chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 17.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Haemoglobin decreased, Inflammation, Musculoskeletal pain, Myositis, Oedema peripheral
Clinical narrative: autoimmune myositis, fasciitis, anemia, chronic autoimmune disease.  Patient developed symptoms in ipsilateral arm about 3 weeks postvaccination, progressed to severe inflammatory autoimmune disease that has lasted for 1 year and is ongoing.  07/09/2008 Office notes received from Rheumatologist from 9/7/2007 to 4/03/2008 with DX: Myositis/Fasciitis L arm.   Pt developed L shoulder pain and decreased ROM in 8/2007 which has persisted. Pt then developed forearm pain and swelling, elbow pain and pain upon extending fingers and wrist. PE (+) for TMJ pain and inability to fully open mandible, tenderness of the anterior humeral head, upper inner aspect of the arm below the humeral head, and the lateral aspect of the L forearm. Pain upon dorsiflexion of L wrist. Swelling noted on L forearm. Started on Pred.  Much improved by 10/11/07 with Pred taper scheduled. Increased pain with decreased pred. Dose increased and Methotrexate started. Episode of inflammation L leg (ankle and shin pain) 4/2008.
Age: 17.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Pain in extremity, Platelet count increased, Red blood cell count increased, Serology test, Temporomandibular joint syndrome
Clinical narrative: autoimmune myositis, fasciitis, anemia, chronic autoimmune disease.  Patient developed symptoms in ipsilateral arm about 3 weeks postvaccination, progressed to severe inflammatory autoimmune disease that has lasted for 1 year and is ongoing.  07/09/2008 Office notes received from Rheumatologist from 9/7/2007 to 4/03/2008 with DX: Myositis/Fasciitis L arm.   Pt developed L shoulder pain and decreased ROM in 8/2007 which has persisted. Pt then developed forearm pain and swelling, elbow pain and pain upon extending fingers and wrist. PE (+) for TMJ pain and inability to fully open mandible, tenderness of the anterior humeral head, upper inner aspect of the arm below the humeral head, and the lateral aspect of the L forearm. Pain upon dorsiflexion of L wrist. Swelling noted on L forearm. Started on Pred.  Much improved by 10/11/07 with Pred taper scheduled. Increased pain with decreased pred. Dose increased and Methotrexate started. Episode of inflammation L leg (ankle and shin pain) 4/2008.
Age: 17.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Tenderness
Clinical narrative: autoimmune myositis, fasciitis, anemia, chronic autoimmune disease.  Patient developed symptoms in ipsilateral arm about 3 weeks postvaccination, progressed to severe inflammatory autoimmune disease that has lasted for 1 year and is ongoing.  07/09/2008 Office notes received from Rheumatologist from 9/7/2007 to 4/03/2008 with DX: Myositis/Fasciitis L arm.   Pt developed L shoulder pain and decreased ROM in 8/2007 which has persisted. Pt then developed forearm pain and swelling, elbow pain and pain upon extending fingers and wrist. PE (+) for TMJ pain and inability to fully open mandible, tenderness of the anterior humeral head, upper inner aspect of the arm below the humeral head, and the lateral aspect of the L forearm. Pain upon dorsiflexion of L wrist. Swelling noted on L forearm. Started on Pred.  Much improved by 10/11/07 with Pred taper scheduled. Increased pain with decreased pred. Dose increased and Methotrexate started. Episode of inflammation L leg (ankle and shin pain) 4/2008.
Age: 0.5
Sex: F
Vaccine: DTAPHEPBIP, PNC, RV5
Symptoms: Diarrhoea, Vomiting
Clinical narrative: Received Pediarix, Prevnar and Rotateq on 7/2/08.  Developed vomiting and diarrhea on 7/3/08.  Seen in Emergency Room that night and given Zofran.  Exam was normal.  Seen in clinic today on 7/7/08; exam was normal.  Mom and Grandma with same symptoms that began on 7/4/08; unsure if this illness connected with vaccines.
Age: 11.0
Sex: F
Vaccine: HPV4, MEN, TD
Symptoms: Blood pressure decreased, Cold sweat, Syncope
Clinical narrative: Daughter received Gardisil vaccine along with other vaccines. No adverse reaction to needle puncture. Nurse commented patient was very relaxed. But, patient fainted approximately 5 minutes after receving vaccines. Blood pressure dropped and skin was clammy. Treatment was nurse practioner checked patient. Fainting was not identified on doctor handout sheet of possible side effects.
Age: 13.0
Sex: M
Vaccine: MNQ, TDAP
Symptoms: Chills, Injection site pain, Pain, Pyrexia
Clinical narrative: Client reported chills, fever, aches, tenderness at site of MCV4 injection.  Temp 103 degrees 7/2/08.  Temp 101 degrees (ax) 7/3/08.  Parent contacted Dr. - advised to medicate with ibuprofen-up to 60mg q 4-6 hrs if needed.  Recovered well-regular activities by 7-4-08 per mother.
Age: 66.0
Sex: F
Vaccine: VARZOS
Symptoms: Pain, Rash vesicular
Clinical narrative: Pt. developed pain with vesicular lesions on her right lower extremity.  Pt. was started on acyclovir & LORTAB.
Age: 13.0
Sex: F
Vaccine: HPV4
Symptoms: Syncope
Clinical narrative: Within 20 minutes of GARDASIL client fainted.
Age: 0.23
Sex: M
Vaccine: DTAPHEPBIP, PNC, RV5, DTAPHEPBIP, PNC, RV5
Symptoms: Activities of daily living impaired, Hypotonia, Pallor, Pyrexia, Sleep disorder
Clinical narrative: Limp and pale approximately 10 minutes after vaccines.  Throughout the following 9 hours he awakened intermittently and stared, was passive/not very active.  Regained normal activity and behavior after almost 9 hours.  Mom said he had fever also.
Age: 0.23
Sex: M
Vaccine: DTAPHEPBIP, PNC, RV5, DTAPHEPBIP, PNC, RV5
Symptoms: Staring
Clinical narrative: Limp and pale approximately 10 minutes after vaccines.  Throughout the following 9 hours he awakened intermittently and stared, was passive/not very active.  Regained normal activity and behavior after almost 9 hours.  Mom said he had fever also.
