chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 26.0
Sex: F
Vaccine: HPV4
Symptoms: Injection site pain, Loss of consciousness, Musculoskeletal stiffness, Nausea, Prothrombin time prolonged
Clinical narrative: Initial and follow up information has been received from a Registered Nurse (R.N.) concerning a 26 year old female patient who on 14-AUG-2007 was vaccinated with a first dose of Gardasil lot #658222/0927U. Concomitant therapy included ethinyl estradiol (+) Levonorgestrel (SEASONALE). On 14-AUG-2007, within one month of vaccination patient developed injection site soreness, and then passed out for about one minute. She was dizzy and nauseated. She was transported to the Emergency Room via ambulance. In follow up the nurse reported that after patient received her Gardasil injection she turned her back and about 30 seconds later she turned around and the patient's head had dropped down and she was very stiff, not limp but stiff. She passed out. She was taken to the emergency room (ER) where she vomited. She had a computed axial tomography (CAT) scan which was normal, although she had a hematoma on her head. The nurse said that she did not fall while in the office or anytime before hand that she knew about so she was not sure where that came from. She had an electrocardiogram (EKG) which was borderline abnormal, and she was recommended to follow up with her primary care physician about the EKG. The primary care physician was aware of the patient's cardiology problem. The patient's glucose was 126, prothrombin time (PT) 13.0, red blood cell count (RBC) 4.05, everything else was right on the normal border. She was discharged from the ER that same day. Her discharge diagnosis was vasovagal syncope. The nurse's office was not able to contact the patient since then and was not sure if patient had recovered. The nurse reported that she did not know whether the event was from her Gardasil vaccination, since the event occurred about 30 seconds after her vaccination. The reporter indicated that the patient's adverse events injection site soreness, passing out, being dizzy and nauseated were disabling. She also believed transporting patient to the emergency room (ER) via ambulance was an intervention to prevent a serious criteria and it was reported as an other medical event. Additional information has been requested.
Age: 26.0
Sex: F
Vaccine: HPV4
Symptoms: Red blood cell count decreased, Syncope vasovagal, Vomiting
Clinical narrative: Initial and follow up information has been received from a Registered Nurse (R.N.) concerning a 26 year old female patient who on 14-AUG-2007 was vaccinated with a first dose of Gardasil lot #658222/0927U. Concomitant therapy included ethinyl estradiol (+) Levonorgestrel (SEASONALE). On 14-AUG-2007, within one month of vaccination patient developed injection site soreness, and then passed out for about one minute. She was dizzy and nauseated. She was transported to the Emergency Room via ambulance. In follow up the nurse reported that after patient received her Gardasil injection she turned her back and about 30 seconds later she turned around and the patient's head had dropped down and she was very stiff, not limp but stiff. She passed out. She was taken to the emergency room (ER) where she vomited. She had a computed axial tomography (CAT) scan which was normal, although she had a hematoma on her head. The nurse said that she did not fall while in the office or anytime before hand that she knew about so she was not sure where that came from. She had an electrocardiogram (EKG) which was borderline abnormal, and she was recommended to follow up with her primary care physician about the EKG. The primary care physician was aware of the patient's cardiology problem. The patient's glucose was 126, prothrombin time (PT) 13.0, red blood cell count (RBC) 4.05, everything else was right on the normal border. She was discharged from the ER that same day. Her discharge diagnosis was vasovagal syncope. The nurse's office was not able to contact the patient since then and was not sure if patient had recovered. The nurse reported that she did not know whether the event was from her Gardasil vaccination, since the event occurred about 30 seconds after her vaccination. The reporter indicated that the patient's adverse events injection site soreness, passing out, being dizzy and nauseated were disabling. She also believed transporting patient to the emergency room (ER) via ambulance was an intervention to prevent a serious criteria and it was reported as an other medical event. Additional information has been requested.
Sex: M
Vaccine: RV5
Symptoms: Diarrhoea, Gastroenteritis rotavirus
Clinical narrative: Information has been received from a physician concerning a male who was vaccinated with the first dose of Rotateq 2 ml. It was reported that a week after the first dose, the patient experienced diarrhea and was admitted to the hospital for 4 or 5 days. The patient was confirmed as having rotavirus. Subsequently, the patient recovered. There was no product quality complaint. Additional information has been requested.
Age: 0.5
Sex: F
Vaccine: RV5, DTAPHEPBIP, HIBV, DTAPHEPBIP, HIBV
Symptoms: Diarrhoea haemorrhagic, Intussusception, Pyrexia, Surgery, Vomiting
Clinical narrative: Information has been received from a a physician concerning a 7 month old female with no drug allergies who on 16-JUL-2007 was vaccinated with a 2ml oral dose of Rotateq. On 14-AUG-2007 the patient developed intussusception characterized by vomiting, low grade fever, and bloody diarrhea. Medical attention was sought via emergency room visit and the patient was hospitalized. Numerous tests (unspecified), confirmed a diagnosis of intussusception and a partial iliac resection was performed. Subsequently the patient was noted to still be hospitalized and recovering. There was no product quality complaint. The event was also considered to be immediately life-threatening and other important medical event (surgery) by the reporter. Additional information has been requested.  08/31/2007 Received hospital medical records of 8/14-8/22/2007.  FINAL DX: Intussusception w/terminal ileum perforation & necrosis. Records reveal patient experienced fever & decreased oral intake x 4 days, 1 day of bilious emesis & 1 episode of bloody stool. Taken to OR for exp laparotomy, small bowel resection & appendectomy.  Admitted to PICU post operatively.  Received IV antibiotics via PICC line & was weaned from mech ventilation successfully.  TPN started &  progressed to oral feeds.  Tolerated feeds well & stooling normally.  D/C to home w/pcp & peds surg f/u.  10/2/07 Received vax record from hospital which reveals patient did not receive RO on any date.  5/1/08 Received PCP medical records for 1/24/07-3/3/08 which included vax record different from that received from hospital. but still confirm that patient did not receive Rotateq vaccine at any time.  7/27 visit for wheezing, runny nose & cough x 3 days.  8/13 visit, had been out of state.  Had vomiting & fever x 2 days & seen in ER out of state x 2.  Lethargic & seen in local Er day before.  Dx w/viral gastroenteritis.  8/16 notified of hospitalization.  8/31 f/u hospitalization vs progressing well.  Returned 9/6, 10/18, 10/29, 11/26, facial cellulitis, atopic dermatitis w/wheezing, couth & runny nose.
