medical events by the reporter (OMIC). Additional information has been requested.
Age: 2.0
Sex: M
Vaccine: VARCEL
Symptoms: Dermatitis bullous, Drug ineffective, Dysphagia, Urticaria, Viral infection
Clinical narrative: Information has been received from a consumer and a physician concerning an 8 year old male with "allergies" and allergies to nuts and tomatoes who on 25 Apr 2001 was vaccinated with a first dose of Varivax.  On 02 Dec 2006 the patient developed a moderate case of chickenpox with a "couple hundred" lesions (also reported as 500+ breakthrough chickenpox lesions). The lesions were reported to be "everywhere" including his mouth and tongue. The patient had difficulty swallowing. The patient did not have a fever. Medical attention was sought, no lab studies were performed. The patient was treated with topical Benadryl and Aveeno baths. It was reported that the lesions were not diagnosed as breakthrough chickenpox until 04 Dec 2006. At the time of the report the patient had not recovered thought the physician reported that he felt that the patient would recover and return to school in the beginning of the following week. There was no product quality complaint involved. The consumer considered the patient's chickenpox to be disabling. The physician reported that the patients chickenpox could be considered disabling since there are four other children that the patient lives in close contact with, therefore increasing the possibility that they may contract the disease. Additional information has been requested.
Age: 42.0
Sex: F
Vaccine: HEP
Symptoms: Cough, Dyspnoea, Paraesthesia
Clinical narrative: This case was reported by a healthcare professional and described the occurrence of cough in a 42-year-old female subject who was vaccinated with hepatitis B vaccine recombinant (Engerix-B) for prophylaxis. The subject's medical history included allergy to IVP dye, allergy to Keflex, allergy to seafood, darvocet allergy and latex allergy. On 12 December 2006 the subject received 1st dose of Engerix-B. On 12 December 2006, less than one day after vaccination with Engerix-B, the subject was seen in an emergency room. The healthcare professional considered the events were clinically significant (or requiring intervention) (OMIC). At the time of initial reporting, 12 December 2006, the events were improved. The healthcare professional considered the events were possibly related to vaccination with Engerix-B.
Age: 53.0
Sex: M
Vaccine: FLU3
Symptoms: Arthralgia, Asthenia, Diarrhoea, Dyspnoea, Fatigue
Clinical narrative: 11/21/2006 Fluzone vaccine, lot U2213AA expiration date 6/30/06 administered 2:10 pm intramuscularly in left deltoid, 11/22/06 11AM (less than 24 hours after flu vaccination) stated he felt unusually tired and very drained. 11/23/06 stated increased tiredness, overall did not feel good, feeling weird, unable to be more specific. 11/24/06 described self as sick, states lethargic, very painful achy muscles and joints, stated difficulty transferring from bed to chair (< 2 feet away), stated warm, had fever (did not check temperature), migraine headache, labored breathing, unable to sleep 11/24/06 (Friday night). 11/25/06 went to hospital, states developed vomiting and diarrhea while in hospital, admitted to hospital for 3 days (11/25/06, 11/26/06, 11/27/06, states IV fluids were given, CAT scan was done (pt stated he did not know results). 12/18/2006 received telephone call from company and spoke with human resource personnel who stated pt said others were ill, but indicated no one else had come forward. Human resource personnel indicated that pt had reported to manufacturer. Spoke with a representative who gave pt my name and number. 12/19/06 telephone call received from pt and VAERS form completed per protocol. Pt indicated that he heard second hand that others were ill with similar, but milder signs and symptoms and a similar time course. Pt was unable to give names of employees who were ill. Requested that pt have other employees who became ill call me.  Hospital MR received for 2 night hospital stay for c/o fatigue, abdominal pain, nausea, vomiting, black diarrhea, increased heartburn, arthralgias, myalgias, and fever.  HPI:  Pt. reports above symptoms started 1 day s/p flu shot.  Weakness and lethargy increased for several days resulting in ER admit. Pt. showed much improvement after 2 days and was d/c home. Assessment: Likely viral syndrome-improved.
