chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 43.0
Sex: F
Vaccine: TTOX
Symptoms: Anxiety, Cardiac monitoring normal, Dizziness, Electroencephalogram normal, Fall
Clinical narrative: Initial report received from a consumer on 08 September 2008. A 43-year-old female patient with a medical history of migraines, "heart infection", IgA deficiency and "weariness episodes" had stepped on a nail on 17 August 2008. On 24 August 2008, the patient experienced "jaw tightening" and went to the emergency room where she received a dose of Tetanus Toxoid Adsorbed (lot number and route/site of administration unknown). On 26 August 2008, the patient experienced a "horrible feeling of doom" and went to the emergency room (treatment was not reported) and was sent home. On 03 September 2008, the patient developed dizziness, shakiness, nausea, went limp and fell out of the car. She again went to the emergency room (treatment not reported) and was released. On 04 September 2008, the patient experienced the same symptoms as the day before, went to the emergency room and was again released. On 07 September 2008, the patient went limp and fell to the ground. She was taken to the emergency room and was held overnight. The patient reported that an EEG and "MI tests" were negative. Patient outcome was reported to be unknown.
Age: 43.0
Sex: F
Vaccine: TTOX
Symptoms: Hypotonia, Laboratory test, Nausea, Tremor
Clinical narrative: Initial report received from a consumer on 08 September 2008. A 43-year-old female patient with a medical history of migraines, "heart infection", IgA deficiency and "weariness episodes" had stepped on a nail on 17 August 2008. On 24 August 2008, the patient experienced "jaw tightening" and went to the emergency room where she received a dose of Tetanus Toxoid Adsorbed (lot number and route/site of administration unknown). On 26 August 2008, the patient experienced a "horrible feeling of doom" and went to the emergency room (treatment was not reported) and was sent home. On 03 September 2008, the patient developed dizziness, shakiness, nausea, went limp and fell out of the car. She again went to the emergency room (treatment not reported) and was released. On 04 September 2008, the patient experienced the same symptoms as the day before, went to the emergency room and was again released. On 07 September 2008, the patient went limp and fell to the ground. She was taken to the emergency room and was held overnight. The patient reported that an EEG and "MI tests" were negative. Patient outcome was reported to be unknown.
Age: 52.0
Sex: M
Vaccine: TDAP
Symptoms: Asthenia, Dizziness, Dyspnoea, Fatigue, Headache
Clinical narrative: Initial report received from a consumer on 08 September 2008.  A 52-year-old male patient with medical history of seizure disorder, atrial fibrillation, bipolar disorder and "reaction to Tylenol and codeine", had received an intramuscular left deltoid injection of ADACEL (lot number not reported) on 02 September 2008 and two days later, he experienced a general feeling of illness.  Three days after the vaccination, the patient developed symptoms of headache, sharp stabbing pain in the head, dizziness, profuse sweating, shortness of breath, fatigue, muscle weakness, tingling in hands and feet, weakness, tiredness and lightheadedness.  The patient spoke with his physician who advised the patient to go to the emergency room if symptoms persisted.  At the time of the report, the patient had not visited the doctor's office or emergency room.  Patient outcome was reported as 'not recovered'.
Age: 52.0
Sex: M
Vaccine: TDAP
Symptoms: Hyperhidrosis, Malaise, Muscular weakness, Paraesthesia
Clinical narrative: Initial report received from a consumer on 08 September 2008.  A 52-year-old male patient with medical history of seizure disorder, atrial fibrillation, bipolar disorder and "reaction to Tylenol and codeine", had received an intramuscular left deltoid injection of ADACEL (lot number not reported) on 02 September 2008 and two days later, he experienced a general feeling of illness.  Three days after the vaccination, the patient developed symptoms of headache, sharp stabbing pain in the head, dizziness, profuse sweating, shortness of breath, fatigue, muscle weakness, tingling in hands and feet, weakness, tiredness and lightheadedness.  The patient spoke with his physician who advised the patient to go to the emergency room if symptoms persisted.  At the time of the report, the patient had not visited the doctor's office or emergency room.  Patient outcome was reported as 'not recovered'.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV
Symptoms: Injection site erythema, Injection site nodule, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: 2 days after vaccine, skin was warm, swollen and red around vaccine site. Also "knot" under vaccine site. Painful for 2 days.
Age: 13.0
Sex: M
Vaccine: HEPA, MNQ, VARCEL
Symptoms: Headache, Neck pain, Oedema peripheral, Pain, Pyrexia
Clinical narrative: Fever, swollen arm, headache, neck pain; aches all over.
Age: 14.0
Sex: F
Vaccine: HPV4
Symptoms: Arthralgia, Bone scan normal, Full blood count normal, Musculoskeletal pain, Nausea
Clinical narrative: 3rd dose 1/5/2008. 1/11/08 - seen with complaints of intermittent joint pain -severe stages her activity - lasts from seconds to hours had been happening for several months. CBC, Sed Rate normal. Seen 2/6/08 - increasing frequency of episodes. Bone scan done which was normal. 4/22/08. Returned again with shoulder/scapula, leg pain. Nausea with occasional swelling and facial rash. No fever. Referred to Rheumaotogly. - Normal work up- continues to have intermittent bone, leg pain and swelling.  9/22/2008 Office notes recd from PCP beginning 1/5/08 with HPV#3. Returned 2/6/08 with c/o episodic back pain x 4 months. Located in lower and thoracic regions, as well as R scapula, L hand and both legs.  PE WNL.  Returned 4/22/08 with c/o constant body pain x 6 months. Recent R knee effusion with joint pain and swelling, myalgias. Referred to Rheum. 10/21/08 Partial record received from rheum dated 6/12/08. Pt questionaire with c/o tiredness, H/A, loss of hair, chest pain, loss of appetitite, abdominal cramping, joint pain, low back pain, muscle pain, neck pain, bruising, rash on cheeks and sun sensitivity.  11/10/08 Reaminder of Rheumatology consult received. Pt reports pain began in Oct 2007 with back pain which then spread to bone pain of the arms and legs. Pain is intermittant and associated with joint swelling and rash. ROS (+) for weight loss which has been regained, frontal H/As, R upper chest wall apin, occ abd pain, back pain, myalgias, hair loss, scabbing. No objective abnormalities on PE. No Dx.
