chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 65.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site swelling, Injection site warmth, Pyrexia, Rash papular
Clinical narrative: Next day after receiving Zostavax vaccine I had swelling and fever in my arm at injection site.  6 days after receiving it my chest broke out in little bumps that did not itch or burn.  8 days after vaccine my right upper arm broke out in same bumps as chest.  Dr. prescribed Nystatin and Triamcinolone Acetonide Cream to be applied 2 times daily.
Age: 35.0
Sex: U
Vaccine: PPV
Symptoms: Dyspnoea, Headache, Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: pneumonia shot given while patient at osu. site where shot given hot red painfull and very swollen. Growing bigger every day. On 3rd day body aches more painfull. Breathing more difficult. Headache unable to go away. Went to urgent care.
Age: 35.0
Sex: U
Vaccine: PPV
Symptoms: Pain
Clinical narrative: pneumonia shot given while patient at osu. site where shot given hot red painfull and very swollen. Growing bigger every day. On 3rd day body aches more painfull. Breathing more difficult. Headache unable to go away. Went to urgent care.
Age: 68.0
Sex: F
Vaccine: FLU3
Symptoms: Diarrhoea, Pyrexia, Vomiting
Clinical narrative: WITHIN 24 HOURS PATIENT DEVELOPED SEVERE EMESIS AND DIARRHEA WITH A HIGH GRADE FEVER OVER 105F. PATIENT WENT TO DOCTOR OFFICE 9-6-2009 AND PRESENTED WITH A FEVER OF 104F AND WAS GIVEN RX FOR LOMOTIL TO HELP WITH THE DIARRHEA SYMPTOMS
Age: 61.0
Sex: M
Vaccine: FLU3
Symptoms: Atrial flutter, Dyspnoea, Enzyme abnormality, Heart rate increased
Clinical narrative: Difficult Breathing.  Rapid Heart Rate. 9/9/09 ER records received DOS 9/4/09. Assessment: Atrial flutter with rapid ventricular rate and cardioversion. Developed angina, left-sided jaw pain. Heart rate 150-160. Tachycardia. Cardioversion. Discharged to home.
Age: 66.0
Sex: F
Vaccine: FLUX, PPV
Symptoms: Injection site erythema, Injection site pain, Injection site streaking, Malaise, Pain
Clinical narrative: Received pneumovax and influenza at 11:40am on Sept 5. By 9pm had sore arm. Next day, awoke with redness spreading over entire deltoid area of 5X5 inches. Also had body aches and red lines running from the injection site. Temperature of 100. Feel awful. Taking Benadryl and going to bed.
Age: 66.0
Sex: F
Vaccine: FLUX, PPV
Symptoms: Pyrexia
Clinical narrative: Received pneumovax and influenza at 11:40am on Sept 5. By 9pm had sore arm. Next day, awoke with redness spreading over entire deltoid area of 5X5 inches. Also had body aches and red lines running from the injection site. Temperature of 100. Feel awful. Taking Benadryl and going to bed.
Age: 1.08
Sex: M
Vaccine: PNC, VARCEL
Symptoms: Diarrhoea, Pyrexia
Clinical narrative: DIARHHEA AND FEVER BEGINNING 48 HOURS AFTER VACCINATIONS AND CONTINUING FOR MORE THAN 72 HOURS;
Age: 68.0
Sex: F
Vaccine: FLU3
Symptoms: Pain, Pruritus, Rash
Clinical narrative: Pt came to pharmacy states she woke up today with rash on the body (trunk). Consult pt to take 2 BENADRYL and contact or seek medical attention if worsen. Pt called back 4 hours later. State rash & itch worsen and body in pain. I ask pt to go to emergency room for medical attention.
Age: 49.0
Sex: F
Vaccine: TDAP
Symptoms: Chills, Dyspnoea, Fatigue, Headache, Heart rate increased
Clinical narrative: Redness, pain, extreme swelling & bruising at injection site. Headache, fatigue, chills & sweats on 8/30/09. By that evening and into 8/31/09, fast heart rate, difficulty breathing & paleness. Symptoms kept worsening so attempted to call on 8/31/09 around 10 am, ER where vaccine was administered and Charge Nurse was not helpful and very dismissive of symptoms.In fact he contradicted the literature that was given to me at the time of the injection. Either the staff is not versed on these vaccines or just don't care. Called my primary care doctor for treatment. Symptoms finally subsided on their own. Arm continues to be bruised, red and painful on 9/7/09. Hoping this goes away eventually. Seems there is no one who knows of the reactions to these vaccines so they are very unhelpful to patients. I am lucky the worst of these symptoms went away and did not require another ER visit. I will NEVER take another vaccine again!
Age: 49.0
Sex: F
Vaccine: TDAP
Symptoms: Hyperhidrosis, Injection site erythema, Injection site haematoma, Injection site pain, Injection site swelling
Clinical narrative: Redness, pain, extreme swelling & bruising at injection site. Headache, fatigue, chills & sweats on 8/30/09. By that evening and into 8/31/09, fast heart rate, difficulty breathing & paleness. Symptoms kept worsening so attempted to call on 8/31/09 around 10 am, ER where vaccine was administered and Charge Nurse was not helpful and very dismissive of symptoms.In fact he contradicted the literature that was given to me at the time of the injection. Either the staff is not versed on these vaccines or just don't care. Called my primary care doctor for treatment. Symptoms finally subsided on their own. Arm continues to be bruised, red and painful on 9/7/09. Hoping this goes away eventually. Seems there is no one who knows of the reactions to these vaccines so they are very unhelpful to patients. I am lucky the worst of these symptoms went away and did not require another ER visit. I will NEVER take another vaccine again!
Age: 49.0
Sex: F
Vaccine: TDAP
Symptoms: Pallor
Clinical narrative: Redness, pain, extreme swelling & bruising at injection site. Headache, fatigue, chills & sweats on 8/30/09. By that evening and into 8/31/09, fast heart rate, difficulty breathing & paleness. Symptoms kept worsening so attempted to call on 8/31/09 around 10 am, ER where vaccine was administered and Charge Nurse was not helpful and very dismissive of symptoms.In fact he contradicted the literature that was given to me at the time of the injection. Either the staff is not versed on these vaccines or just don't care. Called my primary care doctor for treatment. Symptoms finally subsided on their own. Arm continues to be bruised, red and painful on 9/7/09. Hoping this goes away eventually. Seems there is no one who knows of the reactions to these vaccines so they are very unhelpful to patients. I am lucky the worst of these symptoms went away and did not require another ER visit. I will NEVER take another vaccine again!
