chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 44.0
Sex: F
Vaccine: HEPAB
Symptoms: Vision blurred
Clinical narrative: After about 15 minutes of having the shot administered in my left arm, my left hand starting tingling, then went numb.  I waited in the lobby for about 30-45 minutes to see if any more reaction was going to occur.  I left the medical facility to come back to work and my right hand also started going numb.  I called my husband to meet me for lunch to monitor any progress.  Both hands still being numb feeling, I started feeling my right leg starting to go numb after about 3 hours after taking the shot.  It subsided a little so I chose to drive home following my husband.  I was about .5 miles from home when felt a creepy, goose bump feeling going over the back of my head and my vision in my right eye got so blurry I could not see out of it.  I blinked numerous times to make sure it wasn't something in my contact lense and drove the remainder of the way home going.  My vision started to return by the time I made it home.  I was home about 30 minutes when my stomach had severe cramps for about 2-3 hours, then it subsided.  Then my left leg started going numb and I felt completely exhausted for 3 days and am still feeling "wiped out".  The numbness came and went all Friday night and into Saturday.  The numbness continued throughout the weekend off and on and into the next week and has forced me to rest. I am still experiencing numbness, swelling in my hands and feet, it is painful to type at a computer keyboard and the my energy level is very low.   My blood pressure was taken on Feb. 14, 2005 and it was somewhere around 170/90.  It has never been that high, but it was taken 40 minutes after a very light physical therapy session of which I couldn't do much because of my condition. I have made an appointment to have a complete physical done on Feb. 18, 2005, with my Internal Medicine doctor.  I talked to nurses at the Health Dept. and they all said they had never heard of a reaction like mine before.  Four days after the vaccination (Feb. 15, 2005), I received a flu shot with no adverse affects from that shot.
Age: 4.0
Sex: M
Vaccine: MMR
Symptoms: Conjunctivitis, Cough, Croup infectious, Lacrimation increased, Nasal congestion
Clinical narrative: Had MMR vaccine on 12-9. 12-15 had a 102.5 fever, runny nose, congestion, tearing eyes, cough. 12-18 woke up with a rash more brownish/reddish in nature, extremely whining, constantly had to be held, acted like he was in pain. Didn't sleep well for 5 days.  Then on Dec. 27 had congestion still, runny nose, fever again, croupy, friday morning Dec. 28 started breaking out in a rash.  Woke up friday rash had spread over his entire trunk region, face and slight on upper extremeties, red and raised.  5 days post rash took him to the doctors because they were closed for the new years holiday. the rash had spread to his extremeties and was almost gone on his stomach region.  He was congested, conjuctivitis, croupy, fever, runny nose.  The doctor said it could be atypical measles but he had never seen measles before but it looked similar to the picture.  Said he couldn't test it because he was vaccinated and it would be positive anyways.  He had the rash on his extremities for almost 2 1/2 weeks.  He had an ear infection. I spoke with National Vaccine and they said that I should report it.
Age: 4.0
Sex: M
Vaccine: MMR
Symptoms: Otitis media, Pyrexia, Rash, Rhinorrhoea
Clinical narrative: Had MMR vaccine on 12-9. 12-15 had a 102.5 fever, runny nose, congestion, tearing eyes, cough. 12-18 woke up with a rash more brownish/reddish in nature, extremely whining, constantly had to be held, acted like he was in pain. Didn't sleep well for 5 days.  Then on Dec. 27 had congestion still, runny nose, fever again, croupy, friday morning Dec. 28 started breaking out in a rash.  Woke up friday rash had spread over his entire trunk region, face and slight on upper extremeties, red and raised.  5 days post rash took him to the doctors because they were closed for the new years holiday. the rash had spread to his extremeties and was almost gone on his stomach region.  He was congested, conjuctivitis, croupy, fever, runny nose.  The doctor said it could be atypical measles but he had never seen measles before but it looked similar to the picture.  Said he couldn't test it because he was vaccinated and it would be positive anyways.  He had the rash on his extremities for almost 2 1/2 weeks.  He had an ear infection. I spoke with National Vaccine and they said that I should report it.
Age: 76.0
Sex: M
Vaccine: FLU3
Symptoms: Gastrointestinal haemorrhage, Guillain-Barre syndrome, Haematocrit decreased, Hyperglycaemia, Quadriplegia
Clinical narrative: Guillain Barre Syndrome. Onset on symptoms 1/23/05. Increased CSF protein. Progressed to respiratory failure - BIPAP 1/31. Currently in ICU; quadriplegic.  4/25/05 Progress note from Neuro states confirmation of GBS based on unfinished EMG report. An earlier evaluation discusses pt's condition in the earlier stages of the syndrome, physical findings and suggests a course of diagnostic testing to better establish complete Dx.   Additional records include Progress noted documentation of respiratory failure, intubation & mechanical ventilation.  Consults relating to evaluating GI hemorrhage, evaluation of respiratory failure, Evaluation of possible radiation damage causing neurologic changes(negative). Multiple lab values tracking glucose, H&H levels primarly, chemistries and on pg 48, report of CSF with protein elevated at 68. Other documents include GI evaluations and initial EMG report.  Exam revealed areflexia & subacute quadriparesis.  Tx w/plasmapheresis.     From Neuro office; 04/26/05 Followup note from Neurologist stating confirmed GBS Dx; discusses course of pt care at Hospital and Rehab Center and addresses other medical conditions included in the pt's diagnosis.  Pt  has had barium swallow studies more associated w throat CA and continues on PEG tube feeding; swallowing continues poor dispite all manuvers.
