chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 28.0
Sex: M
Vaccine: SMALL
Symptoms: Palpitations, Sinus bradycardia
Clinical narrative: New onset A-Fib within 2 days of receiving his smallpox vaccine (SPV).  On 3/26/08, pt received his 1st SPV in his left arm (more than 3, but less than 15 jabs).  He reports normal vaccine site progression with a "take".  On 3/28/08, before lunch while laying down, pt noted sudden onset "racing, strong heart beat".  When he stood up, he felt weak.  He felt lightheaded with position changes and felt like he was out of breath and felt like he was "panting like after running".  Initially, he talked to a corpsman who thought this was probably related to electrolytes and instructed pt to increase fluid intake and "take it easy".  On the a.m. of 3/30/08, pt continued to experience palpitations, lightheadedness, dyspnea and weakness.  He sought medical evaluation and was hospitalized through 3 April.  There, he was placed on atenolol and ASA.  His heart rate slowed, but he still felt lightheaded, tired easily and was dyspneic.  With any activity he was aware of a significant increase in his heart rate and noted his heart pounding in his chest.  He denies any type of chest pain.  He noted generalized body aches and fatigue between post-SPV day 3 and 10.  He was transferred on 4/6/08 where his evaluation and treatment continued.  Around 10 April, all his symptoms had essentially resolved.  On 4/12/08, pt was transferred to NMCSD for additional evaluation.  He is currently in Medical Hold.  He is asymptomatic on atenolol.  Pt received his 2nd anthrax vaccine in his right arms on 3/21/08 (documented) and also typhoid IM vaccine on 3/7/08.  He did not experience unusual or prolonged local or systemic symptoms over the next week.  He denies any personal history of palpitations, HTN, valvular disease, angina, thrombus, TIAs, vascular disease or pulmonary disease.  His CVD RFs are all negative.  He has family hx of A-Fib on his mother's side (GF, GM and uncle), but no family history of CAD, drownings, MVAs, seizures or sudden death.  Prior to deployment, pt was running about 3 times per week.  Symptoms: Palpitations, Dyspnea (shortness of breath), Dizziness Weakness. 6/18/08-records received-3/29/08-C/O palpitations and racing strong heart beat, weakness, lightheadedness and dyspnea. 3/30/08-symptoms continued which showed A-fib. Admitted to hospital from 3/30-4/3/08- symptoms resolved.
Age: 14.0
Sex: F
Vaccine: HPV4
Symptoms: Hypoaesthesia, Metrorrhagia
Clinical narrative: Transient numbness in hands, metrorrhagia
Age: 18.0
Sex: F
Vaccine: MNQ, TDAP
Symptoms: Joint stiffness, Joint swelling, Local swelling, Muscle tightness, Musculoskeletal pain
Clinical narrative: Pain, tightness & swelling R neck/shoulder about 30 min after received meningococcal vaccine.
Age: 18.0
Sex: F
Vaccine: MNQ, TDAP
Symptoms: Neck pain
Clinical narrative: Pain, tightness & swelling R neck/shoulder about 30 min after received meningococcal vaccine.
Age: 36.0
Sex: F
Vaccine: TDAP
Symptoms: Discomfort, Injected limb mobility decreased, Mobility decreased, Swelling
Clinical narrative: Reports received vaccine 730AM 5/9/08.  On 5/10/08 at 8AM felt discomfort with swelling and limited range of motion.  Used heat and gentle stretches.  Resolved.
Age: 29.0
Sex: F
Vaccine: HEPAB, TDAP
Symptoms: Erythema, Injected limb mobility decreased, Oedema peripheral, Pain in extremity, Skin warm
Clinical narrative: 4" x 2 1/2" area of redness, pain, swelling and heat (L) deltoid. Pt could hardly lift arm. Symptoms took one week to resolve.
Age: 14.0
Sex: F
Vaccine: HEPA, TDAP
Symptoms: Dizziness, Loss of consciousness
Clinical narrative: Patient became lightheaded, dizzy and passed out.  Mother and nurse lowered her to the floor.  She recovered within 15 minutes.
Age: 63.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Pain, swelling, very hot to touch at injection site. Started 24 hours after inj. today is day 2 of symptoms. 4-29-08 recheck arm improving.
Age: 66.0
Sex: F
Vaccine: VARZOS
Symptoms: Dizziness, Erythema, Feeling hot, Hot flush, Injection site pain
Clinical narrative: Pain and swelling at the site.  Hot, red area approximately 70 mm x 70 mm.  Hot flashes, nauseated, and dizzy.
Age: 66.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site swelling, Nausea
Clinical narrative: Pain and swelling at the site.  Hot, red area approximately 70 mm x 70 mm.  Hot flashes, nauseated, and dizzy.
Age: 9.0
Sex: M
Vaccine: FLU3, HEPA, TDAP
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: Pt given Tdap on 11/23/07 - was 9 years old at that time.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMRV
Symptoms: Full blood count, Oral disorder, Petechiae, Pyrexia, Skin exfoliation
Clinical narrative: Fever 24 hours after vaccine pinpoint non blanching petechral rash on trunk 3 days after vaccine, oral vesicles appeared 3 days later.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMRV
Symptoms: Virus culture
Clinical narrative: Fever 24 hours after vaccine pinpoint non blanching petechral rash on trunk 3 days after vaccine, oral vesicles appeared 3 days later.
Age: 17.0
Sex: F
Vaccine: HPV4
Symptoms: Loss of consciousness
Clinical narrative: Patient passed out, approx, 5 mins. after injection.
Age: 41.0
Sex: M
Vaccine: FLU3
Symptoms: Multiple sclerosis, Neurological symptom, Nuclear magnetic resonance imaging brain abnormal, Paraesthesia, Paraesthesia oral
Clinical narrative: Sudden onset of decreased sensation and tingling in right cheek and upper lip. Felt like face "went to sleep". Symptoms lasted 2-3 weeks. Developed new neurological symptoms in 6/07 after AVA. Dx'ed with MS in 9/07.
