chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 1.27
Sex: M
Vaccine: FLU3
Symptoms: Childhood disintegrative disorder, Condition aggravated, Convulsion, Electrocardiogram, Electroencephalogram
Clinical narrative: Increase in seizure activity; tremors, lip smacking lasting up to 1 hr in duration. Within 24 hrs of receiving flu/Synagis - stopped eating from spoon. Lasting about 2 mo. Hospitalized d/t seizures.
Age: 1.27
Sex: M
Vaccine: FLU3
Symptoms: Laboratory test, Nuclear magnetic resonance imaging, Tardive dyskinesia, Tremor
Clinical narrative: Increase in seizure activity; tremors, lip smacking lasting up to 1 hr in duration. Within 24 hrs of receiving flu/Synagis - stopped eating from spoon. Lasting about 2 mo. Hospitalized d/t seizures.
Sex: F
Vaccine: FLUN3
Symptoms: Pneumonia
Clinical narrative: A serious spontaneous report of pneumonia has been received from a health professional concerning an adult female, subsequent to FLUMIST. Neither medical history nor concomitant medication was reported for this patient. On an unknown date, the patient received FLUMIST. On an unknown date, the patient ended up in the ER with pneumonia. The outcome of the event pneumonia was unknown.
Age: 1.01
Sex: M
Vaccine: PNC13
Symptoms: Blood test, CSF test, Computerised tomogram, Convulsion, Culture negative
Clinical narrative: High fever and seizures within 24 hours of vaccine.
Age: 1.01
Sex: M
Vaccine: PNC13
Symptoms: Electroencephalogram, Neurological examination, Pyrexia, Urine analysis
Clinical narrative: High fever and seizures within 24 hours of vaccine.
Age: 46.0
Sex: F
Vaccine: TDAP
Symptoms: Hypoaesthesia
Clinical narrative: Pt was given a TDAP vacc Lt arm (BOOSTRIX) about 5 min later pt starting complains of Lt hand numbness in her fingers. Pt was referred to Dr (neurologist) for evaluation.
Age: 63.0
Sex: F
Vaccine: FLU3
Symptoms: Cyanosis, Dyskinesia, Pruritus, Rash
Clinical narrative: Initial report received from a health care professional on 18 January 2011. A female patient received on 15 November 2010 an intramuscular injection (site unknown) of FLUZONE SV 2010-2011, lot number UH223AC. The patient's medical history and concomitant medications were not reported. On an unknown date, the patient had a severe reaction to the vaccine. No further information was available. The outcome was reported as unknown. Follow-up information was received 04 February 2011 from a consumer, who is the patient. From new information received, it was determined this case meets seriousness criteria and this case has been upgraded from nonserious to serious. The patient was identified as a 63-year-old female who received FLUZONE as a first dose intramuscular right deltoid injection. On 16 November 2010, the day after vaccination, the patient "turned purple" and developed rash, itching and spastic uncontrollable movements which lasted for the next 30 days (previously reported as "severe reaction", coding removed as event now identified). She was evaluated by her health care provider on 18 November 2010 (results of evaluation not reported). She had a past history of breast cancer and allergies to penicillin, corn and peanuts. Concomitant medications consisted of Vitamin D, Calcium, iron, and vitamin B complex. The patient had not received any other vaccines within four weeks of FLUZONE SV 2010-2011. The patient's outcome was not reported and no additional information was provided at the time of the report. Documents held by sender: None.
Age: 0.17
Sex: F
Vaccine: DTAP, HIBV, IPV, PPV
Symptoms: Convulsion
Clinical narrative: Initial report received from a consumer who is the patient's parent on 31 January 2011. A 9 week-old female patient who had no illnesses, no known allergies and no use of other medications, had received a dose of ACTHIB, IPOL, DTAP (manufacturer unknown), and PNEUMOVAX (manufacturer Merck) on 07 December 2005. The lot numbers, routes, and sites of administration were unknown for all vaccines. The following day after receiving the vaccinations, the patient had a seizure and he continued to have a seizure each day for the next few days requiring hospitalization. The patient has been on anti seizure medication since then. At the time of this report, the patient had recovered (date not reported). Documents held by sender: None.
Age: 1.46
Sex: M
Vaccine: FLU3, DTAPIPVHIB, FLU3
Symptoms: Convulsion, Pyrexia, Sleep disorder
Clinical narrative: Initial report was received 02 February 2011 from a consumer, who is the patient's parent, which involved a case of misuse. An 18-month-old male patient had received an injection of FLUZONE, lot number UT3574CA (route and site of administration not reported) on 16 September 2010. Fifteen days later on 01 October 2010, the patient experienced a seizure and fever. The event required a doctor's visit and/or emergency room visit and hospitalization of two days duration. According to the reporter, the patient has had sleep disturbance, also reported as "can't rest", since the seizure occurred. The patient was seen by a neurologist who prescribed Melatonin to aid sleeping. The patient had a history of retinoblastoma (both eyes) which was diagnosed at two weeks of age and required nine rounds of chemotherapy and radiation as corrective treatment. At the time of vaccination, the patient was in remission. The patient also had an allergy to Carboplatin. The patient had received five prior Influenza vaccinations which consisted of one dose of FLUZONE on 03 August 2010, two doses of influenza vaccine for the 2009-2010 season (manufacturer, lot numbers and administration dates not reported), and two doses of 2009 A/H1N1 vaccine (manufacturer, lot numbers and administration dates not reported). He had not experienced any adverse events following prior vaccinations. According to the reporter, the event outcome was recovered; however the event of sleep disturbance was described as ongoing at the time of the report. No additional information was provided at the time of the report. Documents held by sender: None.
