chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 54.0
Sex: F
Vaccine: ANTH
Symptoms: Eye swelling, Oedema peripheral, Paraesthesia, Rash macular, Swelling face
Clinical narrative: PT RECEIVED ANTHRAX #1 AND PPD. PT RETURNED TO HER UNIT. WITHIN 1 HOUR OF RECEIVING (APPROX 1000)THE VACCINE, SHE BEGAN TO REACT. SHE TOOK AN OVER THE COUNTER BENEDRYL. PT  STATES SHE HAD RED SPOTS ON HER NECK, HER TONGUE AND LEFT EYE, LEFT HAND AND WRIST WAS SWOLLEN. THE FEFT SIDE OF HER FACE WAS SWOLLEN. SHE FELT TINGLING SENSATION IN HER LEFT PALM.  DENIES DIFFICULTY BREATHING. AT 1600 THAT DAY, THE REACTION CONTINUED TO WORSEN. SHE SPENT THE NIGHT IN HER LIVING QUARTERS. SHE AWOKE AT 0230, THE REACTION CONTINUED TO WORSEN. THE FOLLOWING MORNING, AT 0730 ON 16 OCT 07 SHE RETURNED TO KACC FHP, LTC BOATWRIGHT TOOK HER TO THE WARRIOR CLINIC, SHE RECEIVED SOLUMEDROL IM. SHE STATES ALL ADVERSE REACTIONS CEASED WITHIN 10 MINUTES OF RECEIVING THE SHOT. SHE RETURNED TO A NORMAL CONDITION. SHE WAS RELEASED WITH 3 TABLETS OF SOLUMED TO TAKE 1 PER DAY FOR 3 DAYS.
Age: 54.0
Sex: F
Vaccine: ANTH
Symptoms: Swollen tongue
Clinical narrative: PT RECEIVED ANTHRAX #1 AND PPD. PT RETURNED TO HER UNIT. WITHIN 1 HOUR OF RECEIVING (APPROX 1000)THE VACCINE, SHE BEGAN TO REACT. SHE TOOK AN OVER THE COUNTER BENEDRYL. PT  STATES SHE HAD RED SPOTS ON HER NECK, HER TONGUE AND LEFT EYE, LEFT HAND AND WRIST WAS SWOLLEN. THE FEFT SIDE OF HER FACE WAS SWOLLEN. SHE FELT TINGLING SENSATION IN HER LEFT PALM.  DENIES DIFFICULTY BREATHING. AT 1600 THAT DAY, THE REACTION CONTINUED TO WORSEN. SHE SPENT THE NIGHT IN HER LIVING QUARTERS. SHE AWOKE AT 0230, THE REACTION CONTINUED TO WORSEN. THE FOLLOWING MORNING, AT 0730 ON 16 OCT 07 SHE RETURNED TO KACC FHP, LTC BOATWRIGHT TOOK HER TO THE WARRIOR CLINIC, SHE RECEIVED SOLUMEDROL IM. SHE STATES ALL ADVERSE REACTIONS CEASED WITHIN 10 MINUTES OF RECEIVING THE SHOT. SHE RETURNED TO A NORMAL CONDITION. SHE WAS RELEASED WITH 3 TABLETS OF SOLUMED TO TAKE 1 PER DAY FOR 3 DAYS.
Age: 0.5
Sex: M
Vaccine: DTAP, HEP, HIBV, RV5
Symptoms: Barium enema, Enema administration, Intussusception
Clinical narrative: Intussception at 9 months.  12/7/07 Reviewed hospital medical records which reveal patient experienced crampy abdominal pain, irritability, vomiting.  Was on antibiotics for otitis media.  Surgery consult done.  Admitted 10/15-10/16/2007 for observation s/p enema reduction of IS. FINAL DX: Intussusception, enema reduced.  Records faxed to CDC.
Sex: F
Vaccine: FLU3
Symptoms: Dyspnoea, Erythema, Pharyngeal oedema, Rash, Urticaria
Clinical narrative: patient with difficulty breathing, rash/urticaria, diffuse redness, and swelling of the throat. This occurred within 30 minutes of receiving an influenza vaccine. Treatment included epinephrine 0.3 mg IM, diphenydramine 50 mg IV, methylprednisolone 125 mg IVP, famotidine 20 mg IVP.  Patient observed for 3 hours and discharged home.
Age: 29.0
Sex: F
Vaccine: FLU3
Symptoms: Nausea, Tremor, Vomiting
Clinical narrative: Received fluzone vaccine on 10/11/07 to left arm.  On 10/12/07 mid morning, felt nausea and started to vomit.  Also had trembling to right arm.  Seen in ER on 10/12/07 and admitted for 3 days.  10/23/07Hospital medical records reviewed which reveal patient experienced wheezing, fever, chills, flu-like symptoms, cough, HA, SOB & chest pain day following her first ever flu vaccine.  Admitted 10/12-10/14/2007.  Improved & d/c to home on oral antibiotics, oral steroids, benadryl & prilosec. FINAL DX: SOB/chest pain, improved; negative cardiac enzymes; allergic reaction to flu shot, stable; wheezing, improved; diabetes mellitus, stable; HTN; stable.
