chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 0.2
Sex: F
Vaccine: DTAP, HEP, HIBV, IPV, PPV
Symptoms: Respiratory tract congestion
Clinical narrative: Information has been received from a pediatric medical records and a physician concerning a 15 week old bottle fed female with no known drug allergies, colic and a history of diaper rash, head congestion, nasal congestion, runny nose, cough, bruise, generalized skin erythema, rhinitis, fever and weight loss (0802USA04707) who on 22-DEC-2008 was vaccinated with the first dose of RECOMBIVAX HB (manufacturer unknown). Vaccine received at the same day including the first dose of concomitant therapy included  PEDVAXHIB (manufacturer unknown), the first dose of DTAP (unspecified), the first dose of POLIO (unspecified) and the first dose of PNEUMO (unspecified). The patient's weight was 10.1 HC 38 cm HT 23.1. Decreased in colic symptoms were noted. Formula amount was to increase. On 21-JAN-2009, at the office visit, the patient had developed red eye for 2 days. The patient had clay colored stool. Treatment was to hold pedialyte increase formula 5-6 ounces and no treatment for red eye (not illness related). The baby's HC was 16 and temperature 97.8. On 10-FEB-2009, the patient visit the office, the patient experienced diarrhea, coughing and congestion for 5 days and noted yellow/green color diarrhea. The physician prescribed TYLENOL. The physician noted new cereal for 5 days (rice) formula (lipid). Plan was to hold cereal for few weeks. On 18-FEB-2009, at the office, the patient had developed bloody diaper rash for 1 week and had used vaseline. The physician prescribed Nystatin twice to three times daily until 48 hours after symptoms resolve and keep dry. On 25-FEB-2009 the patient was diagnosed with a birth mark/stork bite birth mark on forehead and deltoid at the physical exam. The rash was better. The patient's weight was 13.5 lbs, Ht was 26 and HC was 16.5. Formula type was Enfamil lipid. It was noted that the infant should receive the following vaccinations: the second dose of PEDVAXHIB (manufacturer unknown), DTAP (unspecified), POLIO (unspecified) and PNEUMO (unspecified) at the health department at 4 months, after 11-MAR-2009. Birthmark/Stork bite on the forehead and deltoid was considered a congenital anomaly. No further information is available. All available medical records will be provided upon request.
Age: 1.0
Sex: M
Vaccine: MMR
Symptoms: Autism spectrum disorder, Pyrexia
Clinical narrative: Information has been received from a registered nurse concerning her 1 year old son with milk allergy and no other medical history who was vaccinated with a dose of MMR II. There was no concomitant medication. After received the vaccine the patient developed fever and also was diagnosed with Pervasive Developmental Disorder (PPD). The reporter stated that the patient had nurses who come 5 days a week to help him with his speech. No laboratories studies performed. The patient sought unspecified medical attention. The patient recovered from the fever, but he had not recovered from Pervasive Developmental Disorder. Pervasive Developmental Disorder and fever were considered to be disabling. Additional information has been requested.
Age: 3.0
Sex: M
Vaccine: MMR
Symptoms: Autism, Gastrointestinal disorder, Hypersensitivity, Immune system disorder, Pyrexia
Clinical narrative: Information has been received from a consumer concerning her 42 month old son with "gene mutations" who "when he was 15 month old" in approximately December 2006, was vaccinated with MMR II (lot number not available). The patient had a lot of problems since receiving the MMR II (lot number not available). The patient had been diagnosed with autism, had developed many allergies, had gastrointestinal problems, had had fevers as high as 105 degree and had a very weak immune system. The patient had sought unspecified medical attention. At the time of reporting the patient's adverse events persisted. Upon internal review, the patient's autism is considered to be other important medical event. No further information is available.
Sex: M
Vaccine: MMR
Symptoms: Autism
Clinical narrative: Information has been received from a consumer via the internet concerning her now 5 year old son who on an unspecified date was vaccinated with a dose of MMR II. On an unspecified date the patient developed autism. It was reported that the patient underwent applied behavior analysis (ABA), hyperbaric oxygen therapy (HBOT), speech therapy, social group, acute psychotic episode (APE), sustainable development commission (SDC), regional center and physical therapy (PT) "everyday". At the time of this reporting, the patient's autism persisted. Upon internal review, autism was considered to be other important medical event. Additional information has been requested.
Age: 18.0
Sex: F
Vaccine: HPV4
Symptoms: Drug exposure during pregnancy, Foetal disorder, Inappropriate schedule of drug administration, Pregnancy test positive, Ultrasound scan
Clinical narrative: Information and follow up has been received from a physician for the Pregnancy Registry for GARDASIL concerning a 18 year old female with sulfonamide allergy and a history of low grade squamous intraepithelial lesion who on 12-DEC-2007 was vaccinated with her first dose of GARDASIL (lot# not reported). There was no concomitant medication. On 09-JAN-2008 the patient was vaccinated with her second dose of GARDASIL (lot# not reported) and then learned she was pregnant after a positive pregnancy test. The patient's estimated LMP was 04-FEB-2008 with an EDD of 13-NOV-2008. On 20-MAR-2008 the patient had an ultrasound to check dating. On an unspecified date, the patient began taking prenatal vitamins (unspecified). It was reported that the patient had no previous pregnancies. Subsequently the patient experienced no adverse event and on an unspecified date she sought unspecified medical attention at her physician's office. Follow-up information has been received from a completed questionnaire. On 08-NOV-2008, 38 weeks from her LMP, the patient delivered a live normal male infant weighing 7 pounds 8 ounces via spontaneous vaginal route. The infant was 20.25 inches in length and 13 inches in head circumference, with an Apgar score of 8/9. No congenital anomalies, complications or abnormalities were reported. Medication during her pregnancy included prenatal vitamin (unspecified) once daily. There were no complications, infections or illnesses during her pregnancy and delivery. Pediatric medical records were received and reviewed and the following experience was identified: On 12-DEC-2008, the 35-day-old infant presented to the clinic with his mother. His mother noticed purulent material in his eyelashes for the past month. He was doing well otherwise and had breast feeding every 3 hours. He has not had any fevers, illness or problems with constipation. There was no passive tobacco smoke exposure. Physical examination regarding his eyes revealed: Positive red reflex bilaterally. No conjunctival infection but he has purulent material in the eyelashes bilaterally. Assessment was plugged tear ducts bilaterally. Planned therapy for plugged tear duct included TOBREX suspension ophthalmic, 1 drop in each eye qid for 5 days if the purulent material builds up quite a bit, massage for his tear ducts with a warm wet washcloth several times per day. Follow-up 2 month and 4 month well-child check did not have any concerns regarding his plugged tear ducts bilaterally. Plugged tear ducts bilaterally was considered to be a congenital anomaly. Pediatric medical records were also received and reviewed and an experience related to Hep B vaccine was identified and is described in WAES report # 0903USA05166. Additional information is expected. Medical records are available upon request.