Age: 53.0
Sex: M
Vaccine: FLU3
Symptoms: Feeling abnormal, Feeling hot, Insomnia, Lethargy, Malaise
Clinical narrative: 11/21/2006 Fluzone vaccine, lot U2213AA expiration date 6/30/06 administered 2:10 pm intramuscularly in left deltoid, 11/22/06 11AM (less than 24 hours after flu vaccination) stated he felt unusually tired and very drained. 11/23/06 stated increased tiredness, overall did not feel good, feeling weird, unable to be more specific. 11/24/06 described self as sick, states lethargic, very painful achy muscles and joints, stated difficulty transferring from bed to chair (< 2 feet away), stated warm, had fever (did not check temperature), migraine headache, labored breathing, unable to sleep 11/24/06 (Friday night). 11/25/06 went to hospital, states developed vomiting and diarrhea while in hospital, admitted to hospital for 3 days (11/25/06, 11/26/06, 11/27/06, states IV fluids were given, CAT scan was done (pt stated he did not know results). 12/18/2006 received telephone call from company and spoke with human resource personnel who stated pt said others were ill, but indicated no one else had come forward. Human resource personnel indicated that pt had reported to manufacturer. Spoke with a representative who gave pt my name and number. 12/19/06 telephone call received from pt and VAERS form completed per protocol. Pt indicated that he heard second hand that others were ill with similar, but milder signs and symptoms and a similar time course. Pt was unable to give names of employees who were ill. Requested that pt have other employees who became ill call me.  Hospital MR received for 2 night hospital stay for c/o fatigue, abdominal pain, nausea, vomiting, black diarrhea, increased heartburn, arthralgias, myalgias, and fever.  HPI:  Pt. reports above symptoms started 1 day s/p flu shot.  Weakness and lethargy increased for several days resulting in ER admit. Pt. showed much improvement after 2 days and was d/c home. Assessment: Likely viral syndrome-improved.
Age: 53.0
Sex: M
Vaccine: FLU3
Symptoms: Migraine, Myalgia, Pyrexia, Vomiting
Clinical narrative: 11/21/2006 Fluzone vaccine, lot U2213AA expiration date 6/30/06 administered 2:10 pm intramuscularly in left deltoid, 11/22/06 11AM (less than 24 hours after flu vaccination) stated he felt unusually tired and very drained. 11/23/06 stated increased tiredness, overall did not feel good, feeling weird, unable to be more specific. 11/24/06 described self as sick, states lethargic, very painful achy muscles and joints, stated difficulty transferring from bed to chair (< 2 feet away), stated warm, had fever (did not check temperature), migraine headache, labored breathing, unable to sleep 11/24/06 (Friday night). 11/25/06 went to hospital, states developed vomiting and diarrhea while in hospital, admitted to hospital for 3 days (11/25/06, 11/26/06, 11/27/06, states IV fluids were given, CAT scan was done (pt stated he did not know results). 12/18/2006 received telephone call from company and spoke with human resource personnel who stated pt said others were ill, but indicated no one else had come forward. Human resource personnel indicated that pt had reported to manufacturer. Spoke with a representative who gave pt my name and number. 12/19/06 telephone call received from pt and VAERS form completed per protocol. Pt indicated that he heard second hand that others were ill with similar, but milder signs and symptoms and a similar time course. Pt was unable to give names of employees who were ill. Requested that pt have other employees who became ill call me.  Hospital MR received for 2 night hospital stay for c/o fatigue, abdominal pain, nausea, vomiting, black diarrhea, increased heartburn, arthralgias, myalgias, and fever.  HPI:  Pt. reports above symptoms started 1 day s/p flu shot.  Weakness and lethargy increased for several days resulting in ER admit. Pt. showed much improvement after 2 days and was d/c home. Assessment: Likely viral syndrome-improved.
Age: 45.0
Sex: M
Vaccine: ANTH
Symptoms: Unevaluable event
Clinical narrative: None Stated.
Age: 33.0
Sex: F
Vaccine: MMR
Symptoms: Pruritus, Tongue oedema, Urticaria, Vomiting
Clinical narrative: 4:45PM received MMR inj lt upper arm subcutaneously. 5:05PM developed itching, urticaria, hives on face, neck and extremities. 5:10 Benadryl 25 mg given PO, T 97.6 BP 90 by palpation, P 100. Still itching. Benadryl 25 mg given at 5:25 PM. C/O tongue swelling. 911 called 5:30 PM vomited 5:45 EMT began O2 Epinephrine 0.3 CC IM given to hospital by amb.  Records received from an ER visit for c/o hypotension, diaphoresis, and hives/itching after MMR. Pt. used own epi-pen and was taken to ER via ambulance, where she was found to be feeling better. Treated with Solumedrol, IV Benadryl, and O2 and d/c'd when stable to continue benadryl and prednisone at home. DX: Allergic Reaction, Medicinal substance.
