chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 65.0
Sex: F
Vaccine: PPV
Symptoms: Injection site swelling, Injection site warmth, Joint swelling, Reaction to previous exposure to any vaccine, Tenderness
Clinical narrative: By 8:00 PM on the date of the injection her arm around the injection site was swollen and warm. She came into the office the next morning at 10:00 AM and the redness and swelling had migrated down towards the elbow and was tender. See attached office note from 11/20/2007.
Age: 6.0
Sex: M
Vaccine: VARCEL
Symptoms: Pruritus, Rash, Urticaria
Clinical narrative: Urticaria rash on legs, lower trunk, very itchy, no fever.  Advised by doctor on telephone to use Benadryl 3tsp and Aveeno bath and f/up in office am.
Age: 68.0
Sex: M
Vaccine: PPV
Symptoms: Anorexia, Cellulitis, Chest X-ray normal, Injection site erythema, Injection site swelling
Clinical narrative: On Monday, Nov. 19, 2007, between 3 & 4 PM I received a PPV shot at the health facility.  The shot was drawn from two different multi dose vials with lot no's. Unknown.  The injection was placed in the upper right arm.  A copy of Pneumococcal-7/29/97 Vaccine Information Sheet was given to me for my information.  On Tuesday my right arm increased in redness and started to swell, I also developed a fever, muscle aches and loss of appetite.  I was not overly concerned because Section 6 of the handout suggested the reactions are rare but normal.  By Wednesday, I decided it was time to have the arm checked so I went to the medical center.  I was examined by a doctor who diagnosed cellulitis.
Age: 68.0
Sex: M
Vaccine: PPV
Symptoms: Myalgia, Pyrexia, White blood cell count increased
Clinical narrative: On Monday, Nov. 19, 2007, between 3 & 4 PM I received a PPV shot at the health facility.  The shot was drawn from two different multi dose vials with lot no's. Unknown.  The injection was placed in the upper right arm.  A copy of Pneumococcal-7/29/97 Vaccine Information Sheet was given to me for my information.  On Tuesday my right arm increased in redness and started to swell, I also developed a fever, muscle aches and loss of appetite.  I was not overly concerned because Section 6 of the handout suggested the reactions are rare but normal.  By Wednesday, I decided it was time to have the arm checked so I went to the medical center.  I was examined by a doctor who diagnosed cellulitis.
Age: 68.0
Sex: F
Vaccine: PPV
Symptoms: Erythema, Limb discomfort, Tenderness
Clinical narrative: Left Arm Tenderness on side red Band around arm tha was Lumpy 3-4 inches, Ice, Tylenol
Age: 10.0
Sex: M
Vaccine: VARCEL
Symptoms: Pruritus, Rash, Wheezing
Clinical narrative: Patient received injection, within 20 minutes started itch and with rash, gave 40 mg Benadryl 1M, 40 mg Solumedrol 1M - patient then wheezed - gave Epi Pen jr. - stabilized.  Transferred to hospital ER via ambulance.
Age: 2.0
Sex: F
Vaccine: DTAP, HEP, HIBV, PNC
Symptoms: Erythema, Pain
Clinical narrative: Vaccines administered 11/26/07. That night area was red. By next am red patch had enlarged and pt would complain of pain when it was bumped/touched. Tx-ice cont. OTC analgesics f/u 2 wk if not resolved
Age: 2.0
Sex: M
Vaccine: HEPA, MMR, VARCEL
Symptoms: Nonspecific reaction
Clinical narrative: "None stated"
Sex: F
Vaccine: PPV
Symptoms: Arthralgia, Erythema, Headache, Pain, Skin warm
Clinical narrative: Left upper inner arm redness, warmth.  Headache, body aches, joint pain, scratchy throat.
Sex: F
Vaccine: PPV
Symptoms: Throat irritation
Clinical narrative: Left upper inner arm redness, warmth.  Headache, body aches, joint pain, scratchy throat.
Age: 1.9
Sex: M
Vaccine: DT, VARCEL
Symptoms: Pyrexia, Rash generalised, Rhinorrhoea
Clinical narrative: Received Varivax 11/16/07 - Rash started 11/24/07 precede by runny nose/low grade fever. Rash - 5-10 areas entire body.
Age: 54.0
Sex: F
Vaccine: MMR
Symptoms: Chest pain, Dizziness, Hyperhidrosis, Nausea, Throat tightness
Clinical narrative: MMR given at 17:00-17:50.  Complained of nausea, dizzy, sweats, throat felt like it was closing and chest pains.  Went to ER - Benadryl offered.  Felt sick to stomach next day but better.
Age: 0.9
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Erythema, swelling, tenderness around injection sites of HIB and Prevnar injection.  Tylenol for pain.
Age: 21.0
Sex: F
Vaccine: HEPA, RAB
Symptoms: Chills, Dizziness, Malaise, Myalgia, Nausea
Clinical narrative: On 11/26, reported Myalgia, chills, dizziness, nausea and malaise that onset 24 hours after injection and lasted for 24 hours.  Didn't check temperature.  Used Tylenol , Ibuprofen but felt wasn't helpful in relief.  Stopped series her request.
Age: 1.3
Sex: F
Vaccine: VARCEL
Symptoms: Varicella
Clinical narrative: Varicella vaccine break through.  Diagnosed with varicella on 11-26-07.  Had 25 vesicles.  No fever.
Age: 6.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Chills, Cough, Paraesthesia, Rhinorrhoea, Sensation of heaviness
Clinical narrative: One day after vaccination - reports feet feel like "shivering - walking on sand, tingling".  Also complained of sniffles, cough 2 days after vaccination.  Referred to primary doctor for evaluation.
Age: 65.0
Sex: F
Vaccine: LYME
Symptoms: Arthralgia, Asthenia, Biopsy, Mitochondrial myopathy, Muscular dystrophy
Clinical narrative: Since 4/12/00 muscle pain, joint pains, weakness, fever, hip pains. Profound disability, now being evaluated for oculopharyngeal muscular dystrophy and mitrochondrial myopathy.
