chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 59.0
Sex: F
Vaccine: FLU3
Symptoms: Electrocardiogram normal, Fatigue, Fibrin D dimer normal, Foreign travel, Hypertension
Clinical narrative: Hospitalization for numbness, pain, in hands and feet. IVIG, Narotin. 2/20/09-records received for DOS 11/28/08-presented to ED with C/O hands and feet hurt and tingling and numbness of hands and feet. Symptoms began couple of weeks ago when travelling out of country. DX:Bilateral hand and foot pain, etiology undetermined. Mild Hyperglycemia. 2/26/09-records received for DOS 12/4-12/9/08-DC DX: Post-vaccination demyelinating polyradiculoneuropathy. Presented with numbness and pain in extremities. Treated with IVIG. Nausea vomiting.  Follow-up: Continued nerve pain in hands, feet, continued fatigue. Unable to do physical activity at previous level. Plan to retire earlier due to fatigue. Blood pressure high. Doctor hopes I will continue w/ remyelinization of nerve endings. Doesn't know if I will achieve 100%.
Age: 59.0
Sex: F
Vaccine: FLU3
Symptoms: Immunoglobulin therapy, Metabolic function test, Nausea, Neuralgia, Nuclear magnetic resonance imaging
Clinical narrative: Hospitalization for numbness, pain, in hands and feet. IVIG, Narotin. 2/20/09-records received for DOS 11/28/08-presented to ED with C/O hands and feet hurt and tingling and numbness of hands and feet. Symptoms began couple of weeks ago when travelling out of country. DX:Bilateral hand and foot pain, etiology undetermined. Mild Hyperglycemia. 2/26/09-records received for DOS 12/4-12/9/08-DC DX: Post-vaccination demyelinating polyradiculoneuropathy. Presented with numbness and pain in extremities. Treated with IVIG. Nausea vomiting.  Follow-up: Continued nerve pain in hands, feet, continued fatigue. Unable to do physical activity at previous level. Plan to retire earlier due to fatigue. Blood pressure high. Doctor hopes I will continue w/ remyelinization of nerve endings. Doesn't know if I will achieve 100%.
Age: 59.0
Sex: F
Vaccine: FLU3
Symptoms: Pain in extremity, Pain in extremity, Vomiting
Clinical narrative: Hospitalization for numbness, pain, in hands and feet. IVIG, Narotin. 2/20/09-records received for DOS 11/28/08-presented to ED with C/O hands and feet hurt and tingling and numbness of hands and feet. Symptoms began couple of weeks ago when travelling out of country. DX:Bilateral hand and foot pain, etiology undetermined. Mild Hyperglycemia. 2/26/09-records received for DOS 12/4-12/9/08-DC DX: Post-vaccination demyelinating polyradiculoneuropathy. Presented with numbness and pain in extremities. Treated with IVIG. Nausea vomiting.  Follow-up: Continued nerve pain in hands, feet, continued fatigue. Unable to do physical activity at previous level. Plan to retire earlier due to fatigue. Blood pressure high. Doctor hopes I will continue w/ remyelinization of nerve endings. Doesn't know if I will achieve 100%.
Age: 0.5
Sex: M
Vaccine: DTAP, HEP, RV5
Symptoms: Abdominal pain, Pyrexia, Surgery, Vomiting
Clinical narrative: Pt seen in ER twice for abdominal pain, fever, vomiting. Diagnosed with intussusception. Tried to reduce with barium enema several times but was not successful. Surgical reduction was done 9/26/08. Spent 6 days in hospital and went home with mom. Follow up showed no complications.  3/27/09-records received for DOS 9/29-10/1/08 DC DX: Ileocolic intussusception with exploratory laparotomy and appendectomy. Presented to ED with vomiting and stomach pain, vomiting bile and stools chalky green.  2/26/09-ED report for DOS 9/27/08 received C/O fever, vomiting. DX constipation.
Age: 0.34
Sex: M
Vaccine: DTAPIPVHIB, PNC, RV5
Symptoms: Colectomy, Intussusception, Ultrasound abdomen, Urinary system X-ray
Clinical narrative: Intussusception. Required partial colectomy.  2/24/09-records received for DOS 1/8-1/13/09-DC DX: Intussusception. Presented with 2 day history of lethargy and vomiting, increased fussiness increased reflux. Attempted pneumatic reduction of intussusception unsuccessful. Partial reduction by laparoscopy and partial colectomy with removal of terminal ileum and ileocolostomy. Intussusception irreducile and resection of terminal ileum and right colon.
Age: 34.0
Sex: F
Vaccine: VARCEL
Symptoms: Erythema, Injection site erythema, Injection site swelling, Oedema peripheral, Pain in extremity
Clinical narrative: Noticed AM 1/15/09 - Right upper arm redness, pain and swelling to hand, red raised area noted surrounding injection site, seen by attending, given script for DOXYCYDINE
Age: 26.0
Sex: F
Vaccine: HPV4
Symptoms: Dizziness, Palpitations
Clinical narrative: Patient vacant 15 minutes after the shot.  After 15 minutes when she get up + walk she fell little bit dizzy + palpitation few minutes.  Notified provider + provider said it's OK.
Age: 68.0
Sex: F
Vaccine: FLU3, PPV, PPV
Symptoms: Erythema, Induration, Local reaction, Swelling
Clinical narrative: Local area enduration, erythema & swelling extending area 10cm diameter.  No treatment rendered.
Age: 68.0
Sex: F
Vaccine: FLU3, PPV, PPV
Symptoms: Erythema, Injection site reaction, Oedema peripheral, Pain in extremity
Clinical narrative: Local area enduration, erythema & swelling extending area 10cm diameter.  No treatment rendered.
Age: 53.0
Sex: F
Vaccine: FLU3
Symptoms: Arthralgia, Electromyogram normal, Erythema, Pain in extremity, Swelling
Clinical narrative: On 10/24/08 pt. presented to office c/o pain L deltoid w/ radiation of pain to elbow.  Area of erythema measured 1.5x2 cm.  Normal remainder of exam.  Redness + swelling resolved but pain to elbow from mid-deltoid persisted.
