chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 0.2
Sex: M
Vaccine: DTAP, HIBV, PNC, RV5
Symptoms: Culture stool negative, Pyrexia, Rotavirus test positive, Vomiting
Clinical narrative: Vomited x1, 2 loose stools, temp 101.6. Onset 36 hours post vaccination.  6/20/08 Reviewed hospital medical records of 5/15-5/16/2008. FINAL DX: gastroenteritis Records reveal patient had markedly decreased oral intake, vomiting, diarhea, fever x approx 12 hrs.  Tx w/IVF.  No further vomiting, diarrhea or fever & improved oral intake.  D/C to home.
Age: 19.0
Sex: M
Vaccine: HPVX, TYP, YF
Symptoms: Dysphagia, Throat tightness
Clinical narrative: Mild difficulty swallowing 15 minutes after shot administered. Mild muscle tension in the throat as well. Went to the ER, was given adrenaline, benadryl, and pregnazone. Symptoms went away after these treatments.
Age: 2.0
Sex: M
Vaccine: HEPA
Symptoms: Abdominal pain, Alanine aminotransferase increased, Aspartate aminotransferase increased, Blood amylase increased, Blood folate normal
Clinical narrative: Leukopenia, Abd pain, F 103, decreased appetite Admit 5/17 0500 D/C 5/18. 5/17 ALT 185, Amylase 1035, lipase 1924, AST 417, WBC 2.6, N24%, L61%. 5/18 Lipase 24, Amylase 96, LDH 300, WBC 4.4, Hgb 10.7, Uric acid 3.5, B12/Folat normal, Retic % 0.45, CRP 5.1, IV fluids. 6/9/08-records received for DOS 5/17-5/18/08-DX: Pancreatitis. Increased amylase and lipase liver function tests. Leukopenic.Presented with 1 day history of abdominal pain, screaming. Fever of 102.2 (R), lethargic. Loose stools no blood. Seen for strep throat day prior which was negative.
Age: 2.0
Sex: M
Vaccine: HEPA
Symptoms: Blood lactate dehydrogenase increased, Blood uric acid normal, C-reactive protein increased, Decreased appetite, Haemoglobin decreased
Clinical narrative: Leukopenia, Abd pain, F 103, decreased appetite Admit 5/17 0500 D/C 5/18. 5/17 ALT 185, Amylase 1035, lipase 1924, AST 417, WBC 2.6, N24%, L61%. 5/18 Lipase 24, Amylase 96, LDH 300, WBC 4.4, Hgb 10.7, Uric acid 3.5, B12/Folat normal, Retic % 0.45, CRP 5.1, IV fluids. 6/9/08-records received for DOS 5/17-5/18/08-DX: Pancreatitis. Increased amylase and lipase liver function tests. Leukopenic.Presented with 1 day history of abdominal pain, screaming. Fever of 102.2 (R), lethargic. Loose stools no blood. Seen for strep throat day prior which was negative.
Age: 2.0
Sex: M
Vaccine: HEPA
Symptoms: Leukopenia, Lipase increased, Lymphocyte percentage increased, Neutrophil percentage decreased, Pyrexia
Clinical narrative: Leukopenia, Abd pain, F 103, decreased appetite Admit 5/17 0500 D/C 5/18. 5/17 ALT 185, Amylase 1035, lipase 1924, AST 417, WBC 2.6, N24%, L61%. 5/18 Lipase 24, Amylase 96, LDH 300, WBC 4.4, Hgb 10.7, Uric acid 3.5, B12/Folat normal, Retic % 0.45, CRP 5.1, IV fluids. 6/9/08-records received for DOS 5/17-5/18/08-DX: Pancreatitis. Increased amylase and lipase liver function tests. Leukopenic.Presented with 1 day history of abdominal pain, screaming. Fever of 102.2 (R), lethargic. Loose stools no blood. Seen for strep throat day prior which was negative.
Age: 2.0
Sex: M
Vaccine: HEPA
Symptoms: Reticulocyte count normal, Ultrasound abdomen normal, Vitamin B12 normal, White blood cell count decreased
Clinical narrative: Leukopenia, Abd pain, F 103, decreased appetite Admit 5/17 0500 D/C 5/18. 5/17 ALT 185, Amylase 1035, lipase 1924, AST 417, WBC 2.6, N24%, L61%. 5/18 Lipase 24, Amylase 96, LDH 300, WBC 4.4, Hgb 10.7, Uric acid 3.5, B12/Folat normal, Retic % 0.45, CRP 5.1, IV fluids. 6/9/08-records received for DOS 5/17-5/18/08-DX: Pancreatitis. Increased amylase and lipase liver function tests. Leukopenic.Presented with 1 day history of abdominal pain, screaming. Fever of 102.2 (R), lethargic. Loose stools no blood. Seen for strep throat day prior which was negative.
Age: 0.2
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Anaemia, Apnoea, Bradycardia, Convulsion, Endotracheal intubation
Clinical narrative: Severe apnea/bradycardia/desaturation events-12 hours after vaccines requiring intubation. Seizure-like activity began ~14 hours after vaccinations. Clinical sepsis with hypotension requiring pressors, hypothermia, and anemia ensued. in 20 hours after admission. Brother (twin) received same vaccines from same lot number and asymptomatic. Prognosis is unclear at this time.  06/17/2008 MR received for DOS 5/13-30/2008 with D/C DX; Respiratory Failure.  Prematurity.  Apnea of Prematurity. Sepsis-clinical. Infant presented after being found by mom to be unresponsive. Found to be bradycardic, with apnea and O2 desaturations in the ER. Pt was intubated and placed on a vent. Devceloped RUL atelectasis which resolved. Hypotension was initially unresponsive to fluid and required Dopamine.Pt tx with cortisone for absolute adrenal deficiency. Neurologically pt developed jerking, twitching, tongue thrusting felt to be seizures.  Pt somnolent with poor tone 2' to phenobarb. + dysphagia so NG tube placed for nutritional supplementation.  Given PRBC for low Hct. Tx with abx and antivirals for clinical sepsis.  ID consult with Impression adverse cardiorespiratory event following immunizations.
