chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 2.0
Sex: F
Vaccine: FLU3, FLUX
Symptoms: Dysstasia, Mobility decreased, Myelitis transverse, Nuclear magnetic resonance imaging abnormal
Clinical narrative: Mom reports that patient complained of vague abdominal pain on morning of admit, 9/7. Pt walked to the cough to watch tv and she was excessively irritable. After a half hour of continued irritability, she tried to stand up and appeared wobbly on her legs as if she was about to fall forward. Mom then directed child to come towards her but she was unable to walk and crawled using only her arms to propel herself. Mom tried to get her to stand up but patient was unable to bear weight at all. Patient brought to PMD's office then sent to ED. In ED work-up included labs that were unremarkable with blood and urine cultures pending, received 80mg IV decadron. Patient transferred to PICU for imaging and further workup. Pt initially started on Decadron then transitioned to Solu Medrol. MRI brain normal. MRI spine concerning for transverse myelitis. LP conducted; MS panel, viral cultures, and rheumatological labs sent. Neurology following and thinks that post-vaccination transverse myelitis is most likely given that infectious and rheum labs have returned negative to date. Pt with no improvement in lower extremity exam since admit. Pt now requiring q 4 hours I/O catheterization for urinary retention. Pt also with decreased bowel movements since admit requiring bowel regimen. Physical therapy working with patient. Since admit sugars relatively stable although sometimes elevated in evening. BPs remain stable. Pt has become very irritable, likely from steroids. Also of note, mom notes that pt was pointing to her back and saying "ow" on hospital day 1 and was complaining of suprapubic abd pain, possibly before catheterization and due to full bladder. Mom notes pt has been eating well in hospital and reiterated that pt has been incredibly irritable and fussy since starting steroids. Now being transferred back to the PICU for plasmapheresis given lack of response to 5 days of steroids.
Age: 2.0
Sex: F
Vaccine: FLU3, FLUX
Symptoms: Abasia, Abdominal pain, Anti-SS-A antibody negative, Anti-SS-B antibody negative, Antinuclear antibody negative
Clinical narrative: Mom reports that patient complained of vague abdominal pain on morning of admit, 9/7. Pt walked to the cough to watch tv and she was excessively irritable. After a half hour of continued irritability, she tried to stand up and appeared wobbly on her legs as if she was about to fall forward. Mom then directed child to come towards her but she was unable to walk and crawled using only her arms to propel herself. Mom tried to get her to stand up but patient was unable to bear weight at all. Patient brought to PMD's office then sent to ED. In ED work-up included labs that were unremarkable with blood and urine cultures pending, received 80mg IV decadron. Patient transferred to PICU for imaging and further workup. Pt initially started on Decadron then transitioned to Solu Medrol. MRI brain normal. MRI spine concerning for transverse myelitis. LP conducted; MS panel, viral cultures, and rheumatological labs sent. Neurology following and thinks that post-vaccination transverse myelitis is most likely given that infectious and rheum labs have returned negative to date. Pt with no improvement in lower extremity exam since admit. Pt now requiring q 4 hours I/O catheterization for urinary retention. Pt also with decreased bowel movements since admit requiring bowel regimen. Physical therapy working with patient. Since admit sugars relatively stable although sometimes elevated in evening. BPs remain stable. Pt has become very irritable, likely from steroids. Also of note, mom notes that pt was pointing to her back and saying "ow" on hospital day 1 and was complaining of suprapubic abd pain, possibly before catheterization and due to full bladder. Mom notes pt has been eating well in hospital and reiterated that pt has been incredibly irritable and fussy since starting steroids. Now being transferred back to the PICU for plasmapheresis given lack of response to 5 days of steroids.
Age: 2.0
Sex: F
Vaccine: FLU3, FLUX
Symptoms: Back pain, Balance disorder, Bladder catheterisation, Blood creatinine normal, Blood culture
Clinical narrative: Mom reports that patient complained of vague abdominal pain on morning of admit, 9/7. Pt walked to the cough to watch tv and she was excessively irritable. After a half hour of continued irritability, she tried to stand up and appeared wobbly on her legs as if she was about to fall forward. Mom then directed child to come towards her but she was unable to walk and crawled using only her arms to propel herself. Mom tried to get her to stand up but patient was unable to bear weight at all. Patient brought to PMD's office then sent to ED. In ED work-up included labs that were unremarkable with blood and urine cultures pending, received 80mg IV decadron. Patient transferred to PICU for imaging and further workup. Pt initially started on Decadron then transitioned to Solu Medrol. MRI brain normal. MRI spine concerning for transverse myelitis. LP conducted; MS panel, viral cultures, and rheumatological labs sent. Neurology following and thinks that post-vaccination transverse myelitis is most likely given that infectious and rheum labs have returned negative to date. Pt with no improvement in lower extremity exam since admit. Pt now requiring q 4 hours I/O catheterization for urinary retention. Pt also with decreased bowel movements since admit requiring bowel regimen. Physical therapy working with patient. Since admit sugars relatively stable although sometimes elevated in evening. BPs remain stable. Pt has become very irritable, likely from steroids. Also of note, mom notes that pt was pointing to her back and saying "ow" on hospital day 1 and was complaining of suprapubic abd pain, possibly before catheterization and due to full bladder. Mom notes pt has been eating well in hospital and reiterated that pt has been incredibly irritable and fussy since starting steroids. Now being transferred back to the PICU for plasmapheresis given lack of response to 5 days of steroids.