Age: 65.0
Sex: F
Vaccine: LYME
Symptoms: Myalgia, Pyrexia
Clinical narrative: Since 4/12/00 muscle pain, joint pains, weakness, fever, hip pains. Profound disability, now being evaluated for oculopharyngeal muscular dystrophy and mitrochondrial myopathy.
Age: 47.0
Sex: F
Vaccine: HEPAB, HEPAB
Symptoms: Dizziness, Malaise, Pyrexia, Somnolence, Urticaria
Clinical narrative: This case was reported by a healthcare professional and described the occurrence of malaise in a 47 year old female subject who was vaccinated with Twinrix for prophylaxis. The subject experienced a rash following receipt of a prior unspecified immunization. On 11 January 2007 at 3:30 pm, the subject received 1st dose of Twinrix in right arm. On 12 January 2007, 24 hours after vaccination with Twinrix, the subject experienced malaise, dizziness on stand, low grade fever and sore arm. The subject was seen at a physician's office. On 16 January 2007, the events were resolved. Follow-up information received on 30 January 2007: As a result of the events, the vaccination series with Twinrix was discontinued.
Age: 47.0
Sex: F
Vaccine: HEPAB, HEPAB
Symptoms: Dizziness postural, Malaise, Pain in extremity, Pyrexia
Clinical narrative: This case was reported by a healthcare professional and described the occurrence of malaise in a 47 year old female subject who was vaccinated with Twinrix for prophylaxis. The subject experienced a rash following receipt of a prior unspecified immunization. On 11 January 2007 at 3:30 pm, the subject received 1st dose of Twinrix in right arm. On 12 January 2007, 24 hours after vaccination with Twinrix, the subject experienced malaise, dizziness on stand, low grade fever and sore arm. The subject was seen at a physician's office. On 16 January 2007, the events were resolved. Follow-up information received on 30 January 2007: As a result of the events, the vaccination series with Twinrix was discontinued.
Age: 80.0
Sex: F
Vaccine: HEPAB, HEPAB
Symptoms: Aphthous stomatitis, Fatigue, Inappropriate schedule of drug administration
Clinical narrative: This case was reported by a healthcare professional via a sales representative and described the occurrence of increased fatigue and mouth sores in a female subject aged between 80 and 89 years old who was vaccinated with Twinrix for prophylaxis.  Previous vaccination included the 1st and 2nd doses of Twinrix on unspecified dates. On an unspecified date the subject received 3rd dose of Twinrix (unknown). At an unspecified time after vaccination with the 3rd dose of Twinrix, the subject experienced increased fatigue and mouth sores. The subject was on the accelerated schedule and is was not known at the time of reporting whether or not a 4th dose of Twinrix would be given. At the time of reporting the outcome of the events was unspecified. Follow-up received via the nurse. She reported that the 80 year old female subject received the initatial dose of Twinrix on 14 May 2007 and the second dose was received on 21 May 2007. Approximately seven days after the second vaccination with Twinrix on 28 May 2007, the subject experienced fatigue and "mouth full of canker sores." The subject reported to nurse that she followed up with a physician who diagnosed here with a viral infection and treated her with an oral solution. Following treatment the sores resolved. The subject received the third dose on 04 June 2007. The subject reported to the nurse that the physician considered that the events were not related to the use of Twinrix. The nurse reported that all the symptoms resolved by 15 June 2007. The reporter assessed the events as possibly related to use of Twinrix.
Age: 80.0
Sex: F
Vaccine: HEPAB, HEPAB
Symptoms: Fatigue, Mouth ulceration, Viral infection
Clinical narrative: This case was reported by a healthcare professional via a sales representative and described the occurrence of increased fatigue and mouth sores in a female subject aged between 80 and 89 years old who was vaccinated with Twinrix for prophylaxis.  Previous vaccination included the 1st and 2nd doses of Twinrix on unspecified dates. On an unspecified date the subject received 3rd dose of Twinrix (unknown). At an unspecified time after vaccination with the 3rd dose of Twinrix, the subject experienced increased fatigue and mouth sores. The subject was on the accelerated schedule and is was not known at the time of reporting whether or not a 4th dose of Twinrix would be given. At the time of reporting the outcome of the events was unspecified. Follow-up received via the nurse. She reported that the 80 year old female subject received the initatial dose of Twinrix on 14 May 2007 and the second dose was received on 21 May 2007. Approximately seven days after the second vaccination with Twinrix on 28 May 2007, the subject experienced fatigue and "mouth full of canker sores." The subject reported to nurse that she followed up with a physician who diagnosed here with a viral infection and treated her with an oral solution. Following treatment the sores resolved. The subject received the third dose on 04 June 2007. The subject reported to the nurse that the physician considered that the events were not related to the use of Twinrix. The nurse reported that all the symptoms resolved by 15 June 2007. The reporter assessed the events as possibly related to use of Twinrix.
Age: 50.0
Sex: M
Vaccine: FLU3, FLU3
Symptoms: Facial pain, Facial palsy, Pyrexia, Viral infection
Clinical narrative: 19 days after administration of the flu vaccine, patient was seen at hospital with complaint of left facial numbness and paralysis and was diagnosed with Bell's Palsy.  He had a negative non contrast CT of the brain.  He was treated with conservative measures and acupuncture.  He has improved.
Age: 50.0
Sex: M
Vaccine: FLU3, FLU3
Symptoms: Facial palsy, Hypoaesthesia facial, Scan brain
Clinical narrative: 19 days after administration of the flu vaccine, patient was seen at hospital with complaint of left facial numbness and paralysis and was diagnosed with Bell's Palsy.  He had a negative non contrast CT of the brain.  He was treated with conservative measures and acupuncture.  He has improved.
