chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 36.0
Sex: M
Vaccine: FLUN3, FLUN3
Symptoms: Increased upper airway secretion, Influenza like illness, Lip haemorrhage, Liver function test normal, Lymphocyte percentage decreased
Clinical narrative: SM reports that he received the live, intranasal flumist on 5 NOV 07 at camp in foreign country. Approximately 1 week later, developed arthralgias (shoulders, hips and knees), myalgias and fatigue. He self medicated MOTRIN 800 mg and felt better in 2-3 days. On 15-Nov (10 days post-vaccine) he C/O headache (dull, frontal without sinus pain), fevers, chills and night sweats. He sought medical care in the clinic & was told to discontinue MOTRIN, start TYLENOL PRN and to increase his fluid intake. Two weeks post vaccine he developed nasal congestion, post nasal drip, "tickling" in his throat, and a cough described as "hacking all night long and during the day". The cough was associated with some SOB which prevented him from exercising. He took NYQUIL and ROBITUSSIN without improvement. On 4 Dec 2007 (1 month post vaccine) he noticed "some dark spots" on his lower lips & legs. This following day he had a nose bleed, bleeding from the lesion on lip and blood in the mucous from his nose and phlegm from coughing. He was seen in the clinic on 05 DEC 07 and diagnosed with pneumonia. A CBC showed thrombocytopenia with a platelet count of 0. He was transferred to medical center were he received a 6 pack platelet infusion and IVIG 110 grams x 1 dose. His platelets gradually increased. On 17 Dec 07 he was transferred to medical center on PREDNISONE 60 mg daily. He is currently on PREDNISONE 60 mg daily with a platelet count in the 260 range. His platelets are checked every 2 weeks and he is seen by Oncology once a month. Symptoms: Joint Pain, multiple joints, Muscle Pain, Fatigue, Malaise <60 Days, Flu-like symptoms < 96 hours.
Age: 36.0
Sex: M
Vaccine: FLUN3, FLUN3
Symptoms: Malaise, Monocyte count increased, Myalgia, Nasal congestion, Neutrophil count increased
Clinical narrative: SM reports that he received the live, intranasal flumist on 5 NOV 07 at camp in foreign country. Approximately 1 week later, developed arthralgias (shoulders, hips and knees), myalgias and fatigue. He self medicated MOTRIN 800 mg and felt better in 2-3 days. On 15-Nov (10 days post-vaccine) he C/O headache (dull, frontal without sinus pain), fevers, chills and night sweats. He sought medical care in the clinic & was told to discontinue MOTRIN, start TYLENOL PRN and to increase his fluid intake. Two weeks post vaccine he developed nasal congestion, post nasal drip, "tickling" in his throat, and a cough described as "hacking all night long and during the day". The cough was associated with some SOB which prevented him from exercising. He took NYQUIL and ROBITUSSIN without improvement. On 4 Dec 2007 (1 month post vaccine) he noticed "some dark spots" on his lower lips & legs. This following day he had a nose bleed, bleeding from the lesion on lip and blood in the mucous from his nose and phlegm from coughing. He was seen in the clinic on 05 DEC 07 and diagnosed with pneumonia. A CBC showed thrombocytopenia with a platelet count of 0. He was transferred to medical center were he received a 6 pack platelet infusion and IVIG 110 grams x 1 dose. His platelets gradually increased. On 17 Dec 07 he was transferred to medical center on PREDNISONE 60 mg daily. He is currently on PREDNISONE 60 mg daily with a platelet count in the 260 range. His platelets are checked every 2 weeks and he is seen by Oncology once a month. Symptoms: Joint Pain, multiple joints, Muscle Pain, Fatigue, Malaise <60 Days, Flu-like symptoms < 96 hours.
Age: 36.0
Sex: M
Vaccine: FLUN3, FLUN3
Symptoms: Neutrophil percentage increased, Night sweats, Platelet count decreased, Platelet transfusion, Pneumonia
Clinical narrative: SM reports that he received the live, intranasal flumist on 5 NOV 07 at camp in foreign country. Approximately 1 week later, developed arthralgias (shoulders, hips and knees), myalgias and fatigue. He self medicated MOTRIN 800 mg and felt better in 2-3 days. On 15-Nov (10 days post-vaccine) he C/O headache (dull, frontal without sinus pain), fevers, chills and night sweats. He sought medical care in the clinic & was told to discontinue MOTRIN, start TYLENOL PRN and to increase his fluid intake. Two weeks post vaccine he developed nasal congestion, post nasal drip, "tickling" in his throat, and a cough described as "hacking all night long and during the day". The cough was associated with some SOB which prevented him from exercising. He took NYQUIL and ROBITUSSIN without improvement. On 4 Dec 2007 (1 month post vaccine) he noticed "some dark spots" on his lower lips & legs. This following day he had a nose bleed, bleeding from the lesion on lip and blood in the mucous from his nose and phlegm from coughing. He was seen in the clinic on 05 DEC 07 and diagnosed with pneumonia. A CBC showed thrombocytopenia with a platelet count of 0. He was transferred to medical center were he received a 6 pack platelet infusion and IVIG 110 grams x 1 dose. His platelets gradually increased. On 17 Dec 07 he was transferred to medical center on PREDNISONE 60 mg daily. He is currently on PREDNISONE 60 mg daily with a platelet count in the 260 range. His platelets are checked every 2 weeks and he is seen by Oncology once a month. Symptoms: Joint Pain, multiple joints, Muscle Pain, Fatigue, Malaise <60 Days, Flu-like symptoms < 96 hours.
