chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 69.0
Sex: F
Vaccine: HEPA, TD, TYP, YF
Symptoms: Facial palsy, Guillain-Barre syndrome, Hypoventilation, Infection, Myalgia
Clinical narrative: This 68 year old called because she felt very weak. She had gone to a hospital with symptoms that were complex and was sent home. She had called back again and she was advised to come to the ER to rule out Guillain-Barre syndrome. She admitted that she had these pains in the back of her thighs and calves since Wednesday before the 31st and she started getting paresthesia, tingling and numbness in her hands and feet, 2 days later, on Friday, and when she went to the ER, she was told that she had just hypoventilated and needed to go home. On exam, there were moderately severe weakness of the extremities (upper and lower). The pt is unable to get up and walk. This pt was fine until 2 weeks prior to this onset which was only 5-6 day history of rapidly progressive weakness and numbness, she went and got injections, IZ's for going to Africa. These were all on 7/17/00. She had DT, Hep-A, Typhium VI and Yellow Fever. The neurologist felt that her presentation was most consistent with acute rapidly progressive generalized sensory motor and polyneuropathy most likely acute Guillain-Barre and recommended she be transferred to ICU for close observation and developing of any airway compromise, respiratory insufficiency or autonomic instability. He proceeded also to recommend plasmapheresis and had the surgeon insert a central venous catheter and preparations were made with the Red Cross to come and do the plasmapheresis. During the hospitalization she was also seen by GI doctor as her hemoglobin kept dropping and recommended to just continue the Pepcid and observe and hematest all stools and felt it was just a hemodynamic use of the blood. In ICU, she was seen daily by medicine and neurology and underwent 5 plasmapheresis and she started to show some slow movement of the hands and arms, and was then set up for 5 days of IVIG. Up to the 7th, she could not move the feet off the bed and could raise the left arm slightly and still had significant numbness in the arms and legs and had right facial droop. We took daily checks of her vital capacity and during this period of time, we did come up with a positive C. difficile, the question is why. On the 9th, she was transferred from ICU to the medical ward. She still had no movement of the legs and we fitted her initially with tennis shoes and then podus boots. Because of some cramping and pains in the calves the doctor added some Neurontin to ease the neuropathy. We also added Tylenol and some Ben Gay type liniment to help her sleep better and she seemed to tolerate the Neurontin and by the 15th she was now able to raise the arm over the head and was doing better with feeding. She was transferred on the 18th by EMS for follow up PCU type of care. She was having a big problem with constipation and also added lactulose and Dulcolax suppositories every several days. Other medicines are Slow-Mag. Visken, Slow K, Lasix and Neurontin and Xanax. Use occasional warm soaks to the low back and legs and Myoflex liniment.  Diagnosed with GBS.
Age: 69.0
Sex: F
Vaccine: HEPA, TD, TYP, YF
Symptoms: Pain, Paraesthesia, Polyneuropathy
Clinical narrative: This 68 year old called because she felt very weak. She had gone to a hospital with symptoms that were complex and was sent home. She had called back again and she was advised to come to the ER to rule out Guillain-Barre syndrome. She admitted that she had these pains in the back of her thighs and calves since Wednesday before the 31st and she started getting paresthesia, tingling and numbness in her hands and feet, 2 days later, on Friday, and when she went to the ER, she was told that she had just hypoventilated and needed to go home. On exam, there were moderately severe weakness of the extremities (upper and lower). The pt is unable to get up and walk. This pt was fine until 2 weeks prior to this onset which was only 5-6 day history of rapidly progressive weakness and numbness, she went and got injections, IZ's for going to Africa. These were all on 7/17/00. She had DT, Hep-A, Typhium VI and Yellow Fever. The neurologist felt that her presentation was most consistent with acute rapidly progressive generalized sensory motor and polyneuropathy most likely acute Guillain-Barre and recommended she be transferred to ICU for close observation and developing of any airway compromise, respiratory insufficiency or autonomic instability. He proceeded also to recommend plasmapheresis and had the surgeon insert a central venous catheter and preparations were made with the Red Cross to come and do the plasmapheresis. During the hospitalization she was also seen by GI doctor as her hemoglobin kept dropping and recommended to just continue the Pepcid and observe and hematest all stools and felt it was just a hemodynamic use of the blood. In ICU, she was seen daily by medicine and neurology and underwent 5 plasmapheresis and she started to show some slow movement of the hands and arms, and was then set up for 5 days of IVIG. Up to the 7th, she could not move the feet off the bed and could raise the left arm slightly and still had significant numbness in the arms and legs and had right facial droop. We took daily checks of her vital capacity and during this period of time, we did come up with a positive C. difficile, the question is why. On the 9th, she was transferred from ICU to the medical ward. She still had no movement of the legs and we fitted her initially with tennis shoes and then podus boots. Because of some cramping and pains in the calves the doctor added some Neurontin to ease the neuropathy. We also added Tylenol and some Ben Gay type liniment to help her sleep better and she seemed to tolerate the Neurontin and by the 15th she was now able to raise the arm over the head and was doing better with feeding. She was transferred on the 18th by EMS for follow up PCU type of care. She was having a big problem with constipation and also added lactulose and Dulcolax suppositories every several days. Other medicines are Slow-Mag. Visken, Slow K, Lasix and Neurontin and Xanax. Use occasional warm soaks to the low back and legs and Myoflex liniment.  Diagnosed with GBS.
Age: 69.0
Sex: F
Vaccine: PPV
Symptoms: Unevaluable event
Clinical narrative: Information has been received from a 69 year old female who on 11/03/00 was vaccinated with pneumococcal vaccine 23 polyvalent. On 11/3/00, 2 hours, post vax, the pt's.  Follow up on 03/28/2001: "Lot # for vaccine 1 is not provided."
Age: 4.0
Sex: M
Vaccine: DTP, MMR
Symptoms: Abasia, Pain
Clinical narrative: Information has been received from a consumer concerning her 4 year old male family member who on 10/31/00 was vaccinated with 1 dose of MMRII, 1 dose of DTP and other unspecified vaccinations. On 11/3/00, the pt experienced "severe pain in his calves" and he was "barely able to stand or walk". Upon internal review, the pt's experiences were considered to be an "Other Medical Event". Additional information has been requested.  Follow up on 03/28/2001: "Patient date of birth, Lot # for vaccine 1, Manufacturer for vaccine 2, Lot # for vaccine 2, Manufacturer for vaccine 3, Lot # for vaccine 3 is not provided."