Age: 12.0
Sex: F
Vaccine: HPV4
Symptoms: Contusion, Dizziness, Injected limb mobility decreased, Injection site pain, Muscular weakness
Clinical narrative: Information has been received from a licensed practical nurse concerning her 12 year old daughter with a history of diarrhea and chronic intermittent abdominal pain who on 07-NOV-2007 was vaccinated IM in the left deltoid with a 0.5 mL dose of Gardasil (lot # 655165/1425F). There was no concomitant medication. On 07-NOV-2007 the patient "developed muscle pain and weakness with some dizziness following vaccination with Gardasil. The nurse reported that her daughter experienced immediate pain at the injection site and the injection site arm was sore for the next couple of days. It was also reported that her daughter experienced muscle weakness and "muscle bruising" below the injection site about one week after vaccination with Gardasil. The nurse reported that her daughter's elbow was sore and she could not straighten her elbow. The muscle pain then moved to the other arm 2 to 3 days ago and currently both elbows and upper arms are sore. The patient has also experienced occasional dizziness." At the time of the report the patient had not recovered. The patient's muscle pain, weakness below injection site, dizziness, injection site pain, weakness and injection site arm soreness and sore elbow and upper arms were considered to be disabling. Additional information has been requested.
Age: 12.0
Sex: F
Vaccine: HPV4
Symptoms: Musculoskeletal stiffness, Myalgia, Pain in extremity
Clinical narrative: Information has been received from a licensed practical nurse concerning her 12 year old daughter with a history of diarrhea and chronic intermittent abdominal pain who on 07-NOV-2007 was vaccinated IM in the left deltoid with a 0.5 mL dose of Gardasil (lot # 655165/1425F). There was no concomitant medication. On 07-NOV-2007 the patient "developed muscle pain and weakness with some dizziness following vaccination with Gardasil. The nurse reported that her daughter experienced immediate pain at the injection site and the injection site arm was sore for the next couple of days. It was also reported that her daughter experienced muscle weakness and "muscle bruising" below the injection site about one week after vaccination with Gardasil. The nurse reported that her daughter's elbow was sore and she could not straighten her elbow. The muscle pain then moved to the other arm 2 to 3 days ago and currently both elbows and upper arms are sore. The patient has also experienced occasional dizziness." At the time of the report the patient had not recovered. The patient's muscle pain, weakness below injection site, dizziness, injection site pain, weakness and injection site arm soreness and sore elbow and upper arms were considered to be disabling. Additional information has been requested.
Age: 15.0
Sex: F
Vaccine: HPV4
Symptoms: Platelet count decreased
Clinical narrative: Information has been received from a physician, concerning his 16 year old daughter with immune-mediated thrombocytopenic purpura and polycystic ovarian syndrome, who was vaccinated with the third dose of Gardasil (date and lot # Not reported). Concomitant therapy included hormonal contraceptives (unspecified). Following the third vaccination, in October 2007, his daughter had a drop in her platelet count down to 14,000 (units not reported), and was hospitalized. Treatment included intravenous immunoglobulin (IVIG), and continued. At the time of this report, his daughter had not recovered. The physician considered the event to be serious as an other important medical event (required intervention). Additional information has been requested.
Age: 37.0
Sex: F
Vaccine: PPV
Symptoms: Body temperature increased, Chills, Headache, Immunisation reaction, Inflammation
Clinical narrative: Initial and follow up information has been received from a nurse practitioner (NP) concerning a 37 year old female patient with no known drug allergies, and a clotting disorder (not specified), who on 13-SEP-2007, at 11:15 a.m., was vaccinated IM in the left deltoid with a dose, 0.5 ml of Pneumovax 23 (lot #657143/0380U). Concomitant therapy included COUMADIN and SYNTHROID). There was no illness at the time of vaccination. On 13-SEP-2007 at 8:00 pm, following the vaccination, the patient developed a local injection site reaction with an area of erythema, tenderness, edema, and warmth when touched, as well as headache, adenopathy and systemic symptoms of chills and body aches and myalgia. She was instructed to report to the ER, where a "local inflammatory reaction to vaccine" was diagnosed, and the exam indicated the finding was "limited to local redness, pain to the left deltoid area," and was otherwise negative. However, the NP indicated the patient "was advised she had serum sickness." The patient's temperature in the ER was 99 degrees, and she had "no axillary adenopathy," and "did not appear systemically toxic or infected." Treatment in the ER included oral prednisone and analgesic. The patient was not hospitalized. On 18-SEP-2007 (also noted as "within 3-4 days"), her symptoms resolved, and she had recovered. The NP considered the event to be serious as significantly disabling or incapacitating. Additional information is not expected.
Age: 37.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Injection site oedema, Injection site pain, Injection site warmth, Local reaction
Clinical narrative: Initial and follow up information has been received from a nurse practitioner (NP) concerning a 37 year old female patient with no known drug allergies, and a clotting disorder (not specified), who on 13-SEP-2007, at 11:15 a.m., was vaccinated IM in the left deltoid with a dose, 0.5 ml of Pneumovax 23 (lot #657143/0380U). Concomitant therapy included COUMADIN and SYNTHROID). There was no illness at the time of vaccination. On 13-SEP-2007 at 8:00 pm, following the vaccination, the patient developed a local injection site reaction with an area of erythema, tenderness, edema, and warmth when touched, as well as headache, adenopathy and systemic symptoms of chills and body aches and myalgia. She was instructed to report to the ER, where a "local inflammatory reaction to vaccine" was diagnosed, and the exam indicated the finding was "limited to local redness, pain to the left deltoid area," and was otherwise negative. However, the NP indicated the patient "was advised she had serum sickness." The patient's temperature in the ER was 99 degrees, and she had "no axillary adenopathy," and "did not appear systemically toxic or infected." Treatment in the ER included oral prednisone and analgesic. The patient was not hospitalized. On 18-SEP-2007 (also noted as "within 3-4 days"), her symptoms resolved, and she had recovered. The NP considered the event to be serious as significantly disabling or incapacitating. Additional information is not expected.