Age: 13.0
Sex: F
Vaccine: TDAP, VARCEL
Symptoms: Rash, Skin lesion
Clinical narrative: Multiple lesions (>250) on extremities, torso, face and bucal mucosa 8 days after receiving first varicella vaccine. Tx: Acyclovir 800 mg every 6 hours x 5 days; Dytan 1-2 by mouth as needed every 12 hours; Zantac OTC, Mylanta and Maalox
Age: 20.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Dizziness, Immediate post-injection reaction, Syncope
Clinical narrative: Approx 10min after injection while sitting in waiting area, c/o  dizziness, lightheadedness. Attempted to move patient to exam room but began to faint. Gently lowered to floor by the doctor and myself. No injury resulted in being lowered to floor. Patient remained there for Approx 15min assisted to exam pulse normal room until alert. B/P 14/74
Age: 20.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Dizziness, Syncope
Clinical narrative: Approx 10min after injection while sitting in waiting area, c/o  dizziness, lightheadedness. Attempted to move patient to exam room but began to faint. Gently lowered to floor by the doctor and myself. No injury resulted in being lowered to floor. Patient remained there for Approx 15min assisted to exam pulse normal room until alert. B/P 14/74
Age: 20.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Dizziness, Immediate post-injection reaction, Syncope
Clinical narrative: Information has been received from a Nurse concerning a 20 year old female patient with no pertinent medical history and no drug reactions or allergies who on 08-Jan-2009 was vaccinated with first dose of GARDASIL vaccine (Lot #66016/0570X). Concomitant therapy included LO/OVRAL. On 08-JAN-2009 after she received vaccine she fainted. There were no Laboratory Diagnostics Studies performed. On 08-JAN-2009 patient was recovered. The patient sought unspecified medical attention. Follow up information has been received from a registered nurse on 05-FEB-2009. It was reported that the 20 year old female pateitn had a history of fainting after injections. On 08-JAN-2009, the patient was vaccinated into the left deltoid with the first dose of GARDISIL (Lot # 660616/0570X) at 12:45. Approximately 10 minutes after injection, the patient complained of dizziness and lightheaded. the registered nurse attempted to move the patient along with the physician to exam room but began to faint and gently lowered to floor. No injury was resulted. The patient remained at the office for 15 minutes and then assited to room. Additional information is not expected.
Age: 20.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Dizziness, Syncope
Clinical narrative: Information has been received from a Nurse concerning a 20 year old female patient with no pertinent medical history and no drug reactions or allergies who on 08-Jan-2009 was vaccinated with first dose of GARDASIL vaccine (Lot #66016/0570X). Concomitant therapy included LO/OVRAL. On 08-JAN-2009 after she received vaccine she fainted. There were no Laboratory Diagnostics Studies performed. On 08-JAN-2009 patient was recovered. The patient sought unspecified medical attention. Follow up information has been received from a registered nurse on 05-FEB-2009. It was reported that the 20 year old female pateitn had a history of fainting after injections. On 08-JAN-2009, the patient was vaccinated into the left deltoid with the first dose of GARDISIL (Lot # 660616/0570X) at 12:45. Approximately 10 minutes after injection, the patient complained of dizziness and lightheaded. the registered nurse attempted to move the patient along with the physician to exam room but began to faint and gently lowered to floor. No injury was resulted. The patient remained at the office for 15 minutes and then assited to room. Additional information is not expected.
Age: 67.0
Sex: F
Vaccine: HEPA, IPV, PPV, TDAP, TYP, YF
Symptoms: Cold sweat, Dizziness, Dyskinesia, Gaze palsy, Skin warm
Clinical narrative: After approximately 8 minutes after receiving 6 vaccinations, pt. c/o feeling faint.  Pt. became unresponsive and began jerking movement of her head and arms along with eyes rolling back in head.  This lasted approximately 2-3 minutes.  Pt was lifted out of chair and placed on floor with head and feet raised.  BP 120/70 P-60.  EMT arrived.  Pt. alert and oriented x 3.  Skin was warm and clammy but now was warm and dry.  Pt denied urinating or having any dizziness or complaints.  Pt. left oh her own accord, ambulatory and 5 any complaints.
Age: 67.0
Sex: F
Vaccine: HEPA, IPV, PPV, TDAP, TYP, YF
Symptoms: Unresponsive to stimuli
Clinical narrative: After approximately 8 minutes after receiving 6 vaccinations, pt. c/o feeling faint.  Pt. became unresponsive and began jerking movement of her head and arms along with eyes rolling back in head.  This lasted approximately 2-3 minutes.  Pt was lifted out of chair and placed on floor with head and feet raised.  BP 120/70 P-60.  EMT arrived.  Pt. alert and oriented x 3.  Skin was warm and clammy but now was warm and dry.  Pt denied urinating or having any dizziness or complaints.  Pt. left oh her own accord, ambulatory and 5 any complaints.
Age: 54.0
Sex: M
Vaccine: TDAP, TDAP
Symptoms: Axillary pain, Headache, Hypoaesthesia, Injection site pain, Nausea
Clinical narrative: Approx 3 hours after vaccine pt reports swelling and tenderness in left axilla.  Also had tenderness at injection site.  Swelling progressively worsened over next 48 hours + was accompanied by nausea and headache.  Felt feverish, but not checked.  Afebrile in office.  Also with left pinky + ring finger numbness.
Age: 54.0
Sex: M
Vaccine: TDAP, TDAP
Symptoms: Pyrexia, Swelling
Clinical narrative: Approx 3 hours after vaccine pt reports swelling and tenderness in left axilla.  Also had tenderness at injection site.  Swelling progressively worsened over next 48 hours + was accompanied by nausea and headache.  Felt feverish, but not checked.  Afebrile in office.  Also with left pinky + ring finger numbness.
Age: 54.0
Sex: M
Vaccine: TDAP, TDAP
Symptoms: Axillary pain, Hypoaesthesia, Paraesthesia, Swelling
Clinical narrative: Approx 3 hours after vaccine pt reports swelling and tenderness in left axilla.  Also had tenderness at injection site.  Swelling progressively worsened over next 48 hours + was accompanied by nausea and headache.  Felt feverish, but not checked.  Afebrile in office.  Also with left pinky + ring finger numbness.
