chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 8.0
Sex: F
Vaccine: HEPA, VARCEL, VARCEL
Symptoms: Biopsy brain abnormal, CSF culture negative, Central nervous system lesion, Encephalitis, HIV test negative
Clinical narrative: Information has been received from a physician concerning an 8 year old female with no pertinent medical history and no allergies who in approximately May 2008, was vaccinated with the second dose of VARIVAX. There was no concomitant medication. The patient presented to the office within a month of receiving VARIVAX on 13-JUN-2008 with lethargy, twitching and weakness of the right arm. The patient had onset of focal seizure. There was never any fever. She was admitted to a local hospital ICU on that date. CSF with a 20 count WBC, negative cultures, negative HSV DNA, pathology was reactive changes. Culture and serology were negative. MRI of the brain revealed a mass lesion of the left parietal lobe and a brain biopsy revealed "necrotizing chronic cerebritis consistent with viral infection". The patient responded well to steroid treatment and was discharged. The patient then developed an upper respiratory infection mid July 2008, which was treated with ZITHROMAX and "cold medicine". The symptoms of lethargy, tingling and weakness of the right arm returned and the patient was re-admitted to the hospital. An MRI of the brain revealed "similar changes of the left parietal lobe" and a diagnosis of acute disseminated encephalomyelitis was made. The patient responded well initially to pulse steroids but the symptoms recurred as the steroids were tapered. The patient was re-admitted to the hospital in late-August 2008. The original brain biopsy, dated 13-JUN-2008 was re-evaluated and a diagnosis of T-cell Lymphoma was made. The biopsy was also sent for evaluation and the diagnosis was felt to be "viral infection" as opposed to lymphoma. A second brain biopsy was scheduled on 18-SEP-2008, results showed lymphoma. Immune testing performed after onset of symptoms included HIV, immunoglobulins, T cells with normal results. Health Care Physician (HCP) did not feel this was due to VARIVAX. The patient's events persisted. The physician considered the patient's events were considered to be immediately life-threatening, disabling and other important medical event. Additional information has been requested.  1/26/2010 Follow-up:My daughter had 17 seizures after receiving these shots. She was then diagnosed with CNS Lymphoma and went through Chemothertmast and stem cell transplant.
Age: 8.0
Sex: F
Vaccine: HEPA, VARCEL, VARCEL
Symptoms: Herpes simplex serology negative, Immunoglobulins normal, Intensive care, Lethargy, Leukoencephalomyelitis
Clinical narrative: Information has been received from a physician concerning an 8 year old female with no pertinent medical history and no allergies who in approximately May 2008, was vaccinated with the second dose of VARIVAX. There was no concomitant medication. The patient presented to the office within a month of receiving VARIVAX on 13-JUN-2008 with lethargy, twitching and weakness of the right arm. The patient had onset of focal seizure. There was never any fever. She was admitted to a local hospital ICU on that date. CSF with a 20 count WBC, negative cultures, negative HSV DNA, pathology was reactive changes. Culture and serology were negative. MRI of the brain revealed a mass lesion of the left parietal lobe and a brain biopsy revealed "necrotizing chronic cerebritis consistent with viral infection". The patient responded well to steroid treatment and was discharged. The patient then developed an upper respiratory infection mid July 2008, which was treated with ZITHROMAX and "cold medicine". The symptoms of lethargy, tingling and weakness of the right arm returned and the patient was re-admitted to the hospital. An MRI of the brain revealed "similar changes of the left parietal lobe" and a diagnosis of acute disseminated encephalomyelitis was made. The patient responded well initially to pulse steroids but the symptoms recurred as the steroids were tapered. The patient was re-admitted to the hospital in late-August 2008. The original brain biopsy, dated 13-JUN-2008 was re-evaluated and a diagnosis of T-cell Lymphoma was made. The biopsy was also sent for evaluation and the diagnosis was felt to be "viral infection" as opposed to lymphoma. A second brain biopsy was scheduled on 18-SEP-2008, results showed lymphoma. Immune testing performed after onset of symptoms included HIV, immunoglobulins, T cells with normal results. Health Care Physician (HCP) did not feel this was due to VARIVAX. The patient's events persisted. The physician considered the patient's events were considered to be immediately life-threatening, disabling and other important medical event. Additional information has been requested.  1/26/2010 Follow-up:My daughter had 17 seizures after receiving these shots. She was then diagnosed with CNS Lymphoma and went through Chemothertmast and stem cell transplant.
Age: 8.0
Sex: F
Vaccine: HEPA, VARCEL, VARCEL
Symptoms: Lymphoma, Muscle twitching, Muscular weakness, Nuclear magnetic resonance imaging brain abnormal, Paraesthesia
Clinical narrative: Information has been received from a physician concerning an 8 year old female with no pertinent medical history and no allergies who in approximately May 2008, was vaccinated with the second dose of VARIVAX. There was no concomitant medication. The patient presented to the office within a month of receiving VARIVAX on 13-JUN-2008 with lethargy, twitching and weakness of the right arm. The patient had onset of focal seizure. There was never any fever. She was admitted to a local hospital ICU on that date. CSF with a 20 count WBC, negative cultures, negative HSV DNA, pathology was reactive changes. Culture and serology were negative. MRI of the brain revealed a mass lesion of the left parietal lobe and a brain biopsy revealed "necrotizing chronic cerebritis consistent with viral infection". The patient responded well to steroid treatment and was discharged. The patient then developed an upper respiratory infection mid July 2008, which was treated with ZITHROMAX and "cold medicine". The symptoms of lethargy, tingling and weakness of the right arm returned and the patient was re-admitted to the hospital. An MRI of the brain revealed "similar changes of the left parietal lobe" and a diagnosis of acute disseminated encephalomyelitis was made. The patient responded well initially to pulse steroids but the symptoms recurred as the steroids were tapered. The patient was re-admitted to the hospital in late-August 2008. The original brain biopsy, dated 13-JUN-2008 was re-evaluated and a diagnosis of T-cell Lymphoma was made. The biopsy was also sent for evaluation and the diagnosis was felt to be "viral infection" as opposed to lymphoma. A second brain biopsy was scheduled on 18-SEP-2008, results showed lymphoma. Immune testing performed after onset of symptoms included HIV, immunoglobulins, T cells with normal results. Health Care Physician (HCP) did not feel this was due to VARIVAX. The patient's events persisted. The physician considered the patient's events were considered to be immediately life-threatening, disabling and other important medical event. Additional information has been requested.  1/26/2010 Follow-up:My daughter had 17 seizures after receiving these shots. She was then diagnosed with CNS Lymphoma and went through Chemothertmast and stem cell transplant.
