chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Sex: F
Vaccine: HPV4
Symptoms: Abortion spontaneous, Drug exposure during pregnancy
Clinical narrative: Information has been received from a female concerning her daughter, for a pregnancy registry for GARDASIL, who on an unspecified date was vaccinated with the first dose of GARDASIL. The reporter stated that the patient did not know at the time of the vaccination that she was pregnant. The patient had the baby 3 weeks after the vaccination. It was reported the patient sought unspecified medical attention. It was reported that the baby died. The patient was 9 weeks pregnant. Upon internal review, baby died at 9 weeks was determined to be an other important event. No further information is available.
Age: 70.0
Sex: F
Vaccine: FLUX, VARZOS
Symptoms: Herpes zoster, Skin lesion, Vaccination failure
Clinical narrative: Apparent vaccine failure. Pt presented 5/18/09 with typical herpes zoster skin lesions.
Age: 19.0
Sex: F
Vaccine: HPV4
Symptoms: Convulsion, No reaction on previous exposure to drug
Clinical narrative: Information has been received from a pharmacist concerning a 19 year old female with no pertinent medical history who was vaccinated with the second dose of GARDASIL (lot#, dose, route and site of administration not reported). There was no concomitant medication. The patient experienced seizures after receiving the second dose, and she went to an emergency room for treatment. The patient recovered from seizure. Seizure was considered to be life threatening by the pharmacist who stated that this case might have been already reported by the patient's physician. Additional information has been requested.
Age: 0.2
Sex: M
Vaccine: DTAPIPVHIB, HEP, PNC, RV5
Symptoms: Body temperature increased, Chest X-ray normal, Culture negative, Dyspnoea, Full blood count normal
Clinical narrative: Patient had irregular breathing with gasping after shallow breathing approx 11 hrs after vaccines given . Temp was 104. Went to ER then home and did fine.
Age: 0.2
Sex: M
Vaccine: DTAPIPVHIB, HEP, PNC, RV5
Symptoms: Hypoventilation, Metabolic function test normal, Respiratory disorder, Urine analysis normal
Clinical narrative: Patient had irregular breathing with gasping after shallow breathing approx 11 hrs after vaccines given . Temp was 104. Went to ER then home and did fine.
Age: 1.3
Sex: M
Vaccine: DTAPIPVHIB, VARCEL
Symptoms: Injection site erythema, Injection site induration, Injection site warmth
Clinical narrative: Red mark to R thigh, area hard, red, hot to touch.
Age: 1.5
Sex: M
Vaccine: MMR
Symptoms: Abnormal behaviour, Attention deficit/hyperactivity disorder, Autism, Bipolar disorder, Blood test
Clinical narrative: Information has been received from a consumer concerning her son with no known drug reactions/allergies and medical history who "when about 18 months old, was vaccinated with both recommended 0.5 ml doses of MMR II (approximately in May-2002) (route and lot number unspecified). Concomitant therapy included Poliovirus vaccine (date, route and lot number unspecified). It was reported that "blood work" (date unspecified) was performed (results not reported). The mother stated her son received both recommended doses of the vaccine and soon after he would not make eye contact and the mother noticed "off the wall changes", "about 3-4 years ago" (approximately in 2005). The patient was diagnosed with autism, attention deficit hyperactivity disorder (ADHD), Bipolar, oppositional defiant disorder (ODD) and obsessive compulsive disorder (OCD). The patient was taking Focalin XR (Novartis) tablets 10 mg, Focalin (Novartis) tablets 2.5 mg, Oxcarbazepine (manufacturer unknown) tablet 300 mg/twice daily, Guacince HCL (manufacturer unknown) tablets 1mg/ twice daily Mirtazapine (manufacturer unknown) tablet 7.5 mg. The mother stated the patient stopped therapy "when about 18 months old". The outcome of the patient was not recovered. The patient sought medical attention. Upon internal review, autism was determined to be an other important medical event. Additional information has been requested.
Age: 1.5
Sex: M
Vaccine: MMR
Symptoms: Obsessive-compulsive disorder, Oppositional defiant disorder, Social avoidant behaviour
Clinical narrative: Information has been received from a consumer concerning her son with no known drug reactions/allergies and medical history who "when about 18 months old, was vaccinated with both recommended 0.5 ml doses of MMR II (approximately in May-2002) (route and lot number unspecified). Concomitant therapy included Poliovirus vaccine (date, route and lot number unspecified). It was reported that "blood work" (date unspecified) was performed (results not reported). The mother stated her son received both recommended doses of the vaccine and soon after he would not make eye contact and the mother noticed "off the wall changes", "about 3-4 years ago" (approximately in 2005). The patient was diagnosed with autism, attention deficit hyperactivity disorder (ADHD), Bipolar, oppositional defiant disorder (ODD) and obsessive compulsive disorder (OCD). The patient was taking Focalin XR (Novartis) tablets 10 mg, Focalin (Novartis) tablets 2.5 mg, Oxcarbazepine (manufacturer unknown) tablet 300 mg/twice daily, Guacince HCL (manufacturer unknown) tablets 1mg/ twice daily Mirtazapine (manufacturer unknown) tablet 7.5 mg. The mother stated the patient stopped therapy "when about 18 months old". The outcome of the patient was not recovered. The patient sought medical attention. Upon internal review, autism was determined to be an other important medical event. Additional information has been requested.
