chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 64.0
Sex: M
Vaccine: VARZOS, VARZOS
Symptoms: Dizziness, Dry eye, Dry mouth, Dry skin, Dysgeusia
Clinical narrative: Information has been received from a physician concerning a 64 year old male with a history of oral candidiasis when on steroids and no allergies who on 01-MAR-2007 was vaccinated with a dose of Zostavax. There was no concomitant medication. On approximately 04-MAR-2007, "few days after vaccination", the patient experienced shortness of breath, chest tightness, fatigue, dry tongue and rash on hands and arms. It was reported that these symptoms lasted for a week. On approximately 01-APR-2007, one month after vaccination, the patient's rash reappeared and the patient was treated with steroids. The rash was scaly like psoriasis, patchy, dry raised. The rash was not varicella. The patient also had dry eyes, nose and mouth. The symptoms were described as "sjogren like". The physician reported that patient had patchy areas on his tongue and ulcerations. On 08-MAY-2007 the patient was treated for oral thrush. The patient has several unspecified treatments of DIFLUCAN but there was no improvement. The physician thus believed that patient did not have oral thrush. The physician was also trying to determine if the symptoms were an auto immune process. At the time of report patient was not recovered. The patient was also seen by a dermatologist. A product quality complaint was not involved. Diagnostic laboratory test on an unspecified date included a complete blood cell count, erythrocyte sedimentation rate, serum C-reactive protein test and serum rheumatoid factor test. All laboratory values were reported as normal. The patient's experiences were considered to be other important medical events by the reporter. Additional information has been requested.
Age: 64.0
Sex: M
Vaccine: VARZOS, VARZOS
Symptoms: Exercise electrocardiogram, Fatigue, Hypoaesthesia, Lip swelling, Musculoskeletal stiffness
Clinical narrative: Information has been received from a physician concerning a 64 year old male with a history of oral candidiasis when on steroids and no allergies who on 01-MAR-2007 was vaccinated with a dose of Zostavax. There was no concomitant medication. On approximately 04-MAR-2007, "few days after vaccination", the patient experienced shortness of breath, chest tightness, fatigue, dry tongue and rash on hands and arms. It was reported that these symptoms lasted for a week. On approximately 01-APR-2007, one month after vaccination, the patient's rash reappeared and the patient was treated with steroids. The rash was scaly like psoriasis, patchy, dry raised. The rash was not varicella. The patient also had dry eyes, nose and mouth. The symptoms were described as "sjogren like". The physician reported that patient had patchy areas on his tongue and ulcerations. On 08-MAY-2007 the patient was treated for oral thrush. The patient has several unspecified treatments of DIFLUCAN but there was no improvement. The physician thus believed that patient did not have oral thrush. The physician was also trying to determine if the symptoms were an auto immune process. At the time of report patient was not recovered. The patient was also seen by a dermatologist. A product quality complaint was not involved. Diagnostic laboratory test on an unspecified date included a complete blood cell count, erythrocyte sedimentation rate, serum C-reactive protein test and serum rheumatoid factor test. All laboratory values were reported as normal. The patient's experiences were considered to be other important medical events by the reporter. Additional information has been requested.
Age: 64.0
Sex: M
Vaccine: VARZOS, VARZOS
Symptoms: Nasal dryness, Oedema peripheral, Sjogren's syndrome, Swelling face, Swollen tongue
Clinical narrative: Information has been received from a physician concerning a 64 year old male with a history of oral candidiasis when on steroids and no allergies who on 01-MAR-2007 was vaccinated with a dose of Zostavax. There was no concomitant medication. On approximately 04-MAR-2007, "few days after vaccination", the patient experienced shortness of breath, chest tightness, fatigue, dry tongue and rash on hands and arms. It was reported that these symptoms lasted for a week. On approximately 01-APR-2007, one month after vaccination, the patient's rash reappeared and the patient was treated with steroids. The rash was scaly like psoriasis, patchy, dry raised. The rash was not varicella. The patient also had dry eyes, nose and mouth. The symptoms were described as "sjogren like". The physician reported that patient had patchy areas on his tongue and ulcerations. On 08-MAY-2007 the patient was treated for oral thrush. The patient has several unspecified treatments of DIFLUCAN but there was no improvement. The physician thus believed that patient did not have oral thrush. The physician was also trying to determine if the symptoms were an auto immune process. At the time of report patient was not recovered. The patient was also seen by a dermatologist. A product quality complaint was not involved. Diagnostic laboratory test on an unspecified date included a complete blood cell count, erythrocyte sedimentation rate, serum C-reactive protein test and serum rheumatoid factor test. All laboratory values were reported as normal. The patient's experiences were considered to be other important medical events by the reporter. Additional information has been requested.
Age: 64.0
Sex: M
Vaccine: VARZOS, VARZOS
Symptoms: Thirst, Tongue disorder
Clinical narrative: Information has been received from a physician concerning a 64 year old male with a history of oral candidiasis when on steroids and no allergies who on 01-MAR-2007 was vaccinated with a dose of Zostavax. There was no concomitant medication. On approximately 04-MAR-2007, "few days after vaccination", the patient experienced shortness of breath, chest tightness, fatigue, dry tongue and rash on hands and arms. It was reported that these symptoms lasted for a week. On approximately 01-APR-2007, one month after vaccination, the patient's rash reappeared and the patient was treated with steroids. The rash was scaly like psoriasis, patchy, dry raised. The rash was not varicella. The patient also had dry eyes, nose and mouth. The symptoms were described as "sjogren like". The physician reported that patient had patchy areas on his tongue and ulcerations. On 08-MAY-2007 the patient was treated for oral thrush. The patient has several unspecified treatments of DIFLUCAN but there was no improvement. The physician thus believed that patient did not have oral thrush. The physician was also trying to determine if the symptoms were an auto immune process. At the time of report patient was not recovered. The patient was also seen by a dermatologist. A product quality complaint was not involved. Diagnostic laboratory test on an unspecified date included a complete blood cell count, erythrocyte sedimentation rate, serum C-reactive protein test and serum rheumatoid factor test. All laboratory values were reported as normal. The patient's experiences were considered to be other important medical events by the reporter. Additional information has been requested.
