chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 15.0
Sex: U
Vaccine: HEPA, MNQ, TDAP, VARCEL
Symptoms: Computerised tomogram head, Convulsion, Full blood count normal, Metabolic function test
Clinical narrative: Seizure.
Age: 3.0
Sex: M
Vaccine: PNC13
Symptoms: Urticaria
Clinical narrative: Approximately 6 hours after receiving PREVNAR 13, broke out with hives all over body. No other exposures reported. Treated w/OTC BENADRYL & ORAPRED.
Age: 60.0
Sex: F
Vaccine: TDAP
Symptoms: Erythema, Swelling, Urticaria
Clinical narrative: Patient's skin became red, & hives appeared at home swelling two hrs later PCP sent pt to ER (3PM).
Age: 70.0
Sex: M
Vaccine: VARZOS
Symptoms: Chills, Dyspnoea, Pyrexia
Clinical narrative: Chills/fever; shortness of breath.
Age: 0.35
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC13, RV1
Symptoms: Injection site erythema, Injection site macule, Injection site rash
Clinical narrative: Minutes after vaccine given rash various flat red macules on (B) legs only. No other symptoms. Lessened within 20-30 minutes -> gone by hours. No recurrence.
Age: 23.0
Sex: M
Vaccine: FLUN3
Symptoms: Anti-GAD antibody, Anti-islet cell antibody, Bacterial infection, Base excess decreased, Basophil count normal
Clinical narrative: Patient was in his usual state of good health prior to Dec 2010. Looking back, pt recalls developing symptoms of hyperglycemia sometime around November 2010. He experienced symptoms of polyuria, polydipsia, fatigue, polyphagia, and an approximately 15-pound weight loss over ~ 30-day period. Around 10 Dec 2010, pt also began experiencing nausea and vomiting which gradually increased to the point of not being able to keep anything down by 18 Dec and led him to seek evaluation. At that time, a glucose level of 327, positive urine ketones and Ketoacidosis led to his diagnosis of T1DM and he was hospitalized in the ICU for 3 days. During his admission, insulin was initiated, as well as diabetes self management training. He was discharged on once daily LANTUS with additional premeal NOVOLOG and supplementation for hyperglycemia using NOVOLOG. Since diagnosis, pt has been followed through a local Endocrinologist, as well as local medical providers. PtM received FLUMIST vaccine in Oct 2010 and H1N1 vaccine in Aug 2010, and his most recent Anthrax vaccine was received in Dec 2009. He denies any unusual or prolonged reactions within the first week following vaccine receipt. Pt does not recall any viral-type symptoms just prior to or on the days of vaccine receipt. Pt does not recall a history of infection or symptoms of cough, fever, sinus symptoms, congestion or diarrhea prior to his diagnosis of T1DM. Pt reports a history of a glucose in the 200s prior to his arthroscopic knee surgery in late Oct. He denies a previous history of elevated glucose or blood pressure levels or history of hypertension. He was had not been as active over the past year due to knee pain and surgery. He has no family Hx of T1DM.
Age: 23.0
Sex: M
Vaccine: FLUN3
Symptoms: Blood bicarbonate decreased, Blood cholesterol normal, Blood culture positive, Blood glucose increased, Blood pH decreased
Clinical narrative: Patient was in his usual state of good health prior to Dec 2010. Looking back, pt recalls developing symptoms of hyperglycemia sometime around November 2010. He experienced symptoms of polyuria, polydipsia, fatigue, polyphagia, and an approximately 15-pound weight loss over ~ 30-day period. Around 10 Dec 2010, pt also began experiencing nausea and vomiting which gradually increased to the point of not being able to keep anything down by 18 Dec and led him to seek evaluation. At that time, a glucose level of 327, positive urine ketones and Ketoacidosis led to his diagnosis of T1DM and he was hospitalized in the ICU for 3 days. During his admission, insulin was initiated, as well as diabetes self management training. He was discharged on once daily LANTUS with additional premeal NOVOLOG and supplementation for hyperglycemia using NOVOLOG. Since diagnosis, pt has been followed through a local Endocrinologist, as well as local medical providers. PtM received FLUMIST vaccine in Oct 2010 and H1N1 vaccine in Aug 2010, and his most recent Anthrax vaccine was received in Dec 2009. He denies any unusual or prolonged reactions within the first week following vaccine receipt. Pt does not recall any viral-type symptoms just prior to or on the days of vaccine receipt. Pt does not recall a history of infection or symptoms of cough, fever, sinus symptoms, congestion or diarrhea prior to his diagnosis of T1DM. Pt reports a history of a glucose in the 200s prior to his arthroscopic knee surgery in late Oct. He denies a previous history of elevated glucose or blood pressure levels or history of hypertension. He was had not been as active over the past year due to knee pain and surgery. He has no family Hx of T1DM.
Age: 23.0
Sex: M
Vaccine: FLUN3
Symptoms: Blood thyroid stimulating hormone decreased, Blood triglycerides decreased, Blood triglycerides normal, Chest X-ray normal, Diabetes mellitus management
Clinical narrative: Patient was in his usual state of good health prior to Dec 2010. Looking back, pt recalls developing symptoms of hyperglycemia sometime around November 2010. He experienced symptoms of polyuria, polydipsia, fatigue, polyphagia, and an approximately 15-pound weight loss over ~ 30-day period. Around 10 Dec 2010, pt also began experiencing nausea and vomiting which gradually increased to the point of not being able to keep anything down by 18 Dec and led him to seek evaluation. At that time, a glucose level of 327, positive urine ketones and Ketoacidosis led to his diagnosis of T1DM and he was hospitalized in the ICU for 3 days. During his admission, insulin was initiated, as well as diabetes self management training. He was discharged on once daily LANTUS with additional premeal NOVOLOG and supplementation for hyperglycemia using NOVOLOG. Since diagnosis, pt has been followed through a local Endocrinologist, as well as local medical providers. PtM received FLUMIST vaccine in Oct 2010 and H1N1 vaccine in Aug 2010, and his most recent Anthrax vaccine was received in Dec 2009. He denies any unusual or prolonged reactions within the first week following vaccine receipt. Pt does not recall any viral-type symptoms just prior to or on the days of vaccine receipt. Pt does not recall a history of infection or symptoms of cough, fever, sinus symptoms, congestion or diarrhea prior to his diagnosis of T1DM. Pt reports a history of a glucose in the 200s prior to his arthroscopic knee surgery in late Oct. He denies a previous history of elevated glucose or blood pressure levels or history of hypertension. He was had not been as active over the past year due to knee pain and surgery. He has no family Hx of T1DM.
