chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 5.0
Sex: M
Vaccine: DTAPIPV
Symptoms: Injection site swelling, Injection site warmth
Clinical narrative: This case was reported by a healthcare professional (also the subject's mother), via agency representative and described the occurrence of arm swelled at injection site in a 5-year-old male subject who was vaccinated with KINRIX (GlaxoSmithKline).  There were no concomitant vaccinations.  Concomitant medication and medical history details were unknown.  The subject has not had any reactions to previous DTaP vaccines.  It was unknown if there had been reactions with other vaccines.  On an unspecified date the subject received 1st dose of KINRIX (unknown route, left deltoid).  At an unspecified time after vaccination with KINRIX, the subject experienced arm swelled at injection site and injection site hot to touch.  At the time of reporting the events were resolved after a few days.  The healthcare professional considered the events were probably related to vaccination with KINRIX.
Age: 4.0
Sex: M
Vaccine: DTAPIPV
Symptoms: Injection site erythema, Injection site pruritus, Injection site rash, Injection site swelling
Clinical narrative: This case was reported by a consumer (the subject's mother) and described the occurrence of swelling injection site in a 4-year-old male subject who was vaccinated with KINRIX (GlaxoSmithKline).  A physician or other health care professional has not verified this report.  There were no concomitant medications and no relevant medical history.  The subject had not experienced adverse events following previous vaccinations, including influenza vaccine.  Previous vaccination included influenza virus vaccine, manufacturer unspecified given on an unspecified date.  On 4 August 2009 at 10:00 the subject received KINRIX (.5 ml, unknown route, left arm) as the 5th dose in the series.  On 4 August 2009, less than one day after vaccination with KINRIX, the subject experienced swelling injection site, injection site rash, injection site pruritus and red skin at injection site.  At the time of reporting the events were improved.
Sex: U
Vaccine: DTAPIPV
Symptoms: Swelling
Clinical narrative: This case was reported by a healthcare professional and described the occurrence of swelling in a child subject (4 to 6) of unspecified gender who was vaccinated with KINRIX (GlaxoSmithKline). On an unspecified date the subject received unspecified dose of KINRIX (unknown).  At an unspecified time after vaccination with KINRIX, the subject experienced swelling.  At the time of reporting the outcome of the event was unspecified.  It was reported that two subjects in the same clinic experienced swelling after getting KINRIX.  The linked case number is A0803170A.
Sex: U
Vaccine: DTAPIPV
Symptoms: Injection site erythema, Injection site rash
Clinical narrative: This case was reported by a healthcare professional via a sales representative and described the occurrence of red spotty (injection site) in a subject of unspecified age and gender who was vaccinated with KINRIX (GlaxoSmithKline).  On an unspecified date the subject received unspecified dose of KINRIX in an unknown thigh.  At an unspecified time after vaccination with KINRIX, the subject experienced red spots at the injection site.  The nurse reported that she instructed the subject to apply a cold compress to the injection site.  At the time of reporting the outcome of the event was unspecified.  It was reported that this event occurred in 4 additional subjects.  Linked case numbers include A0803832A through A0803835A. Follow-up information received on 28 August 2009 indicated that follow-up information would be returned via a batch report versus a specific subject information as soing this would require pulling "50" charts. It was reported that the subject was for years of age and received as concurrent vaccination hepatitis A vaccine. MMR vaccine and Varicella vaccine. It was noted that the hepatitis A vaccine and KINRIX were administered in one leg and MMR vaccine and Varicella were given in the other. No concurrent medications were received. It was additionally reported that at the time of vaccination, parents are told about the side effects adn if they occur, to use BENADRYL, cold compress and TYLENOL to treat.
Age: 4.0
Sex: U
Vaccine: DTAPIPV
Symptoms: Injection site erythema, Injection site rash
Clinical narrative: This case was reported by a healthcare professional via a sales representative and described the occurrence of red spotty (injection site) in a subject of unspecified age and gender who was vaccinated with combined KINRIX, GlaxoSmithKline. On an unspecified date the subject received unspecified dose of KINRIX in an unknown thigh. At an unspecified time after vaccination with KINRIX, the subject experienced red spots at the injection site. The nurse reported that she instructed the subject to apply a cold compress to the injection site. At the time of reporting the outcome of the event was unspecified. It was reported that this event occurred in 4 additional subjects. Linked case numbers include A0803829A and A0803833A Through A0803835A. This case was reported by a healthcare professional via a sales representative and described the occurrence of red spotty (injection site) in a 4 year old subject of unspecified gender who was vaccinated with KINRIX (GlaxoSmithKline). On an unspecified date the subject received unspecified dose of KINRIX in an unknown thigh. At an unspecified time after vaccination with KINRIX, the subject experienced red spots at the injection site. The nurse reported that she instructed the reporting the outcome of the event was unspecified. It was reported that this event occurred in 4 additional subjects. Linked cases numbers include A0883829A and A0803833A through A0803835A. Follow-up information received on 28 August 2009 indicated that follow-up information would be returned via a batch report versus specific subject information as doing this would require pulling "80" charts. It was reported that the subject was for years of age and received an concurrent vaccination hepatitis A vaccine, MMR vaccine and Varicella vaccine. It was noted that the hepatitis A vaccine and KINRIX were administered in one leg and MMR vaccine and Varicella were given in the other. No concurrent medications were received. It was additionallly reported that at the time of vaccination, parents are told about the side effects and if they occur, to use BENADRYL, cold compress and TYLENOL to treat.
Sex: U
Vaccine: DTAPIPV
Symptoms: Injection site erythema, Injection site rash
Clinical narrative: This case was reported by a healthcare professional via a sales representative and described the occurrence of red spotty (injection site) in a subject of unspecified age and gender who was vaccinated with KINRIX, (GlaxoSmithKline).  On an unspecified date the subject received unspecified dose of KINRIX in an unknown thigh.  At an unspecified time after vaccination with KINRIX, the subject experienced red spots at the injection site.  The nurse reported that she instructed the subject to apply a cold compress to the injection site.  At the time of reporting the outcome of the event was unspecified.  It was reported that this event occurred in 4 additional subjects.  Linked case numbers included A0803829A, A0803832A, A0803834A and A0803835A.
