chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 15.0
Sex: M
Vaccine: HEP, IPV
Symptoms: Incorrect dose administered, Injection site pain
Clinical narrative: This case was reported by a consumer and described the occurrence of injection site soreness in a 15-year-old male subject who was vaccinated with HEPATITIS B. A physician or other health care professional has not verified this report. The subject's medical history included PENICILLIN ALLERGY. Previous vaccinations included a completed HEPATITIS B series; manufacturer (unspecified; given in 1997). Concurrent vaccinations given on 12 May 2008 included POLIOMYELITIS vaccine booster dose; manufacturer unspecified. On the afternoon of 12 May 2008, the subject received an unspecified dose of HEPATITIS B vaccine (unknown, right arm). Within one day after vaccination with HEPATITIS B vaccine, the subject experienced injection site soreness. The subject's mother reported that her son inadvertently received an extra dose of HEPITITIS B vaccine on 12 May 2008, even though he had already received a complete HEPITITIS B vaccination series in 1997. The reporter was unsure of the HEPITITIS B vaccine was manufactured by GlaxoSmithKline or Merck. At the time of reporting, the outcome of the events was unspecified.
Sex: U
Vaccine: HEP
Symptoms: Hepatitis B antibody positive, Incorrect dose administered
Clinical narrative: This case was reported by a healthcare professional and described the occurrence of inappropriate dose of drug administered in a subject of unspecified age and gender who was vaccinated with hepatitis B vaccine recombinant (ENGERIX B, GlaxoSmithKline) for prophylaxis. On an unspecified date the subject received 4th dose of ENGERIX B (10 mcg, unknown). Four doses of pediatric ENGERIX B were being administered to this dialysis subject to equal the 40 mcg dose indicated. This was considered to be an inappropriate dose of drug administered. One dose of ENGERIX B at 40 mcg should have been administered. The subject was also tested on an unspecified date and found to be hepatitis B antibody positive. At the time of reporting the outcome of the event was unspecified. This event has occurred in several subjects, number not specified. Follow-up information received on 16 June 2008 indicated that this report was not a true adverse event. Labs were drawn 24 hours after vaccine administration and the subject experienced a false positive result for hepatitis. At the time of reporting, the subject was negative for hepatitis B, verified with a lab redraw.
Sex: F
Vaccine: HEP
Symptoms: Dissociation, Dizziness
Clinical narrative: This case was reported by a consumer and described the occurrence of lightheadedness in a female subject of unspecified age who was vaccinated with hepatitis B vaccine recombinant (ENGERIX B, GlaxoSmithKline) for prophylaxis. On an unspecified date, the subject received an unspecified dose of ENGERIX B (unknown). At an unspecified time after vaccination with ENGERIX B, the subject experienced lightheadedness and an out of body sensation. The reporter was the subject's mother, who refused to provide any further information, as she stated that her daughter was "of age". At the time of reporting, the outcome of the events was unspecified.
Age: 23.0
Sex: F
Vaccine: HEP
Symptoms: Hepatitis B antibody negative
Clinical narrative: This case was reported by a healthcare professional and described the occurrence of Hepatitis B antibody negative in a 24-year-old female subject who was vaccinated with Hepatitis B vaccine and ENGERIX B. On 23 September 2004, the subject received 3rd dose of Hepatitis B vaccine, to complete the The second dose of ENGERIX B was given on 19 March 2004, and the 1st dose of ENGERIX B was given on 20 February 2004. On 12 June 2007, approximately three years after receiving the 3rd dose in the Hepatitis B  vaccination series. the subject had a titer drawn that was Hepatitis B antibody negative. At the time of reporting the outcome of the event was unspecified.
Age: 9.0
Sex: U
Vaccine: HEP
Symptoms: Hepatitis B antibody negative
Clinical narrative: This case was reported by a physician via a representative and described the occurrence of hepatitis B antibody negative in a 9-year-old subject of unspecified gender who was vaccinated with HEPATITIS B VACCINE. On a unspecified date the subject received 3rd dose of Hepatitis B vaccine at 0.5ml to complete the primary Hepatitis B series. At an unspecified time after completion of the Hepatitis B series, the subject was tested and did not show immunity. The subject was hepatitis B antibody negative. At the time of reporting the event was unresolved.
Age: 62.0
Sex: M
Vaccine: HEPAB, TD, TYP, YF, HEPAB, TD, TYP, YF
Symptoms: Feeling abnormal, Memory impairment, Vision blurred
Clinical narrative: On 9/25/08 the client received TD, TWINRIX, TYPHIM, and Yellow fever. Client stated "after he received the vaccines he experienced the following symptoms: memory loss, difficulty to meditate, dull sensation on top of his head with one day of receiving vaccine. He did not seek medical treatment, he reported the incident to VAERS on 11/13/08.
Age: 62.0
Sex: M
Vaccine: HEPAB, TD, TYP, YF, HEPAB, TD, TYP, YF
Symptoms: Amnesia, Sensory disturbance
Clinical narrative: On 9/25/08 the client received TD, TWINRIX, TYPHIM, and Yellow fever. Client stated "after he received the vaccines he experienced the following symptoms: memory loss, difficulty to meditate, dull sensation on top of his head with one day of receiving vaccine. He did not seek medical treatment, he reported the incident to VAERS on 11/13/08.
Age: 11.0
Sex: F
Vaccine: FLUN3, MNQ, TDAP, VARCEL
Symptoms: Erythema, Oedema peripheral
Clinical narrative: 11/13/2008 phone call from mother concerned about swollen, red arm.  Ice was applied to site.  Area red/swollen on lower part of arm 11/14/08 mom states area of redness reduced to size of golf ball now.
Age: 8.0
Sex: M
Vaccine: HEPA
Symptoms: Blood pressure increased, Heart rate increased, Loss of consciousness
Clinical narrative: About 9 minutes after receiving HAVRIX, patient had L.O.C. about 5 mins. with BP 60/30 and HR about 60/min. Given 2L O2 via NC. No wheezing, edema, or erythema, or itching, after about 30 mins. of observation. BP 70/50, resp. clear; HR about 80/min. Sent home.
