chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 49.0
Sex: M
Vaccine: PPV
Symptoms: Body temperature increased, Chills, Cough, Hyperhidrosis, Injection site cellulitis
Clinical narrative: Information has been received from a physician with had hay fever who on 02-FEB-2009 vaccinated himself with a 0.5 ml first dose of PNEUMOVAX 23 intramuscularly into his left deltoid. There was no concomitant medication. On 03-FEB-2009 he experienced a fever of 102.5F for 3 days, rigors, sweats and cellulitis from the left shoulder to left elbow. It was reported that the cellulitis area first started as a little red spot with pain and the developed into the cellulitis from the left shoulder to the left elbow. It was reported that the physician had "general upper respiratory" symptoms such as cough, vomited several times on 03-FEB-2009 and could not stay awake. At the time of the report, the fever was gone however the area of redness (cellulitis area) is extended. It was reported that the physician was taking AUGMENTIN XR two tablets twice daily and prednisone. There were no diagnostics studies performed. It was reported that the physician considered jumping into a cold pool and was also taking around the clock ibuprofen alternating with TYLENOL to lower his fever as intervention to prevent a serious criteria. The physician talked with another unspecified physician. The reporting physician considered fever, rigors, sweats, "general upper respiratory symptoms" could not stay awake, vomited several times and cellulitis to be life threatening and other important medical events. Additional information has been requested.
Age: 49.0
Sex: M
Vaccine: PPV
Symptoms: Injection site erythema, Injection site pain, Pyrexia, Respiratory disorder, Somnolence
Clinical narrative: Information has been received from a physician with had hay fever who on 02-FEB-2009 vaccinated himself with a 0.5 ml first dose of PNEUMOVAX 23 intramuscularly into his left deltoid. There was no concomitant medication. On 03-FEB-2009 he experienced a fever of 102.5F for 3 days, rigors, sweats and cellulitis from the left shoulder to left elbow. It was reported that the cellulitis area first started as a little red spot with pain and the developed into the cellulitis from the left shoulder to the left elbow. It was reported that the physician had "general upper respiratory" symptoms such as cough, vomited several times on 03-FEB-2009 and could not stay awake. At the time of the report, the fever was gone however the area of redness (cellulitis area) is extended. It was reported that the physician was taking AUGMENTIN XR two tablets twice daily and prednisone. There were no diagnostics studies performed. It was reported that the physician considered jumping into a cold pool and was also taking around the clock ibuprofen alternating with TYLENOL to lower his fever as intervention to prevent a serious criteria. The physician talked with another unspecified physician. The reporting physician considered fever, rigors, sweats, "general upper respiratory symptoms" could not stay awake, vomited several times and cellulitis to be life threatening and other important medical events. Additional information has been requested.
Age: 49.0
Sex: M
Vaccine: PPV
Symptoms: Vomiting
Clinical narrative: Information has been received from a physician with had hay fever who on 02-FEB-2009 vaccinated himself with a 0.5 ml first dose of PNEUMOVAX 23 intramuscularly into his left deltoid. There was no concomitant medication. On 03-FEB-2009 he experienced a fever of 102.5F for 3 days, rigors, sweats and cellulitis from the left shoulder to left elbow. It was reported that the cellulitis area first started as a little red spot with pain and the developed into the cellulitis from the left shoulder to the left elbow. It was reported that the physician had "general upper respiratory" symptoms such as cough, vomited several times on 03-FEB-2009 and could not stay awake. At the time of the report, the fever was gone however the area of redness (cellulitis area) is extended. It was reported that the physician was taking AUGMENTIN XR two tablets twice daily and prednisone. There were no diagnostics studies performed. It was reported that the physician considered jumping into a cold pool and was also taking around the clock ibuprofen alternating with TYLENOL to lower his fever as intervention to prevent a serious criteria. The physician talked with another unspecified physician. The reporting physician considered fever, rigors, sweats, "general upper respiratory symptoms" could not stay awake, vomited several times and cellulitis to be life threatening and other important medical events. Additional information has been requested.
Age: 1.0
Sex: F
Vaccine: MMR
Symptoms: Diagnostic procedure, Laboratory test, Learning disability, Speech disorder
Clinical narrative: Information has been received from the patient's mother concerning her 12 month old female daughter, who in 1999 was vaccinated with a dose of MMR II. Concomitant vaccinations included "regular scheduled vaccines". In 1999, the patient stopped talking immediately after receiving the MMR II. The reporter stated that her daughter had a learning disability, and it was very hard to express herself but the patient was highly functioning. The patient sought unspecified medical attention and underwent several unspecified tests (results not reported). At the time of reporting, the patient was 10 year old and had not recovered. Upon internal review, learning disability was considered to be disabling. No further information is available.
Age: 21.0
Sex: F
Vaccine: HPV4
Symptoms: Affective disorder, Blood aluminium, Mental disorder
Clinical narrative: Information has been received from a nurse practitioner concerning a 22 year old female patient with no pertinent medical history and allergic reaction to AUGMENTIN, CECLOR, and sulfonamide allergy who on 13-AUG-2007 was vaccinated with the first dose of GARDASIL (Lot # 658554/0928U) intramuscularly. On 29-FEB-2008 the patient received the second dose of GARDASIL (Lot # 660557/0072X). Concomitant therapy included LOESTRIN 24. It was reported that in December 2007 the patient developed mental illness which consisted of mood disorder after receiving GARDASIL. It was reported that the patient had not yet received the third dose. A serum level test for aluminum was performed (result not provided). It was reported that the patient had been hospitalized due to the disorder, but the reporter did not know the duration of the hospitalization. Additional information has been requested.
Sex: F
Vaccine: HPV4
Symptoms: Pulmonary embolism
Clinical narrative: Information has been received from a nurse concerning a female "born in 1983" with no pertinent medical history who on 29-MAR-2007 was vaccinated with the first dose of GARDASIL (lot# not provided), and on 29-MAY-2007 was vaccinated with the second dose of GARDASIL (lot# not provided) 0.5ml intramuscularly. Concomitant therapy included ORTHO TRI-CYCLEN LO. In July 2007 the patient experienced pulmonary embolism and experienced a second one in August 2007. Patient sought unspecified medical attention. At the time of this report the patient's condition was unknown. Upon internal review, the pulmonary embolism was determined to be an other important medical event. Additional information has been requested.
