chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 0.4
Sex: F
Vaccine: DTAP, HIBV, IPV, PNC, RV5
Symptoms: Tremor
Clinical narrative: The night of receiving the vaccines, had an episode which was either seizure like or laryngospasm.  Had susequent episodes over the next few days total of 4 episodes - one with shaking which appeared to be consistent with seizure.  8/27/2007 MR received for DOS 7/19-20/2007 for c/o 3 episodes over 2 days of arm flexing, staring/eyes rolling back and blue lips. Child had another episode during hospitalization where she had trembling of all extremities, staring straight ahead, and unresponsiveness to verbal or tactile stim. This episode was considered to be c/w seizure activity, and the child started on phenobarb. DX: Spells.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Drug administration error
Clinical narrative: MMRV given at 90 degree angle with 5/8 inch needle. No adverse symptoms, no treatment given.
Age: 38.0
Sex: F
Vaccine: DTAP
Symptoms: Cellulitis, Injection site erythema, Injection site induration, Muscle spasms, Myalgia
Clinical narrative: Vaccine given at noon on 7/16/07 and pt reports onset of arm pain and myalgias that evening. Over the next 2 days, she developed fever up to 101, leg cramps and increasing arm pain. Seen at an urgent care clinic and diagnosed with cellulitis, given antibiotics and came here the next day. Concentric erythema with superficial induration at injection site but no streaking seen. Started on Ibuprofen 800mg q8h. 24 hours later decreased pain and slight decrease in erythema. Patient failed to return for subsequent follow-up as directed.
Age: 38.0
Sex: F
Vaccine: DTAP
Symptoms: Pain in extremity, Pyrexia
Clinical narrative: Vaccine given at noon on 7/16/07 and pt reports onset of arm pain and myalgias that evening. Over the next 2 days, she developed fever up to 101, leg cramps and increasing arm pain. Seen at an urgent care clinic and diagnosed with cellulitis, given antibiotics and came here the next day. Concentric erythema with superficial induration at injection site but no streaking seen. Started on Ibuprofen 800mg q8h. 24 hours later decreased pain and slight decrease in erythema. Patient failed to return for subsequent follow-up as directed.
Age: 1.0
Sex: F
Vaccine: HEPA, MMRV
Symptoms: Injection site erythema, Injection site swelling, Rash papular
Clinical narrative: Sat morning, Papular rash starting on back of neck, spread to rest of body, also present during physical exam on 07/23/07. Injection site swollen, erythrimatic. Pt was also on antibiotic therapy at the time.
Age: 61.0
Sex: M
Vaccine: TDAP
Symptoms: Erythema
Clinical narrative: Client received immunization of Tdap on 7/16/2007, on 7/22/2007, client noticed arm getting red between the elbow and below the injection site.
Age: 38.0
Sex: F
Vaccine: TD
Symptoms: Activities of daily living impaired, Anorexia, Back pain, Fatigue, Headache
Clinical narrative: Loss of appetite, swelling and rash at injection site, tired, lower back pain, headache, flu-like symptoms.  I called the Dr. office and the nurse told me that my symptoms weren't adverse reactions to the shot and that I should move my arm like she told me to.  Onset of symptoms were that evening with the worst being two days later.  I had to miss work because I couldn't keep my eyes open and was too achy all over to make it out of bed.
Age: 38.0
Sex: F
Vaccine: TD
Symptoms: Influenza like illness, Injection site erythema, Injection site swelling, Pain
Clinical narrative: Loss of appetite, swelling and rash at injection site, tired, lower back pain, headache, flu-like symptoms.  I called the Dr. office and the nurse told me that my symptoms weren't adverse reactions to the shot and that I should move my arm like she told me to.  Onset of symptoms were that evening with the worst being two days later.  I had to miss work because I couldn't keep my eyes open and was too achy all over to make it out of bed.
Age: 82.0
Sex: F
Vaccine: TD
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Redness and warmth at site of injection. Noticed symptoms this morning upon waking.  Afebrile.  Started on doxycycline 100mg bid x 10 days and Benadryl 25mg qhs.
Age: 9.0
Sex: F
Vaccine: VARCEL
Symptoms: Contusion, Ecchymosis, Full blood count, Pain, Pruritus
Clinical narrative: Beginning several hours after vaccine administration to right tricep, patient experienced pain, swelling, and bruising.  By 24 hours after administration, swelling had increased to ~7 x 12 cm area over right tricep with ~2 cm superficial ecchymosis and blotchy erythematous rash at margins of the swelling.  Treatment is symptomatic - motrin/tylenol for pain, ice/elevation/compression for swelling, benadryl for itching/rash.
Age: 9.0
Sex: F
Vaccine: VARCEL
Symptoms: Rash erythematous, Swelling
Clinical narrative: Beginning several hours after vaccine administration to right tricep, patient experienced pain, swelling, and bruising.  By 24 hours after administration, swelling had increased to ~7 x 12 cm area over right tricep with ~2 cm superficial ecchymosis and blotchy erythematous rash at margins of the swelling.  Treatment is symptomatic - motrin/tylenol for pain, ice/elevation/compression for swelling, benadryl for itching/rash.
Age: 25.0
Sex: F
Vaccine: HPV4
Symptoms: Dizziness, Immediate post-injection reaction, Injection site reaction, Nausea, Paraesthesia
Clinical narrative: Immediately following vaccinatin, patient felt tingling at injection site.  She stated that she felt light headed and nauseous.  She felt better after lying down for around 5 minutes.  We observed patient for over 30 minutes and she left in stable condition.
Age: 68.0
Sex: U
Vaccine: VARZOS
Symptoms: Facial palsy, Hypoaesthesia oral
Clinical narrative: NUMBNESS IN LIPS,BELLS PALSY DIAGONOSED BY ER MD
Age: 5.0
Sex: M
Vaccine: VARCEL
Symptoms: Varicella
Clinical narrative: Varicella Infection
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMRV
Symptoms: Blister, Rash pustular, Rash vesicular, Skin lesion
Clinical narrative: Lesions like chicken pox (vesicles and pustules) over most of body, > 100
Age: 65.0
Sex: F
Vaccine: VARZOS
Symptoms: Burning sensation, Herpes zoster, Pain, Rash
Clinical narrative: I got a shingles vaccination on 7/19/07.  Within an hour I felt a stinging, burning sensation on my neck. The pain continued, sometimes intermittently. On 7/23/07 a rash developed along the route of the pain.  My doctor was unavailable, so I saw Dr. also of the same practice. Dr. diagnosed shingles.
