chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 0.5
Sex: M
Vaccine: FLUX, HEP
Symptoms: X-ray, X-ray with contrast upper gastrointestinal tract
Clinical narrative: This case was reported in a literature article and described the occurrence of macrophagic myofasciitis in a 6-month-old male subject who was vaccinated with HEPATITIS B (manufacturer unspecified), Influenza virus vaccine. This case corresponds to case 4 in the literature article. The subject's medical history included feeding related apneic episode diagnosed as gastroesophageal reflux, atrial flutter treated with cardioversion, an episode of several febrile seizure, oxygen therapy, pneumonia which required oxygen therapy (10 days in the neonatal intensive care), prematurity (born at 35 weeks) and ventricular septal defect that resolved without treatment. His mother was diagnosed with Munchausen by proxy related to misinformation regarding his feeding, atypical spells and inability to wean from nasal oxygen. On an unspecified date, the subject received an unspecified dose of Hepatitis B vaccine (administration site and route unknown, batch number not provided) and an unspecified dose of Influenza vaccine (administration site and route unknown, batch number not provided). He had received all of his vaccinations. At an unspecified time after vaccination with Hepatitis B vaccine and Influenza vaccine, at 6 months-old, the subject demonstrated gross motor delay and poor oral feeding requiring supplements via a nasal gastric tube. He had poor head control, inability to sit, axial hypotonia, failure to thrive, weakness in neck and deep tendon reflexes decreased. This case was assessed as medically serious by GSK. EEG and MRI evaluations were unremarkable for premature birth. Serum CK, plasma acylcarnitines, amino acids, urine organic acids, karyotype, sweat chloride test, swallow study, small bowel follow-through, polysomnogram and abdominal ultrasound were normal. At 8-months-old, his right vastus lateralis was biopsied. Muscle biopsy was with stereotyped demonstration of epi, peri and endomysium macrophagic infiltrates without muscle fiber necrosis. No histopathological evidence of ragged red fibers, fiber type atrophy, grouping or significant impairment of mitochondrial oxidative staining. Electron transport chain function of the muscle was tested and was normal. At the age of 13-months-old, he was starting to walk and say a few words with normal progression of milestones. No radiological evidence of central nervous system dysfunction or parental consanguinity. At the time of reporting, the events were improved. The author considered that macrophagic myofasciitis was possibly related to vaccination with Hepatitis B vaccine and Influenza vaccine. This case corresponds to 1 of the 3 cases reported in the literature article.
Age: 73.0
Sex: M
Vaccine: PPV, PPV
Symptoms: Diarrhoea, Vomiting
Clinical narrative: Patient experienced emesis x 4 and non-bloody watery painless diarrhea.
Age: 1.5
Sex: F
Vaccine: DTAPIPVHIB, DTAPIPVHIB, DTAPIPVHIB
Symptoms: Crying, Erythema, Eye swelling, Irritability, Screaming
Clinical narrative: Initial case was received on 23 June 2010 from a healthcare professional on a VAERS report (Temporary VAERS E-Report Number E-44356). A 1 year 6 month old female patient received a left leg intramuscular injection of PENTACEL (lot number C3609AB) at 10:30 a.m. on 23 June 2010. She experienced generalized hives and eyes swelling at 1:30 p.m. on 2-June 2010 (second number in date not legible). The patient's mother gave her BENADRYL and returned the child to the doctor's office, where she was treated with a 0.2 cc subcutaneous injection of epinephrine 1:1000. She experienced extreme fussiness and crying. The patient's birth weight was reported as 25 pounds 6 ounces. The patient had no pre-existing medical conditions, no reported concomitant medications and no illness at the time of the vaccination. The patient recovered from the adverse events on an unspecified date. Follow-up information was received from the healthcare professional on 29 June 2010. The patient was treated with epinephrine and oral steroids for 3 days beginning on 23 June 2010. On 26 June 2010 the patient woke up screaming uncontrollably, and was noted to be covered with red welts. She was given BENADRYL, and taken to the emergency room. Treatment in the emergency room included a "steroid shot"; the patient was prescribed 5 additional days of oral steroids at that time. According to the reporter, who spoke with the parent of the patient on 28 June 2010, the patient had improved and welts were diminishing. Documents held by sender: None.
Age: 1.5
Sex: F
Vaccine: DTAPIPVHIB, DTAPIPVHIB, DTAPIPVHIB
Symptoms: Urticaria
Clinical narrative: Initial case was received on 23 June 2010 from a healthcare professional on a VAERS report (Temporary VAERS E-Report Number E-44356). A 1 year 6 month old female patient received a left leg intramuscular injection of PENTACEL (lot number C3609AB) at 10:30 a.m. on 23 June 2010. She experienced generalized hives and eyes swelling at 1:30 p.m. on 2-June 2010 (second number in date not legible). The patient's mother gave her BENADRYL and returned the child to the doctor's office, where she was treated with a 0.2 cc subcutaneous injection of epinephrine 1:1000. She experienced extreme fussiness and crying. The patient's birth weight was reported as 25 pounds 6 ounces. The patient had no pre-existing medical conditions, no reported concomitant medications and no illness at the time of the vaccination. The patient recovered from the adverse events on an unspecified date. Follow-up information was received from the healthcare professional on 29 June 2010. The patient was treated with epinephrine and oral steroids for 3 days beginning on 23 June 2010. On 26 June 2010 the patient woke up screaming uncontrollably, and was noted to be covered with red welts. She was given BENADRYL, and taken to the emergency room. Treatment in the emergency room included a "steroid shot"; the patient was prescribed 5 additional days of oral steroids at that time. According to the reporter, who spoke with the parent of the patient on 28 June 2010, the patient had improved and welts were diminishing. Documents held by sender: None.
