chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 16.0
Sex: F
Vaccine: HPV4
Symptoms: Abortion spontaneous, Drug exposure during pregnancy, Pregnancy test positive, Urine human chorionic gonadotropin positive
Clinical narrative: Information has been received from a physician concerning a 16 year old female with asthma who on 02-AUG-2007 was vaccinated intramuscularly with her first dose of Gardasil. On 04-OCT-2007 she received her second dose of Gardasil intramuscularly. Concomitant therapy included VENTILAN. The patient was determined to be pregnant on 11-Oct-2007 with a pregnancy test. The patient sought unspecified medical attention in the office. Subsequently the patient experienced vaccine exposure during pregnancy. No problems reported. No further details available. Additional information has been requested. Follow up information received on 11-Dec-2007 from the physician stated that the patient had a spontaneous abortion on 07-Nov-2007, approximately 8 weeks from LMP. The products of conception were examined and described as hemorrhagic necrotic dicidua few syncytiotrophoblastic cells involutengehorioric villi.
Age: 1.0
Sex: F
Vaccine: MMR
Symptoms: Anoxic encephalopathy, Brain damage, Computerised tomogram, Convulsion, Hepatic failure
Clinical narrative: Information has been received from a consumer concerning her 12 month old daughter with no drug reactions/allergies and "unremarkable" pertinent medical history who on 09-MAR-2006 was vaccinated with a first dose of MMR II. Concomitant therapy included several other vaccines given concomitantly (names not provided). On 17-MAR-2006 the patient experienced a seizure that caused brain injury and liver failure. The consumer stated that her child was virtually brain dead. The caller was informed by physician that the injury was due to vaccine. The patient was hospitalized for several days. The consumer stated that her daughter was completely disabled and was hospitalized. Lab diagnostics studies performed included: CT scan, MRI-Anoxic Brain Injury. The outcome was reported as not recovered. The adverse event was considered to be disabling. There was no product quality complaint. Additional information has been requested.
Age: 1.0
Sex: F
Vaccine: MMR
Symptoms: Nuclear magnetic resonance imaging brain abnormal
Clinical narrative: Information has been received from a consumer concerning her 12 month old daughter with no drug reactions/allergies and "unremarkable" pertinent medical history who on 09-MAR-2006 was vaccinated with a first dose of MMR II. Concomitant therapy included several other vaccines given concomitantly (names not provided). On 17-MAR-2006 the patient experienced a seizure that caused brain injury and liver failure. The consumer stated that her child was virtually brain dead. The caller was informed by physician that the injury was due to vaccine. The patient was hospitalized for several days. The consumer stated that her daughter was completely disabled and was hospitalized. Lab diagnostics studies performed included: CT scan, MRI-Anoxic Brain Injury. The outcome was reported as not recovered. The adverse event was considered to be disabling. There was no product quality complaint. Additional information has been requested.
Age: 10.0
Sex: F
Vaccine: HPV4
Symptoms: Hodgkin's disease
Clinical narrative: Information has been received from a pharmacist concerning a 14 year old female who was vaccinated with a second dose of Gardasil. Subsequently the patient was diagnosed with Hodgkin's disease during Gardasil series. It was unclear if the diagnosis was before or "around the time of" the 2nd dose. The patient will be undergoing unspecified chemotherapy. Unspecified medical attention was sought. At the time of the report the patient had not recovered. The pharmacist was not linking the Hodgkin's to therapy with Gardasil. The pharmacist considered the Hodgkin's disease was an other important medical event as the patient will require chemotherapy. No further information is available. 7/21/08-records received for DOS 12/10-12/13/07- DC DX:Hodgkins lymphoma. Presented to begin therapy for Hodgkin lymphoma. Orignally presented on 11/28/07 for evaluation of left lower cervical lymphadenopathy and chest pain and diagnosis of Hodgkin lymphoma made. In late October 2007 noted large swelling and painful lymph node in left supraclavicular region. Left arm became numb and treated for lymphadenitis with parital resolution. Developed tight pressure in midsternal region.
Age: 20.0
Sex: F
Vaccine: VARZOS
Symptoms: Abortion spontaneous, Drug exposure during pregnancy, Herpes zoster
Clinical narrative: Information has been received from a health professional concerning a female employee in her 20's, with no history of shingles, who worked in a small area where close to 1000 doses of Zostavax (Oka/Merck) was administered to patients since August 2006. It was confirmed that the patient was not vaccinated with Zostavax (Oka/Merck). Subsequently the patient was diagnosed with shingles by her physician and treated. It was noted that the patient had shingles twice and suffered a miscarriage. No product quality complaint was involved. No other information was provided. Upon internal review, the patient's miscarriage was considered to be an other important medical event. This is one of several reports from the same source. Additional information has been requested.
Age: 2.0
Sex: M
Vaccine: FLU3, HEPA
Symptoms: Erythema, Eye swelling, Eyelid oedema, Pain in extremity
Clinical narrative: Morning after being vaccinated, pt began complaining of left leg pain with redness & erythema. That afternoon, eyes began to swell.  Symptoms continued for the next 24 hours. 12/17/07 continues to have mild edema of eyelids.
Age: 15.0
Sex: M
Vaccine: HEP, TDAP
Symptoms: Convulsion, Fear
Clinical narrative: Immediately after administration of #1 Hep B and Tdap,client had generalized seizure,including all extremeties.Seizure activity lasted approx.one to two minutes.Witnessed by three RNs.Client's mother denies hx.of seizures.Transported to ER by EMT.Mother telephoned office to report ER advised he did not have seizure,just afraid of shots.
Age: 62.0
Sex: F
Vaccine: FLU3
Symptoms: Rash erythematous, Rash maculo-papular, Rash pruritic
Clinical narrative: 7 days after administration developed pruritic, maculo-papular erythematous rash, mostly on the back. Required an Urgent Care visit and treatment with cortisone injection and methyl prednisolone x 7 days and hydroxyzine HCL 25 mg tid.
