chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 18.0
Sex: F
Vaccine: HEP, HEPA, HPV4, MMR, MNQ, TD, TDAP, VARCEL, HPV4, MNQ
Symptoms: Back pain, Chills, Disseminated intravascular coagulation, Headache, Kidney infection
Clinical narrative: Information have been received from two registered nurses concerning an 18 year old female with no pertinent medical history who on 07-JUL-2009 was vaccinated with a first dose of GARDASIL (lot# 658271/0558X) via subcutaneous route and MENACTRA (lot#U2906AA) concomitantly at separate injection site. Late on 08-JUL-2009, the patient started having chills; on 09-JUL-2009, the patient developed stomach cramps, vomiting, a fever of 103.5, the patient "was very ill". Her arm was sore at the injection site. The patient visited the doctor on 10-JUL-2009 who gave her "a suppository" and put her on ZOFRAN (GlaxoSmithKline), but "it did not do a thing". That night, the patient went to the emergency room where a virus was suspected; later that night, the patient was admitted to hospital. The patient's condition was "very grave". She was shown to have an increased WBC and falling platelets (laboratory values not available), which "indicated that she was having an auto immune response to vaccine". The patient was put on IV LEVAQUIN (Ortho-McNeil) and IV potassium. Her platelet count started to improve after getting LEVAQUIN. The patient was diagnosed with disseminated intravascular coagulation (DIC). A blood test was positive for e-coli. It was reported that "They are not sure where the e-coli came from, whether or not a vaccine was infected with e-coli." Even though there were no symptoms of a bladder infection, the patient was shown to have had a bladder infection which led to a kidney infection which entered the bloodstream causing sepsis (e-coli). The patient was discharged on 15-JUL-2009. The patient was presently feeling better and had had "no fever for 48 hours". The patient's platelet count was better, and she was still feeling nauseous. There were virus tests done while she was at the hospital, but the results had not come back yet. At the time of reporting, the patient was recovering. The symptoms were considered to be immediately life-threatening and disabling by the registered nurse. A lot check has been requested. Additional information has been requested. Hospital name listed.
Age: 18.0
Sex: F
Vaccine: HEP, HEPA, HPV4, MMR, MNQ, TD, TDAP, VARCEL, HPV4, MNQ
Symptoms: Platelet count decreased, Pyrexia, Sepsis, Viral infection, Vomiting
Clinical narrative: Information have been received from two registered nurses concerning an 18 year old female with no pertinent medical history who on 07-JUL-2009 was vaccinated with a first dose of GARDASIL (lot# 658271/0558X) via subcutaneous route and MENACTRA (lot#U2906AA) concomitantly at separate injection site. Late on 08-JUL-2009, the patient started having chills; on 09-JUL-2009, the patient developed stomach cramps, vomiting, a fever of 103.5, the patient "was very ill". Her arm was sore at the injection site. The patient visited the doctor on 10-JUL-2009 who gave her "a suppository" and put her on ZOFRAN (GlaxoSmithKline), but "it did not do a thing". That night, the patient went to the emergency room where a virus was suspected; later that night, the patient was admitted to hospital. The patient's condition was "very grave". She was shown to have an increased WBC and falling platelets (laboratory values not available), which "indicated that she was having an auto immune response to vaccine". The patient was put on IV LEVAQUIN (Ortho-McNeil) and IV potassium. Her platelet count started to improve after getting LEVAQUIN. The patient was diagnosed with disseminated intravascular coagulation (DIC). A blood test was positive for e-coli. It was reported that "They are not sure where the e-coli came from, whether or not a vaccine was infected with e-coli." Even though there were no symptoms of a bladder infection, the patient was shown to have had a bladder infection which led to a kidney infection which entered the bloodstream causing sepsis (e-coli). The patient was discharged on 15-JUL-2009. The patient was presently feeling better and had had "no fever for 48 hours". The patient's platelet count was better, and she was still feeling nauseous. There were virus tests done while she was at the hospital, but the results had not come back yet. At the time of reporting, the patient was recovering. The symptoms were considered to be immediately life-threatening and disabling by the registered nurse. A lot check has been requested. Additional information has been requested. Hospital name listed.
Age: 18.0
Sex: F
Vaccine: HEP, HEPA, HPV4, MMR, MNQ, TD, TDAP, VARCEL, HPV4, MNQ
Symptoms: White blood cell count increased
Clinical narrative: Information have been received from two registered nurses concerning an 18 year old female with no pertinent medical history who on 07-JUL-2009 was vaccinated with a first dose of GARDASIL (lot# 658271/0558X) via subcutaneous route and MENACTRA (lot#U2906AA) concomitantly at separate injection site. Late on 08-JUL-2009, the patient started having chills; on 09-JUL-2009, the patient developed stomach cramps, vomiting, a fever of 103.5, the patient "was very ill". Her arm was sore at the injection site. The patient visited the doctor on 10-JUL-2009 who gave her "a suppository" and put her on ZOFRAN (GlaxoSmithKline), but "it did not do a thing". That night, the patient went to the emergency room where a virus was suspected; later that night, the patient was admitted to hospital. The patient's condition was "very grave". She was shown to have an increased WBC and falling platelets (laboratory values not available), which "indicated that she was having an auto immune response to vaccine". The patient was put on IV LEVAQUIN (Ortho-McNeil) and IV potassium. Her platelet count started to improve after getting LEVAQUIN. The patient was diagnosed with disseminated intravascular coagulation (DIC). A blood test was positive for e-coli. It was reported that "They are not sure where the e-coli came from, whether or not a vaccine was infected with e-coli." Even though there were no symptoms of a bladder infection, the patient was shown to have had a bladder infection which led to a kidney infection which entered the bloodstream causing sepsis (e-coli). The patient was discharged on 15-JUL-2009. The patient was presently feeling better and had had "no fever for 48 hours". The patient's platelet count was better, and she was still feeling nauseous. There were virus tests done while she was at the hospital, but the results had not come back yet. At the time of reporting, the patient was recovering. The symptoms were considered to be immediately life-threatening and disabling by the registered nurse. A lot check has been requested. Additional information has been requested. Hospital name listed.