Age: 0.5
Sex: F
Vaccine: RV5, DTAPHEPBIP, HIBV, DTAPHEPBIP, HIBV
Symptoms: Intussusception
Clinical narrative: Information has been received from a a physician concerning a 7 month old female with no drug allergies who on 16-JUL-2007 was vaccinated with a 2ml oral dose of Rotateq. On 14-AUG-2007 the patient developed intussusception characterized by vomiting, low grade fever, and bloody diarrhea. Medical attention was sought via emergency room visit and the patient was hospitalized. Numerous tests (unspecified), confirmed a diagnosis of intussusception and a partial iliac resection was performed. Subsequently the patient was noted to still be hospitalized and recovering. There was no product quality complaint. The event was also considered to be immediately life-threatening and other important medical event (surgery) by the reporter. Additional information has been requested.  08/31/2007 Received hospital medical records of 8/14-8/22/2007.  FINAL DX: Intussusception w/terminal ileum perforation & necrosis. Records reveal patient experienced fever & decreased oral intake x 4 days, 1 day of bilious emesis & 1 episode of bloody stool. Taken to OR for exp laparotomy, small bowel resection & appendectomy.  Admitted to PICU post operatively.  Received IV antibiotics via PICC line & was weaned from mech ventilation successfully.  TPN started &  progressed to oral feeds.  Tolerated feeds well & stooling normally.  D/C to home w/pcp & peds surg f/u.  10/2/07 Received vax record from hospital which reveals patient did not receive RO on any date.  5/1/08 Received PCP medical records for 1/24/07-3/3/08 which included vax record different from that received from hospital. but still confirm that patient did not receive Rotateq vaccine at any time.  7/27 visit for wheezing, runny nose & cough x 3 days.  8/13 visit, had been out of state.  Had vomiting & fever x 2 days & seen in ER out of state x 2.  Lethargic & seen in local Er day before.  Dx w/viral gastroenteritis.  8/16 notified of hospitalization.  8/31 f/u hospitalization vs progressing well.  Returned 9/6, 10/18, 10/29, 11/26, facial cellulitis, atopic dermatitis w/wheezing, couth & runny nose.
Age: 0.5
Sex: F
Vaccine: RV5, DTAPHEPBIP, HIBV, DTAPHEPBIP, HIBV
Symptoms: Abdominal pain, Enema administration, Intestinal perforation, Intussusception, Pyrexia
Clinical narrative: Information has been received from a a physician concerning a 7 month old female with no drug allergies who on 16-JUL-2007 was vaccinated with a 2ml oral dose of Rotateq. On 14-AUG-2007 the patient developed intussusception characterized by vomiting, low grade fever, and bloody diarrhea. Medical attention was sought via emergency room visit and the patient was hospitalized. Numerous tests (unspecified), confirmed a diagnosis of intussusception and a partial iliac resection was performed. Subsequently the patient was noted to still be hospitalized and recovering. There was no product quality complaint. The event was also considered to be immediately life-threatening and other important medical event (surgery) by the reporter. Additional information has been requested.  08/31/2007 Received hospital medical records of 8/14-8/22/2007.  FINAL DX: Intussusception w/terminal ileum perforation & necrosis. Records reveal patient experienced fever & decreased oral intake x 4 days, 1 day of bilious emesis & 1 episode of bloody stool. Taken to OR for exp laparotomy, small bowel resection & appendectomy.  Admitted to PICU post operatively.  Received IV antibiotics via PICC line & was weaned from mech ventilation successfully.  TPN started &  progressed to oral feeds.  Tolerated feeds well & stooling normally.  D/C to home w/pcp & peds surg f/u.  10/2/07 Received vax record from hospital which reveals patient did not receive RO on any date.  5/1/08 Received PCP medical records for 1/24/07-3/3/08 which included vax record different from that received from hospital. but still confirm that patient did not receive Rotateq vaccine at any time.  7/27 visit for wheezing, runny nose & cough x 3 days.  8/13 visit, had been out of state.  Had vomiting & fever x 2 days & seen in ER out of state x 2.  Lethargic & seen in local Er day before.  Dx w/viral gastroenteritis.  8/16 notified of hospitalization.  8/31 f/u hospitalization vs progressing well.  Returned 9/6, 10/18, 10/29, 11/26, facial cellulitis, atopic dermatitis w/wheezing, couth & runny nose.
Age: 0.5
Sex: F
Vaccine: RV5, DTAPHEPBIP, HIBV, DTAPHEPBIP, HIBV
Symptoms: Surgery, Ultrasound abdomen, Vomiting
Clinical narrative: Information has been received from a a physician concerning a 7 month old female with no drug allergies who on 16-JUL-2007 was vaccinated with a 2ml oral dose of Rotateq. On 14-AUG-2007 the patient developed intussusception characterized by vomiting, low grade fever, and bloody diarrhea. Medical attention was sought via emergency room visit and the patient was hospitalized. Numerous tests (unspecified), confirmed a diagnosis of intussusception and a partial iliac resection was performed. Subsequently the patient was noted to still be hospitalized and recovering. There was no product quality complaint. The event was also considered to be immediately life-threatening and other important medical event (surgery) by the reporter. Additional information has been requested.  08/31/2007 Received hospital medical records of 8/14-8/22/2007.  FINAL DX: Intussusception w/terminal ileum perforation & necrosis. Records reveal patient experienced fever & decreased oral intake x 4 days, 1 day of bilious emesis & 1 episode of bloody stool. Taken to OR for exp laparotomy, small bowel resection & appendectomy.  Admitted to PICU post operatively.  Received IV antibiotics via PICC line & was weaned from mech ventilation successfully.  TPN started &  progressed to oral feeds.  Tolerated feeds well & stooling normally.  D/C to home w/pcp & peds surg f/u.  10/2/07 Received vax record from hospital which reveals patient did not receive RO on any date.  5/1/08 Received PCP medical records for 1/24/07-3/3/08 which included vax record different from that received from hospital. but still confirm that patient did not receive Rotateq vaccine at any time.  7/27 visit for wheezing, runny nose & cough x 3 days.  8/13 visit, had been out of state.  Had vomiting & fever x 2 days & seen in ER out of state x 2.  Lethargic & seen in local Er day before.  Dx w/viral gastroenteritis.  8/16 notified of hospitalization.  8/31 f/u hospitalization vs progressing well.  Returned 9/6, 10/18, 10/29, 11/26, facial cellulitis, atopic dermatitis w/wheezing, couth & runny nose.