Age: 76.0
Sex: M
Vaccine: FLU3
Symptoms: Respiratory failure
Clinical narrative: Guillain Barre Syndrome. Onset on symptoms 1/23/05. Increased CSF protein. Progressed to respiratory failure - BIPAP 1/31. Currently in ICU; quadriplegic.  4/25/05 Progress note from Neuro states confirmation of GBS based on unfinished EMG report. An earlier evaluation discusses pt's condition in the earlier stages of the syndrome, physical findings and suggests a course of diagnostic testing to better establish complete Dx.   Additional records include Progress noted documentation of respiratory failure, intubation & mechanical ventilation.  Consults relating to evaluating GI hemorrhage, evaluation of respiratory failure, Evaluation of possible radiation damage causing neurologic changes(negative). Multiple lab values tracking glucose, H&H levels primarly, chemistries and on pg 48, report of CSF with protein elevated at 68. Other documents include GI evaluations and initial EMG report.  Exam revealed areflexia & subacute quadriparesis.  Tx w/plasmapheresis.     From Neuro office; 04/26/05 Followup note from Neurologist stating confirmed GBS Dx; discusses course of pt care at Hospital and Rehab Center and addresses other medical conditions included in the pt's diagnosis.  Pt  has had barium swallow studies more associated w throat CA and continues on PEG tube feeding; swallowing continues poor dispite all manuvers.
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Insomnia, Screaming
Clinical narrative: Received Pediarix, HIb, Prevnar at 12:00 on 02/15/2005. Cried from 12:oo noon to 10:00 pm on that date, only napped for 10 minutes and refused to eat.
Age: 80.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Left arm swelling , redness, and pain below LD. Keflex 250mg PO QIDx7days. Benadryl. Cellulitis
Age: 22.0
Sex: M
Vaccine: SMALL, TYP
Symptoms: Headache, Lymphoedema, Pain
Clinical narrative: Patient reproted to immunization clinic on 02/17/2005 with symptoms of swollen Lymph nodes, headache, body aches. Patient was seen by primary care provider, patient sent home for 48 hours.
Age: 23.0
Sex: M
Vaccine: SMALL
Symptoms: Erythema, Lymph node pain, Lymphadenopathy, Rash
Clinical narrative: Pt has red bumps on chest, neck, back. No itchiness, no fever, no HA, no generalized itching no pain no swelling positive take to vaccine. Pt vaccinated 6 days ago for small pox. C/o red bumps, plus lymph node pain and swelling x 2 days.
Age: 63.0
Sex: M
Vaccine: FLU3
Symptoms: Asthenia, Guillain-Barre syndrome, Hypoaesthesia
Clinical narrative: Pt. suffered from numbness in the extremities approximately 1 hour after receiving the flu vaccine. The numbness progressed and the patient was admitted to the ICU. A diagnosis of Gullain-Barre Syndrome was made and IV immune globulin therapy was initiated. The patient was transferred out. REcieved from discharge summary 12/29/05weakness
Age: 60.0
Sex: F
Vaccine: FLU3
Symptoms: Dysarthria, Facial palsy, Hypoaesthesia
Clinical narrative: Started to experience left sided facial numbness, drooping and slurred speech went to her local ER for care/evaluation.Follow up 03/03/05: Main symptoms of adverse event were numbness of tongue, couldn't open mouth, face assymetrical. The happened 4 days after vaccination. Patient was diagnosed with peripheral 7th nerve palsy.
Age: 8.0
Sex: F
Vaccine: FLUN3, FLUN3
Symptoms: Urticaria
Clinical narrative: This is a non serious spontaneous case from a consumer involving hives. The reporter causality is probably related to FluMist. This case is submitted according to the safety surveillance accelerated reporting agreement for FluMist. A 7 year old female pt received FluMist on 26Jan05. On 28Jan05, the pt developed hives which first appeared on both lower legs. She was self medicated with Benadryl (diphenhydramine) cream by her mother, but the hives continued to progress to her face, chest and back. She was brought to the doctor's office where she was given a steroid shot which cleared about 75% of the hives at that time but has continued to resurface later. As of 07Feb05 the pt had not recovered from this event and continued to apply dexamethasone/benadryl cream to relieve her of itchiness. The mother claimed that pt has no known food or drug allergies. On 09Feb05 the pt went to an allergist. She received ranitidine hydrochloride, cetirizine hydrochloride, and hydroxyzine hydrochloride for treatment. The events resolved on an unk date. The mother stated that she feels the FluMist could have possibly caused the hives due to the proximity of the date of vaccination and onset of symptoms.
Age: 8.0
Sex: F
Vaccine: FLUN3, FLUN3
Symptoms: Pruritus, Urticaria
Clinical narrative: This is a non serious spontaneous case from a consumer involving hives. The reporter causality is probably related to FluMist. This case is submitted according to the safety surveillance accelerated reporting agreement for FluMist. A 7 year old female pt received FluMist on 26Jan05. On 28Jan05, the pt developed hives which first appeared on both lower legs. She was self medicated with Benadryl (diphenhydramine) cream by her mother, but the hives continued to progress to her face, chest and back. She was brought to the doctor's office where she was given a steroid shot which cleared about 75% of the hives at that time but has continued to resurface later. As of 07Feb05 the pt had not recovered from this event and continued to apply dexamethasone/benadryl cream to relieve her of itchiness. The mother claimed that pt has no known food or drug allergies. On 09Feb05 the pt went to an allergist. She received ranitidine hydrochloride, cetirizine hydrochloride, and hydroxyzine hydrochloride for treatment. The events resolved on an unk date. The mother stated that she feels the FluMist could have possibly caused the hives due to the proximity of the date of vaccination and onset of symptoms.
