chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 42.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Nerve conduction studies, Paraesthesia, Plasmapheresis, Pyrexia, Tachycardia
Clinical narrative: I was ill the first three weeks of December with a headache, fever about 100 degrees, upper back pain and fatigue.  On December 28, 2009, I discovered tingling in the bottom of my feet and weakness in legs after taking my morning shower.  My body got progressively weak as the day went on.  I was admitted to hospital on December 28, 2009.  By December 29, 2009, I was barely able to lift my arms and legs.  I could not get out of the bed to use the bathroom and had to use a bed pan.  I received five immunoglobulin treatments over the course of a week.  I was transferred to another hospital on January 5, 2010. I received physical and occupational therapy for about a week and a half.  I suffered from vomiting and developed tachycardia.  I was rushed to hospital on January 10, 2010.  I received five days of immunoglobulin treatment.  I did not improve, so I was transferred to another hospital on January 21, 2010.  I was given five days of plasmapheresis treatment and finally stabilized.  I was transferred to a rehabilitation hospital on February 2, 2010 occupational and physical therapy.  I was just learning how to walk and experienced a relapse.  I was transferred back to hospital for another five days of plasmapheresis treatment.  I was released to rehabilitation hospital on March 4, 2010 for occupational and physical therapy.  I was discharged on 3/19/10.
Age: 42.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Vomiting
Clinical narrative: I was ill the first three weeks of December with a headache, fever about 100 degrees, upper back pain and fatigue.  On December 28, 2009, I discovered tingling in the bottom of my feet and weakness in legs after taking my morning shower.  My body got progressively weak as the day went on.  I was admitted to hospital on December 28, 2009.  By December 29, 2009, I was barely able to lift my arms and legs.  I could not get out of the bed to use the bathroom and had to use a bed pan.  I received five immunoglobulin treatments over the course of a week.  I was transferred to another hospital on January 5, 2010. I received physical and occupational therapy for about a week and a half.  I suffered from vomiting and developed tachycardia.  I was rushed to hospital on January 10, 2010.  I received five days of immunoglobulin treatment.  I did not improve, so I was transferred to another hospital on January 21, 2010.  I was given five days of plasmapheresis treatment and finally stabilized.  I was transferred to a rehabilitation hospital on February 2, 2010 occupational and physical therapy.  I was just learning how to walk and experienced a relapse.  I was transferred back to hospital for another five days of plasmapheresis treatment.  I was released to rehabilitation hospital on March 4, 2010 for occupational and physical therapy.  I was discharged on 3/19/10.
Age: 1.01
Sex: M
Vaccine: MMRV
Symptoms: Irritability, Pyrexia
Clinical narrative: Fever/irritable. Treated with Tylenol.
Age: 66.0
Sex: M
Vaccine: PPV
Symptoms: Injection site swelling
Clinical narrative: Mild swelling at injection site.
Age: 1.23
Sex: M
Vaccine: MMR, PNC13
Symptoms: Hypersomnia, Irritability, Pyrexia, Respiratory rate increased
Clinical narrative: Rapid onset of fever of 103.5.  Ibuprofen given, fever returned in 6 hours - 102.1.  No rash, bumps, lumps yet (he received the MMR vaccine).  Still monitoring.  Irritability and sleeping more than usual.  Slept through high fever. I realized he had a high fever when I heard him breathing fast.
Age: 28.0
Sex: F
Vaccine: DTAP, TDAP
Symptoms: Asthenia, Chills, Dysstasia, Fatigue, Inappropriate schedule of drug administration
Clinical narrative: Chills, fever, body aches, weakness, tiredness, nausea, inability to stand for longer than 5 minutes due to being so weak, large baseball size lump at injection site.
Age: 28.0
Sex: F
Vaccine: DTAP, TDAP
Symptoms: Injection site mass, Nausea, Pain, Pyrexia
Clinical narrative: Chills, fever, body aches, weakness, tiredness, nausea, inability to stand for longer than 5 minutes due to being so weak, large baseball size lump at injection site.
Age: 28.0
Sex: F
Vaccine: DTAP, TDAP
Symptoms: Erythema, Nausea, Oedema peripheral, Skin warm, Vomiting
Clinical narrative: Chills, fever, body aches, weakness, tiredness, nausea, inability to stand for longer than 5 minutes due to being so weak, large baseball size lump at injection site.
Age: 22.0
Sex: F
Vaccine: FLU(H1N1), FLUX, FLUX(H1N1)
Symptoms: CSF oligoclonal band absent, Dysstasia, Eating disorder, Facial palsy, Hemiparesis
Clinical narrative: Headaches started in December; later had speech and vision difficulties, and then left sided weakness and imbalance. Evaluation at hospital.
Age: 22.0
Sex: F
Vaccine: FLU(H1N1), FLUX, FLUX(H1N1)
Symptoms: Lumbar puncture, Nuclear magnetic resonance imaging abnormal, Salivary hypersecretion
Clinical narrative: Headaches started in December; later had speech and vision difficulties, and then left sided weakness and imbalance. Evaluation at hospital.
Age: 22.0
Sex: F
Vaccine: FLU(H1N1), FLUX, FLUX(H1N1)
Symptoms: Balance disorder, Headache, Hemiparesis, Nuclear magnetic resonance imaging abnormal, Speech disorder
Clinical narrative: Headaches started in December; later had speech and vision difficulties, and then left sided weakness and imbalance. Evaluation at hospital.
Age: 22.0
Sex: F
Vaccine: FLU(H1N1), FLUX, FLUX(H1N1)
Symptoms: Visual impairment
Clinical narrative: Headaches started in December; later had speech and vision difficulties, and then left sided weakness and imbalance. Evaluation at hospital.
Age: 4.0
Sex: M
Vaccine: FLU(H1N1), FLUX(H1N1)
Symptoms: Rash generalised
Clinical narrative: Had a reaction to H1N1 the day after shot was given. Rash on face, fast breathing/heartbeat & shaking. Taken to the hospital for observation, had an x-ray done and was prescribed albuterol.