Age: 11.0
Sex: M
Vaccine: MNQ, TDAP, VARCEL
Symptoms: Drooling, Dyspnoea, Electrocardiogram, Swelling face, Wheezing
Clinical narrative: Within 20 minutes Pt reported difficulty breathing, mild facial swelling, drooling, wheezing.  09/19/2007  MR received for hospital DOS 8/20-21/2007 for DX of Anaphylactic reaction.  Approximately 10 minutes s/p vax pt developed sneezing, red eyes, swollen lips drooling, sore throat and difficulty breathing. TX on site with albuterol, Bendaryl IM, and O2 and transfered to ER. PE significant for scattered expiratory rhonchi, facial edema, mildly injected sclera. Epi SQ and Decadron po given. Observed O/N. D/C improved.
Age: 0.3
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5, DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Abdominal pain, Barium enema, Enema administration, Haematochezia, Intussusception
Clinical narrative: Intussusception - 1 day intermittent symptoms with colicky abdominal pain, blood tinged mucous stool --> reduced by air enema.  8/28/07 Received pcp medical records which included Hospital D/C summary & H&P.  PCP records included vax records but no lot #s.  T/C to pcp office, stated info on VAERS report correct & will not provide further info on lot #s.  Office visit of 6/14 indicates patient was healthy on day of vax. F/U note of 8/07 indicates patient doing well post op.  D/C Summary indicates paitent experienced mucousy emesis, decreased appetite, abdominal pain, fussy, listless & refusal to lie prone x 1 day & bloody mucously stool on day of admit. Admitted 8/4-8/5/07 for observation s/p IS reduction.  Overnight, IS recurred as evidenced by (+) US.  Then spontaneously resolved. FINAL DX: Intussusception, enema reduced. 9/17/07 Received lab & x-ray reports from hospital.
Age: 0.3
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5, DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Mucous stools
Clinical narrative: Intussusception - 1 day intermittent symptoms with colicky abdominal pain, blood tinged mucous stool --> reduced by air enema.  8/28/07 Received pcp medical records which included Hospital D/C summary & H&P.  PCP records included vax records but no lot #s.  T/C to pcp office, stated info on VAERS report correct & will not provide further info on lot #s.  Office visit of 6/14 indicates patient was healthy on day of vax. F/U note of 8/07 indicates patient doing well post op.  D/C Summary indicates paitent experienced mucousy emesis, decreased appetite, abdominal pain, fussy, listless & refusal to lie prone x 1 day & bloody mucously stool on day of admit. Admitted 8/4-8/5/07 for observation s/p IS reduction.  Overnight, IS recurred as evidenced by (+) US.  Then spontaneously resolved. FINAL DX: Intussusception, enema reduced. 9/17/07 Received lab & x-ray reports from hospital.
Age: 0.3
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5, DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Abdominal pain, Barium enema, Decreased appetite, Haematochezia, Intussusception
Clinical narrative: Intussusception - 1 day intermittent symptoms with colicky abdominal pain, blood tinged mucous stool --> reduced by air enema.  8/28/07 Received pcp medical records which included Hospital D/C summary & H&P.  PCP records included vax records but no lot #s.  T/C to pcp office, stated info on VAERS report correct & will not provide further info on lot #s.  Office visit of 6/14 indicates patient was healthy on day of vax. F/U note of 8/07 indicates patient doing well post op.  D/C Summary indicates paitent experienced mucousy emesis, decreased appetite, abdominal pain, fussy, listless & refusal to lie prone x 1 day & bloody mucously stool on day of admit. Admitted 8/4-8/5/07 for observation s/p IS reduction.  Overnight, IS recurred as evidenced by (+) US.  Then spontaneously resolved. FINAL DX: Intussusception, enema reduced. 9/17/07 Received lab & x-ray reports from hospital.
Age: 0.3
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5, DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Irritability, Laboratory test normal, Listless, Mucous stools, Ultrasound abdomen abnormal
Clinical narrative: Intussusception - 1 day intermittent symptoms with colicky abdominal pain, blood tinged mucous stool --> reduced by air enema.  8/28/07 Received pcp medical records which included Hospital D/C summary & H&P.  PCP records included vax records but no lot #s.  T/C to pcp office, stated info on VAERS report correct & will not provide further info on lot #s.  Office visit of 6/14 indicates patient was healthy on day of vax. F/U note of 8/07 indicates patient doing well post op.  D/C Summary indicates paitent experienced mucousy emesis, decreased appetite, abdominal pain, fussy, listless & refusal to lie prone x 1 day & bloody mucously stool on day of admit. Admitted 8/4-8/5/07 for observation s/p IS reduction.  Overnight, IS recurred as evidenced by (+) US.  Then spontaneously resolved. FINAL DX: Intussusception, enema reduced. 9/17/07 Received lab & x-ray reports from hospital.
