chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 0.24
Sex: M
Vaccine: 6VAX-F, PPV, RVX
Symptoms: Muscle rigidity, Pain, Pain in extremity, Pyrexia, Screaming
Clinical narrative: Patient became sore and sleepy within 20 minutes of vaccinations (DTP, Hep B, IPV, HIB, PCV, & Rotavirus). For the next two weeks his legs were rigid and hard as rocks near the vaccination sites, he had diarrhea, cried almost constantly, stopped sleeping through the night, ran a low fever, his legs hurt him even with a soft touch he would scream.  This lasted for two weeks and slowly went away.
Age: 0.24
Sex: M
Vaccine: 6VAX-F, PPV, RVX
Symptoms: Somnolence
Clinical narrative: Patient became sore and sleepy within 20 minutes of vaccinations (DTP, Hep B, IPV, HIB, PCV, & Rotavirus). For the next two weeks his legs were rigid and hard as rocks near the vaccination sites, he had diarrhea, cried almost constantly, stopped sleeping through the night, ran a low fever, his legs hurt him even with a soft touch he would scream.  This lasted for two weeks and slowly went away.
Age: 4.0
Sex: M
Vaccine: DTAPIPV, MMR, VARCEL
Symptoms: Cough, Oxygen saturation, Oxygen saturation decreased, Swelling face, Urticaria
Clinical narrative: Hives, facial swelling, cough, wheeze approx. 5 minutes after administration. Tx. BENADRYL, Epinephrine, Albuterol, PRELONE sent to hospital via ambulance.
Age: 4.0
Sex: M
Vaccine: DTAPIPV, MMR, VARCEL
Symptoms: Wheezing
Clinical narrative: Hives, facial swelling, cough, wheeze approx. 5 minutes after administration. Tx. BENADRYL, Epinephrine, Albuterol, PRELONE sent to hospital via ambulance.
Age: 23.0
Sex: F
Vaccine: TDAP
Symptoms: Cellulitis, Injection site erythema, Injection site swelling, Injection site warmth, Pain in extremity
Clinical narrative: 6-16-10 pt awoke with sore arm got up took 2 Advil, went to work, had to take more Advil at work, noted (L) arm injection site swollen, red, warm to touch and sm. White pimple at injection site. 6-17-10 -No better called HD at 430/PM to report. Instructed pt to go to ER for eval and call HD 6-18-10. Called 6-18-10 415 talked with MD. Pt went to ER. was too full will try to go back today after 330/pm. Pt went to work 6-19-10 went to E.R.- Rx Naproxin, Thamedol (Cellulitis).
Age: 1.13
Sex: F
Vaccine: MMR, PNC13, VARCEL
Symptoms: Rash
Clinical narrative: Rash within 24 hours on legs and arms.
Age: 0.17
Sex: M
Vaccine: DTAPIPVHIB, HEP, PNC13, RV5
Symptoms: Injection site induration
Clinical narrative: 1 1/4 x 3/4 induration on (local) injection site.
Sex: U
Vaccine: RV5
Symptoms: Adenovirus infection, Combined immunodeficiency, Diarrhoea, Escherichia infection, Giardiasis
Clinical narrative: Information has been received from a published article, concerning two patients who on an unspecified date were vaccinated with a dose of ROTATEQ. Subsequently, the patient experienced vaccine acquired rotavirus infection and severe combined immunodeficiency (SCID). The infants were diagnosed with SCID between ages 3 months and 9 months and had received 1-3 doses of ROTATEQ before the diagnosis. The infants had diarrhea, and most had additional infections (e.g., Pneumocystis jirovecii, rhinovirus, adenovirus, Salmonella, Escherichia coli and Giaridia) at the time of SCID diagnosis. SCID includes a group of rare, life-threatening disorders caused by at least 15 different single gene defects that result in profound deficiencies in T an B lymphocyte function. Vaccine-acquired rotavirus infection was confirmed by reverse transcription-polymerase chain reaction (RT-PCR) and nucleotide sequencing. ROTATEQ is contradicted in infants diagnosed with SCID. Consultation with an immunologist or infectious disease specialist is advised for infants with known or suspected altered immunocompetence before ROTATEQ is administered. SCID was considered to be life-threatening. No further information is available.
Sex: U
Vaccine: RV5
Symptoms: Laboratory test abnormal, Pneumocystis jiroveci infection, Rhinovirus infection, Rotavirus infection, Rotavirus test positive
Clinical narrative: Information has been received from a published article, concerning two patients who on an unspecified date were vaccinated with a dose of ROTATEQ. Subsequently, the patient experienced vaccine acquired rotavirus infection and severe combined immunodeficiency (SCID). The infants were diagnosed with SCID between ages 3 months and 9 months and had received 1-3 doses of ROTATEQ before the diagnosis. The infants had diarrhea, and most had additional infections (e.g., Pneumocystis jirovecii, rhinovirus, adenovirus, Salmonella, Escherichia coli and Giaridia) at the time of SCID diagnosis. SCID includes a group of rare, life-threatening disorders caused by at least 15 different single gene defects that result in profound deficiencies in T an B lymphocyte function. Vaccine-acquired rotavirus infection was confirmed by reverse transcription-polymerase chain reaction (RT-PCR) and nucleotide sequencing. ROTATEQ is contradicted in infants diagnosed with SCID. Consultation with an immunologist or infectious disease specialist is advised for infants with known or suspected altered immunocompetence before ROTATEQ is administered. SCID was considered to be life-threatening. No further information is available.
Sex: U
Vaccine: RV5
Symptoms: Salmonellosis
Clinical narrative: Information has been received from a published article, concerning two patients who on an unspecified date were vaccinated with a dose of ROTATEQ. Subsequently, the patient experienced vaccine acquired rotavirus infection and severe combined immunodeficiency (SCID). The infants were diagnosed with SCID between ages 3 months and 9 months and had received 1-3 doses of ROTATEQ before the diagnosis. The infants had diarrhea, and most had additional infections (e.g., Pneumocystis jirovecii, rhinovirus, adenovirus, Salmonella, Escherichia coli and Giaridia) at the time of SCID diagnosis. SCID includes a group of rare, life-threatening disorders caused by at least 15 different single gene defects that result in profound deficiencies in T an B lymphocyte function. Vaccine-acquired rotavirus infection was confirmed by reverse transcription-polymerase chain reaction (RT-PCR) and nucleotide sequencing. ROTATEQ is contradicted in infants diagnosed with SCID. Consultation with an immunologist or infectious disease specialist is advised for infants with known or suspected altered immunocompetence before ROTATEQ is administered. SCID was considered to be life-threatening. No further information is available.