Age: 18.0
Sex: F
Vaccine: VARCEL
Symptoms: Erythema, Nodule on extremity, Pain, Pain in extremity, Skin warm
Clinical narrative: pt. received Varicella injection on 7-18-07.      On 7-19-07 noted redness, warm to touch, pain and nodule 2 X 4 cm on left arm.  Pt. seen via PCP on 7-20-07 with treatment order. On 7-22-07 s/s had improved.
Age: 69.0
Sex: M
Vaccine: VARZOS
Symptoms: Injection site rash, Pruritus, Rash, Urticaria
Clinical narrative: Rash at injection sight appeared two days after administration, itching, discolored bump, approximately 3 x 3 inches. Rash moved to legs in itchy, hive-like patches and bumps.
Age: 54.0
Sex: F
Vaccine: HEP
Symptoms: Abnormal sensation in eye, Fatigue, Headache, Injection site pain, Nausea
Clinical narrative: On 7-9-07 received #2 of Hep. B vaccine.       On 7-9-07 pt. noted 30 minutes after injection with h/a (pounding & heaviness), nausea, eye pressure, right arm soreness/tenderness,(took OTC Tylenol and warm compression).  Nodule noted on          7-10-07. Tender over rib junction after injection on 7-9-07.  Pt. seen via PCP 7-24-07 with ongoing fatique, decrease intake, tenderness @ injection site and rib junction.  Labs obtained LFT and BMP (WNL).  Ordered Ibuprofen 800mg and Nexium.
Age: 54.0
Sex: F
Vaccine: HEP
Symptoms: Nodule, Pain in extremity, Tenderness
Clinical narrative: On 7-9-07 received #2 of Hep. B vaccine.       On 7-9-07 pt. noted 30 minutes after injection with h/a (pounding & heaviness), nausea, eye pressure, right arm soreness/tenderness,(took OTC Tylenol and warm compression).  Nodule noted on          7-10-07. Tender over rib junction after injection on 7-9-07.  Pt. seen via PCP 7-24-07 with ongoing fatique, decrease intake, tenderness @ injection site and rib junction.  Labs obtained LFT and BMP (WNL).  Ordered Ibuprofen 800mg and Nexium.
Age: 18.0
Sex: M
Vaccine: MEN, TD
Symptoms: Activated partial thromboplastin time shortened, Anaemia, Contusion, Epistaxis, Full blood count
Clinical narrative: Developed bleeding, low hbg, hct, immune thrombocytopenia purpura. Pneumonia, fainting, nose bleeds.  He was treated with transfusions of two units of packed red blood cells.  He received WinRho in the hospital for a platelet count of 2.   He later received prednisone and more at the Cancer Center.  He has been home since December of 2006 and his platelets are still low and he is anemic.  Vax record received.  Vaccines given 7/27/2006  Menomune (verified) Lot # UB453AA, TD Adult Lot # U1817BA.  Hep A/Hep B  Lot # AHABB055AA given 8/11/2006.   07/30/2007 MR received for hospital DOS 9/19-22/2006.  Pt presented with severe thrombocytopenia dx'd at military clinic after developing excessive bruising, tarry stools, fatigue, and shortness of breath.    PE significant for petechial hemorrhages on the tongue, and several large ecchymosis.  Pt given 2 units PRBCs and WinRho D.  Transfered to military facility.  Discharge DX:  Severe thrombocytopenia.  Anemia with Hematochezia.  Recent URI with (+) Monospot test. 08/07/2007 Records received from transfer military hospital for DOS 9/22-23/2006 including records from other facilities as well. As above.  Final Impression: ITP resolving.  Platelets climbing.  Anemia stable. Follow-up: His blood count (platelets) fluctuate, and he has only had WNL RBC x1. (Oct. 07).
Age: 18.0
Sex: M
Vaccine: MEN, TD
Symptoms: Full blood count, Haemorrhage, Iron deficiency, Marrow hyperplasia, Megakaryocytes increased
Clinical narrative: Developed bleeding, low hbg, hct, immune thrombocytopenia purpura. Pneumonia, fainting, nose bleeds.  He was treated with transfusions of two units of packed red blood cells.  He received WinRho in the hospital for a platelet count of 2.   He later received prednisone and more at the Cancer Center.  He has been home since December of 2006 and his platelets are still low and he is anemic.  Vax record received.  Vaccines given 7/27/2006  Menomune (verified) Lot # UB453AA, TD Adult Lot # U1817BA.  Hep A/Hep B  Lot # AHABB055AA given 8/11/2006.   07/30/2007 MR received for hospital DOS 9/19-22/2006.  Pt presented with severe thrombocytopenia dx'd at military clinic after developing excessive bruising, tarry stools, fatigue, and shortness of breath.    PE significant for petechial hemorrhages on the tongue, and several large ecchymosis.  Pt given 2 units PRBCs and WinRho D.  Transfered to military facility.  Discharge DX:  Severe thrombocytopenia.  Anemia with Hematochezia.  Recent URI with (+) Monospot test. 08/07/2007 Records received from transfer military hospital for DOS 9/22-23/2006 including records from other facilities as well. As above.  Final Impression: ITP resolving.  Platelets climbing.  Anemia stable. Follow-up: His blood count (platelets) fluctuate, and he has only had WNL RBC x1. (Oct. 07).
