chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 17.0
Sex: F
Vaccine: HPV4
Symptoms: Abdominal pain, Activities of daily living impaired, Body temperature increased, Headache, Influenza serology negative
Clinical narrative: Information has been received from a physician concerning a 17 year old female with no drug allergies who had recent urinary tract infection and completed a course of ciprofloxacin on 10-JAN-2009. She was intramuscularly vaccinated with the first 0.5 ml dose of GARDASIL on 12-JAN-2009. The patient developed a severe headache a few hours after receiving GARDASIL. The next day she developed a fever of 102F and a maculopapular rash on her face and trunk. On 14-JAN-2009 the patient developed abdominal cramping. She was examined in the office on 15-JAN-2009. A "rapid influenza test and monocyte test" were negative. Unspecified blood work was pending. The patient had been unable to attend school due to the severity of the headache. The patient did not recover at the time of reporting. No further information provided. Headache, fever, maculopapular rash and abdominal cramping was considered to be disabling. Additional information has been requested. 1/29/09-Follow-up from Merck on 1.28.09: PCP's nurse reported that the patient was given a Medrol Dose Pak and the symptoms of headache, rash, abdominal pain and fever resolved within a week
Age: 17.0
Sex: F
Vaccine: HPV4
Symptoms: Mononucleosis heterophile test negative, Pyrexia, Rash maculo-papular
Clinical narrative: Information has been received from a physician concerning a 17 year old female with no drug allergies who had recent urinary tract infection and completed a course of ciprofloxacin on 10-JAN-2009. She was intramuscularly vaccinated with the first 0.5 ml dose of GARDASIL on 12-JAN-2009. The patient developed a severe headache a few hours after receiving GARDASIL. The next day she developed a fever of 102F and a maculopapular rash on her face and trunk. On 14-JAN-2009 the patient developed abdominal cramping. She was examined in the office on 15-JAN-2009. A "rapid influenza test and monocyte test" were negative. Unspecified blood work was pending. The patient had been unable to attend school due to the severity of the headache. The patient did not recover at the time of reporting. No further information provided. Headache, fever, maculopapular rash and abdominal cramping was considered to be disabling. Additional information has been requested. 1/29/09-Follow-up from Merck on 1.28.09: PCP's nurse reported that the patient was given a Medrol Dose Pak and the symptoms of headache, rash, abdominal pain and fever resolved within a week
Age: 0.2
Sex: F
Vaccine: DTAPIPVHIB, PNC, RV5
Symptoms: Culture stool positive, Diet refusal, Rotavirus test positive, Vomiting
Clinical narrative: Information has been received from a healthcare worker concerning a 9 week old female with a history of "reflux" who on 08-JAN-2009 was vaccinated with the first oral dose of ROTATEQ (Lot# : 662802/1172X). Vaccinations received the same day included PREVNAR and PENTACEL. On 08-JAN-2009, the patient "vomited up" her first dose of ROTATEQ during administration of the vaccine. The patient was hospitalized for vomiting and "not eating". A stool culture on the patient was positive for rotavirus. At the time of this report, the patient was not recovered. Phone call had been made for medical attention. Additional information has been requested.
Age: 0.2
Sex: F
Vaccine: RV5
Symptoms: Crying, Diarrhoea, Faeces discoloured, Haematochezia, Mucous stools
Clinical narrative: Information has been received from a physician and a nurse concerning a 10 weeks old female patient with a possible "reflux issue" prior to oral vaccination who on 08-JAN-2009 was orally vaccinated with the first dose of ROTATEQ (660290/0143X). Concomitant therapy included PREVNAR, PENTACEL and RECOMBIVAX HB. It was unknown whether these vaccines were given on the same day. On 11-JAN-2009 the patient's parents reported that she was having loose stool. The patient was brought to the physician's office on 12-Jan-2009. The physician stated that the patient had a "greenish stool with black flakes and mucous smear". The nurse also reported that the patient had been crying and that the "hemoccult test came out mildly positive but the stool culture came back for rotavirus". Upon internal review hematochezia was considered to be another important medical event. Additional information has been requested.
Age: 0.2
Sex: F
Vaccine: RV5
Symptoms: Occult blood positive, Rotavirus test positive
Clinical narrative: Information has been received from a physician and a nurse concerning a 10 weeks old female patient with a possible "reflux issue" prior to oral vaccination who on 08-JAN-2009 was orally vaccinated with the first dose of ROTATEQ (660290/0143X). Concomitant therapy included PREVNAR, PENTACEL and RECOMBIVAX HB. It was unknown whether these vaccines were given on the same day. On 11-JAN-2009 the patient's parents reported that she was having loose stool. The patient was brought to the physician's office on 12-Jan-2009. The physician stated that the patient had a "greenish stool with black flakes and mucous smear". The nurse also reported that the patient had been crying and that the "hemoccult test came out mildly positive but the stool culture came back for rotavirus". Upon internal review hematochezia was considered to be another important medical event. Additional information has been requested.
Age: 27.0
Sex: F
Vaccine: MMR
Symptoms: Injection site anaesthesia, Lumbar puncture abnormal, Measles antibody negative, Multiple sclerosis, Mumps antibody test negative
Clinical narrative: Information has been received from a 27 year old female patient with no known allergies and no pertinent medical history, who was vaccinated with the first dose of MMR II. In 1997, she received a second dose of MMR II, because when she was about to enter college, her titers were checked and found to be negative. Almost immediately after she received the vaccination, she experienced numbness in her vaccinated arm, a large cold sore on her face, and was losing vision. The patient went to her physician's office, had a spinal tap and was diagnosed with multiple sclerosis. She was given SOLUMEDROL to stop the inflammation. She was also hospitalized. The patient's numbness in her vaccinated arm, large cold sore on her face, and multiple sclerosis persisted. She was placed on interferon. Additional information has been requested.