Sex: F
Vaccine: HPV4
Symptoms: Cervix carcinoma
Clinical narrative: Information has been received from a physician concerning a female who on an unspecified date was vaccinated with a dose of GARDASIL (dose, route and lot# not reported). On an unspecified date the patient was diagnosed with cervical cancer. The patient sought unspecified medical attention. At the time of the report, the patient's outcome was unknown. Upon internal review, cervical cancer was considered to be an other important medical event. No further information is available.
Age: 1.0
Sex: M
Vaccine: HEPA, PNC, VARCEL
Symptoms: Rash generalised, Rash pruritic, Varicella
Clinical narrative: Child broke out in rash all over.  Started on abdomen and progressed all over body.  It itched.  Child seen in office on 6/29/2010  it was a chickenpox rash all over child, back, stomach, head, arms and legs.  No fever.
Age: 29.0
Sex: F
Vaccine: ANTH, SMALL, TYP
Symptoms: Cold sweat, Erythema, Pruritus, Skin warm, Vomiting
Clinical narrative: Patient vomited one time approximately 48-72 hours after vaccination. Pt presented to the Immunzations clinic on 30 June 2010 complaining of itching, hot & clammy skin, vomiting X2 days. Patient had redness on neck, chest, and back. Patient took Benadryl X3 days starting 27 June 10. Patient was examined. Patient is to proceed with vaccinations as normal.
Age: 41.0
Sex: F
Vaccine: ANTH, TYP
Symptoms: Chills, Cold sweat, Pain, Rash
Clinical narrative: Pt stated after 48 hours of recieving the 2 vaccines, she started to have chills, cold sweats, a rash on neck and chest area, and body aches.
Age: 14.0
Sex: F
Vaccine: HPV4
Symptoms: Blood creatinine normal, Blood glucose increased, Blood urea increased, Carbon dioxide decreased, Diabetic ketoacidosis
Clinical narrative: Diagnosis JODM made with patient presenting in DKA.
Age: 14.0
Sex: F
Vaccine: HPV4
Symptoms: Type 1 diabetes mellitus
Clinical narrative: Diagnosis JODM made with patient presenting in DKA.
Age: 12.0
Sex: F
Vaccine: HPV4
Symptoms: Headache, Loss of consciousness, Syncope
Clinical narrative: PATIENT FAINTED AND COMPLAINED OF SLIGHT HEADACHE AFTER SHE CAME TO. PATIENT WAS ONLY PASSED OUT FOR APPROXIMATELY 30 SECONDS OR LESS.
Age: 4.0
Sex: F
Vaccine: DTAPIPV, MMRV, PNC13
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Swelling, erythema 12 cm surrounding vaccine site of MMR and DTap vaccine.
Age: 29.0
Sex: F
Vaccine: FLU(H1N1), FLU3
Symptoms: Injection site pain, Pain, Pain in extremity, Skin burning sensation
Clinical narrative: Pt reported that arm started to hurt around 2000H, but she went to sleep. Pt states she woke up at around 0200H and her whole body hurt, and her skin felt on fire. Pt states that she took Motrin at 0300H, but it didn't help pain and burning subsided slowly over the next 5 hours. Pt still reports pain and burning at the injection site.
Age: 2.0
Sex: M
Vaccine: PNC13
Symptoms: Injection site pruritus, Injection site swelling
Clinical narrative: Itching and swelling of the left deltoid muscle.
Age: 47.0
Sex: F
Vaccine: TDAP
Symptoms: Erythema, Pruritus, Rash
Clinical narrative: Rashes, redness & pruritis on left arm. Cortisone cream used by patient on the affected area.
Age: 43.0
Sex: M
Vaccine: HEP
Symptoms: Headache, Hemiplegia, Hyperreflexia, Laboratory test, Nuclear magnetic resonance imaging
Clinical narrative: Atypical Headache, Hemiplegia-L.U.E and L.L.E. Altered Sensorium Hyperreflexia.
Age: 43.0
Sex: M
Vaccine: HEP
Symptoms: Sensory disturbance
Clinical narrative: Atypical Headache, Hemiplegia-L.U.E and L.L.E. Altered Sensorium Hyperreflexia.
Age: 1.0
Sex: F
Vaccine: VARCEL
Symptoms: Injection site erythema, Injection site nodule
Clinical narrative: (At site of injection) 3.5cm nodules, red in band on posterior right upper arm. 2 nodules almost flat, one nodule raised 0.5cm.
Age: 11.0
Sex: M
Vaccine: HEPA, MNQ, TDAP
Symptoms: Computerised tomogram head, Computerised tomogram normal, Grand mal convulsion
Clinical narrative: Grand mal seizure. Taken by ambulance to ER.
Age: 1.0
Sex: M
Vaccine: HEPA, HIBV, MMR, PNC13, VARCEL
Symptoms: Erythema, Skin oedema
Clinical narrative: Dermal edema and erythema; no fever BENDARYL and KEFLEX left thigh. 1-2 in diameter non tender.
Age: 50.0
Sex: F
Vaccine: HEPA, TDAP, TYP
Symptoms: Dizziness, Headache, Injection site erythema, Injection site swelling
Clinical narrative: 6/17/10 Received TDAP-48 hrs later redness swelling to left upper arm (injection site) headache dizziness x 4 days - dizziness.