Age: 14.0
Sex: F
Vaccine: HPV4
Symptoms: Pain in extremity, Rash, Red blood cell sedimentation rate normal, Swelling
Clinical narrative: 3rd dose 1/5/2008. 1/11/08 - seen with complaints of intermittent joint pain -severe stages her activity - lasts from seconds to hours had been happening for several months. CBC, Sed Rate normal. Seen 2/6/08 - increasing frequency of episodes. Bone scan done which was normal. 4/22/08. Returned again with shoulder/scapula, leg pain. Nausea with occasional swelling and facial rash. No fever. Referred to Rheumaotogly. - Normal work up- continues to have intermittent bone, leg pain and swelling.  9/22/2008 Office notes recd from PCP beginning 1/5/08 with HPV#3. Returned 2/6/08 with c/o episodic back pain x 4 months. Located in lower and thoracic regions, as well as R scapula, L hand and both legs.  PE WNL.  Returned 4/22/08 with c/o constant body pain x 6 months. Recent R knee effusion with joint pain and swelling, myalgias. Referred to Rheum. 10/21/08 Partial record received from rheum dated 6/12/08. Pt questionaire with c/o tiredness, H/A, loss of hair, chest pain, loss of appetitite, abdominal cramping, joint pain, low back pain, muscle pain, neck pain, bruising, rash on cheeks and sun sensitivity.  11/10/08 Reaminder of Rheumatology consult received. Pt reports pain began in Oct 2007 with back pain which then spread to bone pain of the arms and legs. Pain is intermittant and associated with joint swelling and rash. ROS (+) for weight loss which has been regained, frontal H/As, R upper chest wall apin, occ abd pain, back pain, myalgias, hair loss, scabbing. No objective abnormalities on PE. No Dx.
Age: 16.0
Sex: F
Vaccine: HEPA, HPV4, VARCEL
Symptoms: Erythema, Oedema peripheral
Clinical narrative: Red/swollen left arm
Age: 68.0
Sex: M
Vaccine: VARZOS
Symptoms: Herpes zoster, Secondary transmission
Clinical narrative: Patient's wife reported having developed shingles after her husband received the ZOSTAVAX vaccine 1 1/2 weeks prior.
Age: 13.0
Sex: M
Vaccine: VARCEL
Symptoms: Unevaluable event
Clinical narrative: No adverse events
Age: 25.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Injection site pain
Clinical narrative: Patient describes pain in left arm at injection site.  Has had pain constantly since injection on 8/5/08.  Pain not relieved by NSAIDS.  Patient is referred to neurologist for further evaluation.
Age: 25.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Asthenia, Injection site pain, Mobility decreased, Muscular weakness, Pain
Clinical narrative: Patient describes pain in left arm at injection site.  Has had pain constantly since injection on 8/5/08.  Pain not relieved by NSAIDS.  Patient is referred to neurologist for further evaluation.
Age: 0.2
Sex: M
Vaccine: DTAPIPVHIB, PNC, RV5
Symptoms: Haematochezia, Occult blood positive, Rotavirus test positive
Clinical narrative: Patient received ROTATEQ on 8-25-08.  That evening had flecks (small spots) of blood in stool.  On 8-29-08 had another stool with small spots of blood in it.  Exam was benign.  Patient was followed clinically without reccurance.
Age: 15.0
Sex: F
Vaccine: TDAP
Symptoms: Asthenia, Fatigue, Headache, Pyrexia
Clinical narrative: Mom called and states patient has complained of being very tired, terrible headache, weakness, fever.
Age: 2.0
Sex: F
Vaccine: HEPA
Symptoms: Abdominal pain upper, Bacterial culture negative, Blood test normal, Ear, nose and throat examination normal, Electroencephalogram
Clinical narrative: Shot given on Monday, July 28 - Wednesday, July 30 had seizures, high fever 104.6 (highest).  ER visit on 7/30 - febrile seizures - sent home.  Seizure/pain in belly.  7/31 doctor's visit - blood check - normal.  8/1 several seizures, back to ER, urine check, strep culture, ears - all o.k.  ER doctor gave valicon suppository if happens again.
Age: 2.0
Sex: F
Vaccine: HEPA
Symptoms: Febrile convulsion, Pyrexia, Urine analysis normal
Clinical narrative: Shot given on Monday, July 28 - Wednesday, July 30 had seizures, high fever 104.6 (highest).  ER visit on 7/30 - febrile seizures - sent home.  Seizure/pain in belly.  7/31 doctor's visit - blood check - normal.  8/1 several seizures, back to ER, urine check, strep culture, ears - all o.k.  ER doctor gave valicon suppository if happens again.
Age: 5.0
Sex: M
Vaccine: DTAP, MMR
Symptoms: Rash erythematous, Tachycardia
Clinical narrative: Erythematous rash both upper, lower extremities and trunk tachycardia.
Age: 16.0
Sex: F
Vaccine: HEP, HPV4
Symptoms: Blood glucose normal, Syncope
Clinical narrative: Approximately 15 minutes following the injections, patient had syncopal episode lasting less than 1 minute.  After episode, patient reports not having had anything to eat or drink all day.  Patient's blood sugar = 85.  Patient given granola bar and H2O.  Stated that she felt much better.  Discharged home with mother.  No injury reported.  Physician aware.
Age: 5.0
Sex: F
Vaccine: DTAP, HEPA, IPV, MMRV
Symptoms: Injection site erythema
Clinical narrative: Redness around injection site 27mm x 30mm.  Right thigh lower - no treatment received.  Physician advised and looked at it.
