chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 15.0
Sex: M
Vaccine: HEP
Symptoms: Abdominal pain, Abscess, Bacterial infection, Coagulation time prolonged, Constipation
Clinical narrative: Alpha strep intermittent pneumonia, empyema, liver abscess, hepatic vein clot. 07/17/06-records received from Maine Med Ctr the receiving hospital for transfer of patient. DOS 5/11-5/19/06 DC Principal DX: Alpha strep intermedius pneumonia and bacteremia. DC Secondary DX: Empyema                             Liver abscess                             Hepatic vein clot                             Constipation                             Fact V Leiden heterogeneous deficiency Reason for Admission: Beginning symptoms present on 4/20/06 at time of hepatitis B vaccine. Three days later he developed fever, cough and vomiting and three days later PCP DX viral syndrome. Symptoms persisted included 7-10 pound weight loss and CXR revealed pneumonia. BC positive for alpha strep. Presented at ED for c/o persistent cough, abdominal pain and diarrhea. Admitted to ICU. Transferred to Maine Med Ctr. C/O SOB attributed to drainage of empyema. Hospital Course and Treatment: Ceftriaxone, gentamicin, heparin, enoxaparin .  DC included IV home therapy, enoxaparin sc. krk
Age: 15.0
Sex: M
Vaccine: HEP
Symptoms: Cough, Dyspnoea, Hepatocellular damage, Laboratory test abnormal, Pericardial effusion
Clinical narrative: Alpha strep intermittent pneumonia, empyema, liver abscess, hepatic vein clot. 07/17/06-records received from Maine Med Ctr the receiving hospital for transfer of patient. DOS 5/11-5/19/06 DC Principal DX: Alpha strep intermedius pneumonia and bacteremia. DC Secondary DX: Empyema                             Liver abscess                             Hepatic vein clot                             Constipation                             Fact V Leiden heterogeneous deficiency Reason for Admission: Beginning symptoms present on 4/20/06 at time of hepatitis B vaccine. Three days later he developed fever, cough and vomiting and three days later PCP DX viral syndrome. Symptoms persisted included 7-10 pound weight loss and CXR revealed pneumonia. BC positive for alpha strep. Presented at ED for c/o persistent cough, abdominal pain and diarrhea. Admitted to ICU. Transferred to Maine Med Ctr. C/O SOB attributed to drainage of empyema. Hospital Course and Treatment: Ceftriaxone, gentamicin, heparin, enoxaparin .  DC included IV home therapy, enoxaparin sc. krk
Age: 15.0
Sex: M
Vaccine: HEP
Symptoms: Pleural effusion, Pneumonia, Sepsis, Thrombosis, Vomiting
Clinical narrative: Alpha strep intermittent pneumonia, empyema, liver abscess, hepatic vein clot. 07/17/06-records received from Maine Med Ctr the receiving hospital for transfer of patient. DOS 5/11-5/19/06 DC Principal DX: Alpha strep intermedius pneumonia and bacteremia. DC Secondary DX: Empyema                             Liver abscess                             Hepatic vein clot                             Constipation                             Fact V Leiden heterogeneous deficiency Reason for Admission: Beginning symptoms present on 4/20/06 at time of hepatitis B vaccine. Three days later he developed fever, cough and vomiting and three days later PCP DX viral syndrome. Symptoms persisted included 7-10 pound weight loss and CXR revealed pneumonia. BC positive for alpha strep. Presented at ED for c/o persistent cough, abdominal pain and diarrhea. Admitted to ICU. Transferred to Maine Med Ctr. C/O SOB attributed to drainage of empyema. Hospital Course and Treatment: Ceftriaxone, gentamicin, heparin, enoxaparin .  DC included IV home therapy, enoxaparin sc. krk
Age: 1.0
Sex: F
Vaccine: MMRV, MMRV
Symptoms: Depressed level of consciousness, Diarrhoea, Gaze palsy, Retching, Vomiting projectile
Clinical narrative: Minutes after administration of the vaccine Proquad (MMR and Varicella) this 12 month female experienced projectile vomiting (4-5x), dry heaves, became difficult to arouse and her eyes rolled to the back of her eyes. She was transported to the nearest ER and received fluids, Benadryl oral solumedrol. Admitted for observation. She also experienced several episodes of diarrhea. 06/30/06-3 page office note for date of vaccination 5/10/06, received from pediatrician's office. Documentation of events subsequent to Pediarix, HIB and Prevnar: 2 minutes after injections pt was fussy, alert appeared well hydrated and cardiovascular and pulmonary exams were normal, abd soft, nontender, no redness @ injection site. During injection patient was bottled fed. Discussed with mother that patient likely vomiting secondary to crying or possible new onset virus. Patient had 2nd small emesis, unlikely secondary to injection to occur so fast after the injection and no other symptoms. According to nursing staff, patient worsened significantly in following minutes became pale, limp with continued vomiting. During preparation for transfer to ED physician observed patient to appear pale, limp and appeared to have altered mental status by not responding appropriately to surrounding stimuli.  07/17/06-received lab test result from facility-Sickle Screen:negative.  8/03/06-contacted hospital, no records available. contacted DO office, will fax copy of DC summary to my attention.  8/8/06-DC Summary for DOX 6/23-6/24/06 DC DX: Altered level of consciousness-rule out reaction to immunization.              Vomiting-Rule out viral syndrome             History of trauma 10 days previous-negative CT of the brain. PMH: positive for allergy requiring hospitalization in the past.              CT of brain, toxicology screen, drug screen, CBC and lytes normal. While in hospital patient had continued diarrhea with multiple stool cultures pending results. The patient, however, neurologically was stable and had no  further episodes of any of the above reaction.   On 6/12/06 seen in ER :Outdoor and hit face on cemet, no LOC no emesis. At that time, alert, dental exam: tooth #7 concussed not loose, lip swollen, forehead abrasion.
