chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 57.0
Sex: M
Vaccine: FLUX
Symptoms: Headache, Hypertension, Hypoaesthesia, International normalised ratio decreased, Lumbar puncture
Clinical narrative: Presented to the emergency room with a chief complaint of weakness and tingling in the extremities for 3 days.  It started with tingling and numbness in his hands, followed by foot.  It involves all his fingers up to just below shoulder, and also his toes.  Feels that he is in balance.  He also complains of mild headache.  Denies any history of dysarthria, visual changes.  He had a recent vaccination a couple of weeks ago, prior to his symptoms.  No history of any upper respiratory tract infection. 1.  Guillain-Barre syndrome. His EMG was abnormal, consistent with demyelinating neuropathy.  He had a spinal tap, which revealed elevated protein.  He was started on plasmapheresis on 10/27/07. He had a pleural catheter placed by Nephrology.  So far, he received 5 plasmapheresis.  His symptoms are better.  He is actively participating in physical therapy. 2.  Hypertension.  His blood pressure was elevated in the hospital.  He was started on Norvasc.  Will continue Norvasc 10 mg p.o. daily.  Will avoid ACE inhibitors as he is on plasmapheresis. 3.  Nonobstructive 10-mm left renal mid pole calculus. Asymptomatic. 4.  GERD.  He was started on Prilosec. 1/18/08-records received for DOS 10/24-11/2/07-DC DX: Guillain-Barre syndrome. Hypertension. GERD, nonobstructive 10-mm left renal mid pole calculus. Presented to ER with C/O weakness and tingling in extremities for 3 days. Tingling began then followed with numbness in hands, followed by foot. Involves all his fingers and up to shoulders and toes. Headache. Treated with plasmapheresis. Transferred to inpatient rehab.  Ongoing paresthesias. Significant weakness initially, requiring hospitalization and several months of therapy and time off work. Now recovering from GUILLAIN-BARRE syndrome and effects. Now complete recovery except for mild fatuge and paresthesis.
Age: 57.0
Sex: M
Vaccine: FLUX
Symptoms: Muscular weakness, Nephrolithiasis, Nuclear magnetic resonance imaging normal, Paraesthesia, Plasmapheresis
Clinical narrative: Presented to the emergency room with a chief complaint of weakness and tingling in the extremities for 3 days.  It started with tingling and numbness in his hands, followed by foot.  It involves all his fingers up to just below shoulder, and also his toes.  Feels that he is in balance.  He also complains of mild headache.  Denies any history of dysarthria, visual changes.  He had a recent vaccination a couple of weeks ago, prior to his symptoms.  No history of any upper respiratory tract infection. 1.  Guillain-Barre syndrome. His EMG was abnormal, consistent with demyelinating neuropathy.  He had a spinal tap, which revealed elevated protein.  He was started on plasmapheresis on 10/27/07. He had a pleural catheter placed by Nephrology.  So far, he received 5 plasmapheresis.  His symptoms are better.  He is actively participating in physical therapy. 2.  Hypertension.  His blood pressure was elevated in the hospital.  He was started on Norvasc.  Will continue Norvasc 10 mg p.o. daily.  Will avoid ACE inhibitors as he is on plasmapheresis. 3.  Nonobstructive 10-mm left renal mid pole calculus. Asymptomatic. 4.  GERD.  He was started on Prilosec. 1/18/08-records received for DOS 10/24-11/2/07-DC DX: Guillain-Barre syndrome. Hypertension. GERD, nonobstructive 10-mm left renal mid pole calculus. Presented to ER with C/O weakness and tingling in extremities for 3 days. Tingling began then followed with numbness in hands, followed by foot. Involves all his fingers and up to shoulders and toes. Headache. Treated with plasmapheresis. Transferred to inpatient rehab.  Ongoing paresthesias. Significant weakness initially, requiring hospitalization and several months of therapy and time off work. Now recovering from GUILLAIN-BARRE syndrome and effects. Now complete recovery except for mild fatuge and paresthesis.
Age: 57.0
Sex: M
Vaccine: FLUX
Symptoms: Platelet count decreased, White blood cell count
Clinical narrative: Presented to the emergency room with a chief complaint of weakness and tingling in the extremities for 3 days.  It started with tingling and numbness in his hands, followed by foot.  It involves all his fingers up to just below shoulder, and also his toes.  Feels that he is in balance.  He also complains of mild headache.  Denies any history of dysarthria, visual changes.  He had a recent vaccination a couple of weeks ago, prior to his symptoms.  No history of any upper respiratory tract infection. 1.  Guillain-Barre syndrome. His EMG was abnormal, consistent with demyelinating neuropathy.  He had a spinal tap, which revealed elevated protein.  He was started on plasmapheresis on 10/27/07. He had a pleural catheter placed by Nephrology.  So far, he received 5 plasmapheresis.  His symptoms are better.  He is actively participating in physical therapy. 2.  Hypertension.  His blood pressure was elevated in the hospital.  He was started on Norvasc.  Will continue Norvasc 10 mg p.o. daily.  Will avoid ACE inhibitors as he is on plasmapheresis. 3.  Nonobstructive 10-mm left renal mid pole calculus. Asymptomatic. 4.  GERD.  He was started on Prilosec. 1/18/08-records received for DOS 10/24-11/2/07-DC DX: Guillain-Barre syndrome. Hypertension. GERD, nonobstructive 10-mm left renal mid pole calculus. Presented to ER with C/O weakness and tingling in extremities for 3 days. Tingling began then followed with numbness in hands, followed by foot. Involves all his fingers and up to shoulders and toes. Headache. Treated with plasmapheresis. Transferred to inpatient rehab.  Ongoing paresthesias. Significant weakness initially, requiring hospitalization and several months of therapy and time off work. Now recovering from GUILLAIN-BARRE syndrome and effects. Now complete recovery except for mild fatuge and paresthesis.