Age: 0.23
Sex: M
Vaccine: DTAPHEPBIP, PNC, RV5, DTAPHEPBIP, PNC, RV5
Symptoms: Unevaluable event
Clinical narrative: Limp and pale approximately 10 minutes after vaccines.  Throughout the following 9 hours he awakened intermittently and stared, was passive/not very active.  Regained normal activity and behavior after almost 9 hours.  Mom said he had fever also.
Age: 11.0
Sex: M
Vaccine: HEPA, MNQ, VARCEL
Symptoms: Cold sweat, Dyskinesia, Pain, Pallor, Vomiting
Clinical narrative: Gave Hep A in left deltoid.  Child stated no pain.  Gave VZV sub-q in left arm.  Child complained of pain.  Gave meningococcal in right deltoid.  Child immediately lay back on examination table, clenched hands and jerked about 2 times, then sat back up - pale and clammy.  Child vomited.  Drank sierra mist.  Stated he felt fine.  BP 100/64.  Sat in office for 10 minutes then went home.  Mom stated she'd call if concerns.
Age: 11.0
Sex: F
Vaccine: VARCEL
Symptoms: Erythema, Injection site pain, Oedema peripheral, Pain in extremity, Skin warm
Clinical narrative: Received VARIVAX 7-1-08. Redness and soreness to right upper arm 7-2-08. Presents to pediatrics 7-3-08, with increased redness, <- swelling. Per Dr exam, right upper arm with redness that extends 2/3 of the distance with a little redness below the elbow, warm, not especially swollen, not indurated except at injection site where it is tender. Treated with cephalexin 250mg/5ml. 7.5ml TID x 10days.
Age: 3.0
Sex: F
Vaccine: DTAP, HEPA
Symptoms: Erythema, Excoriation, Injection site erythema, Injection site reaction, Pruritus
Clinical narrative: Mother states child had redness, hive-like rash, itching, fever, and vomiting.  Starting one hour after injections given.  Vomiting did not subside until 7-6-08.  Redness and abrasion to skin noted to lower left leg 7-7-08.  Mother states she gave MOTRIN, TYLENOL and applied NEOSPORIN to affected area.  Did not take child to PCP.  No Medicaid.  Child referred to clinic today 7-7-08.
Age: 3.0
Sex: F
Vaccine: DTAP, HEPA
Symptoms: Pyrexia, Urticaria, Vomiting
Clinical narrative: Mother states child had redness, hive-like rash, itching, fever, and vomiting.  Starting one hour after injections given.  Vomiting did not subside until 7-6-08.  Redness and abrasion to skin noted to lower left leg 7-7-08.  Mother states she gave MOTRIN, TYLENOL and applied NEOSPORIN to affected area.  Did not take child to PCP.  No Medicaid.  Child referred to clinic today 7-7-08.
Age: 47.0
Sex: F
Vaccine: ANTH
Symptoms: Heat rash, Injection site erythema, Injection site swelling, Local reaction, Pruritus generalised
Clinical narrative: Noted the onset of localized redness and swelling around her injection site for the first two days following her vaccination.  This was followed by the presence of multiple small "bumps" that contained clear fluid.  She sought medical attention on the 16th and was told this was a large reaction to AVA.  The redness and swelling did not extend below her elbow.  She was given MOTRIN and it was beginning to clear the following day.  Then approx 9 days after her vaccination she began to notice intense itching all over her body especially on her arms, back and chest with small red bumps on her inner arms and breast. She stated that she never had anything like this before and denied any new soaps, creams, detergents or medication.  She began taking an antihistamine that she had at home that helped a little but the intense itching returned just before the medication wore off.  She went to the clinic again and was told that it was a heat rash and was given some hydrocortisone cream.  Symptoms: Pruritus, diffuse, Erythema, Edema at injection site 30-55mm, Lesions, Vesicle.
Age: 47.0
Sex: F
Vaccine: ANTH
Symptoms: Rash erythematous, Rash vesicular
Clinical narrative: Noted the onset of localized redness and swelling around her injection site for the first two days following her vaccination.  This was followed by the presence of multiple small "bumps" that contained clear fluid.  She sought medical attention on the 16th and was told this was a large reaction to AVA.  The redness and swelling did not extend below her elbow.  She was given MOTRIN and it was beginning to clear the following day.  Then approx 9 days after her vaccination she began to notice intense itching all over her body especially on her arms, back and chest with small red bumps on her inner arms and breast. She stated that she never had anything like this before and denied any new soaps, creams, detergents or medication.  She began taking an antihistamine that she had at home that helped a little but the intense itching returned just before the medication wore off.  She went to the clinic again and was told that it was a heat rash and was given some hydrocortisone cream.  Symptoms: Pruritus, diffuse, Erythema, Edema at injection site 30-55mm, Lesions, Vesicle.
Age: 11.0
Sex: M
Vaccine: VARCEL
Symptoms: Injection site cellulitis, Injection site erythema, Injection site rash, Injection site swelling, Injection site warmth
Clinical narrative: 6 x 4.5 cm area erythema, swelling, rash, warmth at vaccination site.  Temperature 98.  Seen by doctor at clinic on 07/2/08 for cellulitis right arm vaccination site.  Treated with Amoxicillin 250mg 1 cap 3 times/day for 7 days.