Age: 54.0
Sex: F
Vaccine: FLU3
Symptoms: Cardiac failure congestive, Dermatomyositis, Polymyositis, Renal failure acute, Respiratory failure
Clinical narrative: On 8/7/00, the pt was admitted to the hospital with congestive heart failure and polymyositis. The pt is still currently in the hospital. Followup information received 3/6/01 reports pt not hospitalized with CHF but with dermatomyonitis, respiratory failure, acute renal failure and other conditions.
Age: 23.0
Sex: F
Vaccine: FLUX, HEP, PPV, TTOX, FLUX, HEP, PPV, TD
Symptoms: Cellulitis, Injection site erythema, Injection site swelling, Injection site warmth, Kidney infection
Clinical narrative: Cellulitis of left arm at site where received flu shot on 10/30/00; received 3 other shots at 13:30 on 10/30/00 (pneumococcal, Hep-B and Tetanus) arm red, immobile, hot and swollen. Dx: Cellulitis left arm and spreading and kidney infection. I received medical attention until 11/11/00. I got cellulitis from shot. I had to have IV treatments and go to the doctor 3 times a day.
Age: 23.0
Sex: F
Vaccine: FLUX, HEP, PPV, TTOX, FLUX, HEP, PPV, TD
Symptoms: Cellulitis, Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Cellulitis of left arm at site where received flu shot on 10/30/00; received 3 other shots at 13:30 on 10/30/00 (pneumococcal, Hep-B and Tetanus) arm red, immobile, hot and swollen. Dx: Cellulitis left arm and spreading and kidney infection. I received medical attention until 11/11/00. I got cellulitis from shot. I had to have IV treatments and go to the doctor 3 times a day.
Age: 23.0
Sex: F
Vaccine: FLUX, HEP, PPV, TTOX, FLUX, HEP, PPV, TD
Symptoms: Kidney infection, Pyrexia
Clinical narrative: Cellulitis of left arm at site where received flu shot on 10/30/00; received 3 other shots at 13:30 on 10/30/00 (pneumococcal, Hep-B and Tetanus) arm red, immobile, hot and swollen. Dx: Cellulitis left arm and spreading and kidney infection. I received medical attention until 11/11/00. I got cellulitis from shot. I had to have IV treatments and go to the doctor 3 times a day.
Age: 23.0
Sex: F
Vaccine: FLUX, HEP, PPV, TTOX, FLUX, HEP, PPV, TD
Symptoms: Cellulitis, Injection site erythema, Injection site swelling, Injection site warmth, Kidney infection
Clinical narrative: Questionable cellulitis on left upper arm. It is red, swollen, hot and painful. It is immobile. I believe the flu shot that I received gave me cellulitis. I didn't get the lot # or manufacturer #. Also received pneumococcal, Hep-B and Tetanus at 16:30. Had a fever at 18:30. Doctor dx'd cellulitis of left arm and kidney infection. Did not clear up until 11/11/00.
Age: 23.0
Sex: F
Vaccine: FLUX, HEP, PPV, TTOX, FLUX, HEP, PPV, TD
Symptoms: Cellulitis, Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Questionable cellulitis on left upper arm. It is red, swollen, hot and painful. It is immobile. I believe the flu shot that I received gave me cellulitis. I didn't get the lot # or manufacturer #. Also received pneumococcal, Hep-B and Tetanus at 16:30. Had a fever at 18:30. Doctor dx'd cellulitis of left arm and kidney infection. Did not clear up until 11/11/00.
Age: 23.0
Sex: F
Vaccine: FLUX, HEP, PPV, TTOX, FLUX, HEP, PPV, TD
Symptoms: Kidney infection, Pyrexia
Clinical narrative: Questionable cellulitis on left upper arm. It is red, swollen, hot and painful. It is immobile. I believe the flu shot that I received gave me cellulitis. I didn't get the lot # or manufacturer #. Also received pneumococcal, Hep-B and Tetanus at 16:30. Had a fever at 18:30. Doctor dx'd cellulitis of left arm and kidney infection. Did not clear up until 11/11/00.
Age: 0.5
Sex: M
Vaccine: DTAP, HBHEPB, IPV
Symptoms: Convulsion, Drug level decreased, Hypertension, Hyperventilation, Lethargy
Clinical narrative: Approx. 8 hours, post vax, pt had a seizure at home and was immediately seen at ER and transferred to a medical center. Seizure lasting about 5-10 minutes. Temperature 97.6F (AX), BP 94/70, P 155, R 48. Infant was alert and moving extremities but lethargic at hospital prior to transfer. Dilantin level very low.
Age: 0.5
Sex: M
Vaccine: DTAP, HBHEPB, IPV
Symptoms: Tachycardia
Clinical narrative: Approx. 8 hours, post vax, pt had a seizure at home and was immediately seen at ER and transferred to a medical center. Seizure lasting about 5-10 minutes. Temperature 97.6F (AX), BP 94/70, P 155, R 48. Infant was alert and moving extremities but lethargic at hospital prior to transfer. Dilantin level very low.
Age: 0.2
Sex: F
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Coma, Cyanosis, Hypotonia, Irritability, Pallor
Clinical narrative: Post vax, the infant was irritable and crying for 3 hours with pallor, limpness, and unresponsiveness. She was blue around the lips. She was admitted to the hospital to rule out apnea.
Age: 0.3
Sex: M
Vaccine: DTP, HIBV, MMR, OPV, VARCEL
Symptoms: Antisocial behaviour, Aphasia, Autism, Pyrexia, Staring
Clinical narrative: Shortly after my son's last set of shots, he had a fever, then after that, he lost all speech, eye contact and any social abilities. He has now been dx'd with autism.
