chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 54.0
Sex: U
Vaccine: ANTH
Symptoms: Pain, Rash
Clinical narrative: Cause a severe rash all over body, ankle and elbow pain.
Age: 52.0
Sex: M
Vaccine: ANTH, HEP, TYP
Symptoms: Dizziness, Vision blurred, Visual field defect
Clinical narrative: Blurred vision and limited peripherical vision area. Dizziness. Note: Received 4 shots of Anthrax on the following dates: 8 Mar 2003, 12 Apr 2003, 18 May 2003, 22 Oct 2003.
Age: 6.0
Sex: F
Vaccine: DTAP
Symptoms: Erythema, Swelling
Clinical narrative: 6 year old with Left deltoid redness, swelling at injection site and given ibuprofen and Benadryl.
Age: 68.0
Sex: F
Vaccine: TD
Symptoms: Pain
Clinical narrative: Per client: Noted pain immediately upon receiving vaccine-continues to present, wanes at times but recurs. Pain occasionally travels from upper arm to lower arm. Pain varied beginning with stabbing, sharp pain, now more achy. Treated with Excedrin briefly with little result. No swelling. Saw doctor 12/20/06 for routine physical.
Age: 30.0
Sex: M
Vaccine: TD
Symptoms: Arthralgia, Myalgia
Clinical narrative: 5 December received shot in my left arm, my arm was sore for a few days, now that the soreness has gone away my left shoulder joint hurts. The pain is worse when I pick something up with my arm. Especially if I rotate my wrist as I pick something up.
Age: 1.13
Sex: M
Vaccine: VARCEL
Symptoms: Pruritus, Pyrexia, Skin ulcer
Clinical narrative: Physical exam showed scattered lesions with classic tear drop shaped pustules in crop formation. Patient presented with mild fever and itching with onset 3 days prior, total spots less than 2 dozen spots.
Age: 1.79
Sex: M
Vaccine: MMR, PNC, VARCEL
Symptoms: Erythema, Rash, Skin ulcer
Clinical narrative: 01/07/07-Parents noted red rash on upper torso-front and back. <50 lesions. Afebrile.
Age: 66.0
Sex: F
Vaccine: PPV
Symptoms: Erythema, Feeling hot, Pain
Clinical narrative: Red, warm upper arm with pain left arm.
Age: 1.01
Sex: F
Vaccine: HBHEPB, HEPA, MMR
Symptoms: Convulsion, Pyrexia, Rash, White blood cell count increased
Clinical narrative: Pt rec'd vaccine 2 days later, was with grandmother had seizure (length of time 3 minutes). On way to ER had 103 temperature. Went clinic rec'd CSF, blood no signs and symptoms. Was hospitalized for 3 days. D/C home and doing OK. Pt also developed rash after 5 days at home from head to toe, with resolving after 2 days.  Hospital ER record received for ER visit for c/o seizure and URI symptoms 2 days s/p vax..  HPI: Seizure at home with grandmother. Temp.=103'F, runny nose (clear) and congestion. Cough and diarrhea. Erythema of TMs bilaterally. Child was alert and responsive upon arrival to ED.  Impression:  Febrile seizure, Sepsis.
Age: 3.0
Sex: M
Vaccine: DTAP, PNC
Symptoms: Respiratory syncytial virus infection, Streptococcal infection, Streptococcal serology positive
Clinical narrative: Strep pneumonia from blood, presumed strep pneumoniae pneumonia. RSV + Hosp 11/24/2006 - 11/29/2006 TX Antibiotics.  03/20/2007 MR received for a 5 day hospital admission for respiratory distress.  Child had cough and nasal congestion x 7 days with fever up to 102'F x 2 days.  Seen in pediatrician's office where O2 sats were found to be 89% and he was sent to the ER.  Child was admitted for tx and required supplemental O2, antipyretics, and antibiotics.  Discharged after 5 days. Final DX: Right middle lobe and left lower lobe pneumonia.  RSV infection.
Age: 30.0
Sex: F
Vaccine: ANTH
Symptoms: Erythema, Oedema, Pruritus
Clinical narrative: Service member is  29 year old Army Captain. She reports swelling and redness at the injection site area about nickel size the evening of the day she received her injection (Jan 3  07). The next day it had progressed to 'quarter size' until today (Jan 5 07) the swelling and redness has increased to 'golf ball size' with some itching. Past medical history positive for allergies to fire ants, codeine, dust mites, grass and some tree pollens. Also reports having large local reaction to 'bug bites'. Erythema start 01/03/2007; Edema at injection site 30-50mm Start 1/03/07 comment: 'nickel size'; symptom: Edema at injection site 50-120 mm Start 1/05/07 comment: 80 x 80mm. Symptom: Erythema Start: 1/05/07; Symptom: Pruritis start: 01/05/07
Age: 20.0
Sex: F
Vaccine: FLU3
Symptoms: Medication error, Unintended pregnancy
Clinical narrative: This case was reported by a healthcare professional and described the occurrence of drug exposure during pregnancy in a 20 year old female subject who was vaccinated with Flulaval for prophylaxis. Concurrent medications included Prenatal vitamins and RHO D immune globulin Rhogam. On 9 January 2007 at 13:00 the subject received 1st dose of Flulaval at 0.5ml, intramuscularly in the right arm. The subject was 30 weeks pregnant at the time of vaccination. The Flulaval administered to the subject was given 28 days past the opening of the vial. This was considered to be a medication error. The healthcare professional considered the events were clinically significant 9Or requiring intervention) (OMIC). No adverse events were reported.
Age: 57.0
Sex: F
Vaccine: HEPAB, IPV, YF
Symptoms: Contusion, Injection site swelling, Skin discolouration
Clinical narrative: On day 4, patient noted yellow fever injection site swollen (approximately 2.5 inches wide) inflammed and tender to touch, not itching. Denies fever or aches. Swelling has remained with slow improvement and inflammation has developed to bruise-like coloring and is still present but without discomfort at 36 days post injection.  As of day 41, discoloration is still present but swelling has diminished from onset but still present.