Age: 8.0
Sex: U
Vaccine: VARCEL
Symptoms: Cyanosis, Nasal oedema, Unresponsive to stimuli
Clinical narrative: Information has been received from a physician concerning an 8 year old patient with no unusual medical history who on 27-JUN-2000 and 14-MAY-2007 was vaccinated with a first and second (lot # 656173/1499F) dose of Varivax. Concomitant therapy on 14-May-2007 included hepatitis A vaccine (inactive) (manufacturer unknown). On 14-MAY-2007 the patient developed complete swelling of the nose. The patient was treated with epinephrine and a nebulizer, the patient did not respond. The patient turned purple, 911 was called and the patient was admitted to the hospital. The patient spent 24 hours in the hospital receiving unspecified treatment. The patient was released in satisfactory condition. No further information was provided. Additional information has been requested.
Age: 1.25
Sex: M
Vaccine: VARCEL
Symptoms: Respiratory distress
Clinical narrative: Information has been received from a nurse practitioner concerning a 15 month old male with a history of developing a rash, at 12 months of age, post vaccination with hepatitis A virus vaccine (unspecified). On an unspecified date, the patient was vaccinated with Varivax and subsequently developed respiratory distress. The patient was hospitalized for an undisclosed period of time for the event of respiratory distress, which was considered life threatening. At the time of reporting the patient had recovered. Unspecified medical attention was sought. There was no lab diagnostic studies performed. There was no product quality complaint. Additional information has been requested.
Age: 13.0
Sex: F
Vaccine: HPV4
Symptoms: Chest pain, Dyspnoea, Nausea, Oedema peripheral, Pain in extremity
Clinical narrative: Information has been received from a nurse practitioner concerning a 13 year old female who on 26-MAR-2007 was vaccinated with Gardasil. On 26-MAR-2007 the patient developed swelling of the arm, arm and chest pain, nausea, vomiting, facial swelling and difficulty breathing. The patient went to the emergency room and was treated with Phenergan. Subsequently, the patient recovered. The nurse practitioner reported that she never saw this type of reaction before and that the patient never reacted to any other vaccine. The reporter felt that the swelling of the arm, arm and chest pain, nausea, vomiting, facial swelling and difficulty breathing were other important medial events. Additional information has been requested.
Age: 13.0
Sex: F
Vaccine: HPV4
Symptoms: Swelling face, Vomiting
Clinical narrative: Information has been received from a nurse practitioner concerning a 13 year old female who on 26-MAR-2007 was vaccinated with Gardasil. On 26-MAR-2007 the patient developed swelling of the arm, arm and chest pain, nausea, vomiting, facial swelling and difficulty breathing. The patient went to the emergency room and was treated with Phenergan. Subsequently, the patient recovered. The nurse practitioner reported that she never saw this type of reaction before and that the patient never reacted to any other vaccine. The reporter felt that the swelling of the arm, arm and chest pain, nausea, vomiting, facial swelling and difficulty breathing were other important medial events. Additional information has been requested.
Age: 50.0
Sex: M
Vaccine: MMRV
Symptoms: Erythema, Inappropriate schedule of drug administration, Induration, Medication error
Clinical narrative: Information has been received from a physician concerning a 50 year old male who on 14-MAY-2007 was vaccinated with a single subcutaneous dose of ProQuad. Concomitant medication included a "GAP injection" given on 14-May-2007. On 16-MAY-2007, the patient experienced redness and hardness of approximately a 3 square inch area on the inner left thigh. The patient was treated with injectable rocephin. No additional information was provided. Unspecified medical attention was sought. No product quality complaint was involved. The patients experiences were considered to be other important medial events by the reporter. Additional information has been requested.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMRV
Symptoms: Erythema, Oedema peripheral
Clinical narrative: Left arm extremely swollen to three times its size with erythema. 05/25/07-records received from facility.  Left arm cellulitis.  PE:Left arm swelling. C/O itching, tenderness with arm swollen all around arm and whole length of arm red and swollen with some swelling over shoulder. Very tense, tender and firm. Limited flexion of elbow. Temp 100.2. Right tympanic membrane slightly erythematous.  05/25/07-records received from facility. C/O itching, tenderness with arm swollen all around arm and whole length of arm red and swollen with some swelling over shoulder. Very tense, tender and firm. Limited flexion of elbow. Temp 100.2. Right tympanic membrane slightly erythematous. 05/31/07-DC Summary received:DX: cellulitis immunization reaction to DTaP. Compartment syndrome.
Age: 16.0
Sex: M
Vaccine: MEN, TDAP
Symptoms: CSF cell count, CSF white blood cell count increased, Headache, Leukoencephalomyelitis, Lymphocyte count increased
Clinical narrative: About 5/2/07 Headache, sensory deficit below T4 Level. Urinary retention. Abnormal MRI brain. CSF with lymphocytic plecytosis. Clinical Diagnosis of ADEM (microbiology negative). Paraparesis. 7/25/07-records received for DOS 5/11-5/22/07- and 5/25-6/08/07. DC DX Acute demyelinating encephalomyelitis resolving. Began complaining about ten days of headaches, progressive lower extremity and trunk weakness with decreased senation and urinary retention for 2 days prior to admission. Twelve days ago vacationed in Hawaii, swan in several freshwater pools and took scuba diving lessons. Did a dive of 30ft for 35 minutes. On last day of vacaion woke up with headache that increased in intensity. Relieved by lying down. Developed photphobia with headaches and developed progressive lower extremity weakness and dizziness. Los consciousness about 7 days ago while showering. Lethary. Difficult to arouse.
