chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 28.0
Sex: F
Vaccine: HIBV, MNQ, PPV, TDAP
Symptoms: Chills, Injection site erythema, Injection site swelling, Injection site warmth, Pain
Clinical narrative: Presented to ER on 5/12/12 at 11:30 AM to report reaction symptoms included fever, chills, body aches. Reports Rt arm had patchy areas that were red, warm to touch & swollen. No TX or meds prescribed. 5/14/12 presented to HD at 9:00 AM to report reaction. Rt arm has patchy areas that are red, warm to touch & swollen area is 2 inches below to of shoulder to 2 inches above elbow. Pt doing warm compresses & ALEVE.
Age: 28.0
Sex: F
Vaccine: HIBV, MNQ, PPV, TDAP
Symptoms: Pyrexia
Clinical narrative: Presented to ER on 5/12/12 at 11:30 AM to report reaction symptoms included fever, chills, body aches. Reports Rt arm had patchy areas that were red, warm to touch & swollen. No TX or meds prescribed. 5/14/12 presented to HD at 9:00 AM to report reaction. Rt arm has patchy areas that are red, warm to touch & swollen area is 2 inches below to of shoulder to 2 inches above elbow. Pt doing warm compresses & ALEVE.
Age: 42.0
Sex: F
Vaccine: PPV
Symptoms: Pain
Clinical narrative: Pain in right deltoid, moving up towards collar bone bone. Pt admits to taking TYLENOL OTC (5/3/2012) without any relief.
Age: 22.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Burning sensation, Pruritus, Rash, Rash erythematous, Rash papular
Clinical narrative: Patient came back to office 1 1/2 weeks later and reported that rash started soon after receiving vaccine. Has papular rash to entire face, erythematous, c/o itching and burning, has progressively gotten worse over past 1 1/2 weeks. Denies any other new products/food that may have caused reaction.
Age: 40.0
Sex: F
Vaccine: FLUX
Symptoms: Electromyogram, Flank pain, Laboratory test, Painful respiration, X-ray
Clinical narrative: Maintained pain inside the upper left body, torso, for over 1 year and six months, I am having pain with breathing, a deep breath causes pain on left side.
Age: 67.0
Sex: M
Vaccine: VARZOS
Symptoms: Biopsy skin abnormal, Blister, Herpes zoster, Insomnia, Malaise
Clinical narrative: My father received the zoster/shingles vaccination after starting skin cancer treatment with EFUDIX. He developed chicken pox or disseminated shingles. Fever of 104 degrees F, extremely swollen face with eyes closed, pox on chest, back, arms and legs and hemorrhagic vesicles on face. WBC Ct 33,000. Malaise, insomnia.
Age: 67.0
Sex: M
Vaccine: VARZOS
Symptoms: Pyrexia, Rash pustular, Skin haemorrhage, Swelling face, Varicella
Clinical narrative: My father received the zoster/shingles vaccination after starting skin cancer treatment with EFUDIX. He developed chicken pox or disseminated shingles. Fever of 104 degrees F, extremely swollen face with eyes closed, pox on chest, back, arms and legs and hemorrhagic vesicles on face. WBC Ct 33,000. Malaise, insomnia.
Age: 67.0
Sex: M
Vaccine: VARZOS
Symptoms: Varicella post vaccine, Varicella virus test positive, White blood cell count increased
Clinical narrative: My father received the zoster/shingles vaccination after starting skin cancer treatment with EFUDIX. He developed chicken pox or disseminated shingles. Fever of 104 degrees F, extremely swollen face with eyes closed, pox on chest, back, arms and legs and hemorrhagic vesicles on face. WBC Ct 33,000. Malaise, insomnia.
Age: 25.0
Sex: M
Vaccine: SMALL, SMALL
Symptoms: Activities of daily living impaired, Chest X-ray, Chest pain, Dyspnoea, Electrocardiogram ST segment normal
Clinical narrative: Received SPV 6th of March. On 15 Mar he started having chest pain and SOB, could not exercise or run. States he has never had a problem before with running or exercise, has no cardiac history and is essentially healthy. Went to ED, had nml cxr and ekg. At ED he denied SOB, reported dull constant left side chest pain, worsened with exertion. Pt left ED before work up completed. Is working and is pain free.
Age: 25.0
Sex: M
Vaccine: SMALL, SMALL
Symptoms: Electrocardiogram normal
Clinical narrative: Received SPV 6th of March. On 15 Mar he started having chest pain and SOB, could not exercise or run. States he has never had a problem before with running or exercise, has no cardiac history and is essentially healthy. Went to ED, had nml cxr and ekg. At ED he denied SOB, reported dull constant left side chest pain, worsened with exertion. Pt left ED before work up completed. Is working and is pain free.
Age: 25.0
Sex: M
Vaccine: SMALL, SMALL
Symptoms: Activities of daily living impaired, Chest X-ray normal, Chest pain, Dyspnoea, Electrocardiogram normal
Clinical narrative: Received SPV 6th of March. On 15 Mar he started having chest pain and SOB, could not exercise or run. States he has never had a problem before with running or exercise, has no cardiac history and is essentially healthy. Went to ED, had nml cxr and ekg. At ED he denied SOB, reported dull constant left side chest pain, worsened with exertion. Pt left ED before work up completed. Is working and is pain free.
Age: 67.0
Sex: F
Vaccine: PPV
Symptoms: Pain, Swelling
Clinical narrative: Swelling and pain within 30 minutes of injection. MD placed Pt on KEFLEX 500 mg for 10 days (4/30/2012). Pt came back into office 5/3/2012. Pt notes that the swelling has went down & her arm feels much better. Pt is noticing some knots still on her right forearm.
Age: 9.0
Sex: F
Vaccine: PPV
Symptoms: Local swelling, Pain
Clinical narrative: 2" long & wide raised swollen area. Soreness TYLENOL, compresses.
