chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 32.0
Sex: M
Vaccine: FLUN3
Symptoms: Expired drug administered
Clinical narrative: Expired vaccine used. A non-serious spontaneous report of administration of expired FLUMIST was received from a nurse in the military concerning a 32-year-old male. Neither medical history nor concomitant medications were reported. On 23-Feb-2009, the patient received expired FLUMIST vaccine. The vaccine had an expiration date of 11-Jan-2009. As of 18-Mar-2009, there were no adverse events associated with this medication error; therefore, treatment and reporter/sponsor causality assessments are not applicable, and the event is considered resolved. Based on the results of the investigation, the root cause for the medication errors were caused by 1) customers not discarding product from previous season and 2) product expiring during the peak of flu season resulting in some medication errors that occurred shortly after the product expired. Additional information was received on 12-May-2009 and incorporated into the narrative: Product complaint investigation results.
Age: 46.0
Sex: M
Vaccine: FLUN3
Symptoms: Expired drug administered
Clinical narrative: A non-serious spontaneous report of administration of expired FLUMIST was received from a nurse concerning a 46-year-old male. Neither medical history nor concomitant medications were reported. On 23-Feb-2009, the patient received expired FLUMIST vaccine. The vaccine had an expiration date of 11-Jan-2009. As of 18-Mar-2009, there was no adverse event associated with this medication error; therefore, treatment and reporter/sponsor causality assessments are not applicable, and the event is considered resolved. Based on the results of the investigation, the root cause of the medication errors were caused by 1) customers not discarding product from previous season and 2) product expiring during the peak of flu season resulting in some medication errors that occurred shortly after the product expired. Additional information was received on 12-May-2009 and incorporated into the narrative: Product complaint investigation results.
Age: 20.0
Sex: M
Vaccine: FLUN3
Symptoms: Expired drug administered
Clinical narrative: A non-serious spontaneous report of administration of expired FLUMIST was received from a nurse concerning a 20-year-old female. Neither medical history nor concomitant medications were reported. On an unspecified date in Feb-2009, the patient received expired FLUMIST vaccine. The vaccine had an expiration date of 11-Jan-2009. As of 18-Mar-2009, there was no adverse event associated with this medication error; therefore, treatment and reporter/sponsor causality assessments are not applicable, and the event is considered resolved. Based on the results of the investigation, the root cause for the medication errors were caused by 1) customers not discarding product from previous season and 2) product expiring during the peak of flu season resulting in some medication errors that occurred shortly after the product expired. Additional information was received on 12-May-2009 and incorporated into the narrative: Product complaint investigation results.
Age: 30.0
Sex: U
Vaccine: FLUN3
Symptoms: Expired drug administered
Clinical narrative: A non-serious spontaneous report of administration of expired FLUMIST was received from a nurse concerning a 30-year-old. Neither medical history nor concomitant medications were reported. On an unspecified date in Feb-2009, the patient received expired FLUMIST vaccine. The vaccine had an expiration date of 11-Jan-2009. As of 18-Mar-2009, there was no adverse event associated with this medication error; therefore, treatment and reporter/sponsor causality assessments are not applicable, and the event is considered resolved. Based on the results of the investigation, the root cause for the medication errors were caused by 1) customers not discarding product from the previous season and 2) product expiring during the peak of the flu season resulting in some medication errors that occurred shortly after the product expired. Additional information was received on 12-May-2009 and incorporated into the narrative: Product complaint investigation results.
Sex: M
Vaccine: FLUN3
Symptoms: Expired drug administered
Clinical narrative: A non-serious spontaneous report of administration of expired FLUMIST was received from a nurse concerning a male. Neither medical history nor concomitant medications were reported. On an unspecified date in Feb-2009, the patient received expired FLUMIST vaccine. The vaccine had an expiration date of 11-Jan-2009. As of 18-Mar-2009, there was no adverse event associated with this medication error; therefore, treatment and reporter/sponsor causality assessments are not applicable, and the event is considered resolved. Based on the results of the investigation, the root cause of the medication errors were caused by 1) customers not discarding product from previous season and 2) product expiring during the peak of flu season resulting in some medication errors that occurred shortly after the product expired. Additional information was received on 12-May-2009 and incorporated into the narrative: Product complaint investigation results.
Age: 38.0
Sex: M
Vaccine: FLUN3
Symptoms: Expired drug administered
Clinical narrative: A non-serious spontaneous report of administration of expired FLUMIST was received from a nurse concerning a 38-year-old male. Neither medical history nor concomitant medications were reported. On an unspecified date in Feb-2009, the patient received expired FLUMIST vaccine. The vaccine had an expiration date of 11-Jan-2009. As of 18-Mar-2009, there was no adverse events associated with this medication error; therefore, treatment and reporter/sponsor causality assessments are not applicable, and the event is considered resolved. Based on the results of the investigation, the root cause of the medication errors were caused by 1) customers not discarding product from previous season and 2) product expiring during the peak of flu season resulting in some medication errors that occurred shortly after the product expired. Additional information was received on 12-May-2009 and incorporated into the narrative: Product complaint investigation results.
Age: 28.0
Sex: M
Vaccine: FLUN3
Symptoms: Expired drug administered
Clinical narrative: A non-serious spontaneous report of administration of expired FLUMIST was received from a nurse concerning a 28-year-old male. Neither medical history nor concomitant medications were reported. On an unspecified date in Feb-2009, the patient received expired FLUMIST vaccine. The vaccine had an expiration date of 11-Jan-2009. As of 18-Mar-2009, there was no adverse event associated with this medication error; therefore, treatment and reporter/sponsor causality assessments are not applicable, and the event is considered resolved. Based on the results of the investigation, the root cause of the medication errors were caused by 1) customers not discarding product from previous season and 2) product expiring during the peak of flu season resulting in some medication errors that occurred shortly after the product expired. Additional information was received on 12-May-2009 and incorporated into the narrative: Product complaint investigation results.