Age: 43.0
Sex: F
Vaccine: TDAP
Symptoms: Headache, Injection site erythema, Injection site induration, Injection site nodule, Injection site pain
Clinical narrative: Administered 8/11/09 for pre-employment. Last Td vaccine received 2005. First time receiving Tdap. Approximately 6 cm x 4 cm red area at injection site. Swollen glands in left axillary and left sub-mandibular/tonsillar lymph nodes (injection site left upper arm). Persistent headache x 3-4 days. Persistent generalized muscle aches x 4-5 days. Also, muscle ache/hard knot at site (not unusual per past history with Td vaccine).
Age: 43.0
Sex: F
Vaccine: TDAP
Symptoms: Lymphadenopathy, Myalgia
Clinical narrative: Administered 8/11/09 for pre-employment. Last Td vaccine received 2005. First time receiving Tdap. Approximately 6 cm x 4 cm red area at injection site. Swollen glands in left axillary and left sub-mandibular/tonsillar lymph nodes (injection site left upper arm). Persistent headache x 3-4 days. Persistent generalized muscle aches x 4-5 days. Also, muscle ache/hard knot at site (not unusual per past history with Td vaccine).
Age: 71.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site haematoma, Injection site pruritus
Clinical narrative: Patient phoned the pharmacy to complain of injection site reaction on 09/06/2009.  I was not in so the pharmacist on duty instructed the patient to call my home.  She described redness and itching at the site, so I told her to stop in the next day to see me.  When she stopped in today, she complained of redness and itching.  She also had a large bruise where the injection was givin.
Age: 16.0
Sex: F
Vaccine: HPV4
Symptoms: Convulsion
Clinical narrative: Gardasil vaccinations administered @ 4:30 p.m. 9/2/2009, was taken by ambulance to Hospital, @ 7:00 am on 29/3/2009.  Diagnoses, seizure. 10/7/09 ER record received for date 9/3/09. Pt presented to ER with complaint from Mother that pt had 3 seizures while in shower  and was "odd" for 5 minutes. Had HPV vaccine previous day. 12/17/09 GYN records received for DOS  9/02/09. Pt. presents for routine exam. YAZ prescribed. Gardasil Vax provided. Assessment: dysmenorrhea.
Age: 4.0
Sex: M
Vaccine: DTAP, MMR, VARCEL
Symptoms: Aggression, Expressive language disorder, Gastrointestinal pain, Incontinence, Regressive behaviour
Clinical narrative: self injurous behavior, tantrums, regression incontinence when previously potty trained,bowel pain,loss of functional language,
Age: 4.0
Sex: M
Vaccine: DTAP, MMR, VARCEL
Symptoms: Self injurious behaviour
Clinical narrative: self injurous behavior, tantrums, regression incontinence when previously potty trained,bowel pain,loss of functional language,
Age: 65.0
Sex: F
Vaccine: VARZOS
Symptoms: Facial nerve disorder, Hypoaesthesia, Neuralgia, Pain, Paraesthesia
Clinical narrative: neuropathic pain (tingling, numbness, shooting pain in arms, hands, legs, and feet; some facial nerve sensations); started with numbness in feet on 9/2/09 when lying in bed; over the next few days involved all extremities and occasionally face. Continues to date (9/7/09). Am treating as needed with Tylonol Arthritis Pain 650 mg extended release caplets, one per 8 hours. Had similar neuropathic pain 4/07-12/07, which gradually resolved itself through physical therapy.
Age: 75.0
Sex: F
Vaccine: FLU3
Symptoms: Rash pruritic
Clinical narrative: Patient called in. Itchy rash to upper back & shoulders. States no SUA or any other sx. Rash does not go past mid back or above shoulders or on arms. Using BENADRYL creams & helping.
Age: 19.0
Sex: F
Vaccine: MNQ, MNQ
Symptoms: Abdominal pain, Fatigue, Headache, Lip swelling
Clinical narrative: Initial report received on 14 July 2009 from a consumer.  A 19 year old female patient with an allergy to fish and beans received MENACTRA (lot number U2915AA) intramuscularly on 07 July 2009.  On 09 July 2009 the patient developed a moderate headache, which was somewhat relieved with IBUPROFEN.  The patient also began having mid to low abdominal pain which would come and go.  The patient complained of feeling tired and having swollen lips.  The patient did not have lab work or diagnostics completed.  The patient did not recover.  Follow up information received on 03 August 2009 from a health care professional.  Route of MENACTRA administration was intramuscular and the patient did not receive prior doses.  The patient was not seen by a physician post vaccination.  The reporter had not heard from the patient, therefore recovery status was unknown at the time of the report.  List of Documents held by Sender:  none.
Age: 19.0
Sex: F
Vaccine: MNQ, MNQ
Symptoms: Abdominal pain lower, Fatigue, Lip swelling
Clinical narrative: Initial report received on 14 July 2009 from a consumer.  A 19 year old female patient with an allergy to fish and beans received MENACTRA (lot number U2915AA) intramuscularly on 07 July 2009.  On 09 July 2009 the patient developed a moderate headache, which was somewhat relieved with IBUPROFEN.  The patient also began having mid to low abdominal pain which would come and go.  The patient complained of feeling tired and having swollen lips.  The patient did not have lab work or diagnostics completed.  The patient did not recover.  Follow up information received on 03 August 2009 from a health care professional.  Route of MENACTRA administration was intramuscular and the patient did not receive prior doses.  The patient was not seen by a physician post vaccination.  The reporter had not heard from the patient, therefore recovery status was unknown at the time of the report.  List of Documents held by Sender:  none.