Age: 58.0
Sex: F
Vaccine: HEP
Symptoms: Arthralgia, Full blood count, Gait disturbance, Grip strength decreased, Haematocrit normal
Clinical narrative: Approximately 16 hours following vaccine (L) arm - ROM decreased. Hard to grip with hand next 24 hours extreme joint pain - hard to ambulate left joints and pain moved to muscles - 5-2-2012 DECADRON IM given. 5-3-2012 slight improvement - Rx ASA. 5-4-2012 - still sore - all over but improving. No Temp. Red non-raised rash to shoulder area above injection site.
Age: 58.0
Sex: F
Vaccine: HEP
Symptoms: Haemoglobin normal, Injected limb mobility decreased, Injection site erythema, Injection site rash, Mean cell haemoglobin increased
Clinical narrative: Approximately 16 hours following vaccine (L) arm - ROM decreased. Hard to grip with hand next 24 hours extreme joint pain - hard to ambulate left joints and pain moved to muscles - 5-2-2012 DECADRON IM given. 5-3-2012 slight improvement - Rx ASA. 5-4-2012 - still sore - all over but improving. No Temp. Red non-raised rash to shoulder area above injection site.
Age: 58.0
Sex: F
Vaccine: HEP
Symptoms: Metabolic function test normal, Myalgia, Pain, Platelet count normal, Red blood cell count decreased
Clinical narrative: Approximately 16 hours following vaccine (L) arm - ROM decreased. Hard to grip with hand next 24 hours extreme joint pain - hard to ambulate left joints and pain moved to muscles - 5-2-2012 DECADRON IM given. 5-3-2012 slight improvement - Rx ASA. 5-4-2012 - still sore - all over but improving. No Temp. Red non-raised rash to shoulder area above injection site.
Age: 58.0
Sex: F
Vaccine: HEP
Symptoms: Red blood cell sedimentation rate normal, Red cell distribution width normal, White blood cell count normal
Clinical narrative: Approximately 16 hours following vaccine (L) arm - ROM decreased. Hard to grip with hand next 24 hours extreme joint pain - hard to ambulate left joints and pain moved to muscles - 5-2-2012 DECADRON IM given. 5-3-2012 slight improvement - Rx ASA. 5-4-2012 - still sore - all over but improving. No Temp. Red non-raised rash to shoulder area above injection site.
Age: 14.0
Sex: M
Vaccine: HPV4, HPV4
Symptoms: Joint swelling, Oedema peripheral
Clinical narrative: Painless swelling of left hand & wrist, onset 2/14/12. Evaluation in process as symptoms persists. Neg orthopedic & vascular & rheumatology evaluations, will bee seen for possible lymphedema.
Age: 4.0
Sex: F
Vaccine: DTAPIPV, MMR, VARCEL
Symptoms: Ecchymosis, Erythema, Injection site pain, Oedema peripheral
Clinical narrative: Patient had pain from injection sites on the eve of the shots, then awoke next morning with erythema & edema of (R) proximal lateral arm & ecchymosis of (L) proximal lateral arm.
Age: 3.0
Sex: F
Vaccine: HEPA, PNC13
Symptoms: Injection site erythema, Injection site warmth
Clinical narrative: Red warm area surrounding shot given left thigh.
Age: 13.0
Sex: M
Vaccine: FLU3, HPV4, FLU3, HPV4
Symptoms: Convulsion, Syncope
Clinical narrative: Information has been received from a physician concerning an around age of 10-13 year old male who on an unspecified date was vaccinated with the first dose of GARDASIL (lot # not reported). Subsequently the patient experienced a small seizure and fainted. It was unknown if the patient sought medical attention. At the time of this report, the outcome of the events was unknown. Upon internal review, seizure was determined to be an other important medical event. This is one of several reports received from the same source. Additional information has been requested.
Age: 13.0
Sex: M
Vaccine: FLU3, HPV4, FLU3, HPV4
Symptoms: Convulsion, Feeling abnormal, Syncope
Clinical narrative: Information has been received from a physician concerning an around age of 10-13 year old male who on an unspecified date was vaccinated with the first dose of GARDASIL (lot # not reported). Subsequently the patient experienced a small seizure and fainted. It was unknown if the patient sought medical attention. At the time of this report, the outcome of the events was unknown. Upon internal review, seizure was determined to be an other important medical event. This is one of several reports received from the same source. Additional information has been requested.
Age: 13.0
Sex: M
Vaccine: FLU3, HPV4, FLU3, HPV4
Symptoms: Convulsion, Syncope
Clinical narrative: Initial and follow up information have been received from two medical assistants concerning a 13 year old male with no relevant medical history who on 02-MAY-2012 was vaccinated IM with the first dose of 0.5 ml GARDASIL (lot # 671006/1291AA). Concomitant therapy included FLUZONE (lot # UH476AB). A medical assistant said the patient fainted and experienced a small seizure after getting a shot of GARDASIL. The other medical assistant reported the patient was sitting in a chair after the vaccine was administered. The patient's mother called for medical attention about 5 minutes after the GARDASIL was administered. The patient was shaky and just "coming to" when the medical assistant arrived in the room. The patient was placed in a lying position with his legs elevated and given some water. The patient remained at the office for 20 minutes and was reported as recovered at that time. The medical assistant described the event as fainting and was not sure if the patient experienced a seizure. Upon internal review, seizure was determined to be an other important medical event. This is one of several report received from the same source. Additional information has been requested.
Age: 13.0
Sex: M
Vaccine: FLU3, HPV4, FLU3, HPV4
Symptoms: Convulsion, Feeling abnormal, Syncope
Clinical narrative: Initial and follow up information have been received from two medical assistants concerning a 13 year old male with no relevant medical history who on 02-MAY-2012 was vaccinated IM with the first dose of 0.5 ml GARDASIL (lot # 671006/1291AA). Concomitant therapy included FLUZONE (lot # UH476AB). A medical assistant said the patient fainted and experienced a small seizure after getting a shot of GARDASIL. The other medical assistant reported the patient was sitting in a chair after the vaccine was administered. The patient's mother called for medical attention about 5 minutes after the GARDASIL was administered. The patient was shaky and just "coming to" when the medical assistant arrived in the room. The patient was placed in a lying position with his legs elevated and given some water. The patient remained at the office for 20 minutes and was reported as recovered at that time. The medical assistant described the event as fainting and was not sure if the patient experienced a seizure. Upon internal review, seizure was determined to be an other important medical event. This is one of several report received from the same source. Additional information has been requested.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Immediate post-injection reaction, Urticaria
Clinical narrative: Administered sub-Q MMR and Varicella vaccine to (R) arm. Child developed 2 hives adjacent to inj. site immediately. Dr notified and pt was evaluated. Child given 1 1/2 tsp children's BENADRYL and mom instructed to call if hives worsen.