Age: 18.0
Sex: F
Vaccine: HEPA, HPV4, MNQ
Symptoms: Cerebrovascular accident, Inappropriate schedule of drug administration
Clinical narrative: Information has been received from a Certified Medical Assistant concerning an 18 year old female who on 22-AUG-2007 was vaccinated with a first dose of GARDASIL (lot #658222/0927U) intramuscularly. On 26-JUN-2008, the patient was vaccinated with a second dose of GARDASIL. The patient was started on an unspecified birth control pill sometime after receiving both doses but prior to having the stroke. On an unspecified date, the patient had stroke when attending school and then was hospitalized. The patient is currently taking COUMADIN. The patient called the reporter's office, but had not been seen yet. At the time of reporting, the patient was recovering from stroke. The patient's stroke was considered to be life-threatening. Additional information has been requested.  3/12/09 Received hospital medical records of 12/4-12/8/2008. FINAL DX: diabetes; right cerebellar infarct w/hemorrhagic conversion; right transverse sinus thrombosis; superior sagittal sinus thrombosis. Records reveal patient experienced HA, nausea, vomiting, fevers, chills & sweats x 4 days.  Saw PCP, dx w/pyelonephritis & tx w/oral antibiotics.  Symptoms persisted & developed nuchal rigidity & pain.  Admitted directly for possible meningitis.  LP done.  Developed numbness, tingling, difficulty swallowing & double vision.  Neuro, neurosurg consults done.  Developed possible heparin induced thrombocytopenia. Transferred to higher level of care.  3/18/09 Received Rehab hospital medical records of 12/17-12/24/2008. FINAL DX: RUE hemiplegia; diplopia; cranial nerve VII palsy, left side; neuropathic pain; hyperglycemia.
Age: 20.0
Sex: F
Vaccine: HPV4
Symptoms: Convulsion, Pyrexia
Clinical narrative: Information has been received from a healthcare professional concerning her 20 year old daughter who was vaccinated with all three doses of GARDASIL. One week after receiving the third dose the patient experienced spiking a 104 degree fever and sometime after that the patient experienced a seizure/seizure like activity. Two weeks after the seizure like activity the patient saw a neurologist. At the time of this report, the outcome was unknown. Upon internal review, seizure/seizure like activity was determined to be an other important medical event. Additional information has been requested.
Age: 17.0
Sex: F
Vaccine: HPV4
Symptoms: Caesarean section, Complication of delivery, Condition aggravated, Drug exposure during pregnancy, Failed trial of labour
Clinical narrative: Information has been received from a medical assistant and a pediatrician concerning a 17 year old female patient for the pregnancy registry for GARDASIL with no pertinent medical history and no known drug allergies, who on 31-OCT-2007 was vaccinated with the first dose of GARDASIL (lot# 653978/0955F) 0.5 ml intramuscularly. There was no concomitant medication. It was reported that the patient found out she was pregnant in "December 2008" after receiving the first dose of GARDASIL. Patient sought medical attention from unspecified OB. On 29-AUG-2008 the patient received the second dose of GARDASIL (lot# 660553/0070X) 0.5 ml intramuscularly after delivering a healthy baby on June 2008. Follow-up information received from the medical assistant who reported that the patient has had a history of 1 previous pregnancy and 1 full term delivery. The infant was born 30-JUN-2008, Apgar score of 1, normal, with no congenital anomalies and with no other complications or abnormalities. Follow up information received on 06-FEB-2009 from a pediatrician who reported that the patient has a history of mononucleosis and UTI. Number of previous pregnancies is 0 (previously reported as 1); number of previous live births is 0 (previously reported as 1). The date of the last menstrual period is 08-OCT-2007. On 24-NOV-2007 patient was on treatment with KEFLEX 500 mg twice a day, for 5 days for the treatment of urinary tract infections. Ultrasounds performed on two different occasions with normal results. On 27-JUN-2008 a biophysical profile was performed. Complications during pregnancy included premature rupture of membranes and irregular fetal heart rate, fetal arrhythmia. Failure to progress during labor/delivery therefore a cesarean section was performed. The baby was born 37 weeks from LMP, weighed 6 pounds 11 ounces and was 19 inches tall. Infant was normal with no congenital anomalies. No further information is available.
Age: 17.0
Sex: F
Vaccine: HPV4
Symptoms: Foetal disorder, Laboratory test, Premature rupture of membranes, Ultrasound scan normal, Urinary tract infection
Clinical narrative: Information has been received from a medical assistant and a pediatrician concerning a 17 year old female patient for the pregnancy registry for GARDASIL with no pertinent medical history and no known drug allergies, who on 31-OCT-2007 was vaccinated with the first dose of GARDASIL (lot# 653978/0955F) 0.5 ml intramuscularly. There was no concomitant medication. It was reported that the patient found out she was pregnant in "December 2008" after receiving the first dose of GARDASIL. Patient sought medical attention from unspecified OB. On 29-AUG-2008 the patient received the second dose of GARDASIL (lot# 660553/0070X) 0.5 ml intramuscularly after delivering a healthy baby on June 2008. Follow-up information received from the medical assistant who reported that the patient has had a history of 1 previous pregnancy and 1 full term delivery. The infant was born 30-JUN-2008, Apgar score of 1, normal, with no congenital anomalies and with no other complications or abnormalities. Follow up information received on 06-FEB-2009 from a pediatrician who reported that the patient has a history of mononucleosis and UTI. Number of previous pregnancies is 0 (previously reported as 1); number of previous live births is 0 (previously reported as 1). The date of the last menstrual period is 08-OCT-2007. On 24-NOV-2007 patient was on treatment with KEFLEX 500 mg twice a day, for 5 days for the treatment of urinary tract infections. Ultrasounds performed on two different occasions with normal results. On 27-JUN-2008 a biophysical profile was performed. Complications during pregnancy included premature rupture of membranes and irregular fetal heart rate, fetal arrhythmia. Failure to progress during labor/delivery therefore a cesarean section was performed. The baby was born 37 weeks from LMP, weighed 6 pounds 11 ounces and was 19 inches tall. Infant was normal with no congenital anomalies. No further information is available.