Age: 66.0
Sex: F
Vaccine: VARZOS
Symptoms: Herpes zoster, Pain, Rash erythematous, Rash vesicular, Skin lesion
Clinical narrative: Information has been received from a nurse concerning a 67 year old female with a diabetes and a history of childhood chickenpox, who on 27-FEB-2008 was vaccinated into the left upper arm with ZOSTAVAX (Merck), lot number: 659326/1824U, subcutaneously. The nurse reported that the patient developed a mild case of shingles after receiving ZOSTAVAX (Merck). The patient came into the office on 19-MAR-2009. The patient developed approximately 19+ lesions (also reported as 20 to 25) on her hip. She complained of pain when some pressure was applied to the rash. A viral swab was obtained (results not reported). The patient prescribed FAMVIR 500 mg three times a day for 1 week. On 19-MAR-2009, a sample of the lesion was collected. The sample was taken from a vesicle in the right hip and was taken to the lab for a viral culture. The results were "No varicella virus detected by rapid viral culture". The patient's pain was measured as a 3 on a pain scale of 0 to 10. The physician reported ZOSTAVAX (Merck) was administered on 26-FEB-2008 (previously reported as 27-FEB-2008). It was reported that the patient had 20+ lesions and experienced them for a 2 week duration. Follow up information has been received from the physician who reported that the patient (height 62 inches, weight 145 pounds) experienced on 19-MAR-2009 at 11:00 AM, a slightly painful eruption on right hip, the patient had crusted microvesicular erythematous lesion. The physician reported that the patient recovered approximately on 09-APR-2009 (3 weeks later). The physician considered the mild/shingles slightly painful eruption on right hip and crusted microvesicular erythematous lesion to be an other important medical event. No further information is available.
Age: 66.0
Sex: F
Vaccine: VARZOS
Symptoms: Virus culture negative
Clinical narrative: Information has been received from a nurse concerning a 67 year old female with a diabetes and a history of childhood chickenpox, who on 27-FEB-2008 was vaccinated into the left upper arm with ZOSTAVAX (Merck), lot number: 659326/1824U, subcutaneously. The nurse reported that the patient developed a mild case of shingles after receiving ZOSTAVAX (Merck). The patient came into the office on 19-MAR-2009. The patient developed approximately 19+ lesions (also reported as 20 to 25) on her hip. She complained of pain when some pressure was applied to the rash. A viral swab was obtained (results not reported). The patient prescribed FAMVIR 500 mg three times a day for 1 week. On 19-MAR-2009, a sample of the lesion was collected. The sample was taken from a vesicle in the right hip and was taken to the lab for a viral culture. The results were "No varicella virus detected by rapid viral culture". The patient's pain was measured as a 3 on a pain scale of 0 to 10. The physician reported ZOSTAVAX (Merck) was administered on 26-FEB-2008 (previously reported as 27-FEB-2008). It was reported that the patient had 20+ lesions and experienced them for a 2 week duration. Follow up information has been received from the physician who reported that the patient (height 62 inches, weight 145 pounds) experienced on 19-MAR-2009 at 11:00 AM, a slightly painful eruption on right hip, the patient had crusted microvesicular erythematous lesion. The physician reported that the patient recovered approximately on 09-APR-2009 (3 weeks later). The physician considered the mild/shingles slightly painful eruption on right hip and crusted microvesicular erythematous lesion to be an other important medical event. No further information is available.
Age: 65.0
Sex: F
Vaccine: PPV
Symptoms: Asthenia, Blood thyroid stimulating hormone, Full blood count, Injection site erythema, Injection site haematoma
Clinical narrative: Information has been received from a medical receptionist concerning a 76 year old female with no pertinent medical history and no drug reactions/allergies who on 13-JAN-2009 was vaccinated IM with PNEUMOVAX 23 0.5ml (LOT# 658449/0989U). Concomitant therapy included alendronate sodium (MSD), NAPROSYN, hydrochlorothiazide (manufacturer unknown) and EVISTA. On 13-JAN-2009 the patient developed a "knot" at the injection site that is red, hot and bruised. The physician had ordered warm compresses and AUGMENTIN and unspecified labs. At the time of reporting, the patient was recovering from the adverse event. It was reported that the patient sought medical attention: office visit. Follow up information was received from a medical receptionist concerning the 65 year old female patient with no known allergies who on 13-JAN-2009 (at 11:30 am) was vaccinated in the left arm with a dose of PNEUMOVAX 23 (lot# 658449/0989U) in physician's office. Concomitant therapy included DYAZIDE, alendronate sodium (MSD) and EVISTA. There was no illness at the time of vaccination. On 15-JAN-2009 the patient experienced left arm warm to touch, red swollen knot (3 inches x 1 inch), body aches and "could hardly get out of bed". Laboratory tests were performed (CBC, BNP, TSH), but no results were provided. The patient was placed on AUGMENTIN, 875 mg, twice a day, for 20 days to treatment the adverse effect. The patient recovered on 28-APR-2009. The reporter considered the adverse events to be other important medical events as they required medical/surgical intervention. No further information is available.
Age: 65.0
Sex: F
Vaccine: PPV
Symptoms: Injection site mass, Injection site swelling, Injection site warmth, Metabolic function test, Pain
Clinical narrative: Information has been received from a medical receptionist concerning a 76 year old female with no pertinent medical history and no drug reactions/allergies who on 13-JAN-2009 was vaccinated IM with PNEUMOVAX 23 0.5ml (LOT# 658449/0989U). Concomitant therapy included alendronate sodium (MSD), NAPROSYN, hydrochlorothiazide (manufacturer unknown) and EVISTA. On 13-JAN-2009 the patient developed a "knot" at the injection site that is red, hot and bruised. The physician had ordered warm compresses and AUGMENTIN and unspecified labs. At the time of reporting, the patient was recovering from the adverse event. It was reported that the patient sought medical attention: office visit. Follow up information was received from a medical receptionist concerning the 65 year old female patient with no known allergies who on 13-JAN-2009 (at 11:30 am) was vaccinated in the left arm with a dose of PNEUMOVAX 23 (lot# 658449/0989U) in physician's office. Concomitant therapy included DYAZIDE, alendronate sodium (MSD) and EVISTA. There was no illness at the time of vaccination. On 15-JAN-2009 the patient experienced left arm warm to touch, red swollen knot (3 inches x 1 inch), body aches and "could hardly get out of bed". Laboratory tests were performed (CBC, BNP, TSH), but no results were provided. The patient was placed on AUGMENTIN, 875 mg, twice a day, for 20 days to treatment the adverse effect. The patient recovered on 28-APR-2009. The reporter considered the adverse events to be other important medical events as they required medical/surgical intervention. No further information is available.