Age: 17.0
Sex: F
Vaccine: MNQ, MNQ
Symptoms: Blood test, Computerised tomogram, Convulsion, Grand mal convulsion, Tongue biting
Clinical narrative: This spontaneous case was received from a nurse on 02 September 2009. A 17-year-old female patient, with no medical history, received an intramuscular left deltoid injection of MENACTRA (lot number U2670AA) on 24 June 2009. When she awoke the morning after vaccination, the patient noted swelling and discolouration of the tongue. She also reported feeling "spacey", which the nurse described as postictal. On 01 September 2009 she was observed to have a grand mal seizure, and she presented to the emergency department at that time. On 02 September 2009 she was seen by a neurologist, who diagnosed "epilepsy triggered by vaccine". The patient was scheduled to undergo an EEG and MRI; results were not available at the time of the report. The event remained ongoing. Documents held by sender: None.
Age: 17.0
Sex: F
Vaccine: MNQ, MNQ
Symptoms: Electroencephalogram, Epilepsy, Feeling abnormal, Grand mal convulsion, Nuclear magnetic resonance imaging
Clinical narrative: This spontaneous case was received from a nurse on 02 September 2009. A 17-year-old female patient, with no medical history, received an intramuscular left deltoid injection of MENACTRA (lot number U2670AA) on 24 June 2009. When she awoke the morning after vaccination, the patient noted swelling and discolouration of the tongue. She also reported feeling "spacey", which the nurse described as postictal. On 01 September 2009 she was observed to have a grand mal seizure, and she presented to the emergency department at that time. On 02 September 2009 she was seen by a neurologist, who diagnosed "epilepsy triggered by vaccine". The patient was scheduled to undergo an EEG and MRI; results were not available at the time of the report. The event remained ongoing. Documents held by sender: None.
Age: 17.0
Sex: F
Vaccine: MNQ, MNQ
Symptoms: Postictal state, Swollen tongue, Tongue discolouration
Clinical narrative: This spontaneous case was received from a nurse on 02 September 2009. A 17-year-old female patient, with no medical history, received an intramuscular left deltoid injection of MENACTRA (lot number U2670AA) on 24 June 2009. When she awoke the morning after vaccination, the patient noted swelling and discolouration of the tongue. She also reported feeling "spacey", which the nurse described as postictal. On 01 September 2009 she was observed to have a grand mal seizure, and she presented to the emergency department at that time. On 02 September 2009 she was seen by a neurologist, who diagnosed "epilepsy triggered by vaccine". The patient was scheduled to undergo an EEG and MRI; results were not available at the time of the report. The event remained ongoing. Documents held by sender: None.
Age: 18.0
Sex: F
Vaccine: HPV4
Symptoms: Caesarean section, Drug exposure during pregnancy, Labour complication
Clinical narrative: Information has been received from an 18 year old healthy female who on 13-OCT-2008 was vaccinated with the first dose of GARDASIL (Lot # 660393/0067X) and was about 4 weeks pregnant at the time (LMP approximately 15-SEP-2008). Estimated delivery date: 22-Jun-2009. No adverse event reported. The patient did not seek medical attention. Follow-up information was received from the registered nurse indicating that the outcome pregnancy questionnaire was forwarded to the OB/GYN who is currently seeing the patient. Follow up information was received from the registered nurse for the pregnancy registry for GARDASIL who reported that on 10-JUN-2009, the patient gave birth to a normal male infant weighing 6 pounds and 6 ounces, length 19 and head circumference 12 3/4. There were no other complications or abnormalities. It was reported that during pregnancy there were no complications. Other medication used during pregnancy included prenatal vitamins (everyday). No diagnostic tests were performed during pregnancy. During labor/delivery, the patient did not dilate and required a c-section. Upon internal review, did not dilate and required a c-section was determined to be an other important medical event. Additional information has been requested.
Age: 10.0
Sex: F
Vaccine: HPV4
Symptoms: Computerised tomogram normal, Convulsion
Clinical narrative: Information has been received from a nurse in the physician's office concerning a female patient who on 14-JUL-2009 was vaccinated with the second dose of GARDASIL (lot# 661531/1311X). On 31-AUG-2009 the patient "experienced a seizure approximately 6 weeks after receiving her second dose of GARDASIL. She went to the emergency room but it was unknown if she was admitted to the hospital. " The result of computed axial tomography was normal. The outcome was unknown. Follow up information was received from a Certified Medical Assistant (C.M.A.) on 01-SEP-2009 via telephone stated that the 10 year old patient received the first dose of GARDASIL on 04-MAY-2009 (Lot number not available to reporter at that time) and second dose of on 14-JUL-2009 (lot# 661531/1311X). On 31-AUG-2009, the patient had a seizure. The patient's mother took the patient to the Emergency Room. The patient had a CT scan of the head which was normal. The patient was not admitted to the hospital. The patient was scheduled for an EEG on 03-SEP-2009. The Certified Medical Assistant did not know if the patient recovered and did not know if the patient had a significant disability. Upon internal review, seizure was determined to be an other important medical event. Additional information has been requested.
Age: 24.0
Sex: F
Vaccine: HPV4
Symptoms: Coagulation factor V level, Thrombosis
Clinical narrative: Information has been received from a 24 year old female with family history of blood clots, her grandmother and mother were factor 5, and no drug reactions/allergies who in April 2009, was vaccinated with the first dose of GARDASIL (Lot # not reported). In June 2009, the patient was vaccinated with the second dose of GARDASIL (Lot # not reported). Concomitant therapy included hormonal contraceptives (unspecified). On 06-JUL-2009, the patient was diagnosed with a blood clot and was admitted to the hospital for less than 1 day. On an unspecified date, the patient had a factor 5 test and an ultrasound performed (results not provided). In the end of July 2009, the patient recovered from blood clot. Additional information has been requested.  9/18/09 Hospital records received DOS 7/8/09 to 7/9/09. Assessment: Acute deep venous thrombosis in right leg.  Soft ball injury to leg, multiple abrasions 1 week prior. Presents with exquisite right calf pain. Superficial phlebitis of right lesser sapheous, occluded calf vein, thrombosis of right gastronemius vein, occluded deep vein thrombosis of right superficial femoral and popliteal veins.  ICD-9 Codes: 782.3 Edema, 451.0 Superfic Phlebitis - Leg, 916.0 Abrasion Hip & Leg, 346.90 Migrne Unsp wo Ntrc Mgrn, V18.3 HX-Blood Disord Nec.
