chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 0.17
Sex: F
Vaccine: RV5, DTAPHEPBIP, HIBV, PNC
Symptoms: Vomiting
Clinical narrative: Initial report received on 9/27/06 from another manufacturer report number WAES0609USA03786. An 11 week old female pt, with a history of hip dislocation and eczema, had received an IM first dose of injection of ActHib, lot number unknown, an IM first dose injection of Pediarix, lot number unk, an IM first dose injection of Prevnar, lot number B08683A on 8/15/06. Fifteen days post vaccination , on 8/30/06, the pt had received an oral administration of Rotateq, lot number 654504/0695F. Later that evening, the pt developed fever, vomiting and diarrhea. Five days later, the pt had fever, vomiting and lethargy. She was subsequently hospitalized with a diagnosis of group B streptococci meningitis. She was hospitalized for greater than 14 days. At the time of this report, the outcome was unknown.
Age: 17.0
Sex: F
Vaccine: MNQ, MNQ
Symptoms: Asthenia, Back pain, Difficulty in walking, Eye swelling, Headache
Clinical narrative: The evening after Menactra given, pt developed fever, headache, sweats, puffy eyes, neck ache, and backache. Swelling of eyes resolved but increased headache, neck ache. Also low grade fever persisted. On 9/10 was hospitalized for meningitis. (see labs below). After hospitalization, c/o leg pain with OCC. Twitch of leg muscles. (See Labs). Sent to neurologist for further evaluation.
Age: 17.0
Sex: F
Vaccine: MNQ, MNQ
Symptoms: Hyperhidrosis, Infection, Injection site pain, Muscle spasms, Neck pain
Clinical narrative: The evening after Menactra given, pt developed fever, headache, sweats, puffy eyes, neck ache, and backache. Swelling of eyes resolved but increased headache, neck ache. Also low grade fever persisted. On 9/10 was hospitalized for meningitis. (see labs below). After hospitalization, c/o leg pain with OCC. Twitch of leg muscles. (See Labs). Sent to neurologist for further evaluation.
Age: 17.0
Sex: F
Vaccine: MNQ, MNQ
Symptoms: Pain, Photosensitivity reaction, Pyrexia
Clinical narrative: The evening after Menactra given, pt developed fever, headache, sweats, puffy eyes, neck ache, and backache. Swelling of eyes resolved but increased headache, neck ache. Also low grade fever persisted. On 9/10 was hospitalized for meningitis. (see labs below). After hospitalization, c/o leg pain with OCC. Twitch of leg muscles. (See Labs). Sent to neurologist for further evaluation.
Age: 17.0
Sex: F
Vaccine: MNQ, MNQ
Symptoms: Back pain, Eye swelling, Headache, Hyperhidrosis, Laboratory test abnormal
Clinical narrative: The evening after Menactra given, pt developed fever, headache, sweats, puffy eyes, neck ache, and backache. Swelling of eyes resolved but increased headache, neck ache. Also low grade fever persisted. On 9/10 was hospitalized for meningitis. (see labs below). After hospitalization, c/o leg pain with OCC. Twitch of leg muscles. (See Labs). Sent to neurologist for further evaluation.
Age: 17.0
Sex: F
Vaccine: MNQ, MNQ
Symptoms: Meningitis, Muscle twitching, Neck pain, Pain, Pyrexia
Clinical narrative: The evening after Menactra given, pt developed fever, headache, sweats, puffy eyes, neck ache, and backache. Swelling of eyes resolved but increased headache, neck ache. Also low grade fever persisted. On 9/10 was hospitalized for meningitis. (see labs below). After hospitalization, c/o leg pain with OCC. Twitch of leg muscles. (See Labs). Sent to neurologist for further evaluation.
Age: 1.35
Sex: F
Vaccine: MMRV
Symptoms: Pyrexia, Rash, Rash macular, Rash morbilliform, Rash pruritic
Clinical narrative: Vaccine administered on 9/28/06 to right ant thigh vastus lateralus, temp, began on 9/29/06 rash appeared body on 10/02/06 per mother very itchy and progressed over next day 10/03/06 seen.
Age: 82.0
Sex: F
Vaccine: PPV, PPV
Symptoms: Anaphylactoid reaction, Back pain, Dyspnoea, Hypersensitivity, Paralysis flaccid
Clinical narrative: Pt had anaphylactic reaction. Pt had immediate complaint of not being able to breath. Given Epi-Pen and Benadryl 50mg. Hospitalized for 24 hours observation. Flaccid paralysis RUE. Refer to Hospice, Continue MS Contin 15mg. Hypothyroid; continue current dose. Pt had a anaphylactoid reaction to pneumovax. Admit to SCU for 24 hour admit. 10/12/06 Received medical records from hospital which did NOT include D/C summary.  T/C to hospital to request & they will send when available.  Patient admitted to hospital 10/2/06 with DX: acute allergic reaction & acute anaphylactoid reaction to pneumovax.  Had been seen on date of vax for hospital d/c follow up when she developed acute SOB & back pain.  Received epi & IM benadryl & S/S resolved but was admitted for 24 hour observation & monitoring.  O2 sat on 2L/nc was 96%. Received IV steroidsd in hospital.   PMH: colon ca with liver mets (patient referred to hospice) Also included was H&P from 9/21/06 admission for complaint of RUQ abdominal pain.  Patient had right hemicolectomy 5/06 for colon ca./ss 10/27/06 Received hospital d/c summary which reveals patient seen in clinic for hospital f/u appointment & routine check of health maintenance noted had not had pneumovax.  Given & immediately developed SOB & back pain.  Given epi & Benadryl IM & s/s began to resolve within 2-3 min.  Admitted for 24 hour observation.  Given IV steroids & monitored for sequela.  No further complications occurred. Final dx: anaphylactoid reaction to Pneumovax; colon cancer w/mets to liver.
