chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 58.0
Sex: M
Vaccine: HEPAB, RAB, TDAP, YF
Symptoms: Blood pressure decreased, Hyperhidrosis, Loss of consciousness, Nausea, Pallor
Clinical narrative: Received multiple vaccinations on 12/28/11. Had witnessed acute syncopal episode. Brief LOC followed by severe nausea. No vomiting, (+) diaphoresis, (+) decreased BP 60/40, (+) thready pulse 50-60, (+) pallor, (-) seizure activity, (-) incontinence. Given Epinephrine .3 SC (1 to 1,000). 911 called. Transported to hosp.
Age: 58.0
Sex: M
Vaccine: HEPAB, RAB, TDAP, YF
Symptoms: Pulse abnormal, Syncope
Clinical narrative: Received multiple vaccinations on 12/28/11. Had witnessed acute syncopal episode. Brief LOC followed by severe nausea. No vomiting, (+) diaphoresis, (+) decreased BP 60/40, (+) thready pulse 50-60, (+) pallor, (-) seizure activity, (-) incontinence. Given Epinephrine .3 SC (1 to 1,000). 911 called. Transported to hosp.
Age: 66.0
Sex: U
Vaccine: VARZOS
Symptoms: Rash vesicular
Clinical narrative: Zoster-like rash on left thigh.
Age: 80.0
Sex: M
Vaccine: VARZOS
Symptoms: Injection site reaction, Muscle spasms, Pain
Clinical narrative: RPh noticed tense muscle when injection was given. About 3 minutes after shot patient asked if muscle was supposed to be throbbing - he said it was in different area from injection. RPh told patient that it might be nervous muscle spasm and to wait a little longer til it passed. It passed.
Age: 62.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling
Clinical narrative: Redness & swelling at injection site w/in 12 hr. At 24 hours swelling, itching & redness increased to area 7 1/2 inches by 3 inches - continued for 1 week.
Age: 11.0
Sex: M
Vaccine: HPV4, MNQ, HPV4, MNQ
Symptoms: Hypersensitivity, Injection site pruritus, Injection site reaction, Injection site swelling
Clinical narrative: (L) arm swollen and red and itchy at injection site.
Age: 11.0
Sex: M
Vaccine: HPV4, MNQ, HPV4, MNQ
Symptoms: Hypersensitivity, Injection site erythema, Injection site pruritus, Injection site swelling
Clinical narrative: (L) arm swollen and red and itchy at injection site.
Age: 55.0
Sex: F
Vaccine: PPV, TDAP
Symptoms: Balance disorder, Dizziness
Clinical narrative: Pt came to clinic the day after receiving vaccines c/o dizziness & some unsteadiness, resolved by end of visit.
Age: 73.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site mass, Injection site pruritus, Injection site rash
Clinical narrative: Gave pt vaccine on Friday. Pt called me Monday & said she developed a small rash/lump around injection site. Said it was itchy and reddish/pink. Pt said it occurred Monday AM.
Age: 73.0
Sex: F
Vaccine: VARZOS
Symptoms: Bacterial infection, Injection site erythema, Injection site inflammation, Injection site reaction, Injection site swelling
Clinical narrative: Patient presented to the pharmacy 4 days after receiving ZOSTAVAX with complaints of swelling, redness, and hot inflammation at the site of administration, extending around her tricep to her inner elbow area. She described this reaction occurred the day after she received the shot. She consulted her physician at a physical appointment, who at the time treated it as a bacterial infection and initiated antibiotic therapy. Follow-up call with the patient on day 5 revealed the swelling had improved and patient denied any other symptoms.
Age: 73.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site warmth
Clinical narrative: Patient presented to the pharmacy 4 days after receiving ZOSTAVAX with complaints of swelling, redness, and hot inflammation at the site of administration, extending around her tricep to her inner elbow area. She described this reaction occurred the day after she received the shot. She consulted her physician at a physical appointment, who at the time treated it as a bacterial infection and initiated antibiotic therapy. Follow-up call with the patient on day 5 revealed the swelling had improved and patient denied any other symptoms.
Age: 54.0
Sex: F
Vaccine: MMR
Symptoms: Headache, Hyperhidrosis, Oropharyngeal pain, Pain, Rash
Clinical narrative: 04/18 Woke up w/ terrible body aches. Episode of sweats. No fever. Took Tylenol. 04/20 Continued body aches, developed rash on face, ears, scalp and arms. Later upper chest and thighs. 04/23 Sore throat, mild headache.
Age: 4.0
Sex: F
Vaccine: DTAPIPV, MMR, VARCEL
Symptoms: Headache, Injection site erythema, Injection site swelling
Clinical narrative: Erythema and swelling in right arm from injection site to elbow. Child complained of headache.
Age: 61.0
Sex: F
Vaccine: VARZOS
Symptoms: Erythema, Eye pruritus, Injection site erythema, Injection site induration, Injection site swelling
Clinical narrative: Hard red swelling at injection sight. Reddest in center then lighter at outside of an oval area that was about 8 inches long; followed by rash on forehead and itching eyes.
Age: 61.0
Sex: F
Vaccine: VARZOS
Symptoms: Limb discomfort, Oedema peripheral, Pruritus, Rash, Rash pruritic
Clinical narrative: Hard red swelling at injection sight. Reddest in center then lighter at outside of an oval area that was about 8 inches long; followed by rash on forehead and itching eyes.