Age: 10.0
Sex: M
Vaccine: HEPA
Symptoms: Convulsion, Depression, Dizziness, Electroencephalogram abnormal, Headache
Clinical narrative: Within one month of the shot, he developed headaches, dizziness, seizure, psychotic episodes, mood changes loss of consciousness. Still on going. Records reviewed Neurology consult 9/13/06 On 9/2/06 seizure suddenly for 1-2 minutes jaw opened and closed, on 9/12/06 eyes rolled back and was babbling. C/O right knee pain, right side of face feels funny, headaches last half an hour and then completely go away. Headaches located in central region and occasionally has photophobia and phonophobia along with sudden dizziness.  PMH unremarkable except for about a year ago during football he ran into a kid head first and suffered a mild concussion, no change in LOC but was nauseous and vomited for a couple of days. Some behavioral problems which started with social issues in home.   Impression: EEG is more suggestive of benign rolandic epilepsy but his seizures do not sound like being rolandic epilepsy. Neuro exam and MRI are normal. Some abnormal movements are consistent with simple motor tics and at this time does not meet criteria for Tourette's. 11/2/06-seen in ER for suicidal ideation, sensation of stabbing with knife, hallucinations, auditory and visual. Voices telling him to kill self with knives and could see and feel in stomach. Episode lasted 20 minutes with numbness to legs for 45 minutes. Patient scared as intermittent suicidal ideations and voices increasing with frequency over past 4 years.  FMH: mother recently diagnosed with depression and paternal grandmother has history sch.  DC DX: Axis I Mood disorder not otherwise specified, psychotic disorder, not otherwise specified, major depressive disorder with psychotic features, post traumatic stress disorder, rule out bipolar I disorder, most recent episode depressed with psychotic features. Neuro visit 12/6/06-abnormal movements consistent with simple motor tics. neuro exam remains norma. 4/1/2010 He is still on Lamictal to control the seizures. The pyschosis has disipated so hopefully he will be better soon.
Age: 10.0
Sex: M
Vaccine: HEPA
Symptoms: Loss of consciousness, Mood altered, Psychotic disorder, Suicidal ideation, Tic
Clinical narrative: Within one month of the shot, he developed headaches, dizziness, seizure, psychotic episodes, mood changes loss of consciousness. Still on going. Records reviewed Neurology consult 9/13/06 On 9/2/06 seizure suddenly for 1-2 minutes jaw opened and closed, on 9/12/06 eyes rolled back and was babbling. C/O right knee pain, right side of face feels funny, headaches last half an hour and then completely go away. Headaches located in central region and occasionally has photophobia and phonophobia along with sudden dizziness.  PMH unremarkable except for about a year ago during football he ran into a kid head first and suffered a mild concussion, no change in LOC but was nauseous and vomited for a couple of days. Some behavioral problems which started with social issues in home.   Impression: EEG is more suggestive of benign rolandic epilepsy but his seizures do not sound like being rolandic epilepsy. Neuro exam and MRI are normal. Some abnormal movements are consistent with simple motor tics and at this time does not meet criteria for Tourette's. 11/2/06-seen in ER for suicidal ideation, sensation of stabbing with knife, hallucinations, auditory and visual. Voices telling him to kill self with knives and could see and feel in stomach. Episode lasted 20 minutes with numbness to legs for 45 minutes. Patient scared as intermittent suicidal ideations and voices increasing with frequency over past 4 years.  FMH: mother recently diagnosed with depression and paternal grandmother has history sch.  DC DX: Axis I Mood disorder not otherwise specified, psychotic disorder, not otherwise specified, major depressive disorder with psychotic features, post traumatic stress disorder, rule out bipolar I disorder, most recent episode depressed with psychotic features. Neuro visit 12/6/06-abnormal movements consistent with simple motor tics. neuro exam remains norma. 4/1/2010 He is still on Lamictal to control the seizures. The pyschosis has disipated so hopefully he will be better soon.