Age: 23.0
Sex: F
Vaccine: MMR, TD
Symptoms: Arthralgia, Blood test, Fibromyalgia, Joint stiffness, Rheumatoid arthritis
Clinical narrative: Within a few months of being vaccinated, I started experiencing joint stiffness which steadily worsened in severity and duration for a year before I was diagnosed by two different rheumatologists as having polyarthralgia, and possibly rheumatoid arthritis.  Autoimmune diseases do not run in my family; I was the only one who received these vaccines, and the only one who suffers from this.  It's so bad that holding a toothbrush in the morning is painful and difficult.  I've tried 11 prescription drugs for arthritis so far in the last 5 years. 12/19/07-records received for DOS 1/16/04-1/24/06-seen by rheumatologist-Impression: seroregative rheumatoid arthritis. PE: Low grade synovitis over PIP joints bilaterally, cystic like lesion noted over lateral aspect of right 3rd PIP joint. No tenderness or warmth noted. Symptoms began 1 year ago, . Stiffness in hands. Per 60 day follow up: Residual symptoms arthritis and fibromyalgia. Also rec'd flu shot 11-13-03 (manufacturer was Khiron or Aventis). Lot # W254AA or 254AA. Given at clinic. Follow-up: On my original form, I put my symptom start date as November, but after checking records I have found that the symptoms actually started in early December of 2003. I verified this by checking with my Human Resource department at work - I remembered distinctly that the symptoms started the first week of starting a new position with my company, and started that new position 12/2/03. Also found information on the other vaccine I received. I got a flu shot on 11/13/03 at clinic. The doctor who signed my chart administered the shot at 9:05 in my left arm, intramuscular. They were using two different manufacturers at the time, Khiron and Aventis, and they are not sure which one was used, but it was lot number V1254AA. This vaccine was purchased with my own money, and I did not have any illnesses at the time. Please let me know if you need any more information. I'm not sure what type of medical records would be helpful, but I have office notes and results from bloodwork I've had done in the last 4 years. Also, is there any way for me to find out if there have been other adverse reactions associated with this particular lot number? I'd like to know if I'm the only one who had this sort of reaction, or if there are others with similar or other problems after getting vaccinated with this lot number. 1/13/2010 Rheumatoid Arthritis, Fibromyalgia, and Tinnitus.
Age: 23.0
Sex: F
Vaccine: MMR, TD
Symptoms: Tinnitus, X-ray
Clinical narrative: Within a few months of being vaccinated, I started experiencing joint stiffness which steadily worsened in severity and duration for a year before I was diagnosed by two different rheumatologists as having polyarthralgia, and possibly rheumatoid arthritis.  Autoimmune diseases do not run in my family; I was the only one who received these vaccines, and the only one who suffers from this.  It's so bad that holding a toothbrush in the morning is painful and difficult.  I've tried 11 prescription drugs for arthritis so far in the last 5 years. 12/19/07-records received for DOS 1/16/04-1/24/06-seen by rheumatologist-Impression: seroregative rheumatoid arthritis. PE: Low grade synovitis over PIP joints bilaterally, cystic like lesion noted over lateral aspect of right 3rd PIP joint. No tenderness or warmth noted. Symptoms began 1 year ago, . Stiffness in hands. Per 60 day follow up: Residual symptoms arthritis and fibromyalgia. Also rec'd flu shot 11-13-03 (manufacturer was Khiron or Aventis). Lot # W254AA or 254AA. Given at clinic. Follow-up: On my original form, I put my symptom start date as November, but after checking records I have found that the symptoms actually started in early December of 2003. I verified this by checking with my Human Resource department at work - I remembered distinctly that the symptoms started the first week of starting a new position with my company, and started that new position 12/2/03. Also found information on the other vaccine I received. I got a flu shot on 11/13/03 at clinic. The doctor who signed my chart administered the shot at 9:05 in my left arm, intramuscular. They were using two different manufacturers at the time, Khiron and Aventis, and they are not sure which one was used, but it was lot number V1254AA. This vaccine was purchased with my own money, and I did not have any illnesses at the time. Please let me know if you need any more information. I'm not sure what type of medical records would be helpful, but I have office notes and results from bloodwork I've had done in the last 4 years. Also, is there any way for me to find out if there have been other adverse reactions associated with this particular lot number? I'd like to know if I'm the only one who had this sort of reaction, or if there are others with similar or other problems after getting vaccinated with this lot number. 1/13/2010 Rheumatoid Arthritis, Fibromyalgia, and Tinnitus.
Age: 84.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Injection site pain, Pyrexia, Rash macular
Clinical narrative: Patient ran fever.  She had a sore spot at injection site.  She had large red spot on same arm & red spots on chest & breast.
Age: 30.0
Sex: F
Vaccine: VARCEL
Symptoms: Erythema, Injection site induration, Lymphadenopathy, Oedema peripheral, Pain in extremity
Clinical narrative: Erythema and swelling noted to Right Upper Arm.  Hardened area noted underneath the injection site.  Lymph nodes to right axillary enlarged and tender to touch.  Patient complains of pain in right arm.  Pt called clinic on 10/2/2/2007 stating symptoms had become worse.  Pt was referred to her pcp for follow-up and treatment.
Age: 30.0
Sex: F
Vaccine: VARCEL
Symptoms: Tenderness
Clinical narrative: Erythema and swelling noted to Right Upper Arm.  Hardened area noted underneath the injection site.  Lymph nodes to right axillary enlarged and tender to touch.  Patient complains of pain in right arm.  Pt called clinic on 10/2/2/2007 stating symptoms had become worse.  Pt was referred to her pcp for follow-up and treatment.
Age: 51.0
Sex: F
Vaccine: ANTH, FLU3
Symptoms: Influenza like illness, Injection site erythema, Injection site induration, Injection site pain, Injection site swelling
Clinical narrative: Pt received Anthrax Vaccine #2 in her left deltoid region, and Fluarix in her right deltoid. For the following two days she had flu-like symptoms. The anthrax injection site became reddened, tender swollen and firm. She began taking 800mg Motrin 3 times a day. Pt returned on 16 Oct and was assessed. The induration measures 50x50mm. The reddened area measures 37x32mm. She denies breathing problems. No swelling of the mouth region.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Laboratory test normal, Parotitis, Swelling face, Tenderness
Clinical narrative: Swelling right jaw and face over 12 hours.  Somewhat tender.  No systemic symptoms.  Exam confirmed normal temperature, right parotitis. A strep test was negative.
Age: 42.0
Sex: F
Vaccine: FLU3
Symptoms: Agitation, Cough, Dyspnoea
Clinical narrative: Breathing become agitated,coughing, shortness of breath.