Age: 15.0
Sex: F
Vaccine: HPV4
Symptoms: Convulsion
Clinical narrative: Information has been received from a office nurse concerning a 15 year old female. The nurse reported that the patient who was not a patient of the office nurse, but was her daughters best friend, was vaccinated with the first dose of GARDASIL and right after receiving the vaccine the patient experienced seizures. The outcome of the event was unknown. Upon internal review, seizure was determined to be an other important medical event. No further information is available.
Age: 18.0
Sex: F
Vaccine: HPV4
Symptoms: Pulmonary embolism
Clinical narrative: Information has been received from a health professional concerning an 18 year old female patient who in January 2009, was vaccinated with a dose of GARDASIL (the patient was not vaccinated at the reporter's clinic). The consumer became their patient because of the pulmonary embolism diagnosed shortly after getting GARDASIL in April 2009. The patient was treated with COUMADIN for 3 months, but then she was on aspirin daily. She has been hospitalized on several occasions due to her pulmonary embolism (one reported hospitalization lasting 10 days). It was reported that there were no other risks identified for the pulmonary embolism. At the time of the report, the patient status was unknown. The reporter considered the pulmonary embolism to be immediately life-threatening. Additional information has been requested.  9/18/09 Hospital/medical records received DOS inpatient 4/16/09 to 4/17/09 and outpatient visits to 8/24/09.  Assessment: Pulmonary embolism and infarction. Dysmetabolic syndrome X.  Patient presents with upper abdominal pain and lower chest type symptoms. Pulmonary emboli. Chest pain.  ICD-9 Codes: 415.19 Pulmonary embolism and infarction. 277.7 Dysmetabolic syndrome X.
Age: 0.5
Sex: F
Vaccine: DTAP, HIBV
Symptoms: Convulsion, Respiratory arrest
Clinical narrative: Information has been received from a case in litigation concerning an approximately 6 month old female who on 26-MAR-2001 was vaccinated with a dose of PEDVAXHIB and a dose of DTaP during a six month check up. It was reported that the patient experienced seizure symptoms 2 or 3 days after the vaccinations. On 14-APR-2001 the patient's parents brought her to an emergency department, reporting that she had stopped breathing for five minutes. They reported two previous episodes, which took to mean between 08-APR-2001 and 14-APR-2001. Upon internal review, seizure symptoms and stopped breathing for five minutes were considered other important medical events. No further information is available.
Sex: M
Vaccine: DTAP, HIBV
Symptoms: Dyspnoea, No reaction on previous exposure to drug, Pyrexia, Respiratory failure, Rhinorrhoea
Clinical narrative: Information has been received from a consumer concerning her son with allergies to wheat, dairy, eggs and nuts who was vaccinated with the second dose of PEDVAXHIB (dose, route, and lot# not reported). Concomitant therapy included DTaP (manufacturer unspecified). The patient had respiratory failure 3 days after the vaccines were given. The consumer stated her child started with a fever and runny nose and then later had trouble breathing. The consumer stated this reaction was to the booster dose (second dose) of the vaccines. No reaction was reported after the first dose of the vaccine. The patient was admitted to a hospital. On unspecified date, the patient recovered. Additional information has been requested.
Sex: U
Vaccine: VARCEL
Symptoms: Lymphoma
Clinical narrative: Information has been received from a registered nurse concerning a physician who in 2001 was vaccinated with VARIVAX (Merck) (Lot number was not reported). the nurse reported that in 2001 the physician was a part of a study of 15 healthy controls administered VARIVAX (Merck). Subsequently the patient experienced lymphoma after vaccination. It was unspecified if the patient sought medical attention. At the time of the report, the outcome of the event was unknown. Upon internal review, lymphoma was considered to be an other important medical event. This is one of several reports received from the same source. Additional information has been requested.
Age: 56.0
Sex: F
Vaccine: FLU3
Symptoms: Pain in extremity, Swelling
Clinical narrative: Started hurting and then swelling.  Pain is deep in arm and hurts from shoulder to elbow.
Age: 15.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Arterial occlusive disease, Cardiac operation, Chest pain, Computerised tomogram abnormal, Dyspnoea
Clinical narrative: Onset of chest pain, SOB, cough - 2/09. CT chest 2/11/09 - R pulmonary artery occlusion secondary to massive PE. 2/12/09 R atriotomy removal of R atrial mass.  9/11/09 Hospital records received DOS 2/11/09 to 2/17/09. Assessment: Pulmonary embolism/right atrial thrombus.  Birth control pill initiated 2-3 months prior. Cough with sputum production past month and a half. Hemoptysis with palpitations. Injured knee 4 days ago. 2 days ago suddenly became short of breath, persisted at rest and with exertion. Patient presents with dyspnea at rest. Sharp chest discomfort anteriorly over sternal area. Tachycardia, tachypnea, epigastric tenderness. Mild adenopathy. Right atriotomy and removal of right atrial mass. Right pulmonary thromoendarterectomy. Massive occlusive pulmonary embolus with suspicion of pulmonary infarct. Thrombus in left inferior vena cava.  9/22/09-ICD-9 codes received-429.89, 415.19, 287.5, 285.1, 286.9, 453.2, 416.8, 785.0, 785.6, 722.10, 447.6, V183, V1200 and V586.9.
Age: 15.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Fibrin D dimer increased, Pulmonary embolism
Clinical narrative: Onset of chest pain, SOB, cough - 2/09. CT chest 2/11/09 - R pulmonary artery occlusion secondary to massive PE. 2/12/09 R atriotomy removal of R atrial mass.  9/11/09 Hospital records received DOS 2/11/09 to 2/17/09. Assessment: Pulmonary embolism/right atrial thrombus.  Birth control pill initiated 2-3 months prior. Cough with sputum production past month and a half. Hemoptysis with palpitations. Injured knee 4 days ago. 2 days ago suddenly became short of breath, persisted at rest and with exertion. Patient presents with dyspnea at rest. Sharp chest discomfort anteriorly over sternal area. Tachycardia, tachypnea, epigastric tenderness. Mild adenopathy. Right atriotomy and removal of right atrial mass. Right pulmonary thromoendarterectomy. Massive occlusive pulmonary embolus with suspicion of pulmonary infarct. Thrombus in left inferior vena cava.  9/22/09-ICD-9 codes received-429.89, 415.19, 287.5, 285.1, 286.9, 453.2, 416.8, 785.0, 785.6, 722.10, 447.6, V183, V1200 and V586.9.