Age: 8.0
Sex: F
Vaccine: HEPA, VARCEL, VARCEL
Symptoms: Partial seizures, Upper respiratory tract infection, Viral infection, White blood cell count increased
Clinical narrative: Information has been received from a physician concerning an 8 year old female with no pertinent medical history and no allergies who in approximately May 2008, was vaccinated with the second dose of VARIVAX. There was no concomitant medication. The patient presented to the office within a month of receiving VARIVAX on 13-JUN-2008 with lethargy, twitching and weakness of the right arm. The patient had onset of focal seizure. There was never any fever. She was admitted to a local hospital ICU on that date. CSF with a 20 count WBC, negative cultures, negative HSV DNA, pathology was reactive changes. Culture and serology were negative. MRI of the brain revealed a mass lesion of the left parietal lobe and a brain biopsy revealed "necrotizing chronic cerebritis consistent with viral infection". The patient responded well to steroid treatment and was discharged. The patient then developed an upper respiratory infection mid July 2008, which was treated with ZITHROMAX and "cold medicine". The symptoms of lethargy, tingling and weakness of the right arm returned and the patient was re-admitted to the hospital. An MRI of the brain revealed "similar changes of the left parietal lobe" and a diagnosis of acute disseminated encephalomyelitis was made. The patient responded well initially to pulse steroids but the symptoms recurred as the steroids were tapered. The patient was re-admitted to the hospital in late-August 2008. The original brain biopsy, dated 13-JUN-2008 was re-evaluated and a diagnosis of T-cell Lymphoma was made. The biopsy was also sent for evaluation and the diagnosis was felt to be "viral infection" as opposed to lymphoma. A second brain biopsy was scheduled on 18-SEP-2008, results showed lymphoma. Immune testing performed after onset of symptoms included HIV, immunoglobulins, T cells with normal results. Health Care Physician (HCP) did not feel this was due to VARIVAX. The patient's events persisted. The physician considered the patient's events were considered to be immediately life-threatening, disabling and other important medical event. Additional information has been requested.  1/26/2010 Follow-up:My daughter had 17 seizures after receiving these shots. She was then diagnosed with CNS Lymphoma and went through Chemothertmast and stem cell transplant.
Age: 20.0
Sex: F
Vaccine: HPV4
Symptoms: Alopecia, Haematology test, Headache, Immune system disorder, Laboratory test
Clinical narrative: Information has been received from a consumer concerning her 20 year old daughter with allergies to dander, dust and cigarette smoke who on an unspecified date in July 2007, was vaccinated with her first dose of GARDASIL (Lot #, site and route dose of GARDASIL (Lot #, site and route not reported). In the middle of August 2007, the patient was vaccinated with her second dose of GARDASIL (Lot #, site and route not reported). On an unspecified date in January 2008, the patient was vaccinated with her third dose of GARDASIL (Lot #, site and route not reported). Concomitant therapy included montelukast sodium (MSD) and ADVAIR (taken as needed). On an unspecified date, while the patient was in college, she had "blood work done" (not otherwise specified). When the patient came home in May 2008, "she had a complete panel" and the physician told her "her immune system was out of whack". In March 2008, the patient experienced minor hair loss. In May 2008, the patient experienced major hair loss where her hair would "fall out on its own without even having to touch it, when she shakes her head, washing her hair and touching her hair as well". The patient has experienced really bad headaches "Where she cannot move" (not further specified). The patient already had dander allergies, but when they flared up it would come out as a sinus problem, but lately the allergies have come out in the form of hives (not further specified). Her menstrual period was irregular, but now it is back to normal (not further specified). The patient has seen a dermatologist who has her "not washing her hair, increase her protein and is using ROGAINE". The dermatologist gave the patient a B-12 shot, and "now the patient's food intake is being monitored". The patient is going to see her primary care physician. The patient's hair loss has persisted. No further AE information was provided. Additional information has been requested.
Age: 20.0
Sex: F
Vaccine: HPV4
Symptoms: Menstruation irregular, Urticaria
Clinical narrative: Information has been received from a consumer concerning her 20 year old daughter with allergies to dander, dust and cigarette smoke who on an unspecified date in July 2007, was vaccinated with her first dose of GARDASIL (Lot #, site and route dose of GARDASIL (Lot #, site and route not reported). In the middle of August 2007, the patient was vaccinated with her second dose of GARDASIL (Lot #, site and route not reported). On an unspecified date in January 2008, the patient was vaccinated with her third dose of GARDASIL (Lot #, site and route not reported). Concomitant therapy included montelukast sodium (MSD) and ADVAIR (taken as needed). On an unspecified date, while the patient was in college, she had "blood work done" (not otherwise specified). When the patient came home in May 2008, "she had a complete panel" and the physician told her "her immune system was out of whack". In March 2008, the patient experienced minor hair loss. In May 2008, the patient experienced major hair loss where her hair would "fall out on its own without even having to touch it, when she shakes her head, washing her hair and touching her hair as well". The patient has experienced really bad headaches "Where she cannot move" (not further specified). The patient already had dander allergies, but when they flared up it would come out as a sinus problem, but lately the allergies have come out in the form of hives (not further specified). Her menstrual period was irregular, but now it is back to normal (not further specified). The patient has seen a dermatologist who has her "not washing her hair, increase her protein and is using ROGAINE". The dermatologist gave the patient a B-12 shot, and "now the patient's food intake is being monitored". The patient is going to see her primary care physician. The patient's hair loss has persisted. No further AE information was provided. Additional information has been requested.