Age: 29.0
Sex: F
Vaccine: HPV4
Symptoms: Apgar score normal, Drug exposure during pregnancy, Foetal disorder, Pregnancy test positive, Ultrasound scan normal
Clinical narrative: Initial and follow-up information has been received for the pregnancy registry for GARDASIL from a nurse, a physician and a 29 year old female with a history of anemia, asthma and seasonal allergies, who on 10-SEP-2008 was vaccinated with the first dose of GARDASIL (lot # 0573X) 0.5 mL, IM into her deltoid, when she was six and a half months pregnant. Concomitant medication included REPLIVA and FLONASE. The nurse and the physician reported that the patient has an estimated delivery date of 01-DEC-2008. The patient's condition was not determined to be life threatening, or resulting in significant disability/incapacity, not related to a congenital anomaly, not related to an overdose, not related to cancer, and there was no need for intervention to prevent serious criteria. The patient sought unspecified medical attention. On an unspecified date, there was a pregnancy test performed resulting positive. On 14-JUL-2008, a routine ultrasound test was performed resulting in a normal survey. Follow-up information was received from a physician who reported that the patient delivered a normal baby on 26-NOV-2008. The baby was male and weighed 9 pounds 5.9 ounces, and the APGAR score was 9/9. The infant was born with a congenital small ear tag in his left ear. There were no other complications or abnormalities. The physician reported that during the pregnancy the patient had a normal level II ultrasound/fetal survey at 20 weeks. The patient had no complications during the pregnancy and labor/delivery. There were no infections or illnesses during pregnancy. The patient's medications used during this pregnancy included REPLIVA 1 tablet daily since 11-SEP-2008 for anaemia, and FLONASE daily since preconception. Additional information has been requested.
Age: 25.0
Sex: F
Vaccine: HPV4
Symptoms: Drug exposure during pregnancy, Endometriosis, Foetal disorder, Ovarian cyst, Surgery
Clinical narrative: Information has been received from a 25 year old female patient with polytrim eye drops allergy and a history of a tumor taken out of her chest and blood transfusion at age 4, and nose surgery because of a sinus problem in 2005, who received all 3 doses of GARDASIL. In 2007 (last year) was vaccinated with the first dose of GARDASIL (Lot # not reported). On approximately 15-MAY-2008 (mid May 2008), was vaccinated with the third dose of GARDASIL (Lot # not reported). Concomitant therapy included ADVAIR and "birth control". Around July 2008, the patient got pregnant. The patient is feeling fine, however the ultrasound discovered that the baby has a club foot. The patient also mentioned that before receiving the third dose she had a surgery because endometriosis, and had an ovarian cyst drained. The patient sought unspecified medical attention. Normal laboratory tests and first trimester screen were performed (results not provided). Last menstrual period was approximately on 25-JUL-2008 and estimated delivery date is on 01-May-2009. Upon internal review club foot was determined to a congenital anomaly. Additional information has been requested.
Age: 25.0
Sex: F
Vaccine: HPV4
Symptoms: Ultrasound scan abnormal
Clinical narrative: Information has been received from a 25 year old female patient with polytrim eye drops allergy and a history of a tumor taken out of her chest and blood transfusion at age 4, and nose surgery because of a sinus problem in 2005, who received all 3 doses of GARDASIL. In 2007 (last year) was vaccinated with the first dose of GARDASIL (Lot # not reported). On approximately 15-MAY-2008 (mid May 2008), was vaccinated with the third dose of GARDASIL (Lot # not reported). Concomitant therapy included ADVAIR and "birth control". Around July 2008, the patient got pregnant. The patient is feeling fine, however the ultrasound discovered that the baby has a club foot. The patient also mentioned that before receiving the third dose she had a surgery because endometriosis, and had an ovarian cyst drained. The patient sought unspecified medical attention. Normal laboratory tests and first trimester screen were performed (results not provided). Last menstrual period was approximately on 25-JUL-2008 and estimated delivery date is on 01-May-2009. Upon internal review club foot was determined to a congenital anomaly. Additional information has been requested.
Age: 20.0
Sex: F
Vaccine: HPV4
Symptoms: Abortion spontaneous, Drug exposure during pregnancy
Clinical narrative: Information has been received from a licensed practical nurse concerning a 20 year old female patient who in June 2008, was vaccinated with the first dose of GARDASI, lot # was not reported. It was reported that the patient became pregnant with twins and had a miscarriage about one week ago. Patient was hospitalized. LMP was 25-JUL-2008. Additional information has been requested.
Age: 0.11
Sex: M
Vaccine: DTAP, HBHEPB, IPV, PNC, RV5
Symptoms: Gastrointestinal haemorrhage, Hepatitis fulminant
Clinical narrative: Information has been received from a physician concerning a male who on "25-JAN-2008" was vaccinated with a 2 mL first dose of ROTATEQ, oral. On "12-FEB-2008" the patient experienced fulminating hepatitis and GI bleed. The patient was hospitalized (no details provided). Laboratory evaluations were performed to the patient. The patient sought medical attention. Fulminating hepatitis and GI bleed were considered to be immediately life-threatening. Additional information has been requested.  1/27/09 Received hospital medical records of 2/12-3/23/2008. FINAL DX: Hepatitis; GI bleed; coagulopathy; renal insufficiency; acidosis; resp failure; HTN. Records reveal patient experienced respiratory distress, decreased LOC.  Had fever & URI s/s day before admission.  Developed emesis & bloody diarrhea on day of admit.   PICU & mechanical ventilation, feeding tube insertion.  Surg, ID, GI, Nephro consults done.  Exp lap done 2/12 revealed petechiae throughout bowel but no obstrution or perforation.  GI consult felt s/s most c/w adenovirus infection but all c/s neg.  Tx w/pressors, antibiotics & antivirals until c/s all neg.  Abnormal coags tx w/multiple FFP infusions.  BP was labile & nephro consult done Rocky hospital course & ultimately recovered, D/C to home on regular diet & RA.
