chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 7.0
Sex: M
Vaccine: VARCEL
Symptoms: Anorexia, Asthenia, Body temperature increased, Erythema, Pain
Clinical narrative: Raised, red, itchy, painful, swollen area approx. 4 1/2in x 3in today. Area has tripled in size since yesterday.  Area is warm to the touch.  Has been getting Motrin, Benadryl, and Zyrtec at home. Pt. has no appetite and decreased energy level. Low grade temp of 99.5 last night. Has Dr's appt today.
Age: 7.0
Sex: M
Vaccine: VARCEL
Symptoms: Pruritus, Skin warm, Swelling
Clinical narrative: Raised, red, itchy, painful, swollen area approx. 4 1/2in x 3in today. Area has tripled in size since yesterday.  Area is warm to the touch.  Has been getting Motrin, Benadryl, and Zyrtec at home. Pt. has no appetite and decreased energy level. Low grade temp of 99.5 last night. Has Dr's appt today.
Age: 0.21
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Faeces discoloured, Haematochezia, Intussusception, Lethargy, Mucous stools
Clinical narrative: lethargy, fever, vomiting, currant jelly colored mucousy stools / confirmed proximal transverse colon intususception. 09/02/2008 MR received for DOS 8/7-8/2008 with D/C DX:  Intussusception. Pt presented with 1 day hx of fever, vomiting and dark colored emesis as well as dark, foul smelling stool. In ER had Guaiac (+) currant jelly stool. Transfered to higher level of care.  IS of the transverse colon was dx and reduced by air contrast enema.  Pt remained stable, po progressed and d/c next day.
Age: 0.21
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Pyrexia, Vomiting
Clinical narrative: lethargy, fever, vomiting, currant jelly colored mucousy stools / confirmed proximal transverse colon intususception. 09/02/2008 MR received for DOS 8/7-8/2008 with D/C DX:  Intussusception. Pt presented with 1 day hx of fever, vomiting and dark colored emesis as well as dark, foul smelling stool. In ER had Guaiac (+) currant jelly stool. Transfered to higher level of care.  IS of the transverse colon was dx and reduced by air contrast enema.  Pt remained stable, po progressed and d/c next day.
Age: 4.0
Sex: F
Vaccine: DTAP
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth, Pain, Pruritus
Clinical narrative: Pt C/O red, swelling at site and hot to the touch, itchy, soarness.
Age: 5.0
Sex: M
Vaccine: IPV, VARZOS
Symptoms: Wrong drug administered
Clinical narrative: Patient was given Zostavax in error instead of the second dose of Varivax. Patient had no adverse effects to this error and CDC stated that there were no contraindications and that the Zostavax does count as a valid dose of Varicella.
Age: 11.0
Sex: F
Vaccine: HPV4, TTOX
Symptoms: Injection site swelling, Rash macular
Clinical narrative: GARDASIL GIVEN 8/6/08 IN RIGHT ARM. CAME IN ON 8/8/08 WITH SPECKLED RASH ON PLAM OF RIGHT HAND, SWOLLEN MILD UPPER RIGHT ARM WHERE SHOT WAS GIVEN. NOT PAINFUL, NO SIGNS OF INFECTION.
Age: 21.0
Sex: M
Vaccine: MNQ
Symptoms: Computerised tomogram normal, Full blood count, Headache, Nausea, Vision blurred
Clinical narrative: Pt came in for Meningoccal vaccine on 8-4-08 @ 10:50am.  Denied having neurological s+s after any previous vaccine and denied ever having GBS.  On written consent denied allergies to latex too.  Pt called and came in on 8/6/08 stating,"I've had a terrible headache with nausea and blurred vision."  Pt evaluated by Dr and was referred to the ER for evaluation.  On 8-7-08 Pt was called and he stated,"CT Scan negative and blood work did not show any infection. Refused spinal tap."  Had no further blurred vision or nausea  but continues with headache.  On 8-8-08 spoke with patient and states, "I'm feeling better."
Age: 9.0
Sex: F
Vaccine: VARCEL
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling
Clinical narrative: Injection site reaction with swelling, redness and itching.
Age: 23.0
Sex: F
Vaccine: HPV4
Symptoms: Body temperature increased, Chills, Dizziness, Loss of consciousness, Nausea
Clinical narrative: I is a few months After my daughter has rcieved the gardasil shot. On several occassions she has become sick out of the clear blue.  She will get a wave of nausea, faintness and dizziness.  After she vomits she will get the chills and a low grade temp. She is a otherwise healthy, athletic female. In the last three weeks this has occurred twice, however we have not kept track until recently, but there have been other episode of the same prior to the last few. After she recieved the first vaccination she passed out in the doctors office.
Age: 23.0
Sex: F
Vaccine: HPV4
Symptoms: Syncope, Vomiting
Clinical narrative: I is a few months After my daughter has rcieved the gardasil shot. On several occassions she has become sick out of the clear blue.  She will get a wave of nausea, faintness and dizziness.  After she vomits she will get the chills and a low grade temp. She is a otherwise healthy, athletic female. In the last three weeks this has occurred twice, however we have not kept track until recently, but there have been other episode of the same prior to the last few. After she recieved the first vaccination she passed out in the doctors office.
Age: 11.0
Sex: M
Vaccine: TDAP, VARCEL
Symptoms: Incorrect route of drug administration, Injection site erythema, Injection site nodule, Injection site oedema, Injection site warmth
Clinical narrative: On 8/8/08 pt received TDAP and Varicella in right arm.  Varicella was given IM instead of SQ.  Noted 20 X 30 mm nodule with redness, edema, warm to touch to both sites.  I notifed immunization organization of the incident.  Dr. ordered Tylenol, ice, and Benadryl for treatment.
