chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 28.0
Sex: M
Vaccine: VARZOS
Symptoms: Visual acuity reduced
Clinical narrative: Information has been received from a 28 year old male doctor of pharmacy reporting on himself with a history of chickenpox as a child who on 09-JUN-2011, was preparing a dose of ZOSTAVAX (Merck) (lot number 669639/0613AA, Exp: 30-JUN-2012) while the pharmacist was "knocking out air bubbles, the vaccine splashed" into his right eye. The right eye "tingled and was blurry". The eye was flushed with water but had been still "not normal". The pharmacist did not seek medical attention. At the time of the report the outcome of the patient was unknown. Follow up information has been received from a 28 year old male doctor of pharmacy reporting on himself who stated that he was still experiencing daily problem from the eye splash he was experiencing nausea and dizziness. Also the pharmacist said that the vision in his right eye went from 20/20 to 20/40. The pharmacist said that he felt that this was a pretty severe issue and was not clearing up. He stated that he had lost vision and it had been a pretty life changing event. He had seen his family doctor, an "eye doctor" and was scheduled to see a neurologist. He was currently taking ZOFRAN, meclizine and ibuprofen "just to me it through the day". This has had a major negative impact on his daily life. The doctor of pharmacist also reported that she went to an eye specialist who told him that there was damage to his eye, but that it will better. He also said his nausea and dizziness were improving as of today and he did not need to take any of the medicines (today) he was taking for these symptoms. At the time of the report the patient had not recovered from the other symptoms. He would schedule to see a neurologist. Upon internal review, lost vision was determined to be an other important medical event. No further information is available.
Age: 15.0
Sex: F
Vaccine: MNQ, TDAP
Symptoms: Altered state of consciousness, Apnoea, Muscle rigidity, Posture abnormal
Clinical narrative: Pt. exhibited 3 episodes of altered consciousness of approx 15-20 secs each in rapid succession over 12-15 mins. Rigid musculature et LUE decorticate posture noted with each episode along with 5 secs apnea, B/P measured 78/56, HR 62, then B/P 92/65, HR 77, O2 97% RA after 15 mins.
Age: 71.0
Sex: F
Vaccine: VARZOS
Symptoms: Muscular weakness, Neuromyopathy
Clinical narrative: Information has been received from a physician concerning a 71 year old female patient who on 01-JAN-2011, was vaccinated with a dose of ZOSTAVAX (Merck) (dose, route and lot number not reported). "Later that month" (in 2011), the patient experienced a progressive neuromuscular reaction after ZOSTAVAX (Merck). The physician stated that the patient developed muscle weakness that had been progressing. The physician stated this was not GUILLAIN BARRE syndrome. The physician stated that this had been or had becoming a significant disability / incapacity. At the time of the report the patient had not recovered. Patient's progressive neuromuscular reaction and developed muscle weakness that had been progressive were considered to be disabling by the physician. Additional information has been requested.
Age: 18.0
Sex: F
Vaccine: HEPA
Symptoms: Rash erythematous
Clinical narrative: Received Hep A vaccine (R) arm 6/24/11. 6/25 noticed few red spots on arm & by 6/26 had spread up & down arm individual red, raised, bumps with central white spot or sab.
Age: 23.0
Sex: M
Vaccine: ANTH, SMALL, TYP, ANTH, SMALL, TYP
Symptoms: Blood culture negative, C-reactive protein increased, Chest pain, Chills, Echocardiogram normal
Clinical narrative: Received anthrax, typhoid vi, and smallpox vaccines on 29 May '11. Ten days later on 8 Jun '11 he awoke during the night with chest pain, "as if someone was sitting on me", fever and shaking chills, and heat and swelling of smallpox vaccination site. Transported to the ER and then to Hospital for admission. Serial ECGs monitored and revealed persistent, subtle, lateral ST-T wave lability. Elevated troponin I of 0.37 (normal 0.10), elevated sed rate of 22 and elevated CRP at 66.5. Blood cultures and urine negative. Echocardiogram normal and EF 55%. Troponin trended downward and repeat echo prior to discharge remained unchanged. Notes say he is asymptomatic now and has been refraded, deployment re-scheduled for Dec 2011.
Age: 23.0
Sex: M
Vaccine: ANTH, SMALL, TYP, ANTH, SMALL, TYP
Symptoms: Ejection fraction decreased, Electrocardiogram ST-T change, Electrocardiogram abnormal, Pyrexia, Red blood cell sedimentation rate increased
Clinical narrative: Received anthrax, typhoid vi, and smallpox vaccines on 29 May '11. Ten days later on 8 Jun '11 he awoke during the night with chest pain, "as if someone was sitting on me", fever and shaking chills, and heat and swelling of smallpox vaccination site. Transported to the ER and then to Hospital for admission. Serial ECGs monitored and revealed persistent, subtle, lateral ST-T wave lability. Elevated troponin I of 0.37 (normal 0.10), elevated sed rate of 22 and elevated CRP at 66.5. Blood cultures and urine negative. Echocardiogram normal and EF 55%. Troponin trended downward and repeat echo prior to discharge remained unchanged. Notes say he is asymptomatic now and has been refraded, deployment re-scheduled for Dec 2011.
Age: 23.0
Sex: M
Vaccine: ANTH, SMALL, TYP, ANTH, SMALL, TYP
Symptoms: Tremor, Troponin I increased, Urine analysis normal, Vaccination site swelling, Vaccination site warmth
Clinical narrative: Received anthrax, typhoid vi, and smallpox vaccines on 29 May '11. Ten days later on 8 Jun '11 he awoke during the night with chest pain, "as if someone was sitting on me", fever and shaking chills, and heat and swelling of smallpox vaccination site. Transported to the ER and then to Hospital for admission. Serial ECGs monitored and revealed persistent, subtle, lateral ST-T wave lability. Elevated troponin I of 0.37 (normal 0.10), elevated sed rate of 22 and elevated CRP at 66.5. Blood cultures and urine negative. Echocardiogram normal and EF 55%. Troponin trended downward and repeat echo prior to discharge remained unchanged. Notes say he is asymptomatic now and has been refraded, deployment re-scheduled for Dec 2011.