Age: 0.51
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Appendicectomy, Blood test, Gastrointestinal obstruction, Intussusception, Laboratory test
Clinical narrative: Information has been received from a medical assistant concerning a 7 month old male with NKDA and no pertinent medical history, who was given 3 doses of ROTATEQ, 2 ml, and developed intussusception. The patient received his first dose on 16-APR-2008 (lot # 660291/1829U), the second dose on 16-JUN-2008 (lot # 660596/0211X) and the third dose on 31-JUL-2008 (lot # 660679/0407X). Concomitant therapy included PEDIARIX, ACTHIB, PREVNAR and DTaP (unspecified). The patient went to the hospital ER on 13-SEP-2008 and was then transported to another hospital and hospitalized with intussusception. The patient had a GI obstruction, surgical repair work on the intussusception, and his appendix was removed. The patient was in the neonatal intensive care unit. The medical assistant states she does not have the medical charts from the hospital, and does not know if the patient has been discharged from the hospital. However, the caller states she thinks the child is "recovering, getting better". Blood lab work and lots of unspecified tests were performed. No product quality complaint involved. Intussusception and appendix disorder were considered to be immediately life-threatening, disabling and other important medical events. A lot check has been requested. Additional information has been requested.  9/25/08-records received for DOS 9/13-9/21/08-DC DX: Colonic perforation. Presented to ED with current jelly bowel movements and emesis suggestive of intussusception. Open reduction intussusception with incidental appendectomy performed on 9/14/08-Subsequently developed severe abdominal pain associated with severe tachycardia.  Intubation. Returned to OR for exploratory lap, repair of colonic perforation. NG tube insertion. Recovered and discharged home.
Age: 86.0
Sex: F
Vaccine: PPV
Symptoms: Depressed level of consciousness, Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Information has been received from a pharmacist and an assistant director of nursing concerning an 86 year old female nursing home patient who on an unspecified date was vaccinated by a licensed practical nurse with PNEUMOVAX 23 (lot # 658072/1416U) and developed severe adverse reactions including redness and swelling.  The nursing director reported that on 16-SEP-2008, the patient was hospitalized because the patient's level of consciousness had decreased, and for injection site redness and swelling "all the way to the neck."  The patient improved and on 17-SEP-2008 was discharged from the hospital.  The nursing director reported that the patient's redness and tenderness at the injection site were less, but the swelling was the same.  This is one of several reports received from the same source.  Additional information has been requested.
Age: 10.0
Sex: F
Vaccine: HPV4
Symptoms: Abasia, Antiphospholipid antibodies positive, Convulsion, Nervous system disorder, Pyrexia
Clinical narrative: Information has been received from a physician concerning a 10 year old female with CYTOXAN allergy who in May 2007 was vaccinated with the first dose of GARDASIL. In July or August of 2007, the patient was vaccinated with the second dose of GARDASIL. There was no concomitant medication. The patient has not yet received the third dose. The patient first experienced high fever and rash in July 2007. The patient was diagnosed with lupus. She then progressed to having seizures and kidney insufficiency. The patient lost all neurological functions including the ability to walk and talk considered to be disabling. She was hospitalized from 23-NOV-2007 to 30-JAN-2008 until there was some improvement. The patient was given oxygen while in the hospital. The patient still can not walk but able to recover her speech. The patient was considered to be recovering from lupus, seizures and renal insufficiency. Seizures were considered to be immediately life-threatening. Lupus, seizures, loss of ability to walk and talk and kidney insufficiency were considered to be an other important medical events and disabling by the physician. Additional information has been requested.
Age: 10.0
Sex: F
Vaccine: HPV4
Symptoms: Rash, Renal failure, Speech disorder, Systemic lupus erythematosus
Clinical narrative: Information has been received from a physician concerning a 10 year old female with CYTOXAN allergy who in May 2007 was vaccinated with the first dose of GARDASIL. In July or August of 2007, the patient was vaccinated with the second dose of GARDASIL. There was no concomitant medication. The patient has not yet received the third dose. The patient first experienced high fever and rash in July 2007. The patient was diagnosed with lupus. She then progressed to having seizures and kidney insufficiency. The patient lost all neurological functions including the ability to walk and talk considered to be disabling. She was hospitalized from 23-NOV-2007 to 30-JAN-2008 until there was some improvement. The patient was given oxygen while in the hospital. The patient still can not walk but able to recover her speech. The patient was considered to be recovering from lupus, seizures and renal insufficiency. Seizures were considered to be immediately life-threatening. Lupus, seizures, loss of ability to walk and talk and kidney insufficiency were considered to be an other important medical events and disabling by the physician. Additional information has been requested.