Age: 23.0
Sex: M
Vaccine: FLUN3
Symptoms: Expired drug administered
Clinical narrative: A non-serious spontaneous report of administration of expired FLUMIST was received from a nurse concerning a 23-year-old male. Neither medical history nor concomitant medications were reported. On an unspecified date in Feb-2009, the patient received expired FLUMIST vaccine. The vaccine had an expiration date of 11-Jan-2009. As of 18-Mar-2009, there was no adverse event associated with this medication error; therefore, treatment and reporter/sponsor causality assessments are not applicable, and the event is considered resolved. Based on the results of the investigation, the root cause for the medication errors were caused by 1) customers not discarding product from previous season and 2) product expiring during the peak of flu season resulting in some medication errors that occurred shortly after the product expired. Additional information was received on 12-May-2009 and incorporated into the narrative: Product complaint investigation results.
Age: 8.0
Sex: F
Vaccine: FLUN3
Symptoms: Influenza, Influenza serology positive
Clinical narrative: A non-serious report of positive influenza A test has been received from a registered nurse concerning an eight-year-old female subsequent to FLUMIST. The patient received FLUMIST before onset of the event given in October 2008. On 19-May-2009, the patient was tested for influence A and had clinical symptoms of influenza. Outcome of the event was not provided by the reporter.
Age: 73.0
Sex: F
Vaccine: TD, VARCEL, TD, VARZOS
Symptoms: Injection site erythema, Pain, Pyrexia
Clinical narrative: Localized redness at injection site.  Fever x 1 day and body aches.
Age: 26.0
Sex: F
Vaccine: HPV4
Symptoms: Convulsion
Clinical narrative: Information has been received from a physician's assistant concerning a 26 year old female with no past history of seizure and no drug allergies, who on 26-JUN-2009 was vaccinated with her 1st dose of GARDASIL, 0.5ml. There was no concomitant medication. Subsequently, two weeks post vaccination the patient had seizure at home on approximately 10-JUL-2009. There were no labs and diagnostic tests performed. The patient was seen at a follow up visit. At the time of the report, the patient's status was recovered. Upon internal review, seizure was considered to be an other important medical event. Additional information has been requested.
Sex: F
Vaccine: HPV4
Symptoms: Headache, Intracranial aneurysm
Clinical narrative: Information has been received from a licensed visiting nurse concerning a female who was vaccinated with a dose of GARDASIL (dose, route and lot# not reported). The nurse reported that the patient developed a severe headache after receiving GARDASIL. The patient was first seen by the school nurse, who advised evaluation in an emergency room or the physician's office. The patient was seen the next day at the physician's office and then sent to an unspecified emergency room and admitted to this hospital. The patient was diagnosed with a brain aneurysm. On an unspecified date, the patient recovered from brain aneurysm. Additional information has been requested.
Sex: M
Vaccine: MMR
Symptoms: Autism
Clinical narrative: Information has been received from a lawyer concerning a minor male patient who on 30-DEC-2003 was vaccinated with a dose of MMR II. The lawyer reported that subsequently, some time later, in approximately 2005 and 2006 the patient began to develop autistic type symptoms and other types of medical disabilities. Subsequently it was determined by his physician that in fact this vaccine had been contaminated with mercury toxins, thereby toxifying the patient and damaging his system. The lawyer stated that at the time of the report the patient was undergoing chelation type therapy. Additional information has been requested.
Age: 64.0
Sex: F
Vaccine: VARZOS
Symptoms: Blood test, Chemotherapy, Immune system disorder, Multiple myeloma, Pulmonary function test
Clinical narrative: Information has been received from a 64 year old female with thyroid disorder, a history of shingles two years ago and no allergies/drug reactions who in October 2008, was vaccinated with a dose of ZOSTAVAX (Merck) (lot no and route not reported). Concomitant medication included "lavaxol" (unspecified). In December 2008, the patient was diagnosed with multiple myeloma cancer. The patient reported she started chemotherapy treatment (unspecified) in February 2009 and had about 14 vials of blood taken and other test done as well. Then right before her stem cell transplant she had her immune system wipe out. The patient reported that on 11-JUN-2009 she had a Stem cell transplant in a clinic and was hospitalized for 14 days. The consumer reported that for a couple of weeks when she came home she did not feel to good, but at the time of the report she was feeling and doing well. On unspecified dates a blood work and a lung function test were performed (results not provided). The consumer reported that she does not believe that multiple myeloma cancer was caused by ZOSTAVAX (Merck). No additional information is expected.
Age: 64.0
Sex: F
Vaccine: VARZOS
Symptoms: Stem cell transplant
Clinical narrative: Information has been received from a 64 year old female with thyroid disorder, a history of shingles two years ago and no allergies/drug reactions who in October 2008, was vaccinated with a dose of ZOSTAVAX (Merck) (lot no and route not reported). Concomitant medication included "lavaxol" (unspecified). In December 2008, the patient was diagnosed with multiple myeloma cancer. The patient reported she started chemotherapy treatment (unspecified) in February 2009 and had about 14 vials of blood taken and other test done as well. Then right before her stem cell transplant she had her immune system wipe out. The patient reported that on 11-JUN-2009 she had a Stem cell transplant in a clinic and was hospitalized for 14 days. The consumer reported that for a couple of weeks when she came home she did not feel to good, but at the time of the report she was feeling and doing well. On unspecified dates a blood work and a lung function test were performed (results not provided). The consumer reported that she does not believe that multiple myeloma cancer was caused by ZOSTAVAX (Merck). No additional information is expected.