Age: 1.07
Sex: F
Vaccine: HEPA, MMR, PNC13, VARCEL
Symptoms: Alpha haemolytic streptococcal infection, Bacterial infection, Bacterial test negative, Blood culture positive, CSF culture negative
Clinical narrative: Patient is 13 mo old girl transferred from ED on 06/26/10 to ER/PICU with positive blood culture and suspicion of sepsis. one week prior to her admission patient started to have subjective fever which was followed by petechial rash which her mother noticed first on the back of her ear bilaterally and progressed to her trunk and extremity. She has her 1 yr immunization 2 day prior to the onset of fever. Started to have loose stool 3 days prior to admission. On 06/24/10 she was seen at the  ED and was sent home with AUGMENTIN with Dx of Acute otitis media after the did labs including blood culture. Culture grew Gm positive cocci in chains. Parents get called and patient given 2 boluses of NS , and ROCEPHIN and transferred by medflight. She recived another NS bolus in ED and CBC was done and showed 4k with 65% segs. LP was done csf analysis showed 1 WBC, 145 RBC, with normal gulcose and protein. She was started with ceftrixone and vancomycin for possible meningiococcal meningitis and strep and Doxycycline for possible RMSF. CSF culture NGTD and negative for enterovirus PCR. Blood culture from 06/27 NGTD. She was febrile on the first day of hospital stay with 38.3 and then remained afebrile. ID consult done while she was in PICU and recommended EBV panel, Rickettsia IGM and IGG, Ehrlichia IGG and IGM - (EBV consistent with early infection; others are still pending at discharge). HIV serology was done and is negative. FA6 negative. In the mean time the culture from OSH growed 3 different spp namely alpha hemolytic streptococcus, coags negative staph and multiple spp of strep which were felt to be contaminant by Dr of ID. The vancomycin was stopped. ROCEPHIN stopped. She received approx 5 days of IV doxycline to cover for Rocky mountain spotted fever. She is being discharged home on oral doxycycline for an additional 2 days. Blood culture for enterovirus pending.  Peds ID felt her rash/symptoms may be adverse reaction to the measles vaccine. Measels IGM pending. Peds ID did not feel it was acute measles infection since that tends to occur weeks after exposure but that her symptoms may be due to adverse reaction to the vaccine. She felt the rash distribution and characteristics along with history of 1 yr immunizations 2 days prior to the onset of her fever/symptoms.
Age: 1.07
Sex: F
Vaccine: HEPA, MMR, PNC13, VARCEL
Symptoms: CSF glucose normal, CSF protein normal, CSF white blood cell count, Diarrhoea, Ehrlichia test
Clinical narrative: Patient is 13 mo old girl transferred from ED on 06/26/10 to ER/PICU with positive blood culture and suspicion of sepsis. one week prior to her admission patient started to have subjective fever which was followed by petechial rash which her mother noticed first on the back of her ear bilaterally and progressed to her trunk and extremity. She has her 1 yr immunization 2 day prior to the onset of fever. Started to have loose stool 3 days prior to admission. On 06/24/10 she was seen at the  ED and was sent home with AUGMENTIN with Dx of Acute otitis media after the did labs including blood culture. Culture grew Gm positive cocci in chains. Parents get called and patient given 2 boluses of NS , and ROCEPHIN and transferred by medflight. She recived another NS bolus in ED and CBC was done and showed 4k with 65% segs. LP was done csf analysis showed 1 WBC, 145 RBC, with normal gulcose and protein. She was started with ceftrixone and vancomycin for possible meningiococcal meningitis and strep and Doxycycline for possible RMSF. CSF culture NGTD and negative for enterovirus PCR. Blood culture from 06/27 NGTD. She was febrile on the first day of hospital stay with 38.3 and then remained afebrile. ID consult done while she was in PICU and recommended EBV panel, Rickettsia IGM and IGG, Ehrlichia IGG and IGM - (EBV consistent with early infection; others are still pending at discharge). HIV serology was done and is negative. FA6 negative. In the mean time the culture from OSH growed 3 different spp namely alpha hemolytic streptococcus, coags negative staph and multiple spp of strep which were felt to be contaminant by Dr of ID. The vancomycin was stopped. ROCEPHIN stopped. She received approx 5 days of IV doxycline to cover for Rocky mountain spotted fever. She is being discharged home on oral doxycycline for an additional 2 days. Blood culture for enterovirus pending.  Peds ID felt her rash/symptoms may be adverse reaction to the measles vaccine. Measels IGM pending. Peds ID did not feel it was acute measles infection since that tends to occur weeks after exposure but that her symptoms may be due to adverse reaction to the vaccine. She felt the rash distribution and characteristics along with history of 1 yr immunizations 2 days prior to the onset of her fever/symptoms.
Age: 1.07
Sex: F
Vaccine: HEPA, MMR, PNC13, VARCEL
Symptoms: Epstein-Barr virus test positive, Full blood count abnormal, HIV test negative, Intensive care, Laboratory test normal
Clinical narrative: Patient is 13 mo old girl transferred from ED on 06/26/10 to ER/PICU with positive blood culture and suspicion of sepsis. one week prior to her admission patient started to have subjective fever which was followed by petechial rash which her mother noticed first on the back of her ear bilaterally and progressed to her trunk and extremity. She has her 1 yr immunization 2 day prior to the onset of fever. Started to have loose stool 3 days prior to admission. On 06/24/10 she was seen at the  ED and was sent home with AUGMENTIN with Dx of Acute otitis media after the did labs including blood culture. Culture grew Gm positive cocci in chains. Parents get called and patient given 2 boluses of NS , and ROCEPHIN and transferred by medflight. She recived another NS bolus in ED and CBC was done and showed 4k with 65% segs. LP was done csf analysis showed 1 WBC, 145 RBC, with normal gulcose and protein. She was started with ceftrixone and vancomycin for possible meningiococcal meningitis and strep and Doxycycline for possible RMSF. CSF culture NGTD and negative for enterovirus PCR. Blood culture from 06/27 NGTD. She was febrile on the first day of hospital stay with 38.3 and then remained afebrile. ID consult done while she was in PICU and recommended EBV panel, Rickettsia IGM and IGG, Ehrlichia IGG and IGM - (EBV consistent with early infection; others are still pending at discharge). HIV serology was done and is negative. FA6 negative. In the mean time the culture from OSH growed 3 different spp namely alpha hemolytic streptococcus, coags negative staph and multiple spp of strep which were felt to be contaminant by Dr of ID. The vancomycin was stopped. ROCEPHIN stopped. She received approx 5 days of IV doxycline to cover for Rocky mountain spotted fever. She is being discharged home on oral doxycycline for an additional 2 days. Blood culture for enterovirus pending.  Peds ID felt her rash/symptoms may be adverse reaction to the measles vaccine. Measels IGM pending. Peds ID did not feel it was acute measles infection since that tends to occur weeks after exposure but that her symptoms may be due to adverse reaction to the vaccine. She felt the rash distribution and characteristics along with history of 1 yr immunizations 2 days prior to the onset of her fever/symptoms.