Age: 15.0
Sex: F
Vaccine: HPV4, HEPA, HPV4, MNQ, TDAP
Symptoms: Alpha 1 foetoprotein normal, Amniocentesis normal, Anaemia, Caesarean section, Drug exposure during pregnancy
Clinical narrative: Information has been received from a registered nurse (R.N.), for GARDASIL, a Pregnancy Registry product, concerning a 15 year old female patient, who on 23-APR-2008 was vaccinated with the first dose of GARDASIL. On the same day, the patient also visited the OB/GYN, and had a positive pregnancy test. Details of the pregnancy and gestation were not reported. Follow-up information was received on 05-FEB-2009 indicating that on 22-APR-2008 (previously reported as 23-APR-2008), the patient with behavioral problem and school problem and a history of varicella disease was vaccinated intramuscularly in the right deltoid with a first dose of GARDASIL (Lot #659439/1267U). It was reported that the patient had 0 previous pregnancies. An ultrasound performed on 25-JUN-2008 revealed possible brachycephaly. Amniocentesis performed on 27-AUG-2008 showed no brachycephaly. Maternal serum alpha-fetoprotein (MSAFP) on 07-JUL-2008 was negative. It was reported that the patient developed anemia during pregnancy. There were no infections or illnesses during pregnancy. On 16-NOV-2008, 38 weeks from LMP, the patient had a cesarean section for occiput posterior descent, and delivered a normal male baby, weighing 6 pounds 10 ounces. The baby's length was 20 inches, head circumference was 13 inches and apgar score was 8/9. There were no congenital anomalies, other complications or abnormalities. Upon internal review, "cesarean section for failure to progress" was determined to be an other important medical event. Additional information is not expected.
Age: 15.0
Sex: F
Vaccine: HPV4, HEPA, HPV4, MNQ, TDAP
Symptoms: Face presentation, Failed trial of labour, Pregnancy test positive, Ultrasound scan
Clinical narrative: Information has been received from a registered nurse (R.N.), for GARDASIL, a Pregnancy Registry product, concerning a 15 year old female patient, who on 23-APR-2008 was vaccinated with the first dose of GARDASIL. On the same day, the patient also visited the OB/GYN, and had a positive pregnancy test. Details of the pregnancy and gestation were not reported. Follow-up information was received on 05-FEB-2009 indicating that on 22-APR-2008 (previously reported as 23-APR-2008), the patient with behavioral problem and school problem and a history of varicella disease was vaccinated intramuscularly in the right deltoid with a first dose of GARDASIL (Lot #659439/1267U). It was reported that the patient had 0 previous pregnancies. An ultrasound performed on 25-JUN-2008 revealed possible brachycephaly. Amniocentesis performed on 27-AUG-2008 showed no brachycephaly. Maternal serum alpha-fetoprotein (MSAFP) on 07-JUL-2008 was negative. It was reported that the patient developed anemia during pregnancy. There were no infections or illnesses during pregnancy. On 16-NOV-2008, 38 weeks from LMP, the patient had a cesarean section for occiput posterior descent, and delivered a normal male baby, weighing 6 pounds 10 ounces. The baby's length was 20 inches, head circumference was 13 inches and apgar score was 8/9. There were no congenital anomalies, other complications or abnormalities. Upon internal review, "cesarean section for failure to progress" was determined to be an other important medical event. Additional information is not expected.
Age: 15.0
Sex: F
Vaccine: HPV4, HEPA, HPV4, MNQ, TDAP
Symptoms: Arrested labour, Caesarean section, Drug exposure during pregnancy, Urine human chorionic gonadotropin positive
Clinical narrative: Information has been received from a registered nurse (R.N.), for GARDASIL, a Pregnancy Registry product, concerning a 15 year old female patient, who on 23-APR-2008 was vaccinated with the first dose of GARDASIL. On the same day, the patient also visited the OB/GYN, and had a positive pregnancy test. Details of the pregnancy and gestation were not reported. Follow-up information was received on 05-FEB-2009 indicating that on 22-APR-2008 (previously reported as 23-APR-2008), the patient with behavioral problem and school problem and a history of varicella disease was vaccinated intramuscularly in the right deltoid with a first dose of GARDASIL (Lot #659439/1267U). It was reported that the patient had 0 previous pregnancies. An ultrasound performed on 25-JUN-2008 revealed possible brachycephaly. Amniocentesis performed on 27-AUG-2008 showed no brachycephaly. Maternal serum alpha-fetoprotein (MSAFP) on 07-JUL-2008 was negative. It was reported that the patient developed anemia during pregnancy. There were no infections or illnesses during pregnancy. On 16-NOV-2008, 38 weeks from LMP, the patient had a cesarean section for occiput posterior descent, and delivered a normal male baby, weighing 6 pounds 10 ounces. The baby's length was 20 inches, head circumference was 13 inches and apgar score was 8/9. There were no congenital anomalies, other complications or abnormalities. Upon internal review, "cesarean section for failure to progress" was determined to be an other important medical event. Additional information is not expected.
Age: 70.0
Sex: M
Vaccine: VARZOS
Symptoms: Blood pressure decreased, Dizziness, Nausea, Paraesthesia, Peripheral coldness
Clinical narrative: Information has been received from a pharmacist concerning a 70 year old male with hypertension and allergic to morphine and tramadol hydrochloride who on 04-FEB-2009 was vaccinated SQ with a 0.65 ml dose of ZOSTAVAX (lot # 663672/1709X). Concomitant therapy included alendronate sodium (MSD), lisinopril (manufacturer unknown) and atenolol. On 04-FEB-2009 the patient experienced a drop in blood pressure, nausea, dizziness and a tingling/cold in hands approximately one hour after the vaccination. The patient presented to the emergency room for evaluation and it was noted that the patient self administered a dose of epinephrine prior to arriving at the emergency room. Subsequently, the patient recovered on 05-FEB-2009. Upon internal review, the patient's experiences were determined to be other important medical events as the patient received treatment with epinephrine. Additional information has been requested.