Age: 23.0
Sex: M
Vaccine: ANTH, SMALL, TYP, ANTH, SMALL, TYP
Symptoms: Echocardiogram normal, Electrocardiogram abnormal, Myocarditis, Troponin I increased
Clinical narrative: Received anthrax, typhoid vi, and smallpox vaccines on 29 May '11. Ten days later on 8 Jun '11 he awoke during the night with chest pain, "as if someone was sitting on me", fever and shaking chills, and heat and swelling of smallpox vaccination site. Transported to the ER and then to Hospital for admission. Serial ECGs monitored and revealed persistent, subtle, lateral ST-T wave lability. Elevated troponin I of 0.37 (normal 0.10), elevated sed rate of 22 and elevated CRP at 66.5. Blood cultures and urine negative. Echocardiogram normal and EF 55%. Troponin trended downward and repeat echo prior to discharge remained unchanged. Notes say he is asymptomatic now and has been refraded, deployment re-scheduled for Dec 2011.
Age: 11.0
Sex: F
Vaccine: HEPA, MNQ, TDAP
Symptoms: Headache, Lymphadenopathy, Mononucleosis heterophile test negative, Pyrexia, Streptococcus test negative
Clinical narrative: 5 days after vaccines given - developed high fevers x 3-4 days, severe headache, cervical lymphadenopathy. Eventually put on AUGMENTIN empiric treatment & improved within 36 hrs.
Age: 11.0
Sex: F
Vaccine: HEPA, MNQ, TDAP
Symptoms: White blood cell count
Clinical narrative: 5 days after vaccines given - developed high fevers x 3-4 days, severe headache, cervical lymphadenopathy. Eventually put on AUGMENTIN empiric treatment & improved within 36 hrs.
Sex: U
Vaccine: HEPA, MMR, PNC13, VARCEL
Symptoms: Erythema, Pharyngeal erythema, Streptococcus test, Swelling face
Clinical narrative: 6 hours after immun's child had (L) facial swelling & rubor per torso & extremities - no compromise to breathing & neuro status - no reaction at injection sites - took BENADRYL.
Age: 13.0
Sex: F
Vaccine: HPV4
Symptoms: Syncope
Clinical narrative: 3-4 minutes post vaccination patient had fainting episode.
Age: 29.0
Sex: F
Vaccine: PPV, TDAP
Symptoms: Dyspnoea, Erythema, Injection site swelling, Malaise, Pyrexia
Clinical narrative: Malaise, dyspnea, swelling at injection site, redness, low grade temp.
Age: 1.16
Sex: M
Vaccine: DTAPIPVHIB, HEPA, MMR, PNC13, VARCEL
Symptoms: Body temperature increased
Clinical narrative: Temperature 104.7 rectally within 24hrs of vaccine administration.
Age: 29.0
Sex: F
Vaccine: HEP
Symptoms: Unevaluable event
Clinical narrative: see attached
Age: 1.05
Sex: F
Vaccine: HEPA, HIBV, MMR, VARCEL
Symptoms: Computerised tomogram, Febrile convulsion, Laboratory test
Clinical narrative: FEBRILE SEIZURE
Age: 0.59
Sex: M
Vaccine: 6VAX-F, MMR
Symptoms: Depressed level of consciousness, Hypersomnia, Tremor
Clinical narrative: whole body shaking and excessive sleepiness, not as alert afterwards
Age: 0.17
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC13
Symptoms: Body temperature increased, Injection site erythema, Injection site swelling, Irritability
Clinical narrative: Patients mother reported temperature of 99.8 F, right leg swelling and redness about a ald dollar size, and fussiness.
Age: 0.66
Sex: F
Vaccine: DTAPIPVHIB, PNC13, RV5
Symptoms: Rash, Urticaria
Clinical narrative: urticaria rash over extremities face and head
Age: 8.0
Sex: F
Vaccine: VARCEL
Symptoms: Injection site induration, Injection site pain, Injection site swelling
Clinical narrative: Extreme swelling at injection site, becoming hard, very tender
Age: 4.0
Sex: M
Vaccine: MMRV
Symptoms: Hallucination
Clinical narrative: Parent called pediatrician at 12pm reported was seen in ER last night after 3 episodes of hallucinations lasting 10 mins saw red and green lights and monsters. Attacked father trying to get rid of "monster" on face. Remembers event fully. To ER who recommended calling pediatrician to report.
Age: 12.0
Sex: M
Vaccine: HPVX
Symptoms: Lip swelling, Pruritus, Rash
Clinical narrative: Right side of trunk & groin area broke out in a rash & he was itching. I gave him 2tsp of Benadryl & he took a shower - it took care of the itching, & rash went down, but did not go completely away.  He woke up at 12:30 am with swollen lips, entire chest, back & groin area covered in a rash. I gave him 3 tsp of Benadryl & he took another shower & applied ice pack to his lips.  Lip swelling went down & itching subsided. In the AM, the rash was gone with exception of groin area & lip swelling was gone.  He was still itchy with no rash at 12:30pm so I gave him 1tsp of Benadryl.
Age: 35.0
Sex: F
Vaccine: MMR, TDAP
Symptoms: Rash
Clinical narrative: Mild rash, bumps on legs, head, arm, jawline. Look like hives. Patient referred to private MD.
Sex: M
Vaccine: VARCEL
Symptoms: Pyrexia, Rash, Varicella
Clinical narrative: Chicken pox rash to face & chest with low grade fever.
Age: 14.0
Sex: F
Vaccine: HPV4
Symptoms: Abdominal pain upper, Diarrhoea, Dizziness, Muscular weakness
Clinical narrative: In 4 days patient reported lightheadedness. About one week after more leg weakness. 2-2 1/2 weeks after episode with stomach cramping and diarrhea.
Age: 17.0
Sex: M
Vaccine: HPV4
Symptoms: Loss of consciousness, Movement disorder
Clinical narrative: Pt. had seizure like actions, lost consciousness for approx. 20 seconds, came around quickly. Cool compresses applied to neck and head. No nausea or vomiting. Dr. evaluated pt. Pt. waited for 15 minutes later, then left with mom and brother.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR, PNC13, VARCEL
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth, Local reaction
Clinical narrative: Localized reaction on bilat thigh. Red, warm to touch, and swollen. Patient seen in clinic. Cool compresses instructed by physician.