Age: 1.46
Sex: M
Vaccine: FLU3, DTAPIPVHIB, FLU3
Symptoms: Band neutrophil percentage, Blood culture, Breath sounds abnormal, Chest X-ray normal, Computerised tomogram head
Clinical narrative: Initial report was received 02 February 2011 from a consumer, who is the patient's parent, which involved a case of misuse. An 18-month-old male patient had received an injection of FLUZONE, lot number UT3574CA (route and site of administration not reported) on 16 September 2010. Fifteen days later on 01 October 2010, the patient experienced a seizure and fever. The event required a doctor's visit and/or emergency room visit and hospitalization of two days duration. According to the reporter, the patient has had sleep disturbance, also reported as "can't rest", since the seizure occurred. The patient was seen by a neurologist who prescribed Melatonin to aid sleeping. The patient had a history of retinoblastoma (both eyes) which was diagnosed at two weeks of age and required nine rounds of chemotherapy and radiation as corrective treatment. At the time of vaccination, the patient was in remission. The patient also had an allergy to Carboplatin. The patient had received five prior Influenza vaccinations which consisted of one dose of FLUZONE on 03 August 2010, two doses of influenza vaccine for the 2009-2010 season (manufacturer, lot numbers and administration dates not reported), and two doses of 2009 A/H1N1 vaccine (manufacturer, lot numbers and administration dates not reported). He had not experienced any adverse events following prior vaccinations. According to the reporter, the event outcome was recovered; however the event of sleep disturbance was described as ongoing at the time of the report. No additional information was provided at the time of the report. Documents held by sender: None.
Age: 1.46
Sex: M
Vaccine: FLU3, DTAPIPVHIB, FLU3
Symptoms: Computerised tomogram normal, Conjunctivitis, Convulsion, Cough, Crying
Clinical narrative: Initial report was received 02 February 2011 from a consumer, who is the patient's parent, which involved a case of misuse. An 18-month-old male patient had received an injection of FLUZONE, lot number UT3574CA (route and site of administration not reported) on 16 September 2010. Fifteen days later on 01 October 2010, the patient experienced a seizure and fever. The event required a doctor's visit and/or emergency room visit and hospitalization of two days duration. According to the reporter, the patient has had sleep disturbance, also reported as "can't rest", since the seizure occurred. The patient was seen by a neurologist who prescribed Melatonin to aid sleeping. The patient had a history of retinoblastoma (both eyes) which was diagnosed at two weeks of age and required nine rounds of chemotherapy and radiation as corrective treatment. At the time of vaccination, the patient was in remission. The patient also had an allergy to Carboplatin. The patient had received five prior Influenza vaccinations which consisted of one dose of FLUZONE on 03 August 2010, two doses of influenza vaccine for the 2009-2010 season (manufacturer, lot numbers and administration dates not reported), and two doses of 2009 A/H1N1 vaccine (manufacturer, lot numbers and administration dates not reported). He had not experienced any adverse events following prior vaccinations. According to the reporter, the event outcome was recovered; however the event of sleep disturbance was described as ongoing at the time of the report. No additional information was provided at the time of the report. Documents held by sender: None.
Age: 1.46
Sex: M
Vaccine: FLU3, DTAPIPVHIB, FLU3
Symptoms: Dyskinesia, Electroencephalogram normal, Eyelid margin crusting, Gaze palsy, Grand mal convulsion
Clinical narrative: Initial report was received 02 February 2011 from a consumer, who is the patient's parent, which involved a case of misuse. An 18-month-old male patient had received an injection of FLUZONE, lot number UT3574CA (route and site of administration not reported) on 16 September 2010. Fifteen days later on 01 October 2010, the patient experienced a seizure and fever. The event required a doctor's visit and/or emergency room visit and hospitalization of two days duration. According to the reporter, the patient has had sleep disturbance, also reported as "can't rest", since the seizure occurred. The patient was seen by a neurologist who prescribed Melatonin to aid sleeping. The patient had a history of retinoblastoma (both eyes) which was diagnosed at two weeks of age and required nine rounds of chemotherapy and radiation as corrective treatment. At the time of vaccination, the patient was in remission. The patient also had an allergy to Carboplatin. The patient had received five prior Influenza vaccinations which consisted of one dose of FLUZONE on 03 August 2010, two doses of influenza vaccine for the 2009-2010 season (manufacturer, lot numbers and administration dates not reported), and two doses of 2009 A/H1N1 vaccine (manufacturer, lot numbers and administration dates not reported). He had not experienced any adverse events following prior vaccinations. According to the reporter, the event outcome was recovered; however the event of sleep disturbance was described as ongoing at the time of the report. No additional information was provided at the time of the report. Documents held by sender: None.
Age: 1.46
Sex: M
Vaccine: FLU3, DTAPIPVHIB, FLU3
Symptoms: Haematocrit normal, Haemoglobin normal, Lethargy, Leukocytosis, Lymphocyte percentage
Clinical narrative: Initial report was received 02 February 2011 from a consumer, who is the patient's parent, which involved a case of misuse. An 18-month-old male patient had received an injection of FLUZONE, lot number UT3574CA (route and site of administration not reported) on 16 September 2010. Fifteen days later on 01 October 2010, the patient experienced a seizure and fever. The event required a doctor's visit and/or emergency room visit and hospitalization of two days duration. According to the reporter, the patient has had sleep disturbance, also reported as "can't rest", since the seizure occurred. The patient was seen by a neurologist who prescribed Melatonin to aid sleeping. The patient had a history of retinoblastoma (both eyes) which was diagnosed at two weeks of age and required nine rounds of chemotherapy and radiation as corrective treatment. At the time of vaccination, the patient was in remission. The patient also had an allergy to Carboplatin. The patient had received five prior Influenza vaccinations which consisted of one dose of FLUZONE on 03 August 2010, two doses of influenza vaccine for the 2009-2010 season (manufacturer, lot numbers and administration dates not reported), and two doses of 2009 A/H1N1 vaccine (manufacturer, lot numbers and administration dates not reported). He had not experienced any adverse events following prior vaccinations. According to the reporter, the event outcome was recovered; however the event of sleep disturbance was described as ongoing at the time of the report. No additional information was provided at the time of the report. Documents held by sender: None.