Sex: U
Vaccine: DTAPIPV
Symptoms: Injection site erythema
Clinical narrative: This case was reported by a healthcare professional via a sales representative and described the occurrence of red spotty (injection site) in a subject of unspecified age and gender who was vaccinated with KINRIX, GlaxoSmithKline. On an unspecified date the subject received unspecified dose of KINRIX in an unknown thigh. At an unspecified time after vaccination with KINRIX, the subject experienced red spots at the injection site. The nurse reported that she instructed the subject to apply a cold compress to the injection site. At the time of reporting the outcome of the event was unspecified. It was reported that this event occurred in 4 additional subjects. Linked case numbers include A0803829A, A0803832A, A0803833A and A0803835A
Age: 4.0
Sex: F
Vaccine: DTAPIPV
Symptoms: Injection site erythema
Clinical narrative: This case was reported by a healthcare professional via a sales representative and described the occurrence of red spotty (injection site) in a female subject of unspecified age who was vaccinated with KINRIX (GlaxoSmithKline).  On an unspecified date the subject received unspecified dose of KINRIX in an unknown thigh.  At an unspecified time after vaccination with KINRIX, the subject experienced a red spot at the injection site.  The nurse reported that she instructed the subject to apply a cold compress to the injection site.  The spot disappeared, then reappeared at a different site near the injection site.  At the time of reporting the outcome of the event was unspecified.  It was reported that this event occurred in 4 additional subjects.  Linked case numbers include A0803829A and A0803832A through A0803834A. This case was reported by a healthcare professional via a sales representative and described the occurrence of red spotty (injection site) in a 4 year old female subject who was vaccinated with KINRIX (GlaxoSmithKline). On an unspecified date the subject received unspecified dose of KINRIX in an unknown thigh. At an unspecified time after vaccination with KINRIX, the subject experienced a red spot at the injection site. The nurse reported that she instructed the subject to apply a cold compress to the injection site. The spot disappeared, then reappeared at a different site near the injection site. At the time of reporting the outcome of the event was unspecified. It was reported that this event occurred in 4 additional subjects. Linked case numbers include A0803829A and A0803832A through A0803834. Follow-up information received on 25 August 2009 indicated that follow-up information would be returned via a batch report versus specific subject information as doing this would require pulling "80" charts. It was reported that the subject was for years of age and received as concurrent vaccination HEP A, MMR vaccine and VARICELLA vaccine. It was noted that the HEP A and KINRIX  were administered inone leg and MMR vaccine and VERICELLA were given in the other. No concurrent medications were received. It was additionally reported that at the time of vaccination. Parents are told about the side effects and if they occur to use BENADRYL, cold compress and TYLENOL to treat.
Age: 0.3
Sex: M
Vaccine: DTAPIPVHIB, PNC, RV5, DTAPIPVHIB, HEP, PNC, RV5
Symptoms: Febrile convulsion, Pyrexia
Clinical narrative: Initially developed febrile seizure within 24 hours of vaccine. On 8/9/9 developed a generalized tonic clonic seizure while visiting out of town. Work-up showed seizure disorder. Has now seen Pediatric Neurology and diagnosed with Benign Epilepsy of Childhood.
Age: 0.3
Sex: M
Vaccine: DTAPIPVHIB, PNC, RV5, DTAPIPVHIB, HEP, PNC, RV5
Symptoms: Atypical benign partial epilepsy, Electroencephalogram abnormal, Febrile convulsion, Grand mal convulsion, Nuclear magnetic resonance imaging normal
Clinical narrative: Initially developed febrile seizure within 24 hours of vaccine. On 8/9/9 developed a generalized tonic clonic seizure while visiting out of town. Work-up showed seizure disorder. Has now seen Pediatric Neurology and diagnosed with Benign Epilepsy of Childhood.
Age: 0.5
Sex: M
Vaccine: DTAPIPVHIB, PNC, RV5, RV5
Symptoms: Intussusception
Clinical narrative: Information has been received from a physician concerning a 6 month old male patient who in July 2009, was vaccinated with a third dose of ROTATEQ (lot # not reported) 2ml, orally. In July 2009, the patient developed intussusception after getting the third dose of vaccine. It was unknown if the patient received all the others six months vaccination on the same day. Also it was unknown dates for first and second dose of ROTATEQ. The patient sought unspecified medical attention. The outcome of the intussusception was unknown. Upon internal review intussusception was determined to be an other important medical event. Additional information has been requested.
Age: 11.0
Sex: M
Vaccine: MNQ, TDAP, VARCEL, MNQ, TDAP, VARCEL
Symptoms: Headache, Rash pruritic, Rash vesicular
Clinical narrative: CHILD BROKE OUT WITH POX-LIKE RASH A FEW HOURS (~4) AFTER MENACTRA, TDAP AND CHICKENPOX VACCINE.  POX LIKE SPOTS CONVERED BACK OF THIGH- MOSTLY RIGHT THIGH AND A FEW OTHER SPOTS NOTED ON TORSO AND SHINS.  RASH IS ITCHY, CHILD HAS HEADACHE, REFERRED CHILD TO MD FOR DIAGNOSIS.  MD DIAGNOSED CHICKENPOX.
Age: 11.0
Sex: M
Vaccine: MNQ, TDAP, VARCEL, MNQ, TDAP, VARCEL
Symptoms: Headache, Rash pruritic, Rash vesicular, Varicella post vaccine
Clinical narrative: CHILD BROKE OUT WITH POX-LIKE RASH A FEW HOURS (~4) AFTER MENACTRA, TDAP AND CHICKENPOX VACCINE.  POX LIKE SPOTS CONVERED BACK OF THIGH- MOSTLY RIGHT THIGH AND A FEW OTHER SPOTS NOTED ON TORSO AND SHINS.  RASH IS ITCHY, CHILD HAS HEADACHE, REFERRED CHILD TO MD FOR DIAGNOSIS.  MD DIAGNOSED CHICKENPOX.