Age: 21.0
Sex: F
Vaccine: HPV4
Symptoms: Abortion induced, Drug exposure during pregnancy, Ultrasound scan, Vaginal haemorrhage
Clinical narrative: Information has been received from a nurse for GARDASIL, a Pregnancy Registry product, concerning a 21 year old female with no medical history or drug allergy who was vaccinated with the first dose of GARDASIL (lot # 660553/0070X) IM, 0.5ml, on 02-OCT-2008. The patient was pregnant when she was administered her second dose of GARDASIL (lot # 660616/0570X) IM, 0.5ml, on 15-JAN-2009. There was no concomitant medication. No adverse effect reported. The patient performed urinalysis, pregnancy test. Her LMP was 12-NOV-2008. The patient sought medical attention by office visit. At the time of the report the outcome of the patient was unknown. Follow-up information has been received from a physician concerning a patient who had ultrasound on 03-FEB-2009 for vaginal bleeding and the test indicated the fetus was 6 weeks and 3 days intrauterine gestation. The patient had elective termination on 06-FEB-2009 (6 weeks and 6 days from LMP). The products of conception were not examined. It was unknown if the fetus normal. Upon internal review, elective termination was determined to be an other important medical event. No further information is available.
Age: 16.0
Sex: F
Vaccine: HPV4
Symptoms: Convulsion, Dizziness, Immediate post-injection reaction
Clinical narrative: Information has been received from a medical assistant concerning a 16-year-old female with no medical history or allergies who on 25-MAR-2009 was vaccinated with the first dose of GARDASIL (lot# 660557/0072X) 0.5ml IM into the left deltoid. Concomitant therapy included MOTRIN. A minute after the vaccination, the patient developed dizziness and convulsion. The patient stayed at the office and was observed. The patient recovered in seconds. Upon internal review, convulsion was considered to be an other important medical event. Additional information has been requested.
Sex: F
Vaccine: HPV4
Symptoms: Convulsion
Clinical narrative: Information has been received from a licensed practical nurse (L.P.N.) who was told by a patient's mother that she heard from someone concerning 2 female children who were vaccinated with doses of GARDASIL on an unspecified date. Subsequently the patients experienced seizures. At the time of reporting, the outcome were unknown. Upon interview review, seizures was considered to be an other important medical event. Attempts are being made to verify the existence of an identifiable patient and reporter. Attempts are being made to obtain additional identifying information to distinguish the individual patients mentioned in this report. Additional information will be provided if available. Additional information has been requested.
Age: 19.0
Sex: F
Vaccine: HPV4
Symptoms: Carcinoma in situ, Prostatic acid phosphatase abnormal, Smear cervix abnormal
Clinical narrative: Information has been received from a physician concerning a 19 year old female who was vaccinated with unknown how many doses of GARDASIL. On unknown date the patient had positive PAP tests for carcinoma in situ. It was believed that the patient was HPV positive prior to GARDASIL as the patient was sexually active. The patient was in office on 26-MAR-2009. Upon internal review, had positive PAP tests for carcinoma in situ was determined to be an other important medical event. Additional information has been requested.  Follow-up from Merck: On 14-APR-2009, in addition to supplying the above information, a nurse reported that this female pt. was seen initially in their office on 14-APR-2008 because of an abnormal PAP with atypical cells. Another PAP was performed on 14-APR-2008 which detected HPV type 18 and 16 by a molecular diagnostic study.  The physician then performed a specific type test and type 16 was detected.  The final diagnosis was that high grade epithelial lesion (HSIL) could not be excluded.  A colposcopy was performed on 30-APR-2008 along with biopsies at 10, 12, 3, and 6 o'clock with ECC.  The 10 and 12 o'clock positions showed low grade mild dysplasia.  The 3 o'clock position showed high grade mild dysplasia, while the 6 o'clock position showed high grade, carcinoma in situ with ECC High Grade.  A cold knife cone biopsy performed on 16-JUN-2008 showed cervical carcinoma in situ, but no invasive tumor was identified.  Reported that a repeat PAP was performed on 22-OCT-2008 which was negative and benign for changes.  The patient was scheduled for another PAP on 14-APR-2009.    According to the office, the April 14, 2009 pap was negative also.
Age: 39.0
Sex: F
Vaccine: FLUX
Symptoms: Arthritis, Axillary nerve injury, Hypoaesthesia, Hypokinesia, Injection site atrophy
Clinical narrative: Started having severe stabbing ache in shoulder & upper arm approximately 2-3 days after vaccine.  Began having, numbness & tingling.  Discoloration of injection site also indentation in deltoid muscle.  Severe weakness in left arm, sometimes trembling in arm.  Surgery scheduled for 4/13/09.  Nerve damage, Brachial neuritis, impingement syn.  Rotator cuff tear.4/13/09-records received-neurology consult notes for 12/31/08 with C/O pain and weakness in left shoulder. Day after receiving flu shot had intense pain and swelling in muscle and is not getting any better. past 2 months developed weakness, pain and paresthesias in shoulder area, some flattening of muscle over shoulder. PE:significant atrophy of left deltoid muscle with decrease of sensation over that particular muscle. Difficulties abducting left shoulder, deltoid muscle weak. Deep tendon reflexes preserved, sensory exam to pain and temperature normal.  Impression: most likely axonal inury to axillary nerve. office visit 2/6/09-DX: mononeuropathy of axillary nerve and continues with weakness and some paresthesias which began on 10/31/08. Now C/O strange sensation in fingers and nail changes in left hand. Recently diagnosed with focal arthritis changes in left shoulder. 6/10/09 records received from orthopedic consultant 12/17/08-5/20/09.C/O pain involving left shoulder girdle since 10/31/08-after vaccine developed acute pain lateral to injection site and atrophy. Weakness of shoulder with abduction. Sustained injury to shoulder while at work. Impression:findings consistent with possible injury to branch of axillary nerve secondary to injection.  Impingement syndrome. Surgery for rotator cuff repair on 4/27/09. Follow-up: EMG in 2/2010 shows no improvement to axillary nerve damage, still suffering from weakness in left arm and shoulder and pain.
