chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 0.4
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5, DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Barium enema, Intussusception, X-ray
Clinical narrative: Information has been received concerning a 141 day old male with no medical history and no known allergies who on 03-APR-2007 was vaccinated with the first dose of Rotateq PO one dose IM in the right leg (Lot # "00240"). Concomitant vaccines administered on the same day included PEDIARIX (Lot number AC21b092aa) IM in the left, PREVNAR and PEDVAXHIB (Lot #654678/1125 F) IM in the right leg. Other vaccines administered within 14 days included zoster vaccine live (mfr not reported). On 07-APR-2007 the patient developed intussusception and was hospitalized. Subsequently, the patient recovered from intussusception. Intussusception was considered to be immediately life-threatening. Further information has been received through the CDC. The patient had a barium enema. Additional information has been requested.
Age: 48.0
Sex: F
Vaccine: TDAP, TDAP, TDAP
Symptoms: Body temperature increased, Chills, Dizziness, Headache, Nausea
Clinical narrative: Initial report received on 08 May 2007 from a health care professional. A 48 year old female patient with medical history of migraines and hypothyroidism received on 28 April first dose of Adacel (lot# unknown) (site, side and route of administration were unknown) and at the same day, after injection the patient reported temperature of 100 (F), headache and malaise that lasted for 48 hours, and then the patient felt better. On 06 May 2007 the patient developed headache described as "worse of life" and was presented to the Emergency Room, with temperature of 103 (F), headache, neck stiffness, positive Kernig's sign and nausea. MRI of head was scheduled on 08 May 2007. The reporting physician was her treating physician. The patient was hospitalized (on an unknown date) for 2 days. The patient received vaccine at work and did not have record of lot number or that chart. Relevant diagnostic test that were done: CT of head- negative, LP - negative, BC and MRI- pending, CBC and electrolytes- Within normal limits. Treatment was not reported. The patient has not recovered. Then patient had no illness at vaccination time. The patient's concomitant medications included: Synthroid and Tylenol #3.
Age: 48.0
Sex: F
Vaccine: TDAP, TDAP, TDAP
Symptoms: Pain, Pallor
Clinical narrative: Initial report received on 08 May 2007 from a health care professional. A 48 year old female patient with medical history of migraines and hypothyroidism received on 28 April first dose of Adacel (lot# unknown) (site, side and route of administration were unknown) and at the same day, after injection the patient reported temperature of 100 (F), headache and malaise that lasted for 48 hours, and then the patient felt better. On 06 May 2007 the patient developed headache described as "worse of life" and was presented to the Emergency Room, with temperature of 103 (F), headache, neck stiffness, positive Kernig's sign and nausea. MRI of head was scheduled on 08 May 2007. The reporting physician was her treating physician. The patient was hospitalized (on an unknown date) for 2 days. The patient received vaccine at work and did not have record of lot number or that chart. Relevant diagnostic test that were done: CT of head- negative, LP - negative, BC and MRI- pending, CBC and electrolytes- Within normal limits. Treatment was not reported. The patient has not recovered. Then patient had no illness at vaccination time. The patient's concomitant medications included: Synthroid and Tylenol #3.
Age: 48.0
Sex: F
Vaccine: TDAP, TDAP, TDAP
Symptoms: Body temperature increased, Computerised tomogram normal, Headache, Injection site pain, Laboratory test
Clinical narrative: Initial report received on 08 May 2007 from a health care professional. A 48 year old female patient with medical history of migraines and hypothyroidism received on 28 April first dose of Adacel (lot# unknown) (site, side and route of administration were unknown) and at the same day, after injection the patient reported temperature of 100 (F), headache and malaise that lasted for 48 hours, and then the patient felt better. On 06 May 2007 the patient developed headache described as "worse of life" and was presented to the Emergency Room, with temperature of 103 (F), headache, neck stiffness, positive Kernig's sign and nausea. MRI of head was scheduled on 08 May 2007. The reporting physician was her treating physician. The patient was hospitalized (on an unknown date) for 2 days. The patient received vaccine at work and did not have record of lot number or that chart. Relevant diagnostic test that were done: CT of head- negative, LP - negative, BC and MRI- pending, CBC and electrolytes- Within normal limits. Treatment was not reported. The patient has not recovered. Then patient had no illness at vaccination time. The patient's concomitant medications included: Synthroid and Tylenol #3.
Age: 48.0
Sex: F
Vaccine: TDAP, TDAP, TDAP
Symptoms: Lumbar puncture normal, Malaise, Nausea, Pain
Clinical narrative: Initial report received on 08 May 2007 from a health care professional. A 48 year old female patient with medical history of migraines and hypothyroidism received on 28 April first dose of Adacel (lot# unknown) (site, side and route of administration were unknown) and at the same day, after injection the patient reported temperature of 100 (F), headache and malaise that lasted for 48 hours, and then the patient felt better. On 06 May 2007 the patient developed headache described as "worse of life" and was presented to the Emergency Room, with temperature of 103 (F), headache, neck stiffness, positive Kernig's sign and nausea. MRI of head was scheduled on 08 May 2007. The reporting physician was her treating physician. The patient was hospitalized (on an unknown date) for 2 days. The patient received vaccine at work and did not have record of lot number or that chart. Relevant diagnostic test that were done: CT of head- negative, LP - negative, BC and MRI- pending, CBC and electrolytes- Within normal limits. Treatment was not reported. The patient has not recovered. Then patient had no illness at vaccination time. The patient's concomitant medications included: Synthroid and Tylenol #3.