Age: 41.0
Sex: M
Vaccine: FLU3
Symptoms: Sensory loss
Clinical narrative: Sudden onset of decreased sensation and tingling in right cheek and upper lip. Felt like face "went to sleep". Symptoms lasted 2-3 weeks. Developed new neurological symptoms in 6/07 after AVA. Dx'ed with MS in 9/07.
Age: 18.0
Sex: F
Vaccine: HPV4, MNQ
Symptoms: Head injury, Loss of consciousness
Clinical narrative: Pt passed out and hit her head after receiving injection.
Age: 14.0
Sex: F
Vaccine: HPV4
Symptoms: Urticaria
Clinical narrative: Hives
Age: 36.0
Sex: F
Vaccine: MNQ
Symptoms: Erythema, Feeling hot, Injection site erythema, Pyrexia
Clinical narrative: Pt c/o fever, feeling hot and redness to neck and (R) arm at the injection site
Age: 15.0
Sex: F
Vaccine: HPV4
Symptoms: Alopecia, Blood test normal, Fatigue, Rash, Vaccine positive rechallenge
Clinical narrative: After taking the first dose of GARDASIL, my daughter discovered two bald patches missing from her head.  She also had a huge rash - the size of an adult hand - on her inner thigh.  After receiving the second dose of GARDASIL she has discovered another patch of hair missing, and two new rashes one on the back of her thigh and one on her elbow.  She is also extremely tired, when riding in the car she hardly keep her head up.  This child is not a sickly individual, and has energy for days before taking this vaccine. Follow-up: Make sure you question the side effects. Everything about this drug was not disclosed before receiving.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling, Injection site warmth
Clinical narrative: Redness, swelling and itching on injection site, warm to the touch.  Keflex 375mg BID x 10 days.
Age: 11.0
Sex: M
Vaccine: VARCEL
Symptoms: Injection site erythema
Clinical narrative: Rash, pink 2x3 inches at site of injection. Not fluctuant. No fever. Present x 2 h
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Cough, Eye pruritus, Pruritus
Clinical narrative: 410PM adm. MMR, VARIVAX, DTAP, IPV.  425 mom returned with pt c/o cough, itchy eyes and face.  Adm. albuterol sulfate inhalation sol. 2.5 mg 440PM.  Pt doing well no complications.  Rx. BENADRYL 15/ml 1 tsp 1 4-6 hr.  R.T.O. if not better.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: 5/22/08 (L) upper arm red, swollen 2 days after shots. Treatment: Keflex, Benadryl, Ibuprofen.
Age: 1.0
Sex: M
Vaccine: DTAP, HIBV, IPV, MNQ
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: Meningococcal vaccine administered in error.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Erythema, Induration
Clinical narrative: 12cm x 15cm area of erythema and induration.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: L deltoid area swelling, + redness, warm, c/o pain at injection site.  Observe + warm compress.  RTC in 1 wk.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Ecchymosis, Swelling
Clinical narrative: Marked swelling (2 inch diameter) with ecchymosis.
Age: 4.0
Sex: M
Vaccine: DTAP, HEPA
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: 2 days after receiving vaccine pt woke with red swollen arm.  Swelling from deltoid to elbow on L arm.  Hot to touch.  Pt received DTaP and L & Hep A on R.  Recommended antihistamines & TYLENOL.  Will contact in couple of days to check on pts. condition.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, VARCEL
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: R deltoid erythema & swelling after DTaP there.
Age: 68.0
Sex: F
Vaccine: HEP
Symptoms: Blister, Rash
Clinical narrative: Patient stated that she developed rash with blisters on the back on next day after receiving hepatitis B vaccine #1 and #2.  The rash with blisters were recovering in 2 weeks.
Age: 50.0
Sex: M
Vaccine: HEP
Symptoms: Blood pressure, Dizziness, Flushing, Heart rate
Clinical narrative: Pt. c/o feeling faint & flushed 5 min after Hep B injection to L deltoid area.  Pulse & BP checked q 5 min x 30 min; pt sat near open window to cool down.  2nd Hep B in series of 3.
Age: 1.3
Sex: F
Vaccine: DTAP
Symptoms: Oxygen saturation normal, Skin discolouration, Urticaria
Clinical narrative: Approximately 20 minutes after administration of DTAP in left thigh, patient develops hives and purplish feet.
Age: 41.0
Sex: M
Vaccine: ANTH
Symptoms: Blood immunoglobulin G increased, CSF oligoclonal band present, Dysaesthesia, Multiple sclerosis, Nuclear magnetic resonance imaging abnormal
Clinical narrative: New onset brief, intermittent episodes of dysethesia, of extremities with episodes peaking around 7 to 10 July (30-40 episodes/day lasting 20-40 seconds. Two episodes of lower extremity pain in early August. Diagnosed with MS in Sept07
Age: 41.0
Sex: M
Vaccine: ANTH
Symptoms: Pain in extremity
Clinical narrative: New onset brief, intermittent episodes of dysethesia, of extremities with episodes peaking around 7 to 10 July (30-40 episodes/day lasting 20-40 seconds. Two episodes of lower extremity pain in early August. Diagnosed with MS in Sept07
Age: 0.6
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Pyrexia
Clinical narrative: Fever 103.4 mom said child was "out of it" seen at ER. not in this office- we were told of this 5-1-08 visit.
Age: 7.0
Sex: F
Vaccine: VARCEL
Symptoms: Hyperaesthesia, Injection site erythema, Injection site pain, Injection site warmth
Clinical narrative: A large red patch on (L) arm that is raised and warm and painful to the touch. Was seen by Dr and no treatment was needed.
Age: 6.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Hypersensitivity, Injection site erythema, Injection site warmth
Clinical narrative: LT IM where DTaP was given was red, warm to the touch no signs for cellultis was dx with allergic reaction, given warm compresses and TYLENOL/MOTRIN
Age: 17.0
Sex: F
Vaccine: HEPA, HPV4, MNQ, TDAP
Symptoms: Dyskinesia, Inappropriate schedule of drug administration, Unresponsive to stimuli
Clinical narrative: Immediately after injecting HPV, which was the  fourth injection, client began having jerking movement of upper extremities and was non-responsive for approximately 30 seconds.
