chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 19.0
Sex: M
Vaccine: MNQ, PPV, MNQ, PPV
Symptoms: White blood cell count increased
Clinical narrative: This case was reported by a physician via the patient's parent on 25 August 2008. A 19-year-old male patient, with a history of penicillin allergy, received a first left arm intramuscular injection of MENACTRA (lot number U2580AA) and a first left arm intramuscular injection of PNEUMOVAX (Merck, lot number 0380U). The vaccines were administered at approximately 1:30 pm on 29 July 2008. That evening, the patient began experiencing pain in the shoulder, fever (102 degrees Fahrenheit) and chills. He was seen by his physician, and noted to have marked tenderness, swelling, and warmth of the left deltoid. White blood count was 13,700 (reference ranges not provided). The following day he was seen again, and noted to have a worsening fever (104 to 105 degrees Fahrenheit), red eyes, vomiting, and marked tenderness and swelling of the left upper arm. He was admitted to the hospital, and white blood count on admission was 21,000. His fever continued for three additional days, and he developed cellulitis from the shoulder to the elbow. An MRI revealed swelling of the deltoid and overlying subcutaneous tissue; cultures were negative. His maximum white blood count while hospitalized was 24,000, with 16 bands. He remained hospitalized for three days, and was discharged on 02 August 2008. He was evaluated by his physician on 04 August 2008 and noted to have complete resolution of fever and redness. Original injection site remained tender with some swelling noted. Outcome was not reported. Documents held by sender: Photographs of patient's left arm.
Age: 19.0
Sex: M
Vaccine: MNQ, PPV, MNQ, PPV
Symptoms: Band neutrophil count increased, Cellulitis, Chills, Culture negative, Injection site pain
Clinical narrative: This case was reported by a physician via the patient's parent on 25 August 2008. A 19-year-old male patient, with a history of penicillin allergy, received a first left arm intramuscular injection of MENACTRA (lot number U2580AA) and a first left arm intramuscular injection of PNEUMOVAX (Merck, lot number 0380U). The vaccines were administered at approximately 1:30 pm on 29 July 2008. That evening, the patient began experiencing pain in the shoulder, fever (102 degrees Fahrenheit) and chills. He was seen by his physician, and noted to have marked tenderness, swelling, and warmth of the left deltoid. White blood count was 13,700 (reference ranges not provided). The following day he was seen again, and noted to have a worsening fever (104 to 105 degrees Fahrenheit), red eyes, vomiting, and marked tenderness and swelling of the left upper arm. He was admitted to the hospital, and white blood count on admission was 21,000. His fever continued for three additional days, and he developed cellulitis from the shoulder to the elbow. An MRI revealed swelling of the deltoid and overlying subcutaneous tissue; cultures were negative. His maximum white blood count while hospitalized was 24,000, with 16 bands. He remained hospitalized for three days, and was discharged on 02 August 2008. He was evaluated by his physician on 04 August 2008 and noted to have complete resolution of fever and redness. Original injection site remained tender with some swelling noted. Outcome was not reported. Documents held by sender: Photographs of patient's left arm.
Age: 19.0
Sex: M
Vaccine: MNQ, PPV, MNQ, PPV
Symptoms: Injection site swelling, Injection site warmth, Musculoskeletal pain, Nuclear magnetic resonance imaging abnormal, Ocular hyperaemia
Clinical narrative: This case was reported by a physician via the patient's parent on 25 August 2008. A 19-year-old male patient, with a history of penicillin allergy, received a first left arm intramuscular injection of MENACTRA (lot number U2580AA) and a first left arm intramuscular injection of PNEUMOVAX (Merck, lot number 0380U). The vaccines were administered at approximately 1:30 pm on 29 July 2008. That evening, the patient began experiencing pain in the shoulder, fever (102 degrees Fahrenheit) and chills. He was seen by his physician, and noted to have marked tenderness, swelling, and warmth of the left deltoid. White blood count was 13,700 (reference ranges not provided). The following day he was seen again, and noted to have a worsening fever (104 to 105 degrees Fahrenheit), red eyes, vomiting, and marked tenderness and swelling of the left upper arm. He was admitted to the hospital, and white blood count on admission was 21,000. His fever continued for three additional days, and he developed cellulitis from the shoulder to the elbow. An MRI revealed swelling of the deltoid and overlying subcutaneous tissue; cultures were negative. His maximum white blood count while hospitalized was 24,000, with 16 bands. He remained hospitalized for three days, and was discharged on 02 August 2008. He was evaluated by his physician on 04 August 2008 and noted to have complete resolution of fever and redness. Original injection site remained tender with some swelling noted. Outcome was not reported. Documents held by sender: Photographs of patient's left arm.
Age: 19.0
Sex: M
Vaccine: MNQ, PPV, MNQ, PPV
Symptoms: Pyrexia, Vomiting, White blood cell count increased
Clinical narrative: This case was reported by a physician via the patient's parent on 25 August 2008. A 19-year-old male patient, with a history of penicillin allergy, received a first left arm intramuscular injection of MENACTRA (lot number U2580AA) and a first left arm intramuscular injection of PNEUMOVAX (Merck, lot number 0380U). The vaccines were administered at approximately 1:30 pm on 29 July 2008. That evening, the patient began experiencing pain in the shoulder, fever (102 degrees Fahrenheit) and chills. He was seen by his physician, and noted to have marked tenderness, swelling, and warmth of the left deltoid. White blood count was 13,700 (reference ranges not provided). The following day he was seen again, and noted to have a worsening fever (104 to 105 degrees Fahrenheit), red eyes, vomiting, and marked tenderness and swelling of the left upper arm. He was admitted to the hospital, and white blood count on admission was 21,000. His fever continued for three additional days, and he developed cellulitis from the shoulder to the elbow. An MRI revealed swelling of the deltoid and overlying subcutaneous tissue; cultures were negative. His maximum white blood count while hospitalized was 24,000, with 16 bands. He remained hospitalized for three days, and was discharged on 02 August 2008. He was evaluated by his physician on 04 August 2008 and noted to have complete resolution of fever and redness. Original injection site remained tender with some swelling noted. Outcome was not reported. Documents held by sender: Photographs of patient's left arm.
