chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 4.0
Sex: F
Vaccine: DTAPIPV, MMRV, PNC13
Symptoms: Injection site erythema, Laboratory test normal, Urticaria
Clinical narrative: Patient with seizure disorder, hx of recurrent febrile seizures, 1st seizure of life after Hep A on 8/19/08. Other seizures since. Received KINRIX/PROQUAD/PREVNAR 13 -> developed redness at injection site, urticaria, generalized tonic-clonic seizure x 30-45 min.
Age: 16.0
Sex: F
Vaccine: HPV4, MNQ, TDAP, VARCEL
Symptoms: Nausea, Syncope, Vomiting
Clinical narrative: Syncopal episode lasting less than 60 seconds. Nausea & vomiting. Applied 2L of O2. After 20 min client's BP was 102/62 & was feeling better.
Age: 0.19
Sex: F
Vaccine: DTAPIPVHIB, HEP, PNC13, RV5
Symptoms: Crying
Clinical narrative: Prolonged crying for 8 hrs. TYLENOL given.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site pain, Injection site pruritus, Injection site warmth
Clinical narrative: Right leg redness larger than a softball in size & circled around back of the leg. Little pain, warm to touch, itchy, tender to touch but child was okotherwise.
Age: 11.0
Sex: F
Vaccine: HPV4, MNQ, TDAP
Symptoms: Nausea, Pallor, Syncope, Vomiting
Clinical narrative: On 7/20/11 at 9:43 AM patient had blood drawn and at 9:45 AM patient had immunizations administered- HPV on left deltoid, MCV-4 and Tdap on right deltoid. After Tdap was administered patient was pale and fainted in chair. Fainting episode lasted about 20-30 seconds. After patient awake and oriented patient stated feeling nauseated. Emesis basin provided patient vomitied X3 times. Patient was given crackers and orange juice in clinic, and advised to remain seated for further observation. At 10:00 AM patient ate half a cracker and drank some orange juice and patient stated no symptoms of N/V.
Age: 56.0
Sex: F
Vaccine: IPV, TYP, YF
Symptoms: Headache, Loss of consciousness, Nausea
Clinical narrative: PATIENT REPORTED FEELING NAUSEA 7/19/2011 ONE DAY AFTER BEING VACCINATED. AWOKE 07/20/2011 FEELING NAUSEATED WITH A HEADACHE, STATED SHE HAD NOT EATEN MUCH THE DAY PRIOR DUE TO NAUSEA. SHE THEN PASSED OUT WITHOUT WARNING AT 1 PM UPON ENTERING HER BATHROOM. SHE STATES SHE WAS UNCONSCIOUS X 5 MINUTES APPROXIMATELY. NO ONE ELSE WAS HOME.
Age: 31.0
Sex: M
Vaccine: ANTH, SMALL
Symptoms: Erythema, Induration, Infection, Oedema, Skin warm
Clinical narrative: Patient took off bandage on 20JUL2011 and noticed that part of the pustule came off and redness, induration, edema, and warm to touch.  Appears to be some infection.  Talked to Medical Doctor and Bactrim was given.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMRV, PNC13
Symptoms: Cellulitis, Injection site erythema, Injection site induration, Injection site swelling
Clinical narrative: Mother noted redness and raised hard area on Right upper arm
Age: 0.17
Sex: F
Vaccine: RV5
Symptoms: Chest X-ray, Dyspnoea, Immediate post-injection reaction, Productive cough, Respiratory distress
Clinical narrative: Information has been received from a physician concerning a 9 week old female patient with a history of premature birth, born at 33 weeks and no known drug reactions or allergies who on 14-JUL-2011 was vaccinated orally with the first dose of ROTATEQ, 2 mL (lot#669962/1723Z) and expiration date 03-NOV-2012. There was no concomitant medication. The physician reported that on 14-JUL-2011 while administering ROTATEQ, her nurse observed the patient coughing and producing copious amounts of mucous. The nurse brought the patient to the physician where the doctor observed the patient in significant respiratory distress. The physician suctioned the mucous and continued to observe the child who exhibited more difficulty breathing and poor respiratory signs. An unspecified dose of epinephrine and albuterol were administered to the child. The patient was transported via emergency medical services (EMS) to a local hospital where a chest X-ray was performed (results not reported). The patient then was transferred to another hospital for further treatment. At the time of the report, the patient's outcome was unknown. The physician considered the patient's experiences to be immediately life-threatening and other important medical events. A lot check has been initiated. Additional information has been requested.
Age: 61.0
Sex: F
Vaccine: TDAP
Symptoms: Chest discomfort, Cough, Dyspnoea, Headache, Pruritus
Clinical narrative: SOB, fever, headache, pressure on chest when breathing, cough, rash, itchy. Pt stated they all started 24 hrs after she received the immunization. Lasting couple of weeks. Rash continued to today moved from head to abdomen and down to groin.
Age: 61.0
Sex: F
Vaccine: TDAP
Symptoms: Pyrexia, Rash
Clinical narrative: SOB, fever, headache, pressure on chest when breathing, cough, rash, itchy. Pt stated they all started 24 hrs after she received the immunization. Lasting couple of weeks. Rash continued to today moved from head to abdomen and down to groin.
Age: 51.0
Sex: F
Vaccine: TDAP
Symptoms: Erythema, Nodule, Pain in extremity, Skin warm
Clinical narrative: Very large knot & red area. Rt arm hot to touch, painful.
Age: 41.0
Sex: M
Vaccine: HEP, HEPA
Symptoms: Unevaluable event
Clinical narrative: None.
Age: 11.0
Sex: M
Vaccine: MNQ, TDAP, VARCEL
Symptoms: Erythema, Pain, Skin warm, Swelling
Clinical narrative: 18cm x 18cm of swollen red area warm and painful.
Age: 8.0
Sex: F
Vaccine: VARCEL
Symptoms: Injection site pruritus, Injection site swelling
Clinical narrative: Swelling, itching to right arm injection site.