Age: 79.0
Sex: M
Vaccine: VARZOS
Symptoms: Lip swelling, Urticaria
Clinical narrative: Information has been received from a licensed practical nurse concerning a 79 year old male patient with no known drug reactions/allergies and with a history of heart enlarged and rheumatic fever (at the age of 15 years old), who "few months ago prior to 12-JUN-2009" was vaccinated with ZOSTAVAX (Merck). Concomitant therapy included vitamins (unspecified), TYLENOL with codeine #3, VOLTAREN, montelukast sodium (MSD) and atorvastatin calcium. The licensed practical nurse reported that the patient received the vaccine and " the day after vaccination" the patient's lips were swollen and there were hives in the arm pit area (which arm unspecified). The patient was in the nurse's office on 12-JUN-2009 because of the hives. An unspecified antihistamine was prescribed to treat the event. The ZOSTAVAX was given by another physician. The patient was referred to an unspecified allergist. The outcome of the patient was not reported. Lips were swollen and hives in the arm pit area were considered to be immediately life-threatening and other important medical event. Additional information has been requested.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth, Vaccination complication
Clinical narrative: Pt presented on 14 Aug 2009 for clinic visit for adverse reaction to immunization.  Right thigh from hip to just above knee red, swollen, and hot to touch. Pt denies pain, parent denies fever.  No fever noted during clinic visit.  Oral Benadryl and Motrin given to pt during visit.  Cool compress applied to the thigh.
Age: 48.0
Sex: M
Vaccine: PPV
Symptoms: Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: 24 hours post Pneumococcal Vaccination, patient developed pain and swelling at injection site. Area was 16 cm x 12 cm and warm to the touch. Warm packs applied x 24 hours.
Age: 23.0
Sex: M
Vaccine: TDAP
Symptoms: Injection site pain, Myalgia, Rash erythematous, Skin lesion
Clinical narrative: Complains of muscle soreness at injection site today which is over a month after receiving TDAp B.  There is no redness or muscle induration.  Complains of red lesions which appear on his hands and have now spread to his forearms after shaking hands or lifting a heavy object. They disappear in a few minutes and are not painful. There is no numbness or tingling associated with the lesions
Age: 1.2
Sex: F
Vaccine: MMR, PNC, VARCEL
Symptoms: Pyrexia, Rash erythematous, Skin lesion
Clinical narrative: Pt has had a fever with rash on face/arms/chest- Mom notes small raised red lesions, no blisters.  -Recommended TYLENOL for fever, BENADRYL for itch limited contact with other children.
Age: 9.0
Sex: M
Vaccine: HEP, HEPA, TDAP, VARCEL
Symptoms: Dyspnoea, Hyperhidrosis, Periorbital haematoma, Swelling face
Clinical narrative: Pt received shots stayed in office for appx 20mins after. Pt left and returned about 45 mins later. Eyes black, face swollen, hard to breathe and sweaty. Took Pts vital signs he was stable and called for ambulance to pick Pt up and take to ER.
Age: 12.0
Sex: F
Vaccine: HPV4, VARCEL
Symptoms: Headache, Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Severe headache 2-3d after vaccine and erythema, swelling, tenderness at left leg injection site.
Age: 11.0
Sex: M
Vaccine: MNQ, TDAP
Symptoms: Pain in extremity, Pyrexia
Clinical narrative: (1) Fever (T max 103.2) began within 13 hours of receiving the vaccines (Tdap X MENACTRA). (2) R arm sore. No treatment.
Age: 1.0
Sex: M
Vaccine: HEPA, MMR, PNC, VARCEL
Symptoms: Convulsion, Immediate post-injection reaction
Clinical narrative: MMR and PREVNAR given, child within seconds had a seizure lasting no more than 15 seconds. He had another seizure several hours later and with third several days later.
Age: 0.5
Sex: F
Vaccine: DTAPIPVHIB, PNC, RV5
Symptoms: Body temperature increased
Clinical narrative: Temperature of 104.5 R.
Age: 4.0
Sex: F
Vaccine: DTAP
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Erythema surrounding injection site starting 12 hours after. At 72 hours site is 11x7cm right thigh.
Age: 7.0
Sex: M
Vaccine: HEPA
Symptoms: Erythema, Flushing
Clinical narrative: Hep A vaccine given IM L deltoid. Red flushing occurred across back and L ear and chest. No hives - No SOB. No coughing. No swelling. No wheezing BENADRYL no liquid given per M.D. order. M.D. office advised child be taken to ER. Child taken to ER and observed by physician. No further treatment required and all S/S resolved within 30 minutes.
Age: 36.0
Sex: M
Vaccine: PPV
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: injection give 8-13-2009 approx. 11:00 am. by evening, pt arm too sore to lift, red, swollen, painful. came in to office 8-14-09. approx 4" swollen, raised, redness, going from L delt. to under pts arm. very painful under arm. Pt given 40 mg. Depo-medrol, IM, in r glut., also levaquin.
Age: 68.0
Sex: F
Vaccine: DTAP, FLUX, PPV
Symptoms: Injected limb mobility decreased, Injection site pain, Myalgia, Oedema peripheral, Pain in extremity
Clinical narrative: Extreme pain, swelling, unable to move right arm for 24 hours.  Took Tylenol, aspirin and Soma at different intervals, drank liquids and applied heating pad.  The next 16 hours pain lessened, able to move arm slightly.  Massaged injection sites and moved right arm by lifting right hand with my left hand.  By today 8/14/09 at 10 AM, I can move right arm, still have some pain on movement, and moderate soreness of right deltoid and muscles.  Pain has diminished and movement has improved.
Age: 4.0
Sex: F
Vaccine: DTAPIPV, HEPA, MMR, VARCEL
Symptoms: Injection site erythema, Injection site induration, Injection site warmth
Clinical narrative: large area of erythema, warm to touch, and firm of 5cm x 6 cm on upper left arm where Hepatitis A and Varivax injections were given
Age: 12.0
Sex: M
Vaccine: HEPA, MNQ, VARCEL
Symptoms: Pyrexia, Rash
Clinical narrative: Had Fever on day after shots was given on 08/06/09 but was told by nurse to refer to the VIS sheet for chickenpox for reaction and to treat with Tylenol for fever or discomfort. Then parent called into to CCHD on 08/13/09 at 5 pm stating the son now has a rash on his abdomin that began this week. Wanted to know the length of time to expect the rash. Pink Book referred to and the VIS sheet for Varicella dated 3/13/08. Rash can last for 1 month. Mother seemed satisfied with answer and no other questions or concerns were given.