Age: 66.0
Sex: M
Vaccine: FLU3
Symptoms: Albuminuria, Asthenia, Balance disorder, Blood glucose increased, Computerised tomogram abnormal
Clinical narrative: History of having had an upper respiratory tract infection 2 weeks ago, for which he was treated symptomatically with over-the-counter medications.  He was immunized with the influenza vaccine on 12/18/07.  Following this, on 12/22/07, he developed tingling/numbness in the fingers of both hands and the toes of both feet.  It gradually progressed to involve his hands the next day, associated with a feeling of weakness in his hands and feet.  He also developed imbalance and felt unsteady when walking.  He does not give a history of shortness of breath, dysphagia, double vision, or dysarthria. There is no history of neck/back pain or radicular symptoms in his extremities. He was admitted, Neurology was consulted in regard to his care. He was started on IVIG. He received 5 days of IVIG and was recommended to continue with physical therapy, occupational therapy. At time of transfer to Rehab, he is about 50% back to his baseline, continues to have some numbness in his hands.  1/18/08 Reviewed hospital medical records which reveal patient experienced progressive foot/hand tingling, weakness, decreased hand grip, difficulty walking x 4 days.  When received flu vax at clinic vs of 12/18 had improving URI symptoms w/dry cough.  Admitted 12/26-12/31/2007.  Neuro consult done.  Tx w/IVIG x 5 w/some improvement.  Transferred to inpatient rehab 12/31/2007-1/04/2008.  Developed right shoulder pain while in hospital & dx w/impingement & rotator cuff tendonitis & was tx by Ortho w/steroid injection w/good results.  D/C to w/continued PT, Neuro & Ortho f/u as outpatient. FINAL DX: Guillain-Barre syndrome; axonal peripheral polyneuropathy, sensory axonal neuropathy; possible right CTS. 1/24/08 Received EMG/NCS of 12/27/07 which concludes mixed sensory/motor polyneuropathy w/axonal & demylinating features.
Age: 66.0
Sex: M
Vaccine: FLU3
Symptoms: Full blood count, Gait disturbance, Glycosylated haemoglobin increased, Haematocrit decreased, Haemoglobin decreased
Clinical narrative: History of having had an upper respiratory tract infection 2 weeks ago, for which he was treated symptomatically with over-the-counter medications.  He was immunized with the influenza vaccine on 12/18/07.  Following this, on 12/22/07, he developed tingling/numbness in the fingers of both hands and the toes of both feet.  It gradually progressed to involve his hands the next day, associated with a feeling of weakness in his hands and feet.  He also developed imbalance and felt unsteady when walking.  He does not give a history of shortness of breath, dysphagia, double vision, or dysarthria. There is no history of neck/back pain or radicular symptoms in his extremities. He was admitted, Neurology was consulted in regard to his care. He was started on IVIG. He received 5 days of IVIG and was recommended to continue with physical therapy, occupational therapy. At time of transfer to Rehab, he is about 50% back to his baseline, continues to have some numbness in his hands.  1/18/08 Reviewed hospital medical records which reveal patient experienced progressive foot/hand tingling, weakness, decreased hand grip, difficulty walking x 4 days.  When received flu vax at clinic vs of 12/18 had improving URI symptoms w/dry cough.  Admitted 12/26-12/31/2007.  Neuro consult done.  Tx w/IVIG x 5 w/some improvement.  Transferred to inpatient rehab 12/31/2007-1/04/2008.  Developed right shoulder pain while in hospital & dx w/impingement & rotator cuff tendonitis & was tx by Ortho w/steroid injection w/good results.  D/C to w/continued PT, Neuro & Ortho f/u as outpatient. FINAL DX: Guillain-Barre syndrome; axonal peripheral polyneuropathy, sensory axonal neuropathy; possible right CTS. 1/24/08 Received EMG/NCS of 12/27/07 which concludes mixed sensory/motor polyneuropathy w/axonal & demylinating features.
Age: 66.0
Sex: M
Vaccine: FLU3
Symptoms: Hypoaesthesia, Immunoglobulins, Laboratory test, Laboratory test normal, Lipids normal
Clinical narrative: History of having had an upper respiratory tract infection 2 weeks ago, for which he was treated symptomatically with over-the-counter medications.  He was immunized with the influenza vaccine on 12/18/07.  Following this, on 12/22/07, he developed tingling/numbness in the fingers of both hands and the toes of both feet.  It gradually progressed to involve his hands the next day, associated with a feeling of weakness in his hands and feet.  He also developed imbalance and felt unsteady when walking.  He does not give a history of shortness of breath, dysphagia, double vision, or dysarthria. There is no history of neck/back pain or radicular symptoms in his extremities. He was admitted, Neurology was consulted in regard to his care. He was started on IVIG. He received 5 days of IVIG and was recommended to continue with physical therapy, occupational therapy. At time of transfer to Rehab, he is about 50% back to his baseline, continues to have some numbness in his hands.  1/18/08 Reviewed hospital medical records which reveal patient experienced progressive foot/hand tingling, weakness, decreased hand grip, difficulty walking x 4 days.  When received flu vax at clinic vs of 12/18 had improving URI symptoms w/dry cough.  Admitted 12/26-12/31/2007.  Neuro consult done.  Tx w/IVIG x 5 w/some improvement.  Transferred to inpatient rehab 12/31/2007-1/04/2008.  Developed right shoulder pain while in hospital & dx w/impingement & rotator cuff tendonitis & was tx by Ortho w/steroid injection w/good results.  D/C to w/continued PT, Neuro & Ortho f/u as outpatient. FINAL DX: Guillain-Barre syndrome; axonal peripheral polyneuropathy, sensory axonal neuropathy; possible right CTS. 1/24/08 Received EMG/NCS of 12/27/07 which concludes mixed sensory/motor polyneuropathy w/axonal & demylinating features.