Age: 10.0
Sex: M
Vaccine: VARCEL
Symptoms: Injection site erythema, Injection site induration, Injection site swelling
Clinical narrative: 24 hours after vaccine redness & swelling at site.  Seen at 72 hours after administration.  10 X 8 cm area of erythema with 2 X 2 cm area induration.  Redness & swelling much less today per mom
Age: 59.0
Sex: F
Vaccine: PPV
Symptoms: Back pain, Cerebrovascular accident, Drooling, Facial palsy, Heart rate increased
Clinical narrative: Information has been received from a 59 year old female registered nurse with latex allergy, unspecified pain medication allergy and penicillin allergy who at "end of September or beginning of October" 2008 was vaccinated with PNEUMOVAX 23. Concomitant therapy included ASMANEX, albuterol (manufacturer unspecified) and VALIUM. "Immediately after receiving vaccine" the patient had burning, swelling, redness and rash at the injection site. The patient had unbearable arm pain and her arm was put in a sling. An X-ray was done and edema at the injection site was found. The patient had lost partial use of arm. The patient also hurt her back because of the complications from the vaccine and had rapid heart beat problems. The patient had sought medical attention. At the time of reporting the patient's adverse effect persisted. A product quality complaint was not involved.  Follow-up information has been received from the registered nurse who stated that as soon as the PNEUMOVAX 23 was given she started to the registered nurse that the injection site was burning. The patient reported that "the serum going in was like acid". Since that time the patient had experienced shooting pain and down the nerve. The patient reported that "the pain was severe and had persisted since the injection increasing in intensity". The patient reported weakness in the right arm and at this time the patient was wheelchair bound. The patient reported "yesterday (13-MAY-2009) she noticed mottling of the right arm and tremors of the arm. There was interstitial fluid leaking from the injection site still today." At the time of reporting the patient's right hand was swelling. The patient stated that she was having sleep deprivation due to the pain. The patient also stated that she was having right sided facial drooping and drooling. The patient was told that "a stroke could not ruled out." Although the patient could verify whether or not she had had a stroke, she had undergone an MRI of the arm, ultrasound of the arm and X-ray. On 12-MAY-2009 the patient stated that "she had a nerve test performed that she could not complete because the pain was too much to bear." Upon internal review, stroke was determined to be an other important medical event. Additional information has been requested.
Age: 59.0
Sex: F
Vaccine: PPV
Symptoms: Immediate post-injection reaction, Injection site discharge, Injection site erythema, Injection site irritation, Injection site oedema
Clinical narrative: Information has been received from a 59 year old female registered nurse with latex allergy, unspecified pain medication allergy and penicillin allergy who at "end of September or beginning of October" 2008 was vaccinated with PNEUMOVAX 23. Concomitant therapy included ASMANEX, albuterol (manufacturer unspecified) and VALIUM. "Immediately after receiving vaccine" the patient had burning, swelling, redness and rash at the injection site. The patient had unbearable arm pain and her arm was put in a sling. An X-ray was done and edema at the injection site was found. The patient had lost partial use of arm. The patient also hurt her back because of the complications from the vaccine and had rapid heart beat problems. The patient had sought medical attention. At the time of reporting the patient's adverse effect persisted. A product quality complaint was not involved.  Follow-up information has been received from the registered nurse who stated that as soon as the PNEUMOVAX 23 was given she started to the registered nurse that the injection site was burning. The patient reported that "the serum going in was like acid". Since that time the patient had experienced shooting pain and down the nerve. The patient reported that "the pain was severe and had persisted since the injection increasing in intensity". The patient reported weakness in the right arm and at this time the patient was wheelchair bound. The patient reported "yesterday (13-MAY-2009) she noticed mottling of the right arm and tremors of the arm. There was interstitial fluid leaking from the injection site still today." At the time of reporting the patient's right hand was swelling. The patient stated that she was having sleep deprivation due to the pain. The patient also stated that she was having right sided facial drooping and drooling. The patient was told that "a stroke could not ruled out." Although the patient could verify whether or not she had had a stroke, she had undergone an MRI of the arm, ultrasound of the arm and X-ray. On 12-MAY-2009 the patient stated that "she had a nerve test performed that she could not complete because the pain was too much to bear." Upon internal review, stroke was determined to be an other important medical event. Additional information has been requested.
Age: 59.0
Sex: F
Vaccine: PPV
Symptoms: Injection site rash, Injection site swelling, Insomnia, Laboratory test, Livedo reticularis
Clinical narrative: Information has been received from a 59 year old female registered nurse with latex allergy, unspecified pain medication allergy and penicillin allergy who at "end of September or beginning of October" 2008 was vaccinated with PNEUMOVAX 23. Concomitant therapy included ASMANEX, albuterol (manufacturer unspecified) and VALIUM. "Immediately after receiving vaccine" the patient had burning, swelling, redness and rash at the injection site. The patient had unbearable arm pain and her arm was put in a sling. An X-ray was done and edema at the injection site was found. The patient had lost partial use of arm. The patient also hurt her back because of the complications from the vaccine and had rapid heart beat problems. The patient had sought medical attention. At the time of reporting the patient's adverse effect persisted. A product quality complaint was not involved.  Follow-up information has been received from the registered nurse who stated that as soon as the PNEUMOVAX 23 was given she started to the registered nurse that the injection site was burning. The patient reported that "the serum going in was like acid". Since that time the patient had experienced shooting pain and down the nerve. The patient reported that "the pain was severe and had persisted since the injection increasing in intensity". The patient reported weakness in the right arm and at this time the patient was wheelchair bound. The patient reported "yesterday (13-MAY-2009) she noticed mottling of the right arm and tremors of the arm. There was interstitial fluid leaking from the injection site still today." At the time of reporting the patient's right hand was swelling. The patient stated that she was having sleep deprivation due to the pain. The patient also stated that she was having right sided facial drooping and drooling. The patient was told that "a stroke could not ruled out." Although the patient could verify whether or not she had had a stroke, she had undergone an MRI of the arm, ultrasound of the arm and X-ray. On 12-MAY-2009 the patient stated that "she had a nerve test performed that she could not complete because the pain was too much to bear." Upon internal review, stroke was determined to be an other important medical event. Additional information has been requested.