Age: 1.28
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Contusion, Diarrhoea, Ecchymosis, Epistaxis, Fall
Clinical narrative: Infant started with bleeding from nose lasted 1 hr also had minor fall sustained large ecchymosis and multiple unexplained other bruises to body (ITP). 01/08/07-records received and reviewed. DOS 12/8-12/9/06 DX: ITP. PMH: acute viral GE approximately 2 weeks ago.  Bruising present on head, arms, legs, trunk  Treated with IVIG.  Admitted subsequently 12/14-12/15/06- DC DX: acute gastroenteritis. History of vomiting and diarrhea. Temp 102.8. Treated with IVF
Age: 1.28
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Gastroenteritis, Platelet count decreased, Pyrexia, Thrombocytopenia, Vomiting
Clinical narrative: Infant started with bleeding from nose lasted 1 hr also had minor fall sustained large ecchymosis and multiple unexplained other bruises to body (ITP). 01/08/07-records received and reviewed. DOS 12/8-12/9/06 DX: ITP. PMH: acute viral GE approximately 2 weeks ago.  Bruising present on head, arms, legs, trunk  Treated with IVIG.  Admitted subsequently 12/14-12/15/06- DC DX: acute gastroenteritis. History of vomiting and diarrhea. Temp 102.8. Treated with IVF
Age: 1.28
Sex: M
Vaccine: MMR, VARCEL
Symptoms: White blood cell disorder
Clinical narrative: Infant started with bleeding from nose lasted 1 hr also had minor fall sustained large ecchymosis and multiple unexplained other bruises to body (ITP). 01/08/07-records received and reviewed. DOS 12/8-12/9/06 DX: ITP. PMH: acute viral GE approximately 2 weeks ago.  Bruising present on head, arms, legs, trunk  Treated with IVIG.  Admitted subsequently 12/14-12/15/06- DC DX: acute gastroenteritis. History of vomiting and diarrhea. Temp 102.8. Treated with IVF
Age: 0.35
Sex: M
Vaccine: DTAP, HEP, IPV, PNC, RV5
Symptoms: Gastrointestinal necrosis, Intussusception, Lethargy, Vomiting
Clinical narrative: Vomiting and lethargy, intussusception, required surgery for resection at necrotic bowel.
Age: 15.0
Sex: M
Vaccine: MNQ, TDAP
Symptoms: Wheezing
Clinical narrative: About 1 1/2 hours later-started wheezing while walking dog. Had not had an attack in a long time. Benadryl and Xopenex given by mother at home.
Age: 21.0
Sex: F
Vaccine: HPV4
Symptoms: Pruritus
Clinical narrative: Itching of entire body 4-5 days after vaccination on 11/22/06. Has continued on and off since then.
Age: 32.0
Sex: U
Vaccine: PPV
Symptoms: Pain, Paraesthesia, Swelling
Clinical narrative: arm tingling, swollen at injection. pain at injection site. X-ray on shoulder negative 10-10-06. X-ray on wrist 11/07/06 negative.
Age: 52.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Pyrexia, Rash, Swelling
Clinical narrative: Patient has fever and lots of swelling in the Left arm, from shoulder to the wrist and a rash.
Age: 5.0
Sex: M
Vaccine: DTAP, FLU3, IPV, MMR
Symptoms: Rash, Skin ulcer, Urticaria
Clinical narrative: 12/4/06 96 temp, 47lbs 12.8 oz. On 12/4/06 patient had immunizations in clinic. Right thigh had flu and MMRV and Left thigh had Dtap and IPV. On 12/5/06 in the evening child woke up per mother with hives on his face and neck. Treated with Benadryl. Mother reported left thigh had redness lasting 2 days and now has different rash. 12/13/06 left thigh 2-3 inches area of confluent lesions pattern pink red rash with raise border, bumpy, similar rash on the right thigh about 1x1 inch.
Age: 1.01
Sex: M
Vaccine: HIBV, MMRV
Symptoms: Erythema, Pruritus, Rash
Clinical narrative: 97.9 right 18 pounds. Patient given MMRV and HIB. Grandmother states after 1 hour getting home cheeks were red. Around 9:30pm neck was itchy and red, face red, whole body was red and itchy. Went to ER give Benadryl by mouth. At 5am on 12/12/06 rash a little better. 10am most of rash gone. Patient had a follow up appointment in clinic on 12/12/06. Skin is still red on exam.