Age: 2.0
Sex: F
Vaccine: FLU3, FLUX
Symptoms: Blood glucose increased, Blood glucose normal, Bowel movement irregularity, C-reactive protein normal, CSF cell count
Clinical narrative: Mom reports that patient complained of vague abdominal pain on morning of admit, 9/7. Pt walked to the cough to watch tv and she was excessively irritable. After a half hour of continued irritability, she tried to stand up and appeared wobbly on her legs as if she was about to fall forward. Mom then directed child to come towards her but she was unable to walk and crawled using only her arms to propel herself. Mom tried to get her to stand up but patient was unable to bear weight at all. Patient brought to PMD's office then sent to ED. In ED work-up included labs that were unremarkable with blood and urine cultures pending, received 80mg IV decadron. Patient transferred to PICU for imaging and further workup. Pt initially started on Decadron then transitioned to Solu Medrol. MRI brain normal. MRI spine concerning for transverse myelitis. LP conducted; MS panel, viral cultures, and rheumatological labs sent. Neurology following and thinks that post-vaccination transverse myelitis is most likely given that infectious and rheum labs have returned negative to date. Pt with no improvement in lower extremity exam since admit. Pt now requiring q 4 hours I/O catheterization for urinary retention. Pt also with decreased bowel movements since admit requiring bowel regimen. Physical therapy working with patient. Since admit sugars relatively stable although sometimes elevated in evening. BPs remain stable. Pt has become very irritable, likely from steroids. Also of note, mom notes that pt was pointing to her back and saying "ow" on hospital day 1 and was complaining of suprapubic abd pain, possibly before catheterization and due to full bladder. Mom notes pt has been eating well in hospital and reiterated that pt has been incredibly irritable and fussy since starting steroids. Now being transferred back to the PICU for plasmapheresis given lack of response to 5 days of steroids.
Age: 2.0
Sex: F
Vaccine: FLU3, FLUX
Symptoms: CSF glucose normal, CSF neutrophil count increased, CSF protein normal, Culture urine, Cytomegalovirus test
Clinical narrative: Mom reports that patient complained of vague abdominal pain on morning of admit, 9/7. Pt walked to the cough to watch tv and she was excessively irritable. After a half hour of continued irritability, she tried to stand up and appeared wobbly on her legs as if she was about to fall forward. Mom then directed child to come towards her but she was unable to walk and crawled using only her arms to propel herself. Mom tried to get her to stand up but patient was unable to bear weight at all. Patient brought to PMD's office then sent to ED. In ED work-up included labs that were unremarkable with blood and urine cultures pending, received 80mg IV decadron. Patient transferred to PICU for imaging and further workup. Pt initially started on Decadron then transitioned to Solu Medrol. MRI brain normal. MRI spine concerning for transverse myelitis. LP conducted; MS panel, viral cultures, and rheumatological labs sent. Neurology following and thinks that post-vaccination transverse myelitis is most likely given that infectious and rheum labs have returned negative to date. Pt with no improvement in lower extremity exam since admit. Pt now requiring q 4 hours I/O catheterization for urinary retention. Pt also with decreased bowel movements since admit requiring bowel regimen. Physical therapy working with patient. Since admit sugars relatively stable although sometimes elevated in evening. BPs remain stable. Pt has become very irritable, likely from steroids. Also of note, mom notes that pt was pointing to her back and saying "ow" on hospital day 1 and was complaining of suprapubic abd pain, possibly before catheterization and due to full bladder. Mom notes pt has been eating well in hospital and reiterated that pt has been incredibly irritable and fussy since starting steroids. Now being transferred back to the PICU for plasmapheresis given lack of response to 5 days of steroids.
Age: 2.0
Sex: F
Vaccine: FLU3, FLUX
Symptoms: Enterovirus test, Full blood count normal, Gram stain, Gram stain negative, HIV test negative
Clinical narrative: Mom reports that patient complained of vague abdominal pain on morning of admit, 9/7. Pt walked to the cough to watch tv and she was excessively irritable. After a half hour of continued irritability, she tried to stand up and appeared wobbly on her legs as if she was about to fall forward. Mom then directed child to come towards her but she was unable to walk and crawled using only her arms to propel herself. Mom tried to get her to stand up but patient was unable to bear weight at all. Patient brought to PMD's office then sent to ED. In ED work-up included labs that were unremarkable with blood and urine cultures pending, received 80mg IV decadron. Patient transferred to PICU for imaging and further workup. Pt initially started on Decadron then transitioned to Solu Medrol. MRI brain normal. MRI spine concerning for transverse myelitis. LP conducted; MS panel, viral cultures, and rheumatological labs sent. Neurology following and thinks that post-vaccination transverse myelitis is most likely given that infectious and rheum labs have returned negative to date. Pt with no improvement in lower extremity exam since admit. Pt now requiring q 4 hours I/O catheterization for urinary retention. Pt also with decreased bowel movements since admit requiring bowel regimen. Physical therapy working with patient. Since admit sugars relatively stable although sometimes elevated in evening. BPs remain stable. Pt has become very irritable, likely from steroids. Also of note, mom notes that pt was pointing to her back and saying "ow" on hospital day 1 and was complaining of suprapubic abd pain, possibly before catheterization and due to full bladder. Mom notes pt has been eating well in hospital and reiterated that pt has been incredibly irritable and fussy since starting steroids. Now being transferred back to the PICU for plasmapheresis given lack of response to 5 days of steroids.