Age: 82.0
Sex: F
Vaccine: PPV, PPV
Symptoms: Anaphylactic reaction, Dizziness, Dyspnoea, Erythema, Injury
Clinical narrative: Pt had anaphylactic reaction. Pt had immediate complaint of not being able to breath. Given Epi-Pen and Benadryl 50mg. Hospitalized for 24 hours observation. Flaccid paralysis RUE. Refer to Hospice, Continue MS Contin 15mg. Hypothyroid; continue current dose. Pt had a anaphylactoid reaction to pneumovax. Admit to SCU for 24 hour admit. 10/12/06 Received medical records from hospital which did NOT include D/C summary.  T/C to hospital to request & they will send when available.  Patient admitted to hospital 10/2/06 with DX: acute allergic reaction & acute anaphylactoid reaction to pneumovax.  Had been seen on date of vax for hospital d/c follow up when she developed acute SOB & back pain.  Received epi & IM benadryl & S/S resolved but was admitted for 24 hour observation & monitoring.  O2 sat on 2L/nc was 96%. Received IV steroidsd in hospital.   PMH: colon ca with liver mets (patient referred to hospice) Also included was H&P from 9/21/06 admission for complaint of RUQ abdominal pain.  Patient had right hemicolectomy 5/06 for colon ca./ss 10/27/06 Received hospital d/c summary which reveals patient seen in clinic for hospital f/u appointment & routine check of health maintenance noted had not had pneumovax.  Given & immediately developed SOB & back pain.  Given epi & Benadryl IM & s/s began to resolve within 2-3 min.  Admitted for 24 hour observation.  Given IV steroids & monitored for sequela.  No further complications occurred. Final dx: anaphylactoid reaction to Pneumovax; colon cancer w/mets to liver.
Age: 82.0
Sex: F
Vaccine: PPV, PPV
Symptoms: Paralysis flaccid
Clinical narrative: Pt had anaphylactic reaction. Pt had immediate complaint of not being able to breath. Given Epi-Pen and Benadryl 50mg. Hospitalized for 24 hours observation. Flaccid paralysis RUE. Refer to Hospice, Continue MS Contin 15mg. Hypothyroid; continue current dose. Pt had a anaphylactoid reaction to pneumovax. Admit to SCU for 24 hour admit. 10/12/06 Received medical records from hospital which did NOT include D/C summary.  T/C to hospital to request & they will send when available.  Patient admitted to hospital 10/2/06 with DX: acute allergic reaction & acute anaphylactoid reaction to pneumovax.  Had been seen on date of vax for hospital d/c follow up when she developed acute SOB & back pain.  Received epi & IM benadryl & S/S resolved but was admitted for 24 hour observation & monitoring.  O2 sat on 2L/nc was 96%. Received IV steroidsd in hospital.   PMH: colon ca with liver mets (patient referred to hospice) Also included was H&P from 9/21/06 admission for complaint of RUQ abdominal pain.  Patient had right hemicolectomy 5/06 for colon ca./ss 10/27/06 Received hospital d/c summary which reveals patient seen in clinic for hospital f/u appointment & routine check of health maintenance noted had not had pneumovax.  Given & immediately developed SOB & back pain.  Given epi & Benadryl IM & s/s began to resolve within 2-3 min.  Admitted for 24 hour observation.  Given IV steroids & monitored for sequela.  No further complications occurred. Final dx: anaphylactoid reaction to Pneumovax; colon cancer w/mets to liver.
Age: 1.51
Sex: M
Vaccine: DTAP, FLU3
Symptoms: Injection site erythema, Injection site reaction
Clinical narrative: 8x6 cm redness with about 4cm no indurated center left upper arm with Dtap site non tender no fever not ill.
Age: 35.0
Sex: F
Vaccine: FLUX
Symptoms: Chest pain, Dyspnoea
Clinical narrative: Experienced gripping chest pain, a sharp pain when breathing. Had to sit and rest for 1 hour continued to rest the after noon. Today feels fine.
Age: 33.0
Sex: F
Vaccine: MMR
Symptoms: Decreased appetite, Kidney infection, Pain, Pyrexia, Rash
Clinical narrative: Developed rash day 5 on scalp and then more lesions and fever day 6 and 7 unable to eat, body aches, kidney infection, now lesions in ears, mouth and back. To Ed for hydration and released.
Age: 33.0
Sex: F
Vaccine: MMR
Symptoms: Skin ulcer
Clinical narrative: Developed rash day 5 on scalp and then more lesions and fever day 6 and 7 unable to eat, body aches, kidney infection, now lesions in ears, mouth and back. To Ed for hydration and released.
Age: 1.02
Sex: F
Vaccine: MMRV, PNC
Symptoms: Erythema, Irritability, Oral intake reduced, Pruritus, Rash
Clinical narrative: Pattient recieved MMR-Varicella (Proquad)and pneumococcal (Prevnar) vaccine at hospital on 9/15/06. Patient was also diagnosed with otitis media during the same visit and was prescribed Amoxicillin. Patient developed a rash on 9/24, initially on the face, that spread to the rest of her body on 9/25; rash was red, blotchy, and pruritic. There was no fever or associated URI symptoms. Patient was seen by me on 9/26 for evaluation of rash, crankiness, decreased po intake. Rash is characterized as a morbilliform, generalized body rash; no edema; no wheezing; remainder of exam was normal. Amoxicillin was discontinued that day, and patient was placed on Benadryl Q6 hours. Patient followed up on 9/27; significant improvement of rash, with decreased redness, no complaints of pruritis while on Benadryl. It is unclear if this is a post-measles vaccination rash or an allergic reaction to Amoxicillin.
Age: 1.02
Sex: F
Vaccine: MMRV, PNC
Symptoms: Rash macular, Rash morbilliform
Clinical narrative: Pattient recieved MMR-Varicella (Proquad)and pneumococcal (Prevnar) vaccine at hospital on 9/15/06. Patient was also diagnosed with otitis media during the same visit and was prescribed Amoxicillin. Patient developed a rash on 9/24, initially on the face, that spread to the rest of her body on 9/25; rash was red, blotchy, and pruritic. There was no fever or associated URI symptoms. Patient was seen by me on 9/26 for evaluation of rash, crankiness, decreased po intake. Rash is characterized as a morbilliform, generalized body rash; no edema; no wheezing; remainder of exam was normal. Amoxicillin was discontinued that day, and patient was placed on Benadryl Q6 hours. Patient followed up on 9/27; significant improvement of rash, with decreased redness, no complaints of pruritis while on Benadryl. It is unclear if this is a post-measles vaccination rash or an allergic reaction to Amoxicillin.