Age: 27.0
Sex: F
Vaccine: MMR
Symptoms: Oral herpes, Rubella antibody negative, Visual acuity reduced
Clinical narrative: Information has been received from a 27 year old female patient with no known allergies and no pertinent medical history, who was vaccinated with the first dose of MMR II. In 1997, she received a second dose of MMR II, because when she was about to enter college, her titers were checked and found to be negative. Almost immediately after she received the vaccination, she experienced numbness in her vaccinated arm, a large cold sore on her face, and was losing vision. The patient went to her physician's office, had a spinal tap and was diagnosed with multiple sclerosis. She was given SOLUMEDROL to stop the inflammation. She was also hospitalized. The patient's numbness in her vaccinated arm, large cold sore on her face, and multiple sclerosis persisted. She was placed on interferon. Additional information has been requested.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Angioedema, Drooling, Injection site urticaria, Urticaria
Clinical narrative: Developed angio edema of face, large wheal @ inj site of MMR @ 10 minutes.  Uricaria over truck & limbs by 20 minutes & some drooling -> im epinephrine given
Age: 6.0
Sex: M
Vaccine: DTAP, HEPA, MMR, VARCEL
Symptoms: Erythema
Clinical narrative: Redness occurred evening of vaccination of left arm. Patient states it resolved in 2-3 days".
Age: 29.0
Sex: M
Vaccine: FLU3, MMR, PPV, YF
Symptoms: Gait disturbance, Joint swelling
Clinical narrative: Client woke up following morning with right ankle swollen so much he could hardly walk. Used heat, TYLENOL, MOTRIN with relief. No recent injury to ankle. States he does not have money to be seen by MD- vaccine required by employees.
Age: 39.0
Sex: F
Vaccine: HEP
Symptoms: Urticaria
Clinical narrative: Afternoon of day HEB B# 3 received Pt developed hives on arms/face/stomach. No resp distress. Pt takes allergy shots weekly. Pt has taken Benadryl and has epi pen. Will contact PMD if warranted. Pt did not return F/U telephone calls.
Age: 27.0
Sex: F
Vaccine: HEP
Symptoms: Chest pain, Dyspnoea, Electrocardiogram normal, Migraine
Clinical narrative: 1 hr after HBV #1 patient experienced a migraine HIA stabbing pain radiating from back of head through to the front.  With chest pains and SOB
Age: 59.0
Sex: F
Vaccine: HEPAB, TDAP
Symptoms: Chest pain, Headache, Neck pain, Pain in extremity, Sleep disorder
Clinical narrative: Incident occurred on 7/16/08 and again 8/21/08 with 2 different nurses as vaccinations.  11/24/2008 - client reports with 1st injection on left arm 4-5 hours felt severe pain over my heart; it radiated to my left arm down to the elbow and up to my neck.  It hurt when I moved my head too.  I could not sleep well that night even with Aleve.  This pain lasted 3-4 days.  It slowly decreased and completely gone in about a week.  There was a residual soreness.  The second injection created the same sensation but not as severe.  This was all on my left side.  Have had another "small pain" over my heart the other evening.  It did not last very long.  Recommendation: File D VAERS; 2.  Asked client to see her Dr. regarding heart disease.  3.  Defer further vaccinations until seen by physician.
Age: 59.0
Sex: F
Vaccine: HEPAB, TDAP
Symptoms: Tenderness, Vaccine positive rechallenge
Clinical narrative: Incident occurred on 7/16/08 and again 8/21/08 with 2 different nurses as vaccinations.  11/24/2008 - client reports with 1st injection on left arm 4-5 hours felt severe pain over my heart; it radiated to my left arm down to the elbow and up to my neck.  It hurt when I moved my head too.  I could not sleep well that night even with Aleve.  This pain lasted 3-4 days.  It slowly decreased and completely gone in about a week.  There was a residual soreness.  The second injection created the same sensation but not as severe.  This was all on my left side.  Have had another "small pain" over my heart the other evening.  It did not last very long.  Recommendation: File D VAERS; 2.  Asked client to see her Dr. regarding heart disease.  3.  Defer further vaccinations until seen by physician.
Age: 58.0
Sex: F
Vaccine: TDAP
Symptoms: Cellulitis, Injection site erythema, Injection site warmth, Type III immune complex mediated reaction
Clinical narrative: Received TDAP on 11/24/08 for travel to Brazil.  Returned to clinic on 11/28/08 for an arthur-type reaction left deltoid, 10 x 10 cm, warm tissue than surrounding tissue, pale center, redder surrounding.  12/11/08 client saw MD on 11/28.  Dx with cellulitis, client received antibiotics.
Age: 15.0
Sex: F
Vaccine: HPV4, MNQ
Symptoms: Vaccine positive rechallenge, Vomiting
Clinical narrative: Pt reports had significant vomiting day after HPV with all three administrations.  3/23/09 Received PCP medical records of 9/19/07- FINAL DX: viral gastroenteritis Records reveal patient experienced mild depression, received counseling & improved.  Missed several days of school secondary to severe menstrual cramping.  RTC 4/28/08 w/epigastric pain after eating, nausea, diarrhea x 5 da.  Dx w/viral gastroenteritis.  No further documentation of s/s.
Age: 4.0
Sex: F
Vaccine: DTAPIPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Lat 4 1/2" X 4" circular swelling red, no Cellulitis, past 2 days vaccine's. applied ice pack which minimized swelling.
Age: 43.0
Sex: F
Vaccine: TDAP
Symptoms: Chills, Injection site swelling, Lymphadenopathy, Pyrexia
Clinical narrative: Few hours after TdAP in left deltoid, pt. developed swelling at site, fever, chills and lymph node enlargement, supraclavicular area.  Now is resolved.