Age: 48.0
Sex: F
Vaccine: TDAP, TDAP, TDAP
Symptoms: Blood electrolytes normal, Body temperature increased, Computerised tomogram normal, Full blood count normal, Headache
Clinical narrative: Initial report received on 08 May 2007 from a health care professional. A 48 year old female patient with medical history of migraines and hypothyroidism received on 28 April first dose of Adacel (lot# unknown) (site, side and route of administration were unknown) and at the same day, after injection the patient reported temperature of 100 (F), headache and malaise that lasted for 48 hours, and then the patient felt better. On 06 May 2007 the patient developed headache described as "worse of life" and was presented to the Emergency Room, with temperature of 103 (F), headache, neck stiffness, positive Kernig's sign and nausea. MRI of head was scheduled on 08 May 2007. The reporting physician was her treating physician. The patient was hospitalized (on an unknown date) for 2 days. The patient received vaccine at work and did not have record of lot number or that chart. Relevant diagnostic test that were done: CT of head- negative, LP - negative, BC and MRI- pending, CBC and electrolytes- Within normal limits. Treatment was not reported. The patient has not recovered. Then patient had no illness at vaccination time. The patient's concomitant medications included: Synthroid and Tylenol #3.
Age: 48.0
Sex: F
Vaccine: TDAP, TDAP, TDAP
Symptoms: Kernig's sign, Laboratory test normal, Lumbar puncture normal, Malaise, Musculoskeletal stiffness
Clinical narrative: Initial report received on 08 May 2007 from a health care professional. A 48 year old female patient with medical history of migraines and hypothyroidism received on 28 April first dose of Adacel (lot# unknown) (site, side and route of administration were unknown) and at the same day, after injection the patient reported temperature of 100 (F), headache and malaise that lasted for 48 hours, and then the patient felt better. On 06 May 2007 the patient developed headache described as "worse of life" and was presented to the Emergency Room, with temperature of 103 (F), headache, neck stiffness, positive Kernig's sign and nausea. MRI of head was scheduled on 08 May 2007. The reporting physician was her treating physician. The patient was hospitalized (on an unknown date) for 2 days. The patient received vaccine at work and did not have record of lot number or that chart. Relevant diagnostic test that were done: CT of head- negative, LP - negative, BC and MRI- pending, CBC and electrolytes- Within normal limits. Treatment was not reported. The patient has not recovered. Then patient had no illness at vaccination time. The patient's concomitant medications included: Synthroid and Tylenol #3.
Age: 48.0
Sex: F
Vaccine: TDAP, TDAP, TDAP
Symptoms: Nausea
Clinical narrative: Initial report received on 08 May 2007 from a health care professional. A 48 year old female patient with medical history of migraines and hypothyroidism received on 28 April first dose of Adacel (lot# unknown) (site, side and route of administration were unknown) and at the same day, after injection the patient reported temperature of 100 (F), headache and malaise that lasted for 48 hours, and then the patient felt better. On 06 May 2007 the patient developed headache described as "worse of life" and was presented to the Emergency Room, with temperature of 103 (F), headache, neck stiffness, positive Kernig's sign and nausea. MRI of head was scheduled on 08 May 2007. The reporting physician was her treating physician. The patient was hospitalized (on an unknown date) for 2 days. The patient received vaccine at work and did not have record of lot number or that chart. Relevant diagnostic test that were done: CT of head- negative, LP - negative, BC and MRI- pending, CBC and electrolytes- Within normal limits. Treatment was not reported. The patient has not recovered. Then patient had no illness at vaccination time. The patient's concomitant medications included: Synthroid and Tylenol #3.
Age: 17.0
Sex: F
Vaccine: HPV4, MNQ, HPV4, MNQ
Symptoms: Asthma, Injection site erythema, Injection site swelling, Pharyngeal oedema, Wheezing
Clinical narrative: Initial report received on 08 May 2007 from a Nurse Practitioner. A healthy 17 year-old female patient with a history of asthma, environmental allergies without allergy to latex or Neomycin, had received a first, right arm injection of Menactra, lot number U2230AA, and a second, left arm booster dose of Gardasil, lot number 0387W, on 01 May 2007 at approximately 13:30 P.M. The following day, at around 08:00 A.M., the patient had a triggered asthma reaction with wheezing and mild feeling that her throat was swelling. She had swelling and redness at the Menactra injection site on the right deltoid. The patient self medicated with Benadryl at home without relief and was subsequently treated by a physician with SoluCortef and oral steroids. The patient did not required epinephrine treatment. The patient recovered.
Age: 25.0
Sex: M
Vaccine: ANTH
Symptoms: Amnesia, Dissociation
Clinical narrative: memory loss, distant feeling, hazy.  Felt symtoms one day after receiving vaccination.  More intense symtoms lasted for 4 days following reception of the shot.  Symtoms tapered downward in intensity after the initial 4 days of intense reaction.
Age: 0.2
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Nasal congestion, Pyrexia
Clinical narrative: Fever, congestion x 4 days
Sex: F
Vaccine: HPV4
Symptoms: Smear cervix abnormal
Clinical narrative: Information has been received from a consumer concerning a female who was vaccinated with the first dose of Gardasil. Approximately two months after receiving the vaccine, the patient had an abnormal pap smear. The consumer considered the abnormal pap smear to be immediately life-threatening. This is one of two reports received from the same source.
Age: 25.0
Sex: F
Vaccine: HPV4
Symptoms: Smear cervix abnormal
Clinical narrative: Information has been received from a female in her mid-20's who in approximately March 2007, was vaccinated with the first dose of Gardasil. On approximately 03-May-2007 the patient had an abnormal pap smear. The patient considered the abnormal pap smear to be immediately life-threatening. Additional information is not expected. This is one of two reports received from the same source.
Age: 1.0
Sex: F
Vaccine: VARCEL
Symptoms: Blister, Body temperature increased, Herpes zoster, Herpes zoster disseminated, Rash papular
Clinical narrative: Information has been received from a physician concerning a 13 month old female with congenital neutropenia and no known drug allergies who on 02-MAR-2007 was vaccinated with Varivax (Lot # 652082/0943R) in the left arm. Concomitant therapy included acyclovir. On 05-APR-2007, the patient experienced disseminated herpes zoster on her lower back and her arm and was hospitalized. Further information from the physician indicated that the herpes zoster was on her head, hair, and chest. The patient was treated in the hospital and released recovered, however she had two additional episodes of herpes zoster with the most recent ongoing at the time of the report. Further information from the physician revealed that on 01-MAY-2007 the patient experienced the possible recurrence. The description of the lesions sent for specimen were crusted vesicle and papules. The number of lesions was reported as numerous. Additional information has been requested.