Age: 0.33
Sex: M
Vaccine: DTAPHEPBIP, HBPV, PNC
Symptoms: Death, Nervous system disorder
Clinical narrative: Patient died the night he was given immunizations; he had a chronic neurological condition of unknown etiology.  5/2/08 Reviewed ER medical records which consisted of EKG strip showing asystole & a copy of death certificate which states DOD as 12/12/2007 & COD stated as cardiopulmonary arrest; aspiration; congenital brain malformation.  No autopsy was done.
Age: 0.51
Sex: M
Vaccine: DTAP, FLU3, IPV, PNC, RV5
Symptoms: Intussusception, X-ray abnormal
Clinical narrative: 12-18-07 intussception - having surgery 12-19-07 1/9/08-records received for DOS 12/18-12/22/07-DC DX: Intussusception. Exploratory laparotomy and reduction of intussusception not reduced by 2 hydrostatic enemas.  Day prior to admission vomting and decrease urine. No bowel movement for 2 days.
Age: 14.0
Sex: F
Vaccine: MNQ
Symptoms: Activities of daily living impaired, Electromyogram abnormal, Guillain-Barre syndrome, Hypotonia, Muscular weakness
Clinical narrative: June 5, 2007 - Meningitis shot.  November 9, 2007 - Symptoms appear, including weakness in arms only. Weakness gradually increased until patient was unable to raise her arms to put clothes on or button pants. She couldn't carry books at school, couldn't open doors, brush her teeth, put her hair up. No pain. No stomach or repiratory illness in over 10 months preceeding symptoms. Weakness had not progressed any other muscle groups before treatment was administered. Patient is in recovery process (regaining strenth). 12/21/07-records received for DOS 11/13/07-seen in clinic for C/O right greater than left shoulder weakness when she tries to raise her arm up. PE: abduction of 4/5 slightly more weak on right and 4/5 on left. Motor and sensory grossly intact. Seen in ER 11/14/07-presented with C/O weakness in shoulders after 25 minutes of exercise. No mucle tenderness. Weakness improves with rest. Weakness involves proximal UE not distal UE.  1/14/08-records received for DOS 12/6-12/8/07- DC DX: Atypical Guillain Barre. Presented to ED with C/O upper extremity weakness while practicing basketball. Unable to life arms up. Weakness greater on right than left. Few days later had problems with everyday activities. PE: decreased tone in upper arms. 1/15/2010 Patient is still progressing toward full recovery. Some weakness still present. NE Estimate 85% of full strength is where she stands.
Age: 55.0
Sex: F
Vaccine: FLU3
Symptoms: Asthenia, Diarrhoea, Fatigue, Pyrexia, Somnolence
Clinical narrative: Shot administered approx. 2:00 p.m. 12/6/07.  That evening I was extremely tired and did not complete my obligations after shopping for our business.  Next day I was extremely tired and weak, left work early which is very unlike me and went home and slept for 3 hours 3:00 p.m. to 7:00 p.m..  Woke not feeling quite right but continued as normal until approx. 3:00 p.m. at which point I could not continue.  Weak and feverish I layed down on the couch and went to sleep.  I had diareah that evening which continued until 12/18/07.  Fever ended Tuesday 12/11/07 but weakness, sleepy/tired feeling and stomach problems have continued.  I have not taken any medication except for ibuprophen for fever and occassional head ache.
Age: 55.0
Sex: F
Vaccine: FLU3
Symptoms: Stomach discomfort
Clinical narrative: Shot administered approx. 2:00 p.m. 12/6/07.  That evening I was extremely tired and did not complete my obligations after shopping for our business.  Next day I was extremely tired and weak, left work early which is very unlike me and went home and slept for 3 hours 3:00 p.m. to 7:00 p.m..  Woke not feeling quite right but continued as normal until approx. 3:00 p.m. at which point I could not continue.  Weak and feverish I layed down on the couch and went to sleep.  I had diareah that evening which continued until 12/18/07.  Fever ended Tuesday 12/11/07 but weakness, sleepy/tired feeling and stomach problems have continued.  I have not taken any medication except for ibuprophen for fever and occassional head ache.
Age: 0.34
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Diarrhoea, Pyrexia, Viral infection, Vomiting
Clinical narrative: Vomiting, diarrhea, and fever on 10-23-07 in the evening.  Patient received Pediarix, hib, and Prevnar vaccinations early that day.  Vomiting and diarrhea persisted resulting in patient receiving IV fluid on 10/30.  I felt this was coincidence, and was probably a viral infection.  Same immunizations repeated on 12/18/07.  Patient again developed fever, vomiting, and diarrhea the evening of 12/18/07.
Age: 12.0
Sex: F
Vaccine: FLU3, HEPA, HPV4, MNQ, TDAP, VARCEL
Symptoms: Syncope vasovagal
Clinical narrative: VASOVAGAL SYNCOPE EPISODE LASTED FOR AT LEAST 5 SECONDS. PATIENT TRANSPORTED VIA WHEELCHAIR IN THE TREATMENT WITH MOM. VITAL SIGNS TAKEN (BP80/50;PR 82;RR12;T 97.1;O2SAT 94%. APPLIED ICE PACK ON BACK OF NECK AND FOREHEAD. NO DIZZINESS, N/V,SOB/DYSPNEA, CHEST PAIN, DENIES WEAKNESS, NO COLD CLAMMY SKIN, NO LABORED BREATHING. NO HIVES. NO OTHER SXS NOTED/REPORTED. OFFERED SIPS OF WATER WHICH PATIENT TOLERATED. STAYED WITH PATIENT FOR 20 MINUTES RECHECKED VITAL SIGNS STABLE ( BP 90/56;PR86;RR16;O2SAT 100%). SKIN LOOKS NORMAL AND PATIENT STATES FEELS MUCH BETTER. ASKED TO SIT UP PATIENT TOLERATED AND ABLE TO AMBULATE WITH MOM. REVIEWED WITH MOM THE VISs AND TO SEEK ER CARE/CALL CLINIC IMMEDIATELY IF PATIENT HAVING SERIOUS ALLERGIC REACTION.
Age: 24.0
Sex: F
Vaccine: HPV4, MNQ
Symptoms: Injection site erythema, Injection site nodule, Injection site reaction, Injection site swelling
Clinical narrative: Patient has a possible local reaction at the injection site. Patient has a red swollwen bump at the injection site on the Right arm.