Age: 0.22
Sex: M
Vaccine: DTAPIPVHIB, HEP, PNC13, RV5
Symptoms: Crying, Cyanosis, Hypotonia, Pallor, Somnolence
Clinical narrative: Approximately 5 minutes after administering a series of vaccines for two month old (Prevnar, Pentacel, Hepatitis B & Rotavirus), baby appeared pale, cyanotic, limp. Dr. administered EpiPen, Jr. Within seconds, the baby cried, remained pale but appeared to be breathing. Auscultation confirmed Heart RRR & Lungs CTA B/L. He remained pale, slightly drowsy. O2 administered by Nasal Cannula @ 2L/min. Within minutes, rescue team arrived and transported baby to E.D. in stable condition.
Age: 30.0
Sex: M
Vaccine: FLU3
Symptoms: Cyst, Insomnia, Musculoskeletal pain, Nuclear magnetic resonance imaging abnormal, Osteoarthritis
Clinical narrative: Shoulder pain, unable to move the arm without pain in shoulder. Trouble sleeping without pills. Tx anti-inflammatories, pain relievers and physical therapy. This have persisted during a 8 months. The pain is worst but at least I can sleep.
Age: 30.0
Sex: M
Vaccine: FLU3
Symptoms: Pain, Tendonitis, X-ray normal
Clinical narrative: Shoulder pain, unable to move the arm without pain in shoulder. Trouble sleeping without pills. Tx anti-inflammatories, pain relievers and physical therapy. This have persisted during a 8 months. The pain is worst but at least I can sleep.
Age: 56.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema
Clinical narrative: erythema at injection site (approx 1 inch by 2 inch area)
Age: 1.25
Sex: F
Vaccine: DTAP, HEPA
Symptoms: Irritability, Pyrexia, Urticaria
Clinical narrative: Acute onset of fever (101.3), fussiness, and generalized urticaria within 30 minutes of vaccines. Treated with Benadryl and antipyretics.
Age: 52.0
Sex: F
Vaccine: VARZOS
Symptoms: Cough, Headache, Injection site rash, Pain, Rash
Clinical narrative: Severe headache on the first day. The next morning I noticed a rash around the spot of the vaccine approx 1 1/2" in diameter.  Then later that afternoon, I got a scratchy throat, cough, and the rash has spread to the front of my shoulder (near arm pit) and it is very painful.
Age: 52.0
Sex: F
Vaccine: VARZOS
Symptoms: Throat irritation
Clinical narrative: Severe headache on the first day. The next morning I noticed a rash around the spot of the vaccine approx 1 1/2" in diameter.  Then later that afternoon, I got a scratchy throat, cough, and the rash has spread to the front of my shoulder (near arm pit) and it is very painful.
Age: 42.0
Sex: M
Vaccine: PPV
Symptoms: Chills, Hypoaesthesia, Pain in extremity
Clinical narrative: Chills, arm pain and numbness.
Age: 13.0
Sex: M
Vaccine: TDAP
Symptoms: Dizziness
Clinical narrative: Giddiness/dizziness 5m after vaccine was administered.
Age: 60.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Oedema peripheral, Pain, Pain in extremity, Ultrasound Doppler
Clinical narrative: Patient had burning pain in left arm right after receiving Pneumo vaccine her arm swelled up and she began to have pain radiating down her arm. Pain stayed persistent even six months after incident.
Age: 1.03
Sex: F
Vaccine: HEPA, MMR, VARCEL
Symptoms: Injection site erythema, Injection site induration, Injection site reaction, Rash vesicular
Clinical narrative: (L) arm 2 x 2 cm erythema, induration & vesicular rash at site of injection 11 days post vaccine.
Age: 14.0
Sex: M
Vaccine: VARCEL
Symptoms: Cellulitis, Injection site erythema, Injection site swelling
Clinical narrative: Area around injection became red, swollen over 48h after vaccine. Clinically appears like cellulitis.
Age: 46.0
Sex: F
Vaccine: MMR
Symptoms: Dysphonia, Dyspnoea, Feeling abnormal
Clinical narrative: 60 seconds after receiving MMR states she felt a reaction coming, BENADRYL 25mg PO was given & voice began disappearing & stated hard to breathe. EPIPEN given & 25mg IM BENADRYL per Dr order & O2 placed & in 15 minutes a second episode began with voice changing & 2nd Epi given & transferred to ER via ambulance.
Age: 1.03
Sex: M
Vaccine: HEPA, HIBV, MMR, PPV, VARCEL
Symptoms: Varicella post vaccine
Clinical narrative: Post vaccination reaction - vaccine induced chicken pox.
Age: 50.0
Sex: F
Vaccine: TDAP
Symptoms: Chest X-ray abnormal, Local reaction, Pneumonia, Pyrexia
Clinical narrative: Had Tdap booster 6/9/11 at office visit with URI.  Then local reaction & fever -> Pneumonia. Hospitalized for PNA - Recovered.
Age: 68.0
Sex: M
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Injection site arm got sore, red, swollen; he went to a walk-in immediate care facility where he was given a prescription for cephalexin 2 days after vaccination. Pt says feeling better when asked 7/7/11.
Age: 5.0
Sex: M
Vaccine: DTAPIPV, MMR, VARCEL
Symptoms: Pruritus, Rash
Clinical narrative: Child was given KINRIX, MMR and varicella. Child was still in one room and rash was noted on face and chest with itching. Resolved after BENADRYL was given.
Age: 35.0
Sex: F
Vaccine: HEPAB, TDAP
Symptoms: Rash generalised
Clinical narrative: Rash that started on her wrist 3 days after immunization - spread all over her body treated with MEDROL dose pak.