Age: 19.0
Sex: M
Vaccine: SMALL, SMALL
Symptoms: Injection site erythema, Injection site oedema, Injection site pustule, Rash erythematous, Rash papular
Clinical narrative: 19 y/o male developed pruritic rash starting on bilateral hands/wrists, which then spread proximally over lower arms, then torso & legs; onset about 25 days following receipt SPV given 7/1/2009 & 17 days following receipt AVA# 3 given 7/9/2009; no fever or other systemic symptoms; no history other exposures, or prior vaccine reactions. Pt was on DOXY for malaria prophy starting on/about 7/21. Exam on 7/30: skin: SPV site left deltoid with surrounding erythematic patch, warm, mildly tender; tender left axillary adenopathy; left chest wall with erythematous patch, warm, mildly tender; extremities with hyperpigmented macules/ patches concentrated over hands (palmar & dorsal surfaces, wrists & inguinal folds, scattered over arms, torso, back, legs & ankles/feet; all blanchable. TELEDERM consult was obtained - presentation & derm images consistent with erythema multiforme. Per PCM note, ANA, CBC, RPR done (results unknown); pt treated with antihistamines & recovered within about 1 week.
Age: 19.0
Sex: M
Vaccine: SMALL, SMALL
Symptoms: Syphilis test negative, White blood cell count normal
Clinical narrative: 19 y/o male developed pruritic rash starting on bilateral hands/wrists, which then spread proximally over lower arms, then torso & legs; onset about 25 days following receipt SPV given 7/1/2009 & 17 days following receipt AVA# 3 given 7/9/2009; no fever or other systemic symptoms; no history other exposures, or prior vaccine reactions. Pt was on DOXY for malaria prophy starting on/about 7/21. Exam on 7/30: skin: SPV site left deltoid with surrounding erythematic patch, warm, mildly tender; tender left axillary adenopathy; left chest wall with erythematous patch, warm, mildly tender; extremities with hyperpigmented macules/ patches concentrated over hands (palmar & dorsal surfaces, wrists & inguinal folds, scattered over arms, torso, back, legs & ankles/feet; all blanchable. TELEDERM consult was obtained - presentation & derm images consistent with erythema multiforme. Per PCM note, ANA, CBC, RPR done (results unknown); pt treated with antihistamines & recovered within about 1 week.
Age: 19.0
Sex: M
Vaccine: SMALL, SMALL
Symptoms: Antinuclear antibody, Erythema multiforme, Full blood count, Injection site erythema, Injection site pain
Clinical narrative: 19 y/o male developed pruritic rash starting on bilateral hands/wrists, which then spread proximally over lower arms, then torso & legs; onset about 25 days following receipt SPV given 7/1/2009 & 17 days following receipt AVA# 3 given 7/9/2009; no fever or other systemic symptoms; no history other exposures, or prior vaccine reactions. Pt was on DOXY for malaria prophy starting on/about 7/21. Exam on 7/30: skin: SPV site left deltoid with surrounding erythematic patch, warm, mildly tender; tender left axillary adenopathy; left chest wall with erythematous patch, warm, mildly tender; extremities with hyperpigmented macules/ patches concentrated over hands (palmar & dorsal surfaces, wrists & inguinal folds, scattered over arms, torso, back, legs & ankles/feet; all blanchable. TELEDERM consult was obtained - presentation & derm images consistent with erythema multiforme. Per PCM note, ANA, CBC, RPR done (results unknown); pt treated with antihistamines & recovered within about 1 week.
Age: 19.0
Sex: M
Vaccine: SMALL, SMALL
Symptoms: Injection site warmth, Lymphadenopathy, Musculoskeletal chest pain, Rash macular, Rash pruritic
Clinical narrative: 19 y/o male developed pruritic rash starting on bilateral hands/wrists, which then spread proximally over lower arms, then torso & legs; onset about 25 days following receipt SPV given 7/1/2009 & 17 days following receipt AVA# 3 given 7/9/2009; no fever or other systemic symptoms; no history other exposures, or prior vaccine reactions. Pt was on DOXY for malaria prophy starting on/about 7/21. Exam on 7/30: skin: SPV site left deltoid with surrounding erythematic patch, warm, mildly tender; tender left axillary adenopathy; left chest wall with erythematous patch, warm, mildly tender; extremities with hyperpigmented macules/ patches concentrated over hands (palmar & dorsal surfaces, wrists & inguinal folds, scattered over arms, torso, back, legs & ankles/feet; all blanchable. TELEDERM consult was obtained - presentation & derm images consistent with erythema multiforme. Per PCM note, ANA, CBC, RPR done (results unknown); pt treated with antihistamines & recovered within about 1 week.
Age: 19.0
Sex: M
Vaccine: SMALL, SMALL
Symptoms: Syphilis test
Clinical narrative: 19 y/o male developed pruritic rash starting on bilateral hands/wrists, which then spread proximally over lower arms, then torso & legs; onset about 25 days following receipt SPV given 7/1/2009 & 17 days following receipt AVA# 3 given 7/9/2009; no fever or other systemic symptoms; no history other exposures, or prior vaccine reactions. Pt was on DOXY for malaria prophy starting on/about 7/21. Exam on 7/30: skin: SPV site left deltoid with surrounding erythematic patch, warm, mildly tender; tender left axillary adenopathy; left chest wall with erythematous patch, warm, mildly tender; extremities with hyperpigmented macules/ patches concentrated over hands (palmar & dorsal surfaces, wrists & inguinal folds, scattered over arms, torso, back, legs & ankles/feet; all blanchable. TELEDERM consult was obtained - presentation & derm images consistent with erythema multiforme. Per PCM note, ANA, CBC, RPR done (results unknown); pt treated with antihistamines & recovered within about 1 week.
Age: 15.0
Sex: F
Vaccine: TDAP, VARCEL
Symptoms: Erythema, Pruritus, Skin warm
Clinical narrative: Lg reddened area - Warm & itchy rt upper arm.