Age: 23.0
Sex: M
Vaccine: FLUN3
Symptoms: Eosinophil count normal, Fatigue, Glycosylated haemoglobin increased, Gram stain negative, Haematocrit normal
Clinical narrative: Patient was in his usual state of good health prior to Dec 2010. Looking back, pt recalls developing symptoms of hyperglycemia sometime around November 2010. He experienced symptoms of polyuria, polydipsia, fatigue, polyphagia, and an approximately 15-pound weight loss over ~ 30-day period. Around 10 Dec 2010, pt also began experiencing nausea and vomiting which gradually increased to the point of not being able to keep anything down by 18 Dec and led him to seek evaluation. At that time, a glucose level of 327, positive urine ketones and Ketoacidosis led to his diagnosis of T1DM and he was hospitalized in the ICU for 3 days. During his admission, insulin was initiated, as well as diabetes self management training. He was discharged on once daily LANTUS with additional premeal NOVOLOG and supplementation for hyperglycemia using NOVOLOG. Since diagnosis, pt has been followed through a local Endocrinologist, as well as local medical providers. PtM received FLUMIST vaccine in Oct 2010 and H1N1 vaccine in Aug 2010, and his most recent Anthrax vaccine was received in Dec 2009. He denies any unusual or prolonged reactions within the first week following vaccine receipt. Pt does not recall any viral-type symptoms just prior to or on the days of vaccine receipt. Pt does not recall a history of infection or symptoms of cough, fever, sinus symptoms, congestion or diarrhea prior to his diagnosis of T1DM. Pt reports a history of a glucose in the 200s prior to his arthroscopic knee surgery in late Oct. He denies a previous history of elevated glucose or blood pressure levels or history of hypertension. He was had not been as active over the past year due to knee pain and surgery. He has no family Hx of T1DM.
Age: 23.0
Sex: M
Vaccine: FLUN3
Symptoms: Haemoglobin normal, High density lipoprotein normal, Hyperglycaemia, Hyperphagia, Insulin C-peptide
Clinical narrative: Patient was in his usual state of good health prior to Dec 2010. Looking back, pt recalls developing symptoms of hyperglycemia sometime around November 2010. He experienced symptoms of polyuria, polydipsia, fatigue, polyphagia, and an approximately 15-pound weight loss over ~ 30-day period. Around 10 Dec 2010, pt also began experiencing nausea and vomiting which gradually increased to the point of not being able to keep anything down by 18 Dec and led him to seek evaluation. At that time, a glucose level of 327, positive urine ketones and Ketoacidosis led to his diagnosis of T1DM and he was hospitalized in the ICU for 3 days. During his admission, insulin was initiated, as well as diabetes self management training. He was discharged on once daily LANTUS with additional premeal NOVOLOG and supplementation for hyperglycemia using NOVOLOG. Since diagnosis, pt has been followed through a local Endocrinologist, as well as local medical providers. PtM received FLUMIST vaccine in Oct 2010 and H1N1 vaccine in Aug 2010, and his most recent Anthrax vaccine was received in Dec 2009. He denies any unusual or prolonged reactions within the first week following vaccine receipt. Pt does not recall any viral-type symptoms just prior to or on the days of vaccine receipt. Pt does not recall a history of infection or symptoms of cough, fever, sinus symptoms, congestion or diarrhea prior to his diagnosis of T1DM. Pt reports a history of a glucose in the 200s prior to his arthroscopic knee surgery in late Oct. He denies a previous history of elevated glucose or blood pressure levels or history of hypertension. He was had not been as active over the past year due to knee pain and surgery. He has no family Hx of T1DM.
Age: 23.0
Sex: M
Vaccine: FLUN3
Symptoms: Intensive care, Ketoacidosis, Low density lipoprotein normal, Lymphocyte count normal, Monocyte count increased
Clinical narrative: Patient was in his usual state of good health prior to Dec 2010. Looking back, pt recalls developing symptoms of hyperglycemia sometime around November 2010. He experienced symptoms of polyuria, polydipsia, fatigue, polyphagia, and an approximately 15-pound weight loss over ~ 30-day period. Around 10 Dec 2010, pt also began experiencing nausea and vomiting which gradually increased to the point of not being able to keep anything down by 18 Dec and led him to seek evaluation. At that time, a glucose level of 327, positive urine ketones and Ketoacidosis led to his diagnosis of T1DM and he was hospitalized in the ICU for 3 days. During his admission, insulin was initiated, as well as diabetes self management training. He was discharged on once daily LANTUS with additional premeal NOVOLOG and supplementation for hyperglycemia using NOVOLOG. Since diagnosis, pt has been followed through a local Endocrinologist, as well as local medical providers. PtM received FLUMIST vaccine in Oct 2010 and H1N1 vaccine in Aug 2010, and his most recent Anthrax vaccine was received in Dec 2009. He denies any unusual or prolonged reactions within the first week following vaccine receipt. Pt does not recall any viral-type symptoms just prior to or on the days of vaccine receipt. Pt does not recall a history of infection or symptoms of cough, fever, sinus symptoms, congestion or diarrhea prior to his diagnosis of T1DM. Pt reports a history of a glucose in the 200s prior to his arthroscopic knee surgery in late Oct. He denies a previous history of elevated glucose or blood pressure levels or history of hypertension. He was had not been as active over the past year due to knee pain and surgery. He has no family Hx of T1DM.