Age: 4.0
Sex: M
Vaccine: FLU(H1N1), FLUX(H1N1)
Symptoms: Heart rate increased, Immunisation reaction, Rash, Respiratory rate increased, Tremor
Clinical narrative: Had a reaction to H1N1 the day after shot was given. Rash on face, fast breathing/heartbeat & shaking. Taken to the hospital for observation, had an x-ray done and was prescribed albuterol.
Age: 4.0
Sex: M
Vaccine: FLU(H1N1), FLUX(H1N1)
Symptoms: X-ray
Clinical narrative: Had a reaction to H1N1 the day after shot was given. Rash on face, fast breathing/heartbeat & shaking. Taken to the hospital for observation, had an x-ray done and was prescribed albuterol.
Age: 4.0
Sex: F
Vaccine: DTAPIPV, MMR, PNC13, VARCEL
Symptoms: Injection site discharge, Injection site erythema, Injection site induration, Injection site swelling, Injection site warmth
Clinical narrative: Patient presented back to office 26 hours after vaccines with very swollen, hot red upper arm. Swollen 7 cm circular red, hot, indurated with honey colored drainage to center - right arm.
Age: 66.0
Sex: F
Vaccine: VARZOS
Symptoms: Biopsy, Blood test, Computerised tomogram, Headache, Lumbar puncture
Clinical narrative: Stabbing acute headache - diagnosed three weeks later as Giant Cell Arteritis and Polymyalgia Rheumatica presently taking prednisone.
Age: 66.0
Sex: F
Vaccine: VARZOS
Symptoms: Nuclear magnetic resonance imaging, Polymyalgia rheumatica, Red blood cell sedimentation rate, Temporal arteritis
Clinical narrative: Stabbing acute headache - diagnosed three weeks later as Giant Cell Arteritis and Polymyalgia Rheumatica presently taking prednisone.
Age: 0.5
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC13
Symptoms: Breath holding, Cyanosis, Gaze palsy, Hypotonia
Clinical narrative: Holding breath while immunizations given. Eyes rolled back in head, went limp and turned blue. After a few seconds, eyes opened took breath, color improved. Then went limp and turned blue again lasting several seconds. Gave O2 and observed.
Age: 10.0
Sex: M
Vaccine: VARCEL
Symptoms: Cellulitis
Clinical narrative: From physician's note: "Subq fluid cellulitis from a VARIVAX".
Age: 61.0
Sex: F
Vaccine: VARZOS
Symptoms: Erythema, Fatigue, Headache, Injection site erythema, Oedema peripheral
Clinical narrative: Woke up with headache, took migraine medication. Progressed to body aches, fatigue, body tingling.  5/19/10 noticed reddened area at injection site and golf ball sized reddened area below injection site.  Warm to touch.
Age: 61.0
Sex: F
Vaccine: VARZOS
Symptoms: Pain, Paraesthesia, Skin warm
Clinical narrative: Woke up with headache, took migraine medication. Progressed to body aches, fatigue, body tingling.  5/19/10 noticed reddened area at injection site and golf ball sized reddened area below injection site.  Warm to touch.
Age: 14.0
Sex: M
Vaccine: TDAP
Symptoms: Diarrhoea, Influenza like illness, Injection site nodule, Migraine, Nausea
Clinical narrative: Mother state's client has knot to injection site, started with migraine headache, nausea, bodyaches, flu-like symptoms and diarrhea. Clients mother called on 5/24/10 stated client received tdap on 5/21/10 and developed a knot to injection site that evening. States on 5/22/10, the client woke up with a migraine headache, nausea, body aches, and flu-like symptoms. Stats today 5/24/10 client has diarrhea. Client's mother plans to call client's primary care physician to report signs and symptoms.
Age: 14.0
Sex: M
Vaccine: TDAP
Symptoms: Pain
Clinical narrative: Mother state's client has knot to injection site, started with migraine headache, nausea, bodyaches, flu-like symptoms and diarrhea. Clients mother called on 5/24/10 stated client received tdap on 5/21/10 and developed a knot to injection site that evening. States on 5/22/10, the client woke up with a migraine headache, nausea, body aches, and flu-like symptoms. Stats today 5/24/10 client has diarrhea. Client's mother plans to call client's primary care physician to report signs and symptoms.
Age: 29.0
Sex: M
Vaccine: FLU3
Symptoms: Alanine aminotransferase increased, Aspartate aminotransferase increased, Blood chloride decreased, Blood creatine phosphokinase, Blood creatine phosphokinase MB normal
Clinical narrative: April 4, 2009 pt received a FLUMIST around 1115. He felt fine prior and immediately afterwards (the pt had eaten breakfast and was well hydrated). One hour later while he was eating his lunch he began to feel faint. According to his friends the pt suffered a seizure which lasted 1-2 minutes. According to the pt he was not incontinent of bowel or urine and he did not bite his tongue. He was transported to the ER by ambulance (during transport the pt was only oriented to person/self; not time or place). According to the pt the workup was normal. The pt was instructed to f/u with his PCM and get and MRI and EEG which the pt did not do. On Nov 14, 2009 the pt received a flu shot around 1900. He pt felt fine prior to and immediately after vaccination. He had eaten dinner at 1730 and was well hydrated. At 0700 on Nov 15, 2009 while in the chow hall getting his breakfast the pt began to feel faint and shaky. According to his friend, his eyes rolled back and his arms began to move so he lowered the patient to the floor. According to witnesses the pt had a seizure lasting 1-3 minutes. The pt did bite his tongue; he had no bowel or bladder incontinence. The pt was taken by ambulance to the ER where according to the pt he had labs done which were normal; x-rays were deferred because the pt had an MRI of the brain scheduled in 3 weeks (the pt did not keep his appt). On Nov 23, 2009 while driving home from work the pt begin to feel a "fluttering in his chest", difficulty focusing, and a "pins and needles sensation" in his legs. The pt pulled off the road. The episode lasted 2-3 minutes. To date, the pt has not had any further episodes or seizures. He has not driven since Nov 23, 2009. Pt was evaluated by neurology on 3/25/10: Neuro exam: non focal. See below for MRI and EEG results. Referred to Cardiology to r/o convulsive syncope. Workup included EKG, Echo, Holter Monitor. Evaluation did not reveal "any significant structural or electrical abnormality that likely explains his presentation. 5/21/10 pt placed P3 profile until Nov 2010. Continue "spell" precautions: (no driving, no operating heavy machinery, no carrying a weapon, no swimming alone, no walking at heights, no deployments. Pt to f/u with neurology Nov 2010. Temporary medical exemption to all vaccinations. Symptoms: Palpitations (785.1), Disturbance of skin sensation (782.0), Symptom, nervous/muscskltl systems NEC (781.99), Syncope and collapse (780.2), Abnormal involuntary movement NEC (781.0), Syncope and collapse (780.2).