Age: 70.0
Sex: F
Vaccine: VARZOS
Symptoms: Herpes zoster, Neuralgia, Rash, Skin lesion
Clinical narrative: Information has been received from a physician concerning a 72 year old female patient who on 28-JAN-2008 was vaccinated with a dose of ZOSTAVAX (Merck) (lot# 658397/1820U) (route and site not reported). On 27-JUL-2009, the patient developed shingles. The patient had visited the office to seek medical attention. The patient was currently being treated and has not recovered. Follow-up information has been received on 24-AUG-2009. It was reported that there was no way to get a sample from the patient since her lesions have dried up and healed. The patient was still having "terrible neuralgia". Follow-up information has been received from the registered nurse concerning the patient with a history of chickenpox at the age of 10-12 who on 28-JAN-2008 received on 0.5ml dose of ZOSTAVAX (Merck) (lot# 658397/1820U). There was no illness at time of vaccination. It was reported that a rash did not occur at the site of injection or elsewhere within 42 days of the vaccination. On 27-JUL-2009, the patient developed severe rash with multiple lesions from C3-4 distribution to mid spine level, left arm, left fingers and left side.  At the time of the report, the patient's lesions have dried, but the patient was still having severe neuralgia at lesion sites and the level of pain was reported as 10. It was reported that there was no recent exposure to chickenpox or herpes zoster. No direct fluorescent antibody was done, no specimen was collected for PCR and no photo was taken. Shingles and severe neuralgia were considered to be disabling and an other important medical event by the registered nurse. Additional information has been requested.
Age: 12.0
Sex: F
Vaccine: HPV4, MNQ, TDAP, VARCEL
Symptoms: Convulsion, Fatigue
Clinical narrative: Information has been received from a physician and an office manager concerning a 12 year old female patient with amoxicillin allergy (AMOXILIN) who on 26-AUG-2009 was vaccinated with the first 0.5 ml of a dose of GARDASIL, concomitantly with a dose of BOOSTRIX (Lot: AC528046AA), a dose of VARIVAX (Lot: 664232/0498Y) and a dose of MENACTRA (Lot: U2815AA). The patient stated that after the vaccinations she felt tired. She went home and had a seizure. The patient went to Emergency room and had computed axial tomography (CAT) done (results not reported). The patient was not hospitalized. The patient's mother called on 27-AUG-2009 at the Physician's office and stated that her daughter was doing better. The physician also stated that he did not consider the events to be Life threatening or to have caused the patient significant Disability or Incapacity. Upon internal review seizure was considered as other important medical event. Additional information has been requested.  9/21/09 ER records received for DOS 8/26/09 with dx:  possible seizure by hx with normal exam in ER. Pt presented after episode of staring, becoming stiff, shaking and jerking, eyes rolling back in head and lack of memory of event.  Confused after.
Age: 50.0
Sex: F
Vaccine: HEP
Symptoms: Activities of daily living impaired, Aphasia, Asthenia, Chest pain, Coagulopathy
Clinical narrative: I received 2 of the 3 HEPATITIS B Vaccines after the first mild achiness after the 2nd my Rt leg & arm went numb - vision disturbances. Can't see well stumbling gait chest pain. Neuro changes, can't feel feet and hands at times. Very weak, SOB, tired all of the time memory shot. Vision comes & goes Alzheimers & Guillain Barre like symptoms for 1 year now, can't work! Within 2 weeks of shot. I was G.I bleeding & had a nose bleed that continues & had to be cauterized 2 times by on ENT. With no current insurance, kids in college & no job I went to ENT to avoid an Epistaxis Balloon & exorbitant high charges & we did the cauterize after. I am still getting occasional nose bleed but I have some continued bleeding & clotting problem since the swelling in Rt arm & leg with pain & just blew it off thinking it would go away but now I think it activated something & that it was actually clots in both limbs. I have color changes pain & swelling still in these 2 limbs that continues to this day. Fingers blue limbs mottled foot pads go dusky especially on Rt foot & in Rt hand. I had & still have a speaking defect expressive aphasia for speaking at times with slurred speech. I have a gait defect Rt sided weakness & if you throw a light switch off I veer drastically to the Rt side & crash into walls fall onto floor or off step porch etc. Basically cannot tell if I am upright in the dark. Vision "greys" out. Very scary.
Age: 50.0
Sex: F
Vaccine: HEP
Symptoms: Cyanosis, Dysarthria, Dyspnoea, Epistaxis, Fatigue
Clinical narrative: I received 2 of the 3 HEPATITIS B Vaccines after the first mild achiness after the 2nd my Rt leg & arm went numb - vision disturbances. Can't see well stumbling gait chest pain. Neuro changes, can't feel feet and hands at times. Very weak, SOB, tired all of the time memory shot. Vision comes & goes Alzheimers & Guillain Barre like symptoms for 1 year now, can't work! Within 2 weeks of shot. I was G.I bleeding & had a nose bleed that continues & had to be cauterized 2 times by on ENT. With no current insurance, kids in college & no job I went to ENT to avoid an Epistaxis Balloon & exorbitant high charges & we did the cauterize after. I am still getting occasional nose bleed but I have some continued bleeding & clotting problem since the swelling in Rt arm & leg with pain & just blew it off thinking it would go away but now I think it activated something & that it was actually clots in both limbs. I have color changes pain & swelling still in these 2 limbs that continues to this day. Fingers blue limbs mottled foot pads go dusky especially on Rt foot & in Rt hand. I had & still have a speaking defect expressive aphasia for speaking at times with slurred speech. I have a gait defect Rt sided weakness & if you throw a light switch off I veer drastically to the Rt side & crash into walls fall onto floor or off step porch etc. Basically cannot tell if I am upright in the dark. Vision "greys" out. Very scary.