Age: 1.07
Sex: F
Vaccine: HEPA, MMR, PNC13, VARCEL
Symptoms: Neutrophil percentage, Otitis media acute, Petechiae, Pyrexia, Rash
Clinical narrative: Patient is 13 mo old girl transferred from ED on 06/26/10 to ER/PICU with positive blood culture and suspicion of sepsis. one week prior to her admission patient started to have subjective fever which was followed by petechial rash which her mother noticed first on the back of her ear bilaterally and progressed to her trunk and extremity. She has her 1 yr immunization 2 day prior to the onset of fever. Started to have loose stool 3 days prior to admission. On 06/24/10 she was seen at the  ED and was sent home with AUGMENTIN with Dx of Acute otitis media after the did labs including blood culture. Culture grew Gm positive cocci in chains. Parents get called and patient given 2 boluses of NS , and ROCEPHIN and transferred by medflight. She recived another NS bolus in ED and CBC was done and showed 4k with 65% segs. LP was done csf analysis showed 1 WBC, 145 RBC, with normal gulcose and protein. She was started with ceftrixone and vancomycin for possible meningiococcal meningitis and strep and Doxycycline for possible RMSF. CSF culture NGTD and negative for enterovirus PCR. Blood culture from 06/27 NGTD. She was febrile on the first day of hospital stay with 38.3 and then remained afebrile. ID consult done while she was in PICU and recommended EBV panel, Rickettsia IGM and IGG, Ehrlichia IGG and IGM - (EBV consistent with early infection; others are still pending at discharge). HIV serology was done and is negative. FA6 negative. In the mean time the culture from OSH growed 3 different spp namely alpha hemolytic streptococcus, coags negative staph and multiple spp of strep which were felt to be contaminant by Dr of ID. The vancomycin was stopped. ROCEPHIN stopped. She received approx 5 days of IV doxycline to cover for Rocky mountain spotted fever. She is being discharged home on oral doxycycline for an additional 2 days. Blood culture for enterovirus pending.  Peds ID felt her rash/symptoms may be adverse reaction to the measles vaccine. Measels IGM pending. Peds ID did not feel it was acute measles infection since that tends to occur weeks after exposure but that her symptoms may be due to adverse reaction to the vaccine. She felt the rash distribution and characteristics along with history of 1 yr immunizations 2 days prior to the onset of her fever/symptoms.
Age: 1.07
Sex: F
Vaccine: HEPA, MMR, PNC13, VARCEL
Symptoms: Red blood cells CSF positive, Sepsis, Staphylococcal infection, Staphylococcus test negative, Streptococcus test positive
Clinical narrative: Patient is 13 mo old girl transferred from ED on 06/26/10 to ER/PICU with positive blood culture and suspicion of sepsis. one week prior to her admission patient started to have subjective fever which was followed by petechial rash which her mother noticed first on the back of her ear bilaterally and progressed to her trunk and extremity. She has her 1 yr immunization 2 day prior to the onset of fever. Started to have loose stool 3 days prior to admission. On 06/24/10 she was seen at the  ED and was sent home with AUGMENTIN with Dx of Acute otitis media after the did labs including blood culture. Culture grew Gm positive cocci in chains. Parents get called and patient given 2 boluses of NS , and ROCEPHIN and transferred by medflight. She recived another NS bolus in ED and CBC was done and showed 4k with 65% segs. LP was done csf analysis showed 1 WBC, 145 RBC, with normal gulcose and protein. She was started with ceftrixone and vancomycin for possible meningiococcal meningitis and strep and Doxycycline for possible RMSF. CSF culture NGTD and negative for enterovirus PCR. Blood culture from 06/27 NGTD. She was febrile on the first day of hospital stay with 38.3 and then remained afebrile. ID consult done while she was in PICU and recommended EBV panel, Rickettsia IGM and IGG, Ehrlichia IGG and IGM - (EBV consistent with early infection; others are still pending at discharge). HIV serology was done and is negative. FA6 negative. In the mean time the culture from OSH growed 3 different spp namely alpha hemolytic streptococcus, coags negative staph and multiple spp of strep which were felt to be contaminant by Dr of ID. The vancomycin was stopped. ROCEPHIN stopped. She received approx 5 days of IV doxycline to cover for Rocky mountain spotted fever. She is being discharged home on oral doxycycline for an additional 2 days. Blood culture for enterovirus pending.  Peds ID felt her rash/symptoms may be adverse reaction to the measles vaccine. Measels IGM pending. Peds ID did not feel it was acute measles infection since that tends to occur weeks after exposure but that her symptoms may be due to adverse reaction to the vaccine. She felt the rash distribution and characteristics along with history of 1 yr immunizations 2 days prior to the onset of her fever/symptoms.
Age: 58.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Arthralgia, Joint swelling, Oedema peripheral, Pain in extremity
Clinical narrative: Sore arm for 2-3 days about 10-15 days out swelling and pain in my finger joints especially the little fingers. As of today- 6 months later much improved. It felt like onset of arthritis.
Age: 14.0
Sex: M
Vaccine: HEPA, HPV4, MNQ, TDAP
Symptoms: Immediate post-injection reaction, Loss of consciousness
Clinical narrative: Patient received TDAP, Hepatitis A, MENACTRA, and GARDASIL vaccines (in that order).  Three seconds after administration of GARDASIL, patient lost consciousness for approximately 10 seconds.  She had no difficulty breathing after the incident.  I recognize there is a higher rate of vasovagal reactions with GARDASIL.  Patient received no injuries due to her reaction.
Age: 3.0
Sex: M
Vaccine: HIBV, MMR
Symptoms: Arthralgia, Blood test, Laboratory test, Petechiae
Clinical narrative: Developed petechiae rash and complained of hip pain, blood was tested for several other conditions, no reasoning for the development of the rash which took a few months to disappear.