Age: 18.0
Sex: M
Vaccine: MNQ, PPV, TD
Symptoms: Axillary mass, Dizziness, Hypoaesthesia, Injection site erythema, Injection site pain
Clinical narrative: An 18-year-old male patient had received an intramuscular right deltoid injection of DECAVAC, lot number U2067DA, and an intramuscular left deltoid injection of MENACTRA, lot number U2632AA, and a subcutaneous left deltoid injection of PNEUMOVAX, lot number 038OU on 02 June 2008 and approximately nine hours later, he developed pain, redness and swelling 3.5 x 2.5 at the left deltoid injection site, left arm numbness and tingling, nausea, dizziness and lightheadedness when standing, and a left axillary lump. The patient was not evaluated by a physician. The patient had not received any other vaccines during the four weeks prior to vaccination however they had received a dose of DECAVAC five months prior on 02 January 2008. the subject's recovery status was not reported and no further information was provided at the time of the report. Follow-up information was received 14 August 2008 from a local health care professional. The report clarified that the initial redness and swelling at the left deltoid injection, site previously described as 3.5 x 2.5, had been in cm. They reported symptoms resolved by 05 June 2008, except for the area of redness which increased to 17 x 9 cm. The patient  had been evaluated by the nurse practitioner on 06 June 2008 and the area of redness had decreased to 4.5 cm in diameter at the time of that evaluation and the patient subsequently recovered from the event date of recovery for the area of redness was not reported. Corrective treatment included ibuprofen, TYLENOL and the application of ice. The diagnosis for the event was reported to have been "localized reaction to vaccine". Follow-up information was received on 18 September 2008 from a health care professional. The reporter clarified that thr injection administered on 02-June 2008 was not part of a primary series. No further information was provided.
Age: 18.0
Sex: M
Vaccine: MNQ, PPV, TD
Symptoms: Injection site swelling, Nausea, Paraesthesia
Clinical narrative: An 18-year-old male patient had received an intramuscular right deltoid injection of DECAVAC, lot number U2067DA, and an intramuscular left deltoid injection of MENACTRA, lot number U2632AA, and a subcutaneous left deltoid injection of PNEUMOVAX, lot number 038OU on 02 June 2008 and approximately nine hours later, he developed pain, redness and swelling 3.5 x 2.5 at the left deltoid injection site, left arm numbness and tingling, nausea, dizziness and lightheadedness when standing, and a left axillary lump. The patient was not evaluated by a physician. The patient had not received any other vaccines during the four weeks prior to vaccination however they had received a dose of DECAVAC five months prior on 02 January 2008. the subject's recovery status was not reported and no further information was provided at the time of the report. Follow-up information was received 14 August 2008 from a local health care professional. The report clarified that the initial redness and swelling at the left deltoid injection, site previously described as 3.5 x 2.5, had been in cm. They reported symptoms resolved by 05 June 2008, except for the area of redness which increased to 17 x 9 cm. The patient  had been evaluated by the nurse practitioner on 06 June 2008 and the area of redness had decreased to 4.5 cm in diameter at the time of that evaluation and the patient subsequently recovered from the event date of recovery for the area of redness was not reported. Corrective treatment included ibuprofen, TYLENOL and the application of ice. The diagnosis for the event was reported to have been "localized reaction to vaccine". Follow-up information was received on 18 September 2008 from a health care professional. The reporter clarified that thr injection administered on 02-June 2008 was not part of a primary series. No further information was provided.
Age: 41.0
Sex: F
Vaccine: MNQ, TYP, YF
Symptoms: Body temperature increased, Head discomfort, Headache, Malaise, Vertigo
Clinical narrative: A 41-year-old female patient, with not concurrent illnesses pre-existing medical conditions, or use of other medications, had received an intramuscular left deltoid injection of MENACTRA (Lot # U2342AA); a subcutaneous left arm injection of YF VAX (lot # UF301AA); and an oral dose of "TYPHOID" vaccine (manufacturer Burna, Lot # 16930A). Seven days post-vaccination, the patient called the physicians office to report that she had experienced a headache and vertigo that lasted just one day, and that she currently had a low grade temperature of 100.0 degrees Fahrenheit (patient's temperature normally runs between 97.4 to 97.8 degrees Fahrenheit), and felt like she had a hangover, and her head felt "weird." The patient did not report the exact start dates of the symptoms. At the time of this report, the symptoms were still ongoing with little improvement.
Age: 24.0
Sex: M
Vaccine: MNQ, PPV, YF
Symptoms: Paraesthesia
Clinical narrative: Initial report received on 19 June 2008 from a nurse. A 24-year-old male patient, with no concurrent illnesses or pre-existing medical condition, had received a first intramuscular right deltoid injection of MENACTRA (Lot # U2632AA); a first subcutaneous left arm injection of YF VAX (lot # UF301AA); and a first intramuscular left deltoid injection of PNEUMOVAX (manufacturer Merck, Lot # 0380U) on 10 June 2008 at 14:45 pm.  On 18 June 2008 at 10:00 pm, which was eight days post-vaccination, the patient experienced tingling in the right forearm and hand. Per the reporter, the patient's radial pulses were strong, and he had a brisk capillary refill test. There were no signs of neurovascular symptoms. The patient did not seek medical attention, and diagnostic tests or laboratory data were completed. No treatment was reported. At the time of this report, the patient had recovered. Follow-up information has received 06 August 2008 from a health care professional. The pneumonia vaccine received by the patient on 10 June 2008 had been PNEUMOVAX. The symptom of tingling has lasted for two days and an etiology for the tingling had not been established. The final diagnosis provided by the reporter indicating "possible" adverse rx to vaccine". No further information was provided.
Age: 17.0
Sex: F
Vaccine: MNQ, UNK
Symptoms: Full blood count, Headache, Pyrexia, White blood cell count decreased
Clinical narrative: Fever, headache.
Age: 21.0
Sex: F
Vaccine: MNQ
Symptoms: Injection site pain, Nausea, Paraesthesia, Peripheral coldness
Clinical narrative: Initial report received on 26 June 2008 from a nurse.  A 21-year-old female patient, with no concurrent illnesses or pre-existing medical conditions, had received a first intramuscular left deltoid injection of MENACTRA (Lot # U2632AA) on 24 June 2008 at 11:00 am.  Approximately four hours post-vaccination around 15:00 pm, the patient experienced pain the left deltoid injection site with tingling of her left arm down to her fingers.  Her fingers were cool, but her radial pulse was strong.  She also complained of nausea.  The patient was treated with oral Tylenol and was to be seen for follow-up with the nurse practitioner.  No relevant diagnostic tests or laboratory data were performed.  The recovery status of the patient was not reported. Follow-up information was received in August 2008 from a health care professional. The reporter verified that upon follow-up evaluation by the nurse practioner, the patient had received. The patient had not received a neurology consult and addtional imformation was not required. The final diagnosis had been "vaccine reaction vs. viral:. The patient recovered fromt he event on 23 June 2008.
