chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 24.0
Sex: F
Vaccine: HPV4
Symptoms: Presyncope, Vision blurred, Vomiting
Clinical narrative: Information has been received from a nurse practitioner concerning a 24 year old female with a history of cerebrovascular accident perinatal and mental disorder who on 05-MAR-2008 was vaccinated intramuscularly with the first dose of GARDASIL. On 05-MAR-2008 evening, the patient experienced vomiting, blurred vision and near syncope. The nurse practitioner reported that they thought the patient might had a TIA (mini stroke). However, this has not been proven. The patient was referred to a neurologist for further evaluation. The patient was hospitalized, but the length of hospitalization was unspecified. The patient's last seizure happened in June 2008. The patient's outcome were unknown. Upon internal review, seizure was determined to be an other important medical event. Additional information has been requested.
Age: 17.0
Sex: F
Vaccine: HPV4
Symptoms: Convulsion, Drug exposure during pregnancy, Headache, Syncope
Clinical narrative: Information has been received through the Merck pregnancy registry for GARDASIL from staff member at a physician's office (not the office that vaccinated) concerning her close friend a 17 year old female patient who on approximately 25-AUG-2008, one month ago, was vaccinated with the first dose of GARDASIL. On approximately 25-AUG-2008, after receiving the vaccine, the patient fainted, had a seizure and had headaches. The patient is pregnant. Date of last menstrual period was not reported. On an unknown date, the patient recovered from fainted and seizure. The patient sought medical attention at physician's office. Upon internal review, seizure was considered to be an other important medical event. Additional information has been requested.
Sex: U
Vaccine: HPV4
Symptoms: Convulsion
Clinical narrative: Information has been received from a physician concerning a patient who in May 2008, completed the series of GARDASIL (lot # was not available).  In August 2008, the patient experienced seizures episodes.  At the time of recovering, the patient was recovering from seizures episodes.  Physician noted that the patient is blaming GARDASIL for her seizures.  The patient sought medical attention with the physician.  Telephone follow-up information was received from the nurse for the physician reporting that the physician not feel that the seizure was caused by GARDASIL.  The patient was seen in the ER, but not hospitalized.  Upon internal review, seizure was considered to be an other important medical event.  Additional information has been requested.
Sex: M
Vaccine: MMR
Symptoms: Blood mercury abnormal
Clinical narrative: This report was identified from a line listing obtained on request by the Company from the FDA under the Freedom of Information Act concerning a male patient who received MMR II (Enders-Edmonston, Jeryl Lynn, Wistar RA 27/3) (HSA) (Lot # 640912/1521L).  It was reported that the patient has a very high level of mercury.  The water and paint in the patient's home was checked and no mercury was found.  This was originally reported by "parents of the patient".  A lot check has been requested.  Lot check result for (lot # 640912/1521L): A standard lot check investigation was performed.  All in-process quality checks for the lot number in question were satisfactory.  The lot met the requirements of the center and was released.  Additional information has been requested.
Age: 55.0
Sex: M
Vaccine: PPV
Symptoms: Blood product transfusion, Guillain-Barre syndrome, Hypoaesthesia, Hypoaesthesia facial, Laboratory test
Clinical narrative: Information has been received regarding a case in litigation from a 55 year old male with no pertinent medical history and no allergies/drug reactions, who on 13-DEC-2006 was vaccinated with PNEUMOVAX 23 (lot # not reported). Concomitant therapy included medication for blood pressure [therapy unspecified] and medication for inflammatory bowel disease (IBS) [therapy unspecified]. The patient reported that twelve days after receiving PNEUMOVAX 23, Christmas Day 25-DEC-2006 he experienced numbness in his hands. Day by day the numbness kept getting worse and it spread to around his mouth and eyes. He was diagnosed with Guillain-Barre syndrome and was hospitalized for three months. Unspecified "routine labs" were performed (results not reported). The patient reported that since his diagnosis he has yet to heal, and his doctor feels as if they were wrong about him having Guillain-Barre syndrome. They believe it may actually be chronic inflammatory demyelinating polyneuropathy (CIDP). The patient reported that he goes to therapy 3 times a week and is being treated with intravenous immunoglobulin (IVIG). Unspecified medical attention was sought. At the time of reporting, the patient had not recovered. No further information was provided. Additional information has been requested.
Age: 35.0
Sex: F
Vaccine: TYP
Symptoms: Drug exposure during pregnancy, Malaise, Pregnancy test positive
Clinical narrative: A 35-year-old female patient with a history of fibroids, had received a dose of TYPHIM VI (route, site and lot number not reported) on 06 April 2007 and on the day of vaccination, she "got sick" leading to an emergency room visit on 08 April 2007. The patient had a pregnancy test performed on 04 April 2007 prior to immunization and the results were unknown at the time of vaccination (results not reported). While at the emergency room on 08 April 2007, the patient had another pregnancy test performed and the results were positive. The patient subsequently had a miscarriage on 08 May 2007. According to the patient, "while in the military she had a pregnancy test on 04 April 2007, was forced to take TYPHIM VI vaccine before test result was received". Concomitant medications included prenatal vitamins and no other vaccines had been received during the four weeks prior to receipt of TYPHIM VI. The patient had known allergies to Doxycycline, "Cipalopram", Oxycodone and two other antibiotics (names not provided). She had no prior pregnancies and her expected date of confinement had been December 2007; the date of her last menstrual period was unknown. At the time of the report, it was unknown if any prenatal testing had been performed. The patient recovered from the event and no additional information was provided.