Age: 1.0
Sex: F
Vaccine: VARCEL
Symptoms: Skin lesion
Clinical narrative: Information has been received from a physician concerning a 13 month old female with congenital neutropenia and no known drug allergies who on 02-MAR-2007 was vaccinated with Varivax (Lot # 652082/0943R) in the left arm. Concomitant therapy included acyclovir. On 05-APR-2007, the patient experienced disseminated herpes zoster on her lower back and her arm and was hospitalized. Further information from the physician indicated that the herpes zoster was on her head, hair, and chest. The patient was treated in the hospital and released recovered, however she had two additional episodes of herpes zoster with the most recent ongoing at the time of the report. Further information from the physician revealed that on 01-MAY-2007 the patient experienced the possible recurrence. The description of the lesions sent for specimen were crusted vesicle and papules. The number of lesions was reported as numerous. Additional information has been requested.
Age: 0.33
Sex: U
Vaccine: RV5
Symptoms: Haematochezia
Clinical narrative: Information has been received from a physician concerning a patient in the neighborhood of 4 months who was vaccinated with a 2 ml second oral dose of Rotateq. Seven days after the second dose of Rotateq the patient developed hematochezia. Unspecified medical attention was sought. No product quality complaint was involved. No other information was provided. Upon internal review, hematochezia was considered to be an other important medical event. Additional information has been requested.
Sex: M
Vaccine: RV5
Symptoms: Haematochezia
Clinical narrative: Information has been received from a physician through a company representative concerning a male patient (age not specified) who in May 2007 (this week), was vaccinated with oral Rotateq. In May 2007 (this week), the patient experienced bloody stools. The physician also reported as experienced of a female patient (WAES # 0705USA03024) who also had blood stools after vaccination with oral Rotateq. One patient was two months old and the other patient was 4 months old (the representative did not know which patient (male or female) was 2 months old and which patient (male or female) was four months old). This was the first dose for the two month old and the second dose for the 4 month old. The 4 month old had no AE after he/she received the first dose. Upon internal review bloody stools was determined to be an other important medical event. Additional information has been requested.
Sex: F
Vaccine: RV5
Symptoms: Haematochezia
Clinical narrative: Information has been received from a physician through a company representative concerning a female patient (age not specified) who in May 2007 (this week), was vaccinated with oral Rotateq. In May 2007 (this week), the patient experienced bloody stools. The physician also reported an experience of a male patient (WAES # 0705USA02232) who also had blood stools after vaccination with oral Rotateq. On patient was two months old and the other patient was 4 months old (the representative did not know which patient (male or female) was 2 month old and which patient (male or female) was four months old). The 4 month old had no AE after he/she received the first dose. Upon internal review bloody stools was determined to be an other important medical event. Additional information has been requested.
Age: 1.5
Sex: M
Vaccine: DTAP, FLUX, HEPA, MMRV, PPV
Symptoms: Face oedema, Inappropriate schedule of drug administration
Clinical narrative: Facial edema.  07/17/2007 MR received for admission 3/18-22/2007 for c/o persistant high fever. Pt initially developed eye swelling and an erythematous rash around his eyes.  The following day erythema and swelling of the L hand and fingers were noted which then progressed to involve the entire forearm.  Fever developed and child was seen outpt for possible cellulitis vs allergic rxn vs immunization reaction and then admitted. Child had resolution of rash and swelling with IV abx however fever persisited.   Consultation noted maculopapular eruption of a countable # of lesions on arms and legs. Assessment:  Fever and rash possibly due to a Varivax reaction with 2' strep invasion.  S/P Kawasaki disease, cannot r/o reactivation of that.  Eosinophilia, perhaps c/w an allergic rxn. Principal DX:  Resolved cellulitis of the L forarm and probable allergic rxn vs immunization reaction.
Age: 34.0
Sex: F
Vaccine: RUB
Symptoms: Facial palsy
Clinical narrative: Bell's Palsy Diagnosis at Hospital Emergency Dept on 05/06/2007.  07/16/2007 MR received for a vaginal delivery and elective BTL.  Rubella vax given prior to D/C. 07/24/2007MR received for ER visit 5/6/2007 for c/o facial swelling.  Pt c/o lip and tongue swelling, drooling, and left cheek and eyelid numbness which have worsened in the last hour.  Differential DX:  Allergic reaction to anesthesia, meds, and food.  Clinical picture: angioedema. Additional record received for ER visit 5/16/07 for infected episiotomy. PE WNL  except for edema, pain and swelling of R labia.   Since no mention of Bell's Palsy, TC made to MD who reported to reporting pharmacist for clarification.  Pt seen at two hospitals. 8/13/2007 MR received for DOS 5/16-23/2007 for infected episiotomy and R labial majora cellulitis. H&P notes Dx of Bell's Palsy of 5/6/2007 from above ER visit.  On admission 5/16/07 pt still unable to lift L eyebrow. Txd with steroids.
Age: 1.0
Sex: U
Vaccine: HEPA, HIBV, MMRV, PNC
Symptoms: Rash macular
Clinical narrative: 5-9-07 mom called has sm red spots with yellow center on face about 3-4 no fever seems fine at this time had ProQuad on 5-7-07
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMRV
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Right Deltoid Swollen, red
Age: 11.0
Sex: F
Vaccine: HEPA, TDAP, VARCEL
Symptoms: Cold compress therapy, Induration, Pruritus, Skin warm
Clinical narrative: Red, raised, indurated area 7cnx51/2cm positive itching started evening after vaccine plus is hot to touch. TX with Ice and Benadryl
Age: 12.0
Sex: M
Vaccine: VARCEL
Symptoms: Injection site erythema, Injection site vesicles
Clinical narrative: R arm red and blistery at Varivax inj site. Valtrex 500 BID x 5 days Denavir cream.