Age: 0.3
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Contusion, Crying, Epistaxis, Full blood count, Injection site erythema
Clinical narrative: Immunizations given (Hib in upper RVL, Prevnar in lower RVL) Injection sights were cleansed with alcohol and aspiration done prior to injection of vaccine.  It was noted that both sites bled more then the usual infant injection would.  On 1-13-09 mother called to report child cried for 2 hours after shot and within the next 24 hours child had vomited X1, ran temp (not over 100) injection site red, swollen and child wold not straighten leg.  Mother said child is fine now with the exception of a small (pencil eraser size) bruise. Mother also reported child having nose bleeds 2 to 3 weeks.
Age: 0.3
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Injection site haemorrhage, Injection site swelling, Pyrexia, Vomiting
Clinical narrative: Immunizations given (Hib in upper RVL, Prevnar in lower RVL) Injection sights were cleansed with alcohol and aspiration done prior to injection of vaccine.  It was noted that both sites bled more then the usual infant injection would.  On 1-13-09 mother called to report child cried for 2 hours after shot and within the next 24 hours child had vomited X1, ran temp (not over 100) injection site red, swollen and child wold not straighten leg.  Mother said child is fine now with the exception of a small (pencil eraser size) bruise. Mother also reported child having nose bleeds 2 to 3 weeks.
Age: 1.25
Sex: F
Vaccine: DTAP, HIBV, PNC
Symptoms: Screaming, Staring, Unresponsive to stimuli
Clinical narrative: After receiving immunizations the patient ate lunch and took a 1/2 hour nap. Awoke suddenly screaming terriby-lasted 15 minutes, calmed down eventually on own and acted fine.  Since then, bouncing back & forth between extremes lasting 1-10 minutes-inconsolable.  No seizure activity. When he calms down, he stares off into space for about 5 minutes, unresponsive to redirections.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Erythema, Incorrect route of drug administration, Oedema, Rash
Clinical narrative: "Rash" 1 day after MMR. Parent consulted primary care provider at pediatric clinic and was advised to use Benadryl. Presented to our facility on day 3 with diffuse edema, erythema, heat to the anterior right thigh. Immunization qualified LVN on our staff advised that it appeared injection was not given subcutaneously. Patient was prescribed oral and topical steroids by our facility's physician assistant.
Age: 21.0
Sex: F
Vaccine: MNQ, TDAP, VARZOS
Symptoms: Pain, Pyrexia, Sluggishness, Wrong drug administered
Clinical narrative: Vaccine given in error.  PCP ordered a Varicella vaccination and I administered a Zoster Vax.  Error identified on 1/22/2009.  Patient returned for PPD read on 7/30/2008.  Patient reported feeling "sluggish" and achy.  Temp recorded at 98.6.  No other symptoms reported.  Patient informed staff member she would call with any other symptoms.  Patient never called back.
Age: 0.42
Sex: F
Vaccine: DTAP, HIBV, PNC, RV5
Symptoms: Unevaluable event
Clinical narrative: NO ADVERSE REACTIONS NOTED
Age: 10.0
Sex: M
Vaccine: HEPA, TDAP
Symptoms: Dizziness, Pallor, Syncope
Clinical narrative: Dizziness, very pale, fainted getting out of the bath father caught patient before he hit the floor.
Age: 39.0
Sex: F
Vaccine: FLU3
Symptoms: Cough, Dizziness, Gastrointestinal disorder, Hypoaesthesia, Malaise
Clinical narrative: Numbness of hand and legs, cough, dizziness, nausea, malaise, muscular pain, gastrointestinal disturbance, face an throat rash.
Age: 39.0
Sex: F
Vaccine: FLU3
Symptoms: Myalgia, Nausea, Rash
Clinical narrative: Numbness of hand and legs, cough, dizziness, nausea, malaise, muscular pain, gastrointestinal disturbance, face an throat rash.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Immunisation reaction, Injection site erythema, Injection site rash, Injection site swelling
Clinical narrative: Patient went came into the Immunizations clinic on the 12Jan09 to receive the MMR, Varicella, IPV, DTAP, and the HEP A vaccine, waited 15 minutes, and left the facility. On the 20th of January the mother began to notice the child's Rt thigh began to look red and swollen. It began to spread to a rash. The mother began to become concerned and took the child to the United Regional ER on the 22Jan09. The physician there saw the child and determined that due to where it was given(SQ) and the documentation we had, it was the MMR vaccine that she had a reaction to. The child was prescibed Millipred 10mg/5ml, triamcinolone topical cream .1%, and Bactrim Ped oral suspension. The patient's mother cannot report it any better on the 23rd of January, however she has not filled the presciptions from the ER.
Age: 26.0
Sex: M
Vaccine: ANTH, TYP
Symptoms: Injection site erythema, Injection site rash, Pruritus
Clinical narrative: PT had an itching sensation in the back of the right arm. PT was rubbing the site and noticed a red rash like reaction going from the shot site which was administered intramuscularly. The area was approximately 10cm. The patent was given Typhoid in the same arm which was not near the red area of the anthrax shot. Patent was given 1 Capsule 50mg Diphehydromine. The rash cleared up then after.
Age: 5.0
Sex: M
Vaccine: DTAP
Symptoms: Skin warm, Swelling
Clinical narrative: Left arm swollen and warm to touch, pink upper left arm. Benadryl
Age: 41.0
Sex: M
Vaccine: YF
Symptoms: Rash generalised
Clinical narrative: generalized rash noticed approximately 8 hours after receiving vaccine.lotion applied to rash at time noticed. called OMS on 1/23/09 to report rash and came in to OMS for treatment.  Received Benedryl 25mg orally after being examined by staff physician and was told to take Benedryl 25mg orally three times a day and Clarinex 25mg orall daily.