Age: 68.0
Sex: F
Vaccine: PPV
Symptoms: Cellulitis, Injection site inflammation, Pain
Clinical narrative: Pneumonia vaccine administered January 8, 2007 -later in the day developed extreme arm soreness, woke up next morning with left arm inflammed and sore.  Went to Doctor January 10 - cellulitis - prescribed Levaquin 500mg for 7 days.  Return to doctor January 12 for follow up. 03/01/07-records received:visit of 1/10/07-fever 102 arm sore, swelling and redness, left arm erythematous partially extending to under left arm, tender no discharge. follow up visit of 1/12/07-cellulitis improved. left arm no erythema but mild discoloration at site, non tender
Age: 0.17
Sex: F
Vaccine: TDAP
Symptoms: Medication error
Clinical narrative: None. Boostrix was given instead of pediatric DTAP no symptoms no adverse reaction pt was contacted and adv to come back for re vaccination after the 20th of January.
Age: 72.0
Sex: M
Vaccine: PPV
Symptoms: Erythema, Swelling
Clinical narrative: Patient had a reddened swollen left deltoid. Pneumonia Vaccine given 12/08/2006.  Patient seen on 12/9/2007.  Redness was beginning to improve when he was seen.
Age: 20.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Alopecia, Pruritus, Thermal burn
Clinical narrative: States feeling like her head was burning and itching. States hair has been steadily been falling out starting 2 weeks post vaccine and continuing over the past two months.
Age: 20.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Alopecia, Burning sensation, Pruritus
Clinical narrative: States feeling like her head was burning and itching. States hair has been steadily been falling out starting 2 weeks post vaccine and continuing over the past two months.
Age: 1.0
Sex: F
Vaccine: HIBV, MMRV, PNC
Symptoms: Abasia, Acute disseminated encephalomyelitis, Blood cholinesterase increased, Blood lactic acid increased, CSF glucose normal
Clinical narrative: Irritability, dizziness and unexplained vomiting episodes presenting at around 13-14 months followed by rapid neurologic decline including severe hyper and hypotonia. Resulted in loss of walking ability, speech, etc.  Diagnosed with rapidly progressive, fatal neurologic disease.  Has since regained most function and appears to have CP most likely attributed to viral illness of unknown origin. (ADEM+ Accute diseminated encephalitis)  Does not appear to have chronic neurolic disease as first diagnosed. MRI has dramatically improved over last 6 years.  Outcome = Cerebal Palsy. 01/16/07-records received and reviewed form MD DX: degenerative encephalopathy possibly due to a mitochondrial disorder. Leukodystrophy, unclear cause. Developmental regression followed by plateau and associated leukodystrophy. Which makes us think that it is a mitochondrial disorder whereas the spectroscopy shows some evidence against that. Per 60 day follow up report: Spastic CP as result of ADEM. Non-ambulatroy, WC user. Complete onset at 14 mos. Records show encephalopathy. Initial diagnosis: Fatal (though * Neurologic disease) Presented as leukodystropy, second dx was mitochondrial disease, dx still unknown. Thanks for your consideration. Please contact if add'l info is needed.
Age: 1.0
Sex: F
Vaccine: HIBV, MMRV, PNC
Symptoms: CSF protein normal, CSF white blood cell count negative, Cerebral palsy, Childhood disintegrative disorder, Computerised tomogram abnormal
Clinical narrative: Irritability, dizziness and unexplained vomiting episodes presenting at around 13-14 months followed by rapid neurologic decline including severe hyper and hypotonia. Resulted in loss of walking ability, speech, etc.  Diagnosed with rapidly progressive, fatal neurologic disease.  Has since regained most function and appears to have CP most likely attributed to viral illness of unknown origin. (ADEM+ Accute diseminated encephalitis)  Does not appear to have chronic neurolic disease as first diagnosed. MRI has dramatically improved over last 6 years.  Outcome = Cerebal Palsy. 01/16/07-records received and reviewed form MD DX: degenerative encephalopathy possibly due to a mitochondrial disorder. Leukodystrophy, unclear cause. Developmental regression followed by plateau and associated leukodystrophy. Which makes us think that it is a mitochondrial disorder whereas the spectroscopy shows some evidence against that. Per 60 day follow up report: Spastic CP as result of ADEM. Non-ambulatroy, WC user. Complete onset at 14 mos. Records show encephalopathy. Initial diagnosis: Fatal (though * Neurologic disease) Presented as leukodystropy, second dx was mitochondrial disease, dx still unknown. Thanks for your consideration. Please contact if add'l info is needed.
Age: 1.0
Sex: F
Vaccine: HIBV, MMRV, PNC
Symptoms: Demyelination, Dizziness, Hypertonia, Hypotonia, Irritability
Clinical narrative: Irritability, dizziness and unexplained vomiting episodes presenting at around 13-14 months followed by rapid neurologic decline including severe hyper and hypotonia. Resulted in loss of walking ability, speech, etc.  Diagnosed with rapidly progressive, fatal neurologic disease.  Has since regained most function and appears to have CP most likely attributed to viral illness of unknown origin. (ADEM+ Accute diseminated encephalitis)  Does not appear to have chronic neurolic disease as first diagnosed. MRI has dramatically improved over last 6 years.  Outcome = Cerebal Palsy. 01/16/07-records received and reviewed form MD DX: degenerative encephalopathy possibly due to a mitochondrial disorder. Leukodystrophy, unclear cause. Developmental regression followed by plateau and associated leukodystrophy. Which makes us think that it is a mitochondrial disorder whereas the spectroscopy shows some evidence against that. Per 60 day follow up report: Spastic CP as result of ADEM. Non-ambulatroy, WC user. Complete onset at 14 mos. Records show encephalopathy. Initial diagnosis: Fatal (though * Neurologic disease) Presented as leukodystropy, second dx was mitochondrial disease, dx still unknown. Thanks for your consideration. Please contact if add'l info is needed.