Age: 2.0
Sex: F
Vaccine: FLU3, FLUX
Symptoms: Haematocrit normal, Haemoglobin normal, Herpes simplex serology negative, Intensive care, Irritability
Clinical narrative: Mom reports that patient complained of vague abdominal pain on morning of admit, 9/7. Pt walked to the cough to watch tv and she was excessively irritable. After a half hour of continued irritability, she tried to stand up and appeared wobbly on her legs as if she was about to fall forward. Mom then directed child to come towards her but she was unable to walk and crawled using only her arms to propel herself. Mom tried to get her to stand up but patient was unable to bear weight at all. Patient brought to PMD's office then sent to ED. In ED work-up included labs that were unremarkable with blood and urine cultures pending, received 80mg IV decadron. Patient transferred to PICU for imaging and further workup. Pt initially started on Decadron then transitioned to Solu Medrol. MRI brain normal. MRI spine concerning for transverse myelitis. LP conducted; MS panel, viral cultures, and rheumatological labs sent. Neurology following and thinks that post-vaccination transverse myelitis is most likely given that infectious and rheum labs have returned negative to date. Pt with no improvement in lower extremity exam since admit. Pt now requiring q 4 hours I/O catheterization for urinary retention. Pt also with decreased bowel movements since admit requiring bowel regimen. Physical therapy working with patient. Since admit sugars relatively stable although sometimes elevated in evening. BPs remain stable. Pt has become very irritable, likely from steroids. Also of note, mom notes that pt was pointing to her back and saying "ow" on hospital day 1 and was complaining of suprapubic abd pain, possibly before catheterization and due to full bladder. Mom notes pt has been eating well in hospital and reiterated that pt has been incredibly irritable and fussy since starting steroids. Now being transferred back to the PICU for plasmapheresis given lack of response to 5 days of steroids.
Age: 2.0
Sex: F
Vaccine: FLU3, FLUX
Symptoms: Laboratory test normal, Lymphocyte percentage decreased, Muscular weakness, Myelitis transverse, Nervous system disorder
Clinical narrative: Mom reports that patient complained of vague abdominal pain on morning of admit, 9/7. Pt walked to the cough to watch tv and she was excessively irritable. After a half hour of continued irritability, she tried to stand up and appeared wobbly on her legs as if she was about to fall forward. Mom then directed child to come towards her but she was unable to walk and crawled using only her arms to propel herself. Mom tried to get her to stand up but patient was unable to bear weight at all. Patient brought to PMD's office then sent to ED. In ED work-up included labs that were unremarkable with blood and urine cultures pending, received 80mg IV decadron. Patient transferred to PICU for imaging and further workup. Pt initially started on Decadron then transitioned to Solu Medrol. MRI brain normal. MRI spine concerning for transverse myelitis. LP conducted; MS panel, viral cultures, and rheumatological labs sent. Neurology following and thinks that post-vaccination transverse myelitis is most likely given that infectious and rheum labs have returned negative to date. Pt with no improvement in lower extremity exam since admit. Pt now requiring q 4 hours I/O catheterization for urinary retention. Pt also with decreased bowel movements since admit requiring bowel regimen. Physical therapy working with patient. Since admit sugars relatively stable although sometimes elevated in evening. BPs remain stable. Pt has become very irritable, likely from steroids. Also of note, mom notes that pt was pointing to her back and saying "ow" on hospital day 1 and was complaining of suprapubic abd pain, possibly before catheterization and due to full bladder. Mom notes pt has been eating well in hospital and reiterated that pt has been incredibly irritable and fussy since starting steroids. Now being transferred back to the PICU for plasmapheresis given lack of response to 5 days of steroids.
Age: 2.0
Sex: F
Vaccine: FLU3, FLUX
Symptoms: Neutrophil percentage increased, Nuclear magnetic resonance imaging brain abnormal, Nuclear magnetic resonance imaging spinal cord abnormal, Plasmapheresis, Platelet count normal
Clinical narrative: Mom reports that patient complained of vague abdominal pain on morning of admit, 9/7. Pt walked to the cough to watch tv and she was excessively irritable. After a half hour of continued irritability, she tried to stand up and appeared wobbly on her legs as if she was about to fall forward. Mom then directed child to come towards her but she was unable to walk and crawled using only her arms to propel herself. Mom tried to get her to stand up but patient was unable to bear weight at all. Patient brought to PMD's office then sent to ED. In ED work-up included labs that were unremarkable with blood and urine cultures pending, received 80mg IV decadron. Patient transferred to PICU for imaging and further workup. Pt initially started on Decadron then transitioned to Solu Medrol. MRI brain normal. MRI spine concerning for transverse myelitis. LP conducted; MS panel, viral cultures, and rheumatological labs sent. Neurology following and thinks that post-vaccination transverse myelitis is most likely given that infectious and rheum labs have returned negative to date. Pt with no improvement in lower extremity exam since admit. Pt now requiring q 4 hours I/O catheterization for urinary retention. Pt also with decreased bowel movements since admit requiring bowel regimen. Physical therapy working with patient. Since admit sugars relatively stable although sometimes elevated in evening. BPs remain stable. Pt has become very irritable, likely from steroids. Also of note, mom notes that pt was pointing to her back and saying "ow" on hospital day 1 and was complaining of suprapubic abd pain, possibly before catheterization and due to full bladder. Mom notes pt has been eating well in hospital and reiterated that pt has been incredibly irritable and fussy since starting steroids. Now being transferred back to the PICU for plasmapheresis given lack of response to 5 days of steroids.
Age: 2.0
Sex: F
Vaccine: FLU3, FLUX
Symptoms: Protein total normal, Red blood cell sedimentation rate normal, Suprapubic pain, Urinary retention, Varicella virus test
Clinical narrative: Mom reports that patient complained of vague abdominal pain on morning of admit, 9/7. Pt walked to the cough to watch tv and she was excessively irritable. After a half hour of continued irritability, she tried to stand up and appeared wobbly on her legs as if she was about to fall forward. Mom then directed child to come towards her but she was unable to walk and crawled using only her arms to propel herself. Mom tried to get her to stand up but patient was unable to bear weight at all. Patient brought to PMD's office then sent to ED. In ED work-up included labs that were unremarkable with blood and urine cultures pending, received 80mg IV decadron. Patient transferred to PICU for imaging and further workup. Pt initially started on Decadron then transitioned to Solu Medrol. MRI brain normal. MRI spine concerning for transverse myelitis. LP conducted; MS panel, viral cultures, and rheumatological labs sent. Neurology following and thinks that post-vaccination transverse myelitis is most likely given that infectious and rheum labs have returned negative to date. Pt with no improvement in lower extremity exam since admit. Pt now requiring q 4 hours I/O catheterization for urinary retention. Pt also with decreased bowel movements since admit requiring bowel regimen. Physical therapy working with patient. Since admit sugars relatively stable although sometimes elevated in evening. BPs remain stable. Pt has become very irritable, likely from steroids. Also of note, mom notes that pt was pointing to her back and saying "ow" on hospital day 1 and was complaining of suprapubic abd pain, possibly before catheterization and due to full bladder. Mom notes pt has been eating well in hospital and reiterated that pt has been incredibly irritable and fussy since starting steroids. Now being transferred back to the PICU for plasmapheresis given lack of response to 5 days of steroids.