Age: 18.0
Sex: F
Vaccine: HEP, HEPA, HPV4, MMR, MNQ, TD, TDAP, VARCEL, HPV4, MNQ
Symptoms: Abdominal pain upper, Autoimmune disorder, Bacterial test positive, Body temperature increased, Chills
Clinical narrative: Information have been received from two registered nurses concerning an 18 year old female with no pertinent medical history who on 07-JUL-2009 was vaccinated with a first dose of GARDASIL (lot# 658271/0558X) via subcutaneous route and MENACTRA (lot#U2906AA) concomitantly at separate injection site. Late on 08-JUL-2009, the patient started having chills; on 09-JUL-2009, the patient developed stomach cramps, vomiting, a fever of 103.5, the patient "was very ill". Her arm was sore at the injection site. The patient visited the doctor on 10-JUL-2009 who gave her "a suppository" and put her on ZOFRAN (GlaxoSmithKline), but "it did not do a thing". That night, the patient went to the emergency room where a virus was suspected; later that night, the patient was admitted to hospital. The patient's condition was "very grave". She was shown to have an increased WBC and falling platelets (laboratory values not available), which "indicated that she was having an auto immune response to vaccine". The patient was put on IV LEVAQUIN (Ortho-McNeil) and IV potassium. Her platelet count started to improve after getting LEVAQUIN. The patient was diagnosed with disseminated intravascular coagulation (DIC). A blood test was positive for e-coli. It was reported that "They are not sure where the e-coli came from, whether or not a vaccine was infected with e-coli." Even though there were no symptoms of a bladder infection, the patient was shown to have had a bladder infection which led to a kidney infection which entered the bloodstream causing sepsis (e-coli). The patient was discharged on 15-JUL-2009. The patient was presently feeling better and had had "no fever for 48 hours". The patient's platelet count was better, and she was still feeling nauseous. There were virus tests done while she was at the hospital, but the results had not come back yet. At the time of reporting, the patient was recovering. The symptoms were considered to be immediately life-threatening and disabling by the registered nurse. A lot check has been requested. Additional information has been requested. Hospital name listed.
Age: 18.0
Sex: F
Vaccine: HEP, HEPA, HPV4, MMR, MNQ, TD, TDAP, VARCEL, HPV4, MNQ
Symptoms: Cystitis, Disseminated intravascular coagulation, Escherichia sepsis, Incorrect route of drug administration, Injection site pain
Clinical narrative: Information have been received from two registered nurses concerning an 18 year old female with no pertinent medical history who on 07-JUL-2009 was vaccinated with a first dose of GARDASIL (lot# 658271/0558X) via subcutaneous route and MENACTRA (lot#U2906AA) concomitantly at separate injection site. Late on 08-JUL-2009, the patient started having chills; on 09-JUL-2009, the patient developed stomach cramps, vomiting, a fever of 103.5, the patient "was very ill". Her arm was sore at the injection site. The patient visited the doctor on 10-JUL-2009 who gave her "a suppository" and put her on ZOFRAN (GlaxoSmithKline), but "it did not do a thing". That night, the patient went to the emergency room where a virus was suspected; later that night, the patient was admitted to hospital. The patient's condition was "very grave". She was shown to have an increased WBC and falling platelets (laboratory values not available), which "indicated that she was having an auto immune response to vaccine". The patient was put on IV LEVAQUIN (Ortho-McNeil) and IV potassium. Her platelet count started to improve after getting LEVAQUIN. The patient was diagnosed with disseminated intravascular coagulation (DIC). A blood test was positive for e-coli. It was reported that "They are not sure where the e-coli came from, whether or not a vaccine was infected with e-coli." Even though there were no symptoms of a bladder infection, the patient was shown to have had a bladder infection which led to a kidney infection which entered the bloodstream causing sepsis (e-coli). The patient was discharged on 15-JUL-2009. The patient was presently feeling better and had had "no fever for 48 hours". The patient's platelet count was better, and she was still feeling nauseous. There were virus tests done while she was at the hospital, but the results had not come back yet. At the time of reporting, the patient was recovering. The symptoms were considered to be immediately life-threatening and disabling by the registered nurse. A lot check has been requested. Additional information has been requested. Hospital name listed.
Age: 18.0
Sex: F
Vaccine: HEP, HEPA, HPV4, MMR, MNQ, TD, TDAP, VARCEL, HPV4, MNQ
Symptoms: Kidney infection, Malaise, Nausea, Platelet count decreased, Pyrexia
Clinical narrative: Information have been received from two registered nurses concerning an 18 year old female with no pertinent medical history who on 07-JUL-2009 was vaccinated with a first dose of GARDASIL (lot# 658271/0558X) via subcutaneous route and MENACTRA (lot#U2906AA) concomitantly at separate injection site. Late on 08-JUL-2009, the patient started having chills; on 09-JUL-2009, the patient developed stomach cramps, vomiting, a fever of 103.5, the patient "was very ill". Her arm was sore at the injection site. The patient visited the doctor on 10-JUL-2009 who gave her "a suppository" and put her on ZOFRAN (GlaxoSmithKline), but "it did not do a thing". That night, the patient went to the emergency room where a virus was suspected; later that night, the patient was admitted to hospital. The patient's condition was "very grave". She was shown to have an increased WBC and falling platelets (laboratory values not available), which "indicated that she was having an auto immune response to vaccine". The patient was put on IV LEVAQUIN (Ortho-McNeil) and IV potassium. Her platelet count started to improve after getting LEVAQUIN. The patient was diagnosed with disseminated intravascular coagulation (DIC). A blood test was positive for e-coli. It was reported that "They are not sure where the e-coli came from, whether or not a vaccine was infected with e-coli." Even though there were no symptoms of a bladder infection, the patient was shown to have had a bladder infection which led to a kidney infection which entered the bloodstream causing sepsis (e-coli). The patient was discharged on 15-JUL-2009. The patient was presently feeling better and had had "no fever for 48 hours". The patient's platelet count was better, and she was still feeling nauseous. There were virus tests done while she was at the hospital, but the results had not come back yet. At the time of reporting, the patient was recovering. The symptoms were considered to be immediately life-threatening and disabling by the registered nurse. A lot check has been requested. Additional information has been requested. Hospital name listed.