Sex: M
Vaccine: HPV4
Symptoms: Convulsion, Syncope
Clinical narrative: Information has been received from a physician concerning an around age of 10-13 year old male who on an unspecified date was vaccinated with the first dose of GARDASIL (lot # not reported). Subsequently the patient experienced a small seizure and fainted. It was unknown if the patient sought medical attention. At the time of this report, the outcome of the events was unknown. Upon internal review, seizure was determined to be an other important medical event. This is one of several reports received from the same source. Additional information has been requested.
Age: 0.17
Sex: F
Vaccine: DTAPIPVHIB, PNC13, RV5
Symptoms: Crying
Clinical narrative: Received call from mother stating pt crying inconsolable x 1 hr. Mother tried changing diaper, holding patient and feeding no success. TYLENOL susp 1.25 ml given. Patient fell asleep while mother was talking to provider at the office.
Age: 1.62
Sex: F
Vaccine: HEP
Symptoms: Allergy to vaccine, Injection site swelling, Injection site vesicles
Clinical narrative: Pt received 3rd Hep B dose to Left thigh on 5/10/12 at 1:15pm. The following morning 5/11/12, child's Left thigh was 2" larger girth than Right thigh and had small blisters covering thigh towards knee. Mother took child to ER, received IV fluids and steroids. ER doctor determined Hep B vaccine allergy and instructed mom to refuse any additional vaccinations of Hep B.
Age: 24.0
Sex: M
Vaccine: FLU3, TDAP
Symptoms: Chronic inflammatory demyelinating polyradiculoneuropathy, Disability, Immunoglobulin therapy, Muscular weakness, Nuclear magnetic resonance imaging spinal cord abnormal
Clinical narrative: 24 yo male with initial visit to clinic on 11/16/11 began having lower extremity weakness and tingling approximately 2 weeks after vaccination. With continued weakness had MRI that was abnormal. Went to OR 2/27/12 for release of tethered spinal cord. Lower extremity symptoms persisted and a diagnosis of CIDP was made 4/10/12. Pt underwent IVIG x 5 days. Still with significant disability.
Age: 24.0
Sex: M
Vaccine: FLU3, TDAP
Symptoms: Paraesthesia, Spinal cord operation, Tethered cord syndrome
Clinical narrative: 24 yo male with initial visit to clinic on 11/16/11 began having lower extremity weakness and tingling approximately 2 weeks after vaccination. With continued weakness had MRI that was abnormal. Went to OR 2/27/12 for release of tethered spinal cord. Lower extremity symptoms persisted and a diagnosis of CIDP was made 4/10/12. Pt underwent IVIG x 5 days. Still with significant disability.
Age: 25.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Apnoea, Loss of consciousness, Slow response to stimuli, Unresponsive to stimuli
Clinical narrative: Pt in for 3rd injection. Given IM (L) arm - observed pt x 15 min after inject. Upon checking out pt with LOC. Lowered pt to ground - unresponsive. 911 called - pt with short period of apnea - slow to respond to facial stimuli & smelling salts. 911 arrived - evaluated pt - transported to ER via ambulance.
Age: 6.0
Sex: M
Vaccine: VARCEL
Symptoms: Arthralgia, Pain in extremity, Pyrexia, Skin lesion, Varicella post vaccine
Clinical narrative: Patient developed diffuse lesions that are consistent with varicella 2 weeks after his Varicella #1 vaccine. He has had some fever and also left arm/elbow pain (nothing noted on exam).
Age: 9.0
Sex: F
Vaccine: MNQ, TDAP
Symptoms: Injection site erythema, Injection site warmth
Clinical narrative: Approximately 16 hrs after injection -> developed erythema below injection site ((L) deltoid) erythema extends 18cm to elbow & 13cm width non tender, warm.
Age: 4.0
Sex: F
Vaccine: MMRV
Symptoms: Herpes zoster
Clinical narrative: Herpes zoster possible vaccine reactivation.
Age: 61.0
Sex: F
Vaccine: VARZOS
Symptoms: Arthralgia, Back pain, Condition aggravated, Groin pain, Herpes zoster
Clinical narrative: Pt has history of nearly continual shingles outbreaks prior to vaccination. Pt was not experiencing shingles at the time of vaccination. Pt started feeling new outbreak 1-6-12 - pain in lower back, hips, buttocks & groin radiating to front of groin. Rash appeared 1-8-12. Pt reported this outbreak was more severe in pain and lasted twice as long as normal outbreaks. Normal outbreaks were lasting 1 week and this one lasted 2 weeks. However, no further severe outbreaks have occurred & frequency of normal outbreaks has decreased (she has a couple weeks without outbreaks now.).
Age: 61.0
Sex: F
Vaccine: VARZOS
Symptoms: Musculoskeletal pain, Rash
Clinical narrative: Pt has history of nearly continual shingles outbreaks prior to vaccination. Pt was not experiencing shingles at the time of vaccination. Pt started feeling new outbreak 1-6-12 - pain in lower back, hips, buttocks & groin radiating to front of groin. Rash appeared 1-8-12. Pt reported this outbreak was more severe in pain and lasted twice as long as normal outbreaks. Normal outbreaks were lasting 1 week and this one lasted 2 weeks. However, no further severe outbreaks have occurred & frequency of normal outbreaks has decreased (she has a couple weeks without outbreaks now.).
Age: 19.0
Sex: M
Vaccine: TDAP
Symptoms: Asthenia, Depressed level of consciousness, Hyperhidrosis
Clinical narrative: Patient was given TDap shop 10:45 am. Patient felt weak, sweating nearly lost consciousness but regained in like few minutes. Tried to call 911 while on phone pt recovered and said no paramedics required. Patient left in 15 min fine.