Age: 37.0
Sex: F
Vaccine: PPV
Symptoms: Lymphadenopathy, Myalgia, Pain, Pain in extremity, Serum sickness
Clinical narrative: Initial and follow up information has been received from a nurse practitioner (NP) concerning a 37 year old female patient with no known drug allergies, and a clotting disorder (not specified), who on 13-SEP-2007, at 11:15 a.m., was vaccinated IM in the left deltoid with a dose, 0.5 ml of Pneumovax 23 (lot #657143/0380U). Concomitant therapy included COUMADIN and SYNTHROID). There was no illness at the time of vaccination. On 13-SEP-2007 at 8:00 pm, following the vaccination, the patient developed a local injection site reaction with an area of erythema, tenderness, edema, and warmth when touched, as well as headache, adenopathy and systemic symptoms of chills and body aches and myalgia. She was instructed to report to the ER, where a "local inflammatory reaction to vaccine" was diagnosed, and the exam indicated the finding was "limited to local redness, pain to the left deltoid area," and was otherwise negative. However, the NP indicated the patient "was advised she had serum sickness." The patient's temperature in the ER was 99 degrees, and she had "no axillary adenopathy," and "did not appear systemically toxic or infected." Treatment in the ER included oral prednisone and analgesic. The patient was not hospitalized. On 18-SEP-2007 (also noted as "within 3-4 days"), her symptoms resolved, and she had recovered. The NP considered the event to be serious as significantly disabling or incapacitating. Additional information is not expected.
Age: 10.0
Sex: F
Vaccine: DTAP, HEPA, HPV4, PPV, VARCEL
Symptoms: Cellulitis
Clinical narrative: Information has been received from a physician concerning a 10 year old female who on 19-NOV-2007 was vaccinated with a dose of Varivax (lot# 658594/1330U) in the right arm. Suspect vaccination administered on that same day included a dose of Pneumovax 23 (lot# 651539/0607R) in the right arm. Other concomitant vaccinations on that day included a dose of Gardasil in the left arm, a dose of diphtheria toxoid (+) pertussis acellular vaccine (unspecified) (+) tetanus toxoid in the right leg and a dose of HAVRIX in the left arm. On approximately 20-NOV-2007 1 or 2 days later, the patient developed cellulitis of the right arm. The patient was subsequently hospitalized for a couple of days and was released. The patient was treated with antibiotics. The patient was noted to be recovering. There was no product quality complaint. The physician also considered cellulitis to be an other important medical event (antibiotics). Additional information has been requested.
Age: 65.0
Sex: F
Vaccine: VARZOS
Symptoms: Activities of daily living impaired, Herpes zoster, Mobility decreased, Musculoskeletal pain, Myalgia
Clinical narrative: Information has been received from a health professional concerning her 65 year old mother with asthma who "at the end" of October 2007, received a single subcutaneous dose of Zostavax. Concomitant therapy included ADVAIR and albuterol inhaler. It was reported that on 14-NOV-2007, the patient developed an onset of pain in the area of her left shoulder blade. she was examined by her primary physician and diagnosed with myalgia. Treatment included a prescription for VICODIN. On 19-NOV-2007, it was reported she was examined by a neurologist, who diagnosed shingles, and prescribed LYRICA. At the time of this report, the reporter indicated that the patient's pain had not resolved and had restricted her mobility and activities. Myalgia and shingles restricted the patient's mobility and activities and were considered to be disabling by the reporter. Additional information has been requested.
Sex: U
Vaccine: FLU3
Symptoms: Inappropriate schedule of drug administration, Medication error, Wrong drug administered
Clinical narrative: This case was reported by a pharmacist and described the occurrence of a medication error in a 1-day-old subject of unspecified gender who was vaccinated with Fluarix (GlaxoSmithKline). On 29 November 2007 the subject inadvertently received a dose of Fluarix at 0.5 ml. This was considered to be a medication error. The dose of Fluarix was intended for the newborns mother. Fluarix is not indicated for use in subjects under the age of 18 years. The newborn was hospitalized following birth and it was unclear at the time of the reporting whether the medication error would prolong the newborns stay in the hospital. Administration of other vaccines was not known. No adverse events were reported.
Age: 13.0
Sex: F
Vaccine: HPV4
Symptoms: Pre-existing condition improved
Clinical narrative: Client came in for 3rd HPV injection and reported to have smooth hands.  Stated she has had warts on hands for as long as she remembers and since start of HPV injections, hands are smooth.  Mother stated she had active genital warts when she vaginally gave birth to patient.  Mother swears the vaccine helped her daughter's warts.
Age: 41.0
Sex: F
Vaccine: FLU3
Symptoms: Abasia, Asthenia, Pain, Pyrexia
Clinical narrative: Client reports fever of 102.  States she had severe body ache and weakness to the point that she could not walk.  Client was seen in the ER on 10/20/07.
Age: 1.0
Sex: F
Vaccine: DTAP, HIBV, MMRV, PNC
Symptoms: Herpes zoster
Clinical narrative: Diagnosed with shingles 10/20/07.  Seen in office 10/19, sent to ER 10/20.  Given Augmentin 10/19.
Age: 11.0
Sex: F
Vaccine: HPV4, MNQ, TDAP
Symptoms: Dizziness, Immediate post-injection reaction, Nausea
Clinical narrative: c/o nausea right after got injection, next day feeling dizzy.
Age: 1.0
Sex: F
Vaccine: HEPA, TDAP
Symptoms: Erythema, Oedema peripheral, Tenderness
Clinical narrative: 1 1/2 inch by 1 1/2 inch red swollen and tender area left arm.
Age: 64.0
Sex: F
Vaccine: FLU3
Symptoms: Dizziness, Feeling abnormal, Flushing, Heart rate increased, Nasal odour
Clinical narrative: Stated left clinic after flu shot - 7-8 minutes after leaving started smelling musty odor.  Got home and felt strange, started to feel heart rate increase, dizzy, face flushed red.  Many allergies, went to immediate care center.  All symptoms resolved except musty odor.