Age: 69.0
Sex: F
Vaccine: VARZOS
Symptoms: Blister, Pyrexia, Rash
Clinical narrative: Ophthalmic rash, vesicles, fever X 2days 2/3/09 - given vaccine 1/27/09
Age: 41.0
Sex: M
Vaccine: PPV, TDAP
Symptoms: Blood culture, Cellulitis, Erythema, Oedema peripheral, Pain in extremity
Clinical narrative: 2/9/09 = Red swollen left arm painful. 2/10/09 = Reddened area on arm, spreading painful. 2/11/09 = cellulitis. Pt has prior Hx staph infections.
Age: 41.0
Sex: M
Vaccine: PPV, TDAP
Symptoms: White blood cell count increased
Clinical narrative: 2/9/09 = Red swollen left arm painful. 2/10/09 = Reddened area on arm, spreading painful. 2/11/09 = cellulitis. Pt has prior Hx staph infections.
Age: 38.0
Sex: U
Vaccine: HEPA, PPV
Symptoms: Full blood count normal, Malaise, Metabolic function test, Pain in extremity, Vomiting
Clinical narrative: (L) arm pain, vomiting, malaise, R/O sepsis-doubtful. Pt with prior diagnosis of staph infections
Age: 4.0
Sex: M
Vaccine: DTAPIPV, FLUX, MMR, VARCEL
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: 6 cm x 6 cm red, warm, swollen area left deltoid.
Age: 9.0
Sex: F
Vaccine: DTAPHEPBIP, VARCEL
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Redness and swelling at site of injection
Age: 17.0
Sex: F
Vaccine: HEP, HPV4, MNQ
Symptoms: Bradycardia, Hyperhidrosis, Pallor, Syncope
Clinical narrative: 1-2 minutes after receiving vaccine Pt. was getting ready to walk out the door with parent - and fainted - Able to keep standing and assisted into chair.  Upon exam , NP noted mild diapheresis, Pallor, bradycardia. Responded with supine position and oral beverages. Discharged in stable cond. with limited activity x 24 hrs
Age: 11.0
Sex: M
Vaccine: MNQ
Symptoms: Dizziness
Clinical narrative: Dizziness after injection
Age: 0.2
Sex: F
Vaccine: DTAPIPVHIB, HEP, PNC, RV5
Symptoms: Crying, Irritability
Clinical narrative: Severe crying/inconsolable and fussier X 2-3 days after vaccination.
Age: 6.0
Sex: F
Vaccine: MMR, PPV, VARCEL
Symptoms: Pyrexia, Skin lesion
Clinical narrative: < 50 crusted lesion Pt. had fever for 2 days of 101 F.
Age: 0.2
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Feeling abnormal, Somnolence
Clinical narrative: Really drowsy and dazed lasting about 5 mins.  Pt. was put back into the RM where Dr. check her and baby was doing better.
Age: 4.0
Sex: M
Vaccine: DTAPIPV, HEPA, MMR, VARCEL
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Swollen, red right arm (hyperimmune response).
Age: 59.0
Sex: F
Vaccine: PPV, TDAP
Symptoms: Pruritus, Rash generalised
Clinical narrative: Rash, itching, Rash spread all over body
Age: 8.0
Sex: F
Vaccine: FLUN3, VARCEL
Symptoms: Erythema, Pain, Swelling
Clinical narrative: Swelling greater than 5cm w/ erythema & pain.
Age: 45.0
Sex: F
Vaccine: DT, HIBV, PPV
Symptoms: Injection site erythema, Injection site oedema, Injection site pain, Injection site warmth
Clinical narrative: patient with pain, Erythema, warmth and edema  at and below site of vaccination within 24 hr of administration.
Age: 8.0
Sex: F
Vaccine: DTAP, FLU3
Symptoms: Injection site erythema, Injection site pain, Injection site warmth
Clinical narrative: Patient noticed a 4 in by 3 in area of redness, warmth and tenderness on site where vaccine was administered, 24 hrs after administration.  Unchanged the following morning (2/5/9).  No improvement on 2/6, KEFLEX given for 10 days.  Per mom on 2/6/9.
Age: 10.0
Sex: M
Vaccine: DTAP
Symptoms: Injection site erythema, Injection site pruritus
Clinical narrative: (8x4inch) itching, redness at site 2 days after.
Age: 65.0
Sex: F
Vaccine: PPV, VARZOS
Symptoms: Blood pressure increased, Electrocardiogram ambulatory, Fatigue, Heart rate irregular, Injection site erythema
Clinical narrative: Red, irritated blotchy rash at PNEUMOVAX site starting 1 day after immunization and cleared on 2-3-09 (said she is sensitive to many things). Feels tired, blood pressure elevated ~152/80, heart feels like it misses a beat, will check with cardiologist on 2-10-09.
Age: 65.0
Sex: F
Vaccine: PPV, VARZOS
Symptoms: Injection site irritation, Injection site rash
Clinical narrative: Red, irritated blotchy rash at PNEUMOVAX site starting 1 day after immunization and cleared on 2-3-09 (said she is sensitive to many things). Feels tired, blood pressure elevated ~152/80, heart feels like it misses a beat, will check with cardiologist on 2-10-09.
Sex: F
Vaccine: DTAPIPV
Symptoms: Erythema, Pruritus, Swelling
Clinical narrative: 24 hr after shot she developed redness, swelling, itching and pain 5" X 3.5" around shot
Age: 46.0
Sex: F
Vaccine: DTAP
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: vaccine given 2/6/2009.  patient states she noticed swelling. Today 2/11/2009 she reported it to the clinic.  She had local swelling at the site measuring 1 inch wide by 3 inches long with erythema into inner forearm with no lymphadenopaty.  No other symptoms.  Denies fever, difficulty breathing, swelling of lips or tongue, dizzyness, itching.