Age: 12.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Adnexa uteri pain, Anal fissure, Anti-thyroid antibody negative, Anti-thyroid antibody positive, Basophil count decreased
Clinical narrative: 104.5 fever that was difficult to control even with medication. 10-28-09, anal/vulva pain in evening.  10-30-09, anal fissures, anal/vaginal inflammation documented.  11-07-09, high 104.5 fever (muscle aches, headache previous day) 11-09-09, ulcers became more pronounced and numerous, small blisters and a raised nickel-sized area. (9 ¼ month interval from presentation of first ulcers) 9-16-10, She was seen for pain at the introitus; she was referred to facility with a diagnosis of vulvodynia which I was told progresses to vaginismus.  OBGYN also wanted her tested for leukemia.  However, paperwork was not forwarded by OBGYN and the appointment became focused on her history of vulva ulcers.  An internal exam was performed at a follow-up appointment at U of M.  Her pain had diminished to a 1-2 pain at the introtitus.  She felt level 10 pain with tears as the cervix was viewed via a small speculum.  Cervix and wall tissues were described as normal.   (almost an 8 month interval) 5-1-11, ulcers on the vulva following a high fever with vomiting.   Before ulcers were fully erupted, she was seen at facility.  Blood was tested for Syphillis, Chlamydia, Gonorrhea, HSV, HIV, Hepatitis B, EBV, and CMV; all were negative.   The ulcers coalesced and were the worst she has experienced; they were large, deep, and oozed white-yellow pus. Healing took almost three weeks and some tissue did not fill-in completely. (8 month interval) 12-29-11, muscle aches and pains 12-30-11, vomiting, 103.5 fever 12-31-11, ulcers, multiple small and medium ulcers on the vulva presented with green edges and black centers before fully erupting, followed by smaller blisters at the introtitus.
Age: 12.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Blister, Blood bilirubin normal, Blood calcium increased, Blood copper normal, Blood iron normal
Clinical narrative: 104.5 fever that was difficult to control even with medication. 10-28-09, anal/vulva pain in evening.  10-30-09, anal fissures, anal/vaginal inflammation documented.  11-07-09, high 104.5 fever (muscle aches, headache previous day) 11-09-09, ulcers became more pronounced and numerous, small blisters and a raised nickel-sized area. (9 ¼ month interval from presentation of first ulcers) 9-16-10, She was seen for pain at the introitus; she was referred to facility with a diagnosis of vulvodynia which I was told progresses to vaginismus.  OBGYN also wanted her tested for leukemia.  However, paperwork was not forwarded by OBGYN and the appointment became focused on her history of vulva ulcers.  An internal exam was performed at a follow-up appointment at U of M.  Her pain had diminished to a 1-2 pain at the introtitus.  She felt level 10 pain with tears as the cervix was viewed via a small speculum.  Cervix and wall tissues were described as normal.   (almost an 8 month interval) 5-1-11, ulcers on the vulva following a high fever with vomiting.   Before ulcers were fully erupted, she was seen at facility.  Blood was tested for Syphillis, Chlamydia, Gonorrhea, HSV, HIV, Hepatitis B, EBV, and CMV; all were negative.   The ulcers coalesced and were the worst she has experienced; they were large, deep, and oozed white-yellow pus. Healing took almost three weeks and some tissue did not fill-in completely. (8 month interval) 12-29-11, muscle aches and pains 12-30-11, vomiting, 103.5 fever 12-31-11, ulcers, multiple small and medium ulcers on the vulva presented with green edges and black centers before fully erupting, followed by smaller blisters at the introtitus.
Age: 12.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Blood phosphorus decreased, Blood thyroid stimulating hormone decreased, Chlamydia test negative, Complement factor C4, Cytomegalovirus test negative
Clinical narrative: 104.5 fever that was difficult to control even with medication. 10-28-09, anal/vulva pain in evening.  10-30-09, anal fissures, anal/vaginal inflammation documented.  11-07-09, high 104.5 fever (muscle aches, headache previous day) 11-09-09, ulcers became more pronounced and numerous, small blisters and a raised nickel-sized area. (9 ¼ month interval from presentation of first ulcers) 9-16-10, She was seen for pain at the introitus; she was referred to facility with a diagnosis of vulvodynia which I was told progresses to vaginismus.  OBGYN also wanted her tested for leukemia.  However, paperwork was not forwarded by OBGYN and the appointment became focused on her history of vulva ulcers.  An internal exam was performed at a follow-up appointment at U of M.  Her pain had diminished to a 1-2 pain at the introtitus.  She felt level 10 pain with tears as the cervix was viewed via a small speculum.  Cervix and wall tissues were described as normal.   (almost an 8 month interval) 5-1-11, ulcers on the vulva following a high fever with vomiting.   Before ulcers were fully erupted, she was seen at facility.  Blood was tested for Syphillis, Chlamydia, Gonorrhea, HSV, HIV, Hepatitis B, EBV, and CMV; all were negative.   The ulcers coalesced and were the worst she has experienced; they were large, deep, and oozed white-yellow pus. Healing took almost three weeks and some tissue did not fill-in completely. (8 month interval) 12-29-11, muscle aches and pains 12-30-11, vomiting, 103.5 fever 12-31-11, ulcers, multiple small and medium ulcers on the vulva presented with green edges and black centers before fully erupting, followed by smaller blisters at the introtitus.
Age: 12.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Epstein-Barr virus test negative, HIV test negative, Haemoglobin A present, Headache, Hepatitis B test negative
Clinical narrative: 104.5 fever that was difficult to control even with medication. 10-28-09, anal/vulva pain in evening.  10-30-09, anal fissures, anal/vaginal inflammation documented.  11-07-09, high 104.5 fever (muscle aches, headache previous day) 11-09-09, ulcers became more pronounced and numerous, small blisters and a raised nickel-sized area. (9 ¼ month interval from presentation of first ulcers) 9-16-10, She was seen for pain at the introitus; she was referred to facility with a diagnosis of vulvodynia which I was told progresses to vaginismus.  OBGYN also wanted her tested for leukemia.  However, paperwork was not forwarded by OBGYN and the appointment became focused on her history of vulva ulcers.  An internal exam was performed at a follow-up appointment at U of M.  Her pain had diminished to a 1-2 pain at the introtitus.  She felt level 10 pain with tears as the cervix was viewed via a small speculum.  Cervix and wall tissues were described as normal.   (almost an 8 month interval) 5-1-11, ulcers on the vulva following a high fever with vomiting.   Before ulcers were fully erupted, she was seen at facility.  Blood was tested for Syphillis, Chlamydia, Gonorrhea, HSV, HIV, Hepatitis B, EBV, and CMV; all were negative.   The ulcers coalesced and were the worst she has experienced; they were large, deep, and oozed white-yellow pus. Healing took almost three weeks and some tissue did not fill-in completely. (8 month interval) 12-29-11, muscle aches and pains 12-30-11, vomiting, 103.5 fever 12-31-11, ulcers, multiple small and medium ulcers on the vulva presented with green edges and black centers before fully erupting, followed by smaller blisters at the introtitus.