Age: 64.0
Sex: F
Vaccine: FLU3
Symptoms: Parosmia
Clinical narrative: Stated left clinic after flu shot - 7-8 minutes after leaving started smelling musty odor.  Got home and felt strange, started to feel heart rate increase, dizzy, face flushed red.  Many allergies, went to immediate care center.  All symptoms resolved except musty odor.
Age: 54.0
Sex: F
Vaccine: FLU3
Symptoms: Unevaluable event
Clinical narrative: None stated
Age: 1.3
Sex: M
Vaccine: DTAP, FLU3, MMR
Symptoms: Asthenia, Full blood count normal, Gait disturbance, Lymphadenopathy, Pain in extremity
Clinical narrative: Patient was brought in on 11-26-07.  Complained of limping on left leg and coping with pain in his leg.  Went to local hospital and was told glands are swollen and has lymph node.  Upon 11-26-07 exam, patient walked with a limp and hardly put any weight on left leg.  Hip normal, neurovascular system intact.  Patient was sent for x-ray and labs.  H-ray of left hip.  11-28-07 am spoke with dad.  Stated is still limping, but is some better.  On 11-29-07 am mother called stating child woke with a rash, no fever, and is acting weak.  RTC in am if no better.  Patient returned to clinic on 11-30-07 pm with complaints of leg limp and body rash.  Skin had maculor rash on trunk.  Left leg drags a bit with ambulation and left foot drags is noted.  Limp is a new onset.  Since immunization with apparent immunization reaction.  He was referred to hospital on that day and given Prednisone  3/4 tsp for 7 days.  Spoke with mom via phone on Dec. 4th.  States patient is still limping a little, but with noticeable improvement.  Can now lift both legs over something.  Instructed her to continue steriods and call us back when completed to check on improvement.
Age: 1.3
Sex: M
Vaccine: DTAP, FLU3, MMR
Symptoms: Rash, Rash macular, Red blood cell sedimentation rate increased, Weight bearing difficulty, X-ray of pelvis and hip normal
Clinical narrative: Patient was brought in on 11-26-07.  Complained of limping on left leg and coping with pain in his leg.  Went to local hospital and was told glands are swollen and has lymph node.  Upon 11-26-07 exam, patient walked with a limp and hardly put any weight on left leg.  Hip normal, neurovascular system intact.  Patient was sent for x-ray and labs.  H-ray of left hip.  11-28-07 am spoke with dad.  Stated is still limping, but is some better.  On 11-29-07 am mother called stating child woke with a rash, no fever, and is acting weak.  RTC in am if no better.  Patient returned to clinic on 11-30-07 pm with complaints of leg limp and body rash.  Skin had maculor rash on trunk.  Left leg drags a bit with ambulation and left foot drags is noted.  Limp is a new onset.  Since immunization with apparent immunization reaction.  He was referred to hospital on that day and given Prednisone  3/4 tsp for 7 days.  Spoke with mom via phone on Dec. 4th.  States patient is still limping a little, but with noticeable improvement.  Can now lift both legs over something.  Instructed her to continue steriods and call us back when completed to check on improvement.
Age: 2.0
Sex: F
Vaccine: FLU3, HEPA
Symptoms: Urticaria
Clinical narrative: urticaria
Age: 63.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Erythema, Oedema peripheral
Clinical narrative: Arm swelling and redness, started 4 hrs after vaccine given.  Tx: Augmentin 875mg and Medrol dose pak x5 days.
Age: 6.0
Sex: M
Vaccine: FLU3, VARCEL
Symptoms: Cellulitis, Erythema, Hypersensitivity, Local reaction, Oedema peripheral
Clinical narrative: (R) arm cellulitis vs local allergic reaction to flu vaccine. (R) arm tender, erythemic and swollen. No pus noted, no drainage. Treated with Amoxicillin 400mg given BID PO, Septra suspension 12.5 ml BID.
Age: 6.0
Sex: M
Vaccine: FLU3, VARCEL
Symptoms: Tenderness
Clinical narrative: (R) arm cellulitis vs local allergic reaction to flu vaccine. (R) arm tender, erythemic and swollen. No pus noted, no drainage. Treated with Amoxicillin 400mg given BID PO, Septra suspension 12.5 ml BID.
Age: 64.0
Sex: F
Vaccine: FLU3
Symptoms: Asthenia, Injection site bruising, Pain in extremity
Clinical narrative: Client came in 11/19 and bruise was noted in (L) deltoid area. Pt reports 11/6 pm arm became sore. Noted 11/20 arm continued to be sore and seems like it is getting worse. No swelling or heat in area. Pt c/o decreased strength and pain with movement that radiate almost to elbow.
Age: 5.0
Sex: F
Vaccine: FLU3
Symptoms: Culture throat negative, Streptococcal identification test negative, Urticaria
Clinical narrative: Urticaria on 11/7/01 and 11/8/07 - periorbital, L cheek, lower abdomen.  No known allergies.  Treated with Zyrtec 1 1/2 tsp QD
Age: 59.0
Sex: F
Vaccine: FLU3
Symptoms: Body temperature increased, Injection site erythema, Injection site irritation, Injection site swelling, Injection site vesicles
Clinical narrative: Patient reports AM after vaccine given - injection site burned while in shower.  Approximately 2 days later site swollen red, with a blister.  No purulent drainage.  Arm not swollen.  Experienced nasal congestion, nasal drainage, raw throat 1-2 days after vaccine without cough or body ache.  Temperature 98.7  as compared to patient's normal 97.6.