Age: 63.0
Sex: F
Vaccine: FLU3, PPV, FLUX, PPV
Symptoms: Oedema peripheral, Pain, Red blood cell sedimentation rate increased, Shoulder pain, Tendon rupture
Clinical narrative: Information has been received from a nurse practitioner concerning a 63 year old female patient with a history of breast cancer (2003) and allergy to nonestrogen who on 10/14/04 was vaccinated with a dose of pneumococcal 23v polysaccharide vaccine (lot # unknown). Concomitant secondary suspect vaccination include a dose of influenza virus vaccine in the same arm at the same time. Other concomitant therapies included simvastatin and levothyroxine Na. On 10/14/04, within 12 hours, it was reported that the patient's whole left arm and fingers became swollen The doctor treated her with ibuprofen, ice and elevation to the injection site. On 10/15/04, the patient was seen by the doctor who saw no swelling but the patient reported pain from her shoulder to elbow. She was given methylprednisolone, 30mg decreasing to 10mg. It was reported that she was seen again in the office on 10/21/04 and given triamcinolone acetonide for tendonitis. The physician called the patient on 10/26/04 and she reported that she was 80% improved. It was also reported that the patient began physical therapy on 11/8/04 and she was not getting better by 12/17/04. The patient was given triamcinolone acetonide, 40mg and a MRI was scheduled. On 12/26/04, the patient was diagnosed with  an anterior tear of tendon and arthritic changes. It was reported that the patient was not recovered. It was also reported that the patient was scheduled for surgery in February to repair the tear. Upon internal review, the patient's adverse experience is considered to be an important medical event (OMIC). There was no product quality complaint involved. Additional information has been requested.
Age: 63.0
Sex: F
Vaccine: FLU3, PPV, FLUX, PPV
Symptoms: Tendonitis
Clinical narrative: Information has been received from a nurse practitioner concerning a 63 year old female patient with a history of breast cancer (2003) and allergy to nonestrogen who on 10/14/04 was vaccinated with a dose of pneumococcal 23v polysaccharide vaccine (lot # unknown). Concomitant secondary suspect vaccination include a dose of influenza virus vaccine in the same arm at the same time. Other concomitant therapies included simvastatin and levothyroxine Na. On 10/14/04, within 12 hours, it was reported that the patient's whole left arm and fingers became swollen The doctor treated her with ibuprofen, ice and elevation to the injection site. On 10/15/04, the patient was seen by the doctor who saw no swelling but the patient reported pain from her shoulder to elbow. She was given methylprednisolone, 30mg decreasing to 10mg. It was reported that she was seen again in the office on 10/21/04 and given triamcinolone acetonide for tendonitis. The physician called the patient on 10/26/04 and she reported that she was 80% improved. It was also reported that the patient began physical therapy on 11/8/04 and she was not getting better by 12/17/04. The patient was given triamcinolone acetonide, 40mg and a MRI was scheduled. On 12/26/04, the patient was diagnosed with  an anterior tear of tendon and arthritic changes. It was reported that the patient was not recovered. It was also reported that the patient was scheduled for surgery in February to repair the tear. Upon internal review, the patient's adverse experience is considered to be an important medical event (OMIC). There was no product quality complaint involved. Additional information has been requested.
Age: 63.0
Sex: F
Vaccine: FLU3, PPV, FLUX, PPV
Symptoms: Arthritis, Injection site swelling, Laboratory test abnormal, Oedema peripheral, Pain
Clinical narrative: Information has been received from a nurse practitioner concerning a 63 year old female patient with a history of breast cancer (2003) and allergy to nonestrogen who on 10/14/04 was vaccinated with a dose of pneumococcal 23v polysaccharide vaccine (lot # unknown). Concomitant secondary suspect vaccination include a dose of influenza virus vaccine in the same arm at the same time. Other concomitant therapies included simvastatin and levothyroxine Na. On 10/14/04, within 12 hours, it was reported that the patient's whole left arm and fingers became swollen The doctor treated her with ibuprofen, ice and elevation to the injection site. On 10/15/04, the patient was seen by the doctor who saw no swelling but the patient reported pain from her shoulder to elbow. She was given methylprednisolone, 30mg decreasing to 10mg. It was reported that she was seen again in the office on 10/21/04 and given triamcinolone acetonide for tendonitis. The physician called the patient on 10/26/04 and she reported that she was 80% improved. It was also reported that the patient began physical therapy on 11/8/04 and she was not getting better by 12/17/04. The patient was given triamcinolone acetonide, 40mg and a MRI was scheduled. On 12/26/04, the patient was diagnosed with  an anterior tear of tendon and arthritic changes. It was reported that the patient was not recovered. It was also reported that the patient was scheduled for surgery in February to repair the tear. Upon internal review, the patient's adverse experience is considered to be an important medical event (OMIC). There was no product quality complaint involved. Additional information has been requested.
Age: 63.0
Sex: F
Vaccine: FLU3, PPV, FLUX, PPV
Symptoms: Tendon rupture, Tendonitis
Clinical narrative: Information has been received from a nurse practitioner concerning a 63 year old female patient with a history of breast cancer (2003) and allergy to nonestrogen who on 10/14/04 was vaccinated with a dose of pneumococcal 23v polysaccharide vaccine (lot # unknown). Concomitant secondary suspect vaccination include a dose of influenza virus vaccine in the same arm at the same time. Other concomitant therapies included simvastatin and levothyroxine Na. On 10/14/04, within 12 hours, it was reported that the patient's whole left arm and fingers became swollen The doctor treated her with ibuprofen, ice and elevation to the injection site. On 10/15/04, the patient was seen by the doctor who saw no swelling but the patient reported pain from her shoulder to elbow. She was given methylprednisolone, 30mg decreasing to 10mg. It was reported that she was seen again in the office on 10/21/04 and given triamcinolone acetonide for tendonitis. The physician called the patient on 10/26/04 and she reported that she was 80% improved. It was also reported that the patient began physical therapy on 11/8/04 and she was not getting better by 12/17/04. The patient was given triamcinolone acetonide, 40mg and a MRI was scheduled. On 12/26/04, the patient was diagnosed with  an anterior tear of tendon and arthritic changes. It was reported that the patient was not recovered. It was also reported that the patient was scheduled for surgery in February to repair the tear. Upon internal review, the patient's adverse experience is considered to be an important medical event (OMIC). There was no product quality complaint involved. Additional information has been requested.