Age: 1.0
Sex: F
Vaccine: HIBV, MMRV, PNC
Symptoms: Lymphocyte percentage, Neurological symptom, Red blood cells CSF positive, Speech disorder, Viral infection
Clinical narrative: Irritability, dizziness and unexplained vomiting episodes presenting at around 13-14 months followed by rapid neurologic decline including severe hyper and hypotonia. Resulted in loss of walking ability, speech, etc.  Diagnosed with rapidly progressive, fatal neurologic disease.  Has since regained most function and appears to have CP most likely attributed to viral illness of unknown origin. (ADEM+ Accute diseminated encephalitis)  Does not appear to have chronic neurolic disease as first diagnosed. MRI has dramatically improved over last 6 years.  Outcome = Cerebal Palsy. 01/16/07-records received and reviewed form MD DX: degenerative encephalopathy possibly due to a mitochondrial disorder. Leukodystrophy, unclear cause. Developmental regression followed by plateau and associated leukodystrophy. Which makes us think that it is a mitochondrial disorder whereas the spectroscopy shows some evidence against that. Per 60 day follow up report: Spastic CP as result of ADEM. Non-ambulatroy, WC user. Complete onset at 14 mos. Records show encephalopathy. Initial diagnosis: Fatal (though * Neurologic disease) Presented as leukodystropy, second dx was mitochondrial disease, dx still unknown. Thanks for your consideration. Please contact if add'l info is needed.
Age: 1.0
Sex: F
Vaccine: HIBV, MMRV, PNC
Symptoms: Vomiting, Wheelchair user
Clinical narrative: Irritability, dizziness and unexplained vomiting episodes presenting at around 13-14 months followed by rapid neurologic decline including severe hyper and hypotonia. Resulted in loss of walking ability, speech, etc.  Diagnosed with rapidly progressive, fatal neurologic disease.  Has since regained most function and appears to have CP most likely attributed to viral illness of unknown origin. (ADEM+ Accute diseminated encephalitis)  Does not appear to have chronic neurolic disease as first diagnosed. MRI has dramatically improved over last 6 years.  Outcome = Cerebal Palsy. 01/16/07-records received and reviewed form MD DX: degenerative encephalopathy possibly due to a mitochondrial disorder. Leukodystrophy, unclear cause. Developmental regression followed by plateau and associated leukodystrophy. Which makes us think that it is a mitochondrial disorder whereas the spectroscopy shows some evidence against that. Per 60 day follow up report: Spastic CP as result of ADEM. Non-ambulatroy, WC user. Complete onset at 14 mos. Records show encephalopathy. Initial diagnosis: Fatal (though * Neurologic disease) Presented as leukodystropy, second dx was mitochondrial disease, dx still unknown. Thanks for your consideration. Please contact if add'l info is needed.
Age: 79.0
Sex: F
Vaccine: VARZOS
Symptoms: Blister, Headache, Herpes zoster
Clinical narrative: Patient started experience pain on left side of head on 12/25/06. Went to MD on 12/26. Returned to MD 3 days later and was diagnosed at that time with shingles. She does have the blisters/sores along with the pain.
Age: 48.0
Sex: M
Vaccine: TDAP
Symptoms: Dizziness, Fatigue, Headache, Nausea, Vomiting
Clinical narrative: Severe dizziness, nausea vomiting 1x, headache for first day and a half, 2nd day, mostly nausea especially when he gets out of bed, dizziness subsided. Tired. Appetite O.K.   Pulse was 82 reg. B/P WAS 124/82.  Afebrile. No diarrhea, felt like he had a terrific hangover.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMRV
Symptoms: Erythema, Swelling
Clinical narrative: Patient returned to clinic with redness and swelling in arm L. No treatment given.
Age: 3.0
Sex: F
Vaccine: FLU3
Symptoms: Cellulitis, Injection site erythema, Injection site reaction, Injection site swelling, Injection site warmth
Clinical narrative: Within 24 hours of receiving the flu shot, patient's left arm became red, hot and very swollen.  Went to emergency room.  Patient was treated with augmentin.  Cellulitis resolved.
Age: 52.0
Sex: F
Vaccine: HPV4
Symptoms: Nausea, Pallor, Syncope
Clinical narrative: Patient felt faint, nauseated, pale. Patient laid down symptoms resolved after 10 minutes.
Age: 5.0
Sex: F
Vaccine: DTAP, FLU3, VARCEL
Symptoms: Erythema, Feeling hot, Pruritus, Swelling
Clinical narrative: 24 hours after vaccine was administered. Mother removed band aid from injection site Right deltoid arm became red, hot to touch, swollen and itchy for three days. Mother noted child had no fever.
Age: 19.0
Sex: F
Vaccine: HPV4
Symptoms: Nausea, Vomiting
Clinical narrative: Five minutes after injection patient became nauseous and vomited. Pulse 100. BP 118/76. Patient waited 20 minutes after vomiting. Felt fine. Left office.
Age: 32.0
Sex: F
Vaccine: VARCEL
Symptoms: Erythema, Feeling hot, Skin exfoliation, Swelling
Clinical narrative: One week after immunization at injection site was red, scaly, warm to touch-area affected approx quarter size. Called primary doctor 10 days after shot. He advised to watch it. No treatment done then. Swelling decreased 14 days after shot. Then approx 3 weeks after shot noticed decreased arm strength which still is present today.
Age: 65.0
Sex: F
Vaccine: TTOX
Symptoms: Erythema, Injection site nodule, Laboratory test abnormal, Pain, Pruritus
Clinical narrative: Initial erythema and itch, then development of painful nodule which affects movement of arm.
Age: 0.34
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Insomnia, Pyrexia, Screaming
Clinical narrative: Onset of screaming and fever 6 hours post immunization. Unable to sleep.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV
Symptoms: Choking, Cough, Dyspnoea, Wheezing
Clinical narrative: Patient received DTaP and IPV (1/10/07 approx 2:30pm). At 11:15pm that evening, patient awoke complaining of difficulty breathing. He was coughing and choking with some wheezing. Mom gave him Benadryl, comforted him about 15 minutes, he settled down and went to sleep. He slept until AM and appeared well when he awoke. Patient went to school and appeared fine. Patient had no sign/symptoms of cough or wheeze prior to episode.