Age: 59.0
Sex: F
Vaccine: PPV
Symptoms: Muscular weakness, Nuclear magnetic resonance imaging, Oedema peripheral, Pain, Pain in extremity
Clinical narrative: Information has been received from a 59 year old female registered nurse with latex allergy, unspecified pain medication allergy and penicillin allergy who at "end of September or beginning of October" 2008 was vaccinated with PNEUMOVAX 23. Concomitant therapy included ASMANEX, albuterol (manufacturer unspecified) and VALIUM. "Immediately after receiving vaccine" the patient had burning, swelling, redness and rash at the injection site. The patient had unbearable arm pain and her arm was put in a sling. An X-ray was done and edema at the injection site was found. The patient had lost partial use of arm. The patient also hurt her back because of the complications from the vaccine and had rapid heart beat problems. The patient had sought medical attention. At the time of reporting the patient's adverse effect persisted. A product quality complaint was not involved.  Follow-up information has been received from the registered nurse who stated that as soon as the PNEUMOVAX 23 was given she started to the registered nurse that the injection site was burning. The patient reported that "the serum going in was like acid". Since that time the patient had experienced shooting pain and down the nerve. The patient reported that "the pain was severe and had persisted since the injection increasing in intensity". The patient reported weakness in the right arm and at this time the patient was wheelchair bound. The patient reported "yesterday (13-MAY-2009) she noticed mottling of the right arm and tremors of the arm. There was interstitial fluid leaking from the injection site still today." At the time of reporting the patient's right hand was swelling. The patient stated that she was having sleep deprivation due to the pain. The patient also stated that she was having right sided facial drooping and drooling. The patient was told that "a stroke could not ruled out." Although the patient could verify whether or not she had had a stroke, she had undergone an MRI of the arm, ultrasound of the arm and X-ray. On 12-MAY-2009 the patient stated that "she had a nerve test performed that she could not complete because the pain was too much to bear." Upon internal review, stroke was determined to be an other important medical event. Additional information has been requested.
Age: 59.0
Sex: F
Vaccine: PPV
Symptoms: Tremor, Ultrasound scan, Wheelchair user, X-ray
Clinical narrative: Information has been received from a 59 year old female registered nurse with latex allergy, unspecified pain medication allergy and penicillin allergy who at "end of September or beginning of October" 2008 was vaccinated with PNEUMOVAX 23. Concomitant therapy included ASMANEX, albuterol (manufacturer unspecified) and VALIUM. "Immediately after receiving vaccine" the patient had burning, swelling, redness and rash at the injection site. The patient had unbearable arm pain and her arm was put in a sling. An X-ray was done and edema at the injection site was found. The patient had lost partial use of arm. The patient also hurt her back because of the complications from the vaccine and had rapid heart beat problems. The patient had sought medical attention. At the time of reporting the patient's adverse effect persisted. A product quality complaint was not involved.  Follow-up information has been received from the registered nurse who stated that as soon as the PNEUMOVAX 23 was given she started to the registered nurse that the injection site was burning. The patient reported that "the serum going in was like acid". Since that time the patient had experienced shooting pain and down the nerve. The patient reported that "the pain was severe and had persisted since the injection increasing in intensity". The patient reported weakness in the right arm and at this time the patient was wheelchair bound. The patient reported "yesterday (13-MAY-2009) she noticed mottling of the right arm and tremors of the arm. There was interstitial fluid leaking from the injection site still today." At the time of reporting the patient's right hand was swelling. The patient stated that she was having sleep deprivation due to the pain. The patient also stated that she was having right sided facial drooping and drooling. The patient was told that "a stroke could not ruled out." Although the patient could verify whether or not she had had a stroke, she had undergone an MRI of the arm, ultrasound of the arm and X-ray. On 12-MAY-2009 the patient stated that "she had a nerve test performed that she could not complete because the pain was too much to bear." Upon internal review, stroke was determined to be an other important medical event. Additional information has been requested.
Age: 18.0
Sex: M
Vaccine: TTOX
Symptoms: Injection site hypersensitivity, Injection site pain, Nausea, Pyrexia, Vomiting
Clinical narrative: -Develop fever of 102 degrees F orally -Nausea -Severe, violent vomiting -Tenderness/sensitivity of injection site.
Age: 36.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: 4x2.5" area of severe swelling around the site of injection. Pain to touch and radiates heat
Age: 23.0
Sex: F
Vaccine: HPV4
Symptoms: Dizziness
Clinical narrative: As medication was being injected, became faint. Has not done this with other injections. Once patient sat for a few minutse and sipped on Coke, felt much better.
Age: 1.58
Sex: F
Vaccine: DTAP, HIBV, PNC
Symptoms: Wrong drug administered
Clinical narrative: A 5th Pneumococcal vaccination was given instead of a 1st Hepatitis A. Incident occured 05/21/09 at 1545.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV
Symptoms: Local reaction, Oedema peripheral
Clinical narrative: Local reaction with arm swelling
Age: 5.0
Sex: F
Vaccine: DTAPIPV, HEPA, MMR, VARCEL
Symptoms: Body temperature increased, Erythema, Induration, Pain in extremity, Rash macular
Clinical narrative: Clinic observation: slight diffuse induration in the deltoid area of the right arm.  Red and blotchy in the area noted.  Not hot to touch and withoug tenderness or vesicles.  Temperature was 99.6.  Mom stated she noted the reaction 2 days after the immunization was given when her daughter c/o of arm hurting.  Mom was instructed to give Benadryl exlixir per directions, prn.
Age: 0.75
Sex: F
Vaccine: DTPPHIB, HEP, PNC
Symptoms: Injection site induration, Injection site pain, Injection site warmth
Clinical narrative: Pentacel administered in Right deltoid. Three inch induration around injection site that is tender and warm to the touch.
Age: 27.0
Sex: F
Vaccine: ANTH, HPV4, MNQ, TYP
Symptoms: Pain in extremity
Clinical narrative: Pt c/o pain in left arm after receiving her first dose of anthrax.  The pain started one day after receiving the dose and lasted for 3 days.