Age: 18.0
Sex: M
Vaccine: MNQ
Symptoms: Fatigue, Folliculitis, Methicillin-resistant staphylococcal aureus test, Muscular weakness, Musculoskeletal stiffness
Clinical narrative: Muscle weakness, stiff arm, site reaction     MRSA Staph which 10/22/07-records received for DOS-08/04/05-discussion about allergy to thimersol. Td not given. menactra waiver received after vaccine given. krk 11/6/07-office notes for DOS 7/23/07-returns with complaints of recurring skin infection. Mainly on arm, quite tender. He has not started back on medications for this. No fever or chills or sweats. Left upper arm abscess. Impression:recurrent skin abscesses, most likely secondary to methicillin-resistant staphylococcus aureus.  11/7/07-additional notes for DOS 5/26/05-8/2/07-C/O sore throat and fatigue, pharyngitis. Staph infection under arm has had since 11/06, PE erythema with central pustles to left upper arm. DX staph infection Follow-up: MRSA Staph infections numerous time, folliculitis, skin allergies.
Age: 18.0
Sex: M
Vaccine: MNQ
Symptoms: Oropharyngeal pain, Pharyngitis, Staphylococcal infection, Tenderness
Clinical narrative: Muscle weakness, stiff arm, site reaction     MRSA Staph which 10/22/07-records received for DOS-08/04/05-discussion about allergy to thimersol. Td not given. menactra waiver received after vaccine given. krk 11/6/07-office notes for DOS 7/23/07-returns with complaints of recurring skin infection. Mainly on arm, quite tender. He has not started back on medications for this. No fever or chills or sweats. Left upper arm abscess. Impression:recurrent skin abscesses, most likely secondary to methicillin-resistant staphylococcus aureus.  11/7/07-additional notes for DOS 5/26/05-8/2/07-C/O sore throat and fatigue, pharyngitis. Staph infection under arm has had since 11/06, PE erythema with central pustles to left upper arm. DX staph infection Follow-up: MRSA Staph infections numerous time, folliculitis, skin allergies.
Age: 0.25
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Body temperature increased, Irritability, Screaming
Clinical narrative: 10-17-07Father called and said baby has screamed since she was given her shots. They were unable to console her and he reported an axillary temp of 99.2. They had alternated tylenol and motrin all night. Urged them to take her in to health care provider for evaluation.AS
Age: 27.0
Sex: F
Vaccine: FLU3
Symptoms: Pain in extremity
Clinical narrative: had severe arm pain radiating to neck, no swelling,no itching,no rash,no trouble breathing
Age: 17.0
Sex: F
Vaccine: VARCEL
Symptoms: Asthenia, Bladder disorder, Convulsion, Malaise, Syncope
Clinical narrative: Pt stated a history of fainting with vaccinations. Had her lie down for vaccination, and stay supine for 10 minutes after vaccination. She then stated she was "ok", sat up, "I'm OK", stood up, "I'm OK", and walked out. Came back to the nurse's office within 2 minutes saying she wasn't feeling well. As the school nurse was leading her to a exam room, she fainted. Then she had a seizure lasting approx 30 seconds. Lost control of her bladder. She regained consciencousness but was weak. Stayed in nurse's office for half hour more, then was escorted to her dorm room.
Age: 51.0
Sex: F
Vaccine: TDAP
Symptoms: Erythema, Mass, Pain, Pruritus
Clinical narrative: Patient states she got a large red lump.  She got medical care on 10/9 at Clinic.  The lump itched and was painful if she laid on it.  Dr prescribed cephlexin to cover possible cellulitis.
Age: 57.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Back pain, Herpes zoster, Hordeolum, Pyrexia
Clinical narrative: Patient says one 10/05 (day after immunization) she went to the ER experiencing pain in lower back and was diagnosed with shingles.  She says the night of the immunization she felt a stye in the eye and a slight fever.  She was treated in the er for shingles
Age: 70.0
Sex: M
Vaccine: FLU3
Symptoms: Death
Clinical narrative: Client presented to drive through flu exercise for influenza vaccination.  Gave history of having had flu shots in past without incident.  No contraindications to vaccinations identified. Client was vaccinated and returned home.  At some time after returning home client went to Hospital emergency room where he coded and expired.   10/23/07 Reviewed hospital medical records which reveal patient experienced weakness & decreased respirations upon arriving home s/p flu shot.  Collapsed in seat of pickup truck.  EMS intubated, started CPR & transported to hospital.  CXR revealed right pneumothorax & chest tube placed. 1/8/08 Reviewed autopsy report which states COD as COPD with atherosclerotic cardiovascular disease & CHF as contributing factors.
Age: 57.0
Sex: F
Vaccine: FLU3
Symptoms: Chest pain, Cough, Fatigue, Increased upper airway secretion, Influenza
Clinical narrative: vaccine administered approximately 10:30am on Oct 15,2007.  By evening, fatigue, aches, sore throat and hoarse cough set in.  Approximately 2am, awoke with chest pain, tingling - took aspirin.  As of 8am, Oct 18, still fatigued, hoarse cough with some phlegm, aches persist.
Age: 57.0
Sex: F
Vaccine: FLU3
Symptoms: Pain, Paraesthesia, Pharyngolaryngeal pain, Productive cough
Clinical narrative: vaccine administered approximately 10:30am on Oct 15,2007.  By evening, fatigue, aches, sore throat and hoarse cough set in.  Approximately 2am, awoke with chest pain, tingling - took aspirin.  As of 8am, Oct 18, still fatigued, hoarse cough with some phlegm, aches persist.
Age: 61.0
Sex: F
Vaccine: VARZOS
Symptoms: Headache, Musculoskeletal stiffness, Pain, Pruritus, Rash
Clinical narrative: A few days after receiving Zoster vaccine, pt started feeling intense itching and red bunps to scalp. Pt also received flu and pneumonia vaccine on 10/13/2007. After those vaccines also developed body aches, stiff neck and headache. Still experiencing symptoms. Instructed to call doctor to report.