Age: 36.0
Sex: M
Vaccine: FLUN3, FLUN3
Symptoms: Pyrexia, Rhinorrhoea, Skin discolouration, Throat irritation, Thrombocytopenia
Clinical narrative: SM reports that he received the live, intranasal flumist on 5 NOV 07 at camp in foreign country. Approximately 1 week later, developed arthralgias (shoulders, hips and knees), myalgias and fatigue. He self medicated MOTRIN 800 mg and felt better in 2-3 days. On 15-Nov (10 days post-vaccine) he C/O headache (dull, frontal without sinus pain), fevers, chills and night sweats. He sought medical care in the clinic & was told to discontinue MOTRIN, start TYLENOL PRN and to increase his fluid intake. Two weeks post vaccine he developed nasal congestion, post nasal drip, "tickling" in his throat, and a cough described as "hacking all night long and during the day". The cough was associated with some SOB which prevented him from exercising. He took NYQUIL and ROBITUSSIN without improvement. On 4 Dec 2007 (1 month post vaccine) he noticed "some dark spots" on his lower lips & legs. This following day he had a nose bleed, bleeding from the lesion on lip and blood in the mucous from his nose and phlegm from coughing. He was seen in the clinic on 05 DEC 07 and diagnosed with pneumonia. A CBC showed thrombocytopenia with a platelet count of 0. He was transferred to medical center were he received a 6 pack platelet infusion and IVIG 110 grams x 1 dose. His platelets gradually increased. On 17 Dec 07 he was transferred to medical center on PREDNISONE 60 mg daily. He is currently on PREDNISONE 60 mg daily with a platelet count in the 260 range. His platelets are checked every 2 weeks and he is seen by Oncology once a month. Symptoms: Joint Pain, multiple joints, Muscle Pain, Fatigue, Malaise <60 Days, Flu-like symptoms < 96 hours.
Age: 36.0
Sex: M
Vaccine: FLUN3, FLUN3
Symptoms: White blood cell count increased
Clinical narrative: SM reports that he received the live, intranasal flumist on 5 NOV 07 at camp in foreign country. Approximately 1 week later, developed arthralgias (shoulders, hips and knees), myalgias and fatigue. He self medicated MOTRIN 800 mg and felt better in 2-3 days. On 15-Nov (10 days post-vaccine) he C/O headache (dull, frontal without sinus pain), fevers, chills and night sweats. He sought medical care in the clinic & was told to discontinue MOTRIN, start TYLENOL PRN and to increase his fluid intake. Two weeks post vaccine he developed nasal congestion, post nasal drip, "tickling" in his throat, and a cough described as "hacking all night long and during the day". The cough was associated with some SOB which prevented him from exercising. He took NYQUIL and ROBITUSSIN without improvement. On 4 Dec 2007 (1 month post vaccine) he noticed "some dark spots" on his lower lips & legs. This following day he had a nose bleed, bleeding from the lesion on lip and blood in the mucous from his nose and phlegm from coughing. He was seen in the clinic on 05 DEC 07 and diagnosed with pneumonia. A CBC showed thrombocytopenia with a platelet count of 0. He was transferred to medical center were he received a 6 pack platelet infusion and IVIG 110 grams x 1 dose. His platelets gradually increased. On 17 Dec 07 he was transferred to medical center on PREDNISONE 60 mg daily. He is currently on PREDNISONE 60 mg daily with a platelet count in the 260 range. His platelets are checked every 2 weeks and he is seen by Oncology once a month. Symptoms: Joint Pain, multiple joints, Muscle Pain, Fatigue, Malaise <60 Days, Flu-like symptoms < 96 hours.
Age: 34.0
Sex: F
Vaccine: TDAP
Symptoms: Axillary pain, Breast pain, Chest pain, Chills, Injection site mass
Clinical narrative: Received Tdap vaccine on 6/27/08.  Severe swelling in left arm, especially at injection site where large mass increased in size over last 72hrs.  Severe pain in lymph nodes under arms, first occurring under left arm where injected with vaccine, then spreading to severe pain in left breast.  Just over 24 hours later, pain spread across chest and extreme lethargy set in along with muscle weakness and body aches.  A little over 24hrs hours, chills set in and I was falling in and out of restless sleep with the left arm pain being so severe that unable to rest.  Called health care center and they reported that half the symptoms were normal, half questionable.  Most severe reaction was just a little over 24hrs after being vaccinated on 6/28/08 and also not only left me in sever pain, but also in state of confusion since unable to obtain medical treatment.  I had no issues prior to vaccine.  These symptoms have only slightly lessened just a little more than 72hrs later.  I still have much concern and may need to make a trip for urgent care.
Age: 34.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site swelling, Lethargy, Lymph node pain, Muscular weakness, Pain
Clinical narrative: Received Tdap vaccine on 6/27/08.  Severe swelling in left arm, especially at injection site where large mass increased in size over last 72hrs.  Severe pain in lymph nodes under arms, first occurring under left arm where injected with vaccine, then spreading to severe pain in left breast.  Just over 24 hours later, pain spread across chest and extreme lethargy set in along with muscle weakness and body aches.  A little over 24hrs hours, chills set in and I was falling in and out of restless sleep with the left arm pain being so severe that unable to rest.  Called health care center and they reported that half the symptoms were normal, half questionable.  Most severe reaction was just a little over 24hrs after being vaccinated on 6/28/08 and also not only left me in sever pain, but also in state of confusion since unable to obtain medical treatment.  I had no issues prior to vaccine.  These symptoms have only slightly lessened just a little more than 72hrs later.  I still have much concern and may need to make a trip for urgent care.
Age: 34.0
Sex: F
Vaccine: TDAP
Symptoms: Pain in extremity, Poor quality sleep, Sleep disorder
Clinical narrative: Received Tdap vaccine on 6/27/08.  Severe swelling in left arm, especially at injection site where large mass increased in size over last 72hrs.  Severe pain in lymph nodes under arms, first occurring under left arm where injected with vaccine, then spreading to severe pain in left breast.  Just over 24 hours later, pain spread across chest and extreme lethargy set in along with muscle weakness and body aches.  A little over 24hrs hours, chills set in and I was falling in and out of restless sleep with the left arm pain being so severe that unable to rest.  Called health care center and they reported that half the symptoms were normal, half questionable.  Most severe reaction was just a little over 24hrs after being vaccinated on 6/28/08 and also not only left me in sever pain, but also in state of confusion since unable to obtain medical treatment.  I had no issues prior to vaccine.  These symptoms have only slightly lessened just a little more than 72hrs later.  I still have much concern and may need to make a trip for urgent care.
