chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 23.0
Sex: F
Vaccine: HPV4
Symptoms: Nuclear magnetic resonance imaging normal, Vascular imaging, Von Willebrand's factor activity test
Clinical narrative: Information has been received from a registered nurse concerning her daughter who had been vaccinated with three doses of GARDASIL and after the second dose began experiencing headaches. The patient was not hospitalized. The patient was seeing a rheumatologist. Follow-up information was received from a 23 year old female patient. She reported she in June 2007, August 2007 and December 2007 was vaccinated with the first, second and third dose of GARDASIL (lot numbers not reported) respectively. There was no illness at time of vaccination and there was no pre-existing allergies, birth defects or medical conditions either and "she was never a sick child or a sick adult". On 01-OCT-2007 morning the patient started to experience migraines. The patient reported she had constant migraine since then. She had seen a neurologist multiple times. She had an MRI, and MRV and and MRA done in late 2007 and they all showed no complications. She had been prescribed amitriptyline hydrochloride, ZOMIG, FROVA, FIORICET, TOPAMAX, INDERAL, lisinopril among others, not one of these medications helped her migraines. she saw her original primary care doctor and now being followed by her new primary care physician. She had multiple infections, many times getting tested for Lyme disease (negative) and other blood tests (negative). She was in constant crippling pain from her migraines, as well as muscle joint pain and weakness, and frequently getting infections. She had been bruising especially easily since October 2007 also. She was tested for VON WILLEBRAND'S Disease, but results were negative here as well. Her new primary doctor had recently diagnosed her with chronic fatigue and referred her to a Rheumatologist, which she had scheduled an appointment. The patient strongly believe her symptoms are side effects caused by the GARDASIL vaccine. She reported she had none of these symptoms prior to receiving the vaccine, and there was no medical explanation to her symptoms as of yet. The patient was not recovered. The patient's events were considered to be disabling. Additional information has been requested.
Age: 23.0
Sex: F
Vaccine: HPV4
Symptoms: Amnesia, Antibody test negative, Blood creatine phosphokinase normal, Blood glucose increased, Blood potassium decreased
Clinical narrative: Initial information from a consumer with follow up information from a secretary at a physician's office, concerning a 24 year old female with warts and no known drug allergies who on 24-AUG-2008 was vaccinated with the first dose of GARDASIL (lot# 660553/0070X), 0.5 ml, I.M. and on 16-OCT-2008 was vaccinated with the second dose of GARDASIL (lot# 660612/0229X) 0.5 ml, I.M. Concomitant therapy included ALDARA for warts and "kapara" 500 mg daily. The patient had been off the birth control pill since January 2009. The physician noted in the chart for the 09-SEP-2009 visit, "The patient reported new onset of seizures since starting GARDASIL". Upon internal review seizures were considered to be an other important medical event. The health care professional contacted during telephone follow-up could not supply the following information: date of event, recovery status, hospital name (if applicable), primary practitioner contact information. Additional information has been requested.  9/28/09 PCP medical records received DOS 8/24/08 to 9/18/09. Patient experienced new onset seizure after Gardasil. Genital warts resolved. Reports Augmentin allergy. Oral contraception. 12/7/2009 and 12/14/2009 ED records for 7/28-7/29/2009 and neuro f/up visit for 7/31/2009. Patient with c/o's confusion, biting the tongue, short term memory loss, headache and difficulty with speech after waking today. Patient had a similiar incident 4/2009 but did not seek tx. Neuro consult in hospital, started on Keppra. Dc Dx seizure disorder/Epilepsy
Age: 23.0
Sex: F
Vaccine: HPV4
Symptoms: Cardiac enzymes normal, Chest X-ray abnormal, Computerised tomogram head, Confusional state, Convulsion
Clinical narrative: Initial information from a consumer with follow up information from a secretary at a physician's office, concerning a 24 year old female with warts and no known drug allergies who on 24-AUG-2008 was vaccinated with the first dose of GARDASIL (lot# 660553/0070X), 0.5 ml, I.M. and on 16-OCT-2008 was vaccinated with the second dose of GARDASIL (lot# 660612/0229X) 0.5 ml, I.M. Concomitant therapy included ALDARA for warts and "kapara" 500 mg daily. The patient had been off the birth control pill since January 2009. The physician noted in the chart for the 09-SEP-2009 visit, "The patient reported new onset of seizures since starting GARDASIL". Upon internal review seizures were considered to be an other important medical event. The health care professional contacted during telephone follow-up could not supply the following information: date of event, recovery status, hospital name (if applicable), primary practitioner contact information. Additional information has been requested.  9/28/09 PCP medical records received DOS 8/24/08 to 9/18/09. Patient experienced new onset seizure after Gardasil. Genital warts resolved. Reports Augmentin allergy. Oral contraception. 12/7/2009 and 12/14/2009 ED records for 7/28-7/29/2009 and neuro f/up visit for 7/31/2009. Patient with c/o's confusion, biting the tongue, short term memory loss, headache and difficulty with speech after waking today. Patient had a similiar incident 4/2009 but did not seek tx. Neuro consult in hospital, started on Keppra. Dc Dx seizure disorder/Epilepsy
Age: 23.0
Sex: F
Vaccine: HPV4
Symptoms: Drug screen negative, Electrocardiogram, Electroencephalogram normal, Epilepsy, Full blood count
Clinical narrative: Initial information from a consumer with follow up information from a secretary at a physician's office, concerning a 24 year old female with warts and no known drug allergies who on 24-AUG-2008 was vaccinated with the first dose of GARDASIL (lot# 660553/0070X), 0.5 ml, I.M. and on 16-OCT-2008 was vaccinated with the second dose of GARDASIL (lot# 660612/0229X) 0.5 ml, I.M. Concomitant therapy included ALDARA for warts and "kapara" 500 mg daily. The patient had been off the birth control pill since January 2009. The physician noted in the chart for the 09-SEP-2009 visit, "The patient reported new onset of seizures since starting GARDASIL". Upon internal review seizures were considered to be an other important medical event. The health care professional contacted during telephone follow-up could not supply the following information: date of event, recovery status, hospital name (if applicable), primary practitioner contact information. Additional information has been requested.  9/28/09 PCP medical records received DOS 8/24/08 to 9/18/09. Patient experienced new onset seizure after Gardasil. Genital warts resolved. Reports Augmentin allergy. Oral contraception. 12/7/2009 and 12/14/2009 ED records for 7/28-7/29/2009 and neuro f/up visit for 7/31/2009. Patient with c/o's confusion, biting the tongue, short term memory loss, headache and difficulty with speech after waking today. Patient had a similiar incident 4/2009 but did not seek tx. Neuro consult in hospital, started on Keppra. Dc Dx seizure disorder/Epilepsy
Age: 23.0
Sex: F
Vaccine: HPV4