Age: 1.5
Sex: F
Vaccine: DTAPIPVHIB, DTAPIPVHIB, DTAPIPVHIB
Symptoms: Crying, Erythema, Eye swelling, Irritability, No reaction on previous exposure to drug
Clinical narrative: Initial case was received on 23 June 2010 from a healthcare professional on a VAERS report (Temporary VAERS E-Report Number E-44356). A 1 year 6 month old female patient received a left leg intramuscular injection of PENTACEL (lot number C3609AB) at 10:30 a.m. on 23 June 2010. She experienced generalized hives and eyes swelling at 1:30 p.m. on 2-June 2010 (second number in date not legible). The patient's mother gave her BENADRYL and returned the child to the doctor's office, where she was treated with a 0.2 cc subcutaneous injection of epinephrine 1:1000. She experienced extreme fussiness and crying. The patient's birth weight was reported as 25 pounds 6 ounces. The patient had no pre-existing medical conditions, no reported concomitant medications and no illness at the time of the vaccination. The patient recovered from the adverse events on an unspecified date. Follow-up information was received from the healthcare professional on 29 June 2010. The patient was treated with epinephrine and oral steroids for 3 days beginning on 23 June 2010. On 26 June 2010 the patient woke up screaming uncontrollably, and was noted to be covered with red welts. She was given BENADRYL, and taken to the emergency room. Treatment in the emergency room included a "steroid shot"; the patient was prescribed 5 additional days of oral steroids at that time. According to the reporter, who spoke with the parent of the patient on 28 June 2010, the patient had improved and welts were diminishing. Documents held by sender: None.
Age: 1.5
Sex: F
Vaccine: DTAPIPVHIB, DTAPIPVHIB, DTAPIPVHIB
Symptoms: Screaming, Swelling face, Urticaria
Clinical narrative: Initial case was received on 23 June 2010 from a healthcare professional on a VAERS report (Temporary VAERS E-Report Number E-44356). A 1 year 6 month old female patient received a left leg intramuscular injection of PENTACEL (lot number C3609AB) at 10:30 a.m. on 23 June 2010. She experienced generalized hives and eyes swelling at 1:30 p.m. on 2-June 2010 (second number in date not legible). The patient's mother gave her BENADRYL and returned the child to the doctor's office, where she was treated with a 0.2 cc subcutaneous injection of epinephrine 1:1000. She experienced extreme fussiness and crying. The patient's birth weight was reported as 25 pounds 6 ounces. The patient had no pre-existing medical conditions, no reported concomitant medications and no illness at the time of the vaccination. The patient recovered from the adverse events on an unspecified date. Follow-up information was received from the healthcare professional on 29 June 2010. The patient was treated with epinephrine and oral steroids for 3 days beginning on 23 June 2010. On 26 June 2010 the patient woke up screaming uncontrollably, and was noted to be covered with red welts. She was given BENADRYL, and taken to the emergency room. Treatment in the emergency room included a "steroid shot"; the patient was prescribed 5 additional days of oral steroids at that time. According to the reporter, who spoke with the parent of the patient on 28 June 2010, the patient had improved and welts were diminishing. Documents held by sender: None.
Age: 61.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Fatigue, Lumbar puncture
Clinical narrative: Extreme fatigue.
Age: 20.0
Sex: F
Vaccine: SMALL
Symptoms: Drug exposure during pregnancy, Urine human chorionic gonadotropin positive
Clinical narrative: Had negative pregnancy test prior to vaccination with smallpox, found to pregnant via home pregnancy test later same day.
Age: 30.0
Sex: M
Vaccine: TD
Symptoms: Injected limb mobility decreased, Injection site pain, Neck pain, Pain
Clinical narrative: After receiving imm, pt got in car and drove 2 hrs.  Arm was sore appx 3 hrs after injection.  The following morning he c/o difficulty moving his arm over his head.  The symptoms started to improve (was throbbing & sore), but on Tuesday, July 6th, developed shooting pain from site into right side of neck with increased right arm use.  Also has burning at site.  No redness, swelling noted at site.  Denies numbness/tingling extending down arm.  Denies weakness, but states pain gets so bad with increased use he has to stop activity.  Denies known cause or recent injury/trauma to R shoulder, upper arm, neck other than tetanus vaccine.
Age: 73.0
Sex: F
Vaccine: DT
Symptoms: Injection site erythema, Rash erythematous
Clinical narrative: 2 x 3 cm erythematous rash at site of prev. injection of TD began 1 day after vaccine administered and increased in size over period 5-6 days. TYLENOL and cold pack.
Age: 12.0
Sex: M
Vaccine: HEPA, UNK
Symptoms: Dyspnoea
Clinical narrative: BREATHING DIFFICULTY, RESOLVED ON ITS OWN. NO COURSE OF TREATMENT NEEDED DR. ADVISED TO GO TO ER IF SOB OCCURRED AGAIN.
Age: 0.43
Sex: F
Vaccine: DTAP
Symptoms: Convulsion, Crying, Embolic stroke, Screaming, Vision blurred
Clinical narrative: At 1AM on 7/8/10 parents noticed child screaming/crying - low grade temp after immunization of 100 (R). 7AM temp - looking to left - will not turn past midline - not using (R) arm eyes not focusing. Hospitalized with embolic stroke, seizures.
Sex: F
Vaccine: DTAP, HEP, HIBV, IPV, PPV
Symptoms: Death, Encephalopathy
Clinical narrative: Information has been received from a published article, regarding a case in litigation concerning a female patient who in 2004 was vaccinated with a dose of RECOMBIVAX HB (Manufacturer unknown). Secondary suspect therapy included PNEUMOVAX 23 (Manufacturer unknown) and PEDVAXHIB (Manufacturer unknown), IPV (Manufacturer unknown) and DTAP (Manufacturer unknown). The next day the patient died of a table encephalopathy. The cause of death was encephalopathy. No further information is available.
Age: 0.16
Sex: F
Vaccine: DTAPIPVHIB, HEP, PNC13, RV5
Symptoms: Irritability
Clinical narrative: Received immunizations this AM. Very fussy since immunizations. MOC denies fever, no redness or warmth at injection sites. Advised TYLENOL; massage to sites, warm compress to sites.