Age: 0.2
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Haematocrit decreased, Hypotension, Hypothermia, Oxygen saturation decreased, Sepsis
Clinical narrative: Severe apnea/bradycardia/desaturation events-12 hours after vaccines requiring intubation. Seizure-like activity began ~14 hours after vaccinations. Clinical sepsis with hypotension requiring pressors, hypothermia, and anemia ensued. in 20 hours after admission. Brother (twin) received same vaccines from same lot number and asymptomatic. Prognosis is unclear at this time.  06/17/2008 MR received for DOS 5/13-30/2008 with D/C DX; Respiratory Failure.  Prematurity.  Apnea of Prematurity. Sepsis-clinical. Infant presented after being found by mom to be unresponsive. Found to be bradycardic, with apnea and O2 desaturations in the ER. Pt was intubated and placed on a vent. Devceloped RUL atelectasis which resolved. Hypotension was initially unresponsive to fluid and required Dopamine.Pt tx with cortisone for absolute adrenal deficiency. Neurologically pt developed jerking, twitching, tongue thrusting felt to be seizures.  Pt somnolent with poor tone 2' to phenobarb. + dysphagia so NG tube placed for nutritional supplementation.  Given PRBC for low Hct. Tx with abx and antivirals for clinical sepsis.  ID consult with Impression adverse cardiorespiratory event following immunizations.
Age: 0.2
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: White blood cell count decreased
Clinical narrative: Severe apnea/bradycardia/desaturation events-12 hours after vaccines requiring intubation. Seizure-like activity began ~14 hours after vaccinations. Clinical sepsis with hypotension requiring pressors, hypothermia, and anemia ensued. in 20 hours after admission. Brother (twin) received same vaccines from same lot number and asymptomatic. Prognosis is unclear at this time.  06/17/2008 MR received for DOS 5/13-30/2008 with D/C DX; Respiratory Failure.  Prematurity.  Apnea of Prematurity. Sepsis-clinical. Infant presented after being found by mom to be unresponsive. Found to be bradycardic, with apnea and O2 desaturations in the ER. Pt was intubated and placed on a vent. Devceloped RUL atelectasis which resolved. Hypotension was initially unresponsive to fluid and required Dopamine.Pt tx with cortisone for absolute adrenal deficiency. Neurologically pt developed jerking, twitching, tongue thrusting felt to be seizures.  Pt somnolent with poor tone 2' to phenobarb. + dysphagia so NG tube placed for nutritional supplementation.  Given PRBC for low Hct. Tx with abx and antivirals for clinical sepsis.  ID consult with Impression adverse cardiorespiratory event following immunizations.
Age: 14.0
Sex: F
Vaccine: HPV4, MNQ, HPV4, HPV4, MNQ
Symptoms: Borrelia burgdorferi serology positive, Fatigue, Hypoaesthesia, Immunology test, Muscular weakness
Clinical narrative: Lower extremity pain and numbness and pins and needles, fatigue.  Also with hand and lower arm weakness, multiple consults.  Rheumatology, Psych, Emg - normal, MRI of head and spine - normal.  6/3/08 Reviewed PCP medical records. FINAL DX: (+)ANA syndrome w/arthralgia/alopecia; allergic rhinitis; exercise induced bronchospasm. Records reveal patient experienced alopecia areata (from age 2), arthralgia, lethargy, tiredness, eczema & joint stiffness in 2002.  Episode of Lyme disease 9/2007 & developed tingling in hands & feet.  Seen in ER 1/2008 w/increased weakness & tingling in hands & legs & difficulty walking.  Had been on antibiotics for pyuria.  Neuro & rheum consults done.
Age: 14.0
Sex: F
Vaccine: HPV4, MNQ, HPV4, HPV4, MNQ
Symptoms: Pain in extremity, Paraesthesia
Clinical narrative: Lower extremity pain and numbness and pins and needles, fatigue.  Also with hand and lower arm weakness, multiple consults.  Rheumatology, Psych, Emg - normal, MRI of head and spine - normal.  6/3/08 Reviewed PCP medical records. FINAL DX: (+)ANA syndrome w/arthralgia/alopecia; allergic rhinitis; exercise induced bronchospasm. Records reveal patient experienced alopecia areata (from age 2), arthralgia, lethargy, tiredness, eczema & joint stiffness in 2002.  Episode of Lyme disease 9/2007 & developed tingling in hands & feet.  Seen in ER 1/2008 w/increased weakness & tingling in hands & legs & difficulty walking.  Had been on antibiotics for pyuria.  Neuro & rheum consults done.
Age: 14.0
Sex: F
Vaccine: HPV4, MNQ, HPV4, HPV4, MNQ
Symptoms: Hypoaesthesia, Laboratory test, Nuclear magnetic resonance imaging, Pain in extremity, Paraesthesia
Clinical narrative: Lower extremity pain and numbness and pins and needles, fatigue.  Also with hand and lower arm weakness, multiple consults.  Rheumatology, Psych, Emg - normal, MRI of head and spine - normal.  6/3/08 Reviewed PCP medical records. FINAL DX: (+)ANA syndrome w/arthralgia/alopecia; allergic rhinitis; exercise induced bronchospasm. Records reveal patient experienced alopecia areata (from age 2), arthralgia, lethargy, tiredness, eczema & joint stiffness in 2002.  Episode of Lyme disease 9/2007 & developed tingling in hands & feet.  Seen in ER 1/2008 w/increased weakness & tingling in hands & legs & difficulty walking.  Had been on antibiotics for pyuria.  Neuro & rheum consults done.
Age: 14.0
Sex: F
Vaccine: HPV4, MNQ, HPV4, HPV4, MNQ
Symptoms: Abasia, Blood test, Nuclear magnetic resonance imaging
Clinical narrative: Lower extremity pain and numbness and pins and needles, fatigue.  Also with hand and lower arm weakness, multiple consults.  Rheumatology, Psych, Emg - normal, MRI of head and spine - normal.  6/3/08 Reviewed PCP medical records. FINAL DX: (+)ANA syndrome w/arthralgia/alopecia; allergic rhinitis; exercise induced bronchospasm. Records reveal patient experienced alopecia areata (from age 2), arthralgia, lethargy, tiredness, eczema & joint stiffness in 2002.  Episode of Lyme disease 9/2007 & developed tingling in hands & feet.  Seen in ER 1/2008 w/increased weakness & tingling in hands & legs & difficulty walking.  Had been on antibiotics for pyuria.  Neuro & rheum consults done.
Age: 18.0
Sex: F
Vaccine: HPV4
Symptoms: Muscle tightness, Musculoskeletal stiffness, Nausea, Neck pain, Pain
Clinical narrative: Pt called back to report possible side effects from shot (2nd dose of GARDASIL). C/O nausea, stiffness in left arm. Left side of neck tight and throbbing.