Symptoms: Headache, Lymphocyte count decreased, Metabolic function test, Monocyte count decreased, Neutrophil count increased
Clinical narrative: Initial information from a consumer with follow up information from a secretary at a physician's office, concerning a 24 year old female with warts and no known drug allergies who on 24-AUG-2008 was vaccinated with the first dose of GARDASIL (lot# 660553/0070X), 0.5 ml, I.M. and on 16-OCT-2008 was vaccinated with the second dose of GARDASIL (lot# 660612/0229X) 0.5 ml, I.M. Concomitant therapy included ALDARA for warts and "kapara" 500 mg daily. The patient had been off the birth control pill since January 2009. The physician noted in the chart for the 09-SEP-2009 visit, "The patient reported new onset of seizures since starting GARDASIL". Upon internal review seizures were considered to be an other important medical event. The health care professional contacted during telephone follow-up could not supply the following information: date of event, recovery status, hospital name (if applicable), primary practitioner contact information. Additional information has been requested.  9/28/09 PCP medical records received DOS 8/24/08 to 9/18/09. Patient experienced new onset seizure after Gardasil. Genital warts resolved. Reports Augmentin allergy. Oral contraception. 12/7/2009 and 12/14/2009 ED records for 7/28-7/29/2009 and neuro f/up visit for 7/31/2009. Patient with c/o's confusion, biting the tongue, short term memory loss, headache and difficulty with speech after waking today. Patient had a similiar incident 4/2009 but did not seek tx. Neuro consult in hospital, started on Keppra. Dc Dx seizure disorder/Epilepsy
Age: 23.0
Sex: F
Vaccine: HPV4
Symptoms: Nuclear magnetic resonance imaging brain abnormal, Speech disorder, Tongue biting, Urine analysis normal, Urine human chorionic gonadotropin negative
Clinical narrative: Initial information from a consumer with follow up information from a secretary at a physician's office, concerning a 24 year old female with warts and no known drug allergies who on 24-AUG-2008 was vaccinated with the first dose of GARDASIL (lot# 660553/0070X), 0.5 ml, I.M. and on 16-OCT-2008 was vaccinated with the second dose of GARDASIL (lot# 660612/0229X) 0.5 ml, I.M. Concomitant therapy included ALDARA for warts and "kapara" 500 mg daily. The patient had been off the birth control pill since January 2009. The physician noted in the chart for the 09-SEP-2009 visit, "The patient reported new onset of seizures since starting GARDASIL". Upon internal review seizures were considered to be an other important medical event. The health care professional contacted during telephone follow-up could not supply the following information: date of event, recovery status, hospital name (if applicable), primary practitioner contact information. Additional information has been requested.  9/28/09 PCP medical records received DOS 8/24/08 to 9/18/09. Patient experienced new onset seizure after Gardasil. Genital warts resolved. Reports Augmentin allergy. Oral contraception. 12/7/2009 and 12/14/2009 ED records for 7/28-7/29/2009 and neuro f/up visit for 7/31/2009. Patient with c/o's confusion, biting the tongue, short term memory loss, headache and difficulty with speech after waking today. Patient had a similiar incident 4/2009 but did not seek tx. Neuro consult in hospital, started on Keppra. Dc Dx seizure disorder/Epilepsy
Age: 23.0
Sex: F
Vaccine: HPV4
Symptoms: White blood cell count
Clinical narrative: Initial information from a consumer with follow up information from a secretary at a physician's office, concerning a 24 year old female with warts and no known drug allergies who on 24-AUG-2008 was vaccinated with the first dose of GARDASIL (lot# 660553/0070X), 0.5 ml, I.M. and on 16-OCT-2008 was vaccinated with the second dose of GARDASIL (lot# 660612/0229X) 0.5 ml, I.M. Concomitant therapy included ALDARA for warts and "kapara" 500 mg daily. The patient had been off the birth control pill since January 2009. The physician noted in the chart for the 09-SEP-2009 visit, "The patient reported new onset of seizures since starting GARDASIL". Upon internal review seizures were considered to be an other important medical event. The health care professional contacted during telephone follow-up could not supply the following information: date of event, recovery status, hospital name (if applicable), primary practitioner contact information. Additional information has been requested.  9/28/09 PCP medical records received DOS 8/24/08 to 9/18/09. Patient experienced new onset seizure after Gardasil. Genital warts resolved. Reports Augmentin allergy. Oral contraception. 12/7/2009 and 12/14/2009 ED records for 7/28-7/29/2009 and neuro f/up visit for 7/31/2009. Patient with c/o's confusion, biting the tongue, short term memory loss, headache and difficulty with speech after waking today. Patient had a similiar incident 4/2009 but did not seek tx. Neuro consult in hospital, started on Keppra. Dc Dx seizure disorder/Epilepsy
Age: 15.0
Sex: F
Vaccine: HPV4
Symptoms: Computerised tomogram, Drug exposure during pregnancy, Full blood count abnormal
Clinical narrative: Information has been received from a physician, for GARDASIL, a Pregnancy Registry product, concerning a 16 year old female with no pertinent medical history or drug reactions who was vaccinated with at lease one dose of GARDASIL (lot#, route and site of administration not reported) in the last 4 weeks. Concomitant therapy included prenatal vitamins. The patient was pregnant and developed immune thrombocytopenia purpura. On approximately 14-AUG-2009 ("4 weeks ago"), the patient's platelet level, 8000/L, was extremely low. On 04-SEP-2009 she started with treatment with prednisone 20 mg, twice daily. Her platelet level was already 116000/L. Other than the low platelet the patient was asymptomatic. At the time of this report, the patient had not recovered. The patient's "due date" was 20-APR-2010. Follow up information has been received from a registered nurse who stated that on 23-AUG-2009 the 16 year old female patient was in a fight and received an injury to her eyes and head. The patient was 7.5 weeks pregnant at the time. She underwent a CT of the head (hospital location and results not available). No blood work was done at that time. On 04-SEP-2009 her blood work was drawn and the platelet result was 8000. The patient was diagnosed with immune thrombocytopenia purpura. Additional follow up information has been received from a licensed practical nurse concerning the 16 year old female patient who on 15-JUN-2009 was vaccinated with the first dose of GARDASIL (lot# 659441/1446U, route and site of administration not reported). On 17-AUG-2009 she was vaccinated with the second dose of GARDASIL (lot#661953/1130X, route and site of administration not reported). No other vaccines were administered on these two dates. Upon internal review, the immune thrombocytopenia purpura was determined to be an other important medical event. Additional information has been requested.  10/01/09 Received PCP medical records. FINAL DX: Idiopathic Thtombocytopenic Purpura Records reveal patient in usual state of good health on 6/15/09.  Records indicate patient also received Menactra & Adacel on 6/15/09 but no lot numbers recorded.  Records of 9/09 reveal patient pregnant & prenatal labs revealed plts of 8K.  Patient was asymtomatic & tx w/oral steroids.  Plts increased to 116K.  Heme & OB/GYN consults done.