Age: 9.0
Sex: F
Vaccine: VARCEL
Symptoms: Injection site erythema, Injection site pruritus, Injection site warmth
Clinical narrative: Pt seen at office on 5-3-07, R arm with lg red, warm circle at Varicella inj site. Itchy. RX Zorivax 200/5 2tsp PO QID x 5 days. Had received varicella booster 5-2-07
Sex: U
Vaccine: VARCEL
Symptoms: Heat therapy, Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Varivax booster give 4/25/07 - Dad of patient called in 4-27-07 - reported patient's arm red, swollen where injection was given approximately 3 inch x 1 inch redness, sore. Ibuprofen given for pain - warm pack to area.
Age: 15.0
Sex: F
Vaccine: VARCEL
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Patient received Varivax booster 4-17-07 on 4-18-07 patient had swelling, redness and warmth at site of injection per patient's mother. Gave Benadryl to treat.
Age: 9.0
Sex: F
Vaccine: HEP, IPV, MMRV, UNK
Symptoms: Dehydration, Dizziness, Hypoacusis, Limb discomfort, Muscle spasms
Clinical narrative: 1/2/07: 4pm 5 vaccines; c/o lightheadness 1130 pm - mom gave her H20 - ok through night; early in 4/2 am fine; c/o dizziness later in am today c/o pain both legs; has h/o of occasional leg cramps - child states my legs feel like someone is stabbing me - c/o right ear: decrease hearing. Mom reports walking ok with steady gait; Local discomfort in arms - no redness or swelling. No fever. Referred to PCP: doctor name and phone number given. Plan: f/u with mom.
Age: 9.0
Sex: F
Vaccine: HEP, IPV, MMRV, UNK
Symptoms: Pain in extremity
Clinical narrative: 1/2/07: 4pm 5 vaccines; c/o lightheadness 1130 pm - mom gave her H20 - ok through night; early in 4/2 am fine; c/o dizziness later in am today c/o pain both legs; has h/o of occasional leg cramps - child states my legs feel like someone is stabbing me - c/o right ear: decrease hearing. Mom reports walking ok with steady gait; Local discomfort in arms - no redness or swelling. No fever. Referred to PCP: doctor name and phone number given. Plan: f/u with mom.
Age: 12.0
Sex: M
Vaccine: HEPA, TDAP, VARCEL
Symptoms: Injection site induration, Injection site swelling
Clinical narrative: Swelling and induration over site of Varicella Vaccine resulting in two ER visits
Age: 27.0
Sex: F
Vaccine: TYP
Symptoms: Abdominal pain upper, Cheilitis, Diarrhoea, Herpes virus infection, Hypoaesthesia oral
Clinical narrative: On Monday 4/9 - First dose of vaccine. On Wednesday 4/11 - After2nd dose of vaccine, I felt some tingling and "numbness" on my upper lip. This was not an immediate reaction, I dismissed this as seasonal allergies. These symptoms continued for the rest of the week. On Sunday 4/15 - I completed my last dose of the vaccine. On Tuesday morning I woke up with a huge swollen upper lip and approximately 6 small raised, closed sores on my bottom lip. I had a case of what looked like Chelitis on both the corners of my mouth. My lips were tingling and sore. On 4/17 my dermatologist placed me on a low dose of Prednisone 40mg for 5 days and Acyclovir 800mg BID for 5 days. I took one dose of Prednisone before out clinic Internist disagreed with the course of Prednisone and suggested I only use Benadryl due to the live nature of the vaccine. I did not take the Prednisone on the 18th, and on the 19th of April my lips were swollen and sore just as before. The Internist put me back on Prednisone. I finished my last dose on Tuesday 4/24. I did not take a dose of Prednisone yesterday. This morning on 4/26 I woke up to 4-5 new red small bumps on my lower lip and returned swelling in my lips. (Continued Acyclovir). 4/26 (a.m.) used topical steroids on lips - no Prednisone 4/26 approximately 6pm I experienced a fever of 101.2, some stomach cramping and nausea. This was followed by diarrhea. 4/27 Prescribed Cipro BID x 7 days 5/4 Finished last dose of Cipro 5/6 Swelling (primarily upper lip) with some redness around lips returned. Advised to try Zyrtec and resume Acyclovir after a small cluster of Herpes - like bumps appeared on lower lip. 5/15 I have an appt with an allergist in the community.
Age: 27.0
Sex: F
Vaccine: TYP
Symptoms: Lip pain, Lip swelling, Nausea, Paraesthesia oral, Pyrexia
Clinical narrative: On Monday 4/9 - First dose of vaccine. On Wednesday 4/11 - After2nd dose of vaccine, I felt some tingling and "numbness" on my upper lip. This was not an immediate reaction, I dismissed this as seasonal allergies. These symptoms continued for the rest of the week. On Sunday 4/15 - I completed my last dose of the vaccine. On Tuesday morning I woke up with a huge swollen upper lip and approximately 6 small raised, closed sores on my bottom lip. I had a case of what looked like Chelitis on both the corners of my mouth. My lips were tingling and sore. On 4/17 my dermatologist placed me on a low dose of Prednisone 40mg for 5 days and Acyclovir 800mg BID for 5 days. I took one dose of Prednisone before out clinic Internist disagreed with the course of Prednisone and suggested I only use Benadryl due to the live nature of the vaccine. I did not take the Prednisone on the 18th, and on the 19th of April my lips were swollen and sore just as before. The Internist put me back on Prednisone. I finished my last dose on Tuesday 4/24. I did not take a dose of Prednisone yesterday. This morning on 4/26 I woke up to 4-5 new red small bumps on my lower lip and returned swelling in my lips. (Continued Acyclovir). 4/26 (a.m.) used topical steroids on lips - no Prednisone 4/26 approximately 6pm I experienced a fever of 101.2, some stomach cramping and nausea. This was followed by diarrhea. 4/27 Prescribed Cipro BID x 7 days 5/4 Finished last dose of Cipro 5/6 Swelling (primarily upper lip) with some redness around lips returned. Advised to try Zyrtec and resume Acyclovir after a small cluster of Herpes - like bumps appeared on lower lip. 5/15 I have an appt with an allergist in the community.
