chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 22.0
Sex: F
Vaccine: HPV4, TDAP, HPV4, TDAP
Symptoms: Pharyngolaryngeal pain, Pyrexia, Respiratory tract congestion
Clinical narrative: Extreme joint pain, sore muscles, headache, stomach ache, fever, throat tightness.
Age: 13.0
Sex: F
Vaccine: HPV4, MNQ, TDAP, VARCEL
Symptoms: Immediate post-injection reaction, Injection site erythema, Injection site induration, Injection site mass, Injection site pruritus
Clinical narrative: "Wheals" at injection site immediately after given, resolved in approximately 3 hours.  Woke 3/27/08 with red lump, 5x6cm mildly indurated red patch - right arm on 3/27.  Slight itch, no pain + color at 10AM.  RX - Bactrim DSI BID x 7 days, Benadryl 25mg q 6 hours prn.
Age: 13.0
Sex: F
Vaccine: HPV4, MNQ, TDAP, VARCEL
Symptoms: Injection site urticaria
Clinical narrative: "Wheals" at injection site immediately after given, resolved in approximately 3 hours.  Woke 3/27/08 with red lump, 5x6cm mildly indurated red patch - right arm on 3/27.  Slight itch, no pain + color at 10AM.  RX - Bactrim DSI BID x 7 days, Benadryl 25mg q 6 hours prn.
Age: 11.0
Sex: F
Vaccine: HPV4, MNQ, TD
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Lip swelling, Paraesthesia oral
Clinical narrative: Patient rearrived in office x 20 minutes after vaccines - no reaction.  Approximately 20-40 minutes later complained of tingling in lips - tongue.  No breathing difficulty.  Lips became puffy x 24 hours.  Complained of pain in left arm at injection site with 4.5cm raised red area lasting 3-4 days.  Instructed by phone to administer Benadryl tablet every 4 hours for 24 hours.  Motrin PRN for pain and oral (Topical for swelling at site of injection).
Age: 1.25
Sex: F
Vaccine: DTAP, MMR, VARCEL
Symptoms: Injection site urticaria
Clinical narrative: Patient developed hive over site of injection within minutes of administration.
Age: 22.0
Sex: F
Vaccine: TD
Symptoms: Diarrhoea, Dizziness, Feeling hot, Headache, Oedema peripheral
Clinical narrative: 3-28-08 Today, pt. reported, approx 30 mins. 3-26-08 after receiving Td imm-onset of dizziness, R sided throbbing headache & R arm soreness-headache & dizziness went away after eating a meal.  Exp'd diarrhea thru-out night.  On 3-27-08->arm soreness still present with "a little swelling".  Felt feverish-took Benadryl for swelling.  Today (3-28-08)-headache present "across forehead, little dizziness & increased R arm swelling & decreased soreness.
Age: 22.0
Sex: F
Vaccine: TD
Symptoms: Pain in extremity
Clinical narrative: 3-28-08 Today, pt. reported, approx 30 mins. 3-26-08 after receiving Td imm-onset of dizziness, R sided throbbing headache & R arm soreness-headache & dizziness went away after eating a meal.  Exp'd diarrhea thru-out night.  On 3-27-08->arm soreness still present with "a little swelling".  Felt feverish-took Benadryl for swelling.  Today (3-28-08)-headache present "across forehead, little dizziness & increased R arm swelling & decreased soreness.
Age: 38.0
Sex: F
Vaccine: TDAP
Symptoms: Hypoaesthesia, Induration, Oedema peripheral, Paraesthesia, Peripheral coldness
Clinical narrative: Arm swollen, hard, numbness, tingling down arm, hand purple and cold.
Age: 38.0
Sex: F
Vaccine: TDAP
Symptoms: Skin discolouration
Clinical narrative: Arm swollen, hard, numbness, tingling down arm, hand purple and cold.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV
Symptoms: Erythema, Induration, Skin warm, Swelling
Clinical narrative: Area indurated, red, hot, swollen 6 1/2 inches long by 5 1/2 wide.  Taking Tylenol and applying cold compresses.
Age: 1.1
Sex: M
Vaccine: PNC, VARCEL
Symptoms: Back pain, Blister, Herpes zoster, Immunology test
Clinical narrative: Pt does not have known case of Varicella and had Varicella Vaccine on 1/4/02.  On 3/22, developed back pain on R, then erupted in violaceous patches of vesicles along R T1.  Seen by 3 physicians-all confirming shingles.  Responded to acyclovir.
Age: 10.0
Sex: F
Vaccine: VARCEL
Symptoms: Headache, Local reaction, Nausea, Pyrexia
Clinical narrative: Large local reaction, fever for 24 hours, nausea, headache.
Age: 78.0
Sex: M
Vaccine: PPV, TD
Symptoms: Erythema, Swelling
Clinical narrative: Redness/swelling of right upper extremity 3-4 hours after vaccine (PNEUMOVAX).
Age: 15.0
Sex: F
Vaccine: HPV4
Symptoms: Blood pressure decreased, Convulsion, Syncope
Clinical narrative: Information has been received from a certified medical assistant concerning a 15 year old female with no medical history and no drug allergies, who on 19-MAR-2008 was vaccinated IM with a 0.5mL first dose of GARDASIL (Lot# 659180/1758U).  Concomitant therapy included hormonal contraceptives (unspecified).  On 19-MAR-2008 a few seconds post vaccination the patient fainted and experienced convulsions of her arms and legs that lasted for a few seconds.  The patient had a blood pressure reading of 60/42 mmHg after she fainted.  The patient remained at the physician's office until she recovered.  The patient left with her mother.  No laboratory diagnostics were performed.  No product quality complaint was involved.  Upon internal review convulsions were considered to be an other important medical event.  Additional information has been requested.
Age: 7.0
Sex: M
Vaccine: FLU3
Symptoms: Death, Road traffic accident
Clinical narrative: We received on 12 FEB 2008 from a healthcare professional the following information: A 7-year-old male patient, born on 21 JUN 2000 was vaccinated with FLUVIRIN (batch no. unknown) on 19 NOV 2007. The patient was killed in an automobile traffic accident on 01 FEB 2008. The subject had participated in a clinical trial sponsored by MedImmune. FLUVIRIN was used in that trial as a control, and Novartis Vaccine & Diagnostics (NVD) has donated the FLUVIRIN, but other than that has not been involved. Although the event did not occur during the duration of the trial, and the investigator did not see any causal relationship to the vaccination with FLUVIRIN, he reported the event to the IRB and NVD because the child had died.