Age: 59.0
Sex: F
Vaccine: FLU3
Symptoms: Nasal congestion, Pharyngolaryngeal pain, Rhinorrhoea
Clinical narrative: Patient reports AM after vaccine given - injection site burned while in shower.  Approximately 2 days later site swollen red, with a blister.  No purulent drainage.  Arm not swollen.  Experienced nasal congestion, nasal drainage, raw throat 1-2 days after vaccine without cough or body ache.  Temperature 98.7  as compared to patient's normal 97.6.
Age: 1.0
Sex: M
Vaccine: VARCEL
Symptoms: Varicella
Clinical narrative: Developed clinical varicella November 7, 2007.Vaccine administered 2/23/2000
Age: 24.0
Sex: F
Vaccine: FLUN3
Symptoms: Pruritus, Urticaria
Clinical narrative: Member recieved Flumist vaccine, and aprox. 1 hour after noticed hives all over body (legs, arms, torso)and itching sensation on legs. At which point member took 25mg Benadryl. 2 Hours later member took second dose due to the fact that the 1st dose had little effect. Member states woke up in AM and syptoms were gone.
Age: 30.0
Sex: F
Vaccine: HEP, TDAP
Symptoms: Injected limb mobility decreased, Injection site erythema, Injection site pain, Injection site rash, Injection site warmth
Clinical narrative: That evening around 9 or 10 Left arm started to get sore. Saturday morning from sorness to pain. Saturday evening "big, red whelp developed." Sunday morning at its worst, warm to the touch, limited ROM, could not raise arm above shoulder, red mark 6in by 4 in down arm from injection site down arm. Sunday evening not warm to the touch, limited ROM. Monday morning getting better. Red mark continuously fading until Tuesday. Full ROM on Tuesday. On Tuesday no paid only soreness can more arm fully.
Age: 30.0
Sex: F
Vaccine: HEP, TDAP
Symptoms: Pain in extremity
Clinical narrative: That evening around 9 or 10 Left arm started to get sore. Saturday morning from sorness to pain. Saturday evening "big, red whelp developed." Sunday morning at its worst, warm to the touch, limited ROM, could not raise arm above shoulder, red mark 6in by 4 in down arm from injection site down arm. Sunday evening not warm to the touch, limited ROM. Monday morning getting better. Red mark continuously fading until Tuesday. Full ROM on Tuesday. On Tuesday no paid only soreness can more arm fully.
Age: 38.0
Sex: M
Vaccine: VARCEL, VARCEL
Symptoms: Rash erythematous, Rash maculo-papular, Rash pruritic, Rash vesicular, Scab
Clinical narrative: Pt never had chicken pox, confirmed not to be immune w/ serology. Given varicella vaccine given travel history. Varivax#1 given on 11-8-07. Pt came in for other medical reason on 11-27-07 and stated he noted 3-4 maculopapules which were pruritic started on 11-26-07. Noted on torso and arms, tiny papular, 1 umbilicated, other mild erythema. Pt afebrile on that day. Given tx for aferile URI and bronchitis w/ zithromax (onset of s/s prior to vaccination.) Pt then called back on 11-29-07 stating that he has over 100 macularpapular and vesicular lesions that are pruritic, no fevers, no pulmonary complaints. Otherwise felt well. Asked pt to stay home and to not travel as he was scheduled. Called DOH regarding findings on that day, received call back with recommendations that since lesions are above average, should report it. Also recommended DFA test if lesions not crusted over. Called pt today, 12-4-07 to follow up, lesions have crusted over, pt did not develop any other signs or symptoms, afebrile the entire time. No other testing done.
Age: 38.0
Sex: M
Vaccine: VARCEL, VARCEL
Symptoms: Skin lesion
Clinical narrative: Pt never had chicken pox, confirmed not to be immune w/ serology. Given varicella vaccine given travel history. Varivax#1 given on 11-8-07. Pt came in for other medical reason on 11-27-07 and stated he noted 3-4 maculopapules which were pruritic started on 11-26-07. Noted on torso and arms, tiny papular, 1 umbilicated, other mild erythema. Pt afebrile on that day. Given tx for aferile URI and bronchitis w/ zithromax (onset of s/s prior to vaccination.) Pt then called back on 11-29-07 stating that he has over 100 macularpapular and vesicular lesions that are pruritic, no fevers, no pulmonary complaints. Otherwise felt well. Asked pt to stay home and to not travel as he was scheduled. Called DOH regarding findings on that day, received call back with recommendations that since lesions are above average, should report it. Also recommended DFA test if lesions not crusted over. Called pt today, 12-4-07 to follow up, lesions have crusted over, pt did not develop any other signs or symptoms, afebrile the entire time. No other testing done.
Age: 38.0
Sex: M
Vaccine: VARCEL, VARCEL
Symptoms: Pruritus, Rash maculo-papular
Clinical narrative: Pt never had chicken pox, confirmed not to be immune w/ serology. Given varicella vaccine given travel history. Varivax#1 given on 11-8-07. Pt came in for other medical reason on 11-27-07 and stated he noted 3-4 maculopapules which were pruritic started on 11-26-07. Noted on torso and arms, tiny papular, 1 umbilicated, other mild erythema. Pt afebrile on that day. Given tx for aferile URI and bronchitis w/ zithromax (onset of s/s prior to vaccination.) Pt then called back on 11-29-07 stating that he has over 100 macularpapular and vesicular lesions that are pruritic, no fevers, no pulmonary complaints. Otherwise felt well. Asked pt to stay home and to not travel as he was scheduled. Called DOH regarding findings on that day, received call back with recommendations that since lesions are above average, should report it. Also recommended DFA test if lesions not crusted over. Called pt today, 12-4-07 to follow up, lesions have crusted over, pt did not develop any other signs or symptoms, afebrile the entire time. No other testing done.