Age: 18.0
Sex: F
Vaccine: HPV4, MNQ
Symptoms: Inflammation, Pain, Pruritus, Skin warm
Clinical narrative: Heat, pain, imflamation and itching in the right superior limb,where one of the vaccines was administered.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Erythema, Pruritus generalised, Rash generalised
Clinical narrative: Phone call from pt's mother reporting "rash, red, itchy all over her body" not present @ bedtime 05/26/08, but present this morning. Temperature @ 99 F, no other symptoms @ this time.  Pt spent weekend with father, mother doesn't know child's activities over weekend. Taken to ER, diagnosed with chicken pox @ 9:30 AM.
Age: 0.67
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Mass
Clinical narrative: Received call from mom sts" my son got shots there on the 21st and he has a lump on his thigh since the 22nd and it won't go away, and he won't let you touch it."  Mom questioned as to whether or not the child has or ever had a fever sts "no", mom encouraged if uncomfortable to follow up with doctor.
Age: 22.0
Sex: F
Vaccine: TDAP, TDAP
Symptoms: Brain contusion, CSF protein increased, CSF white blood cell count increased, Cerebral haemorrhage, Computerised tomogram abnormal
Clinical narrative: 36 hours after receiving a physical exam, which included administration of Adacel vaccine as well as placement of a PPD, patient complained of headache and vomiting.  She was taken to an ER where she was found to have a skull fracture and hemorrhagic brain contusions. It was concluded during her hospital stay that she most likely had a seizure.  05/28/2008 MR received for DOS 5/08-16/2008 with D/C DX: Intracerebral hemorrhage.  Pt awoke on 5/08/08 with severe L sided headache, nausea and vomiting and intermittant decreased responsiveness. Temporal bone fracture and subarachnoid hemorrhage noted on head CT as well as tomporal and frontal contusions. Pt developed low grade fever that pm. PEs were WNL during hospitalization.  Likely pt had seizure in her sleep resulting in fx and SAH. D/C on seizure precautions.
Age: 22.0
Sex: F
Vaccine: TDAP, TDAP
Symptoms: Convulsion, Electroencephalogram abnormal, Headache, Red blood cells CSF positive, Skull fracture
Clinical narrative: 36 hours after receiving a physical exam, which included administration of Adacel vaccine as well as placement of a PPD, patient complained of headache and vomiting.  She was taken to an ER where she was found to have a skull fracture and hemorrhagic brain contusions. It was concluded during her hospital stay that she most likely had a seizure.  05/28/2008 MR received for DOS 5/08-16/2008 with D/C DX: Intracerebral hemorrhage.  Pt awoke on 5/08/08 with severe L sided headache, nausea and vomiting and intermittant decreased responsiveness. Temporal bone fracture and subarachnoid hemorrhage noted on head CT as well as tomporal and frontal contusions. Pt developed low grade fever that pm. PEs were WNL during hospitalization.  Likely pt had seizure in her sleep resulting in fx and SAH. D/C on seizure precautions.
Age: 22.0
Sex: F
Vaccine: TDAP, TDAP
Symptoms: Vomiting
Clinical narrative: 36 hours after receiving a physical exam, which included administration of Adacel vaccine as well as placement of a PPD, patient complained of headache and vomiting.  She was taken to an ER where she was found to have a skull fracture and hemorrhagic brain contusions. It was concluded during her hospital stay that she most likely had a seizure.  05/28/2008 MR received for DOS 5/08-16/2008 with D/C DX: Intracerebral hemorrhage.  Pt awoke on 5/08/08 with severe L sided headache, nausea and vomiting and intermittant decreased responsiveness. Temporal bone fracture and subarachnoid hemorrhage noted on head CT as well as tomporal and frontal contusions. Pt developed low grade fever that pm. PEs were WNL during hospitalization.  Likely pt had seizure in her sleep resulting in fx and SAH. D/C on seizure precautions.
Age: 22.0
Sex: F
Vaccine: TDAP, TDAP
Symptoms: Convulsion, Ear haemorrhage, Electroencephalogram abnormal, Headache, Injected limb mobility decreased
Clinical narrative: 36 hours after receiving a physical exam, which included administration of Adacel vaccine as well as placement of a PPD, patient complained of headache and vomiting.  She was taken to an ER where she was found to have a skull fracture and hemorrhagic brain contusions. It was concluded during her hospital stay that she most likely had a seizure.  05/28/2008 MR received for DOS 5/08-16/2008 with D/C DX: Intracerebral hemorrhage.  Pt awoke on 5/08/08 with severe L sided headache, nausea and vomiting and intermittant decreased responsiveness. Temporal bone fracture and subarachnoid hemorrhage noted on head CT as well as tomporal and frontal contusions. Pt developed low grade fever that pm. PEs were WNL during hospitalization.  Likely pt had seizure in her sleep resulting in fx and SAH. D/C on seizure precautions.
Age: 22.0
Sex: F
Vaccine: TDAP, TDAP
Symptoms: Lumbar puncture, Nausea, Pain in extremity, Red blood cells CSF positive, Skin warm
Clinical narrative: 36 hours after receiving a physical exam, which included administration of Adacel vaccine as well as placement of a PPD, patient complained of headache and vomiting.  She was taken to an ER where she was found to have a skull fracture and hemorrhagic brain contusions. It was concluded during her hospital stay that she most likely had a seizure.  05/28/2008 MR received for DOS 5/08-16/2008 with D/C DX: Intracerebral hemorrhage.  Pt awoke on 5/08/08 with severe L sided headache, nausea and vomiting and intermittant decreased responsiveness. Temporal bone fracture and subarachnoid hemorrhage noted on head CT as well as tomporal and frontal contusions. Pt developed low grade fever that pm. PEs were WNL during hospitalization.  Likely pt had seizure in her sleep resulting in fx and SAH. D/C on seizure precautions.