Age: 76.0
Sex: M
Vaccine: IPV, MEN, TYP, YF
Symptoms: Abdominal discomfort, Abdominal distension, Asthenia, Blood product transfusion, CSF protein increased
Clinical narrative: 8/8/07 developed band-like tightness to abdomen.  This continued and resulted in hospitalization 8/20 - 8/23.  He was noted to be hyponatremic with sodium of 126.  On 8/23, he developed numbness and tingling in right hand, progressing into both hands.  By 8/25, he noted numbness and tingling into both feet.  By 8/27, he was complaining of dizziness and weakness.  He was readmitted to hospital on 9/01.  He was discharged on 9/5 with diagnosis of constipation and peripheral neuropathy.  I saw him on 9/11 and readmitted with profound weakness.  He was diagnosed with GBS on 9/14/07 by way of CSF.  He stayed in the hospital for 16 days and was D/c'd on 9/30.  He was readmitted 10/19 - 10/22 with recurrent symptoms and diagnosed with CIDP.  He is doing well at present, but undergoing long-term therapy with prednisone, monthly Igg influsion, and close monitoring 1/8/08-records received-DC summary for DOS 9/1-9/5/07-C/O progressive constipation for 1 month. GI consult evaluation constipation related to milrinone. DC summary for DOS 9/11-9/18/07-C/O abdominal pain, nausea and vomiting. Decreased sensation to light touch, pinprick and vibration, no reflexes, DX: Guillain-Barre. Treated with IVIG. DC summary for DOS 10/4-10/5/07-Chest pain likely secondry to atrial fibrillation secondary to rapid ventricular rate.  After follow up, this case was determined to be Chronic Inflammatory Demyelinating Polyneuropathy, and not GBS. 1/15/2010 Paitent continues to have some weakness to lower extremities, he continues to be seen in the neurology clinic for ongoing, tapering Prenisone and continues on mostly infusion of Immune globulin. His disability is minimal at this time.  02/02/2010 He is recovering-he continues on Prednisone but has been receiving IVIG monthly.
Age: 76.0
Sex: M
Vaccine: IPV, MEN, TYP, YF
Symptoms: Chronic inflammatory demyelinating polyradiculoneuropathy, Constipation, Dizziness, Guillain-Barre syndrome, Hypoaesthesia
Clinical narrative: 8/8/07 developed band-like tightness to abdomen.  This continued and resulted in hospitalization 8/20 - 8/23.  He was noted to be hyponatremic with sodium of 126.  On 8/23, he developed numbness and tingling in right hand, progressing into both hands.  By 8/25, he noted numbness and tingling into both feet.  By 8/27, he was complaining of dizziness and weakness.  He was readmitted to hospital on 9/01.  He was discharged on 9/5 with diagnosis of constipation and peripheral neuropathy.  I saw him on 9/11 and readmitted with profound weakness.  He was diagnosed with GBS on 9/14/07 by way of CSF.  He stayed in the hospital for 16 days and was D/c'd on 9/30.  He was readmitted 10/19 - 10/22 with recurrent symptoms and diagnosed with CIDP.  He is doing well at present, but undergoing long-term therapy with prednisone, monthly Igg influsion, and close monitoring 1/8/08-records received-DC summary for DOS 9/1-9/5/07-C/O progressive constipation for 1 month. GI consult evaluation constipation related to milrinone. DC summary for DOS 9/11-9/18/07-C/O abdominal pain, nausea and vomiting. Decreased sensation to light touch, pinprick and vibration, no reflexes, DX: Guillain-Barre. Treated with IVIG. DC summary for DOS 10/4-10/5/07-Chest pain likely secondry to atrial fibrillation secondary to rapid ventricular rate.  After follow up, this case was determined to be Chronic Inflammatory Demyelinating Polyneuropathy, and not GBS. 1/15/2010 Paitent continues to have some weakness to lower extremities, he continues to be seen in the neurology clinic for ongoing, tapering Prenisone and continues on mostly infusion of Immune globulin. His disability is minimal at this time.  02/02/2010 He is recovering-he continues on Prednisone but has been receiving IVIG monthly.
Age: 76.0
Sex: M
Vaccine: IPV, MEN, TYP, YF
Symptoms: Hyponatraemia, Neuropathy peripheral, Paraesthesia
Clinical narrative: 8/8/07 developed band-like tightness to abdomen.  This continued and resulted in hospitalization 8/20 - 8/23.  He was noted to be hyponatremic with sodium of 126.  On 8/23, he developed numbness and tingling in right hand, progressing into both hands.  By 8/25, he noted numbness and tingling into both feet.  By 8/27, he was complaining of dizziness and weakness.  He was readmitted to hospital on 9/01.  He was discharged on 9/5 with diagnosis of constipation and peripheral neuropathy.  I saw him on 9/11 and readmitted with profound weakness.  He was diagnosed with GBS on 9/14/07 by way of CSF.  He stayed in the hospital for 16 days and was D/c'd on 9/30.  He was readmitted 10/19 - 10/22 with recurrent symptoms and diagnosed with CIDP.  He is doing well at present, but undergoing long-term therapy with prednisone, monthly Igg influsion, and close monitoring 1/8/08-records received-DC summary for DOS 9/1-9/5/07-C/O progressive constipation for 1 month. GI consult evaluation constipation related to milrinone. DC summary for DOS 9/11-9/18/07-C/O abdominal pain, nausea and vomiting. Decreased sensation to light touch, pinprick and vibration, no reflexes, DX: Guillain-Barre. Treated with IVIG. DC summary for DOS 10/4-10/5/07-Chest pain likely secondry to atrial fibrillation secondary to rapid ventricular rate.  After follow up, this case was determined to be Chronic Inflammatory Demyelinating Polyneuropathy, and not GBS. 1/15/2010 Paitent continues to have some weakness to lower extremities, he continues to be seen in the neurology clinic for ongoing, tapering Prenisone and continues on mostly infusion of Immune globulin. His disability is minimal at this time.  02/02/2010 He is recovering-he continues on Prednisone but has been receiving IVIG monthly.