Age: 23.0
Sex: M
Vaccine: FLUN3
Symptoms: Nausea, Neutrophil count increased, Platelet count normal, Polydipsia, Polyuria
Clinical narrative: Patient was in his usual state of good health prior to Dec 2010. Looking back, pt recalls developing symptoms of hyperglycemia sometime around November 2010. He experienced symptoms of polyuria, polydipsia, fatigue, polyphagia, and an approximately 15-pound weight loss over ~ 30-day period. Around 10 Dec 2010, pt also began experiencing nausea and vomiting which gradually increased to the point of not being able to keep anything down by 18 Dec and led him to seek evaluation. At that time, a glucose level of 327, positive urine ketones and Ketoacidosis led to his diagnosis of T1DM and he was hospitalized in the ICU for 3 days. During his admission, insulin was initiated, as well as diabetes self management training. He was discharged on once daily LANTUS with additional premeal NOVOLOG and supplementation for hyperglycemia using NOVOLOG. Since diagnosis, pt has been followed through a local Endocrinologist, as well as local medical providers. PtM received FLUMIST vaccine in Oct 2010 and H1N1 vaccine in Aug 2010, and his most recent Anthrax vaccine was received in Dec 2009. He denies any unusual or prolonged reactions within the first week following vaccine receipt. Pt does not recall any viral-type symptoms just prior to or on the days of vaccine receipt. Pt does not recall a history of infection or symptoms of cough, fever, sinus symptoms, congestion or diarrhea prior to his diagnosis of T1DM. Pt reports a history of a glucose in the 200s prior to his arthroscopic knee surgery in late Oct. He denies a previous history of elevated glucose or blood pressure levels or history of hypertension. He was had not been as active over the past year due to knee pain and surgery. He has no family Hx of T1DM.
Age: 23.0
Sex: M
Vaccine: FLUN3
Symptoms: Red blood cell count decreased, Sleep study, Snoring, Sphingomonas paucimobilis infection, Thyroxine free normal
Clinical narrative: Patient was in his usual state of good health prior to Dec 2010. Looking back, pt recalls developing symptoms of hyperglycemia sometime around November 2010. He experienced symptoms of polyuria, polydipsia, fatigue, polyphagia, and an approximately 15-pound weight loss over ~ 30-day period. Around 10 Dec 2010, pt also began experiencing nausea and vomiting which gradually increased to the point of not being able to keep anything down by 18 Dec and led him to seek evaluation. At that time, a glucose level of 327, positive urine ketones and Ketoacidosis led to his diagnosis of T1DM and he was hospitalized in the ICU for 3 days. During his admission, insulin was initiated, as well as diabetes self management training. He was discharged on once daily LANTUS with additional premeal NOVOLOG and supplementation for hyperglycemia using NOVOLOG. Since diagnosis, pt has been followed through a local Endocrinologist, as well as local medical providers. PtM received FLUMIST vaccine in Oct 2010 and H1N1 vaccine in Aug 2010, and his most recent Anthrax vaccine was received in Dec 2009. He denies any unusual or prolonged reactions within the first week following vaccine receipt. Pt does not recall any viral-type symptoms just prior to or on the days of vaccine receipt. Pt does not recall a history of infection or symptoms of cough, fever, sinus symptoms, congestion or diarrhea prior to his diagnosis of T1DM. Pt reports a history of a glucose in the 200s prior to his arthroscopic knee surgery in late Oct. He denies a previous history of elevated glucose or blood pressure levels or history of hypertension. He was had not been as active over the past year due to knee pain and surgery. He has no family Hx of T1DM.
Age: 23.0
Sex: M
Vaccine: FLUN3
Symptoms: Type 1 diabetes mellitus, Urine ketone body present, Vomiting, Weight decreased, White blood cell count increased
Clinical narrative: Patient was in his usual state of good health prior to Dec 2010. Looking back, pt recalls developing symptoms of hyperglycemia sometime around November 2010. He experienced symptoms of polyuria, polydipsia, fatigue, polyphagia, and an approximately 15-pound weight loss over ~ 30-day period. Around 10 Dec 2010, pt also began experiencing nausea and vomiting which gradually increased to the point of not being able to keep anything down by 18 Dec and led him to seek evaluation. At that time, a glucose level of 327, positive urine ketones and Ketoacidosis led to his diagnosis of T1DM and he was hospitalized in the ICU for 3 days. During his admission, insulin was initiated, as well as diabetes self management training. He was discharged on once daily LANTUS with additional premeal NOVOLOG and supplementation for hyperglycemia using NOVOLOG. Since diagnosis, pt has been followed through a local Endocrinologist, as well as local medical providers. PtM received FLUMIST vaccine in Oct 2010 and H1N1 vaccine in Aug 2010, and his most recent Anthrax vaccine was received in Dec 2009. He denies any unusual or prolonged reactions within the first week following vaccine receipt. Pt does not recall any viral-type symptoms just prior to or on the days of vaccine receipt. Pt does not recall a history of infection or symptoms of cough, fever, sinus symptoms, congestion or diarrhea prior to his diagnosis of T1DM. Pt reports a history of a glucose in the 200s prior to his arthroscopic knee surgery in late Oct. He denies a previous history of elevated glucose or blood pressure levels or history of hypertension. He was had not been as active over the past year due to knee pain and surgery. He has no family Hx of T1DM.
Age: 1.23
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Urticaria
Clinical narrative: Hives.
Age: 14.0
Sex: F
Vaccine: HEPA
Symptoms: Incoherent, Loss of consciousness, Movement disorder, Urinary incontinence
Clinical narrative: Vaccine was given 3:15pm 06/30/2011. 15 minutes after vaccine was administered patient lost consciousness, control of bladder and began having seizure type movement. Patient roused 3 minutes later, incoherent, refused all transport against physicians advice. Was advised to seek seizure work-up.
Age: 22.0
Sex: M
Vaccine: FLU3, YF
Symptoms: Lymphadenopathy
Clinical narrative: Initial report was received from a health care professional on 10 September 2010. A 22-year-old male patient with no reported illness at the time of vaccination and an allergy to cephalosporins, had received on 27 August 2010 a 0.5 ml subcutaneous left deltoid injection of YF VAX, lot number UF795AA and a right deltoid injection of FLUVIRIN (Novartis lot number and route of administration not reported). On 27 August 2010, the patient experienced a swollen gland behind left ear and lymphadenopathy of neck. He was seen by a physician on 04 September 2010. The patient stated the gland had "gone down". No further information was provided at the time of this report. The patient's outcome was reported as not recovered. Documents held by sender: none.