Age: 18.0
Sex: M
Vaccine: MEN, TD
Symptoms: Petechiae, Pneumonia, Prothrombin time prolonged, Syncope
Clinical narrative: Developed bleeding, low hbg, hct, immune thrombocytopenia purpura. Pneumonia, fainting, nose bleeds.  He was treated with transfusions of two units of packed red blood cells.  He received WinRho in the hospital for a platelet count of 2.   He later received prednisone and more at the Cancer Center.  He has been home since December of 2006 and his platelets are still low and he is anemic.  Vax record received.  Vaccines given 7/27/2006  Menomune (verified) Lot # UB453AA, TD Adult Lot # U1817BA.  Hep A/Hep B  Lot # AHABB055AA given 8/11/2006.   07/30/2007 MR received for hospital DOS 9/19-22/2006.  Pt presented with severe thrombocytopenia dx'd at military clinic after developing excessive bruising, tarry stools, fatigue, and shortness of breath.    PE significant for petechial hemorrhages on the tongue, and several large ecchymosis.  Pt given 2 units PRBCs and WinRho D.  Transfered to military facility.  Discharge DX:  Severe thrombocytopenia.  Anemia with Hematochezia.  Recent URI with (+) Monospot test. 08/07/2007 Records received from transfer military hospital for DOS 9/22-23/2006 including records from other facilities as well. As above.  Final Impression: ITP resolving.  Platelets climbing.  Anemia stable. Follow-up: His blood count (platelets) fluctuate, and he has only had WNL RBC x1. (Oct. 07).
Age: 75.0
Sex: F
Vaccine: DTP
Symptoms: Erythema
Clinical narrative: DTP vaccine administered in left arm. Developed diffuse skin erythema of left arm.
Age: 6.0
Sex: F
Vaccine: HEPA, VARCEL
Symptoms: Injection site erythema, Injection site induration
Clinical narrative: Redness and induration at injection site noticed less than 24 hours after injection.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Erythema, Oedema peripheral, Skin warm
Clinical narrative: Right upper arm red, swollen and warm to touch. Due to severity pt treated with Keflex.
Age: 25.0
Sex: F
Vaccine: MMR
Symptoms: Medication error
Clinical narrative: MMR #2 vaccine was given 6/27/07. Expiration date on vaccine box 3/29/07.
Age: 4.0
Sex: M
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Induration, Swelling
Clinical narrative: Left deltoid swelling/induration
Age: 5.0
Sex: M
Vaccine: VARCEL
Symptoms: Rash, Rash vesicular
Clinical narrative: Varicella-type illness - numerous vesicles on legs and trunk, approx 40 lesions. No fever. Developed approx 2 weeks after varicella vaccine.
Age: 1.2
Sex: F
Vaccine: HIBV, PNC
Symptoms: Crying, Gait disturbance, Weight bearing difficulty
Clinical narrative: Received vaccines below on 6/28/07. Later cried and did not want to bear weight on left leg. Taken to ER and diagnosed with left thigh immunization/decreased ambulation and prescribed Ibuprofen. Seen on F/U on 7/2/07 able to ambulate well. No fever. No swelling of left extremity.
Age: 1.7
Sex: F
Vaccine: DTAP, HIBV, PNC
Symptoms: Emotional distress, Pyrexia
Clinical narrative: Fever 104. Poorly consolable.
Age: 11.0
Sex: M
Vaccine: TD
Symptoms: Erythema, Injection site reaction, Skin necrosis, Skin warm
Clinical narrative: Red about 2 inches round, raised, hard to touch, warm to touch.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Site of injection red, warm, upper arm swollen, no temp, no pain.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Pyrexia
Clinical narrative: Fever of 103 today. Treatment - Tylenol.
Age: 1.3
Sex: M
Vaccine: DTAP, HIBV, PNC
Symptoms: Erythema, Skin warm, Swelling, Tenderness
Clinical narrative: Right thigh - 2.5x4.5cm mild erythema. Left thigh - some swelling, slight tenderness, barely warm.
Age: 11.0
Sex: M
Vaccine: VARCEL
Symptoms: Injection site erythema
Clinical narrative: Erythema 6cmx9cm at injection site
Age: 1.1
Sex: M
Vaccine: HEPA, MMR, VARCEL
Symptoms: Erythema, Urticaria
Clinical narrative: Left anterior thigh with 4cm erythematous wheal developed within 5 minutes of vaccine administration. No systemic symptoms. Benadryl 12.5mg given p.o. with resolution of rash within 20 minutes.
Age: 13.0
Sex: F
Vaccine: DTAP, HEPA
Symptoms: Wrong drug administered
Clinical narrative: 14 year old female administered DTaP instead of Tdap
Age: 67.0
Sex: M
Vaccine: HEP
Symptoms: Hepatitis B, Hepatitis B surface antigen positive, Vaccination failure
Clinical narrative: Patient tested hepatitis B negative on 4/25/07. On July 5, 2007 the hepatitis B vaccine was administered. On July 6th, 2007 a hepatitis B lab was drawn and the patient tested positive.
Age: 1.0
Sex: M
Vaccine: HEPA, MMR, PNC
Symptoms: Dysphonia
Clinical narrative: Mom called office on 7/18/07 notices child is hoarse. No other symptom, instructed to monitor. Seen in office 7/19/07 with c/o hoarseness only. Question 2nd viral croup, extra crying vocal cord abuse. Report VAERS - possible side effect.
Age: 10.0
Sex: M
Vaccine: VARCEL
Symptoms: Erythema, Pain of skin, Skin necrosis, Skin warm, Swelling
Clinical narrative: 8cmx9cm redness and swelling to left deltoid with 3cmx3cm inner firm area to center - area warm and tender to touch
Age: 13.0
Sex: M
Vaccine: DTAP, HEPA
Symptoms: Wrong drug administered
Clinical narrative: Pt is a 13 year old male administered DTaP instead of Tdap
Age: 1.65
Sex: F
Vaccine: HEPA
Symptoms: Erythema multiforme
Clinical narrative: 2 days after vaccine developed erythema multiforme minor
Age: 88.0
Sex: F
Vaccine: VARZOS
Symptoms: Biopsy bone marrow abnormal, Blood bilirubin, Blood test normal, Ecchymosis, Petechiae
Clinical narrative: Thrombocytopenia, Ecchymosis, Petechiae 9/14/07-records received new onset of thrombocytopenia purpura and petechiae, admitted on 6/12/07.  One week after receipt of zostavax vaccine developed purpuric lesions on oral mucosa and tongue. Few days later developed diffuse petechial rash on upper and lower extremities and trunk. Received 5 doses of IVIG. Assessment thrombocytopenia temporally associated to receipt of zostavax vaccine and to nefedipine.
