chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 16.0
Sex: F
Vaccine: HEPA, HPV4, DTAP, HEPA, HPV4, HEPA, HPV4, TDAP
Symptoms: Musculoskeletal pain, Neutrophil count, Neutrophil percentage increased, Pain in extremity, Red blood cell count normal
Clinical narrative: Pt is a 16 year old female who suffered an injury to occiput due to loss of conciousness after receiving a gardasil and hep A vaccine at her the public clinic. Pt presented to ER vomiting copious amount and with moderate amounts of bright red blood. CT revealed a subarachnoid hemorrhage. Pt was observed overnight at the Hospital and had now acute events. Pts symptoms have now resolved w/ the exception of some musculoskeletal pain.  9/22/09 ED and medical records received DOS 4/20/09 to 9/03/09. Assessment: Skull fracture and intracranial hemorrhage secondary to vasovagal syncope. Patient presents with headache and vomiting after syncope and a fall. Had felt light headed and lost consciousness, struck back of head on ground. Occipital skull fracture. Anterior intraparenchymal bleed and small subdural hemorrhage, occipital fracture, hematemesis. Pain left buttock and posterior left leg. Off balance gait.
Age: 16.0
Sex: F
Vaccine: HEPA, HPV4, DTAP, HEPA, HPV4, HEPA, HPV4, TDAP
Symptoms: Skull fractured base, Subarachnoid haemorrhage, Syncope, Vomiting, White blood cell count increased
Clinical narrative: Pt is a 16 year old female who suffered an injury to occiput due to loss of conciousness after receiving a gardasil and hep A vaccine at her the public clinic. Pt presented to ER vomiting copious amount and with moderate amounts of bright red blood. CT revealed a subarachnoid hemorrhage. Pt was observed overnight at the Hospital and had now acute events. Pts symptoms have now resolved w/ the exception of some musculoskeletal pain.  9/22/09 ED and medical records received DOS 4/20/09 to 9/03/09. Assessment: Skull fracture and intracranial hemorrhage secondary to vasovagal syncope. Patient presents with headache and vomiting after syncope and a fall. Had felt light headed and lost consciousness, struck back of head on ground. Occipital skull fracture. Anterior intraparenchymal bleed and small subdural hemorrhage, occipital fracture, hematemesis. Pain left buttock and posterior left leg. Off balance gait.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL, VARCEL
Symptoms: Chest discomfort, Eyelid oedema, Injection site swelling, Pruritus, Rash
Clinical narrative: Information has been received from a certified medical assistant concerning a 4 year old male patient with a history of surgery (unspecified) and no known drug allergies who on 02-SEP-2009 was vaccinated with a dose of VARIVAX (Merck) (lot#66490/0914Y). Concomitant therapy included MMR II, diphtheria toxoid (+) pertussis acellular vaccine (unspecified) (+) tetanus toxoid and poliovirus vaccine. On 02-SEP-2009 the patient had a reaction after receiving VARIVAX (Merck). The injection site had small red "circles" around it. There were also small bumps behind his left ear. His eyes were swollen and puffy. His scars on his abdomen from his prior surgery were also swollen and puffy. The patient complained of itching all over his body. The physician gave the patient some epinephrine. No lab/diagnostic studies performed. At the time of this report the patient was still recovering. The medical assistant considered the AE's and the treatment with epinephrine to be an Other Important medical event. Additional information has been requested.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL, VARCEL
Symptoms: Swelling
Clinical narrative: Information has been received from a certified medical assistant concerning a 4 year old male patient with a history of surgery (unspecified) and no known drug allergies who on 02-SEP-2009 was vaccinated with a dose of VARIVAX (Merck) (lot#66490/0914Y). Concomitant therapy included MMR II, diphtheria toxoid (+) pertussis acellular vaccine (unspecified) (+) tetanus toxoid and poliovirus vaccine. On 02-SEP-2009 the patient had a reaction after receiving VARIVAX (Merck). The injection site had small red "circles" around it. There were also small bumps behind his left ear. His eyes were swollen and puffy. His scars on his abdomen from his prior surgery were also swollen and puffy. The patient complained of itching all over his body. The physician gave the patient some epinephrine. No lab/diagnostic studies performed. At the time of this report the patient was still recovering. The medical assistant considered the AE's and the treatment with epinephrine to be an Other Important medical event. Additional information has been requested.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL, VARCEL
Symptoms: Eye swelling, Injection site erythema, Pruritus generalised, Rash, Swelling
Clinical narrative: Information has been received from a certified medical assistant concerning a 4 year old male patient with a history of surgery (unspecified) and no known drug allergies who on 02-SEP-2009 was vaccinated with a dose of VARIVAX (Merck) (lot#66490/0914Y). Concomitant therapy included MMR II, diphtheria toxoid (+) pertussis acellular vaccine (unspecified) (+) tetanus toxoid and poliovirus vaccine. On 02-SEP-2009 the patient had a reaction after receiving VARIVAX (Merck). The injection site had small red "circles" around it. There were also small bumps behind his left ear. His eyes were swollen and puffy. His scars on his abdomen from his prior surgery were also swollen and puffy. The patient complained of itching all over his body. The physician gave the patient some epinephrine. No lab/diagnostic studies performed. At the time of this report the patient was still recovering. The medical assistant considered the AE's and the treatment with epinephrine to be an Other Important medical event. Additional information has been requested.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL, VARCEL
Symptoms: Swelling face
Clinical narrative: Information has been received from a certified medical assistant concerning a 4 year old male patient with a history of surgery (unspecified) and no known drug allergies who on 02-SEP-2009 was vaccinated with a dose of VARIVAX (Merck) (lot#66490/0914Y). Concomitant therapy included MMR II, diphtheria toxoid (+) pertussis acellular vaccine (unspecified) (+) tetanus toxoid and poliovirus vaccine. On 02-SEP-2009 the patient had a reaction after receiving VARIVAX (Merck). The injection site had small red "circles" around it. There were also small bumps behind his left ear. His eyes were swollen and puffy. His scars on his abdomen from his prior surgery were also swollen and puffy. The patient complained of itching all over his body. The physician gave the patient some epinephrine. No lab/diagnostic studies performed. At the time of this report the patient was still recovering. The medical assistant considered the AE's and the treatment with epinephrine to be an Other Important medical event. Additional information has been requested.