Age: 35.0
Sex: F
Vaccine: YF
Symptoms: Local swelling, Lymph node pain
Clinical narrative: Case received from a healthcare professional on 14 October 2010 under the local reference number 10-0732. A 35-year-old female patient, with no illness at time of vaccination, no known allergies, no relevant medical conditions and no other medications, had received her 1st subcutaneous dose of YF-VAX, batch number UF798AA, in the left arm, on 08 October 2010. The patient had no reported adverse reaction following prior vaccination. On 11 October 2010, i.e. 3 days post-vaccination, the patient experienced a swollen area on the left neck. She was seen by a physician on 14 October 2010 who reported a 1-1.5 cm tender lymph node in the left lower neck. There were no other reactions. The patient's symptoms were not resolved at the time of the report. Documents held by sender: none.
Age: 31.0
Sex: F
Vaccine: YF
Symptoms: Dizziness, Injection site erythema
Clinical narrative: Initial report received from a health care professional on 09 December 2010. A 31-year-old female patient received on 03 December 2010 a left arm subcutaneous injection of YF VAX, lot number UF797AA. The patient received on 18 November 2010 an injection of Hepatitis A vaccine, lot number not reported. The patient had no medical history and no illness at the time of vaccination. The patient's concomitant medication was reported as birth control pills. On 09 December 2010, the patient reported feeling faint and dizzy and the left injection site had an area of redness. Today (date not provided), the patient had no fainting or loss of consciousness (LOC). The patient was to have a physician evaluation. The outcome was reported as unknown. Follow-up information was received 10 January 2011 from a health care professional who reviewed the case and had no additional information to provide at the time of the report. Documents held by sender: None.
Age: 22.0
Sex: F
Vaccine: HEPA, TYP, YF
Symptoms: Injection site erythema, Injection site pain, Injection site pruritus, Lip swelling, Lymphadenopathy
Clinical narrative: This is 1 of a cluster of 2 patients who experienced similar adverse events following vaccination with YF VAX. The event of the second patient was captured in case number 2010-06901. Initial report received from a health care professional on 09 December 2010. A 22-year-old female patient received on 03 December 2010 a left arm subcutaneous injection of YF VAX, lot number UF798AA, a right deltoid intramuscular injection of TYPHIM VI, lot number D1087, and a left deltoid intramuscular injection of Hepatitis A vaccine, GSK lot number AHAVB406AA. The patient had a history of exercise induced asthma and acne. She was allergic to doxycycline, tetracycline and KEFLEX. The patient denied any illness at the time of vaccination. On 04 December 2010, the patient developed swollen lymph nodes and slight swelling of the left side of the lip. The patient took BENADRYL and it had resolved. Now she discovered redness, soreness and itching at the site which has not resolved. The outcome was reported as not resolved. Follow-up information was received 03 January 2011 from a health care professional. TYPHIM VI lot number was confirmed to have been D1087 with expiration date of 13 November 2011. Redness, soreness and itching occurred at the YF site of injection; the left posterior upper arm. The patient had not been seen by a physician and no further treatment was required. The patient had not received any other vaccines within four weeks of the vaccines reported. On 23 December 2010, the nurse called and left a message to check on the patient's status with no reply. No additional information was available at the time of the report. Follow-up information was received 23 February 2011 from a health care professional. According to the reporter, the patient stated that by 11 December 2010, "everything cleared up and fine". Outcome was recovered. Documents held by sender: None.
Age: 41.0
Sex: M
Vaccine: DT, YF
Symptoms: Nasal congestion
Clinical narrative: Initial report was received on 25 February 2011 from a health care professional. A 41-year-old male patient who had no illness at the time of vaccination had received a first dose subcutaneous left deltoid injection of YF VAX, lot number UF803AB on 25 February 2011 and two hours later, developed nasal congestion. The patient had no known allergies. Concomitant medications and medical conditions were listed as none. The patient was evaluated by a physician. Treatments were not reported. No further information was available at the time of the report. The patient's outcome was reported as not recovered. Follow-up information received from a health care professional on 19 April 2011 reported that the patient had no illness at the time of vaccination. He received on 25 February 2011 a left arm intramuscular injection of DECAVAC, sanofi pasteur Inc. lot number U2861BA. The patient had no diagnostic or laboratory testing performed. The patient was treated with ZYRTEC 10 (units not reported) with good results. The patient's outcome remained not recovered. Documents held by sender: none.
Age: 39.0
Sex: F
Vaccine: MNQ, YF
Symptoms: Cough, Fatigue, Influenza like illness, Injection site induration, Pain
Clinical narrative: Initial report received from a nurse practitioner on 28 April 2011. A 39-year-old female patient had received a first intramuscular right deltoid injection of MENACTRA (lot number U3709AA), and a first subcutaneous left deltoid injection of YF-VAX (lot number UF804AA) on 25 April 2011. Two days later, the patient reported to the nurse practitioner that she had a 2 inch induration on the right arm at the injection site where MENACTRA was administered, and she had flu-like symptoms with body aches, fever, and fatigue. The next day she had additional symptom of cough. It was not reported whether the patient required medical attention. The patient has no known allergies, and had no concurrent illnesses or use of other medications at the time of vaccinations. At the time of this report, the patient had not recovered. Documents held by sender: None.
Age: 39.0
Sex: F
Vaccine: MNQ, YF
Symptoms: Pyrexia
Clinical narrative: Initial report received from a nurse practitioner on 28 April 2011. A 39-year-old female patient had received a first intramuscular right deltoid injection of MENACTRA (lot number U3709AA), and a first subcutaneous left deltoid injection of YF-VAX (lot number UF804AA) on 25 April 2011. Two days later, the patient reported to the nurse practitioner that she had a 2 inch induration on the right arm at the injection site where MENACTRA was administered, and she had flu-like symptoms with body aches, fever, and fatigue. The next day she had additional symptom of cough. It was not reported whether the patient required medical attention. The patient has no known allergies, and had no concurrent illnesses or use of other medications at the time of vaccinations. At the time of this report, the patient had not recovered. Documents held by sender: None.