Age: 9.0
Sex: F
Vaccine: VARCEL
Symptoms: Unevaluable event
Clinical narrative: (R) shoulder ? Varicella immunization site. Tx: ibuprofen/ warm compress.
Age: 3.0
Sex: M
Vaccine: PNC13
Symptoms: Injection site erythema, Injection site swelling, Pyrexia
Clinical narrative: Some redness & swelling about half dollar size in LL a little feverish.
Age: 19.0
Sex: F
Vaccine: HEPAB
Symptoms: Flushing, Urticaria
Clinical narrative: Pt experienced facial flushing 10 minutes after TWINRIX given on 5-17-2010.  Prior to this immunization pt had taken 25 mg BENADRYL because of reaction of hives 12 hrs after MENACTRA vaccine - requiring BENADRYL and steroid.
Age: 57.0
Sex: F
Vaccine: FLU3
Symptoms: Abasia, Activities of daily living impaired, Back pain, Blood test normal, Burning sensation
Clinical narrative: Two days after receiving the flu vaccine (11/05/2009), I noticed that my entire arm really hurt. The site of the injection was red, raised, and warm to the touch. I didn't feel well either. I went to my doctor's office and asked him to look at my arm. He said I was having a "reaction" to the flu shot and said the symptoms should subside. About five days later (11/10/2009), I noticed a strange sensation of numbness, tingling, spasming, stiffness, weakness, and burning sensations in my legs, knees, and feet, which left me unable to walk or move normally. I spent most of my time in bed for the next four weeks, unable to do anything close to my normal routine. My knees felt heavy and swollen. I notice that I am drinking and craving a lot more water than usual. I normally don't drink Gatorade but am drinking quite a bit of it. These symptoms continued, so I called my doctor's office, and he ordered an MRI of my spine (11/16/2009). The radiologist reported no herniated disc and mild foramina encroachment. My symptoms continue, and I call my doctor's office and they advise me to see a spine doctor. Despite the lack of obvious herniation evidence from the MRI, doctor believes I have a herniated disc and recommends one of three things: do nothing, receive an epidural, or remove the disc. I opt for the epidural, but in the meantime, I visit another spine doctor (12/08/2009), who said I do not have a herniation and am not a candidate for surgery. He suggests physical therapy, especially water exercises and says I should see a neurologist. Meanwhile, I am still experiencing the above-mentioned symptoms along with back pain, total left arm pain down to my pinky finger and weakness in my legs and left arm. My ears have started to ring constantly. On December 29, 2009, I meet with doctor in the morning and tell him that I am still having problems with my left arm. Unbelievably, he says he does not think it is from the flu shot. I mention that I am also having jaw pain and tingling on the left side of my face. He does not recommend any treatment.
Age: 57.0
Sex: F
Vaccine: FLU3
Symptoms: Chest X-ray normal, Electrocardiogram normal, Feeling abnormal, Hypoaesthesia, Injection site erythema
Clinical narrative: Two days after receiving the flu vaccine (11/05/2009), I noticed that my entire arm really hurt. The site of the injection was red, raised, and warm to the touch. I didn't feel well either. I went to my doctor's office and asked him to look at my arm. He said I was having a "reaction" to the flu shot and said the symptoms should subside. About five days later (11/10/2009), I noticed a strange sensation of numbness, tingling, spasming, stiffness, weakness, and burning sensations in my legs, knees, and feet, which left me unable to walk or move normally. I spent most of my time in bed for the next four weeks, unable to do anything close to my normal routine. My knees felt heavy and swollen. I notice that I am drinking and craving a lot more water than usual. I normally don't drink Gatorade but am drinking quite a bit of it. These symptoms continued, so I called my doctor's office, and he ordered an MRI of my spine (11/16/2009). The radiologist reported no herniated disc and mild foramina encroachment. My symptoms continue, and I call my doctor's office and they advise me to see a spine doctor. Despite the lack of obvious herniation evidence from the MRI, doctor believes I have a herniated disc and recommends one of three things: do nothing, receive an epidural, or remove the disc. I opt for the epidural, but in the meantime, I visit another spine doctor (12/08/2009), who said I do not have a herniation and am not a candidate for surgery. He suggests physical therapy, especially water exercises and says I should see a neurologist. Meanwhile, I am still experiencing the above-mentioned symptoms along with back pain, total left arm pain down to my pinky finger and weakness in my legs and left arm. My ears have started to ring constantly. On December 29, 2009, I meet with doctor in the morning and tell him that I am still having problems with my left arm. Unbelievably, he says he does not think it is from the flu shot. I mention that I am also having jaw pain and tingling on the left side of my face. He does not recommend any treatment.
Age: 57.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site pain, Injection site swelling, Injection site warmth, Intervertebral disc protrusion, Malaise
Clinical narrative: Two days after receiving the flu vaccine (11/05/2009), I noticed that my entire arm really hurt. The site of the injection was red, raised, and warm to the touch. I didn't feel well either. I went to my doctor's office and asked him to look at my arm. He said I was having a "reaction" to the flu shot and said the symptoms should subside. About five days later (11/10/2009), I noticed a strange sensation of numbness, tingling, spasming, stiffness, weakness, and burning sensations in my legs, knees, and feet, which left me unable to walk or move normally. I spent most of my time in bed for the next four weeks, unable to do anything close to my normal routine. My knees felt heavy and swollen. I notice that I am drinking and craving a lot more water than usual. I normally don't drink Gatorade but am drinking quite a bit of it. These symptoms continued, so I called my doctor's office, and he ordered an MRI of my spine (11/16/2009). The radiologist reported no herniated disc and mild foramina encroachment. My symptoms continue, and I call my doctor's office and they advise me to see a spine doctor. Despite the lack of obvious herniation evidence from the MRI, doctor believes I have a herniated disc and recommends one of three things: do nothing, receive an epidural, or remove the disc. I opt for the epidural, but in the meantime, I visit another spine doctor (12/08/2009), who said I do not have a herniation and am not a candidate for surgery. He suggests physical therapy, especially water exercises and says I should see a neurologist. Meanwhile, I am still experiencing the above-mentioned symptoms along with back pain, total left arm pain down to my pinky finger and weakness in my legs and left arm. My ears have started to ring constantly. On December 29, 2009, I meet with doctor in the morning and tell him that I am still having problems with my left arm. Unbelievably, he says he does not think it is from the flu shot. I mention that I am also having jaw pain and tingling on the left side of my face. He does not recommend any treatment.