Age: 33.0
Sex: M
Vaccine: FLU3, HEPAB, MNQ, TYP
Symptoms: Lymphadenopathy
Clinical narrative: 34 y.o. male traveling to numerous countries received MENACTRA in R delt, TWINRIX & flu in L delt.  Two days later reported lymphadenopathy-size of a golf ball in R axilla-was out of town-called to be examined.  Monitored daily over phone with no worsening sx.  Improvement.  Has history of MRSA in R groin hospitalized.  Vanc. BACTRIM in 11/07 with reoccurrence in 01/08.
Age: 5.0
Sex: F
Vaccine: DTAP, MMR
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Erythema/swelling at immunization site.
Age: 3.0
Sex: F
Vaccine: PPV
Symptoms: Erythema, Local reaction, Mobility decreased, Skin warm, Tenderness
Clinical narrative: Impressive red, warm, tender local reaction 8x5 cm deltoid area, moving into axilla.  From 5/21 to 5/22.  No fever.  Decreased arm movement.   well.
Age: 1.3
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Pyrexia, Rash
Clinical narrative: Fever started 10 days after immunizations and lasted 4 days.  Rash started 6 days after immunizations and lasted 6 days.
Sex: M
Vaccine: VARCEL
Symptoms: Erythema, Oedema peripheral
Clinical narrative: Left arm redness, swollen.  No fever.
Age: 1.3
Sex: F
Vaccine: MMR
Symptoms: Blood culture, Febrile convulsion, Full blood count, Pyrexia, Urine analysis
Clinical narrative: Febrile seizure lasting 2 1/2 min fever 105 degrees.  Went to ER.
Age: 65.0
Sex: F
Vaccine: PPV
Symptoms: Pain in extremity
Clinical narrative: Right deltoid pain.  Ice/ROM/ibuprofen/TYL-time.
Age: 14.0
Sex: M
Vaccine: TDAP
Symptoms: Body temperature increased, Erythema, Injection site discomfort, Injection site erythema, Oedema peripheral
Clinical narrative: Day after vaccine - started to have discomfort at injection site - site was reddened about size of fist.  On 6-16-08 - discomfort continued.  Redness had increased on arm from shoulder to elbow.  Arm was swollen, including under arm area.  On 5-17-08 swelling, redness, discomfort continued with low grade temperature of 100.  Missed 3 baseball games.  By 5-19-08, symptoms subsiding, still slight swelling.
Age: 15.0
Sex: F
Vaccine: HEPA, HPV4, MNQ
Symptoms: Injection site erythema, Injection site rash
Clinical narrative: Erythematous rashes over upper extremities - sites of injections.  BENADRYL 25 mg every 6 hrs.
Age: 5.0
Sex: M
Vaccine: DTAP, HEPA, IPV
Symptoms: Erythema, Induration
Clinical narrative: 3 1/2 x 7 cm area of erythema with induration.  Treatment: warm compresses and MOTRIN.
Age: 0.17
Sex: F
Vaccine: DTAPHEPBIP, HEP, PNC
Symptoms: Overdose, Wrong drug administered
Clinical narrative: Patient was incorrectly given hepatitis B instead of Hib in addition to PEDIARIX and PREVNAR.
Age: 11.0
Sex: F
Vaccine: MMR, MNQ, TDAP, VARCEL
Symptoms: Loss of consciousness
Clinical narrative: Client waited 15 minutes in waiting room after receiving her shots & exited via the elevator.  T.C. returned from security in the lobby that the client passed out as exiting the elevator.
Age: 1.1
Sex: M
Vaccine: HEPA, MMR
Symptoms: Abnormal behaviour, Amnesia, Crying, Dyskinesia
Clinical narrative: Behaving strangely during the night and into a.m.  Woke up crying, swiveling head around, didn't recognize father: lasted about 15 minutes.
Age: 6.0
Sex: F
Vaccine: HEP
Symptoms: Feeling hot, Induration, Rash erythematous
Clinical narrative: 5/1/08 given vaccine; 5/3/08 seen in office with ? cellulitis extending from above in elbow site to below elbow, warm, indurated, erythematous; given treatment; rechecked on 5/6/08 improvement.
Age: 4.0
Sex: M
Vaccine: VARCEL
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Redness/swelling of left upper arm at injection site noted 1 day after vaccine, already resolving on 5/15/08.
Age: 10.0
Sex: F
Vaccine: VARCEL
Symptoms: Erythema, Induration, Urticaria
Clinical narrative: 5/6/08 given VARIVAX; 5/8/08 seen with 9x4.5 cm area induration/erythema (wheal like) on upper arm; treated with ice & observation with improvement.
Age: 1.05
Sex: M
Vaccine: DTAPHEPBIP, FLU3, HEPA, MMRV, PNC
Symptoms: Medication error
Clinical narrative: It was discovered after vaccine was given that the freezer temperature was out of the correct storage range for the MMRV.  Per manufacturer doses were compromised therefore this MMRV dose is invalid.
Age: 5.0
Sex: M
Vaccine: DTAP, FLU3, HEPA, IPV, MMRV
Symptoms: Medication error
Clinical narrative: It was discovered after vaccine was given that the freezer temperature was out of the correct storage range.  Per manufacturer doses (MMRV) were compromised therefore, this MMRV is invalid.
Age: 1.12
Sex: M
Vaccine: DTAP, HEPA, MMRV, PNC
Symptoms: Medication error
Clinical narrative: It was discovered after vaccine (MMRV) was given that the freezer temperature was out of the correct storage range for the MMRV.  Per manufacturers dose was compromised therefore this MMRV dose is invalid.
Age: 5.0
Sex: M
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Erythema
Clinical narrative: 8 x 6cm area of redness appearing this AM.  Cold compress, Zyrtec OR 1.0 tp.
Age: 4.0
Sex: M
Vaccine: DTAP, HEP, HEPA, MMRV
Symptoms: Medication error
Clinical narrative: It was discovered after vaccine (MMRV) was given, that the freezer temperature was out of the correct storage range.  Per manufacturer doses were compromised, therefore this MMRV is invalid.
Age: 1.4
Sex: F
Vaccine: DTAP
Symptoms: Unevaluable event
Clinical narrative: None stated.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Injection site urticaria
Clinical narrative: 5 days after receiving vaccines, mother noticed hives starting on L thigh around the injection sites - pt was taken to medical center & was treated there.