Age: 22.0
Sex: F
Vaccine: TDAP, TDAP
Symptoms: Skull fracture, Subarachnoid haemorrhage, Vomiting
Clinical narrative: 36 hours after receiving a physical exam, which included administration of Adacel vaccine as well as placement of a PPD, patient complained of headache and vomiting.  She was taken to an ER where she was found to have a skull fracture and hemorrhagic brain contusions. It was concluded during her hospital stay that she most likely had a seizure.  05/28/2008 MR received for DOS 5/08-16/2008 with D/C DX: Intracerebral hemorrhage.  Pt awoke on 5/08/08 with severe L sided headache, nausea and vomiting and intermittant decreased responsiveness. Temporal bone fracture and subarachnoid hemorrhage noted on head CT as well as tomporal and frontal contusions. Pt developed low grade fever that pm. PEs were WNL during hospitalization.  Likely pt had seizure in her sleep resulting in fx and SAH. D/C on seizure precautions.
Age: 34.0
Sex: F
Vaccine: TDAP
Symptoms: Asthenia, Headache, Hyperhidrosis, Injection site pain, Pain
Clinical narrative: Tdap Vaccine administered 4/15/08 @ 1140 AM--Ms. Dials began feeling generalized achiness on the moring of 4/16/08--at the end of the day of 4/16/08 Ms. Dials experienced a fever of 101--accompanied by what she describes as "my whole body was sore even to touch. She considered at that time, going to the emergency room.  However, she opted not to go. Ms Dials also had a headache.The fever broke in the middle of the night on 4/16/08 and she experienced profuse sweating.  On 4/17/08 Ms. Dials was feeling better but states she felt very weak. On 4/18/08 Ms. Dials states she felt fine with residual soreness at injection site.
Age: 34.0
Sex: F
Vaccine: TDAP
Symptoms: Pyrexia
Clinical narrative: Tdap Vaccine administered 4/15/08 @ 1140 AM--Ms. Dials began feeling generalized achiness on the moring of 4/16/08--at the end of the day of 4/16/08 Ms. Dials experienced a fever of 101--accompanied by what she describes as "my whole body was sore even to touch. She considered at that time, going to the emergency room.  However, she opted not to go. Ms Dials also had a headache.The fever broke in the middle of the night on 4/16/08 and she experienced profuse sweating.  On 4/17/08 Ms. Dials was feeling better but states she felt very weak. On 4/18/08 Ms. Dials states she felt fine with residual soreness at injection site.
Age: 0.5
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Blood glucose increased, Computerised tomogram normal, Electroencephalogram normal, Hyperglycaemia, Lumbar puncture
Clinical narrative: Patient developed status epilepticus. 6/2/08-records received for DOS 5/14-5/16/08-DC DX: Seizure of unknown origin. Iron deficiency anemia. Presented to ED in status epilepticus times approximately 45-50 minutes. Twitching, eye blinking, frothing at mouth and decreased level of consciousness.
Age: 0.5
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Lumbar puncture normal, Metabolic acidosis, Metabolic function test abnormal, Status epilepticus
Clinical narrative: Patient developed status epilepticus. 6/2/08-records received for DOS 5/14-5/16/08-DC DX: Seizure of unknown origin. Iron deficiency anemia. Presented to ED in status epilepticus times approximately 45-50 minutes. Twitching, eye blinking, frothing at mouth and decreased level of consciousness.
Age: 58.0
Sex: F
Vaccine: DTP
Symptoms: Blood cholesterol increased, Blood test normal, Body temperature increased, Bone disorder, Cellulitis
Clinical narrative: High temperatures for 2 weeks (pt reported 103) associated with muscular and bone discomfort, nausea, no vomiting, mild shortness of breath without wheezing.  Developed localized swelling at injection site approximately 10X10 cm in size, ass with increase warmth and pain, otherwise physical examination was normal on 5/15/2008 and blood test did not reveal any increased WBC or other abnormalities (Sma20). Two weeks later developed cellulites diagnosed by another physician on 5/25/08 and patient was started on Kelfex.  Since then temperature seems to be resolving, but still some residual muscular pain and also " feeling of fuzziness in brain".
Age: 58.0
Sex: F
Vaccine: DTP
Symptoms: Dyspnoea, Feeling abnormal, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: High temperatures for 2 weeks (pt reported 103) associated with muscular and bone discomfort, nausea, no vomiting, mild shortness of breath without wheezing.  Developed localized swelling at injection site approximately 10X10 cm in size, ass with increase warmth and pain, otherwise physical examination was normal on 5/15/2008 and blood test did not reveal any increased WBC or other abnormalities (Sma20). Two weeks later developed cellulites diagnosed by another physician on 5/25/08 and patient was started on Kelfex.  Since then temperature seems to be resolving, but still some residual muscular pain and also " feeling of fuzziness in brain".
Age: 58.0
Sex: F
Vaccine: DTP
Symptoms: Myalgia, Nausea, Physical examination normal
Clinical narrative: High temperatures for 2 weeks (pt reported 103) associated with muscular and bone discomfort, nausea, no vomiting, mild shortness of breath without wheezing.  Developed localized swelling at injection site approximately 10X10 cm in size, ass with increase warmth and pain, otherwise physical examination was normal on 5/15/2008 and blood test did not reveal any increased WBC or other abnormalities (Sma20). Two weeks later developed cellulites diagnosed by another physician on 5/25/08 and patient was started on Kelfex.  Since then temperature seems to be resolving, but still some residual muscular pain and also " feeling of fuzziness in brain".
Age: 70.0
Sex: F
Vaccine: VARZOS
Symptoms: Blister, Dermatitis contact, Pruritus, Rash
Clinical narrative: Rash developed on R arm 7 days after receiving Zostavax. Red, flat itchy areas on R arm Spread to L forearm, L groin and R thigh. All areas flat red itchy. Only one spot on L forearm near elbow small clear fluid filled blister apparant. Patient was seen by MD and diagnosed with contact dermatitis. MD didn't feel rash was related to vaccination. Patient feels it is.