Age: 2.0
Sex: F
Vaccine: FLU3, FLUX
Symptoms: Viral test negative, Weight bearing difficulty, White blood cell count normal
Clinical narrative: Mom reports that patient complained of vague abdominal pain on morning of admit, 9/7. Pt walked to the cough to watch tv and she was excessively irritable. After a half hour of continued irritability, she tried to stand up and appeared wobbly on her legs as if she was about to fall forward. Mom then directed child to come towards her but she was unable to walk and crawled using only her arms to propel herself. Mom tried to get her to stand up but patient was unable to bear weight at all. Patient brought to PMD's office then sent to ED. In ED work-up included labs that were unremarkable with blood and urine cultures pending, received 80mg IV decadron. Patient transferred to PICU for imaging and further workup. Pt initially started on Decadron then transitioned to Solu Medrol. MRI brain normal. MRI spine concerning for transverse myelitis. LP conducted; MS panel, viral cultures, and rheumatological labs sent. Neurology following and thinks that post-vaccination transverse myelitis is most likely given that infectious and rheum labs have returned negative to date. Pt with no improvement in lower extremity exam since admit. Pt now requiring q 4 hours I/O catheterization for urinary retention. Pt also with decreased bowel movements since admit requiring bowel regimen. Physical therapy working with patient. Since admit sugars relatively stable although sometimes elevated in evening. BPs remain stable. Pt has become very irritable, likely from steroids. Also of note, mom notes that pt was pointing to her back and saying "ow" on hospital day 1 and was complaining of suprapubic abd pain, possibly before catheterization and due to full bladder. Mom notes pt has been eating well in hospital and reiterated that pt has been incredibly irritable and fussy since starting steroids. Now being transferred back to the PICU for plasmapheresis given lack of response to 5 days of steroids.
Age: 91.0
Sex: F
Vaccine: PPV
Symptoms: Asthenia, Injected limb mobility decreased, Vaccination site pain
Clinical narrative: Horrible pain in the site of the vaccination, inability to move the arm, weakness, and soreness.
Age: 16.0
Sex: F
Vaccine: MNQ, TDAP
Symptoms: Arthralgia, Headache, Injection site discharge, Injection site swelling, Ocular hyperaemia
Clinical narrative: Aching joints, headache,swelling at injection site, orangish discharge from injection site, can not stay awake, red bloodshot eyes body aching, arm extremely painful to move.
Age: 16.0
Sex: F
Vaccine: MNQ, TDAP
Symptoms: Pain, Somnolence
Clinical narrative: Aching joints, headache,swelling at injection site, orangish discharge from injection site, can not stay awake, red bloodshot eyes body aching, arm extremely painful to move.
Age: 56.0
Sex: F
Vaccine: VARZOS
Symptoms: Headache, Injection site erythema, Injection site induration, Injection site swelling, Injection site warmth
Clinical narrative: Large ( 3 inchesX 2 inches) red, hot, raised hard swelling developed over 24 hours on upper arm at injection site. Headache developed also.
Age: 12.0
Sex: F
Vaccine: VARCEL
Symptoms: Bacterial test, Erythema, Fungal test, Pruritus, Rash
Clinical narrative: Pt developed Severe pustula rash covering face, chest, back and arms. severe itching and redness to areas, pus filled spots 4-5 days after recieving varicella vaccine booster. Tx: Acyclovir x6 days, Bactrim DS x6 days, topical 2% erythromycin bid x8 weeks, Medrol Dose pak x6 days. Seen by pediatrician, dermatology and immunology, symptoms remain now at over 9 weeks, rash/spots remain to face and back, both areas now scarring. Plan now to try Accutane for 3 months.
Age: 12.0
Sex: F
Vaccine: VARCEL
Symptoms: Rash pustular, Scar, Viral test
Clinical narrative: Pt developed Severe pustula rash covering face, chest, back and arms. severe itching and redness to areas, pus filled spots 4-5 days after recieving varicella vaccine booster. Tx: Acyclovir x6 days, Bactrim DS x6 days, topical 2% erythromycin bid x8 weeks, Medrol Dose pak x6 days. Seen by pediatrician, dermatology and immunology, symptoms remain now at over 9 weeks, rash/spots remain to face and back, both areas now scarring. Plan now to try Accutane for 3 months.
Age: 20.0
Sex: F
Vaccine: RAB
Symptoms: Antibody test, Arthralgia, Borrelia test, Laboratory test, Oropharyngeal pain
Clinical narrative: Mild sore throat 5 days after (note this is 2nd dose of PEP rabies vaccine). Joint pain, maculopaper rash and tingling of hand 10 days after shot.
Age: 20.0
Sex: F
Vaccine: RAB
Symptoms: Paraesthesia, Rash maculo-papular
Clinical narrative: Mild sore throat 5 days after (note this is 2nd dose of PEP rabies vaccine). Joint pain, maculopaper rash and tingling of hand 10 days after shot.
Age: 50.0
Sex: M
Vaccine: FLUN3
Symptoms: Drug administered to patient of inappropriate age
Clinical narrative: Patient recieved Flu mist instead of Influenza shot, due to his age, it is CDC recommended over the age of 50 recieves flu shot. patient is 50 yrs and 3 mo.