Age: 16.0
Sex: F
Vaccine: HEPA, HPV4, MNQ
Symptoms: Dysplasia, Papilloma viral infection, Smear cervix abnormal
Clinical narrative: Abnormal Pap smear with mild dysplasia and HPV present on smear.
Age: 12.0
Sex: M
Vaccine: MNQ, TDAP
Symptoms: Expired drug administered
Clinical narrative: Patient was given an expired dose of Menactra. No adverse reaction or medical treatment required at this time.
Age: 0.17
Sex: M
Vaccine: DTAP, HIBV, IPV, PPV, RVX
Symptoms: Crying, Screaming, Vaccine positive rechallenge
Clinical narrative: After our son had his shots at the 2 month appointment, he slept for a while, and woke up screaming. He was completely inconsolable for over 8 hours. We called the DR and took him to the emergency room, where they just said that it was a normal reaction. At 4 months, after receiving the DTaP again, the same thing happened. Ear piercing shrieking for over 8 hours. At his 6 month appointment, we opted out of the DTaP, he got other shots in the leg, and there was no crying other than the initial fit when he got the shot.
Age: 24.0
Sex: F
Vaccine: TDAP
Symptoms: Dizziness, Headache, Joint lock, Muscle spasms
Clinical narrative: Headache, dizziness, left side of her jaw locked up, and back spasms.
Age: 55.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Anti-SS-A antibody positive, Anti-thyroid antibody positive, Complex partial seizures, Encephalopathy, Herpes simplex serology negative
Clinical narrative: Complex Partial Seizure with Encephalopathy.
Age: 55.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Varicella virus test negative, Viral test negative, West Nile virus test negative
Clinical narrative: Complex Partial Seizure with Encephalopathy.
Age: 14.0
Sex: F
Vaccine: HPV4, MNQ
Symptoms: Dehydration, Fatigue, Hypothyroidism, Type 1 diabetes mellitus, Weight decreased
Clinical narrative: Over a 3 week period patient lost 20 pounds, extremely tired, & dehydrated. On 3-26-07 she was diagnosed with Type 1 Diabetes and Hypothyroid. She was admitted with a 1075 blood sugar. No family history of Diabetes.
Age: 19.0
Sex: F
Vaccine: YF
Symptoms: Swelling face
Clinical narrative: Cheek swelling that was reported into midline into jaw started approximately one hour before report.  Instructed to take Benadryl stat and go to ER if symptoms progressed.  Consulted MD and immediately returned call to pt recommending Benadryl 50mg every 6-8 nhrs for 48hrs with need to be seen at ER if tongue swelling, cough or SOB occur.  Called back to pt at 5:30pm and left message with mother returning call at 6pm stating they had been seen at ER after swelling spread to other cheek and were sent home with same recommendation for oral Benadryl.
Age: 41.0
Sex: M
Vaccine: TDAP
Symptoms: Chest discomfort, Diarrhoea, Dizziness, Dyspnoea, Headache
Clinical narrative: Nasal congestion, tightness in chest, "lump in throat", need to clear throat, headache, difficulty breathing/wheezing x ~2 hours, generalized urticaria, diarrhea (x 5 episodes over 2 day period), nausea, soreness at site of immunization, dizziness (lightheadedness) - symptoms mostly resolved within 24 hours except for soreness at site of immunization which persists.
Age: 41.0
Sex: M
Vaccine: TDAP
Symptoms: Injection site pain, Nasal congestion, Nausea, Sensation of foreign body, Urticaria
Clinical narrative: Nasal congestion, tightness in chest, "lump in throat", need to clear throat, headache, difficulty breathing/wheezing x ~2 hours, generalized urticaria, diarrhea (x 5 episodes over 2 day period), nausea, soreness at site of immunization, dizziness (lightheadedness) - symptoms mostly resolved within 24 hours except for soreness at site of immunization which persists.
Age: 41.0
Sex: M
Vaccine: TDAP
Symptoms: Wheezing
Clinical narrative: Nasal congestion, tightness in chest, "lump in throat", need to clear throat, headache, difficulty breathing/wheezing x ~2 hours, generalized urticaria, diarrhea (x 5 episodes over 2 day period), nausea, soreness at site of immunization, dizziness (lightheadedness) - symptoms mostly resolved within 24 hours except for soreness at site of immunization which persists.
Age: 5.0
Sex: F
Vaccine: HEPA, IPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Pt left anterior thigh was very red and swollen at the DTAP injection site.
Age: 36.0
Sex: M
Vaccine: FLUN3
Symptoms: Brachial plexopathy, Computerised tomogram, Full blood count, Headache, Muscular weakness
Clinical narrative: Fever, headache, sinus infection symtoms followed by acute neck and shoulder pain, wieght loss and muscle weakness.  Dx of brachial plexus neuritis.
Age: 36.0
Sex: M
Vaccine: FLUN3
Symptoms: Musculoskeletal pain, Neck pain, Nuclear magnetic resonance imaging, Pyrexia, Radiculitis brachial
Clinical narrative: Fever, headache, sinus infection symtoms followed by acute neck and shoulder pain, wieght loss and muscle weakness.  Dx of brachial plexus neuritis.
Age: 36.0
Sex: M
Vaccine: FLUN3
Symptoms: Sinusitis, Weight decreased
Clinical narrative: Fever, headache, sinus infection symtoms followed by acute neck and shoulder pain, wieght loss and muscle weakness.  Dx of brachial plexus neuritis.
Age: 2.0
Sex: F
Vaccine: HIBV, PNC13
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Pyrexia
Clinical narrative: Swelling and redness over (L) thigh x 2 days. Received PCV13 and HIB on different legs. + pain over affected area fever x 2 days. Received PCV13 on (L) thigh 6.5 x 6.5 cm.
Age: 2.0
Sex: F
Vaccine: PNC13
Symptoms: Injection site induration, Injection site oedema, Injection site pain, Pharyngitis, Pyrexia
Clinical narrative: Pt developed a fever of 104.3 approximately 8-12 hrs after shot administered. Shot injection site tender with 1 inch x 2 inch induration and underlying edema.
