chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 12.0
Sex: F
Vaccine: HPV4, MNQ, TDAP, HPV4, MNQ, TDAP
Symptoms: Asthenia, Hypotonia, Musculoskeletal stiffness, Pain, Unresponsive to stimuli
Clinical narrative: Vaccines given at 11:20AM which consisted of HPV, MENACTRA and Tdap. MENACTRA given first then GARDASIL and finally Tdap. Child complained of pain even after first vaccine was given. After administering Tdap mother child called out to mother and went limp. Eyes were open the whole time but unresponsive. Arms tightened and clutched together. Patient came to after about 20 seconds. Information has been received from a medical assistant concerning a 12 year old female with no medical history on 02-JUN-2008 at 11:20 was vaccinated IM in the left arm with a first dose of GARDASIL (lot # 659962/1740U). Cocomitant vaccinations included a first dose of MENACTRA (lot # U2552AA), administered IM in the left arm, and a first dose of ADACEL (lot # C2825AA) administered IM in the right arm. There were no illnesses at the time of the vaccinaiton. It was reported that  MENACTRA had been administered first, then GARDASIL and then ADACEL. The child complained about pain after administration of GARDASIL. The medical assistant proceeded to adminster the ADACEL and at 11:20 the child fainted upon the needle being withdrawn. The child' eyes were open and glossy, but was unresponsive. The child's arms were tightened and clutched together. The child also voided during this time. The child "came to" aafter about 20 seconds. No laboratory diagnostics were performed. The patient recovered on 02-JUN-2008. Additional information was received from the FDA which reported that the vaccines was given at 11:20 AM, which consisted of GARDASIL, MENACTRA and ADACEL. MENACTRA was given first, then GARDASIL and finally ADACEL. The child complained of pain even after first vaccine was given. After administering ADACEL the child called out to her mother and went limp. Her eyes were open the whole time but unresponsive. Arms tightened and clutched together. The patient came to after 20 seconds. No further information is available.
Age: 12.0
Sex: F
Vaccine: HPV4, MNQ, TDAP, HPV4, MNQ, TDAP
Symptoms: Incontinence, Muscle contractions involuntary, Pain, Syncope, Unresponsive to stimuli
Clinical narrative: Vaccines given at 11:20AM which consisted of HPV, MENACTRA and Tdap. MENACTRA given first then GARDASIL and finally Tdap. Child complained of pain even after first vaccine was given. After administering Tdap mother child called out to mother and went limp. Eyes were open the whole time but unresponsive. Arms tightened and clutched together. Patient came to after about 20 seconds. Information has been received from a medical assistant concerning a 12 year old female with no medical history on 02-JUN-2008 at 11:20 was vaccinated IM in the left arm with a first dose of GARDASIL (lot # 659962/1740U). Cocomitant vaccinations included a first dose of MENACTRA (lot # U2552AA), administered IM in the left arm, and a first dose of ADACEL (lot # C2825AA) administered IM in the right arm. There were no illnesses at the time of the vaccinaiton. It was reported that  MENACTRA had been administered first, then GARDASIL and then ADACEL. The child complained about pain after administration of GARDASIL. The medical assistant proceeded to adminster the ADACEL and at 11:20 the child fainted upon the needle being withdrawn. The child' eyes were open and glossy, but was unresponsive. The child's arms were tightened and clutched together. The child also voided during this time. The child "came to" aafter about 20 seconds. No laboratory diagnostics were performed. The patient recovered on 02-JUN-2008. Additional information was received from the FDA which reported that the vaccines was given at 11:20 AM, which consisted of GARDASIL, MENACTRA and ADACEL. MENACTRA was given first, then GARDASIL and finally ADACEL. The child complained of pain even after first vaccine was given. After administering ADACEL the child called out to her mother and went limp. Her eyes were open the whole time but unresponsive. Arms tightened and clutched together. The patient came to after 20 seconds. No further information is available.
Age: 12.0
Sex: M
Vaccine: MNQ
Symptoms: Oedema peripheral
Clinical narrative: Client received MCV4 on 5/14/08.  Dad RTC to p/u new short record & report large swollen area on LA.
Age: 0.4
Sex: F
Vaccine: DTAP, HBHEPB, IPV, PNC, RV5
Symptoms: Hypokinesia, Vomiting
Clinical narrative: Vomiting and deceased activity developed within 48 hours of vaccination
Age: 9.0
Sex: F
Vaccine: VARCEL
Symptoms: Dermatitis allergic, Injection site erythema, Injection site pruritus, Injection site swelling
Clinical narrative: Redness, swelling and itching at injection site: 1.5 x 4 cm. Allergic skin reaction; BENADRYL ordered by provider
Age: 14.0
Sex: M
Vaccine: HEPA
Symptoms: Syncope
Clinical narrative: Pt fainted in office.  Monitored Pt B/P, pulse, SatO2.  Apple juice given.  Pt assessed by Dr.  Pt sent home.
Age: 1.5
Sex: F
Vaccine: MMR
Symptoms: Adverse event
Clinical narrative: No adverse events. "Patient" was vaccinated with MMR which had an expiration date of 04-29-08. CDC was called. Recommendations of re-vaccination after 4 weeks time due to live virus was advised and to notify VAERS.
Age: 35.0
Sex: F
Vaccine: TTOX
Symptoms: Dizziness, Malaise, Nausea, Pain in extremity, Vomiting
Clinical narrative: Donor complained of vomiting/nausea 1 hour after shot and nausea lasted a few hours, also felt a little dizzy. Arm was sore. Donor states she thinks she felt sick from not eating prior to donation that day - feels fine now.
Age: 2.0
Sex: M
Vaccine: DTAP, PNC
Symptoms: Erythema
Clinical narrative: 7cm x 6cm area of splotchy redness on right upper arm; Treatment:ATARAX
Age: 4.0
Sex: M
Vaccine: VARCEL
Symptoms: Injection site erythema, Injection site mass, Injection site swelling, Injection site vesicles
Clinical narrative: Mom reported site of Varicella is blister. Bumps at site, red and raised. Size of golfball. Mom giving BENADRYL. 5/9 Not as red. Does have knot, more red spots, no blisters. Informed use cool compresses.