Age: 0.42
Sex: M
Vaccine: RV5, DTAP, HBHEPB, IPV, PNC
Symptoms: Gastrointestinal necrosis, Intussusception, Lethargy, Vomiting
Clinical narrative: Information has been received concerning a 5 month old male who on 12 Nov 2006, at 9:30am, was vaccinated with a first oral dose of Rotavirus Vaccine (lot# 655174/0848F). Concomitant vaccines included a first intramuscular dose in the left thigh of Hib conj Hepatitis B vaccine (lot 654424/0268F), a first intramuscular dose in the right thigh of Tripedia (lot C2490AA), a first intramuscular dose in the right thigh of IPOL (lot Y0991) and a first intramuscular dose in the left thigh of Prevnar (Lot B08681F). There were no other concomitant medications. There was no illness at the time of vaccination. On 08 Dec 2006 the patient experienced vomiting and lethargy. The patient was diagnosed with intussusception, which required surgery for resection of a necrotic bowel, and was hospitalized for five days.  The patient had a KUB X ray and barium enema. It was reported that the patient recovered. A lot check was requested. The records of testing prior to release of the lot in question has been rechecked and found to be satisfactory. The lot met the requirements and was released. Additional information is not expected.
Age: 0.42
Sex: M
Vaccine: RV5, DTAP, HBHEPB, IPV, PNC
Symptoms: Barium enema, Gastrointestinal necrosis, Intussusception, Lethargy, Surgery
Clinical narrative: Information has been received concerning a 5 month old male who on 12 Nov 2006, at 9:30am, was vaccinated with a first oral dose of Rotavirus Vaccine (lot# 655174/0848F). Concomitant vaccines included a first intramuscular dose in the left thigh of Hib conj Hepatitis B vaccine (lot 654424/0268F), a first intramuscular dose in the right thigh of Tripedia (lot C2490AA), a first intramuscular dose in the right thigh of IPOL (lot Y0991) and a first intramuscular dose in the left thigh of Prevnar (Lot B08681F). There were no other concomitant medications. There was no illness at the time of vaccination. On 08 Dec 2006 the patient experienced vomiting and lethargy. The patient was diagnosed with intussusception, which required surgery for resection of a necrotic bowel, and was hospitalized for five days.  The patient had a KUB X ray and barium enema. It was reported that the patient recovered. A lot check was requested. The records of testing prior to release of the lot in question has been rechecked and found to be satisfactory. The lot met the requirements and was released. Additional information is not expected.
Age: 0.42
Sex: M
Vaccine: RV5, DTAP, HBHEPB, IPV, PNC
Symptoms: Urinary system X-ray, Vomiting
Clinical narrative: Information has been received concerning a 5 month old male who on 12 Nov 2006, at 9:30am, was vaccinated with a first oral dose of Rotavirus Vaccine (lot# 655174/0848F). Concomitant vaccines included a first intramuscular dose in the left thigh of Hib conj Hepatitis B vaccine (lot 654424/0268F), a first intramuscular dose in the right thigh of Tripedia (lot C2490AA), a first intramuscular dose in the right thigh of IPOL (lot Y0991) and a first intramuscular dose in the left thigh of Prevnar (Lot B08681F). There were no other concomitant medications. There was no illness at the time of vaccination. On 08 Dec 2006 the patient experienced vomiting and lethargy. The patient was diagnosed with intussusception, which required surgery for resection of a necrotic bowel, and was hospitalized for five days.  The patient had a KUB X ray and barium enema. It was reported that the patient recovered. A lot check was requested. The records of testing prior to release of the lot in question has been rechecked and found to be satisfactory. The lot met the requirements and was released. Additional information is not expected.
Age: 0.33
Sex: U
Vaccine: DTAPHEPBIP, HIBV, PNC, HIBV
Symptoms: Unevaluable event
Clinical narrative: Information has been received from a registered nurse concerning a 16 week old, infant who on 22 Dec 2006 was vaccinated with Hib conj vaccine. Concomitant therapy included Pediarix and two other immunizations. Within 24 hours, on 23 Dec 2006 the patient died. At the time of this report, the cause of death had not been determined. Additional information has been requested.
Age: 57.0
Sex: F
Vaccine: PPV
Symptoms: Chills, Erythema, Nausea, Pain, Pyrexia
Clinical narrative: Injection site red, swollen, painful, nausea, fever, chills.
Age: 57.0
Sex: F
Vaccine: PPV
Symptoms: Swelling
Clinical narrative: Injection site red, swollen, painful, nausea, fever, chills.
Age: 9.0
Sex: F
Vaccine: VARCEL
Symptoms: Vaccination failure
Clinical narrative: None specified
Age: 62.0
Sex: F
Vaccine: VARZOS
Symptoms: Herpes zoster, Infection, Rash, Urticaria
Clinical narrative: Information had been received from a consumer concerning his 62 year old wife with shingles around one of her ears, a penicillin allergy and a history of hysterectomy who was vaccinated in December 2006 with a dose of varicella zoster virus vaccine live. Concomitant therapy included medicine for diabetes, high blood pressure and cholesterol. Approximately twelve days after vaccination, she broke out with rashes and hives all over her body. She was hospitalized on 05 Jan 2007. She was currently still hospitalized. Unspecified laboratory test were performed, the results were not reported. The husband mentioned that approximately one month before his wife was vaccinated she had her first outbreak of shingles in the are around one of her ears. She had almost fully recovered from the shingles at the time she was vaccinated. At the time of the report the patient was not recovered. There was no product quality complaint involved. Additional information has been requested.