Sex: U
Vaccine: VARCEL
Symptoms: Death, Intensive care, Pneumonia herpes viral, Respiratory failure
Clinical narrative: Information has been received from a literature article regarding an adult with diabetes, who was admitted for varicella-related pneumonitis and died of respiratory failure after 11 days in an ICU. In the opinion of the author, the data demonstrated the sizeable and continuing reduction in severe varicella-related morbidity with the use of the varicella vaccine since 1995. It was also noted that the data highlighted the fact that the majority of hospitalizations that occurred during this time period were preventable through implementation of existing vaccination-policy recommendations. The author noted that varicella incidence and varicella-related hospitalizations (VRHs) and deaths have decreased substantially since the implementation of the varicella vaccination program. A copy of this published article is attached as further documentation of the patient's experience.
Age: 2.0
Sex: U
Vaccine: VARCEL
Symptoms: Cellulitis, Dehydration, Haemorrhagic diathesis, Rash
Clinical narrative: Information has been received from a literature article, title as stated above which was based on data from the Varicella Active Surveillance Project (VASP) concerning two previously healthy two year olds, who each received one dose of VARIVAX (Oka/Merck) and developed a rash.  The time intervals between their vaccination and rash onset for the two patients who had experienced varicella related hospitalization (VRH) and who had received 1 dose of VARIVAX >42 days before rash onset was 271, 280, 291, and 1445 days.  The children each developed one of the following complications: cellulitis, dehydration, and/or bleeding diathesis.  The children were hospitalized for 1 day.  The outcome was not reported.  In the opinion of the author, the data demonstrated the sizeable and continuing reduction in severe varicella-related morbidity with the use of the varicella vaccine since 1995.  It was also noted that the data highlighted the fact that the majority of hospitalizations that occurred during this time period were preventable through implementation of existing vaccination-policy recommendations.  The author noted that varicella incidence and varicella-related hospitalizations (VRHs) and deaths have decreased substantially since the implementation of the varicella vaccination program.  A copy of this published article is attached as further documentation of the patient's experience.
Age: 5.0
Sex: U
Vaccine: VARCEL
Symptoms: Intensive care, Meningitis, Mental status changes, Rash, Varicella
Clinical narrative: Information has been received from a literature article, which was based on data from the VASP concerning a five year with a history of asthma who received one dose of Varivax (Oka/Merck) and developed a rash.  The time intervals between the vaccination and rash onset for the child who had experienced varicella related hospitalizations (VRH) and who had received 1 dose of varicella vaccine >42 days before rash onset was 271, 280, 291, and 1445 days.  The child was admitted to an intensive care unit (ICU) for 1 day for meningitis and was discharged with a diagnosis of altered mental status/post varicella syndrome.  Six weeks after hospital discharge, the child's mental status had returned to normal.  In the opinion of the author, the data demonstrated the sizeable and continuing reduction in severe varicella-related morbidity with the use of the varicella vaccine since 1995.  It was also noted that the data highlighted the fact that the majority of hospitalizations that occurred during this time period were preventable through implementation of existing vaccination-policy recommendations.  The author noted that varicella incidence and varicella-related hospitalizations (VRHs) and deaths have decreased substantially since the implementation of the varicella vaccination program.  A copy of this published article is attached as further documentation of the patient's experience.
Age: 5.0
Sex: M
Vaccine: FLU3
Symptoms: Abdominal pain, Pneumonia, Pyrexia, Wheezing
Clinical narrative: On 19 MAR 2008 we received via a physician the following information: A 5-year-old male child with known asthma (subject 1-07-06206), born on 22 FEB 2002, was vaccinated i.m. into the deltoid with Fluvirin (batch no. 80686) on 20 NOV 2007.  He presented on 20 DEC 2007 with fever, abdominal pain and wheezing.  He responded to bronchodilators and was admitted to hospital for rehydration and treatment of pneumonia (i.v.antibiotics).  The patient was discharged improved on 21 DEC 2007.  The subject participated in a field trial.  Fluvirin was used in that trial as a control, and Novartis Vaccine & Diagnostics (NVD) has donated the Fluvirin, but other than that has not been involved.  The investigator did not see any causal relationship with the vaccination and Fluvirin.  Concomitant medication included Flonase and albuterol.  Seriousness criterion: hospitalisation.  Causality: not related, due to improbable time interval.  Pneumonia was most likely caused by bacterial infection as the patient improved under antibiotics.  Expectedness assessment according to EU SPC/US label: The reported symptoms are not expected after vaccination with Fluvirin.  No change in benefit-risk ratio.  No measures necessary.
Age: 32.0
Sex: F
Vaccine: HPV4
Symptoms: Alpha 1 foetoprotein normal, Anaemia, Blood human chorionic gonadotropin positive, Drug exposure during pregnancy, Necrotising enterocolitis neonatal
Clinical narrative: Information has been received from the Merck pregnancy registry via a certified medical assistant, concerning a 32 year old female with herniated disc, sulfonamide allergy and drug hypersensitivity to doxycycline and ZITHROMAX and a history of Papanicolaou smear abnormal who on 14-NOV-2006 was vaccinated intramuscularly with a 0.5 ml first dose of Gardasil (lot #653938/0954F).  On 22-JAN-2007, the patient was vaccinated with a second dose of Gardasil (lot #654702/0011U).  There was no concomitant medication.  Subsequently, the patient became pregnant.  Total serum human chorionic gonadotropin test on 02-FEB-2007 was 606 and on 05-FEB-2007 was 3255.  The patient's last menstrual period was 31-DEC-2006 and the estimated date of delivery was 06-OCT-2007.  Unspecified medical attention was sought.  There was no adverse experience.  Follow-up information from the certified medical assistant indicated that the patient has an obstetric history of 5 previous pregnancies, 2 full term deliveries and 2 spontaneous abortions.  An ultrasound was performed on 15-FEB-2007.  The result of the ultrasound was 6 weeks, 1 day.  Follow up information from the physician indicated that the patient, who also had a history of Von Willebrand's disease, took prenatal vitamins (unspecified) throughout her pregnancy.  On 28-APR-2007, a maternal serum alpha feto-protein screen was negative.  From 04-SEP-2007 through 10-SEP-2007, slow release iron, and from 10-SEP-2007 through 15-SEP-2007, "Replura" was prescribed for anemia.  On 15-SEP-2007, 3 weeks prior to the estimated date of delivery, the patient gave birth to a normal (no abnormalities and no congenital anomalies), male infant, birth weight 5 lb 15 oz, Apgar score 8/9.  On an unspecified date, however, the infant was diagnosed with necrotizing enterocolitis.  The outcome of anemia and necrotizing enterocolitis was not specified.  Upon internal review necrotizing enterocolitis was considered to be serious as an other important medical event. Additional information has been requested.