Age: 47.0
Sex: F
Vaccine: FLU3, TDAP
Symptoms: Chills, Diarrhoea, Malaise, Pain, Urticaria
Clinical narrative: Achy, Chills, Diarrhea, Malaise following day hives day 4
Age: 42.0
Sex: M
Vaccine: TDAP
Symptoms: Injection site pain, Pyrexia
Clinical narrative: Fever (102 degrees F), severe left arm pain at site of administration.
Age: 0.3
Sex: M
Vaccine: DTAPIPVHIB, PNC, RV5
Symptoms: Crying, Diarrhoea, Pyrexia, Vomiting
Clinical narrative: Rec'd PENTACEL, PCV7 and Rotavirus 1/12/2009 - developed fever to 106 1/11 per mom, Occ crying. Temp on and off throughout day 101-102 per parents, 102 on visit 1/14/09 - behavior better - drinking well, vomited X 2 yest.; Sl. diarrhea 1/11. Affect gd on visit 1/14/09- happy + playful
Age: 0.8
Sex: F
Vaccine: FLU3
Symptoms: Flushing, Rash macular
Clinical narrative: Facial flushing & macular rash on thorax.
Age: 3.0
Sex: M
Vaccine: DTAP, FLU3, HEPA
Symptoms: Allergy to vaccine, Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Immunizations given on 1/8/09 at app. 4:30 pm - Call from mom on 1/9/09 @ 3:30 noting redness, soreness, & swelling of L thigh - PA notified mom to give Ibuprofen & monitor site - Mom took to urgent care where they gave Rx CEPHALEXIN 250 mg/5mL x 10 days - Here in office on 1/12/09 - No redness, swelling -noted- Documented allergy to Hepatitis A -
Age: 26.0
Sex: F
Vaccine: HPV4
Symptoms: Injection site pain
Clinical narrative: Pt called office and c/o L upper arm still being sore 2 weeks after injection.  Received GARDASIL 12/30/08- Called office 1/14/09.
Age: 64.0
Sex: M
Vaccine: VARZOS
Symptoms: Injection site pruritus, Injection site rash, Rash generalised
Clinical narrative: 12/23 ZOSTAVAX Received  12/25 itching rash started at site of injection  Spread all over his body down legs and back Took BENADRYL R on 12/26 and still taking it on 12/28 12/29 pm Rash on back arms, forearms slight itching
Age: 0.2
Sex: M
Vaccine: RV5
Symptoms: Abdominal pain, Irritability
Clinical narrative: Pt became very irritable Abd pain.
Age: 39.0
Sex: M
Vaccine: PPV
Symptoms: Respiratory disorder
Clinical narrative: Information has been received from a 39 year old male patient who was in the hospital for a hip replacement. He had a chest x-ray and then received a dose of PNEUMOVAX 23 (March 2007). The patient believed that it was PNEUMOVAX 23 (lot# 651356/0089F) but was not positive. Shortly afterward he developed respiratory complications in March 2007. The patient reported it required hospitalization. Additional information has been requested.
Age: 0.3
Sex: F
Vaccine: DTAPIPVHIB, PNC, RV5
Symptoms: Diarrhoea, Vomiting
Clinical narrative: dev.  vomiting and diarrhea within 48 days after admin. of 2nd ROTAVIRUS  vaccine at 4 mos well check on 11/07/08.   Was tx at hospital ER, with IV fluids and ZOFRAN
Age: 21.0
Sex: F
Vaccine: FLU3
Symptoms: Chest discomfort, Cough, Wheezing
Clinical narrative: Patient complaints of wheezing at night and fells pressure on the chest and coughing starts about 2 weeks after vaccination but reported to me on 1/12/2009.
Age: 0.2
Sex: F
Vaccine: DTAPHEPBIP, PNC, RV5
Symptoms: Crying
Clinical narrative: Prolonged crying - went to clinic. Sent home - did well.
Age: 22.0
Sex: F
Vaccine: HPV4
Clinical narrative: Information has been received from a physician concerning a 22 year old female who was vaccinated with the second 0.5 ml dose of GARDASIL (lot# 1423X) 2 months ago (approximately December 2008).  On 12-FEB-2009 the patient experienced a seizure.  The patient was sent to the emergency room.  Upon internal review, seizure was determined to be an other important medical event.  Additional information has been requested.  3/9/09 Received GYN medical records of 10/08-2/12/2009 along w/note that no lot #s are available. FINAL DX: Records reveal patient experienced condyloma & had cryo tx 11/20/08, 12/8/08, 12/18/08, 1/8/09, 1/22/09, 2/12/09.  HPV #1 given LA on 12/8/08, HPV #2 given 2/12/09 LA.  On 2/12 had syncopal episode then tonic-clonic seizure x approx 1 min w/eyes deviation upwards, groaning but no loss of sphincter control.  Sent to ER for observation & w/u.  3/16/09 Received ER medical records of 2/12/2008. FINAL DX: seizure activity likely secondary to vasovagal syncope Records reveal patient experienced witnessed seizure in GYN office s/p HPV shot.  Episode preceded by dizzness, ringing in ears & then blacked out.  When came too had dizziness, confusion & nausea.
Age: 44.0
Sex: F
Vaccine: TDAP
Symptoms: Abdominal pain, Blood potassium decreased, Dehydration, Diarrhoea, Fatigue
Clinical narrative: Received TDAP vaccine 12/29/08 - felt overly fatigued on 12/30 & early.  12/31.  Late morning 12/31 I developed abdominal cramping - severe- unable to eat or drink without increased in cramping - diarrhea began by afternoon - fever 101.6 that evening & into 1/1/09.  To ER 1/1/09 with diarrhea & other symptoms - dehydrated - Kt level decreased = 2.9 required hydration & Kt replacement.
Age: 44.0
Sex: F
Vaccine: TDAP
Symptoms: Fluid replacement, Pyrexia
Clinical narrative: Received TDAP vaccine 12/29/08 - felt overly fatigued on 12/30 & early.  12/31.  Late morning 12/31 I developed abdominal cramping - severe- unable to eat or drink without increased in cramping - diarrhea began by afternoon - fever 101.6 that evening & into 1/1/09.  To ER 1/1/09 with diarrhea & other symptoms - dehydrated - Kt level decreased = 2.9 required hydration & Kt replacement.