Age: 15.0
Sex: F
Vaccine: TYP, YF
Symptoms: Pain, Pyrexia
Clinical narrative: Recieved yellow fever vaccine and oral typhoid vaccine on 6/20/08.  Mother called on 6/27/08 and left message with RN, stating that patient was running fever of 101F and was complaining of achiness and headache when she took the oral typhoid and had just finished the last of the doses that morning.  Mother stated that this happened with each typhoid dose.  RN then came to me with the information and we looked at the side effects for each vaccine on the VIS's and returned mother's called telling her that the symptoms patient was having were within the possible side effects for the vaccines according the VIS but as we were not able to see her daughter if she felt that she needed medical attention to call her daughter's Dr or take her to the ER.  I spoke with the mother 7/1/08 and she stated that she spoke with a friend who is Dr of infectious diease and he told her to bring patient to ER where she was admitted and given IV antibiotics, mother was not sure which antibiotic she was given but patient was discharged 6/30/08 to home and was apparently doing well.  Mother was at the gym and she was unable to talk long. 7/21/08-records received for DOS 6/27/08 presented to ED with E/O fever and not beeling well. Symptoms began today, loss of appetite, muscle aches, fatigue, skin rash. Throbbing global headache associated with nausea. Clinical impression:fever possible typhoid.
Age: 16.0
Sex: F
Vaccine: HPV4
Symptoms: Caesarean section, Drug exposure during pregnancy
Clinical narrative: Information has been received from a through Merck pregnancy registry and a Certified Medical Assistant (C.M.A.) concerning a 16 year old female patient with a history of bacterial vaginosis who on 15-MAY-2007 was vaccinated with a dose of GARDASIL.  On 16-MAY-2007 the patient discovered that she was pregnant.  The outcome was not recovered.  On 11-JUN-2008, a follow up telephone call was made to get the pregnancy outcome for the patient and a message was left at the patient's doctor's office.  On 20-JUN-2008 the health care provider returned the call and reported that the patient was delivered by primary cesarean section at term, and had a normal and healthy female baby.  The baby weighed 7 lbs 10 oz, after spontaneous onset of labor.  No further information was available.  Upon internal review patient having "spontaneous onset of labor" which required cesarean section considered to be an other medical event.  Additional information is not available.
Age: 17.0
Sex: F
Vaccine: HPV4
Symptoms: Abortion spontaneous, Drug exposure during pregnancy, Inappropriate schedule of drug administration
Clinical narrative: Information has been received from a physician concerning a 17 year old female with penicillin allergy who on 16-JAN-2008 was vaccinated with the first dose of GARDASIL.  The physician reported that the patient's last menstrual period was on 02-MAR-2008.  On 28-MAY-2008, the patient experienced a miscarriage.  On 23-Jun-2008 she would receive the second dose of GARDASIL.  At the time of the report, the patient had recovered.  The patient sought medical attention at the physician's office.  Upon internal review, miscarriage was considered to be an other important medical event.  Additional information has been requested.
Age: 14.0
Sex: F
Vaccine: HPV4
Symptoms: Loss of consciousness, Petit mal epilepsy, Somnolence, Syncope, Syncope vasovagal
Clinical narrative: Information has been received from a nurse practitioner concerning a 14 year old female who on 23-JUN-2008 was vaccinated with the first dose of GARDASIL (LOT# 660553/0070X). The nurse reported that the patient began to collapse off the table after receiving her first dose of GARDASIL. The nurse reported that she managed to catch the patient and move her from the table down to a chair in the room where the patient then experienced a petite mal seizure that lasted for about 5 minutes. The nurse also reported that within 3 to 5 seconds after the patient received the vaccination she passed out. The patient "came to" and was helped to a chair. The patient then had a petit mal seizure that lasted from 3 to 5 seconds. The nurse stated that the patient had a vasovagal reaction with a petit mal seizure. When the patient "woke up", it was reported that she was groggy. The nurse stated that the patient remained in the office for a while until she was stable enough to go home. The nurse spoke to the patient's mother via telephone conversation later that day, and the patient's mother reported that the patient was resting and was eating. The patient was reported to be "ok" with no long-term effects from the petit mal seizure. The nurse did not know if the patient was scheduled to receive the second dose of GARDASIL. Upon internal review, petite mal seizure was considered to be an other important medical event. Additional information has been requested.
Age: 25.0
Sex: F
Vaccine: HPV4
Symptoms: Breast cancer
Clinical narrative: Information has been received from a register nurse (R.N.) concerning a 25 year old female who on 08-APR-2008 was vaccinated intramuscularly with the first 0.5 ml dose of GARDASIL (lot # 659182/1757U).  The patient was diagnosed with breast cancer after receiving GARDASIL.  At the time of this report, the outcome was unknown.  No other information is available at this time.  No product quality complaint was involved.  Upon internal review, breast cancer was determined to be an other important medical event.  Additional information has been requested.