Age: 16.0
Sex: M
Vaccine: MEN, TDAP
Symptoms: Nuclear magnetic resonance imaging brain abnormal, Paraparesis, Pleocytosis, Sensory loss, Urinary retention
Clinical narrative: About 5/2/07 Headache, sensory deficit below T4 Level. Urinary retention. Abnormal MRI brain. CSF with lymphocytic plecytosis. Clinical Diagnosis of ADEM (microbiology negative). Paraparesis. 7/25/07-records received for DOS 5/11-5/22/07- and 5/25-6/08/07. DC DX Acute demyelinating encephalomyelitis resolving. Began complaining about ten days of headaches, progressive lower extremity and trunk weakness with decreased senation and urinary retention for 2 days prior to admission. Twelve days ago vacationed in Hawaii, swan in several freshwater pools and took scuba diving lessons. Did a dive of 30ft for 35 minutes. On last day of vacaion woke up with headache that increased in intensity. Relieved by lying down. Developed photphobia with headaches and developed progressive lower extremity weakness and dizziness. Los consciousness about 7 days ago while showering. Lethary. Difficult to arouse.
Age: 0.2
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Injection site erythema, Injection site induration, Injection site pain
Clinical narrative: Right upper arm with induration 2cmx3cm and erythema 2cmx2cm. ? tender to touch
Age: 46.0
Sex: F
Vaccine: TDAP
Symptoms: Swelling
Clinical narrative: Two days following administered Tdap, noticed swelling in Left supraclavicular region.
Age: 1.3
Sex: F
Vaccine: FLU3
Symptoms: Full blood count, Gait disturbance, Hypersensitivity, Joint swelling, Rash
Clinical narrative: Child receive flu vaccine on 1-4-07 at 10:00 am. Child was put on Amoxicillin on 12-26-06. Mom noticed some bumps on child's inner thigh and this AM child's right knee was swollen and reluctant to walk. She has latex egg, egg products. Physicians diagnosis: allergic reaction with serum sickness like reaction. Patient came back in on 1-6-06. Patient is to follow up if no better.
Age: 1.3
Sex: F
Vaccine: FLU3
Symptoms: Red blood cell sedimentation rate, Serum sickness
Clinical narrative: Child receive flu vaccine on 1-4-07 at 10:00 am. Child was put on Amoxicillin on 12-26-06. Mom noticed some bumps on child's inner thigh and this AM child's right knee was swollen and reluctant to walk. She has latex egg, egg products. Physicians diagnosis: allergic reaction with serum sickness like reaction. Patient came back in on 1-6-06. Patient is to follow up if no better.
Age: 0.33
Sex: F
Vaccine: RV5
Symptoms: Inappropriate schedule of drug administration, No adverse effect
Clinical narrative: No adverse event. Patient received 1st dose of Rotateq at 4 months of age which is over th recommended age of 12 months
Age: 81.0
Sex: F
Vaccine: VARZOS
Symptoms: Herpes zoster
Clinical narrative: Pt developed shingles on Lt foot and buttock 6 days pos vaccination and spreading
Sex: U
Vaccine: ANTH, HEPAB, TDAP
Symptoms: Erythema, Rash erythematous, Rash pruritic
Clinical narrative: "Red, raised and itchy" per SM and, some reported it to FOB sick call on 5/16/07 recommendation for anthrax route
Age: 20.0
Sex: F
Vaccine: HPV4
Symptoms: Headache, Malaise, Nausea
Clinical narrative: Stated temp-(not taken) nausea headache-felt ill all over-
Age: 19.0
Sex: F
Vaccine: HPV4
Symptoms: Syncope
Clinical narrative: Syncoval episode the day after administration
Age: 10.0
Sex: M
Vaccine: FLU3, HEPA, VARCEL
Symptoms: Skin lesion
Clinical narrative: Several lesions/spots inside (R) thigh, covering chest, some on head, arms and legs
Sex: F
Vaccine: HPV4
Symptoms: Immediate post-injection reaction, Injected limb mobility decreased, Injection site erythema, Injection site pain
Clinical narrative: Patient called on 5/17/07 at 10:00 am (24 hours after injection to complain of immediate stinging at injection site followed by slight redness and severe pain. Difficulty moving arm. Had 1st injection on 3/16/07 with no adverse reaction. (48 hours later still complain of slight soreness).
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMRV
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Pt had swelling, redness and heat at injection site ( (L) deltoid).
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMRV
Symptoms: Ocular hyperaemia, Pruritus, Rash
Clinical narrative: Patient received immunizations and then waited in room for school forms. When patient was waiting for form he developed facial and torso rash, was itchy and had red eyes was sent to hospital for further evaluation.
Age: 0.17
Sex: F
Vaccine: DTAP, HEP, HIBV, PNC, RV5
Symptoms: Decreased appetite, Diarrhoea, Hypersomnia, Pyrexia, Weight decreased
Clinical narrative: On 3/16/07 seen by MD for 2 mo physical. Given routine IMMs (DTaP, Hib, HepB, Prevnar and Rotavirus) On 3/18 at 1427 seen in U.C. for fever 101 4 (R), increased sleeping, decreased appetite. Then began passing explosive liquid stools lasting 9-10 days. Seen in MD office 4x to monitor wt loss/status
Age: 12.0
Sex: F
Vaccine: HPV4, VARCEL
Symptoms: Body temperature, Injection site erythema, Injection site induration
Clinical narrative: 5/15/07 Child came in for well child exam visit; receiving Varicella and HPV vaccine. 5/17/07: Doctor visit progress notes read as follows: immunization 2 days ago, HPV and Varicella. Sibling also here with similar reaction. Temp 97.2F. Physical examination: 1/2 dollar sized area of induration and erythema left arm at injection site. Adv- Benadryl, rech prn.
Age: 42.0
Sex: M
Vaccine: TDAP
Symptoms: Asthenia, Body temperature fluctuation, Feeling cold, Hot flush, Hypersomnia
Clinical narrative: Patient called an stated that he received a Tdap shot on 5/12/07. The following day he had no energy. He slept most of that day. On 5/14 and 5/15 he felt ok. On 5/16 he stated his body ached, he was hot then cold, He had no energy. Temperature ranged between 99.5-100.1degF on 5/17 he slept from 12:30pm Through till 9am on 5/18/07. Patient also has a lump at injection site.