Age: 15.0
Sex: F
Vaccine: HPV4
Symptoms: Convulsion, Daydreaming, Fatigue, Feeling abnormal
Clinical narrative: Information has been received from a consumer concerning her 16 year old daughter with allergy to DPT and pertussis shot, and no pertinent medical history who on 21-JUN-2007 was vaccinated with the first dose of GARDASIL.  On 06-SEP-2007, the patient received the second dose of GARDASIL and within a week later, approximately on 13-SEP-2007, she started to feel like she's not herself and she felt tired all the time.  Patient's mother reported that she feels like she was in a cloud and she has been day dreaming.  Patient was brought to her family doctor and had a cat scan, blood test and sleep study and it was determined that she had seizures activity.  Patient is currently on seizures medication and the symptoms started to improve.  Third dose of GARDASIL was given on 03-JAN-2008.  Lot numbers were not available.  There was no concomitant medication.  Upon internal review, seizures activity was considered to be an other important medical event.  Additional information has been requested.  10/1/08 Reviewed PCP medical records of 12/27/07-8/28/08 which include Neuro consult of 1/21/08 FINAL DX: epilepsy Records reveal patient experienced black out spells often after a nap, pain behind left ear, tingling in head & becomes briefly unaware w/different thinking & forgetfulness when resolves. Referred to Neuro for altered mental status & possible seizures.   Had generalized tonic-clonic seizure & bit tongue 4/2008.  Neuro consult 1/21/08
Age: 23.0
Sex: F
Vaccine: HPV4
Symptoms: Arthralgia, Blood test, Computerised tomogram, Convulsion, Electroencephalogram
Clinical narrative: Information has been received from a 23 year old female with possible penicillin allergy who on approximately 06-AUG-2008 (about six weeks ago) was vaccinated with the second dose of GARDASIL. There was no concomitant medication. The patient reported that since second dose was given on approximately 06-AUG-2008, she had 3 cases of seizures (last episode happened about a week ago, approximately 10-SEP-2008). She mentioned that she only had one incident of seizure activity prior to GARDASIL. The patient stated that she also was experiencing joint pain in her hip as well. At time of reporting, the patient had not recovered. Laboratory tests and studies performed included electroencephalography, cat scan and blood work with unknown results. The patient sought unspecified medical attention. Upon internal review, episodes of seizures were considered to be other important medical events. Additional information is not expected.
Age: 13.0
Sex: F
Vaccine: HPV4
Symptoms: Syncope
Clinical narrative: Information has been received from a physician concerning a 13 year old female who on 16-SEP-2008 was vaccinated intramuscularly with the 0.5 ml third dose of GARDASIL. Three hours after the vaccination, the patient fainted and possibly had a seizure. At the time of the report, the patient was recovering from the symptoms. The patient was seen by the physician. Upon internal review, seizure was determined to be an other important medical event. Additional information has been requested.
Sex: F
Vaccine: HPV4
Symptoms: Malaise
Clinical narrative: Information has been received from a physician concerning a female patient who on an unknown date, was vaccinated with her first dose of GARDASIL and after vaccination had to go to the hospital (duration not specified).  On an unknown date, was vaccinated with her second dose of GARDASIL and became sick.  The patient sought unspecified medical attention.  No further information is available.
Age: 14.0
Sex: F
Vaccine: HPV4
Symptoms: Autoimmune hepatitis, Hepatic failure, Injection site pain, Oedema peripheral, Peripheral vascular disorder
Clinical narrative: Last year in January 2007 my child was given the H.P.V vaccine and after the 1st dose, her legs and feet started swelling up. I took her to the doctor and they said that she had a problem with her Blood Circulating and they gave her a script for some Peg Hoes Stocking to help support her Blood to circulate. She also had pain at the injection site too. Well her legs swelled up a total of three time's last year and I also took her to our physician and they ran blood work and they gave us the same answer as the Emergency Room When took her. My child got all Three doses of the H.P.V Vaccine. Her last Dose was in 08-10-07 and this year in June of 2008 her feet and legs swelled up again and they diagnosed her with Liver Failure caused by a very rare disease called Autoimmune Hepatitis. 10/6/08-records received-presented to liver transplant clinic on 7/15/08-History ESLD and autoimmune hepatitis. Hospitalized 6/24-6/25/08 for coagulopathy and volume overload at which time diagnosed with autoimmune hepatitis  type 1, cirrhosis and EBV hepatitis, portal hypertension. Lower extremity edema, jaundice and encephalopathy. Over past year or two has had some lower extremity edema and some significant fatigue. PE: scleral icterus, abdomen obese, splenomegaly.
Age: 18.0
Sex: F
Vaccine: HPV4
Symptoms: Dizziness, Fatigue, Pain in extremity
Clinical narrative: Received telephone call from patient's mother 4:30 pm 9/08/08.  Reports patient received #3 HPV injection this am at 8:30 am - since receiving injection, patient with complaints of feeling "light headed, dizzy and tired".  Also complaints of pain to arm - Enc M.D. follow up: immediately.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Swollen left arm and redness.
Age: 44.0
Sex: M
Vaccine: SMALL
Symptoms: Arteriosclerosis, Autopsy, Cardiac arrest, Death, Dermatitis allergic
Clinical narrative: 44 y/o male with a history of Tobacco abuse and Hypercholesterolemia, developed dyspnea and progressed to a cardiac arrest on the morning of 5 Sept 08 towards the end of a several mile run and after performing a wind sprint. Member unsuccessfully given CPR and ACLS (at the scene and EMS/ED) and declared deceased at Emergency Department. Subject 2/5 cardiac risk factors: tobacco use and hyperlipidemia; autopsy results support severe atherosclerotic disease with final cardiac examination for myocarditis pending at this time. Member was seen in ED on 25 Aug 2008 (per wife) for a reported "allergic skin rash". Wife reported the SM had the rash as a result of the Smallpox vaccination he had received earlier.  Symptoms: Dyspnea (shortness of breath), Cardiac Arrest, Rash, pruritic. 1/30/09-records received-sudden death while performing PT. Previously lived in foreign country until 8/4/08. Received small pox vaccine on 7/31/08. Presented to clinice on 8/25/08 with C/O pruritic skin rash, pimples on legs and stomach and C/O itching, treated with Keflex, hydrocortisone cream and Benadryl. On 9/4/08 C/O feeling tired. During PT collapsed, difficulty breathing. No C/O chest pain. Stopped breathing. 4/6/09-Medical examiner report received-Probable cause of death:Ischemic heart disease. Contributing conditions:hypertension. hypercholesterolemia.