Age: 20.0
Sex: F
Vaccine: HPV4, MNQ, TDAP, VARCEL
Symptoms: Anorexia, Chills, Headache, Hypoaesthesia, Injected limb mobility decreased
Clinical narrative: CLIENT RECEIVED VACCINE ON 5/18/2009 ON THE LEFT ARM ONE INCH BELOW THE TDAP. SHE EXPERIENCED FEVER OF 102, CHILLS, SENSITIVITY TO LIGT, HEADACHES, LOSS OF APPETITE, NAUSEA,NUMBNESS TO SITE AND LOSS OF FEELING IN ARM. TODAY THE SITE IS 3"X 3.5" RED,WARM, SLIGHTLY SWOLLEN AND VERY PAINFUL TO SLIGHT TOUCH. PULSE OF 88, TEMPERATURE OF 97 DEGREES. FINGERS TO LEFT HAND ARE PINK, WARM, CAPILLARY REFILL <3 SECONDS. ABLE TO MOVE FINGERS FREELY. ABLE TO LIFT LEFT ARM BUT C/O PAIN WHEN ARM IS LIFTED ABOVE SHOULDER LEVEL. REVIEWED THE SIDE EFFECTS LISTED IN THE PRODUCT FOLDER WITH CLIENT. INFORMED CLIENT NOT TO SCRATCH SITE AS SITE CAN BECOME INFECTED. INFORMED CLIENT IF SITE BECOMES MORE PAINFUL AND OOZES PUS AND HAS ODOR AND INCREASES IN SIZE AND HAS A THROBBING SENSATION  TO SEE PHYSICIAN. REVIEWED THE SIGNS AND SYMPTOMS OF INFECTION WITH CLIENT. INFORMED CLIENT IF FINGERS BECOME COOL AND FEEL NUMB TO SEE PHYSICIAN. ADMITS TO HAVING HEADACHE BECAUSE WISDOM TEETH ARE COMING OUT. INFORMED CLIENT TO CHECK ARM WITH BROTHER IN LAW WHO IS A NURSE IF HAVING MORE PROBLEMS OR SEE HER PHYSICIAN.
Age: 20.0
Sex: F
Vaccine: HPV4, MNQ, TDAP, VARCEL
Symptoms: Injection site anaesthesia, Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: CLIENT RECEIVED VACCINE ON 5/18/2009 ON THE LEFT ARM ONE INCH BELOW THE TDAP. SHE EXPERIENCED FEVER OF 102, CHILLS, SENSITIVITY TO LIGT, HEADACHES, LOSS OF APPETITE, NAUSEA,NUMBNESS TO SITE AND LOSS OF FEELING IN ARM. TODAY THE SITE IS 3"X 3.5" RED,WARM, SLIGHTLY SWOLLEN AND VERY PAINFUL TO SLIGHT TOUCH. PULSE OF 88, TEMPERATURE OF 97 DEGREES. FINGERS TO LEFT HAND ARE PINK, WARM, CAPILLARY REFILL <3 SECONDS. ABLE TO MOVE FINGERS FREELY. ABLE TO LIFT LEFT ARM BUT C/O PAIN WHEN ARM IS LIFTED ABOVE SHOULDER LEVEL. REVIEWED THE SIDE EFFECTS LISTED IN THE PRODUCT FOLDER WITH CLIENT. INFORMED CLIENT NOT TO SCRATCH SITE AS SITE CAN BECOME INFECTED. INFORMED CLIENT IF SITE BECOMES MORE PAINFUL AND OOZES PUS AND HAS ODOR AND INCREASES IN SIZE AND HAS A THROBBING SENSATION  TO SEE PHYSICIAN. REVIEWED THE SIGNS AND SYMPTOMS OF INFECTION WITH CLIENT. INFORMED CLIENT IF FINGERS BECOME COOL AND FEEL NUMB TO SEE PHYSICIAN. ADMITS TO HAVING HEADACHE BECAUSE WISDOM TEETH ARE COMING OUT. INFORMED CLIENT TO CHECK ARM WITH BROTHER IN LAW WHO IS A NURSE IF HAVING MORE PROBLEMS OR SEE HER PHYSICIAN.
Age: 20.0
Sex: F
Vaccine: HPV4, MNQ, TDAP, VARCEL
Symptoms: Nausea, Photophobia, Pyrexia
Clinical narrative: CLIENT RECEIVED VACCINE ON 5/18/2009 ON THE LEFT ARM ONE INCH BELOW THE TDAP. SHE EXPERIENCED FEVER OF 102, CHILLS, SENSITIVITY TO LIGT, HEADACHES, LOSS OF APPETITE, NAUSEA,NUMBNESS TO SITE AND LOSS OF FEELING IN ARM. TODAY THE SITE IS 3"X 3.5" RED,WARM, SLIGHTLY SWOLLEN AND VERY PAINFUL TO SLIGHT TOUCH. PULSE OF 88, TEMPERATURE OF 97 DEGREES. FINGERS TO LEFT HAND ARE PINK, WARM, CAPILLARY REFILL <3 SECONDS. ABLE TO MOVE FINGERS FREELY. ABLE TO LIFT LEFT ARM BUT C/O PAIN WHEN ARM IS LIFTED ABOVE SHOULDER LEVEL. REVIEWED THE SIDE EFFECTS LISTED IN THE PRODUCT FOLDER WITH CLIENT. INFORMED CLIENT NOT TO SCRATCH SITE AS SITE CAN BECOME INFECTED. INFORMED CLIENT IF SITE BECOMES MORE PAINFUL AND OOZES PUS AND HAS ODOR AND INCREASES IN SIZE AND HAS A THROBBING SENSATION  TO SEE PHYSICIAN. REVIEWED THE SIGNS AND SYMPTOMS OF INFECTION WITH CLIENT. INFORMED CLIENT IF FINGERS BECOME COOL AND FEEL NUMB TO SEE PHYSICIAN. ADMITS TO HAVING HEADACHE BECAUSE WISDOM TEETH ARE COMING OUT. INFORMED CLIENT TO CHECK ARM WITH BROTHER IN LAW WHO IS A NURSE IF HAVING MORE PROBLEMS OR SEE HER PHYSICIAN.