Age: 13.0
Sex: F
Vaccine: HEPA
Symptoms: Asthenia, Blood product transfusion, CSF protein increased, CSF white blood cell count increased, Electromyogram abnormal
Clinical narrative: Pt developed progressive weakness approx 10 days post her 2nd Hep A vaccine. Subsequently admitted to PICU 1 week later (7/28/08) with severe gen weakness, hypertension, parasthesias, and dx of Guillain Barre Syndrome. Received IVIG, now improving. Call for further details.  8/29/08 Reviewed hospital medical records of 7/28-8/12/2008. FINAL DX: Guillain Barre syndrome Records reveal patient experienced pain & tingling of hand/feet x 6 days then developed nausea & vomiting.  Seen in outside ER, dx w/UTI & started on oral antibiotics.  At home, developed ascending paralysis.  Returned to ER & transferred to higher level of care.  Reflexes absent in LEs, was notably weakin all extremities & unable to sit or stand. In PICU, tx w/IVIG.  LP done. NGT placed for abdominal distention.  Neuro consult done.  Improved slowly, was unable to perform ADLs & d/c to home with additional rehab.
Age: 13.0
Sex: F
Vaccine: HEPA
Symptoms: Guillain-Barre syndrome, Hypertension, Paraesthesia, Polyneuropathy
Clinical narrative: Pt developed progressive weakness approx 10 days post her 2nd Hep A vaccine. Subsequently admitted to PICU 1 week later (7/28/08) with severe gen weakness, hypertension, parasthesias, and dx of Guillain Barre Syndrome. Received IVIG, now improving. Call for further details.  8/29/08 Reviewed hospital medical records of 7/28-8/12/2008. FINAL DX: Guillain Barre syndrome Records reveal patient experienced pain & tingling of hand/feet x 6 days then developed nausea & vomiting.  Seen in outside ER, dx w/UTI & started on oral antibiotics.  At home, developed ascending paralysis.  Returned to ER & transferred to higher level of care.  Reflexes absent in LEs, was notably weakin all extremities & unable to sit or stand. In PICU, tx w/IVIG.  LP done. NGT placed for abdominal distention.  Neuro consult done.  Improved slowly, was unable to perform ADLs & d/c to home with additional rehab.
Age: 33.0
Sex: F
Vaccine: TDAP
Symptoms: Abdominal pain, Anorexia, Appendicectomy, Fatigue, Nausea
Clinical narrative: Nausea, fatigue and loss of appetite a few hours after injection on Friday.  Felt terrible until I woke up Sunday morning with severe abdominal pain and vomiting.  I had an appendectomy Sunday night.  9/10/2008 MR received for DOS 8/3-4/2008 with D/C DX: Appendicitis.  Pt presented with 1 day hx of RLQ/umbilical abdominal pain, nausea and vomiting.  P$E (+) for McBurney's point tenderness and epigastric tenderness. Taken to OR for laparoscopic appendectomy.  appendix was thickened and mildly inflamed.
Age: 33.0
Sex: F
Vaccine: TDAP
Symptoms: Vomiting
Clinical narrative: Nausea, fatigue and loss of appetite a few hours after injection on Friday.  Felt terrible until I woke up Sunday morning with severe abdominal pain and vomiting.  I had an appendectomy Sunday night.  9/10/2008 MR received for DOS 8/3-4/2008 with D/C DX: Appendicitis.  Pt presented with 1 day hx of RLQ/umbilical abdominal pain, nausea and vomiting.  P$E (+) for McBurney's point tenderness and epigastric tenderness. Taken to OR for laparoscopic appendectomy.  appendix was thickened and mildly inflamed.
Age: 50.0
Sex: F
Vaccine: DT
Symptoms: Erythema, Pain, Pyrexia, Tenderness
Clinical narrative: C/O REDNESS AND TENDERNESS TO R ARM BUT HAD BODY ACHES WITH FEVER >100 X 24 HOURS -
Age: 25.0
Sex: F
Vaccine: HEP
Symptoms: Blood pressure fluctuation, Dizziness, Hallucination, Loss of consciousness, Nausea
Clinical narrative: Hallucinations, nausea, vomiting, passed out, BP fluctuations, dizzy
Age: 25.0
Sex: F
Vaccine: HEP
Symptoms: Vomiting
Clinical narrative: Hallucinations, nausea, vomiting, passed out, BP fluctuations, dizzy
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, VARCEL
Symptoms: Drooling, Musculoskeletal discomfort, Pharyngeal oedema, Screaming
Clinical narrative: Mom called state child approx 45 minutes - 1 hour child was screaming and holding neck and would not close mouth and began to drool.  Mom reports her throat appeared to be swelling.  She administered liquid Benadryl.  Her condition improved in approx 15 minutes child's condition was fine.  Mother did contact emergency room by phone.