Age: 48.0
Sex: M
Vaccine: FLU3
Symptoms: Chest discomfort, Dizziness, Drug hypersensitivity, Electrocardiogram normal, Injection site pain
Clinical narrative: Pt provided information via phone:  Vaccinated on 3 Dec 07.  Fluarix -prefilled injectable vaccine.  Pt indicated that he had chest tightness within 10 minutes of the vaccine/light headed (did not notifiy the vaccinator).  Also had sharp pain at the injection site.  Left clinic and 45 minutes later was light headed and pain radiating down left arm.  Presented to ER and cardiac workup completed.  Screening form completed by patient indicates no allergies but pt verbalized allergy to codeine.
Age: 48.0
Sex: M
Vaccine: FLU3
Symptoms: Laboratory test, Pain in extremity
Clinical narrative: Pt provided information via phone:  Vaccinated on 3 Dec 07.  Fluarix -prefilled injectable vaccine.  Pt indicated that he had chest tightness within 10 minutes of the vaccine/light headed (did not notifiy the vaccinator).  Also had sharp pain at the injection site.  Left clinic and 45 minutes later was light headed and pain radiating down left arm.  Presented to ER and cardiac workup completed.  Screening form completed by patient indicates no allergies but pt verbalized allergy to codeine.
Age: 0.3
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC, RV5
Symptoms: Pneumonia
Clinical narrative: Community acquired pneumonia 1 month following vaccination.  12/21/07 Reviewed vax record & corrections made in VAERS database.  Received hospital medical records from CDC which reveal patient experienced cough, congestion, nasal discharge & wheezing x 2 weeks w/progressive worsening.  Seen by pcp 2 days prior to admit & started oral antibiotics.  On admit, had respiratory distress, tachypnea, retractions, accessory muscles use & decreased air movement w/wheezing & rhonchi diffusely.  Bilateral TM's were inflammed but not bulging.  Admitted 12/15-12/18/2007. FINAL DX: no d/c summary, d/c date verbally obtained from med records. Bilateral pneumonia.
Age: 20.0
Sex: M
Vaccine: SMALL
Symptoms: Blood creatine phosphokinase MB increased, Chest pain, Dyspnoea, Echocardiogram, Echocardiogram abnormal
Clinical narrative: Service member was admitted to hospital with chest pains, SOB and elevated enzymes on 30 Sept 06.  Chest pain start: 09/30/2006.  Dyspnea (shortness of breath) start: 09/30/2006, end: 10/02/2006. 12/20/07 Case closed as complete w/medical records that accompanied report.  Patient experienced acute onset chest pain & SOB.  Admitted 9/30-10/4/2006.  Had received initial smallpox vax 9/13/06 that did not take & was revaccinated 9/20/06.  Rehospitalized 1/7/2007 for exertional chest pain.  Consults by cardio, GI & pulmonary at that time were WNL.  Seen in ER 7/26/07 for chest wall pain & dx w/costochondritis.   Continues to have intermittent chest pain & SOB both at rest & w/exertion. FINAL DX: myopericarditis.
Age: 20.0
Sex: M
Vaccine: SMALL
Symptoms: Enzyme abnormality, Lymphadenopathy, Pericardial effusion, Troponin I increased
Clinical narrative: Service member was admitted to hospital with chest pains, SOB and elevated enzymes on 30 Sept 06.  Chest pain start: 09/30/2006.  Dyspnea (shortness of breath) start: 09/30/2006, end: 10/02/2006. 12/20/07 Case closed as complete w/medical records that accompanied report.  Patient experienced acute onset chest pain & SOB.  Admitted 9/30-10/4/2006.  Had received initial smallpox vax 9/13/06 that did not take & was revaccinated 9/20/06.  Rehospitalized 1/7/2007 for exertional chest pain.  Consults by cardio, GI & pulmonary at that time were WNL.  Seen in ER 7/26/07 for chest wall pain & dx w/costochondritis.   Continues to have intermittent chest pain & SOB both at rest & w/exertion. FINAL DX: myopericarditis.
Age: 57.0
Sex: F
Vaccine: FLU3
Symptoms: Balance disorder, Blood pressure, Gait disturbance, Hypoaesthesia, Laryngitis
Clinical narrative: Flu shot on 10/23/07; 10/25 laryngitis; 11/4 hands tingly & numb; 11/5 balance off, BP 180/120; 11/7 difficulty walking; 11/07 hospitalized with diagnosis of Guillain Barre; 11/12 dismissed from hospital. 12/31/07-records received for DOS 11/7-11/12/07-DC DX: Guillain-Barre syndrome. C/O progressive weakness in lower extremities with paresthesias. Developed some incoordination and balance issues. Neuro exam no focal deficits. Quite ataxic with generalized weakness.
Age: 57.0
Sex: F
Vaccine: FLU3
Symptoms: Lumbar puncture, Paraesthesia
Clinical narrative: Flu shot on 10/23/07; 10/25 laryngitis; 11/4 hands tingly & numb; 11/5 balance off, BP 180/120; 11/7 difficulty walking; 11/07 hospitalized with diagnosis of Guillain Barre; 11/12 dismissed from hospital. 12/31/07-records received for DOS 11/7-11/12/07-DC DX: Guillain-Barre syndrome. C/O progressive weakness in lower extremities with paresthesias. Developed some incoordination and balance issues. Neuro exam no focal deficits. Quite ataxic with generalized weakness.
Age: 0.35
Sex: F
Vaccine: DTAP, HIBV, IPV, PNC, RV5
Symptoms: Intussusception
Clinical narrative: Intussusception requiring reduction.  Repeat intussusception needing second procedure.  12/21/07 Reviewed vax record which confirms dose & lot #s as reported.  12/28/07 Reviewed hospital medical records which reveal patient experienced vomiting, bloody stool, reduced oral intake, irritability & lethargy.  Admitted 11/16-11/17/2007.  Enema successfully reduced IS.  Admitted for overnight observation.  Did well & was d/c to home.  Readmitted 11/19-11/20/2007 for recurrence of vomiting & bloody stools.  2nd abdominal US (+) for IS & was successfully reduced w/air contrast enema.  Kept overnight for observation.  Did well & d/c to home. FINAL DX: Recurrent ileocolic intussusception at hepatic flexure, enema reduced x 2.