Age: 1.0
Sex: F
Vaccine: MMR
Symptoms: Abnormal behaviour, Barium enema, Blood test, Body temperature increased, Computerised tomogram
Clinical narrative: Information has been received from a consumer concerning her 12 month old daughter with an "innocent heart murmur" and a history of an "unspecified reaction to PEDIARIX at 2 months who on 12-SEP-2008 was vaccinated with a 1st dose of MMR II. There was no concomitant medication. On 20-SEP-2008, the patient was quiet and had malaise. On 21-SEP-2008, the patient had a 103 degree fever lasting for 3 days. On 23-SEP-2008, the patient experienced a rash all over, diarrhea and extreme pain. On 25-SEP-2008, the patient was hospitalized for 24 hours. The patient was diagnosed with intussusception. For treatment the patient received TYLENOL (manufacturer unspecified) "against fever." The patient also received a "direct IV" of morphine (name and manufacturer unspecified) and anti-nausea medication (name and manufacturer unspecified) "against effects of morphine." The patient had a "CAT" scan with barium enema, bloodwork, urine analysis and a stool sample. The results were not reported. At the time of the report the patient was recovering. There was no product quality complaint involved. Additional information has been requested.
Age: 1.0
Sex: F
Vaccine: MMR
Symptoms: Diarrhoea, Enema administration, Intussusception, Malaise, Pain
Clinical narrative: Information has been received from a consumer concerning her 12 month old daughter with an "innocent heart murmur" and a history of an "unspecified reaction to PEDIARIX at 2 months who on 12-SEP-2008 was vaccinated with a 1st dose of MMR II. There was no concomitant medication. On 20-SEP-2008, the patient was quiet and had malaise. On 21-SEP-2008, the patient had a 103 degree fever lasting for 3 days. On 23-SEP-2008, the patient experienced a rash all over, diarrhea and extreme pain. On 25-SEP-2008, the patient was hospitalized for 24 hours. The patient was diagnosed with intussusception. For treatment the patient received TYLENOL (manufacturer unspecified) "against fever." The patient also received a "direct IV" of morphine (name and manufacturer unspecified) and anti-nausea medication (name and manufacturer unspecified) "against effects of morphine." The patient had a "CAT" scan with barium enema, bloodwork, urine analysis and a stool sample. The results were not reported. At the time of the report the patient was recovering. There was no product quality complaint involved. Additional information has been requested.
Age: 1.0
Sex: F
Vaccine: MMR
Symptoms: Pyrexia, Rash generalised, Stool analysis, Urine analysis
Clinical narrative: Information has been received from a consumer concerning her 12 month old daughter with an "innocent heart murmur" and a history of an "unspecified reaction to PEDIARIX at 2 months who on 12-SEP-2008 was vaccinated with a 1st dose of MMR II. There was no concomitant medication. On 20-SEP-2008, the patient was quiet and had malaise. On 21-SEP-2008, the patient had a 103 degree fever lasting for 3 days. On 23-SEP-2008, the patient experienced a rash all over, diarrhea and extreme pain. On 25-SEP-2008, the patient was hospitalized for 24 hours. The patient was diagnosed with intussusception. For treatment the patient received TYLENOL (manufacturer unspecified) "against fever." The patient also received a "direct IV" of morphine (name and manufacturer unspecified) and anti-nausea medication (name and manufacturer unspecified) "against effects of morphine." The patient had a "CAT" scan with barium enema, bloodwork, urine analysis and a stool sample. The results were not reported. At the time of the report the patient was recovering. There was no product quality complaint involved. Additional information has been requested.
Age: 13.0
Sex: F
Vaccine: HPV4
Symptoms: Convulsion, Loss of consciousness
Clinical narrative: Information has been received from a physician concerning a 13 year old female who back in August-2008, was vaccinated with GARDASIL. Lot number was not available. The physician reported that 5 to 10 minutes after the patient received GARDASIL she passed out and then had seizure. The patient sought medical attention. On an unknown date the patient recovered. Upon internal review, seizure was considered to be an other important medical event. Additional information has been requested.
Sex: F
Vaccine: HPV4
Symptoms: Cellulitis
Clinical narrative: Information has been received from an office manager, concerning a female patient who "recently" (in approximately 2008) was vaccinated with the first dose of 0.5 mL GARDASIL (Lot # not available) and later developed cellulitis. The patient was brought to emergency room and was admitted to the hospital. It was unknown whether the patient was still in the hospital or how long was the hospitalization. There was no product quality complaint. Additional information is expected.
Age: 18.0
Sex: F
Vaccine: HPV4
Symptoms: Drug exposure during pregnancy, Foetal disorder, Full blood count, Platelet count decreased, Premature labour
Clinical narrative: Information has been received from a physician for the pregnancy registry for GARDASIL, concerning a female patient who on an unspecified date, was vaccinated with first dose of GARDASIL. The physician reported that the patient became pregnant after receiving her first dose of GARDASIL. At the time of the report the patient had already given birth. On follow-up information it was reported that the patient was a 18 year old female patient with a history of low platelet count and no previous pregnancies, who on 17-OCT-2007, was vaccinated with the first dose of GARDASIL (lot# 654510/0962F). Concomitant medication included prenatal vitamins. On 08-NOV-2007, the patient had an ultrasound which results were an intrauterine pregnancy of 6 weeks and 2 days. On an unspecified date, during pregnancy, the patient had repeat CBC to follow PLT count which dropped to 109,000. On 20-MAY-2008, the patient went to preterm labor and had a normal male liveborn infant. There were no congenital anomalies. The baby's weight was 4 pounds 2 ounces, length 18.5 inches, head circumference 13 inches and apgar score 8/9. It was 33 weeks from LMP. Because of prematurity the baby was treated in the new born nursery for 3 days with ampicillin and gentamycin. Baby's weight at discharge was 4 pounds 8 ounces. On 05-JUN-2008, the patient was vaccinated with the second dose of GARDASIL (lot# 660387/1967U) and on 23-JUL-2008, the patient was vaccinated with the third dose of GARDASIL (lot#660393/0067X). No further information is available.