Age: 1.46
Sex: M
Vaccine: FLU3, DTAPIPVHIB, FLU3
Symptoms: Metabolic function test normal, Nervous system disorder, Neutrophil percentage, Nuclear magnetic resonance imaging brain abnormal, Platelet count normal
Clinical narrative: Initial report was received 02 February 2011 from a consumer, who is the patient's parent, which involved a case of misuse. An 18-month-old male patient had received an injection of FLUZONE, lot number UT3574CA (route and site of administration not reported) on 16 September 2010. Fifteen days later on 01 October 2010, the patient experienced a seizure and fever. The event required a doctor's visit and/or emergency room visit and hospitalization of two days duration. According to the reporter, the patient has had sleep disturbance, also reported as "can't rest", since the seizure occurred. The patient was seen by a neurologist who prescribed Melatonin to aid sleeping. The patient had a history of retinoblastoma (both eyes) which was diagnosed at two weeks of age and required nine rounds of chemotherapy and radiation as corrective treatment. At the time of vaccination, the patient was in remission. The patient also had an allergy to Carboplatin. The patient had received five prior Influenza vaccinations which consisted of one dose of FLUZONE on 03 August 2010, two doses of influenza vaccine for the 2009-2010 season (manufacturer, lot numbers and administration dates not reported), and two doses of 2009 A/H1N1 vaccine (manufacturer, lot numbers and administration dates not reported). He had not experienced any adverse events following prior vaccinations. According to the reporter, the event outcome was recovered; however the event of sleep disturbance was described as ongoing at the time of the report. No additional information was provided at the time of the report. Documents held by sender: None.
Age: 1.46
Sex: M
Vaccine: FLU3, DTAPIPVHIB, FLU3
Symptoms: Postictal state, Pyrexia, Restlessness, Rhinorrhoea, Skin warm
Clinical narrative: Initial report was received 02 February 2011 from a consumer, who is the patient's parent, which involved a case of misuse. An 18-month-old male patient had received an injection of FLUZONE, lot number UT3574CA (route and site of administration not reported) on 16 September 2010. Fifteen days later on 01 October 2010, the patient experienced a seizure and fever. The event required a doctor's visit and/or emergency room visit and hospitalization of two days duration. According to the reporter, the patient has had sleep disturbance, also reported as "can't rest", since the seizure occurred. The patient was seen by a neurologist who prescribed Melatonin to aid sleeping. The patient had a history of retinoblastoma (both eyes) which was diagnosed at two weeks of age and required nine rounds of chemotherapy and radiation as corrective treatment. At the time of vaccination, the patient was in remission. The patient also had an allergy to Carboplatin. The patient had received five prior Influenza vaccinations which consisted of one dose of FLUZONE on 03 August 2010, two doses of influenza vaccine for the 2009-2010 season (manufacturer, lot numbers and administration dates not reported), and two doses of 2009 A/H1N1 vaccine (manufacturer, lot numbers and administration dates not reported). He had not experienced any adverse events following prior vaccinations. According to the reporter, the event outcome was recovered; however the event of sleep disturbance was described as ongoing at the time of the report. No additional information was provided at the time of the report. Documents held by sender: None.
Age: 1.46
Sex: M
Vaccine: FLU3, DTAPIPVHIB, FLU3
Symptoms: Sleep disorder, Somnolence, Tremor, Upper respiratory tract infection, Urine analysis normal
Clinical narrative: Initial report was received 02 February 2011 from a consumer, who is the patient's parent, which involved a case of misuse. An 18-month-old male patient had received an injection of FLUZONE, lot number UT3574CA (route and site of administration not reported) on 16 September 2010. Fifteen days later on 01 October 2010, the patient experienced a seizure and fever. The event required a doctor's visit and/or emergency room visit and hospitalization of two days duration. According to the reporter, the patient has had sleep disturbance, also reported as "can't rest", since the seizure occurred. The patient was seen by a neurologist who prescribed Melatonin to aid sleeping. The patient had a history of retinoblastoma (both eyes) which was diagnosed at two weeks of age and required nine rounds of chemotherapy and radiation as corrective treatment. At the time of vaccination, the patient was in remission. The patient also had an allergy to Carboplatin. The patient had received five prior Influenza vaccinations which consisted of one dose of FLUZONE on 03 August 2010, two doses of influenza vaccine for the 2009-2010 season (manufacturer, lot numbers and administration dates not reported), and two doses of 2009 A/H1N1 vaccine (manufacturer, lot numbers and administration dates not reported). He had not experienced any adverse events following prior vaccinations. According to the reporter, the event outcome was recovered; however the event of sleep disturbance was described as ongoing at the time of the report. No additional information was provided at the time of the report. Documents held by sender: None.
Age: 1.46
Sex: M
Vaccine: FLU3, DTAPIPVHIB, FLU3
Symptoms: Viral infection, White blood cell count increased
Clinical narrative: Initial report was received 02 February 2011 from a consumer, who is the patient's parent, which involved a case of misuse. An 18-month-old male patient had received an injection of FLUZONE, lot number UT3574CA (route and site of administration not reported) on 16 September 2010. Fifteen days later on 01 October 2010, the patient experienced a seizure and fever. The event required a doctor's visit and/or emergency room visit and hospitalization of two days duration. According to the reporter, the patient has had sleep disturbance, also reported as "can't rest", since the seizure occurred. The patient was seen by a neurologist who prescribed Melatonin to aid sleeping. The patient had a history of retinoblastoma (both eyes) which was diagnosed at two weeks of age and required nine rounds of chemotherapy and radiation as corrective treatment. At the time of vaccination, the patient was in remission. The patient also had an allergy to Carboplatin. The patient had received five prior Influenza vaccinations which consisted of one dose of FLUZONE on 03 August 2010, two doses of influenza vaccine for the 2009-2010 season (manufacturer, lot numbers and administration dates not reported), and two doses of 2009 A/H1N1 vaccine (manufacturer, lot numbers and administration dates not reported). He had not experienced any adverse events following prior vaccinations. According to the reporter, the event outcome was recovered; however the event of sleep disturbance was described as ongoing at the time of the report. No additional information was provided at the time of the report. Documents held by sender: None.