Sex: F
Vaccine: HPV4
Symptoms: Human papilloma virus test positive, Precancerous cells present
Clinical narrative: Information has been received from a physician assistant concerning several "30's" female patients who were vaccinated with GARDASIL series on unspecified date and a couple of years later test positive for HPV. There patients had gone to an office and had Pap's that came back as high risk. These were precancerous cells. The reporter mentioned most of these patients were married. The reporter thought the patients test that came back as high risk were for the HPV types that GARDASIL did not cover. One of these patient's physicians "froze the precancerous cells". The number of patients was unknown. At the reporting time the outcome was unknown. Upon internal review, precancerous cells and test positive for HPV were determined to be other important medical events. Additional information is not expected.
Age: 14.0
Sex: F
Vaccine: HEPA, HPV4, MNQ, TDAP, VARCEL, HEPA, HPV4, MNQ, TDAP, VARCEL
Symptoms: Condition aggravated, Convulsion, Immediate post-injection reaction
Clinical narrative: Information has been received from a physician's assistant concerning a 14 year old female with a history of a seizure when she was 10 years old who on 21-AUG-2009 was vaccinated with a 0.5 mL dose of GARDASIL (lot # 659054/0311Y). Secondary suspect vaccination given on the same date included doses of VARIVAX (Merck), VAQTA (Merck), MENACTRA, and ADACEL. The patient had a seizure right after getting the vaccinations. She was taken to the emergency room and was given phenytoin 100 mg BID (manufacturer/description unknown). They wanted the patient to follow up with a neurologist. Therapy with GARDASIL Was discontinued. Subsequently, the patient recovered from seizure. Upon internal review, seizure was determined to be an other important medical event. Additional information has been requested.  9/25/09 PCP medical records received DOS 8/21/09. Assessment: Unspecified epilepsy without mention of intractable epilepsy. Patient was sent to ER for seizures after vaccine administration. 12/9/09 Received ER medical records of 8/21/09. FINAL DX: Records reveal patient very scared of receiving shot & experienced seizure like activity same day.  Not on seizure meds.  Dilantin restarted, d/c to home & referred to PCP  12/16/09 Medical records received for dates 9/3/09 to 9/16/09 DX: seizure disorder. Pt presented w/ seizure after gardasil vax dose 1. ER recs received for date 8/21/09 DX: seizure. pt was receiving vax, pt stated scared of needle, and had aseizure.
Age: 14.0
Sex: F
Vaccine: HEPA, HPV4, MNQ, TDAP, VARCEL, HEPA, HPV4, MNQ, TDAP, VARCEL
Symptoms: Condition aggravated, Convulsion
Clinical narrative: Information has been received from a physician's assistant concerning a 14 year old female with a history of a seizure when she was 10 years old who on 21-AUG-2009 was vaccinated with a 0.5 mL dose of GARDASIL (lot # 659054/0311Y). Secondary suspect vaccination given on the same date included doses of VARIVAX (Merck), VAQTA (Merck), MENACTRA, and ADACEL. The patient had a seizure right after getting the vaccinations. She was taken to the emergency room and was given phenytoin 100 mg BID (manufacturer/description unknown). They wanted the patient to follow up with a neurologist. Therapy with GARDASIL Was discontinued. Subsequently, the patient recovered from seizure. Upon internal review, seizure was determined to be an other important medical event. Additional information has been requested.  9/25/09 PCP medical records received DOS 8/21/09. Assessment: Unspecified epilepsy without mention of intractable epilepsy. Patient was sent to ER for seizures after vaccine administration. 12/9/09 Received ER medical records of 8/21/09. FINAL DX: Records reveal patient very scared of receiving shot & experienced seizure like activity same day.  Not on seizure meds.  Dilantin restarted, d/c to home & referred to PCP  12/16/09 Medical records received for dates 9/3/09 to 9/16/09 DX: seizure disorder. Pt presented w/ seizure after gardasil vax dose 1. ER recs received for date 8/21/09 DX: seizure. pt was receiving vax, pt stated scared of needle, and had aseizure.
Sex: F
Vaccine: FLUX
Symptoms: Adverse drug reaction, Cardiac disorder, Diabetes mellitus
Clinical narrative: Initial information was received on 04 September 2009 from a consumer. A female patient with no reported past medical history received an influenza vaccine on an unspecified date (manufacturer, lot number, route, site of administration and number of previous doses were not reported). Following vaccination, the patient stated that she developed diabetes. She also reported that her diabetes medication (medication not specified) caused her "heart problems". No additional information was provided. List of Documents held by sender: none.