Age: 0.35
Sex: M
Vaccine: DTAPIPVHIB, PNC13, RV1
Symptoms: Appendicectomy, Computerised tomogram abdomen abnormal, Explorative laparotomy, Haematochezia, Intestinal dilatation
Clinical narrative: Upon recent news of concerns of intussusception following ROTARIX, I remembered this young patient's case. On 12/3/10, he developed painful bowel movements which progressed to bloody stools. He became very fussy and started vomiting later that day. He presented to hospital where abdominal CT revealed an intussusception. He was transferred to another Hospital where he had an exploratory laparotomy. In surgery, they manually reduced his intussusception and performed a prophylactic appendectomy. He recovered well and was discharged on 12/7. Since that time he has remained in good health. I have provided copies of his hospital records.
Age: 0.35
Sex: M
Vaccine: DTAPIPVHIB, PNC13, RV1
Symptoms: Intestinal operation, Intussusception, Irritability, Painful defaecation, Vomiting
Clinical narrative: Upon recent news of concerns of intussusception following ROTARIX, I remembered this young patient's case. On 12/3/10, he developed painful bowel movements which progressed to bloody stools. He became very fussy and started vomiting later that day. He presented to hospital where abdominal CT revealed an intussusception. He was transferred to another Hospital where he had an exploratory laparotomy. In surgery, they manually reduced his intussusception and performed a prophylactic appendectomy. He recovered well and was discharged on 12/7. Since that time he has remained in good health. I have provided copies of his hospital records.
Age: 11.0
Sex: F
Vaccine: MNQ, TDAP, VARCEL
Symptoms: Dizziness, Loss of consciousness
Clinical narrative: Pt became dizzy after shot. Mother came back to clinic and reported above. Briefly lost consciousness. Awake, alert. No pain when leaving 10 min later.
Sex: U
Vaccine: MNQ, TDAP
Symptoms: Fatigue, Headache
Clinical narrative: Initial report received from a nurse via company representative on 29 June 2011. An unknown patient (date of birth, age, and gender not reported) had received a dose of ADACEL and MENACTRA (lot numbers not reported) on an unspecified date. At an unspecified amount of time following the vaccinations, the patient experienced an extreme headache and fatigue persisting for more than 2 days, which was concerning to both the parent and nursing staff. It was not reported whether the patient required medical evaluation or treatment. No other information, nor the recovery status were provided. Documents held by sender: None.
Age: 18.0
Sex: F
Vaccine: HEPA, HPVX
Symptoms: Chest X-ray, Dizziness, Electrocardiogram, Hypoaesthesia
Clinical narrative: Patient received HPV #3 vaccine in (L) arm and Hep #2 and DEPO in her (R) arm. Approx. 1 hr later, pt. called office c/o feeling faint and (R) arm numbness. On 05/17/2011 patient was given 150mg DEPO shot in Right arm (IM) I also gave patient Hepatitis A .5mL shot in Right arm (IM) just below and to the right a little of DEPO shot. Patient also received HPV .5mL in Left arm (IM). Patient was kept 15 minutes after receiving shots and was released. Patient felt no problems at that time.
Sex: U
Vaccine: DTAPIPVHIB
Symptoms: Local reaction
Clinical narrative: Initial report was received from a health care professional on 16 March 2011. An unidentified child who was behind on immunizations had received PENTACEL (lot number, route, site and date of administration not reported) and unspecified amount of time later developed a local reaction. No further information was available at the time of the report. The patient's outcome was not reported. Documents held by sender: none.
Age: 60.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Arthritis, Herpes zoster, Injection site erythema, Malaise, Pruritus
Clinical narrative: Information has been received from a pharmacy manager concerning an approximately 60 year old female patient with no pertinent medical history and no known drug reactions or allergies who on 10-JUN-2011 was vaccinated subcutaneously in the left arm with 0.65 mL of ZOSTAVAX (Merck) (lot# 669261/1362Z) and expiration date 15-JAN-2012 (dose unspecified). There was no concomitant medication. The pharmacy manager stated that one of her store locations vaccinated a client with ZOSTAVAX (Merck) on 10-JUN-2011 and the patient broke out in shingles post vaccination. The pharmacist stated the patient was traveling at the time of the outbreak and went to a doctor in another city, who confirmed she had shingles. The physician treated the patient with acyclovir and ZOVIRAX. However, this physician was not the local primary health care provider. When the patient returned from the trip, she went to the vaccinating pharmacy on 23-JUN-2011 to report the outbreak. At the time of the report, the patient had not recovered. The pharmacist considered shingles pain to be disabling. Additional information has been requested.
Age: 60.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Pyrexia, Rash
Clinical narrative: Information has been received from a pharmacy manager concerning an approximately 60 year old female patient with no pertinent medical history and no known drug reactions or allergies who on 10-JUN-2011 was vaccinated subcutaneously in the left arm with 0.65 mL of ZOSTAVAX (Merck) (lot# 669261/1362Z) and expiration date 15-JAN-2012 (dose unspecified). There was no concomitant medication. The pharmacy manager stated that one of her store locations vaccinated a client with ZOSTAVAX (Merck) on 10-JUN-2011 and the patient broke out in shingles post vaccination. The pharmacist stated the patient was traveling at the time of the outbreak and went to a doctor in another city, who confirmed she had shingles. The physician treated the patient with acyclovir and ZOVIRAX. However, this physician was not the local primary health care provider. When the patient returned from the trip, she went to the vaccinating pharmacy on 23-JUN-2011 to report the outbreak. At the time of the report, the patient had not recovered. The pharmacist considered shingles pain to be disabling. Additional information has been requested.
Age: 60.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Herpes zoster, Pain
Clinical narrative: Information has been received from a pharmacy manager concerning an approximately 60 year old female patient with no pertinent medical history and no known drug reactions or allergies who on 10-JUN-2011 was vaccinated subcutaneously in the left arm with 0.65 mL of ZOSTAVAX (Merck) (lot# 669261/1362Z) and expiration date 15-JAN-2012 (dose unspecified). There was no concomitant medication. The pharmacy manager stated that one of her store locations vaccinated a client with ZOSTAVAX (Merck) on 10-JUN-2011 and the patient broke out in shingles post vaccination. The pharmacist stated the patient was traveling at the time of the outbreak and went to a doctor in another city, who confirmed she had shingles. The physician treated the patient with acyclovir and ZOVIRAX. However, this physician was not the local primary health care provider. When the patient returned from the trip, she went to the vaccinating pharmacy on 23-JUN-2011 to report the outbreak. At the time of the report, the patient had not recovered. The pharmacist considered shingles pain to be disabling. Additional information has been requested.