Age: 18.0
Sex: F
Vaccine: HPV4
Symptoms: Ultrasound scan
Clinical narrative: Information has been received from a physician for the pregnancy registry for GARDASIL, concerning a female patient who on an unspecified date, was vaccinated with first dose of GARDASIL. The physician reported that the patient became pregnant after receiving her first dose of GARDASIL. At the time of the report the patient had already given birth. On follow-up information it was reported that the patient was a 18 year old female patient with a history of low platelet count and no previous pregnancies, who on 17-OCT-2007, was vaccinated with the first dose of GARDASIL (lot# 654510/0962F). Concomitant medication included prenatal vitamins. On 08-NOV-2007, the patient had an ultrasound which results were an intrauterine pregnancy of 6 weeks and 2 days. On an unspecified date, during pregnancy, the patient had repeat CBC to follow PLT count which dropped to 109,000. On 20-MAY-2008, the patient went to preterm labor and had a normal male liveborn infant. There were no congenital anomalies. The baby's weight was 4 pounds 2 ounces, length 18.5 inches, head circumference 13 inches and apgar score 8/9. It was 33 weeks from LMP. Because of prematurity the baby was treated in the new born nursery for 3 days with ampicillin and gentamycin. Baby's weight at discharge was 4 pounds 8 ounces. On 05-JUN-2008, the patient was vaccinated with the second dose of GARDASIL (lot# 660387/1967U) and on 23-JUL-2008, the patient was vaccinated with the third dose of GARDASIL (lot#660393/0067X). No further information is available.
Age: 18.0
Sex: F
Vaccine: HPV4, MNQ
Symptoms: Benign intracranial hypertension, Lumbar puncture, Mass, Nuclear magnetic resonance imaging, Nuclear magnetic resonance imaging brain
Clinical narrative: Papilledema, pseudotumor with benign intracerebral hypertension, optic nerve edema 10/08/08-records received for DOS 7/21/08-Assessment:Papilledema with enlarged physiologic blind spots and episodes of visual dimming. Classic for pseudotumor cerebri. Occasional occipital nuchal headaches for past two months. C/O vision very dim and dark for about 10 seconds for past month.
Age: 18.0
Sex: F
Vaccine: HPV4, MNQ
Symptoms: Papilloedema, Red blood cell sedimentation rate
Clinical narrative: Papilledema, pseudotumor with benign intracerebral hypertension, optic nerve edema 10/08/08-records received for DOS 7/21/08-Assessment:Papilledema with enlarged physiologic blind spots and episodes of visual dimming. Classic for pseudotumor cerebri. Occasional occipital nuchal headaches for past two months. C/O vision very dim and dark for about 10 seconds for past month.
Age: 1.5
Sex: M
Vaccine: DTAP, HEP, HEPA, IPV
Symptoms: Abasia, Gait disturbance, Injection site swelling, Muscle abscess, Nuclear magnetic resonance imaging abnormal
Clinical narrative: Received 2/22/08 DTaP+IPV (L) thigh + Hep A + Hep B - (R) thigh. (L) thigh increased in size 2/22/08 per mother and had been limping. Seen in ER 3/2/08 - sent home. Seen PCP 3/6/08 - admitted to hospital. Unable to walk for almost 6-7 days prior to admission. Consecutive u/s + MRI's done. Showed extensive pyomyositis and focal abscesses within lateral aspect of vastus intermedius muscle. There was concern of necrotizing fascitis. Hospitalized 10 days total. Transferred to tertiary hospital. Treated with IV antibiotics 8-9 days total and PO abx for another 7-8 days.  10/10/08-records received-Presented to ED on 3/2/08-with 2 day history of swelling and pain in left anterior thigh and tactile fever. Received 2 shots 2 days prior. Currently receiving treatment for infection on side of face. DX:local reaction to immunization, cellulitis, hematoma, injury. 12/18/08-records received for DOS 3/9-3/15/08-DC DX:Left leg abscess/myositis. Microcytic anemia. Presented with swelling of left thigh on 3/6/08, painful.Febrile.
Age: 26.0
Sex: F
Vaccine: HPV4, TDAP
Symptoms: Injection site erythema, Injection site mass, Injection site pain, Musculoskeletal discomfort, Pain in extremity
Clinical narrative: Soreness right arm injection site and redness with lump.  Lump above collar bone inner aspect near neck.  Soreness of right arm.  C/O discomfort right side of neck when move head.  Advised to consult with healthcare provider - provided with resources.  Had viral infection 6 weeks prior to moving to another city.  Has been in city for 3 weeks.  Complains now of sore throat.
Age: 26.0
Sex: F
Vaccine: HPV4, TDAP
Symptoms: Pharyngolaryngeal pain
Clinical narrative: Soreness right arm injection site and redness with lump.  Lump above collar bone inner aspect near neck.  Soreness of right arm.  C/O discomfort right side of neck when move head.  Advised to consult with healthcare provider - provided with resources.  Had viral infection 6 weeks prior to moving to another city.  Has been in city for 3 weeks.  Complains now of sore throat.
Age: 42.0
Sex: F
Vaccine: FLU3
Symptoms: Chills, Myalgia, Pyrexia, Upper respiratory tract congestion
Clinical narrative: Fever, chills, myalgias, congestion.
Age: 47.0
Sex: F
Vaccine: FLU3
Symptoms: Bursitis, Condition aggravated, Injected limb mobility decreased
Clinical narrative: Phoned pharmacy day after receiving vaccination to report aggravation of bursitis and immobility of left arm.
Age: 0.6
Sex: F
Vaccine: DTAPIPVHIB, DTAPIPVHIB
Symptoms: Crying, Inappropriate schedule of drug administration, Irritability
Clinical narrative: Pertussis (DTaP/HIB/IPV) given in error 3 weeks in a row, very fussy and incolable x 24 hr after 3rd dose
Age: 0.6
Sex: F
Vaccine: DTAPIPVHIB, DTAPIPVHIB
Symptoms: Body temperature increased, Emotional distress, Inappropriate schedule of drug administration, Irritability, Lethargy
Clinical narrative: Pertussis (DTaP/HIB/IPV) given in error 3 weeks in a row, very fussy and incolable x 24 hr after 3rd dose
Age: 18.0
Sex: M
Vaccine: DTAPHEPBIP, MMR
Symptoms: Blood test, Dizziness postural, Fluid replacement, Headache, Lumbar puncture
Clinical narrative: High fever 101 degrees F -> 103 degrees F.  Headaches-severe and positional- can't stand up or sit up, nausea, dizziness, vomiting- lasted 3 days, now still have headaches .  Spinal tap, fluid replenish, got measles, still having headaches, blood lab, spinal tap.
