chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 55.0
Sex: F
Vaccine: TDAP
Symptoms: Chills, Dizziness, Injection site erythema, Injection site pain, Injection site warmth
Clinical narrative: Nausea, dizziness, fever, chills, arm red, warm, sore surrounding administration site. No treatment.
Age: 55.0
Sex: F
Vaccine: TDAP
Symptoms: Nausea, Pyrexia
Clinical narrative: Nausea, dizziness, fever, chills, arm red, warm, sore surrounding administration site. No treatment.
Age: 0.3
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Speech disorder
Clinical narrative: The day after immunization, pt had a marked decrease in verbalization.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Erythema multiforme, Rash
Clinical narrative: Child administered MMR vaccine subcutaneously on 6/9/08 in right arm.  DTaP also given in right arm IM.  Father (physician) reports pt developed a rash that looked like erythema multiforme near injection site of MMR.  Rash lasted from 6/13/08-6/17/08.  Child is now OK.  No treatment given. Child has had a previous history of erythema multiforme.
Age: 40.0
Sex: M
Vaccine: TDAP
Symptoms: Arthralgia, Chills, Fatigue, Hyperhidrosis, Injection site bruising
Clinical narrative: Muscle aches & joint pain througout body, intermittent fever (incl. sweats, chills), fatigue, pain (bruised muscle ache) at injection site
Age: 40.0
Sex: M
Vaccine: TDAP
Symptoms: Injection site pain, Myalgia, Pyrexia
Clinical narrative: Muscle aches & joint pain througout body, intermittent fever (incl. sweats, chills), fatigue, pain (bruised muscle ache) at injection site
Age: 18.0
Sex: F
Vaccine: HEP, HEPA, HPV4
Symptoms: Expired drug administered
Clinical narrative: HepB vaccine administered had expired previous day
Age: 17.0
Sex: F
Vaccine: HEP, MNQ, TDAP
Symptoms: Expired drug administered
Clinical narrative: HEP B VACCINE THAT WAS ADMINISTERED EXPIRED THE PREVIOUS DAY.
Age: 0.5
Sex: F
Vaccine: DTAPHEPBIP, HIBV
Symptoms: Rash generalised, Urticaria
Clinical narrative: Rash all over body, Welps at injection site.
Age: 1.18
Sex: M
Vaccine: VARCEL, VARCEL
Symptoms: Band neutrophil count decreased, Blood culture negative, Chest X-ray normal, Diet refusal, Neutropenia
Clinical narrative: PT WAS GIVEN VARIVAX ON 6/10/2008 THEN BEGAN HAVING FEVER THAT SAME EVENING MOM CALLED OFFICE ON 6/11/2008 TO STAT THAT PT FEVER WOULD NOT BREAK ADVISED MOM TO ALTERNATE TYLENOL AND MOTRIN EVERY 6HRS. MOM CALLED AGAIN ON 6/12/2008 STATING THAT THE PT WAS NOT EATING AND WAS STILL HAVING FEVER. MOM WAS ADVISED TO BRING IN PT FOR DOCTOR TO SEE. PT WAS STARTED ON ANTIBOTIC. 6/13/2008 PT FEVER WAS GREATER THAN 103.4 AX. MOM THEN TOOK PT TO HOSPITAL. PT WAS ADMITTED FOR NEUTROPENIA AND HIGH FEVER. PT WAS GIVEN IV ROCEPHIN AND WAS HOSPITALIZED FOR 5 DAYS NEUTROPHIL COUNT WAS 1285 UPON ADMISSION. AFTER DISCHARGE PT IS STILL BEING FOLLOWED TO MONITOR NEUTROPIL COUNT 7/9/08-records received for DOS 6/13-6/18/08-DC DX: acute neutropenia with high fever. Possible viral syndrome. Admitted through ED with fever of 104.5, two days after vaccination presented with temperature of 103, confusion and pulling at ears. Nasal congestion, erythema of tympanic membranes. Irritable.
Age: 1.18
Sex: M
Vaccine: VARCEL, VARCEL
Symptoms: Neutrophil count decreased, Pyrexia, Urine analysis normal, White blood cell count decreased
Clinical narrative: PT WAS GIVEN VARIVAX ON 6/10/2008 THEN BEGAN HAVING FEVER THAT SAME EVENING MOM CALLED OFFICE ON 6/11/2008 TO STAT THAT PT FEVER WOULD NOT BREAK ADVISED MOM TO ALTERNATE TYLENOL AND MOTRIN EVERY 6HRS. MOM CALLED AGAIN ON 6/12/2008 STATING THAT THE PT WAS NOT EATING AND WAS STILL HAVING FEVER. MOM WAS ADVISED TO BRING IN PT FOR DOCTOR TO SEE. PT WAS STARTED ON ANTIBOTIC. 6/13/2008 PT FEVER WAS GREATER THAN 103.4 AX. MOM THEN TOOK PT TO HOSPITAL. PT WAS ADMITTED FOR NEUTROPENIA AND HIGH FEVER. PT WAS GIVEN IV ROCEPHIN AND WAS HOSPITALIZED FOR 5 DAYS NEUTROPHIL COUNT WAS 1285 UPON ADMISSION. AFTER DISCHARGE PT IS STILL BEING FOLLOWED TO MONITOR NEUTROPIL COUNT 7/9/08-records received for DOS 6/13-6/18/08-DC DX: acute neutropenia with high fever. Possible viral syndrome. Admitted through ED with fever of 104.5, two days after vaccination presented with temperature of 103, confusion and pulling at ears. Nasal congestion, erythema of tympanic membranes. Irritable.
