chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 15.0
Sex: F
Vaccine: HPV4
Symptoms: Foetal heart rate decreased
Clinical narrative: Initial and follow up information has been received from a certified nurse midwife and a nurse for the Pregnancy Registry for GARDASIL concerning a female (age not reported) who in July 2007, was vaccinated intramuscularly with the first 0.5 mL dose of GARDASIL. The certified nurse midwife reported that the patient was already pregnant (about 20 weeks gestation) when she received her first dose of GARDASIL. The patient sought unspecified medical attention. No other symptoms were noted. There was no product quality complaint involved. On 06-JUN-2008 a follow up telephone call was made to the doctor's office to know the patient's pregnancy outcome information and a telephone message was left. ON 11-JUN-2008 a nurse called back and reported that the patient had a primary cesarean section at term on 31-JAN-2008 and delivered a healthy and normal male baby weighing 7 lb, 10 oz. The baby's apgar score was 9/9. It was reported that the reason for the C-section was arrested descent in second stage with fetal intolerance to labor resulting in multiple deep variable decelerations. No complication was reported. Upon internal review patient having arrested descent in second stage of labor and fetal intolerance to labor resulting in multiple deep variable decelerations which required a cesarean section delivery were determined to be other important medical events. Additional information is not expected.
Age: 25.0
Sex: F
Vaccine: HPV4
Symptoms: Abortion spontaneous, Drug exposure during pregnancy, Laboratory test, Urine analysis
Clinical narrative: Information has been received from the Merck Pregnancy Registry for GARDASIL via a 25 year old female with depression, on CELEXA 20 mg daily, who on 29-OCT-2007 was vaccinated with the first dose of GARDASIL, 0.5 ml, injection form (lot# not specified). The second dose of GARDASIL, (Lot# not specified) was administered on 04-FEB-2008, and the third dose of GARDASIL, (Lot# not specified) was administered on 05-MAY-2008. On an unspecified date, she sought medical attention and had blood and urine tests performed (dates, test names and results were not noted). The patient reported that she was pregnant and her last menstrual period was 10-APR-2008, her estimated due date was calculated to be 16-JAN-2009. Follow-up information reported on 20-MAY-2008, 4 to 6 weeks from her last menstrual period, the patient had a spontaneous abortion. It was reported that the products of conception were not examined and it was unknown if the fetus was normal. Upon internal it was reported that spontaneous was an other important medical event. Additional information has been requested.
Age: 17.0
Sex: F
Vaccine: HPV4
Symptoms: Convulsion, Nuclear magnetic resonance imaging
Clinical narrative: Information has been received from a certified medical assistant concerning a 17 year old female with no drug reactions/allergies who on 05-JUN-2008 was vaccinated with GARDASIL (lot number 659962/1740U) 0.5 mL IM. Concomitant therapy included SYNTHROID, LEXAPRO and LUNESTA. On 06-JUN-2008 at about 4 AM the patient experienced 2 seizures a few minutes apart. The patient was taken to the emergency room (ER), evaluated, released and referred to a neurologist. On an unspecified date a magnetic resonance imaging (MRI) and electroencephalography (EEG) was performed but results were not available. No other information was available. Upon internal review seizure was considered to be an other medical event. Additional information has been requested.  6/24/08 Reviewed PCP vax rec & medical record of 6/5/08 which reveal pt w/dysmenorrhea & on Yasmin.  Otherwise in usual state of good health.  7/4/08 Reviewed ER medical records of 6/6/08. FINAL DX: weakness, dehydration & hypothyroidism & vasovagal syncope.  Records reveal patient experienced syncope x 2 followed by seizure activity & then confusion while at home.  No further seizure activity while in ER & d/c to home.
Age: 65.0
Sex: F
Vaccine: PPV
Symptoms: Abscess drainage, Antimicrobial susceptibility test resistant, Culture wound positive, Injection site abscess, Injection site discharge
Clinical narrative: Information has been received from a retired 65 year old female with a history of cutaneous lupus erythematosus, and allergies to topical antifungals, who on 01-APR-2008 at 2:00 PM was vaccinated with the first dose of 0.5 ml PNEUMOVAX 23 (LOT# 658075/0962U), to the left deltoid.  There were no reported acute illnesses at the time of vaccination.  Concomitant therapy included "Hydrochloraquine" (therapy unspecified) and "Thyroid Pill" (therapy unspecified).  The patient stated "that after she got the vaccine the injection site swelled up to the size of half a baseball, and it hurt lake mad."  There was pain and redness at the injection site which started within 1 day of vaccination, 02-APR-2008.  The patient saw her doctor in the clinic on 07-APR-2008 and was given prednisone.  On 30-APR-2008 the patient reported pus draining from the site and was seen in the clinic.  She had a wound culture that was positive for methycillin susceptible staph aureus.  The exam was consistent with an abscess and she was seen by a plastic surgeon for an Incision and Drainage (I and D).  The patient was followed by the plastic surgeon and was healing and would not need skin grafting.  At the time of the report the patient was recovering.  Upon internal review the surgical intervention was considered an other important medical event.  Additional information has been requested.
Age: 65.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Surgery
Clinical narrative: Information has been received from a retired 65 year old female with a history of cutaneous lupus erythematosus, and allergies to topical antifungals, who on 01-APR-2008 at 2:00 PM was vaccinated with the first dose of 0.5 ml PNEUMOVAX 23 (LOT# 658075/0962U), to the left deltoid.  There were no reported acute illnesses at the time of vaccination.  Concomitant therapy included "Hydrochloraquine" (therapy unspecified) and "Thyroid Pill" (therapy unspecified).  The patient stated "that after she got the vaccine the injection site swelled up to the size of half a baseball, and it hurt lake mad."  There was pain and redness at the injection site which started within 1 day of vaccination, 02-APR-2008.  The patient saw her doctor in the clinic on 07-APR-2008 and was given prednisone.  On 30-APR-2008 the patient reported pus draining from the site and was seen in the clinic.  She had a wound culture that was positive for methycillin susceptible staph aureus.  The exam was consistent with an abscess and she was seen by a plastic surgeon for an Incision and Drainage (I and D).  The patient was followed by the plastic surgeon and was healing and would not need skin grafting.  At the time of the report the patient was recovering.  Upon internal review the surgical intervention was considered an other important medical event.  Additional information has been requested.