Age: 1.0
Sex: F
Vaccine: MMRV, MMRV
Symptoms: Anaphylactic reaction, Diarrhoea, Hypersensitivity, Hypotonia, Hypoxia
Clinical narrative: Minutes after administration of the vaccine Proquad (MMR and Varicella) this 12 month female experienced projectile vomiting (4-5x), dry heaves, became difficult to arouse and her eyes rolled to the back of her eyes. She was transported to the nearest ER and received fluids, Benadryl oral solumedrol. Admitted for observation. She also experienced several episodes of diarrhea. 06/30/06-3 page office note for date of vaccination 5/10/06, received from pediatrician's office. Documentation of events subsequent to Pediarix, HIB and Prevnar: 2 minutes after injections pt was fussy, alert appeared well hydrated and cardiovascular and pulmonary exams were normal, abd soft, nontender, no redness @ injection site. During injection patient was bottled fed. Discussed with mother that patient likely vomiting secondary to crying or possible new onset virus. Patient had 2nd small emesis, unlikely secondary to injection to occur so fast after the injection and no other symptoms. According to nursing staff, patient worsened significantly in following minutes became pale, limp with continued vomiting. During preparation for transfer to ED physician observed patient to appear pale, limp and appeared to have altered mental status by not responding appropriately to surrounding stimuli.  07/17/06-received lab test result from facility-Sickle Screen:negative.  8/03/06-contacted hospital, no records available. contacted DO office, will fax copy of DC summary to my attention.  8/8/06-DC Summary for DOX 6/23-6/24/06 DC DX: Altered level of consciousness-rule out reaction to immunization.              Vomiting-Rule out viral syndrome             History of trauma 10 days previous-negative CT of the brain. PMH: positive for allergy requiring hospitalization in the past.              CT of brain, toxicology screen, drug screen, CBC and lytes normal. While in hospital patient had continued diarrhea with multiple stool cultures pending results. The patient, however, neurologically was stable and had no  further episodes of any of the above reaction.   On 6/12/06 seen in ER :Outdoor and hit face on cemet, no LOC no emesis. At that time, alert, dental exam: tooth #7 concussed not loose, lip swollen, forehead abrasion.
Age: 1.0
Sex: F
Vaccine: MMRV, MMRV
Symptoms: Loss of consciousness, Pallor, Respiratory distress, Vomiting
Clinical narrative: Minutes after administration of the vaccine Proquad (MMR and Varicella) this 12 month female experienced projectile vomiting (4-5x), dry heaves, became difficult to arouse and her eyes rolled to the back of her eyes. She was transported to the nearest ER and received fluids, Benadryl oral solumedrol. Admitted for observation. She also experienced several episodes of diarrhea. 06/30/06-3 page office note for date of vaccination 5/10/06, received from pediatrician's office. Documentation of events subsequent to Pediarix, HIB and Prevnar: 2 minutes after injections pt was fussy, alert appeared well hydrated and cardiovascular and pulmonary exams were normal, abd soft, nontender, no redness @ injection site. During injection patient was bottled fed. Discussed with mother that patient likely vomiting secondary to crying or possible new onset virus. Patient had 2nd small emesis, unlikely secondary to injection to occur so fast after the injection and no other symptoms. According to nursing staff, patient worsened significantly in following minutes became pale, limp with continued vomiting. During preparation for transfer to ED physician observed patient to appear pale, limp and appeared to have altered mental status by not responding appropriately to surrounding stimuli.  07/17/06-received lab test result from facility-Sickle Screen:negative.  8/03/06-contacted hospital, no records available. contacted DO office, will fax copy of DC summary to my attention.  8/8/06-DC Summary for DOX 6/23-6/24/06 DC DX: Altered level of consciousness-rule out reaction to immunization.              Vomiting-Rule out viral syndrome             History of trauma 10 days previous-negative CT of the brain. PMH: positive for allergy requiring hospitalization in the past.              CT of brain, toxicology screen, drug screen, CBC and lytes normal. While in hospital patient had continued diarrhea with multiple stool cultures pending results. The patient, however, neurologically was stable and had no  further episodes of any of the above reaction.   On 6/12/06 seen in ER :Outdoor and hit face on cemet, no LOC no emesis. At that time, alert, dental exam: tooth #7 concussed not loose, lip swollen, forehead abrasion.
Age: 18.0
Sex: F
Vaccine: MNQ
Symptoms: Headache, Malaise, Neck pain, Pyrexia, Vomiting
Clinical narrative: 6/23/06 PM Per mom, patient complained of feeling ill and had low grade fever. Fever up to 104.6 with vomiting, headache, neck pain. Started on Zithromax 6/24/06. Taken to ER 6/25/06 due to no improvement in symptoms. Patient in to see doctor at office 6/26/06.
Age: 38.0
Sex: F
Vaccine: HEP
Symptoms: Chills, Cough, Dyspnoea, Pruritus, Tinnitus
Clinical narrative: Administered HBV at 11:30 AM; immediate symptoms: itching in throat, ringing in ears, eye lid itching, cough. 45 minutes later, SOB with chills (after Epi pen, Benadryl, Cortisone). Sent to ER: O2, Prednisone.
Age: 4.0
Sex: F
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Erythema, Swelling
Clinical narrative: Large amount of swelling and redness.
Age: 5.0
Sex: M
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Skin striae, Swelling
Clinical narrative: 6/21/06 Vaccine administered. 6/22/06 Arm swollen. 6/23/06 Left arm swollen from shoulder to elbow, red streaks. 6/23/06 Seen at clinic. Prednisone 5mg and Cephalexin QID for 4 days.
Age: 67.0
Sex: M
Vaccine: PPV
Symptoms: Erythema, Hyperhidrosis, Infection, Pain, Pyrexia
Clinical narrative: Red and sore with infection Pneumovax 2.5 days achy, temp, sweating.
Sex: M
Vaccine: MMR
Symptoms: Injection site erythema, Injection site swelling, Medication error
Clinical narrative: Mild redness, swelling to injection site.
Age: 1.3
Sex: F
Vaccine: HIBV, MMRV
Symptoms: Erythema, Injection site induration
Clinical narrative: 2 circular areas 1 inch in diameter and induration.  Erythema.   Treated w/ ice compresses.