Age: 1.18
Sex: M
Vaccine: VARCEL, VARCEL
Symptoms: Band neutrophil count decreased, Blood culture negative, Body temperature increased, Haemoglobin normal, Neutropenia
Clinical narrative: PT WAS GIVEN VARIVAX ON 6/10/2008 THEN BEGAN HAVING FEVER THAT SAME EVENING MOM CALLED OFFICE ON 6/11/2008 TO STAT THAT PT FEVER WOULD NOT BREAK ADVISED MOM TO ALTERNATE TYLENOL AND MOTRIN EVERY 6HRS. MOM CALLED AGAIN ON 6/12/2008 STATING THAT THE PT WAS NOT EATING AND WAS STILL HAVING FEVER. MOM WAS ADVISED TO BRING IN PT FOR DOCTOR TO SEE. PT WAS STARTED ON ANTIBOTIC. 6/13/2008 PT FEVER WAS GREATER THAN 103.4 AX. MOM THEN TOOK PT TO HOSPITAL. PT WAS ADMITTED FOR NEUTROPENIA AND HIGH FEVER. PT WAS GIVEN IV ROCEPHIN AND WAS HOSPITALIZED FOR 5 DAYS NEUTROPHIL COUNT WAS 1285 UPON ADMISSION. AFTER DISCHARGE PT IS STILL BEING FOLLOWED TO MONITOR NEUTROPIL COUNT 7/9/08-records received for DOS 6/13-6/18/08-DC DX: acute neutropenia with high fever. Possible viral syndrome. Admitted through ED with fever of 104.5, two days after vaccination presented with temperature of 103, confusion and pulling at ears. Nasal congestion, erythema of tympanic membranes. Irritable.
Age: 1.18
Sex: M
Vaccine: VARCEL, VARCEL
Symptoms: Neutrophil count increased, Pyrexia, White blood cell count decreased
Clinical narrative: PT WAS GIVEN VARIVAX ON 6/10/2008 THEN BEGAN HAVING FEVER THAT SAME EVENING MOM CALLED OFFICE ON 6/11/2008 TO STAT THAT PT FEVER WOULD NOT BREAK ADVISED MOM TO ALTERNATE TYLENOL AND MOTRIN EVERY 6HRS. MOM CALLED AGAIN ON 6/12/2008 STATING THAT THE PT WAS NOT EATING AND WAS STILL HAVING FEVER. MOM WAS ADVISED TO BRING IN PT FOR DOCTOR TO SEE. PT WAS STARTED ON ANTIBOTIC. 6/13/2008 PT FEVER WAS GREATER THAN 103.4 AX. MOM THEN TOOK PT TO HOSPITAL. PT WAS ADMITTED FOR NEUTROPENIA AND HIGH FEVER. PT WAS GIVEN IV ROCEPHIN AND WAS HOSPITALIZED FOR 5 DAYS NEUTROPHIL COUNT WAS 1285 UPON ADMISSION. AFTER DISCHARGE PT IS STILL BEING FOLLOWED TO MONITOR NEUTROPIL COUNT 7/9/08-records received for DOS 6/13-6/18/08-DC DX: acute neutropenia with high fever. Possible viral syndrome. Admitted through ED with fever of 104.5, two days after vaccination presented with temperature of 103, confusion and pulling at ears. Nasal congestion, erythema of tympanic membranes. Irritable.
Age: 4.0
Sex: M
Vaccine: DTAP
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: mom states child woke next am after recieving vaccine with sore leg and redness at site. states gradually got bigger. about the size half dollar. advised to alternate warm and cold compress and to tx with advil or motrin and benadryl as needed. if worsens to seek md care.
Age: 32.0
Sex: F
Vaccine: DTAP, TYP
Symptoms: Diarrhoea, Disorientation, Hallucination, Influenza like illness, Insomnia
Clinical narrative: First onset of symptoms began about 18 hours aver vaccination. First symptoms were, 102.1 temperature, myalgia everywhere "my teeth even hurt", vommitting x 1, 4 episodes of diarrhea seperated by an hour, pt tried going to sleep, but was unable. Pt stated at this point she began having hallucinations "bugs crawling (purple and green) down the wall" Pt also states that husband said she was disoriented and kept stating they were at a local restraunt and giving her order. Pt husband (a physician) gave her 800mg motrin, and 25mg Benadryl. Pt was then able to go to sleep. Next morning pt remains feeling "like she has the flu"
Age: 32.0
Sex: F
Vaccine: DTAP, TYP
Symptoms: Myalgia, Pyrexia, Toothache, Vomiting
Clinical narrative: First onset of symptoms began about 18 hours aver vaccination. First symptoms were, 102.1 temperature, myalgia everywhere "my teeth even hurt", vommitting x 1, 4 episodes of diarrhea seperated by an hour, pt tried going to sleep, but was unable. Pt stated at this point she began having hallucinations "bugs crawling (purple and green) down the wall" Pt also states that husband said she was disoriented and kept stating they were at a local restraunt and giving her order. Pt husband (a physician) gave her 800mg motrin, and 25mg Benadryl. Pt was then able to go to sleep. Next morning pt remains feeling "like she has the flu"
Age: 60.0
Sex: F
Vaccine: HEP
Symptoms: Urticaria
Clinical narrative: urticaria
Age: 1.0
Sex: M
Vaccine: DTAP, MMR, PNC, VARCEL
Symptoms: Pyrexia, Rash
Clinical narrative: Started with fever on 6-19 through 6-21.  Rash started on 6-23 lasting through 6-26. Rash was on face, head, ears, stomach and back.  No loss of appetite; No cough or cold symptoms. Using Calamine lotion with Benadryl.
Age: 5.0
Sex: M
Vaccine: DTAP, HEP, HEPA, IPV, MMR, VARCEL
Symptoms: Erythema, Oedema peripheral, Skin warm
Clinical narrative: LUA + ERYTHEMA/ WARMTH, NON TENDER, SKIN INTEGUMENT INTACT. RECEIVED SHOTS ON MONDAY AND ARM SWELLED UP LATER THAT DAY.
Age: 17.0
Sex: F
Vaccine: HEPA, TDAP, VARCEL
Symptoms: Blood immunoglobulin G, Blood immunoglobulin M, Pruritus, Pyrexia, Rash vesicular
Clinical narrative: Around 6/16/08 approximately 2 weeks after dose pt began to have varicella rash on face and around her eyes.  This progressed to trunk and extremities over next few days.  She developed a fever on 6/21 and was admitted at MC for treatment of disseminated varicella infection on 6/21.  Tmax 102.  Pt recieved IV acyclovir and po hydroxyzine for itching. 9/4/08-records received for DOS 6/21-6/27/08-DC DX: Varicella without mention of complications. Presented with 5 day history of generalized body itching and a rash. Itching started in eye then around lips and spread to arm, back and trunk. Rash was pruritic.