Age: 41.0
Sex: F
Vaccine: PPV
Symptoms: Injected limb mobility decreased, Injection site erythema, Injection site induration, Injection site pain, Injection site reaction
Clinical narrative: Information has been received from a nurse practitioner and a medical assistant concerning a 41 year old female with asthma, diabetes, and allergies to FLAGYL, who on 09-JUN-2008 in the morning was vaccinated IM with a first dose of PNEUMOVAX 23 (Lot# 658555/0694U). Concomitant therapy included "thyroid." On 09-JUN-2008 post vaccination the patient developed an injection site reaction. The patient had a 4 inch area around the injection site that was hard, indurated, and painful with a red rim. The patient was unable to lift her arm. She returned to the office in the afternoon on 09-JUN-2008. The patient was treated with ice packs and DEPO-MEDROL. No laboratory diagnostics were performed. At the time of the report, the patient had not recovered. The injection site reaction, involving a 4 inch hard, indurated, and painful area with a red rim and the not being able to lift her arm was considered to be disabling and medically significant. Additional information has been requested.
Age: 70.0
Sex: F
Vaccine: VARZOS
Symptoms: Asthma, Lip swelling, Rash, Swollen tongue
Clinical narrative: Information has been received from a nurse practitioner concerning a 70 year old female with iodine allergy, hyperlipidaemia and asthma who on 21-MAY-2008 was seen for an office visit related an exacerbation of asthma.  On the same day, the patient was vaccinated subcutaneously in the right arm with a first dose of ZOSTAVAX (LOT# 659409/0409X).  Concomitant therapy included simvastatin (manufacturer unknown), SPIRIVA, ADVAIR and PROAIR HFA.  On 22-MAY-2008 the patient developed swollen lips and rash subsequent to vaccination with ZOSTAVAX and then went to Emergency room on 23-MAY-2008.  The patient was prescribed Prednisone, Benadryl, Xyzal and Zantac.  On 28-MAY-2008, the patient was seen in the office after her symptoms previously reported.  The note indicated a "possible reaction to ZOSTAVAX."  The patient's concurrent condition of asthma was improved.  The patient was taking ADVAIR.  Subsequently, the patient recovered from swollen lips and rash.  On 04-JUN-2008, the nurse practitioner saw the patient because the patient felt that her tongue was swollen.  At the time of the report, the patient had recovered.  The reporter considered the patient's event to be serious as other important medical events and felt that swollen lips and rash were related to therapy with ZOSTAVAX.  Additional information has been requested.
Age: 0.4
Sex: M
Vaccine: DTAPHEPBIP, PNC, RV5
Symptoms: Enema administration, Intussusception
Clinical narrative: ROTATEQ #3 given on 5/19/08. On 6/10/08 pt diagnosed with intussusception. Treated at hospital. 7/23/08-records received for DOS 6/10/08-Presented with C/O irritability and intermittent crying since 3:00 am. Vomited. No bowel movement since 6/8/08. Subsequently had BM in hospital. PE: bowel sounds present. 7/23/08-DC records received for DOS 6/10-6/12/08-DC DX:Intussusception. Status post reduction of intussusception with air enema.
Age: 11.0
Sex: M
Vaccine: HEPA, VARCEL
Symptoms: Immediate post-injection reaction, Injection site erythema, Injection site pruritus, Injection site urticaria
Clinical narrative: Varicella administered right arm S.C.  Immediate redness and itchiness and welt 8 mm diameter.  In office for 25 minutes, within 2 seconds ice applied to site: decreased redness, decreased size - however continued to be present.  T. C. mother, patient is well.  Parent reports she did not fly with ambulatory care or family physician.  Mother states, redness, itchiness and welt disappeared within 10 minutes of being in the car, with continued application of the ice pack.  No further concerns expressed.  TC to mother regarding situation of 5/23/08 and she stated no further problems except for itching later in the day.  She stated that he had a previous "itchy spell" and redness with 2 previous vaccines given at the clinic and supervisor encouraged her to notify physician for advice regarding future vaccines.
Age: 0.2
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Depressed level of consciousness, Gaze palsy, Hypersomnia, Pallor
Clinical narrative: Fell asleep shortly after vaccine, difficult to awaken, ashy/pale color, eyes rolled back in sleep, finally awakened 8 hrs. after shots.
Age: 85.0
Sex: M
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site vesicles
Clinical narrative: Pt received ZOSTAVAX on 3/17/08 SQ to upper left arm.  Developed 2 small red blisters (base 0.5cm) not inflamed at injection site as observed by PCP on 6/10/08.
Age: 20.0
Sex: F
Vaccine: ANTH, SMALL
Symptoms: Chest pain, Dizziness, Dyspnoea, Lethargy
Clinical narrative: Patient verbalized that she went to emergency room two days after receiving vaccinations: anthrax and smallpox.  Vaccines were administered on 11 June 2008.  Patient had complaints of dizziness, lethargy, chest pain and shortness of breath.
Age: 25.0
Sex: M
Vaccine: ANTH, HEP, SMALL, TYP
Symptoms: Rash
Clinical narrative: Pt noticed bumps on legs the next day, then spread up to trunk
Age: 20.0
Sex: F
Vaccine: TDAP
Symptoms: Dyspepsia, Injection site erythema, Injection site pain, Myalgia, Nausea
Clinical narrative: 6/19/2008-Pt described onset of fever of 102F, myalgias, nausea with dyspepsia, and pain and redness at the injection site 12 hours post vaccine administration.
Age: 20.0
Sex: F
Vaccine: TDAP
Symptoms: Pyrexia
Clinical narrative: 6/19/2008-Pt described onset of fever of 102F, myalgias, nausea with dyspepsia, and pain and redness at the injection site 12 hours post vaccine administration.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Erythema, Oedema peripheral, Skin warm
Clinical narrative: Patient developed extensive redness, swelling, and warmth to the touch in right leg.
Age: 5.0
Sex: M
Vaccine: DTAPHEPBIP, IPV, MMR, VARCEL
Symptoms: No adverse event, Wrong drug administered
Clinical narrative: Pediarix and Inact polio given at the same time - no ill effects noted.
Age: 16.0
Sex: F
Vaccine: MNQ
Symptoms: Injection site cellulitis, Injection site swelling, Lethargy, Pyrexia
Clinical narrative: Significant swelling at site of administration, cellulitis, mild fever, lethargy.  Treated with Cephalexin, 500mg, 3X per day, 10 days.
Age: 0.33
Sex: U
Vaccine: DTAPHEPBIP, HIBV, RV5
Symptoms: Accidental overdose, Wrong drug administered
Clinical narrative: Patient given two doses of Pediarix simultaneously.  No adverse affects noted
Age: 65.0
Sex: F
Vaccine: VARZOS
Symptoms: Blister, Pain, Pruritus
Clinical narrative: Blister started as red dots and turned into fluid filled blisters around most of the most of her waist. Didn't feel pain of them coming.  Only itching when they came.  Scratched them and then when she did that they hurt.  Put Alzum cream on it and they don't hurt or itch right now.  Denies fever and states feels fine.  Her MD is out for today. Advised to go to Dr.'s Family Practice and if shingles to ask for an antiviral.  Advised that the penicillin and Cipro that she has at home does not work if it is shingles.