Age: 50.0
Sex: M
Vaccine: ANTH, ANTH, SMALL, TYP
Symptoms: Arthralgia, Burning sensation, Dysstasia, Fear of falling, Hypoaesthesia
Clinical narrative: May 2008-developed slight tinnitus in left ear prior to deployment. Respiratory infection after 7-10 days abroad, around 26 May 2008.  Night sweats x1, accompanied. Aug 2008- Knee joints felt on fire with pain. Some numbness, tingling in feet. Night sweats x1. Oct 2008 - Knee joints felt on fire with pain. Dec 2008 - Knee joints felt on fire with pain. Some numbness, tingling in feet. Night sweats x1. Jan 2 2009 (pm) Felt vertigo for 2 weeks, but this night I couldn't stand without fear of falling.  Drove to ER.  There is more....
Age: 50.0
Sex: M
Vaccine: ANTH, ANTH, SMALL, TYP
Symptoms: Night sweats, Paraesthesia, Respiratory tract infection, Tinnitus, Vertigo
Clinical narrative: May 2008-developed slight tinnitus in left ear prior to deployment. Respiratory infection after 7-10 days abroad, around 26 May 2008.  Night sweats x1, accompanied. Aug 2008- Knee joints felt on fire with pain. Some numbness, tingling in feet. Night sweats x1. Oct 2008 - Knee joints felt on fire with pain. Dec 2008 - Knee joints felt on fire with pain. Some numbness, tingling in feet. Night sweats x1. Jan 2 2009 (pm) Felt vertigo for 2 weeks, but this night I couldn't stand without fear of falling.  Drove to ER.  There is more....
Age: 50.0
Sex: M
Vaccine: ANTH, ANTH, SMALL, TYP
Symptoms: Tinnitus
Clinical narrative: May 2008-developed slight tinnitus in left ear prior to deployment. Respiratory infection after 7-10 days abroad, around 26 May 2008.  Night sweats x1, accompanied. Aug 2008- Knee joints felt on fire with pain. Some numbness, tingling in feet. Night sweats x1. Oct 2008 - Knee joints felt on fire with pain. Dec 2008 - Knee joints felt on fire with pain. Some numbness, tingling in feet. Night sweats x1. Jan 2 2009 (pm) Felt vertigo for 2 weeks, but this night I couldn't stand without fear of falling.  Drove to ER.  There is more....
Age: 61.0
Sex: M
Vaccine: VARZOS
Symptoms: Cough, Herpes zoster, Lip swelling, Local swelling, Pain of skin
Clinical narrative: Swelling of lips and nose, development of painful lesions on trunk, arms and scalp. Patient consulted physician and was told he had shingles according to his wife.
Age: 61.0
Sex: M
Vaccine: VARZOS
Symptoms: Sinus congestion, Skin lesion
Clinical narrative: Swelling of lips and nose, development of painful lesions on trunk, arms and scalp. Patient consulted physician and was told he had shingles according to his wife.
Age: 10.0
Sex: M
Vaccine: VARCEL
Symptoms: Erythema, Local swelling, Musculoskeletal stiffness, Pain, Pyrexia
Clinical narrative: Fever, pain stiffness.. Treated both and no noticeable swelling until forty-eight hrs later..Large area swollen and very red. Acetaminophen and ice/heat admin. Taken to Emergency room. Thurs A.M.
Age: 10.0
Sex: M
Vaccine: VARCEL
Symptoms: Type IV hypersensitivity reaction, Vaccination complication
Clinical narrative: Fever, pain stiffness.. Treated both and no noticeable swelling until forty-eight hrs later..Large area swollen and very red. Acetaminophen and ice/heat admin. Taken to Emergency room. Thurs A.M.
Age: 0.84
Sex: F
Vaccine: HIBV, PNC13
Symptoms: Body temperature increased, Somnolence
Clinical narrative: Mother of patient stated that she was "sleepy", and that a rectal temp taken was 104 degrees F. Went for MD visit at 4:30pm and told to "keep an eye on her". Increased sleepiness and elevated temps continued through PM of 7/14/11 (103 on 7/12, 102 on 7/13, and 101 on 7/14). Mother denies any other signs or symptoms.
Age: 68.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Red raised area where vaccine was administered; no pain or itching. Patient didn't even know it was there. Her daughter noticed the spot.
Age: 60.0
Sex: M
Vaccine: PNC
Symptoms: Coronary artery disease
Clinical narrative: Subject in pneumococcal vaccine trial, with severe COPD, was hospitalized with worsened coronary artery disease. Vaccination took place on 3/19/2009. According to the physician, the relationship is none. We would be happy to fax you the studys SAE report.
Age: 60.0
Sex: M
Vaccine: PNC
Symptoms: Wound infection
Clinical narrative: Subject in pneumococcal vaccine trial, with severe COPD, was hospitalized with a superficial sternal wound infection. Vaccination took place on 3/19/2009. According to the physician, the relationship is none. We would be happy to fax you the studys SAE report.
Age: 0.58
Sex: F
Vaccine: DTAPIPVHIB, PNC, RV5
Symptoms: Erythema, Hypersensitivity, Oedema peripheral, Urticaria, Vomiting
Clinical narrative: Hives, redness, swelling to legs, left more severe than right, vomiting
Age: 4.0
Sex: F
Vaccine: DTAP, MMR
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Swelling on top of left leg, about 3" wide and 4-1/2" long from top of injection site. Site is red, slightly raised, tender to touch.  Thought it was sunburn. Child had been outside all day in sun and swimming. Father denies fever, N/V, SOB, rash, and any other hives anywhere on body. Child is acting "normal/wild as usual". Has not seen healthcare provider. Intends to use cold compresses and advised to watch and if conditions or symptoms listed above occur or worsen, to seek prompt medical attention.  Father verbalized understanding, and was "relieved" to hear information.
Age: 15.0
Sex: F
Vaccine: HPV4
Symptoms: Pruritus, Rash, Urticaria
Clinical narrative: States patient woke up in the morning and noticed some bumps on her legs, by that evening she had itchy hives covering her trunk and limbs.