Age: 1.25
Sex: F
Vaccine: HIBV, VARCEL
Symptoms: Erythema multiforme, Pyrexia
Clinical narrative: Patient seen again on 5/21/08 with fever and an atypical varicella rash.  Patient seen again on 5/23/2008 and diagnosed with fever and erythema multiforme minor most likely secondary to the varicella post vaccination.  She has been afebrile since 5/23/2007 and rash is slowly resolving on a tapering dose of Prednisolone and hydroxyzine for symptomatic relief.  No mucosal involvement.  Lesions have scabbed over.
Age: 30.0
Sex: F
Vaccine: SMALL
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling, Injection site vesicles
Clinical narrative: "Very itchy, red and swollen around site injection, another blister appeared near site. Given Cephalexin and Hydroxyzine on 26 May 08, Uregent Care."
Age: 1.0
Sex: M
Vaccine: DTAP, HEP, HIBV, MMR, PPV, VARCEL
Symptoms: Vaccination failure, Varicella
Clinical narrative: CHICKEN POX DIAGNOSED 5/20/2008
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Erythema
Clinical narrative: Returned to clinic two days after receiving vaccines to have TB test read.  Right upper arm with 5 cm round erythemic area.  No swelling noted.
Age: 33.0
Sex: F
Vaccine: TDAP
Symptoms: Erythema, Local reaction, Malaise, Oedema peripheral, Pain in extremity
Clinical narrative: Local pain, swelling & redness left deltoid, malaise, mild fever.
Age: 33.0
Sex: F
Vaccine: TDAP
Symptoms: Pyrexia
Clinical narrative: Local pain, swelling & redness left deltoid, malaise, mild fever.
Age: 31.0
Sex: F
Vaccine: TDAP
Symptoms: Local reaction, Radiculitis brachial, Swelling
Clinical narrative: Local swelling, brachial neuritis.
Age: 5.0
Sex: M
Vaccine: VARCEL
Symptoms: Rash papular, Rash pustular
Clinical narrative: Multiple papules and pustules on face, neck, trunk and legs
Age: 3.0
Sex: F
Vaccine: DTAP, PNC
Symptoms: Injection site erythema, Injection site induration, Injection site swelling, Skin lesion
Clinical narrative: Overnight patient developed red swollen area on left thigh about 15cm x 7cm. Also developed right thigh lesion of redness and induration about  2cm x 1cm
Age: 1.1
Sex: M
Vaccine: VARCEL
Symptoms: Rash papular, Rash pustular
Clinical narrative: Multiple papules & pustules on trunk, scalp & groin.
Age: 3.0
Sex: F
Vaccine: DTAP, VARCEL
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Swelling and red macular rash on (R) thigh noticed 2 days after immunizations.
Age: 21.0
Sex: M
Vaccine: ANTH
Symptoms: Full blood count normal, Rash generalised
Clinical narrative: Diffuse body rash required outpatient treatment that included oral steroid and antihistamine.
Age: 1.0
Sex: M
Vaccine: HEPA, HIBV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site reaction, Urticaria
Clinical narrative: Pt was vaccinated then about 7 minutes was taken to lab for HLT.  Upon arriving at the lab it was noted that child had a red welt on the Rt lower thigh where MMR vaccine was given.  Pt given 1 tsp of PALGIC.  Welt was 2cm in size.  After waiting 20 min pt was seen by Dr. welt had decreased in size and no other problems noted.
Age: 10.0
Sex: F
Vaccine: HEPA, VARCEL
Symptoms: Erythema, Full blood count normal, Induration, Swelling, White blood cell count
Clinical narrative: Patient received varicella vaccine left arm 5/19/08. Developed increasing redness and swelling. No fever. Not ill appearing; Induration, Erythema about 14cmx11cm left arm
Age: 13.0
Sex: M
Vaccine: VARCEL
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling, Injection site warmth
Clinical narrative: Redness, erythema, swelling of site of Varivax injection - about 3-4" diameter, warm to touch and itchy. Reaction gone within next 24 hours.
Sex: U
Vaccine: HPV4, HPV4, HPV4, HPV4, HPV4
Symptoms: Anaemia, Chromaturia, Dyspnoea, Hepatomegaly, Lupus-like syndrome
Clinical narrative: Patient fatigued after vaccine.  That week she began having nausea, sore throat.  Dr visit diagnosed a virus.  2 wks later she had weakness in her legs, FUO for 37 days up to 104 degrees.  After 7 days in the hospital, 2 infectious disease Drs 1 hematologist couldn't find diagnosis.  She became a hemolytic anemic - low white-red count lupus-like autoimmune lab tests - put on steroids - fever is back to 103 May 22, 2003.
Sex: U
Vaccine: HPV4, HPV4, HPV4, HPV4, HPV4
Symptoms: Mononucleosis syndrome, Pyrexia, Red blood cell count decreased, White blood cell count decreased
Clinical narrative: Patient fatigued after vaccine.  That week she began having nausea, sore throat.  Dr visit diagnosed a virus.  2 wks later she had weakness in her legs, FUO for 37 days up to 104 degrees.  After 7 days in the hospital, 2 infectious disease Drs 1 hematologist couldn't find diagnosis.  She became a hemolytic anemic - low white-red count lupus-like autoimmune lab tests - put on steroids - fever is back to 103 May 22, 2003.
Sex: U
Vaccine: HPV4, HPV4, HPV4, HPV4, HPV4
Symptoms: Abdominal pain upper, Autoimmune disorder, Back pain, Epstein-Barr virus antibody negative, Haemolytic anaemia
Clinical narrative: Patient fatigued after vaccine.  That week she began having nausea, sore throat.  Dr visit diagnosed a virus.  2 wks later she had weakness in her legs, FUO for 37 days up to 104 degrees.  After 7 days in the hospital, 2 infectious disease Drs 1 hematologist couldn't find diagnosis.  She became a hemolytic anemic - low white-red count lupus-like autoimmune lab tests - put on steroids - fever is back to 103 May 22, 2003.