Age: 17.0
Sex: F
Vaccine: HEPA, TDAP, VARCEL
Symptoms: Varicella
Clinical narrative: Around 6/16/08 approximately 2 weeks after dose pt began to have varicella rash on face and around her eyes.  This progressed to trunk and extremities over next few days.  She developed a fever on 6/21 and was admitted at MC for treatment of disseminated varicella infection on 6/21.  Tmax 102.  Pt recieved IV acyclovir and po hydroxyzine for itching. 9/4/08-records received for DOS 6/21-6/27/08-DC DX: Varicella without mention of complications. Presented with 5 day history of generalized body itching and a rash. Itching started in eye then around lips and spread to arm, back and trunk. Rash was pruritic.
Age: 15.0
Sex: F
Vaccine: HPV4
Symptoms: Syncope
Clinical narrative: pt fainted approximately 3-4 minutes past receiving vaccination.  No treatment required.
Age: 2.0
Sex: F
Vaccine: MMR
Symptoms: Abnormal behaviour, Bowel movement irregularity, X-ray abnormal
Clinical narrative: Behavior changes starting on 6/8.  These are described by the mother as tantrums that are intense with writhing and kicking.  Behavior has been observed by family, not health professionals.  Reactions complicated because patient also swallowed an earring on 5/31, one day post MMR.  Child has had an abnormal pattern of bowel movements since passing the earring on 6/04/08.  Parent was strongly, strongly encouraged to seek medical care for the child.  The parent has communicated on the phone with the primary, but saw a physician in the ER for the earing incident the day it happened.  The child's primary was notified of VAERS and the child's periodic screaming and abnormal bowel patterns.
Age: 18.0
Sex: M
Vaccine: MNQ, TDAP
Symptoms: Dizziness, Heart rate normal, Pallor
Clinical narrative: VACCINATED WITH TdAP AND MENACTRA-APPROXIMATELY 2 MINUTES AFTER ADMINISTRATION, CLIENT BECAME DIZZY, PALE. HEAD WAS PLACED BELOW THE LEVEL OF HEART, PULSE 66, AMMONIA INHALANT PROVIDED.  WATER, ORANGE SODA, PEANUT BUTTER CRACKERS PROVIDED.  PLACED IN RECUMBANT POSITION WITH FEET UP. BP MONITORED FREQUENTLY.  MD ASSESSED CLIENT AND FOUND HIM TO BE STABLE AND WAS ESCORTED TO CAR BY FATHER AND NURSE.
Age: 14.0
Sex: F
Vaccine: HPV4, MNQ, TDAP
Symptoms: Convulsion, Familial risk factor, Heart rate decreased, Hyperhidrosis, Loss of consciousness
Clinical narrative: Child was given vaccine at approximately 1400 hrs.  About a minute later she started becoming pale.  She had a seizure-like episode with muscle rigidity and loss of bladder control. She did not appear to lose consciousness completely and was able to answer questions immediately after the episode.  We laid her down and applied cool towels to her face.  We gave her cool water to drink.  She became diaphoretic. Her breathing and pulse remained slow and regular.  She became well enough to sit up in a chair about 15 minutes after the episode, and I accompanied her to the car about 5 minutes later.  According to patient, the only thing she has eaten all day was a piece of bread.  She had never had a similar reaction to immunization, but her mother reported that many of her family members had either lost consciousness or become faint after immunization.  She also reported that patient has had low blood pressure in the past.  I called to check on her an hour later.  She had eaten and was acting normally.
Age: 14.0
Sex: F
Vaccine: HPV4, MNQ, TDAP
Symptoms: Muscle rigidity, No reaction on previous exposure to drug, Pallor, Respiratory rate decreased, Urinary incontinence
Clinical narrative: Child was given vaccine at approximately 1400 hrs.  About a minute later she started becoming pale.  She had a seizure-like episode with muscle rigidity and loss of bladder control. She did not appear to lose consciousness completely and was able to answer questions immediately after the episode.  We laid her down and applied cool towels to her face.  We gave her cool water to drink.  She became diaphoretic. Her breathing and pulse remained slow and regular.  She became well enough to sit up in a chair about 15 minutes after the episode, and I accompanied her to the car about 5 minutes later.  According to patient, the only thing she has eaten all day was a piece of bread.  She had never had a similar reaction to immunization, but her mother reported that many of her family members had either lost consciousness or become faint after immunization.  She also reported that patient has had low blood pressure in the past.  I called to check on her an hour later.  She had eaten and was acting normally.
Age: 13.0
Sex: F
Vaccine: VARCEL
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Pt had redness and swelling at site of injection (about 2 inches in diameter) with quarter sized darker red raised bump in center.  Pt was examined by Dr.
Age: 63.0
Sex: F
Vaccine: HEPAB, TDAP
Symptoms: Blood culture negative, Culture urine negative, Full blood count normal, Headache, Influenza like illness
Clinical narrative: Fever to 103, headache, "flu-like", myalgia  7/11/08 Reviewed hospital medical records of 6/25-6/28/2008. FINAL DX: no d/c summary available.  Admitted for febrile illness. Records reveal patient experienced flu-like symptoms, left arm pain at injection site, myalgias, arthralgias, ached all over.  Symptoms worsened.  Developed rigors, SOB, nausea, loose stools, confused, disoriented, chest pain that resolved spontaneously, & HA.  In ER, temp was 103.  Exam revealed lower abdominal tenderness, injection sites were w/o problems.  Admitted & ID consult done.
Age: 63.0
Sex: F
Vaccine: HEPAB, TDAP
Symptoms: Myalgia, Pyrexia, X-ray normal
Clinical narrative: Fever to 103, headache, "flu-like", myalgia  7/11/08 Reviewed hospital medical records of 6/25-6/28/2008. FINAL DX: no d/c summary available.  Admitted for febrile illness. Records reveal patient experienced flu-like symptoms, left arm pain at injection site, myalgias, arthralgias, ached all over.  Symptoms worsened.  Developed rigors, SOB, nausea, loose stools, confused, disoriented, chest pain that resolved spontaneously, & HA.  In ER, temp was 103.  Exam revealed lower abdominal tenderness, injection sites were w/o problems.  Admitted & ID consult done.