Age: 4.0
Sex: U
Vaccine: VARCEL
Symptoms: Bone marrow transplant, Pancytopenia, Varicella post vaccine
Clinical narrative: Information has been received from a published article. A 4 year old child was vaccinated with VARIVAX (Merck) (lot number, route and site not reported) 12 weeks prior to presentation. On an unspecified date, the patient developed breakthrough varicella which was complicated by pancytopenia which was refractory to all modalities of treatment necessitating Bone Marrow Transplantation. The patient's outcome was not reported. Upon internal review, pancytopenia was considered to be an other important medical event. No further information is available.
Age: 18.0
Sex: F
Vaccine: HPV4
Symptoms: Abortion spontaneous, Drug exposure during pregnancy, Smear cervix abnormal
Clinical narrative: Information has been received from a nurse for GARDASIL, a pregnancy registry product, concerning an 18 year old female patient who in April 2008 was vaccinated with the second dose of GARDASIL. After receiving her second dose the patient became pregnant and miscarried. the last menstruation period was unspecified. She reported this to office after the event and they followed up with a Pap smear which came back normal. No lot number provided. At the time of report the patient's status was unknown. Upon internal review, miscarriage was determined to be an other important medical event. Additional information has been requested.
Age: 18.0
Sex: F
Vaccine: HPV4
Symptoms: Pulmonary embolism, Thrombosis
Clinical narrative: Information has been received from a physician concerning a 19 year old female patient with no pertinent medical history and no known drug allergy who in August 2008 was vaccinated with the first dose of GARDASIL. In January or February 2009 the patient was vaccinated with the second dose of GARDASIL. Concomitant therapy included birth control pills (unspecified) for years. In May 2009, the patient developed a blood clot in the leg that resulted in a pulmonary embolism. She was hospitalized for several days. She was currently considered to be recovered but still taking COUMADIN. Her initial and second dose of GARDASIL were given at another office so no administration information available. The physician could not give any other details and said he was not consulted on this case. He learned of the incident through the patient's mother. He did not have the name of the physician who administered the GARDASIL, and did not know the name of the hematologist who followed the patient. The physician did not offer to contact the patient's mother to gain this information. The health care professional contacted during telephone follow-up could not supply the following information: dates of vaccination/therapy, lot numbers, healthcare provider name and contact information. Additional information has been requested.  9/18/09 Hospital records received DOS 5/27/09 to 6/4/09. Assessment: Right lower lobe pulmonary embolism acute. Left leg DVT. Iron deficiency anemia. Pleural effusion.  Viral syndrome 3 weeks prior followed by difficulty breathing. Patient now c/o increasing chest pain and shortness of breath last 7 days. Could not breath. Respiratory distress. Nonproductive cough. Decreased breath sounds right side. Anxiety. Tachycardia. Increased respiratory rate. Thoracocentesis. Acute mild renal failure. Right lower lobe pneumonia.  ICD-9 Codes: 415.19 Oth Pulm embolism/Infrac, 486 Pneumonia Organism NOS, 453.41 DVT Proximal Leg, 511.9 Pleural Effusion NOS, E932.2 ADV EFF Ovarian Hormones, 280.9 Iron Defic Anemia NOS, 564.00 Constipation NOS, 477.9 Allergic Rhinitis NOS
Age: 12.0
Sex: F
Vaccine: HPV4, MNQ
Symptoms: Grand mal convulsion
Clinical narrative: Information has been received from a physician concerning an 11 year old female who was vaccinated with the second dose of GARDASIL (dose, route, and lot not reported) one month ago (on approximately 03-AUG-2009). There was no other concomitant immunization medication. The patient experienced an an adverse event post vaccination with GARDASIL. 40 minutes post vaccination the patient had a "tonic clonic seizure event" in the car with her parents. The patient was taken to the doctor office for follow up. The patient recovered. It was noted that the patient was nervous about vaccinations and she had passed out after the first dose of GARDASIL. Upon internal review, "tonic clonic seizure event" was determined to be an other important medical event. Additional information has been requested.  9/29/2009 Received PCP medical records of 5/8/09-8/13/09  which reveal patient in usual state of health on 5/8/09.  RTC on 8/13/09 w/report of 2nd episode of LOC & seizure w/jerking movements of arms/legs & incontinence lasting approx 1 min after receiving 2nd HPV. No further medical treatment was sought.
Sex: F
Vaccine: HPV4
Symptoms: Convulsion, Immediate post-injection reaction, Syncope
Clinical narrative: Information has been received from a pharmacist concerning a female patient with a history of "aversion" to the needles who was vaccinated with the first dose of GARDASIL "last week". The patient also was vaccinated with PNEUMOVAX 23. Immediately after the vaccination the patient fainted and developed convulsion. The patient also experienced convulsion. The patient was taken to the hospital as a precaution. At the time of report the patient's status was unknown. Upon internal review, convulsion was determined to be an other important medical event. Additional information has been requested.
Age: 43.0
Sex: F
Vaccine: FLU3
Symptoms: Abdominal pain upper, Cough, Dysphonia, Eye pruritus, Eye swelling
Clinical narrative: Body itching, eyes swollen shut, red itching eyes, stomach aches, body aches, cough hoarness, sore throat, runnning nose.
Age: 43.0
Sex: F
Vaccine: FLU3
Symptoms: Ocular hyperaemia, Oropharyngeal pain, Pain, Pruritus, Rhinorrhoea
Clinical narrative: Body itching, eyes swollen shut, red itching eyes, stomach aches, body aches, cough hoarness, sore throat, runnning nose.
Age: 55.0
Sex: M
Vaccine: FLU3
Symptoms: Cognitive disorder, Disturbance in attention, Malaise
Clinical narrative: Inability to concentrate, cognitive difficulty, malaise
Age: 20.0
Sex: M
Vaccine: FLUN3
Symptoms: Pruritus generalised, Rash generalised
Clinical narrative: Generalized rash and puritis developed approximately 90 minutes after recieving a dose of FluMist.