Age: 19.0
Sex: F
Vaccine: HEPAB, IPV, YF
Symptoms: Adverse reaction, Burning sensation, Dizziness, Lip swelling, Pruritus generalised
Clinical narrative: Initial report received from a health care professional on 20 May 2011. A female patient, reported age of 20-years-old had received a intramuscular injection of IPOL, and a subcutaneous injection of YF-VAX, and a dose of TWINRIX (manufacturer GSK, route not reported) on 29 April 2011. The lot numbers were not reported for any of the vaccines administered. Per the reporter, the patient had a delayed response after vaccination. It was unknown when the symptoms began, but they included diffuse itching, burning, swelling of the upper lip, and mild dizziness. The patient was evaluated by an allergist. It was not reported whether the patient required treatment. Current medical history included myopia. The patient had no concurrent illnesses at time of vaccination, and no use of other medications. It was unknown if the patient had received any other vaccinations within 4 weeks prior to 29 April 2011, or if she had experienced any adverse events with prior vaccinations in the past. At the time of this report, the patient had recovered (date not reported). Documents held by sender: None.
Age: 17.0
Sex: U
Vaccine: HEPA, HPV4, HEPA, HPV4
Symptoms: Abdominal pain upper, Arthralgia, Cold sweat, Dizziness, Fatigue
Clinical narrative: Extreme pain in muscles & joints, constant migraine pain, rash, digestive issues, eye problems, brain fog, weight lost, extreme fatigue, problems with urination.
Age: 17.0
Sex: U
Vaccine: HEPA, HPV4, HEPA, HPV4
Symptoms: Headache, Myalgia, Rash
Clinical narrative: Extreme pain in muscles & joints, constant migraine pain, rash, digestive issues, eye problems, brain fog, weight lost, extreme fatigue, problems with urination.
Age: 17.0
Sex: U
Vaccine: HEPA, HPV4, HEPA, HPV4
Symptoms: Arthralgia, Blood aluminium increased, Blood test normal, Dyspepsia, Dysuria
Clinical narrative: Extreme pain in muscles & joints, constant migraine pain, rash, digestive issues, eye problems, brain fog, weight lost, extreme fatigue, problems with urination.
Age: 17.0
Sex: U
Vaccine: HEPA, HPV4, HEPA, HPV4
Symptoms: Eye disorder, Fatigue, Feeling abnormal, Migraine, Myalgia
Clinical narrative: Extreme pain in muscles & joints, constant migraine pain, rash, digestive issues, eye problems, brain fog, weight lost, extreme fatigue, problems with urination.
Age: 17.0
Sex: U
Vaccine: HEPA, HPV4, HEPA, HPV4
Symptoms: Rash, Weight decreased
Clinical narrative: Extreme pain in muscles & joints, constant migraine pain, rash, digestive issues, eye problems, brain fog, weight lost, extreme fatigue, problems with urination.
Age: 26.0
Sex: F
Vaccine: DTAP
Symptoms: Injection site erythema, Injection site induration, Injection site pain, Injection site pruritus, Injection site swelling
Clinical narrative: Reddening of Bicep, itchiness, swelling and hardening of area 2-5 inches around injection site. Extremely Hot and Painful in the entire bicep.
Age: 26.0
Sex: F
Vaccine: DTAP
Symptoms: Injection site warmth
Clinical narrative: Reddening of Bicep, itchiness, swelling and hardening of area 2-5 inches around injection site. Extremely Hot and Painful in the entire bicep.
Age: 2.0
Sex: F
Vaccine: HEPA
Symptoms: Pruritus, Urticaria
Clinical narrative: HIVES AND ITCHING
Age: 54.0
Sex: M
Vaccine: TDAP
Symptoms: Vision blurred
Clinical narrative: Left eye lost the ability to focus. I wear contact lenses and initially thought it was due to tired eyes. I took out the contacts and noticed that my regular glasses had no noticable ability to correct the vision in my left eye. The right eye had no problems and the problem disappeared by the time I got up the following morning.
Age: 1.8
Sex: M
Vaccine: DTAP, MMR
Symptoms: Basophil count increased, Computerised tomogram normal, Convulsion, Enterovirus test negative, Eye irritation
Clinical narrative: PERSISTENT FEVER WITH RASH THAT CAME AND WENT. WAS TAKEN TO ER THEN RETURNED TO ER WITH MILD SEIZURE & LOW FEVER LATER THAT WEEK. WAS ADMITTED WITH LOW NEU COUNT, INCREASED BASO, WBC LOW BUT ABOVE 2.5. HAD SWOLLEN RIGHT TESTICLE, REOCCURING DISAPPEARING RASH (HOSPITALIST SAW ALL OVER) STARTED ON FACE MOUTH & NECK AREA WITH FLUSH FROM FEVER WOULD COME & GO WITH FEVER, SWOLLEN LYMPH NODES ON BOTH SIDES BACK OF HEAD, SWOLLEN FACE & CHEEKS, & SWOLLEN NECK, RUBBING AT LEFT EYE. OVERALL FATIGUE.
Age: 1.8
Sex: M
Vaccine: DTAP, MMR
Symptoms: Fatigue, Flushing, Full blood count, Human papilloma virus test, Local swelling
Clinical narrative: PERSISTENT FEVER WITH RASH THAT CAME AND WENT. WAS TAKEN TO ER THEN RETURNED TO ER WITH MILD SEIZURE & LOW FEVER LATER THAT WEEK. WAS ADMITTED WITH LOW NEU COUNT, INCREASED BASO, WBC LOW BUT ABOVE 2.5. HAD SWOLLEN RIGHT TESTICLE, REOCCURING DISAPPEARING RASH (HOSPITALIST SAW ALL OVER) STARTED ON FACE MOUTH & NECK AREA WITH FLUSH FROM FEVER WOULD COME & GO WITH FEVER, SWOLLEN LYMPH NODES ON BOTH SIDES BACK OF HEAD, SWOLLEN FACE & CHEEKS, & SWOLLEN NECK, RUBBING AT LEFT EYE. OVERALL FATIGUE.