Age: 29.0
Sex: M
Vaccine: FLU3
Symptoms: Blood glucose increased, Blood potassium decreased, Blood sodium decreased, Blood thyroid stimulating hormone, Chest discomfort
Clinical narrative: April 4, 2009 pt received a FLUMIST around 1115. He felt fine prior and immediately afterwards (the pt had eaten breakfast and was well hydrated). One hour later while he was eating his lunch he began to feel faint. According to his friends the pt suffered a seizure which lasted 1-2 minutes. According to the pt he was not incontinent of bowel or urine and he did not bite his tongue. He was transported to the ER by ambulance (during transport the pt was only oriented to person/self; not time or place). According to the pt the workup was normal. The pt was instructed to f/u with his PCM and get and MRI and EEG which the pt did not do. On Nov 14, 2009 the pt received a flu shot around 1900. He pt felt fine prior to and immediately after vaccination. He had eaten dinner at 1730 and was well hydrated. At 0700 on Nov 15, 2009 while in the chow hall getting his breakfast the pt began to feel faint and shaky. According to his friend, his eyes rolled back and his arms began to move so he lowered the patient to the floor. According to witnesses the pt had a seizure lasting 1-3 minutes. The pt did bite his tongue; he had no bowel or bladder incontinence. The pt was taken by ambulance to the ER where according to the pt he had labs done which were normal; x-rays were deferred because the pt had an MRI of the brain scheduled in 3 weeks (the pt did not keep his appt). On Nov 23, 2009 while driving home from work the pt begin to feel a "fluttering in his chest", difficulty focusing, and a "pins and needles sensation" in his legs. The pt pulled off the road. The episode lasted 2-3 minutes. To date, the pt has not had any further episodes or seizures. He has not driven since Nov 23, 2009. Pt was evaluated by neurology on 3/25/10: Neuro exam: non focal. See below for MRI and EEG results. Referred to Cardiology to r/o convulsive syncope. Workup included EKG, Echo, Holter Monitor. Evaluation did not reveal "any significant structural or electrical abnormality that likely explains his presentation. 5/21/10 pt placed P3 profile until Nov 2010. Continue "spell" precautions: (no driving, no operating heavy machinery, no carrying a weapon, no swimming alone, no walking at heights, no deployments. Pt to f/u with neurology Nov 2010. Temporary medical exemption to all vaccinations. Symptoms: Palpitations (785.1), Disturbance of skin sensation (782.0), Symptom, nervous/muscskltl systems NEC (781.99), Syncope and collapse (780.2), Abnormal involuntary movement NEC (781.0), Syncope and collapse (780.2).
Age: 29.0
Sex: M
Vaccine: FLU3
Symptoms: Computerised tomogram, Convulsion, Dizziness, Drug screen negative, Dyskinesia
Clinical narrative: April 4, 2009 pt received a FLUMIST around 1115. He felt fine prior and immediately afterwards (the pt had eaten breakfast and was well hydrated). One hour later while he was eating his lunch he began to feel faint. According to his friends the pt suffered a seizure which lasted 1-2 minutes. According to the pt he was not incontinent of bowel or urine and he did not bite his tongue. He was transported to the ER by ambulance (during transport the pt was only oriented to person/self; not time or place). According to the pt the workup was normal. The pt was instructed to f/u with his PCM and get and MRI and EEG which the pt did not do. On Nov 14, 2009 the pt received a flu shot around 1900. He pt felt fine prior to and immediately after vaccination. He had eaten dinner at 1730 and was well hydrated. At 0700 on Nov 15, 2009 while in the chow hall getting his breakfast the pt began to feel faint and shaky. According to his friend, his eyes rolled back and his arms began to move so he lowered the patient to the floor. According to witnesses the pt had a seizure lasting 1-3 minutes. The pt did bite his tongue; he had no bowel or bladder incontinence. The pt was taken by ambulance to the ER where according to the pt he had labs done which were normal; x-rays were deferred because the pt had an MRI of the brain scheduled in 3 weeks (the pt did not keep his appt). On Nov 23, 2009 while driving home from work the pt begin to feel a "fluttering in his chest", difficulty focusing, and a "pins and needles sensation" in his legs. The pt pulled off the road. The episode lasted 2-3 minutes. To date, the pt has not had any further episodes or seizures. He has not driven since Nov 23, 2009. Pt was evaluated by neurology on 3/25/10: Neuro exam: non focal. See below for MRI and EEG results. Referred to Cardiology to r/o convulsive syncope. Workup included EKG, Echo, Holter Monitor. Evaluation did not reveal "any significant structural or electrical abnormality that likely explains his presentation. 5/21/10 pt placed P3 profile until Nov 2010. Continue "spell" precautions: (no driving, no operating heavy machinery, no carrying a weapon, no swimming alone, no walking at heights, no deployments. Pt to f/u with neurology Nov 2010. Temporary medical exemption to all vaccinations. Symptoms: Palpitations (785.1), Disturbance of skin sensation (782.0), Symptom, nervous/muscskltl systems NEC (781.99), Syncope and collapse (780.2), Abnormal involuntary movement NEC (781.0), Syncope and collapse (780.2).
