chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 21.0
Sex: M
Vaccine: SMALL, TYP
Symptoms: Erythema multiforme
Clinical narrative: Erythema Multiforme
Sex: M
Vaccine: ANTH, FLU3
Symptoms: Unevaluable event
Clinical narrative: NONE
Age: 24.0
Sex: F
Vaccine: TDAP
Symptoms: Dizziness, Headache, Nausea, Tachycardia
Clinical narrative: Dizziness, Headache, fast heart rate and nausea
Age: 41.0
Sex: M
Vaccine: ANTH
Symptoms: Unevaluable event
Clinical narrative: NONE
Age: 60.0
Sex: F
Vaccine: TDAP
Symptoms: Abdominal discomfort, Diarrhoea, Injection site inflammation, Injection site reaction, Nausea
Clinical narrative: On 07/08/2006 woke up with injection site redness, second hardness around site. 07/08/2006 around noon noticed fever 101 degrees, nausea, upset stomach, body aches stated she hurt all over.  Later in the day began diarrhea and vomiting, has had body aches and pain.  Nausea, vomiting, diarrhea and fever for 3 days as of today.  Injection site red, warm and hard redness extends down upper arm to elbow.
Age: 60.0
Sex: F
Vaccine: TDAP
Symptoms: Pain, Pyrexia, Vomiting
Clinical narrative: On 07/08/2006 woke up with injection site redness, second hardness around site. 07/08/2006 around noon noticed fever 101 degrees, nausea, upset stomach, body aches stated she hurt all over.  Later in the day began diarrhea and vomiting, has had body aches and pain.  Nausea, vomiting, diarrhea and fever for 3 days as of today.  Injection site red, warm and hard redness extends down upper arm to elbow.
Age: 1.01
Sex: M
Vaccine: FLU3, HIBV, PNC, VARCEL
Symptoms: Blister, Rash pruritic, Rash vesicular
Clinical narrative: Multiple vesicles in various stages of development; rash present for ~6 days. Rash is pruritic. Treatment: atavax syrup 3/4 tsp every 6 hours PRN itching.
Sex: F
Vaccine: ANTH, TYP
Symptoms: Unevaluable event
Clinical narrative: 19 Jun 2006, raised bumps on elbows and hands lasted through 30 Jun 2006.  Patient treated with ELIDEL ointment.
Age: 43.0
Sex: M
Vaccine: ANTH
Symptoms: Arthralgia, Dizziness, Hypoaesthesia
Clinical narrative: Numbness in fingers, pain in the joints sometimes and spots on hands and arms, dizziness.
Age: 43.0
Sex: F
Vaccine: ANTH
Symptoms: Arthralgia
Clinical narrative: Pain on joint. Bill for Pain
Sex: U
Vaccine: YF
Symptoms: Unevaluable event
Clinical narrative: Pt reports ongoing difficulty with knees, fingers difficulty walking - stiff fingers (developed Hepatitis after vax, treated)
Age: 39.0
Sex: M
Vaccine: ANTH
Symptoms: Anxiety, Arthralgia, Back pain, Constipation, Depression
Clinical narrative: Joint and muscle pain, pain in lower back, anxiety, constipation, concentration difficulty, memory difficulty, skin rash (head), insomnia. depression. libido loss.
Age: 39.0
Sex: M
Vaccine: ANTH
Symptoms: Insomnia, Libido decreased, Memory impairment, Mental impairment, Myalgia
Clinical narrative: Joint and muscle pain, pain in lower back, anxiety, constipation, concentration difficulty, memory difficulty, skin rash (head), insomnia. depression. libido loss.
Age: 39.0
Sex: M
Vaccine: ANTH
Symptoms: Rash
Clinical narrative: Joint and muscle pain, pain in lower back, anxiety, constipation, concentration difficulty, memory difficulty, skin rash (head), insomnia. depression. libido loss.
Age: 10.0
Sex: F
Vaccine: HEP, TDAP
Symptoms: Unevaluable event
Clinical narrative: 10 year old was given Adacel instead of Boostrix.
Age: 44.0
Sex: M
Vaccine: TDAP
Symptoms: Injection site swelling, Tenderness
Clinical narrative: Developed left supraclavicular swelling 4 days after vaccination.  Developed tender swelling at injection site the day after injection.
Age: 0.51
Sex: F
Vaccine: DTAP, FLUX, HEP, IPV
Symptoms: Dyspnoea, Irritability
Clinical narrative: After immunizations on 01/12/2006, mom states child was irritable between 4-5 hours after receiving them.  Also states child had breathing difficulties after receiving them later in the evening.  Irritability lasted 3-4 days.  Difficulty breathing only lasted that evening.
Age: 75.0
Sex: F
Vaccine: TD
Symptoms: Erythema, Feeling hot
Clinical narrative: 6 inch area of red, warmth area beginning day 3 after after injection, treated with BENADRYL.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema
Clinical narrative: 2 days after vaccination at DPH on 7/11/06 Child developed redness 3 inches from shoulder down and around 2 inches across the width of the arm. Saw Dr. who thinks that could be due to contaminated needle or the vaccine. Dr. prescribed Augmentin 400mg BID for 5 days.
Age: 5.0
Sex: F
Vaccine: IPV, MMR, TDAP, VARCEL
Symptoms: Blister, Dermatitis acneiform, Erythema
Clinical narrative: Given DTaP, IPV, MMR and varicella on 3/1/06. Rash on arm where IPV, varicella administered started 3/11/06. Rash red with small blisters within rash. Presumed from varicella vaccine
Age: 1.08
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Rash maculo-papular
Clinical narrative: Diffuse maculopapular rash 6 days after administration of MMR and varicella. No itch. No fever. No other symptoms
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Injection site induration
Clinical narrative: DTap RUE 5/25 5/26 erythema, induration RUE.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Unevaluable event
Clinical narrative: None stated
Age: 1.26
Sex: F
Vaccine: HEPA, HIBV, MMR
Symptoms: Pyrexia, Swelling, Urticaria
Clinical narrative: Patient developed fever, hives ~ 24 hours after vaccines. Treated with Benadryl, improved. Approximately 1 week later, again developed fever increase 103 with swelling right thigh (urticaria).