Age: 39.0
Sex: F
Vaccine: FLUX
Symptoms: Injection site discolouration, Mononeuropathy, Muscle atrophy, Muscle swelling, Muscular weakness
Clinical narrative: Started having severe stabbing ache in shoulder & upper arm approximately 2-3 days after vaccine.  Began having, numbness & tingling.  Discoloration of injection site also indentation in deltoid muscle.  Severe weakness in left arm, sometimes trembling in arm.  Surgery scheduled for 4/13/09.  Nerve damage, Brachial neuritis, impingement syn.  Rotator cuff tear.4/13/09-records received-neurology consult notes for 12/31/08 with C/O pain and weakness in left shoulder. Day after receiving flu shot had intense pain and swelling in muscle and is not getting any better. past 2 months developed weakness, pain and paresthesias in shoulder area, some flattening of muscle over shoulder. PE:significant atrophy of left deltoid muscle with decrease of sensation over that particular muscle. Difficulties abducting left shoulder, deltoid muscle weak. Deep tendon reflexes preserved, sensory exam to pain and temperature normal.  Impression: most likely axonal inury to axillary nerve. office visit 2/6/09-DX: mononeuropathy of axillary nerve and continues with weakness and some paresthesias which began on 10/31/08. Now C/O strange sensation in fingers and nail changes in left hand. Recently diagnosed with focal arthritis changes in left shoulder. 6/10/09 records received from orthopedic consultant 12/17/08-5/20/09.C/O pain involving left shoulder girdle since 10/31/08-after vaccine developed acute pain lateral to injection site and atrophy. Weakness of shoulder with abduction. Sustained injury to shoulder while at work. Impression:findings consistent with possible injury to branch of axillary nerve secondary to injection.  Impingement syndrome. Surgery for rotator cuff repair on 4/27/09. Follow-up: EMG in 2/2010 shows no improvement to axillary nerve damage, still suffering from weakness in left arm and shoulder and pain.
Age: 39.0
Sex: F
Vaccine: FLUX
Symptoms: Musculoskeletal pain, Myalgia, Nail disorder, Nerve injury, Pain
Clinical narrative: Started having severe stabbing ache in shoulder & upper arm approximately 2-3 days after vaccine.  Began having, numbness & tingling.  Discoloration of injection site also indentation in deltoid muscle.  Severe weakness in left arm, sometimes trembling in arm.  Surgery scheduled for 4/13/09.  Nerve damage, Brachial neuritis, impingement syn.  Rotator cuff tear.4/13/09-records received-neurology consult notes for 12/31/08 with C/O pain and weakness in left shoulder. Day after receiving flu shot had intense pain and swelling in muscle and is not getting any better. past 2 months developed weakness, pain and paresthesias in shoulder area, some flattening of muscle over shoulder. PE:significant atrophy of left deltoid muscle with decrease of sensation over that particular muscle. Difficulties abducting left shoulder, deltoid muscle weak. Deep tendon reflexes preserved, sensory exam to pain and temperature normal.  Impression: most likely axonal inury to axillary nerve. office visit 2/6/09-DX: mononeuropathy of axillary nerve and continues with weakness and some paresthesias which began on 10/31/08. Now C/O strange sensation in fingers and nail changes in left hand. Recently diagnosed with focal arthritis changes in left shoulder. 6/10/09 records received from orthopedic consultant 12/17/08-5/20/09.C/O pain involving left shoulder girdle since 10/31/08-after vaccine developed acute pain lateral to injection site and atrophy. Weakness of shoulder with abduction. Sustained injury to shoulder while at work. Impression:findings consistent with possible injury to branch of axillary nerve secondary to injection.  Impingement syndrome. Surgery for rotator cuff repair on 4/27/09. Follow-up: EMG in 2/2010 shows no improvement to axillary nerve damage, still suffering from weakness in left arm and shoulder and pain.
Age: 39.0
Sex: F
Vaccine: FLUX
Symptoms: Pain in extremity, Paraesthesia, Paraesthesia, Radiculitis brachial, Rotator cuff repair
Clinical narrative: Started having severe stabbing ache in shoulder & upper arm approximately 2-3 days after vaccine.  Began having, numbness & tingling.  Discoloration of injection site also indentation in deltoid muscle.  Severe weakness in left arm, sometimes trembling in arm.  Surgery scheduled for 4/13/09.  Nerve damage, Brachial neuritis, impingement syn.  Rotator cuff tear.4/13/09-records received-neurology consult notes for 12/31/08 with C/O pain and weakness in left shoulder. Day after receiving flu shot had intense pain and swelling in muscle and is not getting any better. past 2 months developed weakness, pain and paresthesias in shoulder area, some flattening of muscle over shoulder. PE:significant atrophy of left deltoid muscle with decrease of sensation over that particular muscle. Difficulties abducting left shoulder, deltoid muscle weak. Deep tendon reflexes preserved, sensory exam to pain and temperature normal.  Impression: most likely axonal inury to axillary nerve. office visit 2/6/09-DX: mononeuropathy of axillary nerve and continues with weakness and some paresthesias which began on 10/31/08. Now C/O strange sensation in fingers and nail changes in left hand. Recently diagnosed with focal arthritis changes in left shoulder. 6/10/09 records received from orthopedic consultant 12/17/08-5/20/09.C/O pain involving left shoulder girdle since 10/31/08-after vaccine developed acute pain lateral to injection site and atrophy. Weakness of shoulder with abduction. Sustained injury to shoulder while at work. Impression:findings consistent with possible injury to branch of axillary nerve secondary to injection.  Impingement syndrome. Surgery for rotator cuff repair on 4/27/09. Follow-up: EMG in 2/2010 shows no improvement to axillary nerve damage, still suffering from weakness in left arm and shoulder and pain.