Age: 44.0
Sex: M
Vaccine: SMALL
Symptoms: Dyspnoea, Rash pruritic
Clinical narrative: 44 y/o male with a history of Tobacco abuse and Hypercholesterolemia, developed dyspnea and progressed to a cardiac arrest on the morning of 5 Sept 08 towards the end of a several mile run and after performing a wind sprint. Member unsuccessfully given CPR and ACLS (at the scene and EMS/ED) and declared deceased at Emergency Department. Subject 2/5 cardiac risk factors: tobacco use and hyperlipidemia; autopsy results support severe atherosclerotic disease with final cardiac examination for myocarditis pending at this time. Member was seen in ED on 25 Aug 2008 (per wife) for a reported "allergic skin rash". Wife reported the SM had the rash as a result of the Smallpox vaccination he had received earlier.  Symptoms: Dyspnea (shortness of breath), Cardiac Arrest, Rash, pruritic. 1/30/09-records received-sudden death while performing PT. Previously lived in foreign country until 8/4/08. Received small pox vaccine on 7/31/08. Presented to clinice on 8/25/08 with C/O pruritic skin rash, pimples on legs and stomach and C/O itching, treated with Keflex, hydrocortisone cream and Benadryl. On 9/4/08 C/O feeling tired. During PT collapsed, difficulty breathing. No C/O chest pain. Stopped breathing. 4/6/09-Medical examiner report received-Probable cause of death:Ischemic heart disease. Contributing conditions:hypertension. hypercholesterolemia.
Age: 15.0
Sex: M
Vaccine: MNQ
Symptoms: Dizziness exertional, Headache, Urticaria, Vomiting
Clinical narrative: Client developed hives the evening after receiving the vaccine and continues to get less severe hives in the evening.  Client complained of dizziness with physical activity.  Client also complianed of a severe headache and vomitting 4 days after receiving the vaccine.  Client taking Benadryl as needed for the hives.  Dr. notified.
Age: 28.0
Sex: F
Vaccine: TDAP
Symptoms: Joint crepitation, Pain in jaw
Clinical narrative: Patient reported jaws clicking and inability to close mouth. States jaws hurt. See PMD or try taking 600-800mg motrin/ibuprofen. If works repeat in 6 hours. No difficulty swallowing.
Age: 17.0
Sex: F
Vaccine: HEP, HEPA, HPV4, MNQ
Symptoms: Arthralgia, Chills, Feeling hot, Neck pain, Pain in extremity
Clinical narrative: Pt. o.k. at Family planning appt. Immunizations below given with problems. Patient called 9/10/08 c/o joints hurting, rt.elbow, lt.knee, rt. foot & neck. Advised try advil and better that pm to 9/11/08 am. Pt. states thinks had fever night of 9/08/08 some shivers but none since. Better today 9/11/08
Age: 1.25
Sex: U
Vaccine: DTAP, PNC
Symptoms: Abasia, Crying, Drooling, Pain in extremity
Clinical narrative: pt. crying incolsably for 2 hours, temperature not taken, drooling but could swallow, Leg painful, refused to walk but not red and swollen, recovered spontaneously
Age: 8.0
Sex: M
Vaccine: HEPA, PPV, VARCEL
Symptoms: Blister, Pyrexia, Rash erythematous, Varicella
Clinical narrative: patient received varivax 08-22-2008, on 09-23-2008 patient hasd fever and multiple erythematous patches with vescular bases and diagnosed with chicken pox.
Age: 10.0
Sex: F
Vaccine: HEPA, VARCEL
Symptoms: Local reaction, Pain, Skin warm, Swelling
Clinical narrative: localized reaction to varicella vaccine - site swelled to approximately 7 x 10 cm with warmth adn slight pain
Sex: F
Vaccine: TDAP
Symptoms: Injection site erythema, Injection site induration, Injection site mass, Injection site pain, Injection site swelling
Clinical narrative: REDNESS AND SWELLING AT INJECTION SITE APPROXIMATELY 1 1/2 INCHES IN DIAMETER.  SWELLING IS A HARD, SORE LUMP.  ADVISED PATIENT TO WARM PACK SEVERAL TIMES A DAY.  IF NO IMPROVEMENT OR WORSENING OF SITE CONTACT CLINIC/PROVIDER
Age: 62.0
Sex: F
Vaccine: DT
Symptoms: Anaphylactic reaction, Asthma, Chronic obstructive pulmonary disease, Fatigue, Gastrooesophageal reflux disease
Clinical narrative: 2-3 days post injection arm had a whelp on it, became "black and blue". This spread down to the elbow and the inside and outside of the arm.  Saw MD and was given Cortisone shot. Now states she has asthma, COPD, GERD, and feels tired since vaccine.Also states she had an anaphlactic reaction and had a number of hive outbreaks. Saw Dr. He stated he wasn't sure what caused the reaction but she is sure it is from the vaccine.
Age: 62.0
Sex: F
Vaccine: DT
Symptoms: Skin discolouration, Urticaria
Clinical narrative: 2-3 days post injection arm had a whelp on it, became "black and blue". This spread down to the elbow and the inside and outside of the arm.  Saw MD and was given Cortisone shot. Now states she has asthma, COPD, GERD, and feels tired since vaccine.Also states she had an anaphlactic reaction and had a number of hive outbreaks. Saw Dr. He stated he wasn't sure what caused the reaction but she is sure it is from the vaccine.
Age: 25.0
Sex: F
Vaccine: PLAGUE
Symptoms: Amnesia, Arthralgia, Dental caries, Depression, Fatigue
Clinical narrative: chronic fatigue, oral decay, depression, memory loss,un-explained rash and scars that come and go , numbness in feet and fingers, joint and muscle pain, tumor in uterus.
Age: 25.0
Sex: F
Vaccine: PLAGUE
Symptoms: Hypoaesthesia, Myalgia, Rash, Scar, Uterine neoplasm
Clinical narrative: chronic fatigue, oral decay, depression, memory loss,un-explained rash and scars that come and go , numbness in feet and fingers, joint and muscle pain, tumor in uterus.
Age: 20.0
Sex: F
Vaccine: FLU3
Symptoms: Blood chloride increased, Carbon dioxide decreased, Dizziness, Dyspnoea, Electrocardiogram normal
Clinical narrative: shortness of breath, dizziness
Age: 20.0
Sex: F
Vaccine: FLU3
Symptoms: Full blood count normal, Metabolic function test
Clinical narrative: shortness of breath, dizziness
Age: 23.0
Sex: F
Vaccine: FLU3
Symptoms: Blood potassium normal, Chest discomfort, Dizziness, Electrocardiogram normal, Feeling jittery
Clinical narrative: Chest pressure, lightheadedness, jittery feeling.