Age: 12.0
Sex: F
Vaccine: HPV4, MNQ, TDAP
Symptoms: Computerised tomogram, Convulsion, Fatigue
Clinical narrative: Initial report received on 08 September 2009 from another manufacturer, report # WAES0908USA04708 whose initial reporter was a health care professional. "Information has been received from a physician and an office manager concerning a 12 year old female patient with amoxicillin allergy who on 26-AUG-2009 was vaccinated with the first 0.5 ml dose of GARDASIL, concomitantly with a dose of (BOOSTRIX) (Lot : AC528046AA), a dose of VARIVAX (Lot : 664232/0498Y) and a dose of (MENACTRA) (Lot: U2815AA). The patient stated that after the vaccination she felt tired. She went home and had a seizure. the patient went to the emergency room and had computed axial tomography (CAT) done (results not reported). The patient was not hospitalized. The patient's mother called on 27-AUG-2009 at the physician's office and stated that her daughter was doing better. The physician also stated that her did not consider the events to be life threatening or to have caused the patient significant disability or incapacity. Upon internal review the seizure was considered as other important medical event. Additional information has been requested".
Age: 3.0
Sex: F
Vaccine: DTAP
Symptoms: Pertussis
Clinical narrative: Initial report received on 10 September 2009 from a consumer. A 3 year old female patient finished her fourth dose of DAPTACEL (lot number, route, and site of administration was not known) on an unspecified date. The patient had pertussis confirmed by a nasal swab. No further information was provided. List of Documents held by sender: none.
Age: 2.0
Sex: M
Vaccine: DTAPIPVHIB, HEPA, MMR, PNC, VARCEL
Symptoms: Body temperature, Varicella
Clinical narrative: Patient received Varicella Vaccine on 9/2/09 and came down with low grade temp and numerous bumps on 9/12/09.Went to Dr. and diagnosed as Chicken Pox with no labs done.
Age: 9.0
Sex: F
Vaccine: HPV4
Symptoms: Cough, Headache, Nasal congestion, Pyrexia
Clinical narrative: Cough and stuffy nose lasting more than two weeks so far; fever of 102.4, severe headache
Age: 81.0
Sex: M
Vaccine: FLU3
Symptoms: Nausea, Rhinorrhoea
Clinical narrative: Patient experienced nausea and runny nose within 24 hours of vaccine administration.
Age: 17.0
Sex: F
Vaccine: MNQ, VARCEL
Symptoms: Hypoaesthesia, Injected limb mobility decreased, Injection site pain, Musculoskeletal pain, Pain in extremity
Clinical narrative: PATIENT STATES THAT ON 9-14-09 AT ABOUT 8PM HER RIGHT ARM BECAME SORE AT INJECTION SITE, THE FOLLOWING DAY SHE STATES SHE WAS UNABLE TO LIFT HER RIGHT ARM ABOVE HER HEAD WITHOUT IT HURTING SIGNIFICANTLY, SHE ALSO STARTED HAVING SOME TINGLING IN HER RIGHT ARM THAT WENT FROM HER SHOULDER TO HER HAND, THIS SYMPTOM WOULD COME AND GO, THE FOLLOWING DAY (9-16-09) THE TINGLING CONTINUED ALONG WITH THE OTHER SYMPTOMS, PATIENT TOOK SOME BENADRYL, HER ARM BECAME NUMB AROUND 10AM AND REGAINED FEELING AT 11 AM, SHE ALSO HAD PAIN THAT RADIATES FROM HER RIGHT ARM ACROSS HER SHOULDERS TO HER LEFT SHOULDER, SHE TOOK SOME IBUPROFEN THIS AFTERNOON. ENCOURAGED PATIENT TO GO TO HER PRIMARY DOCTOR OR URGENT CARE IF SYMPTOMS CONTINUED
Age: 17.0
Sex: F
Vaccine: MNQ, VARCEL
Symptoms: Paraesthesia
Clinical narrative: PATIENT STATES THAT ON 9-14-09 AT ABOUT 8PM HER RIGHT ARM BECAME SORE AT INJECTION SITE, THE FOLLOWING DAY SHE STATES SHE WAS UNABLE TO LIFT HER RIGHT ARM ABOVE HER HEAD WITHOUT IT HURTING SIGNIFICANTLY, SHE ALSO STARTED HAVING SOME TINGLING IN HER RIGHT ARM THAT WENT FROM HER SHOULDER TO HER HAND, THIS SYMPTOM WOULD COME AND GO, THE FOLLOWING DAY (9-16-09) THE TINGLING CONTINUED ALONG WITH THE OTHER SYMPTOMS, PATIENT TOOK SOME BENADRYL, HER ARM BECAME NUMB AROUND 10AM AND REGAINED FEELING AT 11 AM, SHE ALSO HAD PAIN THAT RADIATES FROM HER RIGHT ARM ACROSS HER SHOULDERS TO HER LEFT SHOULDER, SHE TOOK SOME IBUPROFEN THIS AFTERNOON. ENCOURAGED PATIENT TO GO TO HER PRIMARY DOCTOR OR URGENT CARE IF SYMPTOMS CONTINUED
Age: 68.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Activities of daily living impaired, Arthralgia, Diarrhoea, Injected limb mobility decreased, Injection site erythema
Clinical narrative: Fever 100-101.4 developed approx. 18 hours after vaccine. Had the fever for 2 days. Muscle and joint aches for 2 days. Slept an unusual amount for 3 days. Right arm, fire red area about 5 inches long around the vaccine site and extreme soreness and pain in the area, unable to raise the arm due to the discomfort. Red area has taken about four days to decrease and now the red area is the size of a quarter. The area is still very tender to touch and there is a golf ball size lump around the injection site. Also, diarrhea and cramping for 5 days. Only treatment was Tylenol.
Age: 68.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Injection site mass, Injection site pain, Muscle spasms, Myalgia, Pyrexia
Clinical narrative: Fever 100-101.4 developed approx. 18 hours after vaccine. Had the fever for 2 days. Muscle and joint aches for 2 days. Slept an unusual amount for 3 days. Right arm, fire red area about 5 inches long around the vaccine site and extreme soreness and pain in the area, unable to raise the arm due to the discomfort. Red area has taken about four days to decrease and now the red area is the size of a quarter. The area is still very tender to touch and there is a golf ball size lump around the injection site. Also, diarrhea and cramping for 5 days. Only treatment was Tylenol.
