chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 18.0
Sex: F
Vaccine: HPV4
Symptoms: Arthralgia, Blood test normal, Bone marrow oedema, Bursitis, Computerised tomogram normal
Clinical narrative: Swelling of both ankles, purple/red color on heals. Extreme pain in left ankle/ achillies tenden/ lower leg. Began December 08- Present. Can not stand or put pressure on left foot without pain. Gardasil Dose #1 9/20/07 Lot# 1060U Site RA
Age: 18.0
Sex: F
Vaccine: HPV4
Symptoms: Dysstasia, Erythema, Joint swelling, Nuclear magnetic resonance imaging abnormal, Pain in extremity
Clinical narrative: Swelling of both ankles, purple/red color on heals. Extreme pain in left ankle/ achillies tenden/ lower leg. Began December 08- Present. Can not stand or put pressure on left foot without pain. Gardasil Dose #1 9/20/07 Lot# 1060U Site RA
Age: 18.0
Sex: F
Vaccine: HPV4
Symptoms: Tendon pain, X-ray normal
Clinical narrative: Swelling of both ankles, purple/red color on heals. Extreme pain in left ankle/ achillies tenden/ lower leg. Began December 08- Present. Can not stand or put pressure on left foot without pain. Gardasil Dose #1 9/20/07 Lot# 1060U Site RA
Age: 49.0
Sex: F
Vaccine: TD
Symptoms: Antinuclear antibody increased, Electromyogram, Muscle spasms, Muscular weakness, Myalgia
Clinical narrative: I attributed the initial left bicep muscle aches to a common reaction to injections; however deep throbbing and aching in left bicep continued; and eventually my left bicep was hard and rigid; the muscle would spasm uncontrollably and with the least amount of movement of the arm. The spasms felt as if an electrical impulse was being sent through my arm; during the spasms I became extremely nauseous; I often walked as if I had had too much alcohol to drink, only thing, I don't drink alcohol. I was unable to lift my arm which caused doctors to believe I had a rotator cuff tear - tested NEGATIVE. I was told I had frozen shoulder because I couldn't move my arm, but the excruciating pain was not in my shoulder, it was in the bicep muscle. I contacted the health department for the state and was told that the nurse who administered the injection probably used an incorrect size needle and that was most likely causing my problem. When I experienced the muscle spasm, I could not move my arm in any direction, it was as if my arm was locked in the position it was in when the spasm started. I couldn't lie on the left side of my body due to the excruciating pain. In late December 2007, the pain and muscle spasms became bilateral and transferred to the right bicep muscle. I then experienced the same pain, throbbing, and muscle spasms in the right arm, eventually unable to move or lift the right arm. I had a high ANA count which caused doctors to believe I had an autoimmune disease - I have been tested for several - all negative. I experienced the pain from the onset, however I believed others that the nurse stuck a nerve that I waited until 5 months after the symptoms began before bringing it to the attention of the doctor's office that administered the injection, only to be told that I didn't have a a reaction to the injection, that I was most likely ill or getting ill at the time I got the vaccine. Recently within the last month (May 2009) I no longer have the muscle spasms and can now lift my arms, however I do have considerable muscle weakness in both arms, but the right arm is displaying a greater weakness over the left arm. It is difficult lifting many things, even pillows off the bed. In item #8, I checked "required emergency room/doctor visit. I did not go to the emergency room, but have visited 3 MDs (General/Family Practice); 2 neurologists; 2 orthopedic surgeons; 1 Rheumatologist.
Age: 49.0
Sex: F
Vaccine: TD
Symptoms: Nausea, Nuclear magnetic resonance imaging, Nuclear magnetic resonance imaging brain, Pain, Periarthritis
Clinical narrative: I attributed the initial left bicep muscle aches to a common reaction to injections; however deep throbbing and aching in left bicep continued; and eventually my left bicep was hard and rigid; the muscle would spasm uncontrollably and with the least amount of movement of the arm. The spasms felt as if an electrical impulse was being sent through my arm; during the spasms I became extremely nauseous; I often walked as if I had had too much alcohol to drink, only thing, I don't drink alcohol. I was unable to lift my arm which caused doctors to believe I had a rotator cuff tear - tested NEGATIVE. I was told I had frozen shoulder because I couldn't move my arm, but the excruciating pain was not in my shoulder, it was in the bicep muscle. I contacted the health department for the state and was told that the nurse who administered the injection probably used an incorrect size needle and that was most likely causing my problem. When I experienced the muscle spasm, I could not move my arm in any direction, it was as if my arm was locked in the position it was in when the spasm started. I couldn't lie on the left side of my body due to the excruciating pain. In late December 2007, the pain and muscle spasms became bilateral and transferred to the right bicep muscle. I then experienced the same pain, throbbing, and muscle spasms in the right arm, eventually unable to move or lift the right arm. I had a high ANA count which caused doctors to believe I had an autoimmune disease - I have been tested for several - all negative. I experienced the pain from the onset, however I believed others that the nurse stuck a nerve that I waited until 5 months after the symptoms began before bringing it to the attention of the doctor's office that administered the injection, only to be told that I didn't have a a reaction to the injection, that I was most likely ill or getting ill at the time I got the vaccine. Recently within the last month (May 2009) I no longer have the muscle spasms and can now lift my arms, however I do have considerable muscle weakness in both arms, but the right arm is displaying a greater weakness over the left arm. It is difficult lifting many things, even pillows off the bed. In item #8, I checked "required emergency room/doctor visit. I did not go to the emergency room, but have visited 3 MDs (General/Family Practice); 2 neurologists; 2 orthopedic surgeons; 1 Rheumatologist.
Age: 65.0
Sex: M
Vaccine: VARZOS
Symptoms: Headache, Ophthalmological examination normal, Visual acuity reduced
Clinical narrative: Patient had a headache shortly after receiving vaccine 3/10/09.  He also experience throbbing of the head and near his left eye thereafter.  On 04/12/09 patient called to say that he could not read out of left eye.  He had his vision checked 4/18/09 vision is fine.  Headache is gone.
Age: 38.0
Sex: M
Vaccine: SMALL
Symptoms: Pruritus generalised
Clinical narrative: Member complains of "severe itching" from head to toe. Member given Benadryl + Clairton by  Doctor.