Age: 42.0
Sex: M
Vaccine: TDAP
Symptoms: Injection site mass, Pain
Clinical narrative: Patient called an stated that he received a Tdap shot on 5/12/07. The following day he had no energy. He slept most of that day. On 5/14 and 5/15 he felt ok. On 5/16 he stated his body ached, he was hot then cold, He had no energy. Temperature ranged between 99.5-100.1degF on 5/17 he slept from 12:30pm Through till 9am on 5/18/07. Patient also has a lump at injection site.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMRV
Symptoms: Erythema, Oedema peripheral, Pruritus
Clinical narrative: swelling on (R) upper arm with redness and itchyness.
Sex: M
Vaccine: MNQ
Symptoms: Body temperature increased, Inappropriate schedule of drug administration
Clinical narrative: Patient returned to our office on 5/17/07 (12 pm) with temperature of 101.1 F.
Age: 1.0
Sex: M
Vaccine: MMRV, PNC
Symptoms: Balance disorder, Conjunctivitis, Irritability, Lethargy, Measles
Clinical narrative: Fever 103.5 PM - 7 days after vaccine given, 9 days post vaccine brook out in rash over torso, neck, face, head, arms, legs. Rash continued to spread for 2 more days. Patient also had conjunctivitis in left eye about 6 days post vaccine with runny nose patient cranky, lethargic with rash, loss of balance. Dx with measles on 11th day with vaccine. Symptoms lasted from 1st day of fever 9 days.
Age: 1.0
Sex: M
Vaccine: MMRV, PNC
Symptoms: Pyrexia, Rash generalised, Rhinorrhoea
Clinical narrative: Fever 103.5 PM - 7 days after vaccine given, 9 days post vaccine brook out in rash over torso, neck, face, head, arms, legs. Rash continued to spread for 2 more days. Patient also had conjunctivitis in left eye about 6 days post vaccine with runny nose patient cranky, lethargic with rash, loss of balance. Dx with measles on 11th day with vaccine. Symptoms lasted from 1st day of fever 9 days.
Age: 18.0
Sex: F
Vaccine: MNQ
Symptoms: Arthralgia, Cough, Decreased appetite, Malaise, Musculoskeletal stiffness
Clinical narrative: 2 Days after Menactra patient began with fever (low grade) general malaise, joint pain, stiff neck and upper back, decrease appetite, dry cough - nasal congestion. Patient seen 5/18/07.
Age: 18.0
Sex: F
Vaccine: MNQ
Symptoms: Nasal congestion, Pyrexia
Clinical narrative: 2 Days after Menactra patient began with fever (low grade) general malaise, joint pain, stiff neck and upper back, decrease appetite, dry cough - nasal congestion. Patient seen 5/18/07.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMRV
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: 4 years old male received vaccines 5/8/07 who has swelling, redness and warm to touch at the injection site on left upper arm since yesterday 5/9/07
Age: 15.0
Sex: F
Vaccine: HEP, HEPA, HPV4, MNQ
Symptoms: Decreased appetite, Nausea, Nervousness, Pyrexia, Vomiting
Clinical narrative: nausea, vomiting started 2-2 1/2 hours after vaccine administered - continued with nausea through next day - poor appetite. Treated fever with Tylenol. Was very nervous for injections (reported by mother of pt).
Age: 3.0
Sex: F
Vaccine: DTAP, IPV, PNC
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: IPV #4 given today, was not due until age 4.
Age: 69.0
Sex: F
Vaccine: UNK
Symptoms: Body temperature increased, Herpes zoster
Clinical narrative: Received Shingles vaccine at 9:00 A.M. on May 17 by 4:00 A.M. May 18 had a temp of 102F. Temp usually runs 97.8F. Temp continued fo 36 hours. Called doctor who said it was normal but hand out said it was an unusual condition. Took Tylenol to lower temp. When I do have Shingles it starts with blisters and a high fever. Once the blisters open and ooze the fever goes away.
Age: 9.0
Sex: F
Vaccine: HEPA, VARCEL
Symptoms: Feeling hot, Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: VARICELLA VACCINE WAS ADMINISTERED 5/22/07 IN THE AFTERNOON TO THE PATIENTS RIGHT ARM.  THAT EVENING THE PATIENT DEVELOPED REDNESS, SWELLING, AND TENDERNESS TO THE AREA.  MOM OF PATIENT REPORTS THAT "PATIENT FELT WARM".  MOM ADMINISTERED MOTRIN AND APPLIED AN ICE PACK TO THE AREA.  ON 5/24/07, PATIENT RETURNED TO THE CLINIC FOR THE PPD READING AND SHOWED DR. (THE CHILD'S PCP) THE INJECTION SITE.  AN ICE PACK WAS APPLIED TO THE AREA.  MOM REPORTED THE AREA WAS IMPROVING SINCE THE DATE OF INJECTION.  INSTRUCTIONS WERE GIVEN TO THE PARENT FOR FOLLOW-UP CARE INCLUDING RETURNING TO THE CLINIC FOR WORSENING SYMPTOMS, APPLICATION OF AN ICE PACK, AND ADMINISTERING ANTI-INFLAMMATORY MEDICATIONS.  PT. WAS INSTRUCTED TO AVOID GYM CLASS FOR THE NEXT WEEK.
Age: 57.0
Sex: F
Vaccine: TDAP
Symptoms: Erythema, Oedema peripheral, Pyrexia, Skin warm, Tenderness
Clinical narrative: Fever of about 100 degrees, slight swelling in the arm, tenderness, warmth and red. She is taking ASA for the fever and is doing alright
Age: 52.0
Sex: F
Vaccine: DTAP, HEPA, MMR, YF
Symptoms: Computerised tomogram, Headache, Inappropriate schedule of drug administration, Myalgia, Photophobia
Clinical narrative: Patient was vaccinated on March 13, 2007.  On the evening of March 21, she developed a headache which worsened overnight.  She described the headache as teh most excruciating headache she as ever had.  The headache wasa associated with generalized myalgias and photophobia.  She denied fever.  Four days after onset of the headache she called a physician and was evaluated.  She had a CT Scan of the head done as part of her workup.  The headache was of an intensity of 8/10 for four days and then decreased in intensity to 6/10 for 5 additional days until it eventually dissipated.  Her daughter received a YF vaccine approximately 3 weeks later and suffered fever and severe HA warranting hospitalization.  07/27/2007 Records sent from CDC for 1 OV 3/26/2007 with c/o headache  4 days. Pt did not see neurologist because she got better.