Age: 4.0
Sex: M
Vaccine: MMRV
Symptoms: Autism
Clinical narrative: Information has been received from a male concerning his 4 year old son who in January 2007, was vaccinated with PROQUAD. His son was diagnosed with autism after the vaccination. The reporter stated that he thought his son received two, 0.25 ml dose of PROQUAD. The reporter feels his son's autism diagnosis was related to PROQUAD. Upon internal review, autism was considered to be an other important medical event. No further information is available.
Sex: F
Vaccine: FLU3
Symptoms: Wrong drug administered
Clinical narrative: Pt was given Influenza virus vaccine instead of Hepatitis B on 12-30-08. She was then given Hepatitis B on 01-2-09.
Sex: M
Vaccine: MMRV
Symptoms: Autism
Clinical narrative: Information has been received regarding a case in litigation from a consumer, concerning her son who on an unspecified date was vaccinated with a dose of PROQUAD (Merck) (lot number, injection site and route not reported). Subsequently the patient became autistic. It was unknown if the patient sought any medical attention. The patient's event persisted. Upon internal review, became autistic was considered to be an other important medical event. No further information is available.
Age: 43.0
Sex: F
Vaccine: MNQ
Symptoms: Dizziness, Heart rate increased
Clinical narrative: Client called my cell phone and left message stating she had symptoms of rapid heart rate & dizziness after receiving vaccine Friday afternoon.  I spoke to her on Sunday 2/8/09.  She was still having dizziness, but denied rapid heart rate.  Pt had NS sheet and knew this was serious but refused to go to ER.  2/9/09 came to Health Dept to see Dr returned to PCP.
Age: 74.0
Sex: F
Vaccine: VARZOS
Symptoms: Blepharospasm, Condition aggravated, Facial palsy, Nuclear magnetic resonance imaging
Clinical narrative: Information has been received from a 74 year old female with arteriosclerosis, and diabetes and a history of left eye twitching before vaccination who on 11-JUL-2008 was vaccinated with ZOSTAVAX (Merck). On 19-JUL-2008 the patient experienced Bells Palsy. Sporadically her face starts drooping by her mouth and her eye twitches. She has seen an eye doctor and has a future appointment with a neurologist. Magnetic resonance imaging (MRI) was performed, but the result was not reported. At the time of reporting, the patient's Bells Palsy persisted. Upon internal review, Bells Palsy was determined to be an other important medical event. Additional information has been requested.
Age: 68.0
Sex: F
Vaccine: FLU3
Symptoms: Injected limb mobility decreased, Musculoskeletal stiffness, X-ray
Clinical narrative: Started stiff and could not move right arm for 3 days.  Then the soreness moved down arm and wake up in middle of night.  Went to orthopedic specialist and had x-ray to determine if arthritis or infection.
Age: 49.0
Sex: F
Vaccine: TDAP
Symptoms: Erythema, Mass, Oedema peripheral, Pruritus
Clinical narrative: Arm became very swollen and red, itched, area about 2 1/2 X 2 1/2 inches.  Lasted for 6 days.  Then just swollen and started to go away.  Had bump for 12 days.
Age: 1.0
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Varicella
Clinical narrative: Chicken pox
Age: 14.0
Sex: F
Vaccine: HEPA, HPV4
Symptoms: Fall, Loss of consciousness, Myoclonus
Clinical narrative: Administered HEP A into R deltoid.  Then administered GARDASIL into R deltoid.  10-15 seconds later, patient lost consciousness + fell backwards from sitting position onto exam table.  About 5 seconds later, pt began to have myoclonus movements on extremities, lasting < 7 seconds.
Age: 5.0
Sex: F
Vaccine: DTAPIPV, FLU3, MMR, VARCEL
Symptoms: Facial palsy
Clinical narrative: Patient brought back in office by guardian 2/2/09 with a c/o (R) BELLS Palsy noted after one day vaccines for 5 y.o. given KINRIX, MMR, Varicella, Influenza vacc.
Age: 43.0
Sex: F
Vaccine: PPV, TDAP
Symptoms: Nausea, Pain in extremity, Pyrexia
Clinical narrative: Patient was given inj f/m PNEUMOVAX last Friday.  Pt came in today with c/o high fever (103.8) severe pain in rt arm & nausea 30Jan09
Age: 1.6
Sex: M
Vaccine: DTAPHEPBIP, FLU3, HEPA
Symptoms: Body temperature increased, Hypotonia, Unresponsive to stimuli, Vomiting
Clinical narrative: 1 d after vaccines - on 1/16/09, low grade temp. suddenly became limp & unresponsive. Vomited & then responsive. 911 brought to ER then he became more like normal & by time in ER fine. Thought febrile Sz, had no h/o tonic-clonic action. Did have fever. Please see ER record 1/16/09; 2/1/09
Age: 3.0
Sex: M
Vaccine: FLU3
Symptoms: Injection site urticaria
Clinical narrative: First influenza vaccine given approx. 3pm 1/21/09. Caregiver noted "hives" around injection site and torso approx. 6pm. No other sx other than hives noted by caregiver. Treated with APAP only. Hives described to be faded morning of 1/22/09.
Age: 17.0
Sex: F
Vaccine: HPV4
Symptoms: Rash macular
Clinical narrative: Extensive macular rash extending medial upper arm down to antecubital fossa
Age: 56.0
Sex: M
Vaccine: HEPAB, IPV, TYP, YF
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: MENACTRA was administered to 56 y.o. pt. - only licensed for up to 55 years of age. No adverse reactions were reported.
Age: 52.0
Sex: F
Vaccine: FLU3
Symptoms: Musculoskeletal pain, Nuclear magnetic resonance imaging, X-ray limb
Clinical narrative: Left shoulder discomfort reported 11/13/08 Flu vax given 10/30/08 shoulder X-ray 11/24/08; MRI shoulder 12/4/08 Tx: Physical therapy
Age: 54.0
Sex: F
Vaccine: TDAP
Symptoms: Injected limb mobility decreased, Paraesthesia
Clinical narrative: Pt felt tingling in fingers, unable to lift arm over head.
Age: 11.0
Sex: F
Vaccine: MNQ, TDAP, VARCEL
Symptoms: Erythema, Pruritus, Swelling
Clinical narrative: Increased local redness/swelling with some itching.