Age: 18.0
Sex: M
Vaccine: DTAPHEPBIP, MMR
Symptoms: Measles, Meningitis viral, Nausea, Pyrexia, Vomiting
Clinical narrative: High fever 101 degrees F -> 103 degrees F.  Headaches-severe and positional- can't stand up or sit up, nausea, dizziness, vomiting- lasted 3 days, now still have headaches .  Spinal tap, fluid replenish, got measles, still having headaches, blood lab, spinal tap.
Age: 10.0
Sex: F
Vaccine: HPV4, MEN, PPV, TDAP, VARCEL
Symptoms: Erythema, Oedema peripheral, Pain in extremity
Clinical narrative: Patient reported to health unit on 7/31/08 with complaint of redness and pain on both upper arms since vaccines received on 7/29/08.  Right upper arm appeared red and swollen approximately palm size and left upper arm red and swollen approximately quarter size.  Patient was instructed to contact doctor concerning reaction or to go to the nearest ER for complaint of SOB, increased pain or as needed.
Age: 64.0
Sex: F
Vaccine: FLU3
Symptoms: Blood pressure increased, Dyspnoea, Tachycardia
Clinical narrative: Patient received the vaccine on 10/1/2008.  After she returned to work, had shortness of breath, tachycardia.  School nurse (work place) checked her and BP elevated 144/92.  Episode lasted 30 minutes and resolved on it's own.  No local reaction noted.  Patient called doctor just as FYI.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling
Clinical narrative: C/O redness, swollen arm at site, itchy - treatment - ice to site and Benadryl if needed per MD.
Age: 4.0
Sex: M
Vaccine: DTAP, HEPA, IPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: (L) thigh redness and swelling about 5 hours after vaccine admin. Diameter of lesion approx 20 cm w/heat and redness and pain. BENADRYL, hydrocortisone. TYLENOL
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site induration, Injection site swelling
Clinical narrative: Induration (3cm x 5cm), redness and swelling on left thigh noticed per mother two days after immunization.  Treated with Benadryl 10ml every 6 hours and ice on site.
Age: 1.3
Sex: F
Vaccine: DTAPH, PNC, VARCEL
Symptoms: Erythema, Urticaria
Clinical narrative: Approximately 15 minutes after vaccines administered, developed multiple red, raised, whelps on face, neck, arms.  No s/s of distress, no crying, itching or difficulty breathing.  Advised to report to ER now.
Age: 2.0
Sex: F
Vaccine: DTAPH, MM, VARCEL
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth, Pyrexia
Clinical narrative: On 08/21/2008 A.M., mother noticed child's right upper arm over the deltoid area was swollen about the size of a baseball.  It was also red and warm to touch.  No drainage was noted.  Mom states child was also running fever but mother never checked it with a thermometer, she just gave the child Motrin and it still currently giving Motrin stating child still running fever today on 08/22/2008.  Mother brought child to MD and was seen by Nurse Practitioner and Pediapred was ordered by mouth along with topical hydrocortisone cream.  Nurse Practitioner instructed mother to give Benadryl next time child is to receive immunizations.  MD's office called our clinic after MD was back in clinic but hadn't given further instructions regarding administering future immunizations.  Requested order from MD regarding permission to give further immunizations.  On 08/26/2008, spoke with mother and she stated child stopped running fever as of 08/22/2008 and swelling in right arm resolved after 2 days.  Reminded mother of need for permission to give future immunizations.
Age: 0.2
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5, DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Barium double contrast, Intussusception
Clinical narrative: 9/29/08 Intussusception - reduced with air contrast enema. 10/08/08-records received for DOS 9/20/08-presented with vomiting, lethargy and cough.  On day of admission began to vomiting 1-15 times and greenish in color with dark material in it. Diapers not wet, decreased urine output. Not interested in drinking. Weight loss, pale with decreased capillary refill and decreased responsiveness to stimulation and pain. Tachycardic, abdomen distended infrequent bowel sounds.Transferred to another facility.  10/08/08-ED report for DOS 10/8/08-C/O lethargy, pale and bilious forming again. Probably recurrent intussusception. Previously hospitalized for intussusception and lung infection on 9/29/08.  10/28/08-records received from receiving facility for DOS 9/30/08 and 10/8-10/9/08-DC DX: Reduced Intussusception.
Age: 0.2
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5, DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Abdominal X-ray, Abdominal distension, Barium double contrast, Chest X-ray abnormal, Condition aggravated
Clinical narrative: 9/29/08 Intussusception - reduced with air contrast enema. 10/08/08-records received for DOS 9/20/08-presented with vomiting, lethargy and cough.  On day of admission began to vomiting 1-15 times and greenish in color with dark material in it. Diapers not wet, decreased urine output. Not interested in drinking. Weight loss, pale with decreased capillary refill and decreased responsiveness to stimulation and pain. Tachycardic, abdomen distended infrequent bowel sounds.Transferred to another facility.  10/08/08-ED report for DOS 10/8/08-C/O lethargy, pale and bilious forming again. Probably recurrent intussusception. Previously hospitalized for intussusception and lung infection on 9/29/08.  10/28/08-records received from receiving facility for DOS 9/30/08 and 10/8-10/9/08-DC DX: Reduced Intussusception.