Age: 9.0
Sex: F
Vaccine: VARCEL
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: REDNESS AND SWELLING AT INJECTION SITE ON RIGHT ARM MEASURING 110MM OUTSIDE RING AND INSIDE RING 40MM.  BENEDRYL GIVEN BY MOTHER, INSTRUCTED ON TYLENOL USAGE AND COOL COMPRESS IF DESIRED
Age: 4.0
Sex: M
Vaccine: DTAPIPV
Symptoms: Condition aggravated, Convulsion, Febrile convulsion, Pyrexia, Vomiting
Clinical narrative: Patient developed fever to 102 per mother approximately 11 hours after vaccine given, vomited once, and had seizure about 9 hours after fever noted.  Mother reported giving Tylenol for fever.  Patient was taken to ER after seizure, where it was assumed to be febrile seizure. Patient has history of febrile seizure.
Age: 11.0
Sex: M
Vaccine: TDAP
Symptoms: Erythema, Mass, Pain
Clinical narrative: Mother called stating son had Tdap injection Monday, 7/27/09 and today (7/29/09) has a hard quarter to golf ball size knot with redness and pain.
Age: 4.0
Sex: M
Vaccine: DTAP, MMR
Symptoms: Erythema multiforme, Injection site rash, Rash pruritic
Clinical narrative: Patient was diagnosed in our office with Erythema Multiforma on 7/20/09. Rash started 7/18/09 on left deltoid where DTaP has been given on 7/13/09 then spread to entire left upper arm,right axilla,and all over trunk. Rash was itchy, initially raised then flat,circular and lesions varied in size from 4 to 5 cm.  No fever was noted.  Child was fully recovered 1 week later.
Age: 5.0
Sex: M
Vaccine: HEP, IPV, MMR, VARCEL
Symptoms: Erythema, Oedema peripheral, Pyrexia
Clinical narrative: Woke up on 8/13/09 with a temp of 103 degrees F.  Parents have given Motrin and fever has gone down. Grandmother calls at 5:15 pm on 8/13/09 and childs temp has returned to 103 degrees F. Last time Motrin given was 12:30 pm that same day.  Rt arm is swollen and red. Not experiencing any other problems.
Age: 17.0
Sex: M
Vaccine: VARCEL
Symptoms: Injection site erythema, Injection site induration, Injection site rash, Injection site swelling, Injection site warmth
Clinical narrative: Call received from mom 8/13/09, states pt has swelling/hardness the size of a "drink coaster @ the site of the injection on right arm with rash @ site. Call received 8/14/09 states site is now red & warm, has not increased in size, remains hard.  No systemic reaction.
Age: 36.0
Sex: F
Vaccine: MMR, TDAP
Symptoms: Burning sensation, Immediate post-injection reaction, Injected limb mobility decreased, Insomnia, Neck pain
Clinical narrative: Pain in Left arm that began as soon as injected.  Felt med burn when injected. Pain has continued x 18 days.  Has slightly improved.  Middle of upper arm half way down to elbow. No reddness or swelling. At first hurt up back of neck x 4-5 days.  Difficult lifting coffee cup or using arm.  Difficulty sleeping on side. Pt to be seen in clinic as work in client.
Age: 36.0
Sex: F
Vaccine: MMR, TDAP
Symptoms: Pain in extremity
Clinical narrative: Pain in Left arm that began as soon as injected.  Felt med burn when injected. Pain has continued x 18 days.  Has slightly improved.  Middle of upper arm half way down to elbow. No reddness or swelling. At first hurt up back of neck x 4-5 days.  Difficult lifting coffee cup or using arm.  Difficulty sleeping on side. Pt to be seen in clinic as work in client.
Age: 4.0
Sex: M
Vaccine: DTAPIPV, MMR, VARCEL
Symptoms: Cellulitis, Erythema, Pruritus, Swelling, Vomiting
Clinical narrative: Symptoms:  Circular swelling 3"x3", redness, vomit, itchy. Treatment: Rocephin Inj. 500mg.  Instructions to parent: Warm compresses to area.
Age: 1.0
Sex: F
Vaccine: HEPA, MMR, VARCEL
Symptoms: Convulsion, Culture negative, Endotracheal intubation, Intensive care, Lumbar puncture normal
Clinical narrative: Pt. developed high fever one day after immunization and then developed prolonged seizure after two days.  Pt. then needed Anti-Seizure medicines to stop the seizure.  Because of medicines pt. needed to be intubated and transferred to a PICU.  Pt. then needed Lumbar Puncture and CT Scan of Head to rule out any infections.  8/17/09 Hospital records received DOS 8/13/09 to 8/14/09. Assessment: Fever induced status epilepticus. Patient developed fever, generalized tonic-clonic seizure which lasted almost an hour. Apnea. Respiratory failure.
Age: 1.0
Sex: F
Vaccine: HEPA, MMR, VARCEL
Symptoms: Pyrexia
Clinical narrative: Pt. developed high fever one day after immunization and then developed prolonged seizure after two days.  Pt. then needed Anti-Seizure medicines to stop the seizure.  Because of medicines pt. needed to be intubated and transferred to a PICU.  Pt. then needed Lumbar Puncture and CT Scan of Head to rule out any infections.  8/17/09 Hospital records received DOS 8/13/09 to 8/14/09. Assessment: Fever induced status epilepticus. Patient developed fever, generalized tonic-clonic seizure which lasted almost an hour. Apnea. Respiratory failure.
Age: 42.0
Sex: M
Vaccine: TDAP
Symptoms: Angioedema, Erythema, Localised oedema
Clinical narrative: Localized erythema/edema affecting left upper extremity and axilla beginning 24-48h after vaccine administration. Progressed to lip/tongue angioedema.  8/21/09 PCP medical records received DOS 8/14/09 to 8/14/09. Assessment: Angioneurotic Edema, Other Adverse Food Reactions, Allergic Rhinitis. Patient reports left upper extremity axilla and tongue/lip angioedema beginning 24-48 hours after Tdap left upper extremity.