Age: 15.0
Sex: F
Vaccine: MNQ, TDAP
Symptoms: Fall, Loss of consciousness
Clinical narrative: Initial report received on 6/19/06 from a healthcare professional. A 14 year old female patient with no significant medical history had received an IM dose of Adacel, lot number C2457AA, in the left upper arm and an IM dose of Menactra, lot number U2057AA, in the right upper arm on 6/6/06. Approximately five minutes post immunization, the patient lost consciousness and fell off the exam table onto the floor. The patient was unconscious for one minute, and was subsequently evaluated by the physician. No treatment was provided and no diagnostic testing, or laboratory data were performed. Reportedly, the patient did not have any illnesses at the time of the vaccinations. At the time of this report, the patient had recovered from these events. The reporter for this case is the same as for cases 200601529 and 200601530. (OMIC)
Age: 14.0
Sex: F
Vaccine: MNQ, TDAP
Symptoms: Loss of consciousness
Clinical narrative: Initial report was received on 6/19/06 from a health care professional. A 14 year old female patient with no significant medical history had received an IM dose of Adacel, lot number C2457AA, in the left upper arm and an IM dose of Menactra, lot number U2057AA, in the left upper arm on 6/12/06. Eight minutes post immunization, the patient lost consciousness for one minute. She was subsequently evaluated by the physician. The patient had no reported illnesses at the time of the vaccinations. No treatment was given and no diagnostic tests, or laboratory data were performed. At the time of this report, the patient had recovered from these events. The reporter for this case is the same as for cases 200601528 and 200601530. (OMIC)
Age: 18.0
Sex: M
Vaccine: MNQ, TDAP
Symptoms: Asthenia, Dizziness, Nausea, Pyrexia, Vomiting
Clinical narrative: Nausea, vomiting, dizziness, fever, weakness.
Age: 19.0
Sex: M
Vaccine: MNQ, MNQ, MNQ
Symptoms: Asthenia, Dizziness, Fatigue, Hyperhidrosis, Loss of consciousness
Clinical narrative: Within a few minutes of receiving the Menactra vaccine, felt light-headed, sat down, then suddenly arched his back, fell backwards on his chair, lost consciousness. Denied feeling tightness in chest or throat. Became diaphoretic, vomiting x2. BP 124/60. Remained diaphoretic, nauseated, weak for less than 45 minutes in office, then observed by parent at home - had gradual recovery. Seen back in office at 5:30 PM, still feeling al little tired and weak.
Age: 19.0
Sex: M
Vaccine: MNQ, MNQ, MNQ
Symptoms: Nausea, Opisthotonus, Vomiting
Clinical narrative: Within a few minutes of receiving the Menactra vaccine, felt light-headed, sat down, then suddenly arched his back, fell backwards on his chair, lost consciousness. Denied feeling tightness in chest or throat. Became diaphoretic, vomiting x2. BP 124/60. Remained diaphoretic, nauseated, weak for less than 45 minutes in office, then observed by parent at home - had gradual recovery. Seen back in office at 5:30 PM, still feeling al little tired and weak.
Age: 19.0
Sex: M
Vaccine: MNQ, MNQ, MNQ
Symptoms: Anorexia, Eye movement disorder, Hyperhidrosis, Loss of consciousness, Pallor
Clinical narrative: Within a few minutes of receiving the Menactra vaccine, felt light-headed, sat down, then suddenly arched his back, fell backwards on his chair, lost consciousness. Denied feeling tightness in chest or throat. Became diaphoretic, vomiting x2. BP 124/60. Remained diaphoretic, nauseated, weak for less than 45 minutes in office, then observed by parent at home - had gradual recovery. Seen back in office at 5:30 PM, still feeling al little tired and weak.
Age: 19.0
Sex: M
Vaccine: MNQ, MNQ, MNQ
Symptoms: Somnolence, Vomiting
Clinical narrative: Within a few minutes of receiving the Menactra vaccine, felt light-headed, sat down, then suddenly arched his back, fell backwards on his chair, lost consciousness. Denied feeling tightness in chest or throat. Became diaphoretic, vomiting x2. BP 124/60. Remained diaphoretic, nauseated, weak for less than 45 minutes in office, then observed by parent at home - had gradual recovery. Seen back in office at 5:30 PM, still feeling al little tired and weak.
Age: 19.0
Sex: M
Vaccine: MNQ, MNQ, MNQ
Symptoms: Asthenia, Dizziness, Fall, Fatigue, Hyperhidrosis
Clinical narrative: Within a few minutes of receiving the Menactra vaccine, felt light-headed, sat down, then suddenly arched his back, fell backwards on his chair, lost consciousness. Denied feeling tightness in chest or throat. Became diaphoretic, vomiting x2. BP 124/60. Remained diaphoretic, nauseated, weak for less than 45 minutes in office, then observed by parent at home - had gradual recovery. Seen back in office at 5:30 PM, still feeling al little tired and weak.
Age: 19.0
Sex: M
Vaccine: MNQ, MNQ, MNQ
Symptoms: Loss of consciousness, Nausea, Opisthotonus, Vomiting
Clinical narrative: Within a few minutes of receiving the Menactra vaccine, felt light-headed, sat down, then suddenly arched his back, fell backwards on his chair, lost consciousness. Denied feeling tightness in chest or throat. Became diaphoretic, vomiting x2. BP 124/60. Remained diaphoretic, nauseated, weak for less than 45 minutes in office, then observed by parent at home - had gradual recovery. Seen back in office at 5:30 PM, still feeling al little tired and weak.
Sex: M
Vaccine: MNQ, MNQ, MNQ
Symptoms: Asthenia, Dizziness, Fatigue, Hyperhidrosis, Loss of consciousness
Clinical narrative: Twin brother received same vax a week prior with no problems. After receiving vax, patient in waiting room and passed out. Started vomiting, sweating profusely, was very pale. It was hard for him to come out of it. Mom picked patient up at 1:20 PM. Mother noticed that his clothes were soaking wet. Because of vomiting, sugar water being given by staff did not help. Mother noticed that his eyes were rolling to back of head. Finally was able to slowly walk to car to go home. Patient vomited 3 times at doctor's and once in car on way home. Color came back by 2:45 but couldn't open eyes but could respond, couldn't eat or drink. Doctor requested for parent to bring patient back to office by 5:20 after evaluation; mentioned it was some type of reaction to vax and recommended rest for next couple of days. Today patient does not have much appetite and patient woke up today at 12:30, has been sleeping since arrived home yesterday--almost 24 hours ago--except for time spent at doctor's office for check up.