Age: 17.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Activities of daily living impaired, Allergy to vaccine, Anxiety, Dizziness, Injection site bruising
Clinical narrative: General feeling unwell, soreness at injection site, feeling 'funny', dizzyness, tiredness on injection day.  Following day sent home from school early, couldn't concentrate, tired, general feeling unwell, nausous, flu like. Called doctors office.  Next day symptoms worse, scratching, vaginal itching and vaginal rash worsening from previous evening.  Returned to doctors office for check of symptoms.  Doctor called another doctor from office for second opinion.  Was prescribed Triamcinolone acetonide cream usp, 0.1%, topical use.
Age: 17.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Presyncope, Pruritus, Rash, Vulvovaginal pruritus
Clinical narrative: General feeling unwell, soreness at injection site, feeling 'funny', dizzyness, tiredness on injection day.  Following day sent home from school early, couldn't concentrate, tired, general feeling unwell, nausous, flu like. Called doctors office.  Next day symptoms worse, scratching, vaginal itching and vaginal rash worsening from previous evening.  Returned to doctors office for check of symptoms.  Doctor called another doctor from office for second opinion.  Was prescribed Triamcinolone acetonide cream usp, 0.1%, topical use.
Age: 17.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Disturbance in attention, Dizziness, Fatigue, Feeling abnormal, Genital rash
Clinical narrative: General feeling unwell, soreness at injection site, feeling 'funny', dizzyness, tiredness on injection day.  Following day sent home from school early, couldn't concentrate, tired, general feeling unwell, nausous, flu like. Called doctors office.  Next day symptoms worse, scratching, vaginal itching and vaginal rash worsening from previous evening.  Returned to doctors office for check of symptoms.  Doctor called another doctor from office for second opinion.  Was prescribed Triamcinolone acetonide cream usp, 0.1%, topical use.
Age: 17.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Influenza like illness, Injection site pain, Malaise, Nausea, Vulvovaginal pruritus
Clinical narrative: General feeling unwell, soreness at injection site, feeling 'funny', dizzyness, tiredness on injection day.  Following day sent home from school early, couldn't concentrate, tired, general feeling unwell, nausous, flu like. Called doctors office.  Next day symptoms worse, scratching, vaginal itching and vaginal rash worsening from previous evening.  Returned to doctors office for check of symptoms.  Doctor called another doctor from office for second opinion.  Was prescribed Triamcinolone acetonide cream usp, 0.1%, topical use.
Age: 1.0
Sex: F
Vaccine: PNC, MMR, PNC, MMR, PNC
Symptoms: Antimicrobial susceptibility test, Blood culture positive, Brain death, CSF culture positive, Culture urine positive
Clinical narrative: Onset of fever 10pm on 5/10.  High fever, vomiting, and lethargic behavior throughout 5/11.  Two calls to pediatrician's office on Sunday, 5/11.  Instructed to use Tylenol suppositories and continue giving Pedialyte.  Around 9:45pm on 5/11, child started gurgling and appeared to stop breathing.  CPR was performed until paramedics arrived.  Patient was intubated in ER.  After Lumbar puncture was performed and meningitis diagnosed, child began receiving Vancomycin and Ceftriaxone.  Brain death was confirmed following EEG and cerebral perfusion scan on 5/12.
Age: 1.0
Sex: F
Vaccine: PNC, MMR, PNC, MMR, PNC
Symptoms: Death, Intensive care, Pneumococcal bacteraemia, Respiratory failure, Septic shock
Clinical narrative: Onset of fever 10pm on 5/10.  High fever, vomiting, and lethargic behavior throughout 5/11.  Two calls to pediatrician's office on Sunday, 5/11.  Instructed to use Tylenol suppositories and continue giving Pedialyte.  Around 9:45pm on 5/11, child started gurgling and appeared to stop breathing.  CPR was performed until paramedics arrived.  Patient was intubated in ER.  After Lumbar puncture was performed and meningitis diagnosed, child began receiving Vancomycin and Ceftriaxone.  Brain death was confirmed following EEG and cerebral perfusion scan on 5/12.
Age: 1.0
Sex: F
Vaccine: PNC, MMR, PNC, MMR, PNC
Symptoms: Vaccination failure
Clinical narrative: Onset of fever 10pm on 5/10.  High fever, vomiting, and lethargic behavior throughout 5/11.  Two calls to pediatrician's office on Sunday, 5/11.  Instructed to use Tylenol suppositories and continue giving Pedialyte.  Around 9:45pm on 5/11, child started gurgling and appeared to stop breathing.  CPR was performed until paramedics arrived.  Patient was intubated in ER.  After Lumbar puncture was performed and meningitis diagnosed, child began receiving Vancomycin and Ceftriaxone.  Brain death was confirmed following EEG and cerebral perfusion scan on 5/12.
Age: 1.0
Sex: F
Vaccine: PNC, MMR, PNC, MMR, PNC
Symptoms: Brain death, CSF culture positive, Electroencephalogram abnormal, Endotracheal intubation, Gram stain positive
Clinical narrative: Onset of fever 10pm on 5/10.  High fever, vomiting, and lethargic behavior throughout 5/11.  Two calls to pediatrician's office on Sunday, 5/11.  Instructed to use Tylenol suppositories and continue giving Pedialyte.  Around 9:45pm on 5/11, child started gurgling and appeared to stop breathing.  CPR was performed until paramedics arrived.  Patient was intubated in ER.  After Lumbar puncture was performed and meningitis diagnosed, child began receiving Vancomycin and Ceftriaxone.  Brain death was confirmed following EEG and cerebral perfusion scan on 5/12.
Age: 1.0
Sex: F
Vaccine: PNC, MMR, PNC, MMR, PNC
Symptoms: Lethargy, Lumbar puncture abnormal, Meningitis, Pyrexia, Respiratory arrest
Clinical narrative: Onset of fever 10pm on 5/10.  High fever, vomiting, and lethargic behavior throughout 5/11.  Two calls to pediatrician's office on Sunday, 5/11.  Instructed to use Tylenol suppositories and continue giving Pedialyte.  Around 9:45pm on 5/11, child started gurgling and appeared to stop breathing.  CPR was performed until paramedics arrived.  Patient was intubated in ER.  After Lumbar puncture was performed and meningitis diagnosed, child began receiving Vancomycin and Ceftriaxone.  Brain death was confirmed following EEG and cerebral perfusion scan on 5/12.