Age: 37.0
Sex: M
Vaccine: SMALL
Symptoms: Blister, Rash
Clinical narrative: Rash covering entire body. Rash consisted of water filled blisters. No airway issues. Patient treated with Benadryl/50mg Q 6 hrs and Motrin 800mg Q 8 hrs.
Age: 35.0
Sex: M
Vaccine: HEPA, MMR, OPV, TD, TYP
Symptoms: Alanine aminotransferase increased, Aspartate aminotransferase increased, Fatigue, Hepatocellular damage, Influenza like illness
Clinical narrative: It was reported in a published article that a 35 year old male presented to his primary care physician with 1 week of severe flu-like symptoms. A week prior to presentation, the patient received multiple immunizations as part of preparation for overseas deployment. The vaccinations, all administered on a single occasion, were MMR, typhoid vaccine, hepatitis A virus vaccine, diphtheria toxoid/tetanus toxoid and poliovirus vaccine live oral. The patient also has a purified protein derivative test placed to complete his health screening, which was subsequently negative. Several days following the vaccinations, the patient started to feel ill with fatigue, malaise, and general flu-like symptoms that progressed over several days. The patient had no significant surgical history or prior transfusions. The patient was currently taking a beta-blocker and diuretic for hypertension. He denied any recent ingestion of over the counter supplements. The patient denied any family history of liver disorders or autoimmune diseases. He denied a smoking history and his alcohol intake was infrequent small quantities. The patient denied any allergies to medications or foods. Physical exam was unremarkable. At presentation, the patient's lab tests were significant for elevated liver associated enzymes, with an aspartate aminotransferase level of 1361 u/L, alanine aminotransferase of 2656 u/L, and alkaline phosphatase of 152 u/L. Total bilirubin was 4.8 mg/dL, albumin of 4.2 mg/dL, and gamma glutamyl Transpeptidase of 386 u/L. Hepatitis A, B, and C serologies were negative. Initially ANA and ASMA were negative. A liver biopsy performed 1 month after initial presentation showed severe chronic hepatitis with widespread parenchymal injury, chronic portal inflammation, numerous plasma cells, and piecemeal necrosis. These findings were suggestive of AIH. Steroid therapy was initiated, and after 2 months of therapy, the liver enzymes responded well, with AST decreasing to 46 u/L and ALT to 73 u/L. Azathioprine was added to the medical regimen at 2 months post steroid therapy and the liver enzymes increased, AST to 895 u/L and ALT to 1922 u/L, after 7 weeks of therapy. Repeat autoimmune markers showed ASMA of 1:80 and negative ANA, with IgG elevated, at 1590 mg/dL. Endoscopic retrograde cholangiopancreatography was normal. Azathioprine was discontinued, steroids, were increased, and tacrolimus was initiated. The medical regimen over the next 5 years consisted of prednisone, 10-20 mg qd, and tracolimus, 1 mg bid. Attempts to taper the prednisone lower than 10mg caused significant elevation in AST and ALT. A repeat biopsy performed 5 years following presentation showed moderate inflammatory activity consisting of plasma cells with mild periportal fibrosis. Upon internal review, autoimmune hepatitis was deemed to be an important medical event (OMIC). Additional information has been requested.
Age: 35.0
Sex: M
Vaccine: HEPA, MMR, OPV, TD, TYP
Symptoms: Laboratory test abnormal, Liver function test abnormal, Malaise, Necrosis
Clinical narrative: It was reported in a published article that a 35 year old male presented to his primary care physician with 1 week of severe flu-like symptoms. A week prior to presentation, the patient received multiple immunizations as part of preparation for overseas deployment. The vaccinations, all administered on a single occasion, were MMR, typhoid vaccine, hepatitis A virus vaccine, diphtheria toxoid/tetanus toxoid and poliovirus vaccine live oral. The patient also has a purified protein derivative test placed to complete his health screening, which was subsequently negative. Several days following the vaccinations, the patient started to feel ill with fatigue, malaise, and general flu-like symptoms that progressed over several days. The patient had no significant surgical history or prior transfusions. The patient was currently taking a beta-blocker and diuretic for hypertension. He denied any recent ingestion of over the counter supplements. The patient denied any family history of liver disorders or autoimmune diseases. He denied a smoking history and his alcohol intake was infrequent small quantities. The patient denied any allergies to medications or foods. Physical exam was unremarkable. At presentation, the patient's lab tests were significant for elevated liver associated enzymes, with an aspartate aminotransferase level of 1361 u/L, alanine aminotransferase of 2656 u/L, and alkaline phosphatase of 152 u/L. Total bilirubin was 4.8 mg/dL, albumin of 4.2 mg/dL, and gamma glutamyl Transpeptidase of 386 u/L. Hepatitis A, B, and C serologies were negative. Initially ANA and ASMA were negative. A liver biopsy performed 1 month after initial presentation showed severe chronic hepatitis with widespread parenchymal injury, chronic portal inflammation, numerous plasma cells, and piecemeal necrosis. These findings were suggestive of AIH. Steroid therapy was initiated, and after 2 months of therapy, the liver enzymes responded well, with AST decreasing to 46 u/L and ALT to 73 u/L. Azathioprine was added to the medical regimen at 2 months post steroid therapy and the liver enzymes increased, AST to 895 u/L and ALT to 1922 u/L, after 7 weeks of therapy. Repeat autoimmune markers showed ASMA of 1:80 and negative ANA, with IgG elevated, at 1590 mg/dL. Endoscopic retrograde cholangiopancreatography was normal. Azathioprine was discontinued, steroids, were increased, and tacrolimus was initiated. The medical regimen over the next 5 years consisted of prednisone, 10-20 mg qd, and tracolimus, 1 mg bid. Attempts to taper the prednisone lower than 10mg caused significant elevation in AST and ALT. A repeat biopsy performed 5 years following presentation showed moderate inflammatory activity consisting of plasma cells with mild periportal fibrosis. Upon internal review, autoimmune hepatitis was deemed to be an important medical event (OMIC). Additional information has been requested.