Age: 14.0
Sex: M
Vaccine: TDAP, VARCEL
Symptoms: Blood pressure, Dizziness, Electrocardiogram, Heart rate decreased, Hyperhidrosis
Clinical narrative: Patient felt like passing out, diaphoretic, BP 73/42, HR 43, rr 16
Age: 14.0
Sex: M
Vaccine: TDAP, VARCEL
Symptoms: Respiratory rate
Clinical narrative: Patient felt like passing out, diaphoretic, BP 73/42, HR 43, rr 16
Age: 16.0
Sex: F
Vaccine: HPV4, MNQ, TDAP
Symptoms: Abdominal pain, Arthralgia, Dizziness, Immediate post-injection reaction, Nausea
Clinical narrative: Immunizations given at app. 3 pm, and immediately after administration of vaccines, patient c/o feeling light-headed.  Had client lie down, ice pack to forehead & back of neck, feet elevated, and observed for about 30-45 minutes before she felt she was able to leave with her mother.  Clt & mother had been given copies of VIS along with verbal& written info regarding possible side effects and action to take if side effects occured.  Mother to call agency in am.  Mother called on 8/8/08 to report that daughter still feeling dizzy, having abdominal cramps, that both hips were hurting, and that she felt feverish.  Mother denied that client was nauseated, and that she had been able to eat this am. Instructed to continue to allow daughter to rest, push fluids, give Tylenol and observe, and if concerned, needs to see medical provider.  Received call from ER about 11:30 am, and patient had been taken to ER by her mother.  ER personnel reported that she had severe dizziness, bilateral leg pain, and nausea & vomitting, and was hospitalized for observation.  8/15/08 Reviewed ER records of 8/8/08. FINAL DX: immunization reaction Records reveal patient experienced dizziness, lightheadedness, felt faint immediately after receiveing vaccination.  Recovered & went to work but recurred w/leg pain & had to leave work.  Symptoms persisted next day & went to ER.  In ER had nausea, anterior bilateral leg pain, left arm pain, upper abdominal pain, HA, felt sick & achy.  Held for observation.
Age: 16.0
Sex: F
Vaccine: HPV4, MNQ, TDAP
Symptoms: Pain in extremity, Pyrexia, Vomiting
Clinical narrative: Immunizations given at app. 3 pm, and immediately after administration of vaccines, patient c/o feeling light-headed.  Had client lie down, ice pack to forehead & back of neck, feet elevated, and observed for about 30-45 minutes before she felt she was able to leave with her mother.  Clt & mother had been given copies of VIS along with verbal& written info regarding possible side effects and action to take if side effects occured.  Mother to call agency in am.  Mother called on 8/8/08 to report that daughter still feeling dizzy, having abdominal cramps, that both hips were hurting, and that she felt feverish.  Mother denied that client was nauseated, and that she had been able to eat this am. Instructed to continue to allow daughter to rest, push fluids, give Tylenol and observe, and if concerned, needs to see medical provider.  Received call from ER about 11:30 am, and patient had been taken to ER by her mother.  ER personnel reported that she had severe dizziness, bilateral leg pain, and nausea & vomitting, and was hospitalized for observation.  8/15/08 Reviewed ER records of 8/8/08. FINAL DX: immunization reaction Records reveal patient experienced dizziness, lightheadedness, felt faint immediately after receiveing vaccination.  Recovered & went to work but recurred w/leg pain & had to leave work.  Symptoms persisted next day & went to ER.  In ER had nausea, anterior bilateral leg pain, left arm pain, upper abdominal pain, HA, felt sick & achy.  Held for observation.
Age: 0.3
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RVX
Symptoms: Blood test, Computerised tomogram, Convulsion, Dyspnoea, Electrocardiogram
Clinical narrative: Patient had 3 seizures following her vaccinations. This took place approximately 18 hours after the vaccinations were administered. She had a mild fever (99.8-100.6) and had swelling in both of her thighs and reddness at the injection sites. The first seizure happened 10 minutes before the second, and then five minutes later the third happened. She gasped for air after each episode. She was upset after each one but seemingly normal. 911 was called and she was transported to Medical Center in stable condition. She was then transferred to another hospital. She had a spinal tap, CT scan of the head, blood work,  08/21/2008 MR received for DOS 8/05-06/2008 with no final dx. Admitted for seizure-like activity 18 hrs following 4 mon vax. Mother noted pt with arched back, shaking all 4 extremities, eyes gazing right. Appeared to have stopped breathing, then gasping and crying. 2nd episode 10 minutes later and 3rd 5 minutes after that. No further episodes. Had one vomiting/diarrhea episode prior to admission. PE (+) for injection site pain and swelling. Developed continued vomiting and diarrhea during stay, otherwise no further seizure like episodes. EEG to be done as outpt.
Age: 0.3
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RVX
Symptoms: Injection site erythema, Oedema peripheral, Pyrexia
Clinical narrative: Patient had 3 seizures following her vaccinations. This took place approximately 18 hours after the vaccinations were administered. She had a mild fever (99.8-100.6) and had swelling in both of her thighs and reddness at the injection sites. The first seizure happened 10 minutes before the second, and then five minutes later the third happened. She gasped for air after each episode. She was upset after each one but seemingly normal. 911 was called and she was transported to Medical Center in stable condition. She was then transferred to another hospital. She had a spinal tap, CT scan of the head, blood work,  08/21/2008 MR received for DOS 8/05-06/2008 with no final dx. Admitted for seizure-like activity 18 hrs following 4 mon vax. Mother noted pt with arched back, shaking all 4 extremities, eyes gazing right. Appeared to have stopped breathing, then gasping and crying. 2nd episode 10 minutes later and 3rd 5 minutes after that. No further episodes. Had one vomiting/diarrhea episode prior to admission. PE (+) for injection site pain and swelling. Developed continued vomiting and diarrhea during stay, otherwise no further seizure like episodes. EEG to be done as outpt.
Age: 15.0
Sex: F
Vaccine: MNQ
Symptoms: Arthralgia, Joint swelling, Rash generalised, Serum sickness, Urine analysis normal
Clinical narrative: Pt was treated in the ER for Serum Sickness Reaction. She presented with swelling and pain of ankles and rash over body  11/7/08 Reviewed ER medical records of 6/20/2008. FINAL DX: Serum sickness secondary to menactra Records reveal patient experienced HA, generalized maculopapular rash, painful ankle swelling w/erythema & limping x 4 days, chest pain on palpation x 1 day w/cervical lymphadenopathy & sleep disturbed due to pain. Tx w/meds.  D/C to home w/PCP f/u.