Age: 18.0
Sex: F
Vaccine: MNQ
Symptoms: Asthenia, Electromyogram abnormal, Gene mutation identification test positive, Hypoaesthesia, Neck pain
Clinical narrative: Developed numbness 4th and 5th digits both hands, accompanied by weakness in both hands 6 weeks after receiving vaccine. Had genetic testing, which showed PMP 22 deletion. Continues to be symptomatic +. Feels SX were caused by vaccine. 01/17/07-Records received and reviewed from PCP also indicated he no longer treats this patient. Office visit 10/10/05-Assessment bilateral numbness in digits four and fifth ulnar nerve root or C8 nerve root distribution. Complaint of bilateral fourth and fifth digit numbness. Numbness has progressed as far as the forearm just short of the elbow. History right shoulder injury which includes a tear of the labrum. Swimmer in high school. Spends significant amount of time on computer. Numbness started in left arm first and then progressed to the right. No pain. Does have neck pain, Grip strength normal, negative Phalen and Tinel sign bilaterally for median nerve.  11/23/05-neuro exam: exam WNL except for decreased grip strength on right. Assessment: neuropathy, poly neuropathy unspecified.  03/12/07-records received from neurologist for DOS 11/28/05 PE:WNL except for motor exam showed mildly weak right hand grip. Mild weakness in left hand grip especially involving the 4th and 5th digist. No atrophy. Characteristic positioning of both hands of mild ulnar weakness. No atrophy no fasciculation. No ataxia. Sensory exam showed mild decreased sensation to pin prick in ulnar nerve territories bilaterally. Hypesthesia did not involve the forearm.  Impression: bilateral ulnar nerve neuropathy. No indication in history of GBS syndrome or CIDP. Other potential causes heavy metal screen, vitamin B12 deficiency level, ESR, ANA and Charcot-Marie Tooth type 1 disease. Per information received from the annual follow up the patient's recovery status is unknown, pt's last visit to office 2/07. Follow-up: Continues to have weakness in both hands and numbness and tingling which comes and goes. EMG with polyneuropathy bilateral upper extremities.
Age: 18.0
Sex: F
Vaccine: MNQ
Symptoms: Nerve conduction studies abnormal, Neuropathy peripheral, Nuclear magnetic resonance imaging brain normal, Paraesthesia, Polyneuropathy
Clinical narrative: Developed numbness 4th and 5th digits both hands, accompanied by weakness in both hands 6 weeks after receiving vaccine. Had genetic testing, which showed PMP 22 deletion. Continues to be symptomatic +. Feels SX were caused by vaccine. 01/17/07-Records received and reviewed from PCP also indicated he no longer treats this patient. Office visit 10/10/05-Assessment bilateral numbness in digits four and fifth ulnar nerve root or C8 nerve root distribution. Complaint of bilateral fourth and fifth digit numbness. Numbness has progressed as far as the forearm just short of the elbow. History right shoulder injury which includes a tear of the labrum. Swimmer in high school. Spends significant amount of time on computer. Numbness started in left arm first and then progressed to the right. No pain. Does have neck pain, Grip strength normal, negative Phalen and Tinel sign bilaterally for median nerve.  11/23/05-neuro exam: exam WNL except for decreased grip strength on right. Assessment: neuropathy, poly neuropathy unspecified.  03/12/07-records received from neurologist for DOS 11/28/05 PE:WNL except for motor exam showed mildly weak right hand grip. Mild weakness in left hand grip especially involving the 4th and 5th digist. No atrophy. Characteristic positioning of both hands of mild ulnar weakness. No atrophy no fasciculation. No ataxia. Sensory exam showed mild decreased sensation to pin prick in ulnar nerve territories bilaterally. Hypesthesia did not involve the forearm.  Impression: bilateral ulnar nerve neuropathy. No indication in history of GBS syndrome or CIDP. Other potential causes heavy metal screen, vitamin B12 deficiency level, ESR, ANA and Charcot-Marie Tooth type 1 disease. Per information received from the annual follow up the patient's recovery status is unknown, pt's last visit to office 2/07. Follow-up: Continues to have weakness in both hands and numbness and tingling which comes and goes. EMG with polyneuropathy bilateral upper extremities.
Age: 71.0
Sex: M
Vaccine: FLU3
Symptoms: Pyrexia, Tremor
Clinical narrative: Pt received flu vaccine about 1:30pm 10/26/06. Wife called at 4:45pm states pt having hand tremors and temp 102. Went to home. Tylenol and Benadryl given Per wife. In one hour no improvement. 911 called. Pt transported to hospital ER via stretcher. PT started on IV antibiotics. Admitted to hospital x 5 days.  1/16/07 Received medical records from hospital which reveal patient was admitted to hospital 10/26/06 for neutropenia & fever within 24 hours s/p flu shot.  Heme consult done & treated w/Neupogen & antibiotics.  WBC improved & Neupogen was d/c.  Patient was to continue oral antibiotics &  f/u w/heme & oncologist upon d/c to home on 10/31/06.
Age: 42.0
Sex: M
Vaccine: FLUN3
Symptoms: Pneumonia, Pyrexia
Clinical narrative: Pneumonia diagnosed and treated by medical center on 20Nov06. had fever for 1 week before treatment. Vaccine administered on 05Nov06. Treated with Moxifloxcin 400 mg.  MR received for 5 day hospital admission due to pneumonia and hypotension.  Pt. developed fever 3 days post Flumist and continue to have fever x 1 week prior to admission.  Treated with abx.  with good response except for residual febrile episodes. Discharged home after 5 days. DX: Pneumonia.
Age: 14.0
Sex: M
Vaccine: HEP, HEPA, MNQ, TDAP
Symptoms: Pruritus
Clinical narrative: 1 1/2 to 2 hours after vaccines administered patient came to clinic and reported itching "all over". No wheals seen. No redness or swelling at injection sites. Diphenhydramine 25 mg po given with relief of itching. Pt had eaten lunch between injections and itching.
Age: 21.0
Sex: M
Vaccine: SMALL
Symptoms: Rash papular
Clinical narrative: 10 days after Smallpox vaccine left deltoid, developed red papular rash on upper chest.
Age: 16.0
Sex: M
Vaccine: MNQ
Symptoms: Asthenia, Headache, Hypoaesthesia, Paraesthesia
Clinical narrative: Generalized weakness, headache and numbness and tingling in hands. 01/23/07-records received and reviewed from Dr. for DOS 12/11/06 and 1/8/07. One week after receiving Menactra vaccine began to experience weakness, chills and tingling in his fingers. Persisted for one week and essentially resolved but recurred a few days later, again lasting 2-3 days. Over past 5 days before 12/11/06 visit he has felt normal but does indicate he still has some tingling in the fingertips of both hands. Denies any weakness at this time. Recalls feeling weak all over for that week of symptomatology as well as experiencing frequent chills at night. Denies any neck pain or lethargy or headache. PE: WNL His plantar responses are bilaterally downgoing. Impression: idiosyncratic reaction to Menactra. Neuro exam unremarkable. Subjective sensation of occasional paresthesia. His neurological exam and clinical picture certainly do not support a post vaccination Guillain Barre syndrome evolution.  Exam on 1/8/07, no further complaints except over past 5-7 days noticed increased frequency of paresthesia over his left forearm extending in an ulnar distribution over his left hand. Similar but less severe symptoms in right upper extremity.  Neuro exam unremarkable. He is a weight lifter and has been bench pressing fairly extensively at a frequency of 3 times a week over the past few months. MRI of CS spine scheduled to look for evidence of spinal cord pathology. Limit weight lifting routine as may predispose him to an ulnar neuropathy.