Age: 0.5
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Abdominal X-ray, Abdominal pain, Barium enema, Bronchial hyperreactivity, Cough
Clinical narrative: Abdominal pain, R/O intussusception - URI, cold and cough 1 week. Intussusception continued U/S. + Abd X-ray. Successful reduction by Barium enema. On Albuterol too, ? RAD.  Received flu vaccine 10/30/2007, SP lot # U2462AA, LAT.  12/20/07 Patient experienced runny nose, cough/cold symptoms x 1 week w/diarrhea x 3 days & vomiting x 1 day.  When seen in clinic, parent revealed patient had been in hospital 11/10-11/11/2007 for IS.  12/28/07 Reviewed hospital medical records which reveal patient experienced cough x 2 wks,irritability, colicky abdominal pain & vomiting x 1 day.  Family member had been ill w/gastritis 1 wk prior.  Admitted 11/10-11/11/2007.  Surgery consult done. Progressed well s/p reduction & d/c to home. FINAL DX: intussusception, enema reduced.
Age: 0.5
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Enema administration, Full blood count abnormal, Intussusception, Nasopharyngitis, Platelet count increased
Clinical narrative: Abdominal pain, R/O intussusception - URI, cold and cough 1 week. Intussusception continued U/S. + Abd X-ray. Successful reduction by Barium enema. On Albuterol too, ? RAD.  Received flu vaccine 10/30/2007, SP lot # U2462AA, LAT.  12/20/07 Patient experienced runny nose, cough/cold symptoms x 1 week w/diarrhea x 3 days & vomiting x 1 day.  When seen in clinic, parent revealed patient had been in hospital 11/10-11/11/2007 for IS.  12/28/07 Reviewed hospital medical records which reveal patient experienced cough x 2 wks,irritability, colicky abdominal pain & vomiting x 1 day.  Family member had been ill w/gastritis 1 wk prior.  Admitted 11/10-11/11/2007.  Surgery consult done. Progressed well s/p reduction & d/c to home. FINAL DX: intussusception, enema reduced.
Age: 0.5
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Ultrasound scan abnormal, Upper respiratory tract infection, White blood cell count increased
Clinical narrative: Abdominal pain, R/O intussusception - URI, cold and cough 1 week. Intussusception continued U/S. + Abd X-ray. Successful reduction by Barium enema. On Albuterol too, ? RAD.  Received flu vaccine 10/30/2007, SP lot # U2462AA, LAT.  12/20/07 Patient experienced runny nose, cough/cold symptoms x 1 week w/diarrhea x 3 days & vomiting x 1 day.  When seen in clinic, parent revealed patient had been in hospital 11/10-11/11/2007 for IS.  12/28/07 Reviewed hospital medical records which reveal patient experienced cough x 2 wks,irritability, colicky abdominal pain & vomiting x 1 day.  Family member had been ill w/gastritis 1 wk prior.  Admitted 11/10-11/11/2007.  Surgery consult done. Progressed well s/p reduction & d/c to home. FINAL DX: intussusception, enema reduced.
Age: 0.8
Sex: U
Vaccine: FLU3
Symptoms: Incorrect dose administered, Medication error
Clinical narrative: 0.5ml flu vaccine given.  No adverse events.  No adverse reactions.
Age: 1.5
Sex: M
Vaccine: FLUN3
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: FluMist given out of age criteria.
Age: 0.9
Sex: F
Vaccine: FLUN3
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: FluMist was given out of age criteria.
Age: 57.0
Sex: F
Vaccine: FLU3
Symptoms: Immediate post-injection reaction, Injection site bruising, Injection site pain, Injection site swelling, Pain
Clinical narrative: Bioject user.  Per complainant about immediately after receiving vaccinations she states she felt pain.  A few days later she experienced bruising and swelling at injection site.  Since 12/1/07 she has felt throbbing to L deltoid muscle (site of injection) and aching/soreness.  Also is experiencing radiating pain to her L thumb occasionally.  Denies weakness in the L arm extremity.  No treatment by doctor.  Taking OTC NSAID to relieve discomfort.  Plans to see doctor mid Jan.  Encouraged to seek eval. sooner by this nurse.
Age: 57.0
Sex: F
Vaccine: FLU3
Symptoms: Pain in extremity
Clinical narrative: Bioject user.  Per complainant about immediately after receiving vaccinations she states she felt pain.  A few days later she experienced bruising and swelling at injection site.  Since 12/1/07 she has felt throbbing to L deltoid muscle (site of injection) and aching/soreness.  Also is experiencing radiating pain to her L thumb occasionally.  Denies weakness in the L arm extremity.  No treatment by doctor.  Taking OTC NSAID to relieve discomfort.  Plans to see doctor mid Jan.  Encouraged to seek eval. sooner by this nurse.
Age: 1.0
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Injection site erythema, Injection site induration, Injection site pain, Injection site warmth
Clinical narrative: Redness, warmth, induration, tenderness 8 days after vaccination at site of varicella vaccine.  Treated with oral antibiotic.
Age: 0.2
Sex: M
Vaccine: HBHEPB, PNC
Symptoms: Injection site erythema
Clinical narrative: Minimal local reaction 2 days after vaccination, mild erythema approximately pencil point in size with no induration on R upper thigh.
Age: 55.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Redness, swelling, and warm at the injection site.
Age: 77.0
Sex: M
Vaccine: VARZOS
Symptoms: Pain, Rash generalised
Clinical narrative: Sore all over with rash all over.  Did not see provider.  Reported it months later.
Age: 7.0
Sex: F
Vaccine: FLU3
Symptoms: Computerised tomogram normal, Electrocardiogram, Electroencephalogram, Syncope
Clinical narrative: Questionable syncopal episode.
Age: 49.0
Sex: M
Vaccine: FLU3
Symptoms: Rash
Clinical narrative: Pt developed rash which he showed to pharmacist covering left shoulder 2 weeks after flu shot given.
Age: 17.0
Sex: U
Vaccine: MNQ, TDAP, VARCEL
Symptoms: Full blood count, Headache, Nausea, Neutrophil count decreased, White blood cell count decreased
Clinical narrative: Headache, pain at base of skull radiating down spine.  Nausea.