Age: 1.6
Sex: M
Vaccine: DTAPHEPBIP, MEA, MMR, VARCEL
Symptoms: Ear infection, Inappropriate schedule of drug administration, Malaise
Clinical narrative: The doctor ignored the second page of shots that we gave her showing all of the shots that my son had. She then procceeded to give duplicate shots of DTAP,MMR,VARIX (?) AND MTX along with TB shot. Once we realized she did not give him his 18 months shots, that we went in there for, she denied we gave her both sheets of paper (that she had in her hands) and said we needed to bring him back in 3 days later to get the 18 month shots. He still has not had the 18 months hots because he got really sick a week later and we are too afraid of what resulted from those duplicate shots.
Age: 16.0
Sex: F
Vaccine: HPV4
Symptoms: Erythema, Pain, Swelling
Clinical narrative: SWELLING AND REDNESS AND PAIN LASTING 6 WEEKS POST 3RD DOSE OF GARDASIL GIVEN ON LEFT DELTOID, IM
Age: 0.2
Sex: M
Vaccine: DTAP, HIBV
Symptoms: Autism, Chemotherapy, Gastric disorder, Pertussis, Pyrexia
Clinical narrative: Patient should never have had a immunization. He had Hypogammaglobulinemia and was given immunizations that had to be given to him a second time. He would never have received any if I new what I now know. He was diagnosed with Pertussis after receiving the DPT he was hospitalized at that time. He had fever with all of his immunizations. Julius also has been diagnosed with Autism and  sever stomach illness he is currently on Chemo treatment for his stomach illness at this time. God Bless my son  Prevention for my son and other children with Hypogamnaglobulinemia is a simple blood test. I feel all children should be tested before giving immunizations.
Age: 16.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Cardiac arrest, Computerised tomogram, Convulsion, Cough, Death
Clinical narrative: To Whom It May Concern: My daughter went to our nurse practitioner at Health Care Center on March 31, 2008 for a sore throat. She complained of her throat for about two days prior. Pt would get pharyngitis and strep about twice a year since she was 13. She received a shot of ROCEPHIN in the office on March 31st as well she was given a prescription for ZITHROMAX (Z-PAK) at the same time. I'm not sure exactly what time her appointment was it was around 11:00 am. that day. She dropped off her prescription at the pharmacy and I picked up on my way home. She took her first dose of ZITHROMAX on the 31st. She stayed home from school the next two days. She slept late both days which is not abnormal for her. In the evenings we played rummy, she was congested and coughing a little. She complained of a headache the next night and I gave her some ibuprofen. On Wednesday April 3rd she went to school, (school gets out at 3:05 p.m.) after school she went to tract practice. Her tract practice was a short one, I know she ran but I'm not sure how much. She stopped at a convenience store on the way home from school and got a Red Bull. She went home and changed clothes for work. She called me between 4:30 and 5:00 p.m. on her way to work to tell me about the road being blocked due to rain where we live. She parked her car and was walking the short distance into where she works she collapsed and started seizing. A lady in the drive through told the owner that she had fallen and he went out immediately. He said she was shaking, the employees inside called 911 and then me. The owner told me she stopped shaking and took a few strained breaths and then went limp. The police officer arrive within three minutes, he was a first responder. He did not check for a pulse or attempt CPR (I am in the process of getting a police report as well). Just as I got there an off duty paramedic arrived and started CPR. It took quite awhile before the ambulance arrived; she had been down too long. I later learned that they did not get her heart started until just before the ambulance arrived at the hospital. Pt officially died on April 7th, the decision was made on April 6th that she become an organ donor. My daughter was a very healthy, vibrant, and beautiful person! Any other information you need I will do my best to provide. I STILL have not received the autopsy report. I did talk to them Friday and they said it would be within the next two weeks. Sincerely, pt's mother  9/19/08 Autopsy report states COD as apparent cardiac rhythm disturbance of undetermined etiology.  Report states pathologic findings of: hx of sudden fall & cardiac arrest; subgaleal hemorrhage, fontoparietal scalp; tongue abrasions c/w tooth marks; hx of recent illness; agonal seizures; bilateral cerebral edema; catecholamine induced myotoxicity; bilatreral lobar pneumonia; organ & tissue harvesting.
Age: 16.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Dyspnoea, Fall, Headache, Hypotonia, Laboratory test
Clinical narrative: To Whom It May Concern: My daughter went to our nurse practitioner at Health Care Center on March 31, 2008 for a sore throat. She complained of her throat for about two days prior. Pt would get pharyngitis and strep about twice a year since she was 13. She received a shot of ROCEPHIN in the office on March 31st as well she was given a prescription for ZITHROMAX (Z-PAK) at the same time. I'm not sure exactly what time her appointment was it was around 11:00 am. that day. She dropped off her prescription at the pharmacy and I picked up on my way home. She took her first dose of ZITHROMAX on the 31st. She stayed home from school the next two days. She slept late both days which is not abnormal for her. In the evenings we played rummy, she was congested and coughing a little. She complained of a headache the next night and I gave her some ibuprofen. On Wednesday April 3rd she went to school, (school gets out at 3:05 p.m.) after school she went to tract practice. Her tract practice was a short one, I know she ran but I'm not sure how much. She stopped at a convenience store on the way home from school and got a Red Bull. She went home and changed clothes for work. She called me between 4:30 and 5:00 p.m. on her way to work to tell me about the road being blocked due to rain where we live. She parked her car and was walking the short distance into where she works she collapsed and started seizing. A lady in the drive through told the owner that she had fallen and he went out immediately. He said she was shaking, the employees inside called 911 and then me. The owner told me she stopped shaking and took a few strained breaths and then went limp. The police officer arrive within three minutes, he was a first responder. He did not check for a pulse or attempt CPR (I am in the process of getting a police report as well). Just as I got there an off duty paramedic arrived and started CPR. It took quite awhile before the ambulance arrived; she had been down too long. I later learned that they did not get her heart started until just before the ambulance arrived at the hospital. Pt officially died on April 7th, the decision was made on April 6th that she become an organ donor. My daughter was a very healthy, vibrant, and beautiful person! Any other information you need I will do my best to provide. I STILL have not received the autopsy report. I did talk to them Friday and they said it would be within the next two weeks. Sincerely, pt's mother  9/19/08 Autopsy report states COD as apparent cardiac rhythm disturbance of undetermined etiology.  Report states pathologic findings of: hx of sudden fall & cardiac arrest; subgaleal hemorrhage, fontoparietal scalp; tongue abrasions c/w tooth marks; hx of recent illness; agonal seizures; bilateral cerebral edema; catecholamine induced myotoxicity; bilatreral lobar pneumonia; organ & tissue harvesting.