Age: 1.3
Sex: M
Vaccine: HIBV, PNC13
Symptoms: Body temperature increased, Chills, Irritability, Livedo reticularis
Clinical narrative: Initially started to get more irritable and clingy, then started shivering, became mottled, temp only up to 100, gave Tylenol, warm bath, mom brought her back to the office by which time she was fine.
Age: 12.0
Sex: M
Vaccine: HEPA, HPV4, MNQ, TDAP, VARCEL
Symptoms: Pallor, Syncope
Clinical narrative: Following immunization, patient was standing in hallway while his younger brother was being vaccinated. His grandmother asked if he was okay and I went into hallway to find him on his knees with his forehead resting on the wall. I moved him into a semi-fowler's position and noted that his face and lips were pale. He was verbally responsive and oriented. 911 was activated for further evaluation and they responded promptly. Blood pressure while lying down was 102/64. Reassessed after standing @ 96/56. Grandmother agreed with emergency responders that transport to hospital was not indicated. Episode was deemed syncope following vaccine administration.
Age: 40.0
Sex: F
Vaccine: HEP
Symptoms: Cough, Malaise, Pyrexia, Sneezing
Clinical narrative: Coughing, Sneezing, fever of 103, general malasie. Treatment - Tynenol, orange juice & water.
Age: 1.52
Sex: M
Vaccine: DTAPIPVHIB, HEPA
Symptoms: Injection site erythema, Injection site induration
Clinical narrative: Redness, induration 6 x 7 cm (R) upper/anterior/lateral thigh. Mother states she noticed reaction in morning day after shot given and it worsened over that day. She states today the redness seems less than yesterday.
Age: 60.0
Sex: F
Vaccine: VARZOS
Symptoms: Rash
Clinical narrative: Rec'd dose of ZOSTAVAX on 6/28/11. Broke out in shingles type rash on 7/18/11 - thoracic area. Notified & saw PCP. Called our agency to report.
Age: 21.0
Sex: F
Vaccine: MMR, TDAP
Symptoms: Haemorrhage, Oedema peripheral, Skin chapped, Skin lesion
Clinical narrative: Swelling of fingers, multiple out breaks of lesions/sore on hands/arms/legs (recovering) hands cracked and bleed.
Age: 16.0
Sex: F
Vaccine: HPV4
Symptoms: Fall, Immediate post-injection reaction, Syncope
Clinical narrative: Immediately upon withdrawing needle from deltoid, pt experienced a syncopal episode, lasting approx. 1-2 seconds, pt. fell laterally onto exam table where she rested for 15 minutes. Mom stated pt has "fainted" before when receiving injections.
Age: 61.0
Sex: F
Vaccine: PPV
Symptoms: Cellulitis, Injection site erythema
Clinical narrative: Pt had PNEUMOVAX on 7/18/11, by 7/20/11 had 2x5 cm area of patchy erythema anterior (L) proximal bicep area. Treated with Doxycycline 100 mg BID for cellulitis.
Age: 5.0
Sex: F
Vaccine: DTAP
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Injection site is red and swollen. Advised pt to ice it to reduce swelling and watch to fever.
Age: 0.34
Sex: M
Vaccine: HEP
Symptoms: Crying, Hypersensitivity, Injection site erythema, Injection site swelling, Movement disorder
Clinical narrative: This 16 year old male was referred to clinic for reported "allergic reaction" to pertussis vaccine as an infant. Mom advised child received routine TETRAMUNE and OPV on 10/6/1994 with no remembered adverse events. She had premedicated with infant TYLENOL. He received his second set vaccinations on 2/25/1995 (DPT-Hib). Mom advised he cried and continued crying for about 6 hours with swelling and redness to top of vaccinated thigh and would not use this leg (unsure which leg). Mom could console child with TYLENOL and/or holding and rocking. Mom remembers taking him to the ER and was told to continue comfort measures and that this was an "allergic reaction" to the pertussis component of the TETRAMUNE vaccine. She denied any rash, difficulty breathing, seizures or any anaphylactic like reactions. Child slept normally that evening, not crying, and was his "normal self" using his leg the next morning. The vaccine site redness/swelling resolved within 1-2 days. Mom advised he was reseen by his pediatrician who agreed child had had an "allergic reaction" to pertussis portion of DTP vaccine. On 4/26/1995 he received his 6 month vaccinations which included TETRAMUNE, OPV, and third Hepatitis B vaccine. Mom advised child had similar reaction, site redness, swelling, limited use of leg, and crying. Crying resolved in < 6 hours with comfort measures. Site redness and swelling resolved within 1-2 days. He has received all other recommended vaccinations without reactions being pre-medicated with TYLENOL before all infant vaccinations. His fourth and fifth tetanus-diphtheria vaccinations were documented as DT/Hib and no pertussis.
Age: 0.34
Sex: M
Vaccine: HEP
Symptoms: Vaccination complication
Clinical narrative: This 16 year old male was referred to clinic for reported "allergic reaction" to pertussis vaccine as an infant. Mom advised child received routine TETRAMUNE and OPV on 10/6/1994 with no remembered adverse events. She had premedicated with infant TYLENOL. He received his second set vaccinations on 2/25/1995 (DPT-Hib). Mom advised he cried and continued crying for about 6 hours with swelling and redness to top of vaccinated thigh and would not use this leg (unsure which leg). Mom could console child with TYLENOL and/or holding and rocking. Mom remembers taking him to the ER and was told to continue comfort measures and that this was an "allergic reaction" to the pertussis component of the TETRAMUNE vaccine. She denied any rash, difficulty breathing, seizures or any anaphylactic like reactions. Child slept normally that evening, not crying, and was his "normal self" using his leg the next morning. The vaccine site redness/swelling resolved within 1-2 days. Mom advised he was reseen by his pediatrician who agreed child had had an "allergic reaction" to pertussis portion of DTP vaccine. On 4/26/1995 he received his 6 month vaccinations which included TETRAMUNE, OPV, and third Hepatitis B vaccine. Mom advised child had similar reaction, site redness, swelling, limited use of leg, and crying. Crying resolved in < 6 hours with comfort measures. Site redness and swelling resolved within 1-2 days. He has received all other recommended vaccinations without reactions being pre-medicated with TYLENOL before all infant vaccinations. His fourth and fifth tetanus-diphtheria vaccinations were documented as DT/Hib and no pertussis.