Age: 88.0
Sex: F
Vaccine: VARZOS
Symptoms: Platelet count decreased, Renal function test normal, Thrombocytopenia, White blood cell count
Clinical narrative: Thrombocytopenia, Ecchymosis, Petechiae 9/14/07-records received new onset of thrombocytopenia purpura and petechiae, admitted on 6/12/07.  One week after receipt of zostavax vaccine developed purpuric lesions on oral mucosa and tongue. Few days later developed diffuse petechial rash on upper and lower extremities and trunk. Received 5 doses of IVIG. Assessment thrombocytopenia temporally associated to receipt of zostavax vaccine and to nefedipine.
Age: 78.0
Sex: F
Vaccine: VARZOS
Symptoms: Burning sensation, Colonoscopy normal, Computerised tomogram abdomen normal, Hepatic cyst, Intervertebral disc protrusion
Clinical narrative: Stinging, burning pain in lower buttocks. I have had previous outbreaks of shingles. During my last attack, (Jan. 2007), I was taking Acyclovir when I Received a shot of ZOSTAVAX. Reaction was so severe I had to be admitted at a later date under emergency conditions for 7 days. 8/15/07-records received-DC Summary for DOS 5/3-5/9/07-DC DX: Acute ileitis. Chronic low back pain. Atrial fibrillation. On a chronic anticoagulation. Presented with C/O diarrhea for 7 days. Dehydrated with low potassium levels. Low back pain with numbness in bilateral legs upon sitting. Neurology consult 5/15/07-buttock pain and shingle. Patient may have cauda equina syndrome or neuropathy. Neurology consult 8/8/07-Reflexes absent at ankles but equal and symmetric with bilateral down going toes. Gait and station is normal. Impression:postherpetic neuralgia. Follow-up Report: PSN - Pt. has another attack of shingles. PSN - Post syndrome neuropathy.
Age: 78.0
Sex: F
Vaccine: VARZOS
Symptoms: Musculoskeletal pain, Pain
Clinical narrative: Stinging, burning pain in lower buttocks. I have had previous outbreaks of shingles. During my last attack, (Jan. 2007), I was taking Acyclovir when I Received a shot of ZOSTAVAX. Reaction was so severe I had to be admitted at a later date under emergency conditions for 7 days. 8/15/07-records received-DC Summary for DOS 5/3-5/9/07-DC DX: Acute ileitis. Chronic low back pain. Atrial fibrillation. On a chronic anticoagulation. Presented with C/O diarrhea for 7 days. Dehydrated with low potassium levels. Low back pain with numbness in bilateral legs upon sitting. Neurology consult 5/15/07-buttock pain and shingle. Patient may have cauda equina syndrome or neuropathy. Neurology consult 8/8/07-Reflexes absent at ankles but equal and symmetric with bilateral down going toes. Gait and station is normal. Impression:postherpetic neuralgia. Follow-up Report: PSN - Pt. has another attack of shingles. PSN - Post syndrome neuropathy.
Age: 0.14
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PPV, RV5
Clinical narrative: Intussusception 9/26/07-spoke with reporter's office requested vac rec-intussusception resolved with barium enema while traveling in India.  9/27/07-reporter called-returned from India first x-rays indicated possible intussusception, in India visited a second physician and had another series of x-rays which did not demonstrate intussusception. No records received by the reporter from India. Misdiagnosed Intussception.
Age: 16.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Crying, Head injury, Syncope
Clinical narrative: Pt had syncope episode approx. 15 minutes after receiving Gardasil injection. Pt verbalized fear of needles before receiving the injection. Crying after the injection and nurse sat with her in exam room for approx 10 min. Pt had syncope while on her way out to waiting room and hit her head on the edge of a door. No visible injury but went to hospital via ambulance. Her guardian decided at that time that she did not need to be seen and took her home.
Age: 16.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Head injury, Syncope
Clinical narrative: Pt had syncope episode approx. 15 minutes after receiving Gardasil injection. Pt verbalized fear of needles before receiving the injection. Crying after the injection and nurse sat with her in exam room for approx 10 min. Pt had syncope while on her way out to waiting room and hit her head on the edge of a door. No visible injury but went to hospital via ambulance. Her guardian decided at that time that she did not need to be seen and took her home.
Age: 0.2
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Irritability, Pyrexia
Clinical narrative: High fever (to 103) and fussy. Started about 4 hours after vaccine and lasted about 15 hours total. No treatment needed.
Age: 0.2
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Blood culture negative, C-reactive protein increased, Full blood count, Irritability, Pyrexia
Clinical narrative: Fussy. Fever to 102.8 started about 12 hours after vaccine and continued for about one day. CBC, Blood cultures obtained were within normal limits. CRP=2.9 (elevated)
Age: 4.0
Sex: M
Vaccine: DTAP, HEPA, IPV, MMR, VARCEL
Symptoms: Erythema, Heart rate increased, Hypoaesthesia oral, Pruritus generalised
Clinical narrative: Patient left clinic to go downstairs to lab. 15-30 min later mom returned with patient red all over body and scratching body all over. Mom states patient reported tongue numb shortly after injections on the way to lab and itching also started then. Dr. re-examined patient (same MD for physical and ordering MD). Benadryl 1 tsp PO, Epinephrine 0.15 SC LA 95% RA, heart rate 130 per relief RN. 30 min later: HR 107, pt asleep, redness decreased, MD instructions given.