Age: 59.0
Sex: F
Vaccine: FLU3
Symptoms: Back pain, Cough, Dyspnoea, Electrocardiogram abnormal, Fatigue
Clinical narrative: Had flu shot on 10/08/2003. Got sick 10/10/2003. Headache, heavy coughing, Drowning sensation. Spine felt like hit with ice cold axe. exhaustion, and extreme shortness of breath. Shortened my life. Follow Up: Pt is a 59 year old woman who experienced intermittent chest discomfort and profound shortness of breath over the last couple of weeks since she got her flu shot. She has a history of dyslipidemia and hypertension. She had a symptomatic but electrically uneventful adenosine phase with a lot of flushing and symptoms associated with vasodilation. She had no EKG changes and no arrhythmia. She had a left bundle branch block as the baseline EKG tracing which precipitated the adenosine test. She was recovered to baseline and stable on transfer to nuclear medicine for follow up imaging.  Medical Records states pharyngitis. msv
Age: 59.0
Sex: F
Vaccine: FLU3
Symptoms: Headache, Laboratory test abnormal, Pharyngitis
Clinical narrative: Had flu shot on 10/08/2003. Got sick 10/10/2003. Headache, heavy coughing, Drowning sensation. Spine felt like hit with ice cold axe. exhaustion, and extreme shortness of breath. Shortened my life. Follow Up: Pt is a 59 year old woman who experienced intermittent chest discomfort and profound shortness of breath over the last couple of weeks since she got her flu shot. She has a history of dyslipidemia and hypertension. She had a symptomatic but electrically uneventful adenosine phase with a lot of flushing and symptoms associated with vasodilation. She had no EKG changes and no arrhythmia. She had a left bundle branch block as the baseline EKG tracing which precipitated the adenosine test. She was recovered to baseline and stable on transfer to nuclear medicine for follow up imaging.  Medical Records states pharyngitis. msv
Age: 0.76
Sex: F
Vaccine: DTAPHEPBIP, FLU3, HIBV, PNC
Symptoms: Asthma, Hypoventilation, Otitis media, Pyrexia, Tremor
Clinical narrative: Fever 103.9, shaking (not seizure type), shallow breathing. Took to the ER followed up 1/26/05 with private physician. Doctor said she had an inner ear infection and URI and possible asthma, gave antibiotic and instr. to alternate Motrin and Tylenol every 4 hrs.
Age: 0.76
Sex: F
Vaccine: DTAPHEPBIP, FLU3, HIBV, PNC
Symptoms: Upper respiratory tract infection
Clinical narrative: Fever 103.9, shaking (not seizure type), shallow breathing. Took to the ER followed up 1/26/05 with private physician. Doctor said she had an inner ear infection and URI and possible asthma, gave antibiotic and instr. to alternate Motrin and Tylenol every 4 hrs.
Age: 4.0
Sex: M
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Feeling hot, Injection site erythema, Tenderness
Clinical narrative: 5x5 inches of redness (bright red) of Left upper arm on outer surface around puncture site, warm, slightly tender. No systemic effects.
Age: 67.0
Sex: F
Vaccine: PPV
Symptoms: Injection site pain
Clinical narrative: Arm pain at sign of vaccination began 2 hour after injection. No redness, no induration, no fever. Symptoms resolved after 2 days.
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Oedema, Rash
Clinical narrative: Left swollen shoulder with Rash
Age: 35.0
Sex: M
Vaccine: TTOX
Symptoms: Hypoaesthesia, Injection site pain, Sleep disorder
Clinical narrative: Pt states he had numbness of his left arm, starting when he went to bed the same night as shot (2/7/05). It woke him up on and off during the night. When he got up at 3AM for work and moved his arm, it improved. He had some localized soreness.
Age: 1.57
Sex: F
Vaccine: UNK
Symptoms: Pruritus, Pyrexia, Rash
Clinical narrative: Rapidly spreading rash all over body. Low grad fever x 24 hours and itch.
Age: 6.0
Sex: M
Vaccine: DTAP, HIBV, IPV, MMR
Symptoms: Convulsion, Injection site swelling, Injection site warmth, Pain, Pyrexia
Clinical narrative: Noticed this a.m. that Left arm was red swollen and warm to touch. Ice pack applied last night due to pain and fever. Noted. Has history of seizures had one last night. no meds for seizures, was told by md that h would outgrow them.
Sex: F
Vaccine: PPV
Symptoms: Injection site inflammation, Injection site pain
Clinical narrative: Developed fever 4 hours after pnuemoccoccal 23 valent vaccine swelling left leg at injection site with tenderness also had URI srs. when seen on 2/11/05.
Age: 0.33
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Cyanosis, Depressed level of consciousness, Pyrexia
Clinical narrative: Two events resulting in fever, change in consciousness (goofy) and severe acrocyanosis, blueness of hands and feet.
Age: 39.0
Sex: F
Vaccine: PPV
Symptoms: Feeling hot, Injection site erythema, Injection site oedema, Injection site pain, Sleep disorder
Clinical narrative: Pain began in shoulder shortly after injection. Paint severe by 10PM. Awakened during the night if rolled on shoulder. 2/3 AM shoulder hot to touch, swollen, red splotches, severe pain. Symptoms continued to increase. Saw MD at 121:15AM and rechecked at 3PM put on Augmentin, 7 day therapy.