Age: 0.16
Sex: M
Vaccine: DTAPIPVHIB, HEP, PNC, RV5
Symptoms: Pyrexia, Rash, Rash erythematous, Rash generalised
Clinical narrative: Fever 103.4 and red rash all over arms, trunk, legs, feet 24 hrs after administration. BENADRYL and tepid bath administered. 1/16/09-Rash on face & scalp noted today - PMD Rx PEDIAPRED starting today - fever down to 101 & below - will see PMD next wk for follow-up check.
Age: 0.17
Sex: M
Vaccine: DTAP, HEP, HIBV, PNC, RV5, DTAP, HEP, HIBV, PNC, RV5
Symptoms: Culture stool negative, Diarrhoea
Clinical narrative: Severe diarrhea after 1st ROTATEQ lasted x 3 months.  Eventually resolved, used NUTRAMIGEN.
Age: 0.17
Sex: M
Vaccine: DTAP, HEP, HIBV, PNC, RV5, DTAP, HEP, HIBV, PNC, RV5
Symptoms: Colitis, Culture stool negative, Diarrhoea
Clinical narrative: Severe diarrhea after 1st ROTATEQ lasted x 3 months.  Eventually resolved, used NUTRAMIGEN.
Age: 0.17
Sex: M
Vaccine: DTAP, HEP, HIBV, PNC, RV5, DTAP, HEP, HIBV, PNC, RV5
Symptoms: Culture stool negative, Diarrhoea
Clinical narrative: Information has been received from a physician concerning a patient who was vaccinated with a dose of ROTATEQ.  The physician stated that she had two different patients who developed colitis after receiving ROTATEQ (WAES # 0901USA02433).  This is one of two reports received from the same source.  Additional information has been requested. This is in follow-up to report (s) previously submitted on 2/13/2009.  Information has been received from a physician concerning a patient who was vaccinated with a dose of ROTATEQ.  The physician stated that she had two different patients who developed colitis after receiving ROTATEQ vaccine (WAES # 0901USA02433).  Follow-up information received from a physician who reported that the patient is a male, with birth weight of 8 lb. 2 oz.  The ROTATEQ given on 09-SEP-2008 to the patient had lot # 660201/0142X.  On the same date, patient received the second dose of RECOMBIVAX HB (LOT# 657898/1622U) intramuscularly on the right thigh, and DTAP (lot #C2955BA) (Sanofi Pasteur) intramuscularly on the left thigh, ACTHIB (lot #UF260AA) (Sanofi Pasteur) intramuscularly on the left thigh, and PREVNAR (lot #C692058) intramuscularly on the right thigh.  Patient's severe diarrhea lasted for 3 months and eventually it resolved. Patient received Nutramigen.  This is one of two reports received from the same source.  No further information is availble.
Age: 0.17
Sex: M
Vaccine: DTAP, HEP, HIBV, PNC, RV5, DTAP, HEP, HIBV, PNC, RV5
Symptoms: Colitis, Culture stool negative, Diarrhoea
Clinical narrative: Information has been received from a physician concerning a patient who was vaccinated with a dose of ROTATEQ.  The physician stated that she had two different patients who developed colitis after receiving ROTATEQ (WAES # 0901USA02433).  This is one of two reports received from the same source.  Additional information has been requested. This is in follow-up to report (s) previously submitted on 2/13/2009.  Information has been received from a physician concerning a patient who was vaccinated with a dose of ROTATEQ.  The physician stated that she had two different patients who developed colitis after receiving ROTATEQ vaccine (WAES # 0901USA02433).  Follow-up information received from a physician who reported that the patient is a male, with birth weight of 8 lb. 2 oz.  The ROTATEQ given on 09-SEP-2008 to the patient had lot # 660201/0142X.  On the same date, patient received the second dose of RECOMBIVAX HB (LOT# 657898/1622U) intramuscularly on the right thigh, and DTAP (lot #C2955BA) (Sanofi Pasteur) intramuscularly on the left thigh, ACTHIB (lot #UF260AA) (Sanofi Pasteur) intramuscularly on the left thigh, and PREVNAR (lot #C692058) intramuscularly on the right thigh.  Patient's severe diarrhea lasted for 3 months and eventually it resolved. Patient received Nutramigen.  This is one of two reports received from the same source.  No further information is availble.
Age: 1.1
Sex: M
Vaccine: MMR
Symptoms: Hypophagia, Irritability, Pyrexia, Rash macular
Clinical narrative: Macular rash c/w RUBELLA.  Irritability, fever, poor po intake.
Age: 0.4
Sex: M
Vaccine: PNC
Symptoms: Pyrexia
Clinical narrative: Pt received PREVNAR vaccine 1-14-04. Pt had fever of 102 degrees rectally.
Age: 1.28
Sex: M
Vaccine: DTAP, FLU3, MMR, VARCEL
Symptoms: Pyrexia, Rash
Clinical narrative: fever and rash
Age: 1.1
Sex: F
Vaccine: HEPA, MMR, VARCEL
Symptoms: Pyrexia
Clinical narrative: fever 103-104 X 3 days post vaccine
Age: 16.0
Sex: F
Vaccine: HPV4
Symptoms: Dizziness, Immediate post-injection reaction, Loss of consciousness
Clinical narrative: Within 10 minutes of receiving GARDASIL, patient passed out, regained consciousness. Since that time - 2 episodes of similar symptoms with loss of vision for a few seconds and feels dizzy.  3/9/09 Received PCP medical records of 12/30/08. FINAL DX: syncope Records reveal patient experienced back pain, knot at left hip, fleeting dizziness, dimming vision beginning w/HPV vaccine & had since had episodes of passing out.  Examination revealed orthostatic blood pressure & referred to cardio for tilt table test.  Also referred  MRI of left hip.  3/9/09 Received Cardiology records of 1/16/2009. FINAL DX: neurocardiogenic syncope Records reveal patient experienced daily episodes of blacking out, seeing stars, HA & blurred vision x 9 mo.  Instructed to increase fluid intake, add salt to diet & exercise to strengthen legs & augment venous return to heart.
Age: 35.0
Sex: M
Vaccine: ANTH, TYP
Symptoms: Rash generalised
Clinical narrative: Patient came into the clinic complaining about rash all over body. The Pt. stated that he had been abroad the weekend prior. From what the note from the Doctor stated was he was given an I.V. antibotic and this caused to the Doctor here to understand it was this that cause the rash to spread even future.