Age: 15.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Arterial occlusive disease, Blood chloride normal, Chest discomfort, Chest pain, Computerised tomogram thorax abnormal
Clinical narrative: Onset of chest pain, SOB, cough - 2/09. CT chest 2/11/09 - R pulmonary artery occlusion secondary to massive PE. 2/12/09 R atriotomy removal of R atrial mass.  9/11/09 Hospital records received DOS 2/11/09 to 2/17/09. Assessment: Pulmonary embolism/right atrial thrombus.  Birth control pill initiated 2-3 months prior. Cough with sputum production past month and a half. Hemoptysis with palpitations. Injured knee 4 days ago. 2 days ago suddenly became short of breath, persisted at rest and with exertion. Patient presents with dyspnea at rest. Sharp chest discomfort anteriorly over sternal area. Tachycardia, tachypnea, epigastric tenderness. Mild adenopathy. Right atriotomy and removal of right atrial mass. Right pulmonary thromoendarterectomy. Massive occlusive pulmonary embolus with suspicion of pulmonary infarct. Thrombus in left inferior vena cava.  9/22/09-ICD-9 codes received-429.89, 415.19, 287.5, 285.1, 286.9, 453.2, 416.8, 785.0, 785.6, 722.10, 447.6, V183, V1200 and V586.9.
Age: 15.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Cough, Dyspnoea, Dyspnoea at rest, Dyspnoea exertional, Electrocardiogram abnormal
Clinical narrative: Onset of chest pain, SOB, cough - 2/09. CT chest 2/11/09 - R pulmonary artery occlusion secondary to massive PE. 2/12/09 R atriotomy removal of R atrial mass.  9/11/09 Hospital records received DOS 2/11/09 to 2/17/09. Assessment: Pulmonary embolism/right atrial thrombus.  Birth control pill initiated 2-3 months prior. Cough with sputum production past month and a half. Hemoptysis with palpitations. Injured knee 4 days ago. 2 days ago suddenly became short of breath, persisted at rest and with exertion. Patient presents with dyspnea at rest. Sharp chest discomfort anteriorly over sternal area. Tachycardia, tachypnea, epigastric tenderness. Mild adenopathy. Right atriotomy and removal of right atrial mass. Right pulmonary thromoendarterectomy. Massive occlusive pulmonary embolus with suspicion of pulmonary infarct. Thrombus in left inferior vena cava.  9/22/09-ICD-9 codes received-429.89, 415.19, 287.5, 285.1, 286.9, 453.2, 416.8, 785.0, 785.6, 722.10, 447.6, V183, V1200 and V586.9.
Age: 15.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Endarterectomy, Epigastric discomfort, Fibrin D dimer increased, Haemoptysis, Intracardiac thrombus
Clinical narrative: Onset of chest pain, SOB, cough - 2/09. CT chest 2/11/09 - R pulmonary artery occlusion secondary to massive PE. 2/12/09 R atriotomy removal of R atrial mass.  9/11/09 Hospital records received DOS 2/11/09 to 2/17/09. Assessment: Pulmonary embolism/right atrial thrombus.  Birth control pill initiated 2-3 months prior. Cough with sputum production past month and a half. Hemoptysis with palpitations. Injured knee 4 days ago. 2 days ago suddenly became short of breath, persisted at rest and with exertion. Patient presents with dyspnea at rest. Sharp chest discomfort anteriorly over sternal area. Tachycardia, tachypnea, epigastric tenderness. Mild adenopathy. Right atriotomy and removal of right atrial mass. Right pulmonary thromoendarterectomy. Massive occlusive pulmonary embolus with suspicion of pulmonary infarct. Thrombus in left inferior vena cava.  9/22/09-ICD-9 codes received-429.89, 415.19, 287.5, 285.1, 286.9, 453.2, 416.8, 785.0, 785.6, 722.10, 447.6, V183, V1200 and V586.9.
Age: 15.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Joint injury, Lymphadenopathy, Palpitations, Productive cough, Pulmonary embolism
Clinical narrative: Onset of chest pain, SOB, cough - 2/09. CT chest 2/11/09 - R pulmonary artery occlusion secondary to massive PE. 2/12/09 R atriotomy removal of R atrial mass.  9/11/09 Hospital records received DOS 2/11/09 to 2/17/09. Assessment: Pulmonary embolism/right atrial thrombus.  Birth control pill initiated 2-3 months prior. Cough with sputum production past month and a half. Hemoptysis with palpitations. Injured knee 4 days ago. 2 days ago suddenly became short of breath, persisted at rest and with exertion. Patient presents with dyspnea at rest. Sharp chest discomfort anteriorly over sternal area. Tachycardia, tachypnea, epigastric tenderness. Mild adenopathy. Right atriotomy and removal of right atrial mass. Right pulmonary thromoendarterectomy. Massive occlusive pulmonary embolus with suspicion of pulmonary infarct. Thrombus in left inferior vena cava.  9/22/09-ICD-9 codes received-429.89, 415.19, 287.5, 285.1, 286.9, 453.2, 416.8, 785.0, 785.6, 722.10, 447.6, V183, V1200 and V586.9.
Age: 15.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Pulmonary infarction, Tachycardia, Tachypnoea, Vena cava thrombosis
Clinical narrative: Onset of chest pain, SOB, cough - 2/09. CT chest 2/11/09 - R pulmonary artery occlusion secondary to massive PE. 2/12/09 R atriotomy removal of R atrial mass.  9/11/09 Hospital records received DOS 2/11/09 to 2/17/09. Assessment: Pulmonary embolism/right atrial thrombus.  Birth control pill initiated 2-3 months prior. Cough with sputum production past month and a half. Hemoptysis with palpitations. Injured knee 4 days ago. 2 days ago suddenly became short of breath, persisted at rest and with exertion. Patient presents with dyspnea at rest. Sharp chest discomfort anteriorly over sternal area. Tachycardia, tachypnea, epigastric tenderness. Mild adenopathy. Right atriotomy and removal of right atrial mass. Right pulmonary thromoendarterectomy. Massive occlusive pulmonary embolus with suspicion of pulmonary infarct. Thrombus in left inferior vena cava.  9/22/09-ICD-9 codes received-429.89, 415.19, 287.5, 285.1, 286.9, 453.2, 416.8, 785.0, 785.6, 722.10, 447.6, V183, V1200 and V586.9.