Age: 1.46
Sex: F
Vaccine: DTAP, HBHEPB, MMR
Symptoms: Blister, Dermatitis contact, Gait disturbance, Irritability, Oedema
Clinical narrative: Pt is brought in by her mom for a rash. She got her 15 month immunizations two days ago, she started to get a rash yesterday. She had some blistering last night where her bandaid was on the bandaid part. Then she started to have some urticarial rash that is extending down her legs around her trunk and in the axillae. It has been itching her some. She has been a little more clingy, but overall she has been okay. She has also noticed some swelling of her joints and occasionally refuses to walk and occasionally has a little limp, but not always. She otherwise has had no fever. She has been acting fine otherwise. She has had no vomiting, diarrhea or other constitutional symptoms. She is alert and active in no apparent distress. She is walking in the office without difficulty, although she is whiney. Her left knee has some erythema and swelling, but it is not significantly warm to touch. She also has some swelling of her left foot involving the ankle and the dorsum. It also appears to be getting a little bit of swelling on her right knee with some erythema. Skin: She has an urticarial rash around her umbilicus, axillae, buttocks, trunk and legs. Her nose and mouth is pink and moist. Her lungs are clear to auscultation. Her heart is regular. Her abdomen is soft. Urticaria likely secondary to shots. She also has a contact dermatitis from the bandaid with some vesicles where the band aid was. It appears to be possible serum sickness with swelling of her joints. We will do Benadryl 1 teaspoon PO Q six hours and continue until her rash improves. If she gets sicker, they are to call back and well will consider doing steroids, but I would probably do blood work first.
Age: 1.46
Sex: F
Vaccine: DTAP, HBHEPB, MMR
Symptoms: Pruritus, Serum sickness, Urticaria
Clinical narrative: Pt is brought in by her mom for a rash. She got her 15 month immunizations two days ago, she started to get a rash yesterday. She had some blistering last night where her bandaid was on the bandaid part. Then she started to have some urticarial rash that is extending down her legs around her trunk and in the axillae. It has been itching her some. She has been a little more clingy, but overall she has been okay. She has also noticed some swelling of her joints and occasionally refuses to walk and occasionally has a little limp, but not always. She otherwise has had no fever. She has been acting fine otherwise. She has had no vomiting, diarrhea or other constitutional symptoms. She is alert and active in no apparent distress. She is walking in the office without difficulty, although she is whiney. Her left knee has some erythema and swelling, but it is not significantly warm to touch. She also has some swelling of her left foot involving the ankle and the dorsum. It also appears to be getting a little bit of swelling on her right knee with some erythema. Skin: She has an urticarial rash around her umbilicus, axillae, buttocks, trunk and legs. Her nose and mouth is pink and moist. Her lungs are clear to auscultation. Her heart is regular. Her abdomen is soft. Urticaria likely secondary to shots. She also has a contact dermatitis from the bandaid with some vesicles where the band aid was. It appears to be possible serum sickness with swelling of her joints. We will do Benadryl 1 teaspoon PO Q six hours and continue until her rash improves. If she gets sicker, they are to call back and well will consider doing steroids, but I would probably do blood work first.
Age: 5.0
Sex: F
Vaccine: PNC
Symptoms: Injection site erythema, Injection site mass, Injection site oedema
Clinical narrative: Information from school nurse, swelling of deltoid area 4 inches reddened and firm. No c/o pain at site, no fever. 1/25/05 arm no longer sore or inflamed.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site oedema
Clinical narrative: Mother notice redness 24 hr after injection ambulating with difficulty. Did not c/o pain. Mom notice swelling 48 hr later. Has not applied any med or warm or cold packs.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site reaction
Clinical narrative: Local skin reaction 2 1/2 in x 2 1/2 in. Redness/slight Left arm.
Age: 43.0
Sex: F
Vaccine: ANTH
Symptoms: Headache, Joint stiffness, Osteoarthritis
Clinical narrative: I had a long lasting reaction to the second of the three anthrax vaccines I received.  Starting the evening of the day the vaccine was administered all of my joints were very stiff.  I also had a lot of headaches in that time period lasting three months.  Even my spine was stiff.  The backs of my knees were puffed out as if the joint was full of fluid or swollen.  The stiffness slowly but surely went away, but it took three months.  I took naproxyn sodium when the headaches got too bothersome.
Age: 0.33
Sex: F
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Crying, Erythema, Feeling hot, Injection site erythema, Swelling
Clinical narrative: Patient received DTap,HIB,PCV, and IPV.  She began to cry, then her right and left feet, ankle, up to mid tibia turned bright red, hot , and slightly swollen.  I administered benadryl and within 30 minutes symptoms began to subside Follow up 02/21/05: Patient had redness at injection site.
Age: 0.38
Sex: M
Vaccine: DTAP, HBHEPB, MMR
Symptoms: Crying, Depressed level of consciousness, Hypotension, Hypotonia, Listless
Clinical narrative: Approximately one hour after receiving his second dose of DTaP, patient was brought back to the clinic because mom was not able to awake him.  He was pale and listless though vitals were stable - RR of 24, P 110, afebrile - 96.5.  Vitals were monitored and remained stable and attempts were made to awaken him.  After 2-3 minutes he came to and cried loudly for several minutes.  His pulse went to 140, RR 30.  He was alert, responsive and easily consolable by mother.  He was observed breast feeding before leaving the clinic.  Discharge summary rec'd on 03/02/2005 states pt experienced hypotonia and hypotension.
Age: 0.38
Sex: M
Vaccine: DTAP, HBHEPB, MMR
Symptoms: Pallor
Clinical narrative: Approximately one hour after receiving his second dose of DTaP, patient was brought back to the clinic because mom was not able to awake him.  He was pale and listless though vitals were stable - RR of 24, P 110, afebrile - 96.5.  Vitals were monitored and remained stable and attempts were made to awaken him.  After 2-3 minutes he came to and cried loudly for several minutes.  His pulse went to 140, RR 30.  He was alert, responsive and easily consolable by mother.  He was observed breast feeding before leaving the clinic.  Discharge summary rec'd on 03/02/2005 states pt experienced hypotonia and hypotension.