Age: 24.0
Sex: F
Vaccine: HPV4
Symptoms: Chills, Myalgia, Nausea, Pyrexia, Vaccine positive rechallenge
Clinical narrative: Chills, fever, myalgias nausea vomiting 24 hours after GARDASIL vaccine after each dose #1 11-20-07 #2 1-23-08
Age: 24.0
Sex: F
Vaccine: HPV4
Symptoms: Vomiting
Clinical narrative: Chills, fever, myalgias nausea vomiting 24 hours after GARDASIL vaccine after each dose #1 11-20-07 #2 1-23-08
Age: 0.4
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Full blood count, Oedema peripheral, Pyrexia, Skin discolouration
Clinical narrative: 36 degree fever after shots - 99.9 R temp per mom on Tuesday AM - swelling of hands also skin discoloration on hands and feet on 3/6/08.
Age: 37.0
Sex: M
Vaccine: JEV
Symptoms: Feeling abnormal, Flushing, Hypoaesthesia, Local swelling, Paraesthesia
Clinical narrative: Facial + neck swelling, numbness + tingling in arm, shoulder, neck, face, lips, hands + fingers.  "Spaciness".  Flush in head + neck.
Age: 37.0
Sex: M
Vaccine: JEV
Symptoms: Swelling face
Clinical narrative: Facial + neck swelling, numbness + tingling in arm, shoulder, neck, face, lips, hands + fingers.  "Spaciness".  Flush in head + neck.
Age: 65.0
Sex: F
Vaccine: PPV, VARZOS
Symptoms: Injected limb mobility decreased, Injection site pain, Muscle atrophy, Vaccination complication
Clinical narrative: An injection of PNEUMOVAX 23 left extreme pain with immobilization of the left arm from the injection area to the elbow.  The day following the injection Dr. of the same facility examined patient and diagnosed a severe reaction to the vaccine resulting in muscle breakdown.  Prescribed 20mg prednisone daily and propoxyphen-APAP for pain.  As of this date (5/16) there is some improvement and ability to move the arm slightly with some pain.
Age: 45.0
Sex: F
Vaccine: TDAP
Symptoms: Abdominal pain, Myalgia, Nausea, Nervousness, Pyrexia
Clinical narrative: 5/12/08 RCD vacc. than pm.  Developed fever 102 degrees, severe myalgia, abd pain nausea.  Seen 5/13/08 at OV.  Still muscle pain & shakes.   No fever.  S/w pt 5/15/08 100% recovered.
Age: 11.0
Sex: F
Vaccine: TDAP
Symptoms: Erythema, Swelling
Clinical narrative: Began swelling & erythema, present the next morning at approx 8AM.  Used cold pack & problem resolved.  Erythema approx 50 mm.  No fever.
Age: 1.0
Sex: F
Vaccine: MMR, PNC, VARCEL
Symptoms: Erythema, Skin warm, Tenderness
Clinical narrative: 8.0 cm L x 5.0 W erythema warm to touch redness, tender to touch.  Left anterior thigh.
Age: 6.0
Sex: F
Vaccine: VARCEL
Symptoms: Injection site erythema, Injection site mass, Injection site swelling, Injection site warmth
Clinical narrative: Pt lt. arm had a bump that was swollen, red and warm at touch on injection site. Lt. deltoid.
Age: 32.0
Sex: M
Vaccine: HEPA
Symptoms: Pruritus, Rash
Clinical narrative: Immunized and approx 24 hours post immunization Pt started getting "bumps" all over upper body. head, chest, back, arms, neck. Complaint of itching. Pt seen by provider on the 20th, and received Benadryl. The "bumps" are currently resolving.
Age: 39.0
Sex: M
Vaccine: FLU3
Symptoms: Asthenia, Erythema, Fatigue, Immediate post-injection reaction, Injection site pain
Clinical narrative: Influenza vaccination left upper arm 22May 2007. Pt had immediate pain (5/10) at the injection site which lasted 30 sec. About 6 hours later the pt noted redness and swelling from his shoulder to his elbow. He also had an achy pain (3/10) and itching around the injection site. He also felt tired and weak. He denied decrease ROM, strength, numbness/tingling in his left shoulder, arm or hand. He denied fever, N, V, diarrhea, rash, SOB, chest pain. Instructed to take Motrin and Benadryl which he did about 2 hours later. Pt slept all nite. Redness, swelling and pain were 50% better in the am. Itching had resolved. Pt took one more dose of Motrin and Benadryl that am. All sx resolved in 3-4 days.
Age: 39.0
Sex: M
Vaccine: FLU3
Symptoms: Injection site pruritus, Oedema peripheral, Pain
Clinical narrative: Influenza vaccination left upper arm 22May 2007. Pt had immediate pain (5/10) at the injection site which lasted 30 sec. About 6 hours later the pt noted redness and swelling from his shoulder to his elbow. He also had an achy pain (3/10) and itching around the injection site. He also felt tired and weak. He denied decrease ROM, strength, numbness/tingling in his left shoulder, arm or hand. He denied fever, N, V, diarrhea, rash, SOB, chest pain. Instructed to take Motrin and Benadryl which he did about 2 hours later. Pt slept all nite. Redness, swelling and pain were 50% better in the am. Itching had resolved. Pt took one more dose of Motrin and Benadryl that am. All sx resolved in 3-4 days.
Age: 4.0
Sex: F
Vaccine: DTAP, HEPA, IPV, MMR, VARCEL
Symptoms: Pruritus, Swelling face
Clinical narrative: Child had left facility when mom noticed left-sided facial swelling and left-sided itching. Child and mom returned to facility where epinephrine and benadryl were administered.
Age: 10.0
Sex: M
Vaccine: HEPA
Symptoms: Injection site vesicles, Skin lesion
Clinical narrative: Blister (approx. 3/4 inch long) around site (left arm) where vaccine was administered with track of smaller lesions below.
Age: 56.0
Sex: F
Vaccine: TDAP
Symptoms: Cellulitis, Cough, Local reaction, Pyrexia
Clinical narrative: Fever, cough, local cutaneous reaction vs cellulitis
Age: 0.5
Sex: F
Vaccine: DTAPHEPBIP, HIBV
Symptoms: Urticaria
Clinical narrative: Generalized Hives within 24 hours of administration.
Age: 38.0
Sex: F
Vaccine: IPV, RAB, TYP
Symptoms: Syncope
Clinical narrative: Employee stated she fainted and had never done that before.She attributed it to the vaccines she recieved.