Sex: U
Vaccine: HPV4, HPV4, HPV4, HPV4, HPV4
Symptoms: Malaise, Pharyngolaryngeal pain, Pyrexia, Vomiting projectile
Clinical narrative: Patient fatigued after vaccine.  That week she began having nausea, sore throat.  Dr visit diagnosed a virus.  2 wks later she had weakness in her legs, FUO for 37 days up to 104 degrees.  After 7 days in the hospital, 2 infectious disease Drs 1 hematologist couldn't find diagnosis.  She became a hemolytic anemic - low white-red count lupus-like autoimmune lab tests - put on steroids - fever is back to 103 May 22, 2003.
Sex: U
Vaccine: HPV4, HPV4, HPV4, HPV4, HPV4
Symptoms: Abdominal pain, Activities of daily living impaired, Anaemia, Anorexia, Back pain
Clinical narrative: Patient fatigued after vaccine.  That week she began having nausea, sore throat.  Dr visit diagnosed a virus.  2 wks later she had weakness in her legs, FUO for 37 days up to 104 degrees.  After 7 days in the hospital, 2 infectious disease Drs 1 hematologist couldn't find diagnosis.  She became a hemolytic anemic - low white-red count lupus-like autoimmune lab tests - put on steroids - fever is back to 103 May 22, 2003.
Sex: U
Vaccine: HPV4, HPV4, HPV4, HPV4, HPV4
Symptoms: Basophil count abnormal, Biopsy bone marrow abnormal, Blood immunoglobulin M, Chills, Chromaturia
Clinical narrative: Patient fatigued after vaccine.  That week she began having nausea, sore throat.  Dr visit diagnosed a virus.  2 wks later she had weakness in her legs, FUO for 37 days up to 104 degrees.  After 7 days in the hospital, 2 infectious disease Drs 1 hematologist couldn't find diagnosis.  She became a hemolytic anemic - low white-red count lupus-like autoimmune lab tests - put on steroids - fever is back to 103 May 22, 2003.
Sex: U
Vaccine: HPV4, HPV4, HPV4, HPV4, HPV4
Symptoms: Cytomegalovirus infection, Cytomegalovirus test positive, Dyspnoea, Epstein-Barr virus infection, Epstein-Barr virus test positive
Clinical narrative: Patient fatigued after vaccine.  That week she began having nausea, sore throat.  Dr visit diagnosed a virus.  2 wks later she had weakness in her legs, FUO for 37 days up to 104 degrees.  After 7 days in the hospital, 2 infectious disease Drs 1 hematologist couldn't find diagnosis.  She became a hemolytic anemic - low white-red count lupus-like autoimmune lab tests - put on steroids - fever is back to 103 May 22, 2003.
Sex: U
Vaccine: HPV4, HPV4, HPV4, HPV4, HPV4
Symptoms: Haemoglobin decreased, Inflammation, Liver disorder, Lymphadenopathy, Nausea
Clinical narrative: Patient fatigued after vaccine.  That week she began having nausea, sore throat.  Dr visit diagnosed a virus.  2 wks later she had weakness in her legs, FUO for 37 days up to 104 degrees.  After 7 days in the hospital, 2 infectious disease Drs 1 hematologist couldn't find diagnosis.  She became a hemolytic anemic - low white-red count lupus-like autoimmune lab tests - put on steroids - fever is back to 103 May 22, 2003.
Sex: U
Vaccine: HPV4, HPV4, HPV4, HPV4, HPV4
Symptoms: Pain, Parvovirus B19 serology, Pharyngolaryngeal pain, Pyrexia, Red blood cell count decreased
Clinical narrative: Patient fatigued after vaccine.  That week she began having nausea, sore throat.  Dr visit diagnosed a virus.  2 wks later she had weakness in her legs, FUO for 37 days up to 104 degrees.  After 7 days in the hospital, 2 infectious disease Drs 1 hematologist couldn't find diagnosis.  She became a hemolytic anemic - low white-red count lupus-like autoimmune lab tests - put on steroids - fever is back to 103 May 22, 2003.
Sex: U
Vaccine: HPV4, HPV4, HPV4, HPV4, HPV4
Symptoms: Spleen disorder, Viral infection, Virus serology test, Vomiting, Weight decreased
Clinical narrative: Patient fatigued after vaccine.  That week she began having nausea, sore throat.  Dr visit diagnosed a virus.  2 wks later she had weakness in her legs, FUO for 37 days up to 104 degrees.  After 7 days in the hospital, 2 infectious disease Drs 1 hematologist couldn't find diagnosis.  She became a hemolytic anemic - low white-red count lupus-like autoimmune lab tests - put on steroids - fever is back to 103 May 22, 2003.
Sex: U
Vaccine: HPV4, HPV4, HPV4, HPV4, HPV4
Symptoms: White blood cell count decreased
Clinical narrative: Patient fatigued after vaccine.  That week she began having nausea, sore throat.  Dr visit diagnosed a virus.  2 wks later she had weakness in her legs, FUO for 37 days up to 104 degrees.  After 7 days in the hospital, 2 infectious disease Drs 1 hematologist couldn't find diagnosis.  She became a hemolytic anemic - low white-red count lupus-like autoimmune lab tests - put on steroids - fever is back to 103 May 22, 2003.
Sex: U
Vaccine: HPV4, HPV4, HPV4, HPV4, HPV4
Symptoms: Antinuclear antibody positive, Autoimmune disorder, Body temperature increased, Computerised tomogram abnormal, Lymphadenopathy
Clinical narrative: Patient fatigued after vaccine.  That week she began having nausea, sore throat.  Dr visit diagnosed a virus.  2 wks later she had weakness in her legs, FUO for 37 days up to 104 degrees.  After 7 days in the hospital, 2 infectious disease Drs 1 hematologist couldn't find diagnosis.  She became a hemolytic anemic - low white-red count lupus-like autoimmune lab tests - put on steroids - fever is back to 103 May 22, 2003.