Age: 66.0
Sex: M
Vaccine: FLU3
Symptoms: Microalbuminuria, Neutrophil count increased, Paraesthesia, Platelet disorder, Red blood cell sedimentation rate increased
Clinical narrative: History of having had an upper respiratory tract infection 2 weeks ago, for which he was treated symptomatically with over-the-counter medications.  He was immunized with the influenza vaccine on 12/18/07.  Following this, on 12/22/07, he developed tingling/numbness in the fingers of both hands and the toes of both feet.  It gradually progressed to involve his hands the next day, associated with a feeling of weakness in his hands and feet.  He also developed imbalance and felt unsteady when walking.  He does not give a history of shortness of breath, dysphagia, double vision, or dysarthria. There is no history of neck/back pain or radicular symptoms in his extremities. He was admitted, Neurology was consulted in regard to his care. He was started on IVIG. He received 5 days of IVIG and was recommended to continue with physical therapy, occupational therapy. At time of transfer to Rehab, he is about 50% back to his baseline, continues to have some numbness in his hands.  1/18/08 Reviewed hospital medical records which reveal patient experienced progressive foot/hand tingling, weakness, decreased hand grip, difficulty walking x 4 days.  When received flu vax at clinic vs of 12/18 had improving URI symptoms w/dry cough.  Admitted 12/26-12/31/2007.  Neuro consult done.  Tx w/IVIG x 5 w/some improvement.  Transferred to inpatient rehab 12/31/2007-1/04/2008.  Developed right shoulder pain while in hospital & dx w/impingement & rotator cuff tendonitis & was tx by Ortho w/steroid injection w/good results.  D/C to w/continued PT, Neuro & Ortho f/u as outpatient. FINAL DX: Guillain-Barre syndrome; axonal peripheral polyneuropathy, sensory axonal neuropathy; possible right CTS. 1/24/08 Received EMG/NCS of 12/27/07 which concludes mixed sensory/motor polyneuropathy w/axonal & demylinating features.
Age: 15.0
Sex: F
Vaccine: HPV4
Symptoms: Coagulation test normal, Contraception, Deep vein thrombosis, Thoracic outlet syndrome, Ultrasound scan abnormal
Clinical narrative: Patient received first Gardasil vaccine on 3/7/07 and second Gardasil vaccine on 5/9/07.  Patient developed a DVT in the right upper extremity subclavian and axillary veins on 6/23/07.  At the time, she was also on oral contraceptives.  She was subsequently found to have thoracic outlet syndrome in the same extremity. 1/24/08-records received for DC DX: Deep vein thrombosis, right arm. Depression. One day prior to admission noted dull pain in right shoulder, swelling developed of right shoulder and arm, then discoloration of distal arm. Treated with anticoagulant therapy.
Age: 15.0
Sex: F
Vaccine: HPV4
Symptoms: Venogram abnormal
Clinical narrative: Patient received first Gardasil vaccine on 3/7/07 and second Gardasil vaccine on 5/9/07.  Patient developed a DVT in the right upper extremity subclavian and axillary veins on 6/23/07.  At the time, she was also on oral contraceptives.  She was subsequently found to have thoracic outlet syndrome in the same extremity. 1/24/08-records received for DC DX: Deep vein thrombosis, right arm. Depression. One day prior to admission noted dull pain in right shoulder, swelling developed of right shoulder and arm, then discoloration of distal arm. Treated with anticoagulant therapy.
Age: 74.0
Sex: M
Vaccine: PPV
Symptoms: Acute sinusitis, Antibody test negative, Balance disorder, CSF protein increased, Demyelinating polyneuropathy
Clinical narrative: Double vision and decreased balance.  The patient had been traveling to another country. Upon return he developed some headaches and stomach upset.  His wife actually came to the emergency room for a similar situation. Prior to admission he started noticing some imbalance.  The next morning he was unable to ambulate on his own.  He does have some base line decrease in his balance, but previously he had not been needing to use an assistive device.  He was admitted to hospital for further evaluation.  Neurology was consulted.  Neurology monitored him, consideration was for treatment for Guillain-Barre, however, due to significant improvement this was not required.  He was started in therapy services.  1/18/08 Reviewed hospital medical records which reveals patient experienced URI w/cough, HA & upset stomach while on foreign travel.  On return, developed difficulty walking & imbalance w/slurred speech, diplopia.  Also has chronic numbness over arms/legs which was unchanged.  Admitted 10/19-10/25/2007.  Neuro consult done.  Patient had spontaneous recovery w/o treatment.  Transferred to inpatient rehab 10-25-11/1/2007.  D/C to home w/continued outpatient PT/OT & f/u w/pcp. FINAL DX: Guillain-Barre syndrome, Miller-Fisher variant w/diplopia & ataxia; HTN. 1/25/08 Reviewed EMG/NCS report of 10/22/07 which concludes generalized sensory/motor polyneuropathy w/axonal & demyelinating feathres.
Age: 74.0
Sex: M
Vaccine: PPV
Symptoms: Electromyogram abnormal, Foreign travel, Gait disturbance, Guillain-Barre syndrome, Headache
Clinical narrative: Double vision and decreased balance.  The patient had been traveling to another country. Upon return he developed some headaches and stomach upset.  His wife actually came to the emergency room for a similar situation. Prior to admission he started noticing some imbalance.  The next morning he was unable to ambulate on his own.  He does have some base line decrease in his balance, but previously he had not been needing to use an assistive device.  He was admitted to hospital for further evaluation.  Neurology was consulted.  Neurology monitored him, consideration was for treatment for Guillain-Barre, however, due to significant improvement this was not required.  He was started in therapy services.  1/18/08 Reviewed hospital medical records which reveals patient experienced URI w/cough, HA & upset stomach while on foreign travel.  On return, developed difficulty walking & imbalance w/slurred speech, diplopia.  Also has chronic numbness over arms/legs which was unchanged.  Admitted 10/19-10/25/2007.  Neuro consult done.  Patient had spontaneous recovery w/o treatment.  Transferred to inpatient rehab 10-25-11/1/2007.  D/C to home w/continued outpatient PT/OT & f/u w/pcp. FINAL DX: Guillain-Barre syndrome, Miller-Fisher variant w/diplopia & ataxia; HTN. 1/25/08 Reviewed EMG/NCS report of 10/22/07 which concludes generalized sensory/motor polyneuropathy w/axonal & demyelinating feathres.