Age: 19.0
Sex: M
Vaccine: SMALL
Symptoms: Pruritus generalised
Clinical narrative: Patient complains of "severe itching" from head to toe. Patient given Benadryl and Claritin by doctor.
Age: 22.0
Sex: M
Vaccine: SMALL
Symptoms: Pruritus generalised
Clinical narrative: Member complains of "severe itching" from head-to-toe. Member given Benadryl and Clartin by doctor.
Age: 39.0
Sex: M
Vaccine: SMALL
Symptoms: Pruritus generalised
Clinical narrative: Member complains of "severe" itching head-to-toe. Member given BENADRYL & CLARITIN by doctor.
Age: 22.0
Sex: M
Vaccine: SMALL
Symptoms: Pruritus generalised
Clinical narrative: Member complains of "serve itching" from head-to-toe. Member given Benadryl and Claritin by doctor.
Age: 23.0
Sex: F
Vaccine: SMALL
Symptoms: Pruritus generalised
Clinical narrative: Member complains of "severe itching" head-to-toe. Member given BENADRYL and CLARITIN by doctor.
Age: 24.0
Sex: M
Vaccine: SMALL
Symptoms: Pruritus generalised
Clinical narrative: Member complains of "severe itching" from head-to-toe. Member given BENADRYL and CLARITIN by doctor.
Age: 24.0
Sex: M
Vaccine: SMALL
Symptoms: Pruritus generalised
Clinical narrative: Member complains of "severe itching" from head-to-toe.  Member given BENADRYL & CLARITIN by doctor.
Age: 11.0
Sex: M
Vaccine: MNQ, TDAP
Symptoms: Dizziness, Muscular weakness
Clinical narrative: 6/23/09 0935 Upon rising client stated "feeling dizzy, laid client down B/P 108/80 P64, R14, skin w/d appropriate for race, c/o legs feeling week", able to lift leg up/down, move foot back/forth, able to feel sensation of touch upon lower extremeties bi-laterally, zero pain, denied problems breathing, A/O x3, client talking/laughing with siter, PEARLA intact, encouraged mom/client to follow-up with provider, client ambulated out of facility with steady gait.
Age: 54.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Pt returned c/o pain + swelling (LD) area. Observed redness, swelling at area warm to touch.
Age: 22.0
Sex: F
Vaccine: HPV4
Symptoms: Blood test, Computerised tomogram, Convulsion
Clinical narrative: Seizure 3 hours post administration of HPV 1st seizure - no other risk factors.  7/9/09 Hospital ED records received DOS 6/15/09. Assessment: New onset seizure, possibly secondary to tramadol use. Relative reports that patient while on bus had an onset of shaking of upper extremities, right extremities in a 'frozen' kind of extension. Eyes rolled back, some saliva, lips turned blue. Patient woke up and was confused. Exam reveals only slight right lateral nystagmus. Medical Center and neurology referral and MRI suggested.
Age: 18.0
Sex: M
Vaccine: MNQ
Symptoms: Expired drug administered
Clinical narrative: Expired lot- MENACTRA
Age: 11.0
Sex: F
Vaccine: MNQ, TDAP
Symptoms: Expired drug administered
Clinical narrative: Expired Lot- MENACTRA
Age: 22.0
Sex: M
Vaccine: TYP
Symptoms: Abdominal pain, Barium enema, Bed rest, Body temperature increased, Colectomy total
Clinical narrative: Received the typhoid vaccine on 26 May 1982. He was seen in the clinic the following day for a reaction to typhoid with a temperature of 100.6; diagnosed with a serum reaction and ordered bed rest. He was seen for follow up and repeat CBC on 01 Jun 82 and was noted to have stomatitis. On 02 Jun his stomatitis improved with MAALOX and his CBC was returning to normal. He was seen again on 16 Jun 82 with a three day history of abdominal pain and bloody diarrhea. He returned to clinic on 17 Jun and was admitted for five days with an initial impression of Ulcerative Colitis. He was readmitted again on 02 July 82 for increased symptoms following a Barium enema. He was discharged on 20 Aug 82. During this hospitalization he was treated for toxic megacolon requiring hyperalimentation and six blood transfusions. In Nov 1984 he required a total colectomy with an ileostomy. In 1994 he was diagnosed with Crohn's disease and currently remains under treatment. Symptoms: Diarrhea, Abdominal Pain, Fever.  8/18/09 Hospital and Medical records received DOS 5/27 to 7/29/2008.  Inpatient DOS 6/17/82 to 6/22/82. Assessment: Ulcerative colitis.  Patient presented with 4 day history of cramp lower abdominal pains followed by diarrhea. Blood in bowel movments.  Outpatient DOS 7/2/09 to 8/20/82 Assessment: Probable Salmonellosis. Patient presents with episodes of high fever, chills, sweats.  Inpatient DOS 2/7/82 to 8/20/82. Assessment: Toxic megacolon secondary to severe ulcerative colitis with universal involvement of the colon. Patient presents with 5 days of blood diarrhea, developed fever. Abdominal tender with some enlargement. TPN. Calcium and magnesium deficiency.  Inpatient DOS 11/9/84 - 12/6/84. Assessment: Severe Ulcerative Colitis. Total colectomy. Ileostomy. Surgical Consult DOS 12/13/84. Assessment: Severe exacerbation of ulcerative colitis. Inpatient DOS 1/16/85 to 1/26/85. Closure of loop ileostomy. Drug sensitivity to Flagyl. Inpatient DOS 4/19/85 to 5/3/85. Assessment: Diarrhea and ulcerative colitis, chronic rectal pain, history of anemia. Laparotomy and creation of end ileostomy. Inpatient DOS 11/30/94 to 12/16/94. Assessment: Abdominal pain secondary to intraabdominal adhesions. Patient presents with intermittent episodes of bloating and right lower quadrant discomfort. Exploratory laparotomy and lysis of adhesions. Surgery and surgical pathology reports DOS 7/28/2008. Assessment Crohn's enteritis with distal ileal stricture. Exploratory laparotomy with lysis of adhesions. Complex reconstruction of Brooke ileostony with segmental ileal resection.