Age: 39.0
Sex: F
Vaccine: FLUX
Symptoms: Rotator cuff syndrome, Tremor
Clinical narrative: Started having severe stabbing ache in shoulder & upper arm approximately 2-3 days after vaccine.  Began having, numbness & tingling.  Discoloration of injection site also indentation in deltoid muscle.  Severe weakness in left arm, sometimes trembling in arm.  Surgery scheduled for 4/13/09.  Nerve damage, Brachial neuritis, impingement syn.  Rotator cuff tear.4/13/09-records received-neurology consult notes for 12/31/08 with C/O pain and weakness in left shoulder. Day after receiving flu shot had intense pain and swelling in muscle and is not getting any better. past 2 months developed weakness, pain and paresthesias in shoulder area, some flattening of muscle over shoulder. PE:significant atrophy of left deltoid muscle with decrease of sensation over that particular muscle. Difficulties abducting left shoulder, deltoid muscle weak. Deep tendon reflexes preserved, sensory exam to pain and temperature normal.  Impression: most likely axonal inury to axillary nerve. office visit 2/6/09-DX: mononeuropathy of axillary nerve and continues with weakness and some paresthesias which began on 10/31/08. Now C/O strange sensation in fingers and nail changes in left hand. Recently diagnosed with focal arthritis changes in left shoulder. 6/10/09 records received from orthopedic consultant 12/17/08-5/20/09.C/O pain involving left shoulder girdle since 10/31/08-after vaccine developed acute pain lateral to injection site and atrophy. Weakness of shoulder with abduction. Sustained injury to shoulder while at work. Impression:findings consistent with possible injury to branch of axillary nerve secondary to injection.  Impingement syndrome. Surgery for rotator cuff repair on 4/27/09. Follow-up: EMG in 2/2010 shows no improvement to axillary nerve damage, still suffering from weakness in left arm and shoulder and pain.
Age: 9.0
Sex: M
Vaccine: VARCEL
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling, Injection site warmth
Clinical narrative: 5.5 X 2.5 Cm red, raised, hot area c/o itching at the site starting the next day. TX: Ice, Benadryl and Hydrocortisone cream.
Age: 62.0
Sex: M
Vaccine: PPV
Symptoms: Abdominal distension, Cough, Dyspnoea, Throat irritation, Weight increased
Clinical narrative: Patient received PNEUMOVAX vaccine on 3/11/09. contacted outpatient primary care clinic on 3/30/09 with the following - c/o- non-productive cough with shortness of breath x 2w the evening after he got his PNEUMOVAX. He states he is slightly short of breath now. Denies chest pain. He has hx of MI 2yr ago with placement of 1 stent. Abdomen is tight and he states his bowels are moving regularly.  No pedal edema. He has gained 3.9 pounds since 3-11-09 with his report of eating the same amount of food. He states he has a scratchy throat and some cough left. BP 161/117, P-117 with retake 154/118, 84.
Age: 0.17
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Culture stool positive, Rotavirus infection
Clinical narrative: Child developed ROTAVIRUS infection after receiving vaccination.
Age: 62.0
Sex: F
Vaccine: PPV
Symptoms: Erythema, Feeling hot, Oedema peripheral, Skin warm
Clinical narrative: Pt returned to clinic the day after receiving vaccine. Per her report approximately 30 min after receiving vaccine her arm started swelling, she felt feverish (no tempr). Upper arm was so swollen the skin was tight. On 3/25 MD assessed - arm slightly swollen, red and warm - afebrile. OTC BENADRYL and pain releiver recommended.
Age: 4.0
Sex: M
Vaccine: DTAP, HEPA, IPV, MMR, VARCEL
Symptoms: Wrong technique in drug usage process
Clinical narrative: MMR was possible mixed with IPV form submitted per CDC recommendations No Reaction per client's parent.
Age: 1.67
Sex: F
Vaccine: DTAP, VARCEL
Symptoms: Pyrexia, Rash generalised
Clinical narrative: 3-31-09 Mom states light rash on face yesterday prior to vaccines (not mentioned or noticed prior to injection) this morning (4-1-09) child has fine rash all over body (trunk, limbs) with fever - has not given TYLENOL drops as recommended - will start TYLENOL ASAP - (fever amt unknown)
Age: 70.0
Sex: M
Vaccine: VARZOS
Symptoms: Injection site erythema
Clinical narrative: Has a red heavily speckled line or band going up his arm from the injection site.
Age: 14.0
Sex: F
Vaccine: FLU3, HEPA, HPV4, MNQ, TDAP, VARCEL
Symptoms: Dizziness
Clinical narrative: Client became dizzy after vaccination
Age: 13.0
Sex: F
Vaccine: HPV4
Symptoms: Abdominal discomfort, Asthenia, Crying, Headache, Nasal congestion
Clinical narrative: several fevers a day, bad headaches with fever, sore throat, stopped up nose or runny, weak, upset stomach and vomiting, pale skin, cried because generally miserable most of the time.4/7/09-records received for DOS 3/24/09-office visit 3/24/09-C/O right ear pain increased temperature for about a month, headache, vomiting nausea all started after Gardasil injection. Now in clinic with C/O runny nose, sore throat, headache, right ear pain, sinus drainage for few days. One month ago received 2nd gardasil vaccine and started having fever. Assessment: right sided external otitis. Acute sinusitis. Office visit 4/1/09-No fever doing well, no hearing problem. Signs and symptoms improved. Assessment: right sided swimmer's ear improved. Acute sinusitis improved.