Age: 11.0
Sex: M
Vaccine: TDAP
Symptoms: Erythema, Induration, Local reaction
Clinical narrative: Local erythema, induration upper 1/2 of upper arm.  No treatment needed.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Patient woke up 9-3-08 with redness and swelling of her left thigh.  Continued to get larger in size - swelling and red area - warm to the touch.  Brought in for appointment 10:40AM 9-4-08.
Age: 20.0
Sex: F
Vaccine: HPV4
Symptoms: Nausea, Vomiting
Clinical narrative: Onset of symptoms occurred 48 hours post vaccine.  Symptoms were nausea and vomiting.  Spoke with patient today, 9/8/08.  Feels much better.  Able to tolerate solids and liquids.
Age: 4.0
Sex: M
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Abdominal pain upper, Body temperature increased, Decreased appetite, Lethargy, Nausea
Clinical narrative: Same evening, child broke out with itchy rash on face and trunk.  Child was lethargic all evening.  Also, child had temperature that day - lasted for 2 days - increased to 102.5.  Rash disappeared by following AM - after 2 doses of oral Benadryl.  Also, experienced nausea.  Sore throat, decreased appetite and stomach pain day after vaccines.
Age: 4.0
Sex: M
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Pharyngolaryngeal pain, Rash pruritic, Streptococcal identification test negative
Clinical narrative: Same evening, child broke out with itchy rash on face and trunk.  Child was lethargic all evening.  Also, child had temperature that day - lasted for 2 days - increased to 102.5.  Rash disappeared by following AM - after 2 doses of oral Benadryl.  Also, experienced nausea.  Sore throat, decreased appetite and stomach pain day after vaccines.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Injection site rash, Injection site vesicles
Clinical narrative: Rash to (R) arm 24 hours after vaccine. Blister at site of injection 8mm in size.
Age: 7.0
Sex: F
Vaccine: VARCEL
Symptoms: Abdominal pain, Agitation, Diarrhoea, Immediate post-injection reaction, Nausea
Clinical narrative: Pt immediately (1-4 min) developed hives, followed by abdominal cramps, nausea and vomit and diarrhea. She was agitated but had no terpuatory compromise. She received Epipen Jr and symptoms resolved. Rescue came and cleared her.
Age: 7.0
Sex: F
Vaccine: VARCEL
Symptoms: Urticaria, Vomiting
Clinical narrative: Pt immediately (1-4 min) developed hives, followed by abdominal cramps, nausea and vomit and diarrhea. She was agitated but had no terpuatory compromise. She received Epipen Jr and symptoms resolved. Rescue came and cleared her.
Age: 23.0
Sex: F
Vaccine: HPV4
Symptoms: Migraine
Clinical narrative: Migraine headache within 30 minutes after vaccine.
Age: 5.0
Sex: M
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Unevaluable event
Clinical narrative: As reported by mother.
Age: 50.0
Sex: M
Vaccine: UNK
Symptoms: Musculoskeletal pain, Neck pain
Clinical narrative: Patient got pneumonia shot on 9/2/08.  Came in on 9/8/08 complaining of neck, shoulder pain.  Started night of 9/2/08 after shot.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Erythema, Injection site rash, Pruritus
Clinical narrative: Child and mom arrive at clinic this AM, 9:00AM with complaint of redness and itching.  Rash appearance to left thigh, mom stated started late Friday afternoon after shots were given - mom stated measure to quarter size on Friday, - now approximately 7cm.
Age: 2.0
Sex: M
Vaccine: VARCEL
Symptoms: Urticaria
Clinical narrative: Generalized hives 20 minutes after Varivax S.C.  Vital signs stable, no wheezing heard.  Received Epinephrine 0.3ml (1:1000) and sent to hospital ER by 911 for observation.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Left upper arm red, warm, swollen area.
Age: 4.0
Sex: F
Vaccine: DTAP, HEPA
Symptoms: Erythema, Oedema peripheral, Skin warm
Clinical narrative: Left upper arm got red, warm, swollen area 3 1/2" x 3 1/2"
Age: 1.01
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Injection site erythema, Injection site rash, Rash, Rash erythematous
Clinical narrative: Mother reports that 2 days after vaccination, patient developed 2 non-vesicular red raised 3 mm bumps; one on arm at injection site and one on side of chest - now resolved.
Age: 29.0
Sex: F
Vaccine: HPV4
Symptoms: Inappropriate schedule of drug administration, No adverse event
Clinical narrative: No adverse events or treatment.  Patient not the appropriate age for the vaccine.
Age: 10.0
Sex: M
Vaccine: MNQ, TDAP
Symptoms: Inappropriate schedule of drug administration, No adverse event
Clinical narrative: No adverse reactions.  Menactra + Adacel given.  1 month prior to age 11.
Age: 9.0
Sex: F
Vaccine: HPV4, VARCEL
Symptoms: Dizziness, Pallor
Clinical narrative: Varicella and Gardasil vaccine given - on her way to the car, turned pale and was dizzy.  BP 105/65, HR 84.
Age: 32.0
Sex: M
Vaccine: TDAP
Symptoms: Rash generalised, Rash pruritic
Clinical narrative: 2 - 3 DAYS POST VACCINATION PATIENT DEVELOPED ITCHY RASH ON UPPER EXTREMITIES WHICH HAS SINCE SPREAD TO TRUNK, LOWER EXTREMITIES, BACK AND HEAD. SYMPTOMS CONTINUE AS OF THIS DATE.
Age: 1.0
Sex: F
Vaccine: DTAP, HIBV, MMR, PNC
Symptoms: Injection site erythema, Pyrexia, Rash papular
Clinical narrative: MILD VARIVAX REACTION- 4CM. X 6CM. RED AREA AROUND VARIVAX INJECTION SITE. A FEW SCATTERED PINK PAPULES ON NECK AND TRUNK WITH LOW GRADE FEVER. STARTED ABOUT 1 WK. AFTER IMMUNIZATION WAS GIVEN.