Age: 32.0
Sex: F
Vaccine: HPV4
Symptoms: Ultrasound scan
Clinical narrative: Information has been received from the Merck pregnancy registry via a certified medical assistant, concerning a 32 year old female with herniated disc, sulfonamide allergy and drug hypersensitivity to doxycycline and ZITHROMAX and a history of Papanicolaou smear abnormal who on 14-NOV-2006 was vaccinated intramuscularly with a 0.5 ml first dose of Gardasil (lot #653938/0954F).  On 22-JAN-2007, the patient was vaccinated with a second dose of Gardasil (lot #654702/0011U).  There was no concomitant medication.  Subsequently, the patient became pregnant.  Total serum human chorionic gonadotropin test on 02-FEB-2007 was 606 and on 05-FEB-2007 was 3255.  The patient's last menstrual period was 31-DEC-2006 and the estimated date of delivery was 06-OCT-2007.  Unspecified medical attention was sought.  There was no adverse experience.  Follow-up information from the certified medical assistant indicated that the patient has an obstetric history of 5 previous pregnancies, 2 full term deliveries and 2 spontaneous abortions.  An ultrasound was performed on 15-FEB-2007.  The result of the ultrasound was 6 weeks, 1 day.  Follow up information from the physician indicated that the patient, who also had a history of Von Willebrand's disease, took prenatal vitamins (unspecified) throughout her pregnancy.  On 28-APR-2007, a maternal serum alpha feto-protein screen was negative.  From 04-SEP-2007 through 10-SEP-2007, slow release iron, and from 10-SEP-2007 through 15-SEP-2007, "Replura" was prescribed for anemia.  On 15-SEP-2007, 3 weeks prior to the estimated date of delivery, the patient gave birth to a normal (no abnormalities and no congenital anomalies), male infant, birth weight 5 lb 15 oz, Apgar score 8/9.  On an unspecified date, however, the infant was diagnosed with necrotizing enterocolitis.  The outcome of anemia and necrotizing enterocolitis was not specified.  Upon internal review necrotizing enterocolitis was considered to be serious as an other important medical event. Additional information has been requested.
Age: 17.0
Sex: F
Vaccine: HPV4
Symptoms: Biopsy, Erythema nodosum, Pain, Rash
Clinical narrative: Information has been received from a physician concerning a 17 year old female patient with a penicillin allergy, who on 20-FEB-2008 ("five weeks ago"), was vaccinated with the first dose of GARDASIL (lot # not reported).  In March 2008, 3 to 4 weeks after the vaccination, the patient developed a rash.  The rash was very painful and was confirmed by biopsy as erythema nodosum.  At the time of this report, the patient had not recovered.  The physician felt that erythema nodosum which was very painful, was considered to be disabling.  Additional information has been requested.
Age: 17.0
Sex: F
Vaccine: HPV4
Symptoms: Convulsion, Syncope
Clinical narrative: Initial and follow-up information has been received from a health professional concerning a 17 year old white female student who on 07-FEB-2008 was vaccinated IM in the right deltoid with her second dose of GARDASIL (Lot# 659653/1448U).  There were no illnesses at the time of the vaccination.  On 07-FEB-2008 the patient experienced syncope with questionable seizure activity in the office.  The symptoms lasted less then 30 seconds.  The patient recovered in the office and was sent to the emergency room for evaluation.  Upon internal review the questionable seizure activity was considered to be an other important medical event.  Additional information has been requested.
Age: 73.0
Sex: M
Vaccine: VARZOS, VARZOS
Symptoms: Arthralgia, Blood pressure decreased, Chest pain, Coagulopathy, Disability
Clinical narrative: Joint Pain - Celestine shot and pain pills 1/7/08. Hospital - 1/28/08-1/31/08 with instructions to take 20 mg Prednisone. 2/21/08 Decrease Prednisone to 15 mg. 3/15/08 - Emergency Room visit and then transferred. Herpes breakout - mouth, lips, heavy rash breakout face, neck, chest, arms and hands, joint pain returned. Inflammation of pericardium and chest pain during hospitalization. Blood pressure dropped, blood became extremely thin and required a vitamin K injection. Since discharge from hospital, at times extreme pain in chest with shortness of breath at all times. Joint pain greatly improved with 40mg daily of Prednisone. Cardiologist placed on two additional medications due to pump function decrease and heart beating too fast. Required hospitalization on 2 occasions: 1/28-1/31/08 and 3/15-19/08. Permanent disability: Undetermined, still unable to perform as prior to vaccine. Physical abilities prior to vaccine equaled some 15-20 years his junior. 4/4/08-records received for DOS 1/28-1/31/08-DC DX: Chronic atrial fibrillation. Joint Pain/Inflammatory polyarthritis. Hypertension. Presented with lower extremity swelling. Week after receiving herpes zoster vaccine began to have diffuse arthralgias in knees, shoulders, hands and elbows which persisted and accompanied by lower extremity swelling for the last two weeks. Worsening fatigue over the same interval. 4/9/08-records received for DOS 2/21/08-Follow up visit after hospitalization, continues to improve after steroid therapy. Rash on face, chest and arms. Assessment: Inflammatory polyarthritis, stable.