Age: 34.0
Sex: F
Vaccine: TYP
Symptoms: Pruritus, Rash macular, Urticaria
Clinical narrative: Client received Typhoid vaccine 0.5 ml in Left Deltoid on 06/19/2008. Phoned Health Department at 0930 06/20/2008 stated she "had mild hives on her head and both arms that were splochy and itching", also stated "sometimes I get hives for no reasaon, my skin is very sensitive". Advised client to seek medical attention if condition worsened and she could take OTC Benaydrl as ordered. (Pt. stated she had also recieved Tdap on 06/12/2008 at her private doctors office).
Age: 6.0
Sex: F
Vaccine: VARCEL
Symptoms: Rash
Clinical narrative: Rash 22 days following vaccination with second  Varivax. Otherwise asymptomatic.  Doing well.  No others affected to date.  Removed from school until past contagious stage.
Age: 4.0
Sex: F
Vaccine: DTAP, HEPA, IPV, MMR, VARCEL
Symptoms: Injection site swelling, Local reaction
Clinical narrative: Local reaction to Dtap #5.  Given in Right thigh.  Reaction is now size of softball.
Age: 0.18
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Blood culture negative, Blood urine present, Culture urine negative, Full blood count normal, Laboratory test normal
Clinical narrative: Baby developed a fever 10-12 hours later to 103.6 About 24 hours later the infant devloped a rash over entire body sparing only her face.The rash resolved 24 hours after it began.The fever resloved 36 hours after vaccine.
Age: 0.18
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Pyrexia, Rash generalised
Clinical narrative: Baby developed a fever 10-12 hours later to 103.6 About 24 hours later the infant devloped a rash over entire body sparing only her face.The rash resolved 24 hours after it began.The fever resloved 36 hours after vaccine.
Age: 45.0
Sex: F
Vaccine: HEP
Symptoms: Asthenia, Blood test normal, Chest discomfort, Cough, Dizziness
Clinical narrative: Hep B vaccine administered 06/17/2008 approximately 4:15pm. 06/18/2008 evening began coughing, coughed all night, very sore throat, woke at 5am 06/19/08 with lungs feeling tight, no wheezing, no rash, very weak, dizzy.  Took vit.supplements, used albuteral inhaler (which helped somewhat) went to work, after work went to ED where she received 3 doses of inhaled epinephrine and felt better.  Had blood tests to rule out infection and was told they were normal.  Told it may have been a reaction to the Hep B vaccine.
Age: 45.0
Sex: F
Vaccine: HEP
Symptoms: Pharyngolaryngeal pain
Clinical narrative: Hep B vaccine administered 06/17/2008 approximately 4:15pm. 06/18/2008 evening began coughing, coughed all night, very sore throat, woke at 5am 06/19/08 with lungs feeling tight, no wheezing, no rash, very weak, dizzy.  Took vit.supplements, used albuteral inhaler (which helped somewhat) went to work, after work went to ED where she received 3 doses of inhaled epinephrine and felt better.  Had blood tests to rule out infection and was told they were normal.  Told it may have been a reaction to the Hep B vaccine.
Age: 34.0
Sex: F
Vaccine: TDAP
Symptoms: Arthralgia, Back pain, Headache, Pain, Pyrexia
Clinical narrative: Severe headache, back and hip pain, fever,  with random pain spots all over body.
Age: 61.0
Sex: F
Vaccine: VARCEL
Symptoms: Chest discomfort, Dyspnoea, Skin lesion
Clinical narrative: ON 4/25/08 PT COMPLAINED OF CHEST DISCOMFORT AND DIFFICULTY BREATHING.  SUBSIDED AFTER 1 HR THEN APROXM 2 WKS LATER DEVELOPED 10(3CM) PURPLE LESIONS ON THIGHS.
Age: 39.0
Sex: M
Vaccine: ANTH
Symptoms: Rash maculo-papular, Vaccine positive rechallenge
Clinical narrative: Pt with maculopapular rash developing 3-4 days after receiving anthrax immunization. Pt did not tell techician had a rash and was rechallenged on may 2nd 2008. Rash improved but still persisting 4weeks after that injection. Rash has cleared substantially with only residual rash left on legs and arms. Was present entire body excluding face, hands and feet. No systemic sx's.
Age: 14.0
Sex: F
Vaccine: HPV4
Symptoms: Dizziness, Feeling abnormal, Gaze palsy, Headache, Hyperventilation
Clinical narrative: FIRST EVENT 4/9/08: RECEIVED HPV 1, TDAP, MCV4 - FAINTED SEVERAL SECONDS AFTER VACCINES GIVEN, EYES ROLLED BACK AND PT STIFFENED AND SHOOK FOR A FEW SECONDS, THEN RECOVERED QUICKLY.  THOUGHT TO BE VAGAL EPISODE.  WITNESSED BY MOM AND ASSISTED BY NURSE AND MD.  SECOND EVENT 6/16/08: NERVOUS BEFORE SHOTS BC FAINTED LAST TIME.  RECEIVED HPV 2.  A FEW SEC LATER, FELT DIZZY AND UNABLE TO SEE, HEAD HURT THEN WENT LIMP, LEANED TO RIGHT AND STIFFENED AND ARMS AND LEGS SHOOK A LITTLE FOR APPROX 15 SEC, THEN PT WAS PALE, HYPERVENTILATING, EYES OPEN.  SHE EVENTUALLY BECAME LUCID AND RESPONSIVE OVER ABOUT 3-5 MIN.  BP STABLE THROUGHOUT. LUCID AND CONVERSATIONAL AFTER 5 MIN BUT QUIET AND STILL FELT "BAD".  SHE RECOVERED COMPLETELY WITHIN 10 MINUTES.  THIS ALSO WAS THOUGHT TO BE A VAGAL RESPONSE.