Age: 48.0
Sex: M
Vaccine: TD
Symptoms: Chills, Fatigue, Pain in extremity
Clinical narrative: Pt woke up at 1:00 am with chills, this continued till aprox 4-5:00 am. Pt denies fever and chills at this time.Today pt is feeling unusually tired and reports aching legs
Age: 56.0
Sex: F
Vaccine: TDAP
Symptoms: Arthralgia, Injection site pain, Laboratory test normal, Pyrexia
Clinical narrative: The patient called the Dept of Health Services for guidance on the adverse event.  She plans to self report to VAERS soon.  She is in good health, and has some experience in the medical field, having worked in the past at a county health department.  On Oct 29, 2008 she received a routine Tdap since it was > 10 years since her last Td.  The site hurt and she felt feverish.  The next day her elbows, knees, and ankles were very sore, and remained quite painful the second day.  She had no rash at the time, nor did she have joint swelling.  The pain decreased to a tolerable level on the 3rd and 4th day, but "achiness" in her elbows, knees, and ankles has persisted since. She has been checked for "arthritis" and was told that she did not have arthritis.  She called to find out if her persistent symptoms could be due to the Tdap vaccine.  She had previously had a "severe" reaction to an MMR 14 years ago and was told not to ever have another MMR.  My assessment (as medical officer for the Immunization Office Program) was that it could be due to a type of serum sickness reaction to Tdap, more likely due to the tetanus (or diphtheria) component, since serum sickness after repeated Td has been previously reported.  I recommended that she directly make a report to VAERS.
Age: 10.0
Sex: F
Vaccine: FLUN3, HEPA
Symptoms: Oedema peripheral, Tenderness
Clinical narrative: 4 CM x 4 CM SWOLLEN SPOT ON RIGHT ARM, NOT RED, NOT WARM, MIDLY TENDER
Age: 16.0
Sex: F
Vaccine: HPV4, MNQ, TDAP
Symptoms: Dizziness, Immediate post-injection reaction, Loss of consciousness, Pallor
Clinical narrative: Patient was in office for routine visit.  Pt was ordered HPV vaccine, menactra (meningococcal) vaccine, and adacel (tdap) vaccine.  Gave all three immunizations and right after giving the HPV vaccine, patient stating she felt like she was going to pass out.  Patient leaned forward onto her mom while sitting on exam table and passed out, became very pale.  Pt did not fall off table.  Myself and another nurse immediately laid pt back on table.  Pt awoke after only 1-2 seconds.  We elevated pt's legs and had pt lay there while monitoring her for approximately 10 minutes.  Pt was awake, alert, and oriented.  At that time we gave her a small cup of orange juice and elevated pt's head.  Pt laid there for approximately 10 more minutes and then we had the doctor check the pt.  Pt was stating she was feeling fine, awake, alert, and oriented/walking around in room.  Dr. gave the okay for pt to go home.
Age: 35.0
Sex: F
Vaccine: TDAP
Symptoms: Constipation, Cough, Dizziness, Dysphagia, Injection site swelling
Clinical narrative: Fever (102-103, severe arm pain and injection site swelling, dizziness, sore throat, difficulty swallowing, cough, nasal congestion, nausea, constipation,all-over body aches.  Treatment: fluids, advil (multiple, extra-strength dose, rest)
Age: 35.0
Sex: F
Vaccine: TDAP
Symptoms: Nasal congestion, Nausea, Oropharyngeal pain, Pain, Pain in extremity
Clinical narrative: Fever (102-103, severe arm pain and injection site swelling, dizziness, sore throat, difficulty swallowing, cough, nasal congestion, nausea, constipation,all-over body aches.  Treatment: fluids, advil (multiple, extra-strength dose, rest)
Age: 35.0
Sex: F
Vaccine: TDAP
Symptoms: Pyrexia
Clinical narrative: Fever (102-103, severe arm pain and injection site swelling, dizziness, sore throat, difficulty swallowing, cough, nasal congestion, nausea, constipation,all-over body aches.  Treatment: fluids, advil (multiple, extra-strength dose, rest)
Age: 4.0
Sex: F
Vaccine: DTAPIPV
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Pyrexia, Urticaria
Clinical narrative: She initially had fever and redness tenderness and swelling of the left arm, site of administration the came to involve the entire circumference of the arm.  After about 2 days, she developed non pruritic evanescent urticaria-like rashes on the arms and legs, hands and feet, sparing the trunk and mucosae. No vomiting no difficulty in breathing.
Age: 6.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Injection site erythema
Clinical narrative: ERYTHEMA APPROX. 4 CM IN SIZE TO LEFT SHOULDER AT INJECTION SITE. PRESCRIPTION FOR KEFLEX 250MG\5ML-1 TSP BID X 7DAYS(70ML) GIVEN.
Age: 34.0
Sex: M
Vaccine: JEV
Symptoms: Erythema, Herpes zoster, Pain, Pyrexia, Rash
Clinical narrative: On 2/4/09 in received 1st dose of JE vaccine. He presented to the office for his 2nd dose of japanese encephalitis vaccine at the 1 week follow up interval. 2 days after administration of 1st dose of vaccine pt reported tactile fever. 3 days after administrator noted rash over right anterior abdominal wall and stinging sensation about the adjacent skin. On examination the has 1 patch of erythema measuring ~ 5x3cm with a few vesicular eruptions. He also complains of stinging sensation along the dermatome with testing. Probable shingles eruption. He will see his PCP for further evaluation and possible treatment of shingles.
Age: 34.0
Sex: M
Vaccine: JEV
Symptoms: Rash vesicular
Clinical narrative: On 2/4/09 in received 1st dose of JE vaccine. He presented to the office for his 2nd dose of japanese encephalitis vaccine at the 1 week follow up interval. 2 days after administration of 1st dose of vaccine pt reported tactile fever. 3 days after administrator noted rash over right anterior abdominal wall and stinging sensation about the adjacent skin. On examination the has 1 patch of erythema measuring ~ 5x3cm with a few vesicular eruptions. He also complains of stinging sensation along the dermatome with testing. Probable shingles eruption. He will see his PCP for further evaluation and possible treatment of shingles.