Age: 41.0
Sex: F
Vaccine: MMR
Symptoms: Chest pain, Dyspnoea, Hypoaesthesia facial, Loss of consciousness, Neuralgia
Clinical narrative: Two days following vaccination: "My head started itching and I had difficulty breathing, numbness in my face and tongue, pain in my throat that felt like food stuck in my throat and dull pain throughout my chest." Three days following vaccination: patient went to the Emergency Department with raised red itchy rash all over body. ER administered Benadryl I.M. and advised patient to buy OTC Benadryl and continue taking. Treatment at the ER improved condition, but on day four following vaccination: rash was worse. On day five following vaccination: patient was examined at the clinic and received steroid cream, more Benadryl (Rx). Patient did not realize her Rx "Diphenhydramine" was the same as "Benadryl" and was taking both at the same time. On day six following vaccination: patient presented at the hospital ER again, "blacked out three times", and was put on a 6-day course of methylprednisolone (4 mg) tapering tablets starting with 6 tabs first day, one less tab each of the following 5 days. Patient was also advised to continue Benadryl and to start taking Pepsid to avoid stomach ulcers. As of today, patient has a follow-up appointment with the clinic for 9/15/08. Patient also c/o intermittent blurred vision and nerve-like pain in hands and feet, but did not indicate onset.
Age: 41.0
Sex: F
Vaccine: MMR
Symptoms: Paraesthesia oral, Pharyngolaryngeal pain, Pruritus, Rash, Vision blurred
Clinical narrative: Two days following vaccination: "My head started itching and I had difficulty breathing, numbness in my face and tongue, pain in my throat that felt like food stuck in my throat and dull pain throughout my chest." Three days following vaccination: patient went to the Emergency Department with raised red itchy rash all over body. ER administered Benadryl I.M. and advised patient to buy OTC Benadryl and continue taking. Treatment at the ER improved condition, but on day four following vaccination: rash was worse. On day five following vaccination: patient was examined at the clinic and received steroid cream, more Benadryl (Rx). Patient did not realize her Rx "Diphenhydramine" was the same as "Benadryl" and was taking both at the same time. On day six following vaccination: patient presented at the hospital ER again, "blacked out three times", and was put on a 6-day course of methylprednisolone (4 mg) tapering tablets starting with 6 tabs first day, one less tab each of the following 5 days. Patient was also advised to continue Benadryl and to start taking Pepsid to avoid stomach ulcers. As of today, patient has a follow-up appointment with the clinic for 9/15/08. Patient also c/o intermittent blurred vision and nerve-like pain in hands and feet, but did not indicate onset.
Sex: U
Vaccine: HPV4, MNQ, TDAP
Symptoms: Amenorrhoea
Clinical narrative: She Had her first menstruation after the vaccine. She has not have other menstruation after that.
Age: 16.0
Sex: M
Vaccine: IPV, TDAP
Symptoms: Contusion, Erythema, Skin warm
Clinical narrative: Noted bruising on the left deltoid measuring 20 mm. by 20 mm. Skin warm to touch w/ redness covering entire deltoid area.
Age: 8.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Wrong drug administered
Clinical narrative: GAVE DTAP INSTEAD OF TD
Age: 0.44
Sex: M
Vaccine: RV5
Symptoms: Choking, Dyspnoea, Immediate post-injection reaction
Clinical narrative: Mother brought baby to immunization clinic for 6 month vaccinations. Rotavirus(RotaTeq)po was given, within seconds child was gasping and appeared to be choking. I looked in mouth, saw nothing. I told receptionist to call EMS and took child down hall while delivering back thrusts. EMT met me in the hall and took baby, at which time child started to cry. EMT checked heart and lungs, and determined that child was stable. Advised Mother to take child to medical clinic for evaluation. Other vaccines were deferred to a later date. Physician saw child and discharged him to go home with out any treatment.  Fix city in patient's address and correct date in box 10.
Age: 12.0
Sex: F
Vaccine: HEPA, HPV4, TDAP, VARCEL
Symptoms: Joint range of motion decreased, Pyrexia
Clinical narrative: Child had high fever of 104.3  Could not bed fingers and toes next 2 days after vaccine
Age: 23.0
Sex: M
Vaccine: ANTH, SMALL, UNK
Symptoms: Incorrect route of drug administration, Injection site discolouration, Injection site erythema, Injection site irritation, Injection site streaking
Clinical narrative: Service Member was aministered the Anthrax ID in his right forearm and PPD IM in his right deltoid.  His right forearm began to swell and burn.  The next morning his arm became dark red, the injection site was almost white, and the redness was following the track of a vein up into his arm pit.  Service Member was treated intravenously with Clindamycin and Ibuprofen and released
Age: 23.0
Sex: M
Vaccine: ANTH, SMALL, UNK
Symptoms: Injection site swelling
Clinical narrative: Service Member was aministered the Anthrax ID in his right forearm and PPD IM in his right deltoid.  His right forearm began to swell and burn.  The next morning his arm became dark red, the injection site was almost white, and the redness was following the track of a vein up into his arm pit.  Service Member was treated intravenously with Clindamycin and Ibuprofen and released
Age: 1.25
Sex: U
Vaccine: DTAP, HEPA, HIBV
Symptoms: Crying, Irritability, Pyrexia, Speech disorder, Tremor
Clinical narrative: crying, fussy,1h following vaccine, fever 24h later 103, shaking and vomiting, fever continued till day 5 after vaccine. Mother reports "no eye contact" now and not saying words.
Age: 1.25
Sex: U
Vaccine: DTAP, HEPA, HIBV
Symptoms: Vomiting
Clinical narrative: crying, fussy,1h following vaccine, fever 24h later 103, shaking and vomiting, fever continued till day 5 after vaccine. Mother reports "no eye contact" now and not saying words.
Age: 13.0
Sex: M
Vaccine: MNQ, TDAP
Symptoms: Dizziness, Dyspnoea
Clinical narrative: PT COMPLAINED OF SHORTNESS OF BREATH AND DIZZINESS APPROX 24 HOURS AFTER RECIEVING INJECTIONS.  HE WAS SEEN AT AN URGENT CARE FACILITY AND THEN FOLLOWED UP WITH US ON 09112008.  AT THAT TIME THE SYMPTOMS HAD SUBSIDED.