Age: 17.0
Sex: F
Vaccine: FLU3, HPV4, MNQ
Symptoms: Injection site erythema, Injection site warmth, Skin ulcer, Tenderness
Clinical narrative: Left Deltoid 5cm x 3 1/2 cm circular erythematous tender and warm to touch lesion arm very tender.
Age: 1.5
Sex: M
Vaccine: DTAP, FLU3, IPV, VARCEL
Symptoms: Pyrexia, Skin ulcer, Viral infection
Clinical narrative: Pt received Varivax 12/08/06 pt broke out with chicken pox lesions 12/15/06 with high fever 102-103 Mom was in contact with office several times reports on 12/23/06 pt still with lesions 50+ fever finally broke concerned due to amount of lesions.
Age: 31.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Chills, Influenza like illness, Injection site erythema, Injection site oedema, Injection site pain
Clinical narrative: Left arm was very sore, slightly red and swollen. I also had flu type symptoms like, fever, chills. Lasted for 2-3 days.
Age: 31.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Pyrexia
Clinical narrative: Left arm was very sore, slightly red and swollen. I also had flu type symptoms like, fever, chills. Lasted for 2-3 days.
Age: 68.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Blister, Pain, Paraesthesia, Rash
Clinical narrative: Pt received vaccine 12/12/06. 12/19/06 pt developed pain and tingling of right temple area. 12/23/06 pt developed blister type rash to temple area and placed on Valtrex. 12/27/06 pt reports pain better, no new blisters.
Age: 68.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Blister, Pain, Rash, Swelling
Clinical narrative: Pt received vaccine 12/12/06. 12/19/06 pt developed pain and tingling of right temple area. 12/23/06 pt developed blister type rash to temple area and placed on Valtrex. 12/27/06 pt reports pain better, no new blisters.
Age: 29.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Erythema, Injection site pain, Joint range of motion decreased, Rash maculo-papular
Clinical narrative: I experienced pain within areas of injection, caused me to lose approximately 50% use of my arm. I also had small splotches develop, red in color dime size.
Age: 6.0
Sex: F
Vaccine: FLU3
Symptoms: Feeling hot, Injection site erythema, Injection site oedema, Rash erythematous, Urticaria
Clinical narrative: Received flu shot on 21 Dec 06 mother states next day arm was very red and swollen seen in ER and had local reaction and to TX with Benadryl. SX lasted approx 3 days and resolved. 5 days ago 12 weeks after flu shot, had urticarial rash, red and raised that came and went away with Benadryl, but back with warm, back and since has had sporadic urticaria on back, chest, and arm, no resp SXS.
Age: 3.0
Sex: M
Vaccine: FLU3
Symptoms: Injection site oedema
Clinical narrative: Swelling in the left thigh. No pain, no fever. Benadryl given orally.
Age: 58.0
Sex: M
Vaccine: FLUX
Symptoms: Basedow's disease, Unevaluable event
Clinical narrative: Some problem tried to communicate and report any signs and symptoms for treatment and time of course with the administered and some the provider.
Age: 58.0
Sex: F
Vaccine: FLUX
Symptoms: Arthralgia, Immune system disorder, Joint swelling, Pain in extremity
Clinical narrative: Swelling of tissue around joints at knuckles, wrist, knees, toes, also shins, instep, out step, foot pad extreme pain. Given 30 mg prednisone, reducing at safe level, reduced swelling and pain, under direction of Rheumatologist (referred by doctor). On Medication.
Age: 18.0
Sex: M
Vaccine: MEN
Symptoms: Injection site oedema
Clinical narrative: LA Menomune shot, swollen outer arm, given 7/31/06. PCP Dr will call him if swelling doesn't go down in next day or two.
Age: 50.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Injection site pain
Clinical narrative: After receiving Pneumonia vaccine on 11/30/06 in left arm became very painful at injection site and has been painful since then. Has been taking Tylenol and it relieves for couple of hours. No redness or temp. Advised to take Benadryl and continue taking Tylenol. Cool cloths as necessary.
Age: 62.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Chills, Headache, Pyrexia
Clinical narrative: Pt reported in the Wednesday evening after receiving vaccine she developed chills fever and severe headache lasting thru Sunday, fever 102 on Thursday, fever broke Sat afternoon. headache lasted till Sunday. Saw Dr On Monday. Told no more pneumonia shots.
Age: 41.0
Sex: M
Vaccine: TDAP, TDAP
Symptoms: Malaise, Pain, Tachycardia, Tenderness
Clinical narrative: Client described onset of general malaise 24 hrs later with left arm/side tenderness and an episode of tachycardia. Has a HX of tachycardia and this episode resolved without incident. Soreness/malaise resolved in 24 hrs.
Age: 41.0
Sex: M
Vaccine: TDAP, TDAP
Symptoms: Malaise, Musculoskeletal chest pain, Tachycardia, Tenderness
Clinical narrative: Client described onset of general malaise 24 hrs later with left arm/side tenderness and an episode of tachycardia. Has a HX of tachycardia and this episode resolved without incident. Soreness/malaise resolved in 24 hrs.
Age: 42.0
Sex: F
Vaccine: FLU3, TDAP, FLU3, TDAP
Symptoms: Malaise, Pain, Palpitations
Clinical narrative: Client stated that she began to have intermittent bouts of palpitations the evening of the vaccine date. SX resolved within 24 hrs. She sought no med advise. She was taking Advil for general malaise and aching during that period.
Age: 42.0
Sex: F
Vaccine: FLU3, TDAP, FLU3, TDAP
Symptoms: Malaise, Myalgia, Palpitations
Clinical narrative: Client stated that she began to have intermittent bouts of palpitations the evening of the vaccine date. SX resolved within 24 hrs. She sought no med advise. She was taking Advil for general malaise and aching during that period.