Age: 16.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Loss of consciousness, Respiratory tract congestion, Syncope, Tremor, Upper respiratory tract congestion
Clinical narrative: To Whom It May Concern: My daughter went to our nurse practitioner at Health Care Center on March 31, 2008 for a sore throat. She complained of her throat for about two days prior. Pt would get pharyngitis and strep about twice a year since she was 13. She received a shot of ROCEPHIN in the office on March 31st as well she was given a prescription for ZITHROMAX (Z-PAK) at the same time. I'm not sure exactly what time her appointment was it was around 11:00 am. that day. She dropped off her prescription at the pharmacy and I picked up on my way home. She took her first dose of ZITHROMAX on the 31st. She stayed home from school the next two days. She slept late both days which is not abnormal for her. In the evenings we played rummy, she was congested and coughing a little. She complained of a headache the next night and I gave her some ibuprofen. On Wednesday April 3rd she went to school, (school gets out at 3:05 p.m.) after school she went to tract practice. Her tract practice was a short one, I know she ran but I'm not sure how much. She stopped at a convenience store on the way home from school and got a Red Bull. She went home and changed clothes for work. She called me between 4:30 and 5:00 p.m. on her way to work to tell me about the road being blocked due to rain where we live. She parked her car and was walking the short distance into where she works she collapsed and started seizing. A lady in the drive through told the owner that she had fallen and he went out immediately. He said she was shaking, the employees inside called 911 and then me. The owner told me she stopped shaking and took a few strained breaths and then went limp. The police officer arrive within three minutes, he was a first responder. He did not check for a pulse or attempt CPR (I am in the process of getting a police report as well). Just as I got there an off duty paramedic arrived and started CPR. It took quite awhile before the ambulance arrived; she had been down too long. I later learned that they did not get her heart started until just before the ambulance arrived at the hospital. Pt officially died on April 7th, the decision was made on April 6th that she become an organ donor. My daughter was a very healthy, vibrant, and beautiful person! Any other information you need I will do my best to provide. I STILL have not received the autopsy report. I did talk to them Friday and they said it would be within the next two weeks. Sincerely, pt's mother  9/19/08 Autopsy report states COD as apparent cardiac rhythm disturbance of undetermined etiology.  Report states pathologic findings of: hx of sudden fall & cardiac arrest; subgaleal hemorrhage, fontoparietal scalp; tongue abrasions c/w tooth marks; hx of recent illness; agonal seizures; bilateral cerebral edema; catecholamine induced myotoxicity; bilatreral lobar pneumonia; organ & tissue harvesting.
Age: 16.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: X-ray
Clinical narrative: To Whom It May Concern: My daughter went to our nurse practitioner at Health Care Center on March 31, 2008 for a sore throat. She complained of her throat for about two days prior. Pt would get pharyngitis and strep about twice a year since she was 13. She received a shot of ROCEPHIN in the office on March 31st as well she was given a prescription for ZITHROMAX (Z-PAK) at the same time. I'm not sure exactly what time her appointment was it was around 11:00 am. that day. She dropped off her prescription at the pharmacy and I picked up on my way home. She took her first dose of ZITHROMAX on the 31st. She stayed home from school the next two days. She slept late both days which is not abnormal for her. In the evenings we played rummy, she was congested and coughing a little. She complained of a headache the next night and I gave her some ibuprofen. On Wednesday April 3rd she went to school, (school gets out at 3:05 p.m.) after school she went to tract practice. Her tract practice was a short one, I know she ran but I'm not sure how much. She stopped at a convenience store on the way home from school and got a Red Bull. She went home and changed clothes for work. She called me between 4:30 and 5:00 p.m. on her way to work to tell me about the road being blocked due to rain where we live. She parked her car and was walking the short distance into where she works she collapsed and started seizing. A lady in the drive through told the owner that she had fallen and he went out immediately. He said she was shaking, the employees inside called 911 and then me. The owner told me she stopped shaking and took a few strained breaths and then went limp. The police officer arrive within three minutes, he was a first responder. He did not check for a pulse or attempt CPR (I am in the process of getting a police report as well). Just as I got there an off duty paramedic arrived and started CPR. It took quite awhile before the ambulance arrived; she had been down too long. I later learned that they did not get her heart started until just before the ambulance arrived at the hospital. Pt officially died on April 7th, the decision was made on April 6th that she become an organ donor. My daughter was a very healthy, vibrant, and beautiful person! Any other information you need I will do my best to provide. I STILL have not received the autopsy report. I did talk to them Friday and they said it would be within the next two weeks. Sincerely, pt's mother  9/19/08 Autopsy report states COD as apparent cardiac rhythm disturbance of undetermined etiology.  Report states pathologic findings of: hx of sudden fall & cardiac arrest; subgaleal hemorrhage, fontoparietal scalp; tongue abrasions c/w tooth marks; hx of recent illness; agonal seizures; bilateral cerebral edema; catecholamine induced myotoxicity; bilatreral lobar pneumonia; organ & tissue harvesting.