Age: 31.0
Sex: F
Vaccine: TYP
Symptoms: Abdominal pain, Dehydration, Diarrhoea, Headache, Nausea
Clinical narrative: Severe abdominal cramping, diarhea, nausea, fever, headache, vomiting, dehydration.
Age: 31.0
Sex: F
Vaccine: TYP
Symptoms: Pyrexia, Vomiting
Clinical narrative: Severe abdominal cramping, diarhea, nausea, fever, headache, vomiting, dehydration.
Age: 1.25
Sex: M
Vaccine: PNC
Symptoms: Erythema, Skin warm, Swelling
Clinical narrative: MOTHER STATES THE CHILD HAD HER PREVNAR VACCINE WEDNESDAY 9/10/08 AND AREA BECAME RED HOT AND SWOLLEN. AREA APPROXIMATELY 6.5 BY 5CM. TX WAS COLD PACK TO THE AREA
Age: 14.0
Sex: F
Vaccine: MNQ, TDAP
Symptoms: Blood test, Chest discomfort, Headache, Nuclear magnetic resonance imaging, Paraesthesia
Clinical narrative: Mother of client called health department and reported history on 8/25/2008. The patient attended an outdoor wedding previous weekend before getting the shot. She contracted a rash, poison Ivy type rash.  Recalls possible tingling in her legs on 8/10/08. She has a previous hx of asthma.  Immunizations, Menactra and Tdap were received on 8/12.  She reported tightness in chest and slight fever with a head ache on 8/13/2008.
Age: 14.0
Sex: F
Vaccine: MNQ, TDAP
Symptoms: Pyrexia, Rash
Clinical narrative: Mother of client called health department and reported history on 8/25/2008. The patient attended an outdoor wedding previous weekend before getting the shot. She contracted a rash, poison Ivy type rash.  Recalls possible tingling in her legs on 8/10/08. She has a previous hx of asthma.  Immunizations, Menactra and Tdap were received on 8/12.  She reported tightness in chest and slight fever with a head ache on 8/13/2008.
Age: 21.0
Sex: M
Vaccine: TTOX
Symptoms: Incorrect route of drug administration, Injection site erythema, Injection site induration
Clinical narrative: Tetanus toxoid vaccine was mistakenly administered intradermally in place of Tubersol (PPD solution).  Patient developed erythema and induration (max. 60 mm diameter) at site, which is resolving.
Age: 0.2
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: CSF white blood cell count increased, Meningitis, Pyrexia, Red blood cells CSF positive
Clinical narrative: pt got fever same night, diagnosed with meningitis 2 days later.  Strongly felt to be HSV meningitis; unlikely that this is due to IZ but very significant illness therefore I am reporting.  Plan for 21d IV abx in hospital.  12/01/2008 MR received for DOS 9/5-26/2008 with D/C Dx: Meningitis, possible HSV meningitis. Pt presented with 2 day hx of fever and episodes of twitching, eye deviation and unresponsiveness as well as decreased po intake and fussiness. During PE episode of eye deviation with nystagmus which self resolved-focal seizures. Admitted for w/u. Continued having focal seizures and started on phenobarb with reduction in seizures. Tx with IV Acyclovir for presumed HSV meningitis despite  (-) PCR. D/C for 6 months Acyclovir po. F/U visit 11/12/08 with pt reportely seizure free. Will wean from phenobarb.
Age: 0.2
Sex: M
Vaccine: DTAPIPVHIB, HEP, PNC, RV5, DTAPIPVHIB, HEP, PNC, RV5
Symptoms: Hypotonic-hyporesponsive episode
Clinical narrative: Hypotonic-hyporesponsive episodes x5 after immunizations.  9/15/08 Case closed w/medical records from PCP & hospital which accompanied report. FINAL DX: hypotonic-hyporesponsive episode s/p vaccination. Records reveal patient experienced good health on day of vaccination & became unconciousness, limp, pale within 5 min after received vaccinations.  Had additional 4 episodes of same in office prior to transfer to hospital then held overnight in ER for observation on monitor.  Had 1 episode of emesis after feeding & 1 episode of floppiness in ER.  Remained stable & d/c to home next AM.
Age: 0.2
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Clinical narrative: On SUN 9-7-08 pt passed away/diagnosed with S.I.D.S "most likely" no other info available at this time.  1/12/09 Autopsy report states COD as Sudden unexplained death in infancy.  Manner of death undetermined.  Report also states that patient found unresponsive on her side in crib by parent in AM.  Patient had been fed & placed on side in crib approx 1.5 hrs prior to being found unresponsive.  Parent reported cold s/s since vaccinations received on 9/4.
Age: 12.0
Sex: F
Vaccine: HPV4
Symptoms: Urticaria
Clinical narrative: Hives occurred evening of immunization and continued for several days.
Age: 9.0
Sex: F
Vaccine: MNQ, TDAP
Symptoms: Chest discomfort, Hypoaesthesia, Paraesthesia
Clinical narrative: Developed symptoms chest pressure, numbness and tingling left side of body.  To be seen in ER.  Released from ER - improved.
Age: 0.5
Sex: M
Vaccine: DTAPHEPBIP, PNC, RV5
Symptoms: No adverse event, Wrong technique in drug usage process
Clinical narrative: Diluent for HIB given.  Vaccine was not given, diluent was not mixed with HIB vaccine before giving to the patient.  Patient has not had any adverse reaction to the diluent.  Notified patient's mother of error.
Age: 11.0
Sex: F
Vaccine: HPV4
Symptoms: Syncope
Clinical narrative: Child received Gardasil and then fainted.  Doctor examined, no adverse findings.  B/P: WNL.
Age: 82.0
Sex: F
Vaccine: VARZOS
Symptoms: Chills, Headache, Injection site erythema, Injection site inflammation, Injection site pain
Clinical narrative: Patient had pain and redness at injection site as well as headache, fever, and chills.  When she came back the following day, the fever had gone down and the headache had dulled.  We suggested Hydrocortisone for the inflammation at injection site.