Age: 33.0
Sex: F
Vaccine: DTAP
Symptoms: Erythema, Fatigue, Induration, Injection site pain, Injection site warmth
Clinical narrative: On 6/22, injection site mildy sore.  On 6/23, awoke and had symptoms all day of nausea, very fatigued, fever of 100 degrees F, site with 3 to 4 cm hardened with deep erythemia, site warm to touch.  On 6/24, no systemic complaints and site is approximately 5mm in diameter and itchy.
Age: 33.0
Sex: F
Vaccine: DTAP
Symptoms: Nausea, Pyrexia
Clinical narrative: On 6/22, injection site mildy sore.  On 6/23, awoke and had symptoms all day of nausea, very fatigued, fever of 100 degrees F, site with 3 to 4 cm hardened with deep erythemia, site warm to touch.  On 6/24, no systemic complaints and site is approximately 5mm in diameter and itchy.
Age: 16.0
Sex: F
Vaccine: HPV4, MNQ, TDAP
Symptoms: Gaze palsy
Clinical narrative: Child received MCV4, Tdap without noticeable change in mental status. Upon administration of Human Papilloma Vaccine, patient's eyes rolled up and she began to slump from chair. She was caught and placed supine by paramedics. Per (paramedic administrators), "As soon as she was supine, she opened her eyes and began conversing with us". There was no alteration of her mental status from that point on. Patient was monitiored for another 15 minutes and was then allowed to leave. She was alert and oriented appropriately; color was good; gait was steady; speech was clear. Subsequent attempts to follow-up with patient's family revealed a non-working phone number.
Age: 2.0
Sex: M
Vaccine: DTAP, HBHEPB, HEPA, IPV, MMRV
Symptoms: Injection site cellulitis, Injection site erythema, Injection site induration, Injection site pain, Injection site swelling
Clinical narrative: 2y.o. 3 mos male with redness,hard swelling and tenderness to injection site consistent with sterile cellulitis secondary to injection. patient given keflex for 3 days with a recommendation for benadryl and HC topically. will f/u with PCP if worsens.
Age: 11.0
Sex: M
Vaccine: TDAP, VARCEL
Symptoms: Condition aggravated, Tic
Clinical narrative: Verbal Tics and Motor Tics
Age: 0.5
Sex: M
Vaccine: DTAPHEPBIP, FLU3, PNC, RV5
Symptoms: Abdominal pain, Diarrhoea
Clinical narrative: Loose stool day before - severe abdominal pain.  8/12/08 Received copy of letter from surgeon to PCP dated 7/14/08.  Patient had been seen in office on 7/9 s/p air enema reduction for IS approx 2 wks prior.  Was doing well & was d/c from further f/u./ss  8/15/08 Reviewed hospital medical records of 6/24-6/25/2008 FINAL DX: Intussusception Records reveal patient experienced intermittent abdominal pain x 1 day with one loose stool.  Temperature 100, pulse 120.  Peds surg consulted.  Admitted overnight for observation s/p enema reduction of IS.  Progressed well & d/c to home w/peds surg & PCP f/u.
Age: 6.0
Sex: F
Vaccine: VARCEL
Symptoms: Haematocrit normal, Haemoglobin normal, Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Swelling of (L) upper arm, progressive with redness and warmth. Swelling progressed from injection site down arm to almost the elbow. No pain at rest but tender with movement and palpation. After about 24 hours, vesicles developed at injection site.  7/11/08 Reviewed ER medical records of 6/21-22/08. FINAL DX: no d/c summary available.  ER dx: cellulitis & allergic reaction. Records reveal patient experienced redness, swelling, warmth, tenderness, itching & vesicles at LUE varicella injection site.  Had been seen earlier same day in urgen care center for same complaints & tx w/antibiotics.  Symptoms worsened & returned to ER.  No reaction to any previous vaccines.  Tx w/IV antibiotics & antihistamine.  Admitted overnight.  Developed rash but continued oral antibiotics on d/c to home.  Referred for cardio consult as outpatient.
Age: 6.0
Sex: F
Vaccine: VARCEL
Symptoms: Injection site vesicles, Injection site warmth, Lymphocyte percentage, Neutrophil percentage, White blood cell count normal
Clinical narrative: Swelling of (L) upper arm, progressive with redness and warmth. Swelling progressed from injection site down arm to almost the elbow. No pain at rest but tender with movement and palpation. After about 24 hours, vesicles developed at injection site.  7/11/08 Reviewed ER medical records of 6/21-22/08. FINAL DX: no d/c summary available.  ER dx: cellulitis & allergic reaction. Records reveal patient experienced redness, swelling, warmth, tenderness, itching & vesicles at LUE varicella injection site.  Had been seen earlier same day in urgen care center for same complaints & tx w/antibiotics.  Symptoms worsened & returned to ER.  No reaction to any previous vaccines.  Tx w/IV antibiotics & antihistamine.  Admitted overnight.  Developed rash but continued oral antibiotics on d/c to home.  Referred for cardio consult as outpatient.
Age: 32.0
Sex: M
Vaccine: ANTH
Symptoms: Arthralgia, Back pain, Computerised tomogram normal, Eyelid ptosis, Headache
Clinical narrative: Other than local soreness with each AVA, he denied any medical problems.  In 1999 he reported tingling in his left thigh, constant for a day or 5.  This was followed by 5 days of no problems before it returned for one week before finally subsiding.  At the end of 99 and beginning of 2000 he noticed tingling involving the whole left side of his head, and that his left eye would want to droop.  He did seek medical attention and reported a negative work up.  He then began to notice weakness in his left thigh.  He noted a sudden onset while at work and a couple of days later he began to notice back pain and headaches.  Reported everything went down hill from there.  He also noted shoulder pain at around the same time and initially thought it was related to his shoulder injury but stated that the pain was more intense this time.  Currently he states that all of his joints are painful, with occasional swelling of right great toe, and both wrists.  He also notes all muscles as being painful.  He states he is stiff in the arm and this may last hours and that he has to move around to loosen up.  Nothing makes pain worse or better.  He also reports headaches and problems sleeping.  Prior to his immunizations he would be able to do a 2 mile run in 13-15 minutes with a PT score of 280-300.  Currently he can't walk and at times requires crutches to get around.  7/15/08 Reviewed case summary & medical records from 1986 to 6/2008.   FINAL DX: fibromyalgia unrelated to vaccinations Records reveal patient experienced multiple sports related injuries, tension HA, URI, muscle strains, back pain, flu s/s, shoulder dislocation w/right axillary neuropathy r/t sports injury, shin splints, elevated BP, benign positional vertigo, CTS, ganglion cyst all prior to vaccinations in 1998-99.  Migraines, sore throat, persistent shoulder pain, upper back, neck & LBP, insomnia, dizziness, hearing loss, 2001 c/o of intermittent numbness all over, adjustment disorder w/depression & anxiety.  2002 referred to pain clinic for chronic upper & lower back pain, medically retired, dx chronic myalgia.  2005 referred to rheum clinic for polyarthritis intermittently since 1998 & dx w/fibrositis.  2006 rheum dx w/fibromyalgia.