Age: 22.0
Sex: M
Vaccine: TYP
Symptoms: Colitis ulcerative, Crohn's disease, Diarrhoea haemorrhagic, Full blood count abnormal, Ileostomy
Clinical narrative: Received the typhoid vaccine on 26 May 1982. He was seen in the clinic the following day for a reaction to typhoid with a temperature of 100.6; diagnosed with a serum reaction and ordered bed rest. He was seen for follow up and repeat CBC on 01 Jun 82 and was noted to have stomatitis. On 02 Jun his stomatitis improved with MAALOX and his CBC was returning to normal. He was seen again on 16 Jun 82 with a three day history of abdominal pain and bloody diarrhea. He returned to clinic on 17 Jun and was admitted for five days with an initial impression of Ulcerative Colitis. He was readmitted again on 02 July 82 for increased symptoms following a Barium enema. He was discharged on 20 Aug 82. During this hospitalization he was treated for toxic megacolon requiring hyperalimentation and six blood transfusions. In Nov 1984 he required a total colectomy with an ileostomy. In 1994 he was diagnosed with Crohn's disease and currently remains under treatment. Symptoms: Diarrhea, Abdominal Pain, Fever.  8/18/09 Hospital and Medical records received DOS 5/27 to 7/29/2008.  Inpatient DOS 6/17/82 to 6/22/82. Assessment: Ulcerative colitis.  Patient presented with 4 day history of cramp lower abdominal pains followed by diarrhea. Blood in bowel movments.  Outpatient DOS 7/2/09 to 8/20/82 Assessment: Probable Salmonellosis. Patient presents with episodes of high fever, chills, sweats.  Inpatient DOS 2/7/82 to 8/20/82. Assessment: Toxic megacolon secondary to severe ulcerative colitis with universal involvement of the colon. Patient presents with 5 days of blood diarrhea, developed fever. Abdominal tender with some enlargement. TPN. Calcium and magnesium deficiency.  Inpatient DOS 11/9/84 - 12/6/84. Assessment: Severe Ulcerative Colitis. Total colectomy. Ileostomy. Surgical Consult DOS 12/13/84. Assessment: Severe exacerbation of ulcerative colitis. Inpatient DOS 1/16/85 to 1/26/85. Closure of loop ileostomy. Drug sensitivity to Flagyl. Inpatient DOS 4/19/85 to 5/3/85. Assessment: Diarrhea and ulcerative colitis, chronic rectal pain, history of anemia. Laparotomy and creation of end ileostomy. Inpatient DOS 11/30/94 to 12/16/94. Assessment: Abdominal pain secondary to intraabdominal adhesions. Patient presents with intermittent episodes of bloating and right lower quadrant discomfort. Exploratory laparotomy and lysis of adhesions. Surgery and surgical pathology reports DOS 7/28/2008. Assessment Crohn's enteritis with distal ileal stricture. Exploratory laparotomy with lysis of adhesions. Complex reconstruction of Brooke ileostony with segmental ileal resection.
Age: 22.0
Sex: M
Vaccine: TYP
Symptoms: Megacolon, Parenteral nutrition, Pyrexia, Serum sickness, Stomatitis
Clinical narrative: Received the typhoid vaccine on 26 May 1982. He was seen in the clinic the following day for a reaction to typhoid with a temperature of 100.6; diagnosed with a serum reaction and ordered bed rest. He was seen for follow up and repeat CBC on 01 Jun 82 and was noted to have stomatitis. On 02 Jun his stomatitis improved with MAALOX and his CBC was returning to normal. He was seen again on 16 Jun 82 with a three day history of abdominal pain and bloody diarrhea. He returned to clinic on 17 Jun and was admitted for five days with an initial impression of Ulcerative Colitis. He was readmitted again on 02 July 82 for increased symptoms following a Barium enema. He was discharged on 20 Aug 82. During this hospitalization he was treated for toxic megacolon requiring hyperalimentation and six blood transfusions. In Nov 1984 he required a total colectomy with an ileostomy. In 1994 he was diagnosed with Crohn's disease and currently remains under treatment. Symptoms: Diarrhea, Abdominal Pain, Fever.  8/18/09 Hospital and Medical records received DOS 5/27 to 7/29/2008.  Inpatient DOS 6/17/82 to 6/22/82. Assessment: Ulcerative colitis.  Patient presented with 4 day history of cramp lower abdominal pains followed by diarrhea. Blood in bowel movments.  Outpatient DOS 7/2/09 to 8/20/82 Assessment: Probable Salmonellosis. Patient presents with episodes of high fever, chills, sweats.  Inpatient DOS 2/7/82 to 8/20/82. Assessment: Toxic megacolon secondary to severe ulcerative colitis with universal involvement of the colon. Patient presents with 5 days of blood diarrhea, developed fever. Abdominal tender with some enlargement. TPN. Calcium and magnesium deficiency.  Inpatient DOS 11/9/84 - 12/6/84. Assessment: Severe Ulcerative Colitis. Total colectomy. Ileostomy. Surgical Consult DOS 12/13/84. Assessment: Severe exacerbation of ulcerative colitis. Inpatient DOS 1/16/85 to 1/26/85. Closure of loop ileostomy. Drug sensitivity to Flagyl. Inpatient DOS 4/19/85 to 5/3/85. Assessment: Diarrhea and ulcerative colitis, chronic rectal pain, history of anemia. Laparotomy and creation of end ileostomy. Inpatient DOS 11/30/94 to 12/16/94. Assessment: Abdominal pain secondary to intraabdominal adhesions. Patient presents with intermittent episodes of bloating and right lower quadrant discomfort. Exploratory laparotomy and lysis of adhesions. Surgery and surgical pathology reports DOS 7/28/2008. Assessment Crohn's enteritis with distal ileal stricture. Exploratory laparotomy with lysis of adhesions. Complex reconstruction of Brooke ileostony with segmental ileal resection.