Age: 16.0
Sex: F
Vaccine: HPV4
Symptoms: Arthralgia, Lymphadenopathy, Pain in extremity, X-ray
Clinical narrative: Swollen lymph nodes on neck, under chin, back of head, and in shoulder are. Entire arm very sore when she bends it - mostly joint pain.
Age: 13.0
Sex: F
Vaccine: HPV4, MNQ, TDAP, VARCEL
Symptoms: Blood pressure, Body temperature increased, Heart rate, Muscle spasms, Nausea
Clinical narrative: c/o sudden onset nausea, cramping 15 hours post vaccine.  BP 120/74, T 99.5, P 72 regular, no clamminess, no paleness.  Advised contact physician if any breathing difficulty or new symptoms.
Age: 10.0
Sex: M
Vaccine: TDAP
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: No adverse event followed vaccine. Pt. age 10 11/07/2007 given Tdap 8 months too soon.
Age: 60.0
Sex: M
Vaccine: FLU3
Symptoms: Chills, Dizziness, Dyspnoea
Clinical narrative: 11-17-07, 7:00 pm became light headed, chills and shortness of breath.  Took some hot tea and spoke with MD on phone.  Then became better in a few hours.
Age: 1.0
Sex: M
Vaccine: HEPA, HIBV, MMR, PNC, VARCEL
Clinical narrative: Records received 12/19/07-11/19/07-11/23/07-patient's words: c/o right upper thigh area reaction to shot given on 11/29/07. We think he had HIB and Hep A given on that side. developed localized redness and induration over the next day which hasn't gotten worse but hasn't gotten better. 11/24/07-Right thigh slightly firm, raised, palpable a nd visible area about 2cm. Mild erythema appears to be withdrawing from the margins. DX: noninfectious, sterile abscess from immunization, from serum leaking back up to surface from needle track. 12/8/07- still has small lump but decreased in size looks like a bruise.
Age: 71.0
Sex: F
Vaccine: VARZOS
Symptoms: Neck pain, Pain in extremity
Clinical narrative: The shingles vaccine Zostavax was administered in my right arm on 11/06/07.  That arm has been sore ever since.  The soreness has moved into the shoulder muscle and even into the neck.  The upper arm continues to be sore also.
Sex: M
Vaccine: FLU3, PPV
Symptoms: Erythema, Lip swelling, Pain in extremity, Urticaria
Clinical narrative: Lower lip swelling day 3 post vac, urticaria day 3 post vac. R deltoid, + pain, + erythema x24 hours.
Age: 59.0
Sex: M
Vaccine: PPV
Symptoms: Oedema peripheral, Tenderness
Clinical narrative: This 59-year-old man presents with redness and tenderness of the left upper arm at the site of pneumococcal vaccine injection from 2 days ago.  The Pneumovax was ordered by Dr.  We do not have any notes available from the visit.  The patient states he had had pneumococcal vaccine more than 10 years ago and he received an updated vaccination 2 days ago.  Later that night the arm swelled up and became tender and then the following day it was red.  Today the swelling has shifted and is evident a little more distally on the left upper arm.  He has had no fevers, very minor bad aches.  The patient also is coming in because he believes he has a sinus infection.  He has head congestion, maxillary sinus pressure, yellow nasal drainage and states he is very prone to sinusitis.  Primary care provider - Dr.  Chronic health problems - include allergic rhinitis.  Current medications - claritin only medication.  Allergies - medication allergies - keflex and ceclor.  Physical examination - vital signs - Temperature 97.7, pulse 88, respirations 16, blood pressure 130/90.  Heent:  The tympanic membranes are clear.  Maxillary sinuses are tender bilaterally, nasal mucosa red with swollen turbinates.  Throat clear.  Neck, supple without nodes.  Lungs, clear throughout.  Extremities, left upper arm shows a large area of erythema extending from just distal to the left humeral head almost to the antecubital fossa, there is marked tenderness and more swelling with a sharp line of demarcation of the distal upper arm.  Distal neurovascular exam to the forearm and hand are intact.  The reaction to the Pneumovax will be reported to the procedure nurse in order to notify the manufacturer, I have outlined the extent of the erythema with an ink pen and the patient will return this week and if he has any further spreading of the erythema or if the swelling does not regress we will place him on Biaxin 500 mg b.i.d. for 10 days for the sinus infection.
Age: 10.0
Sex: F
Vaccine: VARCEL
Symptoms: Cellulitis, Erythema, Induration
Clinical narrative: Rt arm with 3cm indurated erythema of arm. ? Cellulitis from vaccine, treated with Keflex 500mg and Septra DS.
Age: 9.0
Sex: M
Vaccine: DTAP
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: No adverse reaction.  Gave DTaP to 9 yr old, not to be administered over age 7 years.
Age: 70.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Redness, swelling, and tenderness at the injection site.
Age: 5.0
Sex: M
Vaccine: VARCEL
Symptoms: Irritability, Oedema peripheral, Pyrexia, Swelling face
Clinical narrative: After several hours, patient's arm started swelling like a golf ball, continued to increase.  Then his head started swelling all over as if he was beat up.  His arm continued to swell after cold compresses.  I called his physician (on call) & spoke w/ person who instructed me to alternate w/ Motrin & Benadryl along with the cold compresses.  The nurse monitored via phone every 3 hours. After about 3 days, swelling had decreased but it took 1 week before all symptoms of swelling, fever & irritability went away.
Age: 16.0
Sex: M
Vaccine: VARCEL
Symptoms: Pruritus generalised, Rash, Urticaria
Clinical narrative: Pt was given Varicella vaccination on 2/20/07 and had generalized itching and skin breaking out dime size welts on left forearm, chest, trunk on 3/9/07.
Sex: M
Vaccine: VARCEL
Symptoms: Rash pustular, Skin lesion
Clinical narrative: Lesions on torso, face pustules
Age: 29.0
Sex: F
Vaccine: ANTH
Symptoms: Pain in extremity, Rash
Clinical narrative: 29 y/o female receives AVA # 2 on 30 Nov 2007 in preparation for upcoming deployment in Jan 2008. Member reports the developed of increased soreness in the right arm 2 days after vaccination receipt. The rash appears on day 3 after AVA vaccine receipt.