Age: 0.19
Sex: M
Vaccine: PNC13
Symptoms: Bronchitis, Cough, Malaise, Pyrexia
Clinical narrative: This is an initial spontaneous report from a contactable consumer. This is the first of two reports from a female consumer who reported for her currently 4 month year old son who was administered the first dose of PREVNAR 13, at 10-weeks-old. The vaccine was administered at 11:15 on 22Nov2010, in his thigh, for pneumonia and meningitis. Relevant medical history was none. Relevant concomitant medications were none. Vaccines given on the same day was unknown. Vaccines taken within the last four weeks included hepatitis b vaccine, human immunodeficiency virus vaccine, diphtheria vaccine, pertussis vaccine, tetanus vaccine and rotavirus vaccine. On 23Nov2010, the patient experienced bronchitis, fever, cough and was sick. He was taken to the emergency room on 07Dec2010 and was admitted for five hours. Treatments were not reported. The outcome was unknown.
Age: 0.38
Sex: M
Vaccine: PNC13
Symptoms: Bronchitis, Cough, Malaise, Pyrexia, Vaccine positive rechallenge
Clinical narrative: This is a spontaneous report from a contactable consumer. This is the second of two reports from a female consumer. A currently 4-month-old male was administered the second dose of PREVNAR 13 on his thigh for pneumonia and meningitis on 31Jan2011. Relevant medical history included bronchitis, fever, cough, and sickness on 07Dec2010, after administration of the first dose of PREVNAR 13, administered on 23Nov2010. Relevant concomitant medications were none. On 31Jan2011, the patient again experienced bronchitis, fever, cough and was sick. These events were considered medically significant. Relevant laboratory test results were not reported. At the time of the report the clinical outcome of the events was unknown.
Age: 1.0
Sex: F
Vaccine: MMR, PNC, VARCEL
Symptoms: Acoustic stimulation tests normal, Aphasia, Cytogenetic analysis normal, Decreased eye contact, Lethargy
Clinical narrative: Lethargic, fever, no eye contact, no longer answered to name or looked when a loud noise was made, delayed motor skills, loss of "babbling", loss of social interaction.
Age: 1.0
Sex: F
Vaccine: MMR, PNC, VARCEL
Symptoms: Motor developmental delay, Neurological examination normal, Nuclear magnetic resonance imaging brain normal, Ophthalmological examination normal, Pyrexia
Clinical narrative: Lethargic, fever, no eye contact, no longer answered to name or looked when a loud noise was made, delayed motor skills, loss of "babbling", loss of social interaction.
Age: 1.0
Sex: F
Vaccine: MMR, PNC, VARCEL
Symptoms: Unresponsive to stimuli
Clinical narrative: Lethargic, fever, no eye contact, no longer answered to name or looked when a loud noise was made, delayed motor skills, loss of "babbling", loss of social interaction.
Age: 17.0
Sex: F
Vaccine: DTAP
Symptoms: Erythema, Injection site erythema, Injection site rash, Injection site swelling, Pruritus
Clinical narrative: Mild swelling and redness at injection site with thick red, raised rash on upper arm above the site. By later evening, red, raised rash covering entire upper body. Next day rash was on inner thighs scattered lightly on legs, and hives on bottom and medial feet. Palms of hands were itching and "underground" hives were noted. Benadryl 25 mg po has been given every 6-8 hrs since beginning of rash. Rash has been slowly resolving and today is mildly scattered over body (mostly upper) and feet and palms of hands are still off and on red and itchy, but no longer have hives. Hydrocortisone 1% cream is also being used, but only when itching has been extreme.
Age: 17.0
Sex: F
Vaccine: DTAP
Symptoms: Rash erythematous, Rash generalised, Urticaria
Clinical narrative: Mild swelling and redness at injection site with thick red, raised rash on upper arm above the site. By later evening, red, raised rash covering entire upper body. Next day rash was on inner thighs scattered lightly on legs, and hives on bottom and medial feet. Palms of hands were itching and "underground" hives were noted. Benadryl 25 mg po has been given every 6-8 hrs since beginning of rash. Rash has been slowly resolving and today is mildly scattered over body (mostly upper) and feet and palms of hands are still off and on red and itchy, but no longer have hives. Hydrocortisone 1% cream is also being used, but only when itching has been extreme.
Age: 12.0
Sex: F
Vaccine: HPV4
Symptoms: Injection site swelling, Pruritus, Urticaria
Clinical narrative: Injection site slightly swollen, c/o hives on lower arms and legs "felt itchy inside".  Symptoms persisted for 3 days.  Treated with Benadryl.
Age: 42.0
Sex: M
Vaccine: FLUX
Symptoms: Blister, Chills, Herpes zoster, Pruritus
Clinical narrative: Itchy blisters on back and under arm, Chills without fever. Doctor identified as shingles.