Age: 22.0
Sex: M
Vaccine: TYP
Symptoms: Transfusion
Clinical narrative: Received the typhoid vaccine on 26 May 1982. He was seen in the clinic the following day for a reaction to typhoid with a temperature of 100.6; diagnosed with a serum reaction and ordered bed rest. He was seen for follow up and repeat CBC on 01 Jun 82 and was noted to have stomatitis. On 02 Jun his stomatitis improved with MAALOX and his CBC was returning to normal. He was seen again on 16 Jun 82 with a three day history of abdominal pain and bloody diarrhea. He returned to clinic on 17 Jun and was admitted for five days with an initial impression of Ulcerative Colitis. He was readmitted again on 02 July 82 for increased symptoms following a Barium enema. He was discharged on 20 Aug 82. During this hospitalization he was treated for toxic megacolon requiring hyperalimentation and six blood transfusions. In Nov 1984 he required a total colectomy with an ileostomy. In 1994 he was diagnosed with Crohn's disease and currently remains under treatment. Symptoms: Diarrhea, Abdominal Pain, Fever.  8/18/09 Hospital and Medical records received DOS 5/27 to 7/29/2008.  Inpatient DOS 6/17/82 to 6/22/82. Assessment: Ulcerative colitis.  Patient presented with 4 day history of cramp lower abdominal pains followed by diarrhea. Blood in bowel movments.  Outpatient DOS 7/2/09 to 8/20/82 Assessment: Probable Salmonellosis. Patient presents with episodes of high fever, chills, sweats.  Inpatient DOS 2/7/82 to 8/20/82. Assessment: Toxic megacolon secondary to severe ulcerative colitis with universal involvement of the colon. Patient presents with 5 days of blood diarrhea, developed fever. Abdominal tender with some enlargement. TPN. Calcium and magnesium deficiency.  Inpatient DOS 11/9/84 - 12/6/84. Assessment: Severe Ulcerative Colitis. Total colectomy. Ileostomy. Surgical Consult DOS 12/13/84. Assessment: Severe exacerbation of ulcerative colitis. Inpatient DOS 1/16/85 to 1/26/85. Closure of loop ileostomy. Drug sensitivity to Flagyl. Inpatient DOS 4/19/85 to 5/3/85. Assessment: Diarrhea and ulcerative colitis, chronic rectal pain, history of anemia. Laparotomy and creation of end ileostomy. Inpatient DOS 11/30/94 to 12/16/94. Assessment: Abdominal pain secondary to intraabdominal adhesions. Patient presents with intermittent episodes of bloating and right lower quadrant discomfort. Exploratory laparotomy and lysis of adhesions. Surgery and surgical pathology reports DOS 7/28/2008. Assessment Crohn's enteritis with distal ileal stricture. Exploratory laparotomy with lysis of adhesions. Complex reconstruction of Brooke ileostony with segmental ileal resection.
Sex: U
Vaccine: MNQ, TDAP
Symptoms: Expired drug administered
Clinical narrative: Expired Lot-MENACTRA
Age: 18.0
Sex: M
Vaccine: HEPA, MNQ, TDAP
Symptoms: Hyperhidrosis, Pallor, Tremor
Clinical narrative: Patient was shaking violently for less than 20 seconds accompanied by pallor & diaphoresis. No loss of consciousness.  7/14/09 Records rec'd from PCP.  In for WCC and vax on 6/23/09. After leaving office, parent noted child to be pale with extremity shaking. No LOC.  Returned to office. Noted to be pale. VSS. Assessment:  ? brief seizure
Age: 1.3
Sex: F
Vaccine: DTAP, HIBV, VARCEL
Symptoms: Eye swelling, Swelling face
Clinical narrative: Approximately equal to 2 hours after eye and cheek swelling. No dyspnea, no vomiting.
Sex: F
Vaccine: VARCEL
Symptoms: Varicella post vaccine
Clinical narrative: Pt had 2 doses of varicella on 2-17-04 and 2-19-08. Pt dx today with chickenpox.
Age: 39.0
Sex: U
Vaccine: ANTH
Symptoms: Dizziness, Fatigue, Influenza like illness, Injection site nodule, Myalgia
Clinical narrative: The pt states that after the receipt of all three AVA vaccinations she experienced a "knot" at the injection site the day of the vaccination.  Additionally later in the day she experience "flu like symptoms" which included muscle aches, dizziness, lightheadedness and fatigue.  These symptoms resolved in 7 days without treatment.  The next day she noted an itchy rash (small red bumps) on her arms and chest.  This was treated with a cream (unknown) and the rash resolved in 2 days.  Symptoms:  Rash, pruritic, Nodule, subcutaneous, Dizziness, Muscle Pain, Fatigue, Malaise <60 days.
Age: 39.0
Sex: U
Vaccine: ANTH
Symptoms: Rash pruritic
Clinical narrative: The pt states that after the receipt of all three AVA vaccinations she experienced a "knot" at the injection site the day of the vaccination.  Additionally later in the day she experience "flu like symptoms" which included muscle aches, dizziness, lightheadedness and fatigue.  These symptoms resolved in 7 days without treatment.  The next day she noted an itchy rash (small red bumps) on her arms and chest.  This was treated with a cream (unknown) and the rash resolved in 2 days.  Symptoms:  Rash, pruritic, Nodule, subcutaneous, Dizziness, Muscle Pain, Fatigue, Malaise <60 days.
Age: 8.0
Sex: F
Vaccine: VARCEL
Symptoms: Injection site erythema, Injection site induration, Injection site pain, Pyrexia
Clinical narrative: Significant induration, redness, tenderness at injection site (13 cm), fever 102.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV
Symptoms: Injection site reaction, Rash, Urticaria
Clinical narrative: Received vaccinations 6/8/2009, developed quarter-sized reaction at injection site. Progressed to about grapefruit sized reaction, took BENADRYL and  ADVIL. Rash vs hives since then to present rash seems improved with ZYRTEC nightly.
Age: 18.0
Sex: F
Vaccine: HPV4, MNQ, TDAP
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Adacel given at the site of redness and swelling.
Age: 50.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Arm where she received Tdap is red, swollen and warm to touch on Wed 6-17-09.
Age: 81.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site mass, Injection site pruritus
Clinical narrative: Patient reports an itching bump at site of injection.  She says that she didn't notice it until 3 days after receiving vaccine.  I advised her to use Benadryl + ibuprofen.