Age: 23.0
Sex: F
Vaccine: HPV4
Symptoms: Chest discomfort, Feeling jittery, Pruritus generalised
Clinical narrative: Given 1st GARDASIL in (L) arm and within 10 mins c/o chest discomfort and feel jittery inside. Stayed with her and PA were with her. She calmed down some less discomfort but then started to itch all over PA gave her VISTARIL and CLARITIN - cont. to observe - 45-60 mins - the itching and sx relieved - Pt released to go home with father. Approx 5 pm.
Age: 18.0
Sex: F
Vaccine: HEPAB, YF
Symptoms: Allergy to vaccine, Blood immunoglobulin E normal, Conjunctivitis, Eye pruritus, Malaise
Clinical narrative: The patient states that when she was at camp she received Yellow Fever and HepA/HepB #2 vaccinations on 9/24/04 - injection site and time of administration unknown. (Of note, this was the first Yellow Fever vaccination that the pt received). A review of the medical record indicates that the pt had been ill for about 2 weeks with a cold and she had been seen in medical several times - treated with TYLENOL, DECONAMINE SR, CEPACOL lozenges, ROBITUSSIN DM, MOTRIN. The pt reported to medical on 9/25/04 at 0700 with complaints of a 2 hour history of an itchy rash, which the pt described as hives, on her left arm and a red, itchy left eye. When examined the rash had resolved. The pt was diagnosed with conjunctivitis. The pt reported to medical at 0028 9/26/04 with complaints of hives (same rash as the pt had previously noted) on her arms, abdomen and chest (none on her legs or face) which started at 1800 9/25/04. Additionally, she complained that her "head" was swollen (the pt had to expand the strap on her cover). She denied facial swelling, swelling of the lips or tongue, SOB, difficulty swallowing, nausea, vomiting, diarrhea, abdominal pain. The PE noted: "NAD, throat clear, lungs CTA, RRR, scattered urticaria. She was treated with Epi .3cc sq, TAGAMET 800mg po and ATARAX 25mg po. She was released with a prescription for TAGAMET and ATARAX. She was told that she was allergic to the Yellow Fever vaccination and this allergy was documented in her Electronic Medical Record and hard copy medical record. The pt states that she received HepA/HepB #3 without incident. She has received several Influenza vaccinations (TIV and LAIV) without adverse event.
Age: 18.0
Sex: F
Vaccine: HEPAB, YF
Symptoms: Nasopharyngitis, Ocular hyperaemia, Rash pruritic, Swelling, Urticaria
Clinical narrative: The patient states that when she was at camp she received Yellow Fever and HepA/HepB #2 vaccinations on 9/24/04 - injection site and time of administration unknown. (Of note, this was the first Yellow Fever vaccination that the pt received). A review of the medical record indicates that the pt had been ill for about 2 weeks with a cold and she had been seen in medical several times - treated with TYLENOL, DECONAMINE SR, CEPACOL lozenges, ROBITUSSIN DM, MOTRIN. The pt reported to medical on 9/25/04 at 0700 with complaints of a 2 hour history of an itchy rash, which the pt described as hives, on her left arm and a red, itchy left eye. When examined the rash had resolved. The pt was diagnosed with conjunctivitis. The pt reported to medical at 0028 9/26/04 with complaints of hives (same rash as the pt had previously noted) on her arms, abdomen and chest (none on her legs or face) which started at 1800 9/25/04. Additionally, she complained that her "head" was swollen (the pt had to expand the strap on her cover). She denied facial swelling, swelling of the lips or tongue, SOB, difficulty swallowing, nausea, vomiting, diarrhea, abdominal pain. The PE noted: "NAD, throat clear, lungs CTA, RRR, scattered urticaria. She was treated with Epi .3cc sq, TAGAMET 800mg po and ATARAX 25mg po. She was released with a prescription for TAGAMET and ATARAX. She was told that she was allergic to the Yellow Fever vaccination and this allergy was documented in her Electronic Medical Record and hard copy medical record. The pt states that she received HepA/HepB #3 without incident. She has received several Influenza vaccinations (TIV and LAIV) without adverse event.
Age: 13.0
Sex: F
Vaccine: HPV4
Symptoms: Anxiety, Face injury, Fall, Laceration, Seizure like phenomena
Clinical narrative: Information has been received from a physician concerning a 13 year old female who on 27-JUN-2011 was vaccinated intramuscularly with the first dose of GARDASIL. The reporter stated on 27-JUN-2011, the patient experienced seizure like symptoms. She was sitting on the exam table, fell off the table and hit her chin on the counter as she fell. The patient was anxious and had not eaten all day. The patient split her chin open and it was considered to be disabling. At the time of the report, the patient's outcome was unknown. The patient sought unspecified medical attention. Upon internal review, seizure like symptoms is considered to be other important medical event. Additional information has been requested.
Age: 64.0
Sex: F
Vaccine: VARZOS
Symptoms: Headache, Injection site erythema, Injection site pruritus, Injection site swelling, Nasal congestion
Clinical narrative: Patient experienced an approximately 2 inch oval raised itchy erythematous area at injection site lasting approximately 5 days.  She also had a fever of 101.3 orally on 7/2/11 in the evening.  Patient also complained of headache and nasal congestion days following vaccination.
Age: 64.0
Sex: F
Vaccine: VARZOS
Symptoms: Pyrexia
Clinical narrative: Patient experienced an approximately 2 inch oval raised itchy erythematous area at injection site lasting approximately 5 days.  She also had a fever of 101.3 orally on 7/2/11 in the evening.  Patient also complained of headache and nasal congestion days following vaccination.