Age: 20.0
Sex: F
Vaccine: ANTH, TYP
Symptoms: Chest pain, Hyperventilation, Paralysis, Urticaria, Vision blurred
Clinical narrative: "Heavy Breathing/Paralysis, Hives, Blurry Vision, Chest Pain, vomiting.
Age: 20.0
Sex: F
Vaccine: ANTH, TYP
Symptoms: Vomiting
Clinical narrative: "Heavy Breathing/Paralysis, Hives, Blurry Vision, Chest Pain, vomiting.
Age: 4.0
Sex: M
Vaccine: DTAP, MMR
Symptoms: Injection site swelling, Pain, Pyrexia
Clinical narrative: Symptoms started with high fever and body aches and continued with swelling in arm around shot area. treated with bedrest, cool baths, motrin, and benedryl per nurses suggestions.
Age: 37.0
Sex: F
Vaccine: ANTH
Symptoms: Nodule
Clinical narrative: Patient states that after receiving her second anthrax vaccination on 9 May 2007, she developed multiple nodules across deltoid to axillary region of left arm. Patient was to see provider today but did not return for appointment.
Age: 72.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site pain, Injection site pruritus
Clinical narrative: 2 inch raised spot at injection site, red, ichy, and sore
Age: 45.0
Sex: M
Vaccine: ANTH
Symptoms: Malaise, Nausea
Clinical narrative: Patient had nausea, fatigue and generalized malaise 48 hours after vaccination and was given an exemption
Age: 45.0
Sex: M
Vaccine: DTAP
Symptoms: Burning sensation, Discomfort, Hyperaesthesia, Paraesthesia, Tenderness
Clinical narrative: Thu May 24, 2007  1:37 PM, Status: Signed After patient received Tdap 05-03-07, patient noted left arm discomfort and left hand fingers and hand tingling. This resolved after 1-2 days.  Symptoms then progressed to what the patient describes as a "bad sunburn feeling" up the left arm to shoulder and down the back in a diagonal fashion and settled into right hip.  Patient states that this has improved. He some tenderness in the right hip and states he has sensitivity to even his shirt rubbing on the left side of chest. No visible rash noted. No fever.  No nausea.  Patient states symptoms are improving but wanted to notify Dr. of this. ...............  5/24/2007  1:36 PM
Age: 23.0
Sex: M
Vaccine: ANTH, HEP
Symptoms: Erythema, Induration, Skin warm
Clinical narrative: 8X6 inch area of warmth, erythema and enduration 48 hours post Anthrax immunization
Age: 17.0
Sex: F
Vaccine: MNQ
Symptoms: Cold compress therapy, Dizziness, Hyperhidrosis, Skin warm, Unresponsive to stimuli
Clinical narrative: Patient stood up after receiving the immunization, felt faint and sat back down in chair.  Moments later, slumped to her right side.  Unresponsive for aprox 30 seconds.  When she awoke, she vomited, was hot and sweaty.  BP 108/80 after awakening.  Ice pack applied to back of neck.  White soda given.  BP upon sitting up 10 minutes after incident 110/60.  Was able to walk to the family car on her own.
Age: 17.0
Sex: F
Vaccine: MNQ
Symptoms: Vomiting
Clinical narrative: Patient stood up after receiving the immunization, felt faint and sat back down in chair.  Moments later, slumped to her right side.  Unresponsive for aprox 30 seconds.  When she awoke, she vomited, was hot and sweaty.  BP 108/80 after awakening.  Ice pack applied to back of neck.  White soda given.  BP upon sitting up 10 minutes after incident 110/60.  Was able to walk to the family car on her own.
Age: 1.67
Sex: F
Vaccine: DTAP, HEPA
Symptoms: Injection site erythema, Injection site induration, Injection site swelling, Injection site warmth
Clinical narrative: LT THIGH SWOLLEN, RED, WARM TO THE TOUCH, HARD LUMP
Age: 1.5
Sex: M
Vaccine: DTAP
Symptoms: Discomfort, Erythema, Swelling
Clinical narrative: 10 x 7 cm erythemia and swelling mild discomfort,  TReatment was ibuprofen and benadryl
Age: 1.3
Sex: M
Vaccine: DTAP, HBHEPB, PPV
Symptoms: Body temperature increased, Chest X-ray, Ear infection, Lethargy, Nasal congestion
Clinical narrative: Pt had a well check at approx. 10:30am on 5-24-07.  He did not have a temperature, his ears were checked - perfectly clear - and his lungs/breathing were checked - also clear.  He had gained weight since last visit and even though he had a slight runny nose and little cough, was declared healthy enough to get his vaccines.  By approx. 4:30pm on same day, pt had developed a 102 degree fever, was lethargic and was wheezing.  His congestion was also worse.  Called doctor's office, was told if he was wheezing and feverish, to bring in to office.  His temperature at office was still 102 degrees (even though he had been given Tylenol 45 minutes previously).  Pulse oxygen % was taken and it was 98.  Pt had been given a asthma treatment before going to doctor (2 puffs/Albuterol; 2 puffs/Flovent).  Doctor did not hear any wheezing at office.  Doctor did ear check and discovered pt had a double-ear infection.  Prescribed Ciprodex (ear drops) 4 drops twice a day for seven days.  Treatment started that night.  Additionally, given infant motrin for fever.  Pt woke next morning with 103.3 fever and had wet through his pj's.  Pt also developed slight rash on buttocks - small pale red bumps - later that day.