Age: 12.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Herpes simplex serology negative, Immunology test normal, Iron binding capacity total increased, Mean platelet volume decreased, Monocyte count decreased
Clinical narrative: 104.5 fever that was difficult to control even with medication. 10-28-09, anal/vulva pain in evening.  10-30-09, anal fissures, anal/vaginal inflammation documented.  11-07-09, high 104.5 fever (muscle aches, headache previous day) 11-09-09, ulcers became more pronounced and numerous, small blisters and a raised nickel-sized area. (9 ¼ month interval from presentation of first ulcers) 9-16-10, She was seen for pain at the introitus; she was referred to facility with a diagnosis of vulvodynia which I was told progresses to vaginismus.  OBGYN also wanted her tested for leukemia.  However, paperwork was not forwarded by OBGYN and the appointment became focused on her history of vulva ulcers.  An internal exam was performed at a follow-up appointment at U of M.  Her pain had diminished to a 1-2 pain at the introtitus.  She felt level 10 pain with tears as the cervix was viewed via a small speculum.  Cervix and wall tissues were described as normal.   (almost an 8 month interval) 5-1-11, ulcers on the vulva following a high fever with vomiting.   Before ulcers were fully erupted, she was seen at facility.  Blood was tested for Syphillis, Chlamydia, Gonorrhea, HSV, HIV, Hepatitis B, EBV, and CMV; all were negative.   The ulcers coalesced and were the worst she has experienced; they were large, deep, and oozed white-yellow pus. Healing took almost three weeks and some tissue did not fill-in completely. (8 month interval) 12-29-11, muscle aches and pains 12-30-11, vomiting, 103.5 fever 12-31-11, ulcers, multiple small and medium ulcers on the vulva presented with green edges and black centers before fully erupting, followed by smaller blisters at the introtitus.
Age: 12.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Myalgia, Nicotinamide, Proctalgia, Pyrexia, Red blood cell elliptocytes present
Clinical narrative: 104.5 fever that was difficult to control even with medication. 10-28-09, anal/vulva pain in evening.  10-30-09, anal fissures, anal/vaginal inflammation documented.  11-07-09, high 104.5 fever (muscle aches, headache previous day) 11-09-09, ulcers became more pronounced and numerous, small blisters and a raised nickel-sized area. (9 ¼ month interval from presentation of first ulcers) 9-16-10, She was seen for pain at the introitus; she was referred to facility with a diagnosis of vulvodynia which I was told progresses to vaginismus.  OBGYN also wanted her tested for leukemia.  However, paperwork was not forwarded by OBGYN and the appointment became focused on her history of vulva ulcers.  An internal exam was performed at a follow-up appointment at U of M.  Her pain had diminished to a 1-2 pain at the introtitus.  She felt level 10 pain with tears as the cervix was viewed via a small speculum.  Cervix and wall tissues were described as normal.   (almost an 8 month interval) 5-1-11, ulcers on the vulva following a high fever with vomiting.   Before ulcers were fully erupted, she was seen at facility.  Blood was tested for Syphillis, Chlamydia, Gonorrhea, HSV, HIV, Hepatitis B, EBV, and CMV; all were negative.   The ulcers coalesced and were the worst she has experienced; they were large, deep, and oozed white-yellow pus. Healing took almost three weeks and some tissue did not fill-in completely. (8 month interval) 12-29-11, muscle aches and pains 12-30-11, vomiting, 103.5 fever 12-31-11, ulcers, multiple small and medium ulcers on the vulva presented with green edges and black centers before fully erupting, followed by smaller blisters at the introtitus.
Age: 12.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Skin ulcer, Thyroxine free normal, Treponema test negative, Tri-iodothyronine free, Vaginal inflammation
Clinical narrative: 104.5 fever that was difficult to control even with medication. 10-28-09, anal/vulva pain in evening.  10-30-09, anal fissures, anal/vaginal inflammation documented.  11-07-09, high 104.5 fever (muscle aches, headache previous day) 11-09-09, ulcers became more pronounced and numerous, small blisters and a raised nickel-sized area. (9 ¼ month interval from presentation of first ulcers) 9-16-10, She was seen for pain at the introitus; she was referred to facility with a diagnosis of vulvodynia which I was told progresses to vaginismus.  OBGYN also wanted her tested for leukemia.  However, paperwork was not forwarded by OBGYN and the appointment became focused on her history of vulva ulcers.  An internal exam was performed at a follow-up appointment at U of M.  Her pain had diminished to a 1-2 pain at the introtitus.  She felt level 10 pain with tears as the cervix was viewed via a small speculum.  Cervix and wall tissues were described as normal.   (almost an 8 month interval) 5-1-11, ulcers on the vulva following a high fever with vomiting.   Before ulcers were fully erupted, she was seen at facility.  Blood was tested for Syphillis, Chlamydia, Gonorrhea, HSV, HIV, Hepatitis B, EBV, and CMV; all were negative.   The ulcers coalesced and were the worst she has experienced; they were large, deep, and oozed white-yellow pus. Healing took almost three weeks and some tissue did not fill-in completely. (8 month interval) 12-29-11, muscle aches and pains 12-30-11, vomiting, 103.5 fever 12-31-11, ulcers, multiple small and medium ulcers on the vulva presented with green edges and black centers before fully erupting, followed by smaller blisters at the introtitus.