Age: 44.0
Sex: M
Vaccine: FLUX
Symptoms: Asthenia, Cough, Diarrhoea, Eructation, Flatulence
Clinical narrative: I received a flu shot at approx 10:30 am on 12/12/2008. By approx 5:00PM I was very nauseous - by 8PM I was suffering from diarrhea, horrible sulfer - egg - smelling burping and gas, as well as coughing and some mild vomiting. I also am suffering from weakness and soreness - cannot sleep for more than 2 hrs at a time from above conditions. Still persisting as of 5 AM 12/15/2008. The only food I can keep down is toast and butter,k and it is quickly eliminated.
Age: 44.0
Sex: M
Vaccine: FLUX
Symptoms: Insomnia, Nausea, Tenderness, Vomiting
Clinical narrative: I received a flu shot at approx 10:30 am on 12/12/2008. By approx 5:00PM I was very nauseous - by 8PM I was suffering from diarrhea, horrible sulfer - egg - smelling burping and gas, as well as coughing and some mild vomiting. I also am suffering from weakness and soreness - cannot sleep for more than 2 hrs at a time from above conditions. Still persisting as of 5 AM 12/15/2008. The only food I can keep down is toast and butter,k and it is quickly eliminated.
Age: 61.0
Sex: F
Vaccine: TDAP, TYP
Symptoms: Gastrointestinal haemorrhage, Haemoglobin decreased
Clinical narrative: Low Hemoglobin, probable GI bleed 12/22/08-records received for DOS 12/3-12/09/08-DC DX: GI bleed secondary to colitis. Colitis which is felt most likely secondary to a salmonella typhi vaccine. C/O abdominal discomfortUpper endoscopy normal. Colonoscopy revealed small amount of inflammation in distal transverse colon. Presented with upset stomach, nausea and near syncopal episode. Passing black stools.
Age: 45.0
Sex: F
Vaccine: FLU3, HEPA
Symptoms: Anxiety, Chest discomfort, Syncope
Clinical narrative: Received HAVIX, 1.0ml in left deltoid at 2:15pm and FLUVIRIN 0.5ml in right deltoid approx. 2:20pm.  At 2:35pm patient reported feeling "faint" , "anxious" and "a little tightness in my chest", vital signs: BP 140/60 sitting, radial pulse 100, respirations 20 breath sounds clear. 911 call initiated at 2:40pm, nursing supervisor and district nurse manager notified.  EMS arrival at 2:50pm, EMS Departure 3:05pm.  Pt remained alert and oriented throughout incident.
Age: 1.7
Sex: F
Vaccine: DTAP, HEPA, PNC
Symptoms: Gait disturbance
Clinical narrative: Child received DTap, PCV7 in RL (right leg) (IM) intramuscular, Hep A #1 in LL (left leg) (IM) intramuscular. Approximately 10:30 am mom brought child back to clinic at 4:15 p stating child will not walk. No other problems noted. "Seems like she doesn't want to walk" mom says. I observed child to stand, but would not walk, when she pushed her legs away, I felt her resist. I instructed mom to put in warm bath or take to hospital. She will try warm bath, exercise legs first before going to hospital. Note, 12-10-08 spoke with mom, child walking much better after got home last nite. No visit to Dr or hospital.
Age: 51.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Activities of daily living impaired, Body temperature fluctuation, Chills, Livedo reticularis, Pain
Clinical narrative: Approx 12hrs after pneumonia vaccine was given to me in (L) arm, it began to swell, and it was very tender to touch and mottling. I had a temperature that would come and go- at one point it reached 102.5. Body chills and achiness that were unexplained. These signs and symptoms lasted for about 4 days and loss of work.
Age: 51.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Swelling, Tenderness
Clinical narrative: Approx 12hrs after pneumonia vaccine was given to me in (L) arm, it began to swell, and it was very tender to touch and mottling. I had a temperature that would come and go- at one point it reached 102.5. Body chills and achiness that were unexplained. These signs and symptoms lasted for about 4 days and loss of work.
Age: 45.0
Sex: F
Vaccine: FLU3
Symptoms: Dyspnoea, Eye pruritus, Eye swelling, Headache, Pharyngeal oedema
Clinical narrative: Flu shot was given around 1:45 AM and at 5:30 PM, began having itchy, swollen eyes, swollen throat with difficulty breathing. Pt. stated she took Tobamax in the AM and IMITRIX that evening. POA headache, she stated she had a hamburger and lemonade prior to shot and only H2O after. Pt. wanted to sleep so she took Nyquil. This AM still had  itchy eyes with some swelling. Pt. stated had any appt. with Dr. today.
Age: 4.0
Sex: F
Vaccine: DTAP, FLUN3, IPV
Symptoms: Epistaxis
Clinical narrative: Pt  received FLUMIST.  Epistaxis noted after administration of FLUMIST.  Pressure applied immediately.  Bleeding stopped in minutes.  Pt examined per physician.
Age: 1.3
Sex: F
Vaccine: FLU3, HIBV, MMR, VARCEL
Symptoms: Rash generalised, Rash papular, Rash pruritic
Clinical narrative: Child developed diffusely spread mildly puriutic papular rash over entire body.
Age: 3.0
Sex: F
Vaccine: MMR
Symptoms: Ataxia, Blood lead, Full blood count, Metabolic function test
Clinical narrative: Ataxia (truncal and gait) which developed several hours after receiving MMR vaccine on 12-4-08. 12/19/08-records received for 12/7/08-consultation for C/O tremulous shaking both arms and subsequently gait was noted to be unsteady on 12/4/08. Neuro exam shows bilateral and intentions tremor bordering on dysmetria on left, mild truncal ataxia and moderate gait ataxia. Romberg's sign negative. Plantar responses are bilaterally downgoing. Signs of cerebellitis or acute cerebellar ataxis. 2/13/09-records received for DOS 12/5-12/12/08,DC DX:Unsteady gait, porbably cerebellitis. Presented with inability to stand, shaking of both arms and unsteady ataxic leg gait. PE:dysmetria, ataxia and diadochokinesia.