Age: 15.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Musculoskeletal pain, Pain in extremity, Syncope
Clinical narrative: CHILD FAINTED AFTER RECEIVING HPV VACCINE AT FRONT COUNTER IN OFFICE. WHEN SHE CAME AROUND SHE EXPLAINED TO THE PHYSICIAN THAT SHE HAD PAIN AND NUMBNESS FROM HER SHOULDER TO HER ELBOW AFTER RECEIVING BOTH OF THE HPV VACCINES (THIS WAS HERE 2ND)
Age: 15.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Hypoaesthesia, Pain in extremity, Syncope, Vaccine positive rechallenge
Clinical narrative: CHILD FAINTED AFTER RECEIVING HPV VACCINE AT FRONT COUNTER IN OFFICE. WHEN SHE CAME AROUND SHE EXPLAINED TO THE PHYSICIAN THAT SHE HAD PAIN AND NUMBNESS FROM HER SHOULDER TO HER ELBOW AFTER RECEIVING BOTH OF THE HPV VACCINES (THIS WAS HERE 2ND)
Age: 45.0
Sex: F
Vaccine: FLU3
Symptoms: Pruritus, Urticaria
Clinical narrative: Client received initial influenza vaccine on 10-17-2007 at approximately 12 noon.  Client first noticed symptoms at 530am on 10-18-2007 of itching under the L arm, with progression of hives occurring over the trunk, arms and neck.  She was advised to seek immediate treatment/consultation with her physician.  She did call that office, and they will be contacting her. Client did state during the symptom notification phone conversation that she has 2 sisters that cannot tolerate vaccines derived from egg product or that contain "mycins".
Age: 48.0
Sex: F
Vaccine: FLU3
Symptoms: Contusion, Pruritus, Rash
Clinical narrative: Influenza vaccine given 10/11/07 at 8am to left upper arm.  At 8pm on 10/11/07 developed a bruise and rash to left upper arm.  The rash spread to neck and chest area. Rash was itching and lasted until Sunday 10/14/07 morning
Age: 0.59
Sex: F
Vaccine: DTAP, FLU3, HEP, HIBV, PNC, RV5
Symptoms: Culture stool negative, Haematochezia, Occult blood positive, Parasite stool test negative, Skin irritation
Clinical narrative: Frankly bloody stool and severe irritation 2 days after vaccine given.
Age: 0.59
Sex: F
Vaccine: DTAP, FLU3, HEP, HIBV, PNC, RV5
Symptoms: Ultrasound abdomen normal, Urinary system X-ray
Clinical narrative: Frankly bloody stool and severe irritation 2 days after vaccine given.
Age: 75.0
Sex: M
Vaccine: FLUX
Symptoms: Dizziness, Dyspnoea
Clinical narrative: 2 hours after receipt of flu shot patient became dizzy and shot of breath.
Age: 35.0
Sex: F
Vaccine: FLU3
Symptoms: Pruritus, Urticaria
Clinical narrative: Two and a half after administration of flu vaccine experienced urticaria all over her body. On 10/3/07 Received 50 MG of IM Benadryl and was instructed to continue with PO Benadryl over night.  Next morning she still had the hives and continued to itch.  She came in to the Walk-In-Clinic to be treated with Claritin 10 MG daily and Benadryl 50 MG up to 4 hrs PRN if needed.  She tolerated the treatment well and has had no further problems
Age: 12.0
Sex: M
Vaccine: MNQ, TDAP
Symptoms: Erythema, Induration, Skin lesion, Tenderness
Clinical narrative: Localized 7.8cm x 9.5cm indurated erythematous hypercaloric lesion without fluctuation; mildly tender to palpation; started second day after Tdap vaccine; no systemic symptoms
Age: 1.33
Sex: M
Vaccine: DTAPHEPBIP, HIBV, MMR, VARCEL
Symptoms: Herpes zoster, Rash
Clinical narrative: 1 week after receiving varicella vaccine, patient developed rash on forearm, which spread to chest and back, then regressed into a dermatomal distribution (T1 on Left). Rash consistent with Herpes Zoster, diagnosed on 10/17/07.
Age: 66.0
Sex: F
Vaccine: VARZOS
Symptoms: Erythema, Inflammation, Local reaction, Lymphadenopathy, Pruritus
Clinical narrative: local reaction: 24 hrs post vaccination she developed swelling with pruritus, 48 hours post vaccination (when the patient was evaluated) she had pruritus, 2 cm of erythema, significant tenderness to palpation, calor and corresponding mild axillary lymphadenopathy. no consitutional symptoms were reported.
Age: 66.0
Sex: F
Vaccine: VARZOS
Symptoms: Swelling, Tenderness
Clinical narrative: local reaction: 24 hrs post vaccination she developed swelling with pruritus, 48 hours post vaccination (when the patient was evaluated) she had pruritus, 2 cm of erythema, significant tenderness to palpation, calor and corresponding mild axillary lymphadenopathy. no consitutional symptoms were reported.
Age: 5.0
Sex: M
Vaccine: MMR
Symptoms: Electroencephalogram, Electroencephalogram abnormal, Hallucination, visual, Nuclear magnetic resonance imaging, Nuclear magnetic resonance imaging normal
Clinical narrative: developed rare form of temporal lobe epilepsy called "Alice in Wonderland Syndrome" where he has visual hallucinations of everything being small.  He had 2 EEGs which both showed abnormalities in the temporal lobe.  Normal MRI.  No other health problems, normal pregnancy and delivery.  No epilepsy in the family. 11/14/07-records received for DOS 2/14-2/15/07-seen in ED for C/O multiple episode of visual hallucination and hearing distortions tonight. Video EEG. Had cluster of 10 episodes, usual is 3 episodes. Started daily times 1 week. Hallucinations last 1-2 minutes generally described as "feeling big".  One week prior fever, cough, congestion.
Age: 5.0
Sex: M
Vaccine: MMR
Symptoms: Temporal lobe epilepsy
Clinical narrative: developed rare form of temporal lobe epilepsy called "Alice in Wonderland Syndrome" where he has visual hallucinations of everything being small.  He had 2 EEGs which both showed abnormalities in the temporal lobe.  Normal MRI.  No other health problems, normal pregnancy and delivery.  No epilepsy in the family. 11/14/07-records received for DOS 2/14-2/15/07-seen in ED for C/O multiple episode of visual hallucination and hearing distortions tonight. Video EEG. Had cluster of 10 episodes, usual is 3 episodes. Started daily times 1 week. Hallucinations last 1-2 minutes generally described as "feeling big".  One week prior fever, cough, congestion.