Age: 1.4
Sex: F
Vaccine: MMR
Symptoms: Body temperature increased, Chest X-ray normal, Computerised tomogram normal, Cyanosis, Diarrhoea
Clinical narrative: Information has been received from a pharmacist concerning a 17 month old female patient who on 12-JUN-2008 was vaccinated IM with a first dose of MMR II. The pharmacist reported that the patient experienced an absence seizure, followed by a tonic-clonic seizure, 11 days after administration of her first dose of MMR II. The date of administration of MMR II was not available. The patient was found to have a 109 degree F temperature (confirmed temperature was 109 degree F). The patient was admitted to the pediatric intensive care unit on 23-JUN-2008. The patient received ATIVAN. Testing included a chest x-ray and computerized tomography of the head, which were both normal, and an electroencephalogram, results pending. The patient is scheduled to be discharged from the hospital on 24-JUN-2008. No further information was available.  Follow-up information was received the pharmacist. The pharmacist reported that the patient was vaccinated IM with a dose of MMR II (Lot# 0357X) on 12-JUN-2008. The patient had a medical history of milk, strawberry, and cinnamon allergies; croup; and birth by c-section. Concomitant medications included MIRALAX, TYLENOL, and ibuprofen. After receiving a dose of MMR II the patient experienced a low grade fever. Forty-eight hours prior to the hospital admission, the patient had 102degree F fever. Twenty-four hours prior to the admission, the patient started vomiting. On 23-JUN-2008, the day of the admission, the patient had diarrhea. The first "tonic" seizure occurred at 7:30 PM and the patient's lips turned blue and lasted 3 minutes. The patient had the second seizure, which consisted of "tonic clonic and lip smacking", around 9:00 PM and it lasted about 1.5 minutes. The patient did not receive any medications because the seizures were self resolved. The patient was considered recovered on 24-JUN-2008. No product quality complaint was involved. Additional information has been requested. A lot check has been initiated. The patient's experience was considered to be life threatening by the pharmacist. Follow up information was received from a nurse in the physician's office who confirmed that the 17 month old female was a patient in the pediatric intensive care unit. No further information was available.
Age: 1.4
Sex: F
Vaccine: MMR
Symptoms: Electroencephalogram, Grand mal convulsion, Petit mal epilepsy, Pyrexia, Tardive dyskinesia
Clinical narrative: Information has been received from a pharmacist concerning a 17 month old female patient who on 12-JUN-2008 was vaccinated IM with a first dose of MMR II. The pharmacist reported that the patient experienced an absence seizure, followed by a tonic-clonic seizure, 11 days after administration of her first dose of MMR II. The date of administration of MMR II was not available. The patient was found to have a 109 degree F temperature (confirmed temperature was 109 degree F). The patient was admitted to the pediatric intensive care unit on 23-JUN-2008. The patient received ATIVAN. Testing included a chest x-ray and computerized tomography of the head, which were both normal, and an electroencephalogram, results pending. The patient is scheduled to be discharged from the hospital on 24-JUN-2008. No further information was available.  Follow-up information was received the pharmacist. The pharmacist reported that the patient was vaccinated IM with a dose of MMR II (Lot# 0357X) on 12-JUN-2008. The patient had a medical history of milk, strawberry, and cinnamon allergies; croup; and birth by c-section. Concomitant medications included MIRALAX, TYLENOL, and ibuprofen. After receiving a dose of MMR II the patient experienced a low grade fever. Forty-eight hours prior to the hospital admission, the patient had 102degree F fever. Twenty-four hours prior to the admission, the patient started vomiting. On 23-JUN-2008, the day of the admission, the patient had diarrhea. The first "tonic" seizure occurred at 7:30 PM and the patient's lips turned blue and lasted 3 minutes. The patient had the second seizure, which consisted of "tonic clonic and lip smacking", around 9:00 PM and it lasted about 1.5 minutes. The patient did not receive any medications because the seizures were self resolved. The patient was considered recovered on 24-JUN-2008. No product quality complaint was involved. Additional information has been requested. A lot check has been initiated. The patient's experience was considered to be life threatening by the pharmacist. Follow up information was received from a nurse in the physician's office who confirmed that the 17 month old female was a patient in the pediatric intensive care unit. No further information was available.
Age: 1.4
Sex: F
Vaccine: MMR
Symptoms: Tonic convulsion, Vomiting
Clinical narrative: Information has been received from a pharmacist concerning a 17 month old female patient who on 12-JUN-2008 was vaccinated IM with a first dose of MMR II. The pharmacist reported that the patient experienced an absence seizure, followed by a tonic-clonic seizure, 11 days after administration of her first dose of MMR II. The date of administration of MMR II was not available. The patient was found to have a 109 degree F temperature (confirmed temperature was 109 degree F). The patient was admitted to the pediatric intensive care unit on 23-JUN-2008. The patient received ATIVAN. Testing included a chest x-ray and computerized tomography of the head, which were both normal, and an electroencephalogram, results pending. The patient is scheduled to be discharged from the hospital on 24-JUN-2008. No further information was available.  Follow-up information was received the pharmacist. The pharmacist reported that the patient was vaccinated IM with a dose of MMR II (Lot# 0357X) on 12-JUN-2008. The patient had a medical history of milk, strawberry, and cinnamon allergies; croup; and birth by c-section. Concomitant medications included MIRALAX, TYLENOL, and ibuprofen. After receiving a dose of MMR II the patient experienced a low grade fever. Forty-eight hours prior to the hospital admission, the patient had 102degree F fever. Twenty-four hours prior to the admission, the patient started vomiting. On 23-JUN-2008, the day of the admission, the patient had diarrhea. The first "tonic" seizure occurred at 7:30 PM and the patient's lips turned blue and lasted 3 minutes. The patient had the second seizure, which consisted of "tonic clonic and lip smacking", around 9:00 PM and it lasted about 1.5 minutes. The patient did not receive any medications because the seizures were self resolved. The patient was considered recovered on 24-JUN-2008. No product quality complaint was involved. Additional information has been requested. A lot check has been initiated. The patient's experience was considered to be life threatening by the pharmacist. Follow up information was received from a nurse in the physician's office who confirmed that the 17 month old female was a patient in the pediatric intensive care unit. No further information was available.
Age: 0.2
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Barium double contrast, Intussusception
Clinical narrative: Intussusception 5-8-08 reduced by air enema on second attempt. 9/8/08-records received for DOS 05/05/08-DC DX: Intussusception. Presented to ED with C/O drowsiness starting morning of ED visit. Poor oral intake and decreased urinary output and no BM today. Observed grabbing at left ear. In ED passed currant jelly stool followed by bloody stool. Observed for 23 hours and discharged.