Age: 39.0
Sex: F
Vaccine: HPV4
Symptoms: Facial palsy, Inappropriate schedule of drug administration, Off label use
Clinical narrative: Diagnosed with Bells Palsy (paralysis on left side of face) Acyclovir 400 mg-1 tab 5 times a day Prednisone 20mg-2 tabs for 3 days 1.5 3 days, 1.0 3 days, 0.5 3 day.  8/14/07 Received vax record & VAERS database updated w/same.  9/11/07 Received medical records from clinic for visit on 7/6/07 which reveals patient experienced left eye swelling, left tongue numbness & left lower lip numbness.  Had URI for approx 10 days, sinus congestion, rhinitisfatigued & easy bruising.  Exam revealed left side eyelid drooping, inability to completely close left eye, flattening of nasal labial fold & left side lip drooping.  Tx w/antiviral, prednisone.  Referred to hematology. FINAL DX: Bell's palsy, thrombocytopenia.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMRV
Symptoms: Rash
Clinical narrative: pt had a systemic rash noted under arms bilat, ears, face and pubic area. Pt was given Singulair 4 mg, PO x 1 , Benadryl 25 mg IM x 1 per Dr.
Age: 0.5
Sex: M
Vaccine: DTAPHEPBIP, PNC
Symptoms: Irritability, Pyrexia
Clinical narrative: Fever to 101 and fussy. Started about 6 hours after vaccines and continued for about one day. No treatment added.
Age: 54.0
Sex: M
Vaccine: TD
Symptoms: Activities of daily living impaired, Arthralgia, Fatigue, Lethargy, Muscular weakness
Clinical narrative: On the morning of Saturday, 7/14/07, two days after the DECAVAC vaccination, I felt abnormal lethargy and fatigue, accompanied by generalized aching of muscles and joints. These conditions persisted through the weekend, to the point that I was unable to do my normal exercise routines of upper body weight training, yoga, and one-hour hikes. On Monday, 7/16/07, I attempted my normal one-hour exercise routine of hiking at 5:30 PM, and I had a turn back from the trail after 30 minutes. I was physically unable to ascend a small hill I have hiked up literally hundreds of times. My muscles lacked strength, and I lacked energy. On Tuesday, 7/17/07, the continued severe fatigue and body aches alarmed me to the point that I called Urgent Care to ask if I was experiencing an adverse or allergic response to the vaccination. The response from the nurse at Urgent Care, who consulted with the physician, was affirmative...that I must be suffering an allergic reaction, for which there is nothing to do. I would add that there are two recent base-line measures of my physical condition prior to the DECAVAC vaccination. On June 6, 2007, I had a complete physical examination, including blood work and EKG, at the office of Dr. at the medical center.  The results show I am in fine shape. On the morning of July 4, 2007, I ascended to the summit of the peak, at 12,600 feet in the San Francisco Peaks, in 2 hours 42 minutes. This is a 4.8 mile hike (one-way), with an altitude gain of over 3000 feet. The physical exam, and my ability to hike rapidly at higher altitude, provide a standard by which to gauge the rapid deterioration of my health and my capabilities two days after the DECAVAC vaccination.
Age: 54.0
Sex: M
Vaccine: TD
Symptoms: Myalgia
Clinical narrative: On the morning of Saturday, 7/14/07, two days after the DECAVAC vaccination, I felt abnormal lethargy and fatigue, accompanied by generalized aching of muscles and joints. These conditions persisted through the weekend, to the point that I was unable to do my normal exercise routines of upper body weight training, yoga, and one-hour hikes. On Monday, 7/16/07, I attempted my normal one-hour exercise routine of hiking at 5:30 PM, and I had a turn back from the trail after 30 minutes. I was physically unable to ascend a small hill I have hiked up literally hundreds of times. My muscles lacked strength, and I lacked energy. On Tuesday, 7/17/07, the continued severe fatigue and body aches alarmed me to the point that I called Urgent Care to ask if I was experiencing an adverse or allergic response to the vaccination. The response from the nurse at Urgent Care, who consulted with the physician, was affirmative...that I must be suffering an allergic reaction, for which there is nothing to do. I would add that there are two recent base-line measures of my physical condition prior to the DECAVAC vaccination. On June 6, 2007, I had a complete physical examination, including blood work and EKG, at the office of Dr. at the medical center.  The results show I am in fine shape. On the morning of July 4, 2007, I ascended to the summit of the peak, at 12,600 feet in the San Francisco Peaks, in 2 hours 42 minutes. This is a 4.8 mile hike (one-way), with an altitude gain of over 3000 feet. The physical exam, and my ability to hike rapidly at higher altitude, provide a standard by which to gauge the rapid deterioration of my health and my capabilities two days after the DECAVAC vaccination.
Age: 5.0
Sex: F
Vaccine: VARCEL
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: Pt received MMR vaccine on 7/6/07 and Varicella vaccine on 7/13/07. Varicella should have been given 4 wks after receiving MMR.
Age: 7.0
Sex: M
Vaccine: HEPA, HEPA
Symptoms: Injection site warmth, Rash
Clinical narrative: Mom stated pt. broke out in a rash on trunk 3 hrs post injection. Mom stated injection site was free from redness or rash but did report warmth at site.
Age: 79.0
Sex: F
Vaccine: VARZOS
Symptoms: Headache, Injection site erythema, Injection site streaking, Injection site swelling, Malaise
Clinical narrative: Patient called the DOH on 07/25/07 at 0900 and reported that she hasn't felt good since she got her shot.  She reports that during the night of 07/23 - 07/24/07 she reports thst she began itching on her face and neck, and was unable to sleep.  She also reports low grade fever, headache and a rash on her face.  She also reports that the injection site is swollenm, and has a red line coming from it.  The patient denies any diffuculty breathing, talking or swallowing.  The patient reports that she does have an allergy to fish, but forgot to tell staff on the day of her appointment.  The patient was reffered to her primary doctor for a review and exam.
Age: 79.0
Sex: F
Vaccine: VARZOS
Symptoms: Pruritus, Pyrexia, Rash, Sleep disorder
Clinical narrative: Patient called the DOH on 07/25/07 at 0900 and reported that she hasn't felt good since she got her shot.  She reports that during the night of 07/23 - 07/24/07 she reports thst she began itching on her face and neck, and was unable to sleep.  She also reports low grade fever, headache and a rash on her face.  She also reports that the injection site is swollenm, and has a red line coming from it.  The patient denies any diffuculty breathing, talking or swallowing.  The patient reports that she does have an allergy to fish, but forgot to tell staff on the day of her appointment.  The patient was reffered to her primary doctor for a review and exam.