Age: 64.0
Sex: M
Vaccine: FLU3, FLUX
Symptoms: Confusional state, Delirium
Clinical narrative: Sixty-four-year old male with a past medical history significant for type 2 diabetes mellitus which is poorly controlled, obesity, vascular dementia, and a remote history of extremely heavy alcohol abuse who  presented to Emergency Department (ED) with delirium and hyperammonemia. Of note, he had received flu shot prior to his admission. Over the past few days, his step son noted that the patient has been "out of it" at times. He also reported that the patient is glucoses had been out of control in the 300-400 range at home. He felt as if this might be a reaction to the flu shot, as the same thing happened last year, but at that time the patient had a kidney infection. The patient reported no pain or headache, but did feel nauseated and was having dry heaves. Apparently, he had had a similar presentation with delirium and hyperammonemia after having received a flue shot in 2006. He denied alcohol intake at any time in the past 20 years. Upon evaluation in the Primary Care Clinic, he was found to have an elevated ammonia level of 157, so decision was made for admission for further evaluation and treatment. Abdominal CT Scan was obtained that revealed pancreatic atrophy ass well as fatty liver. A battery of tests and
Age: 64.0
Sex: M
Vaccine: FLU3, FLUX
Symptoms: Abnormal behaviour, Alcohol abuse, Ammonia increased, Blood glucose increased, Computerised tomogram abnormal
Clinical narrative: Sixty-four-year old male with a past medical history significant for type 2 diabetes mellitus which is poorly controlled, obesity, vascular dementia, and a remote history of extremely heavy alcohol abuse who  presented to Emergency Department (ED) with delirium and hyperammonemia. Of note, he had received flu shot prior to his admission. Over the past few days, his step son noted that the patient has been "out of it" at times. He also reported that the patient is glucoses had been out of control in the 300-400 range at home. He felt as if this might be a reaction to the flu shot, as the same thing happened last year, but at that time the patient had a kidney infection. The patient reported no pain or headache, but did feel nauseated and was having dry heaves. Apparently, he had had a similar presentation with delirium and hyperammonemia after having received a flue shot in 2006. He denied alcohol intake at any time in the past 20 years. Upon evaluation in the Primary Care Clinic, he was found to have an elevated ammonia level of 157, so decision was made for admission for further evaluation and treatment. Abdominal CT Scan was obtained that revealed pancreatic atrophy ass well as fatty liver. A battery of tests and
Age: 64.0
Sex: M
Vaccine: FLU3, FLUX
Symptoms: Delirium, Feeling abnormal, Hepatic steatosis, Hyperammonaemia, Laboratory test
Clinical narrative: Sixty-four-year old male with a past medical history significant for type 2 diabetes mellitus which is poorly controlled, obesity, vascular dementia, and a remote history of extremely heavy alcohol abuse who  presented to Emergency Department (ED) with delirium and hyperammonemia. Of note, he had received flu shot prior to his admission. Over the past few days, his step son noted that the patient has been "out of it" at times. He also reported that the patient is glucoses had been out of control in the 300-400 range at home. He felt as if this might be a reaction to the flu shot, as the same thing happened last year, but at that time the patient had a kidney infection. The patient reported no pain or headache, but did feel nauseated and was having dry heaves. Apparently, he had had a similar presentation with delirium and hyperammonemia after having received a flue shot in 2006. He denied alcohol intake at any time in the past 20 years. Upon evaluation in the Primary Care Clinic, he was found to have an elevated ammonia level of 157, so decision was made for admission for further evaluation and treatment. Abdominal CT Scan was obtained that revealed pancreatic atrophy ass well as fatty liver. A battery of tests and
Age: 64.0
Sex: M
Vaccine: FLU3, FLUX
Symptoms: Nausea, Pancreatic atrophy, Retching
Clinical narrative: Sixty-four-year old male with a past medical history significant for type 2 diabetes mellitus which is poorly controlled, obesity, vascular dementia, and a remote history of extremely heavy alcohol abuse who  presented to Emergency Department (ED) with delirium and hyperammonemia. Of note, he had received flu shot prior to his admission. Over the past few days, his step son noted that the patient has been "out of it" at times. He also reported that the patient is glucoses had been out of control in the 300-400 range at home. He felt as if this might be a reaction to the flu shot, as the same thing happened last year, but at that time the patient had a kidney infection. The patient reported no pain or headache, but did feel nauseated and was having dry heaves. Apparently, he had had a similar presentation with delirium and hyperammonemia after having received a flue shot in 2006. He denied alcohol intake at any time in the past 20 years. Upon evaluation in the Primary Care Clinic, he was found to have an elevated ammonia level of 157, so decision was made for admission for further evaluation and treatment. Abdominal CT Scan was obtained that revealed pancreatic atrophy ass well as fatty liver. A battery of tests and
Age: 1.5
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, HIBV
Symptoms: Pneumonia, Respiratory failure
Clinical narrative: Information has been received from a consumer concerning a 17 month old male who on 23-OCT-2007 was vaccinated with a dose of PedvaxHIB. After getting the vaccine, on 23-OCT-2007, the patient developed respiratory failure. The patient was hospitalized for 9 days on life support. At the time of the report, the patient was recovering. No further information is available.
Age: 1.5
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, HIBV
Symptoms: Respiratory failure
Clinical narrative: Information has been received from a consumer concerning a 17 month old male who on 23-OCT-2007 was vaccinated with a dose of PedvaxHIB. After getting the vaccine, on 23-OCT-2007, the patient developed respiratory failure. The patient was hospitalized for 9 days on life support. At the time of the report, the patient was recovering. No further information is available.
Age: 25.0
Sex: M
Vaccine: ANTH, ANTH
Symptoms: Abdominal discomfort, Chest pain, Dyspepsia, Erythema, Nausea
Clinical narrative: 1 hr after Anthrax vaccine patient developed sudden onset severe abdominal pain, vomiting"black" strands, skin very red and burning, rigors. No skin eruptions or difficult breathing. Vomited at the ER with streaks of red blood and itching of skin. Patient was monitored-no treatment neeeded-released without further incident.