Age: 14.0
Sex: F
Vaccine: HPV4
Symptoms: Hypotonia, Musculoskeletal stiffness, Pallor, Syncope, Syncope vasovagal
Clinical narrative: FIRST EVENT 4/9/08: RECEIVED HPV 1, TDAP, MCV4 - FAINTED SEVERAL SECONDS AFTER VACCINES GIVEN, EYES ROLLED BACK AND PT STIFFENED AND SHOOK FOR A FEW SECONDS, THEN RECOVERED QUICKLY.  THOUGHT TO BE VAGAL EPISODE.  WITNESSED BY MOM AND ASSISTED BY NURSE AND MD.  SECOND EVENT 6/16/08: NERVOUS BEFORE SHOTS BC FAINTED LAST TIME.  RECEIVED HPV 2.  A FEW SEC LATER, FELT DIZZY AND UNABLE TO SEE, HEAD HURT THEN WENT LIMP, LEANED TO RIGHT AND STIFFENED AND ARMS AND LEGS SHOOK A LITTLE FOR APPROX 15 SEC, THEN PT WAS PALE, HYPERVENTILATING, EYES OPEN.  SHE EVENTUALLY BECAME LUCID AND RESPONSIVE OVER ABOUT 3-5 MIN.  BP STABLE THROUGHOUT. LUCID AND CONVERSATIONAL AFTER 5 MIN BUT QUIET AND STILL FELT "BAD".  SHE RECOVERED COMPLETELY WITHIN 10 MINUTES.  THIS ALSO WAS THOUGHT TO BE A VAGAL RESPONSE.
Age: 14.0
Sex: F
Vaccine: HPV4
Symptoms: Tremor, Vaccine positive rechallenge
Clinical narrative: FIRST EVENT 4/9/08: RECEIVED HPV 1, TDAP, MCV4 - FAINTED SEVERAL SECONDS AFTER VACCINES GIVEN, EYES ROLLED BACK AND PT STIFFENED AND SHOOK FOR A FEW SECONDS, THEN RECOVERED QUICKLY.  THOUGHT TO BE VAGAL EPISODE.  WITNESSED BY MOM AND ASSISTED BY NURSE AND MD.  SECOND EVENT 6/16/08: NERVOUS BEFORE SHOTS BC FAINTED LAST TIME.  RECEIVED HPV 2.  A FEW SEC LATER, FELT DIZZY AND UNABLE TO SEE, HEAD HURT THEN WENT LIMP, LEANED TO RIGHT AND STIFFENED AND ARMS AND LEGS SHOOK A LITTLE FOR APPROX 15 SEC, THEN PT WAS PALE, HYPERVENTILATING, EYES OPEN.  SHE EVENTUALLY BECAME LUCID AND RESPONSIVE OVER ABOUT 3-5 MIN.  BP STABLE THROUGHOUT. LUCID AND CONVERSATIONAL AFTER 5 MIN BUT QUIET AND STILL FELT "BAD".  SHE RECOVERED COMPLETELY WITHIN 10 MINUTES.  THIS ALSO WAS THOUGHT TO BE A VAGAL RESPONSE.
Age: 59.0
Sex: F
Vaccine: TD
Symptoms: Injection site erythema, Injection site oedema, Pain
Clinical narrative: Client complained of severe edema, redness, and generalized aching.  This began by waking up the client at approximately 3 a.m. on the day following receiving the vaccine.  Also c/o large baseball-sized lump at injection site. The site was this size when reported to the Health Department 4 days after the vaccine was received.
Age: 2.0
Sex: M
Vaccine: DTAP
Symptoms: Anorexia, Irritability, Pyrexia, Vomiting
Clinical narrative: Vomiting within the same night of the shot and continuing for 2 days after, fussiness ever since the shot was administered, fever started on the 2nd day after the shot was administered, no appetite, etc.
Age: 9.0
Sex: M
Vaccine: VARCEL
Symptoms: Face injury, Fall, Immediate post-injection reaction, Loss of consciousness, Tooth injury
Clinical narrative: Approximately 1 minute after vaccination pt. stepped down from exam table and passed out; fell face down on floor- nasal swelling, upper left canine tooth loose and bleeding.
Age: 9.0
Sex: M
Vaccine: VARCEL
Symptoms: X-ray
Clinical narrative: Approximately 1 minute after vaccination pt. stepped down from exam table and passed out; fell face down on floor- nasal swelling, upper left canine tooth loose and bleeding.
Age: 69.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site pain, Injection site pruritus, Urticaria
Clinical narrative: REDNESS, SORENESS, ITCHING @ SITE, HIVES ON BACK, LEG & BUTTOCK ON 6-3-08 AROUND 9:30 PM
Age: 10.0
Sex: M
Vaccine: TDAP, VARCEL
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: large amount of swelling at site, pt c/o pain, redness to administration site
Age: 9.0
Sex: F
Vaccine: HEP, IPV, MMR, TD, VARCEL
Symptoms: Blood pressure, Immediate post-injection reaction, Syncope, Vomiting
Clinical narrative: Within 5 minutes of given vaccines, child fainted.  She was laid down on the exam table and within 5 minutes of that she vomited a small amount.  Her BP was 94/60.  She sat up after that and was given crackers and juice.  Kept her in exam room for about 30 minutes.  She recovered without incidence.
Age: 1.0
Sex: M
Vaccine: HEPA, MMR, VARCEL
Symptoms: Crying, Haematocrit, Haemoglobin, Irritability, Retching
Clinical narrative: PT MOTHER STATED WHILE SLEEPING IN CAR SEAT (MOTHER DRIVING PT WOKE UP VOMITED. PT WOULD CRY AND BE IRRITABLE WHILE VOMITING. IN BETWEEN VOMITING PT IS PLAYING, DESCRIBED AS CLEAR MUCOUS. PARENT BROUGHT PT BACK TO CLINIC 1400 SEEN BY PROVIDER VOMITED X1 COUGH THEN VOMIT CLEAR SPUTUM DRY HEAVED LAST APPROXIMTELY ONE MINUTE
Age: 1.0
Sex: M
Vaccine: HEPA, MMR, VARCEL
Symptoms: Vomiting
Clinical narrative: PT MOTHER STATED WHILE SLEEPING IN CAR SEAT (MOTHER DRIVING PT WOKE UP VOMITED. PT WOULD CRY AND BE IRRITABLE WHILE VOMITING. IN BETWEEN VOMITING PT IS PLAYING, DESCRIBED AS CLEAR MUCOUS. PARENT BROUGHT PT BACK TO CLINIC 1400 SEEN BY PROVIDER VOMITED X1 COUGH THEN VOMIT CLEAR SPUTUM DRY HEAVED LAST APPROXIMTELY ONE MINUTE
Age: 30.0
Sex: F
Vaccine: VARCEL
Symptoms: Blood immunoglobulin M, Chest X-ray normal, Dyspnoea, Injection site erythema, Injection site swelling
Clinical narrative: injection site red and swollen (30mm induration), fever (101.5 F)a day after vaccination, short of breath on third day;  Augmentin 875 1 PO BID x 7 days; Albuterol inhaler
Age: 30.0
Sex: F
Vaccine: VARCEL
Symptoms: Pyrexia
Clinical narrative: injection site red and swollen (30mm induration), fever (101.5 F)a day after vaccination, short of breath on third day;  Augmentin 875 1 PO BID x 7 days; Albuterol inhaler
Age: 11.0
Sex: F
Vaccine: HPV4
Symptoms: Dizziness
Clinical narrative: PT received HPV # 2. Pt reported to mother that she felt dizzy while waitng to check out. Pt assisted back to exam room . Vitals monitored. Pt discharged to home accompanied by mother when stable.