Age: 57.0
Sex: F
Vaccine: FLU3
Symptoms: Mobility decreased, Muscle spasms, Muscular weakness, Musculoskeletal stiffness, Neurological examination abnormal
Clinical narrative: Two days after receiving the flu vaccine (11/05/2009), I noticed that my entire arm really hurt. The site of the injection was red, raised, and warm to the touch. I didn't feel well either. I went to my doctor's office and asked him to look at my arm. He said I was having a "reaction" to the flu shot and said the symptoms should subside. About five days later (11/10/2009), I noticed a strange sensation of numbness, tingling, spasming, stiffness, weakness, and burning sensations in my legs, knees, and feet, which left me unable to walk or move normally. I spent most of my time in bed for the next four weeks, unable to do anything close to my normal routine. My knees felt heavy and swollen. I notice that I am drinking and craving a lot more water than usual. I normally don't drink Gatorade but am drinking quite a bit of it. These symptoms continued, so I called my doctor's office, and he ordered an MRI of my spine (11/16/2009). The radiologist reported no herniated disc and mild foramina encroachment. My symptoms continue, and I call my doctor's office and they advise me to see a spine doctor. Despite the lack of obvious herniation evidence from the MRI, doctor believes I have a herniated disc and recommends one of three things: do nothing, receive an epidural, or remove the disc. I opt for the epidural, but in the meantime, I visit another spine doctor (12/08/2009), who said I do not have a herniation and am not a candidate for surgery. He suggests physical therapy, especially water exercises and says I should see a neurologist. Meanwhile, I am still experiencing the above-mentioned symptoms along with back pain, total left arm pain down to my pinky finger and weakness in my legs and left arm. My ears have started to ring constantly. On December 29, 2009, I meet with doctor in the morning and tell him that I am still having problems with my left arm. Unbelievably, he says he does not think it is from the flu shot. I mention that I am also having jaw pain and tingling on the left side of my face. He does not recommend any treatment.
Age: 57.0
Sex: F
Vaccine: FLU3
Symptoms: Nuclear magnetic resonance imaging abnormal, Oedema peripheral, Pain in extremity, Pain in jaw, Paraesthesia
Clinical narrative: Two days after receiving the flu vaccine (11/05/2009), I noticed that my entire arm really hurt. The site of the injection was red, raised, and warm to the touch. I didn't feel well either. I went to my doctor's office and asked him to look at my arm. He said I was having a "reaction" to the flu shot and said the symptoms should subside. About five days later (11/10/2009), I noticed a strange sensation of numbness, tingling, spasming, stiffness, weakness, and burning sensations in my legs, knees, and feet, which left me unable to walk or move normally. I spent most of my time in bed for the next four weeks, unable to do anything close to my normal routine. My knees felt heavy and swollen. I notice that I am drinking and craving a lot more water than usual. I normally don't drink Gatorade but am drinking quite a bit of it. These symptoms continued, so I called my doctor's office, and he ordered an MRI of my spine (11/16/2009). The radiologist reported no herniated disc and mild foramina encroachment. My symptoms continue, and I call my doctor's office and they advise me to see a spine doctor. Despite the lack of obvious herniation evidence from the MRI, doctor believes I have a herniated disc and recommends one of three things: do nothing, receive an epidural, or remove the disc. I opt for the epidural, but in the meantime, I visit another spine doctor (12/08/2009), who said I do not have a herniation and am not a candidate for surgery. He suggests physical therapy, especially water exercises and says I should see a neurologist. Meanwhile, I am still experiencing the above-mentioned symptoms along with back pain, total left arm pain down to my pinky finger and weakness in my legs and left arm. My ears have started to ring constantly. On December 29, 2009, I meet with doctor in the morning and tell him that I am still having problems with my left arm. Unbelievably, he says he does not think it is from the flu shot. I mention that I am also having jaw pain and tingling on the left side of my face. He does not recommend any treatment.
Age: 57.0
Sex: F
Vaccine: FLU3
Symptoms: Polydipsia, Sensation of heaviness, Sensory disturbance, Thirst, Tinnitus
Clinical narrative: Two days after receiving the flu vaccine (11/05/2009), I noticed that my entire arm really hurt. The site of the injection was red, raised, and warm to the touch. I didn't feel well either. I went to my doctor's office and asked him to look at my arm. He said I was having a "reaction" to the flu shot and said the symptoms should subside. About five days later (11/10/2009), I noticed a strange sensation of numbness, tingling, spasming, stiffness, weakness, and burning sensations in my legs, knees, and feet, which left me unable to walk or move normally. I spent most of my time in bed for the next four weeks, unable to do anything close to my normal routine. My knees felt heavy and swollen. I notice that I am drinking and craving a lot more water than usual. I normally don't drink Gatorade but am drinking quite a bit of it. These symptoms continued, so I called my doctor's office, and he ordered an MRI of my spine (11/16/2009). The radiologist reported no herniated disc and mild foramina encroachment. My symptoms continue, and I call my doctor's office and they advise me to see a spine doctor. Despite the lack of obvious herniation evidence from the MRI, doctor believes I have a herniated disc and recommends one of three things: do nothing, receive an epidural, or remove the disc. I opt for the epidural, but in the meantime, I visit another spine doctor (12/08/2009), who said I do not have a herniation and am not a candidate for surgery. He suggests physical therapy, especially water exercises and says I should see a neurologist. Meanwhile, I am still experiencing the above-mentioned symptoms along with back pain, total left arm pain down to my pinky finger and weakness in my legs and left arm. My ears have started to ring constantly. On December 29, 2009, I meet with doctor in the morning and tell him that I am still having problems with my left arm. Unbelievably, he says he does not think it is from the flu shot. I mention that I am also having jaw pain and tingling on the left side of my face. He does not recommend any treatment.