Age: 16.0
Sex: F
Vaccine: HPV4
Symptoms: Dyspnoea, Nausea, Pain, Pyrexia
Clinical narrative: 3rd dose of GARDASIL administered on 6/30/08. Patient's mother called (4/1/08) states patient experienced 100 temperature body aches, shortness of breath and nausea after they arrived home.
Age: 0.2
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Diarrhoea, Vomiting
Clinical narrative: Infant vomiting and diarrhea several days after receiving ROTATEQ.
Age: 15.0
Sex: F
Vaccine: HPV4
Symptoms: Blood pressure, Cold sweat, Dyskinesia, Heart rate normal, Respiratory rate increased
Clinical narrative: Pt given vaccine & spoke a few words & 1-2 min later closed eyes & mildly jerked a couple of times & unresponsive.  Pt breathing without difficulty.  Skin cool & clammy.  After 10 seconds became responsive & answered nurse.  Once awakened child was oriented to person & place.  VS BP 92/52 HR 72 R 28.  Pt rested laying down.  Dr. examined child.  After 30 min child alert/smiling.  Skin warm & dry.  No complaints BP 90/52 P 76 R 24.  Oriented to person/place/time.
Age: 15.0
Sex: F
Vaccine: HPV4
Symptoms: Unresponsive to stimuli
Clinical narrative: Pt given vaccine & spoke a few words & 1-2 min later closed eyes & mildly jerked a couple of times & unresponsive.  Pt breathing without difficulty.  Skin cool & clammy.  After 10 seconds became responsive & answered nurse.  Once awakened child was oriented to person & place.  VS BP 92/52 HR 72 R 28.  Pt rested laying down.  Dr. examined child.  After 30 min child alert/smiling.  Skin warm & dry.  No complaints BP 90/52 P 76 R 24.  Oriented to person/place/time.
Age: 60.0
Sex: F
Vaccine: VARZOS
Symptoms: Varicella
Clinical narrative: 6 days after shot. Developed a case of chicken pox.
Age: 18.0
Sex: F
Vaccine: HPV4
Symptoms: Dizziness, Hyperhidrosis, Pallor
Clinical narrative: Patient became dizzy, diaphoretic, and pale, she was advised to lay on the table and was given a cold juice box to drink.
Age: 11.0
Sex: M
Vaccine: HEPA, MNQ, TDAP, VARCEL
Symptoms: Erythema, Injection site swelling, Pruritus
Clinical narrative: Patient developed erythema, swelling in the site of injection approximately 10 cm (RA) in diameter, itching, no fever, no other symptoms.  Symptoms developed within 24 hours of receiving administration.
Age: 11.0
Sex: M
Vaccine: HEPA, MNQ, TDAP, VARCEL
Symptoms: Injection site erythema, Injection site swelling, Injection site vesicles, Pruritus
Clinical narrative: Patient developed erythema, swelling, vesicular erythema in left arm at the site of injection; with itching, no other symptom.  Erythema started within 24 hours of vaccination.
Age: 40.0
Sex: M
Vaccine: TDAP
Symptoms: Anorexia, Erythema, Pain, Pyrexia, Skin warm
Clinical narrative: Red spot around shot size of softball, warm to touch. All over body aches, fever up to 102.5, loss of Appetite it lasted for 3 days.
Age: 0.18
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Urticaria
Clinical narrative: Hives on arms and legs within 12 hours of immunization. Needed steroids from ER.
Age: 0.5
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Urticaria
Clinical narrative: Hives.
Age: 34.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site cellulitis
Clinical narrative: Cellulitis at injection site.
Age: 8.0
Sex: F
Vaccine: HPV4, MNQ
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: GARDASIL #1 administered age 8
Age: 17.0
Sex: F
Vaccine: HEPA, HPV4
Symptoms: Inappropriate schedule of drug administration, Wrong drug administered
Clinical narrative: Adult dose Hep A administered.
Age: 15.0
Sex: F
Vaccine: HEPA, MNQ
Symptoms: Injection site pain, Injection site papule, Injection site pruritus, Injection site rash, Injection site swelling
Clinical narrative: Pain & swelling R deltoid.  Papular rash at R & L deltoid & upper back with itching.  Pt began having symptoms 06/21/08.
Age: 15.0
Sex: F
Vaccine: HEPA, MNQ
Symptoms: Pruritus, Rash papular
Clinical narrative: Pain & swelling R deltoid.  Papular rash at R & L deltoid & upper back with itching.  Pt began having symptoms 06/21/08.
Age: 15.0
Sex: F
Vaccine: HEPA, HPV4, TDAP, HEPA, HPV4, TDAP
Symptoms: Hypotonia, Pallor
Clinical narrative: After receiving 3rd and last vaccine, turned pale and became limp while sitting on exam table. Had her lay down and was OK with seconds although still pale. BP 118/70. Checked by doctor. Left office after 20 min and appeared fine.
Age: 15.0
Sex: F
Vaccine: HEPA, HPV4, TDAP, HEPA, HPV4, TDAP
Symptoms: Blood pressure, Hypotonia, Pallor
Clinical narrative: After receiving 3rd and last vaccine, turned pale and became limp while sitting on exam table. Had her lay down and was OK with seconds although still pale. BP 118/70. Checked by doctor. Left office after 20 min and appeared fine.
Age: 0.2
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Irritability, Pyrexia
Clinical narrative: Fever 103.5 rectally 5 hours after vaccine. Cranky 102.1 hour after Tylenol. 99.0 8 hours after initial reaction.
Age: 38.0
Sex: F
Vaccine: HIBV, MNQ, PPV
Symptoms: Injection site erythema, Injection site swelling, Pain, Pyrexia, Skin warm
Clinical narrative: Fever of 102.5, redness and swelling at site of injection and full circumference of arm, warm to touch and painful at 9 on scale of 1-10.