Age: 0.2
Sex: F
Vaccine: DTAP, HIBV, IPV, PNC, RV5
Symptoms: Blood glucose normal, Computerised tomogram normal, Electroencephalogram normal, Full blood count normal, Hypotonia
Clinical narrative: 5 hrs. after immunizations. pt was noted to turn pale and became limp. Mom called 911 and was sent to ER and admitted to another hospital. R/O Seizure. Dx: possible GER and Syncope.  11/7/07 Received hospital medical records which reveal patient experienced pale limp episode & then gradually became more responsive.  Had been seen at outlying ER & transferred to higher level of care.  Admitted 10/15-10/16/2007.   FINAL DX: Acute life threatening event; GERD.
Age: 0.2
Sex: F
Vaccine: DTAP, HIBV, IPV, PNC, RV5
Symptoms: Pallor
Clinical narrative: 5 hrs. after immunizations. pt was noted to turn pale and became limp. Mom called 911 and was sent to ER and admitted to another hospital. R/O Seizure. Dx: possible GER and Syncope.  11/7/07 Received hospital medical records which reveal patient experienced pale limp episode & then gradually became more responsive.  Had been seen at outlying ER & transferred to higher level of care.  Admitted 10/15-10/16/2007.   FINAL DX: Acute life threatening event; GERD.
Age: 54.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Skin discolouration
Clinical narrative: No streaks but a 1" purple line 1" above elbow front part of arm. Patient didn't treat. Color change to light yellow and is all slowly disappearing. Started night of shot. Pt had pain 1st night - better by 2nd day.
Age: 34.0
Sex: M
Vaccine: FLU3
Symptoms: Urticaria
Clinical narrative: Dx: Hives. Developed face - neck - torso rash starting evening of day of injection - gradually worse until seek medical care: treated with Benadryl, Loratadine and Kenalog injection.
Age: 32.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Erythema, Induration, Injection site erythema, Malaise, Myalgia
Clinical narrative: Fever 101 beginning day after immunizations. Large area of redness surrounding injection site, worsening. General malaise and myalgias. Area about 11 cm x 8 cm erythema/induration (L) deltoid. Tx: Omnicef 600mg po q day x 10 days. Follow up in 3 days.
Age: 32.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Pyrexia
Clinical narrative: Fever 101 beginning day after immunizations. Large area of redness surrounding injection site, worsening. General malaise and myalgias. Area about 11 cm x 8 cm erythema/induration (L) deltoid. Tx: Omnicef 600mg po q day x 10 days. Follow up in 3 days.
Age: 58.0
Sex: F
Vaccine: FLU3
Symptoms: Loss of consciousness
Clinical narrative: Passed out after flu shot.
Age: 26.0
Sex: F
Vaccine: FLU3
Symptoms: Chills, Nausea, Pyrexia, Urticaria, Vomiting
Clinical narrative: Immunized at gyn office Mon 10/15/07 about 12:00, by 6 pm developed fever, chills, nausea, vomiting. Tuesday developed urticaria.
Age: 52.0
Sex: F
Vaccine: TDAP
Symptoms: Cellulitis, Erythema, Urticaria
Clinical narrative: Cellulitis and wheal and flare. Levaquin 500 mg PO q day started 10/016/07. Benadryl 25mg PO q 6 hr started 10/17/07.
Age: 37.0
Sex: F
Vaccine: TDAP
Symptoms: Skin warm, Swelling, Tenderness
Clinical narrative: Vaccine administered 10-11. On 10-16 woke with (R) upper arm (deltoid) swelling, warmth, tenderness. Rx warm packs and Keflex. Improved by 10/18.
Age: 14.0
Sex: M
Vaccine: HEPA, MNQ
Symptoms: Malaise, Muscle spasms, Musculoskeletal stiffness, Pyrexia
Clinical narrative: On 10-8-07 Hepatitis A and Menactra given. For 2 evenings after immunizations child developed fever to 102.5, stiffness and cramping of legs, malaise. Tylenol 500 mg q 4-6 hrs x 48 hrs given.
Age: 73.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Erythema, Oedema peripheral, Skin warm
Clinical narrative: RED, SWOLLEN, AND WARM TO TOUCH ON UNDERSIDE OF ARM (NOT AT INJECTION SITE). PATIENT HAS TAKEN BENADRYL AND REACTION IS SLOWING DOWN (ON M.D. INSTRUCTIONS)
Age: 12.0
Sex: F
Vaccine: HEP, HPV4, VARCEL
Symptoms: Face injury, Fall, Hyperhidrosis, Loss of consciousness, Muscle rigidity
Clinical narrative: Patient here for vaccines with family 2 other sisters received shots first. She received the shots listed below , sat in chair for few minutes got up and was walking around in lab and nurse was entering shots in computer. Patient had loss consciousness and fell into desk by nurse. Patient fall, sweating was lowered to floor, became rigid and twitching. Elevated feet and became responsive, talking saying Im alright, had her rest on floor, (gave water, yogurt and slice of toast in sitting position - Stated she had not eat breakfast. BP 110/65 Felt Pulse 76. Let her stay in clinic for 30-40 minutes and left with mother and sisters around 11:10 Am with All recommended to mother to see MD for evaluation for injury. Stated nose hurt, no bleeding or deviation nasal - Scropeal left arm
Age: 12.0
Sex: F
Vaccine: HEP, HPV4, VARCEL
Symptoms: Muscle twitching
Clinical narrative: Patient here for vaccines with family 2 other sisters received shots first. She received the shots listed below , sat in chair for few minutes got up and was walking around in lab and nurse was entering shots in computer. Patient had loss consciousness and fell into desk by nurse. Patient fall, sweating was lowered to floor, became rigid and twitching. Elevated feet and became responsive, talking saying Im alright, had her rest on floor, (gave water, yogurt and slice of toast in sitting position - Stated she had not eat breakfast. BP 110/65 Felt Pulse 76. Let her stay in clinic for 30-40 minutes and left with mother and sisters around 11:10 Am with All recommended to mother to see MD for evaluation for injury. Stated nose hurt, no bleeding or deviation nasal - Scropeal left arm
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Wrong drug administered
Clinical narrative: Zostavax 0.65ml given SQ right lateral upper thigh instead of Varicella (accidently) Lot 1122U Exp. 7-2-09
Age: 37.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Erythema, Oedema peripheral, Pain in extremity, Pruritus, Rash macular
Clinical narrative: Patient experienced more than localized discomfort. Complained of extreme pain in right arm following pneumovax vaccination. Also complained of swelling not around vaccine site but anterior aspect of upper arm with blotchy redness and itching.