Age: 68.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Tenderness
Clinical narrative: Fever 100-101.4 developed approx. 18 hours after vaccine. Had the fever for 2 days. Muscle and joint aches for 2 days. Slept an unusual amount for 3 days. Right arm, fire red area about 5 inches long around the vaccine site and extreme soreness and pain in the area, unable to raise the arm due to the discomfort. Red area has taken about four days to decrease and now the red area is the size of a quarter. The area is still very tender to touch and there is a golf ball size lump around the injection site. Also, diarrhea and cramping for 5 days. Only treatment was Tylenol.
Age: 4.0
Sex: M
Vaccine: DTAPIPV, MMR, VARCEL
Symptoms: Hypersensitivity, Injection site erythema, Injection site oedema, Injection site pruritus
Clinical narrative: Left arm with erythema and edema and itching from deltoid to wrist, began within 48 hours of KinRix adminsitration to left deltoid. Treated as allergic vs. cellulitis with Benadryl and Keflex and rechecked one day later with considerable improvement.
Age: 0.83
Sex: M
Vaccine: FLU3
Symptoms: Lymphocyte percentage increased, Neutropenia, Neutrophil percentage decreased, Platelet count normal, Thrombocytopenia
Clinical narrative: CBC obtained 3 days post influenza vaccine, demonstrated neutropenia (ANC 650) and mild thrombocytopenia (plt 150). Patient otherwise well and asymptomatic. There is a possibility results may be spurious.
Age: 0.83
Sex: M
Vaccine: FLU3
Symptoms: White blood cell count
Clinical narrative: CBC obtained 3 days post influenza vaccine, demonstrated neutropenia (ANC 650) and mild thrombocytopenia (plt 150). Patient otherwise well and asymptomatic. There is a possibility results may be spurious.
Age: 58.0
Sex: F
Vaccine: FLU3
Symptoms: Anxiety, Cold sweat, Dyspnoea, Malaise, Oxygen saturation decreased
Clinical narrative: Approx. 12:30 p.m. Inluenza injection given.  Approx. 3:30 p.m. client reports began feeling short of breath.  Approx. 4 p.m. client returned to our office.  Was SOB, face appeared slighly swollen, apprehensive, just not feeling well. No rash or redness noted anywhere on clients body or at injection site. Administered 25 mgs  2 capsules, po of Benadryl per standing order for reaction.  Client began vomiting and became clammy shortly after taking medication and vomited medication.  Continued to have c/o breathing problems.  BP 158/85, Pulse 71, Spo2 above 90%.  911 was called. 02 placed on client.  Client continued to be SOB, vomiting.  Client was transported to ER for further evaluation.   First influenza vaccine client had ever received.  Client has history of PAD. (Peripherial artery disease)
Age: 58.0
Sex: F
Vaccine: FLU3
Symptoms: Swelling face, Vomiting
Clinical narrative: Approx. 12:30 p.m. Inluenza injection given.  Approx. 3:30 p.m. client reports began feeling short of breath.  Approx. 4 p.m. client returned to our office.  Was SOB, face appeared slighly swollen, apprehensive, just not feeling well. No rash or redness noted anywhere on clients body or at injection site. Administered 25 mgs  2 capsules, po of Benadryl per standing order for reaction.  Client began vomiting and became clammy shortly after taking medication and vomited medication.  Continued to have c/o breathing problems.  BP 158/85, Pulse 71, Spo2 above 90%.  911 was called. 02 placed on client.  Client continued to be SOB, vomiting.  Client was transported to ER for further evaluation.   First influenza vaccine client had ever received.  Client has history of PAD. (Peripherial artery disease)
Age: 10.0
Sex: F
Vaccine: HEPA, HPV4
Symptoms: Basedow's disease, Blood thyroid stimulating hormone
Clinical narrative: Pt developed Graves Disease an autoimmune disorder (rare for pt's age group) that was not diagnosed officially until Spring of 2009.  9/28/09 PCP medical records received DOS 5/18/09 to 9/2/09. Assessment: Graves Disease.  Patient presents for headache behind eyes and across forehead. Nausea. Feels like something is moving in head. Fatigue. Tachycardia, enlarged thyroid gland. Weight loss. Palpitations. Slight tremor. Hyperthyroid.
Age: 17.0
Sex: M
Vaccine: HEP, MMR, TDAP
Symptoms: Dizziness
Clinical narrative: 30-45 min after vaccines given child felt light-headed, sat down on front steps.When I was notified child was in back seat of cab and back to normal condition for child
Age: 12.0
Sex: F
Vaccine: HPV4, MNQ, TDAP
Symptoms: Excoriation, Fall, Feeling hot, Gait disturbance, Immediate post-injection reaction
Clinical narrative: Approximately 2 minutes after receiving Tdap, MCV4 and HPV, client was observed with an unsteady gait.  Client hit the side of a hallway wall with right eyebrow, right side of cheek and between nose and lip.  Small abrasion observed to area between nose and lip.  Client reported that she "got hot all of a sudden and could not see".  Nurse was able to catch the client when falling.  Client was eased to the floor.  BP was taken (98/62)and a cool cloth applied to forehead, face and neck.  Client was then assisted to an exam table and lower extremities were elevated.  Client remained in clinic for approx. 20 minutes.  Left with mother in stable condition.  Instructed to go to ER if any signs of nausea, vomiting, headache, blurred vision, etc.  Follow-up phone call to mom approx. 1 hour later.  Mom reported client feels better.
Age: 12.0
Sex: F
Vaccine: HPV4, MNQ, TDAP
Symptoms: Visual impairment
Clinical narrative: Approximately 2 minutes after receiving Tdap, MCV4 and HPV, client was observed with an unsteady gait.  Client hit the side of a hallway wall with right eyebrow, right side of cheek and between nose and lip.  Small abrasion observed to area between nose and lip.  Client reported that she "got hot all of a sudden and could not see".  Nurse was able to catch the client when falling.  Client was eased to the floor.  BP was taken (98/62)and a cool cloth applied to forehead, face and neck.  Client was then assisted to an exam table and lower extremities were elevated.  Client remained in clinic for approx. 20 minutes.  Left with mother in stable condition.  Instructed to go to ER if any signs of nausea, vomiting, headache, blurred vision, etc.  Follow-up phone call to mom approx. 1 hour later.  Mom reported client feels better.