Age: 15.0
Sex: F
Vaccine: HPV4, VARCEL
Symptoms: Bradycardia, Hyperhidrosis, Hypotension, Immediate post-injection reaction, Orthostatic hypotension
Clinical narrative: Immediately after administering the vaccine, the patient experienced near-syncope: pallor, diaphoresis, hypotension and bradycardia.  This lasted over 1.5 hours until she was transported by EMS to the ED.  Her BP baseline was 125/75 with pulse 108, but during the event BP was 80's/50's with pulse in the 50's.  Standing caused dropping of BP and pulse and diaphoresis and near-syncope.  7/7/09 ER records received DOS 5/22/09. Assessment: Vasovagal Syncope. Patient instantly developed lightheadedness and had syncopal episode. Presented with low blood pressure and pulse.
Age: 15.0
Sex: F
Vaccine: HPV4, VARCEL
Symptoms: Pallor, Presyncope
Clinical narrative: Immediately after administering the vaccine, the patient experienced near-syncope: pallor, diaphoresis, hypotension and bradycardia.  This lasted over 1.5 hours until she was transported by EMS to the ED.  Her BP baseline was 125/75 with pulse 108, but during the event BP was 80's/50's with pulse in the 50's.  Standing caused dropping of BP and pulse and diaphoresis and near-syncope.  7/7/09 ER records received DOS 5/22/09. Assessment: Vasovagal Syncope. Patient instantly developed lightheadedness and had syncopal episode. Presented with low blood pressure and pulse.
Age: 47.0
Sex: M
Vaccine: ANTH
Symptoms: Injection site pruritus, Injection site rash, Injection site swelling
Clinical narrative: Patient started having reaction to vaccine two days after delivery. Rash swelling and itching at injection sight. They thought patient was possibly getting infection so he was given rocephin IM observed and sent home with instructions to F/U the next day.
Age: 10.0
Sex: F
Vaccine: DTAP, HEP, HIBV, IPV, PNC
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: Family called in on very hectic day wanting to get child with bone marrow transplant revaccinated.  They were on their way home from doctor. Receptionist made appt. Father gave form with very small print and stated said her baby shots needed to be repeated and doctor stated their was a combination but he was not sure what was in it. My mind went to baby. Reviewed manf inserts and realized that Pediarix nor Pentacel should be given due to age.  However I failed to remember Td should be given after age 7.  Tripedia and Prevnar was given in error.
Age: 18.0
Sex: F
Vaccine: HEP, HPV4, MNQ, TDAP, HEP, HPV4, MNQ, TDAP
Symptoms: Dizziness, Nausea, Retching
Clinical narrative: Patient complained of dizziness, nausea and dry heaves. The symptoms lasted approximately 8 hours.  No treatment
Age: 54.0
Sex: M
Vaccine: TTOX
Symptoms: Mental status changes
Clinical narrative: altered mental status per MD
Age: 25.0
Sex: F
Vaccine: TDAP
Symptoms: Headache, Myalgia
Clinical narrative: Headache and worsening myalgias upper extremities and torso.
Age: 25.0
Sex: F
Vaccine: ANTH, SMALL, ANTH, SMALL
Symptoms: Bundle branch block right, Chest pain, Chills, Dyspnoea, Electrocardiogram abnormal
Clinical narrative: ~2 days after receiving smallpox and anthrax vaccine, patient developed fever and chills which resolved overnight.  Patient went running the next day and experienced chest pain that resolved with walking, but returned when she resumed running.  Other symptoms included dyspnea and a sensation of a pounding regular heartbeat.  Patient presented to the acute care clinic where an ECG was significant for an incomplete right bundle branch block.  Patient was then sent to the emergency department for further evaluation. ESR, cardiac troponin, and D-dimer drawn in the ED were normal.  Patient also seen for follow-up in the cardiology clinic and had a normal graded exercise treadmill test.
Age: 25.0
Sex: F
Vaccine: ANTH, SMALL, ANTH, SMALL
Symptoms: Exercise electrocardiogram, Palpitations, Pyrexia, Red blood cell sedimentation rate normal, Troponin
Clinical narrative: ~2 days after receiving smallpox and anthrax vaccine, patient developed fever and chills which resolved overnight.  Patient went running the next day and experienced chest pain that resolved with walking, but returned when she resumed running.  Other symptoms included dyspnea and a sensation of a pounding regular heartbeat.  Patient presented to the acute care clinic where an ECG was significant for an incomplete right bundle branch block.  Patient was then sent to the emergency department for further evaluation. ESR, cardiac troponin, and D-dimer drawn in the ED were normal.  Patient also seen for follow-up in the cardiology clinic and had a normal graded exercise treadmill test.
Age: 25.0
Sex: F
Vaccine: ANTH, SMALL, ANTH, SMALL
Symptoms: Exercise electrocardiogram, Fibrin D dimer, Palpitations, Pyrexia, Red blood cell sedimentation rate
Clinical narrative: ~2 days after receiving smallpox and anthrax vaccine, patient developed fever and chills which resolved overnight.  Patient went running the next day and experienced chest pain that resolved with walking, but returned when she resumed running.  Other symptoms included dyspnea and a sensation of a pounding regular heartbeat.  Patient presented to the acute care clinic where an ECG was significant for an incomplete right bundle branch block.  Patient was then sent to the emergency department for further evaluation. ESR, cardiac troponin, and D-dimer drawn in the ED were normal.  Patient also seen for follow-up in the cardiology clinic and had a normal graded exercise treadmill test.
Age: 25.0
Sex: F
Vaccine: ANTH, SMALL, ANTH, SMALL
Symptoms: Troponin
Clinical narrative: ~2 days after receiving smallpox and anthrax vaccine, patient developed fever and chills which resolved overnight.  Patient went running the next day and experienced chest pain that resolved with walking, but returned when she resumed running.  Other symptoms included dyspnea and a sensation of a pounding regular heartbeat.  Patient presented to the acute care clinic where an ECG was significant for an incomplete right bundle branch block.  Patient was then sent to the emergency department for further evaluation. ESR, cardiac troponin, and D-dimer drawn in the ED were normal.  Patient also seen for follow-up in the cardiology clinic and had a normal graded exercise treadmill test.