Age: 11.0
Sex: M
Vaccine: MNQ, TDAP
Symptoms: Convulsion, Feeling cold, Hyperhidrosis, Muscle rigidity, Muscle twitching
Clinical narrative: Fri Jun 19, 2009 12:04 PM  After pt was given TDAP and MENACTRA vaccines he jumped off the bed and sat next to his mother, while his brother received his VARIVAX.  As I was leaving the room I heard Mom say to pt "what's wrong"?  When I turned to look at him his entire body was rigid and his fist were clinched together tightly.  His entire body was shaking and his face became very distorted with his eyes twitching very fast.  He was unresponsive to his name being called.  The entire seizure lasted for a total of about 30 seconds.  Once I realized he wasn't in harm of falling to ground.  Shortly after it stopped I went over to the next room to call Dr.  When we returned to the room he was responsive to his name, but was bent over vomiting on the floor.  We helped him over to the bed so that he would fall if he became weak.  Dr. stayed with the patient while I gathered oxygen, pulse ox machine, and towels.  When I returned to the room he was lying in bed, LVN and I were in the room.  We started him on O2 3L for comfort only because O2 sat was at 98%.  He was pale, cold, and drenched from sweating his vitals were 98/52-70-98.0-16 with an O2 sat of 100% on O2 3L.  I applied cold towels to forehead and neck and gave a glass of cold apple juice.  By this time he was awake, alert, and oriented X 3.  Once he was stable Dr. examined him.  We keep him in the room for the next hour checking on him to make sure he was ok.  Before they left Dr. went in his room to exam him before they left.  Final vital signs were 104/76-74-16-100% o2 on room air.  I assisted pt to front door per wheelchair with mother at his side.  No signs or symptoms of distress noted.
Age: 11.0
Sex: M
Vaccine: MNQ, TDAP
Symptoms: Oxygen saturation normal, Pallor, Tremor, Unresponsive to stimuli, Vomiting
Clinical narrative: Fri Jun 19, 2009 12:04 PM  After pt was given TDAP and MENACTRA vaccines he jumped off the bed and sat next to his mother, while his brother received his VARIVAX.  As I was leaving the room I heard Mom say to pt "what's wrong"?  When I turned to look at him his entire body was rigid and his fist were clinched together tightly.  His entire body was shaking and his face became very distorted with his eyes twitching very fast.  He was unresponsive to his name being called.  The entire seizure lasted for a total of about 30 seconds.  Once I realized he wasn't in harm of falling to ground.  Shortly after it stopped I went over to the next room to call Dr.  When we returned to the room he was responsive to his name, but was bent over vomiting on the floor.  We helped him over to the bed so that he would fall if he became weak.  Dr. stayed with the patient while I gathered oxygen, pulse ox machine, and towels.  When I returned to the room he was lying in bed, LVN and I were in the room.  We started him on O2 3L for comfort only because O2 sat was at 98%.  He was pale, cold, and drenched from sweating his vitals were 98/52-70-98.0-16 with an O2 sat of 100% on O2 3L.  I applied cold towels to forehead and neck and gave a glass of cold apple juice.  By this time he was awake, alert, and oriented X 3.  Once he was stable Dr. examined him.  We keep him in the room for the next hour checking on him to make sure he was ok.  Before they left Dr. went in his room to exam him before they left.  Final vital signs were 104/76-74-16-100% o2 on room air.  I assisted pt to front door per wheelchair with mother at his side.  No signs or symptoms of distress noted.
Age: 19.0
Sex: F
Vaccine: TDAP
Symptoms: Dehydration, Diarrhoea, Electrocardiogram, Headache, Mononucleosis heterophile test
Clinical narrative: As per mother, patient c/o headache on 6/6/09 - spent 6/7/09 in bed with nausea, h/a - diarrhea began on 6/8 - 6/10.  Seen in hosp on 6/10 - dehydrated IVs X 3 bags - Mother was told patient had a severe TDAP reaction
Age: 19.0
Sex: F
Vaccine: TDAP
Symptoms: Nausea, Streptococcal identification test, Vaccination complication
Clinical narrative: As per mother, patient c/o headache on 6/6/09 - spent 6/7/09 in bed with nausea, h/a - diarrhea began on 6/8 - 6/10.  Seen in hosp on 6/10 - dehydrated IVs X 3 bags - Mother was told patient had a severe TDAP reaction
Age: 0.63
Sex: M
Vaccine: DTAPHEPBIP, DTAPIPVHIB, RV5
Symptoms: Wrong drug administered
Clinical narrative: Inadvertently gave PEDIARIX at same visit as PENTACEL. Infant's mother aware - informed of possible increase local reaction per CPC, and to report any signs or symptoms. F/U msgs left on voice mail with no returned call.
Age: 0.43
Sex: F
Vaccine: DTAPHEPBIP, DTAPIPVHIB
Symptoms: Wrong drug administered
Clinical narrative: PEDIARIX given inadvertently @ same visit as PENTACEL.  Infant's mother aware.  Spoke to her 6/22, reports no adverse reactions, no site redness or swelling.
Age: 35.0
Sex: M
Vaccine: TDAP
Symptoms: Alanine aminotransferase increased, Aspartate aminotransferase increased, Asthenia, Blood creatine phosphokinase increased, Dyspnoea
Clinical narrative: Minor + progressive body aches.  Then weakness + dyspnea.  ER visit x1 MD x3.
Age: 35.0
Sex: M
Vaccine: TDAP
Symptoms: Lumbar puncture normal, Pain
Clinical narrative: Minor + progressive body aches.  Then weakness + dyspnea.  ER visit x1 MD x3.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site swelling
Clinical narrative: Significant swelling involving the whole L deltoid where vaccine was injected.
Age: 20.0
Sex: M
Vaccine: ANTH, HEPA, SMALL, TYP
Symptoms: Bed rest, Headache, Pyrexia
Clinical narrative: Fever, headaches - Given medication for headaches, bed rest.
Age: 19.0
Sex: F
Vaccine: MMR
Symptoms: Computerised tomogram, Skin test, Syncope
Clinical narrative: Syncopal episode after MMR vaccine and TB skin test.  While checking out of clinic with parent struck tile floor resulting in laceration to head and 10 to 15 seconds of tonic seizure activity.
Age: 11.0
Sex: M
Vaccine: MNQ, TDAP, VARCEL
Symptoms: Erythema
Clinical narrative: 1 day of local erythema of skin approx 10 cm in diameter, no induration.