Age: 31.0
Sex: M
Vaccine: SMALL, SMALL
Symptoms: Cellulitis, Injection site erythema, Injection site induration, Injection site pain, Injection site reaction
Clinical narrative: Presented to ER on 9/30/06 with c/o redness and tenderness surrounding his smallpox vaccination site. Received his smallpox vaccination on 9/19/06 and had area checked on 9/28/06 and it looked fine. The redness and tenderness developed on the 30th. He had been involved in training on the 29th and 30th. L upper arm smallpox vaccination site with 6 by 10cm area of warmth, redness and erythema surrounding the area of his previous vaccination. Some break down and maceration of the central area was noted. The area was indurated and warm, consistent with cellulitis. He was given Ancef 2 grams IV piggy-back and was started on Clindamycin 150mg 2 tablets four times a day for 10 day. Warm compresses ordered for four times a day, keep area dressed and clean. SM followed up on 10/2/06. Was to continue on Clyndamycin, RTC to clinic 3 days or prn. Light duty x 3 days.
Age: 31.0
Sex: M
Vaccine: SMALL, SMALL
Symptoms: Injection site warmth
Clinical narrative: Presented to ER on 9/30/06 with c/o redness and tenderness surrounding his smallpox vaccination site. Received his smallpox vaccination on 9/19/06 and had area checked on 9/28/06 and it looked fine. The redness and tenderness developed on the 30th. He had been involved in training on the 29th and 30th. L upper arm smallpox vaccination site with 6 by 10cm area of warmth, redness and erythema surrounding the area of his previous vaccination. Some break down and maceration of the central area was noted. The area was indurated and warm, consistent with cellulitis. He was given Ancef 2 grams IV piggy-back and was started on Clindamycin 150mg 2 tablets four times a day for 10 day. Warm compresses ordered for four times a day, keep area dressed and clean. SM followed up on 10/2/06. Was to continue on Clyndamycin, RTC to clinic 3 days or prn. Light duty x 3 days.
Age: 31.0
Sex: M
Vaccine: SMALL, SMALL
Symptoms: Cellulitis, Injection site reaction
Clinical narrative: Presented to ER on 9/30/06 with c/o redness and tenderness surrounding his smallpox vaccination site. Received his smallpox vaccination on 9/19/06 and had area checked on 9/28/06 and it looked fine. The redness and tenderness developed on the 30th. He had been involved in training on the 29th and 30th. L upper arm smallpox vaccination site with 6 by 10cm area of warmth, redness and erythema surrounding the area of his previous vaccination. Some break down and maceration of the central area was noted. The area was indurated and warm, consistent with cellulitis. He was given Ancef 2 grams IV piggy-back and was started on Clindamycin 150mg 2 tablets four times a day for 10 day. Warm compresses ordered for four times a day, keep area dressed and clean. SM followed up on 10/2/06. Was to continue on Clyndamycin, RTC to clinic 3 days or prn. Light duty x 3 days.
Age: 1.05
Sex: M
Vaccine: DTAP, HIBV, MMRV, PNC
Symptoms: Petechiae
Clinical narrative: RECEIVED VACCINES ON 10/03/06. THAT EVENING STARTED GETTING PETECHIAE RASH ON FACE AND A MOSQUITO BITE LIKE RASH ON CHEST, BACK, AND GROIN AREA ABOUT 6PM. MOM TOOK CHILD TO ER.
Age: 3.0
Sex: M
Vaccine: DTAP
Symptoms: Convulsion, Dyskinesia, Salivary hypersecretion
Clinical narrative: 3 year old reported to awaken at day care 10/3/2006 with seizure like activity. Mother reported child received DTaP 2 days prior to onset seizure as "catchup" vaccine. Dr. stated patient hx included foaming at mouth with right upper arm tonic/clonic activity. Rescue arrived with resolution seizure (no meds given) and transported to hospital. Child reported to have a second seizure, given 2mg Ativan, intubated and transferred to Dr. Exam/labs normal and child released 10/4/06 to parents stable. No known cause for seizure.  No other vac reported, no trauma, illness, fevers, toxic ingestions.  11/7/06 Received medical records from 1st hospital which reveal patient seen in ER for altered mental status. Patient awakened from nap at daycare with shaking of right arm, face & eye twitching.  On exam in ER, teeth were clenched & eyes deviated to left then to right & clenching left hand.  He was minimally responsive to pain.  Received valium & ativan & suffered respiratory arrest requiring intubation.  Patient was subsequently transferred to second hospital. DX: altered mental status; seizure; and respiratory failure. 1/16/07 Received medical records from 2nd hospital which reveal patient admitted 10/3/06- 10/4/06 with seizure & altered mental status.  Received patient intubated, sedated & paralyzed. After labs & LP done, weaned & extubated.  No neuro deficits noted & no further seizure activity.  To be followed by peds neuro on d/c to home. FINAL DX:  new onset seizures.
Age: 17.0
Sex: M
Vaccine: HEPA, TDAP
Symptoms: Convulsion, Syncope
Clinical narrative: Patient fainted and had seizure like behavior for about 10 seconds.  Responded within 30 seconds.
Age: 0.47
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Abnormal behaviour, High-pitched crying
Clinical narrative: Mom described non-stop high pitched crying lasting over two hours after immunizations on 7/17/06.Mom stated crying started approximately two hours after immunizations were given. Also states very unusual behaviour for her child.  Mom described non-stop crying after first set on 3/24/06 but not as long of duration.
Age: 87.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Fatigue, Pain, Swelling
Clinical narrative: Patient said arm was swollen and she was complaining of being tired and achy all-over.