Sex: M
Vaccine: MNQ, MNQ, MNQ
Symptoms: Nausea, Opisthotonus, Vomiting
Clinical narrative: Twin brother received same vax a week prior with no problems. After receiving vax, patient in waiting room and passed out. Started vomiting, sweating profusely, was very pale. It was hard for him to come out of it. Mom picked patient up at 1:20 PM. Mother noticed that his clothes were soaking wet. Because of vomiting, sugar water being given by staff did not help. Mother noticed that his eyes were rolling to back of head. Finally was able to slowly walk to car to go home. Patient vomited 3 times at doctor's and once in car on way home. Color came back by 2:45 but couldn't open eyes but could respond, couldn't eat or drink. Doctor requested for parent to bring patient back to office by 5:20 after evaluation; mentioned it was some type of reaction to vax and recommended rest for next couple of days. Today patient does not have much appetite and patient woke up today at 12:30, has been sleeping since arrived home yesterday--almost 24 hours ago--except for time spent at doctor's office for check up.
Sex: M
Vaccine: MNQ, MNQ, MNQ
Symptoms: Anorexia, Eye movement disorder, Hyperhidrosis, Loss of consciousness, Pallor
Clinical narrative: Twin brother received same vax a week prior with no problems. After receiving vax, patient in waiting room and passed out. Started vomiting, sweating profusely, was very pale. It was hard for him to come out of it. Mom picked patient up at 1:20 PM. Mother noticed that his clothes were soaking wet. Because of vomiting, sugar water being given by staff did not help. Mother noticed that his eyes were rolling to back of head. Finally was able to slowly walk to car to go home. Patient vomited 3 times at doctor's and once in car on way home. Color came back by 2:45 but couldn't open eyes but could respond, couldn't eat or drink. Doctor requested for parent to bring patient back to office by 5:20 after evaluation; mentioned it was some type of reaction to vax and recommended rest for next couple of days. Today patient does not have much appetite and patient woke up today at 12:30, has been sleeping since arrived home yesterday--almost 24 hours ago--except for time spent at doctor's office for check up.
Sex: M
Vaccine: MNQ, MNQ, MNQ
Symptoms: Somnolence, Vomiting
Clinical narrative: Twin brother received same vax a week prior with no problems. After receiving vax, patient in waiting room and passed out. Started vomiting, sweating profusely, was very pale. It was hard for him to come out of it. Mom picked patient up at 1:20 PM. Mother noticed that his clothes were soaking wet. Because of vomiting, sugar water being given by staff did not help. Mother noticed that his eyes were rolling to back of head. Finally was able to slowly walk to car to go home. Patient vomited 3 times at doctor's and once in car on way home. Color came back by 2:45 but couldn't open eyes but could respond, couldn't eat or drink. Doctor requested for parent to bring patient back to office by 5:20 after evaluation; mentioned it was some type of reaction to vax and recommended rest for next couple of days. Today patient does not have much appetite and patient woke up today at 12:30, has been sleeping since arrived home yesterday--almost 24 hours ago--except for time spent at doctor's office for check up.
Sex: M
Vaccine: MNQ, MNQ, MNQ
Symptoms: Asthenia, Dizziness, Fall, Fatigue, Hyperhidrosis
Clinical narrative: Twin brother received same vax a week prior with no problems. After receiving vax, patient in waiting room and passed out. Started vomiting, sweating profusely, was very pale. It was hard for him to come out of it. Mom picked patient up at 1:20 PM. Mother noticed that his clothes were soaking wet. Because of vomiting, sugar water being given by staff did not help. Mother noticed that his eyes were rolling to back of head. Finally was able to slowly walk to car to go home. Patient vomited 3 times at doctor's and once in car on way home. Color came back by 2:45 but couldn't open eyes but could respond, couldn't eat or drink. Doctor requested for parent to bring patient back to office by 5:20 after evaluation; mentioned it was some type of reaction to vax and recommended rest for next couple of days. Today patient does not have much appetite and patient woke up today at 12:30, has been sleeping since arrived home yesterday--almost 24 hours ago--except for time spent at doctor's office for check up.
Sex: M
Vaccine: MNQ, MNQ, MNQ
Symptoms: Loss of consciousness, Nausea, Opisthotonus, Vomiting
Clinical narrative: Twin brother received same vax a week prior with no problems. After receiving vax, patient in waiting room and passed out. Started vomiting, sweating profusely, was very pale. It was hard for him to come out of it. Mom picked patient up at 1:20 PM. Mother noticed that his clothes were soaking wet. Because of vomiting, sugar water being given by staff did not help. Mother noticed that his eyes were rolling to back of head. Finally was able to slowly walk to car to go home. Patient vomited 3 times at doctor's and once in car on way home. Color came back by 2:45 but couldn't open eyes but could respond, couldn't eat or drink. Doctor requested for parent to bring patient back to office by 5:20 after evaluation; mentioned it was some type of reaction to vax and recommended rest for next couple of days. Today patient does not have much appetite and patient woke up today at 12:30, has been sleeping since arrived home yesterday--almost 24 hours ago--except for time spent at doctor's office for check up.
Age: 19.0
Sex: M
Vaccine: MNQ
Symptoms: Asthenia, Chills, Muscular weakness
Clinical narrative: Woke up 6/20/06 with chills, weakness - especially in arms. Total body weakness.
Age: 0.18
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Irritability, Pyrexia
Clinical narrative: Fever 102.3 rectally and increased fussiness that started in evening of 6/26/06. Patient was seen in office 6/27/06 and evaluated by doctor and patient's mom instructed to give Tylenol Q 4 for 24 hours, keep hydrated and follow up as necessary.