Age: 73.0
Sex: F
Vaccine: FLU3
Symptoms: Back pain, Bone pain, Herpes zoster, Immune system disorder, Infection
Clinical narrative: Had a flu shot on 11/4/99 and on 11/6/99, noticed bones ached and had a flu-like feeling. Health deteriorated soon after the flu vaccine was administered. On 11/21/99, started to have arm pains in both arms. On 12/15/99, had severe back pains, was treated with a strong medication, which caused the immune system to weaken. On 12/26/00, back pain was gone. On 1/20/00, was hospitalized for 5 days. Back pain lasted 4-5 weeks, but arm pain continued for 5 months. On 6/5/00, came down with a case of shingles, which has gone into post herpetic neuralgia. At this date, still suffering from shingles pain.
Age: 73.0
Sex: F
Vaccine: FLU3
Symptoms: Influenza like illness, Neuralgia, Pain
Clinical narrative: Had a flu shot on 11/4/99 and on 11/6/99, noticed bones ached and had a flu-like feeling. Health deteriorated soon after the flu vaccine was administered. On 11/21/99, started to have arm pains in both arms. On 12/15/99, had severe back pains, was treated with a strong medication, which caused the immune system to weaken. On 12/26/00, back pain was gone. On 1/20/00, was hospitalized for 5 days. Back pain lasted 4-5 weeks, but arm pain continued for 5 months. On 6/5/00, came down with a case of shingles, which has gone into post herpetic neuralgia. At this date, still suffering from shingles pain.
Age: 35.0
Sex: M
Vaccine: ANTH
Symptoms: Fatigue, Pain, Pyrexia
Clinical narrative: Fever, generalized aching and tired (fatigued).
Age: 47.0
Sex: M
Vaccine: LYME
Symptoms: Arthralgia, Arthritis, Joint swelling
Clinical narrative: Arthritic pain, swollen joint on right hand, pain in both ankles, big toe on right foot and also right elbow pain and swelling is ongoing. I am being treated by a rheumatologist and I am taking RX: Celebrex 200mg 2 X daily.
Age: 1.0
Sex: M
Vaccine: HEP, MMR, PNC, VARCEL
Symptoms: Rash morbilliform
Clinical narrative: Morbilliform rash on trunk and extremities.
Age: 1.2
Sex: M
Vaccine: MMR, PNC, VARCEL
Symptoms: Grunting, Pneumonia, Pyrexia
Clinical narrative: On 11/12/00, had fever of 105.3F, grunting and trouble breathing. Went to ER and treated with Augmentin.
Age: 2.0
Sex: F
Vaccine: PPV
Symptoms: Cellulitis, Injection site induration, Injection site swelling
Clinical narrative: Right thigh is edematous and hard 2 1/2" X 2" reaction with red streaks running down leg. Treated with cool compresses and Augmentin.
Age: 0.3
Sex: F
Vaccine: DTAP, HBHEPB, PNC
Symptoms: Agitation, Crying
Clinical narrative: 4 hours of high-pitched, inconsolable crying, approx. 8 hours, post vax.
Age: 0.3
Sex: M
Vaccine: HBPV, IPV, PNC, TTOX
Symptoms: Anorexia, Injection site erythema, Injection site haemorrhage, Injection site swelling, Irritability
Clinical narrative: Redness, swelling and bruising at injection site with fever and crankiness for 36 hours and loss of appetite for 24 hours.
Age: 0.3
Sex: M
Vaccine: HBPV, IPV, PNC, TTOX
Symptoms: Pyrexia
Clinical narrative: Redness, swelling and bruising at injection site with fever and crankiness for 36 hours and loss of appetite for 24 hours.
Age: 0.7
Sex: F
Vaccine: DTAP, HBPV, IPV
Symptoms: Diarrhoea, Ear disorder, Eczema, Infection, Irritability
Clinical narrative: Mild fever for 2 days. Irritable, 2 weeks later began a cycle of head colds followed by ear infections then antibiotics. Okay for a week or two then cycle started again. Eczema all over body. Diarrhea , high pitched screaming got continually worse ( especially after 2nd booster Adverse onset was gradual. Beginning with her first vaccination she had a mild fever for several days. Shorlty after she began having chronic upper respiratory infections followed by ear infections. Also began having eczema. After 2nd vaccination mild fever again, this time it lasted off and on for 2 weeks. One week later had green mucusy diarrhea. WOuld nolonger eat baby food. Began night waking 3 weeks after 2nd vaccination w/fever. No longer enjoyed bathing and screamed in pain if we poured water on her head. By the end of the 3rd week, her night waking consisted of unconsolable, high pitched screaming. She arched back as if in pain. It was at this point that I took her to a homeopathic/naturopathic MD who diagnosed her and immediately put her on a program to detoxify her from the vaccines. She began to recover within 24 hours. Today she is thriving and so far does not seem to have suffered any long term damage. We continue to monitor her closely. She will not be vaccinated any longer.
Age: 0.7
Sex: F
Vaccine: DTAP, HBPV, IPV
Symptoms: Nasopharyngitis, Pyrexia, Screaming
Clinical narrative: Mild fever for 2 days. Irritable, 2 weeks later began a cycle of head colds followed by ear infections then antibiotics. Okay for a week or two then cycle started again. Eczema all over body. Diarrhea , high pitched screaming got continually worse ( especially after 2nd booster Adverse onset was gradual. Beginning with her first vaccination she had a mild fever for several days. Shorlty after she began having chronic upper respiratory infections followed by ear infections. Also began having eczema. After 2nd vaccination mild fever again, this time it lasted off and on for 2 weeks. One week later had green mucusy diarrhea. WOuld nolonger eat baby food. Began night waking 3 weeks after 2nd vaccination w/fever. No longer enjoyed bathing and screamed in pain if we poured water on her head. By the end of the 3rd week, her night waking consisted of unconsolable, high pitched screaming. She arched back as if in pain. It was at this point that I took her to a homeopathic/naturopathic MD who diagnosed her and immediately put her on a program to detoxify her from the vaccines. She began to recover within 24 hours. Today she is thriving and so far does not seem to have suffered any long term damage. We continue to monitor her closely. She will not be vaccinated any longer.