Age: 43.0
Sex: F
Vaccine: HEP, TYP
Symptoms: Anaphylactic reaction, Erythema, Feeling hot, Flushing, Pruritus
Clinical narrative: Received immunizations on 9/21/06 during the afternoon. She began to develop itching and flushing of the skin in the evening hours. She reported feeling very hot, and noted some welts on her arm and neck. No swelling of the tongue or extremities was noted. Erythema noted at base of neck along the right side, and patchy redness present on the R arm. Injections were given on the R upper arm. Additionally had a PPD placed and blood drawn on the same day. Patient was given 50mg Benadryl, 1,000mg Tylenol orally. Improvement noted within 1/2 hour. Discharged with Benadryl orders and instructions to pretreat with Benadryl and Tylenol prior to receiving any immunizations. Diagnosed as histamine reaction by ER MD. Follow up visit on 9/23/06 notes diagnoses of Anaphylactic reaction probable to Immunizations still with mild symptoms, reports still feeling "thick tongue", hives present to back of neck. Orders given for Epi Pen, Benadryl 50mg and Medrol Pack. Profile written, allergy list updated by provider as follows: Typhoid Vaccine Live, Attenuated.
Age: 43.0
Sex: F
Vaccine: HEP, TYP
Symptoms: Tongue disorder, Urticaria
Clinical narrative: Received immunizations on 9/21/06 during the afternoon. She began to develop itching and flushing of the skin in the evening hours. She reported feeling very hot, and noted some welts on her arm and neck. No swelling of the tongue or extremities was noted. Erythema noted at base of neck along the right side, and patchy redness present on the R arm. Injections were given on the R upper arm. Additionally had a PPD placed and blood drawn on the same day. Patient was given 50mg Benadryl, 1,000mg Tylenol orally. Improvement noted within 1/2 hour. Discharged with Benadryl orders and instructions to pretreat with Benadryl and Tylenol prior to receiving any immunizations. Diagnosed as histamine reaction by ER MD. Follow up visit on 9/23/06 notes diagnoses of Anaphylactic reaction probable to Immunizations still with mild symptoms, reports still feeling "thick tongue", hives present to back of neck. Orders given for Epi Pen, Benadryl 50mg and Medrol Pack. Profile written, allergy list updated by provider as follows: Typhoid Vaccine Live, Attenuated.
Age: 0.37
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Febrile convulsion, Pyrexia
Clinical narrative: Fever as high as 103 rectally; possible febrile seizure.
Age: 34.0
Sex: F
Vaccine: MMR
Symptoms: Dizziness, Nausea, Pruritus, Pyrexia
Clinical narrative: Ee c/o fever, nausea, faintness within 5 minutes of vaccine.  Itchiness x 2 days (without rash).
Age: 1.07
Sex: M
Vaccine: DTAP, HEPA, HIBV, IPV, MMRV, PNC
Symptoms: Rash erythematous, Rash macular, Rash papular
Clinical narrative: 9-15-06 mom reports red raised rash starting on face and hands, isolated macular, papular afebrile, L10 raised areas, areas viewed by this RN 9-19-06, areas crusted, no more break out.
Age: 41.0
Sex: F
Vaccine: TD
Symptoms: Hypokinesia, Influenza like illness, Insomnia, Malaise, Pain
Clinical narrative: Received tetanus vaccine on 9/16/06. On 9/18/06, I (patient) woke up with extreme pain - felt like I had been hit by a car.  Muscle aches through out arms, upper back.  Almost with flu like symptons.  The extreme aches lasted 6 days.  The aches still continue today 10/4/06, though not as extreme - Left arm where shot was given, difficult to lift arm above head or across chest.  Sleeping is extrememly uncomfortable.    Revisited the clinic where shot was given on 10/3/06.  The doctor states that I probably have serum poisoning, symptoms should go away within two weeks.
Age: 41.0
Sex: F
Vaccine: TD
Symptoms: Serum sickness
Clinical narrative: Received tetanus vaccine on 9/16/06. On 9/18/06, I (patient) woke up with extreme pain - felt like I had been hit by a car.  Muscle aches through out arms, upper back.  Almost with flu like symptons.  The extreme aches lasted 6 days.  The aches still continue today 10/4/06, though not as extreme - Left arm where shot was given, difficult to lift arm above head or across chest.  Sleeping is extrememly uncomfortable.    Revisited the clinic where shot was given on 10/3/06.  The doctor states that I probably have serum poisoning, symptoms should go away within two weeks.
Age: 2.0
Sex: F
Vaccine: HEPA
Symptoms: Pruritus, Rash erythematous, Rash papular
Clinical narrative: Patient developed total body erythematous papular rash, somewhat pruritc within 8 hours of administration of the vaccine
Age: 21.0
Sex: M
Vaccine: BCG
Symptoms: Confusional state, Fatigue, Headache, Heart rate increased, Injury
Clinical narrative: FIRST DAY: TIRED, MUSCLES BECOMING WEAK, HEART BEATING FASTER, HEADACHE,ON SECOND DAY: SAME AS FIRST DAY, BUT THEN I BECAME CONFUSED AND BLACKED OUT, I DON'T REMEMBER THE FOLLOWING HAPPENING BUT, I SWUNG AROUND AND HIT MY GIRLFRIEND IN THE ARM BANGED ON THE FRONT WINDOW WHICH I BROKE, CUTTING MY ARM, I WAS AWAKE, BUT I DON'T REMEMBER MUCH OF IT.  THE NEXT DAY I WOKE UP IT JAIL AND STILL FELT LIKE I WAS IN A DREAM.
Age: 21.0
Sex: M
Vaccine: BCG
Symptoms: Loss of consciousness, Muscular weakness
Clinical narrative: FIRST DAY: TIRED, MUSCLES BECOMING WEAK, HEART BEATING FASTER, HEADACHE,ON SECOND DAY: SAME AS FIRST DAY, BUT THEN I BECAME CONFUSED AND BLACKED OUT, I DON'T REMEMBER THE FOLLOWING HAPPENING BUT, I SWUNG AROUND AND HIT MY GIRLFRIEND IN THE ARM BANGED ON THE FRONT WINDOW WHICH I BROKE, CUTTING MY ARM, I WAS AWAKE, BUT I DON'T REMEMBER MUCH OF IT.  THE NEXT DAY I WOKE UP IT JAIL AND STILL FELT LIKE I WAS IN A DREAM.