Age: 73.0
Sex: M
Vaccine: VARZOS, VARZOS
Symptoms: Dyspnoea, Heart rate increased, Herpes virus infection, Herpes zoster, Immune system disorder
Clinical narrative: Joint Pain - Celestine shot and pain pills 1/7/08. Hospital - 1/28/08-1/31/08 with instructions to take 20 mg Prednisone. 2/21/08 Decrease Prednisone to 15 mg. 3/15/08 - Emergency Room visit and then transferred. Herpes breakout - mouth, lips, heavy rash breakout face, neck, chest, arms and hands, joint pain returned. Inflammation of pericardium and chest pain during hospitalization. Blood pressure dropped, blood became extremely thin and required a vitamin K injection. Since discharge from hospital, at times extreme pain in chest with shortness of breath at all times. Joint pain greatly improved with 40mg daily of Prednisone. Cardiologist placed on two additional medications due to pump function decrease and heart beating too fast. Required hospitalization on 2 occasions: 1/28-1/31/08 and 3/15-19/08. Permanent disability: Undetermined, still unable to perform as prior to vaccine. Physical abilities prior to vaccine equaled some 15-20 years his junior. 4/4/08-records received for DOS 1/28-1/31/08-DC DX: Chronic atrial fibrillation. Joint Pain/Inflammatory polyarthritis. Hypertension. Presented with lower extremity swelling. Week after receiving herpes zoster vaccine began to have diffuse arthralgias in knees, shoulders, hands and elbows which persisted and accompanied by lower extremity swelling for the last two weeks. Worsening fatigue over the same interval. 4/9/08-records received for DOS 2/21/08-Follow up visit after hospitalization, continues to improve after steroid therapy. Rash on face, chest and arms. Assessment: Inflammatory polyarthritis, stable.
Age: 73.0
Sex: M
Vaccine: VARZOS, VARZOS
Symptoms: Oral herpes, Pericarditis, Rash, Systemic lupus erythematosus
Clinical narrative: Joint Pain - Celestine shot and pain pills 1/7/08. Hospital - 1/28/08-1/31/08 with instructions to take 20 mg Prednisone. 2/21/08 Decrease Prednisone to 15 mg. 3/15/08 - Emergency Room visit and then transferred. Herpes breakout - mouth, lips, heavy rash breakout face, neck, chest, arms and hands, joint pain returned. Inflammation of pericardium and chest pain during hospitalization. Blood pressure dropped, blood became extremely thin and required a vitamin K injection. Since discharge from hospital, at times extreme pain in chest with shortness of breath at all times. Joint pain greatly improved with 40mg daily of Prednisone. Cardiologist placed on two additional medications due to pump function decrease and heart beating too fast. Required hospitalization on 2 occasions: 1/28-1/31/08 and 3/15-19/08. Permanent disability: Undetermined, still unable to perform as prior to vaccine. Physical abilities prior to vaccine equaled some 15-20 years his junior. 4/4/08-records received for DOS 1/28-1/31/08-DC DX: Chronic atrial fibrillation. Joint Pain/Inflammatory polyarthritis. Hypertension. Presented with lower extremity swelling. Week after receiving herpes zoster vaccine began to have diffuse arthralgias in knees, shoulders, hands and elbows which persisted and accompanied by lower extremity swelling for the last two weeks. Worsening fatigue over the same interval. 4/9/08-records received for DOS 2/21/08-Follow up visit after hospitalization, continues to improve after steroid therapy. Rash on face, chest and arms. Assessment: Inflammatory polyarthritis, stable.
Age: 73.0
Sex: M
Vaccine: VARZOS, VARZOS
Symptoms: Arthralgia, Chest pain, Inflammation, Laboratory test, Lupus-like syndrome
Clinical narrative: Joint Pain - Celestine shot and pain pills 1/7/08. Hospital - 1/28/08-1/31/08 with instructions to take 20 mg Prednisone. 2/21/08 Decrease Prednisone to 15 mg. 3/15/08 - Emergency Room visit and then transferred. Herpes breakout - mouth, lips, heavy rash breakout face, neck, chest, arms and hands, joint pain returned. Inflammation of pericardium and chest pain during hospitalization. Blood pressure dropped, blood became extremely thin and required a vitamin K injection. Since discharge from hospital, at times extreme pain in chest with shortness of breath at all times. Joint pain greatly improved with 40mg daily of Prednisone. Cardiologist placed on two additional medications due to pump function decrease and heart beating too fast. Required hospitalization on 2 occasions: 1/28-1/31/08 and 3/15-19/08. Permanent disability: Undetermined, still unable to perform as prior to vaccine. Physical abilities prior to vaccine equaled some 15-20 years his junior. 4/4/08-records received for DOS 1/28-1/31/08-DC DX: Chronic atrial fibrillation. Joint Pain/Inflammatory polyarthritis. Hypertension. Presented with lower extremity swelling. Week after receiving herpes zoster vaccine began to have diffuse arthralgias in knees, shoulders, hands and elbows which persisted and accompanied by lower extremity swelling for the last two weeks. Worsening fatigue over the same interval. 4/9/08-records received for DOS 2/21/08-Follow up visit after hospitalization, continues to improve after steroid therapy. Rash on face, chest and arms. Assessment: Inflammatory polyarthritis, stable.
Age: 73.0
Sex: M
Vaccine: VARZOS, VARZOS
Symptoms: Oedema peripheral, Oral herpes, Pericarditis, Rash, Weight decreased
Clinical narrative: Joint Pain - Celestine shot and pain pills 1/7/08. Hospital - 1/28/08-1/31/08 with instructions to take 20 mg Prednisone. 2/21/08 Decrease Prednisone to 15 mg. 3/15/08 - Emergency Room visit and then transferred. Herpes breakout - mouth, lips, heavy rash breakout face, neck, chest, arms and hands, joint pain returned. Inflammation of pericardium and chest pain during hospitalization. Blood pressure dropped, blood became extremely thin and required a vitamin K injection. Since discharge from hospital, at times extreme pain in chest with shortness of breath at all times. Joint pain greatly improved with 40mg daily of Prednisone. Cardiologist placed on two additional medications due to pump function decrease and heart beating too fast. Required hospitalization on 2 occasions: 1/28-1/31/08 and 3/15-19/08. Permanent disability: Undetermined, still unable to perform as prior to vaccine. Physical abilities prior to vaccine equaled some 15-20 years his junior. 4/4/08-records received for DOS 1/28-1/31/08-DC DX: Chronic atrial fibrillation. Joint Pain/Inflammatory polyarthritis. Hypertension. Presented with lower extremity swelling. Week after receiving herpes zoster vaccine began to have diffuse arthralgias in knees, shoulders, hands and elbows which persisted and accompanied by lower extremity swelling for the last two weeks. Worsening fatigue over the same interval. 4/9/08-records received for DOS 2/21/08-Follow up visit after hospitalization, continues to improve after steroid therapy. Rash on face, chest and arms. Assessment: Inflammatory polyarthritis, stable.