Age: 0.17
Sex: M
Vaccine: DTAPIPVHIB, PNC, RV5
Symptoms: Culture stool, Dehydration, Diarrhoea, Rotavirus test negative
Clinical narrative: Onset of diarrhea 4 days after 1st dose of Rotateq, profuse, presented 12-24 hours later with dehydration (10%) 2/25/09-records received for DOS 2/9-2/14/09-DC DX:Metabolic acidosis and dehydration requiring subspeciality care in intensive care unit management. Day before admission developed sudden onset of profuse water, frequent stools and 10% weight loss. 3/16/09-records received for DOS 2/14/09-Transferred from another facility-one week history of bloody diarrhea and weight loss and metabolic acidosis. Heart murmur detected echo showed small VSD but otherwise normal.
Age: 1.83
Sex: M
Vaccine: DTAP, FLU3, HIBV
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Parent reported increased swelling at injection site and increased redness "size of football". She stated that patient's father felt it might be "infected", so he started him on Amoxicillin. She reported that after three days the redness and swelling went away. Reaction was in left leg.
Age: 42.0
Sex: U
Vaccine: PPV
Symptoms: Asthenia
Clinical narrative: Begab with weakness in right side of face four days after de vaccionation.PE: Mouth corner deviated to the right. Non blinking right eye.Prescibed: Prednisone taper 80-10, Eye patch to sleep, Valtrex 1000 BID for 7 days
Age: 15.0
Sex: F
Vaccine: HPV4
Symptoms: Acute disseminated encephalomyelitis, Dizziness, Fatigue, Headache, Hypersomnia
Clinical narrative: Developed symptoms of severe headache, fatigue, dizziness, abnormal vision and excessive sleeping on about 5/2/2007, 5 weeks after receiving HPV #1 and about 1 week after diagnosis of acute Group A strep throat on 4/26/2007.  She continued to have prolonged symptoms and MRI of brain was performed on 5/23/07 and was consistent with Acute disseminating encephalomyelitis.  She was hospitalized for several days and treated with IV steroids and bed rest.  She had a prolonged convalescence but for the most part all symptoms had completely resolved by August 2007 except for continued headaches for which she takes amytriptline rather regularly.  She continues to have psychologic issues, but these pre-dated HPV vaccine and I do not think they are the result of HPV.  She sees a psychologist regularly.  She has not received any further HPV due to concern about possible connection with her A.D.E.M. 2/24/09-records received for DOS 5/30-6/2/07-DC DX:post lumbar puncture headache. Acute disseminated encephalomyelitis (ADEM). One month prior received treatment for infectious cerebellitis and a diagnosis of ADEM 2-3 weeks prior to admission. Prior to lumbar puncture C/O confusion and disorientation. Presented with vomiting and headache. Lower back pain. Blood patch performed. Eye consult 5/23/07-C/O sudden onset horizontal diplopia, dizziness and movement of the environment. 3/23/09-additional information recieved-presented on 5/30/07- with C/O headaches after lumbar puncture. 2-3 weeks ago developed diplopia and a gait imbalance,
Age: 15.0
Sex: F
Vaccine: HPV4
Symptoms: Mental disorder, Nuclear magnetic resonance imaging brain abnormal, Visual impairment
Clinical narrative: Developed symptoms of severe headache, fatigue, dizziness, abnormal vision and excessive sleeping on about 5/2/2007, 5 weeks after receiving HPV #1 and about 1 week after diagnosis of acute Group A strep throat on 4/26/2007.  She continued to have prolonged symptoms and MRI of brain was performed on 5/23/07 and was consistent with Acute disseminating encephalomyelitis.  She was hospitalized for several days and treated with IV steroids and bed rest.  She had a prolonged convalescence but for the most part all symptoms had completely resolved by August 2007 except for continued headaches for which she takes amytriptline rather regularly.  She continues to have psychologic issues, but these pre-dated HPV vaccine and I do not think they are the result of HPV.  She sees a psychologist regularly.  She has not received any further HPV due to concern about possible connection with her A.D.E.M. 2/24/09-records received for DOS 5/30-6/2/07-DC DX:post lumbar puncture headache. Acute disseminated encephalomyelitis (ADEM). One month prior received treatment for infectious cerebellitis and a diagnosis of ADEM 2-3 weeks prior to admission. Prior to lumbar puncture C/O confusion and disorientation. Presented with vomiting and headache. Lower back pain. Blood patch performed. Eye consult 5/23/07-C/O sudden onset horizontal diplopia, dizziness and movement of the environment. 3/23/09-additional information recieved-presented on 5/30/07- with C/O headaches after lumbar puncture. 2-3 weeks ago developed diplopia and a gait imbalance,
Age: 55.0
Sex: M
Vaccine: PPV, TDAP
Symptoms: Erythema, Oedema peripheral, Pain in extremity
Clinical narrative: Within 2 hours of getting Pneumovax vaccine R arm began to hurt, became very painful, 9/10, swollen, red areas 5-6" long. Started 2/9/09 PM and resolved by 2/11/09 AM. Pt took ibuprofen and Benadryl and applied ice at site.
Age: 4.0
Sex: F
Vaccine: FLU3
Symptoms: Dyspnoea, Influenza, Malaise
Clinical narrative: HARD TIME BREATHING,NOT FEELING WELL WAS ADMITTED TO HOSPITAL 2/13/09-records received-for DOS 2/4-2/7/09-DC DX: Influenza A bronchiolitis with hypoxia, now resolved. Pneumonia, resolving. Presented with C/O fever up to 103 the previous night, not sleeping well due to coughing, poor appetite, runny nose for several days with congestion, coughing for 2-3 days. PE: expiratory wheezes.
Age: 50.0
Sex: M
Vaccine: DT, HEP
Symptoms: Hypoaesthesia facial
Clinical narrative: Patient called and reported about 15 minutes after recieving Hepatis B immunization and Td, he had left side of head and face felt numb. This lasted for about 30 minutes. No further problems have occurred.