Age: 12.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Vitamin D decreased, Vitamin K increased, Vomiting, Vulvovaginal pain, Weight increased
Clinical narrative: 104.5 fever that was difficult to control even with medication. 10-28-09, anal/vulva pain in evening.  10-30-09, anal fissures, anal/vaginal inflammation documented.  11-07-09, high 104.5 fever (muscle aches, headache previous day) 11-09-09, ulcers became more pronounced and numerous, small blisters and a raised nickel-sized area. (9 ¼ month interval from presentation of first ulcers) 9-16-10, She was seen for pain at the introitus; she was referred to facility with a diagnosis of vulvodynia which I was told progresses to vaginismus.  OBGYN also wanted her tested for leukemia.  However, paperwork was not forwarded by OBGYN and the appointment became focused on her history of vulva ulcers.  An internal exam was performed at a follow-up appointment at U of M.  Her pain had diminished to a 1-2 pain at the introtitus.  She felt level 10 pain with tears as the cervix was viewed via a small speculum.  Cervix and wall tissues were described as normal.   (almost an 8 month interval) 5-1-11, ulcers on the vulva following a high fever with vomiting.   Before ulcers were fully erupted, she was seen at facility.  Blood was tested for Syphillis, Chlamydia, Gonorrhea, HSV, HIV, Hepatitis B, EBV, and CMV; all were negative.   The ulcers coalesced and were the worst she has experienced; they were large, deep, and oozed white-yellow pus. Healing took almost three weeks and some tissue did not fill-in completely. (8 month interval) 12-29-11, muscle aches and pains 12-30-11, vomiting, 103.5 fever 12-31-11, ulcers, multiple small and medium ulcers on the vulva presented with green edges and black centers before fully erupting, followed by smaller blisters at the introtitus.
Age: 12.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: pH urine normal
Clinical narrative: 104.5 fever that was difficult to control even with medication. 10-28-09, anal/vulva pain in evening.  10-30-09, anal fissures, anal/vaginal inflammation documented.  11-07-09, high 104.5 fever (muscle aches, headache previous day) 11-09-09, ulcers became more pronounced and numerous, small blisters and a raised nickel-sized area. (9 ¼ month interval from presentation of first ulcers) 9-16-10, She was seen for pain at the introitus; she was referred to facility with a diagnosis of vulvodynia which I was told progresses to vaginismus.  OBGYN also wanted her tested for leukemia.  However, paperwork was not forwarded by OBGYN and the appointment became focused on her history of vulva ulcers.  An internal exam was performed at a follow-up appointment at U of M.  Her pain had diminished to a 1-2 pain at the introtitus.  She felt level 10 pain with tears as the cervix was viewed via a small speculum.  Cervix and wall tissues were described as normal.   (almost an 8 month interval) 5-1-11, ulcers on the vulva following a high fever with vomiting.   Before ulcers were fully erupted, she was seen at facility.  Blood was tested for Syphillis, Chlamydia, Gonorrhea, HSV, HIV, Hepatitis B, EBV, and CMV; all were negative.   The ulcers coalesced and were the worst she has experienced; they were large, deep, and oozed white-yellow pus. Healing took almost three weeks and some tissue did not fill-in completely. (8 month interval) 12-29-11, muscle aches and pains 12-30-11, vomiting, 103.5 fever 12-31-11, ulcers, multiple small and medium ulcers on the vulva presented with green edges and black centers before fully erupting, followed by smaller blisters at the introtitus.
Age: 10.0
Sex: F
Vaccine: DTAP, MEN
Symptoms: Chest pain, Dizziness, Headache, Lethargy, Oropharyngeal pain
Clinical narrative: High Fever, Chest Pain from throat to mid chest, Headache, dizziness and lethargy.  I gave her 400 mg of ibuprofen and alternated every 4 hours with acetaminophen.  Started on Friday and by Sunday I called the nurse line because she couldn't shake her 103 fever, they suggested I bring her to pediatric urgent care.  The Dr. there found her lungs, ears, and sinuses to be clear, she prescribed a Z-pak just in case and if the fever had not gone done by Tuesday that we get a chest xray.
Age: 10.0
Sex: F
Vaccine: DTAP, MEN
Symptoms: Pyrexia
Clinical narrative: High Fever, Chest Pain from throat to mid chest, Headache, dizziness and lethargy.  I gave her 400 mg of ibuprofen and alternated every 4 hours with acetaminophen.  Started on Friday and by Sunday I called the nurse line because she couldn't shake her 103 fever, they suggested I bring her to pediatric urgent care.  The Dr. there found her lungs, ears, and sinuses to be clear, she prescribed a Z-pak just in case and if the fever had not gone done by Tuesday that we get a chest xray.
Age: 20.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site erythema, Injection site pain
Clinical narrative: Pt developed pain redness around injection site.  Measures 4X5 CM.
Age: 34.0
Sex: F
Vaccine: HEP
Symptoms: Dyspnoea, Hypersensitivity
Clinical narrative: Pt reports to nurse at a 4-17-12 clinic visit, after she received the Hepatitis B vaccine on 3-20-12, two day after the vaccine she had to go to ER because of breathing difficulties." Was told by ER doctor she had an allergic reaction." Pt thinks is was an allergic reaction to the Hepatitis B vaccine.
Age: 65.0
Sex: F
Vaccine: VARZOS
Symptoms: Skin burning sensation
Clinical narrative: Patient feeling burning (sunburn) sensation on right arm/armpit. No rash. Left arm where shot was given is fine. MD started VALTREX therapy.