Age: 16.0
Sex: F
Vaccine: HPV4, HPV4, MNQ, HPV4
Symptoms: Antibody test positive, Arthralgia, Fibula fracture, Laboratory test abnormal, Peripheral coldness
Clinical narrative: January 2008 complained of numbness and cold in hands; feet with joint pain of ankles, knees, wrist, fingers, feet. Seen at hospital 4/08 Diagnosed with Reynauds; Lupus.
Age: 16.0
Sex: F
Vaccine: HPV4, HPV4, MNQ, HPV4
Symptoms: Raynaud's phenomenon, Systemic lupus erythematosus
Clinical narrative: January 2008 complained of numbness and cold in hands; feet with joint pain of ankles, knees, wrist, fingers, feet. Seen at hospital 4/08 Diagnosed with Reynauds; Lupus.
Age: 16.0
Sex: F
Vaccine: HPV4, HPV4, MNQ, HPV4
Symptoms: Antinuclear antibody positive, Arthralgia, Hypoaesthesia, Peripheral coldness, Raynaud's phenomenon
Clinical narrative: January 2008 complained of numbness and cold in hands; feet with joint pain of ankles, knees, wrist, fingers, feet. Seen at hospital 4/08 Diagnosed with Reynauds; Lupus.
Age: 16.0
Sex: F
Vaccine: HPV4, HPV4, MNQ, HPV4
Symptoms: Systemic lupus erythematosus
Clinical narrative: January 2008 complained of numbness and cold in hands; feet with joint pain of ankles, knees, wrist, fingers, feet. Seen at hospital 4/08 Diagnosed with Reynauds; Lupus.
Age: 16.0
Sex: F
Vaccine: HPV4, HPV4, MNQ, HPV4
Symptoms: Bone pain, Fatigue, Hypoaesthesia, Raynaud's phenomenon, Rheumatoid arthritis
Clinical narrative: January 2008 complained of numbness and cold in hands; feet with joint pain of ankles, knees, wrist, fingers, feet. Seen at hospital 4/08 Diagnosed with Reynauds; Lupus.
Age: 16.0
Sex: F
Vaccine: HPV4, HPV4, MNQ, HPV4
Symptoms: Skin discolouration, Systemic lupus erythematosus
Clinical narrative: January 2008 complained of numbness and cold in hands; feet with joint pain of ankles, knees, wrist, fingers, feet. Seen at hospital 4/08 Diagnosed with Reynauds; Lupus.
Age: 14.0
Sex: F
Vaccine: HPV4, MNQ, HPV4, MNQ
Symptoms: Asthenia, Confusional state, Dizziness, Dyskinesia, Electrocardiogram normal
Clinical narrative: Patient had 3 syncopal episodes in the office and was transported via EMS to the hospital after vaccine admin.
Age: 14.0
Sex: F
Vaccine: HPV4, MNQ, HPV4, MNQ
Symptoms: Metabolic function test, Mydriasis, Syncope, Urine analysis normal
Clinical narrative: Patient had 3 syncopal episodes in the office and was transported via EMS to the hospital after vaccine admin.
Age: 14.0
Sex: F
Vaccine: HPV4, MNQ, HPV4, MNQ
Symptoms: Syncope
Clinical narrative: Patient had 3 syncopal episodes in the office and was transported via EMS to the hospital after vaccine admin.
Age: 56.0
Sex: F
Vaccine: TDAP, TDAP
Symptoms: Erythema, Local reaction, Pain in extremity, Skin warm
Clinical narrative: Pt. called to say that over the weekend, her Lt. arm was hot and red streaks were going down her arm and it was painful. Saw MD at ER and he stated this was a local reaction, was given Rx for Predinisone, pain med & antibiotics.
Age: 56.0
Sex: F
Vaccine: TDAP, TDAP
Symptoms: Erythema, Injection site streaking, Local reaction, Pain in extremity, Skin warm
Clinical narrative: Pt. called to say that over the weekend, her Lt. arm was hot and red streaks were going down her arm and it was painful. Saw MD at ER and he stated this was a local reaction, was given Rx for Predinisone, pain med & antibiotics.
Age: 19.0
Sex: M
Vaccine: HEPAB, IPV, MNQ, TD, YF, HEPAB, IPV, MMR, TDAP
Symptoms: Blood glucose increased, CSF test normal, Demyelination, Dyspnoea, Haematocrit decreased
Clinical narrative: Patient states with 2 day hx of extremity numbness/tingling and weakness.  Patient states 2 days ago started to have tingling in fingers.  Patient states still with muscle control at that time.  Patient states progressed until this am with difficulty with controlling hands and legs.  Patient states now with mild difficulty breathing.  No fever or chills, no hx of immunizations in last 1 week.  Transferred to the ED, the chief complaint is: Extremity numbness and tingling.  He reported: Feeling terrible.  Previously well, no fever, no chills, and no night sweats.  Quadriparesis, limb weakness causing difficulty lifting, limb weakness causing difficulty climbing stairs, and upper limb weakness descended to the legs.  Poor right upper extremity coordination, poor left upper extremity coordination, tingling of both arms, of both forearms, and of both hands.
Age: 19.0
Sex: M
Vaccine: HEPAB, IPV, MNQ, TD, YF, HEPAB, IPV, MMR, TDAP
Symptoms: Hypoaesthesia, Hyporeflexia, Loss of control of legs, Malaise, Malaise
Clinical narrative: Patient states with 2 day hx of extremity numbness/tingling and weakness.  Patient states 2 days ago started to have tingling in fingers.  Patient states still with muscle control at that time.  Patient states progressed until this am with difficulty with controlling hands and legs.  Patient states now with mild difficulty breathing.  No fever or chills, no hx of immunizations in last 1 week.  Transferred to the ED, the chief complaint is: Extremity numbness and tingling.  He reported: Feeling terrible.  Previously well, no fever, no chills, and no night sweats.  Quadriparesis, limb weakness causing difficulty lifting, limb weakness causing difficulty climbing stairs, and upper limb weakness descended to the legs.  Poor right upper extremity coordination, poor left upper extremity coordination, tingling of both arms, of both forearms, and of both hands.