Age: 15.0
Sex: F
Vaccine: MNQ
Symptoms: Chapped lips, Hypersensitivity, Lip blister, Lip exfoliation, Lip swelling
Clinical narrative: Mom states that pt had cracked lips 4 days after vaccination.  The whole lips became swollen and had blisters which peeled.  They saw their physician on 8/11/09 who called an allergist.  The allergist stated that this was an allergic reaction to the MCV4 vaccine and that she should never receive this vaccine again.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Blood culture, Borrelia burgdorferi serology, Chest X-ray, Convulsion, Culture throat
Clinical narrative: Fever of 103 axcillary with 2 minutes of stiffening, erythimical jerking of arms, legs during sleep without respiratory problems. Seizures with fever. Fever contiued June 18- June 27.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Dyskinesia, Epstein-Barr virus test, Full blood count, Influenza serology, Metabolic function test
Clinical narrative: Fever of 103 axcillary with 2 minutes of stiffening, erythimical jerking of arms, legs during sleep without respiratory problems. Seizures with fever. Fever contiued June 18- June 27.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Musculoskeletal stiffness, Pyrexia, Urine analysis
Clinical narrative: Fever of 103 axcillary with 2 minutes of stiffening, erythimical jerking of arms, legs during sleep without respiratory problems. Seizures with fever. Fever contiued June 18- June 27.
Age: 41.0
Sex: F
Vaccine: TDAP
Symptoms: Lip oedema, Lip swelling
Clinical narrative: Swelling of leftside of lower lip occured approx. 15 min. after receiving Tdap vaccine. Pt. had already left clinic took 25 mg. of Benadryl at home. Returned to clinic. 1:15 pm with edema left lower lip. Cold compress applied on 5 min. off 5 min. Instructed if swelling increases to see ER or MD imnediately.
Age: 3.0
Sex: F
Vaccine: DTIPV, FLUX, HEP, MMR
Symptoms: Chills, Convulsion, Unresponsive to stimuli
Clinical narrative: We think patient had a seizure that lasted under 10 seconds.  Her head and torso "shivered" and she was non-responsive.
Age: 12.0
Sex: F
Vaccine: MNQ, TDAP, VARCEL
Symptoms: Computerised tomogram, Hypersensitivity, Injected limb mobility decreased, Injection site erythema, Injection site pain
Clinical narrative: Mother states that the child began to have sorness at the area of vaccination about an hour after she received the vaccines. The following morning the child stated her right arm was so sore that she could not lift it to brush her hair. The child developed a large area erythemia and swelling to the fatty tissue in the back of her right arm in the area the Varicella vaccination was administered. The child went for a CAT scan for a follow-up on 8/14/09 due to post-nasal surgery infection and afterwards, rested because of the soreness. The mother called to report the event to the downtown immunization location and further details were discussed with myself at the Goodwill location. The mother stated the area was warm to the touch, but the child was having no difficulty breathing and did not have fever. Because the child has been finding new sensitivities to various foods and medications, it was advised to have the doctor follow up with her primary care provider. The mother did not mention the child had multiple chronic illnesses since the child has never had any problems with vaccinations.
Age: 12.0
Sex: F
Vaccine: MNQ, TDAP, VARCEL
Symptoms: Injection site swelling, Skin warm
Clinical narrative: Mother states that the child began to have sorness at the area of vaccination about an hour after she received the vaccines. The following morning the child stated her right arm was so sore that she could not lift it to brush her hair. The child developed a large area erythemia and swelling to the fatty tissue in the back of her right arm in the area the Varicella vaccination was administered. The child went for a CAT scan for a follow-up on 8/14/09 due to post-nasal surgery infection and afterwards, rested because of the soreness. The mother called to report the event to the downtown immunization location and further details were discussed with myself at the Goodwill location. The mother stated the area was warm to the touch, but the child was having no difficulty breathing and did not have fever. Because the child has been finding new sensitivities to various foods and medications, it was advised to have the doctor follow up with her primary care provider. The mother did not mention the child had multiple chronic illnesses since the child has never had any problems with vaccinations.
Age: 4.0
Sex: F
Vaccine: VARCEL
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Swelling, redness, warm and slightly tender.
Age: 5.0
Sex: M
Vaccine: DTAPIPV, MMRV
Symptoms: Anorexia, Lethargy, Pruritus, Pyrexia, Rash generalised
Clinical narrative: High fever for 6 days, Full body rash, itching, lethargy, lack of appetite, drowsiness. Treated with tylenol, cold compresses, rest, luke warm baths.
Age: 5.0
Sex: M
Vaccine: DTAPIPV, MMRV
Symptoms: Somnolence
Clinical narrative: High fever for 6 days, Full body rash, itching, lethargy, lack of appetite, drowsiness. Treated with tylenol, cold compresses, rest, luke warm baths.
Age: 14.0
Sex: M
Vaccine: MNQ
Symptoms: Abdominal pain, Chest pain, Dyspnoea, Headache, Neck pain
Clinical narrative: 12 hours later, fever, headache, neck pain, chest pain, shortness of breathe, abdominal pain.
Age: 14.0
Sex: M
Vaccine: MNQ
Symptoms: Pyrexia
Clinical narrative: 12 hours later, fever, headache, neck pain, chest pain, shortness of breathe, abdominal pain.
Age: 11.0
Sex: F
Vaccine: VARCEL
Symptoms: Injection site erythema, Injection site pain, Injection site pruritus, Injection site swelling
Clinical narrative: Redness to vaccine site, tenderness and swelling.  Patient complain of pain and itching to area.
Age: 3.0
Sex: F
Vaccine: DTAP
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: R DELTIOD NOTICE SWELLING, REDNESS, WARN TO TOUCH ON 8/11/09 EVENING. GAVE IBUPROFEN BEGAN ITCHING ON 8/12 GAVE BENADRYL ON 8/13 SYMPTOMS IMPROVED. LESS SWELLING NO MORE ITCHING.