Age: 12.0
Sex: M
Vaccine: HEPA, MNQ, TDAP, VARCEL
Symptoms: Hypersensitivity, Urticaria
Clinical narrative: Systemic allergic reaction, hives on upper & lower arms, legs, & back within a few minutes of receiving vaccines.
Age: 41.0
Sex: F
Vaccine: DTP
Symptoms: Cellulitis, Erythema, Pain in extremity, Skin warm, Swelling
Clinical narrative: Pt received vaccine on 6/27/12, then presented to hospital after pain and redness in left arm. Pt was diagnosed with cellulitis and was prescribed antibiotics. Pt was unable to pay for medications and then presented to ED for medications. ED notes described redness, warmth and some proximal swelling. Treatment: Clindamycin 300 mg QID, Ibuprofen 600 mg TID.
Age: 54.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Blood culture negative, Chills, Diarrhoea, Injection site erythema, Malaise
Clinical narrative: Onset 9/5/12 fever, chills, malaise, body aches, diarrhea 9/7/12 started KEFLEX for redness at (L) arm injection site. 9/10/12 afebrile, redness at site faded, back to work.
Age: 54.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Pain, Pyrexia, White blood cell count increased
Clinical narrative: Onset 9/5/12 fever, chills, malaise, body aches, diarrhea 9/7/12 started KEFLEX for redness at (L) arm injection site. 9/10/12 afebrile, redness at site faded, back to work.
Age: 63.0
Sex: M
Vaccine: PPV, TDAP
Symptoms: Chills, Malaise, Myalgia, Pain, Pyrexia
Clinical narrative: Reaction occurred sometime between administration of vaccine on 7/31/12 and NP phone call follow-up of labs on 8/3/12. Myalgia, Fever & Pain, Swelling, Chills, Malaise.
Age: 63.0
Sex: M
Vaccine: PPV, TDAP
Symptoms: Swelling
Clinical narrative: Reaction occurred sometime between administration of vaccine on 7/31/12 and NP phone call follow-up of labs on 8/3/12. Myalgia, Fever & Pain, Swelling, Chills, Malaise.
Age: 2.0
Sex: M
Vaccine: FLU3, PNC13
Symptoms: Expired drug administered, Injection site eczema, Injection site pain, Injection site rash
Clinical narrative: My wife and I obtained our son's shot records recently for day care services, and upon further review I noticed he received an Influenza Vaccine on the above date with notations from the medical office that the Vaccine was expired on 6/30/2011. The form states that Dr. was advised, however she did not feel the child was in any danger and the solution should still be good. Since receiving that shot my son has had a rash on his leg that will cause him pain if you touch it too much. When we returned to the doctor, she stated it was probably eczema and provided a lotion to use. We did ask if this was a side effect from the shot, and she stated no. We have been treating this ever since. I am concerned and think this needs to be reported, and dealt with. I am willing to provide any and all documentation needed for this investigation. Thank you in advance for processing our request.
Age: 82.0
Sex: M
Vaccine: PPV
Symptoms: Cellulitis, Erythema, Oedema peripheral
Clinical narrative: Ation suspected of leading to the adverse reaction. You may search for a medication by typing the medication name in the "Search" field. Pneumococcal conjugate vaccine - 0.5 ML/IM - 2. List additional medications suspected of contributing or leading to the adverse reaction: Not answered. 3. Was the reaction preventable - e.g. inappropriate or lack of dose adjustment, excessive dosing, known drug interaction, drug allergies, other contraindications, or inappropriate drug administration technique - ? No 4. Indicate the result of the reaction on the level of care: Drug therapy initiated/changed. 5. Was a physician notified? Yes 6. Is the reaction documented in the allergy section of the medical record? No 7. Is the patient or family aware of the reaction? Yes Incident description. Patient was given PNEUMOVAX vaccination on 7/30/12 to the right deltoid by LVN. Patient called on 8/1/12 complaining of redness, and swelling to the anterior upper arm. Patient denied shortness of breath, wheezing, difficulty breathing, hives, nausea, weakness, fever, paleness, itching, or hoarseness. Patient was seen by dr today, 8/2/12 and was diagnosed with cellulitis. Dr requested for incident report to be placed in case this is a problem with the PNUEMOVAX batch. Per LVN, Lot # 0087AE, Manufacturer: Merck. VAERS website data submission form not working. Please forward to VAERS.
Sex: F
Vaccine: HPV4
Symptoms: Grand mal convulsion, Unresponsive to stimuli
Clinical narrative: Medication suspected of leading to the adverse reaction: GARDASIL 0.5 mL/IM- Result the reaction on the level of care: Observation initiated/increased, Vital signs monitoring initiated/increased Incident Description LVN summoned staff to room for assistance. She reported she had administered three immunizations and after the GARDASIL, the patient became unresponsive. The patient was noted to be exhibiting tonic clonic seizure activity. The patient was laid on her left side for recovery and symptoms resolved spontaneously. VS were rechecked and the patient resumed mentation. Patient sustained no injury. Physician, department manager and father of patient were notified of event. The patient was observed and no further adverse noted. Provider Dr recommended the patient be transported to the ER for further evaluation and the father declined stating he would take care of her. No allergies were known at the time of the injection. PLEASE FORWARD TO VAERS. VAERS submission from not working.
Age: 67.0
Sex: F
Vaccine: FLU3
Symptoms: Cardiac monitoring, Chest X-ray, Dizziness, Dyspnoea, Full blood count
Clinical narrative: Dyspnea, wheezing, dizziness, started approx 1930 was taken to ED via 911 ambulance.
Age: 67.0
Sex: F
Vaccine: FLU3
Symptoms: Metabolic function test, Wheezing
Clinical narrative: Dyspnea, wheezing, dizziness, started approx 1930 was taken to ED via 911 ambulance.