Sex: U
Vaccine: FLU3
Symptoms: Expired drug administered, Medication error
Clinical narrative: 60 outdated (06/30/07) influenza vaccines were given to employees of Medical Center during the month of November 2007
Age: 0.17
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PPV
Symptoms: Inappropriate schedule of drug administration, Medication error, Wrong drug administered
Clinical narrative: PATIENT GIVEN ADULT PNEUMOCCAL VACCINE
Age: 15.0
Sex: F
Vaccine: HPV4
Symptoms: Arthralgia, Blood test, Erythema, Fatigue, Feeling of body temperature change
Clinical narrative: Joint pain, headache, insomnia, Feels hot then cold without change to basal temperature, chronic fatique, facial flushing/redness, nausea,   Symptoms have worsened over time.  Patient has been seen by Pediatrician, Rheumatologist, and Orthopedist for symptoms.  They correspond to timing of first and second doses of Gardasil vacine 6/4/07 and 8/6/07.  Patient currently on anti-inflammatory medication to assist with pain.  As I noticed it was time for her third vaccination, I realized that this could be the root cause for her symptoms.  Patient has been a very active 15 year old but physically and emotionally has changed as a result of this symptoms.
Age: 15.0
Sex: F
Vaccine: HPV4
Symptoms: Flushing, Headache, Insomnia, Nausea, Vaccine positive rechallenge
Clinical narrative: Joint pain, headache, insomnia, Feels hot then cold without change to basal temperature, chronic fatique, facial flushing/redness, nausea,   Symptoms have worsened over time.  Patient has been seen by Pediatrician, Rheumatologist, and Orthopedist for symptoms.  They correspond to timing of first and second doses of Gardasil vacine 6/4/07 and 8/6/07.  Patient currently on anti-inflammatory medication to assist with pain.  As I noticed it was time for her third vaccination, I realized that this could be the root cause for her symptoms.  Patient has been a very active 15 year old but physically and emotionally has changed as a result of this symptoms.
Age: 1.25
Sex: F
Vaccine: DTAP, FLU3, PPV
Symptoms: Body temperature increased, Feeling hot, Vomiting
Clinical narrative: Night after receiving imms multiple episodes of vomiting; fever; Mom states "she was burning up" but only temp checked with thermometer was 99.8
Age: 0.33
Sex: M
Vaccine: DTAP, FLU3, IPV, PNC, RV5
Symptoms: Diarrhoea, Ear infection, Injection site erythema, Injection site induration, Tympanic membrane perforation
Clinical narrative: 1)Local reaction at injection site (redness, induration) measuring 2x1cm on right thigh, initially evident 24 hours post injection, increased size by 48 hours and then began to resolve (less red, still significant induration). The Dtap and Pneumococcal vaccine was given in this leg. No additional treatment was required.  2) Diarrheal illness following administration of second dose of rotatec (rotavirus vaccine). Symptoms began 48 hours post vaccination and were accompanied by severe vomiting x 12 hours.  The vomiting required adjusting the volume and frequency of feedings to avoid dehydration. Diarrhea continues presently and we are 3 days into the symptoms; vaccine given 11/30/07 3) Diarrheal illness following the first administration of rota virus vaccine- occurred 5 days post administration and lasted 5 days; my son then developed an ear infection and perforated his tympanic membrane requiring 10 days of ciprodex drops and 10 days of amoxicillin
Age: 0.33
Sex: M
Vaccine: DTAP, FLU3, IPV, PNC, RV5
Symptoms: Vaccine positive rechallenge, Vomiting
Clinical narrative: 1)Local reaction at injection site (redness, induration) measuring 2x1cm on right thigh, initially evident 24 hours post injection, increased size by 48 hours and then began to resolve (less red, still significant induration). The Dtap and Pneumococcal vaccine was given in this leg. No additional treatment was required.  2) Diarrheal illness following administration of second dose of rotatec (rotavirus vaccine). Symptoms began 48 hours post vaccination and were accompanied by severe vomiting x 12 hours.  The vomiting required adjusting the volume and frequency of feedings to avoid dehydration. Diarrhea continues presently and we are 3 days into the symptoms; vaccine given 11/30/07 3) Diarrheal illness following the first administration of rota virus vaccine- occurred 5 days post administration and lasted 5 days; my son then developed an ear infection and perforated his tympanic membrane requiring 10 days of ciprodex drops and 10 days of amoxicillin
Age: 13.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Erythema, Pruritus, Rash generalised, Rash pruritic, Throat irritation
Clinical narrative: Patient had symptoms of itchiness on her head a few hours after the injection. The next day she woke up with a red itchy rash around her neck that spread to her whole body by mid afternoon & was taken to the ER. They gave her an IV of Benadryl along with pepcid and she was sent home. She continued to have the itchy welt like rash that was painful for two weeks, she expeirenced it inside her throat from her head to her toes. She was given predensone, which the dosage was increased 2 ays after because it wasnt doing anything. The week of the shot she was seen at the ER twice and the Dr office once. The second ER visit they said the only thing they could do was give her adrenaline which I didnt do. She has since then been taking a pepcid daily, along with benadryl and zyrtec. She still gets the itchy rash (not as severe) cosistantly every day.
Age: 13.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Erythema, Eye swelling, Pruritus, Rash, Urticaria
Clinical narrative: Patient had symptoms of itchiness on her head a few hours after the injection. The next day she woke up with a red itchy rash around her neck that spread to her whole body by mid afternoon & was taken to the ER. They gave her an IV of Benadryl along with pepcid and she was sent home. She continued to have the itchy welt like rash that was painful for two weeks, she expeirenced it inside her throat from her head to her toes. She was given predensone, which the dosage was increased 2 ays after because it wasnt doing anything. The week of the shot she was seen at the ER twice and the Dr office once. The second ER visit they said the only thing they could do was give her adrenaline which I didnt do. She has since then been taking a pepcid daily, along with benadryl and zyrtec. She still gets the itchy rash (not as severe) cosistantly every day.