Age: 1.0
Sex: M
Vaccine: FLU3, HEPA, PNC
Symptoms: Condition aggravated, Febrile convulsion, Grand mal convulsion, Laboratory test normal, Otitis media
Clinical narrative: On 1/21/09 at the time of immunization, baby was seen and diagnosed with URI/(L)otitis media. Afebrile. During night of 1/22 developed fever of 102. On 1/23/08 about 7:30am had grand mal seizure. taken by ambulance to ACMH ER. temp 103.9 in ER. treated with antipyretics. dishcarged. Dx: acute febrile seizure/(L) otitis media. f/u PCP 2-3 days.
Age: 1.0
Sex: M
Vaccine: FLU3, HEPA, PNC
Symptoms: Oxygen saturation normal, Pyrexia
Clinical narrative: On 1/21/09 at the time of immunization, baby was seen and diagnosed with URI/(L)otitis media. Afebrile. During night of 1/22 developed fever of 102. On 1/23/08 about 7:30am had grand mal seizure. taken by ambulance to ACMH ER. temp 103.9 in ER. treated with antipyretics. dishcarged. Dx: acute febrile seizure/(L) otitis media. f/u PCP 2-3 days.
Age: 0.17
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5, DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Dehydration, Diet refusal, Faeces discoloured, Haematochezia, Intussusception
Clinical narrative: It happen over night (Dec 16th 2008), my baby wake up, fussy, did not wanna eat, start vomiting yelow liquid, got pale, went to doc. and told us it could be stomach flu, came home, that night things did not get better, he was not holding anythig in his tummy, and in the morning (Dec 17th 2008) was very dehydrated, had a black pasty, bloody stool, went back to doc office, then to ER and after that we went to another hospital where he had an intussusception surgery (Dec 18th 2008), he recoverd well and now he is doing fine, however before we were able to find out what the problem was......It was the most terrifying 24hrs of our lives.  1/27/09 Received hospital medical records of 12/18-12/22/2008. FINAL DX: Ileoileal intussusception, s/p exp lap, bowel resection & ileoileostomy anastamosis, appendectomy. Records reveal patient experienced vomiting x 2 days, dark stool, lethargy & weight loss.  Seen at outlying ER & transfered to higher level of care after attempts to reduce w/BE were unsuccessful.  Attempts to reduce in hospital also unsuccessful & taken to OR.  Progressed well & d/c to home.  2/2/09 Received PCP medical records of 10/20/2008-01/23/2009 which reveal patient experienced good health on 10/20/08.  RTC on 12/16 for irritability, diet refusal, vomiting, pale.  Dx as probable viral infection.  RTC 1/23/09 s/p IS surgery in good health w/surgical scar healing.
Age: 0.17
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5, DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Irritability, Pallor, Surgery, Vomiting
Clinical narrative: It happen over night (Dec 16th 2008), my baby wake up, fussy, did not wanna eat, start vomiting yelow liquid, got pale, went to doc. and told us it could be stomach flu, came home, that night things did not get better, he was not holding anythig in his tummy, and in the morning (Dec 17th 2008) was very dehydrated, had a black pasty, bloody stool, went back to doc office, then to ER and after that we went to another hospital where he had an intussusception surgery (Dec 18th 2008), he recoverd well and now he is doing fine, however before we were able to find out what the problem was......It was the most terrifying 24hrs of our lives.  1/27/09 Received hospital medical records of 12/18-12/22/2008. FINAL DX: Ileoileal intussusception, s/p exp lap, bowel resection & ileoileostomy anastamosis, appendectomy. Records reveal patient experienced vomiting x 2 days, dark stool, lethargy & weight loss.  Seen at outlying ER & transfered to higher level of care after attempts to reduce w/BE were unsuccessful.  Attempts to reduce in hospital also unsuccessful & taken to OR.  Progressed well & d/c to home.  2/2/09 Received PCP medical records of 10/20/2008-01/23/2009 which reveal patient experienced good health on 10/20/08.  RTC on 12/16 for irritability, diet refusal, vomiting, pale.  Dx as probable viral infection.  RTC 1/23/09 s/p IS surgery in good health w/surgical scar healing.
Age: 0.17
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5, DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Appendicectomy, Computerised tomogram abdomen abnormal, Dehydration, Diet refusal, Enema administration
Clinical narrative: It happen over night (Dec 16th 2008), my baby wake up, fussy, did not wanna eat, start vomiting yelow liquid, got pale, went to doc. and told us it could be stomach flu, came home, that night things did not get better, he was not holding anythig in his tummy, and in the morning (Dec 17th 2008) was very dehydrated, had a black pasty, bloody stool, went back to doc office, then to ER and after that we went to another hospital where he had an intussusception surgery (Dec 18th 2008), he recoverd well and now he is doing fine, however before we were able to find out what the problem was......It was the most terrifying 24hrs of our lives.  1/27/09 Received hospital medical records of 12/18-12/22/2008. FINAL DX: Ileoileal intussusception, s/p exp lap, bowel resection & ileoileostomy anastamosis, appendectomy. Records reveal patient experienced vomiting x 2 days, dark stool, lethargy & weight loss.  Seen at outlying ER & transfered to higher level of care after attempts to reduce w/BE were unsuccessful.  Attempts to reduce in hospital also unsuccessful & taken to OR.  Progressed well & d/c to home.  2/2/09 Received PCP medical records of 10/20/2008-01/23/2009 which reveal patient experienced good health on 10/20/08.  RTC on 12/16 for irritability, diet refusal, vomiting, pale.  Dx as probable viral infection.  RTC 1/23/09 s/p IS surgery in good health w/surgical scar healing.