Age: 19.0
Sex: M
Vaccine: HEPAB, IPV, MNQ, TD, YF, HEPAB, IPV, MMR, TDAP
Symptoms: Muscular weakness, Myasthenia gravis, Paraesthesia, Quadriparesis, Tendon disorder
Clinical narrative: Patient states with 2 day hx of extremity numbness/tingling and weakness.  Patient states 2 days ago started to have tingling in fingers.  Patient states still with muscle control at that time.  Patient states progressed until this am with difficulty with controlling hands and legs.  Patient states now with mild difficulty breathing.  No fever or chills, no hx of immunizations in last 1 week.  Transferred to the ED, the chief complaint is: Extremity numbness and tingling.  He reported: Feeling terrible.  Previously well, no fever, no chills, and no night sweats.  Quadriparesis, limb weakness causing difficulty lifting, limb weakness causing difficulty climbing stairs, and upper limb weakness descended to the legs.  Poor right upper extremity coordination, poor left upper extremity coordination, tingling of both arms, of both forearms, and of both hands.
Age: 19.0
Sex: M
Vaccine: HEPAB, IPV, MNQ, TD, YF, HEPAB, IPV, MMR, TDAP
Symptoms: Blood glucose increased, CSF test normal, Coordination abnormal, Dyspnoea, Feeling abnormal
Clinical narrative: Patient states with 2 day hx of extremity numbness/tingling and weakness.  Patient states 2 days ago started to have tingling in fingers.  Patient states still with muscle control at that time.  Patient states progressed until this am with difficulty with controlling hands and legs.  Patient states now with mild difficulty breathing.  No fever or chills, no hx of immunizations in last 1 week.  Transferred to the ED, the chief complaint is: Extremity numbness and tingling.  He reported: Feeling terrible.  Previously well, no fever, no chills, and no night sweats.  Quadriparesis, limb weakness causing difficulty lifting, limb weakness causing difficulty climbing stairs, and upper limb weakness descended to the legs.  Poor right upper extremity coordination, poor left upper extremity coordination, tingling of both arms, of both forearms, and of both hands.
Age: 19.0
Sex: M
Vaccine: HEPAB, IPV, MNQ, TD, YF, HEPAB, IPV, MMR, TDAP
Symptoms: Guillain-Barre syndrome, Haematocrit decreased, Hypoaesthesia, Muscular weakness, Paraesthesia
Clinical narrative: Patient states with 2 day hx of extremity numbness/tingling and weakness.  Patient states 2 days ago started to have tingling in fingers.  Patient states still with muscle control at that time.  Patient states progressed until this am with difficulty with controlling hands and legs.  Patient states now with mild difficulty breathing.  No fever or chills, no hx of immunizations in last 1 week.  Transferred to the ED, the chief complaint is: Extremity numbness and tingling.  He reported: Feeling terrible.  Previously well, no fever, no chills, and no night sweats.  Quadriparesis, limb weakness causing difficulty lifting, limb weakness causing difficulty climbing stairs, and upper limb weakness descended to the legs.  Poor right upper extremity coordination, poor left upper extremity coordination, tingling of both arms, of both forearms, and of both hands.
Age: 19.0
Sex: M
Vaccine: HEPAB, IPV, MNQ, TD, YF, HEPAB, IPV, MMR, TDAP
Symptoms: Quadriparesis
Clinical narrative: Patient states with 2 day hx of extremity numbness/tingling and weakness.  Patient states 2 days ago started to have tingling in fingers.  Patient states still with muscle control at that time.  Patient states progressed until this am with difficulty with controlling hands and legs.  Patient states now with mild difficulty breathing.  No fever or chills, no hx of immunizations in last 1 week.  Transferred to the ED, the chief complaint is: Extremity numbness and tingling.  He reported: Feeling terrible.  Previously well, no fever, no chills, and no night sweats.  Quadriparesis, limb weakness causing difficulty lifting, limb weakness causing difficulty climbing stairs, and upper limb weakness descended to the legs.  Poor right upper extremity coordination, poor left upper extremity coordination, tingling of both arms, of both forearms, and of both hands.
Age: 11.0
Sex: F
Vaccine: MNQ
Symptoms: Back pain, Renal pain
Clinical narrative: Patient has lower back pain, in the kidney area.  Will contact physician on 3-Sept-08 for follow-up.
Age: 0.2
Sex: M
Vaccine: RV5
Symptoms: Haematochezia
Clinical narrative: Information has been received from a health professional concerning a 55 day old male who on approximately 14-AUG-2008 was vaccinated with a first dose of ROTATEQ (Lot # 660926/0308X), 2 ml, PO. Subsequently the patient experienced bloody stools. No medical attention was sought. There is no product quality complaint. The event of bloody stools is considered an other important medical event. Additional information has been requested.
Age: 69.0
Sex: F
Vaccine: VARZOS
Symptoms: Fatigue, Feeling jittery, Laboratory test, Malaise, Palpitations
Clinical narrative: Information has been received from a physician concerning female with drug hypersensitivity to NEOMYCIN, CLARITIN, sulfa drugs, erythromycin, CECLOR and TETRACYCLINE, and a history of zoster and goiter, who in December 2007, was vaccinated with ZOSTAVAX (Oka/Merck). The patient was not feeling well, developed a flat rash around her lips and under her breasts. The patient also developed ulcers on the bottom of her tongue. The patient reports feeling jittery and tired most of the time. The patient has occasional heart palpitations. The physician treated the rash under the breast with LOTRISONE and that made the rash worse. The physician did not feel that the rash was a varicella or zoster like rash. The patient sought unspecified medical attention. As of 26-AUG-2008, the patient had not recovered. The physician considered the rash around lips and under breast, the ulcers on the bottom of the tongue, feeling jittery and tired most of the time and occasional heart palpitations to be disabling. Unspecified blood tests were performed (results not reported). Additional information has been requested.