Age: 12.0
Sex: F
Vaccine: HEPA, HPV4, MNQ, TDAP
Symptoms: Injection site swelling, Local swelling
Clinical narrative: R arm swelling from elbow to neck. TX - BACTRIM 4 tsp po BID.
Age: 0.36
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV1
Symptoms: Crying, Injection site erythema
Clinical narrative: 4 mo shot, given & explanation of possible Rx.  Took infant home & 2 hours post shots started crying almost non stop.  Brought back to clinic & right leg red Dr recommended to try MOTRIN & cool compress.  2 hours post seen & given MOTRIN infant fine & leg no longer red.
Age: 63.0
Sex: F
Vaccine: VARZOS
Symptoms: Differential white blood cell count, Full blood count, Lymphadenopathy, Rash
Clinical narrative: R arm rash ~ 2" diameter with corresponding axillary lymphadenopathy.
Age: 17.0
Sex: F
Vaccine: HEPA, VARCEL
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling
Clinical narrative: The day following vaccine pt - had swelling and redness @ injection site with itching. Saw MD. ? cellulitis - no tx other than cold/hot packs, resolved without complications.
Age: 9.0
Sex: F
Vaccine: VARCEL
Symptoms: Injection site erythema, Injection site induration, Injection site pruritus
Clinical narrative: Right arm, deltoid region : 4x6 cm indurated. Pink, non-tender, itchy.
Age: 1.6
Sex: F
Vaccine: DTAP, VARCEL
Symptoms: Erythema, Rash, Urticaria
Clinical narrative: Client woke up screaming @ 2am. Patient had raise red spots over body. They called ER- Couldn't  say without seeing her. They put her in Aveno bath and gave Benadryl meltaway. Mom thought she was better. Next morning she woke up with the same symptom. Rubbed Aveno cream on her which lessens the redness. Mother brought child in to Hospital on the trunk of her body, noted " fading hives" after calling to Hospital, mother was going to take patient there to have Dr exam her.
Age: 0.6
Sex: F
Vaccine: DTAPIPV, PNC
Symptoms: Crying, Immediate post-injection reaction, Injection site erythema, Injection site urticaria, Injection site warmth
Clinical narrative: 3 to 5 minutes after intramuscular; injections of PEDIARIX and PREVNAR vaccines to anterior and lat sides of left thigh, patient's left thigh became warm, erythematous with hives, no blisters, no cyanotic, spreaded down to whole left leg, about 10 minutes later the whole leg looked similar. Patient remained awake alert, crying with no acute distress.
Age: 1.0
Sex: F
Vaccine: PNC, VARCEL
Symptoms: Varicella post vaccine
Clinical narrative: Patient received VARIVAX 5/21/09 patient had rash 6/17/09 was seen in office 6/18/09.
Age: 0.2
Sex: F
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Rash, Urticaria
Clinical narrative: Urticaria seconds after vaccines given. Started on L leg extending to Abd (Very mild). Benadryl 12.5 1/2 tsp given & rash resolved after 45min period.
Age: 9.0
Sex: F
Vaccine: VARCEL
Symptoms: Injection site erythema, Injection site rash
Clinical narrative: Erythematous circular area around site of injection on (L) deltoid. This rash showed the day after shot was given. No fevers.
Age: 32.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site erythema, Injection site mass
Clinical narrative: Reddened lump at injection site.
Age: 1.3
Sex: M
Vaccine: DTAP, PNC
Symptoms: Rash, Rash macular
Clinical narrative: Scattered macular rash trunk, limbs and face.
Age: 60.0
Sex: F
Vaccine: TYP, TYP
Symptoms: Body temperature increased, Erythema, Injection site pain, Injection site swelling, Paraesthesia
Clinical narrative: This non serious case was received on 07 May 2009 from a health care professional. A 59 year old female patient with a history of pain syndrome in the right leg following a traumatic fracture and rosacea on her face received TYPHIM VI (lot number B1026) intramuscularly in the left deltoid on 28 April 2009. Concomitant therapy included CELEBREX, ORACIA, NEURONTIN, CYMBALTA, and clonazepam. Four days post vaccination, the patient reported left arm tenderness and soreness, pain in the left shoulder, without swelling in the axilla. Six days post vaccination, she developed tingling fingers, rash at the injection site and a few other red blotches and spots on the left arm. Post vaccination, the patient also experienced sweating, swelling at the injection site, and her temperature was never higher than 99.8 (specific dates were not reported). Recovery status was unknown. Follow up information received on 12 June 2009 from a physician. The physician stated that the onset of symptoms began on 04 May 2009. As of 08 June 2009 the patient did not recover from the nodule, tingling, or discomfort. Per the reporter, the patient was scheduled to leave for a two week vacation on 12 June 2009. No further information was provided. Based on new information received, this case meets seriousness criteria and has been upgraded to serious. List of Documents held by Sender: None.
Age: 60.0
Sex: F
Vaccine: TYP, TYP
Symptoms: Rash macular
Clinical narrative: This non serious case was received on 07 May 2009 from a health care professional. A 59 year old female patient with a history of pain syndrome in the right leg following a traumatic fracture and rosacea on her face received TYPHIM VI (lot number B1026) intramuscularly in the left deltoid on 28 April 2009. Concomitant therapy included CELEBREX, ORACIA, NEURONTIN, CYMBALTA, and clonazepam. Four days post vaccination, the patient reported left arm tenderness and soreness, pain in the left shoulder, without swelling in the axilla. Six days post vaccination, she developed tingling fingers, rash at the injection site and a few other red blotches and spots on the left arm. Post vaccination, the patient also experienced sweating, swelling at the injection site, and her temperature was never higher than 99.8 (specific dates were not reported). Recovery status was unknown. Follow up information received on 12 June 2009 from a physician. The physician stated that the onset of symptoms began on 04 May 2009. As of 08 June 2009 the patient did not recover from the nodule, tingling, or discomfort. Per the reporter, the patient was scheduled to leave for a two week vacation on 12 June 2009. No further information was provided. Based on new information received, this case meets seriousness criteria and has been upgraded to serious. List of Documents held by Sender: None.