Age: 17.0
Sex: F
Vaccine: HEP, HEPA, HPV4
Symptoms: Eye oedema, Pruritus, Rash erythematous, Type 2 diabetes mellitus
Clinical narrative: Approx. 30 minutes after injections began ruritic episode with erythematous rash on inner arms, One area on chest with slight edema of eyes. Sent to M.D., M.D. sent to E.R.
Age: 69.0
Sex: M
Vaccine: FLU3
Symptoms: Blood thyroid stimulating hormone, Full blood count normal, Hyperaesthesia, Metabolic function test normal, Myalgia
Clinical narrative: had 5 weeks of peripheral neuropathy - pain and sensitivity to left triceps and left pectoralis area/chest wall. no weakness. saw a neurologist.
Age: 69.0
Sex: M
Vaccine: FLU3
Symptoms: Neuropathy peripheral
Clinical narrative: had 5 weeks of peripheral neuropathy - pain and sensitivity to left triceps and left pectoralis area/chest wall. no weakness. saw a neurologist.
Age: 24.0
Sex: M
Vaccine: ANTH
Symptoms: Arthralgia, Blister, Diarrhoea, Headache, Nausea
Clinical narrative: According to patient he was suffering from fever, headache, joint pains, nausea, rashes, and diarrhea on the 15 Feb 2009. Seen by Medical Provider yesterday and found some vesicles and postules on chest and a few on the back. Prescribed with Motrin and cough medication.
Age: 24.0
Sex: M
Vaccine: ANTH
Symptoms: Pyrexia, Rash, Rash pustular
Clinical narrative: According to patient he was suffering from fever, headache, joint pains, nausea, rashes, and diarrhea on the 15 Feb 2009. Seen by Medical Provider yesterday and found some vesicles and postules on chest and a few on the back. Prescribed with Motrin and cough medication.
Age: 11.0
Sex: F
Vaccine: MNQ, TDAP, VARCEL
Symptoms: Erythema, Oedema peripheral, Skin warm
Clinical narrative: Red,swollen warm touch left arm 2/17/09 0600   treatment was given on 2/18/09 at 01000 Benadryl 12.5mg/5ml and Cleocin 75mg/5ml
Sex: U
Vaccine: HPV4, HPV4
Symptoms: Erythema, Feeling hot, Immediate post-injection reaction, Musculoskeletal stiffness, Myalgia
Clinical narrative: Received HPV Vaccine dose #3.  Did fine in office.  Fifteen minutes after leaving (while still in car) patient noticed that her hand was quite swollen and red.  No difficulty breathing, lip swelling or other swelling noted.  Patient "felt warm".  Swelling persisted for about an hour that night and swelled again the next day mainly after basketball practice.  Deltoid pain noted since shot.  No fever.  Stated "hard to turn neck at basketball practice".  Attendance at school not affected.
Sex: U
Vaccine: HPV4, HPV4
Symptoms: Oedema peripheral
Clinical narrative: Received HPV Vaccine dose #3.  Did fine in office.  Fifteen minutes after leaving (while still in car) patient noticed that her hand was quite swollen and red.  No difficulty breathing, lip swelling or other swelling noted.  Patient "felt warm".  Swelling persisted for about an hour that night and swelled again the next day mainly after basketball practice.  Deltoid pain noted since shot.  No fever.  Stated "hard to turn neck at basketball practice".  Attendance at school not affected.
Sex: U
Vaccine: HPV4, HPV4
Symptoms: Musculoskeletal stiffness, Oedema peripheral, Skin warm
Clinical narrative: Received HPV Vaccine dose #3.  Did fine in office.  Fifteen minutes after leaving (while still in car) patient noticed that her hand was quite swollen and red.  No difficulty breathing, lip swelling or other swelling noted.  Patient "felt warm".  Swelling persisted for about an hour that night and swelled again the next day mainly after basketball practice.  Deltoid pain noted since shot.  No fever.  Stated "hard to turn neck at basketball practice".  Attendance at school not affected.
Age: 82.0
Sex: M
Vaccine: VARZOS
Symptoms: Activities of daily living impaired, Brain scan abnormal, Memory impairment
Clinical narrative: On 2/11/09, patient called the health department to state that very soon after he had received the Zostavax vaccine, he began noticing that he was becoming forgetful and that he believes that his brain was affected by the vaccine.  He stated that he no longer is able to drive after dark, that he is unsure if he is doing his work correctly and that worries him.  He has discussed this with his MD and says he is currently taking Namenda.  He says a test (possibly cat scan) shows white spots on his brain.  He is hard of hearing and I had difficulty asking him any questions as he could not hear me.
Sex: F
Vaccine: DTAP
Symptoms: No adverse event, Wrong drug administered
Clinical narrative: a newborn was given an Adacell vaccine rather than the ordered hep B   No adverse reaction
Age: 83.0
Sex: F
Vaccine: VARZOS
Symptoms: Rash erythematous
Clinical narrative: Bilaterally symmetrical eruption of dull erythematous irregular patches to face upper/lower extremities and anterior posterior trunk
Age: 62.0
Sex: F
Vaccine: HEPAB, TYP
Symptoms: Burning sensation, Erythema, Hot flush, Pruritus, Pyrexia
Clinical narrative: Client was taking oral Typhoid Fever vaccine for a trip. She took them correctly, one piull every other day.  The first day, no problem, 2nd day, she felt she had some hot flashes. 3rd day, severe hot flashes, reddness on face. ears  and neck area so bad that it looked like a dog collar on her neck. She got hives, very large that they ran into each other.  Hair felt like it was burning, so she put her hair ina apony tail. Severe itching. She appiled Calamine lotion with relief.  I spoke to her on 2/17 and she was much better. No proiblems.
Age: 62.0
Sex: F
Vaccine: HEPAB, TYP
Symptoms: Urticaria
Clinical narrative: Client was taking oral Typhoid Fever vaccine for a trip. She took them correctly, one piull every other day.  The first day, no problem, 2nd day, she felt she had some hot flashes. 3rd day, severe hot flashes, reddness on face. ears  and neck area so bad that it looked like a dog collar on her neck. She got hives, very large that they ran into each other.  Hair felt like it was burning, so she put her hair ina apony tail. Severe itching. She appiled Calamine lotion with relief.  I spoke to her on 2/17 and she was much better. No proiblems.