Age: 53.0
Sex: M
Vaccine: VARZOS
Symptoms: Genital herpes, Genital lesion, Simplex virus test positive
Clinical narrative: Male 53 got Shingles vaccine 02/15.  Herpes-like lesion appeared on genitals 02/26. Partner, female 58, developed painful rash around midsection & genitals about 03/04.  Female initial diagnosis HSV2 via swab.  Female blood test negative for HSV1 & HSV2; diagnosis shingles.  Initial male blood test positive for HSV1.  Later blood test positive for HSV1 & HSV2. No prior history of HSV in either male or female. Possibilities: 1) coincidence, 2) shingles vaccine stimulated latent HSV1/2 in male, but no explanation for female reaction, 3) shingles vaccine caused this.
Age: 33.0
Sex: F
Vaccine: HEPAB, TDAP
Symptoms: Burning sensation, Erythema, Hypoaesthesia, Injection site erythema, Injection site oedema
Clinical narrative: Client received Tdap on 04/23/12.  On 4/24/12 awoke with a small red bump at injection site. 4/25/12 injection site redness with edema much larger than previous day.  Went to MD office.  Client seen by PA told was hives and given steroid injection. 4/26/12 client returned to MD office with fever, right arm weakness, right hand numbness, tingling and redness of face. Injection site larger than previously seen with more edema. Client given another steroid injection.  On 4/27/12 client to ED for "feeling of cool burning over entire body.  Client told reaction to previous steroid injections.  Given prednisone and antibiotic X 1 week. 4/30/12 client states feels fine.  Injection site still red.
Age: 33.0
Sex: F
Vaccine: HEPAB, TDAP
Symptoms: Injection site rash, Muscular weakness, Paraesthesia, Pyrexia
Clinical narrative: Client received Tdap on 04/23/12.  On 4/24/12 awoke with a small red bump at injection site. 4/25/12 injection site redness with edema much larger than previous day.  Went to MD office.  Client seen by PA told was hives and given steroid injection. 4/26/12 client returned to MD office with fever, right arm weakness, right hand numbness, tingling and redness of face. Injection site larger than previously seen with more edema. Client given another steroid injection.  On 4/27/12 client to ED for "feeling of cool burning over entire body.  Client told reaction to previous steroid injections.  Given prednisone and antibiotic X 1 week. 4/30/12 client states feels fine.  Injection site still red.
Sex: F
Vaccine: HPV4
Symptoms: Encephalitis
Clinical narrative: Information has been received from a physician concerning a female (age unknown) who was vaccinated with GARDASIL, and date of therapy started was unspecified by reporter. Subsequently (reported as "years ago") the patient experienced encephalitis after receiving GARDASIL. It may have happened around the time that GARDASIL first came out, and it didn't mention if it was after the first dose or at what point in the series it was. Physical therapy was given for AE. The therapy with GARDASIL was discontinued on an unspecified day. Upon internal review, encephalitis was considered as an other medical important event. Additional information has been requested.
Age: 36.0
Sex: F
Vaccine: VARCEL
Symptoms: Injection site erythema, Injection site pain, Injection site pruritus, Injection site warmth
Clinical narrative: Within 24 hrs.- raised, red, warm and tender to touch, slightly itchy at injection site 3"x2". At 48 hrs. grew in diameter 4"x3". Less red, still raised, not warm to touch. Gone within 4 days. Redness slowly deminished.
Age: 61.0
Sex: F
Vaccine: VARZOS
Symptoms: Cellulitis, Injection site erythema, Injection site pruritus
Clinical narrative: Per pt, she developed severe erythema around the injection site accompanied by itching on 04/22/2012. Over the next couple of days, the redness worsened. Pt went to see Dr. on 04/24/2012 and was diagnosed with cellulitis, for which she was given a 10 day course of clindamycin (she is currently on day 7 of treatment). Symptoms started resolving within 24 hours of initiation of clindamycin therapy, and are now greatly improved.
Age: 13.0
Sex: F
Vaccine: HEPA, TYP
Symptoms: Incorrect dose administered
Clinical narrative: This RN had been preparing vaccines for adults, and she forgot to take the pre filled Hepatitis A vaccine syringe from the child health clinic supply. Patient received 1 cc Hepatitis A vaccine rather than the pediatric dose - 0.5cc.
Age: 7.0
Sex: M
Vaccine: HEP
Symptoms: Expired drug administered, No adverse event
Clinical narrative: Vaccine given on 4/24/12 had expired on 4/20/12. No adverse event occurred.
Age: 42.0
Sex: M
Vaccine: HEP, TDAP
Symptoms: Condition aggravated, Convulsion
Clinical narrative: On 3-9-12, at 12:40 pm, Tdap & Hepatitis B vaccines were administered. At 3:13pm, patient experienced a seizure in excess of 6 minutes, (7 min). Our client was transferred to local hospital where he stayed 5 days. He does have a seizure disorder & experienced another seizure on 3-10-12 & one more on 3-11-12. His seizure meds were adjusted & he was released from hospital back to our facility. Our P & T committee reviewed this case as a possible ADR from the vaccines (most probably Tdap).