Age: 32.0
Sex: M
Vaccine: ANTH
Symptoms: Insomnia, Muscular weakness, Musculoskeletal pain, Musculoskeletal stiffness, Nuclear magnetic resonance imaging normal
Clinical narrative: Other than local soreness with each AVA, he denied any medical problems.  In 1999 he reported tingling in his left thigh, constant for a day or 5.  This was followed by 5 days of no problems before it returned for one week before finally subsiding.  At the end of 99 and beginning of 2000 he noticed tingling involving the whole left side of his head, and that his left eye would want to droop.  He did seek medical attention and reported a negative work up.  He then began to notice weakness in his left thigh.  He noted a sudden onset while at work and a couple of days later he began to notice back pain and headaches.  Reported everything went down hill from there.  He also noted shoulder pain at around the same time and initially thought it was related to his shoulder injury but stated that the pain was more intense this time.  Currently he states that all of his joints are painful, with occasional swelling of right great toe, and both wrists.  He also notes all muscles as being painful.  He states he is stiff in the arm and this may last hours and that he has to move around to loosen up.  Nothing makes pain worse or better.  He also reports headaches and problems sleeping.  Prior to his immunizations he would be able to do a 2 mile run in 13-15 minutes with a PT score of 280-300.  Currently he can't walk and at times requires crutches to get around.  7/15/08 Reviewed case summary & medical records from 1986 to 6/2008.   FINAL DX: fibromyalgia unrelated to vaccinations Records reveal patient experienced multiple sports related injuries, tension HA, URI, muscle strains, back pain, flu s/s, shoulder dislocation w/right axillary neuropathy r/t sports injury, shin splints, elevated BP, benign positional vertigo, CTS, ganglion cyst all prior to vaccinations in 1998-99.  Migraines, sore throat, persistent shoulder pain, upper back, neck & LBP, insomnia, dizziness, hearing loss, 2001 c/o of intermittent numbness all over, adjustment disorder w/depression & anxiety.  2002 referred to pain clinic for chronic upper & lower back pain, medically retired, dx chronic myalgia.  2005 referred to rheum clinic for polyarthritis intermittently since 1998 & dx w/fibrositis.  2006 rheum dx w/fibromyalgia.
Age: 32.0
Sex: M
Vaccine: ANTH
Symptoms: Paraesthesia
Clinical narrative: Other than local soreness with each AVA, he denied any medical problems.  In 1999 he reported tingling in his left thigh, constant for a day or 5.  This was followed by 5 days of no problems before it returned for one week before finally subsiding.  At the end of 99 and beginning of 2000 he noticed tingling involving the whole left side of his head, and that his left eye would want to droop.  He did seek medical attention and reported a negative work up.  He then began to notice weakness in his left thigh.  He noted a sudden onset while at work and a couple of days later he began to notice back pain and headaches.  Reported everything went down hill from there.  He also noted shoulder pain at around the same time and initially thought it was related to his shoulder injury but stated that the pain was more intense this time.  Currently he states that all of his joints are painful, with occasional swelling of right great toe, and both wrists.  He also notes all muscles as being painful.  He states he is stiff in the arm and this may last hours and that he has to move around to loosen up.  Nothing makes pain worse or better.  He also reports headaches and problems sleeping.  Prior to his immunizations he would be able to do a 2 mile run in 13-15 minutes with a PT score of 280-300.  Currently he can't walk and at times requires crutches to get around.  7/15/08 Reviewed case summary & medical records from 1986 to 6/2008.   FINAL DX: fibromyalgia unrelated to vaccinations Records reveal patient experienced multiple sports related injuries, tension HA, URI, muscle strains, back pain, flu s/s, shoulder dislocation w/right axillary neuropathy r/t sports injury, shin splints, elevated BP, benign positional vertigo, CTS, ganglion cyst all prior to vaccinations in 1998-99.  Migraines, sore throat, persistent shoulder pain, upper back, neck & LBP, insomnia, dizziness, hearing loss, 2001 c/o of intermittent numbness all over, adjustment disorder w/depression & anxiety.  2002 referred to pain clinic for chronic upper & lower back pain, medically retired, dx chronic myalgia.  2005 referred to rheum clinic for polyarthritis intermittently since 1998 & dx w/fibrositis.  2006 rheum dx w/fibromyalgia.
Age: 14.0
Sex: F
Vaccine: HPV4
Symptoms: Blood glucose increased, Blood glucose increased, Fatigue, Fatigue, Insulin resistance
Clinical narrative: Became very tired, lost weight, then when we checked her Blood sugar was 428. 8/12/08-records received for DOS 8/31-9/1/07-DX:New onset diabetes. Began losing weight at end of school year from 182 to 115. Over the summer increasing thirst, polyphagia, polyuria with nocturia and increased fatigue. Began monitoring with insulin coverage as an outpatient but became hyperglycemic with sugars 401-500.   1/25/2010 Follow up: She has type 1 diabetes. She is insulin dependent and also takes Metformin twice a day because she is insulin resistant. She had none of the symptoms before the shot.
Age: 14.0
Sex: F
Vaccine: HPV4
Symptoms: Type 1 diabetes mellitus, Weight decreased
Clinical narrative: Became very tired, lost weight, then when we checked her Blood sugar was 428. 8/12/08-records received for DOS 8/31-9/1/07-DX:New onset diabetes. Began losing weight at end of school year from 182 to 115. Over the summer increasing thirst, polyphagia, polyuria with nocturia and increased fatigue. Began monitoring with insulin coverage as an outpatient but became hyperglycemic with sugars 401-500.   1/25/2010 Follow up: She has type 1 diabetes. She is insulin dependent and also takes Metformin twice a day because she is insulin resistant. She had none of the symptoms before the shot.