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Feeling hot
Clinical narrative: Right deltoid red and warm to touch. 2 1/2 inches wide by 3 1/2 inches long.
Age: 0.16
Sex: U
Vaccine: DTAPHEPBIP
Symptoms: Apnoea
Clinical narrative: Patient had two episode of apnea and desat to 40% O2.
Age: 0.18
Sex: F
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Crying, Irritability
Clinical narrative: Crying, fussy 2-9 hours post immunization. Resolved 18 hours post vaccine.
Age: 0.34
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Irritability
Clinical narrative: Was fine after shot @ 10:00 am, then became very fussy @ 13:45pm. On Tylenol every 3 hours. Doing well since 05:00 am 7/14/06. Did do Tylenol every 3 hours during night.
Age: 23.0
Sex: F
Vaccine: RAB
Symptoms: Nausea, Pyrexia, Rash, Vomiting
Clinical narrative: Total body rash, fever 101, nausea, vomiting, lasted 48 hours so far, Dramamine, Phenergan 25mg TID.
Age: 1.52
Sex: M
Vaccine: DTAP, HIBV
Symptoms: Injection site erythema, Irritability, Pyrexia
Clinical narrative: Erythema of 4-5 cm surrounding injection site. Pt also fussy with low grade fever. Started 2D after injection and lasted 72 hours. Better with Benadryl given. Right thigh only.
Age: 56.0
Sex: M
Vaccine: TD
Symptoms: Chills, Dizziness, Headache, Injection site pain, Myalgia
Clinical narrative: Called clinic to report that after receiving a tetanus diphtheria vaccine at noon on Monday 7/10/06, developed headache, lightheadedness, chills, fever 100.5 and generalized muscle aches the following Tuesday evening. States injection site left deltoid is mildly sore with no redness or swelling Tylenol or Ibuprofen PRN. I reported the above to Dr.
Age: 56.0
Sex: M
Vaccine: TD
Symptoms: Pyrexia
Clinical narrative: Called clinic to report that after receiving a tetanus diphtheria vaccine at noon on Monday 7/10/06, developed headache, lightheadedness, chills, fever 100.5 and generalized muscle aches the following Tuesday evening. States injection site left deltoid is mildly sore with no redness or swelling Tylenol or Ibuprofen PRN. I reported the above to Dr.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site swelling
Clinical narrative: Rt Deltoid swollen after receiving Dtap on 7/9/06.
Age: 4.0
Sex: M
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Feeling hot, Nausea, Pain, Rash, Vomiting
Clinical narrative: Approx 10 min after 4 yr old immunizations were given child complained of feet feeling hot, hurting, nausea, emesis 3x, rash to face and body. Provider notified of reaction, ordered 7ml Benadryl by mouth at 13:50. No wheezing, airway obstructions. Child observed until 15:10, released with parents. Verbalized understanding of s/s for Dr.
Age: 38.0
Sex: F
Vaccine: TD
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Keflex qid 500mg x 7 days, warm compresses, Bacitracin. Redness, soreness, slight swelling at site.
Age: 1.02
Sex: M
Vaccine: HEP, HIBV, PNC
Symptoms: Blister, Pruritus
Clinical narrative: Multiple vesicular lesions legs, trunk, neck itching
Age: 0.49
Sex: M
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Pyrexia
Clinical narrative: Pt with fever 104 F following vaccination
Age: 16.0
Sex: F
Vaccine: DTAP
Symptoms: Lethargy, Medication error, Pain, Pyrexia, Vomiting
Clinical narrative: Pt was given Dtap. Should have had Tdap on 7/10. Vomited x 1 on 7/11 at 8AM after PPD administration. Fever 101, lethargy, achy.
Age: 0.57
Sex: M
Vaccine: DTAP, IPV, PNC
Symptoms: Erythema, Urticaria
Clinical narrative: Vaccines given at approx 1:30, left clinic without incident. Returned to clinic approx 30 mins later. Pt's cheeks red with 4-5 hives, no redness or hives noted elsewhere. No respiratory or other distress. Given Benadryl at urgent care. Hives went away approx 15 mins after Benadryl.
Age: 24.0
Sex: F
Vaccine: HEPA, TD
Symptoms: Chest pain, Chills, Cough, Dyspnoea, Hypoaesthesia
Clinical narrative: C/o cough, chest pain, N/V, chills, fever, legs feeling numb and SOB post vaccines later that evening. C/o cold symptoms.
Age: 24.0
Sex: F
Vaccine: HEPA, TD
Symptoms: Nausea, Pharyngitis, Pyrexia, Rhinitis, Vomiting
Clinical narrative: C/o cough, chest pain, N/V, chills, fever, legs feeling numb and SOB post vaccines later that evening. C/o cold symptoms.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Headache, Neck pain, Pyrexia
Clinical narrative: Fever, neck pain, headache. Started within eight hours of vaccine administration persistent into the next day, but had improved after 24 hrs. Treated with Motrin.
Age: 28.0
Sex: M
Vaccine: HEP
Symptoms: Pruritus, Urticaria
Clinical narrative: Itching and hives. Itching started 6 hrs after the shot and hives appeared 10 hrs after. Benadryl PO 12 hrs after with no relief. Located around waist and ankles.
Age: 0.4
Sex: F
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Crying, Pyrexia, Screaming
Clinical narrative: Fever to 101 with persistent crying/screaming for >4 hrs.
Age: 62.0
Sex: F
Vaccine: TTOX, TTOX
Symptoms: Back pain, Chest pain, Dry eye, Eye disorder, Facial palsy
Clinical narrative: 6/23/06 tetanus shot given. 6/28-29 sore neck muscles rt side. 6/20 sore neck muscles rt side, lips numb, rt eye won't blink or close, right side of mouth drooping, rt nostril closed. 7/05/06 Prednisone various amounts until 7/07/06. 7/07/06 Azithromax 5 pack for sinus congestion and heavy chest. Eye ointment for dry eyes. 7/07 back muscle spasms. 7/10 series of back muscle spasms. 7/10 series of back muscle spasms.