Age: 57.0
Sex: F
Vaccine: FLU3
Symptoms: Ultrasound scan normal, Vaccination complication, Vertebral foraminal stenosis, X-ray limb normal
Clinical narrative: Two days after receiving the flu vaccine (11/05/2009), I noticed that my entire arm really hurt. The site of the injection was red, raised, and warm to the touch. I didn't feel well either. I went to my doctor's office and asked him to look at my arm. He said I was having a "reaction" to the flu shot and said the symptoms should subside. About five days later (11/10/2009), I noticed a strange sensation of numbness, tingling, spasming, stiffness, weakness, and burning sensations in my legs, knees, and feet, which left me unable to walk or move normally. I spent most of my time in bed for the next four weeks, unable to do anything close to my normal routine. My knees felt heavy and swollen. I notice that I am drinking and craving a lot more water than usual. I normally don't drink Gatorade but am drinking quite a bit of it. These symptoms continued, so I called my doctor's office, and he ordered an MRI of my spine (11/16/2009). The radiologist reported no herniated disc and mild foramina encroachment. My symptoms continue, and I call my doctor's office and they advise me to see a spine doctor. Despite the lack of obvious herniation evidence from the MRI, doctor believes I have a herniated disc and recommends one of three things: do nothing, receive an epidural, or remove the disc. I opt for the epidural, but in the meantime, I visit another spine doctor (12/08/2009), who said I do not have a herniation and am not a candidate for surgery. He suggests physical therapy, especially water exercises and says I should see a neurologist. Meanwhile, I am still experiencing the above-mentioned symptoms along with back pain, total left arm pain down to my pinky finger and weakness in my legs and left arm. My ears have started to ring constantly. On December 29, 2009, I meet with doctor in the morning and tell him that I am still having problems with my left arm. Unbelievably, he says he does not think it is from the flu shot. I mention that I am also having jaw pain and tingling on the left side of my face. He does not recommend any treatment.
Age: 1.36
Sex: F
Vaccine: DTAP, HIBV, PNC13
Symptoms: Blood test normal, Culture urine negative, Pyrexia, Streptococcus test negative
Clinical narrative: Mom called 7/1/10 to report pt ran fever 104.5 - 7 hrs after vaccines. Went to ER 6/30/10 at 2:00 pm temp - 105.7. Strep test Ng. Tx steroids and antibiotic. Afebrile 7/1/10 9:30 am.
Age: 8.0
Sex: F
Vaccine: VARCEL
Symptoms: Erythema, Oedema peripheral, Pruritus
Clinical narrative: Had 2nd varicella vaccine June 21, 2010 at 0945. That evening arm became red and swollen. Area itches. On June 23, 2010 1130 area measures 7cm x 7cm.
Age: 1.33
Sex: M
Vaccine: DTAP, HEP
Symptoms: Erythema, Oedema peripheral, Pyrexia, Rhinorrhoea, Swelling face
Clinical narrative: Hives all over body, redness and swelling on face and hands, high fever and runny nose.
Age: 1.33
Sex: M
Vaccine: DTAP, HEP
Symptoms: Urticaria
Clinical narrative: Hives all over body, redness and swelling on face and hands, high fever and runny nose.
Age: 67.0
Sex: F
Vaccine: PPV
Symptoms: Cough, Pain, Pain in extremity, Pyrexia
Clinical narrative: Fever, aches & pains - arm hurt so bad - had to get pain patches & pills. Developed a cough and still have it!
Age: 14.0
Sex: F
Vaccine: HPV4
Symptoms: Skin papilloma
Clinical narrative: Soon after receiving the vaccination my daughter has had 3 plantar warts. GARDASIL shots x 3 Lot # 0558X, June 17, 2009, Aug. 19, 2009, Dec 26, 2009.
Age: 74.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site rash, Injection site urticaria
Clinical narrative: Patient presented to pharmacy day 3 post vaccination with redness/ rash at injection site.  Reaction was 2 inch "wheal" with darker center.
Age: 0.5
Sex: F
Vaccine: DTAPIPVHIB, PNC13, RV5
Symptoms: Pyrexia
Clinical narrative: 103.5 high fever, not well controlled with TYLENOL or MOTRIN.  Fever lasted 15 hours ranging from 103.5 - 100.7.  No redness, no swelling, no fussiness.
Age: 4.0
Sex: M
Vaccine: IPV, MMR, PNC13, VARCEL
Symptoms: Erythema, Rash
Clinical narrative: Redness and rash around eyes approx 2 hours post immunization. BENADRYL susp. by mouth every 6 hours.
Age: 1.48
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Gait disturbance, Injection site joint swelling, Pyrexia
Clinical narrative: Fever, right knee swollen, limping-on Augmentin already for URI, watch, finish antibotics. Sx persisted referred to Dr.-said rx'n to MMR, rest and Motrin.
Age: 10.0
Sex: M
Vaccine: HEPA, HPV4, TDAP, VARCEL
Symptoms: Dizziness, Loss of consciousness
Clinical narrative: Client had finished with the immunizations being given.  He walked out of the exam room with his mother and stopped at the station to receive updated records when he told his mother that he was dizzy.  He was hanging onto his mother when he passed out.  He was assisted to the floor by both his mother and phn.  Jacket was place under his head and feet were elevated in a chair.  Ice pack was then applied to the back of his neck.  After a few minutes, the dizziness cleared enough for client to sit up and place his back against the wall.  He was given orange juice to sip on.  He was then assisted up to sit in a chair. Once dizziness completly passed, client did stand at the chair.  No dizziness reoccured and client with his mother did go out into the waiting room and again sat for another 10 minutes, then left the facility.  Client was fully recovered.