Age: 0.17
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Haematochezia
Clinical narrative: Blood in stools twice on same day, two days after vaccine administered. No fever or other symptoms.
Age: 5.0
Sex: F
Vaccine: IPV, MMR, TDAP, VARCEL
Symptoms: Inappropriate schedule of drug administration, Local reaction, Wrong drug administered
Clinical narrative: Pt may have local reaction.  Tdap givin to pt rather than Dtap.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMRV
Symptoms: Cold compress therapy, Immediate post-injection reaction, Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Recieved vaccines on 7-20-07 with immediate redness, warmth, swelling, that progressed slowly until seen 7-23-07. Left are with 9cmX10cm wrapping around upper arm. Right arm with redness no swelling 2cmX2cm area. Parent was doing cool compress, no medication. Keflex 250/5 1 tsp po tid for 7 days.
Age: 7.0
Sex: M
Vaccine: HEP, VARCEL
Symptoms: Pyrexia, Varicella
Clinical narrative: Patient developed chicken pox 10 days after receiving vaccine and fevers 7 days after vaccine placed
Age: 0.2
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Apnoeic attack, Breath sounds, Intercostal retraction, Intubation, Lethargy
Clinical narrative: 1330: immunizations given  1420:infant with stridor, breathsound equal, in 26% o2 with sao2 in mid 90,s. retractions substernal subcostal intercostal mild to moderate. Dr. at bedside and notified. Plan to continue to monitor closely. 1720: infant stridorous, desaturating, pale. Placed in bed, suctioned nares and os for nothing. Dr. at bedside. Placed on Hi-flow cannula in 2L then increased to 3L when infant continued to desaturate and require high oxygen. APN and Dr. at bedside.; 1850: continues to desaturate, apneic, pale, lethargic. Dr. at bedside and positioning infant in chin-tilt position to keep airway open and sats up. Dr. at bedside, orders received. Intubated after 6 attempts by Dr. with 3.0 ETT taped at 8 cm at lip, placed on vent.
Age: 0.2
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Mechanical ventilation, Oxygen saturation decreased, Oxygen supplementation, Pallor, Stridor
Clinical narrative: 1330: immunizations given  1420:infant with stridor, breathsound equal, in 26% o2 with sao2 in mid 90,s. retractions substernal subcostal intercostal mild to moderate. Dr. at bedside and notified. Plan to continue to monitor closely. 1720: infant stridorous, desaturating, pale. Placed in bed, suctioned nares and os for nothing. Dr. at bedside. Placed on Hi-flow cannula in 2L then increased to 3L when infant continued to desaturate and require high oxygen. APN and Dr. at bedside.; 1850: continues to desaturate, apneic, pale, lethargic. Dr. at bedside and positioning infant in chin-tilt position to keep airway open and sats up. Dr. at bedside, orders received. Intubated after 6 attempts by Dr. with 3.0 ETT taped at 8 cm at lip, placed on vent.
Age: 19.0
Sex: F
Vaccine: HPV4, TDAP
Symptoms: Eye swelling, Pruritus, Rash
Clinical narrative: Pt developed skin rash, eye swelling last night (07/24/07) at 10pm. Pt received Boostrix and HPV at 5 pm, no difficulty with breathing, no abd. pain, no vomiting, + itching. Took Benadryl at 7am today (07/25/07).
Age: 40.0
Sex: F
Vaccine: HEP
Symptoms: Injected limb mobility decreased, Occupational therapy, Pain in extremity
Clinical narrative: Pt received hepatitis vaccine in right deltoid, soon after arm started to ache and now she is unable to put arm above head and has pain with lifting her arm
Age: 7.0
Sex: M
Vaccine: VARCEL
Symptoms: Cold compress therapy, Injection site erythema
Clinical narrative: 2 days after vaccine 4 inch by 4 inch raised reddened area aroung vaccine site.  Pt given Attarax and cold compresses.
Age: 9.0
Sex: F
Vaccine: VARCEL
Symptoms: Cold compress therapy, Erythema
Clinical narrative: 2 days after vaccine 4 1/2 inch by 4 1/4 inch raised reddened area. Pt given 1 tsp Attarax and cold compress.
Age: 27.0
Sex: M
Vaccine: ANTH, SMALL, ANTH, SMALL
Symptoms: Acute myocardial infarction, Catheterisation cardiac, Chest pain, Electrocardiogram QT prolonged, Electrocardiogram ST segment elevation
Clinical narrative: Pt. had small pox vaccine approx two weeks ago and presented to the ER with chest pain and ekg changes, increased troponin and acute mi per ekg. Was transferred for cardiac cath, and was diagnosed with myocarditis.  8/31/07  Reviewed hospital medical records which reveal patient experienced flu like symptoms, sore throat & general body aches.  Then developed substernal chest pain which radiated to neck, jaw & back w/associated diaphoresis & SOB.  Treated at outlying ER & transferred to higher level of care for emergent cardiac catheterization.  Admitted 7/25-7/27/07.  Remained hemodynamically stable & was d/c to home w/military f/u. FINAL DX: Myocarditis; recent smallpox vax; anteroapical hypokinesis by echocardiogram.
Age: 27.0
Sex: M
Vaccine: ANTH, SMALL, ANTH, SMALL
Symptoms: Electrocardiogram abnormal, Myocardial infarction, Myocarditis, Troponin increased
Clinical narrative: Pt. had small pox vaccine approx two weeks ago and presented to the ER with chest pain and ekg changes, increased troponin and acute mi per ekg. Was transferred for cardiac cath, and was diagnosed with myocarditis.  8/31/07  Reviewed hospital medical records which reveal patient experienced flu like symptoms, sore throat & general body aches.  Then developed substernal chest pain which radiated to neck, jaw & back w/associated diaphoresis & SOB.  Treated at outlying ER & transferred to higher level of care for emergent cardiac catheterization.  Admitted 7/25-7/27/07.  Remained hemodynamically stable & was d/c to home w/military f/u. FINAL DX: Myocarditis; recent smallpox vax; anteroapical hypokinesis by echocardiogram.