Age: 18.0
Sex: F
Vaccine: HEP, HEPA, HPV4, MMR, MNQ, TD, TDAP, VARCEL, HPV4, MNQ
Symptoms: Vomiting, White blood cell count increased
Clinical narrative: Information have been received from two registered nurses concerning an 18 year old female with no pertinent medical history who on 07-JUL-2009 was vaccinated with a first dose of GARDASIL (lot# 658271/0558X) via subcutaneous route and MENACTRA (lot#U2906AA) concomitantly at separate injection site. Late on 08-JUL-2009, the patient started having chills; on 09-JUL-2009, the patient developed stomach cramps, vomiting, a fever of 103.5, the patient "was very ill". Her arm was sore at the injection site. The patient visited the doctor on 10-JUL-2009 who gave her "a suppository" and put her on ZOFRAN (GlaxoSmithKline), but "it did not do a thing". That night, the patient went to the emergency room where a virus was suspected; later that night, the patient was admitted to hospital. The patient's condition was "very grave". She was shown to have an increased WBC and falling platelets (laboratory values not available), which "indicated that she was having an auto immune response to vaccine". The patient was put on IV LEVAQUIN (Ortho-McNeil) and IV potassium. Her platelet count started to improve after getting LEVAQUIN. The patient was diagnosed with disseminated intravascular coagulation (DIC). A blood test was positive for e-coli. It was reported that "They are not sure where the e-coli came from, whether or not a vaccine was infected with e-coli." Even though there were no symptoms of a bladder infection, the patient was shown to have had a bladder infection which led to a kidney infection which entered the bloodstream causing sepsis (e-coli). The patient was discharged on 15-JUL-2009. The patient was presently feeling better and had had "no fever for 48 hours". The patient's platelet count was better, and she was still feeling nauseous. There were virus tests done while she was at the hospital, but the results had not come back yet. At the time of reporting, the patient was recovering. The symptoms were considered to be immediately life-threatening and disabling by the registered nurse. A lot check has been requested. Additional information has been requested. Hospital name listed.
Age: 11.0
Sex: F
Vaccine: HPV4
Symptoms: Asthenia, Dizziness, Injection site pain, Presyncope, Vomiting
Clinical narrative: Complained of feeling faint, lightheaded 2 minutes after receiving 1st dose of vaccine.  She sat down in chair, nearly fainted, then threw up.  She felt weak for remainder of day.  The arm that received the vaccine was extremely sore for 5 days.
Sex: M
Vaccine: PPV
Symptoms: Activities of daily living impaired, Adverse reaction, Disability, Incorrect route of drug administration
Clinical narrative: Information has been received from a physician concerning a male smoker patient with chronic obstructive pulmonary disease who in 2008 was vaccinated with 0.05 ml dose of PNEUMOVAX as if it were for a PPD test under the skin. It's unknown if product confusion. The patient developed an unspecified reaction that affected his total arm affecting his ability to work. The patient has sought medical attention at office. This happened in 2008 and PNEUMOVAX given as a PPD test by mistake which resulted in "arm disability" that is the subject of a lawsuit. No further information available. Legal Issue Involved - AE sent to Legal. Affected ability to work was considered to be disabling by the physician. Additional information has been requested.
Sex: M
Vaccine: MMR
Symptoms: Aphasia, Autism
Clinical narrative: Information has been received from a consumer who was the mother of the patient. The mother reported that her son stopped talking after receiving the MMR II booster shot. It's unknown if the patient had sought any medical attention. Upon internal review, autism was determined to be an other important medical event. Additional information has been requested.
Age: 15.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Abdominal pain, Abortion spontaneous, Drug exposure during pregnancy, Ultrasound scan vagina abnormal, Urinary tract infection
Clinical narrative: This case was received from a health professional on 10 July 2009, and involves a subject enrolled in an investigator-sponsored study. Subject ID: 1-08-08925. A 15-year-old female subject, with a history of appendectomy, received an injection of FLUZONE SV 2008-2009 (lot number U2849AC) on 20 November 2008. At the time of vaccination, she was confirmed to be 8 weeks pregnant; date of last menstrual period was 15 September 2008. Prior to vaccination, on 16 November 2008, the subject had presented to the emergency room with complaints of spotting bright red blood and pain on urination. Physical exam revealed suprapubic tenderness and left costal-vertebral tenderness, and urine analysis was consistent with a urinary tract infection. A transvaginal ultrasound revealed a viable fetus with a fetal heart rate of 150 beats per minute. The subject was given the discharge diagnosis of healthy pregnancy with urinary tract infection, and was prescribed antibiotics. She received study vaccine on 20 November 2008. On 17 December 2008, 27 days post-vaccination, the subject presented to the hospital with a three-day history of increasing abdominal cramping and spotting. The subject reported that she had never taken the antibiotics prescribed for her urinary tract infection. A transvaginal ultrasound showed no intrauterine pregnancy. Fluid was noted in the uterus, and tissue was present at the os of the cervix. She was discharged home to follow-up with her obstetrician, and final diagnosis was complete spontaneous miscarriage. According to the reporter, the event was not related to FLUZONE. Documents held by sender: None.