Age: 1.3
Sex: M
Vaccine: DTAP
Symptoms: Haemoglobin decreased, Haemolytic anaemia
Clinical narrative: Immune mediated hemolytic anemia - Hgb 4 => 4 days following administration of DTaP. 8/7/08-records received-for DOS 6/16-6/26/08-DC DX: Autoimmune hemolytic anemia. C/O vomiting rhinorrhea, cough, sleepy limp. Severe anemia. Two days prior began having mild emesis, fevers, and fatigue, pale and tired.
Age: 19.0
Sex: F
Vaccine: HEPA
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Pruritus, Rash papular
Clinical narrative: She reportedly received her second Hep A (into her left deltoid (above her SP scar) November 2007. She noted immediately that this shot was significantly more painful than her previous shots. The next am the area was swollen, red, and tender to touch. She denies fever, chills, myalgia, lightheadedness, etc. The site remained swollen and tender. After about 3 days she noted very pruritic satellite papules. She would scratch to the point of excoriation. Topical steroid cream and Claritin were ineffective. The inflammation/papules spontaneously resolved after about 7-10 days. About 2 weeks later she noted a quarter-sized area of swelling and tenderness at the same site. Over the next few days it expanded to approximately 3" in diameter with peripheral small pruritic papules (neither vesicles nor pustules). She denied preceding trauma to the area. Over the past 6 months, the localized reaction has recurred in cyclic fashion about every 2 weeks, lasting about 7-10 days (four times). The reactions are neither worse nor better in severity or duration. Always involves exactly the same location over her deltoid. Reaction is not related to exercise, identifiable exposures, foods, medications, or her menses.
Age: 14.0
Sex: F
Vaccine: HEPA, HPV4, MNQ, VARCEL
Symptoms: Nausea, Oedema peripheral, Pain, Pruritus, Skin warm
Clinical narrative: Patient stated today that 1 hour after receiving vaccination immediately left upper arm and below left deltoid to right above left elbow is swollen; became hot to touch; painful like itch (no aching).  Felt nauseated 45 minutes after vaccination.  Subsided now, but swelling and warmth left upper arm still present.
Age: 4.0
Sex: F
Vaccine: HEPA, MMRV
Symptoms: Varicella post vaccine
Clinical narrative: Varicella appeared on 6-26-08. Symptomatic care.
Age: 0.5
Sex: F
Vaccine: DTAP, HIBV, PNC, RV5
Symptoms: Injection site abscess
Clinical narrative: Abscess in R thing 1 month after DTAP
Age: 11.0
Sex: F
Vaccine: DTAP, HEP, HEPA, VARCEL
Symptoms: Inappropriate schedule of drug administration, Wrong drug administered
Clinical narrative: Child in clinic 6-20-08 for well exam and vaccines - record from medical center states DTAP given not TDAP, CDC contacted - stated UTD no need to re-vaccinated - but should report to VAERS.
Age: 11.0
Sex: M
Vaccine: TDAP, VARCEL
Symptoms: Erythema, Oedema peripheral
Clinical narrative: Swelling, erythema (L) arm - started 3 hrs post vaccination increasing over the next 2 days to 6" x 5 1/2".
Sex: F
Vaccine: TDAP
Symptoms: Headache, Influenza like illness, Nausea, Vomiting
Clinical narrative: Day following vaccine administration. pt woke up with "Flu like sx", states N/V, severe headache. Was transported to E.R for evaluation of sx.
Sex: F
Vaccine: TYP
Symptoms: Dry mouth, Dysphonia, Dyspnoea, Pain in extremity
Clinical narrative: Went home, rested, kept hydrated and did not move arm much as advised. later on when tried to move arm it was painful, had trouble breathing, hoarseness, dry mouth.
Age: 46.0
Sex: M
Vaccine: ANTH
Symptoms: Arthralgia, Epicondylitis, Immediate post-injection reaction, X-ray abnormal
Clinical narrative: Per patient history, he developed left elbow pain onset "immediately" following receipt of AVA #6, SC, left arm, in May 2007; denied hx trauma or overuse; joint pain was not accompanied with swelling, erythema, warmth; did not recall presence of large local injection site reaction or any other systemic symptoms; diagnosed with lateral epicondylitis Nov 2007; previous history of bilateral hip pain, onset associated with receipt of AVA doses #1-5 from 1999-2000.  Symptoms: Joint Pain, isolated, left elbow.
Age: 38.0
Sex: M
Vaccine: ANTH
Symptoms: Arthralgia
Clinical narrative: Per patient history only, he developed intermittent bilateral hip pain following receipt of AVA doses #1-5 from 1999-2000; denied hx trauma or overuse; did not recall whether pain was exacerbated with subsequent doses; did not recall presence of large local injection site reaction or any other systemic symptoms; pain remains intermittent/persistent to date; symptom has not yet been medically evaluated.  Symptom: Bilateral Hip Pain (chronic intermittent).
Age: 66.0
Sex: F
Vaccine: PPV, TD
Symptoms: Cough, Dyspnoea, Pneumonia, Pyrexia
Clinical narrative: Fever, shortness of breath, cough.  Dx with pneumonia.  Pt did not come in until 7 days after vaccines admin.
Age: 1.05
Sex: M
Vaccine: HEPA, PNC, VARCEL
Symptoms: Injection site erythema, Local reaction
Clinical narrative: Localized reaction.  Redness 3" around site lasting 10 minutes then clear.
Age: 24.0
Sex: F
Vaccine: JEV
Symptoms: Hypoaesthesia, Influenza like illness, Muscle spasms
Clinical narrative: Patient came in requesting JVAX, she seemed unsure.  I gave her all paperwork of possible signs and symptoms of vaccine and patient decided to get it.  Patient phoned 3 times complaining of S/E including flu signs and symptoms, numbness when raising arms and now leg cramps.  Patient referred to family doctor x 3.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling
Clinical narrative: 6x4 cm area of swelling & redness right deltoid-no pain to palpation.  Patient complaint of itching.