Age: 0.2
Sex: M
Vaccine: DTAP, HIBV, IPV
Symptoms: Screaming
Clinical narrative: 3 - 4 hour stretch of inconsolable crying which occurred the afternoon after he received vax.
Age: 33.0
Sex: F
Vaccine: TD
Symptoms: Hypokinesia, Injection site pain, Pain
Clinical narrative: Sharp pain stemming from injection site to pt's elbow and up to my shoulder, causing limited amount of movement. Doctor examined pt and administered Vioxx. Pt was not able to use arm for one week. At this time pt is still experiencing occasional pain in arm.
Age: 13.0
Sex: F
Vaccine: HEP
Symptoms: Erythema, Hypersensitivity, Oedema, Oedema peripheral, Similar reaction on previous exposure to drug
Clinical narrative: Child came to clinic on Friday (10/27/2000) around 10:30 am with mother and brother to receive her first Hepatitis B injection. IZ was given in left deltoid without incident or problem. Mother called health department around 1:45 later that afternoon, and stated her daughter's left hand and arm were swollen and red. Denied any bruising at IZ site. Strong radial pulse palpated. Mother denied any respiratory distress. Mother instructed to contact PMD immediately for evaluation of possible allergic reaction to IZ. Requested mother to contact the health department after physician examination. Mother called health department around 4:00 to report that PMD diagnosed an allergic reaction. Daughter was put on steroid medication (prednisone) and Allegra; mother was instructed to return for epinephrine injection if swelling became worse or if respiratory problems developed. Mother was also instructed by PMD that no further Hep B was to be given. Mother stated that hand and arm were still swollen and neck was now involved. Phone call made on Saturday (10/28/00) to check on Rachel's condition. Mother stated that there was still swelling, but no further problems. Stated that child has always been more sensitive to her immunization that her other children (high fever, soreness at site, irritable). Stated child has a history of severe swelling in extremity after bee sting. Informed mother that an adverse reaction from would be completed and forwarded to the Vaccine Adverse Event Reporting System.
Age: 76.0
Sex: F
Vaccine: PPV
Symptoms: Cellulitis, Feeling hot, Injection site hypersensitivity
Clinical narrative: Follow up occurred on 10/12/00, for right upper extremity vax reaction. Over the last 24 hours they have been cool packing the area about every two hours while she is awake. She was started on some Keflex (250 QID for seven days). The areas were marked yesterday for the parameters of the erythematous area. Allergies are to Penicillin and Micronase. She is hemodynamically stable. There is no fever. Physical exam shows a slightly warm, much smaller erythematous area on the right upper extremity. Elbow range of motion is full. So is shoulder range of motion. There is no lymphadenopathy. She has no complaints. and there has been no shortness of breath or wheezing. Her lungs are clear. Assessment: 1) Resolving reaction to pneumovax. 2) early cellulitis. Plan: 1) To maintain the current treatment regimen as ordered yesterday unless new symptoms develop or she worsens in any way. 2) Then return to the ER or clinic as needed for follow-up. Keflex Order: Cellulitis secondary to Pneumococcal vax.
Age: 91.0
Sex: F
Vaccine: PPV
Symptoms: Cellulitis, Erythema, Hypokinesia, Injection site hypersensitivity, Injection site induration
Clinical narrative: She is here for follow-up on a pneumovax reaction from three days ago. The area on her right upper extremity that was outlined is somewhat smaller. The area directly over her elbow is still quite erythematous. She has no complaints of pain. The range of motion in the elbow is much improved today over yesterday. She has no known drug allergies. She is an alert and oriented elderly female in a wheelchair in no acute distress. Physical exam shows a somewhat indurated, bright red area over the lateral aspect of the right upper forearm, most markedly over the lateral aspects of the elbow and medial aspects. The demarked area is shrinking. The elbow has no crepitus. No effusions are noted. There is no axillary lymphadenopathy. Her lungs are clear and she seems to be improving. Assessment: 1) Improving pneumovax reaction, right upper extremity. 2) Early cellulitis. Plan: 1) She is to continue with the cool packs and the Keflex as directed yesterday. 2) If anything worsens of any new symptoms develop she should return for a follow-up either to the clinic or ER at that time. Keflex was ordered for Cellulitis secondary to Pneumococcal vax.
Age: 3.0
Sex: F
Vaccine: DTAP, MMR
Symptoms: Asthma, Hypersensitivity, Nasal congestion, Wheezing
Clinical narrative: On 11/13/00, Maternal grandmother call at 8:00AM regarding child stating "On Nov 7, Tuesday evening, child had congestion. On Nov 8, she had an allergic reaction, asthmatic attack, sever wheezing, treated at ER with a 'shot' and a Nebulizer. Treated with Alupent. She was kept in the ER for 20 minutes and then released with the direction not to receive Pertussis over again. Pt know to have immune disorder with protein problem.
Age: 27.0
Sex: F
Vaccine: VARCEL
Symptoms: Back pain, Blood pressure increased, Chest pain, Headache, Herpes zoster
Clinical narrative: Pt presents at the ER complaining of left sided chest pain, which began 2 hours prior. She had eaten a normal evening meal and felt like her abdomen was full but otherwise felt okay. Physician reports second vax received Nov 1. Exam reveals hyperactive bowel tones. Left thoracic area is tender to palpitation and this is approximately a 3-4 inch band extending from midline to the back of the thoracic area. No apparent rash. Headache, backache, pain in left side around back, lower back. When pt breathes deeply, there was more pain. Analysis: Chest wall pain probably secondary to new onset of herpes zoster. Given injection of Demerol 100mg/Phenergan 50mg IM. Observed for 10 minutes. Did have episode of emesis. Received starter pack of Darvocet N 100, 1-2 Q4H PRN pain and prescription for an additional 30. Also prescribed Farnvir 500mg to take 1 TID for seven dashed. If pain becomes more intense or moves from current location, she was asked to return for further work up. She was cautioned about the contagious nature of shingles for anyone who has not had varicella.