Age: 0.2
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5, DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Cough, Diet refusal, Enema administration, Gastrointestinal sounds abnormal, Intussusception
Clinical narrative: 9/29/08 Intussusception - reduced with air contrast enema. 10/08/08-records received for DOS 9/20/08-presented with vomiting, lethargy and cough.  On day of admission began to vomiting 1-15 times and greenish in color with dark material in it. Diapers not wet, decreased urine output. Not interested in drinking. Weight loss, pale with decreased capillary refill and decreased responsiveness to stimulation and pain. Tachycardic, abdomen distended infrequent bowel sounds.Transferred to another facility.  10/08/08-ED report for DOS 10/8/08-C/O lethargy, pale and bilious forming again. Probably recurrent intussusception. Previously hospitalized for intussusception and lung infection on 9/29/08.  10/28/08-records received from receiving facility for DOS 9/30/08 and 10/8-10/9/08-DC DX: Reduced Intussusception.
Age: 0.2
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5, DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Lethargy, Lung infection, Pain, Pallor, Tachycardia
Clinical narrative: 9/29/08 Intussusception - reduced with air contrast enema. 10/08/08-records received for DOS 9/20/08-presented with vomiting, lethargy and cough.  On day of admission began to vomiting 1-15 times and greenish in color with dark material in it. Diapers not wet, decreased urine output. Not interested in drinking. Weight loss, pale with decreased capillary refill and decreased responsiveness to stimulation and pain. Tachycardic, abdomen distended infrequent bowel sounds.Transferred to another facility.  10/08/08-ED report for DOS 10/8/08-C/O lethargy, pale and bilious forming again. Probably recurrent intussusception. Previously hospitalized for intussusception and lung infection on 9/29/08.  10/28/08-records received from receiving facility for DOS 9/30/08 and 10/8-10/9/08-DC DX: Reduced Intussusception.
Age: 0.2
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5, DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Unresponsive to stimuli, Urine output decreased, Vomiting, Weight decreased, White blood cell count increased
Clinical narrative: 9/29/08 Intussusception - reduced with air contrast enema. 10/08/08-records received for DOS 9/20/08-presented with vomiting, lethargy and cough.  On day of admission began to vomiting 1-15 times and greenish in color with dark material in it. Diapers not wet, decreased urine output. Not interested in drinking. Weight loss, pale with decreased capillary refill and decreased responsiveness to stimulation and pain. Tachycardic, abdomen distended infrequent bowel sounds.Transferred to another facility.  10/08/08-ED report for DOS 10/8/08-C/O lethargy, pale and bilious forming again. Probably recurrent intussusception. Previously hospitalized for intussusception and lung infection on 9/29/08.  10/28/08-records received from receiving facility for DOS 9/30/08 and 10/8-10/9/08-DC DX: Reduced Intussusception.
Age: 23.0
Sex: F
Vaccine: ANTH
Symptoms: Hyperaesthesia, Pain, Rash erythematous
Clinical narrative: Reticular Erythematous rash from axilla to finger tips X 7days, Pain and hypersensitivity along all areas fo rash.
Age: 5.0
Sex: F
Vaccine: DTAPHEPBIP, MMR, VARCEL
Symptoms: Activities of daily living impaired, Blister, Pyrexia, Rash, Vomiting
Clinical narrative: Child was out of school for 4 days due to high fever.  Day 1 fever was 104.2.  She also developed a rash to the right upper arm with 3-4 blisters around the site.  On days 2-3 the child's fever was 103.  The blisters lasted 3-4 days total.  The child also had some associtated vomiting.  On the 5th day post vaccination the child developed a rash on the right side of her neck with a few small blisters at that site as well.  The rash and blisters are now resolving.  The child's mother gave her Tylenol every 4 hours while the child had a fever.
Age: 52.0
Sex: F
Vaccine: FLU3
Symptoms: Chills, Pain, Pyrexia
Clinical narrative: Chills, Fever and body aches x4 hours.  12 hours after Influenza Vaccination.
Age: 53.0
Sex: F
Vaccine: HEP
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Injection site swollen baseball size.  Site became red and hot.  Symptoms lasted about 1.5 weeks after onset.
Age: 60.0
Sex: M
Vaccine: FLU3
Symptoms: Chills, Pain, Pyrexia
Clinical narrative: Onset severe chills, body aches, fever of 102 seven (7) hours after receiving influenza vaccine
Age: 37.0
Sex: F
Vaccine: HEP
Symptoms: Back pain, Chills, Hyperhidrosis, Injection site pain, Musculoskeletal chest pain
Clinical narrative: "The area of my arm around the shot location hurt from administration of the shot until yesterday. I was sore throughout my ribs and back beyond typical "flu" like achiness. I have also had a fever from the day following the shot accompanied by sweating and chills until midpoint today(10/3/08)."
Age: 37.0
Sex: F
Vaccine: HEP
Symptoms: Pyrexia
Clinical narrative: "The area of my arm around the shot location hurt from administration of the shot until yesterday. I was sore throughout my ribs and back beyond typical "flu" like achiness. I have also had a fever from the day following the shot accompanied by sweating and chills until midpoint today(10/3/08)."
Age: 5.0
Sex: M
Vaccine: FLU3
Symptoms: Headache, Pyrexia, Vomiting
Clinical narrative: Mom called at 0015 regarding 5 year old, who received influenza shot earlier in the day, with complaints of headache and fever, also vomited x 1.  No diarrhea.  No recent illnesses in family. No photophobia.  Denies sore throat.  Is not irritable or lethargic. No rash.  Discussed most likely is coming down with viral illness, unlikely that due to flu shot.  Rec ibuprofen or tyelonol, and rest.
Age: 0.5
Sex: F
Vaccine: DTAP, FLU3, HIBV, PNC, RV5
Symptoms: Pyrexia
Clinical narrative: MOM REPORTS FEVER BEING 105. PT'S TEMP 101.9 WHILE IN OFFICE.