Age: 74.0
Sex: M
Vaccine: PPV
Symptoms: Laboratory test, Lumbar puncture, Nuclear magnetic resonance imaging abnormal, Nuclear magnetic resonance imaging brain abnormal, Peripheral sensory neuropathy
Clinical narrative: Double vision and decreased balance.  The patient had been traveling to another country. Upon return he developed some headaches and stomach upset.  His wife actually came to the emergency room for a similar situation. Prior to admission he started noticing some imbalance.  The next morning he was unable to ambulate on his own.  He does have some base line decrease in his balance, but previously he had not been needing to use an assistive device.  He was admitted to hospital for further evaluation.  Neurology was consulted.  Neurology monitored him, consideration was for treatment for Guillain-Barre, however, due to significant improvement this was not required.  He was started in therapy services.  1/18/08 Reviewed hospital medical records which reveals patient experienced URI w/cough, HA & upset stomach while on foreign travel.  On return, developed difficulty walking & imbalance w/slurred speech, diplopia.  Also has chronic numbness over arms/legs which was unchanged.  Admitted 10/19-10/25/2007.  Neuro consult done.  Patient had spontaneous recovery w/o treatment.  Transferred to inpatient rehab 10-25-11/1/2007.  D/C to home w/continued outpatient PT/OT & f/u w/pcp. FINAL DX: Guillain-Barre syndrome, Miller-Fisher variant w/diplopia & ataxia; HTN. 1/25/08 Reviewed EMG/NCS report of 10/22/07 which concludes generalized sensory/motor polyneuropathy w/axonal & demyelinating feathres.
Age: 74.0
Sex: M
Vaccine: PPV
Symptoms: Red blood cell count normal, Sick relative, Stomach discomfort
Clinical narrative: Double vision and decreased balance.  The patient had been traveling to another country. Upon return he developed some headaches and stomach upset.  His wife actually came to the emergency room for a similar situation. Prior to admission he started noticing some imbalance.  The next morning he was unable to ambulate on his own.  He does have some base line decrease in his balance, but previously he had not been needing to use an assistive device.  He was admitted to hospital for further evaluation.  Neurology was consulted.  Neurology monitored him, consideration was for treatment for Guillain-Barre, however, due to significant improvement this was not required.  He was started in therapy services.  1/18/08 Reviewed hospital medical records which reveals patient experienced URI w/cough, HA & upset stomach while on foreign travel.  On return, developed difficulty walking & imbalance w/slurred speech, diplopia.  Also has chronic numbness over arms/legs which was unchanged.  Admitted 10/19-10/25/2007.  Neuro consult done.  Patient had spontaneous recovery w/o treatment.  Transferred to inpatient rehab 10-25-11/1/2007.  D/C to home w/continued outpatient PT/OT & f/u w/pcp. FINAL DX: Guillain-Barre syndrome, Miller-Fisher variant w/diplopia & ataxia; HTN. 1/25/08 Reviewed EMG/NCS report of 10/22/07 which concludes generalized sensory/motor polyneuropathy w/axonal & demyelinating feathres.
Age: 50.0
Sex: F
Vaccine: FLUX
Symptoms: Blood test normal, Chest X-ray, Headache, Pyrexia, Urine analysis normal
Clinical narrative: 5 days after flu shot: fever 101+ for 14 days; severe inflammatory headache for 8 days.
Age: 28.0
Sex: F
Vaccine: FLU3
Symptoms: Pain, Urticaria
Clinical narrative: Hives and body ache X2 days, Benadryl.
Age: 26.0
Sex: F
Vaccine: TYP
Symptoms: Chest pain, Dyspnoea
Clinical narrative: Shortness of Breath, Chest Pain; SIQ 24 hrs, increase fluid intake.
Age: 34.0
Sex: M
Vaccine: ANTH, FLUN3, TYP
Symptoms: Electrocardiogram abnormal, Hyperbilirubinaemia, Pericarditis
Clinical narrative: Acute pericarditis onset 10 Dec 07, Direct hyperbilirubinema with transaminitis onset 20 Dec 07 (appx)- failed Motrin, responding to colchicine and Dilaudid. 2/14/08 Reviewed medical records which reveal patient experienced substernal chest pain radiating to bilateral arms & abdomen, nausea, sleep disturbance. Admitted 12/10-12/12/2007.   FINAL DX: Pericarditis. Exam revealed pleuritis & HA.  Dx w/pericarditis.  Tx w/antiinflammatories & improved.  D/C to cardio clinic f/u.   4/11/08 Reviewed hospital medical records of 12/31/2007-1/7/2008. FINAL DX: acute pericarditis; mycoplasma pneumonia; epididymo-orchitis (resolved); allergic rhinitis; GERD; abdominal pain & diarrhea secondary to colchicine. Records reveal patient experienced recurrent chest pain increased w/cough or lying down, DOE, tenderness to chest wall.  Cardio, ID consults done.   Improved & d/c to home.
Age: 33.0
Sex: F
Vaccine: FLU3
Symptoms: Axillary mass, Erythema, Pain in extremity
Clinical narrative: Her arm was very sore, got large lump in armpit area, arm got red.  Occured the evening of the injection.  Put warm compresses on it.
Age: 58.0
Sex: F
Vaccine: FLU3, TD
Symptoms: Injection site pain, Injection site swelling
Clinical narrative: Patient states her left upper arm is swollen and sore.  No redness, heat, or skin breaks.  Denies any other symptoms.  She has not sought medical treatment.
Age: 4.0
Sex: F
Vaccine: DTAP, FLU3, IPV, MMR, VARCEL
Symptoms: Hypersensitivity, Injection site erythema, Injection site induration, Injection site swelling, Injection site warmth
Clinical narrative: Child received 4 year old vaccinations on 12/6/2007.  That evening her left arm became swollen, hard, red, and hot. No fever.  Her mother called family MD, who told her to put warm compress on area.  On 12/7/07 her arm did not improve.  No further symptoms.  Mom took her to local hospital ER.  MD evaluated child, stated she had a local allergic reaction.  Benadryl was given.  Mom told that child should not receive vaccines again.
Age: 0.15
Sex: M
Vaccine: DTAPHEPBIP, HIBV
Symptoms: Crying, Eye rolling, Hypotonic-hyporesponsive episode, Somnolence
Clinical narrative: Grandmother present for shots.  States he was cryig for the shots, wimpered a little after, eyes rolled back than immediately fell asleep.  Unable to wake for 3 hours.  Called doctor.  Parents took to Hospital.  No episodes of cyanosis or apnea.  Pt. admitted for overnight observation - no further episodes noted.  Discharge doctor wanted this event reported. 1/10/08-records received for DOS 10/19-12/20/08-admitted for observation-C/O eyes rolled back and passed out. About a minute after the shots when the patient had stopped crying he had an episode where the eyes rolled back and then he passed out and was unresponsive for an hour. No skaking no loss of tone. Did not respond to attempts to waken. No cyanosis and no apnea. Sleepy. DX: hypotonic hyporesponsive episode.