Age: 0.15
Sex: M
Vaccine: DTPHIB, OPV
Symptoms: Crying, Hypersensitivity, Injection site erythema, Injection site movement impairment, Injection site swelling
Clinical narrative: "Allergic reaction" to pertussis vaccine as an infant. Mom advised child received first DPT, Hib and OPV on 6/4/1992 with no remembered adverse events. She had premedicated with infant TYLENOL. He received his second set vaccinations on 8/6/1992 (DPT, Hib and OPV). Mom advised he began crying and continued crying for about 6 hours with swelling and redness to top of vaccinated thigh and would not use this leg (unsure which leg). Mom could console child with TYLENOL and/or holding and rocking. She denied any rash, difficulty breathing, seizures or any anaphylactic like reactions. Child slept normally that evening, not crying, and was his "normal self" using his leg the next morning. The vaccine site redness/swelling resolved within 1-2 days. Mom advised he was seen by his pediatrician who told her he had had an "allergic reaction" to pertussis portion of DTP vaccine". On 10/1/1992 he received his 6 month vaccinations which included DTP and Hib vaccine. Mom advised child had similar reaction, site redness, swelling, limited use of leg, and crying. Crying resolved in < 6 hours with comfort measures. Site redness and swelling resolved within 1-2 days. He has received all other recommended vaccinations, including receipt DPT at 16 months and then DT at age 4, without reactions being pre-medicated with TYLENOL before all infant vaccinations.
Age: 0.15
Sex: M
Vaccine: DTPHIB, OPV
Symptoms: Vaccination complication
Clinical narrative: "Allergic reaction" to pertussis vaccine as an infant. Mom advised child received first DPT, Hib and OPV on 6/4/1992 with no remembered adverse events. She had premedicated with infant TYLENOL. He received his second set vaccinations on 8/6/1992 (DPT, Hib and OPV). Mom advised he began crying and continued crying for about 6 hours with swelling and redness to top of vaccinated thigh and would not use this leg (unsure which leg). Mom could console child with TYLENOL and/or holding and rocking. She denied any rash, difficulty breathing, seizures or any anaphylactic like reactions. Child slept normally that evening, not crying, and was his "normal self" using his leg the next morning. The vaccine site redness/swelling resolved within 1-2 days. Mom advised he was seen by his pediatrician who told her he had had an "allergic reaction" to pertussis portion of DTP vaccine". On 10/1/1992 he received his 6 month vaccinations which included DTP and Hib vaccine. Mom advised child had similar reaction, site redness, swelling, limited use of leg, and crying. Crying resolved in < 6 hours with comfort measures. Site redness and swelling resolved within 1-2 days. He has received all other recommended vaccinations, including receipt DPT at 16 months and then DT at age 4, without reactions being pre-medicated with TYLENOL before all infant vaccinations.
Age: 29.0
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Antibody test, Decreased appetite, Erythema, Fatigue, Feeling abnormal
Clinical narrative: Received boosters: MMR given in left arm and Varicella vaccine to right arm (tricep) subcutaneously on 6/10/2011 due to negative titers. Approximately 12 hours later she felt tired and "not herself" and felt as if she were coming down with a cold. The next morning she awoke still ill vomiting once a large amount of white frothy gastric juices (did not eat that am) prior to 5K walk/run. During the 5K, she c/o increased fatigue and body aches with last 1/4 mile of walk unrelieved with fluids/gatorade. She returned home and took BENADRYL and TYLENOL taking every 4-6 hours for the next 24 hours. She advised as BENADRYL wore off Sat evening she noted hives to her chest which resolved by taking more BENADRYL. Sunday am her right arm was very painful with 10x6cm erythematous swelling hive like reaction to VAR site. She was seen at hospital being diagnosed with local site reaction and instructed to use VICODIN and KEFLEX if s/s worsen, Monday 6/13/11 continued fine macular redness to face, arms, palms of hands, soles of feet, and legs denying active rash to chest/back/abd. Also c/o: scalp and neck itching itches, no headache, no sinus pain, and no sinus pressure. Nausea vomiting x 3 days (vomited day 1 but nauseated x 2 days) okay 6/14 but little appetite, body aches on 6/11/11 now okay.  Skin symptoms: hives to chest on 6/11 now diffuse small red bumps to arms, legs, face, upper chest, neck that itch. No fever but felt feverish (up to 100F?) over weekend self treating with TYLENOL. No eye symptoms. No otolaryngeal symptoms. No cardiovascular symptoms. No pulmonary symptoms. No genitourinary symptoms. No hematologic symptoms. No neurological symptoms. 6/14/11: actively scratching arms and legs with tenderness and pain to right tricep with redness and hive at vaccine site 2/3 circumference around upper right arm (tricep region). Denied any new clothing, deodorants, detergents, soaps, hair care, foods, exposures to insects, plant life, animals, new medications, or any change in routine over last 4 months. She denied any headaches, chest pain, shortness of breath, edema, or other systemic symptoms.