Age: 8.0
Sex: F
Vaccine: TD, VARCEL
Symptoms: Erythema, Oedema peripheral
Clinical narrative: Increased swelling & redness to right upper arm 6x6 cm ~2 hours after 6/25/08.  BACTRIM 3tsp BID.
Age: 2.0
Sex: M
Vaccine: VARCEL
Symptoms: Erythema, Oedema peripheral, Pruritus, Skin warm
Clinical narrative: Swelling and redness to left shoulder down to mid upper arm, hot to touch, child complained of area itching.
Age: 23.0
Sex: M
Vaccine: ANTH, TYP
Symptoms: Arthralgia, Chest discomfort, Dyspnoea, Fatigue, Headache
Clinical narrative: 23 year old male contacted hospital on 6/13/2008 with following history: 1.  New onset headaches within 1.5 hours of receiving initial dose AVA in Feb 2008; no N/V, dizziness, or visual deficits; denied history of head trauma; not worsened with subsequent doses, but persistent to date on order of 1-2 headaches/week.  2. New onset migratory joint pains, worsening of previous bilateral knee pain, and myalgia within a week of receiving each dose AVA #1-3; no associated joint erythema, swelling, warmth, or deformity; denied history trauma or overuse; not worsened following subsequent doses but persistent to date.  3. Unusual fatigue onset within 72 hours following receipt of second dose AVA in Mar 2008 - Initially felt like "hit by truck", now with mild persistent fatigue; not worsened following subsequent dose.  4. New onset chest pressure 1-2 weeks following receipt of second dose AVA in Mar 2008 - Intermittent non-radiating substernal pressure, associated with "labored breathing" and sensation of throat tightness; occurs during both rest and exertion, on order of 3-4 times/day; not worsened following subsequent dose but persistent to date.  No evaluation of above to date; hospital recommended patient obtain medical evaluation as soon as possible.
Age: 23.0
Sex: M
Vaccine: ANTH, TYP
Symptoms: Myalgia, Throat tightness
Clinical narrative: 23 year old male contacted hospital on 6/13/2008 with following history: 1.  New onset headaches within 1.5 hours of receiving initial dose AVA in Feb 2008; no N/V, dizziness, or visual deficits; denied history of head trauma; not worsened with subsequent doses, but persistent to date on order of 1-2 headaches/week.  2. New onset migratory joint pains, worsening of previous bilateral knee pain, and myalgia within a week of receiving each dose AVA #1-3; no associated joint erythema, swelling, warmth, or deformity; denied history trauma or overuse; not worsened following subsequent doses but persistent to date.  3. Unusual fatigue onset within 72 hours following receipt of second dose AVA in Mar 2008 - Initially felt like "hit by truck", now with mild persistent fatigue; not worsened following subsequent dose.  4. New onset chest pressure 1-2 weeks following receipt of second dose AVA in Mar 2008 - Intermittent non-radiating substernal pressure, associated with "labored breathing" and sensation of throat tightness; occurs during both rest and exertion, on order of 3-4 times/day; not worsened following subsequent dose but persistent to date.  No evaluation of above to date; hospital recommended patient obtain medical evaluation as soon as possible.
Sex: U
Vaccine: MMR
Symptoms: Injection site pain, Injection site pruritus, Injection site swelling
Clinical narrative: Pt received DTaP on 6-24-08.  Came back 6-26-08 c/o pain, swelling & itching at L deltoid site.  Rx BENADRYL, cool compresses and elevate arm.
Age: 0.31
Sex: F
Vaccine: DTAPHEPBIP, HIBV, IPV
Symptoms: Wrong drug administered
Clinical narrative: Error made, gave PEDIARIX and also IPV instead of PCV on 5-16-08.  No adverse reactions.
Age: 4.0
Sex: M
Vaccine: DTAP, HEPA, IPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site induration, Injection site swelling
Clinical narrative: R thigh hard, red & swollen.  Mom states area was 1/2 size of dollar bill yesterday.  Now 1/2 of his entire thigh is affected, its swelling also.  Pt's mom advised to go to ER.  L thigh.
Age: 0.3
Sex: M
Vaccine: DTAP, HIBV, IPV, RV5, DTAP, HIBV, IPV, RV5
Symptoms: Diet refusal, Discomfort, Intussusception, Lethargy, Pain
Clinical narrative: Information has been received from a registered nurse (RN) concerning an 18 week male with no medical history or allergies who on 15-APR-2008 and 16-JUN-2008 (lot #660681/0210X) was vaccinated with the first and second doses respectively of ROTATEQ.  There was no concomitant medication.  The RN reported that on the morning of 19-JUN-2008 the patient was in the emergency room for intussusception and that the patient may be admitted to the hospital.  The patient had an abdominal sonogram.  The outcome is reported as not recovered.  Upon internal review intussusception was determined to be an other important medical event.  Additional information has been requested.
Age: 0.3
Sex: M
Vaccine: DTAP, HIBV, IPV, RV5, DTAP, HIBV, IPV, RV5
Symptoms: Screaming, Ultrasound scan abnormal, Vomiting, X-ray
Clinical narrative: Information has been received from a registered nurse (RN) concerning an 18 week male with no medical history or allergies who on 15-APR-2008 and 16-JUN-2008 (lot #660681/0210X) was vaccinated with the first and second doses respectively of ROTATEQ.  There was no concomitant medication.  The RN reported that on the morning of 19-JUN-2008 the patient was in the emergency room for intussusception and that the patient may be admitted to the hospital.  The patient had an abdominal sonogram.  The outcome is reported as not recovered.  Upon internal review intussusception was determined to be an other important medical event.  Additional information has been requested.
Age: 0.3
Sex: M
Vaccine: DTAP, HIBV, IPV, RV5, DTAP, HIBV, IPV, RV5
Symptoms: Intussusception, Ultrasound abdomen
Clinical narrative: Information has been received from a registered nurse (RN) concerning an 18 week male with no medical history or allergies who on 15-APR-2008 and 16-JUN-2008 (lot #660681/0210X) was vaccinated with the first and second doses respectively of ROTATEQ.  There was no concomitant medication.  The RN reported that on the morning of 19-JUN-2008 the patient was in the emergency room for intussusception and that the patient may be admitted to the hospital.  The patient had an abdominal sonogram.  The outcome is reported as not recovered.  Upon internal review intussusception was determined to be an other important medical event.  Additional information has been requested.