Sex: U
Vaccine: HPV4, HPV4, HPV4, HPV4, HPV4
Symptoms: Pyrexia, White blood cell count decreased
Clinical narrative: Patient fatigued after vaccine.  That week she began having nausea, sore throat.  Dr visit diagnosed a virus.  2 wks later she had weakness in her legs, FUO for 37 days up to 104 degrees.  After 7 days in the hospital, 2 infectious disease Drs 1 hematologist couldn't find diagnosis.  She became a hemolytic anemic - low white-red count lupus-like autoimmune lab tests - put on steroids - fever is back to 103 May 22, 2003.
Sex: U
Vaccine: HPV4, HPV4, HPV4, HPV4, HPV4
Symptoms: Fatigue, Haemolytic anaemia, Laboratory test, Muscular weakness, Nausea
Clinical narrative: Patient fatigued after vaccine.  That week she began having nausea, sore throat.  Dr visit diagnosed a virus.  2 wks later she had weakness in her legs, FUO for 37 days up to 104 degrees.  After 7 days in the hospital, 2 infectious disease Drs 1 hematologist couldn't find diagnosis.  She became a hemolytic anemic - low white-red count lupus-like autoimmune lab tests - put on steroids - fever is back to 103 May 22, 2003.
Sex: U
Vaccine: HPV4, HPV4, HPV4, HPV4, HPV4
Symptoms: Pharyngolaryngeal pain, Pyrexia, Red blood cell count decreased, Viral infection, White blood cell count decreased
Clinical narrative: Patient fatigued after vaccine.  That week she began having nausea, sore throat.  Dr visit diagnosed a virus.  2 wks later she had weakness in her legs, FUO for 37 days up to 104 degrees.  After 7 days in the hospital, 2 infectious disease Drs 1 hematologist couldn't find diagnosis.  She became a hemolytic anemic - low white-red count lupus-like autoimmune lab tests - put on steroids - fever is back to 103 May 22, 2003.
Age: 62.0
Sex: M
Vaccine: FLU3, UNK
Symptoms: Asthenia, Dysstasia, Guillain-Barre syndrome, Mechanical ventilation, Muscle strain
Clinical narrative: Nov. 15 neck pain, tingling fingers.  Nov 16, 17, 18 extreme pain, tingling feet.  Nov 19th ER.  Nov. 19-Dr.  Nov. 20-22-could not move.  Nov. 21st could not walk at all.  Nov. 22nd-taken to hospital - on ventilator.
Age: 62.0
Sex: M
Vaccine: FLU3, UNK
Symptoms: Neck pain, Paraesthesia, Pneumonia
Clinical narrative: Nov. 15 neck pain, tingling fingers.  Nov 16, 17, 18 extreme pain, tingling feet.  Nov 19th ER.  Nov. 19-Dr.  Nov. 20-22-could not move.  Nov. 21st could not walk at all.  Nov. 22nd-taken to hospital - on ventilator.
Age: 62.0
Sex: M
Vaccine: FLU3, UNK
Symptoms: Abasia, Laboratory test, Mechanical ventilation, Movement disorder, Neck pain
Clinical narrative: Nov. 15 neck pain, tingling fingers.  Nov 16, 17, 18 extreme pain, tingling feet.  Nov 19th ER.  Nov. 19-Dr.  Nov. 20-22-could not move.  Nov. 21st could not walk at all.  Nov. 22nd-taken to hospital - on ventilator.
Age: 62.0
Sex: M
Vaccine: FLU3, UNK
Symptoms: Pain, Paraesthesia
Clinical narrative: Nov. 15 neck pain, tingling fingers.  Nov 16, 17, 18 extreme pain, tingling feet.  Nov 19th ER.  Nov. 19-Dr.  Nov. 20-22-could not move.  Nov. 21st could not walk at all.  Nov. 22nd-taken to hospital - on ventilator.
Age: 60.0
Sex: M
Vaccine: HEPA, YF, HEPA, YF
Symptoms: Body temperature increased, Chills, Confusional state, Injection site erythema, Injection site induration
Clinical narrative: Initial report received on 14 May 2008 from a Nurse Practitioner. A 60-year-old male patient, whose past medical history included hypertension, "DM II" (Diabetes Mellitus Type II), and mononucleosis 20 years ago, had received a first intramuscular left upper arm injection of YF VAX (Lot # UF302AA) and a first intramuscular left deltoid injection of HAVRIX (manufacturer GlaxoSmithKline, Lot # AHAVB224BA) on 22 April 2008. Approximately one week post-vaccination on 30 April 2008, the patient experienced "chill" and fever of 101.0 degrees Fahrenheit that continued for three days. The temperature was confirmed to be as high as 102.0 degrees Fahrenheit. The patient had redness, swelling and firmness of approximately four inches in diameter at the injection site. The swelling and redness subsequently involved the upper arm and anterior chest wall. The patient presented to the emergency room for evaluation. Treatments received and diagnostic tests performed were not provided. Approximately five days later, on 05 May 2008, the swelling and redness was decreasing and the patient's temperature had decreased to 99.0 degrees Fahrenheit, and he was feeling much better. The following day on 06 May 2008, the patient had stated he had no temperature and the swelling on the left upper arm was continuing to resolve and he was feeling better. The patient was seen for follow-up the following day and laboratory work was completed. Three days later, the laboratory work showed the patient had "Mono" re-activated. EBV acute infection antibodies for EBV Ab VCA, IgM were 8, EBV early antigen Ab, IgG was 182, EBV Ab VCA, IgG was 2554, and EBV nuclear antigen Ab, IgG was 2235. At that time the injection site remained about the same size described as "size of 1/2 Cuban cigar." The patient continued to have fatigue at the end of the day but was able to resume some usual activities. Treatments received for the diagnosis of mononucleosis was not provided. At the time of this report, the subject's recovery status was reported as recovered; however, the recovery status of the mononucleosis was not provided.