Age: 53.0
Sex: F
Vaccine: FLU3
Symptoms: Feeling abnormal, Malaise, Respiratory rate increased
Clinical narrative: Patient received INFLUENZA vaccine at approximately 11:10 am. Shortly after, she began to complain of not feeling well "and feeling" "very bad". She began to breathe rapidly, but at no point did she become unconscious or have labored breathing. At approximately 11:30 am , EMS arrived and administered oxygen to her. She was then escorted out by EMS.
Age: 57.0
Sex: F
Vaccine: FLUX
Symptoms: Injected limb mobility decreased, Injection site pain, Musculoskeletal pain
Clinical narrative: Sharp pain at injection site in left deltoid, followed by increasing pain and limited range of motion in left deltoid.
Age: 56.0
Sex: F
Vaccine: FLU3
Symptoms: Condition aggravated, Headache, Immediate post-injection reaction, Injected limb mobility decreased, Migraine
Clinical narrative: States had arm pain immediately, had trouble doing lifting since her arm was sore for several days and today 9/12 her arm is still sore.  States the pain today is 2/10 and hurts when lifting or touching it.  States she developed headache, body aches on 8/30 and the body aches lasted until 9/9, states she has also had a headache every day and had a migraine last night 9/7(had not had one in a year.). States she feels her skin is really hot. Hx of migraines, also had hormone replacement increased one week ago, due to mood swings and hot flashes.
Age: 56.0
Sex: F
Vaccine: FLU3
Symptoms: Pain, Pain in extremity, Skin warm, Tenderness
Clinical narrative: States had arm pain immediately, had trouble doing lifting since her arm was sore for several days and today 9/12 her arm is still sore.  States the pain today is 2/10 and hurts when lifting or touching it.  States she developed headache, body aches on 8/30 and the body aches lasted until 9/9, states she has also had a headache every day and had a migraine last night 9/7(had not had one in a year.). States she feels her skin is really hot. Hx of migraines, also had hormone replacement increased one week ago, due to mood swings and hot flashes.
Age: 34.0
Sex: F
Vaccine: FLU3
Symptoms: Cough, Oropharyngeal pain, Respiratory tract congestion, Rhinorrhoea, Sneezing
Clinical narrative: Sneezing, running nose, coughing, congestion, sore throat.
Age: 45.0
Sex: F
Vaccine: FLU3
Symptoms: Disorientation, Dizziness, Laboratory test normal, Vertigo
Clinical narrative: Disoriented, dizzy, EMS called, transported to hospital, have severe vertigo.
Age: 5.0
Sex: F
Vaccine: DTAPIPV, MMR, VARCEL
Symptoms: Rash
Clinical narrative: Rash
Age: 11.0
Sex: M
Vaccine: HPV4
Symptoms: Convulsion, Syncope
Clinical narrative: Injection given, approximately 90 seconds later, while still in doctors office he fainted and began to seizure. Doctor kept him for observation for approximatley 15 minutes after episode.
Age: 61.0
Sex: M
Vaccine: RAB
Symptoms: Ataxia, Balance disorder, Muscle fatigue, Night sweats, Pain
Clinical narrative: Generalized muscle fatigue, pains, nocturnal sweats. Emesis for 1 week. Polydypsia, lack of balance (ataxia).
Age: 61.0
Sex: M
Vaccine: RAB
Symptoms: Polydipsia, Vomiting
Clinical narrative: Generalized muscle fatigue, pains, nocturnal sweats. Emesis for 1 week. Polydypsia, lack of balance (ataxia).
Age: 26.0
Sex: F
Vaccine: DTAP
Symptoms: Fatigue, Nasal congestion, Nausea, Rhinorrhoea, Throat irritation
Clinical narrative: Scratchy throat, nausea, runny/stuffy dose, tired.
Age: 65.0
Sex: F
Vaccine: VARZOS
Symptoms: Activities of daily living impaired, Injection site erythema, Injection site reaction, Injection site swelling, Injection site warmth
Clinical narrative: Patient presented with mild injection site reaction 10 minutes after receiving zoster vaccine.  Patient returned 48 hours after injection to show me reaction had progressed and area was red, hot, and raised around injection oval shape about the size of a silver dollar. She was experiencing pain that started 48 hours after the injection. She described severe pain from shoulder to finger tips and said it interferred with regular activities.
Age: 65.0
Sex: F
Vaccine: VARZOS
Symptoms: Musculoskeletal pain, Pain in extremity
Clinical narrative: Patient presented with mild injection site reaction 10 minutes after receiving zoster vaccine.  Patient returned 48 hours after injection to show me reaction had progressed and area was red, hot, and raised around injection oval shape about the size of a silver dollar. She was experiencing pain that started 48 hours after the injection. She described severe pain from shoulder to finger tips and said it interferred with regular activities.
Age: 32.0
Sex: M
Vaccine: TDAP
Symptoms: Blood test normal, Computerised tomogram normal, Headache, Lumbar puncture normal, Migraine
Clinical narrative: Pt presented with c/o mild headache, transient vision w/ loss of right eye peripheral vision, bilateral extremity tingling.
Age: 32.0
Sex: M
Vaccine: TDAP
Symptoms: Paraesthesia, Visual field defect, Visual impairment
Clinical narrative: Pt presented with c/o mild headache, transient vision w/ loss of right eye peripheral vision, bilateral extremity tingling.
Age: 69.0
Sex: F
Vaccine: FLU3
Symptoms: Adverse reaction, Erythema, Rash
Clinical narrative: Patient developed redness/rash around her mouth and eyes.
Age: 38.0
Sex: F
Vaccine: FLU3
Symptoms: Activities of daily living impaired, Nausea, Pain
Clinical narrative: Felt achey and nauseous. Called in sick for 09/07/12.
Age: 68.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Swelling, redness, warmth to site. Given Medrol dose pack to take if not improving. Told to keep cool. Ice pack if feels good.
Age: 0.5
Sex: F
Vaccine: DTAPHEPBIP, FLU3, HIBV, PNC13
Symptoms: Urticaria
Clinical narrative: Hives on arms, chest and face.