Age: 25.0
Sex: M
Vaccine: FLU3, HEPA, TD, TDAP
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: Td given at primary MD's office (primary MD did not give record). Patient had no knowledge of receiving Td at primary MDs office. PH nurse reviewed past record from PH - last Td was given in 1991. Tdap was given 10/16/07. Primary MDs office notified. Unable to contact patient - left for travel overseas.
Age: 22.0
Sex: F
Vaccine: FLU3, HEPA, TD, TDAP
Symptoms: Unevaluable event
Clinical narrative: Td given at primary MD's office, no record given., patient had no knowledge of Td given at primary MD - Public Health reviewed patient recollection of last Td given patient was unable to recall - so Tdap was given. Primary MD office notified - unable to contact patient for follow up -
Age: 27.0
Sex: M
Vaccine: MNQ, MNQ, MNQ
Symptoms: Paraesthesia
Clinical narrative: 48 hours MENACTRA 1st developed tingling of right foot. area also felt cold. No weakness, denies numbness. Few hours after onset of right arm symptoms patient also described same in right arm. Completely normal neurologic exam within 5 hours of symptom onset. Patient reports symptoms completely resolved by 9/19/07 (5 days after onset).
Age: 27.0
Sex: M
Vaccine: MNQ, MNQ, MNQ
Symptoms: Erectile dysfunction, Paraesthesia
Clinical narrative: 48 hours MENACTRA 1st developed tingling of right foot. area also felt cold. No weakness, denies numbness. Few hours after onset of right arm symptoms patient also described same in right arm. Completely normal neurologic exam within 5 hours of symptom onset. Patient reports symptoms completely resolved by 9/19/07 (5 days after onset).
Age: 27.0
Sex: M
Vaccine: MNQ, MNQ, MNQ
Symptoms: Erectile dysfunction, Feeling cold, Neurological examination normal, Paraesthesia
Clinical narrative: 48 hours MENACTRA 1st developed tingling of right foot. area also felt cold. No weakness, denies numbness. Few hours after onset of right arm symptoms patient also described same in right arm. Completely normal neurologic exam within 5 hours of symptom onset. Patient reports symptoms completely resolved by 9/19/07 (5 days after onset).
Age: 15.0
Sex: F
Vaccine: HPV4, MNQ
Symptoms: Chills, Dizziness, Dyskinesia, Fall, Loss of consciousness
Clinical narrative: About 5 minutes or more of receiving vaccines, pt was sitting an a chair in the clinic and slumped to floor on her abdomen, apparently unconscious and having involuntary jerking of lower extremities.  Was immediately orally responsive when approached by this RN & stood up on her own, responded appropriately and got up on exam table on her own.  Pulse, resp and responses normal.  Denied dizziness and not certain she hit her head.  After returning home had chills and dizziness and the next 2 days had a migraine.  No further dizziness on 10/12 and did return to school.
Age: 15.0
Sex: F
Vaccine: HPV4, MNQ
Symptoms: Migraine
Clinical narrative: About 5 minutes or more of receiving vaccines, pt was sitting an a chair in the clinic and slumped to floor on her abdomen, apparently unconscious and having involuntary jerking of lower extremities.  Was immediately orally responsive when approached by this RN & stood up on her own, responded appropriately and got up on exam table on her own.  Pulse, resp and responses normal.  Denied dizziness and not certain she hit her head.  After returning home had chills and dizziness and the next 2 days had a migraine.  No further dizziness on 10/12 and did return to school.
Age: 79.0
Sex: F
Vaccine: FLUX, PPV, TTOX
Symptoms: Erythema, Oedema peripheral
Clinical narrative: right upper arm swelling/redness
Age: 0.4
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Pyrexia
Clinical narrative: 103.4 deg fever developed within 24 hours of immunizations
Age: 41.0
Sex: F
Vaccine: FLU3
Symptoms: Generalised erythema, Pruritus, Swelling
Clinical narrative: Itchy, Swollen, Red - entire Body; BENADRYL 25mg x3, CLARITIN Per PMD.
Age: 1.0
Sex: F
Vaccine: FLU3, HEPA, VARCEL
Symptoms: Body temperature increased, Febrile convulsion
Clinical narrative: Simple Febrile Seizure x 1minute Temp 105 deg
Age: 1.3
Sex: F
Vaccine: DTAP, FLU3, HIBV, PNC
Symptoms: Incorrect dose administered, No adverse reaction
Clinical narrative: none; Patient received a 0.5 ml Fluzone instead of the recommended 0.25 Fluzone. no adverse event
Age: 32.0
Sex: F
Vaccine: FLU3
Symptoms: Dyspnoea, Pruritus, Urticaria
Clinical narrative: Given on 10-10-07. S/S started 10-11-07 at 0800 S/S - welts, SOB, itching. To ER 10-14-07 RX Prednisone and Benadryl. 10-15-07 "Back to Normal"
Age: 18.0
Sex: F
Vaccine: HPV4
Symptoms: Urticaria
Clinical narrative: Patient called on 10/11/07 to ask why she had received Gardasil a friend told her asthmatics should not get Gardasil. She has had worsening of hives since - She had none at the time of her vaccination but has had them in the past.
Age: 81.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Erythema, Oedema peripheral, Skin warm, Tenderness
Clinical narrative: Red, warm, edematous R arm - inj given in deltoid - Sx below elbow joint, tender to touch.  Cold packs - elevate, RTC 10/1507 if Sx persist.
Age: 79.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Injection site erythema, Injection site swelling, Injection site urticaria
Clinical narrative: 10/11/07 Red, raised area, 6x4 urticaria at injection site, reported by PCP - Dr.