Age: 13.0
Sex: F
Vaccine: HPV4
Symptoms: Oropharyngeal pain, Pallor, Pyrexia, Rhinorrhoea, Vomiting
Clinical narrative: several fevers a day, bad headaches with fever, sore throat, stopped up nose or runny, weak, upset stomach and vomiting, pale skin, cried because generally miserable most of the time.4/7/09-records received for DOS 3/24/09-office visit 3/24/09-C/O right ear pain increased temperature for about a month, headache, vomiting nausea all started after Gardasil injection. Now in clinic with C/O runny nose, sore throat, headache, right ear pain, sinus drainage for few days. One month ago received 2nd gardasil vaccine and started having fever. Assessment: right sided external otitis. Acute sinusitis. Office visit 4/1/09-No fever doing well, no hearing problem. Signs and symptoms improved. Assessment: right sided swimmer's ear improved. Acute sinusitis improved.
Age: 56.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Blood pressure increased, Injection site erythema, Injection site swelling, Pain, Pyrexia
Clinical narrative: Patient was given flu shot and pneumonia vaccine right before discharge.  Patient reports that when he got home he began experience generalized pain, redness and swelling at the injection site, elevated blood pressure, and fever of 103.
Age: 19.0
Sex: M
Vaccine: MNQ
Symptoms: Borrelia burgdorferi serology negative, Computerised tomogram normal, Facial palsy
Clinical narrative: Developed one-sided facial palsy with a significant droop that affected the eye early in February of 2009.  Went to ER. Significant change in sensation on affected side also.  Treated with steroids and eye drops.  Affected eye was taped shut during the severe portion of illness.  As of 3-31-09, no further drooping but some sensation change persisting.
Age: 1.58
Sex: F
Vaccine: DTAPHEPBIP, HIBV, MMR, PNC
Symptoms: Febrile convulsion, Pyrexia
Clinical narrative: Child developed fever and had febrile seizure at home Temperature 102.  Child is fine today.  Fever was treated in ER
Age: 1.42
Sex: M
Vaccine: DTAP, HEPA, MMR, PNC, VARCEL
Symptoms: Pyrexia, Rash erythematous, Rash macular
Clinical narrative: Red macular rash over chest, abdomen, and back within 15 minutes of injections.  No treatment administered.  Still present early AM the following day.  Low grade fever in the PM hours.
Sex: U
Vaccine: HEPA, MMR, MNQ, TDAP, VARCEL
Symptoms: Cyanosis, Dizziness, Immediate post-injection reaction, Loss of consciousness, Pallor
Clinical narrative: PATIENT LOST CONSCIOUSNESS AFTER RECEIVING THE LAST OF 5 VACCINES. CLIENT WAS SITTING IN CHAIR AND HEAD FELL BACK. BECAME VERY PALE, LIPS BLUE. REGAINED CONSCIOUSNESS 20 SECONDS LATER. COOL CLOTH PLACED ON BACK OF NECK, FEET ELEVATED ABOVE HEART. CLIENT FANNED WITH PAPER BY MOTHER. CLIENT GIVEN JUICE AND TWO CHOCOLATE CHIP COOKIES. COLOR RETURNED AND DIZZINESS ABATED. CLIENT REMAINED IN CLINIC FOR 20 MINUTES AFTERWARD TO ENSURE FULL RECOVERY, MOM ADVISED TO GET BREAKFAST AND ALWAYS FEED CHILDREN PRIOR TO VACCINATION.
Age: 63.0
Sex: F
Vaccine: VARZOS
Symptoms: Arthralgia, Burning sensation, Injection site rash, Myalgia, Pain
Clinical narrative: @ 24 hrs post-vaccine: egg-shaped area of rash on arm below shot site; @ 30 hrs post-vaccine: sudden onset of moderately severe muscle/joint pain and feeling feverish; @ 48 hrs post-vaccine: rash area has spread from upper arm almost to elbow and itches/burns/tingles slightly; @ 72 hrs post-vaccine: rash area has widened, and entire area sore to touch, itching, tingling but muscle/joint pain gone; @ 78 hrs post-vaccine, rash area remains same, muscle/joint pain has returned and slightly elevated temp recorded; @ 96 hrs post-vaccine: rash has retreated back to original goose-egg shaped area, and no further muscle/joint pain or fever has been experienced.
Age: 63.0
Sex: F
Vaccine: VARZOS
Symptoms: Paraesthesia, Pruritus, Pyrexia, Rash
Clinical narrative: @ 24 hrs post-vaccine: egg-shaped area of rash on arm below shot site; @ 30 hrs post-vaccine: sudden onset of moderately severe muscle/joint pain and feeling feverish; @ 48 hrs post-vaccine: rash area has spread from upper arm almost to elbow and itches/burns/tingles slightly; @ 72 hrs post-vaccine: rash area has widened, and entire area sore to touch, itching, tingling but muscle/joint pain gone; @ 78 hrs post-vaccine, rash area remains same, muscle/joint pain has returned and slightly elevated temp recorded; @ 96 hrs post-vaccine: rash has retreated back to original goose-egg shaped area, and no further muscle/joint pain or fever has been experienced.
Age: 22.0
Sex: M
Vaccine: YF
Symptoms: Dyspnoea, Injection site erythema, Injection site swelling, Lip swelling
Clinical narrative: Yellow Fever vaccination given on 3/27/2009 @ 10:20 a.m. Student returned to Clinic at 11:35 a.m. for swelling of lower lip, left lower lip to middle of lip and local redness and swelling at injection site of right upper arm.  Student used his albuterol MDI inhaler 2 puffs @ 11:25 a.m. prior to coming to clinic for shortness of breath.  Student was assessed and treated with nebulizer treatment at ll:40 a.m. Student was also given cetirizine HCl 10 mg one tablet and pepcid 20 mg one tabelet po @ 11:51 p.m. In addition a cold pack was placed on Right upper arm and secured in place with ace wrap.  Student denied shortness of breath or difficulty breathing or swallowing,  skin warm, dry & pink; vital signs normal, Oxygen saturation upon arrival was 98%.  Student was observed at the clinic till 12:50 p.m. and released from clinic in stable condition with post nebulizer oxygen saturation of 98%.  Student returned to clinic at 2:15 per ARNP for Treatment and FU Plan which included Zyrtec 10 mg po one tablet times 3 days and pepcid 20 mg one tablet po times 3 days, No running until 3/28/2009 and only if asymptomatic; use albuterol MDI before running; Student released from Clinic with swelling decreased to almost normal size, no shortness of breath or dyspnea.  F/U PRN @ Clinic or urgent care facility.