Age: 0.17
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5, DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Explorative laparotomy, Faeces discoloured, Haematochezia, Ileostomy, Intestinal anastomosis
Clinical narrative: It happen over night (Dec 16th 2008), my baby wake up, fussy, did not wanna eat, start vomiting yelow liquid, got pale, went to doc. and told us it could be stomach flu, came home, that night things did not get better, he was not holding anythig in his tummy, and in the morning (Dec 17th 2008) was very dehydrated, had a black pasty, bloody stool, went back to doc office, then to ER and after that we went to another hospital where he had an intussusception surgery (Dec 18th 2008), he recoverd well and now he is doing fine, however before we were able to find out what the problem was......It was the most terrifying 24hrs of our lives.  1/27/09 Received hospital medical records of 12/18-12/22/2008. FINAL DX: Ileoileal intussusception, s/p exp lap, bowel resection & ileoileostomy anastamosis, appendectomy. Records reveal patient experienced vomiting x 2 days, dark stool, lethargy & weight loss.  Seen at outlying ER & transfered to higher level of care after attempts to reduce w/BE were unsuccessful.  Attempts to reduce in hospital also unsuccessful & taken to OR.  Progressed well & d/c to home.  2/2/09 Received PCP medical records of 10/20/2008-01/23/2009 which reveal patient experienced good health on 10/20/08.  RTC on 12/16 for irritability, diet refusal, vomiting, pale.  Dx as probable viral infection.  RTC 1/23/09 s/p IS surgery in good health w/surgical scar healing.
Age: 0.17
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5, DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Intestinal resection, Intussusception, Irritability, Lethargy, Pallor
Clinical narrative: It happen over night (Dec 16th 2008), my baby wake up, fussy, did not wanna eat, start vomiting yelow liquid, got pale, went to doc. and told us it could be stomach flu, came home, that night things did not get better, he was not holding anythig in his tummy, and in the morning (Dec 17th 2008) was very dehydrated, had a black pasty, bloody stool, went back to doc office, then to ER and after that we went to another hospital where he had an intussusception surgery (Dec 18th 2008), he recoverd well and now he is doing fine, however before we were able to find out what the problem was......It was the most terrifying 24hrs of our lives.  1/27/09 Received hospital medical records of 12/18-12/22/2008. FINAL DX: Ileoileal intussusception, s/p exp lap, bowel resection & ileoileostomy anastamosis, appendectomy. Records reveal patient experienced vomiting x 2 days, dark stool, lethargy & weight loss.  Seen at outlying ER & transfered to higher level of care after attempts to reduce w/BE were unsuccessful.  Attempts to reduce in hospital also unsuccessful & taken to OR.  Progressed well & d/c to home.  2/2/09 Received PCP medical records of 10/20/2008-01/23/2009 which reveal patient experienced good health on 10/20/08.  RTC on 12/16 for irritability, diet refusal, vomiting, pale.  Dx as probable viral infection.  RTC 1/23/09 s/p IS surgery in good health w/surgical scar healing.
Age: 0.17
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5, DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Surgery, Vomiting, Weight decreased
Clinical narrative: It happen over night (Dec 16th 2008), my baby wake up, fussy, did not wanna eat, start vomiting yelow liquid, got pale, went to doc. and told us it could be stomach flu, came home, that night things did not get better, he was not holding anythig in his tummy, and in the morning (Dec 17th 2008) was very dehydrated, had a black pasty, bloody stool, went back to doc office, then to ER and after that we went to another hospital where he had an intussusception surgery (Dec 18th 2008), he recoverd well and now he is doing fine, however before we were able to find out what the problem was......It was the most terrifying 24hrs of our lives.  1/27/09 Received hospital medical records of 12/18-12/22/2008. FINAL DX: Ileoileal intussusception, s/p exp lap, bowel resection & ileoileostomy anastamosis, appendectomy. Records reveal patient experienced vomiting x 2 days, dark stool, lethargy & weight loss.  Seen at outlying ER & transfered to higher level of care after attempts to reduce w/BE were unsuccessful.  Attempts to reduce in hospital also unsuccessful & taken to OR.  Progressed well & d/c to home.  2/2/09 Received PCP medical records of 10/20/2008-01/23/2009 which reveal patient experienced good health on 10/20/08.  RTC on 12/16 for irritability, diet refusal, vomiting, pale.  Dx as probable viral infection.  RTC 1/23/09 s/p IS surgery in good health w/surgical scar healing.
Age: 59.0
Sex: F
Vaccine: HEPA
Symptoms: Induration, Mobility decreased, Pain, Sleep disorder
Clinical narrative: Immediately following venipuncture pt said it hurt. Pt supported and encouraged to provide post-injection pain relief methods. She said it still hurt when leaving office and pt told to call if symptoms did not subside. Three weeks post-injection (1/21/09 pt. called to obtain advice as she felt her pain had not subsided since her Hepatitis A vaccination. She says the pain had gotten worse, although she described the shooting pain she initially experienced went away after the first 1-2 days. She describes her current pain as an ache at 3-4/10 on the pain scale. She says that the pain encompasses her shoulder/upper arm area and the pain feels muscular in nature. She says the pain has awakened her during the night. Pt says she did not take any tylenol/pain reliever and limited movement after injection due to pain. Pt encouraged to try a pain reliever and hot pack as well as exercising the arm. Pt receptive to  this information. She then recalled that 2-3 years ago she contracted a virus which has chronically weakened her immune system. Pt plans to contact her rhuematologist about this. Pt was called 2 days after original complaint (as agreed upon) to re-check symptoms. She said she had not taken the tylenol as the pain was, "not that bad." She said she has not had a chance to talk with her rhuematologist. The nurse and pt have agreed to check in again next week.