Age: 2.0
Sex: F
Vaccine: PNC13
Symptoms: Streptococcus test positive
Clinical narrative: Pt developed a fever of 104.3 approximately 8-12 hrs after shot administered. Shot injection site tender with 1 inch x 2 inch induration and underlying edema.
Age: 12.0
Sex: M
Vaccine: MNQ, TDAP, VARCEL
Symptoms: Face injury, Fall, Loss of consciousness, Musculoskeletal stiffness, Pallor
Clinical narrative: Body stiffness, possible tonic seizure, pale, passed out and hit face on bench when falling down. Pt does not remember.
Age: 8.0
Sex: F
Vaccine: HEP, MMR, TD, VARCEL
Symptoms: Injection site erythema, Injection site streaking, Injection site swelling, Injection site urticaria
Clinical narrative: Pt. was given Varicella in (L) sub-cu arm, noticed redness, swelling, and streaking with dime sized welt, injection was given at 11:40 AM and at 11:45 that was reaction was noticed, provider was called and pt was checked, and BENADRYL was ordered and ice was applied to affected area. Pt. was called 6/30/10 and report doing ok, with redness and swelling completely gone.
Age: 15.0
Sex: F
Vaccine: HPV4, MNQ, VARCEL
Symptoms: Injection site erythema, Injection site pain, Injection site warmth
Clinical narrative: Sore, red, warm area at the site of the HPV. Recommended cool compresses, MOTRIN and started KEFLEX.
Age: 5.0
Sex: M
Vaccine: DTAPIPV, HEPA, MMR, VARCEL
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth, Pyrexia
Clinical narrative: Fever at 101 evening after shots given which continued to 6-30-10 at noon and was treated successfully with ADVIL. Redness to (L) arm from above elbow to shoulder with some warmth but no pain. Some swelling to (L) arm.
Age: 1.1
Sex: M
Vaccine: HEP, HEPA, MMR, VARCEL
Symptoms: Febrile convulsion
Clinical narrative: Febrile seizure.
Age: 0.5
Sex: F
Vaccine: DTAP, HEP, HIBV, IPV, PNC13, RV5
Symptoms: Abdominal X-ray, Intussusception, Vomiting
Clinical narrative: Vomiting-6-28-10 AM & PM no BM. Intussusception dx in evening by US. Reduction via air enema.
Age: 66.0
Sex: M
Vaccine: FLU3, FLU3, FLU3
Symptoms: CSF test, Chest pain, Paraesthesia
Clinical narrative: Initial case was received on 18 June 2010 from a consumer who is also the patient. A 68 year old male patient received a left deltoid intramuscular injection of FLUZONE SV 2007-2008 (lot number U2492AA) on 01 November 2007. One week after vaccination (08 November 2007), the patient experienced chest pain. Once a week for the next month he experienced chest pain lasting 1-2 minutes each time. The patient stated he had a stress test on 04 December 2007 that was "ok." One month after vaccination, he was diagnosed with transverse myelitis. He currently uses a walker because his "legs don't work right." On 11 December 2007 the patient experienced pain down both arms and weakness. He went to the emergency room (ER) and was admitted to the hospital for two months for rehabilitation and therapy. He had no illness at the time of the vaccination, no reported adverse events to prior vaccinations and no reported vaccinations within 4 weeks. His medical history included diabetes, hypertension and tetracycline and antihistamine allergies. Concomitant medications included "diabetic pill", baby ASA and "MAXIDE." At the time of the report the patient had not recovered. Documents held by sender: None.
Age: 66.0
Sex: M
Vaccine: FLU3, FLU3, FLU3
Symptoms: Cardiac stress test normal, Chest pain, Movement disorder, Muscular weakness, Myelitis transverse
Clinical narrative: Initial case was received on 18 June 2010 from a consumer who is also the patient. A 68 year old male patient received a left deltoid intramuscular injection of FLUZONE SV 2007-2008 (lot number U2492AA) on 01 November 2007. One week after vaccination (08 November 2007), the patient experienced chest pain. Once a week for the next month he experienced chest pain lasting 1-2 minutes each time. The patient stated he had a stress test on 04 December 2007 that was "ok." One month after vaccination, he was diagnosed with transverse myelitis. He currently uses a walker because his "legs don't work right." On 11 December 2007 the patient experienced pain down both arms and weakness. He went to the emergency room (ER) and was admitted to the hospital for two months for rehabilitation and therapy. He had no illness at the time of the vaccination, no reported adverse events to prior vaccinations and no reported vaccinations within 4 weeks. His medical history included diabetes, hypertension and tetracycline and antihistamine allergies. Concomitant medications included "diabetic pill", baby ASA and "MAXIDE." At the time of the report the patient had not recovered. Documents held by sender: None.
Age: 66.0
Sex: M
Vaccine: FLU3, FLU3, FLU3
Symptoms: No reaction on previous exposure to drug, Pain in extremity, Walking aid user
Clinical narrative: Initial case was received on 18 June 2010 from a consumer who is also the patient. A 68 year old male patient received a left deltoid intramuscular injection of FLUZONE SV 2007-2008 (lot number U2492AA) on 01 November 2007. One week after vaccination (08 November 2007), the patient experienced chest pain. Once a week for the next month he experienced chest pain lasting 1-2 minutes each time. The patient stated he had a stress test on 04 December 2007 that was "ok." One month after vaccination, he was diagnosed with transverse myelitis. He currently uses a walker because his "legs don't work right." On 11 December 2007 the patient experienced pain down both arms and weakness. He went to the emergency room (ER) and was admitted to the hospital for two months for rehabilitation and therapy. He had no illness at the time of the vaccination, no reported adverse events to prior vaccinations and no reported vaccinations within 4 weeks. His medical history included diabetes, hypertension and tetracycline and antihistamine allergies. Concomitant medications included "diabetic pill", baby ASA and "MAXIDE." At the time of the report the patient had not recovered. Documents held by sender: None.