Age: 69.0
Sex: F
Vaccine: VARZOS
Symptoms: Rash macular, Tongue ulceration
Clinical narrative: Information has been received from a physician concerning female with drug hypersensitivity to NEOMYCIN, CLARITIN, sulfa drugs, erythromycin, CECLOR and TETRACYCLINE, and a history of zoster and goiter, who in December 2007, was vaccinated with ZOSTAVAX (Oka/Merck). The patient was not feeling well, developed a flat rash around her lips and under her breasts. The patient also developed ulcers on the bottom of her tongue. The patient reports feeling jittery and tired most of the time. The patient has occasional heart palpitations. The physician treated the rash under the breast with LOTRISONE and that made the rash worse. The physician did not feel that the rash was a varicella or zoster like rash. The patient sought unspecified medical attention. As of 26-AUG-2008, the patient had not recovered. The physician considered the rash around lips and under breast, the ulcers on the bottom of the tongue, feeling jittery and tired most of the time and occasional heart palpitations to be disabling. Unspecified blood tests were performed (results not reported). Additional information has been requested.
Age: 4.0
Sex: F
Vaccine: VARCEL
Symptoms: Dyskinesia, Gaze palsy, Musculoskeletal stiffness, Petit mal epilepsy, Syncope
Clinical narrative: Initial information has been received from a physician concerning a 4 year old female with no medical history and no allergies, who on 15-AUG-2008 was vaccinated with VARIVAX (lot # 661011/0608X).  On 15-AUG-2008, the patient fainted for a couple of minutes in the office.  When she was taken back into an exam room, the patient had a jerking episode, her eyes rolled back and the patient stiffened, which lasted under 5 minutes.  The patient was monitored and given a Popsicle.  The patient recovered on 15-AUG-2008.  She was discharged from the office to home with her mother.  Follow-up information was received from a nurse via phone call.  On 16-AUG-2008, the patient's mother was contacted by phone and the patient's mother reported that the patient was "fine".  Upon internal review, the petit mal seizure was considered to be an Other Important Medical Event.  Additional information has been requested.
Age: 10.0
Sex: F
Vaccine: HPV4, VARCEL
Symptoms: Abdominal pain
Clinical narrative: Information has been received from a physician concerning a female who on an unspecified date was vaccinated with a 0.5 dose of 9/9/08-GARDASIL IM. Secondary suspect therapy included VARIVAX. About one week later, the patient was hospitalized with severe abdominal pain. She has since been released. The patient sought unspecified medical attention. At the time of reporting, the outcome of the patient was unknown. Additional information has been requested. On the evening of 13-AUG-2008 the patient started to vomit.  The next day on 14-AUG-2008, the patient was complaining of abdominal pain and vomiting. She was taken to the ER that night. The patient was not admitted to the hospital at that time.  The patient was sent home on the night of 14-AUG-2008.  On 15-AUG-2008 the patient developed diarrhea and complaint of abdominal pain and vomiting. The patient was admitted to the hospital on 16-AUG-2008 and discharged on 18-AUG-2008  (diagnosis not provided).    12/22/08-records received for ED visit 8/14/08 C/O abdominal pain, vomiting waxing and waning, began day of presentation to ED. Difficulty moving bowels. Dizzy when has pain. Constipation.  DX: Gastritis.
Sex: F
Vaccine: HPV4
Symptoms: Convulsion
Clinical narrative: Information has been received from a consumer at a public exhibit concerning her daughter who was vaccinated with a dose of GARDASIL.  Subsequently the patient experienced seizure.  The patient's mother reported that the patient would have to take seizure medication "for the rest of her life".  At the time of this report, the event persisted.  Upon internal review, seizure was determined to be an other important medical event.  No further information is available.
Age: 25.0
Sex: F
Vaccine: HPV4
Symptoms: Axillary vein thrombosis, Oedema peripheral, Pain in extremity, Subclavian vein thrombosis, Ultrasound scan abnormal
Clinical narrative: Information has been received from an office manager, concerning a 25 year old female patient who on an unspecified date was vaccinated with the second dose of GARDASIL.  The patient experienced pain and swelling in her left arm after the vaccine was given.  The patient was given GARDASIL in another clinic but she presented to the physician's office with this reaction.  The reporter stated the patient had pain and swelling after the first dose but was not this severe.  The pain and swelling lasted one week after this second dose was given.  The patient was sent to the hospital and admitted.  The patient recovered on an unknown date.  The patient sought medical attention at physician's office.  There was no product quality complaint.  Follow up information has been received from medical records and the office manager, concerning a 25 year old female patient who on an unknown date was vaccinated with 0.5 mL of the second dose of GARDASIL IM.  On 01-MAY-2008, the patient was seen in office for swelling and pain in arm which began on 28-APR-2008.  The patient was sent over for ultrasound and it was determined she had a hypoechoic thrombus that completely occluded and moderately expanded the left subclavian vein, axillary vein, mid and proximal basilic vein, mid and proximal brachial vein and proximal - most cephalic vein.  No blood flow identified within these particular structures.  The thrombus did not extend distal to the antecubital fossa.  The patient was hospitalized for an unspecified number of days.  Approximately, on 05-MAY-2008 (also reported as one week) the patient was recovered.  The reporter considered the event to be life-threatening and an other important medical event.  No further information is expected.  All available medical records will be provided upon request.  9/15/2008 MR received from PCP including some hospital records. Pt presented to PCP on 4/28/08 with c/o shoulder pain x 5 days, tingling fingertips.  Pain from shoulder to elbow with movement. DX: LUE radiculopathy. Sent for X-ray and CT-both (-). Acute thrombus dx by doppler/duplex exam.  10/20/2008 MR received for DOS 5/1-6/2008 and ER visit 7/22/08.  D/C DX: RUE DVT.  Pulmonary embolism.  Positive for lupus anticoagulant.  Pt presented with 1 week hx of progressive L shoulder pain and swelling of the L arm associated with L-sided chest pain and slight shortness of air. Tx with TPA followed by heparin and coumadin.  Labs c/w antiphospholipid syndrome. D/C on Lovenox. Pt returned to ER 7/22/08 with c/o chest pain and funny sensation of the L arm. W/u (-).