Age: 52.0
Sex: F
Vaccine: FLU3
Symptoms: Injected limb mobility decreased, Injection site pain
Clinical narrative: When the nurse gave me the injection I felt the normal 'prick' and then at the end I got a split second worth of pain that I would rate as a '5 out of 10'.  So it was sore for a couple of days, and I thought it would go away, but now a month later, it is still not going away and with regular movement such as raising my arm above my head or reach out it really hurts. I am using motrin but as soon as I stop it resumes.
Age: 69.0
Sex: M
Vaccine: VARZOS
Symptoms: Breast pain, Chest pain, Condition aggravated, Erythema
Clinical narrative: Patient had history of shingles in Sept of '06 and had post-herpetic neuralgia which he was being treated for.  His pain was controlled prior Patient was vaccinated with Zostavax and 2-3 days later had significant increase in pain and sensitivity at the site of original shingles infection.  Patient reports that the area appeared to be more red than usual.  The site of pain was in the mid chest area under right breast and around to the back area.
Age: 60.0
Sex: M
Vaccine: FLUX
Symptoms: Herpes zoster, Musculoskeletal pain, Neck pain, Pain in extremity
Clinical narrative: Pt received flu vac in Nov.@ PMD.  24-36 hours later developed deep pain in the upper arm to the shoulder blade and neck.  7 days later, about 2 inches above injection site, pt developed one shingle.  Severe pain x 2 nights, but had pain X 2 weeks.  Went to PMD, received Acyclovir.
Age: 7.0
Sex: F
Vaccine: FLUN3
Symptoms: Abdominal pain upper, Dizziness, Headache, Pharyngolaryngeal pain, Pyrexia
Clinical narrative: FEVER 103 LESS THAN 12 HOURS AFTER FLUMIST ADMINISTERED.  ALSO COMPLAINED OF SORE THROAT, STOMACH ACHE, DIZZINESS, HEADACHE.
Age: 41.0
Sex: F
Vaccine: FLU3, TDAP
Symptoms: Blood pressure increased, Chest discomfort, Dyspnoea, Fatigue, Feeling hot
Clinical narrative: Approximately 1 1/2 hour after receiving vaccines, Carilee experienced a headache, approximately 15 minutes after that she started to experience shortness of breath, Nausea, and she felt "very hot, like my skin and hair were on fire." she was also experiencing tightness in her chest. She was seen by the doctor at the Health Department, Her blood pressure was elevated, 160/100. He recommended that she go to the emergency room. She was transported by ambulance. At the hospital she was diagnosed with medication allergy and was sent home with Methylprednisone and Tagamet. She continued to have severe headaches, mild fever, body aches and fatigue for several days after the incident. She continued under the care of a medical doctor for malaise and vomiting until 11/15/2007.
Age: 41.0
Sex: F
Vaccine: FLU3, TDAP
Symptoms: Headache, Hypersensitivity, Malaise, Nausea, Pain
Clinical narrative: Approximately 1 1/2 hour after receiving vaccines, Carilee experienced a headache, approximately 15 minutes after that she started to experience shortness of breath, Nausea, and she felt "very hot, like my skin and hair were on fire." she was also experiencing tightness in her chest. She was seen by the doctor at the Health Department, Her blood pressure was elevated, 160/100. He recommended that she go to the emergency room. She was transported by ambulance. At the hospital she was diagnosed with medication allergy and was sent home with Methylprednisone and Tagamet. She continued to have severe headaches, mild fever, body aches and fatigue for several days after the incident. She continued under the care of a medical doctor for malaise and vomiting until 11/15/2007.
Age: 41.0
Sex: F
Vaccine: FLU3, TDAP
Symptoms: Pyrexia, Skin warm, Vomiting
Clinical narrative: Approximately 1 1/2 hour after receiving vaccines, Carilee experienced a headache, approximately 15 minutes after that she started to experience shortness of breath, Nausea, and she felt "very hot, like my skin and hair were on fire." she was also experiencing tightness in her chest. She was seen by the doctor at the Health Department, Her blood pressure was elevated, 160/100. He recommended that she go to the emergency room. She was transported by ambulance. At the hospital she was diagnosed with medication allergy and was sent home with Methylprednisone and Tagamet. She continued to have severe headaches, mild fever, body aches and fatigue for several days after the incident. She continued under the care of a medical doctor for malaise and vomiting until 11/15/2007.
Age: 55.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site pain, Injection site rash, Injection site swelling
Clinical narrative: Patient states that she had swelling and whelp the size of a softball that lasted for 2 weeks.  The patient states she had pain at the site for the same amount of time.
Age: 42.0
Sex: M
Vaccine: PPV
Symptoms: Injection site erythema, Injection site infection, Injection site pain, Injection site warmth
Clinical narrative: Injection site became infected, swollen, red, painful and warm. From elbow to shoulder. Required 2 follow up office visits and anibiotics .
Age: 75.0
Sex: F
Vaccine: VARZOS
Symptoms: Herpes zoster, Injection site erythema, Injection site swelling, Pruritus, Rash
Clinical narrative: PATIENT RECIEVED VACCINATION ON 12/1/07 AND PRESENTED WITH SX OF LOCAL REDNESS AND SWELLING AT INJECTION SITE AND A RASH ON RIGHT REAR TRUNK AT DRS OFFICE ON 12/4/07. SHE COMPLAINED OF SOME ITCHING OF THE RASH ON HER BACK.SHE STATES HER DR SAYS SHE HAS A SHINGLES OUTBREAK AND WAS  GIVEN AN RX FOR ACYCLOVIR.
Age: 0.67
Sex: M
Vaccine: RV5
Symptoms: Inappropriate schedule of drug administration, No adverse reaction
Clinical narrative: There were no adverse effects or treatments
Age: 0.17
Sex: F
Vaccine: DTAPHEPBIP, IPV, PPV, RV5
Symptoms: Incorrect dose administered, Medication error
Clinical narrative: was given a dose of IPV and pedirex which contain IPV no adverse reaction noted at this time.
Age: 80.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site pruritus, Injection site rash
Clinical narrative: Redness/rash and itching at injection site.