Age: 0.2
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5, DTAPHEPBIP, HIBV, PNC, RV5, TTOX
Symptoms: Apnoea, Chest X-ray normal, Crying, Full blood count normal, Livedo reticularis
Clinical narrative: Information regarding PREVNAR was received from a healthcare professional regarding a 2-month-old male patient who experienced 24 hours of inconsolable crying, stopped breathing, became dusky and purple and mottled body with grey hands.  At 2 months of age, the patient received the first dose on 04-Jun-2008.  The patient also received the first dose of PEDIARIX (GlaxoSmithKline), the first dose of HIBEST (Pasteur Vaccines) and the first dose of ROTATEQ (Merck & Co Inc) on 04-Jun-2008.  Relevant medical history was not provided.  Concomitant medications were not reported.  The patient experienced 24 hours of inconsolable crying following the administration of PREVNAR on 04-Jun-2008.  On 09-Jun-2008, the mother called the office to report that her child had another long bout of crying.  The child was placed in a warm bath to smooth him.  The child became dusky reported to be "purple and mottled body with grey hands".  The child stopped breathing and was taken to the Emergency Room.  Treatment included oxygen and stimulation.  The child's color returned and he began breathing normally.  He was hospitalized for observation for 48 hours.  The doctor had stated in the patient's chart that these events were related to either a possible vaccine reaction or possible pertussis.  No additional information was available at the time of this report.
Age: 0.2
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5, DTAPHEPBIP, HIBV, PNC, RV5, TTOX
Symptoms: Metabolic function test normal, Oxygen supplementation, Pallor, Vomiting, X-ray gastrointestinal tract normal
Clinical narrative: Information regarding PREVNAR was received from a healthcare professional regarding a 2-month-old male patient who experienced 24 hours of inconsolable crying, stopped breathing, became dusky and purple and mottled body with grey hands.  At 2 months of age, the patient received the first dose on 04-Jun-2008.  The patient also received the first dose of PEDIARIX (GlaxoSmithKline), the first dose of HIBEST (Pasteur Vaccines) and the first dose of ROTATEQ (Merck & Co Inc) on 04-Jun-2008.  Relevant medical history was not provided.  Concomitant medications were not reported.  The patient experienced 24 hours of inconsolable crying following the administration of PREVNAR on 04-Jun-2008.  On 09-Jun-2008, the mother called the office to report that her child had another long bout of crying.  The child was placed in a warm bath to smooth him.  The child became dusky reported to be "purple and mottled body with grey hands".  The child stopped breathing and was taken to the Emergency Room.  Treatment included oxygen and stimulation.  The child's color returned and he began breathing normally.  He was hospitalized for observation for 48 hours.  The doctor had stated in the patient's chart that these events were related to either a possible vaccine reaction or possible pertussis.  No additional information was available at the time of this report.
Age: 0.2
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5, DTAPHEPBIP, HIBV, PNC, RV5, TTOX
Symptoms: Crying, Livedo reticularis, Respiratory arrest, Skin discolouration
Clinical narrative: Information regarding PREVNAR was received from a healthcare professional regarding a 2-month-old male patient who experienced 24 hours of inconsolable crying, stopped breathing, became dusky and purple and mottled body with grey hands.  At 2 months of age, the patient received the first dose on 04-Jun-2008.  The patient also received the first dose of PEDIARIX (GlaxoSmithKline), the first dose of HIBEST (Pasteur Vaccines) and the first dose of ROTATEQ (Merck & Co Inc) on 04-Jun-2008.  Relevant medical history was not provided.  Concomitant medications were not reported.  The patient experienced 24 hours of inconsolable crying following the administration of PREVNAR on 04-Jun-2008.  On 09-Jun-2008, the mother called the office to report that her child had another long bout of crying.  The child was placed in a warm bath to smooth him.  The child became dusky reported to be "purple and mottled body with grey hands".  The child stopped breathing and was taken to the Emergency Room.  Treatment included oxygen and stimulation.  The child's color returned and he began breathing normally.  He was hospitalized for observation for 48 hours.  The doctor had stated in the patient's chart that these events were related to either a possible vaccine reaction or possible pertussis.  No additional information was available at the time of this report.
Sex: F
Vaccine: DTAPHEPBIP, PNC, DTAP, PNC
Symptoms: Urticaria
Clinical narrative: generalized urticaria, improving with benadryl and loratidine as of 6/24/08. Instructed at that time to call back if not completely resolved within a few day. Unable to reach parents as of 6/27. Referred to allergist
Age: 77.0
Sex: F
Vaccine: VARZOS
Symptoms: Abasia, Activities of daily living impaired, Laboratory test, Pain, Rash generalised
Clinical narrative: Information has been received from a consumer concerning her 77 year old grandmother who about a month ago, was vaccinated with ZOSTAVAX (Oka/Merck).  Concomitant therapy included baby aspirin.  The consumer reported that her grandmother experienced a severe skin reaction about one week after receiving ZOSTAVAX (Oka/Merck).  Physician ruled out shingles.  The patient had a rash all over including her abdomen, arms and legs.  She was in extreme pain and was not able to work for a while.  She was treated with unspecified antibiotics and creams.  Lab diagnostics studies performed was reported as: negative for shingles.  Patient had recovered.  Unspecified medical attention was sought.  There was no product quality complaint.  No further information is available.
Age: 77.0
Sex: F
Vaccine: VARZOS
Symptoms: Skin reaction, Varicella zoster serology negative
Clinical narrative: Information has been received from a consumer concerning her 77 year old grandmother who about a month ago, was vaccinated with ZOSTAVAX (Oka/Merck).  Concomitant therapy included baby aspirin.  The consumer reported that her grandmother experienced a severe skin reaction about one week after receiving ZOSTAVAX (Oka/Merck).  Physician ruled out shingles.  The patient had a rash all over including her abdomen, arms and legs.  She was in extreme pain and was not able to work for a while.  She was treated with unspecified antibiotics and creams.  Lab diagnostics studies performed was reported as: negative for shingles.  Patient had recovered.  Unspecified medical attention was sought.  There was no product quality complaint.  No further information is available.