Sex: U
Vaccine: HEP
Symptoms: Autopsy, Death, Herpes simplex, Liver function test abnormal, Pyrexia
Clinical narrative: This case was reported by a physician and described the occurrence of abnormal liver function tests in an infant subject of unspecified gender who was vaccinated with ENGERIX B (GlaxoSmithKline). There was no information available regarding concomitant vaccinations, medications or medical history. On an unspecified date the subject received 1st dose of ENGERIX B (details unknown) at birth. Less than one week after vaccination with ENGERIX B, the subject experienced abnormal liver function tests and fever. Blood levels were checked 6 days after vaccination with ENGERIX B and abnormal liver function tests were noted, along with fever. This case was assessed as medically serious by GSK. At the time of reporting the outcome of the events was unspecified. No additional information was available. Follow-up information received on 03 September 2009 indicated that the events of abnormal liver function tests were likely secondary to herpes simplex virus type II infection and not ENGERIX B. It was reported that the subject died with cause of death reported as herpes simplex virus type II. An autopsy was performed, however, results were not provided.
Age: 31.0
Sex: F
Vaccine: FLU3
Symptoms: Chest discomfort, Dizziness
Clinical narrative: Chest tightness - monitored a little lightheaded.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV
Symptoms: Injection site erythema, Injection site induration, Injection site swelling
Clinical narrative: Extensive swelling, redness and induration of the entire leg (upper) in which vaccine was given, Right leg.
Age: 12.0
Sex: F
Vaccine: HPV4
Symptoms: Dermatitis allergic, Urticaria
Clinical narrative: Developed severe and prolonged allergic rash/hives required multiple office visits/medication.
Age: 18.0
Sex: F
Vaccine: HEPA, MNQ, TDAP
Symptoms: Injection site cellulitis
Clinical narrative: (L) Deltoid Cellulitis after MENACTRA vaccine administration (at injection site).
Age: 24.0
Sex: F
Vaccine: HPV4
Symptoms: Urticaria
Clinical narrative: Hives
Age: 3.0
Sex: M
Vaccine: FLUN3
Symptoms: Gait disturbance, Henoch-Schonlein purpura, Pain in extremity, Rash, Tenderness
Clinical narrative: Flu mist administered 8/27/2009, On 9/7, developed calf pain, refusal to walk, and then rash.  Seen in clinic with typical rash of Henoch Schonlein Purpura, mildly tender calves without joint findings or abdominal pain. (9/8/09 clinic).
Age: 3.0
Sex: M
Vaccine: FLUN3
Symptoms: Urine analysis
Clinical narrative: Flu mist administered 8/27/2009, On 9/7, developed calf pain, refusal to walk, and then rash.  Seen in clinic with typical rash of Henoch Schonlein Purpura, mildly tender calves without joint findings or abdominal pain. (9/8/09 clinic).
Age: 4.0
Sex: M
Vaccine: DTAPIPV, MMR, VARCEL
Symptoms: Body temperature increased, Erythema, Pruritus, Rash generalised, Skin warm
Clinical narrative: Immunization 9-1-09 and on 9-2-09 mother noted non-vesicular rash on neck and itching. Left arm and shoulder are red and warm to touch today (9-3-09) and rash has spread to abdomen and upper and lower extremities - Temp is 99 degrees F and child "feels feverish". Rash became less red when given some BENADRYL PO - called family doctor and mother was told it was probably the varicella vaccine.
Age: 4.0
Sex: M
Vaccine: DTAPIPV, MMR, VARCEL
Symptoms: Injection site swelling, Livedo reticularis, Skin warm
Clinical narrative: Generalized swelling to L thigh from injection site to knee. Skin warm; mottled ant. thigh, back of thigh nl.
Age: 34.0
Sex: F
Vaccine: ANTH, YF
Symptoms: Injection site erythema, Injection site nodule
Clinical narrative: LA subcutaneous nodule noted approx 4cm x 4cm sl. erythema.
Age: 67.0
Sex: F
Vaccine: FLU3
Symptoms: Dizziness, Heart rate normal, Hypoaesthesia facial, Vision blurred
Clinical narrative: Patient complained of dizziness, lightheadedness, blurred vision and numbness of face 20 minutes following immunization.  Patient sat down with head between legs with a cold compress for face & neck.  Patient denied any trouble breathing.  BP 150/80 pulse 68.  Then 30 min later 128/76 pulse 60.
Age: 47.0
Sex: F
Vaccine: TDAP
Symptoms: Axillary pain, Chills, Injection site swelling, Pyrexia, Swelling
Clinical narrative: Patient stated that on Saturday (8-29-09) she felt fever, chills, swelling and pain from her left arm to her left arm pit, seen by doctor - Cephalexin 500mg by mouth every 6 hours and Ibuprofen 400mg by mouth every 6 hours with food Rx given
Age: 16.0
Sex: F
Vaccine: HPV4, TDAP
Symptoms: Syncope
Clinical narrative: Pt was given GARDASIL and ADACEL 100m /office approximately 10 minutes after injection, was found outside the building by police. Had syncope.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Cellulitis, Injection site erythema, Injection site swelling
Clinical narrative: Shots given on 8-10-09.  Mom noticed redness down to elbow on left deltoid and swelling beginning in am, increasing swelling through out the day.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Erythema, Induration, Oedema, Skin warm
Clinical narrative: Redness, edema induration is warmth X 3 days after vaccines - OTC SX relief.