Age: 88.0
Sex: F
Vaccine: PPV
Symptoms: Erythema, Pruritus
Clinical narrative: Erythema and itching from Left deltoid to left bicep. Began 24 hours post amdinistration, evaluated here in the ER at 48 hours post.
Age: 45.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Erythema, Swelling, Tenderness
Clinical narrative: Within 10 hrs of vaccine, patient developed redness, swelling and tenderness limited to outer area if right bicep. Wife called me to report this the next afternoon. Symptoms hadn't worsened or spread since night before, so I recommended application of ice pack to site 10 min on, 10 min off as needed for comfort and ibuprofen as needed.
Age: 51.0
Sex: M
Vaccine: TDAP
Symptoms: Chest pain, Chills, Heart rate increased, Pyrexia
Clinical narrative: Pt wife, reported pt had increased HR, fever, and chills. She states pt was admitted to hospital. DC DX: chest pain-noncardiac office note for DOS 3/30/06-chief complaint low back pain, hypertension, hyperlipidemia, obesity.
Age: 0.2
Sex: M
Vaccine: DTAPHEPBIP, HIBV, RV5
Symptoms: Hypotonia, Laboratory test abnormal, Leukocytosis, Pallor, Pyrexia
Clinical narrative: Pallor, yellow skin discoloration. Pt fainted for 20 sec. NO seizure activity, no cyanosis. Then awakened, NML activity.  11/13/06 Received medical records from PCP which indicate patient was well & healthy, developing normally on day of vax.  F/U visit on 9/29 after ER visit indicates hospital dx w/UTI & felt it should be treated with antibiotics.  PCP felt was probably contaminant but did tx w/antibiotics x 10 days./ss 11/14/06 Received medical records from hospital which reveal patient experienced paleness & limp episode on 9/27/06 approx 3 hours s/p vax which lasted appro 1 min.  Temp in ER 100.8 & admitted for 23 hour observation pending culture results.  Exam in ER was WNL.  DX: Vaccine adverse reaction; syncope; & neonatal fever.  No further episodes.  Stable overnight & d/c to home next AM. Birth HX: SVD, full term. No problems with pregnancy or perinatal./ss
Age: 0.2
Sex: M
Vaccine: DTAPHEPBIP, HIBV, RV5
Symptoms: Syncope, Urinary tract infection, Urine abnormality, Vaccination complication, Yellow skin
Clinical narrative: Pallor, yellow skin discoloration. Pt fainted for 20 sec. NO seizure activity, no cyanosis. Then awakened, NML activity.  11/13/06 Received medical records from PCP which indicate patient was well & healthy, developing normally on day of vax.  F/U visit on 9/29 after ER visit indicates hospital dx w/UTI & felt it should be treated with antibiotics.  PCP felt was probably contaminant but did tx w/antibiotics x 10 days./ss 11/14/06 Received medical records from hospital which reveal patient experienced paleness & limp episode on 9/27/06 approx 3 hours s/p vax which lasted appro 1 min.  Temp in ER 100.8 & admitted for 23 hour observation pending culture results.  Exam in ER was WNL.  DX: Vaccine adverse reaction; syncope; & neonatal fever.  No further episodes.  Stable overnight & d/c to home next AM. Birth HX: SVD, full term. No problems with pregnancy or perinatal./ss
Age: 13.0
Sex: M
Vaccine: MNQ, TDAP, VARCEL
Symptoms: Injection site oedema, Tenderness
Clinical narrative: Mildly swollen and tender Augmentin 875 1 Tab BID for 10day.
Age: 14.0
Sex: M
Vaccine: HEP, MMR, TDAP
Symptoms: Headache, Malaise, Nausea, Pyrexia
Clinical narrative: Vaccine received Mon 10/02/06 started through the night with fever 103 and feeling of malaise. Pts treated with Ibuprofen 400 mg went to school Pm 10/03/06 states fells bad 10:00 Ibuprofen 400 mg 10/04/06 feels much better. Felt headache, nausea over week, mothers shares also reacted as an infant.
Age: 1.02
Sex: M
Vaccine: HIBV, MMRV, PNC
Symptoms: Febrile convulsion
Clinical narrative: Febrile seizure after immunizations.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site oedema, Pyrexia, Thrombocytopenic purpura
Clinical narrative: Significant local swelling, fever and ITP to Dtap #05
Age: 60.0
Sex: F
Vaccine: PPV
Symptoms: Cellulitis, Injection site erythema
Clinical narrative: Adm pneumo 10/08/06 called this am red around site and red below marked at 9 am and spread DX cellulitis.
Age: 0.18
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Urticaria
Clinical narrative: Developed a hive on right knee within hours of vaccine. next morning hives on face an by the afternoon, hives on arms. No respiratory distress, abdominal discomfort, no fever. Stayed happy and fed well. PE-ved AVERS and small hives. No wheal and flare.
Age: 87.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Injection site oedema, Injection site warmth
Clinical narrative: Swollen left arm 2 1/2 times the size of other arm, red and hot to touch.
Age: 1.32
Sex: M
Vaccine: DTAP, FLU3, PNC
Symptoms: Injection site erythema, Injection site oedema
Clinical narrative: Redness to right thigh 13x15cm and swelling.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site induration, Injection site warmth
Clinical narrative: On upper left arm erythematous, indurated and warm covering top half of left upper arm and going around to sides. started 1 day after immunizations.
Age: 0.58
Sex: F
Vaccine: DTAP, HEPA, HIBV, IPV, PNC
Symptoms: Medication error, Upper respiratory tract infection
Clinical narrative: Pt was 2 months old when received Hep A vaccine on 4/28/06 it was not noticed until came in for a URI on 9/22/06.
Sex: M
Vaccine: VARZOS
Symptoms: Herpes zoster, Rash
Clinical narrative: Information has been received from a physician concerning a male pt who on 9/9/06 was vaccianted with a dose of varicella zoster virus vaccine live. On 9/8/06 the pt was hospitalized with a rash. The was diagnosed with a zoster infection. No outcome was reported. No product quality complaint was involved. Additional information has been requested.