Age: 1.24
Sex: M
Vaccine: MMR, PNC13
Symptoms: Erythema, Injection site erythema, Injection site swelling, Irritability, Pyrexia
Clinical narrative: Patient developed a fever, crankiness and body redness that lasted on and off for several days. He also developed redness and swelling at the site of the injection on his left upper arm.
Age: 18.0
Sex: F
Vaccine: MNQ
Symptoms: Pain, Pyrexia, Vomiting
Clinical narrative: Mother called to report pt had fever of 103 degrees F, body aches at the onset of symptoms at approximately 3:00 pm yesterday.  Mother called health department and was unable to reach due to after hours so she contacted family physician instructed patient to alternate Tylenol/ibuprofen to reduce fever and body aches and monitor for anaphylaxis.  Mother states fever is under control but returns after medication wears off.  Pt woke up at round 3:30am and 5:00am this morning vomiting.  Instructed mother to continue monitoring patient, continue to rotate Tylenol/ibuprofen as needed, also drink fluids to reduced risk of dehydration.  Mother to follow up with health department this afternoon.
Age: 4.0
Sex: F
Vaccine: VARCEL
Symptoms: Rash, Skin lesion
Clinical narrative: Pt. presented in office with rash of less than 50 lesions starting 3 days prior.
Age: 11.0
Sex: M
Vaccine: DTAP, MEN, VARCEL
Symptoms: Body temperature normal, Pain, Pruritus, Skin warm, Tenderness
Clinical narrative: STARTED AROUND 7AM BEFORE SCHOOL AND INCREASED AFTERSCHOOL.  MOTHER WAS CONCERNED ABOUT APPEARANCE.  MEASURED ABOUT 5"X5" THIS MORNING (8:30) IT MEASURES ABOUT 18CMX18CM.  VERY WARM TO TOUCH AND TENDER.  ITCHES MORE AND IS PAINFUL. DID NOT TAKE PAIN MEDICINE TODAY. TEMP NOW 98.6 WILL ALL CLINIC AND UPDATE 1/18/10 FOR FOLLOWUP.  1/19/10 PHONE CALL FROM GUARDIAN-PROBLEM RESOLVED.
Age: 61.0
Sex: F
Vaccine: DTAP
Symptoms: Injection site erythema, Injection site reaction, Injection site warmth
Clinical narrative: Severe local reaction over deltoid extending 10x25cm with warmth and erythema.  Pt. instructed by Dr. to take Aleve 2 tablets 3 times per day until symptoms subside.  Telephone follow up scheduled for Monday, July 12, 2010.
Age: 0.11
Sex: F
Vaccine: HEPA
Symptoms: Wrong drug administered
Clinical narrative: Infant was given pediatric Hepatitis A vaccine instead of the pediatric Hepatitis B vaccine.
Age: 50.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site urticaria, Pruritus, Urticaria
Clinical narrative: Pruritic hands, followed on 5/13/2010 by hives on hands, left knee, bilateral medial thighs, and right upper arm under injection site.
Age: 27.0
Sex: M
Vaccine: HEPA, MNQ, TYP, YF, HEPA, MNQ, TYP, YF
Symptoms: Headache, Meningitis viral, Neck pain, Photophobia, Pyrexia
Clinical narrative: Fever, HA, neck pain, photophobia. Hospitalized 9/19/10 to 6/22/10. Diagnosed as viral meningitis.
Age: 27.0
Sex: M
Vaccine: HEPA, MNQ, TYP, YF, HEPA, MNQ, TYP, YF
Symptoms: Blood culture negative, CSF glucose normal, CSF lymphocyte count normal, CSF test normal, CSF white blood cell count increased
Clinical narrative: Fever, HA, neck pain, photophobia. Hospitalized 9/19/10 to 6/22/10. Diagnosed as viral meningitis.
Age: 27.0
Sex: M
Vaccine: HEPA, MNQ, TYP, YF, HEPA, MNQ, TYP, YF
Symptoms: Computerised tomogram head, Computerised tomogram normal, Gram stain, HIV test negative, Headache
Clinical narrative: Fever, HA, neck pain, photophobia. Hospitalized 9/19/10 to 6/22/10. Diagnosed as viral meningitis.
Age: 27.0
Sex: M
Vaccine: HEPA, MNQ, TYP, YF, HEPA, MNQ, TYP, YF
Symptoms: Laboratory test normal, Lymphocyte percentage increased, Meningitis viral, Mononucleosis heterophile test negative, Musculoskeletal stiffness
Clinical narrative: Fever, HA, neck pain, photophobia. Hospitalized 9/19/10 to 6/22/10. Diagnosed as viral meningitis.
Age: 27.0
Sex: M
Vaccine: HEPA, MNQ, TYP, YF, HEPA, MNQ, TYP, YF
Symptoms: Photophobia, Polymerase chain reaction, Pyrexia
Clinical narrative: Fever, HA, neck pain, photophobia. Hospitalized 9/19/10 to 6/22/10. Diagnosed as viral meningitis.
Age: 17.0
Sex: F
Vaccine: MNQ
Symptoms: Cellulitis, Injection site erythema, Injection site movement impairment, Injection site pain, Injection site swelling
Clinical narrative: Left upper arm noted swollen, red, warm and tender to touch; painful with moving the arm. Treatment:  instructed to apply warm compressor to the left arm. Prescribed antibiotic Keflex for 10 days.
Age: 17.0
Sex: F
Vaccine: MNQ
Symptoms: Injection site warmth
Clinical narrative: Left upper arm noted swollen, red, warm and tender to touch; painful with moving the arm. Treatment:  instructed to apply warm compressor to the left arm. Prescribed antibiotic Keflex for 10 days.