Age: 27.0
Sex: M
Vaccine: ANTH, SMALL, ANTH, SMALL
Symptoms: Blood creatine phosphokinase MB increased, Blood creatine phosphokinase increased, Cardiac enzymes increased, Catheterisation cardiac abnormal, Chest pain
Clinical narrative: Pt. had small pox vaccine approx two weeks ago and presented to the ER with chest pain and ekg changes, increased troponin and acute mi per ekg. Was transferred for cardiac cath, and was diagnosed with myocarditis.  8/31/07  Reviewed hospital medical records which reveal patient experienced flu like symptoms, sore throat & general body aches.  Then developed substernal chest pain which radiated to neck, jaw & back w/associated diaphoresis & SOB.  Treated at outlying ER & transferred to higher level of care for emergent cardiac catheterization.  Admitted 7/25-7/27/07.  Remained hemodynamically stable & was d/c to home w/military f/u. FINAL DX: Myocarditis; recent smallpox vax; anteroapical hypokinesis by echocardiogram.
Age: 27.0
Sex: M
Vaccine: ANTH, SMALL, ANTH, SMALL
Symptoms: Echocardiogram abnormal, Ejection fraction decreased, Electrocardiogram change, Hypokinesia, Myocarditis
Clinical narrative: Pt. had small pox vaccine approx two weeks ago and presented to the ER with chest pain and ekg changes, increased troponin and acute mi per ekg. Was transferred for cardiac cath, and was diagnosed with myocarditis.  8/31/07  Reviewed hospital medical records which reveal patient experienced flu like symptoms, sore throat & general body aches.  Then developed substernal chest pain which radiated to neck, jaw & back w/associated diaphoresis & SOB.  Treated at outlying ER & transferred to higher level of care for emergent cardiac catheterization.  Admitted 7/25-7/27/07.  Remained hemodynamically stable & was d/c to home w/military f/u. FINAL DX: Myocarditis; recent smallpox vax; anteroapical hypokinesis by echocardiogram.
Age: 27.0
Sex: M
Vaccine: ANTH, SMALL, ANTH, SMALL
Symptoms: Myopericarditis, Troponin increased
Clinical narrative: Pt. had small pox vaccine approx two weeks ago and presented to the ER with chest pain and ekg changes, increased troponin and acute mi per ekg. Was transferred for cardiac cath, and was diagnosed with myocarditis.  8/31/07  Reviewed hospital medical records which reveal patient experienced flu like symptoms, sore throat & general body aches.  Then developed substernal chest pain which radiated to neck, jaw & back w/associated diaphoresis & SOB.  Treated at outlying ER & transferred to higher level of care for emergent cardiac catheterization.  Admitted 7/25-7/27/07.  Remained hemodynamically stable & was d/c to home w/military f/u. FINAL DX: Myocarditis; recent smallpox vax; anteroapical hypokinesis by echocardiogram.
Age: 5.0
Sex: F
Vaccine: DTAP, HEPA, IPV, MMRV
Symptoms: Body temperature increased, Decreased activity, Erythema, Pyrexia, Rash macular
Clinical narrative: Patient is a 5 year old female brought by mother with 1 day history of fever and swelling, redness and blotches to left thigh. Temperature elevated to 100 degrees at home. The patient was given immunizations on 7/23/07. The mother has been giving Motrin prn. Parents observations of the patient at home are reduced activity, normal appetite and normal fluid intake.
Age: 5.0
Sex: F
Vaccine: DTAP, HEPA, IPV, MMRV
Symptoms: Swelling
Clinical narrative: Patient is a 5 year old female brought by mother with 1 day history of fever and swelling, redness and blotches to left thigh. Temperature elevated to 100 degrees at home. The patient was given immunizations on 7/23/07. The mother has been giving Motrin prn. Parents observations of the patient at home are reduced activity, normal appetite and normal fluid intake.
Sex: M
Vaccine: LYME
Symptoms: Activities of daily living impaired, Arthralgia, Autoimmune disorder, Back pain, Computerised tomogram normal
Clinical narrative: This case was reported by a lawyer and described the occurrence of joint pain in a male subject of unspecified age who was vaccinated with LYMErix for prophylaxis. A physician or other health care professional has not verified this report. On an unspecified date the subject received unspecified dose of LYMErix (unknown). At an unspecified time after vaccination with LYMErix, the subject experienced joint pain, joint swelling, fatigue, visual problem, headache, nerve injury, possible autoimmune disease and activities of daily living impaired. At the time of reporting the outcome of the events was unspecified. This information was received via a Statement of Injuries. Follow up information was received on 19 July 2007 via medical records. Medical history included an automobile accident, tick bites including "multiple" deer tick bites during the summer of 1996, joint pain including shoulder pain, and neck pain. The subject was a male in his late-thirties who was vaccinated with LYMErix on 15 May 1999, 11 June 1999, and 12 July 2000. At the time of his third LYMErix vaccination on 12 July 2000, he was noted to be in "good health with no major problems except for hyperlipidemia. " On 26 July 2000, the subject was evaluated for a "strabismus-type deficit". A computed tomography (CT) scan showed preliminary normal results. Upon examination, he appeared to have a right lateral rectus palsy. It was noted that he had fallen a few weeks prior to examination and had struck the back of his head. The evaluation physician suspected a contrecoup injury with a sixth nerve pulse, and the subject was referred for a neurological evaluation. The case was assessed upon follow up to be medically significant by GSK. In October 1999, the subject was diagnosed with gastroenteritis. A progress note dated 13 July 2000 indicated that the subject "hurt his back at work", and received Naprosyn, Flexeril, and Percocet. These were considered to be incidental findings upon medical record review.