Age: 29.0
Sex: F
Vaccine: MMR
Symptoms: Erythema, Pruritus
Clinical narrative: Itching on wrists, chest, face, redness on chest, arms.
Age: 73.0
Sex: M
Vaccine: VARZOS
Symptoms: Rash
Clinical narrative: Pt has rash but no puffy blisters on base of spine went down right side of leg of soles of feet. Pt reports no pain and isn't sure if he had chicken pox in the past. Pt was itchy in evening after receiving vaccine & rash appeared large in arm, following vaccination.
Age: 21.0
Sex: M
Vaccine: FLU3, HEPA, MNQ, TDAP
Symptoms: Pruritus, Rash erythematous
Clinical narrative: FELT ITCHING, NOTICE RED BUMPS ALL OVER ARMS AND LEGS.
Age: 3.0
Sex: M
Vaccine: HEPA, PNC13
Symptoms: Areflexia, Ataxia, Blood culture negative, CSF protein increased, Gait disturbance
Clinical narrative: Sudden onset of lower extremity weakness, lower extremity DTRs absent. Significant difficulty walking, ataxic gait. Unable to sit up without assistance, unable to walk without assistance.
Age: 3.0
Sex: M
Vaccine: HEPA, PNC13
Symptoms: Muscular weakness, Nuclear magnetic resonance imaging brain normal, Nuclear magnetic resonance imaging spinal cord normal, Posture abnormal, Toxicologic test normal
Clinical narrative: Sudden onset of lower extremity weakness, lower extremity DTRs absent. Significant difficulty walking, ataxic gait. Unable to sit up without assistance, unable to walk without assistance.
Age: 72.0
Sex: F
Vaccine: VARZOS
Symptoms: Hypersensitivity, Hypoaesthesia oral, Swelling face
Clinical narrative: Patient called the pharmacy on the evening (approx 7 pm) of 5/3/12 saying she had some swelling in her cheeks & some lip numbness & she thought it might be an allergic reaction to the shingles vaccine. Went away on its own next morning (5/4/12).
Age: 24.0
Sex: F
Vaccine: PPV
Symptoms: Injection site cellulitis, Injection site erythema, Injection site swelling, Mononucleosis heterophile test negative, Rash
Clinical narrative: Redness, swelling at injection site. Rash developed within 24 hours of vaccine. Patient treated for cellulitis (R) upper arm. Patient given KEFLEX 500mg qid x 14 d.
Age: 24.0
Sex: F
Vaccine: PPV
Symptoms: Vitamin D
Clinical narrative: Redness, swelling at injection site. Rash developed within 24 hours of vaccine. Patient treated for cellulitis (R) upper arm. Patient given KEFLEX 500mg qid x 14 d.
Age: 0.56
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC13
Symptoms: Convulsion, Dyskinesia
Clinical narrative: 5/2/12 11:00 infant woke from nap after receiving vaccines at 9:00 AM. Child had 2 episodes of convulsing, mother reported child's legs were "jerking." Happened twice, one episode after another. Lasted 10 seconds each. Child saw physician 5/2/12. Referred to clinic neurology dept, appointment 5/9/12.
Age: 0.53
Sex: M
Vaccine: DTAPIPVHIB, HEP, PNC13, RV5
Symptoms: Urticaria
Clinical narrative: Hives developed 1 hr after receiving immunizations. And lasted at least 2 days.
Age: 67.0
Sex: F
Vaccine: VARZOS
Symptoms: Cellulitis
Clinical narrative: Cellulitis with antibiotic treatment.
Age: 30.0
Sex: M
Vaccine: YF
Symptoms: Activities of daily living impaired, Blood creatine phosphokinase increased, Full blood count normal, Headache, Lumbar puncture normal
Clinical narrative: 30 yo male with <24 hour admission on 5/9/2012 at clinic for increasing myalgias and loss of motor control in fingers/hands. The clinic was contacted my Internal Medicine at another clinic during patient's discharge re VAERS. History by an employee. This patient began developing symptoms the day following receipt of the yellow fever immunization, dose #2, on 4/30/2012. Over the next 10 days his symptoms progressed from mild to severe when he presented to clinic on 5/9 and c/o general muscle fatigue, motor weakness and paresthesias of hands and left foot. He was struggling with ADL's such as getting out of bed, buttoning clothing and putting children into car seats. He had a headache the first few days that resolved. No N, V, fever, chills, rash, cognitive changes, back or abdominal pain, or previous illness. Treated with fluids in ED with near complete recovery in 1 day. LP wnl.
Age: 30.0
Sex: M
Vaccine: YF
Symptoms: Metabolic function test normal, Movement disorder, Muscle fatigue, Muscular weakness, Myalgia
Clinical narrative: 30 yo male with <24 hour admission on 5/9/2012 at clinic for increasing myalgias and loss of motor control in fingers/hands. The clinic was contacted my Internal Medicine at another clinic during patient's discharge re VAERS. History by an employee. This patient began developing symptoms the day following receipt of the yellow fever immunization, dose #2, on 4/30/2012. Over the next 10 days his symptoms progressed from mild to severe when he presented to clinic on 5/9 and c/o general muscle fatigue, motor weakness and paresthesias of hands and left foot. He was struggling with ADL's such as getting out of bed, buttoning clothing and putting children into car seats. He had a headache the first few days that resolved. No N, V, fever, chills, rash, cognitive changes, back or abdominal pain, or previous illness. Treated with fluids in ED with near complete recovery in 1 day. LP wnl.
Age: 30.0
Sex: M
Vaccine: YF
Symptoms: Paraesthesia
Clinical narrative: 30 yo male with <24 hour admission on 5/9/2012 at clinic for increasing myalgias and loss of motor control in fingers/hands. The clinic was contacted my Internal Medicine at another clinic during patient's discharge re VAERS. History by an employee. This patient began developing symptoms the day following receipt of the yellow fever immunization, dose #2, on 4/30/2012. Over the next 10 days his symptoms progressed from mild to severe when he presented to clinic on 5/9 and c/o general muscle fatigue, motor weakness and paresthesias of hands and left foot. He was struggling with ADL's such as getting out of bed, buttoning clothing and putting children into car seats. He had a headache the first few days that resolved. No N, V, fever, chills, rash, cognitive changes, back or abdominal pain, or previous illness. Treated with fluids in ED with near complete recovery in 1 day. LP wnl.