Age: 16.0
Sex: F
Vaccine: HPV4
Symptoms: Amnesia, Convulsion, Depressed level of consciousness, Fatigue, Grand mal convulsion
Clinical narrative: patient recieved Gardasil on 12/19/07, second dose on 2/20/08, and last dose on 6/23/2008. Extremely tired and at times seemed slow to respond.On 6/24/2009, went to family doctor to get menactra for college admission. That night patient had seizure during sleep. Bit tongue severely and had memory loss.Went to doctor, told to watch and wait. On 9/1/2009, patient suffered grand mal seizure at college and was taken to emergency room and evaluated. Sent to see neurologist next day and put on lamictal to control seizures. Following up on Sept 18 2009 with EEG and MRI.No family history at all of seizures and has been diagnosed with sudden onset seizures.  9/15/09 PCP and Neurology consult records received DOS 6/26/09 to 9/2/09. Assessment: Seizure disorder. Patient c/o 'feeling really weird', woke up with discoloration and swelling left side of tongue. Trouble recalling things, took longer to remember things. Felt hot. Tongue bitten. Second seizure. Stiffening, jerking. Collapsed to floor. Taken to ER. Neurological exam WNL.  9/15/09 PCP and Neurology consult records received DOS 6/26/09 to 9/2/09. Assessment: Seizure disorder. Patient c/o 'feeling really weird', woke up with discoloration and swelling left side of tongue. Trouble recalling things, took longer to remember things. Felt hot. Tongue bitten. Second seizure. Stiffening, jerking. Collapsed to floor. Taken to ER. Neurological exam WNL.  9/24/09 ER records received DOS 9/1/09. Assessment: New onset seizure. Seizure occuring just prior to arrival. Head injuries. Post-ictal headache and mild confusion. Sinusitis.
Age: 16.0
Sex: F
Vaccine: HPV4
Symptoms: Laboratory test, Tongue biting
Clinical narrative: patient recieved Gardasil on 12/19/07, second dose on 2/20/08, and last dose on 6/23/2008. Extremely tired and at times seemed slow to respond.On 6/24/2009, went to family doctor to get menactra for college admission. That night patient had seizure during sleep. Bit tongue severely and had memory loss.Went to doctor, told to watch and wait. On 9/1/2009, patient suffered grand mal seizure at college and was taken to emergency room and evaluated. Sent to see neurologist next day and put on lamictal to control seizures. Following up on Sept 18 2009 with EEG and MRI.No family history at all of seizures and has been diagnosed with sudden onset seizures.  9/15/09 PCP and Neurology consult records received DOS 6/26/09 to 9/2/09. Assessment: Seizure disorder. Patient c/o 'feeling really weird', woke up with discoloration and swelling left side of tongue. Trouble recalling things, took longer to remember things. Felt hot. Tongue bitten. Second seizure. Stiffening, jerking. Collapsed to floor. Taken to ER. Neurological exam WNL.  9/15/09 PCP and Neurology consult records received DOS 6/26/09 to 9/2/09. Assessment: Seizure disorder. Patient c/o 'feeling really weird', woke up with discoloration and swelling left side of tongue. Trouble recalling things, took longer to remember things. Felt hot. Tongue bitten. Second seizure. Stiffening, jerking. Collapsed to floor. Taken to ER. Neurological exam WNL.  9/24/09 ER records received DOS 9/1/09. Assessment: New onset seizure. Seizure occuring just prior to arrival. Head injuries. Post-ictal headache and mild confusion. Sinusitis.
Age: 0.46
Sex: F
Vaccine: DTAPIPVHIB, HEP, PNC, RV5, DTAPIPVHIB, HEP, PNC, RV5
Symptoms: Colectomy, Enema administration, Gastrointestinal necrosis, Haematochezia, Intensive care
Clinical narrative: Patient received vaccine on 8/25/09 and 2 days later she presented to the ED with emesis and currant jelly stools. She was found to have an intussusception which was not reducible by air enema. She went to the OR where the surgeons were unable to free the intussusception so she underwent a right hemicolectomy. She was hospitalized from 8/27-9/1. Four days were in the intensive care unit and the remainder were on the floor.  10/15/09 Hospital records, DC summary received service dates 8/27/09 to 09/1/09. Assessment: Intussusception s/p bowel resection. Parent states baby refuses to eat. Episodes of yellow emesis. Bright red blood per rectum w/o stool or urine. Decreased activity. Dehydration. Abdominal tenderness. Current jelly stool. Enema administration, reduction unsuccessful. Laparoscopic reduction of intussuseption converted to open right hemicolectomy. Ileocolic intussusception had intussuscepted into sigmoid colon, gangrene of cecum, serosal tears of proximal transverse colon with patchy necrosis. Patient stable upon discharge. 12/14/09 Received PCP medical records of  8/25/09 well child visit.
Age: 0.46
Sex: F
Vaccine: DTAPIPVHIB, HEP, PNC, RV5, DTAPIPVHIB, HEP, PNC, RV5
Symptoms: Intussusception, Mucous stools, Vomiting
Clinical narrative: Patient received vaccine on 8/25/09 and 2 days later she presented to the ED with emesis and currant jelly stools. She was found to have an intussusception which was not reducible by air enema. She went to the OR where the surgeons were unable to free the intussusception so she underwent a right hemicolectomy. She was hospitalized from 8/27-9/1. Four days were in the intensive care unit and the remainder were on the floor.  10/15/09 Hospital records, DC summary received service dates 8/27/09 to 09/1/09. Assessment: Intussusception s/p bowel resection. Parent states baby refuses to eat. Episodes of yellow emesis. Bright red blood per rectum w/o stool or urine. Decreased activity. Dehydration. Abdominal tenderness. Current jelly stool. Enema administration, reduction unsuccessful. Laparoscopic reduction of intussuseption converted to open right hemicolectomy. Ileocolic intussusception had intussuscepted into sigmoid colon, gangrene of cecum, serosal tears of proximal transverse colon with patchy necrosis. Patient stable upon discharge. 12/14/09 Received PCP medical records of  8/25/09 well child visit.