Age: 27.0
Sex: F
Vaccine: VARCEL
Symptoms: Hyperventilation, Infection
Clinical narrative: Pt presents at the ER complaining of left sided chest pain, which began 2 hours prior. She had eaten a normal evening meal and felt like her abdomen was full but otherwise felt okay. Physician reports second vax received Nov 1. Exam reveals hyperactive bowel tones. Left thoracic area is tender to palpitation and this is approximately a 3-4 inch band extending from midline to the back of the thoracic area. No apparent rash. Headache, backache, pain in left side around back, lower back. When pt breathes deeply, there was more pain. Analysis: Chest wall pain probably secondary to new onset of herpes zoster. Given injection of Demerol 100mg/Phenergan 50mg IM. Observed for 10 minutes. Did have episode of emesis. Received starter pack of Darvocet N 100, 1-2 Q4H PRN pain and prescription for an additional 30. Also prescribed Farnvir 500mg to take 1 TID for seven dashed. If pain becomes more intense or moves from current location, she was asked to return for further work up. She was cautioned about the contagious nature of shingles for anyone who has not had varicella.
Age: 1.5
Sex: M
Vaccine: DTAP, IPV
Symptoms: Convulsion, Myoclonus, Pyrexia
Clinical narrative: Thirty six hours post vax, this child experienced fever and multiple recurrent myoclonic jerks without loss of consciousness. Total of 6 single Myoclonic events.
Age: 69.0
Sex: M
Vaccine: TD
Symptoms: Pain, Rash, Respiratory disorder
Clinical narrative: Severe shoulder and arm pain, bad rash on 08/09/2000. Treatment with prednisone 10mg, Lot: 35DAT by physician. Physician stated that this was caused by vax. Breath problems (mild) also occurred.
Age: 1.25
Sex: M
Vaccine: VARCEL
Symptoms: Febrile convulsion, Pyrexia
Clinical narrative: High fever, (103). Had febrile seizure. Exam in ER showed no other pathology.
Age: 16.0
Sex: M
Vaccine: HEP
Symptoms: Abdominal pain upper, Hearing impaired, Otitis media, Pyrexia, Vomiting
Clinical narrative: 02/24/1997 Fever 100, vomiting, stomach ache. 02/26/1997 clinic visit, temp of 100.8, left otitis media. Prescribed Amoxicillin then Septra. 03/05/1997, ENT - bilateral, otitis media, significant bilateral hearing loss. PEETS. Hearing has returned to normal in the right ear. Left - severe sensory neural hearing loss at certain frequencies.
Age: 58.0
Sex: F
Vaccine: TD
Symptoms: Antinuclear antibody positive, Blood creatine phosphokinase increased, Malaise, Myalgia, Nausea
Clinical narrative: No adverse event at time of vax. Symptoms within 24 hours of myalgia, malaise, transient nausea. Used over-the-counter anti-inflamatories, prescription zyrtec / medrol dose pack (steroid). Tapering prednisone 11/99. Referred to rheumatology.
Age: 58.0
Sex: F
Vaccine: TD
Symptoms: Red blood cell sedimentation rate increased
Clinical narrative: No adverse event at time of vax. Symptoms within 24 hours of myalgia, malaise, transient nausea. Used over-the-counter anti-inflamatories, prescription zyrtec / medrol dose pack (steroid). Tapering prednisone 11/99. Referred to rheumatology.
Age: 1.3
Sex: M
Vaccine: DTAP, HIBV, MMR
Symptoms: Coma, Dyspnoea, Febrile convulsion, Infection, Pyrexia
Clinical narrative: 10/26 Evening, low grade fever 100.5 Tylenol. 10/27 afternoon, very hot after getting up from nap. Temperature unk. At 4:30 PM, child was given Tylenol, milk, juice with water, removed clothes. At 5:05 PM, febrile seizure occurred, unresponsive, trouble breathing, called 911. At 5:40 PM, child was given valium by EMT to "get him out of 30 minute seizure. 5:50 arrived at hospital, temperature was 102.2. Physician stated to observe development over next 2 months and will refer to pediatric neurologist if needed. 10/30 physician noted measles spots on chest and stomach.
Age: 0.3
Sex: M
Vaccine: DTAP, HIBV, IPV
Symptoms: Pharyngitis, Pyrexia, Rhinitis
Clinical narrative: Fever of 101F with cold symptoms-runny nose. Call in 1-2 days. Take OTC Pediacare anti-pyrectics.
Age: 67.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Redness, swelling, pain at site and surrounding tissue.
Age: 1.3
Sex: F
Vaccine: HIBV, MMR
Symptoms: Nasal congestion, Pyrexia, Rash papular
Clinical narrative: Developed fever up to 102F, intermittently, from 11/10/00 to 11/13/00. Also, developed red, papular rash on the trunk and arms on 11/10/00 which is now resolving. Has nasal congestion but no cough and clear breath sounds.
Age: 1.0
Sex: F
Vaccine: DTAP, HIBV, IPV
Symptoms: Convulsion
Clinical narrative: Baby is having episodes of seizure activity. Has been to another hospital but not dx'd as seizures or attributed to vaccines. Vaccines have not been given since.
Age: 11.0
Sex: M
Vaccine: HEPA
Symptoms: Urticaria
Clinical narrative: Diffuse urticarial rash over entire body, within hours, post vax. (Note: there may have been small urticarial skin rash prior to IZ). Rx'd Benadryl.
Age: 1.25
Sex: U
Vaccine: IPV, MMR
Symptoms: Convulsion, Pyrexia
Clinical narrative: On 10/26/00, ER visit with 90 second seizure while febrile. Treated with Tylenol and Motrin. On 11/15/00, office visit with seizure with temperature of 101.8F.
Age: 1.0
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Infection, Rash vesicular
Clinical narrative: Received varivax, SC in left arm, on 11/2/00. Started with rash on 11/11/00, at injection site. Examined on 11/14/00 and had X 4, 2-3mm vesicular lesions on area over the site of injection. No tenderness. Impression: cutaneous varicella.
Age: 71.0
Sex: M
Vaccine: PPV
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Warm, red, swelling and local tenderness which progressed down arm below elbow. Treatment: Augmentin 500mg T1D X 10 days.