Age: 35.0
Sex: M
Vaccine: VARCEL
Symptoms: Eye irritation, Eyelid disorder, Headache, Sensation of pressure, VIIth nerve paralysis
Clinical narrative: First symptom onset 2-7-2011 @ 7 PM ,described as pain/pressure like sensation located at right retroauricular area ,accompanied with eye irritation .  On Feb 8th presented  one episode of drip/leakage of water out of his mouth while drinking .Eye irritation increased . On Feb 9th consulted @  2 PM with right sided facial droop ,  smile with left deviation  , no closing of right  eye , no whistling , no frowning , no lacrimation
Age: 22.0
Sex: M
Vaccine: ANTH
Symptoms: Affective disorder, Arthritis, Deafness, Disturbance in attention, Fatigue
Clinical narrative: arthritis, joint swelling, tendereness, sleplessness, headaches, mood problems, sensitivity to light, hearing loss, stomach problems (ulcer), lethargy, fatigue, concentration and memory impairment, cloudy thoughts, local pain at the injection sight,
Age: 22.0
Sex: M
Vaccine: ANTH
Symptoms: Gastric ulcer, Headache, Injection site pain, Insomnia, Joint swelling
Clinical narrative: arthritis, joint swelling, tendereness, sleplessness, headaches, mood problems, sensitivity to light, hearing loss, stomach problems (ulcer), lethargy, fatigue, concentration and memory impairment, cloudy thoughts, local pain at the injection sight,
Age: 22.0
Sex: M
Vaccine: ANTH
Symptoms: Lethargy, Memory impairment, Photophobia, Tenderness, Thinking abnormal
Clinical narrative: arthritis, joint swelling, tendereness, sleplessness, headaches, mood problems, sensitivity to light, hearing loss, stomach problems (ulcer), lethargy, fatigue, concentration and memory impairment, cloudy thoughts, local pain at the injection sight,
Age: 2.0
Sex: M
Vaccine: DTAP, HEPA
Symptoms: Chills, Cough, Injection site movement impairment, Paraesthesia, Pyrexia
Clinical narrative: At 8 pm patient began to cough and vomit, throughout he night 12:30am, he began with chills and fever and complaing his feet are "tingling". He also is unable to move in upwards where the vaccine was given.
Age: 2.0
Sex: M
Vaccine: DTAP, HEPA
Symptoms: Vomiting
Clinical narrative: At 8 pm patient began to cough and vomit, throughout he night 12:30am, he began with chills and fever and complaing his feet are "tingling". He also is unable to move in upwards where the vaccine was given.
Age: 12.0
Sex: F
Vaccine: HPV4
Symptoms: Rash, Urticaria, Vaccine positive rechallenge
Clinical narrative: rash and hives
Age: 0.17
Sex: M
Vaccine: DTAPIPVHIB, HEP
Symptoms: Diarrhoea, Haematochezia, Vomiting
Clinical narrative: Vomiting, diarrhea, blood in the stool
Age: 0.16
Sex: F
Vaccine: DTAPIPVHIB, HEP, PNC13, RV5
Symptoms: Bacterial test negative, Culture stool negative, Haematochezia, Occult blood positive
Clinical narrative: Blood in stool starting day after Rotavirus vaccine given. Neg. w/u for intussusception. Neg stool Rota & bacterial culture. Being followed now by GI.
Age: 1.25
Sex: F
Vaccine: HIBV, MMR
Symptoms: Febrile convulsion, Neutrophil percentage decreased, Pain, Pyrexia, Reticulocyte count increased
Clinical narrative: MMR, HIB given on 1/31/11. Had OM at the time put on AUGMENTIN. Fever 101. 2 ax 2/9/11 -> febrile sz. OM resolved at ER.
Age: 11.0
Sex: M
Vaccine: MNQ, VARCEL
Symptoms: Back pain, Cellulitis, Chest pain, Cough, Dyspnoea
Clinical narrative: Patient received 2 vaccines on Friday, January 28, 2011: the meningococcal MCV4 and Varicella in the upper right arm. Within a few hours his arm was sore and there was pain to move it. He began to have a runny nose and wheezing. At his physical that same day his lungs were clear and no runny nose, although he had been sick beginning January 8th with bronchitis, pharyngitis, and upper respiratory infection. These symptoms continued the next day (Saturday), with the arm looking worse and it was very hot. We continued the nebulizer for wheezing and Ibuprofen for pain and swelling and also a cold compress. We did call the doctor and they said some redness and swelling was normal and should be gone in about 48 hours. By evening he also had a bad cough. On Sunday, January 30th, all symptoms continued and the redness was a large patch about 8 in. x 8 in. he was also having pain in his shoulder and across the top of his back. Another call to the doctor led us to the ER around 4pm. The ER doctor said that it was infected and the diagnosis was the skin infection, cellulitis. He thought that the wheezing, runny nose, and cough were a cold and just a coincidence. He prescribed antibiotics for the infection and steroids for the wheezing. That evening he was having more pain and the wheezing got worse, we almost went back to the ER, but we were able to keep things under control by using the nebulizer and Ibuprofen. We saw the doctor again at 3pm on Monday January 31st and he had improved, the arm was still red and hot, but slightly better and wheezing had subsided, although patient still felt a pain in his chest and it felt hard for him to breathe, but the doctor said there was no wheezing. The doctor thought it was a reaction and not infection, but said to continue both meds to be sure. From the location of the redness the doctor thinks the meningitis shot may have been the problem. The center of the redness does not seem to be in the place the nurse says she gave either shot, but it was within the meningitis vaccine area. He also thought that the respiratory symptoms were not related to the incident. He didn't feel well the rest of the week, but continued to improve. The arm would still be warm in the same spot at times and there are some pinhole scabs in the area. On Saturday February 5th he began to complain that the top of his back hurt and it was worse when I touched it. What he described sounded a lot like shingles, but I didn't see any rash. At this point he is done with the antibiotics and steroids and is using albuterol once or twice daily as needed. As of now the arm still is a little warmer in the spot and the little scabs are still there but it is not red and he is feeling much better.