Age: 0.4
Sex: M
Vaccine: DTAP, HEP, HIBV, IPV, PNC, RV5
Symptoms: Blood test, Childhood disintegrative disorder, Chromosomal analysis, Crying, Dyskinesia
Clinical narrative: Execssive sleepiness only waking to eat. This began on 9/17/2007. Jerking, later identified as Infantile Spasms. First symptoms were observed on 09/28/2007. Stopped giving eye contact, stopped, babbling, and stopped smiling. Observed on 9/29/2007. Crying for 2-3 hours at a time first noticed on 10/8/2007. 7/23/08-records received for DOS 10/7-10/10/07-DC DX: Infantile Spasms. Suspected hypsarrhythmia.Three days prior to admission increased jumping, startling and arms being thrown up, jumpy movements moments after awakening. Movements associated with widening of eyes and cry. No fever.
Age: 0.4
Sex: M
Vaccine: DTAP, HEP, HIBV, IPV, PNC, RV5
Symptoms: Electrocardiogram, Electroencephalogram, Gene mutation identification test, Hypersomnia, Infantile spasms
Clinical narrative: Execssive sleepiness only waking to eat. This began on 9/17/2007. Jerking, later identified as Infantile Spasms. First symptoms were observed on 09/28/2007. Stopped giving eye contact, stopped, babbling, and stopped smiling. Observed on 9/29/2007. Crying for 2-3 hours at a time first noticed on 10/8/2007. 7/23/08-records received for DOS 10/7-10/10/07-DC DX: Infantile Spasms. Suspected hypsarrhythmia.Three days prior to admission increased jumping, startling and arms being thrown up, jumpy movements moments after awakening. Movements associated with widening of eyes and cry. No fever.
Age: 0.4
Sex: M
Vaccine: DTAP, HEP, HIBV, IPV, PNC, RV5
Symptoms: Lumbar puncture, Metabolic function test, Nuclear magnetic resonance imaging
Clinical narrative: Execssive sleepiness only waking to eat. This began on 9/17/2007. Jerking, later identified as Infantile Spasms. First symptoms were observed on 09/28/2007. Stopped giving eye contact, stopped, babbling, and stopped smiling. Observed on 9/29/2007. Crying for 2-3 hours at a time first noticed on 10/8/2007. 7/23/08-records received for DOS 10/7-10/10/07-DC DX: Infantile Spasms. Suspected hypsarrhythmia.Three days prior to admission increased jumping, startling and arms being thrown up, jumpy movements moments after awakening. Movements associated with widening of eyes and cry. No fever.
Age: 20.0
Sex: F
Vaccine: HEPAB, IPV, MMR, VARCEL, YF
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Swelling and redness to site within 45 minutes after injection.
Age: 19.0
Sex: F
Vaccine: HEPAB, IPV, MMR, VARCEL, YF
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Swelling and redness to site within 45 minutes. Treated with 50 mg of Benadryl IV push.
Sex: F
Vaccine: HEPAB, IPV, MMR, VARCEL, YF
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Swelling and redness to site within 45 minutes.  Treated with 50 mg of Benadryl IV push.
Age: 26.0
Sex: F
Vaccine: HEPAB, HPV4, TYP
Symptoms: Blood pressure systolic, Bradycardia, Dizziness
Clinical narrative: Pt felt woozy after recieving 3rd vaccine(HPV). MD present,SBP70's, Bradycardia HR 50's. Amonia inhalent administered. Pt taken to urgent care via wheelchair
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site induration, Injection site papule
Clinical narrative: 1-2 cm area of pink and induration around injection site, 6-8 pink papular/wheal type lesions grouped on lower part of left thigh. Started on triamcinolone acetonide topical ointment 0.1%
Age: 8.0
Sex: M
Vaccine: VARCEL
Symptoms: Injection site erythema, Injection site pruritus, Injection site warmth
Clinical narrative: Patients arm at injection site.Right anterior aspect was red,hot to the touch,and itching.None itching cream applied ie: Eucerin calming cream and cool packs applied to area.
Sex: M
Vaccine: HEP, HEPA
Symptoms: Blood bilirubin increased
Clinical narrative: This case was reported by a consumer and described the occurrence of blood bilirubin increased in a male subject of unspecified age who was vaccinated with Hepatitis A vaccine, manufacturer unspecified), and Hepatitis B vaccine, manufacturer unspecified. A physician or other health care professional has not verified this report. On an unspecified date, the subject received an unspecified dose of Hepatitis A vaccine (unknown), and an unspecified dose of Hepatitis B (unknown). At an unspecified time after vaccination with the Hepatitis A vaccine and Hepatitis B vaccine, the subject experienced increased blood bilirubin. This case was assessed as medically serious by GSK. At the time of reporting, the outcome of the event was unspecified. The reporter declined to provide any contact information.
Age: 14.0
Sex: F
Vaccine: HEPA, HPV4, HEPA, HPV4, HEPA, HPV4, HEPA, HPV4
Symptoms: Abdominal pain, Blood test, Diplopia, Fatigue, Hypoaesthesia
Clinical narrative: About 10-14 days after receiving 2nd dose of HPV vaccine patient complained of double vision, numbness in hands & feet, tremors, abdominal pain, heaviness in arms, fatigue.  She was seen by doctor Dx-sixth nerve palsy, abnormal MRI, admitted to hospital. 7/14/08-PCP note seen in office 6/2/08-for C/O double vision, 15 days prior seen by ophthamologist.  8/6/08-records received for DOS 6/10-6/13/08-DC DX: ADEM. Presented with diplopia a few weeks prior to admission, seen by optometrist and diagnosed with 6th nerve palsy.  Two weeks prior to admission presented with paresthesias involving all extremities. Diplopia somewhat improved.