Age: 18.0
Sex: F
Vaccine: HEPA, MNQ, VARCEL
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Received MCV4, Hep.A, Varicella on 01/20/2009.  On 01/21/2009 her lower L. arm (just above the elbow) became swollen, red, very sore and warm to touch.  She started using Motrin 1 q 6-8Hours.  She put a cold compress on it.  On 01/22/09, she continued with the same s/s.  Father called Health Dept. and talked to RN.  When RN checked patient's record, she told father that is the area where she got the Varicella vaccine.  No swelling or problems with the other 2 sites.  RN instructed to apply ice for 20 minutes q hour, try taking some Motrin and Benadryl(don't drive afteer taking Benadryl!)  Instructed to call private provider or go to ER. if arm worsens or does not continue to improve.  On 01/23/2009 RN returned a call to family to see how she was doing.  She said that her arm is still slightly warm to touch but no redness or aching.  Encouraged her to continue with the Benadryl and Motrin, both prn.  See her PP if worsens.
Age: 1.5
Sex: M
Vaccine: DTAP, HEPA, MMR
Symptoms: Pyrexia, Rash generalised
Clinical narrative: rash on the body and neck, has been running fever (around 100.5F) for 3 days already.
Age: 0.2
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Cerebrovascular accident, Convulsion, Dehydration, Diarrhoea
Clinical narrative: Severe diarrhea, dehydration, 1 week following 2 month immunizations: DTAP, HIB, PCV7, ROTATEQ. (+) intracerebral bleeding with stroke and seizures 2 hours to dehydration.  2/5/09 Received hospital medical records for 10/13-11/13/2008. FINAL DX: dural venous thrombi, stable; right lateral intraventricular hemorrhage w/cortical, basal ganglia & thalamic infarcts, improving; seizure disorder.  Dehydration, shock, DIC, pseudomonal tracheitis & HTN resolved. Records reveal patient experienced ICH, severe acidosis, respiratory failure, coagulopathy, hypothermia,  & severe dehydration & had been transferred from outlying ER intubated.  Vomiting, low grade fever x 4 days & episode of jerking x 1 day.  Neuro, neurosurg, ID, Heme, ophtho, consults done.  Anterior fontanelle enlarged.  Tx w/IV antibiotics, antivirals, antiseizure med, multiple blood product transfusions.  Improved gradually & d/c to home w/Ophtho, neuro, neurosurg clinic f/u & outpatient PT/OT/ST.
Age: 12.0
Sex: F
Vaccine: HPV4, MNQ, TDAP
Symptoms: No reaction on previous exposure to drug, Urticaria
Clinical narrative: She received her immunizations on 1/16 and developed urticarial rash 1/21. Patient had 0 previous hx of reactions to vaccinations and had 0 previous hx of Urticaria. Antihistamines were suggested.
Age: 5.0
Sex: M
Vaccine: DTAP, FLU3, IPV, MMR, VARCEL
Symptoms: Erythema, Skin warm, Tenderness
Clinical narrative: S1. erythematous left upper arm, slightly warm and tender. 2 days s/p DTap, flu IM injection Left deltoid and Polio SC.
Age: 6.0
Sex: M
Vaccine: FLU3, HEPA
Symptoms: Injection site erythema, Injection site induration, Injection site pain, Injection site warmth
Clinical narrative: 24 hours after influenza and HAVRIX were given in the left thigh, patient developed a warm, red, firm, tender area surrounding this site. It was measured at 7x3 inches max. No fever. Was treated with SEPTRA x 10 days and symptoms resolved in 9-10 days. No fevers.
Age: 11.0
Sex: M
Vaccine: MNQ, TDAP
Symptoms: Injection site erythema, Injection site induration, Injection site warmth
Clinical narrative: Received both MENACTRA and BOOSTRIX 1/23/2009 in left deltoid approx 1 cm apart. Area became red, hot and indurated after next day. No SOB, wheeze or other s/sx.
Age: 71.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Herpes zoster, Rash erythematous
Clinical narrative: Patient broke out with a couple of red spots on back.  Vaccine given on 1/16/09.  Pt saw Dr on 01/17/09.  Was diagnosed with shingles.   Treated with Valtrex.
Age: 71.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Herpes zoster
Clinical narrative: Patient broke out with a couple of red spots on back.  Vaccine given on 1/16/09.  Pt saw Dr on 01/17/09.  Was diagnosed with shingles.   Treated with Valtrex.
Age: 66.0
Sex: M
Vaccine: FLU3
Symptoms: Neck pain, Pain in extremity
Clinical narrative: Patient stopped by the clinic and stated since this flu shot on 11/24/08- He has had left sided neck pain and left arm soreness. He denied any chest pain, shortness of breath no complain of headache or dizziness.
Age: 13.0
Sex: M
Vaccine: MNQ, TDAP, VARCEL
Symptoms: Adverse event
Clinical narrative: Possible erythema multiform.
Age: 1.1
Sex: M
Vaccine: HEPA, MMR, PNC, VARCEL
Symptoms: Rash generalised, Rash maculo-papular
Clinical narrative: About 10 hrs after giving immunization another noted maculo-papular rash all over the body.  Follow up check up rash all over the body.  Given Benadryl 12.5/3.5 ml.
Age: 1.6
Sex: F
Vaccine: DTAP, HEPA, PNC
Symptoms: Condition aggravated, Pyrexia
Clinical narrative: Fever 103.3 Febrile seizure X 5 min
Age: 54.0
Sex: F
Vaccine: FLU3
Symptoms: Injected limb mobility decreased, Injection site induration, Injection site swelling, Pain
Clinical narrative: Client reports shortly after the shot, it is hard to pinpoint when it started a knot came up on (L) arm where the injection went in and had some swelling. It gradually kept getting worse. I can't lift my (L) arm up and I can't put it behind my back (to fasten my bra). Reports soreness after flu shot. States pain shoots down her (L) arm. States went to her doctor and he recommended sports medicine. Client states.