Age: 15.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Vaginal haemorrhage
Clinical narrative: This case was received from a health professional on 10 July 2009, and involves a subject enrolled in an investigator-sponsored study. Subject ID: 1-08-08925. A 15-year-old female subject, with a history of appendectomy, received an injection of FLUZONE SV 2008-2009 (lot number U2849AC) on 20 November 2008. At the time of vaccination, she was confirmed to be 8 weeks pregnant; date of last menstrual period was 15 September 2008. Prior to vaccination, on 16 November 2008, the subject had presented to the emergency room with complaints of spotting bright red blood and pain on urination. Physical exam revealed suprapubic tenderness and left costal-vertebral tenderness, and urine analysis was consistent with a urinary tract infection. A transvaginal ultrasound revealed a viable fetus with a fetal heart rate of 150 beats per minute. The subject was given the discharge diagnosis of healthy pregnancy with urinary tract infection, and was prescribed antibiotics. She received study vaccine on 20 November 2008. On 17 December 2008, 27 days post-vaccination, the subject presented to the hospital with a three-day history of increasing abdominal cramping and spotting. The subject reported that she had never taken the antibiotics prescribed for her urinary tract infection. A transvaginal ultrasound showed no intrauterine pregnancy. Fluid was noted in the uterus, and tissue was present at the os of the cervix. She was discharged home to follow-up with her obstetrician, and final diagnosis was complete spontaneous miscarriage. According to the reporter, the event was not related to FLUZONE. Documents held by sender: None.
Age: 15.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Abdominal pain, Abortion spontaneous, Drug exposure during pregnancy, Vaginal haemorrhage
Clinical narrative: This case was received from a health professional on 10 July 2009, and involves a subject enrolled in an investigator-sponsored study. Subject ID: 1-08-08925. A 15-year-old female subject, with a history of appendectomy, received an injection of FLUZONE SV 2008-2009 (lot number U2849AC) on 20 November 2008. At the time of vaccination, she was confirmed to be 8 weeks pregnant; date of last menstrual period was 15 September 2008. Prior to vaccination, on 16 November 2008, the subject had presented to the emergency room with complaints of spotting bright red blood and pain on urination. Physical exam revealed suprapubic tenderness and left costal-vertebral tenderness, and urine analysis was consistent with a urinary tract infection. A transvaginal ultrasound revealed a viable fetus with a fetal heart rate of 150 beats per minute. The subject was given the discharge diagnosis of healthy pregnancy with urinary tract infection, and was prescribed antibiotics. She received study vaccine on 20 November 2008. On 17 December 2008, 27 days post-vaccination, the subject presented to the hospital with a three-day history of increasing abdominal cramping and spotting. The subject reported that she had never taken the antibiotics prescribed for her urinary tract infection. A transvaginal ultrasound showed no intrauterine pregnancy. Fluid was noted in the uterus, and tissue was present at the os of the cervix. She was discharged home to follow-up with her obstetrician, and final diagnosis was complete spontaneous miscarriage. According to the reporter, the event was not related to FLUZONE. Documents held by sender: None.
Age: 17.0
Sex: M
Vaccine: HEPA, MNQ
Symptoms: Cold sweat, Diplopia, Mydriasis, Syncope, Thirst
Clinical narrative: Pt complained of thirst after receiving vaccines, fainted , clammy, pupils dilated, double vision, After about 15 min. pt recovered.
Age: 15.0
Sex: M
Vaccine: HEPA, MNQ
Symptoms: Crying, Mood altered
Clinical narrative: 3 hours after injections-pt became moody-cried all evening- didn't know why he was crying-seems quiet and ok the next day.
Age: 12.0
Sex: F
Vaccine: HPV4
Symptoms: Injection site pain, Injection site pruritus, Urticaria
Clinical narrative: Mom called said she wanted it documented that pt had a reaction after the GARDASIL site was sore also came out in hives underarm gave BENEDRYL ok now. Pt reports that about 2 days post GARDASIL #2. The site of the immunization became very itchy, no rash noted at the site. Itching continued with application of BENEDRYL cream. It did not affect her activity. Mom confirmed above, and states itching did subside with a dose of BENEDRYL at beside. Two days later she developed hives under the opposite arm. It disappeared with one dose of oral BENEDRYL. She experienced no other symptoms and has been fine since. Mom did note that itching was documented on the Vaccine Information Sheet. Mom wanted to inform us since the Vaccine Information Sheet did advise reporting of hives. VAERS form will be completed and mailed upon discussion and evaluation by Physician.
Age: 16.0
Sex: F
Vaccine: HPV4
Symptoms: Expired drug administered
Clinical narrative: HPV #1 lot# 0171U, exp 6/29/09 was given to pt. on 7/2/09. This vaccine was expired by 3days. Since this was first immunization, and will receive #2 and #3, no additional immunization will be given.
Age: 16.0
Sex: F
Vaccine: HPV4
Symptoms: Expired drug administered
Clinical narrative: Received HPV # 3 on 7/15/2009.  This vaccine expired on 6/29/09.  Parents contacted.  Will receive on additional HPV vaccine in 4 hrs to insure efficacy.
Age: 15.0
Sex: F
Vaccine: HPV4
Symptoms: Expired drug administered
Clinical narrative: Received HPV #3 on 7/15/09. This vaccine expired on 6/29/09. Parents contacted. Pt will receive an additional HPV vaccine in 4 months to insure efficiency.
Age: 12.0
Sex: F
Vaccine: HPV4
Symptoms: Expired drug administered
Clinical narrative: Received HPV #2 7/21/09. This vaccine expired on 6/29/09. Parents contacted. Pt will receive an additional HPV vaccine 4 months after she receives her HPV# 3 to insure efficiency.