Age: 41.0
Sex: F
Vaccine: FLUX
Symptoms: Back pain, Breast pain, Chest pain, Dyspnoea, Musculoskeletal pain
Clinical narrative: Shot received Oct. 1, 2008.  Chest pain the morning after the shot 10/2.  On 10/3 around 11 am, I started getting a sharp pain in my left shoulder blade that radiated around to my left breast.  It kept getting worse and nothing helped except laying down.  It was hard to breathe because it hurt so much.  I took Gas-X, Tums, Advil and Xanax over the next few hours.  A co-worker who also had the flu shot reported the symptoms to me around 5pm that day.  We both felt better mentally after talking to each other because we had both considered going to the emergency room thinking we were having heart attacks.   On Sat. 10/4 when I got up, the pain was even worse like a knife was in my back.  I took 2 Advil and that helped.  I took more Advil all day and a little on Sunday, 10/5. It still hurts today, but I can tell it's getting better.
Age: 30.0
Sex: F
Vaccine: FLUX
Symptoms: Headache, Injection site bruising, Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Redness, swelling, pain, and bruising around the injection site accompanied by headache and nausea.  Severe symptoms did not set in until nearly 24 hours after injection and then lasted roughly 48 hours.
Age: 30.0
Sex: F
Vaccine: FLUX
Symptoms: Nausea
Clinical narrative: Redness, swelling, pain, and bruising around the injection site accompanied by headache and nausea.  Severe symptoms did not set in until nearly 24 hours after injection and then lasted roughly 48 hours.
Age: 54.0
Sex: F
Vaccine: FLUX
Symptoms: Pruritus, Rash, Urticaria
Clinical narrative: Hives and rash on left forearm. Took antihistamine for 24 hour period to reduce itching. Hives and rash disappeared within 48 hours.
Age: 7.0
Sex: M
Vaccine: FLUN3
Symptoms: Urticaria
Clinical narrative: Hives developed within 10 minutes of flumist administration. We gave him Benadryl 25mg & topical cortisone cream & they did diminish within one hour's time. No breathing difficulties noted.
Age: 74.0
Sex: F
Vaccine: FLU3
Symptoms: Arthralgia, Back pain, Diarrhoea, Headache, Joint swelling
Clinical narrative: Developed a headache within 30 minutes of immunization that lasted for 31/2 days; Body aches upon arising 10/04, 20 hours after immunization. Felt as if she had been hit in the back with a baseball bat.   Joints were painful, fingers, knees, elbows and face were swollen. Four days after immunization, swelling is gone, joints in hands and knees; and back still stiff and sore but improving.  Denies fever or any respiratory symptoms.  Tongue did not swell.  No vomitting; did have diarrhea following immunization on 10/3 and 10/4.  This was the first flu immunization patient has ever gotten.  Allergies:  Demerol, Morphine, oral constast solution, Nubain, feathers and strawberries.  Does not take any medication. Patient called her physician who told her to rest, take Ibuprophen, and call if symptoms got worse or did not improve by 10/6/08. Patient admits to taking Excedrin, Ibuprophen, and Tylenol for the headache and body aches.
Age: 74.0
Sex: F
Vaccine: FLU3
Symptoms: Musculoskeletal stiffness, Pain, Swelling face
Clinical narrative: Developed a headache within 30 minutes of immunization that lasted for 31/2 days; Body aches upon arising 10/04, 20 hours after immunization. Felt as if she had been hit in the back with a baseball bat.   Joints were painful, fingers, knees, elbows and face were swollen. Four days after immunization, swelling is gone, joints in hands and knees; and back still stiff and sore but improving.  Denies fever or any respiratory symptoms.  Tongue did not swell.  No vomitting; did have diarrhea following immunization on 10/3 and 10/4.  This was the first flu immunization patient has ever gotten.  Allergies:  Demerol, Morphine, oral constast solution, Nubain, feathers and strawberries.  Does not take any medication. Patient called her physician who told her to rest, take Ibuprophen, and call if symptoms got worse or did not improve by 10/6/08. Patient admits to taking Excedrin, Ibuprophen, and Tylenol for the headache and body aches.
Age: 38.0
Sex: F
Vaccine: FLU3
Symptoms: Agitation, Blood pressure increased, Chest discomfort, Electrocardiogram, Flushing
Clinical narrative: Patient began to feel chest tightness, tightness in throat, elevated blood pressure, itching in arm with injection, flushing, agitation, burning on administration. Patient was tachycardic (HR=151) and hypertensive (BP=173/125) on presentation to the Emergency Department. PAtient had already taken 50mg oral diphenhydramine prior to admission. Given 125mg IV methylprednisolone and 20 mg IV famotidine in the ED. Monitored until vitals normalized and symptoms improved.
Age: 38.0
Sex: F
Vaccine: FLU3
Symptoms: Hypertension, Injection site irritation, Injection site pruritus, Tachycardia, Throat tightness
Clinical narrative: Patient began to feel chest tightness, tightness in throat, elevated blood pressure, itching in arm with injection, flushing, agitation, burning on administration. Patient was tachycardic (HR=151) and hypertensive (BP=173/125) on presentation to the Emergency Department. PAtient had already taken 50mg oral diphenhydramine prior to admission. Given 125mg IV methylprednisolone and 20 mg IV famotidine in the ED. Monitored until vitals normalized and symptoms improved.
Age: 1.0
Sex: F
Vaccine: FLUX, HEPA, MMRV
Symptoms: Culture wound positive, Furuncle, Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: STAPH INFECTION, FEVER, BOIL, SWOLLEN REDNESS AND SORENESS(INNER THIGH, VAGINAL AREA, AND BUTTOCK AREA),
Age: 1.0
Sex: F
Vaccine: FLUX, HEPA, MMRV
Symptoms: Pyrexia, Staphylococcal infection, Surgery
Clinical narrative: STAPH INFECTION, FEVER, BOIL, SWOLLEN REDNESS AND SORENESS(INNER THIGH, VAGINAL AREA, AND BUTTOCK AREA),
Age: 14.0
Sex: M
Vaccine: MNQ, TDAP
Symptoms: Asthenia, Full blood count normal, Headache, Hyperhidrosis, Injection site erythema
Clinical narrative: weakness, palor, sweating, headache and localized redness at site of injection IN RIGHT ARM.