Age: 60.0
Sex: M
Vaccine: HEPA, YF, HEPA, YF
Symptoms: Injection site swelling, Pyrexia
Clinical narrative: Initial report received on 14 May 2008 from a Nurse Practitioner. A 60-year-old male patient, whose past medical history included hypertension, "DM II" (Diabetes Mellitus Type II), and mononucleosis 20 years ago, had received a first intramuscular left upper arm injection of YF VAX (Lot # UF302AA) and a first intramuscular left deltoid injection of HAVRIX (manufacturer GlaxoSmithKline, Lot # AHAVB224BA) on 22 April 2008. Approximately one week post-vaccination on 30 April 2008, the patient experienced "chill" and fever of 101.0 degrees Fahrenheit that continued for three days. The temperature was confirmed to be as high as 102.0 degrees Fahrenheit. The patient had redness, swelling and firmness of approximately four inches in diameter at the injection site. The swelling and redness subsequently involved the upper arm and anterior chest wall. The patient presented to the emergency room for evaluation. Treatments received and diagnostic tests performed were not provided. Approximately five days later, on 05 May 2008, the swelling and redness was decreasing and the patient's temperature had decreased to 99.0 degrees Fahrenheit, and he was feeling much better. The following day on 06 May 2008, the patient had stated he had no temperature and the swelling on the left upper arm was continuing to resolve and he was feeling better. The patient was seen for follow-up the following day and laboratory work was completed. Three days later, the laboratory work showed the patient had "Mono" re-activated. EBV acute infection antibodies for EBV Ab VCA, IgM were 8, EBV early antigen Ab, IgG was 182, EBV Ab VCA, IgG was 2554, and EBV nuclear antigen Ab, IgG was 2235. At that time the injection site remained about the same size described as "size of 1/2 Cuban cigar." The patient continued to have fatigue at the end of the day but was able to resume some usual activities. Treatments received for the diagnosis of mononucleosis was not provided. At the time of this report, the subject's recovery status was reported as recovered; however, the recovery status of the mononucleosis was not provided.
Age: 60.0
Sex: M
Vaccine: HEPA, YF, HEPA, YF
Symptoms: Activities of daily living impaired, Chills, Condition aggravated, Epstein-Barr virus antibody positive, Epstein-Barr virus test positive
Clinical narrative: Initial report received on 14 May 2008 from a Nurse Practitioner. A 60-year-old male patient, whose past medical history included hypertension, "DM II" (Diabetes Mellitus Type II), and mononucleosis 20 years ago, had received a first intramuscular left upper arm injection of YF VAX (Lot # UF302AA) and a first intramuscular left deltoid injection of HAVRIX (manufacturer GlaxoSmithKline, Lot # AHAVB224BA) on 22 April 2008. Approximately one week post-vaccination on 30 April 2008, the patient experienced "chill" and fever of 101.0 degrees Fahrenheit that continued for three days. The temperature was confirmed to be as high as 102.0 degrees Fahrenheit. The patient had redness, swelling and firmness of approximately four inches in diameter at the injection site. The swelling and redness subsequently involved the upper arm and anterior chest wall. The patient presented to the emergency room for evaluation. Treatments received and diagnostic tests performed were not provided. Approximately five days later, on 05 May 2008, the swelling and redness was decreasing and the patient's temperature had decreased to 99.0 degrees Fahrenheit, and he was feeling much better. The following day on 06 May 2008, the patient had stated he had no temperature and the swelling on the left upper arm was continuing to resolve and he was feeling better. The patient was seen for follow-up the following day and laboratory work was completed. Three days later, the laboratory work showed the patient had "Mono" re-activated. EBV acute infection antibodies for EBV Ab VCA, IgM were 8, EBV early antigen Ab, IgG was 182, EBV Ab VCA, IgG was 2554, and EBV nuclear antigen Ab, IgG was 2235. At that time the injection site remained about the same size described as "size of 1/2 Cuban cigar." The patient continued to have fatigue at the end of the day but was able to resume some usual activities. Treatments received for the diagnosis of mononucleosis was not provided. At the time of this report, the subject's recovery status was reported as recovered; however, the recovery status of the mononucleosis was not provided.
Age: 60.0
Sex: M
Vaccine: HEPA, YF, HEPA, YF
Symptoms: Fatigue, Injection site erythema, Injection site induration, Injection site swelling, Mononucleosis syndrome
Clinical narrative: Initial report received on 14 May 2008 from a Nurse Practitioner. A 60-year-old male patient, whose past medical history included hypertension, "DM II" (Diabetes Mellitus Type II), and mononucleosis 20 years ago, had received a first intramuscular left upper arm injection of YF VAX (Lot # UF302AA) and a first intramuscular left deltoid injection of HAVRIX (manufacturer GlaxoSmithKline, Lot # AHAVB224BA) on 22 April 2008. Approximately one week post-vaccination on 30 April 2008, the patient experienced "chill" and fever of 101.0 degrees Fahrenheit that continued for three days. The temperature was confirmed to be as high as 102.0 degrees Fahrenheit. The patient had redness, swelling and firmness of approximately four inches in diameter at the injection site. The swelling and redness subsequently involved the upper arm and anterior chest wall. The patient presented to the emergency room for evaluation. Treatments received and diagnostic tests performed were not provided. Approximately five days later, on 05 May 2008, the swelling and redness was decreasing and the patient's temperature had decreased to 99.0 degrees Fahrenheit, and he was feeling much better. The following day on 06 May 2008, the patient had stated he had no temperature and the swelling on the left upper arm was continuing to resolve and he was feeling better. The patient was seen for follow-up the following day and laboratory work was completed. Three days later, the laboratory work showed the patient had "Mono" re-activated. EBV acute infection antibodies for EBV Ab VCA, IgM were 8, EBV early antigen Ab, IgG was 182, EBV Ab VCA, IgG was 2554, and EBV nuclear antigen Ab, IgG was 2235. At that time the injection site remained about the same size described as "size of 1/2 Cuban cigar." The patient continued to have fatigue at the end of the day but was able to resume some usual activities. Treatments received for the diagnosis of mononucleosis was not provided. At the time of this report, the subject's recovery status was reported as recovered; however, the recovery status of the mononucleosis was not provided.