Age: 69.0
Sex: F
Vaccine: PPV
Symptoms: Erythema, Oedema peripheral, Pain in extremity
Clinical narrative: Received pneumonia vaccine 9/14/09.  Returned to clinic 9/16/09.  Arm sl swollen.  c/o soreness.  No redness at injection site, however, a 2 inch wide band of redness starting about 3 inches down from injection site and circling around to the inside of the arm appeared 9/15/09. Client was advised to contact her MD.  Client also believes she might have had a pneumonia shot about 10yrs ago.  She did not disclose this prior to receiving the vaccination.  Client was advised to contact her physician.  MD advised her to start benedryl and apply cold packs to the area.
Age: 19.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site pruritus, Injection site swelling
Clinical narrative: Swelling at injection site which got worse on 9/16/09 then better on 9/17/09. Also itching around the injection site.
Age: 13.0
Sex: F
Vaccine: HPV4
Symptoms: Arthralgia, Blood thyroid stimulating hormone, Borrelia burgdorferi serology, Epstein-Barr virus test, Fatigue
Clinical narrative: Extreme Fatigue, Nausea, migratory joint pain, joint swelling, abnormal TSH,T3,T4, headaches
Age: 13.0
Sex: F
Vaccine: HPV4
Symptoms: Headache, Joint swelling, Laboratory test, Laboratory test abnormal, Nausea
Clinical narrative: Extreme Fatigue, Nausea, migratory joint pain, joint swelling, abnormal TSH,T3,T4, headaches
Age: 13.0
Sex: F
Vaccine: HPV4
Symptoms: Rheumatoid factor, Thyroxine abnormal, Tri-iodothyronine abnormal
Clinical narrative: Extreme Fatigue, Nausea, migratory joint pain, joint swelling, abnormal TSH,T3,T4, headaches
Age: 45.0
Sex: F
Vaccine: FLU3
Symptoms: Chest discomfort, Cough, Dysphagia, Oropharyngeal pain
Clinical narrative: Influenza vaccine administered at 7:30 am. By 10:00 am developed sore throoat, cough, progressed to chest tightness difficulty swallowing by 11:30 am. Directed employee to the ER for treatment
Age: 10.0
Sex: F
Vaccine: FLU3, VARCEL
Symptoms: Pyrexia
Clinical narrative: Fever of 104 degree noted by school nurse.
Age: 2.0
Sex: F
Vaccine: FLUN3
Symptoms: Crying, Eye irritation
Clinical narrative: scratching/clawing at eyes     crying
Age: 29.0
Sex: F
Vaccine: FLU3
Symptoms: Dizziness, Feeling hot, Hyperhidrosis, Nausea, Vomiting
Clinical narrative: Severe dizziness, nausea, vomiting, hot sweats.  Occurred a little over 20 hrs & lasted 24 - 48 hrs.  No fever.
Age: 19.0
Sex: M
Vaccine: FLU3
Symptoms: Dizziness
Clinical narrative: About 5 min after vaccination, pt c/o dizziness, feeling like he was "blacking out". Pt was able to lay down with feet elevated. BP was taken. Felt better 20 within 20 min. F/u call @ 3pm-doing fine.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Abnormal behaviour, Agitation, Obsessive-compulsive disorder
Clinical narrative: Behavioral changes, agitation, obsessive compulsive behavior starting within 2-3 days of receiving DAPTACEL #5, MMR II #2, IPOL #4, Varivax #2. These behavior changes, although improving, have persisted 3 weeks after vaccinations. Pt had completed a course of ZITHROMAX for pertussis exposure 5 days prior to shots.
Age: 11.0
Sex: F
Vaccine: HEP, IPV, MMR, MNQ
Symptoms: Crying, Dyspnoea, Irritability, Pyrexia
Clinical narrative: "Persistent crying for 3 hrs, with fever".  "Also short of breath & irritability".  Child had previous immunizations in another country but did not have records.
Age: 66.0
Sex: F
Vaccine: VARZOS
Symptoms: Blister, Erythema, Induration, Pain, Pruritus
Clinical narrative: Red, swollen, heat in area, hard knot. Erythemic flap 2 inch from clavicle to elbow. Painful, itching with vesicles --> 3cm diameter.
Age: 66.0
Sex: F
Vaccine: VARZOS
Symptoms: Skin warm, Swelling
Clinical narrative: Red, swollen, heat in area, hard knot. Erythemic flap 2 inch from clavicle to elbow. Painful, itching with vesicles --> 3cm diameter.
Age: 64.0
Sex: F
Vaccine: VARZOS
Symptoms: Blister, Injection site erythema, Injection site urticaria, Rash erythematous
Clinical narrative: Next morning: red blister/rash 1" long rt shldr. Next 5 days: burning, very red at injection site (injection site was back of left arm) 2" diameter welt at inject. site.
Age: 50.0
Sex: F
Vaccine: MNQ, TDAP
Symptoms: Injection site cellulitis
Clinical narrative: Positive cellulitis on vaccine site.
Age: 73.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Skin warm
Clinical narrative: Red skin at injection site approx 19-20 hours after PNEUMOVAX injection.  About 2" around site.  Warm to touch.  Dr's office contacted patient told to watch & go to ER if any breathing problems.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV
Symptoms: Injection site swelling, Injection site warmth
Clinical narrative: Entire thigh to under knee of left leg swollen 2x's normal size-warm to touch.
Age: 1.01
Sex: M
Vaccine: HEP, HEPA, PNC, VARCEL
Symptoms: Cough, Pyrexia, Rash erythematous, Rash generalised, Rhinorrhoea
Clinical narrative: Red rash all over. Fever coughing runny nose.
Age: 1.3
Sex: F
Vaccine: DTAP, VARCEL
Symptoms: Pyrexia
Clinical narrative: Fever 101.0 - 103.0.