Age: 11.0
Sex: M
Vaccine: HEPA, TDAP, VARCEL
Symptoms: Anxiety, Dyskinesia, Dyspnoea, Dysstasia, Mydriasis
Clinical narrative: 12:54 pm pt arms and legs retracted, unable to stand pupils dilated, rapid breathing, pulse 92 @ 12:55 pm.  Started he was having difficulty breathing, did not appear to have severe difficulty.  Responded appropriately to questions.  Color was pallor, yellowish.  EMS @ 13:00.
Age: 11.0
Sex: M
Vaccine: HEPA, TDAP, VARCEL
Symptoms: Pallor, Respiratory rate increased, Yellow skin
Clinical narrative: 12:54 pm pt arms and legs retracted, unable to stand pupils dilated, rapid breathing, pulse 92 @ 12:55 pm.  Started he was having difficulty breathing, did not appear to have severe difficulty.  Responded appropriately to questions.  Color was pallor, yellowish.  EMS @ 13:00.
Age: 4.0
Sex: F
Vaccine: UNK
Symptoms: Erythema
Clinical narrative: Rt posterior arm reddened.
Age: 70.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling, Injection site warmth
Clinical narrative: On 8/17/09 on right arm injection site developed a rectangular red, slightly raised area 1" X 2".  The area itches and is warm to touch.  Advised to consult with PMD.
Age: 40.0
Sex: F
Vaccine: TDAP
Symptoms: Rash
Clinical narrative: 8/9/09 rash started on lower buttock and spread to belly and back and by 8/12/09 was also on both legs thigh area both legs. Today 8/14/09 rash remains the same and is not going away.
Age: 18.0
Sex: F
Vaccine: UNK
Symptoms: Eye swelling, Swelling
Clinical narrative: Swelling eyes and lips, and all over the body. And can walk.  And it come and go.  On this day is starting.
Age: 39.0
Sex: F
Vaccine: HEP
Symptoms: Chest discomfort, Dizziness, Erythema, Hyperhidrosis, Nausea
Clinical narrative: Employee agreed to receive the HEPATITIS B vaccine in HEPATIITIS B Vaccination Program.  7/10/2009 10:00 am Employee received the HEPATITIS B vaccine (first shot) by a BCP nurse.  Per the nurse, employee appeared anxious and worried prior to being given the shot.  Shot was administered without incident.  10:50 Employee reported dizziness, nausea, and mild tightness in the epigastric area to the nurse.  Employee was evaluated by BCP physician.  Vaccination site on the left upper arm had no local reaction.  Employee reported no difficulty breathing.  Physical exam was normal including lung exam (no evidence of wheezing).  Employee was given oral hydration, kept under MD observation, and vitals were checked every 10 minutes.  Vitals remained stable.  11:30 Employee reported feeling much better and she felt well enough to back to work under the supervision of Dr.  14:00 Physician examined employee again.  Employee had some erythema on her left upper arm and a micropapular rash on the left elbow (distal to the vaccination site), neck, and right arm.  Employee reported that she did have poison oak earlier in the week but that had been resolving.  Employee reported no difficulty breathing and no other symptoms besides nausea.  Employee advised to go home (and take BENEDRYL) and to go to urgent care/ER if symptoms worsened.  19:00 BCP physician followed up with employee.  Employee reported that she took BENEDRYL at home and overall she felt better.  She did not have any new symptoms except for a low grade fever (99.1 degrees F) and some sweating.  Employee advised to go to the ER if symptoms worsened or fever increased.  7/11/2009 Per employee all of her symptoms resolved by the morning of 7/11/09 and she did not require additional medical care.
Age: 39.0
Sex: F
Vaccine: HEP
Symptoms: Pyrexia, Rash papular
Clinical narrative: Employee agreed to receive the HEPATITIS B vaccine in HEPATIITIS B Vaccination Program.  7/10/2009 10:00 am Employee received the HEPATITIS B vaccine (first shot) by a BCP nurse.  Per the nurse, employee appeared anxious and worried prior to being given the shot.  Shot was administered without incident.  10:50 Employee reported dizziness, nausea, and mild tightness in the epigastric area to the nurse.  Employee was evaluated by BCP physician.  Vaccination site on the left upper arm had no local reaction.  Employee reported no difficulty breathing.  Physical exam was normal including lung exam (no evidence of wheezing).  Employee was given oral hydration, kept under MD observation, and vitals were checked every 10 minutes.  Vitals remained stable.  11:30 Employee reported feeling much better and she felt well enough to back to work under the supervision of Dr.  14:00 Physician examined employee again.  Employee had some erythema on her left upper arm and a micropapular rash on the left elbow (distal to the vaccination site), neck, and right arm.  Employee reported that she did have poison oak earlier in the week but that had been resolving.  Employee reported no difficulty breathing and no other symptoms besides nausea.  Employee advised to go home (and take BENEDRYL) and to go to urgent care/ER if symptoms worsened.  19:00 BCP physician followed up with employee.  Employee reported that she took BENEDRYL at home and overall she felt better.  She did not have any new symptoms except for a low grade fever (99.1 degrees F) and some sweating.  Employee advised to go to the ER if symptoms worsened or fever increased.  7/11/2009 Per employee all of her symptoms resolved by the morning of 7/11/09 and she did not require additional medical care.
Age: 3.0
Sex: F
Vaccine: DTAP, HIBV, PNC
Symptoms: Body temperature increased, Decreased appetite, Feeling abnormal, Listless, Memory impairment
Clinical narrative: Pt woke up 9/1 - clingy, didn't eat, listless, spacey, low grade temp.  Knew sister's name but couldn't remember her brother's name morning & afternoon. Seen at her PCP's office at 3:10 & could remember brother's name, feeling more normal.  9/3/09 - completely back to normal.
Age: 31.0
Sex: M
Vaccine: ANTH
Symptoms: Type 1 diabetes mellitus
Clinical narrative: Developed type 1 diabetes. 9/16/09 MR received from PCP.  Initially presented 2/1/08 with c/o increased thrist and elevated BS.  DX:  Latent autoimmune Diabetes of Adult. DM Type 1.
Age: 11.0
Sex: M
Vaccine: TDAP
Symptoms: Fatigue, Feeling hot, Headache, Influenza serology negative, Myalgia
Clinical narrative: 5 hrs after vaccination, arm sore, muscles sore.  Next morning felt warm, fatigue, nausea, headache.  Took Motrin.  Taken to ER in evening.  Flu test done, negative.  No blood work, no x-rays.  Gven Tylenol in ER and discharged.