Age: 10.0
Sex: M
Vaccine: HEPA, VARCEL
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: 5/8 Mom reported site of varicella was hot, red and raised and had jagged edges. Size of golf ball. Symptoms started the next day after vaccine. Mom started BENADRYL. 5/9/08 mom reported area looked better, size of quarter now.
Age: 7.0
Sex: M
Vaccine: HEPA, VARCEL
Symptoms: Injection site erythema, Rash, Skin warm, Swelling
Clinical narrative: 5/8 Mom reported area of varicella is red, flat and rash going up leg. Is spotty and feels hot; Size of golf ball. Giving BENADRYL. 5/9 looks about the same and has a knot in it.
Age: 1.0
Sex: M
Vaccine: DTAP, MMR, PNC, VARCEL
Symptoms: Injection site erythema, Injection site vesicles
Clinical narrative: Raised red bumps around injection site and blisters; varicella was given at this injection site
Age: 8.0
Sex: M
Vaccine: HEPA, VARCEL
Symptoms: Cellulitis, Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Red, swollen, warm at sight. Had noticed the day after. It was hot the afternoon of the injection - Seen 5/26 diagnosed cellulitis; to start KEFLEX
Age: 11.0
Sex: F
Vaccine: DTAP
Symptoms: No adverse event, Wrong drug administered
Clinical narrative: Dtap given instead of Tdap. No adverse events to mention.
Age: 0.4
Sex: F
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Computerised tomogram, Convulsion, Electroencephalogram, Eye rolling, Irritability
Clinical narrative: Brief seizure - pallor, fussy, gagging the brid "shaking" followed by eye rolling and sleepiness (post-ictal state).
Age: 0.4
Sex: F
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Pallor, Retching, Somnolence, Tremor
Clinical narrative: Brief seizure - pallor, fussy, gagging the brid "shaking" followed by eye rolling and sleepiness (post-ictal state).
Age: 51.0
Sex: M
Vaccine: YF
Symptoms: Alanine aminotransferase increased, Aspartate aminotransferase increased, Blood creatinine normal, Blood urea normal, CSF protein normal
Clinical narrative: Initial report received from the Centers For Disease Control and Prevention (CDC) VAERS # 259795. The CDC had received the original report from a physician. A 51-year-old male patient, whose past medical history was not reported, had received a dose of YF Vax (trade name, manufacturer name, lot number, route and site of administration not reported) on an unknown day in June 2006. On 14 July 2006, approximately one month post-vaccination, the patient was admitted to the psych ward at a hospital with acute encephalopathy, acute "contusion", bruise, delirium, and low grade fever of 100.0 degrees Fahrenheit after leaving his children at a gas station. Diagnostic laboratory revealed White Blood Cell count 11.1, "Hn" 19.0, Platelets 214, AST 60, ALT 54, Blood Urea Nitrogen 21, and creatine 1.1. An EEG revealed acute encephalopathy; and a lumbar puncture revealed cerebral spinal fluid with no white blood cells, and normal protein levels. The cerebral spinal fluid had been sent to the CDC for testing; however no results were not provided. Physical examination revealed no acute abdomen. A CAT scan of the pelvis on 16 July 2006 was normal. An MRI of the brain was completed, but the results were not provided. The patient was transferred from the psych ward to an acute medical service the same day. Treatments received were not reported. Length of hospitalization was not reported. At the time of this report, the patient had not recovered.
Age: 51.0
Sex: M
Vaccine: YF
Symptoms: CSF white blood cell count negative, Contusion, Delirium, Electroencephalogram abnormal, Encephalopathy
Clinical narrative: Initial report received from the Centers For Disease Control and Prevention (CDC) VAERS # 259795. The CDC had received the original report from a physician. A 51-year-old male patient, whose past medical history was not reported, had received a dose of YF Vax (trade name, manufacturer name, lot number, route and site of administration not reported) on an unknown day in June 2006. On 14 July 2006, approximately one month post-vaccination, the patient was admitted to the psych ward at a hospital with acute encephalopathy, acute "contusion", bruise, delirium, and low grade fever of 100.0 degrees Fahrenheit after leaving his children at a gas station. Diagnostic laboratory revealed White Blood Cell count 11.1, "Hn" 19.0, Platelets 214, AST 60, ALT 54, Blood Urea Nitrogen 21, and creatine 1.1. An EEG revealed acute encephalopathy; and a lumbar puncture revealed cerebral spinal fluid with no white blood cells, and normal protein levels. The cerebral spinal fluid had been sent to the CDC for testing; however no results were not provided. Physical examination revealed no acute abdomen. A CAT scan of the pelvis on 16 July 2006 was normal. An MRI of the brain was completed, but the results were not provided. The patient was transferred from the psych ward to an acute medical service the same day. Treatments received were not reported. Length of hospitalization was not reported. At the time of this report, the patient had not recovered.
Age: 51.0
Sex: M
Vaccine: YF
Symptoms: Lumbar puncture normal, Platelet count normal, Pyrexia, White blood cell count abnormal
Clinical narrative: Initial report received from the Centers For Disease Control and Prevention (CDC) VAERS # 259795. The CDC had received the original report from a physician. A 51-year-old male patient, whose past medical history was not reported, had received a dose of YF Vax (trade name, manufacturer name, lot number, route and site of administration not reported) on an unknown day in June 2006. On 14 July 2006, approximately one month post-vaccination, the patient was admitted to the psych ward at a hospital with acute encephalopathy, acute "contusion", bruise, delirium, and low grade fever of 100.0 degrees Fahrenheit after leaving his children at a gas station. Diagnostic laboratory revealed White Blood Cell count 11.1, "Hn" 19.0, Platelets 214, AST 60, ALT 54, Blood Urea Nitrogen 21, and creatine 1.1. An EEG revealed acute encephalopathy; and a lumbar puncture revealed cerebral spinal fluid with no white blood cells, and normal protein levels. The cerebral spinal fluid had been sent to the CDC for testing; however no results were not provided. Physical examination revealed no acute abdomen. A CAT scan of the pelvis on 16 July 2006 was normal. An MRI of the brain was completed, but the results were not provided. The patient was transferred from the psych ward to an acute medical service the same day. Treatments received were not reported. Length of hospitalization was not reported. At the time of this report, the patient had not recovered.