Age: 33.0
Sex: F
Vaccine: SMALL
Symptoms: Cardiac enzymes normal, Chest pain, Computerised tomogram abnormal, Dyspnoea, Dyspnoea exertional
Clinical narrative: Subject was vaccinated with ACAM 2000 on June 2, 2011.  On June 10, 2011 subject presented for follow-up.  At that time she had a major take reaction to the ACAM 2000.  She had a large amount of erythema and edema around the vaccination site.  Subject was encouraged  to take ibuprofen as needed if her symptoms progressed.  Subject's  symptoms did worsen, despite taking ibuprofen.  On the evening of June 11, 2011 subject developed chest pain and dyspnea.  These symptoms persisted and progressed on June 12, 2011.  On the morning of June 13, 2011 she was seen in clinic.  Subject had a low grade fever with sinus tachycardia, chest pain and dyspnea on exertion.  She was also noted to have supraclavicular nodes with pain and edema and erythema.   The chest pain and dyspnea were severe enough that she was evaluated for possible myocarditis and pericarditis at the local hospital emergency room.  Fortunately, her evaluation ruled out pericarditis and myocarditis but did suggest that perhaps on CT she had mild pneumonitis.  While the Emergency Room clinician prescribed a short course of azithromycin 500 mg x 3 days, this clinician is of the opinion that this adverse event is probably vaccine related.
Age: 33.0
Sex: F
Vaccine: SMALL
Symptoms: Echocardiogram normal, Erythema, Lymph node pain, Pneumonitis, Pyrexia
Clinical narrative: Subject was vaccinated with ACAM 2000 on June 2, 2011.  On June 10, 2011 subject presented for follow-up.  At that time she had a major take reaction to the ACAM 2000.  She had a large amount of erythema and edema around the vaccination site.  Subject was encouraged  to take ibuprofen as needed if her symptoms progressed.  Subject's  symptoms did worsen, despite taking ibuprofen.  On the evening of June 11, 2011 subject developed chest pain and dyspnea.  These symptoms persisted and progressed on June 12, 2011.  On the morning of June 13, 2011 she was seen in clinic.  Subject had a low grade fever with sinus tachycardia, chest pain and dyspnea on exertion.  She was also noted to have supraclavicular nodes with pain and edema and erythema.   The chest pain and dyspnea were severe enough that she was evaluated for possible myocarditis and pericarditis at the local hospital emergency room.  Fortunately, her evaluation ruled out pericarditis and myocarditis but did suggest that perhaps on CT she had mild pneumonitis.  While the Emergency Room clinician prescribed a short course of azithromycin 500 mg x 3 days, this clinician is of the opinion that this adverse event is probably vaccine related.
Age: 33.0
Sex: F
Vaccine: SMALL
Symptoms: Sinus tachycardia, Swelling, Vaccination site erythema, Vaccination site oedema
Clinical narrative: Subject was vaccinated with ACAM 2000 on June 2, 2011.  On June 10, 2011 subject presented for follow-up.  At that time she had a major take reaction to the ACAM 2000.  She had a large amount of erythema and edema around the vaccination site.  Subject was encouraged  to take ibuprofen as needed if her symptoms progressed.  Subject's  symptoms did worsen, despite taking ibuprofen.  On the evening of June 11, 2011 subject developed chest pain and dyspnea.  These symptoms persisted and progressed on June 12, 2011.  On the morning of June 13, 2011 she was seen in clinic.  Subject had a low grade fever with sinus tachycardia, chest pain and dyspnea on exertion.  She was also noted to have supraclavicular nodes with pain and edema and erythema.   The chest pain and dyspnea were severe enough that she was evaluated for possible myocarditis and pericarditis at the local hospital emergency room.  Fortunately, her evaluation ruled out pericarditis and myocarditis but did suggest that perhaps on CT she had mild pneumonitis.  While the Emergency Room clinician prescribed a short course of azithromycin 500 mg x 3 days, this clinician is of the opinion that this adverse event is probably vaccine related.
Age: 73.0
Sex: M
Vaccine: VARZOS
Symptoms: Bacterial test, Blister, Facial pain, Rash pustular, Scab
Clinical narrative: (R) facial pain, pustules - blisters scabs - into (R) ear. (1) VALTREX (2) CIPRODEX Otic suspension (3) sulfamethoxazole.
Age: 73.0
Sex: M
Vaccine: VARZOS
Symptoms: Viral test
Clinical narrative: (R) facial pain, pustules - blisters scabs - into (R) ear. (1) VALTREX (2) CIPRODEX Otic suspension (3) sulfamethoxazole.
Age: 12.0
Sex: F
Vaccine: HPV4
Symptoms: Abasia, Dizziness, Fall, Nausea, Vomiting
Clinical narrative: Pt felt dizzy, she said she could not walk so she just fell into a sitting mode on the floor at 10:15am. Sat pt down and she felt like vomiting and she started spitting up, laid pt down w/feet up and gave some water and crackers.
Age: 0.5
Sex: F
Vaccine: DTAPIPVHIB, FLU3, HEP, PNC13, RV5
Symptoms: Convulsion, Febrile convulsion, Pyrexia
Clinical narrative: High fever causing seizure.
Age: 38.0
Sex: F
Vaccine: MMR, TDAP
Symptoms: Back pain, Injection site pain, Muscle spasms, Musculoskeletal pain, Pain in extremity
Clinical narrative: Client states on 06/16/2011 she began to have a constant charley horse cramping symptom with extreme pain from shoulder area of upper left back to left fingertips x 24 hours each day from 06/16/2011 through present 7/8/2011.
Age: 3.0
Sex: M
Vaccine: DTAP, IPV
Symptoms: Nausea, Vomiting
Clinical narrative: Nausea followed by vomiting - child threw up 4 times between 3:00-8:00 AM.
Age: 23.0
Sex: F
Vaccine: HEP, RUB, HEP, MMR
Symptoms: Asthenia, Burning sensation, Dizziness, Headache, Oedema peripheral
Clinical narrative: 7/5/2011 I felt dizzy, weak and headaches. 7/6/2011 at noon I started to have hives. 7/7/2011 more hives, swollen fingers and burning sensation on fingers, and also headaches, dizzy. Went to a doctor. Today I see they just get worst as days go by.
Age: 23.0
Sex: F
Vaccine: HEP, RUB, HEP, MMR
Symptoms: Urticaria
Clinical narrative: 7/5/2011 I felt dizzy, weak and headaches. 7/6/2011 at noon I started to have hives. 7/7/2011 more hives, swollen fingers and burning sensation on fingers, and also headaches, dizzy. Went to a doctor. Today I see they just get worst as days go by.