Age: 11.0
Sex: M
Vaccine: TDAP
Symptoms: Nausea, Pain in extremity, Viral upper respiratory tract infection
Clinical narrative: 5 hrs after vaccination, arm sore, muscles sore.  Next morning felt warm, fatigue, nausea, headache.  Took Motrin.  Taken to ER in evening.  Flu test done, negative.  No blood work, no x-rays.  Gven Tylenol in ER and discharged.
Age: 13.0
Sex: M
Vaccine: VARCEL
Symptoms: Allergy test positive, Oxygen saturation normal, Pruritus, Urticaria, Wheezing
Clinical narrative: 5-6 Minutes after varicella vaccine was administered patient broke out in total body hives, had severe itching and mild expiratory wheezes but in no respiratory distress.  Pulse ox 96% rr 24 pulse 124 bp 104/62  Given Benadryl 25 mg p.o. and with persistent severe itching epi 0.3 mg subQ and another 50 mg of Benadryl.
Age: 1.25
Sex: M
Vaccine: FLU3
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: NO ADVERSE EVENTS NOTED AT TIME OF COMPLETING THIS FORM. Patient was given 0.5ml of Fluzone on 26-Aug-2009 and then again on 02-Sep-2009.
Age: 35.0
Sex: M
Vaccine: TDAP
Symptoms: Injection site erythema, Injection site streaking, Injection site swelling, Injection site warmth
Clinical narrative: Redness, warmth, swelling, left deltoid. Streaking noted approximately 2 inches from site, extending 1 inch.
Age: 13.0
Sex: F
Vaccine: HEPA, HPV4
Symptoms: Fatigue, Lymphadenopathy
Clinical narrative: 9-3-09 Rec'd T/C from MGM, advised client developed enlarged node Left side of her neck,close to the clavicle on 8-21-09. States client has been very tired but has been going to school. MGM stated client did not have any fever, sore throat or headache. PHN advised MGM to take client to Urgent Care, as she does not have a PCP.
Age: 64.0
Sex: F
Vaccine: PPV
Symptoms: Rash macular, Rash pruritic
Clinical narrative: Pt. received vaccine on 8/17/09 11:28.  Pt. returned to clinic (where she received vaccine) @ 7:30pm 8/17/09.  THe following is note left in chart by FNP at that time on 8/18/09 :"pt. returned at 7:30 on 8/17/09 with a  itchy blotchy rash that had started 3 hours before- pt had taken no antihistamines at that time.  Diffuse, blothchy rash noted on arms and abd, no hives, no SOB or difficulty breathing.  Suggested that pt. take Zyrtec or benadryl - pt stated that she had zyrtec at home.  Told pt if she worsened to go to ER or call 911 if any hives or SOB.  I called pt this am - she stated that she took zyrtec last night and the rash was gone in one hour.  No further problems at this time." I am entering this data on 9/8/09 because pt is here today to receive flu shot and questioning whether she should get flu vaccine since she had this reaction to pneumovax.
Age: 9.0
Sex: M
Vaccine: VARCEL
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling, Malaise, Pain
Clinical narrative: Swelling and itchiness at injection site.  Within 48 hours, swelling and redness had grown to a 3" diameter and patient became achy and sick feeling.  By 60 hours, the achy and sick feeling passed and swelling and redness began to recede.  Redness and swelling now 1".
Age: 52.0
Sex: F
Vaccine: FLU3
Symptoms: Chest discomfort, Dyspnoea, Headache, Throat tightness
Clinical narrative: headache, difficulty breathing, chest and throat tightness,
Sex: M
Vaccine: FLUN3
Symptoms: Facial palsy
Clinical narrative: Pt woke up 3days post flu mist administration with Pells Palsy. Left side of face was affected. Received treatment with steroid through civilian provider
Age: 54.0
Sex: F
Vaccine: PPV
Symptoms: Injection site cellulitis
Clinical narrative: Patient was administered Pneumovax on 9/2/09.  On 9/4/09, patient presented to the pharmacy with cellulitis around the site of injection.  She had visited her physician and received a prescription for cephalexin 500mg, 1 capsule TID for 2 days, followed by 1 capsule BID for 5 days.
Age: 4.0
Sex: F
Vaccine: DTAPIPV, MMR
Symptoms: Erythema, Inflammation, Local reaction, Pain in extremity
Clinical narrative: Localized reddened area left anterior thigh, afebrile, Orapred 3tsp. in officethen 11/2tsp. daily for 4 days.  Recommend cool compresses and Motrin for pain and inflammation.  Advised if pain worsens, develops a high temp or area of erythema enlarges return to office.
Age: 51.0
Sex: M
Vaccine: FLU3
Symptoms: Influenza like illness, Pain, Pyrexia
Clinical narrative: patient reported low grade fever, aching all over, "just like I was getting flu" about 24 h after admin lasting for 12-16h relieved with ibuprofen
Age: 1.08
Sex: M
Vaccine: MMR
Symptoms: Rash
Clinical narrative: Developed rash 3 days after recieving MMR vaccine
Age: 5.0
Sex: M
Vaccine: DTAP, IPV
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling, Urticaria
Clinical narrative: Pt's R. arm at inj. site became swollen, red, itchy. Pt. also had hives on his face & neck, (about 20).
Age: 9.0
Sex: F
Vaccine: VARCEL
Symptoms: Injection site cellulitis
Clinical narrative: Cellulitis at vaccine site. Seen at ER. Given 10 days of Keflex.
Age: 10.0
Sex: F
Vaccine: HEPA
Symptoms: Injection site haemorrhage, Injection site pruritus, Injection site rash
Clinical narrative: RASH, ITCHING, BLEEDING AT INJECTION SITE.
Age: 65.0
Sex: F
Vaccine: FLUX, PPV
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Pt presented to facility after recieving the Pneumovax Vaccine at the medical clinic, prescribed by Dr. with pain, redness, swelling at injection site.  Dr. prescribed Clarinex 5mg, ice/heat and ibuprofen for pain.