Age: 1.8
Sex: M
Vaccine: DTAP, MMR
Symptoms: Lymphadenopathy, Mononucleosis heterophile test negative, Neutrophil count decreased, Pyrexia, Rash
Clinical narrative: PERSISTENT FEVER WITH RASH THAT CAME AND WENT. WAS TAKEN TO ER THEN RETURNED TO ER WITH MILD SEIZURE & LOW FEVER LATER THAT WEEK. WAS ADMITTED WITH LOW NEU COUNT, INCREASED BASO, WBC LOW BUT ABOVE 2.5. HAD SWOLLEN RIGHT TESTICLE, REOCCURING DISAPPEARING RASH (HOSPITALIST SAW ALL OVER) STARTED ON FACE MOUTH & NECK AREA WITH FLUSH FROM FEVER WOULD COME & GO WITH FEVER, SWOLLEN LYMPH NODES ON BOTH SIDES BACK OF HEAD, SWOLLEN FACE & CHEEKS, & SWOLLEN NECK, RUBBING AT LEFT EYE. OVERALL FATIGUE.
Age: 1.8
Sex: M
Vaccine: DTAP, MMR
Symptoms: Rash generalised, Streptococcus test negative, Swelling face, Testicular swelling, White blood cell count decreased
Clinical narrative: PERSISTENT FEVER WITH RASH THAT CAME AND WENT. WAS TAKEN TO ER THEN RETURNED TO ER WITH MILD SEIZURE & LOW FEVER LATER THAT WEEK. WAS ADMITTED WITH LOW NEU COUNT, INCREASED BASO, WBC LOW BUT ABOVE 2.5. HAD SWOLLEN RIGHT TESTICLE, REOCCURING DISAPPEARING RASH (HOSPITALIST SAW ALL OVER) STARTED ON FACE MOUTH & NECK AREA WITH FLUSH FROM FEVER WOULD COME & GO WITH FEVER, SWOLLEN LYMPH NODES ON BOTH SIDES BACK OF HEAD, SWOLLEN FACE & CHEEKS, & SWOLLEN NECK, RUBBING AT LEFT EYE. OVERALL FATIGUE.
Age: 53.0
Sex: F
Vaccine: TDAP, VARZOS
Symptoms: Injection site erythema, Injection site swelling, Joint range of motion decreased, Lymphadenopathy
Clinical narrative: Moderate erythema and swelling at injection site of Zoster vaccine (left subQ).  48 hours later, she developed significant swelling of an axillary lymph node and decreased ROM in left arm
Age: 18.0
Sex: F
Vaccine: MEN
Symptoms: Chills, Hyperhidrosis, Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Woke up with a high fever, sweating, and severe chills. Swollen, red, hot arm at injection site.
Age: 18.0
Sex: F
Vaccine: MEN
Symptoms: Pyrexia
Clinical narrative: Woke up with a high fever, sweating, and severe chills. Swollen, red, hot arm at injection site.
Age: 20.0
Sex: M
Vaccine: SMALL
Symptoms: Abscess limb, Incisional drainage, Post vaccination autoinoculation, Purulent discharge, Staphylococcal infection
Clinical narrative: Abscess to left hip seen by primary care manager and site was I & D with copious amts of pus diagnosed at time with staph infection because patient forgot to mention that smallpox site was approximently 18 inches proximal to site. Patient seen at this clinic for take evaluation of smallpox. Advised to return to PCM and tell them about his smallpox vaccination and proximity to secondary site. Secondary site approximately 15 cm in circumference with approximently 5 cm circumference open with yellow pus moderate amount. Unknown at present for diagnosis but strongly suspicious as an autoinnoculator.
Age: 0.24
Sex: M
Vaccine: DTAPIPVHIB, HEP, PNC13, RV5
Symptoms: Staring
Clinical narrative: Several minutes of a staring spell within an hour or two of being vaccinated.
Age: 49.0
Sex: F
Vaccine: PPV
Symptoms: Body temperature increased, Full blood count normal, Injection site erythema, Injection site induration, Injection site pain
Clinical narrative: Pt. received vaccine - in less than 24h. developed pain at site, erythema, induration, Temp 103.
Age: 49.0
Sex: F
Vaccine: PPV
Symptoms: Laboratory test normal
Clinical narrative: Pt. received vaccine - in less than 24h. developed pain at site, erythema, induration, Temp 103.
Age: 15.0
Sex: F
Vaccine: HPV4
Symptoms: Eating disorder, Injection site pain
Clinical narrative: Per phone conversation with mother on 6/25/11 patient had complained of pain at injection site x 2 weeks after getting HPV; not eating well. Not seen by a provider in our practice (out of town).
Age: 19.0
Sex: F
Vaccine: HEP, TDAP
Symptoms: Chest discomfort, Hyperaesthesia, Pain of skin, Pruritus, Rash
Clinical narrative: Itchiness to chest area. Increasing in intensity and with rash over next 18 hours. Skin "hurt" to be touched. No fever, no difficulty breathing but reported chest tightness. Reported to nearest Emergency Department. Treated with Pepcid, Benadryl and dexamethasone with effect.
Age: 89.0
Sex: F
Vaccine: PPV, TD
Symptoms: Erythema, Oedema peripheral, Pain in extremity, Skin warm
Clinical narrative: Rt arm became very swollen, red, warm, very painful from below injection site to wrist.
Age: 2.0
Sex: F
Vaccine: DTAP, HIBV
Symptoms: Urticaria
Clinical narrative: HIVES STARTED ON DIAPER LINE AND IN 20 MINUTES WERE ALL OVER HER ARMS, LEGS AND STOMACH.