Age: 60.0
Sex: F
Vaccine: VARZOS
Symptoms: Erythema, Oedema, Pruritus
Clinical narrative: 7 X 9 cm. area of redness and edema.  First noticed on 7-19-09.  - itching.  7/20/09 7 X 3 1/2 cm.  Redness noted ice packs, BENADRYL
Age: 5.0
Sex: M
Vaccine: DTAPIPV, DTAPIPV, MMR, VARCEL
Symptoms: Injection site cellulitis, Injection site swelling
Clinical narrative: Patients arm swelled up and appeared cellulitic 24 hrs after receiving KINRIX in right deltoid arm.
Age: 5.0
Sex: M
Vaccine: DTAPIPV, DTAPIPV, MMR, VARCEL
Symptoms: Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Patients arm swelled up and appeared cellulitic 24 hrs after receiving KINRIX in right deltoid arm.
Age: 21.0
Sex: F
Vaccine: HPV4
Symptoms: Fall, Head injury, Hypotension, Pallor
Clinical narrative: Pt fell to floor post GARDASIL vaccine #2, 10 minutes post vaccine. Alert, responsive, pale. BP 70/50 - 78/60 - 86/60 - 92/70 - 98/70 - (Bumped L head.) WNL. Ice packs to head.
Age: 66.0
Sex: F
Vaccine: VARZOS
Symptoms: Local swelling, Neuralgia, Oropharyngeal pain, Rash, Skin lesion
Clinical narrative: Broke out in severe rash left side neck, upper shoulder back & front.  Went to doctor - prescribed PREDNISONE.  Rash subsided after 2 days.  Sore throat & swelling of neck.   Nerve endings shoulder & back very touchy few small lesions on chest & back.  Shooting nerve pain in back shoulder.  Dr prescribed LYRICA.  July 20 the 1st day no nerve pain or itching sensation.
Age: 10.0
Sex: F
Vaccine: HEPA
Symptoms: Pruritus, Rash, Streptococcal identification test
Clinical narrative: Mother reports child began having rash 7/15/09 which progressed to include neck, back, shoulders, abdomen, (R) hip to (R) leg and calf, both feet. Pt. c/o itching, BENADRYL 12.5 mg adm every 5 hours until 7/17/09. Was seen by PCP who also tested for strep throat. PCP felt Rx to Hep A but would decide with culture results. Mother was instructed to call clinic. Rash is resolving 7/17/09.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Upper left deltoid area reddened, swollen, warm to touch, sore
Age: 1.3
Sex: F
Vaccine: DTAPHEPBIP, HIBV
Symptoms: Erythema, Nasal congestion, Pruritus, Rash
Clinical narrative: -Skin redness over body, -Rash, -Itchy bumps, -Stuffy nose
Age: 8.0
Sex: M
Vaccine: HEPA, VARCEL
Symptoms: Erythema, Oedema peripheral, Skin warm, Tenderness
Clinical narrative: Red, warm, swollen "2x2 " tender cold compresses applied left arm.
Age: 67.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Injection site induration, Injection site pruritus, Injection site warmth
Clinical narrative: Redness, itching, and induration around injection site. Warm to touch.
Age: 65.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Skin warm
Clinical narrative: Redness, swelling, and pain surrounding injection site. Redness from right shoulder to right elbow and warm to touch.
Age: 11.0
Sex: M
Vaccine: HEPA, MNQ, TDAP, VARCEL
Symptoms: Immediate post-injection reaction, Posturing, Staring
Clinical narrative: After MENACTRA, TDAP, vaccination, HEP A given 2min, Pt looked dazed, then arched neck and body, hands and arms curled in.
Age: 18.0
Sex: F
Vaccine: HEPA, HPV4, MNQ, TDAP
Symptoms: Drug exposure during pregnancy, Pregnancy test positive, Rash
Clinical narrative: Reported 7/23/09 - came to clinic to report pt got rash on arms, thigh after receiving vaccines. Pt took BENADRYL, used topical lotion for poison Ivy - 2 bottles on 7/10/09 till ?. Pt state pregnant did not tell nurse when nurse asked her before receiving vaccine - states she told her (nurse) she was not pregnant. Pt. states her preg test done with midwife - confirmed by urine test. No medical evaluation for rash - mom will take today to doctor.
Age: 17.0
Sex: F
Vaccine: HEPA, VARCEL
Symptoms: Convulsion, Drug screen, Full blood count, Laboratory test, Scan brain
Clinical narrative: Seizure - like activity noted on 7-22-09 -> patient taken to ED.  CT done patient had received VARIVAX and HAVRIX vaccines on 7-20-09
Age: 17.0
Sex: F
Vaccine: HEPA, VARCEL
Symptoms: Spinal X-ray
Clinical narrative: Seizure - like activity noted on 7-22-09 -> patient taken to ED.  CT done patient had received VARIVAX and HAVRIX vaccines on 7-20-09
Age: 6.0
Sex: F
Vaccine: HEPA, VARCEL
Symptoms: Swelling face
Clinical narrative: Patient arrived at ED 17 Jul 2009 @ 2300 with left sided facial swelling. Onset was 3 hours prior to arrival. She was given Benadryl 25 mg orally @ 0252 18 Jul 2009. She was prescribed Prednisone 5 mg/5 ml, 3 tsp a day x5 days. She was discharged that same day.
Age: 1.1
Sex: F
Vaccine: MMR, PNC, VARCEL
Symptoms: Rash maculo-papular
Clinical narrative: Macular - papular rash 1 day after vaccine.
Age: 4.0
Sex: M
Vaccine: DTAPIPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site pain, Injection site warmth
Clinical narrative: Local erythema, induration, warmth, and tenderness to L upper arm from shoulder to elbow.
Age: 72.0
Sex: F
Vaccine: VARZOS
Symptoms: Rash vesicular, Urticaria
Clinical narrative: chicken pox like rash/hive like, occuring mostly at nite. treated with anithistamine, may need steroid..
Age: 11.0
Sex: F
Vaccine: HPV4, MNQ, TDAP, VARCEL
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site urticaria
Clinical narrative: large, red welt at site of vaccine.  Pain at site.