Age: 57.0
Sex: F
Vaccine: FLU3
Symptoms: Activities of daily living impaired, Asthenia, Contusion, Feeling abnormal, Local reaction
Clinical narrative: This was a localized reaction with swelling down the left arm and bruising. She also felt very poorly on 9/06 and 9/07. She also felt weak. She went to see her MD, 9/7/12, who felt that she should be of work until he cleared her to return.  She missed work 9/10 and 9/11 and was cleared to returen 9/12/12. MD advised pt. to not take flu shot next year.
Age: 57.0
Sex: F
Vaccine: FLU3
Symptoms: Oedema peripheral
Clinical narrative: This was a localized reaction with swelling down the left arm and bruising. She also felt very poorly on 9/06 and 9/07. She also felt weak. She went to see her MD, 9/7/12, who felt that she should be of work until he cleared her to return.  She missed work 9/10 and 9/11 and was cleared to returen 9/12/12. MD advised pt. to not take flu shot next year.
Age: 26.0
Sex: M
Vaccine: ANTH, FLUN3, TYP
Symptoms: Erythema, Injection site warmth, Local swelling, Pain
Clinical narrative: Redness, local swelling, warm at injection site, soreness.
Age: 0.19
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC13, RV5
Symptoms: Rash maculo-papular, Urticaria
Clinical narrative: Macular papular rash; some hives to forehead; onset acute; noticed the rash shortly after midnight.
Age: 42.0
Sex: M
Vaccine: SMALL
Symptoms: Back pain, Cardiac imaging procedure, Catheterisation cardiac, Chest X-ray, Chest pain
Clinical narrative: Pain across back radiating to chest, down left arm.
Age: 42.0
Sex: M
Vaccine: SMALL
Symptoms: Electrocardiogram, Laboratory test, Pain in extremity, Ultrasound scan
Clinical narrative: Pain across back radiating to chest, down left arm.
Age: 67.0
Sex: F
Vaccine: VARZOS
Symptoms: Back pain
Clinical narrative: Vaccine was given approx. 1 month after recovery from Shingles.  Shingles pain in the back returned after the vaccine was administered.
Age: 0.2
Sex: F
Vaccine: DTAPIPVHIB, PNC, RV5
Symptoms: Crying, Hypotonia, Laboratory test normal, Pallor
Clinical narrative: Limp, pale, inconsolable, crying.
Age: 15.0
Sex: F
Vaccine: HPVX
Symptoms: Breath sounds abnormal, Muscle rigidity, Seizure like phenomena, Unresponsive to stimuli
Clinical narrative: Seizure-like activity with rigid body, snorting, followed by unresponsiveness for 20 seconds.
Age: 35.0
Sex: F
Vaccine: FLU3
Symptoms: Dyspnoea, Fatigue, Myalgia, Nausea, Vomiting
Clinical narrative: PATIENT AMBULATED UP ONE FLIGHT OF STAIRS TO RETURN TO WORK FOLLOWING THE FLU VACCINE.  SHE REPORTS THAT AT THE TOP OF THE STAIRS SHE BECAME NAUSEATED, VOMITED 5 TIMES, AND BECAME SHORT OF BREATH.  SHE WAS SEEN IN THE EMERGENCY DEPT. AND GIVEN EPINEPHERINE, SOLUMEDROL, AND IV ZANTAC.  FOLLOWING THE VACCINATION SHE CONTINUES TO HAVE SEVERE MUSCLE ACHES AND FATIGUE.
Age: 15.0
Sex: F
Vaccine: HPV4
Symptoms: Urticaria
Clinical narrative: Diffuse Urticaria
Age: 26.0
Sex: M
Vaccine: HPV4, TDAP
Symptoms: Discomfort, Erythema, Injection site oedema, Injection site pruritus, Skin warm
Clinical narrative: Significant edema at injection site, L arm 5X5cm, Redness, hot to touch, occasional discomfort, hives above and along site, pruritis for 5+ days. Denies systemic symptoms.
Age: 26.0
Sex: M
Vaccine: HPV4, TDAP
Symptoms: Urticaria
Clinical narrative: Significant edema at injection site, L arm 5X5cm, Redness, hot to touch, occasional discomfort, hives above and along site, pruritis for 5+ days. Denies systemic symptoms.
Age: 83.0
Sex: M
Vaccine: SMALL
Symptoms: Gout
Clinical narrative: Gought flareup. Used a Doctor Med.
Age: 49.0
Sex: F
Vaccine: FLU3
Symptoms: Fatigue, Headache, Pain, Respiratory tract congestion
Clinical narrative: Headache, congestion, body aches, fatigue
Age: 36.0
Sex: F
Vaccine: MMR
Symptoms: Asthenia, Burning sensation, Dysphonia, Injection site erythema, Injection site pain
Clinical narrative: Sudden development of burning sensation weakness and tingling at site of injection (posterolateral aspect left arm)and roundish red raised papular rash, warm to touch and tender to palpation. She also c/o hoarsenss in voice, productive cough and some wheezing that occurred in am of same day. Wsa evaluated by Dr., who advised about symptomatic treatment at home, any any signs/symptoms that she should seek urgent treatment for. No specific treatment given at this time. To F/U with client in a few days.
Age: 36.0
Sex: F
Vaccine: MMR
Symptoms: Injection site reaction, Injection site warmth, Paraesthesia, Productive cough, Rash papular
Clinical narrative: Sudden development of burning sensation weakness and tingling at site of injection (posterolateral aspect left arm)and roundish red raised papular rash, warm to touch and tender to palpation. She also c/o hoarsenss in voice, productive cough and some wheezing that occurred in am of same day. Wsa evaluated by Dr., who advised about symptomatic treatment at home, any any signs/symptoms that she should seek urgent treatment for. No specific treatment given at this time. To F/U with client in a few days.