Age: 40.0
Sex: F
Vaccine: TDAP
Symptoms: Musculoskeletal pain, Nuclear magnetic resonance imaging
Clinical narrative: Immediate severe pain in L shoulder, continuing for 2 weeks.
Age: 52.0
Sex: M
Vaccine: PPV, TDAP
Symptoms: Mobility decreased, Pain in extremity
Clinical narrative: Sore arm (couldn't move arm from elbow up to shoulder).
Age: 69.0
Sex: F
Vaccine: VARZOS
Symptoms: Incorrect drug dosage form administered
Clinical narrative: Several patients administered vaccine during clinic visit.  Nurse that administered noted an extra vial of drug at the end of the clinic.  One patient of the several patients had diluent only administered.  Patients asked to return in 6 weeks for an add'l vaccine dose.
Age: 42.0
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Full blood count, Headache, Malaise, Oropharyngeal pain, Pyrexia
Clinical narrative: <20 scattered pruritic lesions, some vesicular, others mostly papular, over the course of 14 days so far. Also c/o fever, headache, malaise, brief sore throat. Treated with acetaminophen and Benadryl.
Age: 42.0
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Rash papular, Rash pruritic, Rash vesicular, Varicella virus test
Clinical narrative: <20 scattered pruritic lesions, some vesicular, others mostly papular, over the course of 14 days so far. Also c/o fever, headache, malaise, brief sore throat. Treated with acetaminophen and Benadryl.
Age: 67.0
Sex: M
Vaccine: TDAP
Symptoms: Cyanosis, Death, Endotracheal intubation, Fall, Intensive care
Clinical narrative: Pt returned from arduous bike ride, took long time in bathroom, wife entered, pt started to speak, turned blue and fell to floor. CPR attempted, EMS took to ER where pulseless. Ventricular tachycardia found. Intubated, CCU care, minimal brain activity, died on 4th day.
Age: 67.0
Sex: M
Vaccine: TDAP
Symptoms: Nervous system disorder, Pulse absent, Resuscitation, Ventricular tachycardia
Clinical narrative: Pt returned from arduous bike ride, took long time in bathroom, wife entered, pt started to speak, turned blue and fell to floor. CPR attempted, EMS took to ER where pulseless. Ventricular tachycardia found. Intubated, CCU care, minimal brain activity, died on 4th day.
Age: 17.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Computerised tomogram head, Head injury, Syncope
Clinical narrative: Syncopal episode lasting less than 10 seconds.
Age: 2.0
Sex: F
Vaccine: DTAP, HEPA, HIBV, PNC13
Symptoms: Injection site nodule, Injection site swelling
Clinical narrative: Large swollen area and "knot" on leg. Saw a second Dr Sat 5/12/12 who gave oral abx, oral liquid (antihistamine?) and cream;  Pt refused oral meds but was much better by Monday 5/14/12 with cream only.
Age: 40.0
Sex: M
Vaccine: SMALL
Symptoms: Expired drug administered, No adverse event
Clinical narrative: Expired Smallpox given with positive reaction, no clinical adverse effect noted.
Age: 1.01
Sex: F
Vaccine: MMR, PNC13, VARCEL
Symptoms: Abscess sterile, Erythema, Fluctuance, Pyrexia
Clinical narrative: Erythema, fluctuance, what appears to be sterile abscess formation with associated fever to 102 persistently, treated with Bactrim.
Age: 7.0
Sex: F
Vaccine: DTAPIPVHIB, HEP, PNC13, RV5
Symptoms: Chest X-ray normal, Eye movement disorder, Hypotonia, Pallor, White blood cell count increased
Clinical narrative: Possible febrile seizure. Episode pallor and went limp. Seemed dazed with roving eyes. Episode lasted 15 minutes. Evaluated at Medical Center. Initial elevated WBC's, but resumed to normal. CXR was normal and BP ok.
Age: 0.17
Sex: F
Vaccine: DTAPIPVHIB
Symptoms: Crying
Clinical narrative: Inconsolable crying lasting over 1 hour at a time. Persisted off and on until 5/18/2012.
Age: 56.0
Sex: M
Vaccine: PPV
Symptoms: Dyspnoea, Muscle tightness, Tremor
Clinical narrative: Shortness of breath, tight neck, shaky.
Age: 17.0
Sex: F
Vaccine: HPV4, MNQ, HPV4, MNQ
Symptoms: Urticaria
Clinical narrative: Pt. given both vaccines at the end of her annual well visit, was waiting the standard 15 minutes, then broke out in several large hives on her face and trunk. BENADRYL was given and symptoms relieved.
Age: 11.0
Sex: F
Vaccine: HEP, MNQ, TDAP, VARCEL
Symptoms: Injection site vesicles, Pruritus, Rash
Clinical narrative: Small group of vesicles on Left upper outer arm. No redness, no edema. Was given varicella vaccine on 5/10/12. Pt's father called. On 5/11/12 d/t itching. Came in on 5/14/12 & Rx'd hydroxyzine and BACTROBAN ointment for rash.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site haematoma, Injection site oedema
Clinical narrative: (L) upper arm with 14 1/2 cm length x 11 1/2 cm width rectangular with erythema/& edema slight bruise at injection site (L) arm.
Age: 11.0
Sex: F
Vaccine: HEPA, MNQ, TDAP, VARCEL
Symptoms: Convulsion, Pain in extremity, Sensory disturbance
Clinical narrative: On 5-1-2012 parents stated patient had seizure went to the Emergency Room this was 2nd seizure. 1st seizure may have happen few weeks earlier. Since day immunizations given 3-1-2012 (L) arm has hurt - now feel she has altered sensations in her (L) arm.
Age: 1.3
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Crying, Immediate post-injection reaction, Irritability, Pruritus, Rash generalised
Clinical narrative: Received vaccination 5/9/12. Developed maculopapular rash immediately after vaccination spreading from face to rest of his body. Also has been very irritable and itchy for 2 days: 26 hours after shot he had crying all night.