Age: 50.0
Sex: F
Vaccine: HEP
Symptoms: Gait disturbance, Gastrointestinal haemorrhage, Hemiparesis, Hypoaesthesia, Livedo reticularis
Clinical narrative: I received 2 of the 3 HEPATITIS B Vaccines after the first mild achiness after the 2nd my Rt leg & arm went numb - vision disturbances. Can't see well stumbling gait chest pain. Neuro changes, can't feel feet and hands at times. Very weak, SOB, tired all of the time memory shot. Vision comes & goes Alzheimers & Guillain Barre like symptoms for 1 year now, can't work! Within 2 weeks of shot. I was G.I bleeding & had a nose bleed that continues & had to be cauterized 2 times by on ENT. With no current insurance, kids in college & no job I went to ENT to avoid an Epistaxis Balloon & exorbitant high charges & we did the cauterize after. I am still getting occasional nose bleed but I have some continued bleeding & clotting problem since the swelling in Rt arm & leg with pain & just blew it off thinking it would go away but now I think it activated something & that it was actually clots in both limbs. I have color changes pain & swelling still in these 2 limbs that continues to this day. Fingers blue limbs mottled foot pads go dusky especially on Rt foot & in Rt hand. I had & still have a speaking defect expressive aphasia for speaking at times with slurred speech. I have a gait defect Rt sided weakness & if you throw a light switch off I veer drastically to the Rt side & crash into walls fall onto floor or off step porch etc. Basically cannot tell if I am upright in the dark. Vision "greys" out. Very scary.
Age: 50.0
Sex: F
Vaccine: HEP
Symptoms: Loss of proprioception, Memory impairment, Muscular weakness, Oedema peripheral, Pain
Clinical narrative: I received 2 of the 3 HEPATITIS B Vaccines after the first mild achiness after the 2nd my Rt leg & arm went numb - vision disturbances. Can't see well stumbling gait chest pain. Neuro changes, can't feel feet and hands at times. Very weak, SOB, tired all of the time memory shot. Vision comes & goes Alzheimers & Guillain Barre like symptoms for 1 year now, can't work! Within 2 weeks of shot. I was G.I bleeding & had a nose bleed that continues & had to be cauterized 2 times by on ENT. With no current insurance, kids in college & no job I went to ENT to avoid an Epistaxis Balloon & exorbitant high charges & we did the cauterize after. I am still getting occasional nose bleed but I have some continued bleeding & clotting problem since the swelling in Rt arm & leg with pain & just blew it off thinking it would go away but now I think it activated something & that it was actually clots in both limbs. I have color changes pain & swelling still in these 2 limbs that continues to this day. Fingers blue limbs mottled foot pads go dusky especially on Rt foot & in Rt hand. I had & still have a speaking defect expressive aphasia for speaking at times with slurred speech. I have a gait defect Rt sided weakness & if you throw a light switch off I veer drastically to the Rt side & crash into walls fall onto floor or off step porch etc. Basically cannot tell if I am upright in the dark. Vision "greys" out. Very scary.
Age: 50.0
Sex: F
Vaccine: HEP
Symptoms: Pain in extremity, Visual impairment
Clinical narrative: I received 2 of the 3 HEPATITIS B Vaccines after the first mild achiness after the 2nd my Rt leg & arm went numb - vision disturbances. Can't see well stumbling gait chest pain. Neuro changes, can't feel feet and hands at times. Very weak, SOB, tired all of the time memory shot. Vision comes & goes Alzheimers & Guillain Barre like symptoms for 1 year now, can't work! Within 2 weeks of shot. I was G.I bleeding & had a nose bleed that continues & had to be cauterized 2 times by on ENT. With no current insurance, kids in college & no job I went to ENT to avoid an Epistaxis Balloon & exorbitant high charges & we did the cauterize after. I am still getting occasional nose bleed but I have some continued bleeding & clotting problem since the swelling in Rt arm & leg with pain & just blew it off thinking it would go away but now I think it activated something & that it was actually clots in both limbs. I have color changes pain & swelling still in these 2 limbs that continues to this day. Fingers blue limbs mottled foot pads go dusky especially on Rt foot & in Rt hand. I had & still have a speaking defect expressive aphasia for speaking at times with slurred speech. I have a gait defect Rt sided weakness & if you throw a light switch off I veer drastically to the Rt side & crash into walls fall onto floor or off step porch etc. Basically cannot tell if I am upright in the dark. Vision "greys" out. Very scary.
Age: 13.0
Sex: F
Vaccine: HPV4
Symptoms: Aggression, Asthenia, Brain injury, Convulsion, Heart rate increased
Clinical narrative: Aggression, seizures, rapid heart rate, brain damage, weakness, no sleep, changing skin color & textures, pain, numbness.  9/14/09 Hospital records received DOS 3/13/08 to 4/7/08. Assessment: Seizure activity with behavioral disorder. Insulin dependent diabetes mellitus. Patient transferred from another facility. Behavioral changes including defiance and disinhibited behaviors. Palpitations and transient sinus tachycardia. Agitation, aggression. Panic attacks. IVIG administration.   9/14/09 Hospital records received DOS 3/13/08 to 7/15/08. Additional information abstracted. Assessment: Meningoencephalitis with neurocognitive disturbance and disinhibition. Vaginal yeast infection. Patient c/o of palpitations. Emesis. Impulsive, compulsive eating behaviors. Increased lacrimation and salivation. Oral contraception.    ICD-9 Codes: 345.90, 323.9, 341.9, 343.0, 293.0 307.51, 345.40, 343.9, 302.70, 312.9, 294.9, 310.1 293.84, 309.81, 296.90, 780.52, 250.92, 706.1, 274.9, 626.0 112.1 V15.81, V58.67, 313.81, 345.40, 293.89, 250.01, 298.9
Age: 13.0
Sex: F
Vaccine: HPV4
Symptoms: Hypoaesthesia, Insomnia, Pain, Skin discolouration
Clinical narrative: Aggression, seizures, rapid heart rate, brain damage, weakness, no sleep, changing skin color & textures, pain, numbness.  9/14/09 Hospital records received DOS 3/13/08 to 4/7/08. Assessment: Seizure activity with behavioral disorder. Insulin dependent diabetes mellitus. Patient transferred from another facility. Behavioral changes including defiance and disinhibited behaviors. Palpitations and transient sinus tachycardia. Agitation, aggression. Panic attacks. IVIG administration.   9/14/09 Hospital records received DOS 3/13/08 to 7/15/08. Additional information abstracted. Assessment: Meningoencephalitis with neurocognitive disturbance and disinhibition. Vaginal yeast infection. Patient c/o of palpitations. Emesis. Impulsive, compulsive eating behaviors. Increased lacrimation and salivation. Oral contraception.    ICD-9 Codes: 345.90, 323.9, 341.9, 343.0, 293.0 307.51, 345.40, 343.9, 302.70, 312.9, 294.9, 310.1 293.84, 309.81, 296.90, 780.52, 250.92, 706.1, 274.9, 626.0 112.1 V15.81, V58.67, 313.81, 345.40, 293.89, 250.01, 298.9
Age: 4.0
Sex: M
Vaccine: DTAPIPV, MMR
Symptoms: Cellulitis, Differential white blood cell count normal, Full blood count normal, Injection site erythema, Injection site swelling
Clinical narrative: Swelling and erythema to site; extended to all arm - Hot to palpation - Dx: Cellulitis to (L) arm.