Age: 16.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Dyspnoea, Fall, Headache, Hypotonia, Loss of consciousness
Clinical narrative: To Whom It May Concern: My daughter went to our nurse practitioner at Health Care Center on March 31, 2008 for a sore throat. She complained of her throat for about two days prior. Pt would get pharyngitis and strep about twice a year since she was 13. She received a shot of ROCEPHIN in the office on March 31st as well she was given a prescription for ZITHROMAX (Z-PAK) at the same time. I'm not sure exactly what time her appointment was it was around 11:00 am. that day. She dropped off her prescription at the pharmacy and I picked up on my way home. She took her first dose of ZITHROMAX on the 31st. She stayed home from school the next two days. She slept late both days which is not abnormal for her. In the evenings we played rummy, she was congested and coughing a little. She complained of a headache the next night and I gave her some ibuprofen. On Wednesday April 3rd she went to school, (school gets out at 3:05 p.m.) after school she went to tract practice. Her tract practice was a short one, I know she ran but I'm not sure how much. She stopped at a convenience store on the way home from school and got a Red Bull. She went home and changed clothes for work. She called me between 4:30 and 5:00 p.m. on her way to work to tell me about the road being blocked due to rain where we live. She parked her car and was walking the short distance into where she works she collapsed and started seizing. A lady in the drive through told the owner that she had fallen and he went out immediately. He said she was shaking, the employees inside called 911 and then me. The owner told me she stopped shaking and took a few strained breaths and then went limp. The police officer arrive within three minutes, he was a first responder. He did not check for a pulse or attempt CPR (I am in the process of getting a police report as well). Just as I got there an off duty paramedic arrived and started CPR. It took quite awhile before the ambulance arrived; she had been down too long. I later learned that they did not get her heart started until just before the ambulance arrived at the hospital. Pt officially died on April 7th, the decision was made on April 6th that she become an organ donor. My daughter was a very healthy, vibrant, and beautiful person! Any other information you need I will do my best to provide. I STILL have not received the autopsy report. I did talk to them Friday and they said it would be within the next two weeks. Sincerely, pt's mother  9/19/08 Autopsy report states COD as apparent cardiac rhythm disturbance of undetermined etiology.  Report states pathologic findings of: hx of sudden fall & cardiac arrest; subgaleal hemorrhage, fontoparietal scalp; tongue abrasions c/w tooth marks; hx of recent illness; agonal seizures; bilateral cerebral edema; catecholamine induced myotoxicity; bilatreral lobar pneumonia; organ & tissue harvesting.
Age: 16.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Respiratory tract congestion, Syncope, Tremor, Upper respiratory tract congestion, X-ray
Clinical narrative: To Whom It May Concern: My daughter went to our nurse practitioner at Health Care Center on March 31, 2008 for a sore throat. She complained of her throat for about two days prior. Pt would get pharyngitis and strep about twice a year since she was 13. She received a shot of ROCEPHIN in the office on March 31st as well she was given a prescription for ZITHROMAX (Z-PAK) at the same time. I'm not sure exactly what time her appointment was it was around 11:00 am. that day. She dropped off her prescription at the pharmacy and I picked up on my way home. She took her first dose of ZITHROMAX on the 31st. She stayed home from school the next two days. She slept late both days which is not abnormal for her. In the evenings we played rummy, she was congested and coughing a little. She complained of a headache the next night and I gave her some ibuprofen. On Wednesday April 3rd she went to school, (school gets out at 3:05 p.m.) after school she went to tract practice. Her tract practice was a short one, I know she ran but I'm not sure how much. She stopped at a convenience store on the way home from school and got a Red Bull. She went home and changed clothes for work. She called me between 4:30 and 5:00 p.m. on her way to work to tell me about the road being blocked due to rain where we live. She parked her car and was walking the short distance into where she works she collapsed and started seizing. A lady in the drive through told the owner that she had fallen and he went out immediately. He said she was shaking, the employees inside called 911 and then me. The owner told me she stopped shaking and took a few strained breaths and then went limp. The police officer arrive within three minutes, he was a first responder. He did not check for a pulse or attempt CPR (I am in the process of getting a police report as well). Just as I got there an off duty paramedic arrived and started CPR. It took quite awhile before the ambulance arrived; she had been down too long. I later learned that they did not get her heart started until just before the ambulance arrived at the hospital. Pt officially died on April 7th, the decision was made on April 6th that she become an organ donor. My daughter was a very healthy, vibrant, and beautiful person! Any other information you need I will do my best to provide. I STILL have not received the autopsy report. I did talk to them Friday and they said it would be within the next two weeks. Sincerely, pt's mother  9/19/08 Autopsy report states COD as apparent cardiac rhythm disturbance of undetermined etiology.  Report states pathologic findings of: hx of sudden fall & cardiac arrest; subgaleal hemorrhage, fontoparietal scalp; tongue abrasions c/w tooth marks; hx of recent illness; agonal seizures; bilateral cerebral edema; catecholamine induced myotoxicity; bilatreral lobar pneumonia; organ & tissue harvesting.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Wheezing
Clinical narrative: 15 mins after giving DTaP, IPV & MMR, patient started wheezing.  Treatments 1 ORAPRED 30mg PO given, 2 BENADRYL 12.5mg PO given, 3 2, albuterol neb treatments given.  9/26/08 REviewed ER medical records of 8/4/2008. FINAL DX: allergic reaction Records reveal patient experienced wheezing, vomiting, itching, papular facial rash immediately after injections in PCP office.  Tx in office w/benadryl, steroids & nebs.  In ER, sleepy but improved.  Tx w/IV Benadryl & pepcid.  Responded well & d/c to home.