Age: 1.3
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Rash maculo-papular
Clinical narrative: Received vaccination 5/9/12. Developed maculopapular rash immediately after vaccination spreading from face to rest of his body. Also has been very irritable and itchy for 2 days: 26 hours after shot he had crying all night.
Age: 39.0
Sex: M
Vaccine: PPV
Symptoms: Erythema, Headache, Oedema peripheral, Pain in extremity, Pyrexia
Clinical narrative: 16 hrs after admin - Fever to 102, headache following this - arm swollen, painful. Today - arm erythema, headache.
Age: 14.0
Sex: M
Vaccine: MNQ
Symptoms: Blood cholesterol normal, Convulsion, Fall, Full blood count normal, Liver function test normal
Clinical narrative: Child had a seizure (not sure if generalized or partial complex, arms/legs shaking & fell down, partly awake) at home 2 - 2 1/2 hours after MENACTRA.
Age: 14.0
Sex: M
Vaccine: MNQ
Symptoms: Tremor, Urine analysis normal
Clinical narrative: Child had a seizure (not sure if generalized or partial complex, arms/legs shaking & fell down, partly awake) at home 2 - 2 1/2 hours after MENACTRA.
Age: 52.0
Sex: F
Vaccine: VARZOS
Symptoms: Erythema, Skin warm, Swelling
Clinical narrative: Approximately 1 pm. Day after vaccine given red area approximately 1 1/2 inch diameter. Hot to touch. Day 2 - after being covered, area slightly larger and raised. Approximately 3pm.
Age: 59.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site irritation, Injection site swelling
Clinical narrative: Pt vaccinated 5/12/12 (ZOSTAVAX), on 5/14/12 she came in with area red, swollen, and irritated at shot site. Pt already takes ALEVE, I told her to report it to her PCP, to use a cold pack, and let me know if it get worse - no other sx reported.
Age: 74.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site pain, Injection site pruritus, Injection site swelling
Clinical narrative: 1 day after the ADACEL injection, patient experienced itching and swelling at the injection site patient reported swelling the size of an egg and it was tender patient reported no fever. Patient visited the ER and was giving Cephalexin.
Age: 36.0
Sex: M
Vaccine: SMALL
Symptoms: Expired drug administered, No adverse event
Clinical narrative: Expired Smallpox given with positive reaction, no clinical adverse effect noted.
Age: 47.0
Sex: M
Vaccine: SMALL
Symptoms: Expired drug administered, No adverse event
Clinical narrative: Expired Smallpox given with positive reaction, no clinical adverse effect noted.
Age: 26.0
Sex: M
Vaccine: SMALL
Symptoms: Expired drug administered, No adverse event
Clinical narrative: Expired Smallpox given with positive reaction, no clinical adverse effect noted.
Age: 42.0
Sex: M
Vaccine: SMALL
Symptoms: Expired drug administered, No adverse event
Clinical narrative: Expired Smallpox given with positive reaction, no clinical adverse effect noted.
Age: 45.0
Sex: M
Vaccine: SMALL
Symptoms: Expired drug administered, No adverse event
Clinical narrative: Expired Smallpox given with positive reaction, no clinical adverse effect noted.
Age: 4.0
Sex: M
Vaccine: UNK
Symptoms: Hypersensitivity, Injection site erythema, Injection site pruritus, Injection site swelling, Injection site warmth
Clinical narrative: See attached.
Age: 23.0
Sex: M
Vaccine: SMALL
Symptoms: Expired drug administered, No adverse event
Clinical narrative: Expired Smallpox given with positive reaction, no clinical adverse effect noted.
Age: 21.0
Sex: M
Vaccine: SMALL
Symptoms: Expired drug administered, No adverse event
Clinical narrative: Expired Smallpox given with positive reaction, no clinical adverse effect noted.
Age: 29.0
Sex: M
Vaccine: SMALL
Symptoms: Expired drug administered, No adverse event
Clinical narrative: Expired Smallpox given with positive reaction, no clinical adverse effect noted.
Age: 31.0
Sex: F
Vaccine: SMALL
Symptoms: Expired drug administered, No adverse event
Clinical narrative: Expired Smallpox given with positive reaction, no clinical adverse effect noted.
Age: 22.0
Sex: F
Vaccine: SMALL
Symptoms: Expired drug administered, No adverse event
Clinical narrative: Expired Smallpox given with positive reaction, no clinical adverse effect noted.
Age: 27.0
Sex: F
Vaccine: SMALL
Symptoms: Expired drug administered, No adverse event
Clinical narrative: Expired Smallpox given with positive reaction, no clinical adverse effect noted.
Age: 1.25
Sex: M
Vaccine: DTAP, MMR, VARCEL
Symptoms: Injection site erythema, Injection site induration
Clinical narrative: 2 cm diameter erythema & induration at site of VZV administration.
Age: 16.0
Sex: F
Vaccine: HEPA, MMR, MNQ
Symptoms: Feeling abnormal, Pruritus
Clinical narrative: Itching. Weird feeling of mouth.
Age: 78.0
Sex: F
Vaccine: VARZOS
Symptoms: Arthralgia, Burning sensation, Neuralgia, Pain in extremity, Paraesthesia
Clinical narrative: Severe pain in right leg, hip, foot. Rash - burning - like pins sticking me - now itching - still nerves hurt. Still on pain med.
Age: 78.0
Sex: F
Vaccine: VARZOS
Symptoms: Pruritus, Rash
Clinical narrative: Severe pain in right leg, hip, foot. Rash - burning - like pins sticking me - now itching - still nerves hurt. Still on pain med.
Age: 78.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Injection site became red, swollen and painful.
Age: 54.0
Sex: F
Vaccine: FLU3
Symptoms: Feeling hot, Immediate post-injection reaction, Mobility decreased, Musculoskeletal pain, Myalgia
Clinical narrative: There was immediate ache in arm. By p.m. lateral arm movement was limited due to pain. Next day, ache in shoulder joint, extreme pain in muscles, icy/hot skin sensation on forearm and upper arm. Six months later, same symptoms except different arm movements cause extreme pain. Order of treatment: rest, massage, rest, x-ray, MRI, cortisone shot, exercises, cortisone shot, rest. (Cortisone shots had no effect).