Age: 14.0
Sex: F
Vaccine: HPV4
Symptoms: Loss of consciousness
Clinical narrative: Patient received vaccine in exam room and then passed out in waiting room; we stabilized her, took a BP, and let her lie down for 10 minutes.
Age: 75.0
Sex: F
Vaccine: VARZOS
Symptoms: Erythema, Induration, Pain, Swelling
Clinical narrative: Red, hard area size of a quarter noted by client's daughter 6/5/08. 6/7/08 - Client woke up at 7 am with pain on her (L) side from shoulder to waist - she took 2 plain Tylenol with little relief. Pain at (L) side lasted 3 days. When asked client reports she did not repeat taking Tylenol. Today, there is an area of slight redness, slightly raised that measure 25x35 mm.
Age: 16.0
Sex: F
Vaccine: HEPA, MNQ, TYP
Symptoms: Loss of consciousness, Syncope
Clinical narrative: Syncope episode post vaccination; Required two ammonia ampules to arouse; No apparent injury; Did remain unconscious for 45 seconds
Age: 18.0
Sex: F
Vaccine: HEPA, HPV4, TDAP
Symptoms: Erythema, Local reaction
Clinical narrative: Local erythema less than 2 cm in diameter.
Age: 0.2
Sex: F
Vaccine: DTAP, HIBV, PNC
Symptoms: Body temperature increased, Bowel movement irregularity, Crying, Erythema, Staring
Clinical narrative: Mom states cried x5 hours DC immunz, on and off red face - No bowel movement x2 days - Had episodes of "staring"; temp. 100.9deg - congested sleep
Age: 0.2
Sex: F
Vaccine: DTAP, HIBV, PNC
Symptoms: Upper respiratory tract congestion
Clinical narrative: Mom states cried x5 hours DC immunz, on and off red face - No bowel movement x2 days - Had episodes of "staring"; temp. 100.9deg - congested sleep
Age: 28.0
Sex: F
Vaccine: RAB
Symptoms: Computerised tomogram normal, Dyspnoea, Rash
Clinical narrative: 4/18/08 - recent JE, rabies.  On 4/25/08 received rabies #2 (Rabivert, Chiron).  On 4/29/08, received Japanese encephalitis #2.  On 4/30 pm, developed rash on wrists/arm.  Received Benadryl.  Improved.  Due to JE believed 2 hours received Rabies #3 by outside MD 5/16/08.  Developed shortness of breath, took Benadryl but by 5/18/08 went to ED.  Received Prednisone BID QD x 5days.
Age: 1.0
Sex: F
Vaccine: HIBV
Symptoms: Unevaluable event
Clinical narrative: None.
Age: 47.0
Sex: U
Vaccine: ANTH
Symptoms: Unevaluable event
Clinical narrative: None stated.
Age: 5.0
Sex: M
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Erythema, Hyperhidrosis, Injection site urticaria, Pallor, Pruritus
Clinical narrative: After receiving DTaP, IPV, MMR and PPD, child left office with mother and in car became pale, sweaty and vomited. Mom brought him back to the office immediately. Within several minutes child started to turn red and itchy. Large hive where MMR was given.
Age: 5.0
Sex: M
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Vomiting
Clinical narrative: After receiving DTaP, IPV, MMR and PPD, child left office with mother and in car became pale, sweaty and vomited. Mom brought him back to the office immediately. Within several minutes child started to turn red and itchy. Large hive where MMR was given.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site pain, Injection site pruritus
Clinical narrative: mom reports redness, itching and pain approx. the size of a baseball, BENADRYL 25mg given by mouth 6-25-08 - redness decreased
Age: 9.0
Sex: M
Vaccine: HEPA, VARCEL
Symptoms: Injection site erythema, Injection site induration, Injection site swelling, Nausea, Pyrexia
Clinical narrative: Red swelling hard at site of injection (Subq) 10cm x 15cm fever 101.  Nausea.  No vomit.
Age: 16.0
Sex: M
Vaccine: HEPA, VARCEL
Symptoms: Injection site erythema
Clinical narrative: (R) arm red and hot to touch 3 1/2-4" diameter (site of varicella vaccine).
Age: 1.0
Sex: F
Vaccine: HEP, IPV, MMR, PNC
Symptoms: Body temperature increased, Febrile convulsion
Clinical narrative: 24 hours after vaccines - temp 104-105 with seizure to ER; ROCEPHIN - 6-18-08 - in ER.
Age: 19.0
Sex: F
Vaccine: VARCEL
Symptoms: Injection site pain, Injection site swelling, Injection site vesicles, Injection site warmth
Clinical narrative: 24 hours after inj. started with swelling measuring 4x5 " on arm- then yellow blisters, hot to touch. Quite painful. Now resolving- 4 days later
Age: 5.0
Sex: M
Vaccine: DTAP, HEPA, VARCEL
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Arm became red/swollen LUE layer in size shoulder to elbow; seen in ER; no treatment left side
Age: 64.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site discomfort, Injection site dryness, Injection site erythema, Injection site pruritus, Wrong technique in drug usage process
Clinical narrative: In approx 24 hrs, area itched and evident of redness that progressively enlarged in size to max of 3" by 2" and lasted over 2 wks.  Now has sign of dry, flaky skin at inj site.  Discomfort to area last 2-4 day.  I feel administration of inj was the problem.  Not S.Q. felt like rough IM.
Age: 0.1
Sex: M
Vaccine: HIBV
Symptoms: Injection site swelling, Injection site warmth, Pyrexia, Wrong drug administered
Clinical narrative: Doctor ordered Hep B. I thought I gave Hep B when I did my vaccine count I found I gave HIB instead of Hep B because my count was off for the two (L/F). Informed of incident 6-23-08 9:30 AM. Called family, baby had low grade fever 100.5 with mild local swelling, warm to touch injection site 1st 24-48 hrs after the shot. Given TYLENOL infant drops every 4 hours prn. Today doing well, no fever, nor redness, swelling, tenderness. Feeding good ISOMIL.  Recovered.