Age: 54.0
Sex: F
Vaccine: TDAP
Symptoms: Abdominal pain, Blood pressure decreased, Chest pain, Heart rate decreased, Retching
Clinical narrative: Client stated that incident occurred 2d after vaccine. Severe abd pain started 10 min after eating lunch on 11/16/06. Client took 25 mg Benadryl, as she has food allergies, and thought it was something she ate. Shortly after, SX progressed to dry heaves, chest pain. BP decreased 60/40, Pulse decreased to 44. TO ER all cardiac tests neg. other cardiac test pending. Strong family HX of cardiac problems.
Age: 65.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Erythema, Injection site erythema, Injection site oedema, Injection site pain, Injection site warmth
Clinical narrative: Patient received Pneumonia vaccine. The next morning arm was sore, redness and swollen area around injection site. Pt states it was warm to touch. She noticed a red streak that went around the arm and into arm pit. She took TYLENOL. Then went to see her doctor. She was started on Prednisone for 3 days.
Age: 50.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Erythema, Feeling hot, Oedema, Tenderness
Clinical narrative: Red, swollen, warm to touch, slight tenderness.
Age: 44.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Injection site erythema, Injection site oedema, Injection site pain, Injection site rash, Rash macular
Clinical narrative: Pain, swelling (4 x size) red blotches rash, injection site to mid lower arm, heat, antibiotics Keflex 500 QID x 10 days, Benadryl 25 QID.
Age: 0.18
Sex: F
Vaccine: DTAP, HBHEPB, IPV, PNC, RV5
Symptoms: Screaming
Clinical narrative: Parent states "infant had high pitched cry for 3 hours or more after immunizations". "Mother describes a cry like infant was in pain".
Age: 1.02
Sex: M
Vaccine: DTAP, FLU3, HEPA, HIBV, MMRV, PNC
Symptoms: Diarrhoea, Rash
Clinical narrative: Mother presents with child to get opinion about rash - sudden onset of flat, diffuse, layered rash on cheeks, thighs and trunk - denies fever (says 98.5 R). No change in child's normal behavior - mom says has had 2 days of diarrhea. Recommended doctor visit.
Age: 59.0
Sex: F
Vaccine: FLU3
Symptoms: Asthenia, Dysgeusia, Injection site pain
Clinical narrative: 1. Severe pain at injection site, immediately after injection. 2. Terrible taste in mouth. 3. Rubbery legs. Patient  sent to ER for evaluation. Results of ER evaluation not known. Patient still had symptoms on 12/05/2006.
Age: 3.0
Sex: M
Vaccine: DTAP, IPV
Symptoms: Injection site erythema, Injection site oedema, Injection site warmth
Clinical narrative: Marked swelling, heat, erythema, from shoulder to elbow left upper arm
Age: 56.0
Sex: M
Vaccine: TTOX
Symptoms: Breast pain, Injection site swelling
Clinical narrative: Left arm swelled about 2 1/2 inches at injection site arm very sore, had soreness in eyelid, cheek, neck, legs and hamstring in left side.
Age: 75.0
Sex: F
Vaccine: DT
Symptoms: Erythema, Oedema peripheral, Skin lesion, Wound
Clinical narrative: On 12/28/2006 75 year old female received routine Dt catch up on 1/05/2006. Patient came complaining of red sore swollen left arm with wound with 2 satellite lesions.
Age: 51.0
Sex: F
Vaccine: HEP
Symptoms: Muscle spasms, Oedema peripheral, Paraesthesia, Skin discolouration
Clinical narrative: Received Hepatitis B vaccine about 1:30 pm. At about 7 pm she had severe cramping in left hand, could not make a fist. Went to hospital. Both hands by then were swollen and her left palm and little finger  turned black and blue, was given steroids. Both hands still swollen and tingly this am. Bottom of feet and upper lip tingly, hand still black and blue 24 hours later, was also given Benadryl.
Age: 8.0
Sex: F
Vaccine: UNK
Symptoms: Blister, Rash maculo-papular, Scab, Skin lesion
Clinical narrative: Developed maculopapular rash, blistered and scabbing few lesions only.
Age: 18.0
Sex: F
Vaccine: PPV
Symptoms: Myalgia, Swelling
Clinical narrative: Patient's mother described symptoms as "left arm puffed up, hot, sore". Patient saw doctor around 4:30 pm on 1/5/07. Patient took a Claritin. Mother stated patient much better the next day.
Age: 1.3
Sex: F
Vaccine: DTAP, HIBV, PNC
Symptoms: Blood culture positive, Pyrexia
Clinical narrative: Patient to ER for fever of 105.7. Work up done. Rocephin given. Blood culture came back positive.
Age: 12.0
Sex: F
Vaccine: UNK
Symptoms: Herpes zoster
Clinical narrative: Shingles at C6 dermatome.
Age: 17.0
Sex: M
Vaccine: DTAP, MMR
Symptoms: Medication error, Wrong drug administered
Clinical narrative: Patient was given Daptacel (instead of Adacel or Boostrix).
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site warmth, Oedema peripheral, Pyrexia
Clinical narrative: Left arm red/ swollen and warm to touch. No Primary Care Provider,  child had fever. Mom gave Ibuprofen/Tylenol and cool shower. Fever gone arm still swollen.
Age: 18.0
Sex: F
Vaccine: HEP
Symptoms: Loss of consciousness, Nervousness, Rash, Vomiting
Clinical narrative: 18 year old received #1 Hepatitis B shot, was very nervous and had not eaten anything prior to immunization. After receiving injection walked with mom to desk to pay and fainted. Vomited small amount of emesis. Hit back of head on floor. Mom reports next day had rash on both side of neck which faded away.
Age: 9.0
Sex: M
Vaccine: VARCEL
Symptoms: Injection site erythema, Injection site pain, Injection site warmth, Vomiting
Clinical narrative: Pain at injection site, Redness at injection site, Hot to touch-injection site, Vomiting-administered Benadryl & Augmentin
Age: 32.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site erythema, Injection site oedema
Clinical narrative: Approx. 8 centimeter area of erythema and edema at injection site.  Private physician prescribed topical cortisone.