Age: 15.0
Sex: F
Vaccine: HEPA, HPV4, MNQ
Symptoms: Convulsion, Immediate post-injection reaction, Loss of consciousness
Clinical narrative: Patient passed out immediately following receiving the vaccine and then she had 2 30 second generalized seizure.
Age: 12.0
Sex: F
Vaccine: HPV4, MNQ
Symptoms: Dizziness, Dyskinesia, Headache, Immediate post-injection reaction, Loss of consciousness
Clinical narrative: Received MENACTRA & GARDASIL - 5 mins later passed out & had jerking of arms & legs.  Came to when lied down.  Since then having headaches, dizziness & low grade fever.
Age: 12.0
Sex: F
Vaccine: HPV4, MNQ
Symptoms: Pyrexia
Clinical narrative: Received MENACTRA & GARDASIL - 5 mins later passed out & had jerking of arms & legs.  Came to when lied down.  Since then having headaches, dizziness & low grade fever.
Age: 16.0
Sex: F
Vaccine: HPV4, MNQ, TDAP
Symptoms: Dizziness, Headache, Loss of consciousness, Pyrexia, Tremor
Clinical narrative: 5-7 mins after vaccination passed out and had shaking of arms and leg for few secs. Still having intermittent dizziness, headaches, low grade fever since then
Age: 11.0
Sex: F
Vaccine: MNQ, TDAP, VARCEL
Symptoms: Erythema, Oedema peripheral, Pain in extremity, Skin warm
Clinical narrative: R arm red, swollen & hot to touch accompanied by pain.
Age: 63.0
Sex: F
Vaccine: TDAP
Symptoms: Chills, Diarrhoea, Headache, Pyrexia, Vomiting
Clinical narrative: Diarrhea, chills, fever, headache, vomiting.
Age: 18.0
Sex: F
Vaccine: HPV4
Symptoms: Syncope
Clinical narrative: Syncope episode after GARDASIL vacc.
Age: 16.0
Sex: F
Vaccine: HPV4, TDAP
Symptoms: Anogenital warts, Cervical dysplasia
Clinical narrative: Pt had a genital wart on exam 2/20/07 that is again present on exam 8/8/8 and her mother feels that because warts come & go that the child "got some bad vaccine".
Age: 27.0
Sex: F
Vaccine: ANTH, MNQ
Symptoms: Erythema, Local reaction, Oedema peripheral, Pain in extremity
Clinical narrative: Anthrax vaccine given 7/28/08 presented 2 day later with a moderate size local reaction on left deltoid.  Redness & swelling & pain 7x5cm.
Age: 12.0
Sex: M
Vaccine: DTAP, MNQ, VARCEL
Symptoms: Dizziness, Injection site pain, Pyrexia, Wrong drug administered
Clinical narrative: 12 yr old pt was mistakenly given a DTaP instead of a Tdap.  Almost immediately complained of excess pain at injection site.  Felt faint recovered in office.  1-2 days of fever and injection site pain followed.
Age: 61.0
Sex: F
Vaccine: TD
Symptoms: Injection site nodule, Injection site pain
Clinical narrative: 1 week after vaccine given, patient noted 2" diameter tender nodule at site of injection. 6 days after first noted, area "pea" size and tender. No erythema.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Eczema, Erythema, Induration
Clinical narrative: Right posterior thigh with 3cm area erythema with very mild induration, no warmth, not tender to palpation, skin otherwise without rash or lesion except for eczema to arms and legs bilaterally.
Age: 1.03
Sex: M
Vaccine: HEPA, MMR, VARCEL
Symptoms: Asthenia, Ataxia, Crying, Pyrexia
Clinical narrative: Patient was given MMR, Varicella and Hepatitis A vaccines on 7-28-08. On 8-4-08 he developed weakness, ataxia, excessive abnormal crying and fever. Also had fever. Symptoms lasted about 48 hours. He is better today but still slightly ataxic.
Age: 65.0
Sex: F
Vaccine: VARZOS
Symptoms: Asthenia, Cold sweat, Eye rolling, Haemoglobin decreased, Heart rate decreased
Clinical narrative: Patient became weak clammy and sweaty after administration of shot - Eyes rolled back into head and last consciousness for several seconds; Pulse low; HB low - Paramedic responds
Age: 65.0
Sex: F
Vaccine: VARZOS
Symptoms: Hyperhidrosis, Loss of consciousness
Clinical narrative: Patient became weak clammy and sweaty after administration of shot - Eyes rolled back into head and last consciousness for several seconds; Pulse low; HB low - Paramedic responds
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Erythema, Oedema peripheral, Skin warm
Clinical narrative: Pt's arm red, swollen, and warm to touch.  Pt advised to use ice packs.
Age: 1.1
Sex: M
Vaccine: DTAPHEPBIP, HEPA, HIBV, MMR, PNC, VARCEL
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: Administered 4th PEDIARIX.
Age: 1.6
Sex: F
Vaccine: DTAP, HIBV, DTAP, HIBV
Symptoms: Oedema peripheral, Tenderness
Clinical narrative: Sudden increase in girth of thigh to 2cm> than other leg within 6 hrs of injection.  Mild tenderness, no fluctuation no palpable mass.