Age: 4.0
Sex: M
Vaccine: DTAPIPV, MMR
Symptoms: Injection site warmth
Clinical narrative: Swelling and erythema to site; extended to all arm - Hot to palpation - Dx: Cellulitis to (L) arm.
Age: 14.0
Sex: M
Vaccine: HEPA, MNQ, TDAP
Symptoms: Dizziness, Loss of consciousness
Clinical narrative: After receiving immunizations at office visit, while ambulating in hall reported dizziness, then had a brief loss of consciousness and was lowered to the floor by mom.  Smelling salts used & he regained consciousness.  BP 106/70.
Age: 14.0
Sex: M
Vaccine: FLU3, HEPA, MNQ, TDAP, VARCEL
Symptoms: Unevaluable event
Clinical narrative: None stated
Age: 43.0
Sex: F
Vaccine: TDAP
Symptoms: Erythema, Oedema peripheral, Pyrexia
Clinical narrative: Patient went to ER 8/13/09 with complaint of swelling in arm, redness and fever. ER visit 8/13/09 temperature = 100.1, BP 106/74, patient was placed on Doxycycline 100 mg PO BID, VICODIN 5mg, 1 or 2  tabs every 6hrs prn.  Dx: cellulitis
Age: 17.0
Sex: F
Vaccine: HPV4
Symptoms: Arrhythmia, Atrioventricular block, Blood test, Bradycardia, Chest pain
Clinical narrative: Bradycardia, arrythmias, heart block, syncope, chest pains. Taking 3 kinds of medicine daily. Has plenty of follow ups with cardiologists, possibly put in a pacemaker.  9/25/09 ER records reeived DOS 11/10/08 and 11/22/08. Assessment: syncopal episodes, sinusitis, sinus arrhythmia. Patient felt dizzy, passed out, hit side of head. Presents at ER awake and alert saying she feels tired. Lost 40 lbs during the past year. Irregular periods. Nose stuffy. Drowsy. Bump on side of head. Systolic murmur left sternal border. 11/2/2009 records from 6/4-6/7/2009 and ED visit 8/5/2009. Patient was seen for c/o's syncope on both occasions. Tx: telemetry, lab and echo normal, Ekg noted bradycardia. Patient discharged with Holter monitor. Dx: vasovagal syncope
Age: 17.0
Sex: F
Vaccine: HPV4
Symptoms: Echocardiogram, Electrocardiogram, Electroencephalogram, Syncope, Tilt table test
Clinical narrative: Bradycardia, arrythmias, heart block, syncope, chest pains. Taking 3 kinds of medicine daily. Has plenty of follow ups with cardiologists, possibly put in a pacemaker.  9/25/09 ER records reeived DOS 11/10/08 and 11/22/08. Assessment: syncopal episodes, sinusitis, sinus arrhythmia. Patient felt dizzy, passed out, hit side of head. Presents at ER awake and alert saying she feels tired. Lost 40 lbs during the past year. Irregular periods. Nose stuffy. Drowsy. Bump on side of head. Systolic murmur left sternal border. 11/2/2009 records from 6/4-6/7/2009 and ED visit 8/5/2009. Patient was seen for c/o's syncope on both occasions. Tx: telemetry, lab and echo normal, Ekg noted bradycardia. Patient discharged with Holter monitor. Dx: vasovagal syncope
Age: 25.0
Sex: F
Vaccine: FLU3
Symptoms: Asthenia, Hypoaesthesia, Injection site haemorrhage, Nausea, Skin warm
Clinical narrative: More than normal bleeding at time of injection (pt. not on blood thinners etc.) 5-10 min. after injection, arm felt "asleep". About 30 minutes post-injection patient began to experience nausea, weakness and felt hot. These symptoms lasted about 30 minutes before patient began returning to normal. No treatment administered. (patient sat down).
Age: 12.0
Sex: F
Vaccine: HEPA, HPV4, VARCEL
Symptoms: Angioedema, C-reactive protein, Full blood count
Clinical narrative: Angioedema 8 cm on right posterior arm.  S/S started following the vaccination.
Age: 16.0
Sex: M
Vaccine: HEPA, MNQ, TDAP, VARCEL
Symptoms: Angioedema, C-reactive protein, Full blood count
Clinical narrative: Angioedema noted in right posterior arm.
Age: 5.0
Sex: F
Vaccine: DTAPIPV, MMR, VARCEL
Symptoms: Erythema, Oedema peripheral, Skin warm
Clinical narrative: Erythema on right arm - posterior 3 X 5 cm area red, raised, & warm to the touch.
Age: 55.0
Sex: F
Vaccine: TDAP
Symptoms: Arthralgia, Bone pain, Cellulitis, Chills, Injection site erythema
Clinical narrative: Fever, chill, muscle pain all over, bone (hip) pain 3-4 days. 3rd after immunization redness around injection site spread wide to elbow: red, hot, ache. Primary care MD seen -> cellulitis Dx -> antibiotics (KEFLEX) ordered -> improved.
Age: 55.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site pain, Injection site warmth, Myalgia, Pyrexia
Clinical narrative: Fever, chill, muscle pain all over, bone (hip) pain 3-4 days. 3rd after immunization redness around injection site spread wide to elbow: red, hot, ache. Primary care MD seen -> cellulitis Dx -> antibiotics (KEFLEX) ordered -> improved.