Age: 52.0
Sex: F
Vaccine: TDAP
Symptoms: Diarrhoea, Headache, Musculoskeletal stiffness, Pain, Pyrexia
Clinical narrative: Received Tdap on 9/7/07. Symptoms of ache, fever, stiff neck, HA and vomiting onset 9/8/07. Diarrhea, continued HAR onset 9/9/07 through 9/12/07. Severe HA on 9/13/07.
Age: 52.0
Sex: F
Vaccine: TDAP
Symptoms: Vomiting
Clinical narrative: Received Tdap on 9/7/07. Symptoms of ache, fever, stiff neck, HA and vomiting onset 9/8/07. Diarrhea, continued HAR onset 9/9/07 through 9/12/07. Severe HA on 9/13/07.
Age: 4.0
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Urticaria
Clinical narrative: Hives on arm (where Varicella and MMR shots were given) w/c occurred 10 minutes, after the shots.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site inflammation, Injection site oedema
Clinical narrative: Injection site red inflamed 10 1/2 - 7 1/2cm edema
Age: 12.0
Sex: M
Vaccine: VARCEL
Symptoms: Erythema, Swelling
Clinical narrative: Varivax injection on 10-15-07 in R arm SC.  Redness & swelling x2d with subsequent office visit on 10-17-07.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Erythema, Oedema peripheral, Skin warm
Clinical narrative: Mother called left leg swollen to softball size 3 days after vaccines given, red and warm but improving, no complaint pain, no pain from injection area.
Age: 5.0
Sex: M
Vaccine: VARCEL
Symptoms: Unevaluable event
Clinical narrative: Client was given Varicella #1 10-28-03, #2 10/5/06, #3 3/8/07 & #4 10/16/07.  No problems past administration.  Mom was told that if she desires to call child's private MD to do so.
Age: 28.0
Sex: F
Vaccine: JEV
Symptoms: Dyspnoea, Muscular weakness
Clinical narrative: She states shortness of breath fast & severe & resolved .  Upper & lower extremity weakness after injection.
Age: 45.0
Sex: M
Vaccine: PPV
Symptoms: Erythema, Musculoskeletal stiffness, Swelling
Clinical narrative: Redness from shoulder to below Elbow; Swelling; Stiffness
Age: 64.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling, Oedema peripheral
Clinical narrative: Patient to ER for swelling/redness and itching at site and swelling of arm after injection.  Received antibiotic and steroid injection.
Age: 39.0
Sex: F
Vaccine: MMR
Symptoms: Hypoaesthesia, Hypoaesthesia oral
Clinical narrative: Went numb on left side - beginning with tongue and lips - up into eye and ear - then into arm and leg and hand and foot. Stayed like that for about 3 hours. Days after - same effects occurred when consuming Triscuits, wheat thins, Deli Ham and Toco Bell
Age: 1.72
Sex: F
Vaccine: VARCEL
Symptoms: Pyrexia, Vaccination failure, Varicella
Clinical narrative: Full-blown case of varicella, 5 days fever and > 200 Lesions < VACCINE FAILURE >
Sex: U
Vaccine: PPV
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Redness and swelling at site of pneumo vaccine.
Age: 48.0
Sex: F
Vaccine: TDAP, TDAP
Symptoms: Injection site pain, Muscle spasms, Muscular weakness
Clinical narrative: Initial report received from a health care provider on 21 September 2007. A 48-year-old female complained of left arm pain and weakness, muscle spasms in her neck and pain radiating from her left arm to her neck on the same day she received a left deltoid intramuscular injection of Adacel, lot number C2731AA. The patient had no past medical history, no illness at the time of vaccination and had not received any vaccines during the four weeks prior to vaccination. No information about prior exposure to Tetanus and Diphtheria vaccinations were provided. On 30 May 2007, the same day she received the vaccine, the patient developed "increasing pain in left upper arm/deltoid region radiating to neck. Muscle spasms in neck and weakness Left arm". The patient had not been evaluated by a health care professional and had not received any corrective treatments. She was referred to her primary care physician for follow-up. The patient's recovery status was unknown at the time of the report. No further information was provided. Follow-up information received on 12 October 2007. It was unknown if the patient had been receiving any concomitant medications at the time of vaccination. The patient's last Tetanus and Diphtheria booster (prior to receipt of Adacel) was reported by the patient as last received in 2001. The reporter indicated that the patient had been evaluated by a physician on 03 July 2007 and that physician referred the patient to a neurologist. The patient has had two or three doctor's visits since then and informed the reporter that she has "possible nerve damage". Relevant diagnostic testing result and a medical diagnosis were unknown at this time. The reporter stated that she saw the patient this past week and inquired about her recovery status and the patient replied, "I don't want to talk about it." No further information was provided at the time of this report. The reporting facility in this case is the same as in case 2007-03229.
Age: 48.0
Sex: F
Vaccine: TDAP, TDAP
Symptoms: Injection site pain, Muscle spasms, Muscular weakness, Neck pain, Nerve injury
Clinical narrative: Initial report received from a health care provider on 21 September 2007. A 48-year-old female complained of left arm pain and weakness, muscle spasms in her neck and pain radiating from her left arm to her neck on the same day she received a left deltoid intramuscular injection of Adacel, lot number C2731AA. The patient had no past medical history, no illness at the time of vaccination and had not received any vaccines during the four weeks prior to vaccination. No information about prior exposure to Tetanus and Diphtheria vaccinations were provided. On 30 May 2007, the same day she received the vaccine, the patient developed "increasing pain in left upper arm/deltoid region radiating to neck. Muscle spasms in neck and weakness Left arm". The patient had not been evaluated by a health care professional and had not received any corrective treatments. She was referred to her primary care physician for follow-up. The patient's recovery status was unknown at the time of the report. No further information was provided. Follow-up information received on 12 October 2007. It was unknown if the patient had been receiving any concomitant medications at the time of vaccination. The patient's last Tetanus and Diphtheria booster (prior to receipt of Adacel) was reported by the patient as last received in 2001. The reporter indicated that the patient had been evaluated by a physician on 03 July 2007 and that physician referred the patient to a neurologist. The patient has had two or three doctor's visits since then and informed the reporter that she has "possible nerve damage". Relevant diagnostic testing result and a medical diagnosis were unknown at this time. The reporter stated that she saw the patient this past week and inquired about her recovery status and the patient replied, "I don't want to talk about it." No further information was provided at the time of this report. The reporting facility in this case is the same as in case 2007-03229.