Age: 25.0
Sex: F
Vaccine: HPV4
Symptoms: Vaccine positive rechallenge, Vena cava thrombosis
Clinical narrative: Information has been received from an office manager, concerning a 25 year old female patient who on an unspecified date was vaccinated with the second dose of GARDASIL.  The patient experienced pain and swelling in her left arm after the vaccine was given.  The patient was given GARDASIL in another clinic but she presented to the physician's office with this reaction.  The reporter stated the patient had pain and swelling after the first dose but was not this severe.  The pain and swelling lasted one week after this second dose was given.  The patient was sent to the hospital and admitted.  The patient recovered on an unknown date.  The patient sought medical attention at physician's office.  There was no product quality complaint.  Follow up information has been received from medical records and the office manager, concerning a 25 year old female patient who on an unknown date was vaccinated with 0.5 mL of the second dose of GARDASIL IM.  On 01-MAY-2008, the patient was seen in office for swelling and pain in arm which began on 28-APR-2008.  The patient was sent over for ultrasound and it was determined she had a hypoechoic thrombus that completely occluded and moderately expanded the left subclavian vein, axillary vein, mid and proximal basilic vein, mid and proximal brachial vein and proximal - most cephalic vein.  No blood flow identified within these particular structures.  The thrombus did not extend distal to the antecubital fossa.  The patient was hospitalized for an unspecified number of days.  Approximately, on 05-MAY-2008 (also reported as one week) the patient was recovered.  The reporter considered the event to be life-threatening and an other important medical event.  No further information is expected.  All available medical records will be provided upon request.  9/15/2008 MR received from PCP including some hospital records. Pt presented to PCP on 4/28/08 with c/o shoulder pain x 5 days, tingling fingertips.  Pain from shoulder to elbow with movement. DX: LUE radiculopathy. Sent for X-ray and CT-both (-). Acute thrombus dx by doppler/duplex exam.  10/20/2008 MR received for DOS 5/1-6/2008 and ER visit 7/22/08.  D/C DX: RUE DVT.  Pulmonary embolism.  Positive for lupus anticoagulant.  Pt presented with 1 week hx of progressive L shoulder pain and swelling of the L arm associated with L-sided chest pain and slight shortness of air. Tx with TPA followed by heparin and coumadin.  Labs c/w antiphospholipid syndrome. D/C on Lovenox. Pt returned to ER 7/22/08 with c/o chest pain and funny sensation of the L arm. W/u (-).
Age: 0.17
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Death, Respiratory arrest
Clinical narrative: 8/7/08 received phone call from patient's mother that he had stopped breathing.  She called EMS and he was taken to hospital and he was pronounced dead.
Age: 0.44
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Clostridium difficile toxin test, Culture negative, Dialysis, Diarrhoea haemorrhagic, Haemolytic uraemic syndrome
Clinical narrative: Small papules on anterior thighs the day after the vaccines.  Bloody diarrhea 6 days after the vaccines.  Treated in ER, local hospital, transferred to pediatric facility, treated with vasopressors and dialysis for presumed hemolytic uremic syndrome.  10/07/2008 Reviewed hospital medical records of 8/14-8/30/2008. FINAL DX: post infection HUS characterized by hemolytic anemia, thrombocytopenia & ARF requiring CRRT; E.coli enterocolitis Records reveal patient experienced emesis, diarrhea which became bloody diarrhea, fever.  Transferred from outlying hospital.  Exam revealed rash on thighs s/p vaccination, resolving.  Admitted to PICU.  Transfused PRBCs, platletets.  Received 11 days of CRRT.  Nephro consult done.  During hospital stay, blood pressures very labile.  Tx w/norepinephrine for hypotension & nicardipine for hypertension; IV antibiotics.  Had mild pancreatitis on admit.  NPO for few days then fed breast milk via NJ tube until able to take orally.  BUN/creatinine, Hct, plts slowed improved as did UOP. D/C to home w/weekly labs, PCP & nephro f/u.  9/19/08 Reviewed hospital medical records of 8/13-8/14/2008. FINAL DX: vomiting, diarrhea & dehydration. Records reveal patient experienced vomiting, fever, pale, irritable, lethargy & diarrhea w/blood in stool x 1 day.  Seen in PCP office w/guiaic (+) stools.  Breastfed.  Tx w/IVF.  Papular rash on thighs & under neck.  GI & ID consults done.  Transferred to higher level of care.
Age: 0.44
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Occult blood positive, Rash papular, Rotavirus test negative
Clinical narrative: Small papules on anterior thighs the day after the vaccines.  Bloody diarrhea 6 days after the vaccines.  Treated in ER, local hospital, transferred to pediatric facility, treated with vasopressors and dialysis for presumed hemolytic uremic syndrome.  10/07/2008 Reviewed hospital medical records of 8/14-8/30/2008. FINAL DX: post infection HUS characterized by hemolytic anemia, thrombocytopenia & ARF requiring CRRT; E.coli enterocolitis Records reveal patient experienced emesis, diarrhea which became bloody diarrhea, fever.  Transferred from outlying hospital.  Exam revealed rash on thighs s/p vaccination, resolving.  Admitted to PICU.  Transfused PRBCs, platletets.  Received 11 days of CRRT.  Nephro consult done.  During hospital stay, blood pressures very labile.  Tx w/norepinephrine for hypotension & nicardipine for hypertension; IV antibiotics.  Had mild pancreatitis on admit.  NPO for few days then fed breast milk via NJ tube until able to take orally.  BUN/creatinine, Hct, plts slowed improved as did UOP. D/C to home w/weekly labs, PCP & nephro f/u.  9/19/08 Reviewed hospital medical records of 8/13-8/14/2008. FINAL DX: vomiting, diarrhea & dehydration. Records reveal patient experienced vomiting, fever, pale, irritable, lethargy & diarrhea w/blood in stool x 1 day.  Seen in PCP office w/guiaic (+) stools.  Breastfed.  Tx w/IVF.  Papular rash on thighs & under neck.  GI & ID consults done.  Transferred to higher level of care.