Age: 0.3
Sex: M
Vaccine: IPV
Symptoms: Insomnia, Irritability, Oral intake reduced, Pain, Pyrexia
Clinical narrative: On the 3rd day, post vax, he was very irritable and woke up many times, during the night. By the 5th day, he ran a temperature of 103.2F and screamed at any touch. Would not sleep or eat. He also became very congested. On 6th day, temperature rose to 104F and he was sent to hospital for blood work by doctor. Treated with Motrin and fever broke. Baby was still extremely irritable however for the 7th, 8th and 10th day after vaccination.
Age: 0.3
Sex: M
Vaccine: IPV
Symptoms: White blood cell disorder
Clinical narrative: On the 3rd day, post vax, he was very irritable and woke up many times, during the night. By the 5th day, he ran a temperature of 103.2F and screamed at any touch. Would not sleep or eat. He also became very congested. On 6th day, temperature rose to 104F and he was sent to hospital for blood work by doctor. Treated with Motrin and fever broke. Baby was still extremely irritable however for the 7th, 8th and 10th day after vaccination.
Age: 1.0
Sex: M
Vaccine: MMR
Symptoms: Pyrexia
Clinical narrative: The patient had a fever of 103. while on antibiotics.
Age: 1.3
Sex: F
Vaccine: DTAP, HIBV, IPV
Symptoms: Injection site erythema, Rash macular
Clinical narrative: 2 cm diameter non-tender with macular redness around injection site.
Age: 38.0
Sex: F
Vaccine: PPV
Symptoms: Injection site oedema
Clinical narrative: The patients arm was swollen at injection site.
Age: 4.0
Sex: F
Vaccine: DTAP
Symptoms: Cellulitis, Injection site erythema
Clinical narrative: Pt had DTAP #5 given in right deltoid. She developed a golfball-sized red reaction. It was later dx'd as cellulitis and Rx'd with Keflex for 10 days.
Age: 0.2
Sex: M
Vaccine: DTAP, HBHEPB, IPV, DTAP, HBHEPB, IPV
Symptoms: Vomiting
Clinical narrative: The patient received IPV, DTaP, and Comvax at 3:30, he then started vomiting at 3:30. The patient vomited 5 times until 7:45 and then it stopped. The mother began to feed the infant at 7:45, he fed successfully 4-5 times during the night. The patient has had no other apparent side effects.  The mother was advised if the patient continues to vomit, has a fever greater than 102., seizes, or becomes non-responsive go to the ER.
Age: 1.0
Sex: U
Vaccine: MMR, VARCEL
Symptoms: Pyrexia, Rash
Clinical narrative: The patient had a fever, and a rash 10 days after administration of vaccine.
Age: 1.25
Sex: M
Vaccine: DTAP, HIBV
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Local swelling and redness.
Age: 9.0
Sex: M
Vaccine: PPV
Symptoms: Arthralgia, Injection site erythema
Clinical narrative: Slight local erythema at injection and arthralgia of left elbow. Treatment: cool compresses.
Age: 49.0
Sex: F
Vaccine: PPV, TD
Symptoms: Injection site erythema, Injection site swelling, Loss of consciousness
Clinical narrative: Pt stated she "passed out" after using the bathroom, the night after she received her pneumovax and tetanus shot. She also stated, she had redness and swelling down to above the elbow.
Age: 75.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Erythema, Headache, Oedema, Rash maculo-papular
Clinical narrative: The pt experienced a headache, severe swelling and red splotches on swollen area, lasting 1 week. The pt took Tylenol and used ice pack on swollen area.
Age: 74.0
Sex: F
Vaccine: FLUX
Symptoms: Asthenia, Dysphonia, Malaise, Pallor, Pyrexia
Clinical narrative: 48 hours post vax, the pt experienced chills, fever, dizziness, weakness, paleness and hoarseness. The pt felt lousy for 2 weeks.
Age: 70.0
Sex: F
Vaccine: FLU3
Symptoms: Cough, Pharyngolaryngeal pain, Pyrexia
Clinical narrative: The pt experienced chills, fever, sore throat, and cough. Saw an MD on 11/7/00. Treated with Vantin, saw MD on 11/20/00, Erythromycin given. The pt still has chills and coughing.
Age: 69.0
Sex: F
Vaccine: FLU3
Symptoms: Hypokinesia
Clinical narrative: The pt says that one hour post vax she could not extend arm in upward position.
Age: 73.0
Sex: M
Vaccine: FLUX
Symptoms: Balance disorder, Dizziness, Dysarthria, Hemiparesis, Pain
Clinical narrative: The pt became lightheaded and dizzy, experienced aching limbs, leg restlessness, balance disorder, weakness in left leg and hand and slurring of speech.
Age: 73.0
Sex: M
Vaccine: FLUX
Symptoms: Restless legs syndrome
Clinical narrative: The pt became lightheaded and dizzy, experienced aching limbs, leg restlessness, balance disorder, weakness in left leg and hand and slurring of speech.
Age: 79.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Antinuclear antibody positive, Arthralgia, Blood glucose increased, Chills, Erythema
Clinical narrative: The pt experienced pain in bilateral arms with severe swelling and numbness to the right hand. The pt also experienced pain in the neck and right arm and then left arm with hot flushes and chills. On exam, the pt had a hot, red, edematous right wrist that was tender with decreased range of motion of neck, all fields. Remainder of exam within normal limits.
Age: 79.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Hot flush, Hypoaesthesia, Leukocytosis, Neck pain, Oedema peripheral
Clinical narrative: The pt experienced pain in bilateral arms with severe swelling and numbness to the right hand. The pt also experienced pain in the neck and right arm and then left arm with hot flushes and chills. On exam, the pt had a hot, red, edematous right wrist that was tender with decreased range of motion of neck, all fields. Remainder of exam within normal limits.
Age: 79.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Pain, Red blood cell sedimentation rate increased
Clinical narrative: The pt experienced pain in bilateral arms with severe swelling and numbness to the right hand. The pt also experienced pain in the neck and right arm and then left arm with hot flushes and chills. On exam, the pt had a hot, red, edematous right wrist that was tender with decreased range of motion of neck, all fields. Remainder of exam within normal limits.