Age: 23.0
Sex: F
Vaccine: HEP, RUB, HEP, MMR
Symptoms: Dizziness, Headache, Oedema peripheral, Rash, Rash erythematous
Clinical narrative: 7/5/2011 I felt dizzy, weak and headaches. 7/6/2011 at noon I started to have hives. 7/7/2011 more hives, swollen fingers and burning sensation on fingers, and also headaches, dizzy. Went to a doctor. Today I see they just get worst as days go by.
Age: 23.0
Sex: F
Vaccine: HEP, RUB, HEP, MMR
Symptoms: Rash macular, Rash pruritic, Sinus headache, Skin discolouration, Swelling
Clinical narrative: 7/5/2011 I felt dizzy, weak and headaches. 7/6/2011 at noon I started to have hives. 7/7/2011 more hives, swollen fingers and burning sensation on fingers, and also headaches, dizzy. Went to a doctor. Today I see they just get worst as days go by.
Age: 51.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site pain, Injection site pruritus, Injection site swelling, Pain
Clinical narrative: Significant itching, minor pain, and slightly raised redness (approx. 2 inch square area) at injection site, minor body aches.
Age: 1.4
Sex: F
Vaccine: DTAP, HIBV
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling
Clinical narrative: Right thigh erythema, swelling and itching - seen in ER given BENADRYL and MOTRIN. Fever 103 degrees.
Age: 17.0
Sex: M
Vaccine: TDAP
Symptoms: Oedema peripheral
Clinical narrative: Pt has swelling on left upper side of body under left arm. Started evening of 7/5.
Sex: M
Vaccine: MNQ
Symptoms: Fatigue, Headache
Clinical narrative: Headache and fatigue.
Age: 9.0
Sex: F
Vaccine: HEPA, VARCEL
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: L UPPER ARM TENDER, RED, AND SWOLLEN SILVER DOLLAR SIZE.
Age: 63.0
Sex: F
Vaccine: VARZOS
Symptoms: Blood test, Computerised tomogram head, Myelitis transverse, Ultrasound scan
Clinical narrative: transverse myelitis
Age: 0.46
Sex: F
Vaccine: PPV
Symptoms: Erythema, Induration
Clinical narrative: hard and red
Age: 11.0
Sex: F
Vaccine: MNQ, TDAP
Symptoms: Injection site pain, Injection site swelling
Clinical narrative: Swelling & redness of (L) upper arm that started the day after the Tdap was given.
Age: 0.17
Sex: F
Vaccine: DTAP
Symptoms: Allergy to vaccine, Crying, Diet refusal, Injected limb mobility decreased, Injection site erythema
Clinical narrative: Mother told her she was allergic to pertussis vaccine. I spoke with this patient and her mother (via phone with permission from patient) who advised after pt received 2 month vaccinations, the injection site on her leg was red, hot and swollen to touch (size of softball) with 4-6 hours of crying. She stopped crying within 6 hours and the leg swelling resolved within a few days (<1wk). At 4 months of age, she received her second set of childhood vaccines with MD giving pertussis alone (not combo shot). She again began to "scream" uncontrollably with mom being unable to comfort despite use of TYLENOL with site swelling and redness worse than first set vaccinations. Mom brought child to nearby ER and told to continue use of TYLENOL/ASA and comfort measures. Mom advised she was told child allergic to pertussis vaccine. Symptoms again resolved within 24 hours (crying) and <1 week for leg swelling/redness without sequela. At 6 months of age, pt received her third set of required vaccinations including pertussis vaccine. Mom reported redness and swelling extending from top of child's leg around to buttock. Child not moving leg due to pain and just kept still. Patient again screamed for 4-6 hours, was not eating, drinking, and was "Inconsolable". However, crying resolved after 6 hours using TYLENOL and she was wiggling about using legs normally without problems within 24 hours. Site redness and swelling again resolved within 1 week.
Age: 0.17
Sex: F
Vaccine: DTAP
Symptoms: Injection site swelling, Injection site warmth, Screaming
Clinical narrative: Mother told her she was allergic to pertussis vaccine. I spoke with this patient and her mother (via phone with permission from patient) who advised after pt received 2 month vaccinations, the injection site on her leg was red, hot and swollen to touch (size of softball) with 4-6 hours of crying. She stopped crying within 6 hours and the leg swelling resolved within a few days (<1wk). At 4 months of age, she received her second set of childhood vaccines with MD giving pertussis alone (not combo shot). She again began to "scream" uncontrollably with mom being unable to comfort despite use of TYLENOL with site swelling and redness worse than first set vaccinations. Mom brought child to nearby ER and told to continue use of TYLENOL/ASA and comfort measures. Mom advised she was told child allergic to pertussis vaccine. Symptoms again resolved within 24 hours (crying) and <1 week for leg swelling/redness without sequela. At 6 months of age, pt received her third set of required vaccinations including pertussis vaccine. Mom reported redness and swelling extending from top of child's leg around to buttock. Child not moving leg due to pain and just kept still. Patient again screamed for 4-6 hours, was not eating, drinking, and was "Inconsolable". However, crying resolved after 6 hours using TYLENOL and she was wiggling about using legs normally without problems within 24 hours. Site redness and swelling again resolved within 1 week.
Age: 19.0
Sex: F
Vaccine: HPV4
Symptoms: Feeling abnormal, Injection site pain
Clinical narrative: Patient called in / reported pain to site "I feel like my arm is about to fall off". Patient to go to ER for evaluation.
Age: 65.0
Sex: F
Vaccine: PPV
Symptoms: Blood pressure increased, Erythema, Injection site pain, Malaise, Mobility decreased
Clinical narrative: Started almost immediately with sore arm where shot given.  Continued to hurt but just thought it was given in the muscle.  Started feeling "not well" around 1:00 pm with the aching and fevers starting around 4:00 pm.  My left arm hurt so bad I could not hardly lift it up.  It was swollen, red and hot.  My fever at home was about 102.5 and called the doctor.  Was advised to go to ER or Urgent Care.  Went to ER around 8:00 pm and was seen around 10:00 pm.  Fevers were still high, blood pressure was elevated, my body ached all over. My arm felt like it was heavy and I could not move it hardly at all. I was given the Pneumococcal Polysaccharide Vaccine.