Age: 3.0
Sex: M
Vaccine: DTAP, IPV
Symptoms: Oedema peripheral, Urticaria
Clinical narrative: Pt received Shot Thur and reported "some reaction Sat. to MD. Dr. reassured patient. School nurse and mom report the side polio was received on ended up becoming hives and swelling from groin to knee and hives from midchest down into lower groin.
Age: 14.0
Sex: F
Vaccine: HPV4, VARCEL
Symptoms: Menstrual disorder, Similar reaction on previous exposure to drug
Clinical narrative: Patient and mother report - after HPV #1 patient skip one period.  After HPV #2 skipped 2 periods and now menstrual cycle irregular.
Age: 1.4
Sex: M
Vaccine: DTAP
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Pt's mother stated swelling, red and hot on the area vaccine was given.
Age: 15.0
Sex: F
Vaccine: HPV4
Symptoms: Epstein-Barr virus antibody negative, Full blood count normal, Mass, Mononucleosis heterophile test negative, Pain
Clinical narrative: Five days after receiving the guardisil shot in her left arm she awoke with a painful lump above her left clavicle.  Ten days after the lump, she saw the doctor who ran strep and mono quick tests, both were negative.  The doctor ordered E.B.titers, CBC and sed rate.  All tests results were normal. On 9-3-09 she was back in the Doctor's office with low grade fever. Doctor thought it might be sinus infection and gave her Azithromycin.  The lump did not go away during the course of treatment with antibiotics it just became less tender.  On 9-16-09 the tenderness of the lump has increased again. The size of the lump remains the same to date. We do not know if the lump formed immediately after her shot or if the level of pain on the 5th day led her to find the lump.  9/22/09 Received PCP medical records.  Visit on 8/27/09 w/neck stiffness, swelling & tenderness & left supraclavicular node x 10 days; HA & vomiting x 2 days.  Also noted pimple of left cheek that enlarged & burst spontaneously then scabbed over.  Dx w/Torticollis left side & cervical adenitis.  All labs neg.  RTC 9/3 w/cold s/s, red throat, nasal congestion & backache.  Tx w/oral antibiotics.  No further medical records available.
Age: 15.0
Sex: F
Vaccine: HPV4
Symptoms: Pyrexia, Red blood cell sedimentation rate normal, Streptococcal identification test negative
Clinical narrative: Five days after receiving the guardisil shot in her left arm she awoke with a painful lump above her left clavicle.  Ten days after the lump, she saw the doctor who ran strep and mono quick tests, both were negative.  The doctor ordered E.B.titers, CBC and sed rate.  All tests results were normal. On 9-3-09 she was back in the Doctor's office with low grade fever. Doctor thought it might be sinus infection and gave her Azithromycin.  The lump did not go away during the course of treatment with antibiotics it just became less tender.  On 9-16-09 the tenderness of the lump has increased again. The size of the lump remains the same to date. We do not know if the lump formed immediately after her shot or if the level of pain on the 5th day led her to find the lump.  9/22/09 Received PCP medical records.  Visit on 8/27/09 w/neck stiffness, swelling & tenderness & left supraclavicular node x 10 days; HA & vomiting x 2 days.  Also noted pimple of left cheek that enlarged & burst spontaneously then scabbed over.  Dx w/Torticollis left side & cervical adenitis.  All labs neg.  RTC 9/3 w/cold s/s, red throat, nasal congestion & backache.  Tx w/oral antibiotics.  No further medical records available.
Age: 22.0
Sex: F
Vaccine: MMR
Symptoms: Injection site induration, Injection site warmth
Clinical narrative: Pt is an International student from China.  Was given her 1st of 2 reguired doses of MMR on 09/14/09 subQ in her left arm.  A mantoux test was also given in her right forearm on this day.  She returned to the clinic to have her mantoux read on 09/16/09 when another RN noted that she had a localized reaction to the MMR.  It was an approximately 2 cm induration around the injection site with some warmth noted.  Pt denied pain at the site.
Age: 43.0
Sex: F
Vaccine: HEPA, PPV, TD
Symptoms: Erythema, Vaccination complication
Clinical narrative: She had injection on tuesday here in her R arm.  she noted some reaction that started a little that night and then more on wednesday wiht redness and spreading. it does not itchin, no exudate or pus from shot/injection side.  she did put some ice on it and took tylenol.  she has not had a fever, no chills.  no nausea or vomit.  no diarrhea.  she has less appetite.
Age: 34.0
Sex: F
Vaccine: FLU3
Symptoms: Immediate post-injection reaction, Neck pain
Clinical narrative: Received T/C from patient.  States received Flu vaccine on Monday, September 14, 2009 in left deltoid.  States immediately felt a pain in her left side of neck.  Did not report to the nurse who admninistered the vaccine.  States did not have any pain at injection site or redness.  No pain down her arm.  No numbness or tingling in her arm.  No other signs/symptoms.  States is improving.  Has done no OTC treatment, i.e ice/heat, meds.
Age: 38.0
Sex: F
Vaccine: FLU3
Symptoms: Lip swelling, Rash
Clinical narrative: rash on chin, abdomen, and both arms.  Lips began to swell.  patient took 2 doses of benadryl liquid.  swelling of lips did not decrease, so she went to the emergency room.  ER MD prescribed prednisone and benadryl.
Age: 70.0
Sex: F
Vaccine: VARZOS
Symptoms: Joint swelling, Oedema peripheral
Clinical narrative: At 2pm pt got Zostavax shot. By the time she got home, she noticed her feet and ankles swollen.  She called us to report the side effects and called her dr.  Later on she was in the emergency room.  ER Dr couldn't find out why she had this reaction.
Age: 29.0
Sex: M
Vaccine: HEPAB
Symptoms: Head injury, Loss of consciousness
Clinical narrative: 5 minutes after recieving vaccine, client passed out and hit his head on counter. Loss of conciseness for appox 1 minute. Client did recover, alert and oriented. Paramedics were called, but client refused to go to ER. Paramedics and nursing staff strongly encouraged patient to go for further evaluation, but client again refused. The companion that came with client stated she would drive him to the hospital. Nursing staff escorted the client to the car and again encouraged to seek further evaluation at the hospital.