Age: 82.0
Sex: F
Vaccine: VARZOS
Symptoms: Pyrexia
Clinical narrative: Patient had pain and redness at injection site as well as headache, fever, and chills.  When she came back the following day, the fever had gone down and the headache had dulled.  We suggested Hydrocortisone for the inflammation at injection site.
Age: 0.2
Sex: M
Vaccine: DTAPIPVHIB, HEP, PNC
Symptoms: Body temperature, Crying
Clinical narrative: Crying - unable to console.  T - 100, Tylenol.  Mother called back - child fine.
Age: 0.2
Sex: M
Vaccine: DTAPIPVHIB, HEP, PNC
Symptoms: Body temperature, Irritability
Clinical narrative: T - 100.2.  Fussy.  Advised Tylenol, call if no improvement.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site warmth
Clinical narrative: Had MMR right deltoid.  Has 3x5" erythema, hot to touch.  Advised ice, APAP.
Age: 0.2
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Body temperature increased, Irritability
Clinical narrative: T - 100.5, fussy.  Advised Tylenol, call if symptoms change.
Age: 0.3
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Crying, Sleep disorder
Clinical narrative: Did not sleep well after shots.  Crying off and on during evening.  Call if symptoms worse.
Age: 0.4
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Body temperature increased, Irritability
Clinical narrative: T - 101.2 eve on immunz.  Fussy.  TYLENOL, call if sx worse.
Age: 25.0
Sex: F
Vaccine: HEP
Symptoms: Oedema peripheral, Pruritus, Rash, Urticaria
Clinical narrative: Woke up on 9/5 with 3 bumps on right arm in crease and a straight line in crease of left arm that itched.  Took shower and went away.  Around 11:00a, back started itching.  Within 15 minutes entire back was covered in hives.  Took 2 Benadryl; went away.  On 9/6, woke up at 2:00a with swollen hands and feet - no intervention taken.
Age: 25.0
Sex: M
Vaccine: ANTH
Symptoms: Arthralgia, Cognitive disorder, Fatigue, Malaise, Pain
Clinical narrative: Pt reports receipt of entire initial anthrax series plus one booster, (Last anthrax vaccine in 2004). Patient noted pain and soreness of joints (knees, ankles, elbows and wrists) after receipt of first anthrax vaccine, After his 3rd anthrax vaccine, the pain lasted about 3 months. Initially pain was mild, but at worst, he describes pain as a constant throbbing with an intense level of 8-9/10 on pain scale. He also says significant others have noted a change in his personality in that he is "not as sharp" as he used to be. In 2007, pt denied ongoing joint pain. Symptoms: Joint pain, multiple joints, Fatigue, Malaise <60 Days, Cognitive deficiency.
Age: 25.0
Sex: M
Vaccine: ANTH
Symptoms: Vaccine positive rechallenge
Clinical narrative: Pt reports receipt of entire initial anthrax series plus one booster, (Last anthrax vaccine in 2004). Patient noted pain and soreness of joints (knees, ankles, elbows and wrists) after receipt of first anthrax vaccine, After his 3rd anthrax vaccine, the pain lasted about 3 months. Initially pain was mild, but at worst, he describes pain as a constant throbbing with an intense level of 8-9/10 on pain scale. He also says significant others have noted a change in his personality in that he is "not as sharp" as he used to be. In 2007, pt denied ongoing joint pain. Symptoms: Joint pain, multiple joints, Fatigue, Malaise <60 Days, Cognitive deficiency.
Age: 0.2
Sex: F
Vaccine: DTAPHEPBIP, HEP, HIBV, PNC
Symptoms: Medication error, No adverse event
Clinical narrative: Patient received RECOMBIVAX B vaccine x 2. Given RECOMBIVAX and PEDIARIX same day. No adverse effects.
Age: 19.0
Sex: F
Vaccine: HPV4
Symptoms: Ageusia, Facial palsy, Headache
Clinical narrative: Gardasil vaccine was given to my daughter on August 5th, 2008. On the morning of September 11th, 2008 my daughter woke up with the right side of her face paralyzed. She is unable to smile on the right side. She can not blink well with the right eye. She also can not taste. She has had a headache on the right side of her head behind her ear. We went to the emergency room immediately and after a thorough exam she was diagnosed with Bell's Palsy. Needless to say she is not going to be getting the 2nd and 3rd dose of Gardasil. We have been reading that Bell's Palsy has been reported as a side effect of Gardasil. I feel strongly that others need to be aware of the possible serious side effects. Merck should not downplay these very serious side effects. We are very upset that it has been marketed as "very safe".  9/16/08 Reviewed ER medical records of 9/11/08. FINAL DX: Bell's palsy Records reveal patient experienced HA, taste alteration, right eye twitching x 2 days, right facial paralysis, mouth drooping & unable to completely close right eye x 1 day.  Had sore throat 1 week prior.  Tx w/steroids & referred to PCP on d/c to home.
Age: 1.1
Sex: F
Vaccine: MMR
Symptoms: Pyrexia, Rash
Clinical narrative: Mother came to Health Dept. after seeing MD to advise that child had fever and rash appearing 11 days post receipt of MMR and she would like a VAERS filed.  MD contacted and had advised mother that this can occur after receiving the vaccine and he felt this was the case for the child.  No vaccine history for the date of MMR available.
Age: 25.0
Sex: M
Vaccine: HEP, TD
Symptoms: Loss of consciousness
Clinical narrative: Received shots, PPD.  Approximately 10 minutes later, passed out briefly.  Was in seated position, no fall.  Admitted he had not eaten on this AM
Age: 16.0
Sex: F
Vaccine: HPV4, MNQ
Symptoms: Asthenia, Dizziness, Headache, Loss of consciousness, Pyrexia
Clinical narrative: Black out, headache, fever, weakness, and dizziness.  9/22/08 WCC dated 9/3/08 and vax info received from PCP. Healthy adolescent with normal G&D. Vax given. ER record received dated 9/6/08 with Final DX: Drug reaction-medicinal substance given or taken. UTI.  Vaccine Reaction. Pt presented with c/o onset of fever, injection site pain, R hip/flank pain, severe dizzinessand profound weakness.  Pt passed out and fell at home with another episode of near syncope. PE (+) for CVA tenderness. Pt given pain meds and abx and D/c.