Age: 13.0
Sex: F
Vaccine: HEPA, MNQ, TDAP
Symptoms: Dizziness, Immediate post-injection reaction
Clinical narrative: CLIENT BECAME DIZZY AFTER RECEVING THE LAST OF 3 VACCINES. CLIENT REMAINED IN CHAIR, FEET ELEVATED. DIZZINESS ABATED AFTER 15 SECONDS. CLIENT REMAINED IN CLINIC FOR 30 MINUTES TO ENSURE FULL RECOVERY.
Age: 13.0
Sex: F
Vaccine: VARCEL
Symptoms: Cellulitis, Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: 24 hours after varicella vaccine #2 developed redness and swelling at injection site.  48 hrs post vaccine developed increased redness, swelling and heat to touch.  Sent to hospital for further evaluation.  Diagnosed with cellulites and started on Clindamycin tid x 10 days
Age: 61.0
Sex: F
Vaccine: PPV
Symptoms: Erythema, Headache, Myalgia, Oedema
Clinical narrative: AFEBRILE - REDDNESS AND ERYTHEMA LEFT ARM DISTAL TO THE INJECTION SITE AREA - C/O HEADACHE AND MUSCLE ACHES - SAYS HER ARM WAS SIGNIFICANTLY MORE EDEMATOUS AND RED YESTERDAY
Age: 5.0
Sex: M
Vaccine: DTAP, HEP, MMR
Symptoms: Anorexia, Body temperature increased, Cough, Oedema peripheral, Pain in extremity
Clinical narrative: Last PM temp up to 103 - today 102.6 - left arm hurts and slightly swollen - left hand pain "tingles" - fatique - today slight cough - eyes watery - no appetite
Age: 5.0
Sex: M
Vaccine: DTAP, HEP, MMR
Symptoms: Paraesthesia
Clinical narrative: Last PM temp up to 103 - today 102.6 - left arm hurts and slightly swollen - left hand pain "tingles" - fatique - today slight cough - eyes watery - no appetite
Age: 59.0
Sex: F
Vaccine: FLUX
Symptoms: Anxiety, Dizziness, Dyspnoea, Palpitations
Clinical narrative: Symptoms:Shortness of Breath, Racing Heart, Anxiety, some Dizzyness,  These symptoms got progressively worse over the course of 2 weeks.  The symptoms appear(ed) to get worse when I ate/eat.
Age: 1.25
Sex: M
Vaccine: DTAPHEPBIP, MMR
Symptoms: No adverse event, Wrong drug administered
Clinical narrative: Gave Pediarix instead of DTaP. No adverse Symptoms and do not expect any.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Returned to clinic one day after receiving vaccinations with Right upper arm reddened, swollen and warm to touch.  Patient stated tenderness; denied fever and chills.  Tylenol or Ibuprofen prescribed as needed.
Age: 0.83
Sex: F
Vaccine: DTAPIPVHIB, HEP, PPV
Symptoms: Muscle tightness, Pain in extremity, Pyrexia, Urticaria
Clinical narrative: Large Welts under skin, muscle feels very tight even after constant massage. Also high fever of 102.9 degrees. High pain in legs - enough to prevent child to cruise/crawl/walk.
Sex: M
Vaccine: FLU3
Symptoms: No adverse event, Wrong drug administered
Clinical narrative: My son received Influenza vaccine (adult dose) instead of Hepatitis B vaccine. He is now 12 weeks of age. To date, we have not experienced an adverse event. We have no way of knowing if there will be any long term effects.
Age: 83.0
Sex: F
Vaccine: PPV
Symptoms: Erythema, Formication, Pain in extremity, Paraesthesia, Pruritus
Clinical narrative: Patient reported redness for a few days. This progressed into pain and tingling in arm, like "ants crawling on my arms". Still itching, but was told my MD not to scratch (pt saw MD for routine appointment/exam). MD thinks the vaccine hit a nerve and it will just take time for the patient's symptoms to resolve. Patient says arm still tingles, but not constantly.
Age: 16.0
Sex: F
Vaccine: HPV4
Symptoms: Arthralgia, Back pain, Gait disturbance, Injection site pain, Musculoskeletal pain
Clinical narrative: Gardasil shot was given.  Pain starting in arm of injection site, quickly moved to shoulders and neck. Within two days it included the entire back and hips. Now, nearly a week later it is painful for her to walk and she is complaining that her entire body feels as if it is bruised. 4/8/09-records received-offcie visit 3/26/09-chlamydia positive. First gardasil vaccine received. Oral contraception.  5/1/09-records received for telephone call from parent, C/O headaches, pain and weakness for several days after injection.
Age: 16.0
Sex: F
Vaccine: HPV4
Symptoms: Neck pain, Pain
Clinical narrative: Gardasil shot was given.  Pain starting in arm of injection site, quickly moved to shoulders and neck. Within two days it included the entire back and hips. Now, nearly a week later it is painful for her to walk and she is complaining that her entire body feels as if it is bruised. 4/8/09-records received-offcie visit 3/26/09-chlamydia positive. First gardasil vaccine received. Oral contraception.  5/1/09-records received for telephone call from parent, C/O headaches, pain and weakness for several days after injection.