Age: 1.0
Sex: M
Vaccine: HIBV, MMR, PNC, VARCEL
Symptoms: Blister, Injection site vesicles
Clinical narrative: Patient given 4 vaccinations.  10 days later, a blister appeared at the site of the varicella injection.  It progressed quickly to scattered vesicles on upper body.  Vesicles resolved over 7 days.  No specific treatment given for vesicles.  Pt. was put into respiratory/contact isolation.
Age: 2.0
Sex: F
Vaccine: HEPA
Symptoms: Convulsion, Otitis media
Clinical narrative: Gave Hep A #1 on 2-3-05 @ 2:00 p.m. Child had a seizure on 2-5-05 around 1:00 p.m. Was taken to MD on 2-7-05 and was treated for an ear infection
Age: 74.0
Sex: F
Vaccine: FLU3
Symptoms: Chills, Pyrexia
Clinical narrative: Fever (103F) chills within 3 of vaccine assessed, following AM. Tx with OTC Tyl prn. Time course: 3 days.
Age: 79.0
Sex: F
Vaccine: FLU3
Symptoms: Coordination abnormal, Diplopia, Eyelid oedema, Facial palsy, Headache
Clinical narrative: 12/03/2004 Flu shot gA By 12 P on 12/03/2004 arm at site swollen, slight nausea. Evening 12/03/2004 upper left arm swollen, painful, headache, nausea. Self medicated with tylenol. 12/04-12/05 in bed because of HA, nausea, throbbing arm. 12/06 out of bed, packed up for trip. Sequence of adverse events, signs and symptoms, treatment. The following is an account by the patient given 02/18/2005. 12/03/04 Within hour of injection, site became red and tender, By three hours, her left upper arm was hard and swollen and she began to experience headaches and nausea (w/o vomiting). She self medicated with Tylenol and remained in bed 12/04-12/05 with continuing symptoms of headache, nausea and throbbing arm. On 12/06, she got out of bed to pack for pre-arranged trip to, On 12/08, she left for her trip. Up to this point she had not sought medical attention, On 12/08, she was seen by a physician (house call). At this point she was complaining of severe nausea and headache. Her arm swelling was down, but still painful. Treatment by MD : A "shot" for nausea. On 12/09 she was experiencing 1/2 facial drooping on the left side and was unable to open her left eyelid. On 12/10, she was referred to an Ophthalmologist who dx'd optic nerve involvement and made an emergency consult to a Neurologist. The neurologist prescribed mega doses of B1, B6, B12 and Gingko tablets and arranged for an MRT. Symptoms at this time included diplopia, balance difficulty and headache. On 12/12 she had a doppler of the head and neck. A diagnosis of Fisher Barre' was given. The Neurologist advised her to see her private physicain in the US two weeks after  she returned for follow up. On 01/18 she returned to the US. On 02/04 she was seen by a MD. A referral was made to  Ophthalmologist, who directed her to continue the prescription and exercises. She has a return visit scheduled with MD on 03/15.
Age: 79.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site swelling, Nausea, Optic neuritis, Pain
Clinical narrative: 12/03/2004 Flu shot gA By 12 P on 12/03/2004 arm at site swollen, slight nausea. Evening 12/03/2004 upper left arm swollen, painful, headache, nausea. Self medicated with tylenol. 12/04-12/05 in bed because of HA, nausea, throbbing arm. 12/06 out of bed, packed up for trip. Sequence of adverse events, signs and symptoms, treatment. The following is an account by the patient given 02/18/2005. 12/03/04 Within hour of injection, site became red and tender, By three hours, her left upper arm was hard and swollen and she began to experience headaches and nausea (w/o vomiting). She self medicated with Tylenol and remained in bed 12/04-12/05 with continuing symptoms of headache, nausea and throbbing arm. On 12/06, she got out of bed to pack for pre-arranged trip to, On 12/08, she left for her trip. Up to this point she had not sought medical attention, On 12/08, she was seen by a physician (house call). At this point she was complaining of severe nausea and headache. Her arm swelling was down, but still painful. Treatment by MD : A "shot" for nausea. On 12/09 she was experiencing 1/2 facial drooping on the left side and was unable to open her left eyelid. On 12/10, she was referred to an Ophthalmologist who dx'd optic nerve involvement and made an emergency consult to a Neurologist. The neurologist prescribed mega doses of B1, B6, B12 and Gingko tablets and arranged for an MRT. Symptoms at this time included diplopia, balance difficulty and headache. On 12/12 she had a doppler of the head and neck. A diagnosis of Fisher Barre' was given. The Neurologist advised her to see her private physicain in the US two weeks after  she returned for follow up. On 01/18 she returned to the US. On 02/04 she was seen by a MD. A referral was made to  Ophthalmologist, who directed her to continue the prescription and exercises. She has a return visit scheduled with MD on 03/15.