Age: 0.46
Sex: F
Vaccine: DTAPIPVHIB, HEP, PNC, RV5, DTAPIPVHIB, HEP, PNC, RV5
Symptoms: Abdominal tenderness, Colectomy, Decreased activity, Dehydration, Diet refusal
Clinical narrative: Patient received vaccine on 8/25/09 and 2 days later she presented to the ED with emesis and currant jelly stools. She was found to have an intussusception which was not reducible by air enema. She went to the OR where the surgeons were unable to free the intussusception so she underwent a right hemicolectomy. She was hospitalized from 8/27-9/1. Four days were in the intensive care unit and the remainder were on the floor.  10/15/09 Hospital records, DC summary received service dates 8/27/09 to 09/1/09. Assessment: Intussusception s/p bowel resection. Parent states baby refuses to eat. Episodes of yellow emesis. Bright red blood per rectum w/o stool or urine. Decreased activity. Dehydration. Abdominal tenderness. Current jelly stool. Enema administration, reduction unsuccessful. Laparoscopic reduction of intussuseption converted to open right hemicolectomy. Ileocolic intussusception had intussuscepted into sigmoid colon, gangrene of cecum, serosal tears of proximal transverse colon with patchy necrosis. Patient stable upon discharge. 12/14/09 Received PCP medical records of  8/25/09 well child visit.
Age: 0.46
Sex: F
Vaccine: DTAPIPVHIB, HEP, PNC, RV5, DTAPIPVHIB, HEP, PNC, RV5
Symptoms: Enema administration, Gastrointestinal gangrene, Gastrointestinal necrosis, Haematochezia, Intensive care
Clinical narrative: Patient received vaccine on 8/25/09 and 2 days later she presented to the ED with emesis and currant jelly stools. She was found to have an intussusception which was not reducible by air enema. She went to the OR where the surgeons were unable to free the intussusception so she underwent a right hemicolectomy. She was hospitalized from 8/27-9/1. Four days were in the intensive care unit and the remainder were on the floor.  10/15/09 Hospital records, DC summary received service dates 8/27/09 to 09/1/09. Assessment: Intussusception s/p bowel resection. Parent states baby refuses to eat. Episodes of yellow emesis. Bright red blood per rectum w/o stool or urine. Decreased activity. Dehydration. Abdominal tenderness. Current jelly stool. Enema administration, reduction unsuccessful. Laparoscopic reduction of intussuseption converted to open right hemicolectomy. Ileocolic intussusception had intussuscepted into sigmoid colon, gangrene of cecum, serosal tears of proximal transverse colon with patchy necrosis. Patient stable upon discharge. 12/14/09 Received PCP medical records of  8/25/09 well child visit.
Age: 0.46
Sex: F
Vaccine: DTAPIPVHIB, HEP, PNC, RV5, DTAPIPVHIB, HEP, PNC, RV5
Symptoms: Intestinal resection, Intussusception, Laparoscopic surgery, Necrosis, Rectal haemorrhage
Clinical narrative: Patient received vaccine on 8/25/09 and 2 days later she presented to the ED with emesis and currant jelly stools. She was found to have an intussusception which was not reducible by air enema. She went to the OR where the surgeons were unable to free the intussusception so she underwent a right hemicolectomy. She was hospitalized from 8/27-9/1. Four days were in the intensive care unit and the remainder were on the floor.  10/15/09 Hospital records, DC summary received service dates 8/27/09 to 09/1/09. Assessment: Intussusception s/p bowel resection. Parent states baby refuses to eat. Episodes of yellow emesis. Bright red blood per rectum w/o stool or urine. Decreased activity. Dehydration. Abdominal tenderness. Current jelly stool. Enema administration, reduction unsuccessful. Laparoscopic reduction of intussuseption converted to open right hemicolectomy. Ileocolic intussusception had intussuscepted into sigmoid colon, gangrene of cecum, serosal tears of proximal transverse colon with patchy necrosis. Patient stable upon discharge. 12/14/09 Received PCP medical records of  8/25/09 well child visit.
Age: 0.46
Sex: F
Vaccine: DTAPIPVHIB, HEP, PNC, RV5, DTAPIPVHIB, HEP, PNC, RV5
Symptoms: Ultrasound scan abnormal, Vomiting
Clinical narrative: Patient received vaccine on 8/25/09 and 2 days later she presented to the ED with emesis and currant jelly stools. She was found to have an intussusception which was not reducible by air enema. She went to the OR where the surgeons were unable to free the intussusception so she underwent a right hemicolectomy. She was hospitalized from 8/27-9/1. Four days were in the intensive care unit and the remainder were on the floor.  10/15/09 Hospital records, DC summary received service dates 8/27/09 to 09/1/09. Assessment: Intussusception s/p bowel resection. Parent states baby refuses to eat. Episodes of yellow emesis. Bright red blood per rectum w/o stool or urine. Decreased activity. Dehydration. Abdominal tenderness. Current jelly stool. Enema administration, reduction unsuccessful. Laparoscopic reduction of intussuseption converted to open right hemicolectomy. Ileocolic intussusception had intussuscepted into sigmoid colon, gangrene of cecum, serosal tears of proximal transverse colon with patchy necrosis. Patient stable upon discharge. 12/14/09 Received PCP medical records of  8/25/09 well child visit.
Age: 6.0
Sex: F
Vaccine: FLU3
Symptoms: Nausea, Pallor, Vomiting
Clinical narrative: Pt left office, vomit x1 on the way home. Mom reports she was pale and complaints of nausea and then vomit x1.
Age: 24.0
Sex: F
Vaccine: TDAP
Symptoms: Cellulitis, Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Patient developed redness, swelling, pain at injection site. Was seen and diagnosed with cellulitis and was treated with antibiotics.