Age: 11.0
Sex: F
Vaccine: HEPA, MMR, MNQ, TDAP
Symptoms: Fall, Loss of consciousness, Pallor
Clinical narrative: PATIENT STOOD WITHIN A MINUTE OR TWO OF GETTING 4 SHOTS, TURNED VERY PALE, THEN FELL AGAINST HER MOTHER  AND RN WHO LOWERED HER TO THE GROUND. SHE WAS OUT FOR A FEW SECONDS THEN WOKE UP, LAY FLAT FOR ABOUT 5-10 MINUTES THEN WAS ABLE TO WALK OUT OF THE BUILDING WITHOUT ASSISTANCE. MOM STATES NO FURTHER PROBLEMS THOUGH SHE TREATED HER WITH HER DOSE OF IBUPROPHEN Q 6 HRS TIMES TWO BECAUSE SHE HAD THE VACCINES.
Age: 0.33
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV1
Symptoms: Injection site erythema
Clinical narrative: erythema at injection site.
Age: 0.58
Sex: M
Vaccine: DTAPIPVHIB, FLU3, HEP, PNC
Symptoms: Diarrhoea, Irritability, Pyrexia, Vomiting
Clinical narrative: Initial flu vaccine given 1-6-2009.  Had fever for 48 hours and fussiness after that vaccine.  Had 2nd dose of flu vaccine 2-9-2009.  Within an hour or two developed vomiting, diarrhea and fever which persists through today.  In addition to vaccines below had flu shot 2-9-2009, sanofi, lot U2764AA in left thigh
Age: 1.0
Sex: F
Vaccine: HEPA, MMR, PNC, VARCEL
Symptoms: Ear pain, Insomnia, Pyrexia, Rash, Rash macular
Clinical narrative: Presented on 02.02.2009 with rash and fever: had MMR and Varicella immunizations on 1.26.09; on 1.28.09 onset of fever up over 103 F and then treated with antipryetics and temp generally down during the day while on tylenol. But is continuing to have fever > 102 in PMs and is now pulling on her ears. Mental status normal except for wanting to sleep more during the daytime - but poor sleep at night. No urinary problems, no unsual emesis (1xd), no diarrhea. Rash started on 2.1.2009. On 02.02.2009 rash was diffuse in location and mostly truncal; color was mostly salmon; best characterized as macular.
Age: 32.0
Sex: M
Vaccine: SMALL
Symptoms: Axillary pain, Chills, Erythema, Feeling hot, Joint range of motion decreased
Clinical narrative: Redness, swelling, warm Fever 104.0, chills, nausea, increased Lymphodempathy, decreased ROM of extremity, pain L shoulder/ arm/axilla
Age: 32.0
Sex: M
Vaccine: SMALL
Symptoms: Lymphadenopathy, Musculoskeletal pain, Nausea, Pain in extremity, Pyrexia
Clinical narrative: Redness, swelling, warm Fever 104.0, chills, nausea, increased Lymphodempathy, decreased ROM of extremity, pain L shoulder/ arm/axilla
Age: 32.0
Sex: M
Vaccine: SMALL
Symptoms: Swelling
Clinical narrative: Redness, swelling, warm Fever 104.0, chills, nausea, increased Lymphodempathy, decreased ROM of extremity, pain L shoulder/ arm/axilla
Age: 14.0
Sex: F
Vaccine: HPV4
Symptoms: Breath sounds abnormal, Cyanosis, Dizziness, Erythema, Muscle contracture
Clinical narrative: Pt was sitting on exam table after vaccine and she felt dizzy.  She was assisted to lying position on table by mother.  A few seconds later nurse arrived in room and pt had rigid posture.  Her face was red, then blue, and patient had ragged breathing.  Her third and fourth fingers of her right hand were clenched, and her right arm was contracted.  Pt's eyes fully dilated.  Another nurse elevated pt's legs.  A few seconds later Pt stopped breathing for about 5 seconds and nurses performed vigorous sternal rub, causing patient to resume ragged breathing.  A few seconds later, Pt heaved, but did not vomit, was then turned to her left side.  A few seconds later, pt started kicking for a few seconds, then relaxed, and was immediately responsive.  Pt stated her name when asked, and was breathing calmly and normally.  No loss of bladder or bowel function.  Total non-responsive time was about 45 seconds.  Pt was then kept supine for 5-10 minutes, then sitting for 5 minutes, then standing.  No further loss of consciousness.  Multiple sets of BP and pulse, and O2 sats obtained immediately after episode.
Age: 14.0
Sex: F
Vaccine: HPV4
Symptoms: Muscle rigidity, Mydriasis, Oxygen saturation normal, Respiratory arrest, Retching
Clinical narrative: Pt was sitting on exam table after vaccine and she felt dizzy.  She was assisted to lying position on table by mother.  A few seconds later nurse arrived in room and pt had rigid posture.  Her face was red, then blue, and patient had ragged breathing.  Her third and fourth fingers of her right hand were clenched, and her right arm was contracted.  Pt's eyes fully dilated.  Another nurse elevated pt's legs.  A few seconds later Pt stopped breathing for about 5 seconds and nurses performed vigorous sternal rub, causing patient to resume ragged breathing.  A few seconds later, Pt heaved, but did not vomit, was then turned to her left side.  A few seconds later, pt started kicking for a few seconds, then relaxed, and was immediately responsive.  Pt stated her name when asked, and was breathing calmly and normally.  No loss of bladder or bowel function.  Total non-responsive time was about 45 seconds.  Pt was then kept supine for 5-10 minutes, then sitting for 5 minutes, then standing.  No further loss of consciousness.  Multiple sets of BP and pulse, and O2 sats obtained immediately after episode.
Age: 14.0
Sex: F
Vaccine: HPV4
Symptoms: Unresponsive to stimuli
Clinical narrative: Pt was sitting on exam table after vaccine and she felt dizzy.  She was assisted to lying position on table by mother.  A few seconds later nurse arrived in room and pt had rigid posture.  Her face was red, then blue, and patient had ragged breathing.  Her third and fourth fingers of her right hand were clenched, and her right arm was contracted.  Pt's eyes fully dilated.  Another nurse elevated pt's legs.  A few seconds later Pt stopped breathing for about 5 seconds and nurses performed vigorous sternal rub, causing patient to resume ragged breathing.  A few seconds later, Pt heaved, but did not vomit, was then turned to her left side.  A few seconds later, pt started kicking for a few seconds, then relaxed, and was immediately responsive.  Pt stated her name when asked, and was breathing calmly and normally.  No loss of bladder or bowel function.  Total non-responsive time was about 45 seconds.  Pt was then kept supine for 5-10 minutes, then sitting for 5 minutes, then standing.  No further loss of consciousness.  Multiple sets of BP and pulse, and O2 sats obtained immediately after episode.