Age: 29.0
Sex: M
Vaccine: FLU3
Symptoms: Echocardiogram, Electrocardiogram ambulatory, Electroencephalogram normal, Full blood count normal, Gaze palsy
Clinical narrative: April 4, 2009 pt received a FLUMIST around 1115. He felt fine prior and immediately afterwards (the pt had eaten breakfast and was well hydrated). One hour later while he was eating his lunch he began to feel faint. According to his friends the pt suffered a seizure which lasted 1-2 minutes. According to the pt he was not incontinent of bowel or urine and he did not bite his tongue. He was transported to the ER by ambulance (during transport the pt was only oriented to person/self; not time or place). According to the pt the workup was normal. The pt was instructed to f/u with his PCM and get and MRI and EEG which the pt did not do. On Nov 14, 2009 the pt received a flu shot around 1900. He pt felt fine prior to and immediately after vaccination. He had eaten dinner at 1730 and was well hydrated. At 0700 on Nov 15, 2009 while in the chow hall getting his breakfast the pt began to feel faint and shaky. According to his friend, his eyes rolled back and his arms began to move so he lowered the patient to the floor. According to witnesses the pt had a seizure lasting 1-3 minutes. The pt did bite his tongue; he had no bowel or bladder incontinence. The pt was taken by ambulance to the ER where according to the pt he had labs done which were normal; x-rays were deferred because the pt had an MRI of the brain scheduled in 3 weeks (the pt did not keep his appt). On Nov 23, 2009 while driving home from work the pt begin to feel a "fluttering in his chest", difficulty focusing, and a "pins and needles sensation" in his legs. The pt pulled off the road. The episode lasted 2-3 minutes. To date, the pt has not had any further episodes or seizures. He has not driven since Nov 23, 2009. Pt was evaluated by neurology on 3/25/10: Neuro exam: non focal. See below for MRI and EEG results. Referred to Cardiology to r/o convulsive syncope. Workup included EKG, Echo, Holter Monitor. Evaluation did not reveal "any significant structural or electrical abnormality that likely explains his presentation. 5/21/10 pt placed P3 profile until Nov 2010. Continue "spell" precautions: (no driving, no operating heavy machinery, no carrying a weapon, no swimming alone, no walking at heights, no deployments. Pt to f/u with neurology Nov 2010. Temporary medical exemption to all vaccinations. Symptoms: Palpitations (785.1), Disturbance of skin sensation (782.0), Symptom, nervous/muscskltl systems NEC (781.99), Syncope and collapse (780.2), Abnormal involuntary movement NEC (781.0), Syncope and collapse (780.2).
Age: 29.0
Sex: M
Vaccine: FLU3
Symptoms: International normalised ratio, Liver function test normal, Metabolic function test, Nuclear magnetic resonance imaging brain, Palpitations
Clinical narrative: April 4, 2009 pt received a FLUMIST around 1115. He felt fine prior and immediately afterwards (the pt had eaten breakfast and was well hydrated). One hour later while he was eating his lunch he began to feel faint. According to his friends the pt suffered a seizure which lasted 1-2 minutes. According to the pt he was not incontinent of bowel or urine and he did not bite his tongue. He was transported to the ER by ambulance (during transport the pt was only oriented to person/self; not time or place). According to the pt the workup was normal. The pt was instructed to f/u with his PCM and get and MRI and EEG which the pt did not do. On Nov 14, 2009 the pt received a flu shot around 1900. He pt felt fine prior to and immediately after vaccination. He had eaten dinner at 1730 and was well hydrated. At 0700 on Nov 15, 2009 while in the chow hall getting his breakfast the pt began to feel faint and shaky. According to his friend, his eyes rolled back and his arms began to move so he lowered the patient to the floor. According to witnesses the pt had a seizure lasting 1-3 minutes. The pt did bite his tongue; he had no bowel or bladder incontinence. The pt was taken by ambulance to the ER where according to the pt he had labs done which were normal; x-rays were deferred because the pt had an MRI of the brain scheduled in 3 weeks (the pt did not keep his appt). On Nov 23, 2009 while driving home from work the pt begin to feel a "fluttering in his chest", difficulty focusing, and a "pins and needles sensation" in his legs. The pt pulled off the road. The episode lasted 2-3 minutes. To date, the pt has not had any further episodes or seizures. He has not driven since Nov 23, 2009. Pt was evaluated by neurology on 3/25/10: Neuro exam: non focal. See below for MRI and EEG results. Referred to Cardiology to r/o convulsive syncope. Workup included EKG, Echo, Holter Monitor. Evaluation did not reveal "any significant structural or electrical abnormality that likely explains his presentation. 5/21/10 pt placed P3 profile until Nov 2010. Continue "spell" precautions: (no driving, no operating heavy machinery, no carrying a weapon, no swimming alone, no walking at heights, no deployments. Pt to f/u with neurology Nov 2010. Temporary medical exemption to all vaccinations. Symptoms: Palpitations (785.1), Disturbance of skin sensation (782.0), Symptom, nervous/muscskltl systems NEC (781.99), Syncope and collapse (780.2), Abnormal involuntary movement NEC (781.0), Syncope and collapse (780.2).