Age: 14.0
Sex: F
Vaccine: HEPA, HPV4, HEPA, HPV4, HEPA, HPV4, HEPA, HPV4
Symptoms: Leukoencephalomyelitis, Lumbar puncture, Nerve injury, Nuclear magnetic resonance imaging abnormal, Sensation of heaviness
Clinical narrative: About 10-14 days after receiving 2nd dose of HPV vaccine patient complained of double vision, numbness in hands & feet, tremors, abdominal pain, heaviness in arms, fatigue.  She was seen by doctor Dx-sixth nerve palsy, abnormal MRI, admitted to hospital. 7/14/08-PCP note seen in office 6/2/08-for C/O double vision, 15 days prior seen by ophthamologist.  8/6/08-records received for DOS 6/10-6/13/08-DC DX: ADEM. Presented with diplopia a few weeks prior to admission, seen by optometrist and diagnosed with 6th nerve palsy.  Two weeks prior to admission presented with paresthesias involving all extremities. Diplopia somewhat improved.
Age: 14.0
Sex: F
Vaccine: HEPA, HPV4, HEPA, HPV4, HEPA, HPV4, HEPA, HPV4
Symptoms: Tremor, VIth nerve paralysis
Clinical narrative: About 10-14 days after receiving 2nd dose of HPV vaccine patient complained of double vision, numbness in hands & feet, tremors, abdominal pain, heaviness in arms, fatigue.  She was seen by doctor Dx-sixth nerve palsy, abnormal MRI, admitted to hospital. 7/14/08-PCP note seen in office 6/2/08-for C/O double vision, 15 days prior seen by ophthamologist.  8/6/08-records received for DOS 6/10-6/13/08-DC DX: ADEM. Presented with diplopia a few weeks prior to admission, seen by optometrist and diagnosed with 6th nerve palsy.  Two weeks prior to admission presented with paresthesias involving all extremities. Diplopia somewhat improved.
Age: 14.0
Sex: F
Vaccine: HEPA, HPV4, HEPA, HPV4, HEPA, HPV4, HEPA, HPV4
Symptoms: Diplopia, Leukoencephalomyelitis, Nuclear magnetic resonance imaging
Clinical narrative: About 10-14 days after receiving 2nd dose of HPV vaccine patient complained of double vision, numbness in hands & feet, tremors, abdominal pain, heaviness in arms, fatigue.  She was seen by doctor Dx-sixth nerve palsy, abnormal MRI, admitted to hospital. 7/14/08-PCP note seen in office 6/2/08-for C/O double vision, 15 days prior seen by ophthamologist.  8/6/08-records received for DOS 6/10-6/13/08-DC DX: ADEM. Presented with diplopia a few weeks prior to admission, seen by optometrist and diagnosed with 6th nerve palsy.  Two weeks prior to admission presented with paresthesias involving all extremities. Diplopia somewhat improved.
Age: 14.0
Sex: F
Vaccine: HEPA, HPV4, HEPA, HPV4, HEPA, HPV4, HEPA, HPV4
Symptoms: Abdominal pain, Diplopia, Dizziness, Fatigue, Hypoaesthesia
Clinical narrative: About 10-14 days after receiving 2nd dose of HPV vaccine patient complained of double vision, numbness in hands & feet, tremors, abdominal pain, heaviness in arms, fatigue.  She was seen by doctor Dx-sixth nerve palsy, abnormal MRI, admitted to hospital. 7/14/08-PCP note seen in office 6/2/08-for C/O double vision, 15 days prior seen by ophthamologist.  8/6/08-records received for DOS 6/10-6/13/08-DC DX: ADEM. Presented with diplopia a few weeks prior to admission, seen by optometrist and diagnosed with 6th nerve palsy.  Two weeks prior to admission presented with paresthesias involving all extremities. Diplopia somewhat improved.
Age: 14.0
Sex: F
Vaccine: HEPA, HPV4, HEPA, HPV4, HEPA, HPV4, HEPA, HPV4
Symptoms: Hypoaesthesia, Leukoencephalomyelitis, Lumbar puncture, Multiple sclerosis, Muscular weakness
Clinical narrative: About 10-14 days after receiving 2nd dose of HPV vaccine patient complained of double vision, numbness in hands & feet, tremors, abdominal pain, heaviness in arms, fatigue.  She was seen by doctor Dx-sixth nerve palsy, abnormal MRI, admitted to hospital. 7/14/08-PCP note seen in office 6/2/08-for C/O double vision, 15 days prior seen by ophthamologist.  8/6/08-records received for DOS 6/10-6/13/08-DC DX: ADEM. Presented with diplopia a few weeks prior to admission, seen by optometrist and diagnosed with 6th nerve palsy.  Two weeks prior to admission presented with paresthesias involving all extremities. Diplopia somewhat improved.
Age: 14.0
Sex: F
Vaccine: HEPA, HPV4, HEPA, HPV4, HEPA, HPV4, HEPA, HPV4
Symptoms: Nuclear magnetic resonance imaging abnormal, Physiotherapy, Sensation of heaviness, Spinal disorder, Tremor
Clinical narrative: About 10-14 days after receiving 2nd dose of HPV vaccine patient complained of double vision, numbness in hands & feet, tremors, abdominal pain, heaviness in arms, fatigue.  She was seen by doctor Dx-sixth nerve palsy, abnormal MRI, admitted to hospital. 7/14/08-PCP note seen in office 6/2/08-for C/O double vision, 15 days prior seen by ophthamologist.  8/6/08-records received for DOS 6/10-6/13/08-DC DX: ADEM. Presented with diplopia a few weeks prior to admission, seen by optometrist and diagnosed with 6th nerve palsy.  Two weeks prior to admission presented with paresthesias involving all extremities. Diplopia somewhat improved.
Age: 14.0
Sex: F
Vaccine: HEPA, HPV4, HEPA, HPV4, HEPA, HPV4, HEPA, HPV4
Symptoms: VIth nerve paralysis, Vaginal disorder, Visual impairment
Clinical narrative: About 10-14 days after receiving 2nd dose of HPV vaccine patient complained of double vision, numbness in hands & feet, tremors, abdominal pain, heaviness in arms, fatigue.  She was seen by doctor Dx-sixth nerve palsy, abnormal MRI, admitted to hospital. 7/14/08-PCP note seen in office 6/2/08-for C/O double vision, 15 days prior seen by ophthamologist.  8/6/08-records received for DOS 6/10-6/13/08-DC DX: ADEM. Presented with diplopia a few weeks prior to admission, seen by optometrist and diagnosed with 6th nerve palsy.  Two weeks prior to admission presented with paresthesias involving all extremities. Diplopia somewhat improved.
Age: 50.0
Sex: F
Vaccine: TDAP
Symptoms: Axillary pain, Injection site bruising, Injection site erythema, Injection site pain, Injection site warmth
Clinical narrative: Pt. c/o soreness L deltoid area extending to L axilla & L side of chest & extending up L side of neck.  Injection site sl. red, sl. warm to touch; bruising.  Sx's severe 6/14-6/16.