Age: 2.0
Sex: F
Vaccine: FLU3, HEPA
Symptoms: Condition aggravated, Convulsion, Gaze palsy, Musculoskeletal stiffness, Opisthotonus
Clinical narrative: See narrative attached. Patient presented to the County Public Health Office for immunizations with her mother. The child appeared well nourished and alert. Patient reacted appropriately to the immunizations and was not upset upon leaving the immunization room around 11:30 a.m. Upon the initial interview with the mother, she noted that patient had had one seizure in April 2011 and had a neurologic work up with no abnormal findings and is not on any medication for seizures. Mother noted that patient is on a maintenance dose of SEPTRA for UTI's and is allergic to OMNICEF. As the mother sat in the waiting room initially after the immunization of Hepatitis A and flu she started to read her a book and mother reported patient's eyes rolled back, she became stiff, her back was arched and her arms extended. She called for attention that patient was having a seizure. APN immediately responded to the mother's call and at that time the mother was holding her daughter. Mother was awake and responsive. The child was carried to the exam room by APN and 911 contacted. The child did not display any seizure activity, was responsive and interacted appropriately with her mother. Mother reported that the child had eaten breakfast. The EMT's arrived at around 11:39 AM and the child was transferred to Community Hospital with her mom, per ambulance by the EMT's. RN was contacted per phone and she stated we needed to fill out a VAERS and a PHN incident report. A copy of the VAERS was faxed to RN. In the afternoon mom brought in her other daughter for immunization and reported there were no abnormal findings per Community Hospital ER. A release of information was signed by mom and faxed to community hospital.
Age: 1.51
Sex: F
Vaccine: DTAP, HEPA
Symptoms: Cellulitis, Erythema, Induration, Lower extremity mass, Skin warm
Clinical narrative: Pt developed a hard red, warm lump in her leg. Pt was seen in the ER and was diagnosed with cellulitis of the leg.
Age: 20.0
Sex: F
Vaccine: MNQ, PPV, TDAP
Symptoms: Blood test, Erythema, Feeling cold, Inflammation, Oedema peripheral
Clinical narrative: 4/18/12 (day after rec vaccines) patient felt cold achy, feverish, T 99.6. Went to Urgent Care (T 100.7). That evening she noted swelling, redness & Rt arm tenderness. 4/19/12 T 99, but arm sore ("like it was on fire") with redness spreading distally - was seen at ER on 4/19 evening. Ret to UCC on 4/20 as Rt arm inflamed & tender. Bld wk done. Cephalexin started 4/21. Pt arm began to feel better after 1st dose & improvement has continued.
Age: 20.0
Sex: F
Vaccine: MNQ, PPV, TDAP
Symptoms: Pain, Pyrexia, Tenderness
Clinical narrative: 4/18/12 (day after rec vaccines) patient felt cold achy, feverish, T 99.6. Went to Urgent Care (T 100.7). That evening she noted swelling, redness & Rt arm tenderness. 4/19/12 T 99, but arm sore ("like it was on fire") with redness spreading distally - was seen at ER on 4/19 evening. Ret to UCC on 4/20 as Rt arm inflamed & tender. Bld wk done. Cephalexin started 4/21. Pt arm began to feel better after 1st dose & improvement has continued.
Age: 10.0
Sex: M
Vaccine: TDAP, VARCEL
Symptoms: Cellulitis
Clinical narrative: Cellulitis dx 4/27/12.
Age: 1.24
Sex: F
Vaccine: HEPA, VARCEL
Symptoms: Blister, Oral mucosal blistering, Pyrexia
Clinical narrative: Diffuse vesicles to entire body including mouth with fever.
Age: 59.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site irritation, Injection site pruritus, Injection site rash
Clinical narrative: On Friday, 3 days following the vaccination, patient developed rash which was itchy and irritating on the site of injection. Site compressed with ice. By Friday night rash reduced and by Saturday, the rash was much less and by Sunday it resolved.
Age: 1.05
Sex: M
Vaccine: MMR, PNC, VARCEL
Symptoms: Immediate post-injection reaction, Injection site erythema, Injection site swelling, Irritability, Pyrexia
Clinical narrative: Immediate redness and swelling at the site of the varicella vaccine.  It was all over his left thigh.  That went away by the next day.  He had a fluctuating fever of 100.2-102.4 degrees and crankiness for about 5 days.  He is getting chicken pox-looking bumps all over that come and go but don't seem to itch or bother him.-04/30/2012
Age: 1.05
Sex: M
Vaccine: MMR, PNC, VARCEL
Symptoms: Rash vesicular
Clinical narrative: Immediate redness and swelling at the site of the varicella vaccine.  It was all over his left thigh.  That went away by the next day.  He had a fluctuating fever of 100.2-102.4 degrees and crankiness for about 5 days.  He is getting chicken pox-looking bumps all over that come and go but don't seem to itch or bother him.-04/30/2012
Age: 56.0
Sex: M
Vaccine: VARZOS
Symptoms: Biopsy skin, Fatigue, Irritability, Pruritus, Rash generalised
Clinical narrative: Rash across most of body, Skin lesions, Tiredness, Irritable, Itchiness.
Age: 56.0
Sex: M
Vaccine: VARZOS
Symptoms: Skin lesion
Clinical narrative: Rash across most of body, Skin lesions, Tiredness, Irritable, Itchiness.
Age: 1.13
Sex: F
Vaccine: HEPA, MMR
Symptoms: Irritability, Pyrexia, Rash erythematous, Vaccination site reaction
Clinical narrative: My daughter developed a huge red bump the size of a coffee mug on her leg where the vaccine was administered. Then she developed a fever for 4 days afterwards. She has also been very irritable.
Age: 8.0
Sex: M
Vaccine: HEPA
Symptoms: Blood test, Chest X-ray, Dyspnoea
Clinical narrative: Difficulty Breathing.
Age: 31.0
Sex: F
Vaccine: TDAP
Symptoms: Back pain, Guillain-Barre syndrome, Monoplegia, Nuclear magnetic resonance imaging
Clinical narrative: Admitted on the 22nd for back pain and ascending paraalysis in right arm.  No respiratory difficulties. Still inpatient physical therapy.
Age: 46.0
Sex: F
Vaccine: MMR
Symptoms: Dyspnoea, Heart rate increased, Hyperhidrosis, Pharyngeal oedema
Clinical narrative: Client self reported swelling of throat and difficulty breathing, felt diaphoretic, pulse seemed excessively fast.  Client went to personal MD after leaving clinic and was prescribed Prednisone and cautioned against taking any further MMR vaccine.