Age: 0.17
Sex: F
Vaccine: DTAPHEPBIP, RV5
Symptoms: Haematochezia
Clinical narrative: Hematachezia
Age: 1.2
Sex: M
Vaccine: HEPA, VARCEL
Symptoms: Accidental overdose, Medication error
Clinical narrative: none
Age: 34.0
Sex: M
Vaccine: HEPA
Symptoms: Rash
Clinical narrative: Patient was observed for 30 minutes in the office after administration of Havrix.  No immediate skin reaction or symptoms observed.  One week later he reports having a mild rash on his arms later in the day after administration of Havrix, on 5/8/08.  Resolved after 48 hours.
Age: 9.0
Sex: M
Vaccine: HEPA, VARCEL
Symptoms: Nausea, Vomiting
Clinical narrative: pt started to feel nausea and vomited about 10 min after recieving his first hep a vaccine.  we took pt back to an exam room layed him down end elevated his legs w/ cool compresses to the head.  he stayed like ths for about 40 min befor e feeling better.
Age: 27.0
Sex: M
Vaccine: ANTH
Symptoms: Injection site pruritus, Injection site rash
Clinical narrative: Vaccination was given 10 Feb 2008. Pt is expierencing itching and has bumps where vaccination was given. Bumps look like a mosquito bite and itchs like one. Bumps persist during and after physical activity and during bathing.
Age: 28.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Alopecia areata, Antiphospholipid antibodies negative, Blood heavy metal normal, Blood testosterone normal, Laboratory test normal
Clinical narrative: ALOPECIA AREATA:I received my first shot of Gardasil in January 2007. About a month later we noticed a bald spot in the back of my head. I went back to my ObGyn and asked her if the Gardasil could be the cause as nothing else had recenlty changed and I was not taking any ther medications. She said that she had not heard of this, but she referred me to a dermatologist. I asked him if my hair loss had anything to do with the Gardasil. He replied that I had Alopecia areata and one thing had nothing to do with the other. He advised that I continue with the Gardasil and that he would start treating me for the alopecia. I believe that the Gardasil is the cause of my Alopecia, now over half of my head is bald.  I don't know what to do. I keep going back to the dermatologist for treatments for the alopecia, but it just keeps getting worse.
Age: 28.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Thyroid function test normal
Clinical narrative: ALOPECIA AREATA:I received my first shot of Gardasil in January 2007. About a month later we noticed a bald spot in the back of my head. I went back to my ObGyn and asked her if the Gardasil could be the cause as nothing else had recenlty changed and I was not taking any ther medications. She said that she had not heard of this, but she referred me to a dermatologist. I asked him if my hair loss had anything to do with the Gardasil. He replied that I had Alopecia areata and one thing had nothing to do with the other. He advised that I continue with the Gardasil and that he would start treating me for the alopecia. I believe that the Gardasil is the cause of my Alopecia, now over half of my head is bald.  I don't know what to do. I keep going back to the dermatologist for treatments for the alopecia, but it just keeps getting worse.
Age: 28.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Alopecia, Blood heavy metal normal, Inappropriate schedule of drug administration, Laboratory test normal, Thyroid function test normal
Clinical narrative: ALOPECIA AREATA:I received my first shot of Gardasil in January 2007. About a month later we noticed a bald spot in the back of my head. I went back to my ObGyn and asked her if the Gardasil could be the cause as nothing else had recenlty changed and I was not taking any ther medications. She said that she had not heard of this, but she referred me to a dermatologist. I asked him if my hair loss had anything to do with the Gardasil. He replied that I had Alopecia areata and one thing had nothing to do with the other. He advised that I continue with the Gardasil and that he would start treating me for the alopecia. I believe that the Gardasil is the cause of my Alopecia, now over half of my head is bald.  I don't know what to do. I keep going back to the dermatologist for treatments for the alopecia, but it just keeps getting worse.
Age: 14.0
Sex: F
Vaccine: VARCEL
Symptoms: Injection site induration
Clinical narrative: 1 1/2 by 2cm red induration distal to needle puncture site where patient recieved varicella vaccine left upper arm on 5/20/2008. Advised to apply cool compresses,may take tylenol for discomfort and /or benadryl for itching
Age: 73.0
Sex: F
Vaccine: VARZOS
Symptoms: Computerised tomogram normal, Migraine, Nuclear magnetic resonance imaging
Clinical narrative: sever daily migrainehead ache began 4 days post vaccine. History of rare migraines prior to vaccine
Age: 23.0
Sex: M
Vaccine: SMALL
Symptoms: Cellulitis, Erythema, Induration, Injection site streaking, Lymphadenopathy
Clinical narrative: INCREASED ERYTHEMA (CELLULITIS) INCREASED WARMTH AND FIRMNESS AND STREAKING MARKS TOWARDS LEFT AXILLARY.  ALSO ENLARGEMENT OF LEFT AXILLARY LYMPH NODES WITH TENDERNESS.
Age: 23.0
Sex: M
Vaccine: SMALL
Symptoms: Skin warm, Tenderness
Clinical narrative: INCREASED ERYTHEMA (CELLULITIS) INCREASED WARMTH AND FIRMNESS AND STREAKING MARKS TOWARDS LEFT AXILLARY.  ALSO ENLARGEMENT OF LEFT AXILLARY LYMPH NODES WITH TENDERNESS.
Age: 12.0
Sex: M
Vaccine: HEPA, TDAP, VARCEL
Symptoms: Convulsion, Fall, Hypoaesthesia, Swelling face
Clinical narrative: Client received three vaccinations, minutes later fell to the floor and was observed to be having possible seizure activity.  Monitored by staff for safety and breathing.  pLaced in rescue position and 911 called.  Continued to monitor client until EMS arrived.  Cool cloth to forehead.  Client c/o numbness to nose area after consciousness returned.  Swelling to right cheek also noted.
Age: 33.0
Sex: M
Vaccine: MMR
Symptoms: Arthralgia, Eye pruritus, Ocular hyperaemia, Pain, Pharyngolaryngeal pain
Clinical narrative: Fever for 2 days 100-102 F, generalized rash, hives, body aches, joint pain, sore throat, runny nose, itchy red eyes
Age: 33.0
Sex: M
Vaccine: MMR
Symptoms: Pyrexia, Rash generalised, Rhinorrhoea, Urticaria
Clinical narrative: Fever for 2 days 100-102 F, generalized rash, hives, body aches, joint pain, sore throat, runny nose, itchy red eyes
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site rash, Injection site urticaria
Clinical narrative: SMALL RED AREA WITH URTICURIAL LESION AT LEFT UPPER SUBCUTENEOUS TISSUE. SUPPORTIVE CARE GIVEN,BENADRYL ADVISED WITH PLANS FOR ANTIBIOTIC IF CONDITION WORSENS.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMRV
Symptoms: Injection site erythema, Injection site swelling, Oedema peripheral
Clinical narrative: R arm swollen, red 4' x 3.5'.