Age: 13.0
Sex: M
Vaccine: TDAP
Symptoms: Alanine aminotransferase increased, Aspartate aminotransferase increased, Chromaturia, Fatigue, Headache
Clinical narrative: Approx. 6 hours after vaccine administered, pt developed fever up to 102 and nausea and vomiting. Vomiting occurred after taking ibuprofen. Was prescribed Phenergan 12.5mg. Felt better, then 2 days after vaccine developed stiff neck and urine was brown. Taken to ER by mother, and he was noted to have slightly elevated liver functions. LP, EBV, hepatitis labs, CBC all normal. Lyme and RMSF negative. Continued to have HA, intermittent fever, and fatigue. Liver functions spiked, then started improving prior to discharge. D/C diagnosis was viral illness. CMV IgM neg. IgG positive. 8/25 - Report LFT's normalizing, CMV culture pending.   9/12/08 Reviewed hospital medical records of 8/17-8/21/2008. FINAL DX: febrile illness/viral illness; post lumbar puncture HA; elevated LFTs; mild left renal pelvicaliectasis. Records reveal patient experienced fever, stiff neck & vomiting x 3 days then developed brown urine.  Had questionable tick bites approx 2 weeks prior to admit.  Neuro consult & phone GI consult done.  Referred to outpatient Uro clinic.
Age: 13.0
Sex: M
Vaccine: TDAP
Symptoms: Liver function test abnormal, Lumbar puncture normal, Musculoskeletal stiffness, Nausea, Pyrexia
Clinical narrative: Approx. 6 hours after vaccine administered, pt developed fever up to 102 and nausea and vomiting. Vomiting occurred after taking ibuprofen. Was prescribed Phenergan 12.5mg. Felt better, then 2 days after vaccine developed stiff neck and urine was brown. Taken to ER by mother, and he was noted to have slightly elevated liver functions. LP, EBV, hepatitis labs, CBC all normal. Lyme and RMSF negative. Continued to have HA, intermittent fever, and fatigue. Liver functions spiked, then started improving prior to discharge. D/C diagnosis was viral illness. CMV IgM neg. IgG positive. 8/25 - Report LFT's normalizing, CMV culture pending.   9/12/08 Reviewed hospital medical records of 8/17-8/21/2008. FINAL DX: febrile illness/viral illness; post lumbar puncture HA; elevated LFTs; mild left renal pelvicaliectasis. Records reveal patient experienced fever, stiff neck & vomiting x 3 days then developed brown urine.  Had questionable tick bites approx 2 weeks prior to admit.  Neuro consult & phone GI consult done.  Referred to outpatient Uro clinic.
Age: 13.0
Sex: M
Vaccine: TDAP
Symptoms: Viral infection, Vomiting
Clinical narrative: Approx. 6 hours after vaccine administered, pt developed fever up to 102 and nausea and vomiting. Vomiting occurred after taking ibuprofen. Was prescribed Phenergan 12.5mg. Felt better, then 2 days after vaccine developed stiff neck and urine was brown. Taken to ER by mother, and he was noted to have slightly elevated liver functions. LP, EBV, hepatitis labs, CBC all normal. Lyme and RMSF negative. Continued to have HA, intermittent fever, and fatigue. Liver functions spiked, then started improving prior to discharge. D/C diagnosis was viral illness. CMV IgM neg. IgG positive. 8/25 - Report LFT's normalizing, CMV culture pending.   9/12/08 Reviewed hospital medical records of 8/17-8/21/2008. FINAL DX: febrile illness/viral illness; post lumbar puncture HA; elevated LFTs; mild left renal pelvicaliectasis. Records reveal patient experienced fever, stiff neck & vomiting x 3 days then developed brown urine.  Had questionable tick bites approx 2 weeks prior to admit.  Neuro consult & phone GI consult done.  Referred to outpatient Uro clinic.
Age: 60.0
Sex: M
Vaccine: VARZOS
Symptoms: Computerised tomogram normal, Global amnesia, Nuclear magnetic resonance imaging brain normal, Nuclear magnetic resonance imaging normal
Clinical narrative: Transient global amnesia.
Age: 38.0
Sex: M
Vaccine: ANTH, HEP, TYP
Symptoms: Blood immunoglobulin E, Lacrimation increased, Skin test negative, Throat irritation
Clinical narrative: Patient reports watery eyes and itchy throat following immunization with AVA # 1, Hep B 1, and typhoid # 3 on 3 Jun 08. He subsequently received Hep B # 2 in July without any problems. Patient reported that he has a history of latex allergy and felt that this reaction was due to latex. After a neg IgE Immune CAP, the patient was administered AVA #2 on 19 Aug, with premeditation of Claritin. He reported no problems with AVA # 2; Symptoms: Watery eyes, Pruritus.
Age: 47.0
Sex: F
Vaccine: HEPAB, YF
Symptoms: Urticaria
Clinical narrative: Onset of hives approximately 12 hours post vaccine. (also had been eating chocolate and is allergic to chocolate, went to ER for evaluation - given Benadryl and Prednisone - Spoke with patient 24 hours post vaccine, Symptoms resolving.
Age: 26.0
Sex: F
Vaccine: ANTH, SMALL
Symptoms: Skin mass
Clinical narrative: Pos allergic reaction anthrax shot (1wk); 1. lump in / on skin: right arm most likely from anthrax vaccine. Supportive care with NSAIDS, Benadryl, heat and cold compresses. She should not receive further anthrax vaccine in future. She was instructed to initiate VAERS form.