Age: 11.0
Sex: M
Vaccine: MNQ, VARCEL
Symptoms: Erythema, Injection site erythema, Malaise, Musculoskeletal pain, Nasopharyngitis
Clinical narrative: Patient received 2 vaccines on Friday, January 28, 2011: the meningococcal MCV4 and Varicella in the upper right arm. Within a few hours his arm was sore and there was pain to move it. He began to have a runny nose and wheezing. At his physical that same day his lungs were clear and no runny nose, although he had been sick beginning January 8th with bronchitis, pharyngitis, and upper respiratory infection. These symptoms continued the next day (Saturday), with the arm looking worse and it was very hot. We continued the nebulizer for wheezing and Ibuprofen for pain and swelling and also a cold compress. We did call the doctor and they said some redness and swelling was normal and should be gone in about 48 hours. By evening he also had a bad cough. On Sunday, January 30th, all symptoms continued and the redness was a large patch about 8 in. x 8 in. he was also having pain in his shoulder and across the top of his back. Another call to the doctor led us to the ER around 4pm. The ER doctor said that it was infected and the diagnosis was the skin infection, cellulitis. He thought that the wheezing, runny nose, and cough were a cold and just a coincidence. He prescribed antibiotics for the infection and steroids for the wheezing. That evening he was having more pain and the wheezing got worse, we almost went back to the ER, but we were able to keep things under control by using the nebulizer and Ibuprofen. We saw the doctor again at 3pm on Monday January 31st and he had improved, the arm was still red and hot, but slightly better and wheezing had subsided, although patient still felt a pain in his chest and it felt hard for him to breathe, but the doctor said there was no wheezing. The doctor thought it was a reaction and not infection, but said to continue both meds to be sure. From the location of the redness the doctor thinks the meningitis shot may have been the problem. The center of the redness does not seem to be in the place the nurse says she gave either shot, but it was within the meningitis vaccine area. He also thought that the respiratory symptoms were not related to the incident. He didn't feel well the rest of the week, but continued to improve. The arm would still be warm in the same spot at times and there are some pinhole scabs in the area. On Saturday February 5th he began to complain that the top of his back hurt and it was worse when I touched it. What he described sounded a lot like shingles, but I didn't see any rash. At this point he is done with the antibiotics and steroids and is using albuterol once or twice daily as needed. As of now the arm still is a little warmer in the spot and the little scabs are still there but it is not red and he is feeling much better.
Age: 11.0
Sex: M
Vaccine: MNQ, VARCEL
Symptoms: Pain, Pain in extremity, Rhinorrhoea, Scab, Skin warm
Clinical narrative: Patient received 2 vaccines on Friday, January 28, 2011: the meningococcal MCV4 and Varicella in the upper right arm. Within a few hours his arm was sore and there was pain to move it. He began to have a runny nose and wheezing. At his physical that same day his lungs were clear and no runny nose, although he had been sick beginning January 8th with bronchitis, pharyngitis, and upper respiratory infection. These symptoms continued the next day (Saturday), with the arm looking worse and it was very hot. We continued the nebulizer for wheezing and Ibuprofen for pain and swelling and also a cold compress. We did call the doctor and they said some redness and swelling was normal and should be gone in about 48 hours. By evening he also had a bad cough. On Sunday, January 30th, all symptoms continued and the redness was a large patch about 8 in. x 8 in. he was also having pain in his shoulder and across the top of his back. Another call to the doctor led us to the ER around 4pm. The ER doctor said that it was infected and the diagnosis was the skin infection, cellulitis. He thought that the wheezing, runny nose, and cough were a cold and just a coincidence. He prescribed antibiotics for the infection and steroids for the wheezing. That evening he was having more pain and the wheezing got worse, we almost went back to the ER, but we were able to keep things under control by using the nebulizer and Ibuprofen. We saw the doctor again at 3pm on Monday January 31st and he had improved, the arm was still red and hot, but slightly better and wheezing had subsided, although patient still felt a pain in his chest and it felt hard for him to breathe, but the doctor said there was no wheezing. The doctor thought it was a reaction and not infection, but said to continue both meds to be sure. From the location of the redness the doctor thinks the meningitis shot may have been the problem. The center of the redness does not seem to be in the place the nurse says she gave either shot, but it was within the meningitis vaccine area. He also thought that the respiratory symptoms were not related to the incident. He didn't feel well the rest of the week, but continued to improve. The arm would still be warm in the same spot at times and there are some pinhole scabs in the area. On Saturday February 5th he began to complain that the top of his back hurt and it was worse when I touched it. What he described sounded a lot like shingles, but I didn't see any rash. At this point he is done with the antibiotics and steroids and is using albuterol once or twice daily as needed. As of now the arm still is a little warmer in the spot and the little scabs are still there but it is not red and he is feeling much better.