Age: 33.0
Sex: M
Vaccine: TYP
Symptoms: Burning sensation, Erythema, Induration, Mass, Oedema peripheral
Clinical narrative: Arm Swollen burned and very hard with itchy red bumps. Very large knot in arm. Treated by Hospital for Allergic reaction.
Age: 33.0
Sex: M
Vaccine: TYP
Symptoms: Pruritus, Skin irritation
Clinical narrative: Arm Swollen burned and very hard with itchy red bumps. Very large knot in arm. Treated by Hospital for Allergic reaction.
Age: 11.0
Sex: F
Vaccine: HPV4, MNQ
Symptoms: Dizziness, Pain in extremity
Clinical narrative: VACCINE GIVEN AT 0915 LD IM WAITED 20 MIN IN THE LOBBY WITHOUT REACTIONS.  LEFT AND WENT BACK TO SCHOOL AT 1120 SHE COMPLAINED OF LEFT ARM PAIN AND DIZZINESS MOTHER WAS NOTIFIED TO PICK UP DAUGHTER AT SCHOOL.  PATIENT ARRIVED AT 1215 AT OUR CLINIC VITALS T 98.0, BP 118/72, P 105 R 20, PATIENT STATES SHE FEELS DIZZY.  PATIENT SEEN BY DR. AT 1300 VITALS T 97.5, P 82 BP 114/80 R 20 MOTHER STATES PATIENT IS FEELING BETTER.  NO OTHER COMPLAINTS VOICED.
Age: 1.0
Sex: M
Vaccine: HEPA, MMR, PNC, FLU3, HEPA, MMR, PNC
Symptoms: Injection site swelling
Clinical narrative: on 12/06/08 Mom called provider office an spoke with nurse complaining of left leg swelling. 4/6/09-records received for DOS 12/18-12/21/08-DC DX: Right thigh abscess. Incision and drainage of right thigh abscess with penrose drain placement. Presented to ED with 2 weeks of swelling to right anterior thigh, febrile up to 102, completed 10 day course of amoxicillin. PE: large asymmetric  mass tender to palpation and fluctuant. Copious pus within abscess. Drain removed 12/29/08.
Age: 1.0
Sex: M
Vaccine: HEPA, MMR, PNC, FLU3, HEPA, MMR, PNC
Symptoms: Injection site abscess, Injection site nodule, Sinusitis, Surgery
Clinical narrative: on 12/06/08 Mom called provider office an spoke with nurse complaining of left leg swelling. 4/6/09-records received for DOS 12/18-12/21/08-DC DX: Right thigh abscess. Incision and drainage of right thigh abscess with penrose drain placement. Presented to ED with 2 weeks of swelling to right anterior thigh, febrile up to 102, completed 10 day course of amoxicillin. PE: large asymmetric  mass tender to palpation and fluctuant. Copious pus within abscess. Drain removed 12/29/08.
Age: 0.92
Sex: F
Vaccine: FLU3
Symptoms: Pyrexia
Clinical narrative: Baby got vaccine, developed fever in night, by next day fever raised to 106 - went to emergency room for tests, antibiotics in case it was an infection and a steroid in case it was croup.
Age: 30.0
Sex: F
Vaccine: DTAP, TDAP
Symptoms: Dizziness, Fatigue, Injected limb mobility decreased, Injection site pain, Injection site reaction
Clinical narrative: After the shot was given I had mild tenderness in the shot area for a few days. It seemed to be getting better but then on the sixth day it began to get worse. My left upper arm muscle near the shot site became very swollen and sore. The muscle feels very hot and tight, like it is contracting. Deep discomfort when I have to use or move my left arm. Overall tiredness, dizzness and slight nausea. I went to see the Doctor again on 2/18/09 but she was not concerned about any of these symptoms. She gave me Lorazapan (I have had panic attacks in the past) and told me to take Motrin and rest.
Age: 30.0
Sex: F
Vaccine: DTAP, TDAP
Symptoms: Injection site swelling, Injection site warmth, Muscle tightness, Nausea
Clinical narrative: After the shot was given I had mild tenderness in the shot area for a few days. It seemed to be getting better but then on the sixth day it began to get worse. My left upper arm muscle near the shot site became very swollen and sore. The muscle feels very hot and tight, like it is contracting. Deep discomfort when I have to use or move my left arm. Overall tiredness, dizzness and slight nausea. I went to see the Doctor again on 2/18/09 but she was not concerned about any of these symptoms. She gave me Lorazapan (I have had panic attacks in the past) and told me to take Motrin and rest.
Age: 1.83
Sex: M
Vaccine: DTAP, HIBV
Symptoms: Abscess, Mass, Swelling
Clinical narrative: Dtap given right thigh, Hib given left thigh 8 days ago.  Swelling and lump on right thigh about 3 cm   with less swelling and lump on left thigh (1.5 cm) with bruising on both thighs  No fever, sterile abscess,  no treatment needed.
Age: 62.0
Sex: F
Vaccine: VARZOS
Symptoms: Skin warm, Tenderness
Clinical narrative: noticed spot about the size of a quarter that was tender and warm on friday 2/13/09
Age: 19.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Abdominal pain, Blood test, Choking, Dehydration, Dyskinesia
Clinical narrative: 3rd in the series of Guardasil on 7/24/2008.  On 9/10/2008, patient went to emergency room in ambulance due to rash and difficulty breathing, assumed allergic reaction to something.  On 9/20/2008, patient had 2nd reaction with severe hives, shaking, jerking spasms and dehydration, assumed allergic reaction.  Both times treatment was IV benedryl and prednazone pack.  Allergist consultation visit the following day resulting in his prescribing use of over the counter allergy meds; Claritin in the AM, Pepsid mid day, Zyrtec at bedtime, benedryl as needed.  9/25/2008 patient was asleep and woke up choking with extreme breathing difficulties, resulting in another ambulance ride and a 3rd emergency room visit.  Treatment was IV benedryl and Prednazone pack.  Over the next 5 months several (5-7) cases of mild to moderate hives during which patient took over the counter benedryl and hives went away.  On 2/09/2008, patient had severe abdominal pain, began having difficulty breathing and noted hives.  This resulted in 3rd ambulance ride to emergency room.           For 5 months, patient has taken over the counter allergy meds regularly as described above.  Up to this point in her life she has had no known allergies, no anaphylaxis and has been in very good health, active in sports.   During this 5 months, she has been to the emergency room 4 times, 3 of those with severe breathing difficulties.              Symptoms include hives, abdominal pain, swelling of hands and fingers, difficulty breathing all occurring rapidly.  This is considered to be a life threatening situation.  It appears that this response could have been caused by Guardasil injection from 7/24/2008. 3/17/09-received office records for date of vaccine. Well visit. krk 4/6/09-records received-ED visit 9/O itching and diffuse swelling, facel feels swollen. PE:eyelids slightly swollen. DX:acute allergic reacion. acute allergic rash. ED visit 9/20/08-C/O allergic reaction, ithcy urticarial rash suddenly with some shortness of breath. Previous episodes of urticaria a week ago. DX:allergic reaction. allergic dermatitis. ED visit 2/9/09-C/O allergic reaction. Onset acute. Pain pruritus. DX:allergic reaction,  anxiety and urticaria.  4/13/09-records received for DOS 10/2/08-C/O hives. History of chronic hives began on 9/10/08 after lying on a rug, pruritic welts with some throat tightness. Repeat reaction week later.Assessment:idiopathic urticaria probable viral in nature. Allergic versus non-allergic rhinitis. Chronic nasal congestion. Mild angioedema.