Age: 21.0
Sex: M
Vaccine: ANTH
Symptoms: Cardiac disorder, Chills, Headache, Hypersensitivity, Hypertension
Clinical narrative: Hypertension-Lotrel 5/10mg to maintain my blood pressure, I have a 10% VA compensation; weight gain. I increase dramatically in weight a total of 75 pounds; chills, I suffered of spontaneous chills for an undetermined lapse of time; allergies, I started suffering of allergies and was medicated in the hospital; headaches, I suffer of headaches almost everyday; heart murmur, During various examinations this was dx'd.; liver abnormal, I was dx'd with cytomegalovirus. I received 3 more shots of Anthrax on the following dates: 4/1/03, 5/24/02, 1/23/04. They were all administered by military facilities during my military service. I have a 10% VA compensation.
Age: 21.0
Sex: M
Vaccine: ANTH
Symptoms: Liver function test abnormal, Viral infection, Weight increased
Clinical narrative: Hypertension-Lotrel 5/10mg to maintain my blood pressure, I have a 10% VA compensation; weight gain. I increase dramatically in weight a total of 75 pounds; chills, I suffered of spontaneous chills for an undetermined lapse of time; allergies, I started suffering of allergies and was medicated in the hospital; headaches, I suffer of headaches almost everyday; heart murmur, During various examinations this was dx'd.; liver abnormal, I was dx'd with cytomegalovirus. I received 3 more shots of Anthrax on the following dates: 4/1/03, 5/24/02, 1/23/04. They were all administered by military facilities during my military service. I have a 10% VA compensation.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Acidosis, Cellulitis, Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: 5 X 5cm redness to left thigh with minor swelling, hot to touch. C/o pain with palpation. Ancef 125mg IV q8h. Solu-Medrol 9mg IV q6h. 01/05/07-records received and reviewed for DOS 09/23-09/24/06 DC Summary:  DC DX:left thigh cellulitis secondary to immunization, mild metabolic acidosis. 24 hour stay treated with IV steroids and IV antibiotics. Afebrile during hospital stay.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site warmth
Clinical narrative: 5 X 5cm redness to left thigh with minor swelling, hot to touch. C/o pain with palpation. Ancef 125mg IV q8h. Solu-Medrol 9mg IV q6h. 01/05/07-records received and reviewed for DOS 09/23-09/24/06 DC Summary:  DC DX:left thigh cellulitis secondary to immunization, mild metabolic acidosis. 24 hour stay treated with IV steroids and IV antibiotics. Afebrile during hospital stay.
Age: 45.0
Sex: M
Vaccine: ANTH, SMALL
Symptoms: Aggression, Anger, Anxiety, Bone pain, Insomnia
Clinical narrative: Anxiety, sleepless, angry, aggressive, loss of mind. Bone and muscular pains.
Age: 45.0
Sex: M
Vaccine: ANTH, SMALL
Symptoms: Mental impairment, Myalgia
Clinical narrative: Anxiety, sleepless, angry, aggressive, loss of mind. Bone and muscular pains.
Age: 32.0
Sex: F
Vaccine: RAB, TD
Symptoms: Anxiety, Autoimmune thyroiditis, Back pain, Bradycardia, C-reactive protein abnormal
Clinical narrative: Chest pain, dyspnea, multiple food allergies, cardiac and pulmonary work up done. Food allergy testing, Pt became malnourished. Pt required parental feedings.  10/26/06 Received medical records from reporter/provider which reveal patient seen 7/06 for c/o fatigue, bradycardia, upper back & chest discomfort.  Dx: fatigue, cephalgia, palpitations, neck/thoracic pain, recent rabies exposure w/vax, r/o thyroid dx, Hashimotos disease.  In 8/06 dx: possible immunization reaction to rabies vax.  Pt very anxious, tired, scared, difficulty swallowing, dry non productive cough.  Admitted to hospital.  Next office visit 9/06 revealed patient now on TPN due to significant weight loss.  Dx: reaction to rabies vax, food sensitivities, acute weight loss, neck & LBP and depression/anxiety.  Patient now on prednisone, nebs & ativan. 11/7/06 Received medical records from hospital which reveal patient seen in ER on 4/20/06 s/p exposure to rabid cat x 2 days prior to cat death.  Cat tested positive for rabies per state health dept.  Patient recalled having been sneezed on by cat but had no bites or scratches.  No open wounds noted on exam in ER.  Received rabies prophylaxis vax & immune globulin.  Patient reported having had chest discomfort x 1 month for which she was being treated by PCP.  Records indicate patient returned to ER for completion of rabies series on 4/23, 4/27, 5/4 & 5/18/06.  Notes indicate she had no complaints at each visit./ss Per 60 day follow up: Patient is seeking treatment in another state at this time. She has a suppressed immune system at this time. She is responding adversely to many environmental and food substances (none of which she reacted adversly to before the vaccine). She is now no longer receiving feeding tube asistance. She is having her husband re-do flooring & the heating system in there home before she returns home. Annual followup 01/4/2010 She has had significant multiple chemical sensitivities. Ahe ahs separated from her family to seek medical assistance in Texas. Her family is in significant financial hardship due to present condition.