Age: 1.3
Sex: M
Vaccine: DTAP, HBHEPB, PPV
Symptoms: Pyrexia, Rash papular, Wheezing
Clinical narrative: Pt had a well check at approx. 10:30am on 5-24-07.  He did not have a temperature, his ears were checked - perfectly clear - and his lungs/breathing were checked - also clear.  He had gained weight since last visit and even though he had a slight runny nose and little cough, was declared healthy enough to get his vaccines.  By approx. 4:30pm on same day, pt had developed a 102 degree fever, was lethargic and was wheezing.  His congestion was also worse.  Called doctor's office, was told if he was wheezing and feverish, to bring in to office.  His temperature at office was still 102 degrees (even though he had been given Tylenol 45 minutes previously).  Pulse oxygen % was taken and it was 98.  Pt had been given a asthma treatment before going to doctor (2 puffs/Albuterol; 2 puffs/Flovent).  Doctor did not hear any wheezing at office.  Doctor did ear check and discovered pt had a double-ear infection.  Prescribed Ciprodex (ear drops) 4 drops twice a day for seven days.  Treatment started that night.  Additionally, given infant motrin for fever.  Pt woke next morning with 103.3 fever and had wet through his pj's.  Pt also developed slight rash on buttocks - small pale red bumps - later that day.
Sex: F
Vaccine: HPV4
Symptoms: Death, Thrombosis
Clinical narrative: Information has been received from a licensed visiting nurse via a nurse practitioner. The nurse practitioner was told by a friend that a female patient was vaccinated with Gardasil and two weeks alter developed a blood clot. Subsequently the patient died. The cause of death was from the blood clot. The reporting licensed visiting nurse considered the blood clot to be immediately life-threatening and disabling. Additional information has been requested.
Age: 0.2
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Blood culture, Culture stool, Full blood count, Haematochezia, Haematocrit decreased
Clinical narrative: Blood noted in stool 5/15/07; hospitalized from 5/18- 5/22 - Low HCT, Low HGB  6/8/07 Received vax record from PCP which confirms RO lot & dose #s.  6/29/07 Received hospital medical records which reveal patient experienced poor weight gain, emesis & blood in stool x 2 days.  Admitted 5/18-5/22/07.  GI consult done.  Formula change & symptoms improved. FINAL DX: Blood in stool and presumed protein allergy.
Age: 0.2
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Haemoglobin decreased, Occult blood positive, Rotavirus test
Clinical narrative: Blood noted in stool 5/15/07; hospitalized from 5/18- 5/22 - Low HCT, Low HGB  6/8/07 Received vax record from PCP which confirms RO lot & dose #s.  6/29/07 Received hospital medical records which reveal patient experienced poor weight gain, emesis & blood in stool x 2 days.  Admitted 5/18-5/22/07.  GI consult done.  Formula change & symptoms improved. FINAL DX: Blood in stool and presumed protein allergy.
Age: 0.2
Sex: F
Vaccine: DTAP, HBHEPB, IPV, PNC, RV5
Symptoms: Dehydration, Diarrhoea, Gastroenteritis rotavirus, Leukocytosis, Lumbar puncture normal
Clinical narrative: Received Rotateq 4/02/07 0695F PO. 5/18/07 seen in office with diarrhea and dehydration. Admit to hospital, discharge 5/22. 5/24/07 Seen in office Diarrhea - referred to ER for IV fluids and Rotavirus. 6/5/07 Received vax records from PCP which confirm lot & dose # as reported.  7/6/07 Received hospital medical records which reveal patient experienced diarrhea, dehydration & metabolic acidosis.  Had been recently d/c from hospital w/rotavirus & parainfluenza infection (5/19-5/22/07).  Current admit 5/24-5/27/07.  GI consult done revealed dx milk protein allergy that developed after rotavirus infection due to sensitization & also suggested metabolic disease w/u to be done.  FINAL DX: Diarrhea, dehydration & metabolic acidosis, resolved; milk protein allergy.
Age: 0.2
Sex: F
Vaccine: DTAP, HBHEPB, IPV, PNC, RV5
Symptoms: Rotavirus test positive, White blood cell count increased
Clinical narrative: Received Rotateq 4/02/07 0695F PO. 5/18/07 seen in office with diarrhea and dehydration. Admit to hospital, discharge 5/22. 5/24/07 Seen in office Diarrhea - referred to ER for IV fluids and Rotavirus. 6/5/07 Received vax records from PCP which confirm lot & dose # as reported.  7/6/07 Received hospital medical records which reveal patient experienced diarrhea, dehydration & metabolic acidosis.  Had been recently d/c from hospital w/rotavirus & parainfluenza infection (5/19-5/22/07).  Current admit 5/24-5/27/07.  GI consult done revealed dx milk protein allergy that developed after rotavirus infection due to sensitization & also suggested metabolic disease w/u to be done.  FINAL DX: Diarrhea, dehydration & metabolic acidosis, resolved; milk protein allergy.
Age: 16.0
Sex: F
Vaccine: HPV4
Symptoms: Cough, Demyelination, Hyperhidrosis, Nuclear magnetic resonance imaging abnormal, Syncope
Clinical narrative: Gardasil HPV vaccine Administered on 05/08/07 cough on 05/14/07 vomiting 5/15/07 morning at school, sweating followed by syncope few minutes no Tonic-Clonic seizure. MRI done in ER showed Demyelinated Foci in Occipital, L temporal lobes and R frontal L 7/5/07-records received from facility for DOS 05/18-05/23/07-DC DX: Multiple Sclerosis. Previously healthy femal who was admitted due to a lesion seen on brain MRI. Patient reports symtoms became in December when she started having numbness in left thumb and slowly spread down her hands and arms. Also had some funny feeling in lower back. Symptoms resolved. Since then she has intermittent numbness with more than 50 episodes per day last less than 1 minutes. On 5/14 she started having nonproductive cough and sore throat, and posttussive vomiting the day after. Felt tingling over her left hand, right fingers and toes for less than 1 minute. Lightheaded, fell and hit her head. Out for almost 10 minutes. Disoriented.