Age: 55.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Blood test normal, Musculoskeletal stiffness, Oedema peripheral
Clinical narrative: Within 1 to 2 days client had edema of her fingers on both hands with stiffness. Especially noticed the stiffness at night and when she needs to remove her rings. When see saw her doctor for a physical she mentioned this to the doctor. The doctor ran blood work and it all returned normal.
Age: 55.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Musculoskeletal stiffness, Oedema peripheral
Clinical narrative: Within 1 to 2 days client had edema of her fingers on both hands with stiffness. Especially noticed the stiffness at night and when she needs to remove her rings. When see saw her doctor for a physical she mentioned this to the doctor. The doctor ran blood work and it all returned normal.
Age: 36.0
Sex: F
Vaccine: HEPAB, TDAP, TYP
Symptoms: Pruritus, Rash
Clinical narrative: PT. CALLED AND REPORTED ADVERSE REACTION AFTER COMPLETION OF DOSING. PT. STATED MILD ITCHING AFTER EACH DOSE AND WORSENING WITH EACH SUBSEQUENT PILL TAKEN. ON FOURTH DOSE A RASH DEVELOPED ON TORSO, ARMS, AND HEAD. NO SOB REPORTED. RASH DESCRIBED WAS SMALL AND PIMPLELIKE. SHE TOOK BENADRYL AND THE S/S RESOLVED.
Age: 0.08
Sex: F
Vaccine: HEP
Symptoms: Abnormal behaviour, Crying, Eating disorder, Increased appetite, Screaming
Clinical narrative: This child had been eating normally, never cried, ate normally, and never vomited.  Four hours after the injection, her appetite was voracious.  After eating more than ever before, she vomited violently.  She began nonstop, inconsolable crying.  Her eating became irregular from then on.  She cried for 12 straight days.  She would fall asleep in the middle of a yell, and wake up yelling again.  No consoling techniques helped.  After 12 days she experienced short periods of not crying.  That situation became the norm.  She did not show any of her pre-injection happiness until 6 months later, age 7 months.  Her eating did not return to normal for well over a month.  Her fraternal twin sister experienced the same symptoms to a lesser degree.  Her eating pattern was disrupted the same way, but returned to normal after a few weeks.  She cried for three days straight, but showed happiness again after a few weeks.
Age: 0.08
Sex: F
Vaccine: HEP
Symptoms: Vomiting
Clinical narrative: This child had been eating normally, never cried, ate normally, and never vomited.  Four hours after the injection, her appetite was voracious.  After eating more than ever before, she vomited violently.  She began nonstop, inconsolable crying.  Her eating became irregular from then on.  She cried for 12 straight days.  She would fall asleep in the middle of a yell, and wake up yelling again.  No consoling techniques helped.  After 12 days she experienced short periods of not crying.  That situation became the norm.  She did not show any of her pre-injection happiness until 6 months later, age 7 months.  Her eating did not return to normal for well over a month.  Her fraternal twin sister experienced the same symptoms to a lesser degree.  Her eating pattern was disrupted the same way, but returned to normal after a few weeks.  She cried for three days straight, but showed happiness again after a few weeks.
Age: 1.0
Sex: M
Vaccine: HEP, HEPA, MMR, VARCEL
Symptoms: Blood test, Erythema, Pruritus, Rash generalised, Skin exfoliation
Clinical narrative: Palms of hands and soles of feet sloughed skin in sheets, full body rash, large red spots that swelled then decreased and cleared up.  Saw several family practice physicians and a dermatologist.  Skin rash and constant itching continue past the fourth month since vaccination.
Age: 1.0
Sex: M
Vaccine: HEP, HEPA, MMR, VARCEL
Symptoms: Swelling
Clinical narrative: Palms of hands and soles of feet sloughed skin in sheets, full body rash, large red spots that swelled then decreased and cleared up.  Saw several family practice physicians and a dermatologist.  Skin rash and constant itching continue past the fourth month since vaccination.
Age: 81.0
Sex: F
Vaccine: VARZOS
Symptoms: Blood glucose increased
Clinical narrative: Patient received Zostavax on 12/20/07 from the Pharmacy.  The patient has diabetes.  Blood glucose level increased on 12/21/07.  Levels remained elevated for four days and then returned to normal.  Other than the blood glucose levels being high, the patient had no other symptoms.
Age: 1.5
Sex: F
Vaccine: DTAP, PNC, VARCEL
Symptoms: Blood culture negative, CSF culture negative, Culture urine negative, Febrile convulsion, Rhinitis
Clinical narrative: Febrile seizure in office 12/28/07.  Varivax vaccine administered 12/20/07.  02/21/2008 MR received for DOS 12/28-30/2007 with D/C DX: Complex Febrile Convulsions.  Acute Respiratory Infections. Pt presented to ER from PMD's office where she had had a seizure, mainly consisting of eye fluttering. Pt became apneic requiring Ambu bag ventilations.  The child had presented to PMD with several day hx of croupy cough with vomiting of mucus. Axillary temp 105'F at OV. Pt was transported to ER and then transfered to higher level of care.  PE was (+) for wheezing, crusting of the nares, mildly erythematous throat, and cough. No further seizure activity during stay.
Age: 1.5
Sex: F
Vaccine: DTAP, PNC, VARCEL
Symptoms: Urine analysis normal, White blood cell count increased
Clinical narrative: Febrile seizure in office 12/28/07.  Varivax vaccine administered 12/20/07.  02/21/2008 MR received for DOS 12/28-30/2007 with D/C DX: Complex Febrile Convulsions.  Acute Respiratory Infections. Pt presented to ER from PMD's office where she had had a seizure, mainly consisting of eye fluttering. Pt became apneic requiring Ambu bag ventilations.  The child had presented to PMD with several day hx of croupy cough with vomiting of mucus. Axillary temp 105'F at OV. Pt was transported to ER and then transfered to higher level of care.  PE was (+) for wheezing, crusting of the nares, mildly erythematous throat, and cough. No further seizure activity during stay.