Age: 32.0
Sex: F
Vaccine: RAB, TD
Symptoms: Chest discomfort, Cough, Depression, Dyspnoea, Fatigue
Clinical narrative: Chest pain, dyspnea, multiple food allergies, cardiac and pulmonary work up done. Food allergy testing, Pt became malnourished. Pt required parental feedings.  10/26/06 Received medical records from reporter/provider which reveal patient seen 7/06 for c/o fatigue, bradycardia, upper back & chest discomfort.  Dx: fatigue, cephalgia, palpitations, neck/thoracic pain, recent rabies exposure w/vax, r/o thyroid dx, Hashimotos disease.  In 8/06 dx: possible immunization reaction to rabies vax.  Pt very anxious, tired, scared, difficulty swallowing, dry non productive cough.  Admitted to hospital.  Next office visit 9/06 revealed patient now on TPN due to significant weight loss.  Dx: reaction to rabies vax, food sensitivities, acute weight loss, neck & LBP and depression/anxiety.  Patient now on prednisone, nebs & ativan. 11/7/06 Received medical records from hospital which reveal patient seen in ER on 4/20/06 s/p exposure to rabid cat x 2 days prior to cat death.  Cat tested positive for rabies per state health dept.  Patient recalled having been sneezed on by cat but had no bites or scratches.  No open wounds noted on exam in ER.  Received rabies prophylaxis vax & immune globulin.  Patient reported having had chest discomfort x 1 month for which she was being treated by PCP.  Records indicate patient returned to ER for completion of rabies series on 4/23, 4/27, 5/4 & 5/18/06.  Notes indicate she had no complaints at each visit./ss Per 60 day follow up: Patient is seeking treatment in another state at this time. She has a suppressed immune system at this time. She is responding adversely to many environmental and food substances (none of which she reacted adversly to before the vaccine). She is now no longer receiving feeding tube asistance. She is having her husband re-do flooring & the heating system in there home before she returns home. Annual followup 01/4/2010 She has had significant multiple chemical sensitivities. Ahe ahs separated from her family to seek medical assistance in Texas. Her family is in significant financial hardship due to present condition.
Age: 32.0
Sex: F
Vaccine: RAB, TD
Symptoms: Headache, Headache, Hypersensitivity, Laboratory test, Malnutrition
Clinical narrative: Chest pain, dyspnea, multiple food allergies, cardiac and pulmonary work up done. Food allergy testing, Pt became malnourished. Pt required parental feedings.  10/26/06 Received medical records from reporter/provider which reveal patient seen 7/06 for c/o fatigue, bradycardia, upper back & chest discomfort.  Dx: fatigue, cephalgia, palpitations, neck/thoracic pain, recent rabies exposure w/vax, r/o thyroid dx, Hashimotos disease.  In 8/06 dx: possible immunization reaction to rabies vax.  Pt very anxious, tired, scared, difficulty swallowing, dry non productive cough.  Admitted to hospital.  Next office visit 9/06 revealed patient now on TPN due to significant weight loss.  Dx: reaction to rabies vax, food sensitivities, acute weight loss, neck & LBP and depression/anxiety.  Patient now on prednisone, nebs & ativan. 11/7/06 Received medical records from hospital which reveal patient seen in ER on 4/20/06 s/p exposure to rabid cat x 2 days prior to cat death.  Cat tested positive for rabies per state health dept.  Patient recalled having been sneezed on by cat but had no bites or scratches.  No open wounds noted on exam in ER.  Received rabies prophylaxis vax & immune globulin.  Patient reported having had chest discomfort x 1 month for which she was being treated by PCP.  Records indicate patient returned to ER for completion of rabies series on 4/23, 4/27, 5/4 & 5/18/06.  Notes indicate she had no complaints at each visit./ss Per 60 day follow up: Patient is seeking treatment in another state at this time. She has a suppressed immune system at this time. She is responding adversely to many environmental and food substances (none of which she reacted adversly to before the vaccine). She is now no longer receiving feeding tube asistance. She is having her husband re-do flooring & the heating system in there home before she returns home. Annual followup 01/4/2010 She has had significant multiple chemical sensitivities. Ahe ahs separated from her family to seek medical assistance in Texas. Her family is in significant financial hardship due to present condition.
Age: 32.0
Sex: F
Vaccine: RAB, TD
Symptoms: Palpitations, Rabies, Weight decreased
Clinical narrative: Chest pain, dyspnea, multiple food allergies, cardiac and pulmonary work up done. Food allergy testing, Pt became malnourished. Pt required parental feedings.  10/26/06 Received medical records from reporter/provider which reveal patient seen 7/06 for c/o fatigue, bradycardia, upper back & chest discomfort.  Dx: fatigue, cephalgia, palpitations, neck/thoracic pain, recent rabies exposure w/vax, r/o thyroid dx, Hashimotos disease.  In 8/06 dx: possible immunization reaction to rabies vax.  Pt very anxious, tired, scared, difficulty swallowing, dry non productive cough.  Admitted to hospital.  Next office visit 9/06 revealed patient now on TPN due to significant weight loss.  Dx: reaction to rabies vax, food sensitivities, acute weight loss, neck & LBP and depression/anxiety.  Patient now on prednisone, nebs & ativan. 11/7/06 Received medical records from hospital which reveal patient seen in ER on 4/20/06 s/p exposure to rabid cat x 2 days prior to cat death.  Cat tested positive for rabies per state health dept.  Patient recalled having been sneezed on by cat but had no bites or scratches.  No open wounds noted on exam in ER.  Received rabies prophylaxis vax & immune globulin.  Patient reported having had chest discomfort x 1 month for which she was being treated by PCP.  Records indicate patient returned to ER for completion of rabies series on 4/23, 4/27, 5/4 & 5/18/06.  Notes indicate she had no complaints at each visit./ss Per 60 day follow up: Patient is seeking treatment in another state at this time. She has a suppressed immune system at this time. She is responding adversely to many environmental and food substances (none of which she reacted adversly to before the vaccine). She is now no longer receiving feeding tube asistance. She is having her husband re-do flooring & the heating system in there home before she returns home. Annual followup 01/4/2010 She has had significant multiple chemical sensitivities. Ahe ahs separated from her family to seek medical assistance in Texas. Her family is in significant financial hardship due to present condition.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site induration
Clinical narrative: Immunization Dtap given left upper deltoid, one day later slight erythema slight firmness at site.
Age: 5.0
Sex: M
Vaccine: MMR
Symptoms: Erythema, Rash
Clinical narrative: 15 days past vaccine, flat red rash on face, arms, trunk and legs no fever.
Age: 1.01
Sex: M
Vaccine: HIBV, PNC, VARCEL
Symptoms: Pyrexia, Rash vesicular, Rhinorrhoea
Clinical narrative: Pt developed low grade temp of 99-100 clear rhinorrhea x 2 days ago. Started breaking out with vesicular lesions on trunk extremities.
Age: 1.07
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Rash pruritic
Clinical narrative: Rash all over body, spreading, c/o itchiness.
Age: 3.0
Sex: M
Vaccine: HEP, VARCEL
Symptoms: Fatigue, Pyrexia
Clinical narrative: High fever 105.7, fatigue, treated with Motrin.