Age: 2.0
Sex: F
Vaccine: FLUN3
Symptoms: Computerised tomogram normal, Condition aggravated, Convulsion, Influenza, Platelet count normal
Clinical narrative: A serious, spontaneous report of seizure, influenza, wheezing and fever was received from a physician concerning a 27-month-old female subsequent to FLUMIST. The CDC isolated a virus from the child that was confirmed as FLUMIST vaccine type B strain. The patient's past medical history includes abnormal development with a developmental level of a six-month-old and seizure disorder with history of febrile seizures. Concomitant medications included ranitidine. The patient received FLUMIST on 30-Oct-2008 for influenza vaccination. Family members received trivalent influenza vaccination. On 2-Nov-2008 the patient experienced fever, wheezing and seizure and was hospitalized. The patient was diagnosed with influenza. A head CT scan was normal and the white blood cell count was 11.2. It is unknown if the seizure event was febrile in nature. On 7-Nov-2008 the patient was discharged and the events were considered resolved. Additional information was received on 19-Mar-2009 and incorporated into the narrative: changed event term from sick to seizure. Added terms of influenza, wheezing and fever. Added medical history and con meds. Required follow-ups have been performed. Physician did not wish to divulge any additional information.
Age: 2.0
Sex: F
Vaccine: FLUN3
Symptoms: Pyrexia, Wheezing, White blood cell count increased
Clinical narrative: A serious, spontaneous report of seizure, influenza, wheezing and fever was received from a physician concerning a 27-month-old female subsequent to FLUMIST. The CDC isolated a virus from the child that was confirmed as FLUMIST vaccine type B strain. The patient's past medical history includes abnormal development with a developmental level of a six-month-old and seizure disorder with history of febrile seizures. Concomitant medications included ranitidine. The patient received FLUMIST on 30-Oct-2008 for influenza vaccination. Family members received trivalent influenza vaccination. On 2-Nov-2008 the patient experienced fever, wheezing and seizure and was hospitalized. The patient was diagnosed with influenza. A head CT scan was normal and the white blood cell count was 11.2. It is unknown if the seizure event was febrile in nature. On 7-Nov-2008 the patient was discharged and the events were considered resolved. Additional information was received on 19-Mar-2009 and incorporated into the narrative: changed event term from sick to seizure. Added terms of influenza, wheezing and fever. Added medical history and con meds. Required follow-ups have been performed. Physician did not wish to divulge any additional information.
Age: 18.0
Sex: F
Vaccine: FLU3, HPV4, FLUX, HPV4, FLUX, HPVX
Symptoms: Fall, Head injury, Immediate post-injection reaction, Loss of consciousness
Clinical narrative: Pt was given GARDASIL vaccine was informed would have to wait 20 minutes to be observed, pt was sitting on exam table after injection passed out -  falling forward hitting cabinet broke tooth & cut to head.  Pt observed stabilized.  8/5/09 Medical records received DOS 3/27/09. Assessment: Syncopal episode with scalp laceration and tooth fracture. Fell forward off of exam table from seated position, lost consciousness 10-15 seconds. R parietal upper scalp laceration. R front tooth chipped. Upper lip contusion.  8/17/09 Hospital records received DOS 6/14/09 to 6/15/09. Assessment: Right facial cellulitis, fever, broken tooth causing abcess, hyperglycemia, hyponatremia. Patient fell forward and damaged right upper teeth. Root canal performed. Developed increased swelling and redness in right upper part of face. Oral surgeon performed I&D. Pain and swelling increased. 2 cm X 1 cm area of swelling redness and fluctuance posterior to right central incisor on the hard palate.  ICD-9 Codes: 682.0 Cellulitis of Face, 276.1 Hyposmolality, 522.4 AC Apical Periodontitis, 790.29 Other Abnormal Glucose, V45.89 Postsurgical States NEC, 521.81 Cracked Tooth.
Age: 18.0
Sex: F
Vaccine: FLU3, HPV4, FLUX, HPV4, FLUX, HPVX
Symptoms: Computerised tomogram normal, Fall, Head injury, Laceration, Syncope
Clinical narrative: Pt was given GARDASIL vaccine was informed would have to wait 20 minutes to be observed, pt was sitting on exam table after injection passed out -  falling forward hitting cabinet broke tooth & cut to head.  Pt observed stabilized.  8/5/09 Medical records received DOS 3/27/09. Assessment: Syncopal episode with scalp laceration and tooth fracture. Fell forward off of exam table from seated position, lost consciousness 10-15 seconds. R parietal upper scalp laceration. R front tooth chipped. Upper lip contusion.  8/17/09 Hospital records received DOS 6/14/09 to 6/15/09. Assessment: Right facial cellulitis, fever, broken tooth causing abcess, hyperglycemia, hyponatremia. Patient fell forward and damaged right upper teeth. Root canal performed. Developed increased swelling and redness in right upper part of face. Oral surgeon performed I&D. Pain and swelling increased. 2 cm X 1 cm area of swelling redness and fluctuance posterior to right central incisor on the hard palate.  ICD-9 Codes: 682.0 Cellulitis of Face, 276.1 Hyposmolality, 522.4 AC Apical Periodontitis, 790.29 Other Abnormal Glucose, V45.89 Postsurgical States NEC, 521.81 Cracked Tooth.
Age: 18.0
Sex: F
Vaccine: FLU3, HPV4, FLUX, HPV4, FLUX, HPVX
Symptoms: Tooth injury
Clinical narrative: Pt was given GARDASIL vaccine was informed would have to wait 20 minutes to be observed, pt was sitting on exam table after injection passed out -  falling forward hitting cabinet broke tooth & cut to head.  Pt observed stabilized.  8/5/09 Medical records received DOS 3/27/09. Assessment: Syncopal episode with scalp laceration and tooth fracture. Fell forward off of exam table from seated position, lost consciousness 10-15 seconds. R parietal upper scalp laceration. R front tooth chipped. Upper lip contusion.  8/17/09 Hospital records received DOS 6/14/09 to 6/15/09. Assessment: Right facial cellulitis, fever, broken tooth causing abcess, hyperglycemia, hyponatremia. Patient fell forward and damaged right upper teeth. Root canal performed. Developed increased swelling and redness in right upper part of face. Oral surgeon performed I&D. Pain and swelling increased. 2 cm X 1 cm area of swelling redness and fluctuance posterior to right central incisor on the hard palate.  ICD-9 Codes: 682.0 Cellulitis of Face, 276.1 Hyposmolality, 522.4 AC Apical Periodontitis, 790.29 Other Abnormal Glucose, V45.89 Postsurgical States NEC, 521.81 Cracked Tooth.