Age: 52.0
Sex: F
Vaccine: FLU3, TDAP
Symptoms: Chills, Nausea, Oropharyngeal pain, Pharyngeal oedema, Pruritus
Clinical narrative: Within a couple of hours of vaccination, patient began to experience throat pain and swelling, pruritis, fever/chills, and nausea/vomiting.  Over the course of a couple of hours, the symptoms subsided a little; patient was treated with Benadryl.
Age: 52.0
Sex: F
Vaccine: FLU3, TDAP
Symptoms: Pyrexia, Vomiting
Clinical narrative: Within a couple of hours of vaccination, patient began to experience throat pain and swelling, pruritis, fever/chills, and nausea/vomiting.  Over the course of a couple of hours, the symptoms subsided a little; patient was treated with Benadryl.
Age: 0.3
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Body temperature fluctuation, Cold sweat, Diet refusal, Enema administration, Fatigue
Clinical narrative: Infant would not eat, vomited, was exhausted and would not stay awake, seemed as though in a lot of pain and would scream, body temp cycled between hot and cold and clammy.  Treatment was enema.  1/27/09 Reviewed hospital medical records of 12/11-12/12/2008. FINAL DX: Intussusception, enema reduced Records reveal patient experienced sleepiness, diet refusal, irritability, vomiting. Had URI x 2 weeks.  Admitted for observation overnight s/p enema reduction.  Progressed well &  d/c to home.  12/31/08 Reviewed PCP office records of 12/5/2008.  No vaccine lot #s provided. Records reveal patient experienced stuffy nose & cough on day of vaccination.  Otherwise in good general health./ss  1/12/09 Reviewed PCP office records of 12/9/08.  Patient experienced nasal congestion x 1 mo occasionally labored breathing which was worse at night.  Older sibling w/runny nose.  Dx w/acute URI.  RTC on 12/30 w/fever, congestion & cough.  Bilat ears w/congealed pus.  Tx w/antibiotics.  Record reveals patient had recent IS.
Age: 0.3
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Feeling hot, Hypersomnia, Pain, Screaming, Stool analysis
Clinical narrative: Infant would not eat, vomited, was exhausted and would not stay awake, seemed as though in a lot of pain and would scream, body temp cycled between hot and cold and clammy.  Treatment was enema.  1/27/09 Reviewed hospital medical records of 12/11-12/12/2008. FINAL DX: Intussusception, enema reduced Records reveal patient experienced sleepiness, diet refusal, irritability, vomiting. Had URI x 2 weeks.  Admitted for observation overnight s/p enema reduction.  Progressed well &  d/c to home.  12/31/08 Reviewed PCP office records of 12/5/2008.  No vaccine lot #s provided. Records reveal patient experienced stuffy nose & cough on day of vaccination.  Otherwise in good general health./ss  1/12/09 Reviewed PCP office records of 12/9/08.  Patient experienced nasal congestion x 1 mo occasionally labored breathing which was worse at night.  Older sibling w/runny nose.  Dx w/acute URI.  RTC on 12/30 w/fever, congestion & cough.  Bilat ears w/congealed pus.  Tx w/antibiotics.  Record reveals patient had recent IS.
Age: 0.3
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Vomiting, X-ray
Clinical narrative: Infant would not eat, vomited, was exhausted and would not stay awake, seemed as though in a lot of pain and would scream, body temp cycled between hot and cold and clammy.  Treatment was enema.  1/27/09 Reviewed hospital medical records of 12/11-12/12/2008. FINAL DX: Intussusception, enema reduced Records reveal patient experienced sleepiness, diet refusal, irritability, vomiting. Had URI x 2 weeks.  Admitted for observation overnight s/p enema reduction.  Progressed well &  d/c to home.  12/31/08 Reviewed PCP office records of 12/5/2008.  No vaccine lot #s provided. Records reveal patient experienced stuffy nose & cough on day of vaccination.  Otherwise in good general health./ss  1/12/09 Reviewed PCP office records of 12/9/08.  Patient experienced nasal congestion x 1 mo occasionally labored breathing which was worse at night.  Older sibling w/runny nose.  Dx w/acute URI.  RTC on 12/30 w/fever, congestion & cough.  Bilat ears w/congealed pus.  Tx w/antibiotics.  Record reveals patient had recent IS.
Age: 4.0
Sex: M
Vaccine: FLUX, MMR, VARCEL
Symptoms: Injection site erythema, Injection site induration, Injection site pain, Injection site pruritus, Injection site swelling
Clinical narrative: My son had a chicken pox and flu vaccine given in the same arm on thursday December 11th. On the 12th his shoulder was swollen and was hurting, I put some ice on it. On the 13th the swelling got worse. It felt leathery,hot and it was red. The swelling also started heading down to the elbow, so I called the Dr. who told me to put some ice on it and give him some pain medication and some Benadryl, and watch it for 48 more hours more. I gave him the Benadryl only and this helped with the itching a little, he was still able to move his arm and I felt his brachial and radial pulses, so that made me a little more comfortable. The swelling continued on the 14th and was now at his elbow and was itching. The swelling in his arm was 2 times the size of his other arm. It was still hot. I gave him another dose of the Benadryl and fluids to drink. On Monday while I was getting ready to take him to the doctor, the swelling in his arm was the same size a little hot, but the leathery feeling was less. I didn't take him in. Today the 17th the swelling is all gone except a little bit near his shoulder and some itching last night.