Age: 2.0
Sex: M
Vaccine: HEPA
Symptoms: Erythema
Clinical narrative: Hep A vaccine administered 6/23/08. On 6/24/08 erythema of bilateral lower extremities, (right worse) developed. Pt's mother advised to give BENADRYL as needed for symptoms.
Age: 4.0
Sex: M
Vaccine: DTAP, HEPA, IPV
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: 24 hour injections - developed red, warm, swollen area to upper L thigh.  DTaP #5 (site)?  BENADRYL prn cool compresses.
Age: 27.0
Sex: M
Vaccine: ANTH
Symptoms: Injection site erythema, Injection site induration, Injection site pruritus, Injection site swelling
Clinical narrative: Large red swollen area around shot site. About 60 mm induration. Very itchy. Tx cold/warm compress, ATARAX and MOTRIN
Age: 1.5
Sex: M
Vaccine: DTAP, VARCEL
Symptoms: Rash, Varicella
Clinical narrative: Varicella rash 15-20 lesions just in time for new sister to be born & he couldn't see mom or baby in hospital.
Age: 23.0
Sex: M
Vaccine: SMALL
Symptoms: Dermatitis acneiform, Rash
Clinical narrative: "Rash", small acne-like lesions on torso, front and back
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Urticaria
Clinical narrative: Hives- onset AM 6/26/08 (spreading from arms to torso and later to legs)
Age: 5.0
Sex: M
Vaccine: DTAP, IPV
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Pyrexia, Weight bearing difficulty
Clinical narrative: Pt's (L) thigh became swollen and painful the night the received the vaccine. he was seen by the doctor 6/14/08 and had difficulty bearing weight on his leg due to pain. He didn't have a fever or redness then but developed both 2 days after injection. Pt treated with Cephalexin.
Age: 1.0
Sex: M
Vaccine: HEPA, PNC, VARCEL
Symptoms: Rash vesicular
Clinical narrative: Pt started developed vesicular rash on the back on 6/22/08. The rash has spread to his scalp and extremities.
Age: 4.0
Sex: F
Vaccine: DTAPHEPBIP, HEPA
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Local redness and swelling at injection site. 6-18-08 - Doctor saw client - recommended TYNLENOL And cool compresses. 6-19-08 Visited health clinic.
Age: 0.7
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Flushing, Injection site erythema, Rash erythematous, Rash macular
Clinical narrative: Within 5 minutes red area around vaccine site, measuring approximately 3" x 2", facial flushing, macular erythemous eruption on the plantar surface of the feet, no wheezing, observed for 30 minutes, released to home.
Age: 0.19
Sex: M
Vaccine: HEP
Symptoms: Unevaluable event
Clinical narrative: "None stated"
Age: 3.0
Sex: F
Vaccine: HEPA
Symptoms: Cold sweat, Hallucination, Pruritus
Clinical narrative: 2 episodes starting around 9:30 pm 6/23/08. Woke up saying bugs were crawling all over her, itching all over, felt clammy. No symptoms today 6/24/08.
Age: 0.2
Sex: F
Vaccine: DTAPHEPBIP, PNC
Symptoms: Crying, Irritability
Clinical narrative: Extreme irritability shrill cry.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Injection site induration, Injection site mass, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Day two after injection, large red bump developed.  Approximate size of a half dollar.  Hot, swollen, hard, and tender to touch.  No fever; vitals good.  Began course of Motrin and ice packs (20 minutes on/20 minutes off).  Ama took 2 weeks to clear up.
Age: 26.0
Sex: F
Vaccine: MMR
Symptoms: Arthralgia, Costovertebral angle tenderness, Myalgia, Neck pain, Pharyngolaryngeal pain
Clinical narrative: Patient has myalgia, arthralgia, sore neck, sore throat and joint PLE +CVA tenderness.  Labs U/A positive WBC.  Pt was treated for UTI -> UPRO 500mg BID #20.
Age: 26.0
Sex: F
Vaccine: MMR
Symptoms: Urinary tract infection, Urine analysis abnormal, White blood cells urine positive
Clinical narrative: Patient has myalgia, arthralgia, sore neck, sore throat and joint PLE +CVA tenderness.  Labs U/A positive WBC.  Pt was treated for UTI -> UPRO 500mg BID #20.
Age: 22.0
Sex: M
Vaccine: HEPA, TYP
Symptoms: Dizziness, Dyspnoea, Heart rate increased, Urticaria
Clinical narrative: Dizziness, increase heart rate, hives, and shortness of breath.  Treatment, vital signs and epinephrine 0.3 mg, EMS called and soldier transported to hospital via stretcher.
Age: 5.0
Sex: M
Vaccine: DTAP, HEPA, MMR
Symptoms: Injection site inflammation
Clinical narrative: Child had 10cm x 8 cm inflamed area round right deltoid.  Reported to nurse 6/07/08.
Age: 77.0
Sex: F
Vaccine: VARZOS
Symptoms: Blister, Pruritus
Clinical narrative: Pt describes waking the day after her Zoster shot with 3 rows of "blister-like itchy sores", one below left jaw bone, one above left jaw bone, and one row on left eye. Pt went to Dr. was treated with Valtrex. Sores were dried and gone in 2 weeks.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Full blood count, Idiopathic thrombocytopenic purpura, Smear test
Clinical narrative: Patient developed ITP 9 days after immunization.  07/14/2008 MR received for DOS 5/15-16/2008 with DX: ITP. Pt presented after low platelet count discovered on routine labwork. Parent reports increased bruising recently. PE (+) for echymoses on the legs, and scattered purpura and petechiae all over. Admitted for IVIG. Platelets up to 54K on d/C day.