Age: 29.0
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site urticaria, Local reaction
Clinical narrative: Received boosters: MMR given in left arm and Varicella vaccine to right arm (tricep) subcutaneously on 6/10/2011 due to negative titers. Approximately 12 hours later she felt tired and "not herself" and felt as if she were coming down with a cold. The next morning she awoke still ill vomiting once a large amount of white frothy gastric juices (did not eat that am) prior to 5K walk/run. During the 5K, she c/o increased fatigue and body aches with last 1/4 mile of walk unrelieved with fluids/gatorade. She returned home and took BENADRYL and TYLENOL taking every 4-6 hours for the next 24 hours. She advised as BENADRYL wore off Sat evening she noted hives to her chest which resolved by taking more BENADRYL. Sunday am her right arm was very painful with 10x6cm erythematous swelling hive like reaction to VAR site. She was seen at hospital being diagnosed with local site reaction and instructed to use VICODIN and KEFLEX if s/s worsen, Monday 6/13/11 continued fine macular redness to face, arms, palms of hands, soles of feet, and legs denying active rash to chest/back/abd. Also c/o: scalp and neck itching itches, no headache, no sinus pain, and no sinus pressure. Nausea vomiting x 3 days (vomited day 1 but nauseated x 2 days) okay 6/14 but little appetite, body aches on 6/11/11 now okay.  Skin symptoms: hives to chest on 6/11 now diffuse small red bumps to arms, legs, face, upper chest, neck that itch. No fever but felt feverish (up to 100F?) over weekend self treating with TYLENOL. No eye symptoms. No otolaryngeal symptoms. No cardiovascular symptoms. No pulmonary symptoms. No genitourinary symptoms. No hematologic symptoms. No neurological symptoms. 6/14/11: actively scratching arms and legs with tenderness and pain to right tricep with redness and hive at vaccine site 2/3 circumference around upper right arm (tricep region). Denied any new clothing, deodorants, detergents, soaps, hair care, foods, exposures to insects, plant life, animals, new medications, or any change in routine over last 4 months. She denied any headaches, chest pain, shortness of breath, edema, or other systemic symptoms.
Age: 29.0
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Malaise, Nausea, Nuclear magnetic resonance imaging normal, Pain, Pruritus
Clinical narrative: Received boosters: MMR given in left arm and Varicella vaccine to right arm (tricep) subcutaneously on 6/10/2011 due to negative titers. Approximately 12 hours later she felt tired and "not herself" and felt as if she were coming down with a cold. The next morning she awoke still ill vomiting once a large amount of white frothy gastric juices (did not eat that am) prior to 5K walk/run. During the 5K, she c/o increased fatigue and body aches with last 1/4 mile of walk unrelieved with fluids/gatorade. She returned home and took BENADRYL and TYLENOL taking every 4-6 hours for the next 24 hours. She advised as BENADRYL wore off Sat evening she noted hives to her chest which resolved by taking more BENADRYL. Sunday am her right arm was very painful with 10x6cm erythematous swelling hive like reaction to VAR site. She was seen at hospital being diagnosed with local site reaction and instructed to use VICODIN and KEFLEX if s/s worsen, Monday 6/13/11 continued fine macular redness to face, arms, palms of hands, soles of feet, and legs denying active rash to chest/back/abd. Also c/o: scalp and neck itching itches, no headache, no sinus pain, and no sinus pressure. Nausea vomiting x 3 days (vomited day 1 but nauseated x 2 days) okay 6/14 but little appetite, body aches on 6/11/11 now okay.  Skin symptoms: hives to chest on 6/11 now diffuse small red bumps to arms, legs, face, upper chest, neck that itch. No fever but felt feverish (up to 100F?) over weekend self treating with TYLENOL. No eye symptoms. No otolaryngeal symptoms. No cardiovascular symptoms. No pulmonary symptoms. No genitourinary symptoms. No hematologic symptoms. No neurological symptoms. 6/14/11: actively scratching arms and legs with tenderness and pain to right tricep with redness and hive at vaccine site 2/3 circumference around upper right arm (tricep region). Denied any new clothing, deodorants, detergents, soaps, hair care, foods, exposures to insects, plant life, animals, new medications, or any change in routine over last 4 months. She denied any headaches, chest pain, shortness of breath, edema, or other systemic symptoms.
Age: 29.0
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Pyrexia, Rash erythematous, Rash pruritic, Urticaria, Vomiting
Clinical narrative: Received boosters: MMR given in left arm and Varicella vaccine to right arm (tricep) subcutaneously on 6/10/2011 due to negative titers. Approximately 12 hours later she felt tired and "not herself" and felt as if she were coming down with a cold. The next morning she awoke still ill vomiting once a large amount of white frothy gastric juices (did not eat that am) prior to 5K walk/run. During the 5K, she c/o increased fatigue and body aches with last 1/4 mile of walk unrelieved with fluids/gatorade. She returned home and took BENADRYL and TYLENOL taking every 4-6 hours for the next 24 hours. She advised as BENADRYL wore off Sat evening she noted hives to her chest which resolved by taking more BENADRYL. Sunday am her right arm was very painful with 10x6cm erythematous swelling hive like reaction to VAR site. She was seen at hospital being diagnosed with local site reaction and instructed to use VICODIN and KEFLEX if s/s worsen, Monday 6/13/11 continued fine macular redness to face, arms, palms of hands, soles of feet, and legs denying active rash to chest/back/abd. Also c/o: scalp and neck itching itches, no headache, no sinus pain, and no sinus pressure. Nausea vomiting x 3 days (vomited day 1 but nauseated x 2 days) okay 6/14 but little appetite, body aches on 6/11/11 now okay.  Skin symptoms: hives to chest on 6/11 now diffuse small red bumps to arms, legs, face, upper chest, neck that itch. No fever but felt feverish (up to 100F?) over weekend self treating with TYLENOL. No eye symptoms. No otolaryngeal symptoms. No cardiovascular symptoms. No pulmonary symptoms. No genitourinary symptoms. No hematologic symptoms. No neurological symptoms. 6/14/11: actively scratching arms and legs with tenderness and pain to right tricep with redness and hive at vaccine site 2/3 circumference around upper right arm (tricep region). Denied any new clothing, deodorants, detergents, soaps, hair care, foods, exposures to insects, plant life, animals, new medications, or any change in routine over last 4 months. She denied any headaches, chest pain, shortness of breath, edema, or other systemic symptoms.