Age: 22.0
Sex: F
Vaccine: PPV
Symptoms: Injected limb mobility decreased, Injection site erythema, Injection site swelling
Clinical narrative: Pt was given Pneumovax on 5/11/09, pt called on 5/13/09 and spoke to triage nurse asking if the following symptoms are normal after recieving the pneumovax.  Symptoms redness and swelling at site of injection and inability to move arm.  Pt was given appt to be seen and evaluated.  Pt seen by primary care doctor who advised was normal reaction.
Age: 1.0
Sex: F
Vaccine: DTAP, HEPA, MMR, PNC, VARCEL
Symptoms: Gaze palsy, Influenza serology negative, Muscle twitching, Pyrexia, Vomiting
Clinical narrative: fever, vomiting, eyes rolling to back of head, twitching for 1 hour, patient went to ER and then was seen folling day.
Age: 1.0
Sex: M
Vaccine: MMR, PNC, VARCEL
Symptoms: Herpes zoster
Clinical narrative: Presented to cinic with herpes zoster rash on back and chest that started 5/19.  No known chicken pox before vaccine or exposure to Zoster or chicken pox
Age: 47.0
Sex: M
Vaccine: MMR
Symptoms: Injection site rash
Clinical narrative: Rash at injection site and on the back of right arm.
Age: 11.0
Sex: M
Vaccine: TDAP
Symptoms: Immediate post-injection reaction, Loss of consciousness, Pallor
Clinical narrative: patient sitting in chair for injection. approximately 30 seconds after injection, observed color (pale) on face,patient lost consciousness for a moment and than regained consciousness.  no other injury, patient did not fall from chair. placed patient on bed. patient alert and oriented.  Mother states client has not had any breakfast or drinks that morning. gave orange juice and breakfast bar to cleint. after color returning to his face and after eating and drinking, patient states feels better. no further dizzeness or loss of consciouness.
Age: 5.0
Sex: U
Vaccine: DTAP
Symptoms: Blood test normal, Body temperature increased, Erythema, Oedema peripheral, Rash
Clinical narrative: Shortly after DTAP vaccine his left upper arm began to swell. It got bright red,swollen, hot to touch and had a rash. He was administered Qdryl(corn free antihistamine)3 times a day for 3 days. It was also treated with Elacon steroid cream for 3 days. He did not have any signs of anaphylaxis. This redness,hotness and swelling with rash lasted 3 days. He had a temperature of 99.6 Doctors office was notified several times. They did not wish to see him unless he had a real fever or anaphylaxis. They said this was a "normal reaction"
Age: 5.0
Sex: U
Vaccine: DTAP
Symptoms: Skin warm
Clinical narrative: Shortly after DTAP vaccine his left upper arm began to swell. It got bright red,swollen, hot to touch and had a rash. He was administered Qdryl(corn free antihistamine)3 times a day for 3 days. It was also treated with Elacon steroid cream for 3 days. He did not have any signs of anaphylaxis. This redness,hotness and swelling with rash lasted 3 days. He had a temperature of 99.6 Doctors office was notified several times. They did not wish to see him unless he had a real fever or anaphylaxis. They said this was a "normal reaction"
Age: 1.5
Sex: M
Vaccine: DTAP, HEPA, MMR, PNC, VARCEL
Symptoms: Varicella
Clinical narrative: After receiving Varicella vaccine on 4/16/09, pt was seen on 5/16/09 with a Dx of Varicella.
Age: 0.5
Sex: M
Vaccine: PNC, RV5, RV5
Symptoms: Enema administration, Intussusception, Pyrexia, Rectal haemorrhage, Urinary system X-ray
Clinical narrative: Pt received Rotavirus vaccine on 4/06/09. Pt had ER visit with Dx intussusception on 4/08/09. pt c/o vomiting/rectal bleeding, low grade fever. Moc + PPD, taking INH/Vit B-12.  6/8/09 Medical records received DOS 4/6/09 to 4/20/09. FINAL DIAGNOSIS: Reduction of Intussusception. Post vaccination presented with fever, emesis, crying and arching back. R TN obscured. Diarrhea. Referred to hospital for evaluation, reduction of intussusception.  6/15/09 Received hospital medical records for 4/8-4/15/2009. FINAL DX: intussusception, open reduction w/appendectomy Records reveal patient experienced vomiting, decreased appetite, irritable, lethargic, bloody stools, cramping, abdominal pain, low grade fever x 1 day.  Attempted enema reduction unsuccessful. Surgical consult done.  To OR for difficulty manual reduction.  Bowel noted to have edema & hemorrhage but no frank necrosis.  Developed cough & fever postoperatively which resolved by d/c to home.
Age: 0.5
Sex: M
Vaccine: PNC, RV5, RV5
Symptoms: Vomiting
Clinical narrative: Pt received Rotavirus vaccine on 4/06/09. Pt had ER visit with Dx intussusception on 4/08/09. pt c/o vomiting/rectal bleeding, low grade fever. Moc + PPD, taking INH/Vit B-12.  6/8/09 Medical records received DOS 4/6/09 to 4/20/09. FINAL DIAGNOSIS: Reduction of Intussusception. Post vaccination presented with fever, emesis, crying and arching back. R TN obscured. Diarrhea. Referred to hospital for evaluation, reduction of intussusception.  6/15/09 Received hospital medical records for 4/8-4/15/2009. FINAL DX: intussusception, open reduction w/appendectomy Records reveal patient experienced vomiting, decreased appetite, irritable, lethargic, bloody stools, cramping, abdominal pain, low grade fever x 1 day.  Attempted enema reduction unsuccessful. Surgical consult done.  To OR for difficulty manual reduction.  Bowel noted to have edema & hemorrhage but no frank necrosis.  Developed cough & fever postoperatively which resolved by d/c to home.