Age: 33.0
Sex: M
Vaccine: PPV
Symptoms: Contusion, Erythema, Oedema peripheral, Skin warm
Clinical narrative: pt states arm was swollen whole bicep about a 1/4 inch around. It was sl red and warm as well, after swelling went down entire area was bruised. Pt took 2 Benadryl and cortisone cream. Redness and swelling was gone in 3 days.
Age: 5.0
Sex: F
Vaccine: DTAP
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: LEFT ARM RED,WARM TO TOUCH AND SWOLLEN
Age: 48.0
Sex: F
Vaccine: PPV, TDAP
Symptoms: Chills, Hyperhidrosis, Injected limb mobility decreased, Injection site pain, Pain
Clinical narrative: Pt.states that her left arm started hurting to the point she couldn't move it. The night of injection she 'felt like she had been hit by a truck' she ached all over had fever, chills sweating.  There was tenderness at site, with shooting pain up into right side of neck. Pt took Motrin and bed rest.
Age: 48.0
Sex: F
Vaccine: PPV, TDAP
Symptoms: Pain in extremity, Pyrexia
Clinical narrative: Pt.states that her left arm started hurting to the point she couldn't move it. The night of injection she 'felt like she had been hit by a truck' she ached all over had fever, chills sweating.  There was tenderness at site, with shooting pain up into right side of neck. Pt took Motrin and bed rest.
Age: 29.0
Sex: M
Vaccine: FLU3
Symptoms: Chills, Decreased appetite, Headache, Pain, Pyrexia
Clinical narrative: Complete loss of appetite. Body chills and aches. Headache and significant fever. Beginning six hours after shot administered and worsening over next six hours until I took 4 advils. Fever broken about 2 am.
Age: 1.5
Sex: M
Vaccine: HEPA, HIBV
Symptoms: Abnormal behaviour, Crying, Decreased appetite, Gait disturbance, Injection site haematoma
Clinical narrative: 9/9/09 at 6 PM started screaming and grabbing at rt. leg, at 12:30 AM noticed swelling of fist size on rt. leg from above shot to below knee. 9/9/09 not eating or drinking, cry all day, sat and stared without talking, fever of 102 and given Tylenol. 9/10/09 still not eating, clingy, wimpered all day, scream when rt. leg touched, not sleeping.  9/11/09 swelling down some but bruised, not eating, not walking much but if does then limps.  to Dr. in afternoon.
Age: 1.5
Sex: M
Vaccine: HEPA, HIBV
Symptoms: Injection site swelling, Limb discomfort, Pyrexia, Screaming, Speech disorder
Clinical narrative: 9/9/09 at 6 PM started screaming and grabbing at rt. leg, at 12:30 AM noticed swelling of fist size on rt. leg from above shot to below knee. 9/9/09 not eating or drinking, cry all day, sat and stared without talking, fever of 102 and given Tylenol. 9/10/09 still not eating, clingy, wimpered all day, scream when rt. leg touched, not sleeping.  9/11/09 swelling down some but bruised, not eating, not walking much but if does then limps.  to Dr. in afternoon.
Age: 1.5
Sex: M
Vaccine: HEPA, HIBV
Symptoms: Staring
Clinical narrative: 9/9/09 at 6 PM started screaming and grabbing at rt. leg, at 12:30 AM noticed swelling of fist size on rt. leg from above shot to below knee. 9/9/09 not eating or drinking, cry all day, sat and stared without talking, fever of 102 and given Tylenol. 9/10/09 still not eating, clingy, wimpered all day, scream when rt. leg touched, not sleeping.  9/11/09 swelling down some but bruised, not eating, not walking much but if does then limps.  to Dr. in afternoon.
Age: 54.0
Sex: M
Vaccine: FLU3
Symptoms: Allodynia, Back pain, Headache, Influenza serology negative, Neck pain
Clinical narrative: Patient first experienced headache and posterior neck pain that lasted approximately 48 hours.  Following that he developed severe cervical neck pain that lasted 1.5 hours.  The pain then traveled down his spine and was accompanied by allodynia, both of which lasted approximately 48 hours.  By the afternoon the patient experienced pain and allodynia all down his back, into the posterior of his legs, throughout his hips, and into his knees.
Age: 54.0
Sex: M
Vaccine: FLU3
Symptoms: White blood cell count normal
Clinical narrative: Patient first experienced headache and posterior neck pain that lasted approximately 48 hours.  Following that he developed severe cervical neck pain that lasted 1.5 hours.  The pain then traveled down his spine and was accompanied by allodynia, both of which lasted approximately 48 hours.  By the afternoon the patient experienced pain and allodynia all down his back, into the posterior of his legs, throughout his hips, and into his knees.
Age: 52.0
Sex: F
Vaccine: FLUX
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: 2 inch diameter redness, slight swelling and warmth at site
Age: 60.0
Sex: F
Vaccine: FLU3, PPV, TD
Symptoms: Chills, Injected limb mobility decreased, Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Pt received Flu vaccine and pneumovax in right arm.  Not sure which site was which vaccine.  The lower injection site has a reddened slightly raised, hot area 3" in diameter. Below it, in the inner elbow area is an area of red, hot raised, tender tissue about 4" in diameter.  Pt c/o fever and chills 9/10 pm and was seen in ER by Dr. who called it a cellulitis-like reaction.  Pt is taking Benadryl, tylenol and using ice to the area.  The right arm has decreased mobility due to this.  Temperature last night in ER was 99.3F and this a.m. was 99.5F. At time of vaccination, pt stated she had not had pneumonia vaccine previously.  She stated today that after her vaccination she went home to find her shot record and found that she HAD had a pneumonia shot 7/20/04.  She has celiac sprue disease and stated she wanted to be sure that her immune system was protected since she had this diagnosis.