Sex: U
Vaccine: FLUX
Symptoms: Pharyngeal oedema
Clinical narrative: SERIOUSNESS CRITERIA: OTHER - MEDICALLY SIGNIFICANT.  Initial report received from another manufacturer (no case reference number provided) on 20 May 2008.  The other manufacturer received the report from a health care professional.  A patient (age and gender not reported) with no reported medical history, had received an injection of "flu vaccine" (unknown manufacturer) on an unspecified date.  The trade name and lot number for the product were not reported.  An unspecified amount of time later, the patient "had a severe reaction".  Symptoms included "closing of throat".  It was not reported whether the patient recovered from the event and no other information was provided.
Sex: M
Vaccine: HIBV
Symptoms: Asthma, Convulsion
Clinical narrative: SERIOUSNESS CRITERIA: OTHER - MEDICALLY SIGNIFICANT.  Initial report received from another manufacturer (no case reference number provided) on 20 May 2008.  The other manufacturer received the case from the patient's parent.  A male patient of unspecified age developed seizures and asthma after he had received an injection of HIB vaccine on an unspecified date.  The trade name, manufacturer, and lot number were not provided.  It was reported that the manufacturer of the vaccine was "not Merck".  The patient's past medical history was not reported.  The patient has been experiencing seizures and asthma since the time of vaccination.  No further information was available from the reporter.
Age: 11.0
Sex: F
Vaccine: HPV4
Symptoms: Condition aggravated, Convulsion, Diagnostic procedure
Clinical narrative: Information has been received from a certified medical assistant concerning a 11 year old female with seizure activity, temporal lobe lesion (is taking topiramate), no history of drug reactions/allergies, and a history of headache and migraine who on 18-MAR-2008 was vaccinated with a first dose of GARDASIL (lot # 659962/1740U) 0.5 ml IM In the left deltoid. Concomitant therapy also given on 18-MAR-2008 included MENACTRA, diphtheria toxoid (+) pertussis acellular vaccine (unspecified) (+) tetanus toxoid. Other concomitant therapy included TOPAMAX. On 19-MAR-2008, the day after the first dose of GARDASIL, the patient experienced seizure activity at school, but it was not reported to the doctor's office at that time. On 19-MAY-2008, the patient was vaccinated with a second dose of GARDASIL (lot # 659962/1740U) 0.5 ml IM in the left deltoid. That evening, the patient had a seizure. Medical attention was sought in the office. Spectrascopy test result was normal; unknown when the test was performed. There was no fever post vaccination. Subsequently, the patient recovered from the seizure. Upon internal review, the seizures were considered to be Other Important Medical Events. Additional information has been requested.
Sex: F
Vaccine: HPV4
Symptoms: Convulsion, Immediate post-injection reaction, Memory impairment, Urinary incontinence, Vaccine positive rechallenge
Clinical narrative: Information has been received from a nurse concerning a female patient (age not reported) who on an unspecified date was vaccinated with a first 0.5 mL dose of GARDASIL.  Immediately after, she experienced a seizure and urinary incontinence.  In approximately February 2008 ("past few months"), the patient experienced a seizure and urinary incontinence immediately after receiving the second dose of GARDASIL.  The nurse reported that the patient recovered within a minute or two with no memory of what had happened.  No treatment was required.  Upon internal review, the patient's seizures were considered other important medical events.  Additional information has been requested.
Age: 0.4
Sex: M
Vaccine: DTAPHEPBIP, HIBV, MNQ, PNC
Symptoms: Wrong technique in drug usage process
Clinical narrative: Patient given HIB shot mixed with MENACTRA instead of diluant, patient had no reactions, was soon later that day with no visible reaction and mother reported no reaction or side effects over next 48 hours.
Age: 26.0
Sex: M
Vaccine: ANTH
Symptoms: Anxiety, Arthralgia, Asthenia, Asthma, Balance disorder
Clinical narrative: Felt "sick" within 3 days of receiving Anthrax vaccine while out of country. Symptoms continued, but patient attributed to multiple factors (dietary changes, increased activity, decreased sleep, altered schedule, etc.) He was finally evaluated post deployment and diagnosed with chronic fatigue. He was medically boarded from the AF with diagnosis of CFS and has been following up at the hospital. Symptoms: Fatigue, Malaise >60 days, weakness, dizziness, unsteady, rare headaches, tinnitus, paresthesias, joint aches, muscle twitching, poor concentration  6/20/08 Reviewed medical records of  FINAL DX: multiple sclerosis, chronic fatigue syndrome, exertional asthma, chronic rhinitis, secondary reactive anxiety disorder, IBS, peripheral neuropathy & diminished hearing Records reveal patient experienced loose stools, upsept stomach & fatigue s/p initial anthrax vaccination 1991. Developed additional symptoms weakness, extreme fatigue, felt faint, lightheadedness, off balance, anxiety, panic attacks, restless, sleep difficulties, palpitations, weight loss, asthma, Gilbert's disease over time & was eventually diagnosed w/MS in 1998. 1/21/2010 Patient diagnosed with MS.
Age: 26.0
Sex: M
Vaccine: ANTH
Symptoms: Brain scan abnormal, Chronic fatigue syndrome, Disturbance in attention, Dizziness, Headache
Clinical narrative: Felt "sick" within 3 days of receiving Anthrax vaccine while out of country. Symptoms continued, but patient attributed to multiple factors (dietary changes, increased activity, decreased sleep, altered schedule, etc.) He was finally evaluated post deployment and diagnosed with chronic fatigue. He was medically boarded from the AF with diagnosis of CFS and has been following up at the hospital. Symptoms: Fatigue, Malaise >60 days, weakness, dizziness, unsteady, rare headaches, tinnitus, paresthesias, joint aches, muscle twitching, poor concentration  6/20/08 Reviewed medical records of  FINAL DX: multiple sclerosis, chronic fatigue syndrome, exertional asthma, chronic rhinitis, secondary reactive anxiety disorder, IBS, peripheral neuropathy & diminished hearing Records reveal patient experienced loose stools, upsept stomach & fatigue s/p initial anthrax vaccination 1991. Developed additional symptoms weakness, extreme fatigue, felt faint, lightheadedness, off balance, anxiety, panic attacks, restless, sleep difficulties, palpitations, weight loss, asthma, Gilbert's disease over time & was eventually diagnosed w/MS in 1998. 1/21/2010 Patient diagnosed with MS.