Age: 54.0
Sex: M
Vaccine: HEPA, TDAP
Symptoms: Chest pain, Dizziness, Gastrooesophageal reflux disease, Hypoaesthesia, Nasal congestion
Clinical narrative: Vaccine given 2/21/08 - complained of dizziness 2/22/08 and nausea.  2/24/08 - complained of chest pain - like fist in chest, dizziness, raspy throat, stuffy nose, pale, hands numb.  Went to ER - was admitted.  4/15/08 Reviewed hospital medical records of 2/24-2/26/2008. FINAL DX: acute coronary syndrome, HTN, dyslipidemia, obesity Records reveal patient experienced chest pain/pressure radiating to the back, dizziness, tingling of hands, SOB, nausea & some chest congestion.  Reported muscle aching since vaccination.  Chest pain resolved in ER s/p GI cocktail.  Transferred to higher level of care for cardiac catheterization.  4/25/08 Received additional med records from initial hospital which consisted of the cardiac cath report from transfer hospial which reveals well preserved LV contractility & mild nonobstructive CAD.  4/25/08 Also received hospital medical records of 2/26/208. FINAL DX: chest pain, non-cardiac origin; HTN; dyslipidemia intolerant of statins. Records reveal patient tolerated cardiac cath well & had no recurrence of chest pain.  D/C to home same day to f/u w/PCP & cardiology.
Age: 54.0
Sex: M
Vaccine: HEPA, TDAP
Symptoms: Nausea, Pallor, Throat irritation
Clinical narrative: Vaccine given 2/21/08 - complained of dizziness 2/22/08 and nausea.  2/24/08 - complained of chest pain - like fist in chest, dizziness, raspy throat, stuffy nose, pale, hands numb.  Went to ER - was admitted.  4/15/08 Reviewed hospital medical records of 2/24-2/26/2008. FINAL DX: acute coronary syndrome, HTN, dyslipidemia, obesity Records reveal patient experienced chest pain/pressure radiating to the back, dizziness, tingling of hands, SOB, nausea & some chest congestion.  Reported muscle aching since vaccination.  Chest pain resolved in ER s/p GI cocktail.  Transferred to higher level of care for cardiac catheterization.  4/25/08 Received additional med records from initial hospital which consisted of the cardiac cath report from transfer hospial which reveals well preserved LV contractility & mild nonobstructive CAD.  4/25/08 Also received hospital medical records of 2/26/208. FINAL DX: chest pain, non-cardiac origin; HTN; dyslipidemia intolerant of statins. Records reveal patient tolerated cardiac cath well & had no recurrence of chest pain.  D/C to home same day to f/u w/PCP & cardiology.
Age: 11.0
Sex: F
Vaccine: HPV4
Symptoms: Skin papilloma
Clinical narrative: Plantar warts after one month of injection.
Age: 0.5
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Blood glucose increased, Neutrophil count increased, Oedema peripheral, Pyrexia, Rash
Clinical narrative: Fever T-100.0, tongue swelling, rash, hand and feet swelling. Ibuprofen, Rocephin 500mg IM, Decadron 5mg IM. Sent home with instructions for Tylenol.
Age: 0.5
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Swollen tongue, White blood cell count increased
Clinical narrative: Fever T-100.0, tongue swelling, rash, hand and feet swelling. Ibuprofen, Rocephin 500mg IM, Decadron 5mg IM. Sent home with instructions for Tylenol.
Age: 0.8
Sex: M
Vaccine: FLU3
Symptoms: Rash generalised
Clinical narrative: 3/19/08 - T.C. Mother, pt did not show to appt for booster. Mother reported pt developed rash all over body on the day of the administration (2/18/08), that is why she didn't bring the pt. Mother applied aloe vera gel and rash dried up. Pt stable at this time.
Sex: U
Vaccine: FLUN3
Symptoms: Headache, Pharyngolaryngeal pain, Postnasal drip
Clinical narrative: Had flu mist x 9 days ago.  Was seen in UCC on 09 Dec with HA, no temperature, sore throat, any + post nasal drip.  Given Atarak + qtr 2 yo.
Sex: U
Vaccine: FLUN3
Symptoms: Nausea, Pain
Clinical narrative: Patient seen 12/5/07 for complaints of nausea, body aches.  Received flu mist x 6 days ago (per patient) given 24 hours gtrs.
Age: 27.0
Sex: M
Vaccine: TDAP
Symptoms: Feeling hot, Nausea, Sluggishness, Syncope vasovagal, Visual disturbance
Clinical narrative: Approximately 20 minutes after Tdap was given in left arm IM, patient returned to the clinic complaining of sluggishness, feeling hot, seeing stars.  Fifteen minutes later felt nauseous but no longer feeling hot.  Thirty minutes after that feeling better, nausea gone, less sluggish.  Took juice, ambulated in hall.  Vital signs monitored and patient assessed for 40 minutes.  Temperature 98.4 - 98.7.  Doctor felt he had a vasovagal response.
Age: 71.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Erythema, Induration
Clinical narrative: Right upper lateral arm with erythema and induration.
Age: 0.2
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Body temperature increased, Dyskinesia, Feeling jittery
Clinical narrative: Patient had immunizations on 3/25 - was fed 30 minutes later, did well after 1 hour later patient seemed jittery to parents and patient would jerk with slightest touch.  Patient had temperature of 101 24 hours later.  Patient given Tylenol.  Treated in our office.  2 hours later 99.6.  Patient seen after nl exam on 3/26 except HR 160.