Age: 1.58
Sex: F
Vaccine: RUB
Symptoms: Blood heavy metal increased, Crying, Erythema, Flushing, Lethargy
Clinical narrative: My child's face flushed red within about 15 minutes of receiving the vaccinations. Her cheeks remained red for some time after. She developed a fever within hours of vaccination. My child screamed and cried inconsolably for almost 24 hours. Child was lethargic and unresponsive. Rash developed on chest and upper back which lasted about one week.
Age: 1.58
Sex: F
Vaccine: RUB
Symptoms: Pyrexia, Rash, Screaming, Unresponsive to stimuli
Clinical narrative: My child's face flushed red within about 15 minutes of receiving the vaccinations. Her cheeks remained red for some time after. She developed a fever within hours of vaccination. My child screamed and cried inconsolably for almost 24 hours. Child was lethargic and unresponsive. Rash developed on chest and upper back which lasted about one week.
Age: 62.0
Sex: F
Vaccine: VARZOS
Symptoms: Arthralgia, Asthenia, Body temperature increased, Chills, Fatigue
Clinical narrative: No symptoms until 9 p.m.-chills and a sensation of internal shaking at intervals of every other second; could not get warm; unable to relax or sleep; aches in joints; headache; weakness; slept after taking Tylenol about 1 a.m.  In morning at 6.a.m. temp was 101 degrees with continuing weakness, joint aches, headache; and a sensation of nausea (which did not happen); no chills that morning; Tylenol was effective for fever; extremely fatigued,achey, and thirsty all day and evening.  Symptoms were gone by 9 p.m. on 9/13/2008. Time of vaccination was at 3:45 p.m. on Friday, Sept. 12, 2008
Age: 62.0
Sex: F
Vaccine: VARZOS
Symptoms: Feeling cold, Headache, Insomnia, Nausea, Pain
Clinical narrative: No symptoms until 9 p.m.-chills and a sensation of internal shaking at intervals of every other second; could not get warm; unable to relax or sleep; aches in joints; headache; weakness; slept after taking Tylenol about 1 a.m.  In morning at 6.a.m. temp was 101 degrees with continuing weakness, joint aches, headache; and a sensation of nausea (which did not happen); no chills that morning; Tylenol was effective for fever; extremely fatigued,achey, and thirsty all day and evening.  Symptoms were gone by 9 p.m. on 9/13/2008. Time of vaccination was at 3:45 p.m. on Friday, Sept. 12, 2008
Age: 62.0
Sex: F
Vaccine: VARZOS
Symptoms: Thirst, Tremor
Clinical narrative: No symptoms until 9 p.m.-chills and a sensation of internal shaking at intervals of every other second; could not get warm; unable to relax or sleep; aches in joints; headache; weakness; slept after taking Tylenol about 1 a.m.  In morning at 6.a.m. temp was 101 degrees with continuing weakness, joint aches, headache; and a sensation of nausea (which did not happen); no chills that morning; Tylenol was effective for fever; extremely fatigued,achey, and thirsty all day and evening.  Symptoms were gone by 9 p.m. on 9/13/2008. Time of vaccination was at 3:45 p.m. on Friday, Sept. 12, 2008
Age: 11.0
Sex: M
Vaccine: VARCEL
Symptoms: Injection site discomfort, Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: After receiving the Chicken Pox Booster Vaccine, He has a huge red, swollen circle around the site.  It was very uncofortable and was feverish.
Age: 54.0
Sex: F
Vaccine: TDAP
Symptoms: Arthralgia, Asthenia, Fatigue, Headache, Injection site pain
Clinical narrative: Severe headache, body/joint aches, slight fever 100.2F, slight nausea, extreme fatigue, local pain and swelling at injection site.  Symptoms started day after receiving vaccine, still present 4 days later to lesser degree on headache, body aches and fever, but still no energy and quite fatigued with no decrease of pain and swelling locally; right deltoid.  I am an RN that received this vaccine prophylatically at work.  I work at the clinic as listed above.  No treatment except tylenol and rest to date, with ice/heat to arm. The symptoms have been dibilitating in the sense that I have had extreme fatigue and lack of energy; not sleeping well as a result of discomfort to arm as well.
Age: 54.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site swelling, Nausea, Pain, Pyrexia, Sleep disorder
Clinical narrative: Severe headache, body/joint aches, slight fever 100.2F, slight nausea, extreme fatigue, local pain and swelling at injection site.  Symptoms started day after receiving vaccine, still present 4 days later to lesser degree on headache, body aches and fever, but still no energy and quite fatigued with no decrease of pain and swelling locally; right deltoid.  I am an RN that received this vaccine prophylatically at work.  I work at the clinic as listed above.  No treatment except tylenol and rest to date, with ice/heat to arm. The symptoms have been dibilitating in the sense that I have had extreme fatigue and lack of energy; not sleeping well as a result of discomfort to arm as well.
Age: 21.0
Sex: F
Vaccine: HPV4
Symptoms: Erythema, Oedema peripheral, Pruritus
Clinical narrative: Information has been received from a healthcare worker concerning a 21 year old female with no allergies who on 12-AUG-2008 was vaccinated with a first 0.5 ml dose of GARDASIL intramuscularly in the deltoid (lot number not reported). On 12-AUG-2008 the patient developed itching to her left foot then redness and swelling to both hands. Unspecified medical attention was sought. The patient's events persisted. Additional information has been requested.