Age: 62.0
Sex: F
Vaccine: TTOX, TTOX
Symptoms: Hypoaesthesia, Muscle spasms, Myalgia, Nasal congestion, Neck pain
Clinical narrative: 6/23/06 tetanus shot given. 6/28-29 sore neck muscles rt side. 6/20 sore neck muscles rt side, lips numb, rt eye won't blink or close, right side of mouth drooping, rt nostril closed. 7/05/06 Prednisone various amounts until 7/07/06. 7/07/06 Azithromax 5 pack for sinus congestion and heavy chest. Eye ointment for dry eyes. 7/07 back muscle spasms. 7/10 series of back muscle spasms. 7/10 series of back muscle spasms.
Age: 62.0
Sex: F
Vaccine: TTOX, TTOX
Symptoms: Facial palsy
Clinical narrative: 6/23/06 tetanus shot given. 6/28-29 sore neck muscles rt side. 6/20 sore neck muscles rt side, lips numb, rt eye won't blink or close, right side of mouth drooping, rt nostril closed. 7/05/06 Prednisone various amounts until 7/07/06. 7/07/06 Azithromax 5 pack for sinus congestion and heavy chest. Eye ointment for dry eyes. 7/07 back muscle spasms. 7/10 series of back muscle spasms. 7/10 series of back muscle spasms.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Cold sweat, Loss of consciousness, Pallor
Clinical narrative: Mom states walked to car and pt passed out. Returned to clinic, pt was pale, skin clammy. Pt was responsive. Cool clothes to back of neck/forehead. Within 5 minutes, skin was normal in color, lips pink. Water given. Had last eaten 4 1/2-5 hrs previously. Mom states had been outside playing most of the morning.
Age: 1.01
Sex: M
Vaccine: HEPA, PNC
Symptoms: Pyrexia, Rash, Urticaria
Clinical narrative: Shots given Friday 7/7/06. Developed hives per mom late afternoon Sat 7/8. Ate bacon 1st time on Sat. Rash started on head, mild fever, strep throat screen negative.
Age: 31.0
Sex: F
Vaccine: HEP
Symptoms: Injection site pain, Injection site swelling
Clinical narrative: 7/12/06 C/O soreness after injection and this AM noticed a raised area where injection was given. Which was to left deltoid. Obvious swelling to injection site no other bruising or discoloration.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Cellulitis, Injection site oedema, Injection site pain, Injection site warmth, Pyrexia
Clinical narrative: Left Deltoid at immunization site, swollen, painful, hot, fever at home 100 at office 8cm annular area. (Cellulitis).
Age: 24.0
Sex: F
Vaccine: HEPA, TTOX
Symptoms: Fall, Pyrexia, Syncope, Vision blurred, Visual disturbance
Clinical narrative: At 11:30pm, She became hot, had blurred and blotchy vision, vomited, fainted, and fell. The episode lasted 20 minutes.
Age: 24.0
Sex: F
Vaccine: HEPA, TTOX
Symptoms: Vomiting
Clinical narrative: At 11:30pm, She became hot, had blurred and blotchy vision, vomited, fainted, and fell. The episode lasted 20 minutes.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Cellulitis, Injection site reaction
Clinical narrative: Cellulitis right arm (Deltoid region).
Age: 7.0
Sex: M
Vaccine: DTAP, MMR
Symptoms: Feeling hot, Injection site hypersensitivity, Injection site oedema
Clinical narrative: Left Deltoid red, Swollen and warm to touch. DTap #5 and MMR #2 administered 7/5/06.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site hypersensitivity, Injection site warmth
Clinical narrative: Received vaccines on 7/7/06 in afternoon. By bedtime area of redness surrounded. Worsened by next day. Went to ER that day. Worsened further by the following day 7/9/06. Went back to ER started on Keflex improved at office visit of 7/10/06. Area was red and hot by history prior to at worst was 6 inches diameter.
Age: 65.0
Sex: F
Vaccine: PPV
Symptoms: Eye swelling, Rash, Urticaria
Clinical narrative: Hives left eye very swollen, rash on face, neck lasted a week. Went to DR for diagnosis and got Prednisone for 5 days and used over counter Benadryl.
Age: 19.0
Sex: M
Vaccine: ANTH, SMALL, TYP
Symptoms: Erythema, Rash, Rash vesicular
Clinical narrative: 12 JULY 06 (PM) PATIENT NOTED RASH ON BACK, CHEST AND UPPER ARMS 13 JULY 06 (AM) PATIENT PRESENTED TO MEDICAL PROVIDER - AFEBRILE, NON-TOXIC, VESICULAR RASH ON ERYTHEMIC BASE ON CHEST, BACK, AND UPPER ARMS; TREATED WITH NSAID AND ANTIHISTAMINE; PHOTOS TAKEN; REPORTED TO AGENCY  14 JULY 06 (PM) SPECIMEN COLLECTED FOR CULTURE AND PCR 17 JULY 06 (PM) SEEN BY A PROVIDER - RASH IS RESOLVING.
Age: 30.0
Sex: F
Vaccine: HEPA, YF
Symptoms: Visual disturbance
Clinical narrative: Patient noted visual disturbance 30 minutes s/p vaccination..described difficulty reading and the floor tiles moving. No headache, fever, syncope, GI, GU, CV symptoms. Full resolution after 2 hours.
Age: 42.0
Sex: M
Vaccine: IPV, MMR, YF
Symptoms: Groin pain, Swelling
Clinical narrative: Patient presented to primary care physician's office on 7/17/06 with a 3d history of fevers, chills and headache and a 1d history of left testicular swelling and pain. Exam remarkable for mild-moderate swelling and tenderness of left testis.
Age: 18.0
Sex: F
Vaccine: MNQ
Symptoms: Pruritus, Rash erythematous
Clinical narrative: Fine red, raised rash on truck.  Itches.  Began approximately 7 hours after administration. Still present 24 hours post administration.  Denies difficulty breathing, choking sensation, or swelling.  Referred to private pysician for evaluation.