Age: 4.0
Sex: M
Vaccine: FLUX, MMR, VARCEL
Symptoms: Injection site warmth
Clinical narrative: My son had a chicken pox and flu vaccine given in the same arm on thursday December 11th. On the 12th his shoulder was swollen and was hurting, I put some ice on it. On the 13th the swelling got worse. It felt leathery,hot and it was red. The swelling also started heading down to the elbow, so I called the Dr. who told me to put some ice on it and give him some pain medication and some Benadryl, and watch it for 48 more hours more. I gave him the Benadryl only and this helped with the itching a little, he was still able to move his arm and I felt his brachial and radial pulses, so that made me a little more comfortable. The swelling continued on the 14th and was now at his elbow and was itching. The swelling in his arm was 2 times the size of his other arm. It was still hot. I gave him another dose of the Benadryl and fluids to drink. On Monday while I was getting ready to take him to the doctor, the swelling in his arm was the same size a little hot, but the leathery feeling was less. I didn't take him in. Today the 17th the swelling is all gone except a little bit near his shoulder and some itching last night.
Age: 4.0
Sex: M
Vaccine: DTAPIPV, FLUN3, MMR, VARCEL
Symptoms: Injection site infection, Pruritus, Pyrexia, Swelling
Clinical narrative: Fever, Swelling, itchiness, and infection around injection site. treated with antibiotics
Age: 60.0
Sex: F
Vaccine: FLU3
Symptoms: Dyspnoea, Eye swelling, Throat tightness
Clinical narrative: States last evening suddenly felt like throat was closing up, difficulty breathing and swollen eyes.  Episode lasted approximately 3-4 hours.  Today, 12 hours later, her eyes are still somewhat puffy but no other problems.  Did not seek medical attention but did take some Benedryl.
Age: 11.0
Sex: F
Vaccine: FLUN3
Symptoms: Asthma, Condition aggravated
Clinical narrative: Patient c/o an increase in asthma related symptoms after receiving FluMist.  Her parent reported the symptoms to the clinic on 11/26/08.  She was scheduled for an appointment, examined, and treated for allergy and asthma related symptoms on the same day.
Age: 47.0
Sex: F
Vaccine: HEP
Symptoms: Pruritus, Rash macular, Urticaria, Vomiting
Clinical narrative: Received 2nd Hepatitis B immunization 12/11/2008 at approximately 10 A.M.  Patient began experiencing an itching sensation mainly on the facial area at about 11 A.M.  Reported to the vaccine administrator at 2:45pm.  At that time the itching also affected jaw/neck.  She also had developed red blotchy patches (mild) and hives on the face/jaw/neck.  This was reported to the on-call physician who advised patient to take diphenhydramine and counselled regarding potential outcomes and guidelines for outcomes.  Patient took the Benadryl, had two episodes of vomiting in the PM.  By the next day the itching, blotchy areas, and hives had resolved.  Patient recovered without further treatment.  Physician also advised patient receive no further Hepatitis B vaccination.
Age: 36.0
Sex: F
Vaccine: HEP
Symptoms: Pruritus, Rash, Urticaria
Clinical narrative: Developed circular bumps that itched on lower back 5 hours after administration followed by hives on face that itched following day.  Patient took benadryl which releaved symptoms
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: was seen in er 2 days after vaccine given, swollen thigh redness
Age: 16.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: 48 hours after administration of Vaccine the injection site became very red and swollen. With in a few minutes the redness radiated down her arm near her wrist.
Age: 16.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Erythema, Injection site erythema, Injection site swelling
Clinical narrative: 48 hours after administration of Vaccine the injection site became very red and swollen. With in a few minutes the redness radiated down her arm near her wrist.
Age: 18.0
Sex: F
Vaccine: MNQ
Symptoms: Blood pressure increased, Chills, Dizziness, Headache, Hyperhidrosis
Clinical narrative: The evening after receiving MCV4 - had pain @site which progessed into neck,back and legs. Had headache, stiffness, in jaw and legs.  Chills , dizziness and sweating.  Very Pale. BP was 160/104. Lasted until 12/17/08.  Went to ER and they said she had influenza.  But symptoms went away in 2 days.
Age: 18.0
Sex: F
Vaccine: MNQ
Symptoms: Influenza, Injection site pain, Musculoskeletal stiffness, Pain, Pallor
Clinical narrative: The evening after receiving MCV4 - had pain @site which progessed into neck,back and legs. Had headache, stiffness, in jaw and legs.  Chills , dizziness and sweating.  Very Pale. BP was 160/104. Lasted until 12/17/08.  Went to ER and they said she had influenza.  But symptoms went away in 2 days.
Age: 15.0
Sex: F
Vaccine: HEP, HEPA, IPV, MMR, TDAP
Symptoms: Fall, Headache, Loss of consciousness, Neck pain, Pain in jaw
Clinical narrative: AFTER 5 MINUTES OF RECIEVING VACCINES PATIENT FAINTED.PATIENT WAS STANDING UP AND HIT THE FLOOR FACE DOWN.PATIENT RECOVER CONCIESNESS IN ABOUT 30 SECONDS AND CALL TO 911 WAS ACTIVATED . SHE  WAS TAKEN TO THE HOSPITAL FOR EVALUATION C/0 NECK PAIN,JAW,AND  HEADACHE.
Age: 15.0
Sex: F
Vaccine: HEP, HEPA, IPV, MMR, TDAP
Symptoms: Syncope
Clinical narrative: AFTER 5 MINUTES OF RECIEVING VACCINES PATIENT FAINTED.PATIENT WAS STANDING UP AND HIT THE FLOOR FACE DOWN.PATIENT RECOVER CONCIESNESS IN ABOUT 30 SECONDS AND CALL TO 911 WAS ACTIVATED . SHE  WAS TAKEN TO THE HOSPITAL FOR EVALUATION C/0 NECK PAIN,JAW,AND  HEADACHE.
Age: 52.0
Sex: F
Vaccine: HEPAB
Symptoms: Alopecia
Clinical narrative: Patient returned to clinic stating was losing body hair after second twinrix injection.  Has appointment with Dr. for further evaluation.  Also states was taking herbal medications and had switched regular meds to generic during this time also.