Age: 23.0
Sex: F
Vaccine: FLU3
Symptoms: Full blood count, Lymphocyte percentage decreased, Metabolic function test, Monocyte percentage, Neutrophil count increased
Clinical narrative: Chest pressure, lightheadedness, jittery feeling.
Age: 23.0
Sex: F
Vaccine: FLU3
Symptoms: Neutrophil percentage increased, Oxygen saturation normal, Troponin
Clinical narrative: Chest pressure, lightheadedness, jittery feeling.
Age: 39.0
Sex: F
Vaccine: FLUN3
Symptoms: Dizziness, Headache, Myalgia, Sinus headache
Clinical narrative: Three days after the vaccine, onset of dizziness, headache and light headed with muscle aches.  Sinus pain.
Age: 22.0
Sex: F
Vaccine: FLU3
Symptoms: Chest pain, Dyspnoea
Clinical narrative: sharp, midsternal pain, worse with inspiration and movement, shortness of breath
Age: 38.0
Sex: U
Vaccine: FLU3, PPV
Symptoms: Back injury, Contusion, Dizziness, Face and mouth X-ray abnormal, Facial bones fracture
Clinical narrative: patient reported feeling lightheaded several hours after receiving the pneumococcal vaccine on 9/18/08 and experienced a syncopal episode with a fall upon arising from bed ---> sustained a nasal fracture and contusion to left knee and strain of LS spine
Age: 38.0
Sex: U
Vaccine: FLU3, PPV
Symptoms: Fall, Syncope
Clinical narrative: patient reported feeling lightheaded several hours after receiving the pneumococcal vaccine on 9/18/08 and experienced a syncopal episode with a fall upon arising from bed ---> sustained a nasal fracture and contusion to left knee and strain of LS spine
Age: 27.0
Sex: F
Vaccine: HPV4
Symptoms: Chest X-ray normal, Dizziness, Fatigue, Full blood count normal, Headache
Clinical narrative: About 4 weeks after receiving 2nd Gardasil shot, had sudden periods of severe dizziness, extreme fatigue, and malaise followed by muscle twitches and headaches.  All blood tests, chest x-ray and head MRI came back normal. Immediately after 3rd Gardasil shot, experienced facial numbness for 10 hrs.  Also experienced recurring periods of dizziness, fatigue, and malaise with continued muscle twitches.  Blood tests continue to be normal.  Affects seemed to improve about 1.5 months after 3rd shot, but relapse of symptoms occurred within 2 weeks and symptoms persist.  Only treatment so far is vestibular physical therapy to try and relieve dizziness. 1/6/09-records received-office visit 7/31/08-C/O hypertension, bruit thyroid gland. Seen on 8/24/08 C/O 2 weeks of intermittent neck and bilateral shoulder pain. 9/4/08-Last few month C/O heavy menstrual cycles. 11/11/08-Continues to C/O heavy period. assessment menorrhagia.
Age: 27.0
Sex: F
Vaccine: HPV4
Symptoms: Hypoaesthesia facial, Immediate post-injection reaction, Malaise, Metabolic function test normal, Muscle twitching
Clinical narrative: About 4 weeks after receiving 2nd Gardasil shot, had sudden periods of severe dizziness, extreme fatigue, and malaise followed by muscle twitches and headaches.  All blood tests, chest x-ray and head MRI came back normal. Immediately after 3rd Gardasil shot, experienced facial numbness for 10 hrs.  Also experienced recurring periods of dizziness, fatigue, and malaise with continued muscle twitches.  Blood tests continue to be normal.  Affects seemed to improve about 1.5 months after 3rd shot, but relapse of symptoms occurred within 2 weeks and symptoms persist.  Only treatment so far is vestibular physical therapy to try and relieve dizziness. 1/6/09-records received-office visit 7/31/08-C/O hypertension, bruit thyroid gland. Seen on 8/24/08 C/O 2 weeks of intermittent neck and bilateral shoulder pain. 9/4/08-Last few month C/O heavy menstrual cycles. 11/11/08-Continues to C/O heavy period. assessment menorrhagia.
Age: 27.0
Sex: F
Vaccine: HPV4
Symptoms: Nuclear magnetic resonance imaging normal, Vaccine positive rechallenge
Clinical narrative: About 4 weeks after receiving 2nd Gardasil shot, had sudden periods of severe dizziness, extreme fatigue, and malaise followed by muscle twitches and headaches.  All blood tests, chest x-ray and head MRI came back normal. Immediately after 3rd Gardasil shot, experienced facial numbness for 10 hrs.  Also experienced recurring periods of dizziness, fatigue, and malaise with continued muscle twitches.  Blood tests continue to be normal.  Affects seemed to improve about 1.5 months after 3rd shot, but relapse of symptoms occurred within 2 weeks and symptoms persist.  Only treatment so far is vestibular physical therapy to try and relieve dizziness. 1/6/09-records received-office visit 7/31/08-C/O hypertension, bruit thyroid gland. Seen on 8/24/08 C/O 2 weeks of intermittent neck and bilateral shoulder pain. 9/4/08-Last few month C/O heavy menstrual cycles. 11/11/08-Continues to C/O heavy period. assessment menorrhagia.
Age: 5.0
Sex: M
Vaccine: DTAPHEPBIP, MMR, VARCEL
Symptoms: Wrong drug administered
Clinical narrative: PATIENT GIVEN PEDIARIX DURING LAST DOSE OF DTAP
Age: 57.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Rash generalised
Clinical narrative: On thursday Sept 18, 2008 around noon, recieved flu shot to L deltoid continued to work.   Approx 9:00pm rash appeared first on hands then chest migrating to the neck and face.Took Allegra D at approx 10:00 pm at 10:30 relief was noted
Age: 57.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Rash generalised
Clinical narrative: After receiving the flu shot to the left arm around noon on the 18th of Sept. Patient finished her shift and went home. Approx 9pm a rash appeared on her hands spreading to her chest neck and face. She took her Allegra D in approx 1/2 hour she felt relief.