Age: 57.0
Sex: F
Vaccine: FLUX
Symptoms: Blood heavy metal normal, Borrelia burgdorferi serology, Facial paresis, Hypoaesthesia, Lumbar puncture
Clinical narrative: ? Guillain-Barre Syndrome (admitting diagnosis) - Bilateral facial weakness (shortly after receiving flu vaccine) which progressed to numbness/weakness in extremities - received plasmaphoresis - discharged to rehab. 4/21/08-records received for DOS 11/14-11/23/07-DC DX: Hypothyroidism. Cervical disc degeneration/displacement. Bell's palsy. Hypertension. Leukocytosis. Admitted with generalized weakness with numbness and tingling and neurologic dysfunction. Chief complaint of facial weakness, dysphagia and odynophagia.
Age: 57.0
Sex: F
Vaccine: FLUX
Symptoms: Muscular weakness, Plasmapheresis
Clinical narrative: ? Guillain-Barre Syndrome (admitting diagnosis) - Bilateral facial weakness (shortly after receiving flu vaccine) which progressed to numbness/weakness in extremities - received plasmaphoresis - discharged to rehab. 4/21/08-records received for DOS 11/14-11/23/07-DC DX: Hypothyroidism. Cervical disc degeneration/displacement. Bell's palsy. Hypertension. Leukocytosis. Admitted with generalized weakness with numbness and tingling and neurologic dysfunction. Chief complaint of facial weakness, dysphagia and odynophagia.
Age: 11.0
Sex: F
Vaccine: TDAP
Symptoms: Chills, Nausea, Pyrexia, Tremor
Clinical narrative: Fever of 104, shakes/chills, nausea.
Age: 14.0
Sex: M
Vaccine: FLU3, HEP, MMR, MNQ
Symptoms: Gait disturbance, Pain, Testicular swelling, Ultrasound scan normal
Clinical narrative: Immunization record incomplete.  Received vaccines on 11/8/07.  Right testicle became swollen (3 x normal size) and painful with difficulty walking 10 to 12 days post vaccine.  Treated with ibuprofen, warm compresses, and rest.  Seen by pediatrician and urologist about a week later.  Ultrasound of testicle was negative.  Swelling had subsided.
Age: 1.6
Sex: M
Vaccine: DTAPH
Symptoms: Crying, Eye swelling, Rash
Clinical narrative: Mom called about 30 minutes after leaving office and said son was broken out, eyes swollen, crying.  Told her to give 1/2 teaspoon Benadryl and to call doctor in 1 hour.
Age: 4.0
Sex: M
Vaccine: DTAPHEPBIP, FLU3, MMR, PNC
Symptoms: Erythema, Oedema peripheral
Clinical narrative: Patient returned to clinic with mother.  Right leg swelling to upper thigh and red.  Slightly cool to touch.
Age: 20.0
Sex: F
Vaccine: HPV4, HPV4, HPV4
Symptoms: Head injury, Syncope
Clinical narrative: Syncopal episode while getting off exam table after Gardasil injection.  Hit forehead (on left side) presumably on floor or wall.  Ice pack to forehead.  Evaluation at Oakwood Healthcare Center.
Age: 20.0
Sex: F
Vaccine: HPV4, HPV4, HPV4
Symptoms: Computerised tomogram normal, Fall, Head injury, Immediate post-injection reaction, Syncope
Clinical narrative: Syncopal episode while getting off exam table after Gardasil injection.  Hit forehead (on left side) presumably on floor or wall.  Ice pack to forehead.  Evaluation at Oakwood Healthcare Center.
Age: 20.0
Sex: F
Vaccine: HPV4, HPV4, HPV4
Symptoms: Computerised tomogram normal, Fall, Head injury, Inappropriate schedule of drug administration, Syncope
Clinical narrative: Syncopal episode while getting off exam table after Gardasil injection.  Hit forehead (on left side) presumably on floor or wall.  Ice pack to forehead.  Evaluation at Oakwood Healthcare Center.
Age: 18.0
Sex: M
Vaccine: HEPA, YF
Symptoms: Dyspnoea, Erythema
Clinical narrative: 3:40 PM Telephone call from father - said his son just returned home and his ears are turning red and he is having trouble breathing. I immed put RN on phone. RN spoke with parent, instructed to go to ER. Immediately to closest ER. Father gave Benadryl.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMRV
Symptoms: Erythema, Oedema, Skin warm
Clinical narrative: Patient with onset erythema, edema and warmth on right upper arm 24 hours after Dtap.
Age: 22.0
Sex: F
Vaccine: HPV4
Symptoms: Injection site pain
Clinical narrative: Pain at immunization site which expanded approx. 10 cm proximally & distally, lasted 2 weeks.  No signs secondary infection.  Rx'ed with NSAIDS, supportive measures.
Age: 21.0
Sex: F
Vaccine: HPV4
Symptoms: Dizziness, Nausea, Tinnitus
Clinical narrative: Pt received injection, 5 minutes post injection she c/o dizziness, nausea, ears ringing lasting 10 minutes.  No other c/o.  Discharged to home with no further symptoms or c/o.
Age: 19.0
Sex: F
Vaccine: HPV4
Symptoms: Dizziness
Clinical narrative: Pt received injection, a few minutes post injection she c/o dizziness, lasting for a few minutes.  No other symptoms noted.  Discharged to home with no c/o.
Age: 17.0
Sex: F
Vaccine: HPV4, MNQ
Symptoms: Urticaria
Clinical narrative: Urticaria, improved with Benadryl.
Age: 17.0
Sex: F
Vaccine: HPV4, MNQ
Symptoms: Erythema, Feeling hot, Swelling
Clinical narrative: Swelling, redness, warmth of arm over injection site that then spread to forearm just proximal to elbow.
Age: 11.0
Sex: M
Vaccine: TDAP
Symptoms: Chills, Fatigue, Nausea, Pain, Pallor
Clinical narrative: Fever, 99-101, body aches, chills, nausea x 3-4 days (12/20/07 - 12/23/07). Rash, fatigue, pallor started 12/23/07 and lasted 2 days.