Age: 19.0
Sex: F
Vaccine: VARCEL
Symptoms: Injection site erythema
Clinical narrative: erythema to left tricep area started day after varivax vaccine administered on 7/20/09.  Bactrim prescribed x10days.
Age: 57.0
Sex: M
Vaccine: HEP, HEPA, TDAP, TYP
Symptoms: Arthralgia, Injection site erythema, Injection site swelling, Injection site warmth, Liver function test normal
Clinical narrative: 3 days after shots, had joint aches and muscle soreness.  Lasted 2 weeks.  Also, injection site L arm was hot, red and swollen. Went to MD on 6/24/09.  Received prednisone shot, symptoms mostly resolved.  Cleared by Dr. to receive Hep. B. #2 (07/22/09)
Age: 57.0
Sex: M
Vaccine: HEP, HEPA, TDAP, TYP
Symptoms: Myalgia
Clinical narrative: 3 days after shots, had joint aches and muscle soreness.  Lasted 2 weeks.  Also, injection site L arm was hot, red and swollen. Went to MD on 6/24/09.  Received prednisone shot, symptoms mostly resolved.  Cleared by Dr. to receive Hep. B. #2 (07/22/09)
Age: 0.3
Sex: F
Vaccine: DTAP, HIBV, IPV, PNC, RV5
Symptoms: Abdominal distension, Autopsy, Convulsion, Death, Diet refusal
Clinical narrative: She was born August 22nd, 2008, perfectly healthy, an easy, happy, delicate baby girl.  She did not receive any Hep B vaccines.  However, at two and four months she received all other vaccines according to the CDC's schedule.  Looking back, I see the downward spiral, but did not know what to look at the time. For this, I am extremely ashamed to admit, being that I have a medical degree.  Her 2 month vaccinations were given 10/22/08.  She was initially excessively sleepy, at 5 days she was irritable and refused to eat, within the first week her tongue began involuntarily protruding, at 5-6 weeks I believe she suffered a seizure which I did not recognize at the time as being that, she would also have frequent episodes of high pitched screaming.  After the 4 month vaccines (12/23/08), similar things took place, however, there was not a seizure episode that I can recall.  But she continued to become less interactive (would not respond to a loud blender 2 feet from her, sit quietly in bath chair for an hour, not react to play with siblings), bloated, allergy and infectious symptoms (but never spiked a high fever).  I did give her tylenol the first two days after both sets of vaccinations because of the high fevers both my boys spiked with their vaccinations. Patient took a bottle at 6am, was awake til 945a, took another bottle, fell asleep in her papazon swing supine, nothing over her head, she made no sounds, picked her up to change her 45 ming later, and she was lifeless. Autopsy found nothing, unknown/undetermined. I am looking to find the appropriate person to review it and do further testing as indicated.
Age: 0.3
Sex: F
Vaccine: DTAP, HIBV, IPV, PNC, RV5
Symptoms: Disturbance in social behaviour, Dyskinesia, Hypersensitivity, Infection, Irritability
Clinical narrative: She was born August 22nd, 2008, perfectly healthy, an easy, happy, delicate baby girl.  She did not receive any Hep B vaccines.  However, at two and four months she received all other vaccines according to the CDC's schedule.  Looking back, I see the downward spiral, but did not know what to look at the time. For this, I am extremely ashamed to admit, being that I have a medical degree.  Her 2 month vaccinations were given 10/22/08.  She was initially excessively sleepy, at 5 days she was irritable and refused to eat, within the first week her tongue began involuntarily protruding, at 5-6 weeks I believe she suffered a seizure which I did not recognize at the time as being that, she would also have frequent episodes of high pitched screaming.  After the 4 month vaccines (12/23/08), similar things took place, however, there was not a seizure episode that I can recall.  But she continued to become less interactive (would not respond to a loud blender 2 feet from her, sit quietly in bath chair for an hour, not react to play with siblings), bloated, allergy and infectious symptoms (but never spiked a high fever).  I did give her tylenol the first two days after both sets of vaccinations because of the high fevers both my boys spiked with their vaccinations. Patient took a bottle at 6am, was awake til 945a, took another bottle, fell asleep in her papazon swing supine, nothing over her head, she made no sounds, picked her up to change her 45 ming later, and she was lifeless. Autopsy found nothing, unknown/undetermined. I am looking to find the appropriate person to review it and do further testing as indicated.
Age: 0.3
Sex: F
Vaccine: DTAP, HIBV, IPV, PNC, RV5
Symptoms: Screaming, Somnolence
Clinical narrative: She was born August 22nd, 2008, perfectly healthy, an easy, happy, delicate baby girl.  She did not receive any Hep B vaccines.  However, at two and four months she received all other vaccines according to the CDC's schedule.  Looking back, I see the downward spiral, but did not know what to look at the time. For this, I am extremely ashamed to admit, being that I have a medical degree.  Her 2 month vaccinations were given 10/22/08.  She was initially excessively sleepy, at 5 days she was irritable and refused to eat, within the first week her tongue began involuntarily protruding, at 5-6 weeks I believe she suffered a seizure which I did not recognize at the time as being that, she would also have frequent episodes of high pitched screaming.  After the 4 month vaccines (12/23/08), similar things took place, however, there was not a seizure episode that I can recall.  But she continued to become less interactive (would not respond to a loud blender 2 feet from her, sit quietly in bath chair for an hour, not react to play with siblings), bloated, allergy and infectious symptoms (but never spiked a high fever).  I did give her tylenol the first two days after both sets of vaccinations because of the high fevers both my boys spiked with their vaccinations. Patient took a bottle at 6am, was awake til 945a, took another bottle, fell asleep in her papazon swing supine, nothing over her head, she made no sounds, picked her up to change her 45 ming later, and she was lifeless. Autopsy found nothing, unknown/undetermined. I am looking to find the appropriate person to review it and do further testing as indicated.