Age: 0.3
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5, DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Vomiting, X-ray abnormal
Clinical narrative: Intussusception - 1 day intermittent symptoms with colicky abdominal pain, blood tinged mucous stool --> reduced by air enema.  8/28/07 Received pcp medical records which included Hospital D/C summary & H&P.  PCP records included vax records but no lot #s.  T/C to pcp office, stated info on VAERS report correct & will not provide further info on lot #s.  Office visit of 6/14 indicates patient was healthy on day of vax. F/U note of 8/07 indicates patient doing well post op.  D/C Summary indicates paitent experienced mucousy emesis, decreased appetite, abdominal pain, fussy, listless & refusal to lie prone x 1 day & bloody mucously stool on day of admit. Admitted 8/4-8/5/07 for observation s/p IS reduction.  Overnight, IS recurred as evidenced by (+) US.  Then spontaneously resolved. FINAL DX: Intussusception, enema reduced. 9/17/07 Received lab & x-ray reports from hospital.
Age: 15.0
Sex: F
Vaccine: HEPA, TDAP
Symptoms: Dizziness, Erythema, Headache, Induration, Pyrexia
Clinical narrative: Mother reports left upper arm 5-6cm area of erythema and induration warm to touch and tender. She also reports child with complaint of headache, fever and lightheadedness. At this time 8/24/07 evening she took child to emergency room. Diagnosis as localized skin reaction - discharged to home in stable condition.
Age: 15.0
Sex: F
Vaccine: HEPA, TDAP
Symptoms: Skin reaction, Skin warm, Tenderness
Clinical narrative: Mother reports left upper arm 5-6cm area of erythema and induration warm to touch and tender. She also reports child with complaint of headache, fever and lightheadedness. At this time 8/24/07 evening she took child to emergency room. Diagnosis as localized skin reaction - discharged to home in stable condition.
Age: 16.0
Sex: F
Vaccine: HPV4
Symptoms: Loss of consciousness, Syncope
Clinical narrative: First dose of Gardasil was administered. Patient fainted, losing consciousness for 10 seconds with full recovery. Lot # 09284, left arm IM
Age: 15.0
Sex: F
Vaccine: HPV4, MNQ
Symptoms: Anxiety, Crying, Dyspnoea, Headache, Loss of consciousness
Clinical narrative: Client's mother reports that when they arrived home, client "passed out" in back seat of car. This was about "10 minutes after the shot was administered. She was unresponsive for about 30 seconds 9or so). Mom says that client started "shaking" and she thought client was going into a seizure, but "she did not." The mother went to her immediately, taking to her and pulled her up from the lying position. Client then was responsive. They live close to a EMS worker who came and checked her vital signs - mom states they were fine. Also, after the client 'came to' she complained of a headache and difficulty breathing. Mom had her lie down to rest for awhile. During this time she again complained of difficulty which lasted only a few seconds, then she again felt fine. The remainder of the day, client had no symptoms and even went to facility a few hours later. We were notified of this incident on 8/23/07. The client was not seen by a medical professional. When the client was at the clinic for her shots, she was very nervous/anxious and was crying while the shots were being given.
Age: 15.0
Sex: F
Vaccine: HPV4, MNQ
Symptoms: Tremor, Unresponsive to stimuli
Clinical narrative: Client's mother reports that when they arrived home, client "passed out" in back seat of car. This was about "10 minutes after the shot was administered. She was unresponsive for about 30 seconds 9or so). Mom says that client started "shaking" and she thought client was going into a seizure, but "she did not." The mother went to her immediately, taking to her and pulled her up from the lying position. Client then was responsive. They live close to a EMS worker who came and checked her vital signs - mom states they were fine. Also, after the client 'came to' she complained of a headache and difficulty breathing. Mom had her lie down to rest for awhile. During this time she again complained of difficulty which lasted only a few seconds, then she again felt fine. The remainder of the day, client had no symptoms and even went to facility a few hours later. We were notified of this incident on 8/23/07. The client was not seen by a medical professional. When the client was at the clinic for her shots, she was very nervous/anxious and was crying while the shots were being given.
Age: 5.0
Sex: F
Vaccine: VARZOS
Symptoms: Wrong drug administered
Clinical narrative: Pt ordered to receive 4-6 yo Varivax (routine booster) but received Zostavax by staff in error. Pt was doing fine when reached for f/u 3d later (given on Friday PM, reached Monday AM).
Age: 11.0
Sex: M
Vaccine: TDAP, VARCEL
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: Administration error. Patient received 3rd Varivax 8/24/07 but had received 2nd Varicella shot on 6/11/02 (No sequelae from vaccine).
Age: 12.0
Sex: F
Vaccine: HPV4
Symptoms: Sensation of foreign body, Throat irritation
Clinical narrative: Within 15 secs of 2nd vaccine developed a burning in throat and then a feeling of a lump in throat.
Age: 0.5
Sex: F
Vaccine: DTAPHEPBIP, PNC, RV5
Symptoms: Cold compress therapy, Pyrexia
Clinical narrative: Fever 104 on the night of the Pediarix was administered. Treated with Tylenol PRN and cold compresses.
Age: 7.0
Sex: M
Vaccine: DTAP, IPV, MMRV
Symptoms: Wrong drug administered
Clinical narrative: Pt received DTaP on 3-22-07 and was 7 years old.
Age: 12.0
Sex: M
Vaccine: DTAP, HEPA, MMRV, DTAP, HEPA, MMRV
Symptoms: Wrong drug administered
Clinical narrative: Pt was given Proquad at age 12 yr. 6 mons of age - with no adverse event.
Age: 12.0
Sex: M
Vaccine: DTAP, HEPA, MMRV, DTAP, HEPA, MMRV
Symptoms: Inappropriate schedule of drug administration, Wrong technique in drug usage process
Clinical narrative: Pt was given Proquad at age 12 yr. 6 mons of age - with no adverse event.
Age: 82.0
Sex: F
Vaccine: VARZOS
Symptoms: Erythema, Influenza like illness, Oedema peripheral, Pyrexia
Clinical narrative: Pt c/o flu like symptoms on Friday 8/24/07, date of administration. She then noted fever and left arm red swollen, redness. PMD saw pt advised her to use Tylenol. Area outside red 4x4", inner red area (darker red) 1 1/ 2x 1 1/2 in.