Age: 1.25
Sex: M
Vaccine: DTAPIPVHIB, MMR
Symptoms: Convulsion, Crying, Electroencephalogram, Gaze palsy, Hypotonia
Clinical narrative: After receiving Pentacel #4 and MMR #1 patient was screaming as nurse stepped out of exam room to get Varivax.  Mother called out to nurse saying patient seemed to go limp and his eyes rolled back.  He was in his mothers arms at the time.  When nurse returned to the room patient was staring straight ahead and was unresponsive.  His respiratory status was good.  The event lasted approximately 1 1/2 minutes.  Dr. was called and examined patient.  Patient continued to have a glazed appearance and then started crying.  A EEG was scheduled due to the seizure event.
Age: 1.25
Sex: M
Vaccine: DTAPIPVHIB, MMR
Symptoms: Screaming, Staring, Unresponsive to stimuli
Clinical narrative: After receiving Pentacel #4 and MMR #1 patient was screaming as nurse stepped out of exam room to get Varivax.  Mother called out to nurse saying patient seemed to go limp and his eyes rolled back.  He was in his mothers arms at the time.  When nurse returned to the room patient was staring straight ahead and was unresponsive.  His respiratory status was good.  The event lasted approximately 1 1/2 minutes.  Dr. was called and examined patient.  Patient continued to have a glazed appearance and then started crying.  A EEG was scheduled due to the seizure event.
Age: 34.0
Sex: F
Vaccine: HEPAB
Symptoms: Dysarthria, Paraesthesia, Swollen tongue
Clinical narrative: Slurred speech and tongue swelling at 4:35 PM. Reported to ER at 5:11 with tingling of extremities, but slurred speech had resolved.
Age: 24.0
Sex: F
Vaccine: DTP, HPV4
Symptoms: Blood calcium normal, Blood thyroid stimulating hormone, Dyskinesia, Liver function test normal, Metabolic function test normal
Clinical narrative: Myoclonic jerks and involuntary movements with a few hours of receiving Gardasil and DPT vaccines at her PCP office.  Seen in ER on 6/30 and received Ativan, Benadryl, fluids.  Seen in my neurology clinic 7/2 with some residual involuntary movements of the right hand and arm.  Bloodwork on 6/30 (BMP, LFTs, TSH, Calcium) was normal.  I ordered CPK and Brain MRI 7/2 (but not completed as of today).
Age: 24.0
Sex: F
Vaccine: DTP, HPV4
Symptoms: Myoclonus
Clinical narrative: Myoclonic jerks and involuntary movements with a few hours of receiving Gardasil and DPT vaccines at her PCP office.  Seen in ER on 6/30 and received Ativan, Benadryl, fluids.  Seen in my neurology clinic 7/2 with some residual involuntary movements of the right hand and arm.  Bloodwork on 6/30 (BMP, LFTs, TSH, Calcium) was normal.  I ordered CPK and Brain MRI 7/2 (but not completed as of today).
Age: 0.17
Sex: F
Vaccine: DTAPIPVHIB, HEP, PNC, RV5
Symptoms: Full blood count normal, Haematochezia, X-ray gastrointestinal tract normal, X-ray with contrast upper gastrointestinal tract
Clinical narrative: Bloody stools.
Age: 1.67
Sex: M
Vaccine: HEPA, PNC13
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Erythema with swelling to top of left thigh around to inner thigh, approx. 3 cm in diameter, warm to touch and painful.
Age: 60.0
Sex: M
Vaccine: PPV
Symptoms: Body temperature increased, Impaired driving ability, Mobility decreased, Pain in extremity
Clinical narrative: Severe pain in entire arm. Could not move it. Pulse rate 121 Temp. 104.6.
Age: 46.0
Sex: F
Vaccine: TYP
Symptoms: Asthenia, Pain, Pyrexia
Clinical narrative: Fever, aches, weakness.
Age: 0.33
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC13, RV5, DTAPHEPBIP, HIBV, PNC13, RV5, DTAP, HIBV, PNC13, RV5
Symptoms: Intussusception, Lethargy, Vomiting
Clinical narrative: Patient received the his 2nd RotaTeq vaccine on 6/30/10.  He awoke on 7/6/10 with vomiting bile, then became lethargic; taken to pediatrician's office at 2:45 PM on 7/6/10, and then sent directly to Emergency Department by Dr.; patient was then flown by STAT helicopter to another hospital, where he underwent emergency surgery on 7/7/10 for open repair of intussusception; patient was discharged from hospital today, 7/9/10.
Age: 0.33
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC13, RV5, DTAPHEPBIP, HIBV, PNC13, RV5, DTAP, HIBV, PNC13, RV5
Symptoms: Abdominal X-ray, Intussusception, Surgery, Ultrasound scan, Vaccine breakthrough infection
Clinical narrative: Patient received the his 2nd RotaTeq vaccine on 6/30/10.  He awoke on 7/6/10 with vomiting bile, then became lethargic; taken to pediatrician's office at 2:45 PM on 7/6/10, and then sent directly to Emergency Department by Dr.; patient was then flown by STAT helicopter to another hospital, where he underwent emergency surgery on 7/7/10 for open repair of intussusception; patient was discharged from hospital today, 7/9/10.
Age: 0.33
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC13, RV5, DTAPHEPBIP, HIBV, PNC13, RV5, DTAP, HIBV, PNC13, RV5
Symptoms: Abdominal X-ray, Blood amylase increased, Blood creatinine decreased, Blood urea normal, Carbon dioxide normal
Clinical narrative: Patient received the his 2nd RotaTeq vaccine on 6/30/10.  He awoke on 7/6/10 with vomiting bile, then became lethargic; taken to pediatrician's office at 2:45 PM on 7/6/10, and then sent directly to Emergency Department by Dr.; patient was then flown by STAT helicopter to another hospital, where he underwent emergency surgery on 7/7/10 for open repair of intussusception; patient was discharged from hospital today, 7/9/10.