Age: 11.0
Sex: M
Vaccine: MNQ, VARCEL
Symptoms: Swelling, Tenderness, Wheezing
Clinical narrative: Patient received 2 vaccines on Friday, January 28, 2011: the meningococcal MCV4 and Varicella in the upper right arm. Within a few hours his arm was sore and there was pain to move it. He began to have a runny nose and wheezing. At his physical that same day his lungs were clear and no runny nose, although he had been sick beginning January 8th with bronchitis, pharyngitis, and upper respiratory infection. These symptoms continued the next day (Saturday), with the arm looking worse and it was very hot. We continued the nebulizer for wheezing and Ibuprofen for pain and swelling and also a cold compress. We did call the doctor and they said some redness and swelling was normal and should be gone in about 48 hours. By evening he also had a bad cough. On Sunday, January 30th, all symptoms continued and the redness was a large patch about 8 in. x 8 in. he was also having pain in his shoulder and across the top of his back. Another call to the doctor led us to the ER around 4pm. The ER doctor said that it was infected and the diagnosis was the skin infection, cellulitis. He thought that the wheezing, runny nose, and cough were a cold and just a coincidence. He prescribed antibiotics for the infection and steroids for the wheezing. That evening he was having more pain and the wheezing got worse, we almost went back to the ER, but we were able to keep things under control by using the nebulizer and Ibuprofen. We saw the doctor again at 3pm on Monday January 31st and he had improved, the arm was still red and hot, but slightly better and wheezing had subsided, although patient still felt a pain in his chest and it felt hard for him to breathe, but the doctor said there was no wheezing. The doctor thought it was a reaction and not infection, but said to continue both meds to be sure. From the location of the redness the doctor thinks the meningitis shot may have been the problem. The center of the redness does not seem to be in the place the nurse says she gave either shot, but it was within the meningitis vaccine area. He also thought that the respiratory symptoms were not related to the incident. He didn't feel well the rest of the week, but continued to improve. The arm would still be warm in the same spot at times and there are some pinhole scabs in the area. On Saturday February 5th he began to complain that the top of his back hurt and it was worse when I touched it. What he described sounded a lot like shingles, but I didn't see any rash. At this point he is done with the antibiotics and steroids and is using albuterol once or twice daily as needed. As of now the arm still is a little warmer in the spot and the little scabs are still there but it is not red and he is feeling much better.
Age: 50.0
Sex: F
Vaccine: FLUX(H1N1)
Symptoms: Injected limb mobility decreased, Injection site pain, Muscle spasms
Clinical narrative: 4 days after I was administered the H1N1 flu shot (I can't say the actual date and time of the shot - I know it was October 2009), I started having muscle spasms in my left shoulder where I had the shot. Then a few days later I started having muscle spasms in other parts of my body. Those eventually went away, but then I started having pain in my left shoulder. I have a hard time raising my arm and I was finally sent to a orthopedist last week and then on to have physical therapy. The doctor says it sounds like tendinitis. But, the therapist says it doesn't appear to be that and that my neck muscles are also involved.
Age: 42.0
Sex: F
Vaccine: HEPAB
Symptoms: Pruritus, Rash
Clinical narrative: Patient reports rash on forearms (side and radiation to underside of forearms when holding arms out in front of her with palms up). Reports rash looks like mosquito bites, and complains of itching. No other reaction.
Age: 29.0
Sex: F
Vaccine: TDAP
Symptoms: Unevaluable event, Urine analysis normal, White blood cells urine positive
Clinical narrative: Pt here c/o numerous symptoms, which pt noted last evening (about 8pm). Pt seems to feel that symptoms are related to vaccine. Through interpreter, nurse asked pt about symptoms. Pt c/o pain in right arm, up to her neck, in her teeth. Pt c/o mostly of lower back pain, chills. Pt said she was able to sleep last night, but has been feeling worse since this morning. Nurse checked pt's arm, area that vaccine was given. No redness noted at injection site. Pt crying, interpreter asked her why and she said because of back pain. Interpreter asked pt about pain "on a scale of 1-5", pt replied "6". Pt being seen by pcp. Pt with 1+ leuks today and trace yesterday. Will treat empirically for UTI. U/A negative for blood--which would be expected if pt was having rhabdomyolysis. VARS still done--although this is unlikely to be vaccine reaction. 1) MACROBID x 7 days 2) FLEXERIL for body aches as pt cannot take NSAIDs.
Age: 35.0
Sex: F
Vaccine: HEPAB, VARCEL
Symptoms: Erythema, Mass
Clinical narrative: Pt receive varicella vaccine in her left arm on 2/8/11. Today (2/10/11) she reports that her left arm is red, has a lump the size of a baseball that is hard & it is hot to touch. She states that there is no drainage at site.
Age: 4.0
Sex: M
Vaccine: DTAPIPVHIB, MMRV, PNC13
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Redness, swelling of the left deltoid. Grandmother was instructed to put a cold washcloth on the area to take out the heat.  Shown VIS which shows it takes 1 - 7 days to resolve
Age: 0.18
Sex: M
Vaccine: DTAPIPV
Symptoms: Crying, Fatigue, Hypersomnia, Injection site pain, Vomiting
Clinical narrative: Vomiting, excessive crying, tenderness in leg, excessive sleepiness/tiredness
Age: 24.0
Sex: F
Vaccine: HEP, MMR, VARCEL
Symptoms: Drug exposure before pregnancy, Pregnancy test negative
Clinical narrative: Pt had pregnancy test on 1/11/2011, test results shown negative.  Patient then given Varicilla and MMR vacinations.
Age: 20.0
Sex: F
Vaccine: FLU3
Symptoms: Cytomegalovirus infection, Cytomegalovirus test positive, Drug exposure during pregnancy, Guillain-Barre syndrome
Clinical narrative: patient presented to hospital with symptoms of Guillain Barre syndrome
Age: 35.0
Sex: F
Vaccine: HEP
Symptoms: Dermatitis, Feeling hot, Pruritus, Rash, Swelling
Clinical narrative: Localize rash to back of neck along hairline, around neck, and face. Pt report minor swelling, itching, radiating heat secondary to adverse reaction. Pt's skin appeared inflamed.
Age: 0.34
Sex: M
Vaccine: DTAPIPVHIB, PNC13, RV1
Symptoms: Convulsion, Gaze palsy, Musculoskeletal stiffness
Clinical narrative: 3 minutes seizure. Stiffening and eyes rolled back.  No incontinence.  No measured fever.  Was back to normal in 2-3 minutes. No recurrence.