Age: 4.0
Sex: F
Vaccine: FLU3
Symptoms: Convulsion
Clinical narrative: 2 days after immunization had seizure episode. partial seizure. Lasted 3 to 5 seconds and has been eating normal ever since with normal exam today 12/11/06.
Age: 57.0
Sex: M
Vaccine: FLU3
Symptoms: Erythema, Pruritus, Rash
Clinical narrative: Patient woke up morning after injection with erythematous itchy rash all over body. His face, neck and chest appeared to be "sunburned." Treated by his private physician with Medrol dose pack. Improvement in rash within 2-3 days.
Age: 44.0
Sex: M
Vaccine: IPV, MEN, YF
Symptoms: HIV test positive
Clinical narrative: No signs or symptoms. Patient asked if he had any health problems or if he was being treated for any medical conditions he said no. After he received the info on the vaccine and was vaccinated. Dr. stated he was HIV positive.
Age: 3.0
Sex: F
Vaccine: FLU3
Symptoms: Anger, Disorientation
Clinical narrative: Rage episodes x 3. Began with disorientation.
Age: 1.7
Sex: F
Vaccine: FLU3
Symptoms: Rash
Clinical narrative: Mother phoned to say the child has broken out in a rash all over body. Questioned in regard to anaphylactic shock and denies any other problems at this time. Referred to physician.
Age: 75.0
Sex: F
Vaccine: FLUX
Symptoms: Joint range of motion decreased, Pain
Clinical narrative: Pain in left shoulder-unable to left arm. Throbbing periodic pain severe in lower arm. Injection administered in left arm.
Age: 34.0
Sex: F
Vaccine: FLU3
Symptoms: Rash, Swelling, Throat tightness
Clinical narrative: Rash beginning on right arm. Swelling both arms and face. Throat tightness. Treated with Benadryl and Prednisone.
Age: 8.0
Sex: M
Vaccine: FLU3
Symptoms: Erythema, Feeling hot, Swelling
Clinical narrative: Shot site red, swollen, warm to touch
Age: 1.66
Sex: F
Vaccine: DTAP, FLU3, HEPA
Symptoms: Erythema, Injection site induration
Clinical narrative: 4 1/2 x 5 cm area of induration right thigh, mild redness.
Age: 3.0
Sex: M
Vaccine: FLU3
Symptoms: Erythema, Feeling hot, Palpitations, Swelling
Clinical narrative: Right arm with 10x12cm redness, warmth and swelling over deltoid. Axilla red with 1.5cm x 1.5 cm node palpable. Pink/blush up whole Right side of neck. No significant pain to palpation.
Age: 59.0
Sex: F
Vaccine: FLU3
Symptoms: Pain
Clinical narrative: Patient received vaccine on 12/6/06. Prior to vaccine patient was free from symptoms. No complaints. Patient called H/U to complain of pain at injection site and down arm to wrist. Deep pain/ache. Denies redness/swelling.
Age: 4.0
Sex: M
Vaccine: DTAP, FLU3, PNC
Symptoms: Injection site induration, Wrong drug administered
Clinical narrative: Patient was given 2 flu shots at the same time by different RN's. Should have received 1 polio and 1 flu shot. Patient checked 12-7-06 and 12-8-06: minimal induration (<5mm) at flu injection sites. Facility called CDC Immunization hotline medical provider "no increase in reaction with an increased number of flu doses even if given at the same time."
Age: 53.0
Sex: F
Vaccine: FLU3
Symptoms: Erythema, Paraesthesia, Pruritus
Clinical narrative: Cheeks bright red and hot to touch, chest and rest of face, deep pink, itchy eyes, tingling lips, started mid-afternoon, continued for about 24 hours.
Age: 45.0
Sex: F
Vaccine: FLUN3
Symptoms: Facial palsy
Clinical narrative: Right sided Bell's Palsy 01/18/07-per staff at Dr.'s office, spoke with patient on 01/17/07-Bell's palsy resolving, right eyelid droop remains at this point with some sensitivity to light, wind and cold. Staff will follow up with patient in 3 weeks.  01/22/07-records received and reviewed.  DX: Bell's Palsy, 90% recovered. Has some residual eye dryness but can close it effectively. Sudden onset with right sided facial numbness and weakness. Pain in right anterior neck.
Age: 1.0
Sex: F
Vaccine: IPV, MMRV
Symptoms: Erythema, Eye discharge
Clinical narrative: MMR (ProQuad) 1 week after vaccine erythema to face/conjuntival injection/discharge bilateral eye resulted in resolve without intervention.