Age: 19.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Dyspnoea, Hypersensitivity, Oedema peripheral, Rash, Tremor
Clinical narrative: 3rd in the series of Guardasil on 7/24/2008.  On 9/10/2008, patient went to emergency room in ambulance due to rash and difficulty breathing, assumed allergic reaction to something.  On 9/20/2008, patient had 2nd reaction with severe hives, shaking, jerking spasms and dehydration, assumed allergic reaction.  Both times treatment was IV benedryl and prednazone pack.  Allergist consultation visit the following day resulting in his prescribing use of over the counter allergy meds; Claritin in the AM, Pepsid mid day, Zyrtec at bedtime, benedryl as needed.  9/25/2008 patient was asleep and woke up choking with extreme breathing difficulties, resulting in another ambulance ride and a 3rd emergency room visit.  Treatment was IV benedryl and Prednazone pack.  Over the next 5 months several (5-7) cases of mild to moderate hives during which patient took over the counter benedryl and hives went away.  On 2/09/2008, patient had severe abdominal pain, began having difficulty breathing and noted hives.  This resulted in 3rd ambulance ride to emergency room.           For 5 months, patient has taken over the counter allergy meds regularly as described above.  Up to this point in her life she has had no known allergies, no anaphylaxis and has been in very good health, active in sports.   During this 5 months, she has been to the emergency room 4 times, 3 of those with severe breathing difficulties.              Symptoms include hives, abdominal pain, swelling of hands and fingers, difficulty breathing all occurring rapidly.  This is considered to be a life threatening situation.  It appears that this response could have been caused by Guardasil injection from 7/24/2008. 3/17/09-received office records for date of vaccine. Well visit. krk 4/6/09-records received-ED visit 9/O itching and diffuse swelling, facel feels swollen. PE:eyelids slightly swollen. DX:acute allergic reacion. acute allergic rash. ED visit 9/20/08-C/O allergic reaction, ithcy urticarial rash suddenly with some shortness of breath. Previous episodes of urticaria a week ago. DX:allergic reaction. allergic dermatitis. ED visit 2/9/09-C/O allergic reaction. Onset acute. Pain pruritus. DX:allergic reaction,  anxiety and urticaria.  4/13/09-records received for DOS 10/2/08-C/O hives. History of chronic hives began on 9/10/08 after lying on a rug, pruritic welts with some throat tightness. Repeat reaction week later.Assessment:idiopathic urticaria probable viral in nature. Allergic versus non-allergic rhinitis. Chronic nasal congestion. Mild angioedema.
Age: 19.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Urticaria
Clinical narrative: 3rd in the series of Guardasil on 7/24/2008.  On 9/10/2008, patient went to emergency room in ambulance due to rash and difficulty breathing, assumed allergic reaction to something.  On 9/20/2008, patient had 2nd reaction with severe hives, shaking, jerking spasms and dehydration, assumed allergic reaction.  Both times treatment was IV benedryl and prednazone pack.  Allergist consultation visit the following day resulting in his prescribing use of over the counter allergy meds; Claritin in the AM, Pepsid mid day, Zyrtec at bedtime, benedryl as needed.  9/25/2008 patient was asleep and woke up choking with extreme breathing difficulties, resulting in another ambulance ride and a 3rd emergency room visit.  Treatment was IV benedryl and Prednazone pack.  Over the next 5 months several (5-7) cases of mild to moderate hives during which patient took over the counter benedryl and hives went away.  On 2/09/2008, patient had severe abdominal pain, began having difficulty breathing and noted hives.  This resulted in 3rd ambulance ride to emergency room.           For 5 months, patient has taken over the counter allergy meds regularly as described above.  Up to this point in her life she has had no known allergies, no anaphylaxis and has been in very good health, active in sports.   During this 5 months, she has been to the emergency room 4 times, 3 of those with severe breathing difficulties.              Symptoms include hives, abdominal pain, swelling of hands and fingers, difficulty breathing all occurring rapidly.  This is considered to be a life threatening situation.  It appears that this response could have been caused by Guardasil injection from 7/24/2008. 3/17/09-received office records for date of vaccine. Well visit. krk 4/6/09-records received-ED visit 9/O itching and diffuse swelling, facel feels swollen. PE:eyelids slightly swollen. DX:acute allergic reacion. acute allergic rash. ED visit 9/20/08-C/O allergic reaction, ithcy urticarial rash suddenly with some shortness of breath. Previous episodes of urticaria a week ago. DX:allergic reaction. allergic dermatitis. ED visit 2/9/09-C/O allergic reaction. Onset acute. Pain pruritus. DX:allergic reaction,  anxiety and urticaria.  4/13/09-records received for DOS 10/2/08-C/O hives. History of chronic hives began on 9/10/08 after lying on a rug, pruritic welts with some throat tightness. Repeat reaction week later.Assessment:idiopathic urticaria probable viral in nature. Allergic versus non-allergic rhinitis. Chronic nasal congestion. Mild angioedema.