Age: 13.0
Sex: F
Vaccine: HPV4
Symptoms: Alopecia, Blood test, Headache
Clinical narrative: Severe hair loss. Headaches.  10/14/09 PC note servce dates 12/18/09 to 8/6/09. Patient's hair is falling out.
Age: 12.0
Sex: U
Vaccine: HPV4
Symptoms: Body temperature increased, Oropharyngeal blistering, Rash
Clinical narrative: Broke out in rash on 8/18/09, seen in ER with increased rash, T - 102 degrees on 8/19/09.  Started on PREDNISIONE.  Phone call from mom on 8-21-09 states T decreased, but continues to break out in rash.  Has blisters on inside of mouth.  8-24-09 client seen by PMD.  On 8/21/09 put on more med - unknown type, told to not continue series of vaccine.
Age: 11.0
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Varicella post vaccine
Clinical narrative: Pt developed chickenpox 10 days after vaccine.
Age: 93.0
Sex: F
Vaccine: VARZOS
Symptoms: Eye swelling, Pruritus generalised, Swelling face
Clinical narrative: Face swollen, eyes swollen, itching all over body.
Age: 0.3
Sex: F
Vaccine: DTAP, HIBV, IPV, PNC, RV5
Symptoms: Dyspnoea, Full blood count normal, Gaze palsy, Hypotonia, Metabolic function test
Clinical narrative: Day of vaccine administration, patient had episode of going limp, eyes rolling back & difficulty breathing.  Patient w/fever 100.4 at the time.  Patient recovered after 5 minutes.  Patient was seen in clinic 8/26/09 & exam was normal.  Patient had repeat episode the same evening & seen in ER.  Referred to neurology.
Age: 0.3
Sex: F
Vaccine: DTAP, HIBV, IPV, PNC, RV5
Symptoms: Pyrexia
Clinical narrative: Day of vaccine administration, patient had episode of going limp, eyes rolling back & difficulty breathing.  Patient w/fever 100.4 at the time.  Patient recovered after 5 minutes.  Patient was seen in clinic 8/26/09 & exam was normal.  Patient had repeat episode the same evening & seen in ER.  Referred to neurology.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Cellulitis, Injection site reaction
Clinical narrative: Localized reaction at site of injection. Cellulitis. (right thigh).
Age: 0.8
Sex: M
Vaccine: HEP
Symptoms: Muscle twitching
Clinical narrative: Approx < 2 hrs after HEP B vaccine, parents reported episode of head twitching.  Not seizure.  Brief, lasting seconds, alert.  No further episodes that day, then 3 add'l episode the next morning.
Age: 56.0
Sex: U
Vaccine: FLU3
Symptoms: Body temperature increased, Malaise
Clinical narrative: Reported general malaise - Temp up to 102 degrees.
Age: 80.0
Sex: U
Vaccine: FLU3
Symptoms: Anxiety, Bowel movement irregularity, Malaise, Palpitations, Pollakiuria
Clinical narrative: Reported: Didn't feel good, shaky, anxious, palpitations, frequent urination, fecal evacuation.
Age: 80.0
Sex: U
Vaccine: FLU3
Symptoms: Tremor
Clinical narrative: Reported: Didn't feel good, shaky, anxious, palpitations, frequent urination, fecal evacuation.
Age: 8.0
Sex: F
Vaccine: HEPA, VARCEL
Symptoms: Abnormal behaviour, Aggression, Staring
Clinical narrative: Behavior changes with in 1-2 days. Aggressive, combative, argumentative with friends, staring off into space, enough that it bothered mom. Lasted 1 week.
Age: 34.0
Sex: M
Vaccine: DTAP
Symptoms: Asthenia, Diarrhoea, Dizziness, Injection site erythema, Injection site pain
Clinical narrative: PAIN, ITCHING, REDNESS AND SWELLING AT SITE OF INJECTION. ALSO EXPERIENCED DIZZINESS, NAUSEA, WEAKNESS, DIARRHEA AND FEVER
Age: 34.0
Sex: M
Vaccine: DTAP
Symptoms: Injection site pruritus, Injection site swelling, Nausea, Pyrexia
Clinical narrative: PAIN, ITCHING, REDNESS AND SWELLING AT SITE OF INJECTION. ALSO EXPERIENCED DIZZINESS, NAUSEA, WEAKNESS, DIARRHEA AND FEVER
Age: 4.0
Sex: M
Vaccine: FLUX
Symptoms: Injection site erythema, Injection site swelling, Injection site urticaria, Injection site warmth, No reaction on previous exposure to drug
Clinical narrative: Within 12 hours of flu shot injection the injection site was red, swollen, and heated.  After 24 hours, the entire upper arm and shoulder were affected similarly.  Hives formed under around the injection site, under the injected arm, and spread down the torso from the underarm.  Hives were limited to the injected arm until 72 hours after injection, when they spread to the rest of the body.  A low-grade fever was present for a few hours the morning after injection.  96 hours after injection, the swelling and redness at the injection site has resolved.  The hives and itchiness remain.  Treatment has been limited to Benadryl and topcial cortisone cream for the hives.  The patient is allergic to amoxicillin and cephalosporins.  He has had prior flu injections in 10/05, 11/05, 11/06, and 11/08 with no reaction.
Age: 4.0
Sex: M
Vaccine: FLUX
Symptoms: Pruritus, Pyrexia, Urticaria
Clinical narrative: Within 12 hours of flu shot injection the injection site was red, swollen, and heated.  After 24 hours, the entire upper arm and shoulder were affected similarly.  Hives formed under around the injection site, under the injected arm, and spread down the torso from the underarm.  Hives were limited to the injected arm until 72 hours after injection, when they spread to the rest of the body.  A low-grade fever was present for a few hours the morning after injection.  96 hours after injection, the swelling and redness at the injection site has resolved.  The hives and itchiness remain.  Treatment has been limited to Benadryl and topcial cortisone cream for the hives.  The patient is allergic to amoxicillin and cephalosporins.  He has had prior flu injections in 10/05, 11/05, 11/06, and 11/08 with no reaction.