Age: 0.34
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC13, RV5
Symptoms: Brain death, Brain oedema, Cerebrovascular accident, Convulsion, Laboratory test normal
Clinical narrative: Started having twitches wasn't responsive at daycare. Pooped all over herself. Father picked her up and took her to the pediatrician. They called the hospital ambulance came and picked her up. They said it looked like she was having seizures gave her Adavant. Thought she had an infection but everything came back negative. She was having seizures and brain swelling. They couldn't control them. She then suffered a massive stroke and was brain dead. Didn't start acting like this until two days after her shots.
Age: 0.34
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC13, RV5
Symptoms: Muscle twitching, Unresponsive to stimuli
Clinical narrative: Started having twitches wasn't responsive at daycare. Pooped all over herself. Father picked her up and took her to the pediatrician. They called the hospital ambulance came and picked her up. They said it looked like she was having seizures gave her Adavant. Thought she had an infection but everything came back negative. She was having seizures and brain swelling. They couldn't control them. She then suffered a massive stroke and was brain dead. Didn't start acting like this until two days after her shots.
Age: 32.0
Sex: F
Vaccine: VARCEL
Symptoms: Injection site erythema, Injection site pruritus
Clinical narrative: Employee reported itching on right arm at vaccine site. When evaluated an erythematic area measuring 6cms was found at vaccine site, R arm.
Age: 29.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site erythema, Injection site induration, Injection site warmth, Pain in extremity
Clinical narrative: Pt calls to state she has a hard 50 cent sized red area that is warm to the touch at injection site. She also complains of soreness in the arm. She was instructed to apply ice, take ibuprofen, and call if symptoms persist.
Age: 1.3
Sex: F
Vaccine: DTAP
Symptoms: Rash pruritic
Clinical narrative: Bumpy, itchy rash.
Age: 4.0
Sex: M
Vaccine: HEPA, IPV
Symptoms: Injection site rash, Rash
Clinical narrative: His mom states it started out as 5-6 bumps around injection site and progressed to neck and face.
Age: 50.0
Sex: M
Vaccine: VARZOS
Symptoms: Fatigue, Somnolence
Clinical narrative: Fatigue, sleepiness; lasted two days.
Age: 33.0
Sex: F
Vaccine: VARCEL
Symptoms: Pyrexia, Varicella
Clinical narrative: Chicken pox rash/ fever.
Age: 36.0
Sex: M
Vaccine: TDAP
Symptoms: Asthenia, Dizziness, Feeling abnormal, Headache, Hyperhidrosis
Clinical narrative: Woke up with a fever over 101, arm was too sore to raise above my head, full body aches, pounding headache, weird tingling sensation going up and down the left side of my body (same as shot), nausea, heavy sweating, dizziness.  The fever lasted 3 days, and each night after taking acetaminophen, I would drench the bed sheets in sweat.  My head has been hurting since, today is May 1st.  I'm still weak but getting better.
Age: 36.0
Sex: M
Vaccine: TDAP
Symptoms: Nausea, Pain, Paraesthesia, Pyrexia
Clinical narrative: Woke up with a fever over 101, arm was too sore to raise above my head, full body aches, pounding headache, weird tingling sensation going up and down the left side of my body (same as shot), nausea, heavy sweating, dizziness.  The fever lasted 3 days, and each night after taking acetaminophen, I would drench the bed sheets in sweat.  My head has been hurting since, today is May 1st.  I'm still weak but getting better.
Age: 0.5
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC13, RV5
Symptoms: Local reaction, Vaccination site nodule
Clinical narrative: Local reaction involving bilateral nodules at vaccine injection sites; still present 4 days later.
Age: 0.17
Sex: M
Vaccine: DTAP
Symptoms: Intensive care, Lethargy
Clinical narrative: This case was reported by a physician and described the occurrence of lethargy in a 2-month-old male subject who was vaccinated with INFANRIX (GlaxoSmithKline), Hib and HepB. Concurrent medical conditions included bradycardia, bronchopulmonary dysplasia, dyspnea, premature baby and reflux (nos). Concurrent vaccination included OPV; non-GSK manufacturer; unknown; unknown given on 16 April 2012; pneumococcal vaccines (non-gsk); manufacturer unspecified; unknown; unknown given on 16 April 2012. On 18 April 2012 the subject received 1st dose of INFANRIX (unknown, unknown thigh). On 17 April 2012 the subject received unspecified dose of Hib (unknown), unspecified dose of HepB vaccine (unknown). On 19 April 2012, 1 day after vaccination with INFANRIX, 2 days after vaccination with HepB vaccine and Hib, the subject experienced lethargy. A male subject, in the NICU (neonatal intensive care unit) was administered INFANRIX on 18 April 2012 one day later the subject experienced lethargy. The subject did not receive any vaccinations on the same day, but received PREVNAR and Polio on 16 April 2012 as well as Hib and HepB vaccine on 17 April 2012. The physician noted "he s on the lookout" for sepsis. At the time of reporting the lethargy was improved, the outcome of possible sepsis was unspecified. The physician considered the events were possibly related to vaccination with INFANRIX, Hib and HepB vaccine.
Age: 65.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site swelling, Skin discolouration
Clinical narrative: Big red swollen mark at injection site on my left upper arm for 10 days. Applied cortisone cream for 3 days - 2 x's a day. Redness went away - left a blackish mark on my arm.
Age: 1.14
Sex: M
Vaccine: HEPA, HIBV, MMR, PNC
Symptoms: Injection site erythema, Injection site induration, Injection site infection, Injection site warmth, Irritability
Clinical narrative: Developed area of redness warm & firmness at site after receiving immunizations (MMR & PREVNAR) in his right leg on 11April12. Patient was briefly assessed 12April12 by doctor when his mother walked into clinic with him. On 12April12 the redness was 3-4 cm, warm & slightly firm. Was advised to use cold compress for comfort & ibuprofen. Pt came back in 13April12, The area of redness has increased but is without swelling, warmth or sign of infection. Pt is a bit fussy, but without systemic symptoms, per doctor. Normal appetite, activity, sleeps, voids, stools are all normal. Mom has been using ibuprofen twice daily for discomfort.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Cough, Generalised erythema, Pruritus generalised
Clinical narrative: Within 5 minutes of shots - started sl cough, then within 30 minutes red from head to toe & itchy all over. Given oral BENADRYL.