Age: 52.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site erythema, Injection site hypersensitivity, Injection site induration, Injection site swelling, Pruritus
Clinical narrative: Pt in office for physical and given Adacel 0.5mg IM in LFA.  Pt called 7/17/06 to report she experienced, within 24 hours, swelling, itchy, and redness at injection site.  States arm was firm to touch from injection site down to elbow.  Symptoms lasted 4-5 days.  Pt states still some minor redness at injection site but much better.  Instructed pt to take Benadryl and to call office if symptoms did not continue to improve or if they worsened.
Age: 11.0
Sex: M
Vaccine: TD, VARCEL
Symptoms: Blister, Rash
Clinical narrative: Received Varicella vaccine on Tuesday.  Over the weekend developed a blister-like rash that is over body including face and head.  Called office on Monday evening to report reaction.  Using over the counter medication to control itching and discomfort.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Diarrhoea, Tenderness, Vomiting
Clinical narrative: Watery diarrhea, multiple bouts of vomiting, and tenderness of the left thigh began approximately 5 hours after vaccines were administered.
Age: 0.84
Sex: F
Vaccine: HIBV, MMR, VARCEL, HIBV, MMR, VARCEL
Symptoms: Febrile convulsion, Pulmonary oedema
Clinical narrative: Infant febrile morning of 5/18/2006 around 5:30 a.m. No other S/S per parent. Parent administered tylenol. Midday infant began seizing, mom called 911, infant transported and later pronounced dead at hospital. 7/19/06 Received death certificate which stated COD as pulmonary edema due to protracted febrile seizure. 7/28/06 Received tag-2 report from PCP.  Family had moved to another state.  Records accompanying report included vax records, Death Summary from ER & Autopsy Report.  COD stated as non-cardiogenic pulmonary edema as the result of febrile seizures/ss
Age: 0.84
Sex: F
Vaccine: HIBV, MMR, VARCEL, HIBV, MMR, VARCEL
Symptoms: Cardiac arrest, Febrile convulsion, Oxygen saturation decreased, Pyrexia
Clinical narrative: Infant febrile morning of 5/18/2006 around 5:30 a.m. No other S/S per parent. Parent administered tylenol. Midday infant began seizing, mom called 911, infant transported and later pronounced dead at hospital. 7/19/06 Received death certificate which stated COD as pulmonary edema due to protracted febrile seizure. 7/28/06 Received tag-2 report from PCP.  Family had moved to another state.  Records accompanying report included vax records, Death Summary from ER & Autopsy Report.  COD stated as non-cardiogenic pulmonary edema as the result of febrile seizures/ss
Sex: F
Vaccine: HEPA
Symptoms: Injection site atrophy, Muscle atrophy, Pain, Pyrexia, Serum sickness
Clinical narrative: This case was reported by a physician and described the occurrence of serum sickness in a female subject aged between 30 and 39 years old who was vaccinated with hepatitis A vaccine inactivated for prophylaxis. The subject's medical history, concurrent conditions, and concurrent medications were not reported. On an unspecified date the subject received 1st dose of Havrix at 1440 ELISA units, IM to  the left arm. The lot number and expiration date were not provided. At an unspecified time after vaccination with Havrix, the subject experienced serum sickness, atrophy of soft muscle tissue at the injection site, fever, and body pain. At the time of reporting, serum sickness, fever, and body pain had resolved, but the soft tissue atrophy persisted. No additional information was available. This case was assessed as medically serious (OMIC). At the time of reporting, the events were unresolved.
Age: 23.0
Sex: F
Vaccine: TYP
Symptoms: Unintended pregnancy
Clinical narrative: Discovered a positive pregnancy test after she took smallpox vaccine. Took pregnancy 5-6 weeks after vaccine. Test taken before vaccine was negative. Now 3 months pregnant according to ultrasound.
Age: 73.0
Sex: F
Vaccine: YF
Symptoms: Asthenia, Nausea, Thrombocytopenia
Clinical narrative: An initial report was received regarding a 73 yr old female that received YF vaccine on 23Sep04. She was hospitalized for thrombocytopenia, nausea and weakness from 25Sep04 to 28Sep04. Testing was done of the serum sample.
Age: 38.0
Sex: M
Vaccine: SMALL, YF
Symptoms: Nervous system disorder
Clinical narrative: From initial information received on 13/Jun/2006 regarding an adverse event, it was reported that a 38 year old male who was previously healthy received a YF-VAX vaccine and a Smallpox vaccine, manufacturer unknown on 03/Dec/2004, an influenza vaccine and a Typhoid vaccine, manufacturer unknown on 14/Dec/2004 and a Meningococcal vaccine, manufacturer unknown on 16/Dec/2004. The patient was deployed in mid December 2004. On 30/Dec/2004 he developed neurological symptoms and returned where he was diagnosed with ALS-Lou Gehrig's Disease. Cerebral Spinal Fluid was sent for testing. Results were as follows: "The sample is negative for all YF RNAs tested for by quantitative real time RT-PCR". The patient's recovery status was not reported. Seriousness criteria: Other-Medically significant (OMIC). Medical assessment: Amyotrophic lateral sclerosis is unlisted event following yellow fever vaccination. This patient received multiple vaccinations, including other live viral vaccine - Smallpox vaccine administered on the same day. The CSF testing by RT PCR which was negative confirms that the yellow fever virus did not cross the meningo-hematologic barrier. Although, the results of the serum testing for YF IgM and YF IgG will also be helpful in assessment of this case. Muscle biopsy, EMG, Lyme testing should be done in order to fully evaluate this case.