Sex: F
Vaccine: PPV
Symptoms: Nausea, Throat tightness, Vomiting
Clinical narrative: nausea, Vomiting, throat tightness within 24 hours of vaccine administration. patient seen by Interbal medicine practive, subsequently sent to ER for observation, zofran and fluid administration. patient released from ED later that day and was seen for follow up in the practice the next day. patient reported resolution of symtoms during the follow up visit.
Age: 56.0
Sex: F
Vaccine: FLU3
Symptoms: Back pain, Burning sensation, Neck pain
Clinical narrative: At the time of the vaccination, she felt a burning sensation down to her wrist, daily pain with radiation of pain down back and neck. Site never got red or swollen. She felt that the placement of the vaccine was placed too high on her shoulder area.
Age: 17.0
Sex: F
Vaccine: HPV4
Symptoms: Chills, Pain in extremity, Pyrexia, Vomiting
Clinical narrative: Sore arm evening of vaccination. Woke up 4am, vomiting, chills, fever. Lasted 12 hours and symptoms subsided. No treatment neccessary
Age: 59.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site oedema, Injection site pain, Injection site urticaria
Clinical narrative: Employee developed large welped, reddened area from top of left deltoid extending down to mid-biceps area and around back of arm but not circumferencing the upper arm. Employee had significant pain associated with the edema.
Age: 47.0
Sex: F
Vaccine: MMR
Symptoms: Eye irritation, Eye oedema, Eye pruritus
Clinical narrative: The day after vaccine was administered she developed itching and buring around eyes and some edema.  She took 2 benadryl at around 17:30 and 2 benadryl around 20:00.  Edema still present under left eye, no blurred vision noted
Age: 0.17
Sex: F
Vaccine: DTAPH
Symptoms: Blood culture negative, Blood prolactin normal, C-reactive protein normal, Culture stool negative, Culture urine negative
Clinical narrative: Generalized tonic clonic seizure as per parents which lasted 45 to 50 sec. Temperature was 99.3 deg F. Outpatient was seen by neurology and exam was normal.  10/13/09 Hospital records, DC summary received service dates 7/22/09 to 7/23/09. Assessment: Seizure disorder. Baby started shaking all 4 limbs with jerky movements, rolling eyes upward, frothing from mouth, blood in saliva. Crying before incident. Lethargic afterwards. Loose stools, dark green moist stool. Temperature elevated. Baby presents sleepy but later is active, alert, and moving 4 extremities. Admitted for onservation. Strawberry birthmark on post R thigh. To follow up with neurologist.
Age: 0.17
Sex: F
Vaccine: DTAPH
Symptoms: Electroencephalogram normal, Full blood count normal, Grand mal convulsion, Metabolic function test normal, Neurological examination normal
Clinical narrative: Generalized tonic clonic seizure as per parents which lasted 45 to 50 sec. Temperature was 99.3 deg F. Outpatient was seen by neurology and exam was normal.  10/13/09 Hospital records, DC summary received service dates 7/22/09 to 7/23/09. Assessment: Seizure disorder. Baby started shaking all 4 limbs with jerky movements, rolling eyes upward, frothing from mouth, blood in saliva. Crying before incident. Lethargic afterwards. Loose stools, dark green moist stool. Temperature elevated. Baby presents sleepy but later is active, alert, and moving 4 extremities. Admitted for onservation. Strawberry birthmark on post R thigh. To follow up with neurologist.
Age: 0.17
Sex: F
Vaccine: DTAPH
Symptoms: Parasite stool test negative, Urine analysis normal
Clinical narrative: Generalized tonic clonic seizure as per parents which lasted 45 to 50 sec. Temperature was 99.3 deg F. Outpatient was seen by neurology and exam was normal.  10/13/09 Hospital records, DC summary received service dates 7/22/09 to 7/23/09. Assessment: Seizure disorder. Baby started shaking all 4 limbs with jerky movements, rolling eyes upward, frothing from mouth, blood in saliva. Crying before incident. Lethargic afterwards. Loose stools, dark green moist stool. Temperature elevated. Baby presents sleepy but later is active, alert, and moving 4 extremities. Admitted for onservation. Strawberry birthmark on post R thigh. To follow up with neurologist.
Age: 43.0
Sex: F
Vaccine: FLUX
Symptoms: Chills, Eye discharge, Eye irritation, Influenza, Nausea
Clinical narrative: Received shot in clinic around 2:00 p.m.  Around 4:00 p.m. my eyes started burning and felt like I had sand in them - by the time I got home at 5:30 p.m. they were very runny - producing a lot of "sleep" that required me to wipe them off about every 20minutes or so.  Also about 5:30 - the soft pallet under my tongue began to swell up.  From 5:30 - 7:30 I ran the entire course of flu symptoms with fever (99/100) chills, aches, nasaue in addition to the eyes and swollen tongue.  Took a benedryl which relieved the symptoms of the swelling and the eyes running as much.  Today - I ended up taking another benedryl because my tongue felt as if it was swelling up again.  Other than that and some minor eye irritation still today I feel better. I am not allergic to eggs at all and have never had any previous issues with flu shots.
Age: 43.0
Sex: F
Vaccine: FLUX
Symptoms: No reaction on previous exposure to drug, Pain, Pyrexia, Swollen tongue
Clinical narrative: Received shot in clinic around 2:00 p.m.  Around 4:00 p.m. my eyes started burning and felt like I had sand in them - by the time I got home at 5:30 p.m. they were very runny - producing a lot of "sleep" that required me to wipe them off about every 20minutes or so.  Also about 5:30 - the soft pallet under my tongue began to swell up.  From 5:30 - 7:30 I ran the entire course of flu symptoms with fever (99/100) chills, aches, nasaue in addition to the eyes and swollen tongue.  Took a benedryl which relieved the symptoms of the swelling and the eyes running as much.  Today - I ended up taking another benedryl because my tongue felt as if it was swelling up again.  Other than that and some minor eye irritation still today I feel better. I am not allergic to eggs at all and have never had any previous issues with flu shots.