Age: 19.0
Sex: F
Vaccine: SMALL
Symptoms: Blister, Headache, Pyrexia, Rash, Rash erythematous
Clinical narrative: Pt received her primary smallpox vaccination (WAL 4020071) on 10/23/2003. That evening while out to dinner with her family, she complained of a headache, fever 103-104, and multiple red itchy bumpy skin patches and lesions (she called hives) all over her body. She reported being taken to near-by hospital where she was treated with BENADRYL, NSAIDs, and TYLENOL. She said her diagnosis was a reaction to her vaccination. All symptoms resolved within 24-48 hours. She also stated her SPV developed a pin size vesicle one day after vaccination that resolved by day 3. She remembers no scab or scarring experienced by others (her husband got vaccine at same time). [A request for any medical records between 2002-2004 at area hospital found no medical records for this time period (she was unable to remember name of hospital or if went to an urgent care facility). ] No JENNERIAN (smallpox vaccination) scar was visible to either deltoid on exam despite documentation of receipt in 10/2003. On 11/20/2003 she received her annual influenza vaccination (split - IM unknown manuf). Approximately 24 hours later she complained of a fever to 101, nausea, headache and red dots (she calls hives) to her chest. These dots were similar to SPV reaction but not as pronounced or severe as they were localized to chest only. She went to nearby ER being told it was a reaction to the vaccine and given oral BENADRYL and TYLENOL. All symptoms resolved within 1-2 days. Medical records of this event were requested from ER; however there were no records of any visit from Oct-Dec 2003. There were 4 visits earlier that year ending in September 2003 for other medically related issues (c/o fever, nausea, chills, back pain and diagnosed with kidney infection and treated with MOTRIN and CIPRO).
Age: 19.0
Sex: F
Vaccine: SMALL
Symptoms: Rash generalised, Rash pruritic, Urticaria, Vaccination complication
Clinical narrative: Pt received her primary smallpox vaccination (WAL 4020071) on 10/23/2003. That evening while out to dinner with her family, she complained of a headache, fever 103-104, and multiple red itchy bumpy skin patches and lesions (she called hives) all over her body. She reported being taken to near-by hospital where she was treated with BENADRYL, NSAIDs, and TYLENOL. She said her diagnosis was a reaction to her vaccination. All symptoms resolved within 24-48 hours. She also stated her SPV developed a pin size vesicle one day after vaccination that resolved by day 3. She remembers no scab or scarring experienced by others (her husband got vaccine at same time). [A request for any medical records between 2002-2004 at area hospital found no medical records for this time period (she was unable to remember name of hospital or if went to an urgent care facility). ] No JENNERIAN (smallpox vaccination) scar was visible to either deltoid on exam despite documentation of receipt in 10/2003. On 11/20/2003 she received her annual influenza vaccination (split - IM unknown manuf). Approximately 24 hours later she complained of a fever to 101, nausea, headache and red dots (she calls hives) to her chest. These dots were similar to SPV reaction but not as pronounced or severe as they were localized to chest only. She went to nearby ER being told it was a reaction to the vaccine and given oral BENADRYL and TYLENOL. All symptoms resolved within 1-2 days. Medical records of this event were requested from ER; however there were no records of any visit from Oct-Dec 2003. There were 4 visits earlier that year ending in September 2003 for other medically related issues (c/o fever, nausea, chills, back pain and diagnosed with kidney infection and treated with MOTRIN and CIPRO).
Age: 27.0
Sex: F
Vaccine: ANTH, JEV1
Symptoms: Drug exposure during pregnancy, Headache, Malaise, Nausea, Pregnancy test positive
Clinical narrative: This healthy 27 year old received her 2nd AVA (BIOTHRAX lot # FAV273) and 2nd JEV (IXIARO lot# JEV09m40f) on 6/10/2011 after completing required forms marking no to question 5 on pregnancy. The next day she felt ill attributing complaints of a headache and nausea to recent vaccinations. However, she uses NUVARING for birth control and reinserted ring one week late while remaining sexually active. Her LMP was 5/3/11. A home pregnancy test was positive on 6/11/2011. She advised immunization and medical clinic of this new pregnancy with bHCG 6/13/2011 also showing positive. 6/14/2011 SM presented to clinic to review concerns on pregnancy following receipt of AVA and JEV vaccines.
Age: 7.0
Sex: F
Vaccine: IPV, PPV
Symptoms: Injection site erythema, Injection site swelling, Pyrexia
Clinical narrative: 1) Fever of 103.9. 2) Erythematous swelling of (L) upper arm. Treated with Ibuprofen and an antihistamine.
Age: 44.0
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Pt given CPX vaccine (#1 dose) on 7-5-11. On 7-20-11 pt noticed 4 x 2 inch area of redness with pinpoint swelling at injection site. Negative itching.
Age: 21.0
Sex: M
Vaccine: SMALL, SMALL
Symptoms: Rash, Rash papular, Rash pruritic
Clinical narrative: Papular pruitic rash on legs and buttock.
Age: 0.5
Sex: F
Vaccine: 6VAX-F, PPV, RVX
Symptoms: Crying, Pyrexia
Clinical narrative: 2nd day after immunization, fever began, 3rd day after immunization- non-stop crying for several hours
Age: 1.57
Sex: F
Vaccine: HIBV, PPV
Symptoms: Contusion, Erythema, Injection site discolouration, Injection site erythema, Injection site haematoma
Clinical narrative: There was a large welt at site of vaccine and then the welts were all over her body. Mainly trunk, legs, and arms. We went to the ER since her daycare wouldn't allow her in without a note stating she wasn't contagious. The doctors gave her Benadryl and sent us on our way. The rash moved then from her trunk to her face and mouth. I again took her to ER and they put her on prednisone and also a histamine blocker (I did not give her the histamine blcoker). Day three her red welts turned into purple bruises behind her legs, on her back and on her belly around her belly button. The large red welts remained and continued for 2 days to fade and reappear.