Age: 18.0
Sex: F
Vaccine: HEPA, MNQ, TDAP
Symptoms: Syncope, Vertigo
Clinical narrative: vertigo followed by brief syncopal episode five minutes after immunizations given, recovered spontaneously
Sex: F
Vaccine: DTAP, HIBV, IPV, PPV, RV1
Symptoms: Diarrhoea, Exposure to vaccinated person, Infection via vaccinee, Nausea
Clinical narrative: This case was reported by a consumer (the mother of vaccinated patient) and described the occurrence of explosive diarrhea in an adult female subject (grandmother of the vaccinated patient) who was exposed to ROTARIX (GlaxoSmithKline) given to her two month old granddaughter. A physician or other health care professional has not verified this report. Concurrent vaccination received by the vaccinated child included HIB (manufacturer unspecified), DTaP (manufacturer unspecified), poliomyelitis vaccine (manufacturer unspecified) and pneumococcal vaccine (manufacturer unspecified) all given to the patient on 10 June 2011, same day as ROTARIX vaccination. There were no concurrent medications taken by the vaccinated child. On 10 June 2011 at 09:30 the vaccinated child received 1st dose of ROTARIX (oral). On 13 June 2011, 3 days after vaccination with ROTARIX, the grandmother of the vaccinated child experienced explosive diarrhea and nausea. The reporter suspected that the live oral ROTARIX vaccine given to her child infected the "entire household" (infection via vaccinated person). At the time of reporting the events were unresolved. The vaccinated child did not experience any symptoms from vaccination with ROTARIX.
Age: 7.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Pain, redness and swelling around the site of administration.
Age: 20.0
Sex: F
Vaccine: PPV
Symptoms: Erythema, Pain of skin, Paraesthesia, Skin induration, Skin warm
Clinical narrative: Arm is reddened, firm, warm and tender to touch. Patient c/o tingling to right hand. Warm packs applied and arm elevated. Dr. notified with orders received for warm packs and Percocet prn.
Age: 13.0
Sex: M
Vaccine: TDAP
Symptoms: Hypersensitivity, Oedema peripheral
Clinical narrative: Swollen arm (not just very local) mom states twice the size of other arm. Mom wants report as "he is now sensitive to many things".
Age: 0.2
Sex: M
Vaccine: DTAPIPVHIB, HEP, PNC13, RV5
Symptoms: Breast feeding, Decreased appetite, Lethargy, Screaming, Vomiting
Clinical narrative: High pitched screaming, vomiting, lethargy, refusing to breast feed.
Age: 11.0
Sex: M
Vaccine: HEPA, MNQ, TDAP
Symptoms: Hypoaesthesia facial, Swelling face
Clinical narrative: Patient received vaccines around 12:30 and 3 hours later called stating child's face was numb & looked swollen. Advised to go to ER ASAP possible allergic reaction. Mom gave BENADRYL & went to ER. He was given Prednisone medication.
Age: 12.0
Sex: M
Vaccine: TDAP, VARCEL
Symptoms: Injection site erythema, Injection site mass, Injection site swelling
Clinical narrative: Pt received Tdap & varicella on 7/11/11. Mom reported that pt began having swelling in LUA on date of injections, pt came to clinic on 7/13/11. Had 5cm red, raised lump in LUA at site of varicella injection. Advised to apply ice & OTC cortisone.
Age: 15.0
Sex: F
Vaccine: TDAP
Symptoms: Chills, Dizziness, Nausea, Pyrexia
Clinical narrative: Fever 102 degrees, chills, nausea, dizziness.
Age: 29.0
Sex: M
Vaccine: SMALL
Symptoms: Abdominal pain upper, Incisional drainage, Lymphadenopathy, Rash pustular, Skin lesion
Clinical narrative: Received the smallpox vaccine on 5/4/2011. Two weeks later he developed scatter pustules on arms, legs and trunk and one in scalp. He had one enlarged submandibular node. Some drained clear fluid and a few were large; 1-2 cm. Two on his knee were foul smelling. I&D was performed on these lesions and he began antibiotics. He has a history of boils occasionally. There were no other symptoms such as fever, headache, SOB or chest pain. He felt well that day, but the next day he returned for dressing change and c/o LUQ pain (5/10) x 4 days. His WBC which had been normal the day before was 12k. He was then transferred out for further evaluation.
Age: 29.0
Sex: M
Vaccine: SMALL
Symptoms: White blood cell count increased
Clinical narrative: Received the smallpox vaccine on 5/4/2011. Two weeks later he developed scatter pustules on arms, legs and trunk and one in scalp. He had one enlarged submandibular node. Some drained clear fluid and a few were large; 1-2 cm. Two on his knee were foul smelling. I&D was performed on these lesions and he began antibiotics. He has a history of boils occasionally. There were no other symptoms such as fever, headache, SOB or chest pain. He felt well that day, but the next day he returned for dressing change and c/o LUQ pain (5/10) x 4 days. His WBC which had been normal the day before was 12k. He was then transferred out for further evaluation.
Age: 17.0
Sex: M
Vaccine: VARCEL
Symptoms: Rash
Clinical narrative: Patient developed a diffuse rash on trunk 3d after varicella vaccine. Supportive management cancelled 2nd varicella vaccine.
Age: 17.0
Sex: M
Vaccine: HPV4, TDAP
Symptoms: Aphasia, Asthenia, Ataxia, Dysphagia, Miller Fisher syndrome
Clinical narrative: Weakness, ataxia, dysphasia, dysphagia, coarse tremor.  Dx:  Guillain-Barre, Miller-Fisher variant.
Age: 17.0
Sex: M
Vaccine: HPV4, TDAP
Symptoms: Tremor
Clinical narrative: Weakness, ataxia, dysphasia, dysphagia, coarse tremor.  Dx:  Guillain-Barre, Miller-Fisher variant.
Age: 74.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Injection site swelling, Oedema peripheral, Pain, Urticaria
Clinical narrative: Pt developed redness, swelling involving (R) upper arm. Initially on lateral aspect. Then developed large hives & swelling involving medial aspect of her (R) arm. No resp. problems. Painful.
Age: 66.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Urticaria
Clinical narrative: Recurring hives since vaccination date mostly upper abdominal severity varies.
Age: 66.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Depression, Pain, Quality of life decreased, Urticaria
Clinical narrative: Recurring hives since vaccination date mostly upper abdominal severity varies.
Age: 29.0
Sex: M
Vaccine: ANTH
Symptoms: Injection site erythema, Injection site pain, Injection site pruritus, Injection site swelling, Paraesthesia
Clinical narrative: Onset of local redness, swelling, pain, pruritus at site of AVA injection.