Age: 18.0
Sex: F
Vaccine: FLU3, HPV4, FLUX, HPV4, FLUX, HPVX
Symptoms: Body temperature increased, Computerised tomogram normal, Fall, Head injury, Immune system disorder
Clinical narrative: Pt was given GARDASIL vaccine was informed would have to wait 20 minutes to be observed, pt was sitting on exam table after injection passed out -  falling forward hitting cabinet broke tooth & cut to head.  Pt observed stabilized.  8/5/09 Medical records received DOS 3/27/09. Assessment: Syncopal episode with scalp laceration and tooth fracture. Fell forward off of exam table from seated position, lost consciousness 10-15 seconds. R parietal upper scalp laceration. R front tooth chipped. Upper lip contusion.  8/17/09 Hospital records received DOS 6/14/09 to 6/15/09. Assessment: Right facial cellulitis, fever, broken tooth causing abcess, hyperglycemia, hyponatremia. Patient fell forward and damaged right upper teeth. Root canal performed. Developed increased swelling and redness in right upper part of face. Oral surgeon performed I&D. Pain and swelling increased. 2 cm X 1 cm area of swelling redness and fluctuance posterior to right central incisor on the hard palate.  ICD-9 Codes: 682.0 Cellulitis of Face, 276.1 Hyposmolality, 522.4 AC Apical Periodontitis, 790.29 Other Abnormal Glucose, V45.89 Postsurgical States NEC, 521.81 Cracked Tooth.
Age: 18.0
Sex: F
Vaccine: FLU3, HPV4, FLUX, HPV4, FLUX, HPVX
Symptoms: Mouth injury, Swelling face, Syncope, Tooth fracture, Tooth infection
Clinical narrative: Pt was given GARDASIL vaccine was informed would have to wait 20 minutes to be observed, pt was sitting on exam table after injection passed out -  falling forward hitting cabinet broke tooth & cut to head.  Pt observed stabilized.  8/5/09 Medical records received DOS 3/27/09. Assessment: Syncopal episode with scalp laceration and tooth fracture. Fell forward off of exam table from seated position, lost consciousness 10-15 seconds. R parietal upper scalp laceration. R front tooth chipped. Upper lip contusion.  8/17/09 Hospital records received DOS 6/14/09 to 6/15/09. Assessment: Right facial cellulitis, fever, broken tooth causing abcess, hyperglycemia, hyponatremia. Patient fell forward and damaged right upper teeth. Root canal performed. Developed increased swelling and redness in right upper part of face. Oral surgeon performed I&D. Pain and swelling increased. 2 cm X 1 cm area of swelling redness and fluctuance posterior to right central incisor on the hard palate.  ICD-9 Codes: 682.0 Cellulitis of Face, 276.1 Hyposmolality, 522.4 AC Apical Periodontitis, 790.29 Other Abnormal Glucose, V45.89 Postsurgical States NEC, 521.81 Cracked Tooth.
Age: 0.2
Sex: F
Vaccine: DTAPIPVHIB, PNC, RV5
Symptoms: Crying, Irritability
Clinical narrative: Started to become fussy, crying - had to console approx 2 hrs- 3 vaccines were given crying lasted for approx 9 hours- Mom had to hold Pt constantly. Remained afebrile - no swelling vaccine site - no redness. TYLENOL given
Sex: F
Vaccine: VARCEL
Symptoms: Rash
Clinical narrative: Rash.
Age: 5.0
Sex: F
Vaccine: DTAPIPV, MMR
Symptoms: Injection site erythema
Clinical narrative: Left thigh red.
Age: 16.0
Sex: F
Vaccine: VARCEL
Symptoms: Injection site erythema, Injection site warmth
Clinical narrative: Hot, red area @ injection site.
Sex: F
Vaccine: MMR
Symptoms: Rash erythematous, Rash generalised, Rash pruritic
Clinical narrative: Started getting a rash of small red bumps on my face on Friday 3-27-09. Saturday rash had spread to neck and chest. By Sunday it had spread to arms, back, stomach and legs. It was itchy with small red raised bumps. Monday went to doctor received steroid shot. Been taking BENADRYL and 10mg ZYRTEC. Also have small knot on arm.
Age: 26.0
Sex: F
Vaccine: HPV4
Symptoms: Local swelling, Pruritus, Rash, Swelling face
Clinical narrative: Pt reports woke up the morning after the injection with "puffy face and L side of neck" which turned into a rash. States also had some rash on stomach and R finger which has not lasted as long as the rash on face and neck. States went to ENT for ear infection and he told her it was a "stress rash" and to take BENADRYL. She states arm where she got injection is fine. Pt denies any SOB c the rash, just itching. States not sure she wants to get next injection. Pt will call back with any additional information about the rash
Age: 66.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Full blood count, Injection site erythema, Injection site induration, Injection site pain, Injection site warmth
Clinical narrative: Severe pain, induration warmth at injection site with redness at site and extending distal to injection site to elbow.
Age: 66.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: White blood cell count normal
Clinical narrative: Severe pain, induration warmth at injection site with redness at site and extending distal to injection site to elbow.
Age: 0.2
Sex: F
Vaccine: DTAPIPVHIB, PNC, RV5
Symptoms: Apnoea, Crying, Injection site erythema, Injection site swelling, Screaming
Clinical narrative: Pt given vaccines 10:30 am, began with vomiting, uncontrollable crying and apnea 45 min-1 hr later. Heard pt on phone - screaming, high pitched crying, and swelling, redness at injection site. Afebrile. Tylenol given, cool compress to legs. Appt scheduled to be seen - at office  - then mom called back to cancel. Pt settled down. Total time increased crying about 2-3 hours.