Age: 29.0
Sex: M
Vaccine: FLU3
Symptoms: Paraesthesia, Prothrombin time prolonged, Reaction to previous exposure to any vaccine, Syncope, Vision blurred
Clinical narrative: April 4, 2009 pt received a FLUMIST around 1115. He felt fine prior and immediately afterwards (the pt had eaten breakfast and was well hydrated). One hour later while he was eating his lunch he began to feel faint. According to his friends the pt suffered a seizure which lasted 1-2 minutes. According to the pt he was not incontinent of bowel or urine and he did not bite his tongue. He was transported to the ER by ambulance (during transport the pt was only oriented to person/self; not time or place). According to the pt the workup was normal. The pt was instructed to f/u with his PCM and get and MRI and EEG which the pt did not do. On Nov 14, 2009 the pt received a flu shot around 1900. He pt felt fine prior to and immediately after vaccination. He had eaten dinner at 1730 and was well hydrated. At 0700 on Nov 15, 2009 while in the chow hall getting his breakfast the pt began to feel faint and shaky. According to his friend, his eyes rolled back and his arms began to move so he lowered the patient to the floor. According to witnesses the pt had a seizure lasting 1-3 minutes. The pt did bite his tongue; he had no bowel or bladder incontinence. The pt was taken by ambulance to the ER where according to the pt he had labs done which were normal; x-rays were deferred because the pt had an MRI of the brain scheduled in 3 weeks (the pt did not keep his appt). On Nov 23, 2009 while driving home from work the pt begin to feel a "fluttering in his chest", difficulty focusing, and a "pins and needles sensation" in his legs. The pt pulled off the road. The episode lasted 2-3 minutes. To date, the pt has not had any further episodes or seizures. He has not driven since Nov 23, 2009. Pt was evaluated by neurology on 3/25/10: Neuro exam: non focal. See below for MRI and EEG results. Referred to Cardiology to r/o convulsive syncope. Workup included EKG, Echo, Holter Monitor. Evaluation did not reveal "any significant structural or electrical abnormality that likely explains his presentation. 5/21/10 pt placed P3 profile until Nov 2010. Continue "spell" precautions: (no driving, no operating heavy machinery, no carrying a weapon, no swimming alone, no walking at heights, no deployments. Pt to f/u with neurology Nov 2010. Temporary medical exemption to all vaccinations. Symptoms: Palpitations (785.1), Disturbance of skin sensation (782.0), Symptom, nervous/muscskltl systems NEC (781.99), Syncope and collapse (780.2), Abnormal involuntary movement NEC (781.0), Syncope and collapse (780.2).
Age: 39.0
Sex: M
Vaccine: RAB, TD
Symptoms: Chest pain, Nausea, Swelling, Vomiting
Clinical narrative: Nausea, vomiting, chest pain, slight swelling noted, no redness.
Age: 39.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Redness, warmth, swelling from deltoid area, down to just below elbow. Treated with 7 day course of oral antibiotic.
Sex: F
Vaccine: VARCEL
Symptoms: Acoustic stimulation tests normal, Ankyloglossia congenital, Apgar score normal, Body temperature normal, Congenital tongue anomaly
Clinical narrative: Information has been received from a physician via medical records, concerning a newborn female with no known drugs allergies, who's mother was vaccinated on 03-SEP-2009 with a 0.5ml first dose of VARIVAX (Merck) (lot # 665103/1001Y). During pregnancy the patient was also exposed to vitamins (unspecified) and ONDANSETRON RL. She was a term newborn. She was found to be normal but quite tongue tied at birth with a heart shaped tongue. On 14-MAR-2010, the patient was doing well; the patient's mother decided not to breastfeed, she also declined frenulectomy. All the following laboratories came back negative: amino acidemias, biotinidase deficiency, congenital adrenal hyperplasia, congenital hypothyroidism, cystic fibrosis, fatty acid oxidation galactosemia and organic acidemias; hemoglobinopathies were normal. The infant passed her hearing screening. On 15-MAR-2010 at 12:00 the patient was discharged home in a stable condition with her parents. On 17-MAR-2010, the patient's mother was requesting frenulum clipping to ease some discomfort of breast feeding and to prevent speech problems later on. Discussed technique for this and both mother and father consent to this procedure. Using an iris scissors, the physician was able to get the baby crying and her frenulum was clipped. She did have improved movement of the tongue and no longer having the heart shaped indentation at the tip. Minimal bleeding less than 1 cc and patient tolerated the procedure well. She took a pacifier and calmed down immediately after. Metabolic screen was pending. Her physical examination was within normal limits. On 31-MAR-2010 the patient had another well-child check. It was noted that the patient had a little bit of nasal congestion and watering eyes, but otherwise she was doing well. Her parents have switched her over to formula full time. She was above her birth weight. Her metabolic screen was normal. She did have some normal watery eyes consistent with some mildly blocked tear ducts within normal. Physical examination was within normal limits. The mother's experience has been captured in WAES # 0909USA01277. No further information is available.
Sex: F
Vaccine: VARCEL
Symptoms: Dacryostenosis acquired, Drug exposure during pregnancy, Lacrimation increased, Metabolic function test normal, Nasal congestion
Clinical narrative: Information has been received from a physician via medical records, concerning a newborn female with no known drugs allergies, who's mother was vaccinated on 03-SEP-2009 with a 0.5ml first dose of VARIVAX (Merck) (lot # 665103/1001Y). During pregnancy the patient was also exposed to vitamins (unspecified) and ONDANSETRON RL. She was a term newborn. She was found to be normal but quite tongue tied at birth with a heart shaped tongue. On 14-MAR-2010, the patient was doing well; the patient's mother decided not to breastfeed, she also declined frenulectomy. All the following laboratories came back negative: amino acidemias, biotinidase deficiency, congenital adrenal hyperplasia, congenital hypothyroidism, cystic fibrosis, fatty acid oxidation galactosemia and organic acidemias; hemoglobinopathies were normal. The infant passed her hearing screening. On 15-MAR-2010 at 12:00 the patient was discharged home in a stable condition with her parents. On 17-MAR-2010, the patient's mother was requesting frenulum clipping to ease some discomfort of breast feeding and to prevent speech problems later on. Discussed technique for this and both mother and father consent to this procedure. Using an iris scissors, the physician was able to get the baby crying and her frenulum was clipped. She did have improved movement of the tongue and no longer having the heart shaped indentation at the tip. Minimal bleeding less than 1 cc and patient tolerated the procedure well. She took a pacifier and calmed down immediately after. Metabolic screen was pending. Her physical examination was within normal limits. On 31-MAR-2010 the patient had another well-child check. It was noted that the patient had a little bit of nasal congestion and watering eyes, but otherwise she was doing well. Her parents have switched her over to formula full time. She was above her birth weight. Her metabolic screen was normal. She did have some normal watery eyes consistent with some mildly blocked tear ducts within normal. Physical examination was within normal limits. The mother's experience has been captured in WAES # 0909USA01277. No further information is available.