Age: 53.0
Sex: F
Vaccine: PPV
Symptoms: Dizziness, Heart rate increased, Injection site erythema, Injection site induration, Injection site pain
Clinical narrative: On 16 Dec at approx: 1300 hr, pt presented to clinic, requesting Pneumococcal vaccine. Vaccine administered in upper left deltoid region. Her arm began to become stiff prior to leaving facility. At approx: 1830, after undressing, she noticed the swollen injection site. Site was reddened, firm and painful to touch. Self medicated at 2200 hr with two Motrin 400 mg ea. Site was still swollen this morning. This morning she experienced dizziness, fast heartbeat. At 11:30, swelling progress below the elbow. Presented to clinic and assessed as: a moderate reaction to vaccine.
Age: 53.0
Sex: F
Vaccine: PPV
Symptoms: Injection site reaction, Injection site swelling, Musculoskeletal stiffness
Clinical narrative: On 16 Dec at approx: 1300 hr, pt presented to clinic, requesting Pneumococcal vaccine. Vaccine administered in upper left deltoid region. Her arm began to become stiff prior to leaving facility. At approx: 1830, after undressing, she noticed the swollen injection site. Site was reddened, firm and painful to touch. Self medicated at 2200 hr with two Motrin 400 mg ea. Site was still swollen this morning. This morning she experienced dizziness, fast heartbeat. At 11:30, swelling progress below the elbow. Presented to clinic and assessed as: a moderate reaction to vaccine.
Age: 41.0
Sex: M
Vaccine: TDAP
Symptoms: Lymphadenopathy, Ultrasound scan
Clinical narrative: Pt. states on 12/13/08 he developed a swollen lymph node near his right collar bone after receiving Tdap on 12/11/08.  This was checked by his PCP. Ultrasound ordered by MD.
Age: 13.0
Sex: F
Vaccine: MNQ
Symptoms: Antinuclear antibody negative, Arthralgia, Blood creatine phosphokinase normal, Borrelia burgdorferi serology negative, C-reactive protein normal
Clinical narrative: Combination of neurologic symptoms. A few days after receiving the vaccination, the patient began to experience eye pain with movement. She also developed a headache, lightheadedness, and some N/V. One week later, the patient developed a low-grade fever and arthralgias/myalgias. She was given Augmentin as an outpatient. Patient presented initially to our hospital with a 2-week history of lower extremity weakness, headache, pain with eye movement, arthralgias and myalgias, stiff neck, and fever. She was started on IV fluid hydration, Motrin, and Ceftriaxone 2000 mg IV Q 12 h empirically. On the second day, the patient's neurological symptoms progressed to diffuse extremity weakness with 1-2/5 strength bilaterally. 1+ upper extremity reflexes, 5+ lower extremity hyperreflexia, + 5 beats of clonus at the ankles and wrists, upgoing Babinski sign bilaterally, diffuse paresthesias over the anterior leg, the abdomen and lower three quarters of the back. At this point, she was started on Methylprednisolone 250 mg IV Q6h and Morphine 3 mg IV once. Her symptoms progressed to lower extremity weakness and hyperreflexia bilaterally and ascending over the course of 2-3 days to the upper thoracic level.  On day 6, she received Acetaminophen 650 mg once for fever. The patient has stabilized and her neurological exam is steadily normalizing as of hospital day 6. 1/26/09-records received for DOS 12/11/08-DC DX:Aseptic meningitis. Two days after receiving vaccinations C/O pain associated with eye movements bilaterally as well as headache that began behind the eyes. Symptoms continued for several days and seen by PMD at that time felt to be a viral infection. Complaints continued to progess with emesis, diarrhea, cough and upper respiratory infection symptoms including runny nose, sneezing. Began regime of Augmentin. On day of admission C/O weakness and difficulty with walking and increased back pain and leg pain and stiff neck. Headache started 2 days prior continued throughout. C/O paresthesias of bilateral lower extremities, abdomen, hands and back. Positive Kernig sign.
Age: 13.0
Sex: F
Vaccine: MNQ
Symptoms: Clonus, Dizziness, Extensor plantar response, Eye pain, Headache
Clinical narrative: Combination of neurologic symptoms. A few days after receiving the vaccination, the patient began to experience eye pain with movement. She also developed a headache, lightheadedness, and some N/V. One week later, the patient developed a low-grade fever and arthralgias/myalgias. She was given Augmentin as an outpatient. Patient presented initially to our hospital with a 2-week history of lower extremity weakness, headache, pain with eye movement, arthralgias and myalgias, stiff neck, and fever. She was started on IV fluid hydration, Motrin, and Ceftriaxone 2000 mg IV Q 12 h empirically. On the second day, the patient's neurological symptoms progressed to diffuse extremity weakness with 1-2/5 strength bilaterally. 1+ upper extremity reflexes, 5+ lower extremity hyperreflexia, + 5 beats of clonus at the ankles and wrists, upgoing Babinski sign bilaterally, diffuse paresthesias over the anterior leg, the abdomen and lower three quarters of the back. At this point, she was started on Methylprednisolone 250 mg IV Q6h and Morphine 3 mg IV once. Her symptoms progressed to lower extremity weakness and hyperreflexia bilaterally and ascending over the course of 2-3 days to the upper thoracic level.  On day 6, she received Acetaminophen 650 mg once for fever. The patient has stabilized and her neurological exam is steadily normalizing as of hospital day 6. 1/26/09-records received for DOS 12/11/08-DC DX:Aseptic meningitis. Two days after receiving vaccinations C/O pain associated with eye movements bilaterally as well as headache that began behind the eyes. Symptoms continued for several days and seen by PMD at that time felt to be a viral infection. Complaints continued to progess with emesis, diarrhea, cough and upper respiratory infection symptoms including runny nose, sneezing. Began regime of Augmentin. On day of admission C/O weakness and difficulty with walking and increased back pain and leg pain and stiff neck. Headache started 2 days prior continued throughout. C/O paresthesias of bilateral lower extremities, abdomen, hands and back. Positive Kernig sign.