Age: 1.0
Sex: F
Vaccine: PNC, MMR, PNC, MMR, PNC
Symptoms: Vomiting
Clinical narrative: Onset of fever 10pm on 5/10.  High fever, vomiting, and lethargic behavior throughout 5/11.  Two calls to pediatrician's office on Sunday, 5/11.  Instructed to use Tylenol suppositories and continue giving Pedialyte.  Around 9:45pm on 5/11, child started gurgling and appeared to stop breathing.  CPR was performed until paramedics arrived.  Patient was intubated in ER.  After Lumbar puncture was performed and meningitis diagnosed, child began receiving Vancomycin and Ceftriaxone.  Brain death was confirmed following EEG and cerebral perfusion scan on 5/12.
Age: 1.0
Sex: F
Vaccine: PNC, MMR, PNC, MMR, PNC
Symptoms: Brain death, CSF bacteria identified, Circulatory collapse, Death, Lethargy
Clinical narrative: Onset of fever 10pm on 5/10.  High fever, vomiting, and lethargic behavior throughout 5/11.  Two calls to pediatrician's office on Sunday, 5/11.  Instructed to use Tylenol suppositories and continue giving Pedialyte.  Around 9:45pm on 5/11, child started gurgling and appeared to stop breathing.  CPR was performed until paramedics arrived.  Patient was intubated in ER.  After Lumbar puncture was performed and meningitis diagnosed, child began receiving Vancomycin and Ceftriaxone.  Brain death was confirmed following EEG and cerebral perfusion scan on 5/12.
Age: 1.0
Sex: F
Vaccine: PNC, MMR, PNC, MMR, PNC
Symptoms: Meningitis pneumococcal, Pyrexia
Clinical narrative: Onset of fever 10pm on 5/10.  High fever, vomiting, and lethargic behavior throughout 5/11.  Two calls to pediatrician's office on Sunday, 5/11.  Instructed to use Tylenol suppositories and continue giving Pedialyte.  Around 9:45pm on 5/11, child started gurgling and appeared to stop breathing.  CPR was performed until paramedics arrived.  Patient was intubated in ER.  After Lumbar puncture was performed and meningitis diagnosed, child began receiving Vancomycin and Ceftriaxone.  Brain death was confirmed following EEG and cerebral perfusion scan on 5/12.
Age: 35.0
Sex: F
Vaccine: HPV4
Symptoms: Activities of daily living impaired, Back pain, Discomfort, Inappropriate schedule of drug administration, Muscle spasms
Clinical narrative: I am 35 yrs old I received my first dose of gardasil in Jan 08 afterwards i had terrible back muscle spasms, I didnt think much of it but this has happened in dose 2 and 3.  I got my 3rd dose last week and my muscle spasms in my back are so bad i have had to use muscle relaxers and bengay etc.  I have a hard time doing my daily activities, terrible pain and discomfort.
Age: 35.0
Sex: F
Vaccine: HPV4
Symptoms: Vaccine positive rechallenge
Clinical narrative: I am 35 yrs old I received my first dose of gardasil in Jan 08 afterwards i had terrible back muscle spasms, I didnt think much of it but this has happened in dose 2 and 3.  I got my 3rd dose last week and my muscle spasms in my back are so bad i have had to use muscle relaxers and bengay etc.  I have a hard time doing my daily activities, terrible pain and discomfort.
Age: 5.0
Sex: F
Vaccine: DTAPHEPBIP, IPV, MMRV
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: Given PEDIARIX and IPV together (= 2 doses IPV). No unusual adverse events.
Age: 30.0
Sex: M
Vaccine: HEP, TDAP
Symptoms: Incorrect dose administered
Clinical narrative: Given State Pediatric dose of Hep B - immediately gave private pay dose of Adult Hep B.
Age: 11.0
Sex: F
Vaccine: HPV4
Symptoms: Computerised tomogram normal, Facial palsy, Hypoaesthesia facial, Vaccine positive rechallenge
Clinical narrative: Within 24 hours of receiving vaccine experienced unilateral facial numbness, resolved within 1 wk.  Experienced same type of event with both HPV #1 + HPV #2.  Saw neurologist for consultation, CT scan negative, facial palsy resolved on its own.  No specific neuro.  Follow up recommended.
Age: 78.0
Sex: F
Vaccine: VARZOS
Symptoms: Erythema, Laboratory test normal, Pruritus, Rash macular
Clinical narrative: 48h after injection developed diffuse itching.  Then developed red macules on lower back & hip.  Responding to oral steroids, but itching returns when off steroids.  Saw me 6/23/08-has F/U 7/11/08.  No rxn. at injection site.
Age: 69.0
Sex: F
Vaccine: VARZOS
Symptoms: Influenza like illness, Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Fever 100 degrees.  Large raised, red, hot, & very sore at site of injection, (4 inch circle with white ring around swelling).  Painful arm sore to shoulder & elbow areas.  Very sore for 6 days-rc'd meds to relieve itching.  Used ice bags 2 days.  6/30/08-still has 2"-3" area-red & warm.  Flu-like symptoms 1 wk.
Age: 69.0
Sex: F
Vaccine: VARZOS
Symptoms: Pain in extremity, Pruritus, Pyrexia
Clinical narrative: Fever 100 degrees.  Large raised, red, hot, & very sore at site of injection, (4 inch circle with white ring around swelling).  Painful arm sore to shoulder & elbow areas.  Very sore for 6 days-rc'd meds to relieve itching.  Used ice bags 2 days.  6/30/08-still has 2"-3" area-red & warm.  Flu-like symptoms 1 wk.
Age: 27.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site erythema, Injection site induration, Injection site pruritus
Clinical narrative: Received Tdap on June 18th.  Within 2 days she had an area at the injection site approximately 3 inches in diameter.  The site was red, hard & very itchy.  Applied CORTAID.
Age: 15.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Depressed mood, Dizziness, Hypersensitivity, Nausea, Pharyngeal oedema
Clinical narrative: Several hours after receiving HPV #1, pt + nausea, lightheaded, dizzy, depressed, throat swelling.