Age: 24.0
Sex: F
Vaccine: YF
Symptoms: Chest discomfort, Chest pain, Cough, Dyspnoea, Erythema
Clinical narrative: From initial information received on 13/Jun/2005 regarding an adverse event occurring, it was  reported that a 24-year-old female patient received a YF-VAX vaccination on 06/Apr/2005 for travel for work.  Approximately 30 minutes later the patient experienced chest and throat tightness, pain in chest, facial redness, swollen injection site and shortness of breath.  The patient was treated in the emergency room for anaphylaxis and was released.  The patient reportedly developed a cough two days later.  The patient's recovery status was not reported. (OMIC)
Age: 24.0
Sex: F
Vaccine: YF
Symptoms: Injection site inflammation, Throat tightness
Clinical narrative: From initial information received on 13/Jun/2005 regarding an adverse event occurring, it was  reported that a 24-year-old female patient received a YF-VAX vaccination on 06/Apr/2005 for travel for work.  Approximately 30 minutes later the patient experienced chest and throat tightness, pain in chest, facial redness, swollen injection site and shortness of breath.  The patient was treated in the emergency room for anaphylaxis and was released.  The patient reportedly developed a cough two days later.  The patient's recovery status was not reported. (OMIC)
Age: 50.0
Sex: F
Vaccine: YF
Symptoms: Cardiac disorder, Coronary artery disease, Infarction
Clinical narrative: From initial information received on 11/Jun/2005 regarding an adverse event, it was reported that a 50 year old female patient received a dose of YF-VAX, lot number not reported, administered on 13/Apr/2005 in preparation for travel. Two days later, the patient was admitted to the hospital for acute coronary syndrome and acute infarct of the heart. The patient had taken Claritin D earlier that day, prior to onset of symptoms. Reportedly, this was the first time that patient had taken Claritin D, although she has taken Claritin in the past. The patient was in good health at the time of vaccination, but did report a prior two week history of sweating, which she attributed to menopause. She also has a history of herpes. It was not reported whether the patient recovered from the events.
Age: 16.0
Sex: F
Vaccine: YF
Symptoms: Dyspnoea, Paraesthesia, Urticaria
Clinical narrative: From initial information received on 11/Jun/2005 regarding an adverse event, it was reported that a 16 year old female patient received a dose of YF-VAX, lot number not reported, administered on 13/May/2005. The route and site of administration were not reported breathing difficulty, paresthesias of the lips and facial and neck hives. The patient was admitted to the hospital through the emergency department. She received antihistamines and steroids and spent the night in the hospital for observation. No serologic testing was obtained as the patient had no evidence of neurologic or viscerotropic disease. The patient was fully recovered from these events.
Age: 26.0
Sex: F
Vaccine: HEP
Symptoms: Injection site erythema, Injection site induration, Injection site oedema, Injection site pain, Injection site warmth
Clinical narrative: Hepatitis B Vaccine administered 07/17/2006 Left deltoid. Within 6 HR had dull ache in shoulder. By 12-16 hr patient noted swelling, induration, warmth, pain, mild erythema over left deltoid.
Age: 26.0
Sex: F
Vaccine: HEP
Symptoms: Shoulder pain
Clinical narrative: Hepatitis B Vaccine administered 07/17/2006 Left deltoid. Within 6 HR had dull ache in shoulder. By 12-16 hr patient noted swelling, induration, warmth, pain, mild erythema over left deltoid.
Sex: M
Vaccine: IPV, TYP, YF
Symptoms: Vertigo
Clinical narrative: Initial reported received on 19/JAN/2006 from a health care provider.  A male patient (age unspecified) received on an unspecified date an injection of IPOL, lot number and route and site of administration not reported, an injection of Typhim Vi, lot number and route and site of administration not reported, an injection of YF-VAX lot number and route and site of administration not reported.  At an unspecified amount of time later, he developed severe vertigo which required an emergency room visit.  Other medications and pre-existing medical conditions were not provided.  Illness at the time of vaccination was none.  Per the reporter, "lab work was within normal limits". Additional information was not provided.  At the time of this report, the patient had not recovered.
Age: 36.0
Sex: M
Vaccine: HEP, YF
Symptoms: Hypoaesthesia, Pyrexia
Clinical narrative: Initial report received from a health care provider on 18/APR/2006.  A 35-year-old male patient with a medical history of allergies, had received a subcutaneous, right arm injection of YF-VAX, and an intramuscular, left deltoid injection of Hepatitis B vaccine.  Ten days post vaccination, the patient experienced facial numbness, numbness in the left arm and left hand and fever.  He was examined in an emergency room where a "CT scan and blood work were performed".  Results of the testing were not provided.  The patient had no illness at the time of vaccination and was taking Allegra for a medical history of allergies.  At the time of this report, the patient had recovered.  Follow-up information received on 01/MAY/2006.  The reporter received the case, and no additional relevant information was provided.
Age: 60.0
Sex: F
Vaccine: HEPA, IPV, YF
Symptoms: Pain in extremity, Paraesthesia
Clinical narrative: A 60-year-old female patient with a history of hypothyroidism, cancer in 1985 that was treated with radiation, and allergy to Compazine, had received an intramuscular injection of IPOL, in the left deltoid, a subcutaneous injection of YF-VAX , in the right arm and a primary intramuscular dose of Hepatitis A vaccine, in the left deltoid on 30/Mar/2006.  Forty days post0immunization, the patient developed pain and tingling in both of her feet.  She was seen by a podiatrist, and was prescribed an unspecified oral pain medication.  At the time of this report, the patient had not recovered from these events adverse events.
Age: 0.6
Sex: F
Vaccine: DTAPHEPBIP, PNC
Symptoms: Cardiac arrest, Pyrexia, Respiratory distress, Vomiting
Clinical narrative: Infant had routine well child exam on 7/11/06 healthy. 7/12/06 PM 2 episodes of emesis. 7/13/06 fever/acute respiratory distress 911 call asystole when ambulance arrived code ran in field and ER/infant expired.