Age: 26.0
Sex: M
Vaccine: ANTH
Symptoms: Malaise, Muscle twitching, Paraesthesia, Tinnitus
Clinical narrative: Felt "sick" within 3 days of receiving Anthrax vaccine while out of country. Symptoms continued, but patient attributed to multiple factors (dietary changes, increased activity, decreased sleep, altered schedule, etc.) He was finally evaluated post deployment and diagnosed with chronic fatigue. He was medically boarded from the AF with diagnosis of CFS and has been following up at the hospital. Symptoms: Fatigue, Malaise >60 days, weakness, dizziness, unsteady, rare headaches, tinnitus, paresthesias, joint aches, muscle twitching, poor concentration  6/20/08 Reviewed medical records of  FINAL DX: multiple sclerosis, chronic fatigue syndrome, exertional asthma, chronic rhinitis, secondary reactive anxiety disorder, IBS, peripheral neuropathy & diminished hearing Records reveal patient experienced loose stools, upsept stomach & fatigue s/p initial anthrax vaccination 1991. Developed additional symptoms weakness, extreme fatigue, felt faint, lightheadedness, off balance, anxiety, panic attacks, restless, sleep difficulties, palpitations, weight loss, asthma, Gilbert's disease over time & was eventually diagnosed w/MS in 1998. 1/21/2010 Patient diagnosed with MS.
Age: 12.0
Sex: M
Vaccine: HEPA, TDAP
Symptoms: Dyskinesia, Loss of consciousness
Clinical narrative: After ADACEL -> Client passed out while sitting in chair. Was assisted to the ground. When on the ground client's limbs began jerking for several seconds; client woke up after about 5-6 seconds and asked "what happened? I fell asleep"; Monitored client in office for 30 minutes after episode.
Age: 37.0
Sex: F
Vaccine: TDAP
Symptoms: Erythema, Induration, Local reaction, Pallor, Skin warm
Clinical narrative: induration, blanching erythema, warmth skin and 3cm areas; administered cold compresses. - Local reaction
Age: 27.0
Sex: M
Vaccine: TDAP
Symptoms: Wrong drug administered
Clinical narrative: Gave Tdap BOOSTRIX as ordered on encounter form; Should have been ADACEL
Age: 12.0
Sex: M
Vaccine: TDAP, VARCEL
Symptoms: Erythema, Injected limb mobility decreased, Swelling
Clinical narrative: Noted redness and swelling the morning after injection 50 cent size but next day red about 10 inches and said could not lift arm.  Also had TDAP in same arm as VARIVAX.
Age: 53.0
Sex: F
Vaccine: TDAP
Symptoms: Burning sensation, Pruritus, Rash, Rash generalised, Tenderness
Clinical narrative: Patient noted tenderness on plantar surface on feet on 5-21-08. On 5-22-08, tenderness increased and rash noted on feet, palms, then extended to legs and arms. By 5-23-08, rash covered most of body, slightly pruritic and causing burning sensation. Urgent care visit - Methoprednisolone 21 pack& Claritin. 5-27-08, PCP visit for steroid injection.
Age: 0.3
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC, RV5, RV5
Symptoms: Intussusception
Clinical narrative: Child developed intussusception 7 1/2 weeks after receiving second dose of ROTATEQ. 6/18/08-records received for DOS 5/19-5/24/08- DC DX: Colocolic intussusception. One day history of lethargy and irritability. Diet refusal, non-bilious emesis and mucus bloody stool. Exploratory laparotomy and reduction. Post op abdominal pain with repeat ultrasound negative. Foley catheter placement.
Age: 0.3
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC, RV5, RV5
Symptoms: Intussusception, Surgery
Clinical narrative: Child developed intussusception 7 1/2 weeks after receiving second dose of ROTATEQ. 6/18/08-records received for DOS 5/19-5/24/08- DC DX: Colocolic intussusception. One day history of lethargy and irritability. Diet refusal, non-bilious emesis and mucus bloody stool. Exploratory laparotomy and reduction. Post op abdominal pain with repeat ultrasound negative. Foley catheter placement.
Age: 22.0
Sex: F
Vaccine: HPV4
Symptoms: Blister, Erythema, Herpes simplex serology negative, Pain, Rash
Clinical narrative: GARDASIL given 4-23-08 - That evening developed red patch upper chest -> blistered -> 4/20 spread along T3 dermatome. By 4-27-08. Pain along rash. 4-28-28 Treated with acyclovir 800 mg 5x/day x10days.  06/23/2008 MR received from OBGYN. Pt presented to office with red, blistery rash on R side of chest in T3 dermatome and itching and burning in vaginal area. DX:  Shingles.  Yeast vaginitis. Seen again 5/5/08 with rash better. C/o difficulty sleeping and concentrating.
Age: 37.0
Sex: F
Vaccine: TDAP
Symptoms: Cellulitis
Clinical narrative: Cellulitis RUExt. 6/6/08-records received for DOS 5/21-5/23/08-DC DX: Right upper extremity cellulitis, improved. Status post tetanus injection right upper extremity. Mild obesity. Presented with C/O 2-3 days following vaccination right upper extremity pain and swelling and erythema at area of injection. Developed red man syndrome after dose of Vancomycin.
Age: 0.2
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5, DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Petechiae, Platelet count decreased
Clinical narrative: About 5-6 hours after PEDIARIX, Hib, PCV, rotavirus; Petechiae - Required hospitalization 2x days.  06/18/2008 MR received for DOS 5/16-18/2008 with DX: Rash.  R LE swelling 2' to vaccinations-local reaction. Infant presented from local hospital with petechial rash on arms, legs and feet with mottled skin. Sepsis w/u (-). Rash noted as purplish macular rash by hospitalist.