Age: 15.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Depression, Throat tightness
Clinical narrative: Several hours after receiving HPV #1, pt + nausea, lightheaded, dizzy, depressed, throat swelling.
Age: 17.0
Sex: M
Vaccine: MNQ, TDAP
Symptoms: Erythema, Injection site pain, Pyrexia
Clinical narrative: Fevers to 102, erythema, pain at site within 24 hours.  Treated with BENADRYL & MOTRIN.
Age: 23.0
Sex: F
Vaccine: TDAP
Symptoms: Erythema, Injection site pain, Pyrexia
Clinical narrative: Fevers to 102, erythema, pain at site within 24 hours.  Treated with BENADRYL & MOTRIN.
Age: 39.0
Sex: F
Vaccine: TDAP
Symptoms: Erythema, Injection site pain, Pyrexia
Clinical narrative: Fevers to 102, erythema, pain at site within 24 hours.  Treated with Benadryl and Motrin.
Age: 24.0
Sex: F
Vaccine: HEPAB, TD, YF
Symptoms: Chills, Pain, Pyrexia, Urticaria
Clinical narrative: Pt had TWINRIX, Td, yellow fever vaccine 5/29/08.  On 5/30/08 developed fever 100-101 degrees, hives feet and lower extremities, torso, chills, aches.  Denies SOB, or CP, no N/V/D.  Hx anaphylactic reaction to pertussis as child.
Age: 11.0
Sex: M
Vaccine: TDAP
Symptoms: Loss of consciousness, Nasopharyngitis, Pallor, Syncope
Clinical narrative: Patient collapsed following administration of ADACEL vaccine.  He became pale, cold, and was temporarily unconscious.  He came to right away.  We then had him sitting until EMT came where they administered O2.  He did not receive any other treatment at the time.  He was then escorted to the nearest ER.
Age: 68.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site cellulitis
Clinical narrative: Cellulitis L upper arm.  Td B.  KEFLEX 500 TID x10d.
Age: 90.0
Sex: F
Vaccine: VARZOS
Symptoms: Pruritus, Rash generalised
Clinical narrative: Rash-arms & neck to waist-inside thighs very itchy.
Age: 46.0
Sex: M
Vaccine: TDAP
Symptoms: Chills, Diarrhoea, Fatigue, Flushing, Headache
Clinical narrative: Fatigue, warm, flush, chills, headache, loose stools, tired.  Lasted for 4 days.
Age: 46.0
Sex: M
Vaccine: TDAP
Symptoms: Skin warm
Clinical narrative: Fatigue, warm, flush, chills, headache, loose stools, tired.  Lasted for 4 days.
Age: 19.0
Sex: F
Vaccine: MMR, TDAP
Symptoms: Erythema, Local reaction, Pruritus
Clinical narrative: Received MMR on right arm on 6-9-09.  6-11-08, right arm localized redness (4cm x 3.5cm), slight itching.  No pain.  Treated with 1% hydrocortisone cream BID prn itching.
Age: 11.0
Sex: M
Vaccine: TDAP, VARCEL
Symptoms: Erythema, Immunisation reaction, Physical examination, Skin lesion, Tenderness
Clinical narrative: Tender, erythematous lesion right thigh 7 1/2 cm x 10 cm width outer circle, 5 cm x 4 cm inner bright red.  Reaction to Varicella.
Age: 18.0
Sex: M
Vaccine: DTAP
Symptoms: No adverse event, Wrong drug administered
Clinical narrative: Pt in to office with puncture wound.  Dr ordered "tetanus with pertussis" per medical assistant.  Medical assistant inadvertently give DTaP instead of Tdap.  NO REACTION OCCURRED!!  Pt is doing well per grandmother.
Age: 1.02
Sex: F
Vaccine: DTAP, HEPA, HIBV, MMR, PNC, VARCEL
Symptoms: No adverse event
Clinical narrative: No adverse events after immunization.  Gave DTaP, dose #4 3 1/2 weeks too soon.  4/17/08 No reactions after talking with mother.
Age: 17.0
Sex: F
Vaccine: VARCEL
Symptoms: Injection site erythema, Injection site oedema, Injection site pain, Injection site warmth, Local reaction
Clinical narrative: Large, local reaction noted left arm around injection site: erythema and edema, tender, warm to touch.  Approximately 3-4" diameter.  Systemically patient reports nausea.
Age: 17.0
Sex: F
Vaccine: VARCEL
Symptoms: Nausea
Clinical narrative: Large, local reaction noted left arm around injection site: erythema and edema, tender, warm to touch.  Approximately 3-4" diameter.  Systemically patient reports nausea.
Age: 67.0
Sex: F
Vaccine: UNK
Symptoms: Hypokinesia, Pain, Pyrexia
Clinical narrative: Arm so sore 4 hours after shot, could not lift it.  Sore, fever, not swollen, could not use for 5 days.  7-3 seems to be ok.  Glad I don't need another one.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Cellulitis
Clinical narrative: Temperature 104,7 began 4 days after vaccinations.  Also mild cellulitis/infectious wound right upper arm.  6/19/08 treatment: Keflex.  On Tylenol PRN.  Rec Ibuprofen PRN.
Age: 13.0
Sex: M
Vaccine: VARCEL
Symptoms: Injection site vesicles
Clinical narrative: Blister at injection site of VARIVAX vaccine given 1 day prior.  No redness, no swelling, no pus.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Chest pain, Heart rate increased, Oxygen saturation, Pharyngolaryngeal pain
Clinical narrative: Called at 0750 for chest pain and sore throat.  Child was holding her chest and stating her throat was sore.  Her vitals were sats 95%, BP 111/77, Pulse 129.  Vital signs remained stable, pulse oxygen increased to 99%, patient was sent by ambulance to ER for presumed anaphylaxis.  1 dose of epinephrine given here prior to leaving ER.  Patient now treated with Prednisone and Benadryl.
Age: 15.0
Sex: F
Vaccine: VARCEL
Symptoms: Erythema, Pallor, Tenderness, Urticaria
Clinical narrative: L lateral brachial inferior marked erythema measuring 7cm x 4cm x 4cm tender to palpation/urticaria/blanching spreading.  Pseudo-cellulitis.