Age: 11.0
Sex: F
Vaccine: HPV4, MNQ, TDAP
Symptoms: Headache, Injection site pain
Clinical narrative: first noted headache ~24 hours after shots, along with left deltoid tenderness,  acetaminophen no help.  Worse during the night and the next m,orning so brought to my office at 8:00 AM
Age: 11.0
Sex: F
Vaccine: FLU3, MNQ, TDAP
Symptoms: Vomiting, Wheezing
Clinical narrative: Wheeze and vomiting
Age: 1.27
Sex: M
Vaccine: MMR, UNK
Symptoms: Cyanosis, Middle ear effusion, Pyrexia, Rash, Rash erythematous
Clinical narrative: Blueness of lips, no breathing difficulties called MD, brought to pediatrician, no breathing issues after that, mild fluid in ear, thought to be mild upper respiratory infection prescribed amoxicillin. 7 days after vaccine had fever on/off for 3 days highest 104. 8 days after vaccine noticed small red bumps that have worsened. Currently 12 days post vaccine with worsening small red bumps over trunk, extremities and head.
Age: 1.27
Sex: M
Vaccine: MMR, UNK
Symptoms: Upper respiratory tract infection
Clinical narrative: Blueness of lips, no breathing difficulties called MD, brought to pediatrician, no breathing issues after that, mild fluid in ear, thought to be mild upper respiratory infection prescribed amoxicillin. 7 days after vaccine had fever on/off for 3 days highest 104. 8 days after vaccine noticed small red bumps that have worsened. Currently 12 days post vaccine with worsening small red bumps over trunk, extremities and head.
Age: 1.52
Sex: F
Vaccine: DTAP
Symptoms: Injection site erythema, Injection site induration, Injection site mass
Clinical narrative: Red circle at insertion point, hard lump underneath
Age: 23.0
Sex: M
Vaccine: ANTH
Symptoms: Induration, Inflammation, Paraesthesia, Skin warm, Tenderness
Clinical narrative: PT DEVELOPED INFLAMED, WARM, TENDER, TIGHT UPPER RIGHT ARM WITHOUT OBVIOUS LOCAL INFECTION/KNOT/PAIN AT SPECIFIC SITE OF INJECTION. SX PRESENT FROM DELTOID TO NEAR ELBOW AND RESULTED IN HAND PARESTHESIAS.  SX DEVELOPED WITHIN 24 HRS.
Age: 10.0
Sex: M
Vaccine: FLU3
Symptoms: Immediate post-injection reaction, Syncope
Clinical narrative: Syncopal episode immediately following administration of influenza vaccine.  Lasted ~5 sec.  Child observed in office. VSS. Discharged to home.
Age: 4.0
Sex: M
Vaccine: DTAP, MMR, PNC13, VARCEL, DTAP, MMR, PNC13, VARCEL
Symptoms: Urticaria
Clinical narrative: hives relieved by diphenhydramine but reoccur daily
Age: 4.0
Sex: M
Vaccine: DTAP, MMR, PNC13, VARCEL, DTAP, MMR, PNC13, VARCEL
Symptoms: Penile swelling, Urticaria
Clinical narrative: hives relieved by diphenhydramine but reoccur daily
Age: 53.0
Sex: F
Vaccine: MMR
Symptoms: Gingival swelling, Malaise, Neck pain, Oral discomfort, Oral pain
Clinical narrative: Within a 2-3 hr period after injection, felt some swelling, discomfort in mouth but subsided by next day. By the end of the 6th day felt sore in mouth, jaw area. Days 7-12 felt soreness in neck and mouth. My gums were swollen so it hurt to brush/floss. Felt ill like virus, but no fever. By day 13 began improving. Day 15 rtn to normal.
Age: 1.2
Sex: M
Vaccine: DTAPIPVHIB, FLU3, MMR, PNC13, VARCEL
Symptoms: C-reactive protein normal, Injection site pruritus, Injection site urticaria, Metabolic function test, Oedema peripheral
Clinical narrative: One day following vaccines, pt had 2 welts on (L) leg (site of PENTACEL & MMR) & later had generalized hives with swollen hands, feet, & periorbital edema. No resp distress. (+) pruritis. 1st visit to MD was 9 dys after sympt started. Pt still has generalized hives, mild swelling of hds, feet & face. Tx: BENADRYL/ATARAX PRN.
Age: 1.2
Sex: M
Vaccine: DTAPIPVHIB, FLU3, MMR, PNC13, VARCEL
Symptoms: Periorbital oedema, Swelling face, Urticaria
Clinical narrative: One day following vaccines, pt had 2 welts on (L) leg (site of PENTACEL & MMR) & later had generalized hives with swollen hands, feet, & periorbital edema. No resp distress. (+) pruritis. 1st visit to MD was 9 dys after sympt started. Pt still has generalized hives, mild swelling of hds, feet & face. Tx: BENADRYL/ATARAX PRN.
Age: 12.0
Sex: M
Vaccine: MNQ, VARCEL
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Went to ER 20 hrs later with swelling & redness (R) deltoid & redness in (L) deltoid.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR, PNC, VARCEL
Symptoms: Injection site haematoma, Injection site induration, Injection site nodule, Injection site pain, Injection site pruritus
Clinical narrative: Itchy watery blister on right leg size of pea hard knot and bruise looking, tender to touch per mom. Tx: MOTRIN for pain; BENADRYL for itchy. Alternate hot/cold compress. No longer 20 mins/nor direct skin.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR, PNC, VARCEL
Symptoms: Injection site vesicles
Clinical narrative: Itchy watery blister on right leg size of pea hard knot and bruise looking, tender to touch per mom. Tx: MOTRIN for pain; BENADRYL for itchy. Alternate hot/cold compress. No longer 20 mins/nor direct skin.
Age: 1.58
Sex: F
Vaccine: HEPA, PNC13
Symptoms: Erythema
Clinical narrative: Mother noticed erythema on back & abdomen given - diphenhydramine (12.5mg/5ml) PO 6 ml erythema decreased after 15 min.