Age: 49.0
Sex: F
Vaccine: IPV, TDAP, TYP
Symptoms: Hypokinesia, Injection site erythema, Injection site induration, Injection site swelling, Lymphadenopathy
Clinical narrative: Tdap and IPV given 6/19/06 - seen in clinic post injections 6/23/06. Left deltoid swollen, tight to touch with erythema extending about 4 inches from site. Node swollen left axilla. Patient is a nurse - states she had difficulty holding a speculum next day post injection.
Age: 5.0
Sex: F
Vaccine: DTAP, HEPA, IPV
Symptoms: Cellulitis, Injection site erythema, Injection site reaction, Injection site swelling, Injection site warmth
Clinical narrative: On 6/22/06, patient's left deltoid area became increasingly red, swollen, and warm. On 6/23/06, patient evaluated in clinic - observed left deltoid to have 6-8cmx6-8cm area of erythema, edema, warmth. DX: cellulitis. Treated with Augmentin PO BID for 10 days.
Age: 49.0
Sex: M
Vaccine: TYP, YF
Symptoms: Asthenia, Fatigue, Influenza like illness, Pyrexia
Clinical narrative: No complaints Friday.  Called in and talked to contact Thursday March07, 2006 AM suddenly weak, wiped out, (low grade fever (flu symptoms)-going to MD, stayed home wed.  Phone check in with wife wed-to recall friday 03/10/2006 contact tried three times for follow up and was unable to get any information other than the client had returned to work.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV
Symptoms: Fatigue, Injection site pain, Pyrexia, Vomiting
Clinical narrative: Soreness at site of immunization later that day, Following day fever that reached 101.6, tiredness, and vomiting.
Age: 0.83
Sex: F
Vaccine: HIBV, PNC, VARCEL
Symptoms: Convulsion, Otitis media, Pyrexia, Rash, Vomiting
Clinical narrative: Had a temp the night before vaccines: exam in office was normal and no temp: vaccines given, that night 2 spells and went to ED and DX of Otitis Media and vomiting.  / of 2 febrile seizures.  Rx with Augmentin in ED.  Exam 2 days later was normal except for a viral like exanthem on the trunk, TMs were normal on that exam
Age: 20.0
Sex: M
Vaccine: SMALL, SMALL
Symptoms: Injection site erythema, Myalgia, Pyrexia, Swelling
Clinical narrative: Presented on 22June06 with c/o myalgia and fever and erythema at vaccination site. Followed up at ER on 23June06 for increased erythema from quarter size on the 22nd to 11x14cm in diameter. Swelling and erythema continued and followed up at ER on 25June06. Was given Clindamycin at that time. Seen on 26June06 for follow up and area is much improved. Diagnosed as Smallpox reaction with secondary infection. To continue antibiotic treatment and follow up prn.
Age: 20.0
Sex: M
Vaccine: SMALL, SMALL
Symptoms: Cellulitis, Injection site reaction, Malaise, Nausea, Vomiting
Clinical narrative: Presented on 22June06 with c/o myalgia and fever and erythema at vaccination site. Followed up at ER on 23June06 for increased erythema from quarter size on the 22nd to 11x14cm in diameter. Swelling and erythema continued and followed up at ER on 25June06. Was given Clindamycin at that time. Seen on 26June06 for follow up and area is much improved. Diagnosed as Smallpox reaction with secondary infection. To continue antibiotic treatment and follow up prn.
Age: 58.0
Sex: F
Vaccine: DT
Symptoms: Hypersensitivity, Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Delayed hypersensitivity to TD vac, 5 x 4.5 cm erythematous, warm, edematous area left deltoid, applied neosporin ontment and gave Zyrtec 10 mgs one per day for five days.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Erythema, Injection site swelling, Injection site warmth, Pain
Clinical narrative: Slightly red and knotted the night vaccine given. Noticed last night reddness, warm to touch and "hurts". Today still red, warm and raised 2"x3" centering over where varicella vaccine given.
Age: 29.0
Sex: M
Vaccine: ANTH, SMALL
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Pyrexia, Rash pustular
Clinical narrative: Presented on 26June06 with c/o pustules to L shoulder, L neck, L side of chin, and L thigh following smallpox vaccination on 15June06. Reports feeling feverish previous week with pustule formations beginning at that time. C/O tenderness to smallpox vaccination site. Seen at ER on 25June06. Area of erythema and swelling to vaccination site measured 6 inches by 6 inches.
Age: 5.0
Sex: F
Vaccine: VARCEL
Symptoms: Injection site erythema, Injection site reaction, Injection site vesicles
Clinical narrative: Localized injection reaction, small red blisters on left thigh.  Symptomatic tx w/ ice.
Age: 12.0
Sex: M
Vaccine: MNQ, TDAP
Symptoms: Headache
Clinical narrative: ONSET C/O HEADACHE 2 HOURS AFTER RECEIVING VACCINES.  IS TAKING IBUPROFEN, WITHOUT PROLONGED RELIEF.  H/A NOW FOR 48 HOURS.  REFERRED TO PRIMARY CARE PHYSICIAN, AND PARENT IS NOW WAITING TO HEAR FROM P.C.P.
Age: 55.0
Sex: M
Vaccine: HEPAB, MMR, TDAP
Symptoms: Ear pain, Fatigue, Lymphadenopathy, Musculoskeletal stiffness, Pain in jaw
Clinical narrative: Patient was sick in bed June 19 and 20th.  On June 24 he woke up with some pain and irritation over his right jaw and noted the right parotid gland be swollen.  He complains of fatigue joint aches right sided earache stiff neck.  Gland has continued to enlarge.
Age: 55.0
Sex: M
Vaccine: HEPAB, MMR, TDAP
Symptoms: Skin irritation
Clinical narrative: Patient was sick in bed June 19 and 20th.  On June 24 he woke up with some pain and irritation over his right jaw and noted the right parotid gland be swollen.  He complains of fatigue joint aches right sided earache stiff neck.  Gland has continued to enlarge.