Age: 79.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Rash erythematous, Rash generalised, Rash macular
Clinical narrative: Area of erythema approx 4 cm on right forearm at site of injection generalized discrete erythematous macular rash all over body. Information has been received from a physician concerning a 79 year old female consumer with no known allergies and hypothyroidism who on 17-MAR-2008 was vaccinated with ZOSTER vaccine live (Oka/Merck) (lot # 659759/1837U). Subsequently, one day after vaccination on 18-MAR-2008 the patient developed a generalized red rash. The patient contacted the office by phone and was prescribed BENADRYL. The patient was examined in the office on 21-MAR-2008 and the rash was fading. There were no lab studies performed. "On an unspecified date the patient recovered." There was no product quality complaint involved." Follow-up information has been received froma health professional concerning this 79 year old white female who on 17-MAR-208 was vaccinated in the right arm with ZOSTER vaccine live (Oka/Merck) (lot # 659759/1837U). There was no illness at the time of vaccination. Subsequently, on 18-MAR-2008 the patient developed an area of erythema approximately 4 cm on the right forearm at the site of injection. The patient also developed a generalized discrete erythematous macular rash all over. The patient recovered on an unspecified date. Additional information is not expected.
Age: 11.0
Sex: F
Vaccine: MNQ, TDAP, VARCEL
Symptoms: Local reaction
Clinical narrative: Large local reaction to Varivax.
Sex: U
Vaccine: VARZOS
Symptoms: Erythema, Pruritus, Skin warm
Clinical narrative: 24 hours after vaccine, red patch 2" x 1".  Next day it was about 2" x 6 or 7 inches - hot - itchy.  Doctor gave me Domeboro to use twice a day along with Vanos 2 times a day.
Age: 12.0
Sex: F
Vaccine: MNQ, TDAP
Symptoms: Asthenia, Decreased appetite, Headache, Pyrexia, Vomiting
Clinical narrative: Received immunizations on Friday.  Menactra and Tdap.  Began vomiting at 5 am Saturday morning.  Headache and high fever lasting Saturday and Sunday.  Decreased appetite, generalized weakness.  Has had DTP, DTAP series as infant/ child - slowly getting better.
Age: 14.0
Sex: F
Vaccine: HEPA, HPV4, VARCEL
Symptoms: Erythema, Swelling
Clinical narrative: Redness, swollen.
Age: 16.0
Sex: F
Vaccine: MNQ, TDAP
Symptoms: Erythema multiforme, Rash
Clinical narrative: Erythema multiforme minor rash on hands/feet.
Age: 23.0
Sex: F
Vaccine: HPV4
Symptoms: Anxiety, Culture urine, Dehydration, Diarrhoea, Full blood count
Clinical narrative: Patient received vaccine 3/24/08 - felt "funny" on 3/25/08.  Stated she was nervous and anxious.  Seen on 3/28/08 with diarrhea which started 3/27/08 in the evening - had nausea - no vomiting, temperature not checked.  Afebrile at visit with stable vital signs - P82 - R16 - B/P - 130/80 - urine indicates some dehydration - and positive hematoria - SG - 1.030, kit +.  Treated clear liquid then Zyrte 10mg x 1.
Age: 23.0
Sex: F
Vaccine: HPV4
Symptoms: Haematuria, Laboratory test, Nausea, Nervousness, Urine analysis
Clinical narrative: Patient received vaccine 3/24/08 - felt "funny" on 3/25/08.  Stated she was nervous and anxious.  Seen on 3/28/08 with diarrhea which started 3/27/08 in the evening - had nausea - no vomiting, temperature not checked.  Afebrile at visit with stable vital signs - P82 - R16 - B/P - 130/80 - urine indicates some dehydration - and positive hematoria - SG - 1.030, kit +.  Treated clear liquid then Zyrte 10mg x 1.
Age: 19.0
Sex: F
Vaccine: HPV4
Symptoms: Blood pressure decreased, Dizziness, Fall, Loss of consciousness, No reaction on previous exposure to drug
Clinical narrative: Pt was given Gardasil injection. About 5 min after getting vac, pt got light headed and passed out, falling to the floor. Pt lost consciousness for less than 30 seconds. Pt's BP after the fainting spell was 92/50. Pt was given water and crackers and was moved to recliner located in office. 15 minutes after event, pt's BP had returned to normal 100/64. Lot # 1487U, exp 05AUG10. This was the pt's second Gardasil. Pt had no problems with 1st. Pt reports that she had not ate anything yet when Gardasil given at 10:00 a.m.
Sex: F
Vaccine: TDAP
Symptoms: Cellulitis, Gingival pain, Headache, Oedema peripheral, Pain in extremity
Clinical narrative: Tdap 0.5 mL was given IM into left deltoid on 3-19-08. Arm was sore and pt had a slight fever. The next day she had a headache and slight arm swelling. On 3/21 in the late afternoon, she had a severe headache, gum throbbing, and her arm was very swollen. She left work to see a physician where she was diagnosed with cellulitis. Signs and symptoms resolved after treatment with Augmentin and Naprosyn.
Sex: F
Vaccine: TDAP
Symptoms: Pyrexia
Clinical narrative: Tdap 0.5 mL was given IM into left deltoid on 3-19-08. Arm was sore and pt had a slight fever. The next day she had a headache and slight arm swelling. On 3/21 in the late afternoon, she had a severe headache, gum throbbing, and her arm was very swollen. She left work to see a physician where she was diagnosed with cellulitis. Signs and symptoms resolved after treatment with Augmentin and Naprosyn.
Age: 61.0
Sex: M
Vaccine: VARZOS
Symptoms: Herpes zoster, Immunosuppression, Rheumatoid arthritis, Skin lesion
Clinical narrative: Patient presents to clinic 1/24/08 with active lesions on his abdomen. Zostavax inj was given to patient on 1/10/08. Zostavax was ordered for this patient who is on an immunosuppressant, Etanercept to treat his rheumatoid arthritis. Valacyclovir 1000mg TID x 7 days was ordered by provider in clinic to treat active herpes zoster.