Age: 27.0
Sex: F
Vaccine: TYP
Symptoms: Rash papular, Seasonal allergy, Stomatitis
Clinical narrative: On Monday 4/9 - First dose of vaccine. On Wednesday 4/11 - After2nd dose of vaccine, I felt some tingling and "numbness" on my upper lip. This was not an immediate reaction, I dismissed this as seasonal allergies. These symptoms continued for the rest of the week. On Sunday 4/15 - I completed my last dose of the vaccine. On Tuesday morning I woke up with a huge swollen upper lip and approximately 6 small raised, closed sores on my bottom lip. I had a case of what looked like Chelitis on both the corners of my mouth. My lips were tingling and sore. On 4/17 my dermatologist placed me on a low dose of Prednisone 40mg for 5 days and Acyclovir 800mg BID for 5 days. I took one dose of Prednisone before out clinic Internist disagreed with the course of Prednisone and suggested I only use Benadryl due to the live nature of the vaccine. I did not take the Prednisone on the 18th, and on the 19th of April my lips were swollen and sore just as before. The Internist put me back on Prednisone. I finished my last dose on Tuesday 4/24. I did not take a dose of Prednisone yesterday. This morning on 4/26 I woke up to 4-5 new red small bumps on my lower lip and returned swelling in my lips. (Continued Acyclovir). 4/26 (a.m.) used topical steroids on lips - no Prednisone 4/26 approximately 6pm I experienced a fever of 101.2, some stomach cramping and nausea. This was followed by diarrhea. 4/27 Prescribed Cipro BID x 7 days 5/4 Finished last dose of Cipro 5/6 Swelling (primarily upper lip) with some redness around lips returned. Advised to try Zyrtec and resume Acyclovir after a small cluster of Herpes - like bumps appeared on lower lip. 5/15 I have an appt with an allergist in the community.
Age: 4.0
Sex: F
Vaccine: DTAP, HEPA, IPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Extreme swelling, redness, and tenderness to injection site - reaction involved the entire left thigh as the reaction progressed it included a red streak around the back of the thigh. Patient first treated in ER, given oral steroids. Followed up at our clinic 2 days later - thigh still swollen and red but with some improvement per mom, Doctor recommended Benadryl.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Cold compress therapy, Heat therapy, Injection site erythema, Injection site induration, Injection site warmth
Clinical narrative: L upper arm warm, pink firm starting 5/04/07 evening mom applied heat. Didn't use arm much. No fever or any systemic symptoms. Today mom began using ice on arm and states child feeling much better and redness, swelling decreased. Today 9x5 cm warm faint ink slightly indurated lateral L upper arm, Child active, happy using arm normally afebrile
Age: 1.3
Sex: U
Vaccine: DTAP
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: C/O swelling and redness at L arm where pt received immunization (Dtap) no fever.
Age: 47.0
Sex: F
Vaccine: HEP
Symptoms: Back pain, Bedridden, Bursitis, Chest pain, Hypokinesia
Clinical narrative: This case was reported by a healthcare professional and described the occurrence of unable to get out of bed in a 46-year-old female subject who was vaccinated with Engerix B for prophylaxis. On 19 September 2006, 13 December 2005 and 31 January 2005 the subject received 3rd dose, 2nd dose and 1st dose of Engerix B at 10 mcg (pediatric dose), two doses given in the right arm for an adult dose total of 20mcg. For the 1st dose, two separate lot numbers of 10 mcg Engerix B were administered to the subject. The numbers were AHBVA06200 with expiration of 14 November 2005 and ENG5506A2 with expiration of 05 February 2005. Following completion of the three dose series of Engerix B, on 30 November 2006, a titer was drawn that revealed that the subject was non-responsive to Engerix B, therefore, an additional series of Engerix B was started. Following a 4th dose of Engerix B given on 19 December 2006, the subject complained of hardly being able to get out of bed and she was experiencing shoulder pain, back pain and chest pain. She was unable to move. The subject's physician diagnosed her with bursitis in her right shoulder. The 5th dose of Engerix B was administered in the subject's left shoulder on 07 May 2007. The next morning, on 08 May 2007, the subject reported that she was barely able to sleep the prior evening, her arm hurt and she was experiencing chest pain. The subject was taken to the emergency department and she was admitted to the hospital. The subject was worked up for heart issues and the physician reported that she may have experienced a possible adverse event to the Engerix B. The subject remained hospitalized at the time of reporting. The healthcare professional considered the events were disabling and clinically significant (or requiring intervention). At the time of reporting the events were unresolved.