Age: 0.5
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Condition aggravated, Deafness, Developmental delay, Encephalopathy, Epilepsy
Clinical narrative: Information has been received from a lawyer regarding a case in litigation, concerning a 6 month old male who on 08-DEC-2003 was vaccinated with PEDVAXHIB, DTaP, inactivated polio (unspecified) and PREVNAR. The decision ruled that administration of the PEDVAXHIB, DTaP (unspecified), inactivated polio (unspecified) and PREVNAR, aggravated an upper respiratory infection (URI) in the patient  that was later diagnosed as influenza A. The ruling was that the administration of four vaccinations containing six antigens aggravated the patient's existing influenza infection to cause an encephalopathy, leaving the patient spastic, developmentally delayed, deaf, and epileptic. Although the five days between vaccination and reaction were outside the Vaccine Table's three-day window of presumed causation, such aggravation is consistent with the "substantial factor" analysis for causation. "A physician, stated in his report that the effect of the production of cytokines and chemokines from the vaccines, added to the production of cytokines and chemokines from the influenza A virus which the patient had at the time he received the vaccines, resulted in a significant aggravation of his preexisting flu virus, causing catastrophic illness." The physician's reported that "but for these vaccinations, the patient would not have had the serious sequelae of his flue infection". Upon internal review the patient's encephalopathy, deafness, and epilepsy were considered to be other important medical events. Additional information has been requested.
Age: 0.5
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Influenza, Muscle spasticity, Upper respiratory tract infection
Clinical narrative: Information has been received from a lawyer regarding a case in litigation, concerning a 6 month old male who on 08-DEC-2003 was vaccinated with PEDVAXHIB, DTaP, inactivated polio (unspecified) and PREVNAR. The decision ruled that administration of the PEDVAXHIB, DTaP (unspecified), inactivated polio (unspecified) and PREVNAR, aggravated an upper respiratory infection (URI) in the patient  that was later diagnosed as influenza A. The ruling was that the administration of four vaccinations containing six antigens aggravated the patient's existing influenza infection to cause an encephalopathy, leaving the patient spastic, developmentally delayed, deaf, and epileptic. Although the five days between vaccination and reaction were outside the Vaccine Table's three-day window of presumed causation, such aggravation is consistent with the "substantial factor" analysis for causation. "A physician, stated in his report that the effect of the production of cytokines and chemokines from the vaccines, added to the production of cytokines and chemokines from the influenza A virus which the patient had at the time he received the vaccines, resulted in a significant aggravation of his preexisting flu virus, causing catastrophic illness." The physician's reported that "but for these vaccinations, the patient would not have had the serious sequelae of his flue infection". Upon internal review the patient's encephalopathy, deafness, and epilepsy were considered to be other important medical events. Additional information has been requested.
Age: 17.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Activities of daily living impaired, Erythema, Lymphomatoid papulosis, Neurological examination, Neurological symptom
Clinical narrative: June 2007 - left lower leg becomes numb, sharp shooting pains insensitive to hot or cold, unable to walk long distances. June 2007 - lesions all over body - multiplying quickly. 1-3-08 Clinic diagnosis: Lymphomatoid Papulosis. 1/27/2010 Nerve damage to leg. Lymphomatoid Papulosis-not curable.
Age: 17.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Oedema peripheral, Paraesthesia, Rash, Sensory disturbance
Clinical narrative: June 2007 - left lower leg becomes numb, sharp shooting pains insensitive to hot or cold, unable to walk long distances. June 2007 - lesions all over body - multiplying quickly. 1-3-08 Clinic diagnosis: Lymphomatoid Papulosis. 1/27/2010 Nerve damage to leg. Lymphomatoid Papulosis-not curable.
Age: 17.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Biopsy, Blood test, Computerised tomogram, Diagnostic procedure, Gait disturbance
Clinical narrative: June 2007 - left lower leg becomes numb, sharp shooting pains insensitive to hot or cold, unable to walk long distances. June 2007 - lesions all over body - multiplying quickly. 1-3-08 Clinic diagnosis: Lymphomatoid Papulosis. 1/27/2010 Nerve damage to leg. Lymphomatoid Papulosis-not curable.
Age: 17.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Hypoaesthesia, Lymphomatoid papulosis, Nerve injury, Nuclear magnetic resonance imaging, Pain
Clinical narrative: June 2007 - left lower leg becomes numb, sharp shooting pains insensitive to hot or cold, unable to walk long distances. June 2007 - lesions all over body - multiplying quickly. 1-3-08 Clinic diagnosis: Lymphomatoid Papulosis. 1/27/2010 Nerve damage to leg. Lymphomatoid Papulosis-not curable.
Age: 17.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Skin lesion
Clinical narrative: June 2007 - left lower leg becomes numb, sharp shooting pains insensitive to hot or cold, unable to walk long distances. June 2007 - lesions all over body - multiplying quickly. 1-3-08 Clinic diagnosis: Lymphomatoid Papulosis. 1/27/2010 Nerve damage to leg. Lymphomatoid Papulosis-not curable.
Age: 4.0
Sex: F
Vaccine: MMR, VARCEL, MMR, VARCEL
Symptoms: Foaming at mouth, Hypotonia, Pallor, Vomiting
Clinical narrative: Initial and follow-up information has been received from a health professional concerning a 4 year old female with a history of pyelonephritis who on 18-MAY-2005 was vaccinated with a first dose of VARIVAX (Oka/Merck) (lot number, injection site and route not reported).  On 22-MAY-2008 the patient was vaccinated with the second dose of VARIVAX (Oka/Merck) (lot number 659331/1462U) in the right arm (injection route not reported) and was also vaccinated with a dose of MMR II (Enders-Edmonston, Jeryl Lynn, Wistar RA 27/3) (lot number 0288U) (MSD).  On 22-MAY-2008, 1-2 minutes after vaccination, the patient complained of throat feeling funny.  The patient went limp and pale.  She started vomiting and foaming in the mouth.  The O2 sat was 95-98%, blood pressure was 86/50 and the pulse rate was 96.  The patient was given epinephrine 0.15 mg and was transported via ambulance to emergency room.  The patient was discharged after 4 hours the patient was fully recovered.  According to the HCP, the patient's events were considered to be immediately life-threatening and required medical intervention.  Additional information is not expected.