Age: 1.01
Sex: M
Vaccine: MMR, PNC, VARCEL
Symptoms: Measles, Rash
Clinical narrative: Rash- looks like measles. No fever kopeck spots.
Age: 21.0
Sex: F
Vaccine: HPV4
Symptoms: Vaginal discharge, Vaginitis bacterial
Clinical narrative: I took the GARDASIL shot series.  It didn't cause major problems, but when I took the second shot around the above date I noticed a change in my vaginal discharge.  The shot caused me to get bacterial vaginosis.  I had it for nine months till I figured out there was a problem because a month before hand I took myself off birth control and I thought my body was just going through changes.  I talked to my doctor and he told me it wasn't the GARDASIL shot, so I took the third shot in the series.  It immediately caused the bacterial vaginosis yet again.  It's not that it's serious, but every woman should know that this is a possible side effect and may be they should prepare themselves.
Age: 39.0
Sex: M
Vaccine: TYP
Symptoms: Anorexia, Asthenia, Headache, Night sweats, White blood cell count
Clinical narrative: Initial report received from the patient's parent on 12 November 2008.  A 39-year-old male patient complained of weakness, loss of appetite, night sweats and headaches within 24 hours after receiving a dose of TYPHIN Vi (lot number, route and site of administration not reported). The patient also reported a shift in WBC (white blood cell)count. The patient, who is being sent abroad on 09 December 2008, had previously received a TYPHOID shot eight months ago. Patient outcome was not reported. The patient was scheduled to be evaluated on 12 November and 13 November 2008.
Age: 5.0
Sex: M
Vaccine: YF
Symptoms: Injection site erythema, Injection site haematoma, Injection site rash
Clinical narrative: Initial report was received 08 May/2008 from a health care professional. A five-year-old female patient with no known allergies, had received a subcutaneous right arm injection of YF VAX (lot number not reported) on 02 May 2008 and immediately following vaccination, developed redness at the injection site. The patient was given BENADRYL and approximately one week later, the patient's mother called the physician to report that the injection site became bruised with red raised areas around the injection site that appeared to look like mosquito bites. No further symptoms were reported. The patient had also received an intramuscular injection of THYPHIM Vi vaccine (lot number not reported) during the four week period prior to receipt of YF Vax. No further information was provided at the time of the report. A corrective version was created on 28 May 2008, using the receipt date from the previous version, in order to change the age in the patient screen to five (previously entered as "54"). No other medically significant information has been added to the case. Follow-up information was received 06 June 2008 from a health care professional. The reporter provided the patient's date of birth and corresponding lot numbers for the YF Vax and TYPHIM Vi vaccines received by the patient. The lot number for YF Vax had been UF175AA; and the lot number for TYPHIM Vi had been A0923-3. The site of administration for TYPHIM Vi was reported as "not noted". the patient had been evaluated by nursing staff on 09 May 2008 for the event. Prescribed Treatments included children's BENADRYL and MOTRIN elixir. At the time of the report, the symptoms of injection site redness and bruising had been resolved (date not reported), and two small areas similar to mosquito bites remained. The patient had since departed for international travel and her recovery status was not reported. Follow-up information was received from the health professional on 15 August 2008. The date of TYPHIM Vi administration was 21 April 2008. The patient had moved out of the country with her family for a three-year assignment, and the reporter did not know when the family planned to return. The patient's mother had not contacted the reporter since moving out of the country, and recovery status was unknot.
Age: 68.0
Sex: M
Vaccine: HEP, IPV, JEV, TYP
Symptoms: Wheezing
Clinical narrative: Initial report received on 02 September 2008 from a healthcare professional. A 68 year old male patient developed  wheezing 72 hours after had received a first subcutaneous right deltoid 1 ml injection of JE-VAX (lot number EJN233R, reported as CJN233R), an injection of IPOL (lot number and route/site unknown), an injection of TYPHIM Vi (lot number and route/site unknown), and an injection of a Hepatitis B vaccine (manufacturer, lot number and route/site unknown) on 26 August 2008. The patient had a history of no known allergies, atrial fibrillation, hypercholesterolemia, and hypertension Concomitant medications were COUMADIN, Lisinopril, TOPROL XL (reported as Topril XL),  ZETIA, TRICOR, simvastatin (reported  as Symvasto), and Sertraline (reported as Certraline HC). The patient had no illness at the time of vaccination. When the patient developed the wheezing 72 hours after vaccination, he had no shortness of breath, urticaria, chest pain or facial swelling. Corrective treatment was not reported. The wheezing lasted three days and the patient recovered. Follow-up received from a health care professional on 16 October 2008. The reporter was not able to provide additional information about the IPOL, TYPHIM Vi and Hepatitis B vaccines as the were administered at the public health department, not at the reporter's facility.