Age: 47.0
Sex: F
Vaccine: HEP
Symptoms: Insomnia, Musculoskeletal pain, Pain in extremity, Vaccination failure
Clinical narrative: This case was reported by a healthcare professional and described the occurrence of unable to get out of bed in a 46-year-old female subject who was vaccinated with Engerix B for prophylaxis. On 19 September 2006, 13 December 2005 and 31 January 2005 the subject received 3rd dose, 2nd dose and 1st dose of Engerix B at 10 mcg (pediatric dose), two doses given in the right arm for an adult dose total of 20mcg. For the 1st dose, two separate lot numbers of 10 mcg Engerix B were administered to the subject. The numbers were AHBVA06200 with expiration of 14 November 2005 and ENG5506A2 with expiration of 05 February 2005. Following completion of the three dose series of Engerix B, on 30 November 2006, a titer was drawn that revealed that the subject was non-responsive to Engerix B, therefore, an additional series of Engerix B was started. Following a 4th dose of Engerix B given on 19 December 2006, the subject complained of hardly being able to get out of bed and she was experiencing shoulder pain, back pain and chest pain. She was unable to move. The subject's physician diagnosed her with bursitis in her right shoulder. The 5th dose of Engerix B was administered in the subject's left shoulder on 07 May 2007. The next morning, on 08 May 2007, the subject reported that she was barely able to sleep the prior evening, her arm hurt and she was experiencing chest pain. The subject was taken to the emergency department and she was admitted to the hospital. The subject was worked up for heart issues and the physician reported that she may have experienced a possible adverse event to the Engerix B. The subject remained hospitalized at the time of reporting. The healthcare professional considered the events were disabling and clinically significant (or requiring intervention). At the time of reporting the events were unresolved.
Age: 69.0
Sex: M
Vaccine: VARZOS
Symptoms: Neuralgia
Clinical narrative: Extreme pain around torso approximately 12 hours after vaccination. Described as 'nerve pain.
Age: 17.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Asthma, Pharyngolaryngeal pain, Productive cough, Wheezing
Clinical narrative: Patient had 1st shot of Gardasil yesterday 20 minutes after started wheezing and sore throat. No Ceoniad dyspnea. She has asthma, O2 96%. Today 5/16, she has a productive cough and wheezing.
Age: 17.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Dyspnoea, Oxygen saturation normal, Pharyngolaryngeal pain, Productive cough, Wheezing
Clinical narrative: Patient had 1st shot of Gardasil yesterday 20 minutes after started wheezing and sore throat. No Ceoniad dyspnea. She has asthma, O2 96%. Today 5/16, she has a productive cough and wheezing.
Age: 18.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Erythema, Pruritus, Urticaria
Clinical narrative: Noted to have hives around lip / lower trunk area, walnut size, reddened, raised - c/o itching - took Zyrtec 10mg.
Age: 18.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Pruritus, Urticaria
Clinical narrative: Noted to have hives around lip / lower trunk area, walnut size, reddened, raised - c/o itching - took Zyrtec 10mg.
Age: 11.0
Sex: M
Vaccine: TDAP
Symptoms: Grand mal convulsion, Lethargy, Somnolence
Clinical narrative: Tonic/clonic type seizure lasting approximately 1 minute, followed by prolonged lethargy > 1 hour O2 administered at 2L within 5 minutes of seizure. EMR called after one hour when patient unable to wake up completely. Patient had 2nd seizure lasting 20 seconds when EMR presents. No loss of bowel or bladder control.
Age: 13.0
Sex: F
Vaccine: HPV4
Symptoms: Pruritus, Rash generalised, Rash macular, Rash pruritic
Clinical narrative: Within 4 hours of receiving vaccine in left arm, received rash (red, macular, lacy) which was itching and extended to rest of her body lasting 3-4 days.
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC, RV5
Symptoms: Abnormal behaviour, Decreased interest, Eye movement disorder, Social avoidant behaviour, Speech disorder
Clinical narrative: Quiet that evening - shots given in afternoon next am- quiet - stopped cooing x 3 weeks poor eye contact interaction x 2 weeks.
Age: 13.0
Sex: F
Vaccine: HPV4
Symptoms: Abdominal pain upper
Clinical narrative: Patient stated she had stomach pain x 3 weeks after 1st Gardasil Imm.
Age: 28.0
Sex: M
Vaccine: TTOX, TYP
Symptoms: Nausea, Pyrexia
Clinical narrative: Fever, nausea, E/D eval, Motrin for fever
Age: 15.0
Sex: F
Vaccine: VARCEL
Symptoms: Injection site erythema, Injection site pain
Clinical narrative: Tenderness and redness at injection site since 5/17/07 PM.
Age: 0.4
Sex: F
Vaccine: DTAPHEPBIP, HEPA, HIBV, PNC
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: Patient given Hepatitis A along with other vaccines.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site induration
Clinical narrative: Mild erythema to left deltoid with mild induration. Benadryl PRN.
Age: 5.0
Sex: U
Vaccine: DTAP
Symptoms: Injection site erythema, Injection site warmth
Clinical narrative: Left arm was reed, hot.
Age: 65.0
Sex: M
Vaccine: PPV
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Vaccine adminitered on 5/10/07, R arm became red,warm to touch and slightly swollen.  Administered Benadryl 50mg q6h prn and Prednisone 40mg x3 days with total resolution of localized reaction.
Age: 36.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Injection site pain, Injection site reaction, Injection site swelling
Clinical narrative: Red, tender, warm slight swelling at site of injection. (localized reaction)Erythromycin initiated 5/16-5/21), ice to R arm.
Age: 7.0
Sex: F
Vaccine: HEP, IPV, MMR, SMALL, TD, HEP, IPV, MMRV, TD
Symptoms: Injection site erythema, Injection site pain, Injection site pruritus, Injection site rash, Injection site swelling
Clinical narrative: swollen arm, area very red and hot, rash, itching, pain. Was treated with benadryl, prelone, tylenol, ibuprofen, and a ice pack.
Age: 7.0
Sex: F
Vaccine: HEP, IPV, MMR, SMALL, TD, HEP, IPV, MMRV, TD
Symptoms: Injection site warmth, Oedema peripheral
Clinical narrative: swollen arm, area very red and hot, rash, itching, pain. Was treated with benadryl, prelone, tylenol, ibuprofen, and a ice pack.