Age: 0.33
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC13, RV5, DTAPHEPBIP, HIBV, PNC13, RV5, DTAP, HIBV, PNC13, RV5
Symptoms: Cholecystectomy, Cholelithiasis, Computerised tomogram abnormal, Cough, Diarrhoea
Clinical narrative: Patient received the his 2nd RotaTeq vaccine on 6/30/10.  He awoke on 7/6/10 with vomiting bile, then became lethargic; taken to pediatrician's office at 2:45 PM on 7/6/10, and then sent directly to Emergency Department by Dr.; patient was then flown by STAT helicopter to another hospital, where he underwent emergency surgery on 7/7/10 for open repair of intussusception; patient was discharged from hospital today, 7/9/10.
Age: 0.33
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC13, RV5, DTAPHEPBIP, HIBV, PNC13, RV5, DTAP, HIBV, PNC13, RV5
Symptoms: Endoscopic retrograde cholangiopancreatography abnormal, Enema administration, Faecal volume decreased, Flatulence, Gastrointestinal haemorrhage
Clinical narrative: Patient received the his 2nd RotaTeq vaccine on 6/30/10.  He awoke on 7/6/10 with vomiting bile, then became lethargic; taken to pediatrician's office at 2:45 PM on 7/6/10, and then sent directly to Emergency Department by Dr.; patient was then flown by STAT helicopter to another hospital, where he underwent emergency surgery on 7/7/10 for open repair of intussusception; patient was discharged from hospital today, 7/9/10.
Age: 0.33
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC13, RV5, DTAPHEPBIP, HIBV, PNC13, RV5, DTAP, HIBV, PNC13, RV5
Symptoms: Hypophagia, Infantile spitting up, Intussusception, Irritability, Laparoscopic surgery
Clinical narrative: Patient received the his 2nd RotaTeq vaccine on 6/30/10.  He awoke on 7/6/10 with vomiting bile, then became lethargic; taken to pediatrician's office at 2:45 PM on 7/6/10, and then sent directly to Emergency Department by Dr.; patient was then flown by STAT helicopter to another hospital, where he underwent emergency surgery on 7/7/10 for open repair of intussusception; patient was discharged from hospital today, 7/9/10.
Age: 0.33
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC13, RV5, DTAPHEPBIP, HIBV, PNC13, RV5, DTAP, HIBV, PNC13, RV5
Symptoms: Lethargy, Lymphadenopathy, Lymphocyte percentage decreased, Magnetic resonance cholangiopancreatography, Neutrophil percentage increased
Clinical narrative: Patient received the his 2nd RotaTeq vaccine on 6/30/10.  He awoke on 7/6/10 with vomiting bile, then became lethargic; taken to pediatrician's office at 2:45 PM on 7/6/10, and then sent directly to Emergency Department by Dr.; patient was then flown by STAT helicopter to another hospital, where he underwent emergency surgery on 7/7/10 for open repair of intussusception; patient was discharged from hospital today, 7/9/10.
Age: 0.33
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC13, RV5, DTAPHEPBIP, HIBV, PNC13, RV5, DTAP, HIBV, PNC13, RV5
Symptoms: Opisthotonus, Pallor, Pancreatitis, Pancreatitis acute, Post procedural haemorrhage
Clinical narrative: Patient received the his 2nd RotaTeq vaccine on 6/30/10.  He awoke on 7/6/10 with vomiting bile, then became lethargic; taken to pediatrician's office at 2:45 PM on 7/6/10, and then sent directly to Emergency Department by Dr.; patient was then flown by STAT helicopter to another hospital, where he underwent emergency surgery on 7/7/10 for open repair of intussusception; patient was discharged from hospital today, 7/9/10.
Age: 0.33
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC13, RV5, DTAPHEPBIP, HIBV, PNC13, RV5, DTAP, HIBV, PNC13, RV5
Symptoms: Surgery, Ultrasound abdomen, Ultrasound abdomen abnormal, Urine output decreased, Vomiting
Clinical narrative: Patient received the his 2nd RotaTeq vaccine on 6/30/10.  He awoke on 7/6/10 with vomiting bile, then became lethargic; taken to pediatrician's office at 2:45 PM on 7/6/10, and then sent directly to Emergency Department by Dr.; patient was then flown by STAT helicopter to another hospital, where he underwent emergency surgery on 7/7/10 for open repair of intussusception; patient was discharged from hospital today, 7/9/10.
Age: 0.33
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC13, RV5, DTAPHEPBIP, HIBV, PNC13, RV5, DTAP, HIBV, PNC13, RV5
Symptoms: White blood cell count normal, X-ray abnormal
Clinical narrative: Patient received the his 2nd RotaTeq vaccine on 6/30/10.  He awoke on 7/6/10 with vomiting bile, then became lethargic; taken to pediatrician's office at 2:45 PM on 7/6/10, and then sent directly to Emergency Department by Dr.; patient was then flown by STAT helicopter to another hospital, where he underwent emergency surgery on 7/7/10 for open repair of intussusception; patient was discharged from hospital today, 7/9/10.
Age: 0.67
Sex: F
Vaccine: HIBV, RV5
Symptoms: Abdominal pain, Intussusception, Vomiting
Clinical narrative: Vomiting and strong abdominal pain.
Age: 0.67
Sex: F
Vaccine: HIBV, RV5
Symptoms: Abdominal pain, Barium double contrast, Intestinal obstruction, Intestinal operation, Intussusception
Clinical narrative: Vomiting and strong abdominal pain.
Age: 0.67
Sex: F
Vaccine: HIBV, RV5
Symptoms: Ultrasound abdomen abnormal, Vomiting
Clinical narrative: Vomiting and strong abdominal pain.
Age: 64.0
Sex: F
Vaccine: TDAP
Symptoms: Injected limb mobility decreased, Injection site erythema, Injection site pain, Pain in extremity, Pyrexia
Clinical narrative: Significant redness at site, whole arm pain leading to decreased ROM in entire arm, fever at 102 per pt. report.
Age: 1.0
Sex: F
Vaccine: HEPA, MMR, VARCEL
Symptoms: Rash erythematous, Varicella
Clinical narrative: Red bumps consistant with chickenpox.