Age: 0.2
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5, DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Activated partial thromboplastin time normal, Blood culture negative, CSF culture negative, Coombs indirect test negative, Culture urine negative
Clinical narrative: About 5-6 hours after PEDIARIX, Hib, PCV, rotavirus; Petechiae - Required hospitalization 2x days.  06/18/2008 MR received for DOS 5/16-18/2008 with DX: Rash.  R LE swelling 2' to vaccinations-local reaction. Infant presented from local hospital with petechial rash on arms, legs and feet with mottled skin. Sepsis w/u (-). Rash noted as purplish macular rash by hospitalist.
Age: 0.2
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5, DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Ecchymosis, Haematocrit decreased, Haemoglobin decreased, International normalised ratio normal, Mean platelet volume normal
Clinical narrative: About 5-6 hours after PEDIARIX, Hib, PCV, rotavirus; Petechiae - Required hospitalization 2x days.  06/18/2008 MR received for DOS 5/16-18/2008 with DX: Rash.  R LE swelling 2' to vaccinations-local reaction. Infant presented from local hospital with petechial rash on arms, legs and feet with mottled skin. Sepsis w/u (-). Rash noted as purplish macular rash by hospitalist.
Age: 0.2
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5, DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Petechiae, Platelet count decreased, Prothrombin level normal, White blood cell count increased
Clinical narrative: About 5-6 hours after PEDIARIX, Hib, PCV, rotavirus; Petechiae - Required hospitalization 2x days.  06/18/2008 MR received for DOS 5/16-18/2008 with DX: Rash.  R LE swelling 2' to vaccinations-local reaction. Infant presented from local hospital with petechial rash on arms, legs and feet with mottled skin. Sepsis w/u (-). Rash noted as purplish macular rash by hospitalist.
Age: 0.37
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Barium enema abnormal, Diarrhoea, Enema administration, Intussusception, Vomiting
Clinical narrative: Intussusception.  Rec'd vaccines 4/29/08 - vomiting/diar.  Onset 5/12/08 ER -> hospital 5/13/08 dc'd 5/14/08.  6/12/2008 MR received for ER admit 5/13-14/2008 with DX: Intussusception. Infant presented from another hospital after unsuccessful atempt to reduce IS with  Barium Enema.  Infant had presented with 2 day hx of vomiting, diarrhea and bloody stool. Decreased po intake, crying and cofee ground emesis noted. Air contrast enema was succssful at reduction. Admitted for o/n observation and D/c home
Age: 65.0
Sex: M
Vaccine: VARZOS
Symptoms: Blister, Neuralgia, Pruritus, Rash
Clinical narrative: Patient received ZOSTAVAX on 05/15/2008.  Two days later -05/17/2008- he stated he developed a rash on his abdomen and several vesicles on his back filled with fluid.  Intense itching followed, along with some neuropathic pain.  Patient is now receiving acyclovir 800 five times a day for 10 days, nortriptyline 30mg po qhs, and prn VICODIN.
Age: 31.0
Sex: M
Vaccine: HEPA, MNQ
Symptoms: Apnoea, Convulsion, Pallor, Postictal state, Tonic clonic movements
Clinical narrative: Patient became pale and unresponsive which was followed by generalized seizure activity (tonic-clonic jerking movements) with apnea, urinary incontinence. Event followed by brief postictal period with apparent full recovery
Age: 31.0
Sex: M
Vaccine: HEPA, MNQ
Symptoms: Unresponsive to stimuli, Urinary incontinence
Clinical narrative: Patient became pale and unresponsive which was followed by generalized seizure activity (tonic-clonic jerking movements) with apnea, urinary incontinence. Event followed by brief postictal period with apparent full recovery
Age: 66.0
Sex: F
Vaccine: VARZOS
Symptoms: Erythema, Rash pruritic
Clinical narrative: Patient had a whole body erythematous, pruritic rash
Age: 38.0
Sex: F
Vaccine: TDAP
Symptoms: Swelling
Clinical narrative: Localized swelling, treated with BENADRYL and hydrocortisone cream. Much improvement in 3days.
Age: 12.0
Sex: F
Vaccine: TDAP
Symptoms: Headache
Clinical narrative: 1) Sudden severe headache
Age: 0.3
Sex: M
Vaccine: DTAPHEPBIP, RV5
Symptoms: Haematochezia, Occult blood positive
Clinical narrative: Blood in stool x4 days; Began on 5/23/08. ROTATEQ administered on 5/19/08
Age: 11.0
Sex: M
Vaccine: MNQ, TDAP
Symptoms: Dizziness, Injected limb mobility decreased, Sensation of heaviness
Clinical narrative: (Left) arm feels heavy and hard to move along with severe dizziness, had to be picked up by mother at school.
Age: 67.0
Sex: M
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site rash
Clinical narrative: Red rash (elevated) approximately 3" square at injection site, itch
Age: 9.0
Sex: F
Vaccine: HEPA, HPV4, VARCEL
Symptoms: Chest discomfort, Dyspnoea, Throat irritation
Clinical narrative: Four hours after HPV mother stated child developed throat irritation, shortness of breath. Next day chest discomfort.
Age: 52.0
Sex: F
Vaccine: FLU3, YF
Symptoms: Abdominal pain upper, Axillary pain, Feeling hot
Clinical narrative: C/O pain LUQ and some in (L) axillary area and felt warm. Did not take temp. Started approximately 2 hrs following inj on 5/19. Continued 5/20, but lesser degree. Did not miss work.
Age: 17.0
Sex: M
Vaccine: MNQ
Symptoms: Erythema, Pruritus, Rash, Rash macular, Urticaria
Clinical narrative: Site began to itch shortly after receiving vaccine. Noticed red rash on chest next day with c/o itching. Has spread to back over next 2 days. Looks "blotchy" "hive like".