Age: 39.0
Sex: F
Vaccine: FLU3
Symptoms: Chest discomfort
Clinical narrative: Patient received Flu vaccine, waiting approximately 10 minutes, started having chest tightness. Patient states "feels like being hugged".
Age: 39.0
Sex: F
Vaccine: FLU3
Symptoms: Rash
Clinical narrative: Rash on back, neck, arms/hands, feet. Benadryl 25mg PO given at 9:15 am.
Age: 0.17
Sex: M
Vaccine: DTAP, HEP, HIBV, IPV, PNC, RV5
Symptoms: Dyspepsia, Hypokinesia, Pallor
Clinical narrative: About 5 minutes after vaccination child became pale, poorly responsive when I examined the child, eyes were closed, consider congestion noted, child remained pale, indigested fro several hours back to normal when seen the following day.
Age: 59.0
Sex: F
Vaccine: FLU3
Symptoms: Erythema, Pruritus, Rash
Clinical narrative: Above named client received Influenza vaccine on 09Dec2006. On 10Dec2006 at 0500, client noted red rash to abdominal region and up toward mid-torso with itchiness and slight fever. Client did not complain of shortness of breath, she did not seek treatment on 10Dec2006. On 12Dec2006 client presents to this clinic complaining of some areas of redness, but with heightened redness and increased itchiness. Also reservist complain of increased itchiness to bilateral arm without noticeable rash, client does not complain of shortness of breath and speaks in full sentences. Advised patient and referred to nearby medical facility community hospital/personal MD (of client)
Age: 75.0
Sex: M
Vaccine: VARZOS
Symptoms: Mouth ulceration
Clinical narrative: Patient reports ulceration right lower lip has not had history fever blisters or Herpes Simplex outbreak.
Age: 72.0
Sex: M
Vaccine: FLUX
Symptoms: Chills, Cough, Headache, Nasal congestion, Pharyngolaryngeal pain
Clinical narrative: Day following injection: sore throat, runny nose. Two days following coughing with congestion in chest lasting approximately 2 weeks, chills, headache, also congested sinuses. Prescribe Cephalexin 500 mg; GPN/Phenylep 600, Benzonatate 200 mg.
Age: 72.0
Sex: M
Vaccine: FLUX
Symptoms: Rhinorrhoea, Sinus congestion
Clinical narrative: Day following injection: sore throat, runny nose. Two days following coughing with congestion in chest lasting approximately 2 weeks, chills, headache, also congested sinuses. Prescribe Cephalexin 500 mg; GPN/Phenylep 600, Benzonatate 200 mg.
Age: 13.0
Sex: F
Vaccine: FLU3, MNQ, TD, VARCEL
Symptoms: Wrong drug administered
Clinical narrative: Patient given Td instead of ordered Tdap.
Age: 11.0
Sex: M
Vaccine: MNQ, PPV
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Vaccine reaction (local) left arm. Area is red, swollen, (+) pain shoulder and warm to touch in a 6" X 5" area between shoulder and elbow. No fever. No systemic symptoms. ZYRTEC a.m./ BENADRYL  pm, ice, ADVIL > intervention given.  Follow-up - Box 8: None of the above.
Age: 1.43
Sex: F
Vaccine: FLU3, HEPA, PNC
Symptoms: Blood glucose decreased, Convulsion, Dehydration, Gastroenteritis, Vomiting
Clinical narrative: This child presented at ER 12/2/06 with possible seizures. The doctor at Red Cedar Medical Center diagnosed gastroenteritis, dehydration and low blood sugar was cause of seizure. Mother reports child started vomiting 11/29/06 at 7:30pm and continued until she presented at ER 12/2/06. Rehydrated with IVs and given Albuterol updraft for asthma. Released after treatment 12/27/06-records received and reviewed for ED visit HX of decreased oral intake for 24 hours prior to ER visit, seizure prior to ER visit. Temp 99.2.  Assessment: gastroenteritis, probable mild dehydration and low blood sugar likely enough to cause seizure.
Age: 1.01
Sex: F
Vaccine: FLU3, HEPA, MMRV
Symptoms: Cellulitis, Diarrhoea, Pyrexia, Rash
Clinical narrative: Patient with fever, rash, diarrhea 12/7/06. Tylenol administered for fever of 101.3 rectal 12/7/06. Prescribed Cephalexin 250/5 mg suspension, 1 tea spoon twice daily for ten days. 12/11/06 recheck cellulitis. Patient improving. Will continue antibiotics until directed.