Age: 48.0
Sex: F
Vaccine: TDAP, TDAP
Symptoms: Pain in extremity
Clinical narrative: Initial report received from a health care provider on 21 September 2007. A 48-year-old female complained of left arm pain and weakness, muscle spasms in her neck and pain radiating from her left arm to her neck on the same day she received a left deltoid intramuscular injection of Adacel, lot number C2731AA. The patient had no past medical history, no illness at the time of vaccination and had not received any vaccines during the four weeks prior to vaccination. No information about prior exposure to Tetanus and Diphtheria vaccinations were provided. On 30 May 2007, the same day she received the vaccine, the patient developed "increasing pain in left upper arm/deltoid region radiating to neck. Muscle spasms in neck and weakness Left arm". The patient had not been evaluated by a health care professional and had not received any corrective treatments. She was referred to her primary care physician for follow-up. The patient's recovery status was unknown at the time of the report. No further information was provided. Follow-up information received on 12 October 2007. It was unknown if the patient had been receiving any concomitant medications at the time of vaccination. The patient's last Tetanus and Diphtheria booster (prior to receipt of Adacel) was reported by the patient as last received in 2001. The reporter indicated that the patient had been evaluated by a physician on 03 July 2007 and that physician referred the patient to a neurologist. The patient has had two or three doctor's visits since then and informed the reporter that she has "possible nerve damage". Relevant diagnostic testing result and a medical diagnosis were unknown at this time. The reporter stated that she saw the patient this past week and inquired about her recovery status and the patient replied, "I don't want to talk about it." No further information was provided at the time of this report. The reporting facility in this case is the same as in case 2007-03229.
Age: 18.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Asthenia, Electromyogram abnormal, Facial palsy, Fatigue, Gait disturbance
Clinical narrative: Information has been received from a physician concerning a 19 year old female who was vaccinated intramuscularly with the third dose of Gardasil. The physician reported that the patient experienced numbness in her feet after receiving her third dose of Gardasil. The physician stated that the patient had Guillain-barre syndrome. It was reported that the patient was one of a set of triplets and all three received the three doses of Gardasil at the same time. However, only this patient experienced numbness. The physician did not provide any lot numbers. The patient sought unspecified medical attention. No additional information was provided. Upon internal review, it was determined that Guillain-barre syndrome was an other important medical event. In follow-up it was reported by a nurse that the patient received the first dose of Gardasil (Lot # 654389/0961F) on 27-DEC-2006. The patient received the second dose of Gardasil from the college student health center on 28-FEB-2007, (Lot # not known by physician). It was reported that the patient received the third dose of Gardasil (Lot # 657621/0387U) on 14-JUN-2007. ON 18-JUN-2007, the patient was seen in the office and complained of fatigue, headache, leg pain in both legs, and tingling in both feet and was referred to a neurology practice. It was reported that the chart notes indicated that the patient was admitted to the hospital on 25-JUN-2007 and was discharged on 26-JUN-2007 and received intravenous immunoglobulin (IVIG) 30 grams. No further information was available in the patient's chart. Additional information has been requested.
Age: 18.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Headache, Heart rate increased, Muscular weakness, Myalgia
Clinical narrative: Information has been received from a physician concerning a 19 year old female who was vaccinated intramuscularly with the third dose of Gardasil. The physician reported that the patient experienced numbness in her feet after receiving her third dose of Gardasil. The physician stated that the patient had Guillain-barre syndrome. It was reported that the patient was one of a set of triplets and all three received the three doses of Gardasil at the same time. However, only this patient experienced numbness. The physician did not provide any lot numbers. The patient sought unspecified medical attention. No additional information was provided. Upon internal review, it was determined that Guillain-barre syndrome was an other important medical event. In follow-up it was reported by a nurse that the patient received the first dose of Gardasil (Lot # 654389/0961F) on 27-DEC-2006. The patient received the second dose of Gardasil from the college student health center on 28-FEB-2007, (Lot # not known by physician). It was reported that the patient received the third dose of Gardasil (Lot # 657621/0387U) on 14-JUN-2007. ON 18-JUN-2007, the patient was seen in the office and complained of fatigue, headache, leg pain in both legs, and tingling in both feet and was referred to a neurology practice. It was reported that the chart notes indicated that the patient was admitted to the hospital on 25-JUN-2007 and was discharged on 26-JUN-2007 and received intravenous immunoglobulin (IVIG) 30 grams. No further information was available in the patient's chart. Additional information has been requested.
Age: 18.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Fatigue, Guillain-Barre syndrome, Headache, Hypoaesthesia, Immunoglobulins
Clinical narrative: Information has been received from a physician concerning a 19 year old female who was vaccinated intramuscularly with the third dose of Gardasil. The physician reported that the patient experienced numbness in her feet after receiving her third dose of Gardasil. The physician stated that the patient had Guillain-barre syndrome. It was reported that the patient was one of a set of triplets and all three received the three doses of Gardasil at the same time. However, only this patient experienced numbness. The physician did not provide any lot numbers. The patient sought unspecified medical attention. No additional information was provided. Upon internal review, it was determined that Guillain-barre syndrome was an other important medical event. In follow-up it was reported by a nurse that the patient received the first dose of Gardasil (Lot # 654389/0961F) on 27-DEC-2006. The patient received the second dose of Gardasil from the college student health center on 28-FEB-2007, (Lot # not known by physician). It was reported that the patient received the third dose of Gardasil (Lot # 657621/0387U) on 14-JUN-2007. ON 18-JUN-2007, the patient was seen in the office and complained of fatigue, headache, leg pain in both legs, and tingling in both feet and was referred to a neurology practice. It was reported that the chart notes indicated that the patient was admitted to the hospital on 25-JUN-2007 and was discharged on 26-JUN-2007 and received intravenous immunoglobulin (IVIG) 30 grams. No further information was available in the patient's chart. Additional information has been requested.