Age: 1.6
Sex: F
Vaccine: DTAP, HIBV, DTAP, HIBV
Symptoms: Injection site pain, Injection site swelling
Clinical narrative: Sudden increase in girth of thigh to 2cm> than other leg within 6 hrs of injection.  Mild tenderness, no fluctuation no palpable mass.
Age: 2.0
Sex: M
Vaccine: DTAP, HIBV
Symptoms: Erythema, Oedema peripheral
Clinical narrative: Sudden swelling & redness of the thigh up to knee.  No fluctuation increased redness no pain or fluctuation.
Age: 66.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth, Pruritus
Clinical narrative: Vaccine was administered on 8/6/08 & patient had no reaction until 8/8/08.  Reaction was a 6in red, raised area around injection site which was warm & patient itched.
Age: 1.5
Sex: M
Vaccine: HEPA, HIBV
Symptoms: Rash macular
Clinical narrative: Lacy non raised rash on body/extremities 4-5 hrs. after receiving HAV & HiB vaccine.  Rash resolved after few hours.  Mom just now informing us of rash.
Age: 14.0
Sex: M
Vaccine: VARCEL
Symptoms: Pruritus, Rash vesicular, Scab, Skin lesion
Clinical narrative: Frank chicken pox rash. Itchy, vesicular, different crops, some scabbed >400 Lesions
Age: 1.03
Sex: M
Vaccine: MMR
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: The area around administration of th MMR vaccine became red slightly swollen and tender. He was monitored for 30 min with no change and resp distress.
Age: 86.0
Sex: F
Vaccine: VARZOS
Symptoms: Pain
Clinical narrative: Reeived Shingles Shot July 21, 2008.  Thought I had had no reaction to shot; however, two weeks later I had severe intermittent pains on left side behind ear and going forward toward face. It began August 5th. The night of Aug. 6 woke up at 2:30 a.m. with severe pain again and again every minute or so.  Took Tylenol which did not help.  Called Dr. in morning and took Hydrocodone-Apap 5-500 every 6 hours for relief.  Patient after 2 weeks of receiving ZOSTAVAX developed same pain on her right side, and mouth very tender and sore, as when she had shingles on July 2007. Dr. did not think it was shingles. Patient went to visit her primary doctor; he diagnosed her with shingles. She still experiences pain.
Age: 11.0
Sex: M
Vaccine: DTAP, MNQ, VARCEL
Symptoms: Insomnia, Pain in extremity, Pyrexia
Clinical narrative: Sore arms, fever, unable to sleep.  The symptoms started about 10 hours after vaccinations.  Fever was 101.7 about 20 hours after vaccinations.  Ibuprofen and rest for about 8 hours and all symptoms were gone except sore arms.
Age: 64.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Herpes zoster
Clinical narrative: received shingles vaccine and then developed the actual shingles disease.
Age: 64.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Drug administered at inappropriate site, Herpes zoster, Pain, Pyrexia, Rash
Clinical narrative: received shingles vaccine and then developed the actual shingles disease.
Age: 64.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Rash papular
Clinical narrative: received shingles vaccine and then developed the actual shingles disease.
Age: 16.0
Sex: F
Vaccine: HPV4
Symptoms: Abdominal pain upper, Asthenia, Chills, Dizziness, Fatigue
Clinical narrative: Had asthma. HPV shots (9/23/06, 11/24/06, 7/5/07).  1/07 tired, chills, dizzy, stomach ache, sick for one week saw doctor. Addtional appts for body ache, dizzy, vomitting, no energy through 2/07.  3/07 exhausted, sore throat, body aches, sinus. 5/07 chronic fatigue & referred to specialist.  7/26/07 specialist diagnosed fibromyalgia. 9/06 - 2/08 had 13 medical appts. 3/08 passed out in shower, possibly from medication, emergency room treatment.  Through 7/08, multiple specialist appts for treatment and pain management.  08/21/2008 MR received from PCP. Seen 11/24/06 for HPV#2.  Asymptomatic at that time. Frequent OVs beginning 2/9/07 with c/o feeling sick x 1 week-dizzy, H/A, belly pain, tired, chills-hot and cold, nausea, vomited x 2. PE (+) for exudate on tonsils, swollen lymph nodes in neck. Assessment:  Fatigue. Seen again 2/15, 2/21, 2/27 for same sx.  Assessment:  Chronic Fatigue, Achiness. Myositis. OV 3/22/07 with c/o sore throat.  Hyperreflexia noted on exam. Assessment:  Healing myositis, r/o Guillain Barre. H/A, Tiredness. Pharyngitis. Seen 5/9 now dx CFS 2' to post-viral. R/O Fibromyalgia/COD. WCC 7/5/07 with HPV#3. Seen 3/18/08 in f/u to ER for passing out in shower with head trauma/chipped teeth. 4 episodes that day. Lacerations to chin, knee, head. Dx: Syncope. F/u 3/20/08 feeling exhausted, sore w/ H/A. 5/6/08 Dx: Croup, Pharyngitis. 7/3/08 WCC Dx:  Fibromyalgia.  11/13/08 Consultant records received from Rheum. First seen in June 2007 and dx with fibromyalgia.  OV 2/13/08 with report of worsening sx of malaise, fatigue, difficulty sleeping and H/A. PE (+) for joint pain, back pain, myalgias, neck pain, morning stiffness.  Seeing Pain Mgmt and psych for CBT. Seen 4/17/08 in f/u for drop seizure, preceded by nausea and followed by amnesia of event, ?2' to Elavil. Reports muscle pain and daily occipitoparietal band-like H/A. OV 7/30/08 with improving sx. 1/26/2010 Headaches, body pain, physical weakness, loss of stamina. These symptoms are ongoing and have resulted in patient making many life changing actions.