Age: 0.4
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC, RV5
Symptoms: Urticaria
Clinical narrative: developed hives on lower legs only about 1 minute after vaccination
Age: 0.4
Sex: M
Vaccine: RV5
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: Rotavirus series started late (No problems) because sibling on chemotherapy
Age: 34.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site atrophy, Injection site discolouration
Clinical narrative: Indention in right arm where shot was given - left indention and round purple mark
Age: 13.0
Sex: F
Vaccine: HEPA, HPV4, MNQ, VARCEL
Symptoms: Hyperhidrosis, Immediate post-injection reaction, Pallor, Syncope
Clinical narrative: At 2:35 PM immediately after receiving HPV vaccine, pt became pale, diaphoretic and fainted. Easily aroused after approximately 2-3 sec. Cool wash cloth to neck and monitored  for 25 min with mother present. Pt left clinic ambulatory with difficulty.
Age: 11.0
Sex: M
Vaccine: MNQ, TDAP, VARCEL
Symptoms: Cellulitis, Erythema, Lymphadenopathy, Pain, Skin warm
Clinical narrative: 5-22-08 Presented with pain redness 7x5cm irreg bordered eryth. hot, tender swollen, axillary lymphadenopathy, cellulitis. KEFLEX x 7d - Right arm deltoid.
Age: 11.0
Sex: M
Vaccine: MNQ, TDAP, VARCEL
Symptoms: Swelling, Tenderness
Clinical narrative: 5-22-08 Presented with pain redness 7x5cm irreg bordered eryth. hot, tender swollen, axillary lymphadenopathy, cellulitis. KEFLEX x 7d - Right arm deltoid.
Age: 10.0
Sex: M
Vaccine: MNQ, TDAP, VARCEL
Symptoms: Abscess, Ecchymosis, Erythema, Oedema peripheral, Pyrexia
Clinical narrative: Right arm moderate erythema, tender, swollen, med ecchymosis upper arm. Fever. Abscess. Augmentin x 7d. Area 3.5-4 cm diameter. Seen ER 5-22-08.
Age: 10.0
Sex: M
Vaccine: MNQ, TDAP, VARCEL
Symptoms: Tenderness
Clinical narrative: Right arm moderate erythema, tender, swollen, med ecchymosis upper arm. Fever. Abscess. Augmentin x 7d. Area 3.5-4 cm diameter. Seen ER 5-22-08.
Age: 77.0
Sex: M
Vaccine: VARZOS
Symptoms: Culture positive, Pyrexia, Rash, Varicella
Clinical narrative: On evening of 5/13/08, started running a temperature (101) and started breaking out with a rash. On 5/15/08, went to doctor. Culture taken. Diagnosed with chicken pox. Put on Tylenol and Valtrex (first for 5 days and then for an additional 7 days.
Age: 65.0
Sex: F
Vaccine: VARZOS
Symptoms: Burning sensation, Erythema, Headache, Local reaction, Pruritus
Clinical narrative: Local reaction 3 days after inj. Redness, hive like swelling, itchiness, burning, tenderness, rash, h/a.
Age: 65.0
Sex: F
Vaccine: VARZOS
Symptoms: Rash, Swelling, Tenderness, Urticaria
Clinical narrative: Local reaction 3 days after inj. Redness, hive like swelling, itchiness, burning, tenderness, rash, h/a.
Age: 52.0
Sex: F
Vaccine: TDAP
Symptoms: Chills, Myalgia, Pyrexia
Clinical narrative: High fever of 103.6, chills and muscle aches, duration of 6-8 hours.
Age: 11.0
Sex: M
Vaccine: MNQ, TDAP, VARCEL
Symptoms: Erythema, Swelling
Clinical narrative: Swelling and erythema after 1 day post vaccination. To ice, massage and use Tylenol or Ibuprofen for pain.
Age: 16.0
Sex: F
Vaccine: HEPA, HPV4, MNQ, TDAP, VARCEL
Symptoms: Inflammation
Clinical narrative: Local inflammation to (L) arm.
Age: 21.0
Sex: F
Vaccine: TDAP
Symptoms: Arthralgia, Blood uric acid normal, Borrelia burgdorferi serology negative, C-reactive protein increased, Injection site pain
Clinical narrative: Pt stated she experienced some tenderness at injection site. Later in day after injection approximately 4 days after injection she c/o bilateral forearm and wrist pain and tenderness in (L) foot. Approximately 10 days after injection c/o pain in arms, wrists, ankles and knees. Pt was tx'd with Levaquin, Doxycycline, Lor-Tab, Toradol, and Prednisone with minimal relief. Urgent care visits x 2 ER x 2 and PCP x 1.
Age: 21.0
Sex: F
Vaccine: TDAP
Symptoms: Pain in extremity, Red blood cell sedimentation rate increased, White blood cell count increased
Clinical narrative: Pt stated she experienced some tenderness at injection site. Later in day after injection approximately 4 days after injection she c/o bilateral forearm and wrist pain and tenderness in (L) foot. Approximately 10 days after injection c/o pain in arms, wrists, ankles and knees. Pt was tx'd with Levaquin, Doxycycline, Lor-Tab, Toradol, and Prednisone with minimal relief. Urgent care visits x 2 ER x 2 and PCP x 1.
Age: 1.02
Sex: F
Vaccine: MMR, PNC, VARCEL
Symptoms: Erythema, Pyrexia, Rash, Varicella
Clinical narrative: Bright red spot on cheek, chicken pox bumps all over body (3 weeks) lasted 2 days. Fever (after 6 weeks) 103 lasted two day 5/21 and 5/22.
Age: 2.0
Sex: M
Vaccine: PPV
Symptoms: Blood culture negative, Delirium, Full blood count normal, Lymphadenopathy, Nausea
Clinical narrative: Within 6 hours of vaccine had 105 temp which remained high 103-105 for 3 1/2 days, with delirium, nausea, swollen lymph node in left axilla under site of injection. Fever was poorly responsive to antipyretics. A fine, macular rash appeared on forehead at the end of day 3, followed by extension of rash onto torso and limbs. NO pruritis - fever dropped after 84h, appetite returned day 5.