Age: 35.0
Sex: M
Vaccine: ANTH, HEP, TYP
Symptoms: Abdominal pain, Diarrhoea, Nausea, Stress
Clinical narrative: SM reported that he was vaccinated with AVA # 1, Hep B # 1, and Typhoid on 12 Aug 08. He reported taking ibuprofen prior to vaccination. Later that pm he reported abd cramping followed by loose stools. He also reported a couple episodes of nausea but no vomiting. He denied diarrhea, blood in stools, fever, chills, headaches or joint or muscle pain. He denied eating any foods that may cause diarrhea, and no one else around him was sick. He reported that he was under stress because he just found out about his deployment and had to do combat training the following week. He reported that the loose stools lasted approx 3-4 days and he currently feels fine. He will be deploying next week. Received AVA # 2 on 26 Aug. No problems. Symptoms: Abdominal Pain, Diarrhea, Nausea w/o vomiting.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Body temperature increased, Injection site erythema, Injection site swelling
Clinical narrative: Child was taken to ER on 8/30/08 due to a large, red, swollen area on right upper arm. Mother states red area was the size of a baseball and dark. Elevated temperature.
Age: 12.0
Sex: F
Vaccine: HEPA, HPV4, MNQ, TDAP
Symptoms: Alanine aminotransferase normal, Albumin globulin ratio normal, Aspartate aminotransferase normal, Basophil count normal, Basophil percentage
Clinical narrative: Was in sitting position; fell onto mother 3 minutes after shots. Jerking movements of both upper limbs, rigidity of body; lasted 30 seconds; then asked what happened
Age: 12.0
Sex: F
Vaccine: HEPA, HPV4, MNQ, TDAP
Symptoms: Blood albumin normal, Blood alkaline phosphatase increased, Blood bilirubin normal, Blood calcium normal, Blood chloride normal
Clinical narrative: Was in sitting position; fell onto mother 3 minutes after shots. Jerking movements of both upper limbs, rigidity of body; lasted 30 seconds; then asked what happened
Age: 12.0
Sex: F
Vaccine: HEPA, HPV4, MNQ, TDAP
Symptoms: Blood creatinine normal, Blood glucose normal, Blood potassium normal, Blood sodium normal, Blood urea normal
Clinical narrative: Was in sitting position; fell onto mother 3 minutes after shots. Jerking movements of both upper limbs, rigidity of body; lasted 30 seconds; then asked what happened
Age: 12.0
Sex: F
Vaccine: HEPA, HPV4, MNQ, TDAP
Symptoms: Carbon dioxide normal, Dyskinesia, Eosinophil count normal, Eosinophil percentage, Fall
Clinical narrative: Was in sitting position; fell onto mother 3 minutes after shots. Jerking movements of both upper limbs, rigidity of body; lasted 30 seconds; then asked what happened
Age: 12.0
Sex: F
Vaccine: HEPA, HPV4, MNQ, TDAP
Symptoms: Globulin, Haematocrit increased, Haemoglobin increased, Lymphocyte count normal, Lymphocyte percentage
Clinical narrative: Was in sitting position; fell onto mother 3 minutes after shots. Jerking movements of both upper limbs, rigidity of body; lasted 30 seconds; then asked what happened
Age: 12.0
Sex: F
Vaccine: HEPA, HPV4, MNQ, TDAP
Symptoms: Mean cell haemoglobin concentration normal, Mean cell haemoglobin normal, Mean cell volume normal, Monocyte count normal, Monocyte percentage
Clinical narrative: Was in sitting position; fell onto mother 3 minutes after shots. Jerking movements of both upper limbs, rigidity of body; lasted 30 seconds; then asked what happened
Age: 12.0
Sex: F
Vaccine: HEPA, HPV4, MNQ, TDAP
Symptoms: Muscle rigidity, Neutrophil count normal, Neutrophil percentage, Platelet count increased, Protein total normal
Clinical narrative: Was in sitting position; fell onto mother 3 minutes after shots. Jerking movements of both upper limbs, rigidity of body; lasted 30 seconds; then asked what happened
Age: 12.0
Sex: F
Vaccine: HEPA, HPV4, MNQ, TDAP
Symptoms: Red blood cell count increased, Red cell distribution width normal, White blood cell count increased
Clinical narrative: Was in sitting position; fell onto mother 3 minutes after shots. Jerking movements of both upper limbs, rigidity of body; lasted 30 seconds; then asked what happened
Age: 38.0
Sex: M
Vaccine: TDAP
Symptoms: Chills, Full blood count normal, Injection site erythema, Injection site swelling, Pyrexia
Clinical narrative: Fever, chills within hours - lasted 2-3 days.  Severe redness/swelling near injection site right upper arm.
Age: 0.5
Sex: M
Vaccine: DTAPHEPBIP, PNC, RV5
Symptoms: Rash generalised
Clinical narrative: Rash all over body.  Given Benadryl PO and instructed to give every 8 hours.  Call us PRN.
Age: 13.0
Sex: M
Vaccine: HEP, MNQ
Symptoms: Blood pressure decreased, Confusional state, Echocardiogram, Electrocardiogram, Epistaxis
Clinical narrative: Started with symptoms 10-19-07 - Syncope - passing out with confusion - decreased blood pressure - Epstaxis.  HA and flushed feelings.  Insomnia and sleep disruption - lasted 1 1/2 months.  Cardiac work up done - blood work - neurologist appointments.  Neurologist questioning possible Guillian Barre.
Age: 13.0
Sex: M
Vaccine: HEP, MNQ
Symptoms: Flushing, Full blood count, Headache, Insomnia, Loss of consciousness
Clinical narrative: Started with symptoms 10-19-07 - Syncope - passing out with confusion - decreased blood pressure - Epstaxis.  HA and flushed feelings.  Insomnia and sleep disruption - lasted 1 1/2 months.  Cardiac work up done - blood work - neurologist appointments.  Neurologist questioning possible Guillian Barre.
Age: 13.0
Sex: M
Vaccine: HEP, MNQ
Symptoms: Metabolic function test, Nuclear magnetic resonance imaging, Sleep disorder, Syncope, Thyroid function test
Clinical narrative: Started with symptoms 10-19-07 - Syncope - passing out with confusion - decreased blood pressure - Epstaxis.  HA and flushed feelings.  Insomnia and sleep disruption - lasted 1 1/2 months.  Cardiac work up done - blood work - neurologist appointments.  Neurologist questioning possible Guillian Barre.