Age: 14.0
Sex: M
Vaccine: MNQ, TDAP
Symptoms: Pallor
Clinical narrative: weakness, palor, sweating, headache and localized redness at site of injection IN RIGHT ARM.
Age: 50.0
Sex: F
Vaccine: FLU3
Symptoms: Asthenia, Dyspnoea, Feeling hot, Heart rate increased, Immediate post-injection reaction
Clinical narrative: Aproximately one minute post asministration of the vaccine into the left deltoid, pt complained of a fast heartbeat and feeling warm. She felt weak and needed tp lie down. She began twitching but never lost consciousness and was alert. She then developed a few hives on her abdominal wall and face. Her face especially under her chin was swollen. After about three minutes she complained of shortness of breath and wheezing. I treated her with oral benadryl 25mg and zantac 150 mg. Over the next hour her symptoms largely subsided although the next morning she said she felt very achy and still somewhat weak.
Age: 50.0
Sex: F
Vaccine: FLU3
Symptoms: Muscle twitching, Pain, Swelling face, Urticaria, Wheezing
Clinical narrative: Aproximately one minute post asministration of the vaccine into the left deltoid, pt complained of a fast heartbeat and feeling warm. She felt weak and needed tp lie down. She began twitching but never lost consciousness and was alert. She then developed a few hives on her abdominal wall and face. Her face especially under her chin was swollen. After about three minutes she complained of shortness of breath and wheezing. I treated her with oral benadryl 25mg and zantac 150 mg. Over the next hour her symptoms largely subsided although the next morning she said she felt very achy and still somewhat weak.
Age: 1.0
Sex: F
Vaccine: HEPA, MMR, PPV, VARCEL
Symptoms: Inappropriate schedule of drug administration, Pyrexia, Rash vesicular
Clinical narrative: Chicken pox type spots started appearing 9/28/08 5pm and fever to 103, tylenol brought it dow but back up to 100. Here at Health Dept. 17th-20th. Spots seen. Follow up 4:30 pm- Got benadryl and tylenol- temp. & rash continue. Temp. controlled with tylenol.
Age: 59.0
Sex: F
Vaccine: FLUX
Symptoms: Herpes zoster, Sick relative
Clinical narrative: Shingles presented itself approximately 10 days later from Date of Vaccination, which was on 9/20/08.  On 10-1-08, morning shingles were present and confirmed by emergency care and Family Physician.  Investigation was due to Husband broke out with hives on 10-1-08 after being vaccinated on 9/20/08.  The correlation between the two outbreaks resulted in the the vaccination resulted in the outbreak.
Age: 61.0
Sex: M
Vaccine: FLUX
Symptoms: Sick relative, Urticaria
Clinical narrative: Hives, on 10-1-08, Vaccinated on 9/20/08, adverse reaction same day wife came down with Shingles.
Age: 46.0
Sex: F
Vaccine: FLUX
Symptoms: Body temperature increased, Erythema, Headache, Hyperhidrosis, Menstrual disorder
Clinical narrative: Received the shot around 12:30 PM Tuesday Sept 30th. Started sweating around 4:30 and had to go to bed at 6:30PM. Woke up around 2:30 am with temp of 102.6 and shot arm swelled up and head splitting. Temp started going up so husband packed me in ice and gave me "thera flu". No change in temp. With ice and acetaminophen could not get out of bed and temp stayed around 102 until Friday. Could only keep ice chips and ginger ale down. By Friday night temp broke and was hovering at 101.5. By Saturday I sweated all day with temp around 100. By Sunday temp was normal but still had a splitting headache but swelling arm went down but continued to be red, blotchy and sore. Started vaginally bleeding out of cycle (never happened before) on Saturday...still bleeding on Monday. Need to go to the eye DR too because it seems like my eyes have changed...do not know yet.
Age: 46.0
Sex: F
Vaccine: FLUX
Symptoms: Nausea, Oedema peripheral, Pain in extremity, Rash macular, Visual disturbance
Clinical narrative: Received the shot around 12:30 PM Tuesday Sept 30th. Started sweating around 4:30 and had to go to bed at 6:30PM. Woke up around 2:30 am with temp of 102.6 and shot arm swelled up and head splitting. Temp started going up so husband packed me in ice and gave me "thera flu". No change in temp. With ice and acetaminophen could not get out of bed and temp stayed around 102 until Friday. Could only keep ice chips and ginger ale down. By Friday night temp broke and was hovering at 101.5. By Saturday I sweated all day with temp around 100. By Sunday temp was normal but still had a splitting headache but swelling arm went down but continued to be red, blotchy and sore. Started vaginally bleeding out of cycle (never happened before) on Saturday...still bleeding on Monday. Need to go to the eye DR too because it seems like my eyes have changed...do not know yet.
Age: 12.0
Sex: M
Vaccine: MNQ, TDAP, VARCEL
Symptoms: Nasal congestion, Pruritus generalised
Clinical narrative: client complained of itching all over and nasal congestion Epipen 0.3mg given Injection and benadryl 25mg po
Age: 26.0
Sex: F
Vaccine: FLU3, TTOX
Symptoms: Injection site swelling, Injection site warmth, Pain in extremity, Pyrexia
Clinical narrative: Left arm became sore approximately 24 hours after the Td vaccine was administered in Employee Health at the hospital. Approximately 30 hours after the injection, she developed a fever of 101. Took 800 mg of Motrin with little relief. Site began to swell and has localized fever at site of injection.
Age: 29.0
Sex: F
Vaccine: VARCEL, HEP, MMR, TDAP, VARCEL
Symptoms: Varicella, Varicella post vaccine
Clinical narrative: Patient received varicella vaccine on 09/18/2008, and subsequently developed chickenpox rash with the first pox on 9/30/08.  Patient is a lab worker in large medical center.