Age: 1.6
Sex: F
Vaccine: DTAP, IPV
Symptoms: Asthma, Chest X-ray abnormal, Condition aggravated, Cough, Infection
Clinical narrative: High fever 104-105; severe coughing followed by lethargy, then 2ndary infection (pneumonia) and respiratory distress.  Since then has had chronic recurrent respiratory infections and pneumonia 5 additional times; suffers from asthma 10/2/08-records received for DOS 3/22/05-C/O new onset RAD-admitted 3/19 treated with nebulizers. Now  C/O wheezing, tachypnea, crackles right greater than left, occasional grunting.
Age: 1.6
Sex: F
Vaccine: DTAP, IPV
Symptoms: Lethargy, Pneumonia, Pneumonitis, Pyrexia, Respiratory distress
Clinical narrative: High fever 104-105; severe coughing followed by lethargy, then 2ndary infection (pneumonia) and respiratory distress.  Since then has had chronic recurrent respiratory infections and pneumonia 5 additional times; suffers from asthma 10/2/08-records received for DOS 3/22/05-C/O new onset RAD-admitted 3/19 treated with nebulizers. Now  C/O wheezing, tachypnea, crackles right greater than left, occasional grunting.
Age: 1.6
Sex: F
Vaccine: DTAP, IPV
Symptoms: Respiratory tract infection
Clinical narrative: High fever 104-105; severe coughing followed by lethargy, then 2ndary infection (pneumonia) and respiratory distress.  Since then has had chronic recurrent respiratory infections and pneumonia 5 additional times; suffers from asthma 10/2/08-records received for DOS 3/22/05-C/O new onset RAD-admitted 3/19 treated with nebulizers. Now  C/O wheezing, tachypnea, crackles right greater than left, occasional grunting.
Age: 7.0
Sex: M
Vaccine: DTAP, HEPA, IPV
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling, Injection site warmth, Pyrexia
Clinical narrative: Pt had mild reaction on Left arm in vicinity of DTaP vaccination site.  Redness, swelling, itching and warm to touch.  Pt reported mild fever on 24SEP08.  No fever, SOB or other symptoms at time of visit on 25SEP08.
Age: 0.2
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Hypotonia, Pyrexia, Respiratory rate decreased
Clinical narrative: A few hours after vaccine was given mom reports slow breathing, flaccidity, fever went to ER found to have (R) temp 100.5. Bld, urine, CSF cultures done &n pt placed empirically on antibiotics. Stayed in hospital x 2 days.  11/6/08-DC summary received for DOS 9/18/08-DC DX: Hypotonic reaction to DTP vaccine. Presented to outside ED with fever, decreased appetite and possible apneic event.
Age: 46.0
Sex: F
Vaccine: FLU3
Symptoms: Disorientation, Dizziness, Head injury, Syncope
Clinical narrative: Patient became dizzy and disoriented approximately 12 hours after receiving vaccine.  She fainted and hit her head.
Age: 60.0
Sex: F
Vaccine: FLU3
Symptoms: Diarrhoea, Faeces discoloured, Nausea, Vomiting
Clinical narrative: Patient received flu shot on 9/22/08.  When she went home, she developed vomiting, nausea and dark colored diarrhea.  No treatment given as yet.
Age: 71.0
Sex: M
Vaccine: FLU3
Symptoms: Diarrhoea, Nausea, Pyrexia, Vomiting
Clinical narrative: Pt received flu shot on 9/22/08. He went home directly thereafter and developed vomiting, nausea, diarrhea and fever
Age: 25.0
Sex: M
Vaccine: TDAP
Symptoms: Fatigue, Headache, Injection site urticaria, Pain, Pyrexia
Clinical narrative: Patient received vaccine on 9/19/08. Patient had fever, body aches, ha and fatigue on 9/20/08.  Lasted for 2 days.  Ha still present today: temp: 99.  L deltoid: 5 x 5cm area of urticaria.
Age: 27.0
Sex: F
Vaccine: HEPAB, TDAP
Symptoms: Axillary mass, Axillary pain, Breast tenderness, Erythema, Mass
Clinical narrative: Pt. called Health services 08/22/08, 5:00 PM. Reports fever 104 deg and vomiting with severe pain and redness to (L) arm with axillary tenderness and tender (L) breast. Pt. states she feels "lump" under (L) arm. Pt. advised to report to nearest Emergency room with escort. Pt. stated all sx. began night of 09/18/08-Unable to observe pt. Pt. called
Age: 27.0
Sex: F
Vaccine: HEPAB, TDAP
Symptoms: Pain in extremity, Pyrexia, Vomiting
Clinical narrative: Pt. called Health services 08/22/08, 5:00 PM. Reports fever 104 deg and vomiting with severe pain and redness to (L) arm with axillary tenderness and tender (L) breast. Pt. states she feels "lump" under (L) arm. Pt. advised to report to nearest Emergency room with escort. Pt. stated all sx. began night of 09/18/08-Unable to observe pt. Pt. called
Age: 26.0
Sex: M
Vaccine: ANTH, FLUN3
Symptoms: Injection site erythema, Injection site pain, Local swelling, Pruritus, Red blood cell abnormality
Clinical narrative: After receiving Anthrax, patient noted redness, swelling, itching in the area on 18 Sept 08.  Area is 11 x 11cm, faint erythema, mild tenderness at vaccine site.  Was given Zyrtec and Motrin.
Age: 14.0
Sex: M
Vaccine: TDAP
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: Tdap given 6/2/08.  Again Tdap given 9/23/08.