Age: 44.0
Sex: F
Vaccine: ANTH
Symptoms: Injection site erythema, Injection site pain, Injection site rash, Injection site warmth
Clinical narrative: Severe rash to R deltoid = warm, tender, erythema.
Age: 5.0
Sex: F
Vaccine: JEV
Symptoms: Body temperature increased, Injection site erythema, Injection site induration, Injection site nodule, Oedema peripheral
Clinical narrative: Temperature to 99.8 the evening of the shot, temperature 95.8 overnight after the shot, 2cm x 2cm indurated erythematous nodule on 6/11/08 at injection site.  Mom also reported hip and facial swelling around 6/14/08 (but patient was not seen in office that day).
Age: 5.0
Sex: F
Vaccine: JEV
Symptoms: Swelling face
Clinical narrative: Temperature to 99.8 the evening of the shot, temperature 95.8 overnight after the shot, 2cm x 2cm indurated erythematous nodule on 6/11/08 at injection site.  Mom also reported hip and facial swelling around 6/14/08 (but patient was not seen in office that day).
Age: 0.5
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Body temperature, Crying, Heart rate increased, Rash erythematous, Rash maculo-papular
Clinical narrative: Erythematous maculopapular rash from scalp to toes, developing from ~2 days after immunizations.  Resolved with OTC BENADRYL 12.5mg Q 6 hours.  T. 99.2 P. 128 R. crying.
Age: 20.0
Sex: M
Vaccine: FLU3, HEPAB, MMR, MNQ, TDAP
Symptoms: Unevaluable event
Clinical narrative: None stated.
Age: 63.0
Sex: F
Vaccine: TD
Symptoms: Fatigue, Hypoaesthesia, Malaise, Pain
Clinical narrative: At the time of vaccination, felt stinging pain that radiated from deltoid down to back of hand and up neck, which has persisted with numbness.  Bruising and redness developed from deltoid to elbow, over the next couple of days.  Also had mild malaise and fatigue on the first day, but these have resolved - Ibuprofen 600mg TID, warm soaks.
Age: 1.0
Sex: F
Vaccine: HEPA, MMR, VARCEL
Symptoms: Herpes zoster, Vaccination failure
Clinical narrative: Shingles L lower leg Dx 6-30-08.
Age: 42.0
Sex: M
Vaccine: ANTH, FLUN3, TYP, VARCEL
Symptoms: Arthralgia, Disturbance in attention, Fatigue, Memory impairment, Sleep disorder
Clinical narrative: Arthralgias post AVA #6 with later development of sleep disturbance, chronic fatigue, impaired memory and concentration, and possible post exertional malaise.  Symptoms: Fatigue, Malaise >60 Days, Insomnia, Cognitive deficiency, Joint Pain, multiple joints.
Age: 25.0
Sex: F
Vaccine: TTOX
Symptoms: Erythema, Oedema peripheral
Clinical narrative: Red area on right arm that pt. states was swollen but is better now.  Was about 3-4cm per pt.  Possible reaction to tetanus.
Age: 48.0
Sex: U
Vaccine: UNK
Symptoms: Hypoaesthesia
Clinical narrative: Numbness in hands, numbness has continued if hands are motionless for long periods of time or under constant pressure like riding a bike.
Age: 1.3
Sex: M
Vaccine: MEA
Symptoms: Balance disorder, Dyskinesia, Gait disturbance, Pyrexia, Tremor
Clinical narrative: On 11/20/06 patient received a measles shot (measles only) and on 11/28/06 his had a fever (unsure how high).  His fever broke.  About 2 hours after the fever broke he had difficulty ambulating, tripping over his feet, and had head jerking every several minutes as well as hand tremors.  He went to ER.
Age: 0.51
Sex: M
Vaccine: DTAP, HEP, HIBV, PNC
Symptoms: Anorexia, Irritability, Oedema peripheral, Pyrexia, Vomiting
Clinical narrative: Fever 102 degrees swollen Lt foot, vomiting, loss of appetite & fussiness.  No treatment.
Age: 5.0
Sex: M
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Induration, Rash erythematous, Swelling
Clinical narrative: Swollen; Erythematous base, slightly indurated
Age: 21.0
Sex: F
Vaccine: ANTH
Symptoms: Injection site erythema, Local reaction, Pharyngolaryngeal pain, Tonsillar inflammation
Clinical narrative: Patient developed a severe left-sided sore throat and 2+ swollen left tonsil 48 hours after her 5th anthrax vaccine.  She also has a mild local reaction (4x3.5cm erythema) over her left deltoid at the vaccine site.  No fever or other symptoms.
Age: 1.25
Sex: M
Vaccine: DTAP, HEPA, VARCEL
Symptoms: Febrile convulsion
Clinical narrative: PT HAD 2 FEBRILE SEIZURES SAME DAY AFTER VACCINES
Age: 4.0
Sex: M
Vaccine: HEP
Symptoms: Incorrect dose administered
Clinical narrative: Patient given two doses of Hep B.
Age: 35.0
Sex: M
Vaccine: TD
Symptoms: Rash generalised
Clinical narrative: Red rash spread all over body.  Decadron IM given by Dr.
Age: 34.0
Sex: M
Vaccine: SMALL
Symptoms: Pyrexia
Clinical narrative: Patient went to hospital with fever of 40.1 degrees centigrade.  Treated with antibiotic therapy.  Reported Smallpox vaccination on 25 JUN 08. 7/21/08-records received-DOS 7/10/08-C/O high fever, nausea and large skin swelling with early abscess formation around area. Treated with IV antibiotics.
Age: 7.0
Sex: F
Vaccine: HEPA
Symptoms: Oedema peripheral
Clinical narrative: Arm was swollen had to be administered epi shot
Sex: U
Vaccine: HPV4, TDAP
Symptoms: Eye rolling, Malaise, Musculoskeletal stiffness, Respiratory rate increased, Tremor
Clinical narrative: After leaving office, mom reports that pt said she wasn't feeling well, then had several minutes of eyes rolling back, arms stretched out and stiff, with shaking. No jerking, no tongue biting or incontinence. Afterwards, was looking forward again, breathing hard, acting appropriately, with no postictal state. Had not eaten or drank that day. Mom called me (the pediatrician) the following day to let me know.