Sex: F
Vaccine: VARCEL
Symptoms: Tongue tie operation
Clinical narrative: Information has been received from a physician via medical records, concerning a newborn female with no known drugs allergies, who's mother was vaccinated on 03-SEP-2009 with a 0.5ml first dose of VARIVAX (Merck) (lot # 665103/1001Y). During pregnancy the patient was also exposed to vitamins (unspecified) and ONDANSETRON RL. She was a term newborn. She was found to be normal but quite tongue tied at birth with a heart shaped tongue. On 14-MAR-2010, the patient was doing well; the patient's mother decided not to breastfeed, she also declined frenulectomy. All the following laboratories came back negative: amino acidemias, biotinidase deficiency, congenital adrenal hyperplasia, congenital hypothyroidism, cystic fibrosis, fatty acid oxidation galactosemia and organic acidemias; hemoglobinopathies were normal. The infant passed her hearing screening. On 15-MAR-2010 at 12:00 the patient was discharged home in a stable condition with her parents. On 17-MAR-2010, the patient's mother was requesting frenulum clipping to ease some discomfort of breast feeding and to prevent speech problems later on. Discussed technique for this and both mother and father consent to this procedure. Using an iris scissors, the physician was able to get the baby crying and her frenulum was clipped. She did have improved movement of the tongue and no longer having the heart shaped indentation at the tip. Minimal bleeding less than 1 cc and patient tolerated the procedure well. She took a pacifier and calmed down immediately after. Metabolic screen was pending. Her physical examination was within normal limits. On 31-MAR-2010 the patient had another well-child check. It was noted that the patient had a little bit of nasal congestion and watering eyes, but otherwise she was doing well. Her parents have switched her over to formula full time. She was above her birth weight. Her metabolic screen was normal. She did have some normal watery eyes consistent with some mildly blocked tear ducts within normal. Physical examination was within normal limits. The mother's experience has been captured in WAES # 0909USA01277. No further information is available.
Age: 16.0
Sex: F
Vaccine: HPV4, MNQ
Symptoms: Activities of daily living impaired, Arthralgia, Laboratory test normal, Neck pain
Clinical narrative: Information has been received from a physician concerning a 16 year old female with acne, migraine, dysmenorrhea, mid cycle pain and oxycodone allergy (it was for a broken bone sustained in an athletic incident, much prior to receiving GARDASIL) who on 08-JUL-2009 was vaccinated IM with the first dose of GARDASIL (lot# 661954/1131X). Concomitant therapy included MENACTRA and minocycline. On 14-JUL-2009 the patient began to complain of neck pain and joint pain. Neck pain and joint pain happened twice in the week following the vaccination. On 17-JUL-2009, she went to her pediatrician, who noted that there was no joint swelling, redness, nor heat. On 10-AUG-2009, she went to a pediatric rheumatologist, who stopped the minocycline (for acne), and gave an anti-inflammatory for the neck pain and joint pain. Lab and diagnostic studies were normal. She recovered during the winter of 2009 (approximately December 2009). Neck pain and joint pain were considered to be other important medical events by the rheumatologist. Neck pain and joint pain were considered to be disabling since the patient couldn't go to school. No further information is available.
Age: 1.49
Sex: M
Vaccine: DTAP, HIBV
Symptoms: Atrial rupture, Death
Clinical narrative: Patient came in for well child check on 4/19/10 received DTAP and HIB at the same visit. Clinic contacted by Medical Examiner that patient died on 4/24/2010 of ruptured R atrium after T.V. fell on him. D. Cert attached.
Age: 59.0
Sex: F
Vaccine: FLU(H1N1), FLU3
Symptoms: Chest pain, Feeling abnormal, Headache, Laboratory test normal, Nausea
Clinical narrative: The evening after receiving the shots she began having chest pain, heart palpations, nausea, and headaches. Was brought to ER and admitted. Test were run and could not find any problems with pt. States still feeling bad with those symptoms.
Age: 59.0
Sex: F
Vaccine: FLU(H1N1), FLU3
Symptoms: Palpitations
Clinical narrative: The evening after receiving the shots she began having chest pain, heart palpations, nausea, and headaches. Was brought to ER and admitted. Test were run and could not find any problems with pt. States still feeling bad with those symptoms.
Age: 43.0
Sex: M
Vaccine: ANTH
Symptoms: Laboratory test, Nerve conduction studies, Unevaluable event
Clinical narrative: Hospitalized since 5-18-10.
Age: 75.0
Sex: M
Vaccine: VARZOS
Symptoms: Photodermatosis, Pruritus
Clinical narrative: Photo dermatitis face , arms and right hand. Pruritic. Saw dermatologist. He thought possible reaction to HCTZ and sun. HCTZ D/c'd. Seen at Dr office 4/15/10 and 5/10/10. Rash slowly improving. Non pruritic now. Using creams prescribed by dermatologist. Has f/u visit with us about 5/24/10.
Age: 78.0
Sex: M
Vaccine: HEPA
Symptoms: Inappropriate schedule of drug administration, Unevaluable event, Vaccination error
Clinical narrative: Pt received second dose of HAVRIX at 1 month interval instead of 6 months. Was to have received 2nd dose of Hepatitis B.
Age: 56.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site discomfort, Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Client phoned stating that she started having redness, swelling and discomfort approximately 3" below injection site of vaccine on left arm.  C/o warm to touch.  Denied fever, chills, nausea or vomiting or drainage to site.  S/S started 5/16/10.  5/20/10 TC.  Swelling has resolved and almost back to normal.  Did see MD after coming to Unit and was told to apply ice.
Age: 9.0
Sex: F
Vaccine: VARCEL
Symptoms: Erythema, Rash
Clinical narrative: Vesicular rash on trunk in 2 days. Erythema around injection site (about 6 cm diam).