Age: 60.0
Sex: F
Vaccine: FLU3, PPV, TD
Symptoms: Injection site warmth, Pyrexia
Clinical narrative: Pt received Flu vaccine and pneumovax in right arm.  Not sure which site was which vaccine.  The lower injection site has a reddened slightly raised, hot area 3" in diameter. Below it, in the inner elbow area is an area of red, hot raised, tender tissue about 4" in diameter.  Pt c/o fever and chills 9/10 pm and was seen in ER by Dr. who called it a cellulitis-like reaction.  Pt is taking Benadryl, tylenol and using ice to the area.  The right arm has decreased mobility due to this.  Temperature last night in ER was 99.3F and this a.m. was 99.5F. At time of vaccination, pt stated she had not had pneumonia vaccine previously.  She stated today that after her vaccination she went home to find her shot record and found that she HAD had a pneumonia shot 7/20/04.  She has celiac sprue disease and stated she wanted to be sure that her immune system was protected since she had this diagnosis.
Age: 78.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Injected limb mobility decreased, Injection site erythema, Injection site swelling
Clinical narrative: Right arm (inside bicep) was slightly swollen and red, approx 2 inches in diameter. No itching. Patient could not move arm past shoulder height. Painful to touch. Occurred 1 day after vaccination (on 9/10/09). Pharmacist gave diphenhydramine and acetaminophen when notified on 9/11/09.
Age: 40.0
Sex: F
Vaccine: VARCEL
Symptoms: Computerised tomogram, Dizziness, Electrocardiogram, Eye disorder, Hypotension
Clinical narrative: Labrynthitis diagnosed after second vacc.(8/10)Was seen by PCP on 7/29/09 for general malaise, dizziness, nausea.  Seen also on 8/10, 8/19&20 for Hypotension, altered mentation, eye sensitivity.  Seen in the ER on 8/7/09 and the Urgent care on 8/13/09. Vaccination dates: #1 6/30/09, #2 8/3/09.  Did not relate any symptoms of problems at the time of the second vaccination.
Age: 40.0
Sex: F
Vaccine: VARCEL
Symptoms: Laboratory test, Labyrinthitis, Malaise, Mood altered, Nausea
Clinical narrative: Labrynthitis diagnosed after second vacc.(8/10)Was seen by PCP on 7/29/09 for general malaise, dizziness, nausea.  Seen also on 8/10, 8/19&20 for Hypotension, altered mentation, eye sensitivity.  Seen in the ER on 8/7/09 and the Urgent care on 8/13/09. Vaccination dates: #1 6/30/09, #2 8/3/09.  Did not relate any symptoms of problems at the time of the second vaccination.
Age: 1.5
Sex: M
Vaccine: FLU3, FLU3
Symptoms: Pyrexia
Clinical narrative: My son had fever 99.1 degree last night after received the flu shot.  I gave him Tylenol around 9pm.  In the midnight, he developed fever again.  I gave him Motrin around 2am this morning.  This morning, he still had low-grade fever around 99.  I have reported this adverse event to his doctor's office this morning.
Age: 1.5
Sex: M
Vaccine: FLU3, FLU3
Symptoms: Cough, Insomnia, Nasal congestion, Pyrexia, Rhinorrhoea
Clinical narrative: My son had fever 99.1 degree last night after received the flu shot.  I gave him Tylenol around 9pm.  In the midnight, he developed fever again.  I gave him Motrin around 2am this morning.  This morning, he still had low-grade fever around 99.  I have reported this adverse event to his doctor's office this morning.
Age: 1.5
Sex: M
Vaccine: FLU3, FLU3
Symptoms: Tremor, Vomiting
Clinical narrative: My son had fever 99.1 degree last night after received the flu shot.  I gave him Tylenol around 9pm.  In the midnight, he developed fever again.  I gave him Motrin around 2am this morning.  This morning, he still had low-grade fever around 99.  I have reported this adverse event to his doctor's office this morning.
Age: 15.0
Sex: U
Vaccine: MNQ
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: Pt did not have any reaction to the vaccine he was just given a third menningitis vaccination.  Has received one every year since 2007.  I was instructed by the PA I was working with to give the vaccine.  she too was unaware he has received 2 prior.  Also, when pt's mother was asked if he had ever received vaccine she said no and had not brought an immunization record with her to his well child appt.  Pt received this and none of the vaccines have dropped into MCIR.  This vaccine was given on 9/2/09 and it is now 9/11/09 and it is still on in MCIR.
Age: 1.58
Sex: M
Vaccine: HIBV, PNC
Symptoms: Immediate post-injection reaction, Injection site haematoma, Injection site rash, Injection site swelling, Injection site warmth
Clinical narrative: Severe swelling and fever at injection site on left leg, as well as bruising.  The swelling and fever were immediate.  Within a day, he broke out in rash at the site, which spread to his genetials and up his torso.  The rash lasted for 2 weeks.
Age: 1.58
Sex: M
Vaccine: HIBV, PNC
Symptoms: Rash
Clinical narrative: Severe swelling and fever at injection site on left leg, as well as bruising.  The swelling and fever were immediate.  Within a day, he broke out in rash at the site, which spread to his genetials and up his torso.  The rash lasted for 2 weeks.
Age: 36.0
Sex: F
Vaccine: VARCEL
Symptoms: Erythema, Induration, Musculoskeletal pain, Neck pain, Pain
Clinical narrative: REDNESS,SWELLING, INDURATION 10MM, NECK AND L SHOULDER PAIN 6/10, BODY ACHES. NORMAL TEMP 98.6.SENT TO URGENT CARE.
Age: 36.0
Sex: F
Vaccine: VARCEL
Symptoms: Swelling
Clinical narrative: REDNESS,SWELLING, INDURATION 10MM, NECK AND L SHOULDER PAIN 6/10, BODY ACHES. NORMAL TEMP 98.6.SENT TO URGENT CARE.
Age: 35.0
Sex: F
Vaccine: HEP
Symptoms: Paraesthesia
Clinical narrative: Tingling in Right arm from deltoid to hand lasting for 2 days.
Sex: M
Vaccine: PNC
Symptoms: Culture positive, Drug ineffective, Haemolytic uraemic syndrome, Lung consolidation, Pleural effusion
Clinical narrative: This case was considered medically important. Information regarding PREVNAR was received from a physician regarding an 18-month-old male patient who experienced severe consolidated pneumonia with pleural effusion, and Pneumococcal hemolytic uremic syndrome. The patient received the second dose on an unspecified date, at 4 months of age. The patient experienced severe consolidated pneumonia with pleural effusion at 18 months of age. Several days later, the patient developed Pneumococcal hemolytic uremic syndrome - drug ineffective. The outcome of all events was unknown. No additional information was available at the time of this report.