Age: 45.0
Sex: F
Vaccine: TDAP
Symptoms: Asthenia, Injection site erythema, Injection site swelling, Irritability, Pyrexia
Clinical narrative: Tdap given IM RA - extreme swelling/redness approximately 4 hours after injection with low grade temp, irritability, weakness. Symptoms worsened and persisted for 2 days, 6/19-6/21. Resolved with NSAIDS, ice pack, rest. Continued to work 8-5.
Age: 36.0
Sex: F
Vaccine: MMR
Symptoms: Arthralgia, Dizziness, Fatigue, Nausea
Clinical narrative: Complaints of dizzy, nausea, fatigue, knee and ankle joint pain. Had adverse reactions to MMR vaccine on 6/21/06 in the afternoon began to feel very nauseated and dizzy which continued into Thursday in which time she had to leave work and see the doctor and he stated it was probably because of the vaccine. Employee later called on Saturday due to persistent symptoms in which time he prescribed the Compazine. Employee states that she felt much better after that. She also reports symptoms of knee and ankle joint pain and fatigue last Wednesday through today. She states that she is now feeling much better and is able to continue with activities.
Age: 4.0
Sex: M
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Cellulitis, Injection site reaction, Injection site swelling, Injection site warmth, Oedema
Clinical narrative: Child received DTaP/Hep A left biceps and MMR/IPV on right 6/21/06. He presented 6/23/06 with edema, swelling (proximal -->distal) of left biceps/arm. Positive warmth to touch, febrile, biceps circumference L >> R. Started on Augmentin for cellulitis. Mother declined Rocephin.
Age: 34.0
Sex: F
Vaccine: TYP
Symptoms: Pruritus, Rash, Urticaria
Clinical narrative: Patient purchased PO Typhoid pills 6/8/06. Consumed #1 pill 6/14, #2 pill 6/16, #3 pill 6/18, #4 pill 6/20/06. Developed itchy rash on arms 6/18/06. Today rash has generalized to a fine, angry, clustered rash with welts on her legs. She showed rash to a pharmacist who recommended Benadryl. Intervention/intervened patient to check with PCP, no other new meds, soaps, detergents, foods introduced recently. Go to ER if respiratory problems develop. Plan: call Friday to check on progress. 6/23 -  message left. 6/27 - message left TAM, no response.
Age: 4.0
Sex: M
Vaccine: HEPA, MMR
Symptoms: Injection site erythema, Injection site induration, Oedema peripheral, Tremor, Vomiting
Clinical narrative: 7 hours after shots developed vomiting associated with shaking (not felt to be seizure), local swelling of entire right thigh 2 1/4-5 inch discrepancy in circumference, 5x7 inch area erythema and induration.
Age: 49.0
Sex: F
Vaccine: PPV
Symptoms: Asthma, Injection site erythema, Injection site swelling, Pyrexia, Rhinitis allergic
Clinical narrative: Redness at injection site (by patient description), swelling, temp to 103 F, no itching, no wheeze.
Age: 0.64
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Injection site erythema, Injection site induration, Injection site pain
Clinical narrative: Firm, tender erythematous swelling lateral part left thigh.
Age: 1.1
Sex: M
Vaccine: MMR, PNC, VARCEL
Symptoms: Erythema, Rash
Clinical narrative: After 10 minutes, mom noticed a reddish, bump rash on patient's left arm. Patient was behaving normal and no unusual symptoms other than the outbreak of rash (MMR shot).
Age: 51.0
Sex: F
Vaccine: TTOX, UNK
Symptoms: Injection site pain, Injection site swelling, Muscle atrophy, Muscle spasms, Myalgia
Clinical narrative: Severe swelling at injection site, severe muscle pain in right arm (injection arm) that has now progressed to both arms and legs and feet. Cramping and muscle wasting with loss of muscle tone and strength. Pain in arms and legs daily.
Age: 51.0
Sex: F
Vaccine: TTOX, UNK
Symptoms: Thyroiditis
Clinical narrative: Severe swelling at injection site, severe muscle pain in right arm (injection arm) that has now progressed to both arms and legs and feet. Cramping and muscle wasting with loss of muscle tone and strength. Pain in arms and legs daily.
Age: 51.0
Sex: F
Vaccine: TTOX, UNK
Symptoms: Injection site pain, Injection site swelling, Muscle atrophy, Muscle spasms, Myalgia
Clinical narrative: Developed auto-immune thyroiditis (Hashimoto's disease)
Age: 51.0
Sex: F
Vaccine: TTOX, UNK
Symptoms: Thyroiditis
Clinical narrative: Developed auto-immune thyroiditis (Hashimoto's disease)
Age: 46.0
Sex: M
Vaccine: SMALL
Symptoms: Injection site abscess, Injection site reaction, Injection site vesicles, Rash pustular
Clinical narrative: Recurring pustular rash similar to initial major vaccine reaction - 4 months out. With pustular drainage/clear vesicles and scabbing extending around the initial vaccine area - approximately 5x9 cm in size.
Age: 0.33
Sex: M
Vaccine: MNQ
Symptoms: Medication error
Clinical narrative: 0.5 cc Meningococcal Conjugate Vaccine (MCV) given IM left lateral thigh (instead of Prevnar). This is follow-up on menactra vaccine inadvertentily given on 6/27/06. Client was in today. No problems; No fever; No redness or warmth site.
Age: 1.26
Sex: M
Vaccine: DTAP, HIBV, MMR
Symptoms: Abasia, Pyrexia, Screaming
Clinical narrative: WITH IN 4 HRS AFTER RECEIVING THE DTAP THE PATIENT HAD A FEVER OF 103 AND INTENSE SCREAMING PT WOULD NOT WALK ON LEG THIS LASTED FOR 24 HRS.
Age: 59.0
Sex: M
Vaccine: PPV
Symptoms: Erythema, Swelling
Clinical narrative: Red, swollen arm day after Pneumovax administered.  Prednisone and Keflex prescribed.
Age: 57.0
Sex: M
Vaccine: PPV
Symptoms: Erythema, Swelling
Clinical narrative: Red, swollen arm day after Pneumovax.  Presented to ER two days after Pneumovax.  Treatment unknown.