Age: 14.0
Sex: F
Vaccine: HPV4
Symptoms: Electroencephalogram abnormal, Syncope
Clinical narrative: I saw patient on 5/06/09 - Thin with history of fainting spells, near "black outs" that started summer '08. Start near time of 2nd HPV. Symptoms worsen from 3/09-5/6/09. Multiple labs, EKG, cardiology eval was done. EEG 8/4/09 was abnormal. Placed on Keppra 750 mg BID. Followed by neurology.  Follow up - Please note - the exact "onset date" can not be determined. You may wish to contact the mother of patient for more details; she stated that she was available for questions. Pt received her first HPV on April 15, 2008, along with Tdap, MCV4, and Hep A. On June 17, 2008, pt mentioned that she had almost fainted the previous week, and that she had been having episodes of "near-fainting" approximately once per week since her second HPV. She stated at that time that she never falls to the floor but feels that if she does not hold herself, she would probably fall. No exact date as to when first episode occurred except to say that it started around the time of the second HPV. I told mom to keep calendar of these near-fainting episodes (I felt at that time that the patient's diet was a possible cause). Pt received her third HPV that day. On October 29, 2008, I saw pt for a sport physical. Mom felt that the near-fainting episodes were better and may have resolved. She did mention that after the third HPV, that her daughter was a "little fainty". On May 06, 2009, pt came in because for the last 2 months the near-fainting spells were now daily. Mom stated that in the fall of 2008, near-fainting episodes were few and far between but now were almost daily. labaoratory workup and EKG were done. She was referred to a cardiologist, and to a neurologist. Pt saw a neurologist on July 10, 2010, and attributed her near-syncopal episodes to dehydration. On August 04, 2009, pt had an abnormal EEG. As a result of the abnormal EEG, pt was started on KEPPRA, an anticonvulsant. On follow-up visit witht the neurologist on October 22, 2009, her near-syncopal episodes resolved with KEPPRA. Patient's last name corrected.
Age: 6.0
Sex: M
Vaccine: VARCEL
Symptoms: Injection site erythema, Injection site induration, Injection site nodule
Clinical narrative: Pt. received VARIVAX on Friday 5-7-10 Lt. thigh. Mom reported on Monday, that area was red and hard nodule was noted at the injection site. Pt came to office and site was viewed by Doctor.
Age: 2.0
Sex: F
Vaccine: PNC13
Symptoms: Erythema, Pain, Pyrexia, Swelling
Clinical narrative: 5/11 Patient received PCV13 around noon. C/o pain that evening. 5/12 swelling and redness; Fever 102 degrees F. Went to ER. Rx: Cephalexin  tsp po q 8 hrs. 5/13 no improvement increased swelling returned to ER. Rx: Septra. 5/14 Fever decreased lowered swelling and redness. Resolved by 5-17-10.
Age: 3.0
Sex: F
Vaccine: MMR, PNC13
Symptoms: Erythema, Induration
Clinical narrative: 24 hours after PREVNAR 13 injection in right thigh developed 5x6 in area of marked erythema and induration. Decrease in symptoms after 3-4 days. Received MOTRIN and BENADRYL po and BENADRYL cream to area.
Age: 14.0
Sex: F
Vaccine: HEPA, MNQ
Symptoms: Incorrect dose administered
Clinical narrative: Pt was given a second dose of MENACTRA. Pt. tolerated well.
Age: 20.0
Sex: F
Vaccine: SMALL
Symptoms: Hypersensitivity, Urticaria
Clinical narrative: Allergic reaction, urticaria - Prednisone burst X 5 days - ZYRTEC 10mg QD x 30 days
Age: 16.0
Sex: F
Vaccine: HPV4
Symptoms: Swelling
Clinical narrative: Patient stated her hold right side was swollen. Patient came in for 3rd dose and told the doctor what happen on 3/12/2010.
Age: 3.0
Sex: M
Vaccine: DTAP, HEPA
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Redness at sight of injection the day after vaccines. Redness increased and swelling began at site of injection by the end of that day. Swelling is still bigger than half dollars size and very warm to touch.  Mom is tx with ice and Tylenol.
Age: 20.0
Sex: F
Vaccine: RAB
Symptoms: Arthralgia, Dizziness, Myalgia
Clinical narrative: #2 Rabavert on 5/13/10 at approx 8:30 AM-reports by 8:00pm-c/o severe muscle and joint pain. Symptoms lasting until 5/16/10. Denies any reaction at injection site. Stated with #1 injection on 5/6/10 had an episode of dizziness lasting only 5-10 and minutes and was not reported.
Age: 1.01
Sex: F
Vaccine: MMR, PNC, VARCEL
Symptoms: Injection site erythema, Injection site induration, Pyrexia
Clinical narrative: Patient went home and had no difficulty however 1 week after getting shots hard red area appeared where injection was given and patient is now having fever as well. At this time knot still appears.
Age: 70.0
Sex: F
Vaccine: FLUX(H1N1)
Symptoms: Immediate post-injection reaction, Injection site pain, X-ray
Clinical narrative: I noticed immediately that I had pain in area of shot. After a couple of days, I called chiro for adjustment and ultrasound to calm pain. After 4 or 5 treatments, I called med Dr. for XRAY and they gave cortisone shot - followed by P.T. 2x a week for 3 wk. The pain was bad so I quit P.T. Another cortisone shot on May 5.
Age: 33.0
Sex: M
Vaccine: TDAP
Symptoms: Back pain, Chest pain, Facial asymmetry, Facial palsy, Guillain-Barre syndrome
Clinical narrative: 4/16/10 pt. experiencing chest/back pain, numbness/asymmetry in face, pt. sent to ER Dx with Bells Palsy, the Dx with Guillain Barre Syndrome.
Age: 33.0
Sex: M
Vaccine: TDAP
Symptoms: Hypoaesthesia facial
Clinical narrative: 4/16/10 pt. experiencing chest/back pain, numbness/asymmetry in face, pt. sent to ER Dx with Bells Palsy, the Dx with Guillain Barre Syndrome.