Age: 54.0
Sex: F
Vaccine: TDAP
Symptoms: Axillary pain, Blood triglycerides increased, Full blood count normal, Injection site erythema, Injection site pain
Clinical narrative: 7-1-08 Pt received Tdap.  She felt soreness at the site and took Tylenol for 2 days.  On Sunday, July 6th she started experiencing redness at the site with swelling. She came into the clinic today 7-8-08.  Her left arm where the shot was given was red beginning at the deltoid region all the way to the elbow with quite a bit of swelling especially near the elbow.  The skin was hot to the touch.  She was complaining of pain all the way to her fingertips and in her armpit and shoulder area.  She took Advil during the night because she had trouble sleeping.  She was examined by Dr. and was given a prescription for Medrol Dose Pkt. to begin immediately.  He also recommended icing the area today.
Age: 54.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site swelling, Injection site warmth, Joint swelling, Laboratory test, Lipids increased
Clinical narrative: 7-1-08 Pt received Tdap.  She felt soreness at the site and took Tylenol for 2 days.  On Sunday, July 6th she started experiencing redness at the site with swelling. She came into the clinic today 7-8-08.  Her left arm where the shot was given was red beginning at the deltoid region all the way to the elbow with quite a bit of swelling especially near the elbow.  The skin was hot to the touch.  She was complaining of pain all the way to her fingertips and in her armpit and shoulder area.  She took Advil during the night because she had trouble sleeping.  She was examined by Dr. and was given a prescription for Medrol Dose Pkt. to begin immediately.  He also recommended icing the area today.
Age: 54.0
Sex: F
Vaccine: TDAP
Symptoms: Musculoskeletal pain, Occult blood, Pain in extremity, Sleep disorder
Clinical narrative: 7-1-08 Pt received Tdap.  She felt soreness at the site and took Tylenol for 2 days.  On Sunday, July 6th she started experiencing redness at the site with swelling. She came into the clinic today 7-8-08.  Her left arm where the shot was given was red beginning at the deltoid region all the way to the elbow with quite a bit of swelling especially near the elbow.  The skin was hot to the touch.  She was complaining of pain all the way to her fingertips and in her armpit and shoulder area.  She took Advil during the night because she had trouble sleeping.  She was examined by Dr. and was given a prescription for Medrol Dose Pkt. to begin immediately.  He also recommended icing the area today.
Age: 25.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Rash erythematous, Rash generalised, Rash pruritic, Urticaria
Clinical narrative: disseminated welts, erythematous, puritic.  Started on lower back then spread to arms,  legs and traveling to face .  Started 1 hour after injection and still spreading 24 hours later.Advised Benadryl po at onset of rash.  Pt states very little relief and advised to report to local ER for management and eval.
Age: 25.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Accidental exposure, Medical device complication, Rash erythematous, Rash pruritic, Urticaria
Clinical narrative: disseminated welts, erythematous, puritic.  Started on lower back then spread to arms,  legs and traveling to face .  Started 1 hour after injection and still spreading 24 hours later.Advised Benadryl po at onset of rash.  Pt states very little relief and advised to report to local ER for management and eval.
Age: 15.0
Sex: F
Vaccine: HPV4
Symptoms: Abdominal pain, Abdominal pain upper, Computerised tomogram, Gallbladder disorder, Gallbladder operation
Clinical narrative: Patient experienced severe gastrointestinal symptoms after Gardasil injections. Injections 6/12/07 and 8/14/2007 followed by emergency room visits 8/25/07 and 11/1/07, third injection 12/20/07 followed by emergency room visit and extended hospitalization 2/08.  Severe abdominal pain and vomiting occured each time which would not stop without emergency medical and drug intervention. Multiple diagnostic and lab tests indicated possibility of gall bladder involvement.  Gall bladder was removed 12/5/07. The final Gardasil injection was after gall bladder surgery and another gastrointestinal episode with emergency treatment and a 5 day hospitalization occured after this.  Patient had no history of gall bladder or gastrointestinal symptoms before beginning series of Gardasil injections.  No underlying cause has been clearly established for these conditions, symptoms or multiple episodes by either primary physician, surgeon, gynecologists or gastroenterologist. Tests indicated slow gall bladder emptying, slow gastric emptying and slight gastritis concurrent with these multiple episodes, but patient had no symptoms indicating slow stomach or gallbladder functioning prior to beginning Gardasil. All other tests and screens were negative for anything unusual. Patient has had no recurrence of the symptoms since 2/08, but she is on continuing drug treatment for the gastrointestinal issues.  We are reporting this to assist in identifying any trends related to similar gastrointestinal symptoms, since these conditions are not typical for a 15/16 year old female and the timing of the three injections and the repeated recurrence of these unusual and previously nonexistent symptoms seems a bit more than coincidental.  7/23/08 MR received for several OVs beginning in 11/2007 through 3/2008. Seen 11/7/2007 with c/o 3 episodes of nausea, vomiting and abdominal pain. One episode required IV fluids for dehydration. Pt reports early satiety, weight loss, decreased appetite, fatigue, stress, indigestion, constipation, abdominal bloating, cramping and epigastric pain as well as above.  PE (+) for epigastric and RUQ tenderness otherwise WNL. Endoscopy scheduled. (+) for antritis.  Impression:  Antritis. Pt had Lap chole 12/5/07. Hospital Consult dated 2/7/08 for persistant nausea and vomiting.  Impression:  Persistant nausea and vomiting-etiology unclear.  Abdominal pain, epigastric and LUQ, etiology unclear. Hx antritis. F/U 2/20/08 Impression:  Gastroparesis.  9/8/2008 MR received for multiple Er visits and admission DOS 2/6-11/2008 with D/C DX:  1) Gastric motility disorder. 2) Prolonged vomiting. 3) Dehydration 2' to #2. Hypokalemia 2' to #2.  Pt presented with onset of nausea, vomiting and diarrhea x 3 days. Seen at both PCP office and ER several times prior to admission.   1/25/2010 Follow up: continuing digestive/gastrointestinal problems.