Age: 29.0
Sex: M
Vaccine: SMALL
Symptoms: Cow pox, Pain, Rash erythematous
Clinical narrative: Received Small pox vaccination on 6 June 2006. Patient had mild fever two days following. On 19 June 2006, patient had red bumps on hands, elbows, and knees. Bumps were red and sore to the touch.
Age: 73.0
Sex: M
Vaccine: IPV, YF
Symptoms: Paralysis
Clinical narrative: I am not sure if there is a connection, but I received a polio booster shot on Jan. 19, pre-overseas travel. After my return, about 7 weeks later overt symptoms began.  I was diagnosed with ideopathic bilateral paralyzed diaphragm. I wonder if there is a 1/1 million chance of a connection.
Age: 4.0
Sex: M
Vaccine: MMR
Symptoms: Abnormal behaviour, Activities of daily living impaired, Attention deficit/hyperactivity disorder, Autism spectrum disorder, Diarrhoea
Clinical narrative: Had diarrhea following his vaccinations with the MMR. His first inocculation with MMR was in 1999 and he also experienced a failure to gain additional speech abilities following it. This led to his preschool teacher refering him to the county for a hearing and developmental evaluation. He received speech/language services throught the county and was not able to speak effectively until he was four. Following the second innoculation, his speech did not regress further; however, his behavior changed and became significantly more of a concern. He exhibits ADHD characteristics and is currently being evaluated by a physician, for this autism spectrum disorder. It is my belief that following the bouts of diarrhea, his behavior and abilities declined. I'm also concerned that his sister may have become (more) ill after they bathed together, following his post-vaccination illness. She has been diagnosed with autism. 07/05/06-received 16 page medical record from pediatrician's office-notes document well baby visits from DOB to 08/22/05-parents concerns at 1 year regarding congestion, MD DX newborn congestion or laryngomalacia, occasional rash on legs/eczema. At 18 months speaking 4-5 words, at visit of 9/24/02, concerned regarding speech is not completely intelligible, he has had evaluation with the county but parents concerned about him being labeled as having a "handicapped condition." At 2/24/03 visit concerned about gaining 1 inch in 6 months but this is normal, also impulsive at preschool. MD indicated he may have attention deficit hyperactivity disorder. On 6/9/05 MD discussed DSMIV criteria for attention-deficient hyperactivity disorder, he does not equivocally meet the A. (1) criteria (inattention) but does meet the A. (2) criteria. Parents concerned that a biochemical abnormality is causing some problems. On 7/2/03 receiving speech therapy at school, recommended that he continue on with kindergarten. Concerns about his focus and activity level this seems to wax and want. Visit of 8/22/05, DX pectus excavation, inferior thorax. 60 day Follow-up Information 29-SEP-2006: ADHD behaviors. Multiple food allergies - soy, walnuts, sesame.
Age: 4.0
Sex: M
Vaccine: MMR
Symptoms: Food allergy
Clinical narrative: Had diarrhea following his vaccinations with the MMR. His first inocculation with MMR was in 1999 and he also experienced a failure to gain additional speech abilities following it. This led to his preschool teacher refering him to the county for a hearing and developmental evaluation. He received speech/language services throught the county and was not able to speak effectively until he was four. Following the second innoculation, his speech did not regress further; however, his behavior changed and became significantly more of a concern. He exhibits ADHD characteristics and is currently being evaluated by a physician, for this autism spectrum disorder. It is my belief that following the bouts of diarrhea, his behavior and abilities declined. I'm also concerned that his sister may have become (more) ill after they bathed together, following his post-vaccination illness. She has been diagnosed with autism. 07/05/06-received 16 page medical record from pediatrician's office-notes document well baby visits from DOB to 08/22/05-parents concerns at 1 year regarding congestion, MD DX newborn congestion or laryngomalacia, occasional rash on legs/eczema. At 18 months speaking 4-5 words, at visit of 9/24/02, concerned regarding speech is not completely intelligible, he has had evaluation with the county but parents concerned about him being labeled as having a "handicapped condition." At 2/24/03 visit concerned about gaining 1 inch in 6 months but this is normal, also impulsive at preschool. MD indicated he may have attention deficit hyperactivity disorder. On 6/9/05 MD discussed DSMIV criteria for attention-deficient hyperactivity disorder, he does not equivocally meet the A. (1) criteria (inattention) but does meet the A. (2) criteria. Parents concerned that a biochemical abnormality is causing some problems. On 7/2/03 receiving speech therapy at school, recommended that he continue on with kindergarten. Concerns about his focus and activity level this seems to wax and want. Visit of 8/22/05, DX pectus excavation, inferior thorax. 60 day Follow-up Information 29-SEP-2006: ADHD behaviors. Multiple food allergies - soy, walnuts, sesame.
Age: 1.02
Sex: F
Vaccine: MMR
Symptoms: Autism, Diarrhoea, Neurodevelopmental disorder, Speech disorder
Clinical narrative: Experienced diarrhea following vaccination with MMR. She also experienced developmental regression and loss of meaningful language (she had priorly been able to say words like "chicken", after innoculation she did not even say basic words like mama/dada). Her brother was vaccinated with MMR in 2003, and she may have declined further following bathing with him after he experienced post-vaccination illness (diarrhea). Began receiving county services for developmental delays and this diagnosis was changed to autism in 2005. 09/22/00-08/22/05-documented well baby visits, on initial visit red papules and scaliness on anterior trunk. No concerns until 05/03/01 c/o wheezing-RX with albuterol. Concern on 06/14/01 baby not crawling. Mother having speech evaluation per notes on 02/24/03. Visit 3/24/04 assessment: speech delay and that speech therapy improving. Consultation on 6/9/05 regarding developmental problems. Specifically parents want to know if she has any definable biochemical reasons for her problems. Patient evaluation by county Child Find system and is noted to have speech delay. There is some concern about autism.  60 day Follow-up Information 29-SEP-2006: Autism. GI (gastro intestinal) issues.
Age: 31.0
Sex: F
Vaccine: HEP
Symptoms: Acne, Headache
Clinical narrative: I experienced headaches following each innoculation with Hep B. I also began having severe skin problems (acne and other facial/neck marks) following vaccination.