Age: 60.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Pain, Pyrexia
Clinical narrative: Patient reported "large red swollen, tender where injected with vaccine (L upper outer arm). Fever 100.4 F. Intercostal pain. This is day 5 - pt continues taking oral pain med, swelling and redness decreased now.
Age: 15.0
Sex: F
Vaccine: HPV4, VARCEL
Symptoms: Cellulitis
Clinical narrative: Cellulitis (R) arm diagnosed by covering provider on 8/25/07. Treated with Keflex 1000mg PO BID x 7 days
Age: 13.0
Sex: F
Vaccine: HPV4, VARCEL
Symptoms: Cold compress therapy, Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Redness, warmth, swelling and tenderness at injection site. Advised cold compresses, ibuprofen, Benadryl and monitor.
Age: 15.0
Sex: F
Vaccine: HPV4, MNQ, TDAP
Symptoms: Dizziness, Hypoaesthesia, Oxygen supplementation
Clinical narrative: Complained of dizziness, numbness to arms/legs within 10 min of getting the vaccine. Had her lie down, legs elevated, gave O2 - resolved after 10-15 min.
Age: 14.0
Sex: F
Vaccine: HPV4
Symptoms: Dizziness
Clinical narrative: Dizziness within 10 minutes of getting the vaccine. Had her lie down, elevated legs - resolved after 10-15 minutes.
Age: 12.0
Sex: M
Vaccine: MNQ, VARCEL
Symptoms: Varicella post vaccine
Clinical narrative: Broke out in varicella lesions one day after vaccine. 20-25 lesions on back and buttocks
Age: 1.1
Sex: M
Vaccine: MMRV
Symptoms: Pyrexia, Rash, Roseola
Clinical narrative: Fever 103-104, began 8/6/07 and lasted until 8/10/07. Vaccine given 7/31/07. Patient also developed rash on 8/10/07 and was diagnosed with Roseola.
Age: 11.0
Sex: F
Vaccine: TDAP
Symptoms: Urticaria
Clinical narrative: Hives, used Calamine and antihistamine
Age: 18.0
Sex: F
Vaccine: HPV4, MNQ
Symptoms: Headache, Musculoskeletal stiffness, Pain in extremity, Pyrexia
Clinical narrative: Fever, Rt arm pain, neck stiffness, severe headache
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMRV
Symptoms: Injection site cellulitis, Injection site pain, Injection site swelling, Wound
Clinical narrative: Pt came in 8/17/07 with swollen left leg. No fever, mild tenderness at site. hx of previous culture +. MRSA wound. Presumed MRSA cellulitis at site of IPV injection.
Age: 19.0
Sex: F
Vaccine: MNQ
Symptoms: Dizziness, Feeling abnormal, Headache
Clinical narrative: Dizzy, fuzzy headed, headache, (L) foot and bilateral hands fuzzy 9/28/07-records received from neurologist for DOS 8/22/07 and 8/31/07-Seen for C/O lightheadness and tingling in her hands and toes one day after receiving a miningococcal vaccination, 9 days prior to this evaluation. Has also had occasional headaches and feels a little confused and weak all over. Headaches everyday which is atypical for her. More thirsty lately. Denies difficulty ambulating, speaking for swallowing. No fever. PE: WNL.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMRV
Symptoms: Torticollis
Clinical narrative: Torticollis
Age: 68.0
Sex: F
Vaccine: VARZOS
Symptoms: Erythema, Lip swelling, Swollen tongue
Clinical narrative: When I got up on 8/10/07, my tongue felt swollen; I called my doctor. He said to take a Benadryl and call back in 2 hrs and did both. tongue worse and lips felt tight. He said to go ER. I did. They gave SoluMedrol 125 MG inj. Sed. CU +9% IV, Rt IV KVO resolved. 50mg Benadryl and Prednisone 10mg. Next AM, all Ok except red in center tongue, tongue still swollen; return to my doctor on Mon. for effects of Prednisone. Now Ok.
Sex: F
Vaccine: HEPA, MMR, TDAP, VARCEL
Symptoms: Wrong drug administered
Clinical narrative: Pt was administered erroneous doses of Hep A, MMR, and Varicella - no treatment needed.
Age: 15.0
Sex: M
Vaccine: DTAP, IPV, MMRV
Symptoms: Abdominal pain, Inappropriate schedule of drug administration
Clinical narrative: Abd pain - diffuse 1-2 hours after.
Age: 11.0
Sex: F
Vaccine: TDAP, VARCEL
Symptoms: Cold compress therapy, Injection site erythema, Injection site induration, Injection site pruritus, Injection site swelling
Clinical narrative: 16 hrs after injection of Tdap developed redness and swelling; seen in office 8/17/07 with erythema 17x17 cm; induration 11x12 cm; itchy; Benadryl and ice applied. No further sx or tx.
Age: 20.0
Sex: F
Vaccine: HPV4
Symptoms: Pain, Pharyngeal oedema, Pyrexia, Swollen tongue
Clinical narrative: Rec'd 2nd Gardasil vaccine 8/17/07  at approximately 815 AM. Client noticed swollen throat and tongue at approx 3 PM the same day along with overall body aches and low-grade fever. Client did not seek treatment. Mother of client notified H.D. 8/20/07 at 1140 AM. Symptoms still persist but client went to classes.
Age: 13.0
Sex: F
Vaccine: MNQ
Symptoms: Chills, Full blood count, Photophobia, Pyrexia, Rash
Clinical narrative: Fever (103), shaking, chills, rash, photophobia. All resolved with Motrin in 24 hours.
Age: 13.0
Sex: F
Vaccine: MNQ
Symptoms: Tremor
Clinical narrative: Fever (103), shaking, chills, rash, photophobia. All resolved with Motrin in 24 hours.