Age: 33.0
Sex: F
Vaccine: FLUX
Symptoms: Feeling cold, Hyperhidrosis, Nausea, Pain, Pyrexia
Clinical narrative: The pt experienced a fever beginning immediately. Started low and peaked about 6 hours and stayed high about 6 hours. The pt also experienced aches and chills lasting 36 hours. The pt also experienced nausea and vomiting and cold sweats.
Age: 33.0
Sex: F
Vaccine: FLUX
Symptoms: Vomiting
Clinical narrative: The pt experienced a fever beginning immediately. Started low and peaked about 6 hours and stayed high about 6 hours. The pt also experienced aches and chills lasting 36 hours. The pt also experienced nausea and vomiting and cold sweats.
Age: 46.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site oedema, Injection site pain
Clinical narrative: The pt immediately experienced pain, 2-4" edema and redness with swelling. This lasted 4 days. Was still red for 2 weeks.
Age: 20.0
Sex: F
Vaccine: FLU3
Symptoms: Rash, Urticaria
Clinical narrative: The pt experienced hives and rash within 45 minutes post vax.
Age: 28.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site oedema, Injection site warmth
Clinical narrative: The pt experienced a large red swollen area on the arm, the area is hot. Took Motrin and used cold compresses to treat.
Age: 28.0
Sex: F
Vaccine: FLU3
Symptoms: Pyrexia, Rash
Clinical narrative: The pt experienced a rash to the arms, legs and abdomen with a fever and pulse of 82 and respirations of 16.
Age: 36.0
Sex: F
Vaccine: FLU3
Symptoms: Atrial fibrillation
Clinical narrative: 12 hours post vax the pt experienced arterial fibrillation. Went tot he ER. Received IV treatment and oral Diltiazam.
Age: 41.0
Sex: F
Vaccine: FLU3
Symptoms: Diarrhoea, Injection site erythema
Clinical narrative: One day post vax, the pt developed a reddened arm and diarrhea.
Age: 42.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site oedema
Clinical narrative: The pt experienced redness, swelling within 5  minutes at injection site.
Age: 50.0
Sex: F
Vaccine: FLU3
Symptoms: Cyanosis, Dizziness, Pallor
Clinical narrative: The pt became pale, dizzy, lips got blue, pulse of 56. An ambulance was called.
Age: 2.0
Sex: M
Vaccine: VARCEL
Symptoms: Drug ineffective, Infection, Pruritus
Clinical narrative: 30-50 lesions-chickenpox, itchy.
Age: 0.9
Sex: M
Vaccine: MMR, PNC, VARCEL, MMR, PNC, VARCEL
Symptoms: Akinesia, Dyskinesia, Gastrooesophageal reflux disease, Hypoxia, Myopathy
Clinical narrative: On 9/23/00, the child developed "acute respiratory decompensation" which the reporter described as life threatening. the reporter also noted that the child had been on a ventilator and hospitalized since birth and that "this event resulted in admission to the ICU".
Age: 0.9
Sex: M
Vaccine: MMR, PNC, VARCEL, MMR, PNC, VARCEL
Symptoms: Neurodevelopmental disorder, Oral intake reduced, Rash vesicular, Respiratory failure, Testicular disorder
Clinical narrative: On 9/23/00, the child developed "acute respiratory decompensation" which the reporter described as life threatening. the reporter also noted that the child had been on a ventilator and hospitalized since birth and that "this event resulted in admission to the ICU".
Age: 0.9
Sex: M
Vaccine: MMR, PNC, VARCEL, MMR, PNC, VARCEL
Symptoms: Respiratory disorder
Clinical narrative: On 9/23/00, the child developed "acute respiratory decompensation" which the reporter described as life threatening. the reporter also noted that the child had been on a ventilator and hospitalized since birth and that "this event resulted in admission to the ICU".
Age: 0.2
Sex: M
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Sudden infant death syndrome
Clinical narrative: Death was caused by SIDS.
Age: 65.0
Sex: F
Vaccine: FLU3
Symptoms: Coronary artery disease, Drooling, Eye pain, Facial palsy, Headache
Clinical narrative: Got shot about 08:20, noted right eye tearing at bedtime that night. The next morning the right eye was hurting and tearing and left side of mouth drooping, saliva discharge, headache. Being treated with steroids for Bell's Palsy.
Age: 65.0
Sex: F
Vaccine: FLU3
Symptoms: Hypersensitivity, Hypertension, Lacrimation increased, Myocardial ischaemia
Clinical narrative: Got shot about 08:20, noted right eye tearing at bedtime that night. The next morning the right eye was hurting and tearing and left side of mouth drooping, saliva discharge, headache. Being treated with steroids for Bell's Palsy.
Age: 33.0
Sex: M
Vaccine: TD
Symptoms: Dehydration, Hepatic enzyme abnormal, Hypoxia, Muscle atrophy, Muscular weakness
Clinical narrative: Muscle weakness/deterioration over entire body with eventual paralysis, ventilator and trach dependent due to weakness and respiratory arrest and assisted recovery pending 10/23/00. Dx: polymyositis. On 11/20/00, update, 6 months follow-up, recovering, off trach and walking. Diagnosis includes rhabdomyolitis, dehydration and increased liver enzymes.
Age: 33.0
Sex: M
Vaccine: TD
Symptoms: Polymyositis, Respiratory arrest, Rhabdomyolysis
Clinical narrative: Muscle weakness/deterioration over entire body with eventual paralysis, ventilator and trach dependent due to weakness and respiratory arrest and assisted recovery pending 10/23/00. Dx: polymyositis. On 11/20/00, update, 6 months follow-up, recovering, off trach and walking. Diagnosis includes rhabdomyolitis, dehydration and increased liver enzymes.
Age: 1.25
Sex: F
Vaccine: DTAP, VARCEL
Symptoms: Blister, Herpes zoster, Infection, Pyrexia
Clinical narrative: Child was admitted to the hospital on 10/24/00 with Herpes Zoster. Child was treated and discharged on 10/27/00 to home. The follow up received on 3/19/02 states no problems noted at time of vaccination. One year later in 11/00 child developed multiple blisters covering her L thigh. She was admitted to hospital-she was febrile (T103) and had severe itching in blister area. The blisters spread to her back, only. Cultures were taken and she was started on antibiotics and was given a "vaccination." She began to get better within hous. Mom relates all this information.