Age: 35.0
Sex: F
Vaccine: HEPAB, TDAP
Symptoms: Back pain, Balance disorder, Chest pain, Communication disorder, Computerised tomogram
Clinical narrative: Pt is a 35 year old female here for follow up of an acute headache. She has been having symptoms since 5/2/08. She was seen in the ER 5/4/08 with the headache after she woke up with diaphoresis, chest pain, dizziness, numbness in fingertips, and headache behind eyes.  CT scan was done and was read as possible mild swelling and she was called back to the ER. Subsequent MRI with nonspecific changes.There was an initial plan to do an LP but with the MRI results and a shift change the plan change and she was sent home. She had trouble taking care of her son because of the headache and dizziness.  She was seen again 5/10/08 in the ER, was given parenteral non narcotic and anti nausea medication.   She continues to have headache in the face and behind her eyes as well as pain in the neck(spine) which radiates down to buttock, decreased appetite and nausea. She is no longer having vomiting. She does not feel as mentally sharp as she usual and actually recalls some problems talking/communicating when she was in the ER. EXAM: Pleasant, alert and oriented, very clear historian. BP 122/92 | Pulse 68 | Temp 98.1 | Wt 130 lbs (59.0kg) | SpO2 100% | LMP 04/15/2008 | Pain Score:  5-Worst Alert and oriented x 3.  Ears and throat normal. Neck fully supple without nodes. Cranial nerves are normal.  Fundi are poorly visualized. DTRs normal and symmetric. Babinski sign absent.  Mental status normal. Minimally unsteady on Romberg with a non specific sway. FTN nl.Sensation intact to LT. Motor normal. ASSESSMENT/PLAN: 784.0 HEADACHE  (primary encounter diagnosis): TC to ER.TC to Dr. for a phone consult who agrees that an LP is indicated to evaluate the headache. Dr. agrees that an LP is reasonable. Pt will return to the ER for an LP to evaluate for aseptic meningitis, etc.  642.03 ESSEN HYPERTEN-ANTEPART Plan: ATENOLOL-CHLORTHALIDONE 50 MG-25 MG TAB, DOSE INCREASED AS BP ON MY RECHECK WAS 150/100.       COMPREHENSIVE METABOLIC PANEL
Age: 35.0
Sex: F
Vaccine: HEPAB, TDAP
Symptoms: Decreased appetite, Disturbance in attention, Dizziness, Essential hypertension, Headache
Clinical narrative: Pt is a 35 year old female here for follow up of an acute headache. She has been having symptoms since 5/2/08. She was seen in the ER 5/4/08 with the headache after she woke up with diaphoresis, chest pain, dizziness, numbness in fingertips, and headache behind eyes.  CT scan was done and was read as possible mild swelling and she was called back to the ER. Subsequent MRI with nonspecific changes.There was an initial plan to do an LP but with the MRI results and a shift change the plan change and she was sent home. She had trouble taking care of her son because of the headache and dizziness.  She was seen again 5/10/08 in the ER, was given parenteral non narcotic and anti nausea medication.   She continues to have headache in the face and behind her eyes as well as pain in the neck(spine) which radiates down to buttock, decreased appetite and nausea. She is no longer having vomiting. She does not feel as mentally sharp as she usual and actually recalls some problems talking/communicating when she was in the ER. EXAM: Pleasant, alert and oriented, very clear historian. BP 122/92 | Pulse 68 | Temp 98.1 | Wt 130 lbs (59.0kg) | SpO2 100% | LMP 04/15/2008 | Pain Score:  5-Worst Alert and oriented x 3.  Ears and throat normal. Neck fully supple without nodes. Cranial nerves are normal.  Fundi are poorly visualized. DTRs normal and symmetric. Babinski sign absent.  Mental status normal. Minimally unsteady on Romberg with a non specific sway. FTN nl.Sensation intact to LT. Motor normal. ASSESSMENT/PLAN: 784.0 HEADACHE  (primary encounter diagnosis): TC to ER.TC to Dr. for a phone consult who agrees that an LP is indicated to evaluate the headache. Dr. agrees that an LP is reasonable. Pt will return to the ER for an LP to evaluate for aseptic meningitis, etc.  642.03 ESSEN HYPERTEN-ANTEPART Plan: ATENOLOL-CHLORTHALIDONE 50 MG-25 MG TAB, DOSE INCREASED AS BP ON MY RECHECK WAS 150/100.       COMPREHENSIVE METABOLIC PANEL
Age: 35.0
Sex: F
Vaccine: HEPAB, TDAP
Symptoms: Hyperhidrosis, Hypoaesthesia, Laboratory test, Nausea, Neck pain
Clinical narrative: Pt is a 35 year old female here for follow up of an acute headache. She has been having symptoms since 5/2/08. She was seen in the ER 5/4/08 with the headache after she woke up with diaphoresis, chest pain, dizziness, numbness in fingertips, and headache behind eyes.  CT scan was done and was read as possible mild swelling and she was called back to the ER. Subsequent MRI with nonspecific changes.There was an initial plan to do an LP but with the MRI results and a shift change the plan change and she was sent home. She had trouble taking care of her son because of the headache and dizziness.  She was seen again 5/10/08 in the ER, was given parenteral non narcotic and anti nausea medication.   She continues to have headache in the face and behind her eyes as well as pain in the neck(spine) which radiates down to buttock, decreased appetite and nausea. She is no longer having vomiting. She does not feel as mentally sharp as she usual and actually recalls some problems talking/communicating when she was in the ER. EXAM: Pleasant, alert and oriented, very clear historian. BP 122/92 | Pulse 68 | Temp 98.1 | Wt 130 lbs (59.0kg) | SpO2 100% | LMP 04/15/2008 | Pain Score:  5-Worst Alert and oriented x 3.  Ears and throat normal. Neck fully supple without nodes. Cranial nerves are normal.  Fundi are poorly visualized. DTRs normal and symmetric. Babinski sign absent.  Mental status normal. Minimally unsteady on Romberg with a non specific sway. FTN nl.Sensation intact to LT. Motor normal. ASSESSMENT/PLAN: 784.0 HEADACHE  (primary encounter diagnosis): TC to ER.TC to Dr. for a phone consult who agrees that an LP is indicated to evaluate the headache. Dr. agrees that an LP is reasonable. Pt will return to the ER for an LP to evaluate for aseptic meningitis, etc.  642.03 ESSEN HYPERTEN-ANTEPART Plan: ATENOLOL-CHLORTHALIDONE 50 MG-25 MG TAB, DOSE INCREASED AS BP ON MY RECHECK WAS 150/100.       COMPREHENSIVE METABOLIC PANEL