Age: 16.0
Sex: F
Vaccine: HPV4
Symptoms: Vomiting
Clinical narrative: Gardasil HPV vaccine Administered on 05/08/07 cough on 05/14/07 vomiting 5/15/07 morning at school, sweating followed by syncope few minutes no Tonic-Clonic seizure. MRI done in ER showed Demyelinated Foci in Occipital, L temporal lobes and R frontal L 7/5/07-records received from facility for DOS 05/18-05/23/07-DC DX: Multiple Sclerosis. Previously healthy femal who was admitted due to a lesion seen on brain MRI. Patient reports symtoms became in December when she started having numbness in left thumb and slowly spread down her hands and arms. Also had some funny feeling in lower back. Symptoms resolved. Since then she has intermittent numbness with more than 50 episodes per day last less than 1 minutes. On 5/14 she started having nonproductive cough and sore throat, and posttussive vomiting the day after. Felt tingling over her left hand, right fingers and toes for less than 1 minute. Lightheaded, fell and hit her head. Out for almost 10 minutes. Disoriented.
Age: 0.08
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Diarrhoea
Clinical narrative: History of diarrhea - 2 days after Rotavirus immunization.
Age: 10.0
Sex: M
Vaccine: TDAP, VARCEL
Symptoms: Ear pain, Full blood count, Headache, Metabolic function test, Mononucleosis heterophile test negative
Clinical narrative: Acute vertigo, otalgia and headache 20 days after Varicella booster Provisional diagnosis - Neuronitis.
Age: 10.0
Sex: M
Vaccine: TDAP, VARCEL
Symptoms: Neuritis, Streptococcal identification test negative, Vertigo
Clinical narrative: Acute vertigo, otalgia and headache 20 days after Varicella booster Provisional diagnosis - Neuronitis.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMRV
Symptoms: Cold compress therapy, Injection site warmth
Clinical narrative: 4 x 4 x 4 inches surrounding vaccination site < 24 hours after given  - non tender, warm to touch watchful observation, cool compress - continue with Tylenol/ Ibuprofen - may give Claritin as needed) (Benadryl not given / deferred by mom due to behavior issues).
Age: 44.0
Sex: M
Vaccine: HPV4
Symptoms: Inappropriate schedule of drug administration, Rash generalised
Clinical narrative: Rash over entire body
Age: 16.0
Sex: F
Vaccine: HPV4, MNQ
Symptoms: Dyskinesia, Syncope
Clinical narrative: Pt has syncope and had jerky movement for a minute. Patients legs were elevated and monitored. Pt recovered after 45 min.
Age: 25.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Dizziness, Fatigue, Influenza like illness, Musculoskeletal pain
Clinical narrative: Patient c/o flu-like symptoms, fatigue, musculoskeletal ache, dizziness.
Age: 1.5
Sex: M
Vaccine: DTAP
Symptoms: Injection site erythema, Injection site swelling, Local reaction
Clinical narrative: Local reaction with erythema and swelling to left deltoid area.
Age: 1.5
Sex: F
Vaccine: DTAP, HEPA
Symptoms: Pyrexia
Clinical narrative: Received DPTa and Hep A on 5/10/07. Low grade fever on 5/10/07. High fever to 105.9 on 5/13/07 - 5/16/07.
Age: 1.5
Sex: M
Vaccine: DTAP, HEPA
Symptoms: Blood culture, C-reactive protein increased, Chest X-ray normal, Culture urine, Lymphocyte count decreased
Clinical narrative: High fever to 105.2, seen ER 5/15/07 WBC 6.9, 57% Neutrophil, 28% Lymph, urine and blood culture pending, CRP 8.9, Normal CXR
Age: 1.5
Sex: M
Vaccine: DTAP, HEPA
Symptoms: Neutrophil count normal, Pyrexia, White blood cell count
Clinical narrative: High fever to 105.2, seen ER 5/15/07 WBC 6.9, 57% Neutrophil, 28% Lymph, urine and blood culture pending, CRP 8.9, Normal CXR
Age: 12.0
Sex: F
Vaccine: TD
Symptoms: Local swelling, Pain
Clinical narrative: Local arm swelling, pain
Sex: U
Vaccine: UNK
Symptoms: Oedema peripheral, Skin warm
Clinical narrative: 4cm circular swelling L thigh. Increased warmth. No significant pain, no limp.
Age: 32.0
Sex: M
Vaccine: TD
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Redness, swelling and pain at inj site (L) deltoid.
Age: 1.1
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Varicella
Clinical narrative: Varicella Rash all over body no fever. Brovex and Aveeno baths prescribed.
Age: 35.0
Sex: M
Vaccine: ANTH
Symptoms: Injection site pain, Injection site swelling
Clinical narrative: Patient was given Anthrax vaccine absorb at left arm on 9 May 2007. He developed swelling, pain at site. He rated pain as 8/10. Signs and symptoms appeared the next morning (10 May 07).
Age: 9.0
Sex: M
Vaccine: VARCEL
Symptoms: Skin lesion, Skin warm, Tenderness
Clinical narrative: L upper arm W/3-4 inch oral shaped erythematous lesion, warm to touch, slightly raised and mildly tender to palpation, no streaking, no induration, no fluctuance
Age: 32.0
Sex: F
Vaccine: ANTH
Symptoms: Chills, Cold sweat, Headache, Injection site erythema, Injection site warmth
Clinical narrative: Patient developed fever, cold sweats, chills, and headaches the night after receiving anthrax vaccine in the morning. Presented 2 cm erythematous, warm, mildly raised lesion at the site of injection.
Age: 32.0
Sex: F
Vaccine: ANTH
Symptoms: Pyrexia
Clinical narrative: Patient developed fever, cold sweats, chills, and headaches the night after receiving anthrax vaccine in the morning. Presented 2 cm erythematous, warm, mildly raised lesion at the site of injection.
Age: 52.0
Sex: F
Vaccine: ANTH
Symptoms: Chills, Headache, Nausea, Pain
Clinical narrative: Patient had vaccine on 09 May 2007. She developed extreme chills, constant headache the night following the injection. She also had nausea and body aches. She stated her HA as 8/10.