Age: 11.0
Sex: M
Vaccine: TDAP
Symptoms: Pyrexia, Rash
Clinical narrative: Fever, 99-101, body aches, chills, nausea x 3-4 days (12/20/07 - 12/23/07). Rash, fatigue, pallor started 12/23/07 and lasted 2 days.
Age: 1.33
Sex: F
Vaccine: FLU3
Symptoms: Urticaria
Clinical narrative: < 24 hr after vaccine. Pt developed urticaria. Given Zyrtec, Orapred. Given pedi epipen to have at home.
Age: 70.0
Sex: F
Vaccine: FLUX
Symptoms: Injected limb mobility decreased, Pain
Clinical narrative: Pain and reduced ROM (R) deltoid S/P flu shot. No palpable nodule.
Age: 50.0
Sex: F
Vaccine: TDAP
Symptoms: Erythema, Musculoskeletal pain, Swelling
Clinical narrative: Redness, swelling, pain (L) shoulder.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Oedema peripheral
Clinical narrative: Mom said pt's arm (L) was OK when he went to bed but when she woke up this AM about 1030, mom said pt's (L) arm was swollen. Swelling noted in (L) deltoid. Instructed mom to cont. giving pt Tylenol every 4-6 hr and today and tomorrow and apply cool cloths to (L) arm.
Age: 15.0
Sex: F
Vaccine: HPV4
Symptoms: Hyperhidrosis, Injection site pain, Pain, Syncope
Clinical narrative: Pt received Gardasil injection-then-<1 minute collapsed onto floor. Patient did c/o pain during and after injection. Pt's legs were raised and she was observed for 20 min and given juice. Small amt of diaphoresis to forehead noted after collapse
Age: 0.7
Sex: F
Vaccine: DTAP, FLU3, PNC
Symptoms: Choking, Cough, Electroencephalogram, Hypotonia, Infantile spitting up
Clinical narrative: Sunday 12/16 pm-patient started spitting up after taking bottle pt. became limp-unresponsive-EMS were called and they thought possible seizure-Mom reports unresponsive x 30 minutes no apnea. No color change. Had choking episode before unresponsive (+) congestion, cough-EMS did not take to ER a fever in 2 days were o-Man brought back to clinic on 12/18/07
Age: 0.7
Sex: F
Vaccine: DTAP, FLU3, PNC
Symptoms: Respiratory tract congestion, Unresponsive to stimuli
Clinical narrative: Sunday 12/16 pm-patient started spitting up after taking bottle pt. became limp-unresponsive-EMS were called and they thought possible seizure-Mom reports unresponsive x 30 minutes no apnea. No color change. Had choking episode before unresponsive (+) congestion, cough-EMS did not take to ER a fever in 2 days were o-Man brought back to clinic on 12/18/07
Age: 74.0
Sex: M
Vaccine: VARZOS
Symptoms: Dizziness
Clinical narrative: Upon receiving the vaccine I incurred a dizziness for 2 hrs (moderate intensity).  After a total of 4 hours the dizziness subsided.  No after effects.
Age: 74.0
Sex: F
Vaccine: VARZOS
Symptoms: Blister, Local reaction
Clinical narrative: Severe local reaction with vesicles after Zostavax injection.
Age: 63.0
Sex: F
Vaccine: TD
Symptoms: Erythema, Pain in extremity
Clinical narrative: Pt reports some mild soreness (L) arm within 24 hours after Td immunization on (L) deltoid. States this soreness resolved. Then about 1 week later experienced (L) deltoid pain, which persists. Pt is unaware of any injury to this area. On on exam, very faint redness at a 1 cm diameter area located at lower edge of (L) deltoid approximately 5 cm below injection site. No palpable lesion.
Age: 1.0
Sex: F
Vaccine: MMR
Symptoms: Blood immunoglobulin M, Erythema, Exposure to communicable disease, Pruritus, Rash papular
Clinical narrative: 5 red itchy papular lesions after possible contact with varicella.
Age: 0.13
Sex: M
Vaccine: RV5
Symptoms: Aneurysm, Apparent life threatening event, C-reactive protein increased, Chapped lips, Conjunctivitis
Clinical narrative: Patient had received Rotateq on 9/5/07 along with other immunizations (we were not able to obtain the immunization record but mom firmly held to this date).  Patient subsequently presented to an facility on 9/28 with fevers and was being evaluated there when he developed an ALTE.  EEG noted a dense area of R temporal epileptiform activity.  Patient was being treated for HHV-6 encephalitis but while hospitalized developed conjunctivitis, rash, irritability, hand and foot changes, dry red cracked lips, but no lymph node enlargement. While hospitalized he also developed peeling of his hands and feet.  Patient required 3 doses of IVIG before he finally defervesced but developed coronary artery dilation and aneursym formation as outlined below.  01/25/2008 MR received for DOS 10/02-23/2008 with D/C Dx: Seizures, Kawasaki disease, Aortic Aneurysm, feeding difficulty, ALTE. Pt presented to local hospital 9/28/07 with c/o fever, poor feeding and fussiness following 1.5 weeks of nasal congestion. Pt was admitted for hydration and sepsis w/u. On HD 3# pt developed an episode of coughing, emesis and possible seizure. Pt became dusky, hypotonic, and was gasping. O2 sat 86%. Transfered to current facility PICU. Cause of seizure presumed HHV-6.  Pt was intubated and txd with IV abx. Pt was tachycardic with HR up to 220 while febrile. Extubated 10/4/07. On 10/6/07 pt had an episode of respiratory distress and possible aspiration pneumonia. Pt on NG feeds. Conjunctivitis was noted during an ophthalmology consult. Pt then developed diffuse macular rash, red cracked lips, swollen hands and feet, and desquamation of skin on fingers and feet. Kawasaki Disease dxd by ID consult. Txd with ASA and IVIG. Pt transfused with PRBCs for low Hgb.  No further seizures.  1/19/2019 Residual 3.1mm Sanular Ancuryan of his proximal right coronay artery. He remains on Aspirin and will follow up in 1 year.