Age: 40.0
Sex: F
Vaccine: VARCEL
Symptoms: Malaise, Musculoskeletal discomfort, Oedema peripheral
Clinical narrative: 8/11/00: vaccine (varicella #2).  8/12/09: L arm swollen, not feeling well overall, some neck & upper back discomfort.  8/13/09: arm swelling increased & increase in arm pressure, more neck & upper back pressure.
Age: 11.0
Sex: M
Vaccine: VARCEL
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Redness and swelling to vaccine site.  Warm to the touch.
Age: 4.0
Sex: F
Vaccine: DTAPIPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: REDNESS AND SWELLING AT INJECTION SITE OF KINRIX (LD IM)     PATIENT COMPLAINED OF PAIN WHEN PARENT TOUCHED ARM.  SITE IS HOT TO TOUCH.
Age: 11.0
Sex: M
Vaccine: VARCEL
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Redness and swelling to vaccine site.  Pain to area.
Age: 64.0
Sex: M
Vaccine: VARZOS
Symptoms: Rash
Clinical narrative: Single non erythematous raised lesion 8mm in diameter at the right temple area. Asymptomatic( no pain, no itching). Started 2-3 days after Shingles vaccine but more noticed after a week.No trauma. No treatment given. We are  observing for resolution.
Age: 9.0
Sex: F
Vaccine: HPV4, VARCEL
Symptoms: Head injury, Pallor, Syncope
Clinical narrative: PT. RECEIVED HPV AND VARICELLA IMMUNIZATIONS. UPON LEAVING, WHILE WALKING IN HALLWAY, MOTHER STATES THAT PT. LOOKED PALE, FAINTING AND HITTING HEAD AGANIST WALL. PT. TAKEN TO EXAM TABLE IN CLINIC-VITAL SIGNS B/P118/68, P-68,R-16, ELEVATED LEGS WHILE PT. LYING DOWN, RESPONDED TO TIME, PLACE, DAY, PURPOSE OF VISIT. CHECKED FOR ANY BRUISING, OPEN AREAS, LUMPS, BLEEDING, NON VISIBLE. STATED COULD SEE ME. MONITORED FOR 20 MINUTES, NO OTHER S/S NOTED. MOTHER STATED THIS EPISODE OF FAINTING OCCURED WHEN 5YRS. OLD DURING A FINGERSTICK. MOTHER STATED THAT THIS TIME, PT. "WORKED HERSELF UP" OVER "SHOT".  ADVISED MOTHER TO TAKE PT. TO ER FOR FURTHUR EVAL, HOWEVER, STATED PT. WOULD BE FINE AND SHE WOULD TAKE HER HOME FOR DINNER. IF ANY OTHER S/S OCCURRED, SHE WOULD THEN TAKE HER TO ER. AT INITIAL ASSESSMENT MOTHER DID NOT MENTION PREVIOUS EPISODE OF FAINTING-PT. DID HAVE LUNCH.
Age: 11.0
Sex: F
Vaccine: TDAP, VARCEL
Symptoms: Injection site erythema, Injection site oedema, Injection site pruritus
Clinical narrative: Localized redness, edema, and itching at injection site. (4x4cm)
Age: 13.0
Sex: M
Vaccine: HEPA, MEN, MMR, TDAP, VARCEL
Symptoms: Cellulitis, Limb discomfort, Rash, Skin warm
Clinical narrative: Pt developed a red circular rash on the 13th, his rash was hot to the touch and his arm was sore. On the 14th, the rash had doubled in size was still hot to the touch and his arm was sore from the shoulder to the wrist. He went to the doctor that same day (14th) and was diagnosed with cellulitis. He is required to take IC CEPHALEXIN (500mg) twice daily for 7 days. Please note that he never developed a fever or showed other symptoms. We expect a full recovery. I wanted to share our experience so maybe it will help other parents. This was a frighting experience.
Age: 12.0
Sex: M
Vaccine: TDAP, VARCEL
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: 15x11 cm area reddness and swelling L upper arm 36 hours after injection
Age: 22.0
Sex: F
Vaccine: HPV4
Symptoms: Fall, Head injury, Loss of consciousness, Syncope
Clinical narrative: After receiving Gardasil, patient fainted while walking out of the doctors office.  Completely blacked out, head hit the floor, fainted.  Now (I am an RN) after reading about girls fainting as a side effect, I'm very concerned about the doctors and nurses being warned to keep the person sitting in a chair for a period of time, before they leave the doctors office.  What if she had fainted in the car while she was driving?
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Grunting, Hyperhidrosis, Intercostal retraction, Nasal congestion, Oxygen saturation decreased
Clinical narrative: Shortly after receiving vaccines patient became diaphoretic with grunting, nasal closing and retractions. Poor air exchange, Sats 89%, Pulses thready; Received O2, epinephrine, Benadryl, fluid bolus, Xopenex.  8/19/09 MR received for DOS 8/14/09 with dx: anaphylactic reaction.  Pt became pale, sleepy and diaphoretic with grunting and thready pulse. Tx with Benadryl and Epi and transported.  PE (+) for wheezes.  Monitored and d/c home on steroids.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Pallor, Pulse pressure decreased
Clinical narrative: Shortly after receiving vaccines patient became diaphoretic with grunting, nasal closing and retractions. Poor air exchange, Sats 89%, Pulses thready; Received O2, epinephrine, Benadryl, fluid bolus, Xopenex.  8/19/09 MR received for DOS 8/14/09 with dx: anaphylactic reaction.  Pt became pale, sleepy and diaphoretic with grunting and thready pulse. Tx with Benadryl and Epi and transported.  PE (+) for wheezes.  Monitored and d/c home on steroids.
Age: 37.0
Sex: M
Vaccine: TDAP
Symptoms: Back pain, Migraine, Pyrexia, Renal pain
Clinical narrative: 3-4 hours after taking the Tdap I had a fever of 103.8, I started getting migraines, and my back by my kidneys hurt extremely bad, it got worse through the night so I was admitted to Hospital. 11/5/09 DC summary and medical records received for dates 8/4/09 to 8/9/09. DC DX: Fever NOS. Present SX to ER: pt. c/o fever x3 days, chills, myalgias, low back pain, HA and photophobia. Pt. recently had puncture wound and given tetanus booster vax. Pt. states approx 6hrs after vax, developed symptoms mentioned. Pt admitted for fever. At time of DC pt stable. Pt. returned to ER for lumbar pain on 8/12/09. DX: lumbar pain, recent LP performed.