Age: 60.0
Sex: F
Vaccine: TYP, TYP
Symptoms: Discomfort, Hyperhidrosis, Injection site rash, Injection site swelling, Musculoskeletal pain
Clinical narrative: This non serious case was received on 07 May 2009 from a health care professional. A 59 year old female patient with a history of pain syndrome in the right leg following a traumatic fracture and rosacea on her face received TYPHIM VI (lot number B1026) intramuscularly in the left deltoid on 28 April 2009. Concomitant therapy included CELEBREX, ORACIA, NEURONTIN, CYMBALTA, and clonazepam. Four days post vaccination, the patient reported left arm tenderness and soreness, pain in the left shoulder, without swelling in the axilla. Six days post vaccination, she developed tingling fingers, rash at the injection site and a few other red blotches and spots on the left arm. Post vaccination, the patient also experienced sweating, swelling at the injection site, and her temperature was never higher than 99.8 (specific dates were not reported). Recovery status was unknown. Follow up information received on 12 June 2009 from a physician. The physician stated that the onset of symptoms began on 04 May 2009. As of 08 June 2009 the patient did not recover from the nodule, tingling, or discomfort. Per the reporter, the patient was scheduled to leave for a two week vacation on 12 June 2009. No further information was provided. Based on new information received, this case meets seriousness criteria and has been upgraded to serious. List of Documents held by Sender: None.
Age: 60.0
Sex: F
Vaccine: TYP, TYP
Symptoms: Nodule, Pain in extremity, Paraesthesia, Rash macular, Tenderness
Clinical narrative: This non serious case was received on 07 May 2009 from a health care professional. A 59 year old female patient with a history of pain syndrome in the right leg following a traumatic fracture and rosacea on her face received TYPHIM VI (lot number B1026) intramuscularly in the left deltoid on 28 April 2009. Concomitant therapy included CELEBREX, ORACIA, NEURONTIN, CYMBALTA, and clonazepam. Four days post vaccination, the patient reported left arm tenderness and soreness, pain in the left shoulder, without swelling in the axilla. Six days post vaccination, she developed tingling fingers, rash at the injection site and a few other red blotches and spots on the left arm. Post vaccination, the patient also experienced sweating, swelling at the injection site, and her temperature was never higher than 99.8 (specific dates were not reported). Recovery status was unknown. Follow up information received on 12 June 2009 from a physician. The physician stated that the onset of symptoms began on 04 May 2009. As of 08 June 2009 the patient did not recover from the nodule, tingling, or discomfort. Per the reporter, the patient was scheduled to leave for a two week vacation on 12 June 2009. No further information was provided. Based on new information received, this case meets seriousness criteria and has been upgraded to serious. List of Documents held by Sender: None.
Age: 20.0
Sex: M
Vaccine: ANTH, HEPA, TYP
Symptoms: Amnesia, Arthritis, Attention deficit/hyperactivity disorder, Blood test normal, Constipation
Clinical narrative: Injection site pain after 20 mins. 2 weeks later developed severe headaches, treated with Percocet. Gained 40lbs in the months that followed. Extreme foot (L+R), L leg, and L arm pain dx as tennis elbow and hallux valgus. Had surgery on both feet Oct2000, Mar2001. Pain is worse and have arthritis in both feet. Memory loss 2 months after vaccines, fever, night sweats, blurry vision, hearing loss, depression, rapid/palpitations in heart, vertigo, severe fatigue, mood swings, and sleep disorder within 11 months. I have been dealing with ongoing pain for 9 years and am not able to take effective meds long term. Lost 65lbs in 3 months 4/2008 had thyroid tests and T2 was ''normal''. Had flu symptoms for 3 weeks in Jan 09. Muscles feel like they are shrinking, can't lift anything with my left arm. Cannot concentrate-dx A.D.D. rx Adderall. Gastrointestinal problems diarrhea and constipation (bowel movements 1-2 per week).  7/16/09 ER and Hospital records received DOS 6/11/02 to 6/18/02. ASSESSMENT: Post LP headaches, Migraine headaches. Patient presents with "really bad' headache associated with photophobia and stiff neck. Myalgias, sore throat, fever, exudate on tonsils, submandibular adenopathy. Pharyngitis. Has chills. LP performed. Presents several days later with post LP headaches. Admitted to the medicine floor. Epidural blood patch was performed. Patient signed out AMA.
Age: 20.0
Sex: M
Vaccine: ANTH, HEPA, TYP
Symptoms: Deafness, Depression, Diarrhoea, Disturbance in attention, Epicondylitis
Clinical narrative: Injection site pain after 20 mins. 2 weeks later developed severe headaches, treated with Percocet. Gained 40lbs in the months that followed. Extreme foot (L+R), L leg, and L arm pain dx as tennis elbow and hallux valgus. Had surgery on both feet Oct2000, Mar2001. Pain is worse and have arthritis in both feet. Memory loss 2 months after vaccines, fever, night sweats, blurry vision, hearing loss, depression, rapid/palpitations in heart, vertigo, severe fatigue, mood swings, and sleep disorder within 11 months. I have been dealing with ongoing pain for 9 years and am not able to take effective meds long term. Lost 65lbs in 3 months 4/2008 had thyroid tests and T2 was ''normal''. Had flu symptoms for 3 weeks in Jan 09. Muscles feel like they are shrinking, can't lift anything with my left arm. Cannot concentrate-dx A.D.D. rx Adderall. Gastrointestinal problems diarrhea and constipation (bowel movements 1-2 per week).  7/16/09 ER and Hospital records received DOS 6/11/02 to 6/18/02. ASSESSMENT: Post LP headaches, Migraine headaches. Patient presents with "really bad' headache associated with photophobia and stiff neck. Myalgias, sore throat, fever, exudate on tonsils, submandibular adenopathy. Pharyngitis. Has chills. LP performed. Presents several days later with post LP headaches. Admitted to the medicine floor. Epidural blood patch was performed. Patient signed out AMA.