Age: 2.0
Sex: M
Vaccine: PPV
Symptoms: Pyrexia, Rash macular
Clinical narrative: Within 6 hours of vaccine had 105 temp which remained high 103-105 for 3 1/2 days, with delirium, nausea, swollen lymph node in left axilla under site of injection. Fever was poorly responsive to antipyretics. A fine, macular rash appeared on forehead at the end of day 3, followed by extension of rash onto torso and limbs. NO pruritis - fever dropped after 84h, appetite returned day 5.
Age: 5.0
Sex: F
Vaccine: DTAP, MMR
Symptoms: Erythema, Oedema, Skin warm
Clinical narrative: (L) thigh with erythemic area 10.5 cm x 9 cm long, mild edema present, non tender, mildly warm to touch.
Age: 1.0
Sex: M
Vaccine: HEPA, MMR, PNC, VARCEL
Symptoms: Injection site erythema, Injection site swelling, Skin warm
Clinical narrative: Had 12 mth vaccines on 4/23/08. Received Varivax and DTaP in (L) thigh. Came to clinic on May 2, 2008 with redness and swelling noted to left thigh at injection site. Approx 25mm round raised area, warm to touch. Dr examined pt localized reaction. Instructed to return to clinic if it gets worse. Cold compresses, Tylenol and Motrin for discomfort.
Age: 5.0
Sex: M
Vaccine: DTAP, HEPA
Symptoms: Erythema
Clinical narrative: Redness, erythema encompassing (R) bicep only. No FV, no wheeze/stridor/dyspnea.
Age: 52.0
Sex: F
Vaccine: MMR
Symptoms: Chills, Lethargy, Pyrexia, Rash
Clinical narrative: 10 days after administration began feeling increased lethargy, then developed chills with fever up to 100.2F and finally a mild rash on face and neck
Age: 34.0
Sex: F
Vaccine: ANTH
Symptoms: Injection site erythema, Injection site pain, Injection site warmth
Clinical narrative: Pt had Anthrax vaccine #4 administered in left deltoid on Thursday 30 May 2008.  Noted mild tenderness and redness around area the next day. Came into clinic on Monday 2 June with significant erythema and warmth and mild tenderness approx 2 inch diameter all around the site of injection.  Area outlined with pen. Patient returned 24 hours later and area of redness had extended slightly outside of outline, but degree of erythema and warmth was significantly less than day before. Minimal tenderness to region. patient had no systemic s/s in this timeframe.
Age: 3.0
Sex: F
Vaccine: DTAP, HEP, IPV
Symptoms: Blood culture negative, Erythema, Swelling, White blood cell count increased
Clinical narrative: 2 days after administration of vaccines, patient presented to Emergency department with erythema and swelling of left anterior thigh.  Thigh was non-tender and patient did not have fever.
Age: 32.0
Sex: M
Vaccine: ANTH
Symptoms: Activities of daily living impaired, Headache, Pain
Clinical narrative: Pt complained about ongoing headaches, body aches. Pt called in sick to work for one day. Pt said symptoms are gone.
Age: 2.0
Sex: M
Vaccine: DTAP, VARCEL
Symptoms: Rash, Vaccination failure
Clinical narrative: Child woke up the day after Vericella vaccine with 5 spots that look like chicken pox.
Age: 1.14
Sex: F
Vaccine: VARCEL, VARCEL
Symptoms: Body temperature increased, Herpes zoster, Vaccination failure, Varicella
Clinical narrative: Shot was given on 5/23/08 at 4pm. On Sunday late afternoon into early evening developed temperature of 101.3.  I gave children's Tylenol fever came down later that evening. I gave Motrin before bed, slept thru the night no problems.  Next morning I changed her diaper and found some spots in her private area, thought it was a diaper rash, applied Balmex.  Next diaper change I noticed the spots had spread to her torso and outer thighs.  I called the Dr's office and explained what I saw, she told me to wait 24 hours and if things didn't improve I was to call the pediatrician in the AM.  On Tues morning the spots were out of control, she had them 1000 times worse on her legs both sides, very raw and pus looking.  The arms started to have spots come out as well.  When I took her to the Dr's.  They said they have never seen such an out break due to a vaccine.  Then she suggested we see a dermatologist.  That's where he did a scraping of where the pox came out and diagnosed her with the Herpes Chicken Pox.  Her pediatrician then prescribed Acyclovir to try to control the out break.  She was on the med's for 7 days.
Age: 1.14
Sex: F
Vaccine: VARCEL, VARCEL
Symptoms: Dermatitis diaper, Pyrexia, Rash
Clinical narrative: Shot was given on 5/23/08 at 4pm. On Sunday late afternoon into early evening developed temperature of 101.3.  I gave children's Tylenol fever came down later that evening. I gave Motrin before bed, slept thru the night no problems.  Next morning I changed her diaper and found some spots in her private area, thought it was a diaper rash, applied Balmex.  Next diaper change I noticed the spots had spread to her torso and outer thighs.  I called the Dr's office and explained what I saw, she told me to wait 24 hours and if things didn't improve I was to call the pediatrician in the AM.  On Tues morning the spots were out of control, she had them 1000 times worse on her legs both sides, very raw and pus looking.  The arms started to have spots come out as well.  When I took her to the Dr's.  They said they have never seen such an out break due to a vaccine.  Then she suggested we see a dermatologist.  That's where he did a scraping of where the pox came out and diagnosed her with the Herpes Chicken Pox.  Her pediatrician then prescribed Acyclovir to try to control the out break.  She was on the med's for 7 days.
Age: 47.0
Sex: F
Vaccine: TDAP
Symptoms: Dizziness, Nausea
Clinical narrative: SEVERE DIZZYNESS,NAUSEA FROM THE DIZZYNESS. DAUGHTER HAD EXACT VAC. A COUPLE OF WEEKS PROIR WITH THE EXACT SAME SIDE EFFECTS. THIS IS THE REASON THAT THEY WERE ABLE TO PUT IT TOGETHER TO FIGURE OUT THAT IT WAS FROM THE VAC.
Age: 17.0
Sex: F
Vaccine: MNQ
Symptoms: Full blood count, Rash
Clinical narrative: Menactra administered 4-26-08 in Left deltoid.  On 4-28-08 a flat fine rash appeared on face, chest and inner legs.  Seen at doctor clinic on 4-28-08.  They ruled out strep and completed a CBC.  No further testing or treatment.  Rash resolved within that week.