Age: 7.0
Sex: F
Vaccine: HEP, IPV, MMR, SMALL, TD, HEP, IPV, MMRV, TD
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling, Injection site warmth, No reaction on previous exposure to drug
Clinical narrative: swollen arm, area very red and hot, rash, itching, pain. Was treated with benadryl, prelone, tylenol, ibuprofen, and a ice pack.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site pain, Injection site pruritus, Injection site swelling
Clinical narrative: Pain and swelling in right deltoid.  Itching and red.  Mother applied ice and gave Benadryl.  Symptoms subsided by 04/25/07.
Age: 4.0
Sex: M
Vaccine: DTAPHEPBIP, MMR
Symptoms: Full blood count, Injection site erythema, Injection site necrosis, Injection site pain, Injection site swelling
Clinical narrative: Large tender,swollen,hard,red area surrounding injection site. Antibiotics given in case of infection.
Age: 6.0
Sex: M
Vaccine: DTAP, IPV, VARCEL
Symptoms: Erythema, Hypersensitivity, Infection, Oedema peripheral, Pain
Clinical narrative: Left arm swollen and red.  Treated with Benadryl and ice packs.  Went to ER due to pian on 4/24/07.  ER MD diagnosed as infection and allergic reaction.  ER treated with Motrin and Cephalexin 500 mg TID.
Age: 0.7
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Dyskinesia, Otitis media, Oxygen saturation, Pyrexia, Swollen tongue
Clinical narrative: Mom states that on the evening of 4/23/07 developed a fever. The next morning she took her temp and it was 104 degrees and she states that her "tongue was hanging out". Mom states that she brought her to urgent care center on 4/24/07. Per record, client had pulse oximetry of 99%, temperature of 104.6, respirations 24 and nonlabored, tongue noted to be a normal color with no swelling. Assessment was fever, bilateral otitis media and questionable swelling of the tongue. Patient was given 80 mg of Tylenol, 400 mg of Rocephin and 1/2 tsp of Benadryl.
Sex: M
Vaccine: HEP
Symptoms: Pruritus generalised
Clinical narrative: CLIENT HAD SEVERE ITCHING 40 MINUTES AFTER VACCINE ADMINISTRATION ALL OVER BODY. NO OTHER S/S. VITAL SIGNS STABLE.(DESCRIPTION COPIED DIRECTLY FROM NURSES NOTES).
Age: 3.0
Sex: M
Vaccine: HEPA, HEPA
Symptoms: Asthenia, Blood pressure decreased, Heart rate decreased, Oxygen saturation decreased, Pallor
Clinical narrative: Vaccine administered - became pale, week Sats 87%-88%, Heart rate 60-70, BP 82/40.  Administered epipen and transported to ER with O2.  Fluids given at ER Solumed rol, Solu certef.  06/04/2007 MR received for ER visit for episode of pallor after receiving hep A vaccine. O2 sats 99-100%. Pt. drowsy.  Txd with Solumedrol and Solucortef IV.  Color improved and child more interactive.  D/C home. DX: Allergic reaction to Hep A.
Age: 3.0
Sex: M
Vaccine: HEPA, HEPA
Symptoms: Blood pressure decreased, Circulatory collapse, Heart rate decreased, Hypersensitivity, Oxygen saturation
Clinical narrative: Vaccine administered - became pale, week Sats 87%-88%, Heart rate 60-70, BP 82/40.  Administered epipen and transported to ER with O2.  Fluids given at ER Solumed rol, Solu certef.  06/04/2007 MR received for ER visit for episode of pallor after receiving hep A vaccine. O2 sats 99-100%. Pt. drowsy.  Txd with Solumedrol and Solucortef IV.  Color improved and child more interactive.  D/C home. DX: Allergic reaction to Hep A.
Age: 3.0
Sex: M
Vaccine: HEPA, HEPA
Symptoms: Oxygen saturation decreased, Pallor
Clinical narrative: Vaccine administered - became pale, week Sats 87%-88%, Heart rate 60-70, BP 82/40.  Administered epipen and transported to ER with O2.  Fluids given at ER Solumed rol, Solu certef.  06/04/2007 MR received for ER visit for episode of pallor after receiving hep A vaccine. O2 sats 99-100%. Pt. drowsy.  Txd with Solumedrol and Solucortef IV.  Color improved and child more interactive.  D/C home. DX: Allergic reaction to Hep A.
Age: 2.0
Sex: M
Vaccine: DTAP
Symptoms: Erythema, Skin necrosis, Skin warm
Clinical narrative: DTaP was given on 05-15-07.  Mom called on 05-16-07 at 0820 to say his leg from mid thigh to knee was warm to touch and hard.  Encouraged to phone her primary care provider.  05-17-07 0945 Her Dr. said to let them know if it was worse or not better. It looked the same as yesterday.  Was warm to touch, slightly reddened, and rock hard on whole thigh to knee.  Encouraged mom to call primary care provider if she felt it wasn't improving. Child had no fever and wasn't complaining of pain.  Was using leg as normal.  05-18-07 1356 Call to Dr yesterday told her to keep watching his leg.  Mom states today it is still swollen but not reddened or warm to touch.  She feels it is improving.
Age: 12.0
Sex: M
Vaccine: MNQ
Symptoms: Injection site erythema, Injection site haemorrhage, Injection site induration, Injection site swelling
Clinical narrative: Menactra (MCV4) administered 5/16. Noticed erythema, slight induration and swelling 5/18. Slight ecchymosis around site.  Erythema extends approx 8cm in diameter, roughly circular. No SOB/fever/ataxia.  Feels well. No TTP.
Age: 74.0
Sex: F
Vaccine: VARZOS
Symptoms: Arthralgia, Lymphadenopathy, Pain, Pain in extremity, Skin nodule
Clinical narrative: She experienced some expected minor local swelling but no local rash. About 10-14 days later she developed axillary and anticubital adenopathy in her vaccinated (left) arm. It has become progressively painful over past weeks. Pain is pulsating with out radiation in her left elbow which has been especially bothersome at night for her.  On the inner aspect of the elbow she has a "lump the size of a pecan" and two nodules the size of a pea inlinear orientation, above this lump.  She has a history of arthritis, hypertension. There's been no fever. Her physician, is unsure about the cause and is treating presumptively with levoquin antibiotic.