Age: 55.0
Sex: M
Vaccine: HEPA, TYP
Symptoms: Muscular weakness, Pain in extremity
Clinical narrative: Initial report was received from a health care provider on 09 January 2008.  A 55-year-old male patient with no pre-existing medical history, had received an intramuscular left deltoid injection of TYPHIM VI, lot number A0394-2 and an intramuscular left deltoid injection of HEPATITIS A vaccine, lot number AHAVR195AB (manufacturer not reported) on 28 November 2007 and an unspecified amount of time later, he developed weakness in the triceps and soreness to touch in the left arm.  The discomfort was more intense with exercise.  The patient had not received any other vaccinations during the four weeks prior to immunization.  Corrective treatment included MORTRIN, with no relief.  At the time of the report, the patient had not been evaluated by a health care professional and had not recovered from the event.  Follow-up information received from a health care provider on 14 July 2008.  A corrected lot number for the HEPATITIS A vaccine was reported as AMAVB195AB.  Adverse event onset date was 29 November 2007.  Muscle weakness in the left triceps was confined to the injection site.  One month after the vaccinations, the patient had no improvement in muscle weakness and was not able to perform his usual workout routine of pushups and triceps exercises.  The patient did not see a physician and did not receive any treatment.  The patient eventually recovered four months later.  The patient estimated that the muscle weakness resolved on its own by March 2008.
Age: 0.17
Sex: F
Vaccine: DTAPIPVHIB
Symptoms: Eczema, Rash
Clinical narrative: Developed rash within 24 hours of administration of her 2 month shots. Diagnosed by the pediatrician as eczema.
Age: 54.0
Sex: F
Vaccine: FLU3
Symptoms: Pain, Periarthritis
Clinical narrative: Patient stated pain began 4 hours after the immunization was administered on October 6, 2008, and has never been the same since.  She went to her primary doctor who gave her an anti-inflammatory.  Patient stated that did not help.  Her family doctor referred her to an orthopedic doctor who stated the patient has a frozen shoulder.  Patient has been given a cortisone shot by the orthopedic doctor.
Age: 1.3
Sex: F
Vaccine: DTAP, HEPA, MMR
Symptoms: Blood test normal, Computerised tomogram normal, Crying, Dyskinesia, Hypophagia
Clinical narrative: About 3 hours, after the vaccines, my daughter started making moving in a weird way I had never seen before.  I put her in her crib because she I thought she was either achy or overtired.  She started shreiking. I took her out of her crib, and she was still making the weird movements(which I later realized was a seizure).She finally cried herself to sleep.  A few minutes later, she started vomiting in her sleep.  She projectile vomitted 5 times, then went limp and looked gray.  I called the doctors and brought her back in around 4:00pm.  She was listless, and just staring. She vomited 2 more times there.  We were sent to the ER, where she continued to be listless and stare.  She vomited 2 more times in triage.  She was admitted and a CAT scan was performed on her head, and blood work was done.  She also was rehydrated.  Once, she was rehydrated, she was seemingly better.  All tests came back negative, and we were sent home.  When we got home she vomited 2 more times.  Day 2, she was still crampy.  Day 3 and 4 she was good.  Day 5 - 9, she had a fever ranging from 103-105.  Not sleeping, and not eating or drink much.  Went back to doctors twice where more urine and blood tests were done, all which came back negative.  We are on Day 9 now, and this is the first day she seems herself again.  I will keep my fingers crossed.  02/03/2009 MR received from PCP including ER d/c note and vax records. Pt in for 15 month WCC 1/16/09 with normal exam and good growth and development.  Returned to office that pm after episode of pt appearing uncomfortable and rocking around when pt hit head on door.  Fell asleep after then began projectile vomiting. PE (+) for gray color, crabbiness and vomiting.  Referred to ER. ER visit 1/16/09 with DX:  Vomiting. Dehydration. PE (+) for pallor and dry mucous membranes. Condition improved with IVF and d/c. Returned to PCP 1/20/09 with fever. PE (+) for shotty anterior cervical adenopathy, otherwise WNL.  Started on abx for suspected UTI. Returned 1/21/09 with fever and snoring. PE now with additional submandibular shotty nodes and rapid breathing with T=104'F. Assess:  Fever w/o obvious source.
Age: 1.3
Sex: F
Vaccine: DTAP, HEPA, MMR
Symptoms: Hypotonia, Influenza serology negative, Insomnia, Listless, Muscle spasms
Clinical narrative: About 3 hours, after the vaccines, my daughter started making moving in a weird way I had never seen before.  I put her in her crib because she I thought she was either achy or overtired.  She started shreiking. I took her out of her crib, and she was still making the weird movements(which I later realized was a seizure).She finally cried herself to sleep.  A few minutes later, she started vomiting in her sleep.  She projectile vomitted 5 times, then went limp and looked gray.  I called the doctors and brought her back in around 4:00pm.  She was listless, and just staring. She vomited 2 more times there.  We were sent to the ER, where she continued to be listless and stare.  She vomited 2 more times in triage.  She was admitted and a CAT scan was performed on her head, and blood work was done.  She also was rehydrated.  Once, she was rehydrated, she was seemingly better.  All tests came back negative, and we were sent home.  When we got home she vomited 2 more times.  Day 2, she was still crampy.  Day 3 and 4 she was good.  Day 5 - 9, she had a fever ranging from 103-105.  Not sleeping, and not eating or drink much.  Went back to doctors twice where more urine and blood tests were done, all which came back negative.  We are on Day 9 now, and this is the first day she seems herself again.  I will keep my fingers crossed.  02/03/2009 MR received from PCP including ER d/c note and vax records. Pt in for 15 month WCC 1/16/09 with normal exam and good growth and development.  Returned to office that pm after episode of pt appearing uncomfortable and rocking around when pt hit head on door.  Fell asleep after then began projectile vomiting. PE (+) for gray color, crabbiness and vomiting.  Referred to ER. ER visit 1/16/09 with DX:  Vomiting. Dehydration. PE (+) for pallor and dry mucous membranes. Condition improved with IVF and d/c. Returned to PCP 1/20/09 with fever. PE (+) for shotty anterior cervical adenopathy, otherwise WNL.  Started on abx for suspected UTI. Returned 1/21/09 with fever and snoring. PE now with additional submandibular shotty nodes and rapid breathing with T=104'F. Assess:  Fever w/o obvious source.