Age: 19.0
Sex: F
Vaccine: MNQ
Symptoms: Arthralgia, Back pain, Dizziness, Headache, Loss of consciousness
Clinical narrative: An 18 year old female patient with no significant medical history and no current illnesses had received her first intramuscular injection of Menactra; lot number U1892AA, in the left deltoid on 27 June 2006. Within 24 hours, post-immunization, the patient complained of not feeling well (non-specific symptoms). Two days later, on 29 June 2006, she returned to the physician's office with a complaint of body aches, joint pains, vertigo-like dizziness, nausea, and vomiting. She was prescribed Antivert. Two days later, on 01 July 2006, the patient was generally feeling worse, still dizzy, passed out once, and had back pain (also described as low back pain) and headache. She was sent to the emergency room where a chest x-ray and routine blood work were normal. On 05 July 2006, the patient was seen in the physician's office with worsening back pain, neck pain, and headache. A CBC demonstrated a WBC 11.8 with "80P", ESR 25, and normal chemistry and renal/liver panels. Two days later on 07/ July 2006, the patient complained of worsening back pain, neck pain and headache. Upon examination, her neck was supple, but tender to palpation and she was complaining of neck pain with any movement. The patient's spine was tender to palpation along its entire length. There were no changes in vision, paraesthesia, numbness, muscle weakness, paralysis or other neurological symptoms. No fever was documented at home or in the physician's office but the patient was complaining of chills off and on and had been taking ibuprofen throughout the course of illnesses. Plan of care was to send the patient back to the emergency room for further evaluation. The recovery status of the patient was reported as not recovered. (OMIC)
Age: 19.0
Sex: F
Vaccine: MNQ
Symptoms: Malaise, Myalgia, Nausea, Neck pain, Red blood cell sedimentation rate increased
Clinical narrative: An 18 year old female patient with no significant medical history and no current illnesses had received her first intramuscular injection of Menactra; lot number U1892AA, in the left deltoid on 27 June 2006. Within 24 hours, post-immunization, the patient complained of not feeling well (non-specific symptoms). Two days later, on 29 June 2006, she returned to the physician's office with a complaint of body aches, joint pains, vertigo-like dizziness, nausea, and vomiting. She was prescribed Antivert. Two days later, on 01 July 2006, the patient was generally feeling worse, still dizzy, passed out once, and had back pain (also described as low back pain) and headache. She was sent to the emergency room where a chest x-ray and routine blood work were normal. On 05 July 2006, the patient was seen in the physician's office with worsening back pain, neck pain, and headache. A CBC demonstrated a WBC 11.8 with "80P", ESR 25, and normal chemistry and renal/liver panels. Two days later on 07/ July 2006, the patient complained of worsening back pain, neck pain and headache. Upon examination, her neck was supple, but tender to palpation and she was complaining of neck pain with any movement. The patient's spine was tender to palpation along its entire length. There were no changes in vision, paraesthesia, numbness, muscle weakness, paralysis or other neurological symptoms. No fever was documented at home or in the physician's office but the patient was complaining of chills off and on and had been taking ibuprofen throughout the course of illnesses. Plan of care was to send the patient back to the emergency room for further evaluation. The recovery status of the patient was reported as not recovered. (OMIC)
Age: 19.0
Sex: F
Vaccine: MNQ
Symptoms: Tenderness, Vertigo, Vomiting, White blood cell count increased
Clinical narrative: An 18 year old female patient with no significant medical history and no current illnesses had received her first intramuscular injection of Menactra; lot number U1892AA, in the left deltoid on 27 June 2006. Within 24 hours, post-immunization, the patient complained of not feeling well (non-specific symptoms). Two days later, on 29 June 2006, she returned to the physician's office with a complaint of body aches, joint pains, vertigo-like dizziness, nausea, and vomiting. She was prescribed Antivert. Two days later, on 01 July 2006, the patient was generally feeling worse, still dizzy, passed out once, and had back pain (also described as low back pain) and headache. She was sent to the emergency room where a chest x-ray and routine blood work were normal. On 05 July 2006, the patient was seen in the physician's office with worsening back pain, neck pain, and headache. A CBC demonstrated a WBC 11.8 with "80P", ESR 25, and normal chemistry and renal/liver panels. Two days later on 07/ July 2006, the patient complained of worsening back pain, neck pain and headache. Upon examination, her neck was supple, but tender to palpation and she was complaining of neck pain with any movement. The patient's spine was tender to palpation along its entire length. There were no changes in vision, paraesthesia, numbness, muscle weakness, paralysis or other neurological symptoms. No fever was documented at home or in the physician's office but the patient was complaining of chills off and on and had been taking ibuprofen throughout the course of illnesses. Plan of care was to send the patient back to the emergency room for further evaluation. The recovery status of the patient was reported as not recovered. (OMIC)
Age: 34.0
Sex: F
Vaccine: TDAP
Symptoms: Pruritus, Rash, Urticaria
Clinical narrative: Seriousness Criteria: Other-medically significant (OMIC). Initial report received on 07/Jul/2006 from a health care professional. A 34 year old female patient received an initial dose of Adacel, lot number C2457AA on 23/Jun/2006. Four days later the patient developed itchiness and was treated with Zyrtec by her physician. The reporter stated that "when the patient scratches skin a rash forms". The patient was placed on prednisone 40mg daily for one week. At the time of the report, the patient still had itchy palms, soles of her feet and scalp. The physician described the rash as a "lacy" reticular, red, prominent rash" and reported the patient's recovery status as unknown.
Age: 14.0
Sex: M
Vaccine: MNQ
Symptoms: Alanine aminotransferase increased, Aspartate aminotransferase increased, Bacterial infection, Blood alkaline phosphatase increased, Hepatic enzyme abnormal
Clinical narrative: Initial report received on 07Jul06 from a health care professional. A 14 year old male pt with a past medical history of asthma had received his first dose of Menactra, lot number U1877AA, on 16Jun06. The route and site of administration were not reported. Reportedly, the pt had no current illnesses, and was not taking any other medications at the time of vaccination. Approx 17 days post immunization, on 03Jul06, the pt developed a fever of 102 to 104 degrees and lumbar puncture were negative. Lab work showed bilirubin 4.41, alkaline phosphatase 221, SGTP 90, SGOT 52, and CRP 9.41. The WBC's and differentials were normal. The pt had elevated liver enzymes, and tested non Hep A, B, and C. The pt was treated with unspecified antibiotics for two days. His condition improved, and he was discharged from the hospital on 06Jul06. The recovery status of the pt was reported as not recovered.