Age: 14.0
Sex: F
Vaccine: HIBV, MNQ
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: No adverse reaction
Age: 15.0
Sex: F
Vaccine: HIBV, MNQ
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: No reaction
Age: 20.0
Sex: F
Vaccine: HPV4
Symptoms: Nausea
Clinical narrative: Nausea
Age: 42.0
Sex: F
Vaccine: SMALL
Symptoms: Herpes simplex serology negative, Herpes zoster, Rash erythematous, Rash vesicular, Varicella zoster virus serology positive
Clinical narrative: Developed vesicular erythematous skin eruption over left flank in dermatomal distribution, onset "several days" following receipt of SPV left arm given 18 Aug 2008 (exact date of onset unknown).  Received AVA #1, typhoid vaccines on 15 Aug 2008, & AVA #2 29 Aug 2008; IZ record indicated exempt status for varicella 2/2 non-susceptibility.  Seen by allergist 15 Sep 2008, diagnosed with herpes zoster - no treatment indicated at time.
Age: 42.0
Sex: F
Vaccine: TDAP
Symptoms: Erythema, Oedema, Oedema peripheral, Pain in extremity, Skin warm
Clinical narrative: Patient called one week after receiving TDAP.  Area of arm was swollen "like a goose egg", red and warm to touch, arm sore/painful but these symptoms were mostly resolved by the time of call, only a little edema remained at that time.  (Symptoms discovered upon waking the day after the vaccine was given).
Age: 0.2
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Crying, Full blood count normal, Petechiae, Platelet count normal, Skin lesion
Clinical narrative: Crops of petechiae both legs.  New lesions still appearing 2 months later, increased with crying.
Age: 18.0
Sex: M
Vaccine: FLU3, TDAP
Symptoms: Rash, Urticaria
Clinical narrative: Patient stated evening after vaccines - rash started.  Seen in office 9/24/08 for worsening rash - hives.  No signs of anaphylaxis - patient placed on Benadryl around the clock for 48 hours - if worsening to call.
Age: 32.0
Sex: F
Vaccine: TTOX
Symptoms: Injection site pain, Pain in extremity
Clinical narrative: Left shoulder and arm pain from Tet B.  No erythema, no swelling.  Will follow up in 3-5 days.
Age: 1.0
Sex: M
Vaccine: HEPA, MMR, PNC, VARCEL
Symptoms: Injection site induration, Injection site rash, Malaise, Rash vesicular
Clinical narrative: Received Varivax 8-26-08 to (R) upper thigh.  Started not feeling well approximately 8-30-08.  On 9-3-08 broke out with a Varicella like rash to stomach and back.  Lasted approximately 3-4 days.  (Right) upper thigh had a quarter sized hard area to thigh with rash.
Age: 1.0
Sex: M
Vaccine: HEPA, MMR, PNC, VARCEL
Symptoms: Injection site induration, Injection site rash, Malaise, Rash vesicular
Clinical narrative: Received Varivax 8-26-08 to (R) upper thigh.  Started not feeling well approximately 8-30-08.  On 9-3-08 broke out with a Varicella like rash to stomach and back.  Lasted approximately 3-4 days.  (R) upper thigh had a dime sized hard area to thigh with rash.
Age: 42.0
Sex: F
Vaccine: TDAP
Symptoms: Erythema, Headache, Photophobia, Vomiting
Clinical narrative: Got TDAP at 10:30 (A), called at 2:45 p, had vomited x 2, arm with only quarter sized erythema, no swelling.  "Worse headache ever", difficulty/sensitivity to light.  Advised to ED.  9/24 - I called patient back - she went to ED.  On 9/23 diagnosed with a headache.  Treated and released.  Patient states she feels "a lot better" today, no headache or stiffness in neck.
Age: 4.0
Sex: M
Vaccine: DTAP
Symptoms: Injection site erythema, Injection site induration, Injection site swelling
Clinical narrative: Left arm with severe swelling, redness, and induration worse from the site of application of DTAP down to elbow.  Meds. Benadryl 12.5/mL, 1 1/2 tsp, PO every 6 hours for 3 days, cold compresses, Tylenol PRN if patient has pain.
Age: 7.0
Sex: M
Vaccine: VARCEL
Symptoms: Erythema, Oedema peripheral
Clinical narrative: Red, swollen right arm.
Age: 5.0
Sex: M
Vaccine: DTAP, MMR
Symptoms: Erythema, Local reaction, Skin warm
Clinical narrative: Local reaction (L) deltoid area reddened hot to touch.
Age: 0.9
Sex: F
Vaccine: DTAP, HEPA, HIBV, IPV, PNC
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: Hepatitis A #1 given 3 weeks prior to 1st b-day. Per CDC, series to be restarted in 6 months.
Age: 10.0
Sex: M
Vaccine: DT
Symptoms: Wrong drug administered
Clinical narrative: DT given outside of recommended age.  Patient should have received TD.  Per nurse, no need to revaccinate with TD.
Age: 9.0
Sex: M
Vaccine: DT
Symptoms: Wrong drug administered
Clinical narrative: DT given outside of recommended age. Pt should have received per representative at manufacturer, no need to revaccinate with Td.
Age: 3.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Injection site rash
Clinical narrative: Mother reported to clinic with child on morning of 9/12/08.  Complained of rash to sites where vaccines were administered on 9/11/08.  Fine rash noted to left deltoid area and right arm.  Child and mother denied itching.  No fever.
Age: 26.0
Sex: M
Vaccine: HEPAB
Symptoms: Injection site pruritus, Injection site rash
Clinical narrative: Today employee awoke and noted rash to right upper arm where vaccine was applied on 9-18-08.  Employee indicated area he noted rash at site where vaccine was placed he did experience some itching.  He called occupational health nurse separating reaction and rash to right upper arm, reaction noted on VAERS form.  Tx: Benadryl and Antibiotic ointment to site.
Sex: M
Vaccine: UNK
Symptoms: Contusion, Erythema, Headache, Mass, Musculoskeletal pain
Clinical narrative: C/O headache, shoulder pain, nausea for 3 days. (L) arm red, bruised, lump measures 21 x 25, (L) arm warm to touch.