Age: 29.0
Sex: F
Vaccine: VARCEL, HEP, MMR, TDAP, VARCEL
Symptoms: Lymphadenopathy, Varicella
Clinical narrative: Patient received varicella vaccine on 09/18/2008, and subsequently developed chickenpox rash with the first pox on 9/30/08.  Patient is a lab worker in large medical center.
Age: 29.0
Sex: F
Vaccine: VARCEL, HEP, MMR, TDAP, VARCEL
Symptoms: Varicella, Varicella post vaccine
Clinical narrative: Patient given vaccine on 9-18-08.  Noticed swollen glands 9-27-08.  1st pox 9-30-08 in morning on face.  Thought was pimple.  Face was covered with pox by 10:15 pm when reported to ER.  "Classical", "clinical distribution" per ER MD.
Age: 29.0
Sex: F
Vaccine: VARCEL, HEP, MMR, TDAP, VARCEL
Symptoms: Lymphadenopathy, Varicella
Clinical narrative: Patient given vaccine on 9-18-08.  Noticed swollen glands 9-27-08.  1st pox 9-30-08 in morning on face.  Thought was pimple.  Face was covered with pox by 10:15 pm when reported to ER.  "Classical", "clinical distribution" per ER MD.
Age: 30.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site oedema, Injection site warmth, Urticaria, Wheezing
Clinical narrative: Wheezing on 10/01/08 @ 9 pm Hives on 10/02/08  Site edema, and hot to touch on 10/02/08.  Self administered benadryl and cortisone cream
Sex: U
Vaccine: HPV4, VARCEL
Symptoms: Rash, Rash pruritic, Scab
Clinical narrative: 10/2/2008 Rash appeared in clusters on R side of back in dermatome distribution and also in L groin in cluster and L flank. Patient was seen 10/6/2008 in my office. Rash was puritic and some areas were scabbed from scratching. There were no vessicles or oozing.
Age: 50.0
Sex: M
Vaccine: FLUX
Symptoms: Burning sensation, Chest discomfort, Chills, Lethargy
Clinical narrative: Chills, tightness and burning sensation in chest, lethargy appeared 48 hours after vaccine.
Age: 21.0
Sex: F
Vaccine: TDAP
Symptoms: Ear pain, Hypersensitivity, Injection site pustule, Skin exfoliation
Clinical narrative: Pt. states that the night she received the immunization, she had peeling skin, and pustules at the site of injection.
Age: 3.0
Sex: F
Vaccine: FLUN3
Symptoms: Dysphonia, Erythema, Lacrimation increased, Swelling face
Clinical narrative: The morning after vaccine was given patient had red puffy cheeks, watery eyes, and a funny sounding voice.  There was no medication given, and patient is fine now.
Age: 15.0
Sex: F
Vaccine: HPV4
Symptoms: Fatigue, Local reaction, Pain, Swelling
Clinical narrative: Local swelling and pain lasting 3 weeks.  Fatigue lasting more than 3 weeks
Age: 63.0
Sex: M
Vaccine: FLUX
Symptoms: Asthenia, Dizziness, Hyperhidrosis, Pallor
Clinical narrative: Received vacine on October 5 at 9:30 AM by a visiting nurse.  At 11:30 A.M. became very dizzy and light-headed, broke out in a sweat and became very pale and weak.  I sat and rested and the symptoms subsided in about 15 minutes.
Age: 65.0
Sex: M
Vaccine: PPV
Symptoms: Arthralgia, Gait disturbance, Injection site reaction, Local reaction
Clinical narrative: pt. had local reaction to the pneumovax vaccine in upper arm within 6 hours of vaccination, then this resolved after 3 days, then patient developed generalized lower exetremity arthralgias.  He is limited in his ability to walk, 2 Aleve have been unable to relieve his discomfort. of Note pt. had history of pneumonia in remote past.
Age: 51.0
Sex: M
Vaccine: TYP
Symptoms: Diarrhoea haemorrhagic, Vomiting
Clinical narrative: Patient took two oral tyohoid pills(PO)with no problems.  After third PO dose patient had "intense bloody diarrhea" and vomiting. Went same day to ER and was given Lomotil and phenergan. Discharged home same day.
Age: 16.0
Sex: F
Vaccine: HPV4
Symptoms: Back pain, Chest pain, Chills
Clinical narrative: CHEST AND BACK PAIN, CHILLS
Age: 1.0
Sex: M
Vaccine: HEPA, HIBV, PPV
Symptoms: Body temperature increased, Chills, Diarrhoea, Diet refusal, Irritability
Clinical narrative: My son woke up screaming & moaning after shots. Automatically gave tylenol. Had to start Motrin as well,even with these on board his temp. was 103.5 & higher at times. He had chills for 2 days, he was restless, irritable w/diarrhea. On Thur. he stopped eating, I called Dr. & they said to wait it out.  He fevered constantly from Tue into Sat morning.  By Sat. he had a rash everywhere except for his extremities.  I called Dr. again & they said to ride this out as long as his fever wasn't too bad & he continued to drink.  Dr. said his symptoms could be due to shots.  Took him into office Mon. & they don't think his symptoms were due to the shots, I had a perfectly healthy & happy child prior to this & he's still irritable at times & not eating like he normally did.
Age: 1.0
Sex: M
Vaccine: HEPA, HIBV, PPV
Symptoms: Moaning, Rash, Restlessness, Screaming
Clinical narrative: My son woke up screaming & moaning after shots. Automatically gave tylenol. Had to start Motrin as well,even with these on board his temp. was 103.5 & higher at times. He had chills for 2 days, he was restless, irritable w/diarrhea. On Thur. he stopped eating, I called Dr. & they said to wait it out.  He fevered constantly from Tue into Sat morning.  By Sat. he had a rash everywhere except for his extremities.  I called Dr. again & they said to ride this out as long as his fever wasn't too bad & he continued to drink.  Dr. said his symptoms could be due to shots.  Took him into office Mon. & they don't think his symptoms were due to the shots, I had a perfectly healthy & happy child prior to this & he's still irritable at times & not eating like he normally did.