Age: 0.18
Sex: F
Vaccine: FLU3
Symptoms: Medication error
Clinical narrative: Gave Preservative-Free Fluzone to child younger than 6 months of age thinking the patient had to be 6 weeks to receive the flu vaccine. Observed child about 45 minutes following the shot and no allergice reaction had occurred. Called mom the following day (today) and mom has not noticed any abnormalities in her daughter such as difficulty breathing or redness/swelling at the injection site.
Age: 52.0
Sex: F
Vaccine: HEPA, TDAP
Symptoms: Erythema, Injection site induration, Injection site swelling, Pruritus
Clinical narrative: Swelling in the Deltoid Area where shot was given; Redness, itching, hard to the touch.  The redness and hardness spreading.  Ibuprofen given, warm compress is being used on the area.
Age: 97.0
Sex: F
Vaccine: FLU3
Symptoms: Pain, Swelling
Clinical narrative: Immediately after administraton of vaccine, patient complained of pain in arm. Continued to complain of pain through the day. Took to Dr. multiple times for follow-up regarding c/o pain in arm. Has swelling in shoulder still. Pain radiates to shoulder and down arm. Has started physical therapy.
Age: 34.0
Sex: F
Vaccine: TDAP, TDAP
Symptoms: Chills, Diarrhoea, Fatigue, Injection site pain, Myalgia
Clinical narrative: I received the vaccine at near noon on 01/08/2007 on the L deltoid.  I experienced injection site pain and swelling initially.  Over the next few hours, the pain spread to the L side of my neck and then to my L elbow.  At 9:45 pm, I developed paresthesia in my L hand.  Within minutes, I felt paresthesias in my L foot, L lower leg, L side of my face, both lips, R hand, R foot, and R lower leg.  I felt pre-syncopal soon after.  At 10 pm, I was driven to the ER.  During the 20 minute car ride, the rigors began.  The rigors resolved after 90 minutes.  On the next day, 01/09/2007, I had fatigue, myalgias, and diarrhea and I was unable to work.  Those symptoms resolved by the next day, but all the paresthesias persisted.  On 01/10/2007, I was evaluated by a neurologist.  Today on 01/12/2007, I still have paresthesias.
Age: 34.0
Sex: F
Vaccine: TDAP, TDAP
Symptoms: Paraesthesia
Clinical narrative: I received the vaccine at near noon on 01/08/2007 on the L deltoid.  I experienced injection site pain and swelling initially.  Over the next few hours, the pain spread to the L side of my neck and then to my L elbow.  At 9:45 pm, I developed paresthesia in my L hand.  Within minutes, I felt paresthesias in my L foot, L lower leg, L side of my face, both lips, R hand, R foot, and R lower leg.  I felt pre-syncopal soon after.  At 10 pm, I was driven to the ER.  During the 20 minute car ride, the rigors began.  The rigors resolved after 90 minutes.  On the next day, 01/09/2007, I had fatigue, myalgias, and diarrhea and I was unable to work.  Those symptoms resolved by the next day, but all the paresthesias persisted.  On 01/10/2007, I was evaluated by a neurologist.  Today on 01/12/2007, I still have paresthesias.
Age: 34.0
Sex: F
Vaccine: TDAP, TDAP
Symptoms: Discomfort, Hypoaesthesia, Injection site pain, Paraesthesia, Vaccination complication
Clinical narrative: I received the vaccine at near noon on 01/08/2007 on the L deltoid.  I experienced injection site pain and swelling initially.  Over the next few hours, the pain spread to the L side of my neck and then to my L elbow.  At 9:45 pm, I developed paresthesia in my L hand.  Within minutes, I felt paresthesias in my L foot, L lower leg, L side of my face, both lips, R hand, R foot, and R lower leg.  I felt pre-syncopal soon after.  At 10 pm, I was driven to the ER.  During the 20 minute car ride, the rigors began.  The rigors resolved after 90 minutes.  On the next day, 01/09/2007, I had fatigue, myalgias, and diarrhea and I was unable to work.  Those symptoms resolved by the next day, but all the paresthesias persisted.  On 01/10/2007, I was evaluated by a neurologist.  Today on 01/12/2007, I still have paresthesias.
Age: 34.0
Sex: F
Vaccine: TDAP, TDAP
Symptoms: Chills, Diarrhoea, Fatigue, Injection site pain, Myalgia
Clinical narrative: Following vaccine administration noted noted injection site soreness and associated discomfort to left arm and neckpain. 9 hours post vaccination, noted numbness and tingling to left hand, progressing to left foot up to left knee. Followed by numbness/tingling to face, lips, right hand and right leg.
Age: 34.0
Sex: F
Vaccine: TDAP, TDAP
Symptoms: Paraesthesia
Clinical narrative: Following vaccine administration noted noted injection site soreness and associated discomfort to left arm and neckpain. 9 hours post vaccination, noted numbness and tingling to left hand, progressing to left foot up to left knee. Followed by numbness/tingling to face, lips, right hand and right leg.
Age: 34.0
Sex: F
Vaccine: TDAP, TDAP
Symptoms: Discomfort, Hypoaesthesia, Injection site pain, Paraesthesia, Vaccination complication
Clinical narrative: Following vaccine administration noted noted injection site soreness and associated discomfort to left arm and neckpain. 9 hours post vaccination, noted numbness and tingling to left hand, progressing to left foot up to left knee. Followed by numbness/tingling to face, lips, right hand and right leg.
Age: 1.01
Sex: F
Vaccine: HEPA, MMRV
Symptoms: Convulsion
Clinical narrative: 8 days after vaccination w/Proquad and Havrix,had brief (< 1 minute) generalized seizure.  No fever.
Age: 1.01
Sex: F
Vaccine: DT, HEPA, HIBV, MMRV, PNC
Symptoms: Dyskinesia, Eye movement disorder
Clinical narrative: Mom of child phoned health dept. today stating that the day  the child received  her 12  mo old shots , she startingto have  head jerking  and eyes  rolling around in her head-- this went on for a week , mom noticing this movement. Mom states she took child to see her Dr and it is not clear whether Dr thought the problem was related to the immunizations. Mom states after the week she has not noticed any further problems. Mom has also video taped the childs head movement.