Age: 25.0
Sex: F
Vaccine: FLU3
Symptoms: Asthenia, Body temperature increased, Fatigue, Feeling cold, Feeling hot
Clinical narrative: approx. 12 hrs after vaccine I started shaking uncontrollablly, and was extremely cold, I could not warm up. Temp. was 98.6. Put 8 heavy blankets on me and still could not warm up, my heart was racing. after about 3 hrs of that then I got hot, very hot (I think from all of the blankets on me) my temp was then 101. Heart still racing. I slowly tried to cool down, but of course when taking blankets off I was still cold and shaking. I could not sleep and my heart was still racing, I finally fell asleep and got about 4 hrs of sleep, woke up and felt better, still a little weak and tired from not sleeping and from shaking, but felt fine over all. DUring all this, I did consider going to the ER, due to the uncontrollable shaking and heart racing, but just stayed home.
Age: 25.0
Sex: F
Vaccine: FLU3
Symptoms: Palpitations, Sleep disorder, Tremor
Clinical narrative: approx. 12 hrs after vaccine I started shaking uncontrollablly, and was extremely cold, I could not warm up. Temp. was 98.6. Put 8 heavy blankets on me and still could not warm up, my heart was racing. after about 3 hrs of that then I got hot, very hot (I think from all of the blankets on me) my temp was then 101. Heart still racing. I slowly tried to cool down, but of course when taking blankets off I was still cold and shaking. I could not sleep and my heart was still racing, I finally fell asleep and got about 4 hrs of sleep, woke up and felt better, still a little weak and tired from not sleeping and from shaking, but felt fine over all. DUring all this, I did consider going to the ER, due to the uncontrollable shaking and heart racing, but just stayed home.
Age: 1.08
Sex: U
Vaccine: MMR, PNC, VARCEL
Symptoms: Pyrexia, Rash
Clinical narrative: slight rash and low fever.
Age: 22.0
Sex: F
Vaccine: FLU3
Symptoms: Immediate post-injection reaction, Rash, Urticaria
Clinical narrative: Patient broke out in hives/rash within minutes of administration. No respiratory distress or edema noted by physician, no other complaints of symptoms made by patient.
Age: 51.0
Sex: F
Vaccine: FLU3
Symptoms: Chest X-ray, Chest discomfort, Electrocardiogram, Headache, Hypoaesthesia oral
Clinical narrative: c/o of itching at the site of injection immediatatley after injection. 1 hour later: c/o headache, numbing at mouth/lips, pale progress to thighness in chest and nausea
Age: 51.0
Sex: F
Vaccine: FLU3
Symptoms: Immediate post-injection reaction, Injection site pruritus, Nausea, Pallor
Clinical narrative: c/o of itching at the site of injection immediatatley after injection. 1 hour later: c/o headache, numbing at mouth/lips, pale progress to thighness in chest and nausea
Age: 32.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site urticaria
Clinical narrative: Pain in Left Shoulder where vaccine was given.  Soreness, red, swelling at injection site (hive).  Pain lasting two days and counting.
Age: 4.0
Sex: F
Vaccine: DTAPIPV, FLUX, MMR, VARCEL
Symptoms: Chapped lips, Injection site erythema, Injection site swelling, Pruritus, Rash generalised
Clinical narrative: Patient is a 4 year old female brought by father presenting with drug reaction. On Saturday woke up at 8AM woke up with swelling on right leg.  By 2PM much more swollen and red from knee to hip. Gave motrin with some relief.  Tuesday evening had rash all over body with itching. Went to ER 1AM Tuesday where Rxed prelone and benadryl.  Hasn't started prelone yet.  Sleeping well, no fever, normal appetite and bowel movement . OBJECTIVE: BP 84/50 | Pulse 118 | Temp(Src) 97.3 °F (36.3 °C) (Oral) | SpO2 98%  Patient is alert and oriented , cooperative, cheerful Skin: urticaria on buttuck, both lower extremities and back Lips cracked, not swollen No rash on buccal mucosa Lungs clear Abdomen benign  ASSESSMENT: 909.5 ADVERSE EFFECT TO DRUG/MEDICATION  (primary encounter diagnosis) Comment:   Plan: CLARITIN 5 MG/5ML OR SYRP Use benadryl as second line antihistamine. Use every 4 hours as needed Take prednisolone for 3 days, then stop
Age: 4.0
Sex: F
Vaccine: DTAPIPV, FLUX, MMR, VARCEL
Symptoms: Urticaria
Clinical narrative: Patient is a 4 year old female brought by father presenting with drug reaction. On Saturday woke up at 8AM woke up with swelling on right leg.  By 2PM much more swollen and red from knee to hip. Gave motrin with some relief.  Tuesday evening had rash all over body with itching. Went to ER 1AM Tuesday where Rxed prelone and benadryl.  Hasn't started prelone yet.  Sleeping well, no fever, normal appetite and bowel movement . OBJECTIVE: BP 84/50 | Pulse 118 | Temp(Src) 97.3 °F (36.3 °C) (Oral) | SpO2 98%  Patient is alert and oriented , cooperative, cheerful Skin: urticaria on buttuck, both lower extremities and back Lips cracked, not swollen No rash on buccal mucosa Lungs clear Abdomen benign  ASSESSMENT: 909.5 ADVERSE EFFECT TO DRUG/MEDICATION  (primary encounter diagnosis) Comment:   Plan: CLARITIN 5 MG/5ML OR SYRP Use benadryl as second line antihistamine. Use every 4 hours as needed Take prednisolone for 3 days, then stop
Age: 93.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Erythema, Oedema peripheral
Clinical narrative: Redness and swelling from the shoulder to the elbow
Age: 41.0
Sex: M
Vaccine: ANTH
Symptoms: Muscle spasms
Clinical narrative: 2 days after anthrax vaccination to the right deltoid, patient reported 2 episodes of right arm carpal spasms that lasted for several minutes.  Denies any other associated symptoms such as shortness of breath, chest pain, rash, headache or dizziness.  Patient was reassured and precautions given to return if further problems.