Age: 35.0
Sex: F
Vaccine: HEPAB, TDAP
Symptoms: Nuclear magnetic resonance imaging
Clinical narrative: Pt is a 35 year old female here for follow up of an acute headache. She has been having symptoms since 5/2/08. She was seen in the ER 5/4/08 with the headache after she woke up with diaphoresis, chest pain, dizziness, numbness in fingertips, and headache behind eyes.  CT scan was done and was read as possible mild swelling and she was called back to the ER. Subsequent MRI with nonspecific changes.There was an initial plan to do an LP but with the MRI results and a shift change the plan change and she was sent home. She had trouble taking care of her son because of the headache and dizziness.  She was seen again 5/10/08 in the ER, was given parenteral non narcotic and anti nausea medication.   She continues to have headache in the face and behind her eyes as well as pain in the neck(spine) which radiates down to buttock, decreased appetite and nausea. She is no longer having vomiting. She does not feel as mentally sharp as she usual and actually recalls some problems talking/communicating when she was in the ER. EXAM: Pleasant, alert and oriented, very clear historian. BP 122/92 | Pulse 68 | Temp 98.1 | Wt 130 lbs (59.0kg) | SpO2 100% | LMP 04/15/2008 | Pain Score:  5-Worst Alert and oriented x 3.  Ears and throat normal. Neck fully supple without nodes. Cranial nerves are normal.  Fundi are poorly visualized. DTRs normal and symmetric. Babinski sign absent.  Mental status normal. Minimally unsteady on Romberg with a non specific sway. FTN nl.Sensation intact to LT. Motor normal. ASSESSMENT/PLAN: 784.0 HEADACHE  (primary encounter diagnosis): TC to ER.TC to Dr. for a phone consult who agrees that an LP is indicated to evaluate the headache. Dr. agrees that an LP is reasonable. Pt will return to the ER for an LP to evaluate for aseptic meningitis, etc.  642.03 ESSEN HYPERTEN-ANTEPART Plan: ATENOLOL-CHLORTHALIDONE 50 MG-25 MG TAB, DOSE INCREASED AS BP ON MY RECHECK WAS 150/100.       COMPREHENSIVE METABOLIC PANEL
Age: 0.2
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5, DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Abnormal behaviour, Barium double contrast, Colectomy, Decreased appetite, Dehydration
Clinical narrative: Presented to ER (April 26 th 2008) for fussiness, decreased appt and acting "strange" for several hours.  In ER passed large bloody stool.  BE showed intussusception.  Despite multiple attempts, it could not be reduced. Flown to Hospital.  Arrived early April 27th.  Exploratory Laparotomy after resuscitation ws performed by Dr.  In OR, he had reduction of intussusception with right hemicolectomy and ileostomy.  Total hospital stay was 10 days (D/C was May 7th).  He was re-admitted 2 days later for vomiting and dehydration.  He is now home.  5/29/08 Reviewed hospital medical records for 4/27-5/7/2008. FINAL DX: Intussusception Records reveal patient experienced irritability, reduced oral intake, inconsolable crying, abdominal pain, emesis.  Seen at outlying ER where BE revealed IS & initially reduced it.  Had bloody diarrhea & bilious emesis in ER & transferred to higher level of care.  Attempt to reduce w/air contrast enema unsuccessful & taken to OR.  8/8 Received operative report which reveals patient had exp lap, reduction of IS, right hemicolectomy w/ileostomy & central line placement.
Age: 0.2
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5, DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Explorative laparotomy, Ileostomy, Intussusception, Irritability, Resuscitation
Clinical narrative: Presented to ER (April 26 th 2008) for fussiness, decreased appt and acting "strange" for several hours.  In ER passed large bloody stool.  BE showed intussusception.  Despite multiple attempts, it could not be reduced. Flown to Hospital.  Arrived early April 27th.  Exploratory Laparotomy after resuscitation ws performed by Dr.  In OR, he had reduction of intussusception with right hemicolectomy and ileostomy.  Total hospital stay was 10 days (D/C was May 7th).  He was re-admitted 2 days later for vomiting and dehydration.  He is now home.  5/29/08 Reviewed hospital medical records for 4/27-5/7/2008. FINAL DX: Intussusception Records reveal patient experienced irritability, reduced oral intake, inconsolable crying, abdominal pain, emesis.  Seen at outlying ER where BE revealed IS & initially reduced it.  Had bloody diarrhea & bilious emesis in ER & transferred to higher level of care.  Attempt to reduce w/air contrast enema unsuccessful & taken to OR.  8/8 Received operative report which reveals patient had exp lap, reduction of IS, right hemicolectomy w/ileostomy & central line placement.
Age: 0.2
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5, DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Vomiting
Clinical narrative: Presented to ER (April 26 th 2008) for fussiness, decreased appt and acting "strange" for several hours.  In ER passed large bloody stool.  BE showed intussusception.  Despite multiple attempts, it could not be reduced. Flown to Hospital.  Arrived early April 27th.  Exploratory Laparotomy after resuscitation ws performed by Dr.  In OR, he had reduction of intussusception with right hemicolectomy and ileostomy.  Total hospital stay was 10 days (D/C was May 7th).  He was re-admitted 2 days later for vomiting and dehydration.  He is now home.  5/29/08 Reviewed hospital medical records for 4/27-5/7/2008. FINAL DX: Intussusception Records reveal patient experienced irritability, reduced oral intake, inconsolable crying, abdominal pain, emesis.  Seen at outlying ER where BE revealed IS & initially reduced it.  Had bloody diarrhea & bilious emesis in ER & transferred to higher level of care.  Attempt to reduce w/air contrast enema unsuccessful & taken to OR.  8/8 Received operative report which reveals patient had exp lap, reduction of IS, right hemicolectomy w/ileostomy & central line placement.