Age: 53.0
Sex: F
Vaccine: TDAP
Symptoms: Dysgeusia, Headache, Lethargy, Lip swelling, Nausea
Clinical narrative: metallic taste in mouth, feeling of swollen lips, blurry vision, lethargy, nausea, headache, body aches. Started in am of day after vaccine received - 2/7/09. continued until afternoon of 2/9/09. did not seek medical treatment.
Age: 53.0
Sex: F
Vaccine: TDAP
Symptoms: Pain, Vision blurred
Clinical narrative: metallic taste in mouth, feeling of swollen lips, blurry vision, lethargy, nausea, headache, body aches. Started in am of day after vaccine received - 2/7/09. continued until afternoon of 2/9/09. did not seek medical treatment.
Age: 0.1
Sex: M
Vaccine: HEP
Symptoms: Blood test, Condition aggravated, Convulsion, Echocardiogram, Electrocardiogram
Clinical narrative: Seizures/Spasms (they look like infantile spasm) But they have NO physical signs of the typical infantile spasm.  They started after ONE month shot of Hep B and got extremely worse immediately after TWO month shots. 2/23/09-records received for DOS 2/9-2/10/09-DC DX-infantile spasms. Seizure disorder.Neurology consult 1/14/09-evaluation for spasms that have occurred over the past 3 weeks but after recent immunization increased. Impression apparent infantile spasms, idiopathic.
Age: 0.1
Sex: M
Vaccine: HEP
Symptoms: Electroencephalogram, Gene mutation identification test, Immediate post-injection reaction, Lumbar puncture, Muscle spasms
Clinical narrative: Seizures/Spasms (they look like infantile spasm) But they have NO physical signs of the typical infantile spasm.  They started after ONE month shot of Hep B and got extremely worse immediately after TWO month shots. 2/23/09-records received for DOS 2/9-2/10/09-DC DX-infantile spasms. Seizure disorder.Neurology consult 1/14/09-evaluation for spasms that have occurred over the past 3 weeks but after recent immunization increased. Impression apparent infantile spasms, idiopathic.
Age: 0.1
Sex: M
Vaccine: HEP
Symptoms: X-ray with contrast upper gastrointestinal tract
Clinical narrative: Seizures/Spasms (they look like infantile spasm) But they have NO physical signs of the typical infantile spasm.  They started after ONE month shot of Hep B and got extremely worse immediately after TWO month shots. 2/23/09-records received for DOS 2/9-2/10/09-DC DX-infantile spasms. Seizure disorder.Neurology consult 1/14/09-evaluation for spasms that have occurred over the past 3 weeks but after recent immunization increased. Impression apparent infantile spasms, idiopathic.
Age: 11.0
Sex: M
Vaccine: DTAP, HEP, MNQ
Symptoms: Wrong drug administered
Clinical narrative: GAVE Dtap INSTEAD OF Tdap
Age: 17.0
Sex: F
Vaccine: HPV4
Symptoms: Rash
Clinical narrative: RASH ON HANDS< AND OVER FOURTY PERCENT OF BODY AFTER VACCINE>>NOW HAVE GUILLIAN BARRE SYNDROME> 12/13/09-office notes received for DOS 11/21/06-well visit-mild acne-received 1st Gardasil vaccine. Office visit 2/6/07-C/O scleral icterrus past few weeks, comes and goes 2nd Gardasil vaccine. Office visit 7/31/07-2 episodes of syncope in last few days, fluid intake decreaed. Dizziness. Office visit 7/23/08-well visit. Office visit 8/1/08-dizziness, blood pressure standing 104/54, blood pressure lying 120/58. DX: Orthostatic hypotesion. Plan increase fluids. Office visi 12/30/08-C/O back pain, involved in an auto collision. No significant injury.
Age: 1.5
Sex: M
Vaccine: DTAP, HEPA
Symptoms: Blood glucose increased, Full blood count normal, Gaze palsy, Influenza serology negative, Oxygen saturation decreased
Clinical narrative: 2/9/09 DTaP: Sanofi Pasture Limited: Lot Number: C2957AA Exp: 21May10 and Hepatitis A: Glaxo Smith Kline Lot Number: AHAVB320BA EXP: 25AUG11.  Patient found by mother about 2:30 am on 2/11/09 with tonic eye movements to right, taken to ER, noted to have fever of 100.6, Oxygen sat 66% on RA, 100% with 1 liter NC, seizure had been present for about 40 minutes, given 0.5mg Ativan and seizure stopped within about 3 minutes, admited to Medical Center for observation. 2/16/09-records received for DOS 2/11/09-presented with C/O seizure and 1-2 day history of congestion and 1 day history of fever. Tonic eye movement to right. In ED febrile with prolonged seizure activity.  Assessment: complex febrile seizure. Upper respiratory infection.
Age: 1.5
Sex: M
Vaccine: DTAP, HEPA
Symptoms: Pyrexia, Respiratory syncytial virus test negative, Tonic convulsion
Clinical narrative: 2/9/09 DTaP: Sanofi Pasture Limited: Lot Number: C2957AA Exp: 21May10 and Hepatitis A: Glaxo Smith Kline Lot Number: AHAVB320BA EXP: 25AUG11.  Patient found by mother about 2:30 am on 2/11/09 with tonic eye movements to right, taken to ER, noted to have fever of 100.6, Oxygen sat 66% on RA, 100% with 1 liter NC, seizure had been present for about 40 minutes, given 0.5mg Ativan and seizure stopped within about 3 minutes, admited to Medical Center for observation. 2/16/09-records received for DOS 2/11/09-presented with C/O seizure and 1-2 day history of congestion and 1 day history of fever. Tonic eye movement to right. In ED febrile with prolonged seizure activity.  Assessment: complex febrile seizure. Upper respiratory infection.