Age: 11.0
Sex: F
Vaccine: TDAP
Symptoms: Erythema, Induration, Inflammation, Palpitations, Tenderness
Clinical narrative: Right upper arm with large red, indurated area that is tender to touch and palpitation x 2 days. Used Benadryl and cold packs
Age: 73.0
Sex: F
Vaccine: VARZOS
Symptoms: Balance disorder, Nausea, Vomiting
Clinical narrative: off balance with nausea and vomiting that started 3 days post vaccination with Zostivax.   Symptoms resolved after 24 hours
Age: 66.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site induration, Injection site pain, Injection site swelling
Clinical narrative: Shingles vacccine: first and second days, just some swelling. But on the third day I spent time in the sun with ths ite exposed. The site became very red and hard and swollen and hurt and remained so for more than a week.
Sex: M
Vaccine: PPV
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Pyrexia
Clinical narrative: PT REPORTED FEVER AND PAIN,SWELLING AND REDNESS AT INJECTION SITE
Age: 9.0
Sex: F
Vaccine: VARCEL
Symptoms: Injection site erythema, Injection site induration, Injection site pain
Clinical narrative: Patient received 2nd Varivax on 7/21/09.  Site became red, painful and hard.  Came in to the office for physician to see.  Prescribed an ABX to start if not better in 24 hours.
Age: 0.17
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Crying, Screaming
Clinical narrative: Unconsolable crying for 3 and 1/2 hours.  Very high pitched scream type cry in an infant that normally does not scream when crying.
Age: 4.0
Sex: F
Vaccine: DTAPIPV
Symptoms: Erythema, Skin warm
Clinical narrative: 10 cm x 11 cm red, warm, localized reaction from vaccine.
Age: 8.0
Sex: F
Vaccine: HEPA, VARCEL
Symptoms: Erythema, Oedema peripheral
Clinical narrative: Patient returned to District Health Office 48 hours post vaccination with swollen, reddened area 60mm by 50mm on back of right arm.
Age: 22.0
Sex: M
Vaccine: TDAP, VARCEL
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: CLIENT RETURNED TO CLINIC FOR SKIN TEST READING AND SHOWED PHN SITE OF VARICELLA VACCINATION.  80X60 MM AREA OF ERYTHEMA AND SWELLING. VACCINE GIVEN 7/21/09, OFFICE VISIT 7/23/09.
Age: 57.0
Sex: F
Vaccine: HEP
Symptoms: Gianotti-Crosti syndrome, Rash
Clinical narrative: Severe rash to arms and legs, seen by dermatologist who determined rash was probably Giannoti Crosti caused by Hep B vaccinee.
Age: 72.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site pain, Injection site pruritus, Injection site swelling
Clinical narrative: Patient reported experiencing wide-spread redness and tenderness over entire upper left arm shortly after immunization.  She presented to pharmacy one week later with an approximately half-dollar sized red raised area around the site of the injection, which she had noticed within that day.  She reported that it was slightly itchy occasionally.  She was advised by us to see her doctor if the skin reaction worsened, or did not begin to improve within the next day or two.
Age: 39.0
Sex: F
Vaccine: PPV
Symptoms: Oedema peripheral, Pain in extremity
Clinical narrative: SWOLLEN ARM, FEELING LOTS OF PAIN
Age: 51.0
Sex: M
Vaccine: FLUX
Symptoms: Diplegia, Myelitis transverse, Sensory loss
Clinical narrative: Suffered a transverse myelitis which resulted in temporary paralysis of legs and on-going loss of sensation of body from above the nipple-line to the bottom of feet.  8/14/09 Hospital records recieved DOS 11/30/2008 to 12/03/08. Assessment: Cervical transverse myelitis unclear etiology, Vitamin B12 deficiency, Possible subacute combined degeneration, Whole body numbness, lower extremity weakness and paresthesia, constipation, Insomnia.   Patient presents with left leg weakness and whole body numbness. Describes 'catch' between shoulder blades. Numbness in thighs that spread both caudally and cephalad. Weakness in both lower extremities. Difficulty standing. Slight edema abdomen. Decreased bilateral sensitivity to pinprick and touch sensation. Paresthesias, burning sensation.  ICD-9 Codes: 341.20 Acute (Transverse) Myelitis NOS, 281.1 Vitamin B12 Deficiency NEC, 336.2 Subacute Comb Spinal Cord Degen/Other Disease, 564.00 Uspecified Constipation, 780.52 Insomia Unspecified. \ksk
Age: 14.0
Sex: M
Vaccine: MNQ, TDAP, VARCEL
Symptoms: Contusion, Immediate post-injection reaction, Swelling face, Syncope
Clinical narrative: Ten minutes after receiving immunizations, patient got up from sitting on exam table to standing. Fainted after taking 2 - 3 steps towards the door to leave. Pt. was conversing; denied any problems just prior to standing up. Alert, good color, etc. just prior.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: (L) thigh red, swollen with heat. Warm moist compress 4x a day.
Age: 9.0
Sex: M
Vaccine: VARCEL
Symptoms: Syncope
Clinical narrative: Pt had syncopal episode post receiving VARIVAX
Age: 15.0
Sex: F
Vaccine: HEPA, VARCEL
Symptoms: Erythema, Swelling
Clinical narrative: Swelling / redness with 3 cm x 2 cm red area L post 1 cat aspect
Sex: F
Vaccine: TYP
Symptoms: Abdominal pain, Abdominal pain upper, Diarrhoea, Pancreatitis, Vaccination complication
Clinical narrative: This case was initially reported by a nurse on 16.Jul.2009. The female patient was vaccinated with oral VIVOTIF (Batch no.: UNKNOWN) on 16.Jul.2009 at 5:30 am. The patient developed ABDOMINAL PAINS, CRAMPING, DIARRHEA on the same day at 9:30 am. She contacted the nurse who referred her to the physician. Advised by physician, she took PEPTO BISMOL and felt better. Several hours later she contacted again the nurse with sharp pains in the left upper quadrant of abdomen. Advised again to contact physician, who ordered her to emergency room with suspicion of VIVOTIF adverse events or pancreatitis. Follow-up information requested on 17.Jul.2009.