Age: 70.0
Sex: F
Vaccine: VARZOS
Symptoms: Discomfort, Erythema, Rash pustular
Clinical narrative: Pt received Zostavax on 6/25/2008. Pt called today with c/o red rash with pustules on stomach and back. No fever. No itching, some discomfort to rash area.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Urticaria
Clinical narrative: Questionable reaction to DTAP. Urticarial lesions on face, no shortness of breath. Gave 18 mg of benedryl.
Age: 17.0
Sex: F
Vaccine: HPV4, MNQ
Symptoms: Blood pressure decreased, Gaze palsy, No reaction on previous exposure to drug, Syncope, Unresponsive to stimuli
Clinical narrative: I had gotten a call from patient's Mom in the morning of 6/24/08 & she stated that she was sending patient in for her shots & that she was unable to make it as was working in the field.  I did review both of the VIS with Mom & she stated patient has had no history of problems with vaccinations.  She also stated that the first HPV vaccination went just fine. She stated that she would be on her cell phone if anything was needed.  2pm patient came to clinic.  Had no complaints.  2:05pm I gave patient her (2nd) HPV vaccination, 2:07pm then gave the Meningitis vaccination.  As I put the band aid on she stated "I think I am going to black out." & then at 2:08pm her head went back, eyes rolled & she fainted-was unresponsive for approximately 10-15 seconds.  As I seen this I stated her name, then my secretary's name & as my secretary opened door, patient then sat up in chair & blinked her eyes & stated "what was that?"  2:09pm Blood Pressure 100/58 Pulse 70 Respirations 16.  States she can remember everything & saying she felt like she was going to black out & then that was it.  Continued to take Blood pressures & was 108/68, 112/64 & 108/68.  Mom called & aware & came in.Continued to monitor patient & had her sit for 30 minutes & then she stated was feeling fine & would like to go home.  They then left & went to home.  Mom was called again as they made it home & she is aware of the fact if anything more or if patient has any complaints of the alert 911 or their physician & to let me know also. She stated she will call if any problems. 4:35 Call to patient & her Mom answered & stated all going just fine.  Patient has eaten-she now states that patient told her she didn't have anything for lunch today & possibly that might have been a factor in the situation.  Has no questions or concerns at this time.  5:30pm I seen patient out for supper with her sister & niece & she stated she felt just fine.  Laughed & stated she had never had that happen before & was an experience that she hopes never happens again.
Age: 1.25
Sex: M
Vaccine: DTAP, HIBV, PNC
Symptoms: Febrile convulsion
Clinical narrative: child experienced a febrile seizure on 6/11/2008 was seen and treated in the emergency room
Age: 1.33
Sex: M
Vaccine: DTAP, PNC
Symptoms: Blister, Rash generalised
Clinical narrative: Mom states that the day after this child received immunizations, he broke out in a rash that started on his legs where the shots were given and it spread to his whole body.  The rash looked "blistery with white centers".  The rash disappeared later that day for the most part.  Mom states that there was no fever or difficulty breathing.  No other s/s of illness or distress.
Age: 4.0
Sex: F
Vaccine: DTAP, HIBV, IPV, MMR, PNC, VARCEL
Symptoms: Injection site erythema
Clinical narrative: Localized redness size of 1/2 dollar
Age: 21.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Abasia, Asthenia, Blood test, Chromosomal analysis, Computerised tomogram
Clinical narrative: Aug.24, second Gardasil injection received. Sept.3, pressure in jaw and head began, followed by weakness, severe pain and loss of use of legs; nausea, dizziness, fainting, swelling and drooping of face and neck. Oct.2007, lost ability to walk, burning prickles in scalp, hands, legs. Seen by several specialists including hospital neurological teams- no diagnosis given. Seen by multiple specilists Jan. 2008 - June 2008. Unable to eat solid foods, placed on liquid diet. Finally diagnosed by D.O. as having an adverse reaction to Gardasil. Special diet and pain medication given which seem to be helping in small degrees. We were told it would be a long time recovering.  2nd report 320256. 07/23/2008 MR received for DOS 10/19-24/2007 which include 2 Rheumatology consults, neuro consult, psych consult and inpt admission. Pt presented for Rheum eval 10/19/07 with c/o 6 week hx of pain and sensitivity in her face, jaw neck and thoracic region (burning & tingling) and progressive weakness in her limbs.  Unable to walk without assistance. Pt reports dizziness, vertigo, syncope and photosensitivity. Sleep is disturbed. Several falls. Has sweats. Presents in sunglasses for photophobia and in a w/c. This followed a viral and /or sinus infection 6 weeks prior. PE (+) for anceiform rash on the back, scalp, face, jaw, and neck tenderness, DTRs 1+ arms, unobtainable in legs, decreased strength in arms and legs, unable to walk.  Concern for neurological illness resulted in emergent admission to hospital for further eval. DOS 10/19-24/2007 with DX: weakness.  other dx:  fibromyalgia, migraines, asthma and chronic pain syndrome. Neuro consult as above but able to elicit patellar reflexes. Psych eval to r/o conversion d/o. Requested further eval. 2nd Rheum consult for increased sed rate. Additional sx of touch sensitivity and lower extremity numbness.  Impression:  Elevated Sed rate.  Myalgia and myositis NOS, Headache, Difficulty in walking. Pt had some nausea and vomiting while admitted.  Treated for pain and pt was ambulating on her own by d/c.  No final dx made.  D/C to f/u at home. 4/6/09 Received call from pt's current MD.  Has not been able to fully evaluate pt as pt has been unable to travel.  Unable to confirm GBS dx. Current dx is conversion d/o./pc 1/25/2010 Follow up: She is considered disabled due to the GARDASIL vaccine. SHe has perpherial neuropathy in both legs (from the knees down) she has nervous systmen pain; brain fog; eye sensitivity/abnormal pupuilary responsive and dilations; GI tract disorders.