Age: 54.0
Sex: F
Vaccine: FLU3
Symptoms: Nuclear magnetic resonance imaging normal, Pain, Pain in extremity, X-ray limb normal
Clinical narrative: There was immediate ache in arm. By p.m. lateral arm movement was limited due to pain. Next day, ache in shoulder joint, extreme pain in muscles, icy/hot skin sensation on forearm and upper arm. Six months later, same symptoms except different arm movements cause extreme pain. Order of treatment: rest, massage, rest, x-ray, MRI, cortisone shot, exercises, cortisone shot, rest. (Cortisone shots had no effect).
Age: 4.0
Sex: M
Vaccine: UNK
Symptoms: Unevaluable event
Clinical narrative: See attached.
Age: 0.36
Sex: M
Vaccine: DTAPIPVHIB, PNC, RV1, DTAPH, HEP, IPV, PNC13, DTAPIPVHIB, PNC13, RV1
Symptoms: Abdominal pain, Intussusception, Ultrasound abdomen, Vomiting
Clinical narrative: Vomiting, constipation, lack of appetite, irritable, fussy, unable to sleep, unable to move bowels, restless, pain.
Age: 0.36
Sex: M
Vaccine: DTAPIPVHIB, PNC, RV1, DTAPH, HEP, IPV, PNC13, DTAPIPVHIB, PNC13, RV1
Symptoms: Abdominal X-ray, Constipation, Decreased appetite, Haematochezia, Insomnia
Clinical narrative: Vomiting, constipation, lack of appetite, irritable, fussy, unable to sleep, unable to move bowels, restless, pain.
Age: 0.36
Sex: M
Vaccine: DTAPIPVHIB, PNC, RV1, DTAPH, HEP, IPV, PNC13, DTAPIPVHIB, PNC13, RV1
Symptoms: Intussusception, Irritability, Occult blood positive, Pain, Restlessness
Clinical narrative: Vomiting, constipation, lack of appetite, irritable, fussy, unable to sleep, unable to move bowels, restless, pain.
Age: 0.36
Sex: M
Vaccine: DTAPIPVHIB, PNC, RV1, DTAPH, HEP, IPV, PNC13, DTAPIPVHIB, PNC13, RV1
Symptoms: Ultrasound abdomen abnormal, Vomiting, X-ray abnormal
Clinical narrative: Vomiting, constipation, lack of appetite, irritable, fussy, unable to sleep, unable to move bowels, restless, pain.
Age: 0.36
Sex: M
Vaccine: DTAPIPVHIB, PNC, RV1, DTAPH, HEP, IPV, PNC13, DTAPIPVHIB, PNC13, RV1
Symptoms: Abdominal mass, Condition aggravated, Enema administration, Intussusception, Ultrasound abdomen abnormal
Clinical narrative: Vomiting, constipation, lack of appetite, irritable, fussy, unable to sleep, unable to move bowels, restless, pain.
Age: 43.0
Sex: M
Vaccine: ANTH
Symptoms: Chills, Immediate post-injection reaction, Night sweats, Pyrexia
Clinical narrative: Immediate fever, followed by chills. Pt took aspirin. Went to bed and started having night sweats. Took more aspirin fever went down. Pt came back a week later to be seen.
Age: 3.0
Sex: M
Vaccine: DTAP, VARCEL
Symptoms: Abdominal pain upper, Aggression, Diarrhoea, Dysphemia, Enuresis
Clinical narrative: Stuttering; periods of screaming; spinning oneself; excessively playing with doors, lights and windows; diarrhea; nightmares; bed wetting; itchy eyes; runny nose; belly aches; social withdrawal; hitting others.
Age: 3.0
Sex: M
Vaccine: DTAP, VARCEL
Symptoms: Eye pruritus, Nightmare, Psychomotor hyperactivity, Rhinorrhoea, Screaming
Clinical narrative: Stuttering; periods of screaming; spinning oneself; excessively playing with doors, lights and windows; diarrhea; nightmares; bed wetting; itchy eyes; runny nose; belly aches; social withdrawal; hitting others.
Age: 3.0
Sex: M
Vaccine: DTAP, VARCEL
Symptoms: Social avoidant behaviour, Vertigo
Clinical narrative: Stuttering; periods of screaming; spinning oneself; excessively playing with doors, lights and windows; diarrhea; nightmares; bed wetting; itchy eyes; runny nose; belly aches; social withdrawal; hitting others.
Age: 69.0
Sex: F
Vaccine: TDAP, VARZOS
Symptoms: Pain, Rash vesicular
Clinical narrative: Pt developed - vesicular rash on the Lt lower ext in the L2, L3, L4 distribution. Pt was in moderate pain - was Rxed with LORTAB 75/500 Q6hr & VALTREX 1000mg 1 tid x 7 days.
Age: 59.0
Sex: F
Vaccine: TDAP
Symptoms: Dry eye, Eyelid function disorder, VIIth nerve paralysis
Clinical narrative: Patient developed minor paralysis on (L) side of face. Left eye did not close completely resulting in dryness of eye. Some dropping of mouth week of 5/1/12.
Age: 60.0
Sex: F
Vaccine: VARZOS
Symptoms: Activities of daily living impaired, Herpes zoster
Clinical narrative: Information has been received from a Doctor of Pharmacy concerning a female patient in her 60's who in approximately February 2012 "about 3 months ago", was vaccinated with a dose of ZOSTAVAX (Merck) (dose, route and lot # not provided). On approximately 18-APR-2012 "about 2 weeks ago", the patient developed shingles. The pharmacist stated the patient had not been able to go to work for 2 weeks, it was unknown if there was any permanent disability. At the time of the report, the patient's outcome was unknown. It was unknown if the patient sought medical attention. Shingles was considered to be disabling by the reporting Doctor of Pharmacy. Additional information has been requested.