Age: 43.0
Sex: F
Vaccine: TDAP
Symptoms: Hypoaesthesia, Neuropathy peripheral, Radial nerve palsy, Sensory disturbance
Clinical narrative: Right radial nerve neuropathy with decreased sensation dorsum of right hand and right wrist drop.  Numbness noted the evening of the day of vaccination and wrist drop noted the next morning.  Treatment: oral prednisone, physical therapy and wrist splint.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV
Symptoms: Blood culture negative, Cellulitis, Full blood count normal, Injection site erythema, Injection site induration
Clinical narrative: Vaccine was given in left arm on 3/13/08.  On 3/15/08 (Saturday) we noticed patient's arm was very swollen from the sight of injection all the way down to forearm.  The area was red and hot and hard to the touch.  We brought him to emergency room and he was immediately admitted and kept for 2 days.  He was given IV antibiotics. By Sunday night the arm was less swollen. His  bloodwork done on Saturday was OK. His 24 and 48 hour blood cultures were negative.  His diagnosis was cellulitis, but the discharge doctor felt that with all the negative tests results that it may have been a reaction to the vaccine.  04/14/2008 MR received for ER admit 3/15/08 with Assessment: Post injection Right Shoulder Cellulits vs Local Reaction. Child presented to Er with 2 day hx of swelling, erythema, and tenderness of the R shoulder area. PE (+) for erythema, induration, swelling and tenderness from the shoulder to the elbow. R axillary node enlargement. Admitted for IV abx.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV
Symptoms: Injection site swelling, Injection site warmth
Clinical narrative: Vaccine was given in left arm on 3/13/08.  On 3/15/08 (Saturday) we noticed patient's arm was very swollen from the sight of injection all the way down to forearm.  The area was red and hot and hard to the touch.  We brought him to emergency room and he was immediately admitted and kept for 2 days.  He was given IV antibiotics. By Sunday night the arm was less swollen. His  bloodwork done on Saturday was OK. His 24 and 48 hour blood cultures were negative.  His diagnosis was cellulitis, but the discharge doctor felt that with all the negative tests results that it may have been a reaction to the vaccine.  04/14/2008 MR received for ER admit 3/15/08 with Assessment: Post injection Right Shoulder Cellulits vs Local Reaction. Child presented to Er with 2 day hx of swelling, erythema, and tenderness of the R shoulder area. PE (+) for erythema, induration, swelling and tenderness from the shoulder to the elbow. R axillary node enlargement. Admitted for IV abx.
Age: 34.0
Sex: M
Vaccine: ANTH, MNQ
Symptoms: Injection site anaesthesia, Injection site erythema, Injection site pain, Injection site pruritus
Clinical narrative: 34 Y/O MALE C/O HAVING MODERATED ANTHRAX SENSITIVITY TO RIGHT UPPER DELTOID MUSCLE, PATIENT EXPERIENCED THE FOLLOWING SYMPTOMS: PRURITIS, REDNESS, SORENESS, NUMBNESS, INITIAL ONSET WAS 03/29/08 ONE DAY POST IMMUNIZATION UNCHANGED UNTIL PRESENTATION IN CLINIC FOR EVALUATION TODAY. PT SEEN BY RN, NP. PRESCRIBED A TOPICAL ANTIPRURITIC, HEALTH TAUGHT CONTINUED SX/SX'S OF MEDICATION SENSITIVITY. PATIENT TO FOLLOW UP WITH PCM OR EMERGENCY ROOM IF SX'S PERSIST OR WORSEN.
Age: 32.0
Sex: M
Vaccine: HEPAB, TDAP
Symptoms: Arthralgia, Chills, Headache, Injection site erythema, Injection site rash
Clinical narrative: 3/29/08-site of Tdap immunization red, hot to touch and swollen---3/30/08-developed fever (temp unknown), chills, headache, joint pain---3/31/08-developed rash around site of immunization, PMD advised ER visit, where client was given Benadryl and an antibiotic---4/1/08-systemic symptoms resolved, site still red and warm to touch but swelling has decreased
Age: 32.0
Sex: M
Vaccine: HEPAB, TDAP
Symptoms: Injection site swelling, Injection site warmth, Pyrexia
Clinical narrative: 3/29/08-site of Tdap immunization red, hot to touch and swollen---3/30/08-developed fever (temp unknown), chills, headache, joint pain---3/31/08-developed rash around site of immunization, PMD advised ER visit, where client was given Benadryl and an antibiotic---4/1/08-systemic symptoms resolved, site still red and warm to touch but swelling has decreased
Age: 1.04
Sex: F
Vaccine: HEPA, MMR, VARCEL
Symptoms: Blister, Rash maculo-papular, Skin lesion
Clinical narrative: Non pruritic generalized macular-papular eruption with a few lesions with pinpoint vesicles. Some macules on palms and soles. No constitutional symptoms. Resolving at time of exam.
Age: 60.0
Sex: F
Vaccine: VARZOS
Symptoms: Pruritus, Rash
Clinical narrative: Pt. received Shingles vaccine 2/26/08. On March 14 she noticed areas on her extremeties and around her waistline (abdomen) that appeared to look like a rash, brownish in color and did itch
Age: 1.29
Sex: M
Vaccine: DTP, HEPA, PPV, VARCEL
Symptoms: Blood test, Dysstasia, Gait disturbance, Pyrexia, X-ray
Clinical narrative: Within 24 hours, baby beame unable to stand, crawl or walk and had pain in legs, especially on left side. Had fever.
Age: 51.0
Sex: U
Vaccine: HEPAB
Symptoms: Asthenia, Dyspnoea, Heart rate increased, Wheezing
Clinical narrative: Patient call to say she is having difficulty breath, wheezing, weakness and fast heart beat. The patient is on her way here to there hospital.
Age: 53.0
Sex: M
Vaccine: TDAP
Symptoms: Rash generalised, Urticaria
Clinical narrative: Generalized rash & hives.  Symptoms where reported on patient's follow up visit on 3/17/08.
Age: 50.0
Sex: M
Vaccine: TD
Symptoms: Chills, Pyrexia, Tremor
Clinical narrative: ~ 24 hours after receiving DT Booster for an animal bite, pt experienced shaking, chills and fever (101.2F). Presented back at ER on the morning of March 24, 2008 and was told by triage nurse that no action needed to be taken.