Age: 13.0
Sex: F
Vaccine: MNQ
Symptoms: Hyperreflexia, Immunology test, Laboratory test normal, Muscular weakness, Musculoskeletal stiffness
Clinical narrative: Combination of neurologic symptoms. A few days after receiving the vaccination, the patient began to experience eye pain with movement. She also developed a headache, lightheadedness, and some N/V. One week later, the patient developed a low-grade fever and arthralgias/myalgias. She was given Augmentin as an outpatient. Patient presented initially to our hospital with a 2-week history of lower extremity weakness, headache, pain with eye movement, arthralgias and myalgias, stiff neck, and fever. She was started on IV fluid hydration, Motrin, and Ceftriaxone 2000 mg IV Q 12 h empirically. On the second day, the patient's neurological symptoms progressed to diffuse extremity weakness with 1-2/5 strength bilaterally. 1+ upper extremity reflexes, 5+ lower extremity hyperreflexia, + 5 beats of clonus at the ankles and wrists, upgoing Babinski sign bilaterally, diffuse paresthesias over the anterior leg, the abdomen and lower three quarters of the back. At this point, she was started on Methylprednisolone 250 mg IV Q6h and Morphine 3 mg IV once. Her symptoms progressed to lower extremity weakness and hyperreflexia bilaterally and ascending over the course of 2-3 days to the upper thoracic level.  On day 6, she received Acetaminophen 650 mg once for fever. The patient has stabilized and her neurological exam is steadily normalizing as of hospital day 6. 1/26/09-records received for DOS 12/11/08-DC DX:Aseptic meningitis. Two days after receiving vaccinations C/O pain associated with eye movements bilaterally as well as headache that began behind the eyes. Symptoms continued for several days and seen by PMD at that time felt to be a viral infection. Complaints continued to progess with emesis, diarrhea, cough and upper respiratory infection symptoms including runny nose, sneezing. Began regime of Augmentin. On day of admission C/O weakness and difficulty with walking and increased back pain and leg pain and stiff neck. Headache started 2 days prior continued throughout. C/O paresthesias of bilateral lower extremities, abdomen, hands and back. Positive Kernig sign.
Age: 13.0
Sex: F
Vaccine: MNQ
Symptoms: Myalgia, Nausea, Neurological symptom, Nuclear magnetic resonance imaging abnormal, Paraesthesia
Clinical narrative: Combination of neurologic symptoms. A few days after receiving the vaccination, the patient began to experience eye pain with movement. She also developed a headache, lightheadedness, and some N/V. One week later, the patient developed a low-grade fever and arthralgias/myalgias. She was given Augmentin as an outpatient. Patient presented initially to our hospital with a 2-week history of lower extremity weakness, headache, pain with eye movement, arthralgias and myalgias, stiff neck, and fever. She was started on IV fluid hydration, Motrin, and Ceftriaxone 2000 mg IV Q 12 h empirically. On the second day, the patient's neurological symptoms progressed to diffuse extremity weakness with 1-2/5 strength bilaterally. 1+ upper extremity reflexes, 5+ lower extremity hyperreflexia, + 5 beats of clonus at the ankles and wrists, upgoing Babinski sign bilaterally, diffuse paresthesias over the anterior leg, the abdomen and lower three quarters of the back. At this point, she was started on Methylprednisolone 250 mg IV Q6h and Morphine 3 mg IV once. Her symptoms progressed to lower extremity weakness and hyperreflexia bilaterally and ascending over the course of 2-3 days to the upper thoracic level.  On day 6, she received Acetaminophen 650 mg once for fever. The patient has stabilized and her neurological exam is steadily normalizing as of hospital day 6. 1/26/09-records received for DOS 12/11/08-DC DX:Aseptic meningitis. Two days after receiving vaccinations C/O pain associated with eye movements bilaterally as well as headache that began behind the eyes. Symptoms continued for several days and seen by PMD at that time felt to be a viral infection. Complaints continued to progess with emesis, diarrhea, cough and upper respiratory infection symptoms including runny nose, sneezing. Began regime of Augmentin. On day of admission C/O weakness and difficulty with walking and increased back pain and leg pain and stiff neck. Headache started 2 days prior continued throughout. C/O paresthesias of bilateral lower extremities, abdomen, hands and back. Positive Kernig sign.
Age: 13.0
Sex: F
Vaccine: MNQ
Symptoms: Polymerase chain reaction, Pyrexia, Red blood cell sedimentation rate normal, Vomiting
Clinical narrative: Combination of neurologic symptoms. A few days after receiving the vaccination, the patient began to experience eye pain with movement. She also developed a headache, lightheadedness, and some N/V. One week later, the patient developed a low-grade fever and arthralgias/myalgias. She was given Augmentin as an outpatient. Patient presented initially to our hospital with a 2-week history of lower extremity weakness, headache, pain with eye movement, arthralgias and myalgias, stiff neck, and fever. She was started on IV fluid hydration, Motrin, and Ceftriaxone 2000 mg IV Q 12 h empirically. On the second day, the patient's neurological symptoms progressed to diffuse extremity weakness with 1-2/5 strength bilaterally. 1+ upper extremity reflexes, 5+ lower extremity hyperreflexia, + 5 beats of clonus at the ankles and wrists, upgoing Babinski sign bilaterally, diffuse paresthesias over the anterior leg, the abdomen and lower three quarters of the back. At this point, she was started on Methylprednisolone 250 mg IV Q6h and Morphine 3 mg IV once. Her symptoms progressed to lower extremity weakness and hyperreflexia bilaterally and ascending over the course of 2-3 days to the upper thoracic level.  On day 6, she received Acetaminophen 650 mg once for fever. The patient has stabilized and her neurological exam is steadily normalizing as of hospital day 6. 1/26/09-records received for DOS 12/11/08-DC DX:Aseptic meningitis. Two days after receiving vaccinations C/O pain associated with eye movements bilaterally as well as headache that began behind the eyes. Symptoms continued for several days and seen by PMD at that time felt to be a viral infection. Complaints continued to progess with emesis, diarrhea, cough and upper respiratory infection symptoms including runny nose, sneezing. Began regime of Augmentin. On day of admission C/O weakness and difficulty with walking and increased back pain and leg pain and stiff neck. Headache started 2 days prior continued throughout. C/O paresthesias of bilateral lower extremities, abdomen, hands and back. Positive Kernig sign.