Age: 1.57
Sex: F
Vaccine: HIBV, PPV
Symptoms: Injection site urticaria, Rash, Skin discolouration, Urticaria
Clinical narrative: There was a large welt at site of vaccine and then the welts were all over her body. Mainly trunk, legs, and arms. We went to the ER since her daycare wouldn't allow her in without a note stating she wasn't contagious. The doctors gave her Benadryl and sent us on our way. The rash moved then from her trunk to her face and mouth. I again took her to ER and they put her on prednisone and also a histamine blocker (I did not give her the histamine blcoker). Day three her red welts turned into purple bruises behind her legs, on her back and on her belly around her belly button. The large red welts remained and continued for 2 days to fade and reappear.
Age: 17.0
Sex: F
Vaccine: HPV4
Symptoms: Cardiac stress test, Chest pain, Decreased appetite, Dizziness, Heart rate irregular
Clinical narrative: Sweating, body over-heating, dizziness, extreme nausea and loss of appetite. Chest pain, heart beat rhythm seemed odd and was taken to hospital with a heart stress test. Mild case or vertigo as well. 4 months later after 2nd shot- pap smear showed HPV high risk and abnormal result (all 2 previous paps normal) only 1 sexual partner. No way to contract the virus.
Age: 17.0
Sex: F
Vaccine: HPV4
Symptoms: Human papilloma virus test positive, Hyperhidrosis, Laboratory test abnormal, Nausea, Vertigo
Clinical narrative: Sweating, body over-heating, dizziness, extreme nausea and loss of appetite. Chest pain, heart beat rhythm seemed odd and was taken to hospital with a heart stress test. Mild case or vertigo as well. 4 months later after 2nd shot- pap smear showed HPV high risk and abnormal result (all 2 previous paps normal) only 1 sexual partner. No way to contract the virus.
Age: 60.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Redness/swelling at injection site occurred 4 days after administration.
Age: 60.0
Sex: F
Vaccine: VARZOS
Symptoms: Axillary pain, Injection site erythema, Injection site induration, Injection site pain, Injection site pruritus
Clinical narrative: SEVERE pain and pressure in Left axilla with swollen lymph nodes, in addition to local reaction with redness, induration (2"X3"), pain and itching at injection site.
Age: 60.0
Sex: F
Vaccine: VARZOS
Symptoms: Limb discomfort, Local reaction, Lymphadenopathy, Mammogram
Clinical narrative: SEVERE pain and pressure in Left axilla with swollen lymph nodes, in addition to local reaction with redness, induration (2"X3"), pain and itching at injection site.
Age: 10.0
Sex: M
Vaccine: VARCEL
Symptoms: Rash, Rash generalised
Clinical narrative: rash to face and on body
Age: 74.0
Sex: F
Vaccine: VARZOS
Symptoms: Back pain, Breast pain, Discomfort, Hyperaesthesia, Mammogram
Clinical narrative: Information has been received from a physician concerning a 74 year old female patient who "3 days ago", on 08-JUL-2011 was vaccinated SC with a 0.65 ml single dose of ZOSTAVAX (Merck) (Lot number not reported). The physician reported that the patient was experienced persistent and troublesome pain along her breast line and around to her back. The patient was in the physician now on 11-JUL-2011 for medical attention. At the time of the report, the patient's present status was unknown. Follow up information has been received from the physician concerning the patient with hypertension and reflux who on 29-MAR-2011 (previously reported as "08-JUL-2011") was vaccinated with the first dose of ZOSTAVAX (Merck) (Lot number: 670383/0170AA) in left upper extremity. Concomitant therapy included losartan potassium-HCTZ (MSD) and NEXIUM. Two days following vaccination, on 31-MAR-2011 and continuing to present, the patient experienced pain and paresthesia in left lumbar 4-5 dermatomal distribution. The area of wearing bra and clothes was sensitive to touch. The touching area of wearing bra and clothes was very uncomfortable. The mammogram and neurologic check were performed and neurology consultation was pending. There was no adverse event following prior vaccination and no illness at time of vaccination. At the time of the report, the patient's present was unknown (also reported as "continuing to present"). Pain and paresthesia in left lumbar 4-5 dermatomal distribution and sensitive to touch were considered to be persistent disabling by the physician. Additional information has been requested.
Age: 74.0
Sex: F
Vaccine: VARZOS
Symptoms: Neurological examination, Pain of skin, Paraesthesia
Clinical narrative: Information has been received from a physician concerning a 74 year old female patient who "3 days ago", on 08-JUL-2011 was vaccinated SC with a 0.65 ml single dose of ZOSTAVAX (Merck) (Lot number not reported). The physician reported that the patient was experienced persistent and troublesome pain along her breast line and around to her back. The patient was in the physician now on 11-JUL-2011 for medical attention. At the time of the report, the patient's present status was unknown. Follow up information has been received from the physician concerning the patient with hypertension and reflux who on 29-MAR-2011 (previously reported as "08-JUL-2011") was vaccinated with the first dose of ZOSTAVAX (Merck) (Lot number: 670383/0170AA) in left upper extremity. Concomitant therapy included losartan potassium-HCTZ (MSD) and NEXIUM. Two days following vaccination, on 31-MAR-2011 and continuing to present, the patient experienced pain and paresthesia in left lumbar 4-5 dermatomal distribution. The area of wearing bra and clothes was sensitive to touch. The touching area of wearing bra and clothes was very uncomfortable. The mammogram and neurologic check were performed and neurology consultation was pending. There was no adverse event following prior vaccination and no illness at time of vaccination. At the time of the report, the patient's present was unknown (also reported as "continuing to present"). Pain and paresthesia in left lumbar 4-5 dermatomal distribution and sensitive to touch were considered to be persistent disabling by the physician. Additional information has been requested.