Age: 36.0
Sex: F
Vaccine: MMR
Symptoms: Wheezing
Clinical narrative: Sudden development of burning sensation weakness and tingling at site of injection (posterolateral aspect left arm)and roundish red raised papular rash, warm to touch and tender to palpation. She also c/o hoarsenss in voice, productive cough and some wheezing that occurred in am of same day. Wsa evaluated by Dr., who advised about symptomatic treatment at home, any any signs/symptoms that she should seek urgent treatment for. No specific treatment given at this time. To F/U with client in a few days.
Age: 16.0
Sex: F
Vaccine: HPV4
Symptoms: Anxiety, Depression, Disturbance in attention, Insomnia, Psychomotor skills impaired
Clinical narrative: Insomnia (lack of sleep), Severe Depression, Anxiety, Lack of concenration, psychomotor slowing.
Age: 2.0
Sex: M
Vaccine: HEPA
Symptoms: Incorrect dose administered
Clinical narrative: 12/08/2011 He received his first of two Hepatitis A vaccines at the Health Department. 06/18/2012 he received his second of two Hepatitis A vaccines at the Health Department. Today, 09/12/2012, less than three months from his last of two Hepatitis A vaccines, he received a third (and unnecessary) Hepatitis A vaccine at the pediatrician's office.  The staff at the office should have asked to see his Official Immunization Record before giving him any vaccines. He never should have received this third Hepatitis A vaccine.  The staff were negligent.
Age: 69.0
Sex: F
Vaccine: PPV, TDAP
Symptoms: Erythema, Skin warm, Swelling, Tenderness
Clinical narrative: LEFT ARM HAS LARGE PATCHY AREAS OF REDNESS AND SOME SWELLING, AREAS WARM TO TOUCH AND TENDER TO TOUCH.
Age: 0.03
Sex: F
Vaccine: HEPA, HIBV, MMR, PNC13, VARCEL
Symptoms: Urticaria
Clinical narrative: HIVES
Age: 48.0
Sex: F
Vaccine: FLU3, VARZOS
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Redness, swelling in area about 8 square cm at site of injection.
Age: 60.0
Sex: F
Vaccine: FLU3
Symptoms: Pruritus, Rash erythematous, Rash generalised
Clinical narrative: Employee reports that she started itching and noticed fine rash starting on her chest area and by morning had spread over entire body. Rash described as faint red. Employee also states that rash was resolved with in 24 hours. With questioning employee denies any new medications, soap, perfume any changes to products used on skin or ingested.  Employee did not report reaction until 3 days after vaccine.
Age: 61.0
Sex: F
Vaccine: FLUX
Symptoms: Chills, Diarrhoea, Dizziness, Pain, Pyrexia
Clinical narrative: Chills, Fever, Diarrhea, Dizziness, Aches. As of 09/13/2012 at 6:00 PM symptoms are still present.
Age: 65.0
Sex: M
Vaccine: FLUX
Symptoms: Dizziness, Irritability
Clinical narrative: Dizziness, Irribility
Age: 11.0
Sex: F
Vaccine: HPV4
Symptoms: Urticaria
Clinical narrative: Patient developed hives on entire body.
Age: 0.51
Sex: M
Vaccine: DTAPIPVHIB, HEP, PNC13, RV5
Symptoms: Intestinal resection, Intussusception, Ultrasound abdomen abnormal, Vomiting
Clinical narrative: Developed vomiting one day after receiving immunizations & was diagnosed with intussusception 2 days later. He required surgery & 5 inches of bowel was resected.
Age: 13.0
Sex: F
Vaccine: HPV4, HPVX
Symptoms: Urticaria
Clinical narrative: #1 GARDASIL administered on 8-17-12, no reaction local or systemic - broke out in hives 9-8-12. ER visit - record sent.
Age: 13.0
Sex: F
Vaccine: HPV4, HPVX
Symptoms: Dizziness, Mobility decreased, Muscular weakness, Nausea, Pain in extremity
Clinical narrative: #1 GARDASIL administered on 8-17-12, no reaction local or systemic - broke out in hives 9-8-12. ER visit - record sent.
Age: 13.0
Sex: F
Vaccine: HPV4, HPVX
Symptoms: Pallor, Presyncope, Pruritus, Skin warm, Somnolence
Clinical narrative: #1 GARDASIL administered on 8-17-12, no reaction local or systemic - broke out in hives 9-8-12. ER visit - record sent.
Age: 68.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Hypersensitivity, Injection site erythema, Injection site warmth, Pain in extremity
Clinical narrative: Arm (upper) was red and warm. It looked like a reaction. Painful (rt) arm.
Age: 78.0
Sex: F
Vaccine: FLU3
Symptoms: Arthralgia, Influenza like illness, Pain in extremity, Paraesthesia
Clinical narrative: Pt describes at time of vaccine feeling an"electric shock like pain as if it hit the nerve. C/O constant throbbing in Left arm. Stated it hurts more when lifting her arm radiating pain from Left arm to her elbow. Flu like symptoms for several days. No other symptoms.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site induration, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: When my son returned home from school his left upper arm had a big, red, hot, hard swollen area. He is 5 and it went from the armpit almost to the elbow. Mildly painful.
Age: 22.0
Sex: M
Vaccine: ANTH, HEPAB
Symptoms: Fall, Head injury, Headache, Immediate post-injection reaction, Malaise
Clinical narrative: After receiving Anthrax and Twinrix vaccines, pt stated that he didn't feel well and immediately fell to the floor from a sitting position. Pt was sitting on an exam table and fell forward hitting his head on the floor. Pt was unresponsive for a few seconds but regained conciousness without immediate memory of what happened. Pt was c/o pain to back of head radiating down neck despite hitting the front of his head. Pt was observed and monitored in the immunization room. Vitals and ABC's were recorded. Pt was re-evaluated by a second provider after being observed for 10 minutes. Pt was eventually cleared and left the clinic SIQ.