Age: 1.3
Sex: M
Vaccine: MMRV
Symptoms: Injection site erythema
Clinical narrative: LL with redness approx. 2 cm in diameter after Proquad 0.5 mL SQ.
Age: 17.0
Sex: F
Vaccine: HPV4, MNQ
Symptoms: Syncope
Clinical narrative: ?? Syncope
Age: 0.34
Sex: M
Vaccine: DTAP, HBHEPB, IPV, PNC, RV5
Symptoms: Body temperature increased, Cough, Diarrhoea, Pyrexia, Rhinorrhoea
Clinical narrative: Had temp of about 100 on 7-30-07. Denies cough, diarrhea, fever, rhinnorhea and vomiting.
Age: 0.34
Sex: M
Vaccine: DTAP, HBHEPB, IPV, PNC, RV5
Symptoms: Vomiting
Clinical narrative: Had temp of about 100 on 7-30-07. Denies cough, diarrhea, fever, rhinnorhea and vomiting.
Age: 13.0
Sex: M
Vaccine: MNQ, TDAP
Symptoms: Decreased appetite, Lethargy, Pyrexia
Clinical narrative: High fever, lethargic, decreased appetite
Age: 14.0
Sex: F
Vaccine: HPV4, MNQ, TDAP
Symptoms: Pallor, Syncope, Visual disturbance
Clinical narrative: After injections, client pale - then reports "things are going black". Eyes remained open but not alert. Observed for 30-40 minutes. BP range 92/60 - 80/60, P. 62-80 - thready. Becomes more alert, responsive - taking sips of H20 and juice. Report no breakfast or fluids this AM and swam for 2 hours. Client becomes faint again - recommend ambulance - parent refuses. At 1515 - color returning, responsive - no further occurrence of fainting events. Parents have arranged appt at doctor. 8/21/07 - PC to parents - no further problems - did not see doctor - as were advised by doctor office to keep client cool and hydrate.
Age: 16.0
Sex: F
Vaccine: TDAP
Symptoms: Headache, Malaise, Pain, Pyrexia
Clinical narrative: Presented to clinic day after vaccination - fever, headaches, body aches, malaise
Age: 17.0
Sex: F
Vaccine: HPV4
Symptoms: Pyrexia
Clinical narrative: Pt developed a fever of 104 one hour after injection
Age: 53.0
Sex: F
Vaccine: TDAP
Symptoms: Erythema, Induration, Skin lesion, Skin warm, Swelling
Clinical narrative: 4x5cm indurated erythematous tender lesion: redness/warmth/swelling
Age: 53.0
Sex: F
Vaccine: TDAP
Symptoms: Tenderness
Clinical narrative: 4x5cm indurated erythematous tender lesion: redness/warmth/swelling
Age: 15.0
Sex: F
Vaccine: HEPA, HPV4, PPV
Symptoms: Injection site erythema, Injection site induration
Clinical narrative: 1x2 inch erythema, indurated oval at site of injection (Pneumovax)
Age: 70.0
Sex: F
Vaccine: VARZOS
Symptoms: Glossitis
Clinical narrative: In 2 hrs, right side of tongue swelled to roof of mouth, reddish purple and very sore and was reversed with antihistamine in 2.5 hrs.
Age: 0.36
Sex: M
Vaccine: DTAPHEPBIP, PNC, RV5
Symptoms: Incorrect route of drug administration
Clinical narrative: Rotavirus vaccine was administered intramuscularly to left thigh of infant. Infant suffered no adverse effects and had no reactions, signs or symptoms. No treatment or testing was therefore needed.
Age: 14.0
Sex: F
Vaccine: TDAP
Symptoms: Otitis media, Pruritus, Urticaria
Clinical narrative: Itching of face after vaccine. ER visit with dx hives, otitis media. Discharged 8/2/07 at 5:35pm. Medrol-dose pak and Zithromax.
Age: 10.0
Sex: F
Vaccine: HEPA, HPV4, TDAP, VARCEL
Symptoms: Erythema, Skin warm
Clinical narrative: Pt received Varicella vaccine 7-25-07. Mother states area became red 24 hours after receiving vaccine. Mother returned to clinic 7-31-07. Area some redness measured 10mm x 12mm. Warm to touch.
Age: 12.0
Sex: F
Vaccine: HPV4, MNQ, VARCEL
Symptoms: Injection site erythema
Clinical narrative: 24 hrs after varicella mom called stated pt has quarter size reddened area to (L) upper arm where varicella was given
Age: 14.0
Sex: F
Vaccine: MNQ
Symptoms: Retching, Vomiting
Clinical narrative: Mom said that her daughter started vomiting on Saturday after getting the shot on Tuesday. She also had dry heaves.
Age: 42.0
Sex: M
Vaccine: ANTH, SMALL
Symptoms: Malaise
Clinical narrative: All condition that my body desvallate for the ANTHRAX shot have a yellow mark in the next pages. At this time I'm very sick for that and am confirm sick very sick. abdominal pain, ache: joints and muscles, allergies, appetite: loss, arthritis, asthma, balance: dizzy upon standing, vertigo and dizziness, balance problems, blood pressure high, blood high cholesterol, respiratory bronchitis, bumps on hand, cold and flu-like symptoms, concentration trouble, cough, cramps leg, dehydration, delirium episodes, delirium, depression, dermatitis exfoliative, dermatitis, diabetes mellitus, diarrhea constant, digestive gastric ulcer, nausea constant, digestive problems, pancreas, eczema vaccinatum, eczema, edema face, genital edema, energy loss, fatigue, gastritis, hair turned white then brown, head rushes, headache uncontrollable thump on left side of head, evolving into headache, migraines, headache continuous, ringing in ears, poor tolerance for loud noises, vomiting blood, herpes simplex, hyperglycemia, hypertension, hypothyroidism, immune system problems weakness autoimmune disorder, impotence, constant infections, joint aches, memory difficulty, memory loss, trouble remembering recent information, anxious mood angry mood, irritable mood, runny nose, nausea, nausea and vomiting and diarrhea, nervousness anxiety, numbness and tingling in fingers and arms, pain in legs lower back right shoulder hips leg right hip chest groin back, lower back pain, joint and muscle pain and stiffness, stomach pain, bone and joint pain, arthritic pain, neck pain, abdominal pain, pain in feet like electrical shocks, rash macular papular, burn type rash on entire body, respiratory problems, sinusitis, itching skin, spontaneous burning sensation on skin, infected wounds, skin sensitivity, skin papules filled with clear fluid when papules broke fluid burned skin and was extremely painful, skin pain, need stimulant to stay awake, sleep problems, sneezing, stomach problems, suicide attempt, shrunken testicles, tinnitus, tremors, ulcer skin, urinary frequency, vision poor tolerance for bright lights, vision problems, voice alteration, walking trouble walking difficulty, weight gain weight loss. 11/9/07-clinic records received-C/O episodes of irritability anxiety with sleeping disturbances awakening for minimal noise. Headaches, diarrhea, paresthesia on hands, skin condition while in middle east. Flashbacks, nighmares,  Difficulties coping with civilian life. DX: Gastroesophageal reflux disease. Major depression. Chronic low back pain. Post traumatic stress disorder. Obese. HypeDiabetes Mellitus Type 2 . Toxic multinodular goitor (subclinical hypothyroidism).rglycemia. Sleep apnea. Hypertriglyceridemia. Chronic smoker.