Age: 83.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site warmth
Clinical narrative: Silver dollar size redness - Site is warm to touch but doesn't bother her. Her PCP rec. ice pack @ site and ZYRTEC for the response, but she used antibiotic.
Age: 12.0
Sex: F
Vaccine: MNQ
Symptoms: Body temperature increased, Heart rate increased, Oropharyngeal pain, Pallor, Rash macular
Clinical narrative: Pt reported HR 100, temp. 100 degrees F, red blotchy rash around eyes, pale face, sore throat @ 0800 on 8/14.  Pt. reported to provider 8/14 @ 2:30.
Age: 61.0
Sex: F
Vaccine: VARZOS
Symptoms: Herpes zoster, Herpes zoster ophthalmic
Clinical narrative: Shingles Left herpes zoster ophthalmicus without involvement of The globe.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site induration, Injection site warmth
Clinical narrative: 6"x 6" erythema, slight warmth, slight induration R thigh.
Age: 0.48
Sex: M
Vaccine: DTAPIPVHIB, PNC, RV5, RV5
Symptoms: Intussusception
Clinical narrative: Was seen at hospital on 8/4/09 for Intussusception, was discharged the same night after reduction.  9/14/09 ER/Hospital Records received DOS 8/4/09 to 8/5/09. Assessment: Ileocolic Intussusception. Patient presented with a 1 day history of lethargy, malaise, and fussiness, followed by a 5 hour history of persistent vomiting. Palpable mass in right lower abdominal quadrant. Currant jelly stool. Barium Enema Air Contrast - Intussusception reduced.
Age: 14.0
Sex: F
Vaccine: HEPA, MNQ, TDAP
Symptoms: Dyspnoea, Urticaria
Clinical narrative: Approximately 15 minutes after immunizations child c/o breathing difficulty. Mother took child home and gave her a breathing tx and BENADRYL. Then broke out into hives, mother then took child to local ER, where she was given more BENADRYL and sent home.
Age: 5.0
Sex: F
Vaccine: HEPA, MMR, PNC, VARCEL
Symptoms: Chest pain, Cough, Eye swelling, Urticaria
Clinical narrative: Approx 5am after injection Pt started with cough, chest pain, swollen eyes. Was given 1.5 SC Epinephrine, BENADRYL 25 P.O. 10 minutes after broke out in hives. Was given accidental Epi and SOLUMEDROL 40 IM - observed for 2 hrs and resolved.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site induration, Injection site swelling, Injection site warmth
Clinical narrative: Swelling to left deltoid at injection site encircles entire upper arm. Mom described as red, hot touch, and hard. Area the size of baseball.
Age: 11.0
Sex: M
Vaccine: MNQ, VARCEL
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Redness Swollen Warm to touch } injection site.  Treatment:  Amox.  POT CLAVULANATE take 8ml BID for 10 days 400-57 mg/5ml  Susp. Received.
Age: 18.0
Sex: F
Vaccine: MNQ, TDAP
Symptoms: Wrong drug administered
Clinical narrative: Client was inadvertently given a Tdap along with MENACTRA. Was already given Tdap on 4/26/06. Spoke to VFC and talked to parent about high risk of local reaction.
Age: 12.0
Sex: F
Vaccine: MNQ, MNQ
Symptoms: Asthenia, Facial palsy, Hypoaesthesia, Hypoaesthesia facial, Paraesthesia
Clinical narrative: Mother states "At 6:30 pm pt c/o numbness. Weakness tingling on side of body where vaccine was given. Face (side) and lip tingling, numb and droopy- only lasted a few minutes. When to see family doctor this A.M. - No recommendation - will monitor for next several months with Dr.
Age: 12.0
Sex: F
Vaccine: MNQ, MNQ
Symptoms: Paraesthesia oral
Clinical narrative: Mother states "At 6:30 pm pt c/o numbness. Weakness tingling on side of body where vaccine was given. Face (side) and lip tingling, numb and droopy- only lasted a few minutes. When to see family doctor this A.M. - No recommendation - will monitor for next several months with Dr.
Age: 11.0
Sex: F
Vaccine: HPV4
Symptoms: Back pain, Juvenile arthritis, Osteomyelitis, Pain in jaw
Clinical narrative: Mom did Reading on GARDSIL and thinks childs Medical problems may be related to GARDASIL. Last GARDASIL 4-16-07. Back pain started Dec-2006, FX Vertebrae - Dec 06, Jaw pain July 07, FX jaw - Sept 07; GARDASIL #1 - 10-10-06, #2 - 12-19-06, #3 - 4-16-07. Dx with JRA spring of 09. Seeing Rheumatologist. Has been Tx for multi focal osteomyelitis.  8/19/09 PCP Medical records received DOS 10/10/06 to 4/16/07. Patient 'gets burps that smell like rotten eggs', then stomach cramps, vomiting when stressed. Abdominal pain.  9/24/09 Infection Disease Consultation medical records received DOS 3/10/08 to 11/27/08.  Assessment: Ganglion Cyst Right Hand. Proliferative Periostitis Mandible and L-4 Vertebral Body. Chronic Osteomyelitis of Garre.  Patient presents with history of right sided mandibular pain preceeded by use of braces and orthodontic manipulation. Facial assymetry with swelling area of right mandible. After several weeks of no symptoms, new onset right sided jaw pain and swelling. Lump/swelling on back on hand. Back pain.  9/25/09 Rheumatology consult received DOS 2/12/09 to 5/28/09. Assessment: No unifying diagnosis. Chronic recurrent multifocal osteomyelitis. Patellofemoral syndrome. Ganglion cyst - wrist. Back pain. Sledding injury resulting in L4 vertebral Fx dx'd several months later (May 2007) by MRI.  Wakes up in morning with severe pain in wrists with limited range of motion. Synovial thickening wrists. Knee pain. Jaw pain. Mandible, fibrous dysplasia. Vertebral body sclerosis. Fell off bicycle and injured knee. Otitis media. Marked improvement with naprosyn.