Age: 55.0
Sex: F
Vaccine: PPV
Symptoms: Abasia, Arthritis, Bone disorder
Clinical narrative: Information has been received from a 55 year old white female consumer who on approx. 12/3/99, was vaccinated with pneumococcal vaccine 23 polyvalent. Two days, post vax, the pt reported that she "could not walk". She contacted her physician and according to the pt, the physician stated that "it was due to the vaccine". She was seen by a rheumatologist in February, 2000 who dx'd her condition as osteoarthritis. The pt was hospitalized in February, 2000 followed by admission to a rehabilitation center. The pt stated that she never had osteoarthritis prior to the vaccine. Upon medical review, the pt's experience was considered an "Other Medical Event". Additional information has been requested.
Age: 0.2
Sex: F
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Convulsion
Clinical narrative: Pt received IZ on 11/17/00 and on 11/19/00, the child developed an afebrile seizure and was hospitalized. Placed on phenobarbital.
Age: 3.0
Sex: M
Vaccine: PNC
Symptoms: Erythema, Infection, Injection site erythema, Injection site pain
Clinical narrative: Superficial infection, 3 X 3 erythematous area with tenderness and redness.
Age: 1.25
Sex: F
Vaccine: PNC
Symptoms: Injection site erythema, Injection site pain
Clinical narrative: Local reaction, tenderness and redness.
Age: 0.25
Sex: M
Vaccine: HBHEPB, PNC
Symptoms: Decreased appetite, Diarrhoea, Gastroenteritis, Injection site mass, Injection site reaction
Clinical narrative: In ER, fever of 100F and below the 1st 48 hours, drowsy the 1st 6-7 days, restless sleep for the 1st 6-7 days, diarrhea for 2 weeks but cereal in his formula helped slow it down, he went 13-14 times a day for the 1st 48 hours. It was runny, watery and green. He was also very irritable and diet went down to 1 ounce at each meal. He cried a lot. He had a lump at the site of the injection. The doctor would not report this because he said it was coincidental. His stool is still runny without cereal. The dx was gastroenteritis.
Age: 0.25
Sex: M
Vaccine: HBHEPB, PNC
Symptoms: Insomnia, Irritability, Pyrexia, Somnolence
Clinical narrative: In ER, fever of 100F and below the 1st 48 hours, drowsy the 1st 6-7 days, restless sleep for the 1st 6-7 days, diarrhea for 2 weeks but cereal in his formula helped slow it down, he went 13-14 times a day for the 1st 48 hours. It was runny, watery and green. He was also very irritable and diet went down to 1 ounce at each meal. He cried a lot. He had a lump at the site of the injection. The doctor would not report this because he said it was coincidental. His stool is still runny without cereal. The dx was gastroenteritis.
Age: 0.3
Sex: U
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Angioneurotic oedema, Swelling face
Clinical narrative: Angioedema of the lips, the morning after the day of vaccination.
Age: 40.0
Sex: F
Vaccine: ANTH
Symptoms: Dysgeusia, Erythema, Headache, Injection site pain, Injection site swelling
Clinical narrative: Arms were swollen to the elbow, severe pain, arms hot and had a metallic taste in my mouth. Lost time from work, post vax. Confined to bed rest for approx. 18 hours straight. Arms were red in color, had headaches and fevers. These symptoms occurred after each vaccination and lasted for months.  Follow up on 12/20/2000 : "The patient fully recovered from adverse event.  Patient did receive further shots, events were" Itching, swelling, pain, soreness and redness in arm.  There was also a bump in arm that took about 2 months to disappear.  Fevers and headaches."
Age: 40.0
Sex: F
Vaccine: ANTH
Symptoms: Injection site warmth, Pyrexia
Clinical narrative: Arms were swollen to the elbow, severe pain, arms hot and had a metallic taste in my mouth. Lost time from work, post vax. Confined to bed rest for approx. 18 hours straight. Arms were red in color, had headaches and fevers. These symptoms occurred after each vaccination and lasted for months.  Follow up on 12/20/2000 : "The patient fully recovered from adverse event.  Patient did receive further shots, events were" Itching, swelling, pain, soreness and redness in arm.  There was also a bump in arm that took about 2 months to disappear.  Fevers and headaches."
Age: 68.0
Sex: F
Vaccine: FLU3
Symptoms: Back pain, Cough, Headache, Pain, Pharyngolaryngeal pain
Clinical narrative: On 10/30 the pt experienced a cough, headache, fever. On 10/31 the pt experienced general aches to the right leg. On 11/1, the pt felt better with a decrease in back and leg aches. 11/2, the pt developed a sore throat.
Age: 68.0
Sex: F
Vaccine: FLU3
Symptoms: Pyrexia
Clinical narrative: On 10/30 the pt experienced a cough, headache, fever. On 10/31 the pt experienced general aches to the right leg. On 11/1, the pt felt better with a decrease in back and leg aches. 11/2, the pt developed a sore throat.
Age: 14.0
Sex: F
Vaccine: HEP
Symptoms: Dizziness, Dyspnoea, Hypersensitivity, Injection site pain, Pulmonary congestion
Clinical narrative: The school called the mother to report that the child was having difficulty breathing, with dizziness. When she arrived, the pt was gasping. She took her to the ER and she developed hives while there. Dx was adverse reaction to Hep-B. She had complained in the night of her arm hurting and had not experienced that with previous immunizations. However, she does have some congestion in her chest now but is probably unrelated.
Age: 14.0
Sex: F
Vaccine: HEP
Symptoms: Urticaria
Clinical narrative: The school called the mother to report that the child was having difficulty breathing, with dizziness. When she arrived, the pt was gasping. She took her to the ER and she developed hives while there. Dx was adverse reaction to Hep-B. She had complained in the night of her arm hurting and had not experienced that with previous immunizations. However, she does have some congestion in her chest now but is probably unrelated.
Age: 58.0
Sex: F
Vaccine: TD
Symptoms: Injection site swelling, Type III immune complex mediated reaction
Clinical narrative: Swollen arm, Arthus, Type II