Age: 40.0
Sex: F
Vaccine: DT
Symptoms: Pain
Clinical narrative: Soreness in underside of upper arm beginning 3 days following administration of vaccine. Continues through today et worsening pain. Patient relates that pain is worst when lying down at night. Patient is active et training for triathlon.
Age: 0.17
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Crying
Clinical narrative: EXCESSIVE CRYING X 4 HRS
Age: 59.0
Sex: F
Vaccine: TYP
Symptoms: Asthenia, Diarrhoea, Muscle spasms, Nausea, Vomiting
Clinical narrative: Nausea 12 hrs after initial dose; severe cramps, vomiting, diarrhea 20 hrs after initial dose.  Continued for additional 24 hours, weakness persisted for 3 days. First dose taken with water 1 hour prior to dinner.  Did not continue the remaining 3 doses.
Age: 4.0
Sex: M
Vaccine: DTAP, HEPA, IPV, MMR, VARCEL
Symptoms: Irritability, Oral intake reduced, Oral mucosal eruption
Clinical narrative: Mom states she took child to see doctor at  Med. Ctr. after vaccination.Child had white bumps in mouth, looks like pimples on outside bur pus filled on inside of mouth.Might have fever, fussy and won't eat. Mom told nurse that Doctor said child has a virus not a reaction to vaccine given.
Age: 19.0
Sex: F
Vaccine: HPV4
Symptoms: Injected limb mobility decreased, Injection site pain, Pain in extremity
Clinical narrative: Pt c/o extremely sore arm, tenderness at injection site, and inability to lift arm above head since receiving 3rd Gardasil injection. Injection was given 5/05/08 and patient continued to c/o symptoms 5/20/08. Patient tried ice and ibuprofen with very minimal relief.
Age: 18.0
Sex: F
Vaccine: HEPA, HPV4, MNQ, TDAP
Symptoms: Heart rate, Loss of consciousness, Pallor, Respiratory rate, Syncope
Clinical narrative: Administered Tdap, Hep A, and then HPV4.  Within 5-10 seconds following the HPV4 client fainted, was unconscious for approx 15-20 seconds, woke up with ammonia inhalents.  Color pale but pulse at approx 60/min and resp from 12-14/minute.  Assisted to exam table, remained in clinic for 30 minutes under observation.  Grandmother with client--states has hx of being "woozy". Menactra given after recovery.
Age: 12.0
Sex: M
Vaccine: MNQ, TDAP, VARCEL
Symptoms: Abnormal behaviour, Blood creatinine normal, Blood glucose normal, Blood potassium decreased, Blood sodium decreased
Clinical narrative: On May 13, 2008 (24 days post vaccincations) child had what his mother described as "flu symtoms"-cough, slight fever, headache.  He seemed to get better after a few days, and then on May 20, 2008, he had a worsening headache, complained of dizziness, and was "clumsy and confused" according to mom. He also had a few episodes of panicking, and "talking out of his head".  Mom also reported fever and some vomiting. The child was taken to Medical Center Emergency Room on May 21, 2008, then transferred to Hospital Emergency Room to be admitted to the Pediatric Unit.  Child is currently a patient at Medical Center Pediatric ICU.  Dx: Acute Disseminated Encephalomyelitis  06/23/2008  Partial MR received for DOS 5/22-7/25/2008 with DX:  Acute Disseminating Encephalomyelitis. Patient initially presented to local hospital with 1 week hx of flu-like sx of cough, fever, and headache. Seemed better for 2 days but then developed worsening h/s, dizziness, clumsiness and confusion. Parent reported some vomiting, panic episodes and disorientation. Transferred to current facility for eval and tx.  Given high dose steroids, plasmapheresis and IVIG without improvement. Intubated 2' to a lung puncture during an IJ insertion attempt, resulting in pneumothorax and chest tube insertion. Developed seizure-like spells. NG tube placed for nutrition. Posturing noted on 6/3/08 exam. Unable to follow commands. Spoke in nonsensical language. Developed agitation tx'd with meds, Candida and Saprophyticus UTIs. Improvement noted in July and pt able to ambulate with assistance. Getting speech, OT, and PT. Discharged to rehab facility.
Age: 12.0
Sex: M
Vaccine: MNQ, TDAP, VARCEL
Symptoms: Blood urea normal, CSF glucose normal, CSF lymphocyte count increased, CSF monocyte count decreased, CSF neutrophil count
Clinical narrative: On May 13, 2008 (24 days post vaccincations) child had what his mother described as "flu symtoms"-cough, slight fever, headache.  He seemed to get better after a few days, and then on May 20, 2008, he had a worsening headache, complained of dizziness, and was "clumsy and confused" according to mom. He also had a few episodes of panicking, and "talking out of his head".  Mom also reported fever and some vomiting. The child was taken to Medical Center Emergency Room on May 21, 2008, then transferred to Hospital Emergency Room to be admitted to the Pediatric Unit.  Child is currently a patient at Medical Center Pediatric ICU.  Dx: Acute Disseminated Encephalomyelitis  06/23/2008  Partial MR received for DOS 5/22-7/25/2008 with DX:  Acute Disseminating Encephalomyelitis. Patient initially presented to local hospital with 1 week hx of flu-like sx of cough, fever, and headache. Seemed better for 2 days but then developed worsening h/s, dizziness, clumsiness and confusion. Parent reported some vomiting, panic episodes and disorientation. Transferred to current facility for eval and tx.  Given high dose steroids, plasmapheresis and IVIG without improvement. Intubated 2' to a lung puncture during an IJ insertion attempt, resulting in pneumothorax and chest tube insertion. Developed seizure-like spells. NG tube placed for nutrition. Posturing noted on 6/3/08 exam. Unable to follow commands. Spoke in nonsensical language. Developed agitation tx'd with meds, Candida and Saprophyticus UTIs. Improvement noted in July and pt able to ambulate with assistance. Getting speech, OT, and PT. Discharged to rehab facility.