Age: 50.0
Sex: F
Vaccine: TDAP
Symptoms: Neck pain, Pain
Clinical narrative: Pt. c/o soreness L deltoid area extending to L axilla & L side of chest & extending up L side of neck.  Injection site sl. red, sl. warm to touch; bruising.  Sx's severe 6/14-6/16.
Age: 70.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site induration, Injection site mass, Injection site pain, Injection site pruritus
Clinical narrative: Large hard "lump" at injection site - size of "baseball" - appeared 2 days after injection.  Itched, very sore.  After 2 days - lump is subsiding.
Age: 15.0
Sex: F
Vaccine: MNQ
Symptoms: Erythema, Oedema peripheral, Pain in extremity, Skin warm
Clinical narrative: Deltoid swollen, red, hot touch, painful.  Ice, Advil/Tylenol prn.
Age: 82.0
Sex: F
Vaccine: VARZOS
Symptoms: Dermatitis, Injection site cellulitis, Injection site rash, Rash vesicular
Clinical narrative: Dermatitis left arm, cellulitis over are of herpetiform eruptions 4x8cm at shot site.
Age: 71.0
Sex: F
Vaccine: VARZOS
Symptoms: Blister, Rash vesicular
Clinical narrative: Itchy, chicken pox-like blisters - a few on each arm and approximately 10 pox around belly area.
Age: 14.0
Sex: F
Vaccine: HEPA, HPV4
Symptoms: Loss of consciousness
Clinical narrative: Patient passed out after having shots.
Age: 18.0
Sex: F
Vaccine: HEPA, HPV4, MNQ, VARCEL
Symptoms: Injection site induration, Injection site swelling
Clinical narrative: 3 inch red raised indurated non-tender area around inoculation site.  Benadryl PRN left arm SQ injection site.
Age: 1.0
Sex: F
Vaccine: MMRV
Symptoms: Crying, Decreased appetite, Emotional distress, Erythema, Full blood count
Clinical narrative: 6/1708- 6:12pm TC from mom reporting rash increasing flat red spots over body - started night before.  6/18/08 at 10:45am seen by Dr. -S: hx of fever & irritability x2 nights; decreased appetite.  O: crying, inconsolable; petechiae up to 3 (most pinpoint) on trunk, face, neck & extremities.  Referred to local ER; discharge dx ITP - given 20cc of NS & ROCEPHIN.  Clinically looks great at discharge.  F/U appt 6-23-08.
Age: 1.0
Sex: F
Vaccine: MMRV
Symptoms: Haematocrit normal, Haemoglobin normal, Idiopathic thrombocytopenic purpura, Irritability, Petechiae
Clinical narrative: 6/1708- 6:12pm TC from mom reporting rash increasing flat red spots over body - started night before.  6/18/08 at 10:45am seen by Dr. -S: hx of fever & irritability x2 nights; decreased appetite.  O: crying, inconsolable; petechiae up to 3 (most pinpoint) on trunk, face, neck & extremities.  Referred to local ER; discharge dx ITP - given 20cc of NS & ROCEPHIN.  Clinically looks great at discharge.  F/U appt 6-23-08.
Age: 1.0
Sex: F
Vaccine: MMRV
Symptoms: Platelet count decreased, Pyrexia, Rash, White blood cell count normal
Clinical narrative: 6/1708- 6:12pm TC from mom reporting rash increasing flat red spots over body - started night before.  6/18/08 at 10:45am seen by Dr. -S: hx of fever & irritability x2 nights; decreased appetite.  O: crying, inconsolable; petechiae up to 3 (most pinpoint) on trunk, face, neck & extremities.  Referred to local ER; discharge dx ITP - given 20cc of NS & ROCEPHIN.  Clinically looks great at discharge.  F/U appt 6-23-08.
Age: 35.0
Sex: F
Vaccine: TDAP
Symptoms: Blood pressure increased, Dysphagia, Erythema, Injection site mass, Pruritus
Clinical narrative: Approximately 30 mins after Tdap given, pt reported slight difficulty in swallowing.  No SOB, no redness at injection site, no swelling of face or hands, no hives, no coughing, no c/o pain.  VS WNL except B/P elevated at 145/86-96.  Usually runs 135/85.  BENADRYL 50mg PO given & pt monitored for 1 1/2 hours.  Asymptomatic when she left.  No further complications.  I follow up with pt after she left.  She said 3 days after injection, she did develop small lump at injection site, and small reddened raised area below site that itched, but these 2 areas resolved on their own.  Pt was given education on s/s of reaction during & after injection & again during f/u calls.
Age: 35.0
Sex: F
Vaccine: TDAP
Symptoms: Swelling
Clinical narrative: Approximately 30 mins after Tdap given, pt reported slight difficulty in swallowing.  No SOB, no redness at injection site, no swelling of face or hands, no hives, no coughing, no c/o pain.  VS WNL except B/P elevated at 145/86-96.  Usually runs 135/85.  BENADRYL 50mg PO given & pt monitored for 1 1/2 hours.  Asymptomatic when she left.  No further complications.  I follow up with pt after she left.  She said 3 days after injection, she did develop small lump at injection site, and small reddened raised area below site that itched, but these 2 areas resolved on their own.  Pt was given education on s/s of reaction during & after injection & again during f/u calls.
Age: 80.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema
Clinical narrative: Redness about size of quarter 10 minutes after injection.  Resolved when call 8PM same day applied ice.
Age: 29.0
Sex: F
Vaccine: TD
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Swelling (lt) deltoid area with redness 1 1/2-2" circular & painful.
Age: 2.0
Sex: M
Vaccine: DTAPHEPBIP
Symptoms: Cellulitis, Oedema peripheral
Clinical narrative: Cellulitis/significant swelling of thigh.
Age: 2.0
Sex: F
Vaccine: HEPA
Symptoms: Unevaluable event
Clinical narrative: None.
Age: 45.0
Sex: M
Vaccine: TTOX
Symptoms: Nausea, Pain, Pyrexia, Vomiting
Clinical narrative: Donor received tetanus injection on 6-17-08.  On 6-18-08 donor f/u with ER c/o nausea & vomiting.  Body aches and fever.  Donor stated that ER counseled him on his RXN.
Age: 1.0
Sex: M
Vaccine: HEPA, MMR, VARCEL
Symptoms: Urticaria
Clinical narrative: Parents stated patient came out with hives that day, vaccines were the only new thing given that day.