Age: 0.13
Sex: M
Vaccine: RV5
Symptoms: Coronary artery aneurysm, Coronary artery dilatation, Echocardiogram abnormal, Electroencephalogram abnormal, Encephalitis
Clinical narrative: Patient had received Rotateq on 9/5/07 along with other immunizations (we were not able to obtain the immunization record but mom firmly held to this date).  Patient subsequently presented to an facility on 9/28 with fevers and was being evaluated there when he developed an ALTE.  EEG noted a dense area of R temporal epileptiform activity.  Patient was being treated for HHV-6 encephalitis but while hospitalized developed conjunctivitis, rash, irritability, hand and foot changes, dry red cracked lips, but no lymph node enlargement. While hospitalized he also developed peeling of his hands and feet.  Patient required 3 doses of IVIG before he finally defervesced but developed coronary artery dilation and aneursym formation as outlined below.  01/25/2008 MR received for DOS 10/02-23/2008 with D/C Dx: Seizures, Kawasaki disease, Aortic Aneurysm, feeding difficulty, ALTE. Pt presented to local hospital 9/28/07 with c/o fever, poor feeding and fussiness following 1.5 weeks of nasal congestion. Pt was admitted for hydration and sepsis w/u. On HD 3# pt developed an episode of coughing, emesis and possible seizure. Pt became dusky, hypotonic, and was gasping. O2 sat 86%. Transfered to current facility PICU. Cause of seizure presumed HHV-6.  Pt was intubated and txd with IV abx. Pt was tachycardic with HR up to 220 while febrile. Extubated 10/4/07. On 10/6/07 pt had an episode of respiratory distress and possible aspiration pneumonia. Pt on NG feeds. Conjunctivitis was noted during an ophthalmology consult. Pt then developed diffuse macular rash, red cracked lips, swollen hands and feet, and desquamation of skin on fingers and feet. Kawasaki Disease dxd by ID consult. Txd with ASA and IVIG. Pt transfused with PRBCs for low Hgb.  No further seizures.  1/19/2019 Residual 3.1mm Sanular Ancuryan of his proximal right coronay artery. He remains on Aspirin and will follow up in 1 year.
Age: 0.13
Sex: M
Vaccine: RV5
Symptoms: Erythema, Haemoglobin decreased, Immunoglobulins, Irritability, Lip dry
Clinical narrative: Patient had received Rotateq on 9/5/07 along with other immunizations (we were not able to obtain the immunization record but mom firmly held to this date).  Patient subsequently presented to an facility on 9/28 with fevers and was being evaluated there when he developed an ALTE.  EEG noted a dense area of R temporal epileptiform activity.  Patient was being treated for HHV-6 encephalitis but while hospitalized developed conjunctivitis, rash, irritability, hand and foot changes, dry red cracked lips, but no lymph node enlargement. While hospitalized he also developed peeling of his hands and feet.  Patient required 3 doses of IVIG before he finally defervesced but developed coronary artery dilation and aneursym formation as outlined below.  01/25/2008 MR received for DOS 10/02-23/2008 with D/C Dx: Seizures, Kawasaki disease, Aortic Aneurysm, feeding difficulty, ALTE. Pt presented to local hospital 9/28/07 with c/o fever, poor feeding and fussiness following 1.5 weeks of nasal congestion. Pt was admitted for hydration and sepsis w/u. On HD 3# pt developed an episode of coughing, emesis and possible seizure. Pt became dusky, hypotonic, and was gasping. O2 sat 86%. Transfered to current facility PICU. Cause of seizure presumed HHV-6.  Pt was intubated and txd with IV abx. Pt was tachycardic with HR up to 220 while febrile. Extubated 10/4/07. On 10/6/07 pt had an episode of respiratory distress and possible aspiration pneumonia. Pt on NG feeds. Conjunctivitis was noted during an ophthalmology consult. Pt then developed diffuse macular rash, red cracked lips, swollen hands and feet, and desquamation of skin on fingers and feet. Kawasaki Disease dxd by ID consult. Txd with ASA and IVIG. Pt transfused with PRBCs for low Hgb.  No further seizures.  1/19/2019 Residual 3.1mm Sanular Ancuryan of his proximal right coronay artery. He remains on Aspirin and will follow up in 1 year.
Age: 0.13
Sex: M
Vaccine: RV5
Symptoms: Platelet count increased, Pyrexia, Rash, Red blood cell sedimentation rate increased, Rotavirus test negative
Clinical narrative: Patient had received Rotateq on 9/5/07 along with other immunizations (we were not able to obtain the immunization record but mom firmly held to this date).  Patient subsequently presented to an facility on 9/28 with fevers and was being evaluated there when he developed an ALTE.  EEG noted a dense area of R temporal epileptiform activity.  Patient was being treated for HHV-6 encephalitis but while hospitalized developed conjunctivitis, rash, irritability, hand and foot changes, dry red cracked lips, but no lymph node enlargement. While hospitalized he also developed peeling of his hands and feet.  Patient required 3 doses of IVIG before he finally defervesced but developed coronary artery dilation and aneursym formation as outlined below.  01/25/2008 MR received for DOS 10/02-23/2008 with D/C Dx: Seizures, Kawasaki disease, Aortic Aneurysm, feeding difficulty, ALTE. Pt presented to local hospital 9/28/07 with c/o fever, poor feeding and fussiness following 1.5 weeks of nasal congestion. Pt was admitted for hydration and sepsis w/u. On HD 3# pt developed an episode of coughing, emesis and possible seizure. Pt became dusky, hypotonic, and was gasping. O2 sat 86%. Transfered to current facility PICU. Cause of seizure presumed HHV-6.  Pt was intubated and txd with IV abx. Pt was tachycardic with HR up to 220 while febrile. Extubated 10/4/07. On 10/6/07 pt had an episode of respiratory distress and possible aspiration pneumonia. Pt on NG feeds. Conjunctivitis was noted during an ophthalmology consult. Pt then developed diffuse macular rash, red cracked lips, swollen hands and feet, and desquamation of skin on fingers and feet. Kawasaki Disease dxd by ID consult. Txd with ASA and IVIG. Pt transfused with PRBCs for low Hgb.  No further seizures.  1/19/2019 Residual 3.1mm Sanular Ancuryan of his proximal right coronay artery. He remains on Aspirin and will follow up in 1 year.