Sex: F
Vaccine: HPV4
Symptoms: Convulsion
Clinical narrative: Information has been received from consumers concerning their "teenager" daughter who started to receive GARDASIL series over a year ago. The patient experienced seizures 3 weeks later after she received the 3rd dose of GARDASIL (date, lot number not reported). At the report time the patient had recovered. Upon internal review, seizures was determined to be another important medical event. Additional information is not expected.
Age: 12.0
Sex: F
Vaccine: HPV4, HPV4, HPV4
Symptoms: Electromyogram abnormal, Endotracheal intubation, Guillain-Barre syndrome, Hypoaesthesia, Intensive care
Clinical narrative: Developed progressive lower extremity weakness/numbness requiring intubation 6/30 for respiratory failure. EMG/MRI consistent with GUILLAIN-BARRE Syndrome. Remains intubated in ICU with flaccid paralysis and paresthesias.  8/10/09 PCP medical records received DOS 5/26/09 to 6/9/09. Gardasil administered.  8/17/2009 Received hospital medical records of 6/28-7/30/2009. FINAL DX: Guillain-Barre syndrome; respiratory failure s/p extubation; ventilator assoc acinetobacter & staph aureus pneumonia  Records reveal patient experienced acute onset of progressive ascending LE weakness, areflexia & paresthesia, difficulty swallowing.  Admitted to PICU, LP done & intubated.  Developed neuropathic pain, fever w/(+) resp c/s.  Neuro, Pulm, ID consult done.  Tx w/IVIG w/o improvement, tx w/plasmapheresis x 8, multiple IV antibiotics, tube feedings.  Continued to worsen.   Gradually improved, extubated to RA & diet advanced.  Transferred to inpatient rehab on continued IV antibiotics.  10/16/09 ICD-9 Codes received: 781.2 Abnormality of gait, 357.0 Ac infectious polyneuritis, 518.81 Acute respiratory failure, 997.31 Ventilator assoc pneumonia, 041.85 Infection-gram neg nec, 041.11 MSSA, 599.0 Urin tract Infection NOS, 345.90 Epilepsy NOS-Not intract.
Age: 12.0
Sex: F
Vaccine: HPV4, HPV4, HPV4
Symptoms: Muscular weakness, Nuclear magnetic resonance imaging abnormal, Paraesthesia, Paralysis flaccid, Respiratory failure
Clinical narrative: Developed progressive lower extremity weakness/numbness requiring intubation 6/30 for respiratory failure. EMG/MRI consistent with GUILLAIN-BARRE Syndrome. Remains intubated in ICU with flaccid paralysis and paresthesias.  8/10/09 PCP medical records received DOS 5/26/09 to 6/9/09. Gardasil administered.  8/17/2009 Received hospital medical records of 6/28-7/30/2009. FINAL DX: Guillain-Barre syndrome; respiratory failure s/p extubation; ventilator assoc acinetobacter & staph aureus pneumonia  Records reveal patient experienced acute onset of progressive ascending LE weakness, areflexia & paresthesia, difficulty swallowing.  Admitted to PICU, LP done & intubated.  Developed neuropathic pain, fever w/(+) resp c/s.  Neuro, Pulm, ID consult done.  Tx w/IVIG w/o improvement, tx w/plasmapheresis x 8, multiple IV antibiotics, tube feedings.  Continued to worsen.   Gradually improved, extubated to RA & diet advanced.  Transferred to inpatient rehab on continued IV antibiotics.  10/16/09 ICD-9 Codes received: 781.2 Abnormality of gait, 357.0 Ac infectious polyneuritis, 518.81 Acute respiratory failure, 997.31 Ventilator assoc pneumonia, 041.85 Infection-gram neg nec, 041.11 MSSA, 599.0 Urin tract Infection NOS, 345.90 Epilepsy NOS-Not intract.
Age: 12.0
Sex: F
Vaccine: HPV4, HPV4, HPV4
Symptoms: Abasia, Asthenia, Back pain, Blood product transfusion, Chest X-ray
Clinical narrative: Developed progressive lower extremity weakness/numbness requiring intubation 6/30 for respiratory failure. EMG/MRI consistent with GUILLAIN-BARRE Syndrome. Remains intubated in ICU with flaccid paralysis and paresthesias.  8/10/09 PCP medical records received DOS 5/26/09 to 6/9/09. Gardasil administered.  8/17/2009 Received hospital medical records of 6/28-7/30/2009. FINAL DX: Guillain-Barre syndrome; respiratory failure s/p extubation; ventilator assoc acinetobacter & staph aureus pneumonia  Records reveal patient experienced acute onset of progressive ascending LE weakness, areflexia & paresthesia, difficulty swallowing.  Admitted to PICU, LP done & intubated.  Developed neuropathic pain, fever w/(+) resp c/s.  Neuro, Pulm, ID consult done.  Tx w/IVIG w/o improvement, tx w/plasmapheresis x 8, multiple IV antibiotics, tube feedings.  Continued to worsen.   Gradually improved, extubated to RA & diet advanced.  Transferred to inpatient rehab on continued IV antibiotics.  10/16/09 ICD-9 Codes received: 781.2 Abnormality of gait, 357.0 Ac infectious polyneuritis, 518.81 Acute respiratory failure, 997.31 Ventilator assoc pneumonia, 041.85 Infection-gram neg nec, 041.11 MSSA, 599.0 Urin tract Infection NOS, 345.90 Epilepsy NOS-Not intract.