Age: 1.07
Sex: M
Vaccine: FLU3
Symptoms: Medication error
Clinical narrative: Patient given expiration date 12/7/06. Also additional Varicella immunization given. ProQuad thought to only be MMR.
Age: 55.0
Sex: F
Vaccine: FLU3
Symptoms: Urticaria
Clinical narrative: Hives face and neck/mild/1day/no treatment.
Age: 32.0
Sex: M
Vaccine: FLU3
Symptoms: Urticaria
Clinical narrative: The day after vaccine was given I broke out in hives. They didn't really bother me or itch really bad, but enough to concern me. On upper body/ lasted 3-4 days.
Age: 9.0
Sex: M
Vaccine: FLUN3
Symptoms: Headache
Clinical narrative: Headache started hours after school ended. Motrin did not help. Doctor's appointment November 1st, no meds given. No fever, no body ache.
Sex: F
Vaccine: FLU3
Symptoms: Cellulitis, Injection site reaction
Clinical narrative: 12/7/06- Call from doctor reported, states patient was seen and treated for cellulitis at injection site. 12/7/06 attempted to contact patient at number listed "No longer in service". 12/11/06 call to doctor reported, states she will have patient call me. 12/12/06 Have not received call from client. Call to doctor office number 12/18/06 no call from either physician or patient for status.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site warmth
Clinical narrative: Child developed redness and warmth to site. DTAP given prior day. No tenderness, afebrile. Symptoms resolved the following am.
Age: 16.0
Sex: F
Vaccine: HEPA
Symptoms: Dizziness
Clinical narrative: Dizziness onset 1/2 hour after Hepatitis A #1 continued for 12 plus hours. Seen at ER. No definite diagnosis.
Age: 59.0
Sex: M
Vaccine: TD
Symptoms: Arthralgia, Chills, Cough, Myalgia, Pyrexia
Clinical narrative: States had Td- 12 hours later had chills and fever continues to have chills/fever muscle and joint aches, denies cough-coughing when on phone advised to go to the ER and see a doctor. 12/11/06 Seen in ER, no treatment presented with rash - knee joint pain, fatigue.
Age: 59.0
Sex: M
Vaccine: TD
Symptoms: Rash
Clinical narrative: States had Td- 12 hours later had chills and fever continues to have chills/fever muscle and joint aches, denies cough-coughing when on phone advised to go to the ER and see a doctor. 12/11/06 Seen in ER, no treatment presented with rash - knee joint pain, fatigue.
Age: 0.2
Sex: M
Vaccine: DTAP, HEP, HIBV, PNC
Symptoms: Rash, Screaming
Clinical narrative: Crying unconsoleably for 4-6 hours. Redness, rash from knees to ankles approximately 24 hours after vaccines. Treatment: Motrin.
Age: 0.52
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Agitation, Pyrexia
Clinical narrative: Temperature greater than 105 degrees for 12 hours. Unconsolable for 12 hours.
Age: 6.0
Sex: M
Vaccine: DTAP
Symptoms: Feeling hot, Tenderness
Clinical narrative: 2/3 upper arm was warm and tender to touch. Give Benadryl
Age: 0.5
Sex: F
Vaccine: DTAPHEPBIP, IPV, PNC
Symptoms: Vaccination failure
Clinical narrative: Client given IPV injection and Pediarix injection which also includes IPV. CDC Immunization Hotline called Public Health advisor indicted. "No risk with additional IPV." No adverse effects
Age: 1.07
Sex: F
Vaccine: VARCEL
Symptoms: Herpes zoster, Rash
Clinical narrative: 12/10/06 Rash on back and left shoulder. Diagnosis 12/14/06 with shingles. Had C pox shot 5/8/2000. Child not too uncomfortable, not much itching or pain.
Age: 0.33
Sex: F
Vaccine: DTAPHEPBIP, PNC, VARCEL
Symptoms: Erythema, Injection site induration, Injection site warmth
Clinical narrative: Patient developed red, warm, slight tender indurated area 6 X 6 cm on right anterior thigh. 2 days after administration of Pediarix and Pneumococcal in right thigh.