Age: 66.0
Sex: M
Vaccine: FLU3, FLU3, FLU3
Symptoms: CSF test, Chest pain, Nuclear magnetic resonance imaging, Paraesthesia, X-ray
Clinical narrative: Initial case was received on 18 June 2010 from a consumer who is also the patient. A 68 year old male patient received a left deltoid intramuscular injection of FLUZONE SV 2007-2008 (lot number U2492AA) on 01 November 2007. One week after vaccination (08 November 2007), the patient experienced chest pain. Once a week for the next month he experienced chest pain lasting 1-2 minutes each time. The patient stated he had a stress test on 04 December 2007 that was "ok." One month after vaccination, he was diagnosed with transverse myelitis. He currently uses a walker because his "legs don't work right." On 11 December 2007 the patient experienced pain down both arms and weakness. He went to the emergency room (ER) and was admitted to the hospital for two months for rehabilitation and therapy. He had no illness at the time of the vaccination, no reported adverse events to prior vaccinations and no reported vaccinations within 4 weeks. His medical history included diabetes, hypertension and tetracycline and antihistamine allergies. Concomitant medications included "diabetic pill", baby ASA and "MAXIDE." At the time of the report the patient had not recovered. Documents held by sender: None.
Age: 66.0
Sex: M
Vaccine: FLU3, FLU3, FLU3
Symptoms: CSF test, Chest pain, Paraesthesia
Clinical narrative: Chest pain lasting about 2 minutes. Pain was like electrical current across from one side to the other.
Age: 66.0
Sex: M
Vaccine: FLU3, FLU3, FLU3
Symptoms: Cardiac stress test normal, Chest pain, Movement disorder, Muscular weakness, Myelitis transverse
Clinical narrative: Chest pain lasting about 2 minutes. Pain was like electrical current across from one side to the other.
Age: 66.0
Sex: M
Vaccine: FLU3, FLU3, FLU3
Symptoms: No reaction on previous exposure to drug, Pain in extremity, Walking aid user
Clinical narrative: Chest pain lasting about 2 minutes. Pain was like electrical current across from one side to the other.
Age: 66.0
Sex: M
Vaccine: FLU3, FLU3, FLU3
Symptoms: CSF test, Chest pain, Nuclear magnetic resonance imaging, Paraesthesia, X-ray
Clinical narrative: Chest pain lasting about 2 minutes. Pain was like electrical current across from one side to the other.
Age: 65.0
Sex: F
Vaccine: PPV
Symptoms: Full blood count, Joint range of motion decreased, Laboratory test normal, Musculoskeletal pain, Pain in extremity
Clinical narrative: Started 2hrs after vaccine-arm/shoulder pain. Numbness. Tingling into fingers. Given pain medication & sling for support. Pain, poor motion in shoulder & deltoid 1 days pain 7/1/10.
Age: 65.0
Sex: F
Vaccine: PPV
Symptoms: Paraesthesia
Clinical narrative: Started 2hrs after vaccine-arm/shoulder pain. Numbness. Tingling into fingers. Given pain medication & sling for support. Pain, poor motion in shoulder & deltoid 1 days pain 7/1/10.
Age: 1.71
Sex: F
Vaccine: PNC13
Symptoms: Blood test normal, Decreased appetite, Insomnia, Irritability, Oropharyngeal blistering
Clinical narrative: Sat. 06/26 started running a fever of 102 degrees (oral). Sun. 06/27 fever increased to 104 degrees - taken to Hosp. ER bld. test run, none for infection; "due to shot" alternate TYLENOL & MOTRIN/fussy, decreased appetite, loss of sleep. 06/28 blisters in mouth. 06/29 seen PCP put on antibiotics.
Age: 1.71
Sex: F
Vaccine: PNC13
Symptoms: Pyrexia
Clinical narrative: Sat. 06/26 started running a fever of 102 degrees (oral). Sun. 06/27 fever increased to 104 degrees - taken to Hosp. ER bld. test run, none for infection; "due to shot" alternate TYLENOL & MOTRIN/fussy, decreased appetite, loss of sleep. 06/28 blisters in mouth. 06/29 seen PCP put on antibiotics.
Age: 16.0
Sex: M
Vaccine: TDAP
Symptoms: Dizziness, Headache, Muscle rigidity, Tremor, Unresponsive to stimuli
Clinical narrative: Client became unresponsive, started shaking and became rigid; this lasted approx. 30 seconds. Then he became lightheaded, and started vomiting. We had the client lie down on a chair and elevated his legs. He was still dizzy and lightheaded. Later in the day he c/o headaches.
Age: 16.0
Sex: M
Vaccine: TDAP
Symptoms: Vomiting
Clinical narrative: Client became unresponsive, started shaking and became rigid; this lasted approx. 30 seconds. Then he became lightheaded, and started vomiting. We had the client lie down on a chair and elevated his legs. He was still dizzy and lightheaded. Later in the day he c/o headaches.
Age: 40.0
Sex: F
Vaccine: FLU(H1N1), TYP
Symptoms: Dyspnoea, Feeling cold, Tremor
Clinical narrative: Violent shaking, shortness of breath, cold feeling.
Age: 0.5
Sex: M
Vaccine: DTAPIPVHIB, PNC13, RV5
Symptoms: Crying, Screaming, Vomiting
Clinical narrative: Cried/screamed for 4 hours during the night.  Vomited x 1.  Pt seems well on 7/1/2010 per mom.  Afebrile.
Age: 15.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Loss of consciousness
Clinical narrative: Passed out, lost consciousness for 10-20 seconds.
Age: 15.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Confusional state, Fall, Loss of consciousness
Clinical narrative: Passed out, lost consciousness for 10-20 seconds.
Age: 0.22
Sex: F
Vaccine: DTAPIPVHIB, PNC13, RV5
Symptoms: Endotracheal intubation, Gastrointestinal sounds abnormal, Intensive care, Intussusception, Laparoscopic surgery
Clinical narrative: Infant began vomiting 6 hrs prior to presentation to office, in office was tachycardic, shocky, with absent bowel sounds and bilious emesis.  Treatment included intubation, intra osseous fluid bolus and stat med evac helicopter transfer to hosp where intussusception was reduced laparoscopically.  Pt remained intubated in the ICU at this time.