Age: 45.0
Sex: F
Vaccine: MMR
Symptoms: Migraine, Nausea, Pyrexia, Rash
Clinical narrative: 72 hrs after immunization W/MMR, employee developed severe migraine, nausea, fever and rash
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site warmth, Local reaction
Clinical narrative: Redness and warmth surrounding injection site, very large-diameter 26 inch no pus no pain (+) itchy/Adverse local reaction
Age: 23.0
Sex: M
Vaccine: HEP
Symptoms: Dizziness, Vision blurred
Clinical narrative: About 15 min after injection ,pt c/o dizziness and blurry vision. He was escorted back to exam room to lay on exam table and given water (which he requested). He denied HA, abdominal pain, nausea, SOB, chest pain, or palpitations. At about 2:00 he indicated that his sxs had resolved and he was released to care of his brother at 2:34 PM.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Induration, Oedema peripheral, Skin warm
Clinical narrative: Arm very swollen, hard, red and hot to touch.-Given antibiotic-Benadryl
Age: 10.0
Sex: F
Vaccine: HEPA, VARCEL
Symptoms: Erythema, Mass, Reaction to preservatives, Skin warm, Tenderness
Clinical narrative: 3 x 3 1/2cm erythematous, edematous, warm knot, lateral right arm, only minimally tender. C/W vaccine reaction Ibuprofen and Benadryl next 24 - 48 hours.
Age: 21.0
Sex: M
Vaccine: ANTH, UNK
Symptoms: Contusion, Erythema, Skin warm, Tenderness
Clinical narrative: "Red, warm and lumpy x 1 week" Now lumpy and bruised x 1 wk", bruising, harden areas and slight tenderness observed.
Age: 18.0
Sex: F
Vaccine: ANTH, HEPAB, TYP
Symptoms: Injection site pain, Mass
Clinical narrative: Hard lump a 12 mm right ua. C/O mild pain at site.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: (L) arm red and swollen from shoulder to elbow
Age: 27.0
Sex: F
Vaccine: VARCEL
Symptoms: Anaemia, Drug exposure during pregnancy, Rash, Ultrasound abdomen
Clinical narrative: Information has been received from a physician through a Merck pregnancy registry concerning a 27-year-old female with one previous live birth (one previous pregnancy) who on 08-FEB-2005 was vaccinated subcutaneously with a 0.5ml first dose of Varivax (lot# 649480/0763P). On 05-APR-2005 she took 2 norgestrol 0.75mg tablets PO, however, the patient was already pregnant. LMP= 24=MAR=2005 and EDD= 28=DEC-2005. Unspecified medical attention was sought. There was no reaction at the vaccination site, no symptoms of varicella or herpes zoster post vaccination. It was also noted that the patient took 6-7 Vicodin HP tablets, 10mg/660mg, during the fourth week of pregnancy (21-APR-2005 to 23-APR-2005). On 10-MAY-2005 an ultrasound was performed to confirm dating, results indicated that the estimated gestational age was 7.1 weeks. No product quality complaint was involved. Additional information has been received from an R.N. indicating that the woman, with tobacco abuse and marijuana use (22-APR-2005 for 2 days); gave birth to a normal male child (7lb. 11 oz.) on 05-DEC-2005 (38 weeks from LMP). There was no complication during pregnancy or labor/delivery. It was reported that the patient had slight anemia during pregnancy. Follow-up information received on 25-APR-2006 contained the following adverse experience: rash on her hand (treated with OTC hydrocortisone cream). Additional information is not expected.
Age: 25.0
Sex: F
Vaccine: VARCEL
Symptoms: Accidental exposure, Device failure, Drug administered at inappropriate site, Eye irritation, Ophthalmological examination normal
Clinical narrative: Information has been received from a registered nurse (RN) concerning a female co-worker who, while administering the first SC 0.5 mL dose of Varivax (Lot #652555/1023R) in the right thigh to a patient on 21-FEB-2006 at 1100, was splashed in the eye with the vaccine due to a loose needle hub on the syringe. Unspecified medical attention was sought, but no adverse experience was related to the incident. Follow-up information received from the 25-year-old black female with no medical history indicated that immediately after being splashed in the eye with the vaccine she experienced eye irritation. An eye examination was negative. Additional information is not expected.
Age: 17.0
Sex: F
Vaccine: VARCEL
Symptoms: Alpha 1 foetoprotein normal, Drug exposure during pregnancy, Haemoglobin normal, Hepatitis B test negative, Meconium in amniotic fluid
Clinical narrative: Information has been received from a registered nurse (RN) through a pregnancy registry concerning a 17-year-old Hispanic female with no allergies and a history of urinary tract infection who on 06-DEC-2005 was vaccinated subcutaneously in the right arm with a 0.5 ml dose of Varivax (lot# 647534/0823P). There was no concomitant medication. Soon after the vaccination the patient was found to be pregnant. Unspecified medical attention was sought. Laboratory and diagnostic tests were performed on 10-JAN-2006: prenatal AFP - results pending, "Hep SsAg" - negative, RPR - negative, rubella screen - "reactive," hemoglobin - normal, antibody screen negative for ABO/rhogam-. It was reported that the LMP was 28-OCT-2005 and the EDD = 04-AUG-2006. At the time of the report she was well and it was reported that the physician would be doing ultrasounds for follow-up. NO further information was available. Additional information has been received from a physician. It was reported that the patient had an ultrasound on 13-DEC-2005 for size and due dates. On 22-FEB-2006 she had a standard MSAFP. There were no previous pregnancies and the patient had no local reaction, varicella symptoms or herpes symptoms post vaccination. Additional information received from a registered nurse indicated that on 25-JUL-2006 the woman had a liveborn female infant weighing 2980 41 weeks from the LMP. There were no congenital abnormalities. Complications during pregnancy included thick meconium in fluid and tight nuccal cord X 2. Apgars were 8:9. There were no complications during pregnancy. Diagnostic test during pregnancy were all normal including "afp," ultrasound, and "glucole." Medication used during pregnancy included: prenatal vitamins (5 mg PO daily) and iron (325 mg PO daily) from January 2006 through July 2006. There was no feature of congenital varicella zoster syndrome in the infant. No additional information is expected.