Age: 0.27
Sex: M
Vaccine: IPV, PPV
Symptoms: Activities of daily living impaired, Autism spectrum disorder, Blood test normal, Computerised tomogram head, Electroencephalogram normal
Clinical narrative: My son experienced four grand mal seizures three of which were in the hospital.  He was heavily medicated and prescribed dilantin for three months.  He was under the care of a neurologist until he was weaned off the medication.  He received early intervention services and special preschool services including speech, developmental, and occupational therapy both academic and clinical.  He is on the autism spectrum with PDD/NOS with continued learning problems and serious social problems.  He requires the help of a full-time aide to attend school. 5/2/08 and 6/24/08--records received-11/5/01-seen in neurologic clinic. Admitted 1 month prior after 4 seizures within 24 hours. DX: new onset of Seizures. Seizures described as jerking of extremities, eyes rolling up, unresponsiveness, last one for 15-20 minutes. No further seizures. Appears age approprieate. 1/20/2010 He is on the Autism/Aspergers/Sensory Integration Spectrum. He has not been able to make even one friend and he is almost 8 yrs old. He gets resource,  social work, speech, OT and 1:1 classroom aide support at school. He gets speech OT in a clinical setting. Developmentally delayed - PDD/NOS diagnosis-medical - Autism diagnosis- educational + sensory processing disorders. He can attend school, but only with 1:1 teachers aide in class and lunch and all special activities. He needs social therapy group, speech, OT, resource and social work weekly and somtimes daily.
Age: 0.27
Sex: M
Vaccine: IPV, PPV
Symptoms: Grand mal convulsion, Learning disorder, Lumbar puncture normal, Nuclear magnetic resonance imaging normal, Social problem
Clinical narrative: My son experienced four grand mal seizures three of which were in the hospital.  He was heavily medicated and prescribed dilantin for three months.  He was under the care of a neurologist until he was weaned off the medication.  He received early intervention services and special preschool services including speech, developmental, and occupational therapy both academic and clinical.  He is on the autism spectrum with PDD/NOS with continued learning problems and serious social problems.  He requires the help of a full-time aide to attend school. 5/2/08 and 6/24/08--records received-11/5/01-seen in neurologic clinic. Admitted 1 month prior after 4 seizures within 24 hours. DX: new onset of Seizures. Seizures described as jerking of extremities, eyes rolling up, unresponsiveness, last one for 15-20 minutes. No further seizures. Appears age approprieate. 1/20/2010 He is on the Autism/Aspergers/Sensory Integration Spectrum. He has not been able to make even one friend and he is almost 8 yrs old. He gets resource,  social work, speech, OT and 1:1 classroom aide support at school. He gets speech OT in a clinical setting. Developmentally delayed - PDD/NOS diagnosis-medical - Autism diagnosis- educational + sensory processing disorders. He can attend school, but only with 1:1 teachers aide in class and lunch and all special activities. He needs social therapy group, speech, OT, resource and social work weekly and somtimes daily.
Age: 0.27
Sex: M
Vaccine: IPV, PPV
Symptoms: Speech rehabilitation, Urine analysis normal
Clinical narrative: My son experienced four grand mal seizures three of which were in the hospital.  He was heavily medicated and prescribed dilantin for three months.  He was under the care of a neurologist until he was weaned off the medication.  He received early intervention services and special preschool services including speech, developmental, and occupational therapy both academic and clinical.  He is on the autism spectrum with PDD/NOS with continued learning problems and serious social problems.  He requires the help of a full-time aide to attend school. 5/2/08 and 6/24/08--records received-11/5/01-seen in neurologic clinic. Admitted 1 month prior after 4 seizures within 24 hours. DX: new onset of Seizures. Seizures described as jerking of extremities, eyes rolling up, unresponsiveness, last one for 15-20 minutes. No further seizures. Appears age approprieate. 1/20/2010 He is on the Autism/Aspergers/Sensory Integration Spectrum. He has not been able to make even one friend and he is almost 8 yrs old. He gets resource,  social work, speech, OT and 1:1 classroom aide support at school. He gets speech OT in a clinical setting. Developmentally delayed - PDD/NOS diagnosis-medical - Autism diagnosis- educational + sensory processing disorders. He can attend school, but only with 1:1 teachers aide in class and lunch and all special activities. He needs social therapy group, speech, OT, resource and social work weekly and somtimes daily.
Age: 1.25
Sex: F
Vaccine: DTAP, MMR, VARCEL, DTAP, MMR, VARCEL
Symptoms: Computerised tomogram normal, Electroencephalogram, Pyrexia, Rash erythematous, Rash maculo-papular
Clinical narrative: Fever, erythematous maculopapular rash, onset 9 days post-vaccination. Prolonged seizure (~30 minutes) 10 days post-vaccination. Treated with Valium and Ativan.  4/30/2008 MR received for DOS 3/31-4/1/2008 with D/C DX: Complex Febrile Seizure.  Pt transfered from local hospital with admitting dx: prolonged seizure in the setting of fever. Tmax 102.5'F. Pt presented with decreased responsiveness and shivering which escalated to generalized tonic seizure en route to hospital. Length of seizure 20-30 minutes.  Unresponsive to Valium.  Responsive to Ativan. Post-ictal sleepiness.  No further activity. W/U (-).
Age: 1.25
Sex: F
Vaccine: DTAP, MMR, VARCEL, DTAP, MMR, VARCEL
Symptoms: Chills, Grand mal convulsion, Pyrexia, Unresponsive to stimuli
Clinical narrative: Fever, erythematous maculopapular rash, onset 9 days post-vaccination. Prolonged seizure (~30 minutes) 10 days post-vaccination. Treated with Valium and Ativan.  4/30/2008 MR received for DOS 3/31-4/1/2008 with D/C DX: Complex Febrile Seizure.  Pt transfered from local hospital with admitting dx: prolonged seizure in the setting of fever. Tmax 102.5'F. Pt presented with decreased responsiveness and shivering which escalated to generalized tonic seizure en route to hospital. Length of seizure 20-30 minutes.  Unresponsive to Valium.  Responsive to Ativan. Post-ictal sleepiness.  No further activity. W/U (-).