Age: 20.0
Sex: M
Vaccine: ANTH, HEPA, TYP
Symptoms: Fatigue, Foot deformity, Foot operation, Gastrointestinal disorder, Headache
Clinical narrative: Injection site pain after 20 mins. 2 weeks later developed severe headaches, treated with Percocet. Gained 40lbs in the months that followed. Extreme foot (L+R), L leg, and L arm pain dx as tennis elbow and hallux valgus. Had surgery on both feet Oct2000, Mar2001. Pain is worse and have arthritis in both feet. Memory loss 2 months after vaccines, fever, night sweats, blurry vision, hearing loss, depression, rapid/palpitations in heart, vertigo, severe fatigue, mood swings, and sleep disorder within 11 months. I have been dealing with ongoing pain for 9 years and am not able to take effective meds long term. Lost 65lbs in 3 months 4/2008 had thyroid tests and T2 was ''normal''. Had flu symptoms for 3 weeks in Jan 09. Muscles feel like they are shrinking, can't lift anything with my left arm. Cannot concentrate-dx A.D.D. rx Adderall. Gastrointestinal problems diarrhea and constipation (bowel movements 1-2 per week).  7/16/09 ER and Hospital records received DOS 6/11/02 to 6/18/02. ASSESSMENT: Post LP headaches, Migraine headaches. Patient presents with "really bad' headache associated with photophobia and stiff neck. Myalgias, sore throat, fever, exudate on tonsils, submandibular adenopathy. Pharyngitis. Has chills. LP performed. Presents several days later with post LP headaches. Admitted to the medicine floor. Epidural blood patch was performed. Patient signed out AMA.
Age: 20.0
Sex: M
Vaccine: ANTH, HEPA, TYP
Symptoms: Influenza, Injection site pain, Mood swings, Muscle atrophy, Muscular weakness
Clinical narrative: Injection site pain after 20 mins. 2 weeks later developed severe headaches, treated with Percocet. Gained 40lbs in the months that followed. Extreme foot (L+R), L leg, and L arm pain dx as tennis elbow and hallux valgus. Had surgery on both feet Oct2000, Mar2001. Pain is worse and have arthritis in both feet. Memory loss 2 months after vaccines, fever, night sweats, blurry vision, hearing loss, depression, rapid/palpitations in heart, vertigo, severe fatigue, mood swings, and sleep disorder within 11 months. I have been dealing with ongoing pain for 9 years and am not able to take effective meds long term. Lost 65lbs in 3 months 4/2008 had thyroid tests and T2 was ''normal''. Had flu symptoms for 3 weeks in Jan 09. Muscles feel like they are shrinking, can't lift anything with my left arm. Cannot concentrate-dx A.D.D. rx Adderall. Gastrointestinal problems diarrhea and constipation (bowel movements 1-2 per week).  7/16/09 ER and Hospital records received DOS 6/11/02 to 6/18/02. ASSESSMENT: Post LP headaches, Migraine headaches. Patient presents with "really bad' headache associated with photophobia and stiff neck. Myalgias, sore throat, fever, exudate on tonsils, submandibular adenopathy. Pharyngitis. Has chills. LP performed. Presents several days later with post LP headaches. Admitted to the medicine floor. Epidural blood patch was performed. Patient signed out AMA.
Age: 20.0
Sex: M
Vaccine: ANTH, HEPA, TYP
Symptoms: Night sweats, Nuclear magnetic resonance imaging, Pain, Palpitations, Pyrexia
Clinical narrative: Injection site pain after 20 mins. 2 weeks later developed severe headaches, treated with Percocet. Gained 40lbs in the months that followed. Extreme foot (L+R), L leg, and L arm pain dx as tennis elbow and hallux valgus. Had surgery on both feet Oct2000, Mar2001. Pain is worse and have arthritis in both feet. Memory loss 2 months after vaccines, fever, night sweats, blurry vision, hearing loss, depression, rapid/palpitations in heart, vertigo, severe fatigue, mood swings, and sleep disorder within 11 months. I have been dealing with ongoing pain for 9 years and am not able to take effective meds long term. Lost 65lbs in 3 months 4/2008 had thyroid tests and T2 was ''normal''. Had flu symptoms for 3 weeks in Jan 09. Muscles feel like they are shrinking, can't lift anything with my left arm. Cannot concentrate-dx A.D.D. rx Adderall. Gastrointestinal problems diarrhea and constipation (bowel movements 1-2 per week).  7/16/09 ER and Hospital records received DOS 6/11/02 to 6/18/02. ASSESSMENT: Post LP headaches, Migraine headaches. Patient presents with "really bad' headache associated with photophobia and stiff neck. Myalgias, sore throat, fever, exudate on tonsils, submandibular adenopathy. Pharyngitis. Has chills. LP performed. Presents several days later with post LP headaches. Admitted to the medicine floor. Epidural blood patch was performed. Patient signed out AMA.
Age: 20.0
Sex: M
Vaccine: ANTH, HEPA, TYP
Symptoms: Sleep disorder, Surgery, Thyroid function test normal, Vertigo, Vision blurred
Clinical narrative: Injection site pain after 20 mins. 2 weeks later developed severe headaches, treated with Percocet. Gained 40lbs in the months that followed. Extreme foot (L+R), L leg, and L arm pain dx as tennis elbow and hallux valgus. Had surgery on both feet Oct2000, Mar2001. Pain is worse and have arthritis in both feet. Memory loss 2 months after vaccines, fever, night sweats, blurry vision, hearing loss, depression, rapid/palpitations in heart, vertigo, severe fatigue, mood swings, and sleep disorder within 11 months. I have been dealing with ongoing pain for 9 years and am not able to take effective meds long term. Lost 65lbs in 3 months 4/2008 had thyroid tests and T2 was ''normal''. Had flu symptoms for 3 weeks in Jan 09. Muscles feel like they are shrinking, can't lift anything with my left arm. Cannot concentrate-dx A.D.D. rx Adderall. Gastrointestinal problems diarrhea and constipation (bowel movements 1-2 per week).  7/16/09 ER and Hospital records received DOS 6/11/02 to 6/18/02. ASSESSMENT: Post LP headaches, Migraine headaches. Patient presents with "really bad' headache associated with photophobia and stiff neck. Myalgias, sore throat, fever, exudate on tonsils, submandibular adenopathy. Pharyngitis. Has chills. LP performed. Presents several days later with post LP headaches. Admitted to the medicine floor. Epidural blood patch was performed. Patient signed out AMA.