Age: 60.0
Sex: F
Vaccine: FLU3
Symptoms: Muscle atrophy
Clinical narrative: Employee states on 3/2007 noticed 2 small red indented marks to left deltoid area. Denied any pain, swelling or itching to site. State in June 2007 noticed some tissue loss to the area. No on 6/27/07 went to see a dermatologist but no treatment was given. Then on 7/24/07 returned to dermatologist due to continued changes in the tissue and had a skin biopsy done. Employee was then referred to an orth specialist who she saw on 8/1/07 and had an x-ray done. Result was area consistent with selective muscle atrophy secondary to vaccine injection (See notes enclosed from her doctors). She is to follow-up with doctor in 2 months.
Age: 12.0
Sex: F
Vaccine: HPV4, MNQ, TDAP, VARCEL
Symptoms: Cyanosis, Immediate post-injection reaction, Loss of consciousness, Nausea
Clinical narrative: Pt recieved 4 immunizations. After the 3rd vaccine she complained of nausea and passed out in the nurse's arms immediately after the 4th injection. She was moved to the floor and legs were raised. Blueing of the lips was noted, but she was breathing on her own. Pt awake within 5 min and asking what happened. Her BP was stable and 02 was not needed. Pt said she had missed breakfast that morning.
Age: 1.42
Sex: M
Vaccine: DTAP, HIBV
Symptoms: Injection site erythema, Injection site swelling, Pyrexia
Clinical narrative: mom stated that he ran a fever of 102 and the local site was red and swollen and she went to see her pedirician the next day and it stated it was ok and if it got worse to take him to the emergency room but it resolved
Age: 35.0
Sex: M
Vaccine: ANTH, HEP
Symptoms: Arthralgia, Chills, Depression, Dyspepsia, Headache
Clinical narrative: severe headaches, joint pain, skin irritation,rash's on chest other parts of torso, not just injection site, sleeping problems, red circular rash around injection site, 5 inchs or so diameter, chills, fever, digestive problems, nausea, lethargy and depression.  PLEASE NOTE, HAD DR. VISIT SAME WEEK, AND WAS PERFECTLY HEALTHY AT TIME OF VISIT!
Age: 35.0
Sex: M
Vaccine: ANTH, HEP
Symptoms: Injection site rash, Injection site urticaria, Lethargy, Nausea, Pyrexia
Clinical narrative: severe headaches, joint pain, skin irritation,rash's on chest other parts of torso, not just injection site, sleeping problems, red circular rash around injection site, 5 inchs or so diameter, chills, fever, digestive problems, nausea, lethargy and depression.  PLEASE NOTE, HAD DR. VISIT SAME WEEK, AND WAS PERFECTLY HEALTHY AT TIME OF VISIT!
Age: 35.0
Sex: M
Vaccine: ANTH, HEP
Symptoms: Rash, Skin irritation, Sleep disorder
Clinical narrative: severe headaches, joint pain, skin irritation,rash's on chest other parts of torso, not just injection site, sleeping problems, red circular rash around injection site, 5 inchs or so diameter, chills, fever, digestive problems, nausea, lethargy and depression.  PLEASE NOTE, HAD DR. VISIT SAME WEEK, AND WAS PERFECTLY HEALTHY AT TIME OF VISIT!
Age: 1.42
Sex: F
Vaccine: DTAP, HEPA, PNC
Symptoms: Injection site cellulitis
Clinical narrative: Patient initially had redness in right thigh. Was treated conservatively with warm compresses and over the counter pain relievers.  Redness progressed and cellulitis at injection site was diagnosised.  Injections given on 08/23/2007.  Patient treated with course of Keflex on 08/27/07
Age: 1.0
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Rash papular
Clinical narrative: a mild rash exactly one month later.  Raised red bumps on her torso, approx 20
Age: 6.0
Sex: F
Vaccine: HEPA, VARCEL
Symptoms: Cold compress therapy, Fatigue, Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Clt. came in on 08/21/2007 for routine immunizations. She was given Var and hep A. MOC reported that child had bad rxn to DTP shots previously and she was worried that her other children would have rxns to vaccines. Since this child was not receiving a vaccine with pertussis in it the mom was not concerened about her having a rxn. The vaccines were given and the next morning the mom called wondering which vaccine was given in the Right Arm. When I spoke to the MOC she reported that her child's arm had done what it had when she received a vaccine containg pertussis that it was red and swollen and hot to the touch. MOC was told by the school that she had a fever but when mom took her temp it was 98.6. Child did not feel well, tired and achey. Tylenol was given for aches and fever and cold compresses were used on injection site.