Age: 0.21
Sex: F
Vaccine: DTAP, HEP, HIBV, IPV, PNC
Symptoms: Injection site erythema, Injection site oedema
Clinical narrative: Approx 3 1/2 hours after receiving 2 month immunization on 9/29/06. Both thighs became red and swollen, presented to ER, RX'd Motrin. DC home no swelling or redness next day.
Age: 67.0
Sex: F
Vaccine: PPV
Symptoms: Headache, Nausea, Pyrexia
Clinical narrative: Severe headache, nausea, fever.
Age: 1.31
Sex: F
Vaccine: DTAP, HIBV
Symptoms: Agitation, Crying, Irritability, Screaming
Clinical narrative: Mom reports pt started crying about five hours after vaccine was received. Pt was inconsolable for five hours. Tylenol given at 11pm and 5am. Mom spoke with on call doctor at approx 2am who instructed her to take child to ER if crying gets worse or come into office in the morning. Per mom this morning at 9am, pt is better. Still clingy, and cranky. offered appt, but mom decline at this time.
Age: 50.0
Sex: F
Vaccine: HBHEPB
Symptoms: Rash
Clinical narrative: Employee received a dose of Hep B vaccine (Comvax) 0.5ml IM x 1 dose on 2/28/06 and reported skin reaction (rash) on 3/6/06.
Sex: U
Vaccine: DTAP
Symptoms: Medication error
Clinical narrative: 13 adult patients in one internal medicine practice site were administered Daptacel brand of DTaP in lieu of Adacel (Tdap). An adolescent in a second pediatric practice site was administered a different brand of DTaP. The nomenclature of DTaP and Tdap is confusing and introduces a risk for error, which will only increase as new vaccinations are introduced. The similarity in the brand names Daptacel and Adacel is a further significant contributing factor to this error as it affected 13 adult patients. It appears that in fact the internal medicine practice ordered Adacel from the supplier and Daptacel was shipped, and this error was not identified until 13 patients were administered this vaccine. All 14 affected patients were contacted. None had any unusual vaccine reactions. The error was discovered when one of the nurses administering the vaccine noticed that it was not Adacel. The practice has notified all physicians and site managers about the error(s), and have verified that there all sites that need Adacel have it. Our family practice and pediatric sites have other brands of DTaP, but we will be on the lookout for Daptacel as we get shipments of DTaP, since it is multi-sourced.
Sex: U
Vaccine: DTAP
Symptoms: Medication error
Clinical narrative: Thirteen adult patients in one internal medicine practice site were administered Daptacel brand of DTaP instead of Adacel (Tdap). Also, an adolescent in a second pediatric practice site was administered a different brand of DTaP instead of Tdap. The nomenclature of DTaP and Tdap is confusing and introduces a risk for error, which will only increase as new vaccinations are introduced. In addition, the similarity in the brand names: Daptacel and Adacel is a significant contributing factor to this error as it affected thirteen adult patients. It appears that the internal medicine practice ordered Adacel from the supplier and Daptacel was shipped instead. This error was not identified until thirteen patients were administered this vaccine. All fourteen affected patients were contacted. None of the patients had any unusual vaccine reactions.
Sex: U
Vaccine: HEP
Symptoms: Medication error
Clinical narrative: On two recent instances of giving Hepatitis B vaccine to neonates (by two different RNs), noted to have leakage from needle connection, not from the leurlock connections between syringe and needle (which is connected by the nurse), but from the factory connection between the needle and the needle protection device). This resulted in the administration of a partial dose.
Age: 1.01
Sex: F
Vaccine: DTAP, HEP, HIBV, MMR
Symptoms: Abnormal behaviour, Accidental overdose, Antisocial behaviour, Aphasia, Autism
Clinical narrative: This case was reported by a lawyer and described the occurrence of neurological injury in a male subject who was vaccinated with hepatitis B vaccine (Engerix B) and or unidentified hepatitis B vaccine for prophylaxis. On an unspecified date the subject received unspecified dose of hepatitis B vaccine. According to the legal complaint, at an unspecified time after vaccination with hepatitis B vaccine, the subject experienced serious and permanent neurological injuries which was attributed to toxic mercury exposure. The following information was received via medical records, the subject was vaccianted with Hep B on 8/23/94 and 1/27/95. The subject was vaccianted with Dtap on 3/24/94 and 5/25/94, the subject was also vaccianted with oral polio, Hib adn MMR for prophylaxis. A pediatric master problem list indicated the following hypotonia/poor condition 1/24/97, developmental delay 1/23/98, and pervasive developmental disorder 5/22/98. No delays were noted during the first year, and at 12 months was able to say mama. The subject did not walk until 18 years of age. AT two years old she had a few words, which were lost by age three years. At age tow she also began to scream for 5 to 10 minutes per episode for no known reason. According to progress notes dated 1/23/98, the subject experienced problems with toilet training, was not speaking, and made fleeting eye contact. Neurological examination revealed hypotonia. Impression included developmental delay with loss of speech. The subject was referred for evaluation of possible probable Rett's syndrome with deteriorating milestones, loss of language, and hypotonia floppiness. In April 1998, the subject was hospitalized for diagnosis of Rett syndrome due to excellent hand use and ability to follow simple commands. She was assessed to have pervasive developmental disorder. She exhibited severe tantrums, initially treated with Prozac and later changed to clonidine. On 5/13/98, testing revealed cognitive skills commensurate with a 12 month level as measured by the Battelle Developmental inventory. Expressive and receptive speech and language skills, and fine motor and socialization skills, were below expected for age. At that time it was noted that the subject was exhibiting stereotypical behaviors consistent with autism. On 9/2/1998, the subject was treated in the ER for an accidental overdose of Clonidine, at that time she was noted to have a mental age of approx 22 months. By approx Feb 2000, she had begun to repeat words and was using some sign language, and was described as having made continued progress in a special education program which included speech and language therapy. By Jan 2001, the subject had been diagnosed with autism, and she failed a vision test at school. On 4/30/04, the subjects mother reported an increase in combative behavior and property destruction.