Age: 25.0
Sex: M
Vaccine: ANTH, ANTH
Symptoms: Skin warm, Tremor
Clinical narrative: 1 hr after Anthrax vaccine patient developed sudden onset severe abdominal pain, vomiting"black" strands, skin very red and burning, rigors. No skin eruptions or difficult breathing. Vomited at the ER with streaks of red blood and itching of skin. Patient was monitored-no treatment neeeded-released without further incident.
Age: 25.0
Sex: M
Vaccine: ANTH, ANTH
Symptoms: Abdominal pain, Chills, Erythema, Haematemesis, Pruritus
Clinical narrative: 1 hr after Anthrax vaccine patient developed sudden onset severe abdominal pain, vomiting"black" strands, skin very red and burning, rigors. No skin eruptions or difficult breathing. Vomited at the ER with streaks of red blood and itching of skin. Patient was monitored-no treatment neeeded-released without further incident.
Age: 25.0
Sex: M
Vaccine: ANTH, ANTH
Symptoms: Skin burning sensation
Clinical narrative: 1 hr after Anthrax vaccine patient developed sudden onset severe abdominal pain, vomiting"black" strands, skin very red and burning, rigors. No skin eruptions or difficult breathing. Vomited at the ER with streaks of red blood and itching of skin. Patient was monitored-no treatment neeeded-released without further incident.
Age: 0.33
Sex: M
Vaccine: DTPHEP, UNK
Symptoms: Diarrhoea, Pyrexia
Clinical narrative: when shot was administered a welt developed followed by fever and diarrhea
Age: 5.0
Sex: M
Vaccine: DTAP
Symptoms: Rash generalised
Clinical narrative: Body rash 2-3 days following administration of DTaP vaccination. Seen in clinic 12/19/07 wiht improved but persistent rash. Treated with short course of oral steroid.
Age: 12.0
Sex: M
Vaccine: MNQ, TDAP
Symptoms: Pruritus, Rash
Clinical narrative: Student was given the Tdap and MCV vaccines and kept for observation. After about 10 minutes, he began itching on his chest. A rash appeared and began to spread on his chest, abdomen, shoulders and back. His Grandfather came and took him to emergency room. It was reported the next day that he became worse in the ER & had to be given medication. When he returned to school he brought Benadryl & an Epi-pen with him. However, we have not been able to get the ER report from the family yet to get specific information.
Age: 1.58
Sex: F
Vaccine: HIBV
Symptoms: Rash generalised
Clinical narrative: RASH ALL OVER BODY,ITCHING.
Age: 22.0
Sex: M
Vaccine: ANTH
Symptoms: Chest X-ray, Chest pain, Dyspnoea, Electrocardiogram
Clinical narrative: Chest pain and shortness of breath for about 3 hours. It occured 3-4 hours after anthrax vaccination (1st). Patient went to a local ER where he was treated with Albuterol nebulizer, PO benadryl, an unknown PO pill, and IM steroids. Released from the ER and given Rx Medrol, pepsid, benadryl, and an epi pen. Followed up today at TAHC with provider.
Age: 37.0
Sex: F
Vaccine: ANTH
Symptoms: Headache, Nausea, Vertigo, Vision blurred
Clinical narrative: MEMBER RECIEVED ANTHRAX VACCINE 02 DEC 07, W/IN 3 HOURS OF VACCINATION MEMBER HAD SEVERE HEADACHE AND NAUSEA, ACCOMPANIED BY SOEM VERTIGO AND BLURRED VISION.
Age: 3.0
Sex: F
Vaccine: FLU3
Symptoms: Erythema, Induration, Pyrexia, Skin warm
Clinical narrative: Received Fluzone Vaccine on 12-18-07. Developed fever 101 12-19-07, with left arm hard, red, warm from shoulder to anticub area. Fever continues today, Ice applied, motrin given. Red area measures 12.5 cms X 17 cms diameter 19.5 cms. Right arm diameter is 16.5cms. To F/up with phone call to Dr.
Age: 24.0
Sex: M
Vaccine: ANTH, FLUN3, SMALL, ANTH, FLUN3, SMALL
Symptoms: Chest pain, Nuclear magnetic resonance imaging normal
Clinical narrative: CP OF CHEST PAIN X 4 DAYS.  PT WAS TRANSFERED TO MEDICAL CENTER. 2/25/08-records received for DOS 12/19-12/21/07DX: Post small pox vaccine myopericarditis. Chest pain, EKG changes, elevated Troponin. Presented to ED with 4 day history of chest pain. No cough, vomiting or diarrhea.  02/02/2010 Patient recieved smallpox inoculation. Developed myopericarditis. Still recovering. Following up with the vaccine healthcenter.
Age: 24.0
Sex: M
Vaccine: ANTH, FLUN3, SMALL, ANTH, FLUN3, SMALL
Symptoms: Blood creatine phosphokinase MB, Blood creatine phosphokinase MB increased, Chest pain, Echocardiogram abnormal, Pericardial effusion
Clinical narrative: CP OF CHEST PAIN X 4 DAYS.  PT WAS TRANSFERED TO MEDICAL CENTER. 2/25/08-records received for DOS 12/19-12/21/07DX: Post small pox vaccine myopericarditis. Chest pain, EKG changes, elevated Troponin. Presented to ED with 4 day history of chest pain. No cough, vomiting or diarrhea.  02/02/2010 Patient recieved smallpox inoculation. Developed myopericarditis. Still recovering. Following up with the vaccine healthcenter.
Age: 24.0
Sex: M
Vaccine: ANTH, FLUN3, SMALL, ANTH, FLUN3, SMALL
Symptoms: Troponin I increased
Clinical narrative: CP OF CHEST PAIN X 4 DAYS.  PT WAS TRANSFERED TO MEDICAL CENTER. 2/25/08-records received for DOS 12/19-12/21/07DX: Post small pox vaccine myopericarditis. Chest pain, EKG changes, elevated Troponin. Presented to ED with 4 day history of chest pain. No cough, vomiting or diarrhea.  02/02/2010 Patient recieved smallpox inoculation. Developed myopericarditis. Still recovering. Following up with the vaccine healthcenter.
Sex: U
Vaccine: ANTH
Symptoms: Erythema, Swelling
Clinical narrative: SWELLING AND REDNESS