Sex: M
Vaccine: PNC
Symptoms: Pneumococcal infection, Pneumonia, Streptococcal identification test positive
Clinical narrative: This case was considered medically important. Information regarding PREVNAR was received from a physician regarding an 18-month-old male patient who experienced severe consolidated pneumonia with pleural effusion, and Pneumococcal hemolytic uremic syndrome. The patient received the second dose on an unspecified date, at 4 months of age. The patient experienced severe consolidated pneumonia with pleural effusion at 18 months of age. Several days later, the patient developed Pneumococcal hemolytic uremic syndrome - drug ineffective. The outcome of all events was unknown. No additional information was available at the time of this report.
Age: 3.0
Sex: M
Vaccine: DTAP
Symptoms: Hypersensitivity, Respiratory disorder
Clinical narrative: Initial information received on 31 August 2009 from a health care professional. A three year old male patient received either DAPTACEL or TRIPEDIA (lot number, route, and site of administration not reported) on an unspecified date. One hour post vaccination, the patient developed an allergic reaction which was thought to have caused respiratory difficulties. No further information was provided. List of Documents held by Sender: none.
Age: 29.0
Sex: F
Vaccine: TDAP, TDAP
Symptoms: Abortion spontaneous, Drug exposure during pregnancy
Clinical narrative: This spontaneous case was received from a consumer on 03 September 2009. A 29-year-old female patient, with no reported medical history and no previous pregnancies, received an injection of ADACEL (lot not reported) on 13 August 2009. She was four weeks pregnant at the time of vaccination; date of last menstrual period was not reported. On 31 August 2009, 18 days post-vaccination, the patient had a miscarriage. No additional information was provided.
Age: 29.0
Sex: F
Vaccine: TDAP, TDAP
Symptoms: Drug exposure during pregnancy, Haemorrhage, Laboratory test, Muscle spasms
Clinical narrative: This spontaneous case was received from a consumer on 03 September 2009. A 29-year-old female patient, with no reported medical history and no previous pregnancies, received an injection of ADACEL (lot not reported) on 13 August 2009. She was four weeks pregnant at the time of vaccination; date of last menstrual period was not reported. On 31 August 2009, 18 days post-vaccination, the patient had a miscarriage. No additional information was provided.
Age: 53.0
Sex: F
Vaccine: TDAP, TDAP
Symptoms: Echocardiogram, Electroencephalogram abnormal, Fall, Ultrasound Doppler, Vaccination complication
Clinical narrative: Pt. presented to E.R. on 7/27/09 after falling at home - was admitted - EEG was positive for seizure, neurologist believes Tdap could have caused seizure.  10/1/09 Consultant records received DOS 8/28/09. Assessment: Partial Seizures. Patient presented with c/o of bifrontal headaches associated with photophobia and having passed out twice in one night. Nauseated and dizzy. Continued fatigue, leg stiffness, and leg cramps. 11/2/2009 MR from 7/27-7/29/2009, patient presented with c/o's rt thigh pain, weakness, dizziness, tinnitus, heart palpitations, nausea, disorientation, patient stated fell down twice without her awareness, also c/o's headaches. Tx: Telemetry, IVF,  Neuro consult was normal. Dc Dx Syncope  ICD-9 codes: 780.2, 784.0, 959.01
Age: 53.0
Sex: F
Vaccine: TDAP, TDAP
Symptoms: Convulsion, Echocardiogram, Electroencephalogram abnormal, Fall, Nuclear magnetic resonance imaging
Clinical narrative: Pt. presented to E.R. on 7/27/09 after falling at home - was admitted - EEG was positive for seizure, neurologist believes Tdap could have caused seizure.  10/1/09 Consultant records received DOS 8/28/09. Assessment: Partial Seizures. Patient presented with c/o of bifrontal headaches associated with photophobia and having passed out twice in one night. Nauseated and dizzy. Continued fatigue, leg stiffness, and leg cramps. 11/2/2009 MR from 7/27-7/29/2009, patient presented with c/o's rt thigh pain, weakness, dizziness, tinnitus, heart palpitations, nausea, disorientation, patient stated fell down twice without her awareness, also c/o's headaches. Tx: Telemetry, IVF,  Neuro consult was normal. Dc Dx Syncope  ICD-9 codes: 780.2, 784.0, 959.01
Age: 53.0
Sex: F
Vaccine: TDAP, TDAP
Symptoms: Ultrasound Doppler
Clinical narrative: Pt. presented to E.R. on 7/27/09 after falling at home - was admitted - EEG was positive for seizure, neurologist believes Tdap could have caused seizure.  10/1/09 Consultant records received DOS 8/28/09. Assessment: Partial Seizures. Patient presented with c/o of bifrontal headaches associated with photophobia and having passed out twice in one night. Nauseated and dizzy. Continued fatigue, leg stiffness, and leg cramps. 11/2/2009 MR from 7/27-7/29/2009, patient presented with c/o's rt thigh pain, weakness, dizziness, tinnitus, heart palpitations, nausea, disorientation, patient stated fell down twice without her awareness, also c/o's headaches. Tx: Telemetry, IVF,  Neuro consult was normal. Dc Dx Syncope  ICD-9 codes: 780.2, 784.0, 959.01
Age: 71.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Guillain-Barre syndrome, Muscular weakness, Visual impairment
Clinical narrative: Guillain-Barre Syndrome - LE Weakness, visual disturbance. 12/07/09 DC summary, ED and Hospital records received for DOS 01/19/08-01/21/08. Presented with lower extremity weakness x 1 week. Weakness started in calves and then developed difficulty walking up stairs. H/o muscle tenderness x 1 month. Neurology consult, Rehabilitative medicine consults obtained. Discharged home with walker and outpatient PT, OT. DC DX: Guillain-Barre syndrome
Age: 2.0
Sex: M
Vaccine: FLUN3, HIBV
Symptoms: Condition aggravated, Febrile convulsion, Full blood count
Clinical narrative: Febrile seizure 7 days after HIB and FLUMIST. 11/25/09 Medical records received for date 9/1/09 and 9/4/09. DX: Wellness exam WNL. 9/4/09 Pt seen in office w/ c/o fever after vaccination. Rash on face, parent states started convulsing and was taken to ER and OV today for f/u. Assessment WNL except (+)fever, cough, rash, congestion. DX: febrile seizure.