Age: 0.8
Sex: F
Vaccine: DTAP, HEP, HIBV, IPV
Symptoms: Abnormal behaviour, Autism, Laboratory test, Social avoidant behaviour, Staring
Clinical narrative: Lost interaction and communication with others, quit demonstrating pleasure or pretend play, fixated on TV, flapped hands, blank stare. Evaluated for deafness-negative. ABA, GF/CF diet treatments. Per 60 day followup: Recipient has residual symptoms of restricted interests, repetitive behaviors, delayed communication and delayed social skills.
Age: 45.0
Sex: F
Vaccine: FLUX
Symptoms: Headache, Lymphadenopathy, Nausea
Clinical narrative: Pt reports that since receiving the flu shot on Mon 10/17, she has developed enlarged lymph nodes on the left side of her neck and into the clavicle area. She has never had a flu shot before. She has had headaches and occasional nausea. She talked to a physician coworker, but did not seek treatment.
Age: 39.0
Sex: U
Vaccine: FLU3
Symptoms: Inflammation, Muscle spasms
Clinical narrative: Reaction to flu shot - inflamed and spasms in both arms and neck muscles.
Age: 37.0
Sex: F
Vaccine: FLU3
Symptoms: Hypoaesthesia
Clinical narrative: Pt states "had flu vaccine a couple of weeks ago and I think I am having a reaction. I have paresthesia. Pt had similar symptoms 5 years ago and was treated by a neurologist who couldn't find anything. Symptoms started morning of 12/28 around 07:00 AM when pt woke up. "I am having numbness that starts in my toes and fingers and progresses up my extremities, also having facial numbness. I think it is from the flu vaccine."
Age: 38.0
Sex: F
Vaccine: FLU3
Symptoms: Asthma, Chest discomfort
Clinical narrative: Pt received the flu shot 11/21/05. She experienced chest tightness, but does not think she is wheezing. Also did not have inhaler with her. Asthma exacerbation.
Age: 18.0
Sex: M
Vaccine: HEP, MNQ
Symptoms: Coma, Musculoskeletal stiffness, Mydriasis, Pallor
Clinical narrative: Approx. 1-2 min after Menactra administered, client became unresponsive and facial muscles tightening, mouth clenching, eyes closed, rigidity of both arms. Episode lasted approx. 2 min. When eyes opened, pupils dilated. Color extremely pale. Recovery after 30 min, (complete).
Age: 19.0
Sex: F
Vaccine: MNQ
Symptoms: Asthenia, Cough, Dyspnoea, Pharyngolaryngeal pain
Clinical narrative: This young lady began having symptoms of a cough with SOB yesterday at 22:00. The cough became more moderate in nature throughout the night, waking her up several times. She also woke up with a sore throat and had a generalized weak feeling this AM. Still having symptoms above at 14:45 on 6/8/06. She has not used inhaler or breathing treatment. Seen at hospital on 6/8/06 ER and given breathing treatments X 3 and symptoms, as above, resolved.
Age: 43.0
Sex: M
Vaccine: RAB
Symptoms: Hot flush, Hyperhidrosis
Clinical narrative: Donor had a hot flash and started sweating. Donor placed on bed and feet elevated. Head towered. Juice given. Cold towels applied. Felt better within 5 minutes.
Age: 5.0
Sex: M
Vaccine: DTAP, HEPA
Symptoms: Feeling hot, Injection site erythema
Clinical narrative: Pt presented with erythema to left upper thigh area. Area warm to touch but non tender.
Sex: M
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Feeling hot, Injection site erythema, Injection site swelling, Pruritus, Pyrexia
Clinical narrative: 6/21  2 hrs after administration itching and swelling, slight fever per mother. 6/23/06 warm erythematous right upper outer arm, no fever. Keflex 250mg PO qid x 7 days/Benadryl.
Age: 1.22
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Dermatitis bullous, Rash pruritic
Clinical narrative: In 2 wks after receiving MMR and Varicella vaccine pt developed itchy chicken pox like rash which after 8 days started scabbing and drying, by 2 wks the scabs started coming off.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Feeling hot, Hypokinesia, Injection site swelling, Pain
Clinical narrative: Left arm swelling (deltoid region) warm to touch, no discoloration, able to move with some discomfort, told to give Ibuprofen and cold compresses
Age: 1.03
Sex: F
Vaccine: VARCEL
Symptoms: Rash papular, Skin ulcer
Clinical narrative: Papulo vesicular lesion exposed to chickenpox.
Age: 0.46
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Injection site erythema, Injection site oedema, Irritability, Movement disorder, Pyrexia
Clinical narrative: 2-3 hrs after vaccines given, mom noted pt's left leg very swollen from site of injections down to slightly below knee. Pt unable to move leg, redness extended from site to knee. Febrile and irritable lasting all noc. Brought into Dr's office. Swelling slightly decreased, still not moving left leg, redness gone. Febrile and irritable still. MD order Motrin 90mg every 6-8hrs and follow up 6/23/06.
Age: 5.0
Sex: F
Vaccine: DTAP, HIBV, IPV, MMR
Symptoms: Unevaluable event
Clinical narrative: NONE
Age: 0.16
Sex: M
Vaccine: DTAP, HEP, HIBV, IPV, PNC
Symptoms: Crying, Dyskinesia, Screaming
Clinical narrative: Mom states child had high pitch cry like something was hurting, noticed some jerking.
Age: 72.0
Sex: F
Vaccine: PPV
Symptoms: Chills, Injection site erythema, Injection site pain, Injection site swelling, Rash
Clinical narrative: Patient's husband called for his wife two days after having received the vaccine with c/o redness, swelling, and pain at the injection. She also had chills with no fever, and a splotchy rash on the affected arm to her elbow. It was described as being much worse than any vaccine she had recieved. Arm felt heavy and had a lot of pain when moving it. Symptoms had gotten a little better today so they opted not to have evaluation by provider. She will continue to monitor the area, apply compresses, and take oral anitinflammatory for the pain. She will present to be seen if symptoms do not improve or worsen in the next day.