Age: 0.2
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5, DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Abnormal behaviour, Barium enema abnormal, Colectomy, Decreased appetite, Dehydration
Clinical narrative: Presented to ER (April 26 th 2008) for fussiness, decreased appt and acting "strange" for several hours.  In ER passed large bloody stool.  BE showed intussusception.  Despite multiple attempts, it could not be reduced. Flown to Hospital.  Arrived early April 27th.  Exploratory Laparotomy after resuscitation ws performed by Dr.  In OR, he had reduction of intussusception with right hemicolectomy and ileostomy.  Total hospital stay was 10 days (D/C was May 7th).  He was re-admitted 2 days later for vomiting and dehydration.  He is now home.  5/29/08 Reviewed hospital medical records for 4/27-5/7/2008. FINAL DX: Intussusception Records reveal patient experienced irritability, reduced oral intake, inconsolable crying, abdominal pain, emesis.  Seen at outlying ER where BE revealed IS & initially reduced it.  Had bloody diarrhea & bilious emesis in ER & transferred to higher level of care.  Attempt to reduce w/air contrast enema unsuccessful & taken to OR.  8/8 Received operative report which reveals patient had exp lap, reduction of IS, right hemicolectomy w/ileostomy & central line placement.
Age: 0.2
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5, DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Enema administration, Explorative laparotomy, Haematochezia, Ileostomy, Intussusception
Clinical narrative: Presented to ER (April 26 th 2008) for fussiness, decreased appt and acting "strange" for several hours.  In ER passed large bloody stool.  BE showed intussusception.  Despite multiple attempts, it could not be reduced. Flown to Hospital.  Arrived early April 27th.  Exploratory Laparotomy after resuscitation ws performed by Dr.  In OR, he had reduction of intussusception with right hemicolectomy and ileostomy.  Total hospital stay was 10 days (D/C was May 7th).  He was re-admitted 2 days later for vomiting and dehydration.  He is now home.  5/29/08 Reviewed hospital medical records for 4/27-5/7/2008. FINAL DX: Intussusception Records reveal patient experienced irritability, reduced oral intake, inconsolable crying, abdominal pain, emesis.  Seen at outlying ER where BE revealed IS & initially reduced it.  Had bloody diarrhea & bilious emesis in ER & transferred to higher level of care.  Attempt to reduce w/air contrast enema unsuccessful & taken to OR.  8/8 Received operative report which reveals patient had exp lap, reduction of IS, right hemicolectomy w/ileostomy & central line placement.
Age: 0.2
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5, DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Irritability, Resuscitation, Vomiting
Clinical narrative: Presented to ER (April 26 th 2008) for fussiness, decreased appt and acting "strange" for several hours.  In ER passed large bloody stool.  BE showed intussusception.  Despite multiple attempts, it could not be reduced. Flown to Hospital.  Arrived early April 27th.  Exploratory Laparotomy after resuscitation ws performed by Dr.  In OR, he had reduction of intussusception with right hemicolectomy and ileostomy.  Total hospital stay was 10 days (D/C was May 7th).  He was re-admitted 2 days later for vomiting and dehydration.  He is now home.  5/29/08 Reviewed hospital medical records for 4/27-5/7/2008. FINAL DX: Intussusception Records reveal patient experienced irritability, reduced oral intake, inconsolable crying, abdominal pain, emesis.  Seen at outlying ER where BE revealed IS & initially reduced it.  Had bloody diarrhea & bilious emesis in ER & transferred to higher level of care.  Attempt to reduce w/air contrast enema unsuccessful & taken to OR.  8/8 Received operative report which reveals patient had exp lap, reduction of IS, right hemicolectomy w/ileostomy & central line placement.
Age: 20.0
Sex: F
Vaccine: IPV, PPV, TYP
Symptoms: Injection site swelling, Pyrexia
Clinical narrative: Client's mom called, her daughter developed fever 102F, swelling on injected site at night on 05-20-2008, fever not dropped down with 2# advil,suggest to see p.m.d  if get worse, 05-21-2008 , called pt. for detail information as I was with client at time, couldn't reach, left message, Dr informed about.
Age: 66.0
Sex: M
Vaccine: PPV
Symptoms: Guillain-Barre syndrome
Clinical narrative: I was in hospital for hernia repair.  An un-named nurse "PUSHED" pneumoccal vaccines on me and my roommate when I was recovering from my surgery.  She was very pushy.  Seven days later, I fell victim to the sudden onslaught of Guillian Barre' Syndrome.  6/02/2008 MR received for DOS 7/27-8/21/2007 with D/C DX: Guillain-Barre Syndrome.  Respiratory Failure 2' to GBS. Pneumonia. Hypertension, Hyperglycemia, Chronic Pain.  Pt presented with worsening progressive ascending weakness. Sx began with leg weakness and hip pain and progressed to arm weakness, numbness of the lower extremities with walking difficulty and subsequent fall. PE (+) for weakness and decreased muscle strength of the legs and stocking-glove sensory loss. Absent reflexes in lower extremities and depressed in upper. L toe upgoing. Pt progressed to respiratory failure and was intubated, complicated by Serratia and Pseudomonas pneumonia. Tx with IVIG with minimal improvement. PEG tube placed for nutrition on 8/14/08. Tracheostomy done. By transfer date pt was breathing on own and taking po, but still weak. D/C to rehab.
Age: 19.0
Sex: F
Vaccine: HPV4
Symptoms: Amnesia, Fall, Immediate post-injection reaction, Loss of consciousness, Malaise
Clinical narrative: Immediately after administering vaccination, the patient reported feeling "not good".  Pt laid head down on coutner for a moment, then slumped over, unconscious.  After helping pt sit up, she immediately awoke and denied further medical intervention.  Pt was observed for 15 minutes and showed no further signs of fainting, but reported no memory of event.
Age: 11.0
Sex: F
Vaccine: HPV4, MEN, TDAP, VARCEL
Symptoms: Activities of daily living impaired, Erythema, Headache, Oedema peripheral, Pain in extremity
Clinical narrative: She received four vaccines on Tuesday, May 20.  She received the Chickenpox vaccine booster,meningococcal vaccine, HPV first vaccine, and tDAP.  On Wednesday morning she had fever, headache, and two hot, three-inch diameter red swellings- one on each arm.   We gave her Motrin and kept her home from school.  By Thursday morning, the fever was gone.  Her arms were still very sore and one site on each arm was red, swollen and hot to the touch.
Age: 11.0
Sex: F
Vaccine: HPV4, MEN, TDAP, VARCEL
Symptoms: Pyrexia, Skin warm
Clinical narrative: She received four vaccines on Tuesday, May 20.  She received the Chickenpox vaccine booster,meningococcal vaccine, HPV first vaccine, and tDAP.  On Wednesday morning she had fever, headache, and two hot, three-inch diameter red swellings- one on each arm.   We gave her Motrin and kept her home from school.  By Thursday morning, the fever was gone.  Her arms were still very sore and one site on each arm was red, swollen and hot to the touch.