Age: 65.0
Sex: F
Vaccine: PPV
Symptoms: Oedema peripheral, Pain, Pain in extremity, Pyrexia, Sensation of heaviness
Clinical narrative: Started almost immediately with sore arm where shot given.  Continued to hurt but just thought it was given in the muscle.  Started feeling "not well" around 1:00 pm with the aching and fevers starting around 4:00 pm.  My left arm hurt so bad I could not hardly lift it up.  It was swollen, red and hot.  My fever at home was about 102.5 and called the doctor.  Was advised to go to ER or Urgent Care.  Went to ER around 8:00 pm and was seen around 10:00 pm.  Fevers were still high, blood pressure was elevated, my body ached all over. My arm felt like it was heavy and I could not move it hardly at all. I was given the Pneumococcal Polysaccharide Vaccine.
Age: 65.0
Sex: F
Vaccine: PPV
Symptoms: Skin warm
Clinical narrative: Started almost immediately with sore arm where shot given.  Continued to hurt but just thought it was given in the muscle.  Started feeling "not well" around 1:00 pm with the aching and fevers starting around 4:00 pm.  My left arm hurt so bad I could not hardly lift it up.  It was swollen, red and hot.  My fever at home was about 102.5 and called the doctor.  Was advised to go to ER or Urgent Care.  Went to ER around 8:00 pm and was seen around 10:00 pm.  Fevers were still high, blood pressure was elevated, my body ached all over. My arm felt like it was heavy and I could not move it hardly at all. I was given the Pneumococcal Polysaccharide Vaccine.
Age: 33.0
Sex: F
Vaccine: HEP, MMR, TDAP
Symptoms: Injection site erythema, Injection site induration, Injection site pain, Injection site pruritus, Injection site swelling
Clinical narrative: Right upper arm (deltoid region) is red, swollen, hot to touch, itchy, painful with a hardened induration.  The redness measures approx. 2.5in x 1.5in.  Dr. observed pts arm suggest to ice for 20 mins every hour. Rx called to Pharmacy for Keflex 500mg 2 pills twice per day for 10 days.
Age: 33.0
Sex: F
Vaccine: HEP, MMR, TDAP
Symptoms: Injection site warmth
Clinical narrative: Right upper arm (deltoid region) is red, swollen, hot to touch, itchy, painful with a hardened induration.  The redness measures approx. 2.5in x 1.5in.  Dr. observed pts arm suggest to ice for 20 mins every hour. Rx called to Pharmacy for Keflex 500mg 2 pills twice per day for 10 days.
Age: 48.0
Sex: F
Vaccine: FLU3
Symptoms: Activities of daily living impaired, Blood test normal, Dysstasia, Electromyogram normal, Lumbar puncture normal
Clinical narrative: Ascending paresthesia started w left foot, then rt foot, then hands, pins and needles progressed up back to head over 30 hour period - also had stabbing pains, muscle fasciculation all over. Went to ER 11/15 2 am. Had spinal tap. Was released same day. Had EMG 11/19. Two weeks later began extreme pain and muscle weakness inability to stand for more than 2 minutes. Cannot sit up for more than 2 hours. Treated for low B12. Ineffective. Was told not B12 after 6 weekly injections. Went to neuro - MRI is clear. No diagnosis. Slowly recovering - currently in month 8 - unable to return to work.
Age: 48.0
Sex: F
Vaccine: FLU3
Symptoms: Muscle contractions involuntary, Muscular weakness, Nerve conduction studies normal, Nuclear magnetic resonance imaging normal, Pain
Clinical narrative: Ascending paresthesia started w left foot, then rt foot, then hands, pins and needles progressed up back to head over 30 hour period - also had stabbing pains, muscle fasciculation all over. Went to ER 11/15 2 am. Had spinal tap. Was released same day. Had EMG 11/19. Two weeks later began extreme pain and muscle weakness inability to stand for more than 2 minutes. Cannot sit up for more than 2 hours. Treated for low B12. Ineffective. Was told not B12 after 6 weekly injections. Went to neuro - MRI is clear. No diagnosis. Slowly recovering - currently in month 8 - unable to return to work.
Age: 48.0
Sex: F
Vaccine: FLU3
Symptoms: Paraesthesia, Vitamin B12 decreased
Clinical narrative: Ascending paresthesia started w left foot, then rt foot, then hands, pins and needles progressed up back to head over 30 hour period - also had stabbing pains, muscle fasciculation all over. Went to ER 11/15 2 am. Had spinal tap. Was released same day. Had EMG 11/19. Two weeks later began extreme pain and muscle weakness inability to stand for more than 2 minutes. Cannot sit up for more than 2 hours. Treated for low B12. Ineffective. Was told not B12 after 6 weekly injections. Went to neuro - MRI is clear. No diagnosis. Slowly recovering - currently in month 8 - unable to return to work.
Age: 11.0
Sex: M
Vaccine: MNQ, TDAP, VARCEL
Symptoms: Abdominal pain upper, Discomfort, Throat irritation, Urticaria
Clinical narrative: 2:30pm Widespread urticaria & throat fullness. BENADRYL 50mg given at 2:35pm. While going out to the car after vaccine he complained of stomach ache, throat fullness & general discomfort. He came right back in & was immediately evaluated.
Age: 16.0
Sex: M
Vaccine: TDAP
Symptoms: Dizziness, Dyspnoea, Erythema, Flushing, Hypopnoea
Clinical narrative: ADACEL administered at 17:30 hr. Immediately following he was flushed and red in face - feeling dizzy. His hand muscle distorted w/fingers - felt needles in skin - grasped hair. Used ammonia salts under nose to revive him - he did not faint. Breathing was shallow, S.O.B. Told him to breathe - he then said left shoulder & right palm of hand were itchy. Called 911 initially in beginning. Monitored vitals - he was feeling better when paramedics arrived.