Sex: M
Vaccine: LYME
Symptoms: Fall, Fatigue, Gastroenteritis, Head injury, Headache
Clinical narrative: This case was reported by a lawyer and described the occurrence of joint pain in a male subject of unspecified age who was vaccinated with LYMErix for prophylaxis. A physician or other health care professional has not verified this report. On an unspecified date the subject received unspecified dose of LYMErix (unknown). At an unspecified time after vaccination with LYMErix, the subject experienced joint pain, joint swelling, fatigue, visual problem, headache, nerve injury, possible autoimmune disease and activities of daily living impaired. At the time of reporting the outcome of the events was unspecified. This information was received via a Statement of Injuries. Follow up information was received on 19 July 2007 via medical records. Medical history included an automobile accident, tick bites including "multiple" deer tick bites during the summer of 1996, joint pain including shoulder pain, and neck pain. The subject was a male in his late-thirties who was vaccinated with LYMErix on 15 May 1999, 11 June 1999, and 12 July 2000. At the time of his third LYMErix vaccination on 12 July 2000, he was noted to be in "good health with no major problems except for hyperlipidemia. " On 26 July 2000, the subject was evaluated for a "strabismus-type deficit". A computed tomography (CT) scan showed preliminary normal results. Upon examination, he appeared to have a right lateral rectus palsy. It was noted that he had fallen a few weeks prior to examination and had struck the back of his head. The evaluation physician suspected a contrecoup injury with a sixth nerve pulse, and the subject was referred for a neurological evaluation. The case was assessed upon follow up to be medically significant by GSK. In October 1999, the subject was diagnosed with gastroenteritis. A progress note dated 13 July 2000 indicated that the subject "hurt his back at work", and received Naprosyn, Flexeril, and Percocet. These were considered to be incidental findings upon medical record review.
Sex: M
Vaccine: LYME
Symptoms: Joint swelling, Nerve injury, Strabismus, Visual disturbance
Clinical narrative: This case was reported by a lawyer and described the occurrence of joint pain in a male subject of unspecified age who was vaccinated with LYMErix for prophylaxis. A physician or other health care professional has not verified this report. On an unspecified date the subject received unspecified dose of LYMErix (unknown). At an unspecified time after vaccination with LYMErix, the subject experienced joint pain, joint swelling, fatigue, visual problem, headache, nerve injury, possible autoimmune disease and activities of daily living impaired. At the time of reporting the outcome of the events was unspecified. This information was received via a Statement of Injuries. Follow up information was received on 19 July 2007 via medical records. Medical history included an automobile accident, tick bites including "multiple" deer tick bites during the summer of 1996, joint pain including shoulder pain, and neck pain. The subject was a male in his late-thirties who was vaccinated with LYMErix on 15 May 1999, 11 June 1999, and 12 July 2000. At the time of his third LYMErix vaccination on 12 July 2000, he was noted to be in "good health with no major problems except for hyperlipidemia. " On 26 July 2000, the subject was evaluated for a "strabismus-type deficit". A computed tomography (CT) scan showed preliminary normal results. Upon examination, he appeared to have a right lateral rectus palsy. It was noted that he had fallen a few weeks prior to examination and had struck the back of his head. The evaluation physician suspected a contrecoup injury with a sixth nerve pulse, and the subject was referred for a neurological evaluation. The case was assessed upon follow up to be medically significant by GSK. In October 1999, the subject was diagnosed with gastroenteritis. A progress note dated 13 July 2000 indicated that the subject "hurt his back at work", and received Naprosyn, Flexeril, and Percocet. These were considered to be incidental findings upon medical record review.
Age: 0.51
Sex: M
Vaccine: DTAPHEPBIP, PNC, RV5
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: Patient given 1st dose of Rotateq vaccine at 6 mo of age
Age: 0.2
Sex: F
Vaccine: DTAP, HIBV, PNC, RV5, DTAP, HIBV, PNC, RV5
Symptoms: Dehydration, Gastrooesophageal reflux disease, Haematochezia, Rotavirus test positive, Ultrasound abdomen normal
Clinical narrative: Received DTaP (1), HIB (1), Prevnar (1), and Rotateq (1) on 6/26/07. On 7/23/07 seen in office with C/O vomiting with each feeding starting after administration of Rota vaccine. Occasionally projectile. Positive hematochezia. Began alimentum and Zantac and Abd U/S ordered. Adm for vomiting/dehydration 7/24/07; D/C 7/25/07. 9/11/07 Reviewed hospital medical records which reveal patient experienced vomiting, watery stools, excessive crying & arching in pain & poor weight gain x 1 month.  Episode of pallor, difficulty breathing & limpness after vomiting on day of admit.  Admitted 7/24-7/25/07.     FINAL DX: Rotavirus; GERD
Age: 0.2
Sex: F
Vaccine: DTAP, HIBV, PNC, RV5, DTAP, HIBV, PNC, RV5
Symptoms: Vomiting, Vomiting projectile, X-ray gastrointestinal tract abnormal
Clinical narrative: Received DTaP (1), HIB (1), Prevnar (1), and Rotateq (1) on 6/26/07. On 7/23/07 seen in office with C/O vomiting with each feeding starting after administration of Rota vaccine. Occasionally projectile. Positive hematochezia. Began alimentum and Zantac and Abd U/S ordered. Adm for vomiting/dehydration 7/24/07; D/C 7/25/07. 9/11/07 Reviewed hospital medical records which reveal patient experienced vomiting, watery stools, excessive crying & arching in pain & poor weight gain x 1 month.  Episode of pallor, difficulty breathing & limpness after vomiting on day of admit.  Admitted 7/24-7/25/07.     FINAL DX: Rotavirus; GERD
Age: 0.2
Sex: F
Vaccine: DTAP, HIBV, PNC, RV5, DTAP, HIBV, PNC, RV5
Symptoms: Dehydration, Gastrooesophageal reflux disease, Haematology test, Rotavirus test positive, Stool analysis abnormal
Clinical narrative: Received DTaP (1), HIB (1), Prevnar (1), and Rotateq (1) on 6/26/07. On 7/23/07 seen in office with C/O vomiting with each feeding starting after administration of Rota vaccine. Occasionally projectile. Positive hematochezia. Began alimentum and Zantac and Abd U/S ordered. Adm for vomiting/dehydration 7/24/07; D/C 7/25/07. 9/11/07 Reviewed hospital medical records which reveal patient experienced vomiting, watery stools, excessive crying & arching in pain & poor weight gain x 1 month.  Episode of pallor, difficulty breathing & limpness after vomiting on day of admit.  Admitted 7/24-7/25/07.     FINAL DX: Rotavirus; GERD