Age: 1.01
Sex: M
Vaccine: MMR, PNC, VARCEL
Symptoms: Injection site urticaria
Clinical narrative: Hives on left thigh in the area of MMR and VARIVAX vaccines appeared within 10 minutes of receiving vaccines. Resolved after diphenhydramine by mouth.
Age: 11.0
Sex: M
Vaccine: VARCEL
Symptoms: Pyrexia, Rash vesicular, Skin lesion, Viral test
Clinical narrative: Fever to 101.9 and "rash", rash c/w with varicella, 50-75 lesions by 5/24/10 8 am; symptomatic care prescribed.
Age: 19.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Abnormal behaviour, Fear, Hallucination, auditory
Clinical narrative: Patient says hearing voices, climbing on roofs, afraid of people.
Age: 18.0
Sex: F
Vaccine: HPV4, TDAP, HPV4, TDAP
Symptoms: Bruxism, Crying, Cyanosis, Feeling abnormal, Musculoskeletal stiffness
Clinical narrative: Approximately 5 minutes after immuns given, nurse called to waiting room because receptionist thought she heard pt "crying". Pt in chair unresponsive, LE extended, arms and hands clenched into body, back arched over side of chair, mouth clenched, sl. circumoral cyanosis. Pt started to arouse as soon as attempt was made to reposition pt. Dazed but knew she was in the Dr's office. Also noticed pt had been incontinent of urine. By 1630-1635 < pt alert, responsive, oriented, lying down with feet up.  DC'ed home with father about 1715.
Age: 18.0
Sex: F
Vaccine: HPV4, TDAP, HPV4, TDAP
Symptoms: Unresponsive to stimuli, Urinary incontinence
Clinical narrative: Approximately 5 minutes after immuns given, nurse called to waiting room because receptionist thought she heard pt "crying". Pt in chair unresponsive, LE extended, arms and hands clenched into body, back arched over side of chair, mouth clenched, sl. circumoral cyanosis. Pt started to arouse as soon as attempt was made to reposition pt. Dazed but knew she was in the Dr's office. Also noticed pt had been incontinent of urine. By 1630-1635 < pt alert, responsive, oriented, lying down with feet up.  DC'ed home with father about 1715.
Age: 18.0
Sex: F
Vaccine: HPV4, TDAP, HPV4, TDAP
Symptoms: Convulsion, Cyanosis, Loss of consciousness, Malaise, Muscle tightness
Clinical narrative: Approximately 5 minutes after immuns given, nurse called to waiting room because receptionist thought she heard pt "crying". Pt in chair unresponsive, LE extended, arms and hands clenched into body, back arched over side of chair, mouth clenched, sl. circumoral cyanosis. Pt started to arouse as soon as attempt was made to reposition pt. Dazed but knew she was in the Dr's office. Also noticed pt had been incontinent of urine. By 1630-1635 < pt alert, responsive, oriented, lying down with feet up.  DC'ed home with father about 1715.
Age: 18.0
Sex: F
Vaccine: HPV4, TDAP, HPV4, TDAP
Symptoms: Musculoskeletal stiffness, Surgery, Urinary incontinence
Clinical narrative: Approximately 5 minutes after immuns given, nurse called to waiting room because receptionist thought she heard pt "crying". Pt in chair unresponsive, LE extended, arms and hands clenched into body, back arched over side of chair, mouth clenched, sl. circumoral cyanosis. Pt started to arouse as soon as attempt was made to reposition pt. Dazed but knew she was in the Dr's office. Also noticed pt had been incontinent of urine. By 1630-1635 < pt alert, responsive, oriented, lying down with feet up.  DC'ed home with father about 1715.
Age: 0.89
Sex: F
Vaccine: HEPA, MMR, VARCEL
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: 5/20/0 Two patients with a very close first name and same last name. Consulted he recommended to wait 15 months.
Age: 1.02
Sex: F
Vaccine: HEPA, MMR, PNC13, VARCEL
Symptoms: Body temperature increased, Cough, Irritability, Wheezing
Clinical narrative: Had vaccines on 5/20, cough fussy in the evening. Low grade temp and wheezing on 5/21.
Age: 4.0
Sex: F
Vaccine: PNC13
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Swollen red injection site from 5/20/10 - left thigh.
Age: 25.0
Sex: F
Vaccine: HEPAB, PPV
Symptoms: Cellulitis, Differential white blood cell count, Full blood count, Injection site erythema, Injection site swelling
Clinical narrative: Pt had swelling and noted redness at injection site also reported fevers and body aches 24hrs after injection. Pt seen 48 hrs after injection treated with antibiotic for cellulitis. Pt seen again in office 5 days after injection area much improved no redness or swelling noted.
Age: 25.0
Sex: F
Vaccine: HEPAB, PPV
Symptoms: Pain, Pyrexia
Clinical narrative: Pt had swelling and noted redness at injection site also reported fevers and body aches 24hrs after injection. Pt seen 48 hrs after injection treated with antibiotic for cellulitis. Pt seen again in office 5 days after injection area much improved no redness or swelling noted.
Age: 1.62
Sex: F
Vaccine: HEPA, PNC13
Symptoms: Rash generalised
Clinical narrative: Rash all over body.
Age: 56.0
Sex: F
Vaccine: VARZOS
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: 56 year old patient inadvertently vaccinated with Zostavax with no ill effects.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Abdominal pain, Asthenia, Blood pressure decreased, Breath sounds abnormal, Nausea
Clinical narrative: Approximately 45 minutes after vaccines administered, c/o abd pain, nausea, pale, weakness. On exam, had decreased breath sounds, occas. wheeze, O2 sat 87% RA. BP. 90/50. Resolved with BENADRYL and albuterol. (Anaphylaxis).
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Oxygen saturation decreased, Pallor, Wheezing
Clinical narrative: Approximately 45 minutes after vaccines administered, c/o abd pain, nausea, pale, weakness. On exam, had decreased breath sounds, occas. wheeze, O2 sat 87% RA. BP. 90/50. Resolved with BENADRYL and albuterol. (Anaphylaxis).