Age: 35.0
Sex: M
Vaccine: ANTH
Symptoms: Anxiety, Depression
Clinical narrative: anxious, stress, depress
Age: 58.0
Sex: F
Vaccine: PPV
Symptoms: Erythema, Feeling hot, Pyrexia, Swelling
Clinical narrative: Fever of 100.8 for 2 days, severely sore injection site, swollen, red hot for 3 days.
Age: 7.0
Sex: M
Vaccine: MEN
Symptoms: Asthenia, Dyspnoea, Injection site erythema, Malaise, Tenderness
Clinical narrative: Soreness at injection site (left deltoid), redness around injection site. Weakness, short of breath, malaise.
Age: 20.0
Sex: F
Vaccine: TTOX
Symptoms: Dizziness
Clinical narrative: At 11:28 12/9/2006, donor received tetanus toxoid 0.5ml in right arm. Tetanus was administered previously to donor with side effects about 10 year ago. Donor felt "light headed." Pulse 76, BP 116/64. Monitored donor. Donor "felt better" and left center.
Age: 65.0
Sex: M
Vaccine: PPV
Symptoms: Hypoaesthesia, Joint range of motion decreased, Pain
Clinical narrative: At 2:30pm Pneumococcal was administered 12-4-06 in left deltoid. No pain or problem at injection. That night lots of pain in arm 7 hours after injection. At midnight intense pain in arm, numbness in arm and hand. Some improvement for a few days now more pain unable to move arm on his own. Pain on scale 1-10 is a 7.
Age: 46.0
Sex: F
Vaccine: MMR
Symptoms: Medication error
Clinical narrative: No adverse event. Medication error-gave MMR #2 too early.
Age: 0.2
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Asthenia, Irritability, Muscle spasms, Pain
Clinical narrative: Too weak history of irritability, cramps and pain
Age: 38.0
Sex: F
Vaccine: MU
Symptoms: Chills, Febrile convulsion, Malaise, Migraine, Myalgia
Clinical narrative: Mumps vaccine administered on 12-11-06 at 1100. Onset at 1700 of febrile seizure; 1800 Temp 102F. Fever chills, body aches, malaise, sore left upper arm, nausea. 12-12-06 mild swelling at site, tongue, digits, joint aches extreme malaise, sore throat, tenderness in anterior cervical nodes, migraine headache. Treated with Tylenol and Benadryl. Rest and increase fluids.
Age: 38.0
Sex: F
Vaccine: MU
Symptoms: Nausea, Pain, Pharyngolaryngeal pain, Pyrexia, Swelling
Clinical narrative: Mumps vaccine administered on 12-11-06 at 1100. Onset at 1700 of febrile seizure; 1800 Temp 102F. Fever chills, body aches, malaise, sore left upper arm, nausea. 12-12-06 mild swelling at site, tongue, digits, joint aches extreme malaise, sore throat, tenderness in anterior cervical nodes, migraine headache. Treated with Tylenol and Benadryl. Rest and increase fluids.
Age: 38.0
Sex: F
Vaccine: MU
Symptoms: Tenderness
Clinical narrative: Mumps vaccine administered on 12-11-06 at 1100. Onset at 1700 of febrile seizure; 1800 Temp 102F. Fever chills, body aches, malaise, sore left upper arm, nausea. 12-12-06 mild swelling at site, tongue, digits, joint aches extreme malaise, sore throat, tenderness in anterior cervical nodes, migraine headache. Treated with Tylenol and Benadryl. Rest and increase fluids.
Age: 0.35
Sex: F
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Erythema, Rash, Urticaria
Clinical narrative: 3 days after Dtap/IPV/Prevnar/Comvax developed confluent erythematous rash which dermatologist described as urticaria.
Age: 66.0
Sex: F
Vaccine: VARZOS
Symptoms: Rash papular
Clinical narrative: Rash -upper left papulovesicular eruption in C6 C7, dermatome on the right.
Age: 66.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Asthenia, Erythema, Injection site nodule, Musculoskeletal stiffness, Pyrexia
Clinical narrative: 12-15-06 small red area (dots) appeared like unconnected rash over the next three days. Closed up to make hard knot. Red area about 3x". This area is 3" below injection site. 12-16-06 patient had fever, stiff neck, unable to get up except as necessary. 12-17-06 was better still but still had fever, weakness and felt really bad.