Age: 79.0
Sex: F
Vaccine: FLU3
Symptoms: Tenderness
Clinical narrative: 12/03/2004 Flu shot gA By 12 P on 12/03/2004 arm at site swollen, slight nausea. Evening 12/03/2004 upper left arm swollen, painful, headache, nausea. Self medicated with tylenol. 12/04-12/05 in bed because of HA, nausea, throbbing arm. 12/06 out of bed, packed up for trip. Sequence of adverse events, signs and symptoms, treatment. The following is an account by the patient given 02/18/2005. 12/03/04 Within hour of injection, site became red and tender, By three hours, her left upper arm was hard and swollen and she began to experience headaches and nausea (w/o vomiting). She self medicated with Tylenol and remained in bed 12/04-12/05 with continuing symptoms of headache, nausea and throbbing arm. On 12/06, she got out of bed to pack for pre-arranged trip to, On 12/08, she left for her trip. Up to this point she had not sought medical attention, On 12/08, she was seen by a physician (house call). At this point she was complaining of severe nausea and headache. Her arm swelling was down, but still painful. Treatment by MD : A "shot" for nausea. On 12/09 she was experiencing 1/2 facial drooping on the left side and was unable to open her left eyelid. On 12/10, she was referred to an Ophthalmologist who dx'd optic nerve involvement and made an emergency consult to a Neurologist. The neurologist prescribed mega doses of B1, B6, B12 and Gingko tablets and arranged for an MRT. Symptoms at this time included diplopia, balance difficulty and headache. On 12/12 she had a doppler of the head and neck. A diagnosis of Fisher Barre' was given. The Neurologist advised her to see her private physicain in the US two weeks after  she returned for follow up. On 01/18 she returned to the US. On 02/04 she was seen by a MD. A referral was made to  Ophthalmologist, who directed her to continue the prescription and exercises. She has a return visit scheduled with MD on 03/15.
Age: 30.0
Sex: M
Vaccine: TTOX
Symptoms: Blood glucose increased, Convulsion, Diabetes mellitus, Unevaluable event
Clinical narrative: See attached reports.
Age: 12.0
Sex: F
Vaccine: IPV, MMR, VARCEL
Symptoms: Dizziness, Heart rate increased, Oral intake reduced
Clinical narrative: Child complained of dizziness. Looked pale. No respiratory distresses observed or reported by patient. No hives were noted. Heart rate 150/mt of 70/62. Event lasted 1-2 minutes. Child was positioned with head down between legs. Family reported child had not eaten since the night before. Crackers and juice given. Observation before discharge.
Age: 5.0
Sex: M
Vaccine: DTAP
Symptoms: Injection site erythema, Injection site oedema, Injection site swelling
Clinical narrative: Edema to right deltoid 24 hours after IM. Mother brough child in to be evaluated. Area red, raised, no fever, no SOB. Tylenol given, cold compressi
Age: 0.49
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Injection site mass
Clinical narrative: Vaccine given 02/10/05. Child brought back in to the office on 02/17/05 for knot on right thigh at the injection site. No treatment given.
Age: 5.0
Sex: M
Vaccine: DTAP, MMR
Symptoms: Abnormal behaviour, Affect lability, Aggression, Conversion disorder, Erythema
Clinical narrative: Rec'd vaccines on 12/31/04. Swollen arm - elbow to shoulder, red,sore, sore throat, rash appeared Jan 1. Ate small amount of glitter glue on Jan 1. Was hysterical. Exhibited many neurological symptoms starting Jan 2. Weird hand, finger movements, obsessive compulsive behavior (germs,excess handwashing), high pitched crying/whining, regressive behavior, very emotional (crying,anger,clawing at my face & neck), sore throat. After 2 weeks was also spitting (1000 times/day), licking lips excessively until chapped and wiping mouth on sleeve. Most symptoms improved after 2 courses of antibiotics but still definitely not back to normal.
Age: 5.0
Sex: M
Vaccine: DTAP, MMR
Symptoms: High-pitched crying, Laboratory test abnormal, Neurological symptom, Oedema peripheral, Pharyngolaryngeal pain
Clinical narrative: Rec'd vaccines on 12/31/04. Swollen arm - elbow to shoulder, red,sore, sore throat, rash appeared Jan 1. Ate small amount of glitter glue on Jan 1. Was hysterical. Exhibited many neurological symptoms starting Jan 2. Weird hand, finger movements, obsessive compulsive behavior (germs,excess handwashing), high pitched crying/whining, regressive behavior, very emotional (crying,anger,clawing at my face & neck), sore throat. After 2 weeks was also spitting (1000 times/day), licking lips excessively until chapped and wiping mouth on sleeve. Most symptoms improved after 2 courses of antibiotics but still definitely not back to normal.
Age: 5.0
Sex: M
Vaccine: DTAP, MMR
Symptoms: Rash
Clinical narrative: Rec'd vaccines on 12/31/04. Swollen arm - elbow to shoulder, red,sore, sore throat, rash appeared Jan 1. Ate small amount of glitter glue on Jan 1. Was hysterical. Exhibited many neurological symptoms starting Jan 2. Weird hand, finger movements, obsessive compulsive behavior (germs,excess handwashing), high pitched crying/whining, regressive behavior, very emotional (crying,anger,clawing at my face & neck), sore throat. After 2 weeks was also spitting (1000 times/day), licking lips excessively until chapped and wiping mouth on sleeve. Most symptoms improved after 2 courses of antibiotics but still definitely not back to normal.
Age: 1.01
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Urticaria
Clinical narrative: Onset of Facial Urticaria within 15 seconds of administering MMR (IM) in one thigh and Varivax (IM) in the opposite thigh. Child in no acute distress. Vital signs stable. Benadryl (50mg/ml) 0.3 ml given IM within 5 minutes of the reaction.  Urticaria resolved quickly. Child observed over next 30 minutes and discharged home with instructions to call 911 if symptoms recurred and to continue giving Benadryl 12.5 mg p.o. q4 hours at home for at least 24 hours.
Age: 35.0
Sex: M
Vaccine: SMALL
Symptoms: Chills, Dry mouth, Pyrexia, Rash pruritic, Skin ulcer
Clinical narrative: APPROX 7 DAYS FOLLOWING SVP ADMINISTRATION HAD ONSET OF PRURITIC RASH LEFT ANTECUBITAL, SPREAD NOW TO BILATERAL ARMS, ABDOMEN, FACE; HAD FEVER AND CHILLS AND DRY MOUTH IN THE WEEK BEFORE NEW LESIONS APPEARED. NO TX UNTIL YESTERDAY, GIVEN ALLEGRA AND NSAID.