Age: 0.5
Sex: M
Vaccine: PNC, RV5, RV5
Symptoms: Inappropriate schedule of drug administration, Intussusception
Clinical narrative: Pt received Rotavirus vaccine on 4/06/09. Pt had ER visit with Dx intussusception on 4/08/09. pt c/o vomiting/rectal bleeding, low grade fever. Moc + PPD, taking INH/Vit B-12.  6/8/09 Medical records received DOS 4/6/09 to 4/20/09. FINAL DIAGNOSIS: Reduction of Intussusception. Post vaccination presented with fever, emesis, crying and arching back. R TN obscured. Diarrhea. Referred to hospital for evaluation, reduction of intussusception.  6/15/09 Received hospital medical records for 4/8-4/15/2009. FINAL DX: intussusception, open reduction w/appendectomy Records reveal patient experienced vomiting, decreased appetite, irritable, lethargic, bloody stools, cramping, abdominal pain, low grade fever x 1 day.  Attempted enema reduction unsuccessful. Surgical consult done.  To OR for difficulty manual reduction.  Bowel noted to have edema & hemorrhage but no frank necrosis.  Developed cough & fever postoperatively which resolved by d/c to home.
Age: 65.0
Sex: F
Vaccine: VARZOS
Symptoms: Erythema, Induration, Skin lesion, Skin warm, Swelling
Clinical narrative: Patient developed three lesions at 2 days post injection, each approx 3-4" in diameter, within a 10" area around the site of injection. Pt applied ice. At 3 days post injection the lesions had become indurated and massed into a red swollen area approx 1 foot in length, possibly resolving and a little less warm to touch.
Age: 77.0
Sex: M
Vaccine: VARZOS, VARZOS
Symptoms: Blood creatine phosphokinase normal, Muscular weakness, Myalgia, Polymyalgia rheumatica, Red blood cell sedimentation rate increased
Clinical narrative: Pt. developed gradually worsening myalgias and muscle weakness after receiving the Zostavax on 12/22/08 and had elevated ESR of 71 consistent with polymyalgia rheumatica.  His symptoms have resolved with prednisone therapy.
Age: 77.0
Sex: M
Vaccine: VARZOS, VARZOS
Symptoms: Muscular weakness, Myalgia, Polymyalgia rheumatica, Red blood cell sedimentation rate increased
Clinical narrative: Pt. developed gradually worsening myalgias and muscle weakness after receiving the Zostavax on 12/22/08 and had elevated ESR of 71 consistent with polymyalgia rheumatica.  His symptoms have resolved with prednisone therapy.
Age: 0.2
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Barium double contrast, Enema administration, Intussusception
Clinical narrative: Baby was brought in today by her mother. Mom reported to the doctor about SXs 30 days after her 1st dose of ROTATEQ. Intussusception per Dr. . Reduced with air contrast enema.  6/5/09 Medical records received DOS 4/30/09 to 5/1/09. FINAL DIAGNOSIS: Intussusception, dehydration, vomiting. Post vaccination presented with vomiting, face swelling, tugging at ears. Decreased intake liquids. Crying. Difficulty waking up.  6/5/09 Discharge summary received DOS 5/1/09. FINAL DIAGNOSIS: Intussusception Post vaccination presented with crampy abdominal pain and bloody stools. Vomiting.
Age: 67.0
Sex: M
Vaccine: PPV
Symptoms: Local reaction, Swelling, Tenderness
Clinical narrative: Severe local swelling and tenderness developing over 48 hours since vaccines given.
Age: 0.4
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Injection site nodule
Clinical narrative: Patient had soft node to R/L anterior thigh region.  Nurse Practitioner recommended to massage the affected area & to apply warm compresses PRN.
Age: 62.0
Sex: M
Vaccine: VARZOS
Symptoms: Erythema, Herpes zoster, Rash
Clinical narrative: Developed shingles on forehead - red rash with discharge 1-2 wks post vaccine, VALTREX ordered
Age: 11.0
Sex: F
Vaccine: HPV4, MMR, MNQ, VARCEL
Symptoms: Erythema, Rash maculo-papular
Clinical narrative: (R) Posterior arm - 1 area maculopapular 5 cm diam. erythema (MENACTRA) (B) Posterior arm - 1 area maculopapular 15 cm diam. (VARICELLA)
Age: 0.5
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Injection site erythema, Injection site pain, Irritability, Pyrexia
Clinical narrative: Started with fever - 103 - last night + then started with fussiness @ 2p 5/22 + redness at site + painful - Rt thigh.
Age: 13.0
Sex: M
Vaccine: MNQ, TDAP
Symptoms: Blood pressure decreased, Dizziness, Fall, Heart rate decreased, Loss of consciousness
Clinical narrative: Pt felt dizzy about 2-3 minutes after BOOSTRIX was given(MENACTRA given about 2 min earlier). Pt tried to lie down on exam bed but felt from bed - did not recall falling from bed. Awake after few seconds.
Age: 52.0
Sex: F
Vaccine: HEP, TD
Symptoms: Erythema, Inflammation, Injection site pain, Neck pain
Clinical narrative: Painful upper (L) arm: Pain radiates from deltoid to above elbow; to (L) side of neck. Inflammation minimal erythema minimal
Age: 79.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Rash, Rash erythematous, Skin warm
Clinical narrative: Patient developed firey red rash on both facial cheeks that feels hot to touch.  This occurred on may 20.  She received an intra-articular steroid injection on may 19 also.
Age: 79.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Hot flush
Clinical narrative: Patient developed firey red rash on both facial cheeks that feels hot to touch.  This occurred on may 20.  She received an intra-articular steroid injection on may 19 also.
Age: 5.0
Sex: F
Vaccine: DTAP, HEPA, IPV, MMR, VARCEL
Symptoms: Body temperature increased, Diarrhoea, Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Day after injection (L) arm was swollen, tender and red, T. 103. Loose stool and vomiting also.
Age: 5.0
Sex: F
Vaccine: DTAP, HEPA, IPV, MMR, VARCEL
Symptoms: Vomiting
Clinical narrative: Day after injection (L) arm was swollen, tender and red, T. 103. Loose stool and vomiting also.