Age: 1.2
Sex: F
Vaccine: DTAP
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Right thigh redness and swelling at injection site approximately 3 1/2" x 4 1/2".
Age: 25.0
Sex: M
Vaccine: TTOX
Symptoms: Arthralgia, Musculoskeletal stiffness
Clinical narrative: Donor stated his muscles were tense, and (L) knee had sharp pain; time of s/s to resolve 12 hours.
Age: 50.0
Sex: M
Vaccine: PPV
Symptoms: Arthralgia, Fatigue, Headache, Malaise, Pain
Clinical narrative: Inj; pneumococcal given at 930AM.  At 1330PM started with extreme fatigue.  Slept until 5pm awoke with not feeling well, body aches, "bones hurt" joint pain, H/A.  Contacted hospital 6/20/08 10AM; recommended clinic appt to eval. 3pm.
Age: 37.0
Sex: F
Vaccine: TTOX
Symptoms: Dizziness, Erythema, Fatigue, Headache, Mass
Clinical narrative: Rec'd immunization 6/18/08 around 10AM.  6/19/08 in AM noticed a knot in her arm & marked tenderness.  Appears today (6/21) approx quarter sized reddened area with visible nodule.  Also has been very tired with sl headache & 1 episode of dizziness.
Age: 37.0
Sex: F
Vaccine: TTOX
Symptoms: Tenderness
Clinical narrative: Rec'd immunization 6/18/08 around 10AM.  6/19/08 in AM noticed a knot in her arm & marked tenderness.  Appears today (6/21) approx quarter sized reddened area with visible nodule.  Also has been very tired with sl headache & 1 episode of dizziness.
Age: 61.0
Sex: M
Vaccine: PPV, VARZOS
Symptoms: Blood test normal, Computerised tomogram normal, Diplopia, Electrocardiogram normal, Nuclear magnetic resonance imaging brain normal
Clinical narrative: persistent double vision, starting on May 31, after PPV & Shingles vaccination on May 23.  7/4/08 Reviewed hospital medical records of 5/31-6/1/2008 FINAL DX: acute left 6th nerve palsy Records reveal patient experienced sudden onset double vision.  Had mild HA x 2 wks prior along w/intermittent hearing disturbances.  Had pre-existing intermittent hand numbness unchanged.  Cardio & Neuro consults obtained. Follow-up: Not 100% recovered. Slight visual misalignment (vertical).
Age: 1.0
Sex: M
Vaccine: MMRV, VARCEL
Symptoms: Blister, Rash
Clinical narrative: mom noted ras on chest  initially changed a little to blisters on chest,behind legs and arm
Age: 0.8
Sex: M
Vaccine: DTAP, HBHEPB, IPV, PPV
Symptoms: Apparent life threatening event, Blood culture negative, Full blood count, Inappropriate schedule of drug administration, Pyrexia
Clinical narrative: FEVER (103'F), ONSET DAY OF ADMINISTRATION, CONT TO PRESENT (4+ DAYS); ALTE ON DAY 3 OF FEVER  7/4/08 Reviewed PCP medical records which included hospital medical records of 6/21-6/22/2008. FINAL DX: fever, apneic episode s/p vaccinations Records reveal patient experienced fever & reduced oral intake since vaccinations. No further seizures in hospital.  D/C to home w/referral to neuro as outpatient.
Age: 1.0
Sex: M
Vaccine: HEPA, MMRV
Symptoms: Blood test abnormal, Fatigue, Inappropriate schedule of drug administration, Influenza, Vaccine positive rechallenge
Clinical narrative: H Flu Shot 7/18/05 - flu symptoms 10/1/2005 another H Flu Shot -flu symptoms very tired 5/18/2006 H Flu Shot given - flu symptoms  and very tired 5/19/2007 MMR-extreme fatigue and flu like symptoms.  3 flu shots by 2 years old.  8/5/08 Reviewed PCP medical records & vax records which did not include lot #s. Records reveal patient received HAV #1, HIB #2 & MMRV on 5/18/2006; influenza vax #1 on 11/22/2005, #2 12/29/2005 & #3 1/31/2007.  Prevnar #1 7/18/2005, #2 10/1/2005, #3 11/22/2005 & #4 1/31/2007.  On 5/18/2006 pt w/cold s/s x one week of nasal congestion, throat congestion, decreased appetite, sleeplessness, fever.  Dx w/acute URI.
Age: 1.0
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Pyrexia, Rash generalised
Clinical narrative: 10 days after being administered the MMR vaccine my daughter ran a fever of around 100-101 and developed a a red rash starting on her torso and then extending onto her limbs  and her face.  The rash exhibited itself in the form of small red dots. I took my daughter into the doctor after seeing this and the doctor said he suspected it was the reaction from the MMR vaccine given 10 days prior to reaction.  No treatment given and resolved on its own 3 days after onset.
Age: 72.0
Sex: F
Vaccine: VARZOS
Symptoms: Rash vesicular
Clinical narrative: Pt. received ZOSTAVAX vaccine on 6/18/08 at center.  Pt. returned on 6/21/08 with lumbar one dermatomal distribution vesicular eruption.
Age: 47.0
Sex: F
Vaccine: DTAP, TDAP
Symptoms: Arthralgia, Back pain, Blood pressure increased, Dyspnoea, Ear pain
Clinical narrative: Received Tdap on 6/9/08 at 11:30 a.m. Within 8 hours--extremely achy joints and neck which continued throughout.  Fever at 1 1/2 days. Nerve pain in front left hip and thigh at 1 1/2 days that did not persist (half hour) Constant fatigue.  Sporatic nerve "jumping" throughout hole body. At 3 days nerve jumping was constant but unpredictable. Blood pressure at 160/120, pulse normal in doctors office. Labored breathing, sore throat, ear pain. Feeling of body/mind detatchment. At 3 1/2 days..tingling sensation in left toes and up left side of left calf.  Slight tingling on right large toe for about 3 hours then  disappeared. At the 4 day mark things started to get better..blood pressure was back to normal 117/72. Still had nerve impulses with some desensitivity of the skin, again sporatic and in short intervals, (1-2 minutes) in unpredictable areas of my body.  Neck was still sore and tight until the 11 day. Noticable left side soreness, tightness in bones and muscles. On the 9th day lower back ache, left side as well until the 11th day.Doctor was not sure what to do especially about my blood pressure, She contacted BOH which was NO help.  By the evening of the 3rd day she diagnosed it as Variated Guillen Barre Syndrome and requested that I go to the emergency room for observation.  I assured her that symptoms had gotten any worse, that I would.  I was not to be alone.  Returned to Doctors  office on 6/16/2008 (one week) with only left side effected.