Age: 74.0
Sex: F
Vaccine: VARZOS
Symptoms: Swelling
Clinical narrative: She experienced some expected minor local swelling but no local rash. About 10-14 days later she developed axillary and anticubital adenopathy in her vaccinated (left) arm. It has become progressively painful over past weeks. Pain is pulsating with out radiation in her left elbow which has been especially bothersome at night for her.  On the inner aspect of the elbow she has a "lump the size of a pecan" and two nodules the size of a pea inlinear orientation, above this lump.  She has a history of arthritis, hypertension. There's been no fever. Her physician, is unsure about the cause and is treating presumptively with levoquin antibiotic.
Age: 1.25
Sex: F
Vaccine: DTAP, HIBV
Symptoms: Injection site erythema, Injection site warmth
Clinical narrative: Sm Localized area red and warm to touch on her Lt thigh and rt thigh
Age: 14.0
Sex: F
Vaccine: TDAP, VARCEL
Symptoms: Erythema, Pain in extremity, Skin warm, Swelling
Clinical narrative: Received VAR #2 on 5/16/07 at 2 PM.  On 5/17 at 7 PM patient noticed her arm hurt, was red and hot.  On 5/18 at 1:15 patient walked in to school-based clinic to show us her arm.  LTR of L arm is red (size: 9 cm x 7 cm), hot, a little firm to touch in one area, and slightly swollen.  TX: Ice, Ibuprofen.  If much worse tomorrow go to Urgent Care Clinic.  RTC 5/21, Monday, for F/U.
Age: 16.0
Sex: F
Vaccine: HEPA, HPV4, MNQ, TDAP
Symptoms: Grand mal convulsion, Loss of consciousness
Clinical narrative: A few seconds after the vaccines were administered the pt. passed out and then had tonic clonic seizure lasting approx. 1 minute.
Age: 12.0
Sex: F
Vaccine: VARCEL
Symptoms: Erythema, Skin warm, Swelling
Clinical narrative: received VAR #2 vaacine.  Next day had redness, swelling, hot but soft to touch.  The following day redness was twice as large and center  was firm to touch.  Patient was put on Cephalexin 500 mg PO TID x 10 days and recovered.
Age: 13.0
Sex: F
Vaccine: HEPA, VARCEL
Symptoms: Injection site erythema, Injection site necrosis, Injection site swelling, Injection site warmth
Clinical narrative: One day after VAR #2 c/o red, swollen, hot area at VAR site.  Two days after vaccine the area was more red, swollen, hot and firm to touch in the center of the redness.  No fever.  No vesicles.
Age: 14.0
Sex: F
Vaccine: VARCEL
Symptoms: Injection site erythema, Injection site induration, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: One day after VAR #2 injection c/o red, hot, sore, swollen arm at injection site.  The next day redness was increased in size, hot, sore, swollen, and center of erythema was firm to touch.  TX:  Cephalexin 500 mg PO TID x 10 days
Age: 10.0
Sex: F
Vaccine: VARCEL
Symptoms: Erythema, Induration, Skin warm, Swelling, Tenderness
Clinical narrative: Right arm became red one day after receiving injection, then became more swollen the following day.  On exam (Day 2 after injection) the right mid to upper arm had 6 cm induration and 5 cm erythema with mild tenderness to palpation and warmth to exam.
Age: 0.33
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5, RV5
Symptoms: Barium double contrast, Haematochezia, Intussusception, Vomiting
Clinical narrative: Patient started with vomiting developed bloody stools. Transferred from one medical center hospital to another one for intussusception - reduced by air contrast barium enema on 11-14-06 and again 11-15-06.6/1/07 Received hospital medical records which reveal patient experienced vomiting, bloody stools & decreased appetite w/low grade fever.  Seen at outlying ER which abdominal x-ray reveled possible SBO & IS. Transferred to higher level of care & admitted from 11/14-11/17/2006.  IS successfully reduced but recurred next day.  Repeat air contrast enema again reduced IS.  Progressed well after 2nd enema, tolerated oral feeds & was d/c to home. FINAL DX: Intussusception. 6/1/07 Vax records received from CDC.  VAERS database updated.
Age: 0.33
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5, RV5
Symptoms: Barium enema, Intussusception, X-ray
Clinical narrative: Patient started with vomiting developed bloody stools. Transferred from one medical center hospital to another one for intussusception - reduced by air contrast barium enema on 11-14-06 and again 11-15-06.6/1/07 Received hospital medical records which reveal patient experienced vomiting, bloody stools & decreased appetite w/low grade fever.  Seen at outlying ER which abdominal x-ray reveled possible SBO & IS. Transferred to higher level of care & admitted from 11/14-11/17/2006.  IS successfully reduced but recurred next day.  Repeat air contrast enema again reduced IS.  Progressed well after 2nd enema, tolerated oral feeds & was d/c to home. FINAL DX: Intussusception. 6/1/07 Vax records received from CDC.  VAERS database updated.
Age: 33.0
Sex: M
Vaccine: ANTH, SMALL, TYP, UNK
Symptoms: Erythema, Fatigue, Lymph node pain, Pain in extremity, Sensation of heaviness
Clinical narrative: 5/14/07 Left upper extremity - 1 x 1cm erythema circumferal immunizations, fatigue 24 hours, left axillary lymph node, left arm pain - heaviness. Robust reaction tx with Cipro 500mg BID x 10 days - 5/16/07 erythema, fatigue sxs - resolve.
Age: 0.2
Sex: M
Vaccine: DTAP, HBHEPB, IPV, PNC, RV5
Symptoms: Diarrhoea, Irritability, Vomiting
Clinical narrative: Per mom patient had diarrhea, vomiting and irritability after taking Rotateq.