Age: 6.0
Sex: F
Vaccine: HEPA, VARCEL
Symptoms: Malaise, Pain, Pyrexia
Clinical narrative: Clt. came in on 08/21/2007 for routine immunizations. She was given Var and hep A. MOC reported that child had bad rxn to DTP shots previously and she was worried that her other children would have rxns to vaccines. Since this child was not receiving a vaccine with pertussis in it the mom was not concerened about her having a rxn. The vaccines were given and the next morning the mom called wondering which vaccine was given in the Right Arm. When I spoke to the MOC she reported that her child's arm had done what it had when she received a vaccine containg pertussis that it was red and swollen and hot to the touch. MOC was told by the school that she had a fever but when mom took her temp it was 98.6. Child did not feel well, tired and achey. Tylenol was given for aches and fever and cold compresses were used on injection site.
Age: 74.0
Sex: M
Vaccine: HEP
Symptoms: Asthenia, Body temperature increased, Dysuria, Hyperhidrosis, Musculoskeletal stiffness
Clinical narrative: Had Hepatitis B Vaccine booster shot Saturday 8/25 about 11:30 AM, in preparation for a trip in September. Apparently I'm among the 1% of adults who have mild to moderate fever. After having a Mai Tai drink and eating at Chinese restaurant and then attending a movie in shorts in a cool place, feeling fine up to then, walked a few blocks home about 9:30 PM and started shaking uncontrollably. It took half an hour or so to warm up, especially my feet, in blankets in a room above 77 degrees. Heart racing all night, took my temperature around noon Suday -- it was still 102 degrees. Temperature dropped to 99.8 and heart slowed to low eighties by Sunday evening (compared with my usual pulse around 58). Started taking two tablets aspirin every 5 hours Sunday morning. Temperature 98.6 Monday (this) morning, after considerable sweating, at 9:00 AM and heart beat below 70. So off to work, but not feeling energetic. (Currently, 12:45 PM on Monday 27 Aug temperature 99.4 and pulse 73) Other symptoms, possibly related?, a little muscle pain in leg muscles, especially above the knees, and still a little stiffness in fingers, a little urinary incontinece and then mild pain while unrinating at a urinal. [Below, item 13,  - Dr. will know manufacturer info, etc.]
Age: 74.0
Sex: M
Vaccine: HEP
Symptoms: Myalgia, Palpitations, Pyrexia, Tremor, Urinary incontinence
Clinical narrative: Had Hepatitis B Vaccine booster shot Saturday 8/25 about 11:30 AM, in preparation for a trip in September. Apparently I'm among the 1% of adults who have mild to moderate fever. After having a Mai Tai drink and eating at Chinese restaurant and then attending a movie in shorts in a cool place, feeling fine up to then, walked a few blocks home about 9:30 PM and started shaking uncontrollably. It took half an hour or so to warm up, especially my feet, in blankets in a room above 77 degrees. Heart racing all night, took my temperature around noon Suday -- it was still 102 degrees. Temperature dropped to 99.8 and heart slowed to low eighties by Sunday evening (compared with my usual pulse around 58). Started taking two tablets aspirin every 5 hours Sunday morning. Temperature 98.6 Monday (this) morning, after considerable sweating, at 9:00 AM and heart beat below 70. So off to work, but not feeling energetic. (Currently, 12:45 PM on Monday 27 Aug temperature 99.4 and pulse 73) Other symptoms, possibly related?, a little muscle pain in leg muscles, especially above the knees, and still a little stiffness in fingers, a little urinary incontinece and then mild pain while unrinating at a urinal. [Below, item 13,  - Dr. will know manufacturer info, etc.]
Age: 21.0
Sex: M
Vaccine: ANTH, SMALL, TYP, ANTH, SMALL, TYP
Symptoms: Diarrhoea, Headache, Salivary hypersecretion, Urticaria
Clinical narrative: Pt developed widespread urticaria on his body, increased secretions, headache, and diarrhea 48 hours after the vaccinations. Symptoms improved with solumedrol, cimetidine and benadry. Previous history of urticaria/angioedema with nsaids.
Age: 21.0
Sex: M
Vaccine: ANTH, SMALL, TYP, ANTH, SMALL, TYP
Symptoms: Pruritus, Swollen tongue, Urticaria
Clinical narrative: Pt developed widespread urticaria on his body, increased secretions, headache, and diarrhea 48 hours after the vaccinations. Symptoms improved with solumedrol, cimetidine and benadry. Previous history of urticaria/angioedema with nsaids.
Age: 0.2
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5, DTAPHEPBIP, PNC, RV5, DTAPHEPBIP, PNC, RV5, DTAPHEPBIP, PNC, RV5
Symptoms: Death, Developmental delay, Failure to thrive
Clinical narrative: Patient died two days after receiving vaccines. Infant had multiple problems including failure to thrive, and developmental delays. Was admitted with complete heart block.  8/28/07 Spoke w/the reporter on this case who will provide medical records from clinic & hospital as well as a copy of the Death Certificate.  No autopsy was done.  Reporter stated this child had multiple medical problems & was being followed by several clinic specialists including geneticist.  Sibling of this child also had multiple problems & expired at unknown time.  9/7/07 Reviewed medical records & Death Certifiate from reporter.  COD stated as complete heart block w/microcephaly & failure to thrive as contributing factors.  Vax record confirms dose & Lot # of all vax as reported.   Had microcephaly, hypertonia & contractures of UEs noted on d/c from birth hospital.  Referred by birth hospital to Easter Seals for developmental therapy eval 7/07.  Medical records show that on day of vax had cough & sneeze along w/very slow feeding & poor growth noted.  Referred for feeding eval.  PCP records indicate patient on home monitor.  Neuro, Genetic & Cardio consults.  Very slowly gained weight & remained significantly underweight.  Genetics eval done 7/07.  Developmental delay.  Cardiac consult on day of death reveals patient admitted 8/24 for diarrhea & poor feeding then developed slow heart rate & complete heart block.   FINAL DX: complete heart block, microcephaly & failure to thrive.