Age: 11.0
Sex: M
Vaccine: MNQ
Symptoms: Injection site erythema, Injection site pruritus
Clinical narrative: 2 days after MENACTRA L deltoid of pt developed itching erythema of site. Pt seen 8/12/09  noted ~ 8 cm area of erythema no warmth.
Age: 1.0
Sex: F
Vaccine: HEPA, MMR
Symptoms: Urticaria, White blood cell count increased
Clinical narrative: Developed hives 24 hours after MMR , Hepatitis A. Seen at an urgent care, no change 30m after BENADRYL. Sent to ER for observation. Discharged after a couple of hours.
Age: 4.0
Sex: M
Vaccine: DTAPIPV, MMR, VARCEL
Symptoms: Adverse event
Clinical narrative: To ER via ambulance. Got epi pen by paramedic. Given steroids at ER. Discharged on prednisone.
Age: 34.0
Sex: F
Vaccine: HEPAB, HEPAB
Symptoms: Crying, Hypoaesthesia, Hypoaesthesia oral, Presyncope, Speech disorder
Clinical narrative: EMS notified 7:02 (Numbness in tongue) reported to staff by Pt. VS taken BP 104/80 P- 86 O2 98. 07:04 Pt now complains of numbness in upper extremities. BP 125/82 P-88 O2 96. 07:10 Pt states feels like goin to pass out. When asked further questions pt unable to form words with tongue. Starts crying. BP 132/88 P. 91 O2 @ 95% EMS on scene. At hospital gave BENADRYL and steroids.
Age: 34.0
Sex: F
Vaccine: HEPAB, HEPAB
Symptoms: Crying, Dizziness, Hypoaesthesia, Immediate post-injection reaction
Clinical narrative: EMS notified 7:02 (Numbness in tongue) reported to staff by Pt. VS taken BP 104/80 P- 86 O2 98. 07:04 Pt now complains of numbness in upper extremities. BP 125/82 P-88 O2 96. 07:10 Pt states feels like goin to pass out. When asked further questions pt unable to form words with tongue. Starts crying. BP 132/88 P. 91 O2 @ 95% EMS on scene. At hospital gave BENADRYL and steroids.
Age: 1.6
Sex: F
Vaccine: DTAP, HEPA, HIBV
Symptoms: Urticaria
Clinical narrative: Grandmother reports scattered hives on abd & legs.  Child was given BENADRYL & hives resolved over next 24 hours.
Age: 0.2
Sex: F
Vaccine: DTAPIPVHIB, HEP, PNC
Symptoms: Listless
Clinical narrative: Parents state child became very listless after leaving office and getting home.
Age: 8.0
Sex: M
Vaccine: VARCEL
Symptoms: Neck pain, Pallor, Paraesthesia, Rash papular
Clinical narrative: Rash with papules on erythematous base and surrounding pallor on arms, shoulder and neck pain on side of injection, arm "tingling" on side of injection.
Age: 1.0
Sex: F
Vaccine: HEP, MMR, PNC, VARCEL
Symptoms: Injection site rash, Rash
Clinical narrative: Rash on right cheek and both upper thighs were vaccines were administered
Age: 0.2
Sex: M
Vaccine: DTAPIPVHIB, HEP, PNC, RV5
Symptoms: Erythema multiforme
Clinical narrative: Pt develop a rash consistent with erythema multiforme minor approximately five days after receiving his two month immunizations.
Age: 22.0
Sex: F
Vaccine: DTP
Symptoms: Alopecia, Amnesia, Arnold-Chiari malformation, Attention deficit/hyperactivity disorder, Bipolar disorder
Clinical narrative: Encephalopathy, severe malnutrition and hairloss, ADD, ADHD, vitamin deficiency, memory loss, concentration problems, burning in head, acute "electric" pain originating in head and coursing through to feet, decreased states of consciousness, tunnel vision, breathing/heart murmurs, chronic headaches, chronic fatigue, severe depression, suicidal thoughts, bi-polarity, arnold-chiari brain malformation type 1 etc.
Age: 22.0
Sex: F
Vaccine: DTP
Symptoms: Blood electrolytes, Blood mercury, Blood test, Burning sensation, Cardiac murmur
Clinical narrative: Encephalopathy, severe malnutrition and hairloss, ADD, ADHD, vitamin deficiency, memory loss, concentration problems, burning in head, acute "electric" pain originating in head and coursing through to feet, decreased states of consciousness, tunnel vision, breathing/heart murmurs, chronic headaches, chronic fatigue, severe depression, suicidal thoughts, bi-polarity, arnold-chiari brain malformation type 1 etc.
Age: 22.0
Sex: F
Vaccine: DTP
Symptoms: Cardiac stress test, Chest X-ray, Depressed level of consciousness, Depression, Disturbance in attention
Clinical narrative: Encephalopathy, severe malnutrition and hairloss, ADD, ADHD, vitamin deficiency, memory loss, concentration problems, burning in head, acute "electric" pain originating in head and coursing through to feet, decreased states of consciousness, tunnel vision, breathing/heart murmurs, chronic headaches, chronic fatigue, severe depression, suicidal thoughts, bi-polarity, arnold-chiari brain malformation type 1 etc.
Age: 22.0
Sex: F
Vaccine: DTP
Symptoms: Dyspnoea, Encephalopathy, Fatigue, Headache, Hypovitaminosis
Clinical narrative: Encephalopathy, severe malnutrition and hairloss, ADD, ADHD, vitamin deficiency, memory loss, concentration problems, burning in head, acute "electric" pain originating in head and coursing through to feet, decreased states of consciousness, tunnel vision, breathing/heart murmurs, chronic headaches, chronic fatigue, severe depression, suicidal thoughts, bi-polarity, arnold-chiari brain malformation type 1 etc.