Age: 12.0
Sex: M
Vaccine: MNQ, TDAP
Symptoms: Bordetella test positive, Cough, Pertussis, Polymerase chain reaction
Clinical narrative: Initial report was received from a health care professional on 03 May 2012. A 13-year-old male patient had received a dose one intramuscular injection of ADACEL, lot number C4030AA, and a dose one intramuscular injection of MENACTRA, lot number U4249AA on 09 January 2012. On 30 April 2012, the patient was diagnosed with pertussis by DNA PCR nasal aspirate. The patient was treated with "Zythromycin Z-PAC." The patient also developed a cough and was treated early in the paroxysmal stage. The patient had no illness at the time of vaccination. The patient had a medical history of seasonal/environmental allergies and received allergy shots. No further information was available at the time of the report. The patient's outcome was unknown. Documents held by sender: None.
Age: 43.0
Sex: M
Vaccine: IPV, TDAP
Symptoms: Chills, Decreased appetite, Eye swelling, Fatigue, Feeling abnormal
Clinical narrative: 44 y/o patient contacts Call Ctr on 06APR12 requesting waiver from all future vaccines. Reports "chills, felt warm, run down, tired, decreased appetite, general malaise" onset about 6 hours after receipt Tdap (LUE) & IPV (RUE) on Friday, 15JUL11. Stayed in bed all the next day (Saturday). Did not take any OTC medications for relief of sx. On Sunday, 17JUL11 felt like he was "hung over" but had not consumed any alcoholic beverages. Got up & around, but felt "off." Sx resolved spontaneously and he returned to work on Monday 18JUL11. On Monday, 25JUL11, he received AVA #5 in his left upper arm, IM. Arm got a little red at injection site and was sore, but denies large local reaction, erythema > 30 mm, warmth or induration at injection site. No adjacent joint pain or joint pain in any other part of body. No chronic HA's. States that AVA's # 1-4 all made his arm hurt, but no large local reactions or systemic malaise. On 29JUL11, patient received HEP B #1 IM in Lt arm on Friday, 29JUL11. Upon awakening on Saturday, 30JUL11, he noticed red spots, which looked like bug bites all over his body- face, neck, arms, chest, abdomen, genital area, back, legs, but not on palms of hands or soles of feet. The itching was not all that bad. By Sunday, 31JUL11, the red spots were quite a bit larger and merged together. His left eye was almost swollen shut, but he denied any lip swelling, tongue thickening, difficulty breathing or swallowing. He applied on OTC topical "anti-itch" medication (can't remember name) over all the affected areas. On Monday, 01AUG11, he returned to the Clinic and they gave him a Prednisone taper, which took effect right away. He has not received any other vaccines since the mentioned vaccines in July 2011. He will be mobilized for AD in June of 2012 x 2 weeks. He is not deploying and will remain in continent. He does Not want to receive another dose of HEP B or any other vaccines. PMH: No chronic disease, hospitalizations or surgeries. NKDA. No environmental, food, or chemical allergies. NO MEDS. SOCIAL Hx: Never has smoked. Very moderate Social ETOH. No illicit drug use. His MOS is currently Operational- sitting at desk, working at computer. His job during the week is as a Special Agent. He is married and has 2 boys. His 14-year-old son has Autism. His 12-year-old son is in good health, because they managed to "stop vaccines before he got damaged." Patient  expresses concern re + Family Hx of Auto-Immune Disease: Father (Deceased at 88) h/o RA since patient was born- as long as he can remember. Mother (Living, 83) in good health, no chronic disease. Likewise his elder Sister (Living, 47) is in good health, no chronic disease. Niece with asthma.
Age: 43.0
Sex: M
Vaccine: IPV, TDAP
Symptoms: Feeling hot, Hangover, Injection site erythema, Injection site pain, Malaise
Clinical narrative: 44 y/o patient contacts Call Ctr on 06APR12 requesting waiver from all future vaccines. Reports "chills, felt warm, run down, tired, decreased appetite, general malaise" onset about 6 hours after receipt Tdap (LUE) & IPV (RUE) on Friday, 15JUL11. Stayed in bed all the next day (Saturday). Did not take any OTC medications for relief of sx. On Sunday, 17JUL11 felt like he was "hung over" but had not consumed any alcoholic beverages. Got up & around, but felt "off." Sx resolved spontaneously and he returned to work on Monday 18JUL11. On Monday, 25JUL11, he received AVA #5 in his left upper arm, IM. Arm got a little red at injection site and was sore, but denies large local reaction, erythema > 30 mm, warmth or induration at injection site. No adjacent joint pain or joint pain in any other part of body. No chronic HA's. States that AVA's # 1-4 all made his arm hurt, but no large local reactions or systemic malaise. On 29JUL11, patient received HEP B #1 IM in Lt arm on Friday, 29JUL11. Upon awakening on Saturday, 30JUL11, he noticed red spots, which looked like bug bites all over his body- face, neck, arms, chest, abdomen, genital area, back, legs, but not on palms of hands or soles of feet. The itching was not all that bad. By Sunday, 31JUL11, the red spots were quite a bit larger and merged together. His left eye was almost swollen shut, but he denied any lip swelling, tongue thickening, difficulty breathing or swallowing. He applied on OTC topical "anti-itch" medication (can't remember name) over all the affected areas. On Monday, 01AUG11, he returned to the Clinic and they gave him a Prednisone taper, which took effect right away. He has not received any other vaccines since the mentioned vaccines in July 2011. He will be mobilized for AD in June of 2012 x 2 weeks. He is not deploying and will remain in continent. He does Not want to receive another dose of HEP B or any other vaccines. PMH: No chronic disease, hospitalizations or surgeries. NKDA. No environmental, food, or chemical allergies. NO MEDS. SOCIAL Hx: Never has smoked. Very moderate Social ETOH. No illicit drug use. His MOS is currently Operational- sitting at desk, working at computer. His job during the week is as a Special Agent. He is married and has 2 boys. His 14-year-old son has Autism. His 12-year-old son is in good health, because they managed to "stop vaccines before he got damaged." Patient  expresses concern re + Family Hx of Auto-Immune Disease: Father (Deceased at 88) h/o RA since patient was born- as long as he can remember. Mother (Living, 83) in good health, no chronic disease. Likewise his elder Sister (Living, 47) is in good health, no chronic disease. Niece with asthma.