Age: 0.22
Sex: F
Vaccine: DTAPIPVHIB, PNC13, RV5
Symptoms: Shock, Tachycardia, Vomiting
Clinical narrative: Infant began vomiting 6 hrs prior to presentation to office, in office was tachycardic, shocky, with absent bowel sounds and bilious emesis.  Treatment included intubation, intra osseous fluid bolus and stat med evac helicopter transfer to hosp where intussusception was reduced laparoscopically.  Pt remained intubated in the ICU at this time.
Age: 35.0
Sex: F
Vaccine: HEP, MMR, VARCEL
Symptoms: Pruritus, Skin irritation
Clinical narrative: Subq back of left arm became irritated and itchy June 23, 2010. Vaccine administered on June 21, 2010 @ 14:11.
Age: 17.0
Sex: F
Vaccine: TDAP
Symptoms: Lymphadenopathy, Pain, Pyrexia, Sinus tachycardia
Clinical narrative: Swollen neck and axilla lymph nodes, low grade fever, ST, body aches started 6/23. Seen in office 6/25 - symptoms improving.
Age: 28.0
Sex: F
Vaccine: RAB
Symptoms: Dizziness, Pruritus, Swelling face, Urticaria
Clinical narrative: Client states light-headed after vaccine. Took 50 mg. BENADRYL 1 PO immediately & continued med 4 days BID. States face swelling (increased around eyes) (B) leg hives & itching 24 hours after vaccine that continued for 3 days. Never saw a M.D. came to Health Dept. today for Rabies #2. Our M.D., stated Rabies vaccine should not be given, Rabies #2 not given. Client counseled 6/28/10.
Age: 11.0
Sex: M
Vaccine: MNQ, TDAP
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: (L) upper arm redness and swelling 16 cm x 16 cm.
Age: 4.0
Sex: U
Vaccine: DTAP, VARCEL
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Right thigh redness/slight swelling. Patient instructed to apply cool compress to (R) thigh, MOTRIN q 6hr-8hr.
Age: 1.21
Sex: M
Vaccine: DTAP
Symptoms: Oedema peripheral, Urticaria
Clinical narrative: (L) leg swelled from groin to ankle for 4 days when swelling subsided, got hives along the left side of his body for 3 days.
Age: 60.0
Sex: F
Vaccine: VARZOS
Symptoms: Herpes zoster, Skin lesion, Varicella post vaccine
Clinical narrative: Information has been received from a physician concerning a female in her 60's who about 2 years ago (approximately 2008) was vaccinated with a dose of ZOSTAVAX (Merck). The patient developed shingles after receiving the dose of ZOSTAVAX (Merck). It was also reported that the patient had "a really bad case of shingles and developed post herpetic neuralgia". The patient sought medical attention through an office visit. The patient's outcome was unknown. Follow up information received from a physician indicated that the patient was a 63 year old real real estate agent, customer service representative, with hypertension, osteopenia, no illness at the time of vaccination and with no significant underlying medical issues. There was no recent exposure to chickenpox or herpes zoster. On 21-DEC-2006 the patient was vaccinated with a first dose of ZOSTAVAX (Merck) (lot # 654603/1405F) into the left arm. On 26-MAR-2010 the patient developed severe herpes zoster in her right V1 distribution; V1 dermatome, the patient developed numerous multiple lesions (nearly contiguous) over her right forehead, upper eyelid and right frontal temporal parietal scalp. The rash did not occur at the site of injection or elsewhere within 42 days of the vaccination. The patient's pain was quantified as 10. The patient also developed severe neuralgia. No direct fluorescent antibody done; no specimen was collected for PCR. At the time of this report the patient was improving but still ongoing and requiring medications (considered partially recovered). Post herpetic neuralgia and shingles were considered to be disabling. Additional information has been requested.
Age: 67.0
Sex: M
Vaccine: VARZOS
Symptoms: Burning sensation, Herpes zoster, Impaired work ability, Pain in extremity, Rash
Clinical narrative: Information has been received from a medical assistant concerning a 67 year old male patient with no pertinent medical history or no drug reactions or allergy who on 02-JUN-2010 was vaccinated SC with a dose of ZOSTAVAX (Merck). Concomitant therapy included ibuprofen (manufacturer unknown). On 03-JUN-2010 the patient experienced shingles after receiving ZOSTAVAX (Merck). The patient developed rash from left buttock and radiating down to the bottom of his left foot. It was reported that the patient said his foot was in pain like it was on the fire. The patient sought unspecified medical attention. No laboratory diagnostics studies were performed. At the time of the report, the patient was recovering. Follow-up information has been received from the medical assistant and a doctor concerning a patient with no allergies and no previous health problems who worked at a department store. On 01-JUN-2010, the patient was also seen in the office for left knee pain and took ibuprofen for it. It was reported that the patient was given the second dose of ZOSTAVAX (Merck) on 02-JUN-2010 and broke out with left leg shingles the next day. On 23-JUN-2010, photos were taken (result unspecified). At the time of the report, the patient was still off work due to pain. Left leg shingles was considered to be disabling by the reporter. Additional information has been requested.
Age: 67.0
Sex: M
Vaccine: VARZOS
Symptoms: Varicella post vaccine
Clinical narrative: Information has been received from a medical assistant concerning a 67 year old male patient with no pertinent medical history or no drug reactions or allergy who on 02-JUN-2010 was vaccinated SC with a dose of ZOSTAVAX (Merck). Concomitant therapy included ibuprofen (manufacturer unknown). On 03-JUN-2010 the patient experienced shingles after receiving ZOSTAVAX (Merck). The patient developed rash from left buttock and radiating down to the bottom of his left foot. It was reported that the patient said his foot was in pain like it was on the fire. The patient sought unspecified medical attention. No laboratory diagnostics studies were performed. At the time of the report, the patient was recovering. Follow-up information has been received from the medical assistant and a doctor concerning a patient with no allergies and no previous health problems who worked at a department store. On 01-JUN-2010, the patient was also seen in the office for left knee pain and took ibuprofen for it. It was reported that the patient was given the second dose of ZOSTAVAX (Merck) on 02-JUN-2010 and broke out with left leg shingles the next day. On 23-JUN-2010, photos were taken (result unspecified). At the time of the report, the patient was still off work due to pain. Left leg shingles was considered to be disabling by the reporter. Additional information has been requested.