Age: 52.0
Sex: M
Vaccine: FLU3
Symptoms: Injection site erythema, Rash generalised
Clinical narrative: Pt requested to be seen on an urgent basis for a "rash" that started two  days ago after his flu shot.  Pt. states he had a flu shot last week and after that he developed a rash all over his body. He says there is a big red blotch where he got the  shot. He says it is on his shoulders, neck and legs.
Age: 65.0
Sex: M
Vaccine: PPV
Symptoms: Injection site reaction
Clinical narrative: Large local reaction to injection
Age: 14.0
Sex: F
Vaccine: HPV4
Symptoms: Condition aggravated, Dizziness, Endoscopy, Epistaxis, Fatigue
Clinical narrative: nose bleeds, headaches sudden onset after first shot continued after second and third shot third shot 6/9/08 fatigue, end of July received meningits vaccine sept started pain, cyst on ovaries,then nausea,vomiting,pancreatitis,gastrointestinal disorders,dizziness,pnenmonia,lactating,hypersensitivity,8 weeks in hospital still sick  1/27/09 Link with 338052.  2/2/09 Received hospital & clinic medical records for 9/18-12/10/2008. FINAL DX: Pancreatitis Records reveal patient seen in ER 9/18 for RLQ flank/abdominal pain with nausea, fever & cough x 2 days.  Improved w/meds & d/c to home.  Returned w/severe pain.   Hospital admit 9/20-9/22/2008.  FINAL DX: right flank pain, resolving; pneumonia, resolving.  Records reveal RLQ flank/abdominal pain improved.  d/c to home on continued oral antibiotics for pneumonia & w/GYN f/u.  OB/GYN records of  10/7 & 10/8 & Operative report of 9/24/2008. FINAL DX: RLQ pain w/bilateral ovarian cysts Patient had laparoscopic aspiration of ovarian cysts as same day surgery.  Had continued post op RLQ abdominal pain.  US was WNL.  referred to PCP for additional GI w/u.  Returned to ER 10/23/2008 W/persistent RLQ pain.  Labs all WNL & d/c to home.  Returned to ER 12/10/2008 w/nausea, vomiting, dry heaves x 1 day, diarrhea x 2 weeks.  Had recently been d/c from higher level of care w/dx pancreatitis & was on TPN.  Found to have ileus.  Tx w/meds & d/c to home.  2/17/09 Received hospital medical records of 11/21-12/3/2008. FINAL DX:allodynia w/abdominal wall pain improving; hyperlipasemia, etiology uncertain; galactorrhea & hyperprolactinemia secondary to Lexapro; marked disability in association w/chronic pain; intermittent, frequent belching/retching related to disability & chronic pain. Records reveal patient experienced RLQ pain.  Had been transferred from outlying hospital where she had been admitted 10/15/08 & extensive medical record review of that hospitalization included.  Endocrine, pain mgt, psych consult done & meds adjusted.  Tx w/TPN.  Improved & d/c to home w/continued TPN, pain meds, PT, psych counseling & serial labs.
Age: 14.0
Sex: F
Vaccine: HPV4
Symptoms: Galactorrhoea, Gastrointestinal disorder, Headache, Hypersensitivity, Nausea
Clinical narrative: nose bleeds, headaches sudden onset after first shot continued after second and third shot third shot 6/9/08 fatigue, end of July received meningits vaccine sept started pain, cyst on ovaries,then nausea,vomiting,pancreatitis,gastrointestinal disorders,dizziness,pnenmonia,lactating,hypersensitivity,8 weeks in hospital still sick  1/27/09 Link with 338052.  2/2/09 Received hospital & clinic medical records for 9/18-12/10/2008. FINAL DX: Pancreatitis Records reveal patient seen in ER 9/18 for RLQ flank/abdominal pain with nausea, fever & cough x 2 days.  Improved w/meds & d/c to home.  Returned w/severe pain.   Hospital admit 9/20-9/22/2008.  FINAL DX: right flank pain, resolving; pneumonia, resolving.  Records reveal RLQ flank/abdominal pain improved.  d/c to home on continued oral antibiotics for pneumonia & w/GYN f/u.  OB/GYN records of  10/7 & 10/8 & Operative report of 9/24/2008. FINAL DX: RLQ pain w/bilateral ovarian cysts Patient had laparoscopic aspiration of ovarian cysts as same day surgery.  Had continued post op RLQ abdominal pain.  US was WNL.  referred to PCP for additional GI w/u.  Returned to ER 10/23/2008 W/persistent RLQ pain.  Labs all WNL & d/c to home.  Returned to ER 12/10/2008 w/nausea, vomiting, dry heaves x 1 day, diarrhea x 2 weeks.  Had recently been d/c from higher level of care w/dx pancreatitis & was on TPN.  Found to have ileus.  Tx w/meds & d/c to home.  2/17/09 Received hospital medical records of 11/21-12/3/2008. FINAL DX:allodynia w/abdominal wall pain improving; hyperlipasemia, etiology uncertain; galactorrhea & hyperprolactinemia secondary to Lexapro; marked disability in association w/chronic pain; intermittent, frequent belching/retching related to disability & chronic pain. Records reveal patient experienced RLQ pain.  Had been transferred from outlying hospital where she had been admitted 10/15/08 & extensive medical record review of that hospitalization included.  Endocrine, pain mgt, psych consult done & meds adjusted.  Tx w/TPN.  Improved & d/c to home w/continued TPN, pain meds, PT, psych counseling & serial labs.