Age: 4.0
Sex: F
Vaccine: DTAP, MMR, VARCEL
Symptoms: Injection site erythema, Injection site warmth
Clinical narrative: Red & warm to touch around site where she received MMR.
Age: 0.34
Sex: M
Vaccine: DTAPIPVHIB, PNC13, RV1
Symptoms: Gaze palsy, Grunting, Muscle twitching, Pallor
Clinical narrative: Numerous episodes of twitching since immunizations. Taken to ER by mom. Reports at 1800 "eyes went up and to the right, turned pale, and was grunting."
Age: 55.0
Sex: F
Vaccine: FLU3, TDAP
Symptoms: Abdominal pain upper, Back pain, Ear pain, Headache, Musculoskeletal pain
Clinical narrative: 11-09-2011 - Pain in RUQ. 12-08-2011 - Seen Dr for pain in RUQ, shoulder, back, neck, ear, head (gave me a prescription for an anti-inflammatory. 1-18-2012 - Seen primary Dr. for my symptoms. He sent me to physiatrist. 1-23-2012 He put me on TRILEPTAL, went off medication & I am now taking it again for the pain. I also took PI before going to physiatrist.
Age: 55.0
Sex: F
Vaccine: FLU3, TDAP
Symptoms: Neck pain
Clinical narrative: 11-09-2011 - Pain in RUQ. 12-08-2011 - Seen Dr for pain in RUQ, shoulder, back, neck, ear, head (gave me a prescription for an anti-inflammatory. 1-18-2012 - Seen primary Dr. for my symptoms. He sent me to physiatrist. 1-23-2012 He put me on TRILEPTAL, went off medication & I am now taking it again for the pain. I also took PI before going to physiatrist.
Age: 65.0
Sex: F
Vaccine: TDAP
Symptoms: Cellulitis, Erythema, Injection site erythema, Injection site pain, Injection site warmth
Clinical narrative: Tdap received on 4/23/12 erythema noted on 4/28/12 and spread. She has erythema, warmth & tenderness at site. Treated with BACTRIM DS BID x 10 days & warm compresses - cellulitis.
Age: 18.0
Sex: F
Vaccine: VARCEL
Symptoms: Headache, Injection site erythema, Injection site rash, Injection site vesicles, Local reaction
Clinical narrative: HA & aching all over 4-12-12. Two days later 4-14-12 local rash with blisters on site injection with erythema, hive, 7-8 scattered varicella-like blisters scalp, face, arm, tummy, back at 10-12 days post injection.
Age: 18.0
Sex: F
Vaccine: VARCEL
Symptoms: Pain, Rash vesicular, Urticaria, Varicella virus test negative
Clinical narrative: HA & aching all over 4-12-12. Two days later 4-14-12 local rash with blisters on site injection with erythema, hive, 7-8 scattered varicella-like blisters scalp, face, arm, tummy, back at 10-12 days post injection.
Age: 66.0
Sex: F
Vaccine: PPV, TDAP, VARZOS
Symptoms: Injection site urticaria, Urticaria
Clinical narrative: Localized (R) deltoid urticaria, remote urticaria.
Age: 48.0
Sex: F
Vaccine: FLU3
Symptoms: Activities of daily living impaired, Back pain, Bladder disorder, Blood count normal, Blood test normal
Clinical narrative: My symptoms started between 2-3 weeks after I received the FLUZONE shot. It started with an itchy shoulder blade where it felt like a tag from my shirt was picking at it. It was like that for about a week then I scratched it, it would be painful to touch that area and the pain would radiate around to the front in my left breast area. The itching and picking continued until on December 1st, 2011, I woke up with a weak left leg (the two previous weeks my left leg got very restless and jumpy feeling). On December 2nd my left foot was dragging and I went to see my general family doctor. She got me in for MRI same day. On Monday, December 5th, after getting numb from the chest down during the weekend, and receiving call with MRI results that showed demyelination of spine between shoulder blades on my spine (between T3-T4 area), I was scheduled for two more MRIs on December 6th. I continued to get worse, had tight band feeling wrapping around my chest and I could not walk well by myself so after MRIs were done on the 6th I admitted myself to ER. I spent 3 days receiving high doses of steroids while I was there. At the time of release they didn't know what was wrong, spinal tap showed no infections or anything abnormal. They thought possible MS but they didn't know. In mid-December I saw Neurologist and he gave diagnose of Transverse Myelitis. After I got off first round of steroids my spine swelled up again and on December 23rd went to ER again because I couldn't urinate or walk well. Again got started on prednisone for a longer period of time. Urinary and bowel retention was an issue during this time. When 2nd does of prednisone was finished at the end of January in 2012 I was not better and could not walk well without use of cane or having assistance of another person. In February I entered hospital for plasma exchange treatment for 10 days because I was still numb from chest down, could not walk well, and my left arm as well as both legs were very weak (my left side much worse than right side). I can now walk well by myself without using a cane and returned to work on March 1st. I am not numb anymore but the numbness was replaced by severe pain in my back and chest and burning of right leg constantly. I have had two spinal taps, both showing nothing that proves an infection. I have had several autoimmune tests and nothing was positive. All blood tests were negative for infections, and have no abnormal blood counts. MRI for brain lesions negative. Only one MRI showed lesion on spine that caused nerve damage. I still have bladder issues, sexual dysfunction, cannot sleep at night, extreme pain.