Age: 5.0
Sex: M
Vaccine: HEP
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Redness/Swelling/Pain left deltoid area 3x3cm
Age: 9.0
Sex: F
Vaccine: HEPA
Symptoms: Body temperature increased, Dizziness, Pain in extremity
Clinical narrative: Temp 103, dizzy.  Both arms hurt (IM right arm).  Completely better in 72 hours - probably a virus, no problems since.
Age: 27.0
Sex: F
Vaccine: DT
Symptoms: Diarrhoea, Erythema, Headache, Oedema peripheral, Pain in extremity
Clinical narrative: Patient received injection of DECAVE in the left deltoid on 8-22-08.  Patient called 8-25-08 and said she had a reaction to the tetanus shot, her arm got real sore, it got red and swollen, the size 1/2 dollar.  She also had a slight fever, headache and diarrhea.
Age: 27.0
Sex: F
Vaccine: DT
Symptoms: Pyrexia
Clinical narrative: Patient received injection of DECAVE in the left deltoid on 8-22-08.  Patient called 8-25-08 and said she had a reaction to the tetanus shot, her arm got real sore, it got red and swollen, the size 1/2 dollar.  She also had a slight fever, headache and diarrhea.
Age: 27.0
Sex: M
Vaccine: HEP, TD
Symptoms: Induration, Local reaction, Oedema peripheral, Red blood cell abnormality
Clinical narrative: TD administered on 8/20/08.  On 8/22/08, patient presented left work and requested the RN to look at left arm.  RN returned.  Patient to apply medicine and a diagnosis of vaccine UOCLI groin.  Treated with Tylenol or Motrin.  Had a flu appt on 8/21/08.  No treatment indicated.  Patient informed by RN that his arm was red, swollen and hard to the touch when he went to the doctor's office.
Age: 1.1
Sex: F
Vaccine: UNK
Symptoms: Erythema, Pyrexia, Tenderness
Clinical narrative: Fever x 3 days, followed by redness, tenderness to left thigh.
Age: 12.0
Sex: F
Vaccine: TDAP, VARCEL
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Redness with swelling and tenderness developed at site of Varicella vaccine on right upper arm one day after vaccination.  Seen in office 8/26.  Area much improved per mother but still a red area, about size of 50 cent was present.
Age: 16.0
Sex: U
Vaccine: HEPA, HPV4
Symptoms: Confusional state, Convulsion, Immediate post-injection reaction, Somnolence, Syncope
Clinical narrative: Immediate syncope with brief seizure of few seconds.  Obeserved for 20 minutes then back to normal.  Went home and mom called back later that afternoon stating child was very sleepy, confusional.  Advised to go to ER.  Mom observed at home and stated child had been up late the night prior and felt that was the issue.  She stated she seemed ok.
Age: 33.0
Sex: F
Vaccine: HEP
Symptoms: Full blood count, Headache, Laboratory test, Myalgia, Nausea
Clinical narrative: Headache,nausea and vomit,muscle pain
Age: 33.0
Sex: F
Vaccine: HEP
Symptoms: Vomiting
Clinical narrative: Headache,nausea and vomit,muscle pain
Age: 18.0
Sex: F
Vaccine: HPV4, MNQ, TDAP, VARCEL
Symptoms: Accidental overdose, Inappropriate schedule of drug administration
Clinical narrative: Health Department administered Menactra, Adacel, and 2nd Varvax on 4/17/08. Client then presented to Dr. office with office for physical, and was vaccinated with additional doses of all three vaccines and a fourth dose of HPV on 8/14/08. This resulted in 4 Gardasil, 2 Menactra, 2 Adacel, and 3 Varivax vaccines administered. Parent stated that MD office administered vaccines, despite patient instructing them that she already received these vaccines in April at the Health Department Clinic. Parent was verbally upset and wanted to report this to the health department. Health Department is therefore reporting this error on behalf of the parents request. Vaccines were entered into the Immunization Registry following the 4/17/08 clinic, and were present at the time of re-vaccination at the MD office. Parent did not report any adverse reactions at the time of the call which was 24 hrs after the duplicate adminstration.
Age: 16.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Autopsy, Sudden death
Clinical narrative: Sudden death occured on 3/12/2008. 9/4/08-records received-Cause of Death:cardiovascular collapse as a consequence of pulmonary emboli, dehydration and diabetic ketacidosis.
Age: 16.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Autopsy, Blood glucose increased, Death, Pulmonary embolism
Clinical narrative: Sudden death occured on 3/12/2008. 9/4/08-records received-Cause of Death:cardiovascular collapse as a consequence of pulmonary emboli, dehydration and diabetic ketacidosis.
Age: 1.9
Sex: F
Vaccine: HEPA, MMR, PNC, VARCEL
Symptoms: Erythema, Rash generalised
Clinical narrative: Mom states that 10 days past immunization, the child broke out from head to toe with a rash.  Took child to Dr. on 6/20/08 with systemic erythemia. Dr.'s nurse stated Dr. did not document that rash was vaccine related.  Stated no meds given and mom instructed to give decadron and if s/s worsen to see her back.  Mom states rash subsided and did not see MD for further evaluation.
Age: 12.0
Sex: F
Vaccine: HEPA, MMR, VARCEL
Symptoms: Eye swelling
Clinical narrative: pt left eye swelling
Age: 48.0
Sex: F
Vaccine: DTAP
Symptoms: Activities of daily living impaired, Chills, Headache, Injection site swelling, Injection site warmth
Clinical narrative: Tdap administered on 8/18/08. On 8/19 next day, had fevers, chills, nausea and seen at Convenience Care medical center for same.  Nausea lasted all week, large local reaction with heat,swelling in left deltoid at administration site.  Had photophobia, crown headache. Missed three days of work.
Age: 48.0
Sex: F
Vaccine: DTAP
Symptoms: Local reaction, Nausea, Photophobia, Pyrexia
Clinical narrative: Tdap administered on 8/18/08. On 8/19 next day, had fevers, chills, nausea and seen at Convenience Care medical center for same.  Nausea lasted all week, large local reaction with heat,swelling in left deltoid at administration site.  Had photophobia, crown headache. Missed three days of work.