Age: 14.0
Sex: M
Vaccine: MNQ
Symptoms: Hyperbilirubinaemia, Laboratory test abnormal, Pyrexia
Clinical narrative: Initial report received on 07Jul06 from a health care professional. A 14 year old male pt with a past medical history of asthma had received his first dose of Menactra, lot number U1877AA, on 16Jun06. The route and site of administration were not reported. Reportedly, the pt had no current illnesses, and was not taking any other medications at the time of vaccination. Approx 17 days post immunization, on 03Jul06, the pt developed a fever of 102 to 104 degrees and lumbar puncture were negative. Lab work showed bilirubin 4.41, alkaline phosphatase 221, SGTP 90, SGOT 52, and CRP 9.41. The WBC's and differentials were normal. The pt had elevated liver enzymes, and tested non Hep A, B, and C. The pt was treated with unspecified antibiotics for two days. His condition improved, and he was discharged from the hospital on 06Jul06. The recovery status of the pt was reported as not recovered.
Age: 1.28
Sex: M
Vaccine: DTAP, HBPV, MMR
Symptoms: Abasia, Abnormal behaviour, Attention deficit/hyperactivity disorder, Constipation, Convulsion
Clinical narrative: He had chicken pox right before MMR, Hib, DTP, TD, DT were given. He was sleepy, 1 put him down for nap. I heard the crib hitting wall, I ran in room, he was sweaty and very hot. I could not wake him up. I called neighbor over. We called clinic and they said use cold wash clothes to wake him and if I witness another seizure or fever doesn't go down take him to ER. He also had a knot the size of gold ball at injection site for about a month after. He regressed. Stopped walking and talking and began repetitive movements and noises. I found out that even though it is mandatory to report any adverse reaction the doctor or the clinic never did. I am so upset about this. I am included shot record and pediatric clinic's record.  10/30/06 Received medical records from PCP office. Birth Hx: Term NSVD, 6 lbs 7.5 oz.  Mom w/toxemia during preg so was induced. PMH: extreme hyperactivity & speech difficulty.  Food allergies (significant for milk & corn)  Frequent OM w/tubes 5/96. Constipation.  Current dx: ADHD w/developmental delay & possible autism.  Family hx:  Mom recently dx w/ ADD.  Patients sister with ADHD. In 1998, began receiving IVIG 1x/mo which continued thru last office notes of 6/02 for autism symptoms & allergies which was helping somewhat.  Physical growth was WNL.  Delayed development in several areas: fine motor, language, & gross motor components./ss. 60 day Follow-up Information 04-OCT-2006: Hypogammaglobulinemia; Seizure disorder; heavy metal toxicity; wheat/dairy severe allergy; severe allergies/food & environmental; Learning disabled; many Gastrointestinal pblms; Enzymes w/oall major meals; Severe constipation; Inflamation; Colitis; Leaky gut; Many sensory problems; Language and socially delay. My child is now autistic. He had language, eye contact he was social and was walking. He regressed after his seizure just hours after his shots and lost all of these things.
Age: 1.28
Sex: M
Vaccine: DTAP, HBPV, MMR
Symptoms: Depressed level of consciousness, Developmental delay, Difficulty in walking, Feeling hot, Hyperhidrosis
Clinical narrative: He had chicken pox right before MMR, Hib, DTP, TD, DT were given. He was sleepy, 1 put him down for nap. I heard the crib hitting wall, I ran in room, he was sweaty and very hot. I could not wake him up. I called neighbor over. We called clinic and they said use cold wash clothes to wake him and if I witness another seizure or fever doesn't go down take him to ER. He also had a knot the size of gold ball at injection site for about a month after. He regressed. Stopped walking and talking and began repetitive movements and noises. I found out that even though it is mandatory to report any adverse reaction the doctor or the clinic never did. I am so upset about this. I am included shot record and pediatric clinic's record.  10/30/06 Received medical records from PCP office. Birth Hx: Term NSVD, 6 lbs 7.5 oz.  Mom w/toxemia during preg so was induced. PMH: extreme hyperactivity & speech difficulty.  Food allergies (significant for milk & corn)  Frequent OM w/tubes 5/96. Constipation.  Current dx: ADHD w/developmental delay & possible autism.  Family hx:  Mom recently dx w/ ADD.  Patients sister with ADHD. In 1998, began receiving IVIG 1x/mo which continued thru last office notes of 6/02 for autism symptoms & allergies which was helping somewhat.  Physical growth was WNL.  Delayed development in several areas: fine motor, language, & gross motor components./ss. 60 day Follow-up Information 04-OCT-2006: Hypogammaglobulinemia; Seizure disorder; heavy metal toxicity; wheat/dairy severe allergy; severe allergies/food & environmental; Learning disabled; many Gastrointestinal pblms; Enzymes w/oall major meals; Severe constipation; Inflamation; Colitis; Leaky gut; Many sensory problems; Language and socially delay. My child is now autistic. He had language, eye contact he was social and was walking. He regressed after his seizure just hours after his shots and lost all of these things.
Age: 1.28
Sex: M
Vaccine: DTAP, HBPV, MMR
Symptoms: Hypersensitivity, Hypersensitivity, Hypogammaglobulinaemia, Injection site mass, Metal poisoning
Clinical narrative: He had chicken pox right before MMR, Hib, DTP, TD, DT were given. He was sleepy, 1 put him down for nap. I heard the crib hitting wall, I ran in room, he was sweaty and very hot. I could not wake him up. I called neighbor over. We called clinic and they said use cold wash clothes to wake him and if I witness another seizure or fever doesn't go down take him to ER. He also had a knot the size of gold ball at injection site for about a month after. He regressed. Stopped walking and talking and began repetitive movements and noises. I found out that even though it is mandatory to report any adverse reaction the doctor or the clinic never did. I am so upset about this. I am included shot record and pediatric clinic's record.  10/30/06 Received medical records from PCP office. Birth Hx: Term NSVD, 6 lbs 7.5 oz.  Mom w/toxemia during preg so was induced. PMH: extreme hyperactivity & speech difficulty.  Food allergies (significant for milk & corn)  Frequent OM w/tubes 5/96. Constipation.  Current dx: ADHD w/developmental delay & possible autism.  Family hx:  Mom recently dx w/ ADD.  Patients sister with ADHD. In 1998, began receiving IVIG 1x/mo which continued thru last office notes of 6/02 for autism symptoms & allergies which was helping somewhat.  Physical growth was WNL.  Delayed development in several areas: fine motor, language, & gross motor components./ss. 60 day Follow-up Information 04-OCT-2006: Hypogammaglobulinemia; Seizure disorder; heavy metal toxicity; wheat/dairy severe allergy; severe allergies/food & environmental; Learning disabled; many Gastrointestinal pblms; Enzymes w/oall major meals; Severe constipation; Inflamation; Colitis; Leaky gut; Many sensory problems; Language and socially delay. My child is now autistic. He had language, eye contact he was social and was walking. He regressed after his seizure just hours after his shots and lost all of these things.