Age: 12.0
Sex: F
Vaccine: HPV4, VARCEL
Symptoms: Incorrect dose administered
Clinical narrative: 3rd Varicella given accidentally. Previous dose, #1 not properly recorded, discovered previous count 3 given.
Age: 56.0
Sex: F
Vaccine: FLUX
Symptoms: Fatigue, Hypoaesthesia oral, Ocular hyperaemia, Oropharyngeal pain, Pharyngeal hypoaesthesia
Clinical narrative: Received shot around 2pm 9/2. Approximately 6pm experienced numbness in mouth & throat for approx. 3 hrs. Also, then developed runny nose, sore throat, fatigue & red eyes.
Age: 56.0
Sex: F
Vaccine: FLUX
Symptoms: Rhinorrhoea
Clinical narrative: Received shot around 2pm 9/2. Approximately 6pm experienced numbness in mouth & throat for approx. 3 hrs. Also, then developed runny nose, sore throat, fatigue & red eyes.
Age: 15.0
Sex: F
Vaccine: FLU3
Symptoms: Feeling hot, Rash generalised
Clinical narrative: Pt came back on 9/3 (1 day later) with rash throughout body.  Pt also complained of warmness thru the night of 9/2.  Pt went to clinic on 9/3 & was given BENADRYL & TAC 1%.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV
Symptoms: Injection site erythema
Clinical narrative: 9-1-09 DTAP in R thigh.  9-3-09 mom noted red raised area R thigh.  9-4-09 MD appt. Tx with ice + TYLENOL.
Age: 5.0
Sex: M
Vaccine: MMR
Symptoms: Flushing, Pruritus, Swollen tongue, Urticaria
Clinical narrative: Tongue swelling, hives, itching, flushing.
Age: 5.0
Sex: M
Vaccine: MMR
Symptoms: Rash, Rash erythematous
Clinical narrative: Pt noticed "rash" on trunk that spread to both legs in one week. Patient had about 30 "scabby" rash. Slightly itchy.
Age: 72.0
Sex: F
Vaccine: FLU3
Symptoms: Drug administered at inappropriate site, Erythema, Pruritus, Swelling
Clinical narrative: Gave too low - fluid went into tissue. Red, itching & raised. Pt went to doctor - doctor stated vaccine given too low - pt will recover and is immunized.
Age: 4.0
Sex: M
Vaccine: VARCEL
Symptoms: Erythema, Pyrexia, Rash, Skin warm
Clinical narrative: Fever x3 day 102 & increasing. Localized rash size of 1/2 dollar coin. Redness & warm to the touch.
Age: 25.0
Sex: F
Vaccine: TDAP
Symptoms: Drug exposure during pregnancy, Pregnancy test positive
Clinical narrative: On 7-28-09 Patient received TDAP vaccine.  The patient circled no for pregnancy on the screening form. On 7-30-09 the patient reported and stated she had a positive pregnancy test done that morning. The patient stated that she was concerned about the TDAP vaccine because she had 2 previous miscarriages and a son with Cerebral Palsy.
Age: 71.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Injected limb mobility decreased, Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Received pneumonia shot at 3:30 pm on September 1, 2009 on right arm. About 6 pm arm started to get red and swell and hurt. Patient cannot lift arm. Put ice on area and took BENADRYL. Arm is worse today September 2, 2009.
Age: 10.0
Sex: F
Vaccine: UNK
Symptoms: Erythema, Skin warm
Clinical narrative: Redness & Warmth 2-3 hours after injection
Age: 17.0
Sex: F
Vaccine: VARCEL
Symptoms: Erythema, Pyrexia, Skin warm, Swelling
Clinical narrative: Localized swelling (quarter size), redness warm to the touch fever x 2days 101 increase.
Age: 3.0
Sex: F
Vaccine: FLU3
Symptoms: Dysphagia, Speech disorder
Clinical narrative: Swallowing dysfxn and annuciation difficulties, for 3-5 days post INFLUENZA vaccination.
Age: 90.0
Sex: F
Vaccine: VARZOS
Symptoms: Herpes zoster, Rash
Clinical narrative: Received ZOSTAVAX vaccine 8/28/09 per her request - 9/3 developed a "rash" along left rib and back area - Saw Dr. in clinic on 9/4 with large area involvement along T9 - T10 dermatome - Herpes Zoster rash diagnosed by Dr. - occurred 5 days after ZOSTAVAX vaccine
Age: 14.0
Sex: U
Vaccine: TDAP
Symptoms: Injection site rash, Rash
Clinical narrative: Rash at site developed 28 hours spread to other areas 48-96 hours after vaccine.
Age: 0.35
Sex: M
Vaccine: DTAPIPVHIB, PNC, RV1
Symptoms: Crying, Irritability
Clinical narrative: Very fussy- inconsolable through most of night.
Age: 10.0
Sex: F
Vaccine: FLU3
Symptoms: Paraesthesia
Clinical narrative: Tingling sensation of (L) arm lasted approximately 21/2 - 3 hours after flu vaccine was given.
Age: 0.37
Sex: M
Vaccine: DTAPIPVHIB, PNC
Symptoms: Urticaria
Clinical narrative: Hives/urticaria
Age: 2.0
Sex: F
Vaccine: DTAP
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Redness and swelling of entire (R) thigh, Tx with BENADRYL and TYLENOL; increased warmth of extremity.
Age: 15.0
Sex: F
Vaccine: HPV4, VARCEL
Symptoms: Skin lesion, Urticaria
Clinical narrative: Patient developed urticaria/lesions following administration of varicella vaccine.