Age: 69.0
Sex: M
Vaccine: VARZOS
Symptoms: Activities of daily living impaired, Contusion, Injected limb mobility decreased, Pain in extremity
Clinical narrative: Information has been received from a registered nurse at a pharmacy clinic concerning a 69 year old male with no pertinent medical history and no drug reactions or allergies who on 08-JUL-2011 was vaccinated SC with a 0.65 ml dose of ZOSTAVAX (Merck) (lot # 670616/0617AA). Concomitant therapy included aspirin 325 mg.  On 08-JUL-2011 the patient experienced significant bruising and pain on the underside of the arm in which he received ZOSTAVAX (Merck), causing the patient to have difficulty lifting his left arm and completing "activities of daily living". The bruise was reported to be about the size of the "palm of the patient's hand". The nurse had referred the patient to be seen by his primary care physician to follow up on his condition. At the time of this report, the patient had not recovered from the events and the events did not improve. Having difficulty lifting his left arm and completing "activities of daily living" were considered to be disabling. Additional information has been requested.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMRV
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth, Local reaction
Clinical narrative: Pt had local site reaction on upper outer left arm of erythema, warmth, swelling 2.5" x 2.25" and soreness upon presentation at provider facility 07/21/11 @ 1530. Per pt's mother 7/22/11 @ 0830, pt swelling gone, slight erythema and warmth.
Age: 50.0
Sex: F
Vaccine: MMR
Symptoms: Cellulitis, Injection site erythema, Injection site pain, Injection site swelling, Type IV hypersensitivity reaction
Clinical narrative: TC from client on 7/19/11 who states received vaccine on 7/7/11 and sight of injection just painful the next few days.  Then on 7/17/11 noted area around site reddened and swollen in an area 4 inches by 1 1/2 inches with some itching and burning also.  Denies fever.  I discussed symptoms to report to MD and she states she has an appt for 7/21/11 to be seen at MD office.  TC to patient again on 7/22/11 and she states that she was diagnosed with delayed hypersensitivity or cellulitis and is now taking Keflex.  Patient states the arm feeling worse today and she has again waiting on a call back from the MD office she called today.
Age: 18.0
Sex: F
Vaccine: MNQ, TDAP
Symptoms: Arthralgia, Asthenia, Chills, Condition aggravated, Erythema
Clinical narrative: Immediately following vaccine area was swollen, red, & sore right arm. 3:00 am - fever 103 degrees, severe headache at back of head/neck, nausea, vomiting, chills, rapid heartbeat, paleness, weak. 8:00 am - vomiting stopped, fever 100 degrees, headache, fast heart, pale, joint pain all over body, nausea. Arm swollen & red, nausea, joint pain on right side of body lasted till 6/26. Dr prescribed PHENERGAN.
Age: 18.0
Sex: F
Vaccine: MNQ, TDAP
Symptoms: Headache, Heart rate increased, Immediate post-injection reaction, Nausea, Oedema peripheral
Clinical narrative: Immediately following vaccine area was swollen, red, & sore right arm. 3:00 am - fever 103 degrees, severe headache at back of head/neck, nausea, vomiting, chills, rapid heartbeat, paleness, weak. 8:00 am - vomiting stopped, fever 100 degrees, headache, fast heart, pale, joint pain all over body, nausea. Arm swollen & red, nausea, joint pain on right side of body lasted till 6/26. Dr prescribed PHENERGAN.
Age: 18.0
Sex: F
Vaccine: MNQ, TDAP
Symptoms: Pain in extremity, Pallor, Pyrexia, Vomiting
Clinical narrative: Immediately following vaccine area was swollen, red, & sore right arm. 3:00 am - fever 103 degrees, severe headache at back of head/neck, nausea, vomiting, chills, rapid heartbeat, paleness, weak. 8:00 am - vomiting stopped, fever 100 degrees, headache, fast heart, pale, joint pain all over body, nausea. Arm swollen & red, nausea, joint pain on right side of body lasted till 6/26. Dr prescribed PHENERGAN.
Age: 49.0
Sex: F
Vaccine: ANTH
Symptoms: Rash erythematous, Rash pruritic
Clinical narrative: Received #6 Anthrax prior to departing to meet ship assignment. While in flight on 11 June 2011, developed red, itchy rash on body. Given BENADRYL capsule by a nurse on flight to stop over.
Age: 78.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site swelling, Pruritus
Clinical narrative: Patient reported localized itching, redness, & swelling at the injection site. She stayed for over 30 minutes after the injection. We gave her an ice pack. She applied it to the area for about 15 minutes. She says the itching subsided & wanted to leave. Called her doctor & he said oral or topical BENADRYL & to call him if it got worse.
Age: 76.0
Sex: M
Vaccine: FLUX, PPV
Symptoms: Coma, Dyspnoea, Myocardial infarction, Renal impairment, Speech disorder
Clinical narrative: Coma, Sudden death. Shortness of breath, thirsty, strange conversation, heart attack. Thereafter his medical records have all information. Kidneys were at 13%. That's why public health said to request this form to see what went on. This adversity was never reported.
Age: 76.0
Sex: M
Vaccine: FLUX, PPV
Symptoms: Sudden death, Thirst
Clinical narrative: Coma, Sudden death. Shortness of breath, thirsty, strange conversation, heart attack. Thereafter his medical records have all information. Kidneys were at 13%. That's why public health said to request this form to see what went on. This adversity was never reported.
Age: 0.53
Sex: M
Vaccine: DTAPIPVHIB, PNC13
Symptoms: Body temperature increased, Electroencephalogram, Gaze palsy, Lumbar puncture, Nuclear magnetic resonance imaging
Clinical narrative: 100.5 temp, eyes rolling back as if having seizure.
Age: 0.53
Sex: M
Vaccine: DTAPIPVHIB, PNC13
Symptoms: Seizure like phenomena, White blood cell count increased
Clinical narrative: 100.5 temp, eyes rolling back as if having seizure.
Age: 0.15
Sex: M
Vaccine: PNC
Symptoms: Body temperature increased
Clinical narrative: Temp of 104.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV
Symptoms: Injection site erythema, Injection site induration, Injection site pruritus, Injection site warmth
Clinical narrative: 7/14/11 Dtap given to (L) arm, 7//16/11 (L) arm red, hard & warm to touch, itchy.
Age: 1.01
Sex: F
Vaccine: HEPA, MMR, PNC13, VARCEL
Symptoms: Pyrexia
Clinical narrative: Pt. admitted to hospital following possible seizure on 7/12/11. Pt. had fever noted by parents of 105.5 prior.