Age: 1.28
Sex: M
Vaccine: DTAP, HBPV, MMR
Symptoms: Multiple allergies, Neurodevelopmental disorder, Psychomotor hyperactivity, Pyrexia, Skin warm
Clinical narrative: He had chicken pox right before MMR, Hib, DTP, TD, DT were given. He was sleepy, 1 put him down for nap. I heard the crib hitting wall, I ran in room, he was sweaty and very hot. I could not wake him up. I called neighbor over. We called clinic and they said use cold wash clothes to wake him and if I witness another seizure or fever doesn't go down take him to ER. He also had a knot the size of gold ball at injection site for about a month after. He regressed. Stopped walking and talking and began repetitive movements and noises. I found out that even though it is mandatory to report any adverse reaction the doctor or the clinic never did. I am so upset about this. I am included shot record and pediatric clinic's record.  10/30/06 Received medical records from PCP office. Birth Hx: Term NSVD, 6 lbs 7.5 oz.  Mom w/toxemia during preg so was induced. PMH: extreme hyperactivity & speech difficulty.  Food allergies (significant for milk & corn)  Frequent OM w/tubes 5/96. Constipation.  Current dx: ADHD w/developmental delay & possible autism.  Family hx:  Mom recently dx w/ ADD.  Patients sister with ADHD. In 1998, began receiving IVIG 1x/mo which continued thru last office notes of 6/02 for autism symptoms & allergies which was helping somewhat.  Physical growth was WNL.  Delayed development in several areas: fine motor, language, & gross motor components./ss. 60 day Follow-up Information 04-OCT-2006: Hypogammaglobulinemia; Seizure disorder; heavy metal toxicity; wheat/dairy severe allergy; severe allergies/food & environmental; Learning disabled; many Gastrointestinal pblms; Enzymes w/oall major meals; Severe constipation; Inflamation; Colitis; Leaky gut; Many sensory problems; Language and socially delay. My child is now autistic. He had language, eye contact he was social and was walking. He regressed after his seizure just hours after his shots and lost all of these things.
Age: 1.28
Sex: M
Vaccine: DTAP, HBPV, MMR
Symptoms: Somnolence, Somnolence, Speech disorder
Clinical narrative: He had chicken pox right before MMR, Hib, DTP, TD, DT were given. He was sleepy, 1 put him down for nap. I heard the crib hitting wall, I ran in room, he was sweaty and very hot. I could not wake him up. I called neighbor over. We called clinic and they said use cold wash clothes to wake him and if I witness another seizure or fever doesn't go down take him to ER. He also had a knot the size of gold ball at injection site for about a month after. He regressed. Stopped walking and talking and began repetitive movements and noises. I found out that even though it is mandatory to report any adverse reaction the doctor or the clinic never did. I am so upset about this. I am included shot record and pediatric clinic's record.  10/30/06 Received medical records from PCP office. Birth Hx: Term NSVD, 6 lbs 7.5 oz.  Mom w/toxemia during preg so was induced. PMH: extreme hyperactivity & speech difficulty.  Food allergies (significant for milk & corn)  Frequent OM w/tubes 5/96. Constipation.  Current dx: ADHD w/developmental delay & possible autism.  Family hx:  Mom recently dx w/ ADD.  Patients sister with ADHD. In 1998, began receiving IVIG 1x/mo which continued thru last office notes of 6/02 for autism symptoms & allergies which was helping somewhat.  Physical growth was WNL.  Delayed development in several areas: fine motor, language, & gross motor components./ss. 60 day Follow-up Information 04-OCT-2006: Hypogammaglobulinemia; Seizure disorder; heavy metal toxicity; wheat/dairy severe allergy; severe allergies/food & environmental; Learning disabled; many Gastrointestinal pblms; Enzymes w/oall major meals; Severe constipation; Inflamation; Colitis; Leaky gut; Many sensory problems; Language and socially delay. My child is now autistic. He had language, eye contact he was social and was walking. He regressed after his seizure just hours after his shots and lost all of these things.
Age: 1.65
Sex: M
Vaccine: DTAP, HBHEPB, PNC
Symptoms: Convulsion, Febrile convulsion, Hypoxia, Laboratory test abnormal, Respiratory failure
Clinical narrative: This child had his vaccines given on 7/14/06 at end of morning session about 12 noon. Mom  noted that later on that night the child developed 2 seizure. He was taken to ER where the seizure lasted 30 minutes. He was given valium supp and required O2 bagging secondary to resp failure which occurred after valium dose. He was admitted to hosp by 5AM. He was seen by neurology who felt seizure was due to Dtap vaccine and recommended child not receive pertussis in vaccine any more. DC DX: Atypical febrile Seizure. Seen in ER for unresponsive, drooling, body twitching, staring straight off episode and then briefly stopped twitching and then resumed the shaking. Patient was febrile at Urgent Care center where episode took place, this occurred 1 day after vaccination. Transported via ambulance to ER during transport received 23mg Valium IV times 2 before seizure stopped. 3 days prior to ER visit had runny nose, cough no fever.  Current Meds: antihistamines Temp in ER 37.7,  PE: Right inguinal node. Neuro: sleeping, clonus x2 beats 6/1 ankles. Pupils constricted but equal. Labs: WBC 11.8,  CSF: WBC 0, RBC 0, glucose 73, protein 23, culture negative Admitted for 24 hour observation.
Age: 20.0
Sex: F
Vaccine: SMALL
Symptoms: Unevaluable event
Clinical narrative: Inadvertent vaccination of small pox to a female patient who subsequently discovered she was pregnant.  No adverse reactions noted.