Age: 66.0
Sex: F
Vaccine: YF
Symptoms: Erythema, Lip swelling, Urticaria
Clinical narrative: Red whelps on face and Right arm 24 hours later; contacted PCP who advised to take OTC ZYRTEC. Some swelling of upper lip also.
Age: 11.0
Sex: F
Vaccine: HEP, TDAP
Symptoms: Injection site pain, Laboratory test normal, Nausea, Pallor
Clinical narrative: After BOOSTRIX & hep B ENGERIX vaccinations pt became pale, nauseated & pain at the site of shot, hands decreased.
Age: 4.0
Sex: F
Vaccine: DTAPIPV, MMRV, PNC13
Symptoms: Injection site vesicles
Clinical narrative: Mother of patient called 7-14-11. Stated when took band aid off 7/13/11 from vaccine (PREVNAR 13) site there was a blister at site. Told mother to apply NEOSPORIN & call if fever, worse, red/hot to touch or concern.
Sex: F
Vaccine: TDAP
Symptoms: Erythema, Full blood count, Oedema peripheral, Tenderness
Clinical narrative: (L) deltoid arm, skin redness, swelling which began worsening 1d after vaccination today measured as 6.5 cm erythema (+) tenderness.
Age: 42.0
Sex: F
Vaccine: TDAP
Symptoms: Chills, Diarrhoea, Dizziness, Nausea, Urticaria
Clinical narrative: Hives covering right breast. Hives in areas on both thighs, feet, arms and hands. Chills, dizziness, diarrhea and nausea.
Age: 1.08
Sex: F
Vaccine: FLU3, HEPA, MMRV, PNC13
Symptoms: Injection site rash, Rash, Rash vesicular
Clinical narrative: varicella rash developed on face, arms and legs
Age: 18.0
Sex: M
Vaccine: MEN
Symptoms: Blood test normal, Chest pain, Dizziness, Dyspnoea, Electrocardiogram normal
Clinical narrative: Difficulty breathing, sharp pains in chest area, dizziness, tightness & pain in legs and back.
Age: 18.0
Sex: M
Vaccine: MEN
Symptoms: Muscle tightness, Pain in extremity, X-ray normal
Clinical narrative: Difficulty breathing, sharp pains in chest area, dizziness, tightness & pain in legs and back.
Age: 0.31
Sex: M
Vaccine: DTAPIPVHIB, PNC13, RV5
Symptoms: Body temperature increased, Computerised tomogram head, Computerised tomogram normal, Convulsion, Fatigue
Clinical narrative: Patient is a 15 wk old male who was admitted to the pediatric ward for seizure.  Per mother, the child received his 4 mo immunizations the day prior to presentation.  He was a little fussy throughout the evening, but continued to feed well.  Mother states at 0100 the morning of admission patient felt warm and she took a rectal temperature that was 102.  She gave a dose of Tylenol at 0300 and patient slept the remainder of the night. That morning while mother was getting ready for work, the two year old sibling came running to mom stating that there was something wrong with patient.  Mother states that when she saw patient, his eyes were rolled back, he had increase drooling and his arms and legs were "shaking".  On further description, infant was described to have tonic-clonic movements of the arms and legs.  Mother states that symptoms lasted for approximately 1-2 minutes.  After the movements had stopped, patient was tired and dazed for approxiamtely 15 minutes.  EMS arrive 15-20 minutes post-episode, and by that time patient was back to baseline. Mother denies any cough, runny nose, emesis, diarrhea, or difficulty breathing.  He has been feeding well taking his normal 6ozs every 3-4 hours.  He has had a normal amount of wet diapers (3 at the outside hospital) and normal stools.
Age: 0.31
Sex: M
Vaccine: DTAPIPVHIB, PNC13, RV5
Symptoms: Feeling abnormal, Gaze palsy, Irritability, Salivary hypersecretion, Skin warm
Clinical narrative: Patient is a 15 wk old male who was admitted to the pediatric ward for seizure.  Per mother, the child received his 4 mo immunizations the day prior to presentation.  He was a little fussy throughout the evening, but continued to feed well.  Mother states at 0100 the morning of admission patient felt warm and she took a rectal temperature that was 102.  She gave a dose of Tylenol at 0300 and patient slept the remainder of the night. That morning while mother was getting ready for work, the two year old sibling came running to mom stating that there was something wrong with patient.  Mother states that when she saw patient, his eyes were rolled back, he had increase drooling and his arms and legs were "shaking".  On further description, infant was described to have tonic-clonic movements of the arms and legs.  Mother states that symptoms lasted for approximately 1-2 minutes.  After the movements had stopped, patient was tired and dazed for approxiamtely 15 minutes.  EMS arrive 15-20 minutes post-episode, and by that time patient was back to baseline. Mother denies any cough, runny nose, emesis, diarrhea, or difficulty breathing.  He has been feeding well taking his normal 6ozs every 3-4 hours.  He has had a normal amount of wet diapers (3 at the outside hospital) and normal stools.
Age: 0.31
Sex: M
Vaccine: DTAPIPVHIB, PNC13, RV5
Symptoms: Tonic clonic movements, Tremor, Ultrasound skull normal
Clinical narrative: Patient is a 15 wk old male who was admitted to the pediatric ward for seizure.  Per mother, the child received his 4 mo immunizations the day prior to presentation.  He was a little fussy throughout the evening, but continued to feed well.  Mother states at 0100 the morning of admission patient felt warm and she took a rectal temperature that was 102.  She gave a dose of Tylenol at 0300 and patient slept the remainder of the night. That morning while mother was getting ready for work, the two year old sibling came running to mom stating that there was something wrong with patient.  Mother states that when she saw patient, his eyes were rolled back, he had increase drooling and his arms and legs were "shaking".  On further description, infant was described to have tonic-clonic movements of the arms and legs.  Mother states that symptoms lasted for approximately 1-2 minutes.  After the movements had stopped, patient was tired and dazed for approxiamtely 15 minutes.  EMS arrive 15-20 minutes post-episode, and by that time patient was back to baseline. Mother denies any cough, runny nose, emesis, diarrhea, or difficulty breathing.  He has been feeding well taking his normal 6ozs every 3-4 hours.  He has had a normal amount of wet diapers (3 at the outside hospital) and normal stools.