chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL, DTAP, IPV, MMR, VARCEL, DTAP, IPV, MMR, VARCEL
Symptoms: Immediate post-injection reaction, Urticaria
Clinical narrative: Pt developed urticaria-1st at right arm-site of both varicella and MMR vaccinations-within 1/s hour urticaria on trunk anterior and posterior-Benadryl 19 mg administered to this 34 pd pt. This is in follow-up to report(s) previously submitted on 5/16/2007. Information has been received from a registered nurse concerning a 4-year-old male with no pre-existing allergies, birth defects or medical conditions who on 01-MAR-2007 at 9:00AM was vaccinated SC in the right arm with a second dose of VARIVAX (Merck) (Lot # 656079/1306F). Suspect therapy that day at 9:00AM included a second dose of MMR vaccine (MSD) (Lot # "0697F"). There was an illness at the time of vaccination. Concomitant therapy that day at 9:00AM included a fifth dose of INFANRIX (Lot # AC14B02BA) administered in the left deltoid and a forth dose of IPOL (Lot # 20306) administered SC in the left arm. On 01-MAR-2007 at 9:00AM the patient experienced urticaria. It was noted that the urticaria was first at the right arm at the site of both the VARIVAX (Merck) and MMR vaccine. However, the event occurred immediately after the VARIVAX (Merck) administration. Within a 1/2 hour, urticaria expanded to the anterior and posterior trunk. Benadryl 19mg was administered, and the patient was abserved in the office for 1 hour. He was discharged from the office to continue Benadryl 1 and 1/2 tsp hours for hives and itching. Subsequently on 07-MAR-2007, the patient recovered. There were no adverse events following prior vaccinations. The event was considered an other important medical event by the reporter. A standard lot check investigation was performed. All in-process quality checks for the lot number in question were satisfactory. The lot met the requirements of the Center for Biologies Evaluation and Research and was released. Additional information has been requested.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Erythema, Oedema, Oedema peripheral, Pyrexia
Clinical narrative: Where MMR was administered after vaccinations, left arm swelling, edema and redness. No fever started last night and patient was seen in next am.
Age: 0.42
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Erythema, Oedema peripheral, Pyrexia
Clinical narrative: Pt given HIB and Prevnar in right leg.  On 2/28/07 mom noticed redness in thigh, swollen thigh and a red streak extending from immunization site.  Pt also with fever > 101.2 F.
Age: 22.0
Sex: F
Vaccine: DTAP, HPVX
Symptoms: Arthralgia, Asthenia, Discomfort, Erythema, Fatigue
Clinical narrative: pain, redness & swelling, mild fever, tiredness, sore joints, rash, hives, severe pain at injections site, weakness, lost of sleep, discomfort.
Age: 22.0
Sex: F
Vaccine: DTAP, HPVX
Symptoms: Injection site pain, Insomnia, Pain, Pyrexia, Rash
Clinical narrative: pain, redness & swelling, mild fever, tiredness, sore joints, rash, hives, severe pain at injections site, weakness, lost of sleep, discomfort.
Age: 22.0
Sex: F
Vaccine: DTAP, HPVX
Symptoms: Swelling, Urticaria
Clinical narrative: pain, redness & swelling, mild fever, tiredness, sore joints, rash, hives, severe pain at injections site, weakness, lost of sleep, discomfort.
Age: 20.0
Sex: M
Vaccine: SMALL, SMALL
Symptoms: Chest pain, Electrocardiogram abnormal, Hyperplasia
Clinical narrative: CP ON 24 FEB, ADMITTED TO ICU ON 25 FEB WITH POSITIVE CARDIAC ENZYME (CP 690, TI 15), 1ST EKG: NSR. ON 26, EKG SHOWED ST ELEVATION LAT LEADS. ECHO: NL. CP LASTED TILL 27 FEB. TI PEAKED UP TO 18 THEN GRADUALLY CAME DOWN TO 0.2 TODAY. CARDIAC CATH (RECOMMENDED BY CARDIOLOGIST VISITING): NL 7/13/07-records received. Impression: Myocarditis. Positive enzymes that occurred 45 days after receipt of smallpox vaccine. Developed chest pain on 2/23/07 and had HX of 2 similar episodes shorter in duration since receiving vaccine. One 1/31/07-had a supraclavicular node excised (same side as smallpox vaccine) which was positive for MSRA. DX: reactive follicular hyperplasia. Family HX father had MI at age of 19.
Age: 20.0
Sex: M
Vaccine: SMALL, SMALL
Symptoms: Chest pain, Myopericarditis
Clinical narrative: CP ON 24 FEB, ADMITTED TO ICU ON 25 FEB WITH POSITIVE CARDIAC ENZYME (CP 690, TI 15), 1ST EKG: NSR. ON 26, EKG SHOWED ST ELEVATION LAT LEADS. ECHO: NL. CP LASTED TILL 27 FEB. TI PEAKED UP TO 18 THEN GRADUALLY CAME DOWN TO 0.2 TODAY. CARDIAC CATH (RECOMMENDED BY CARDIOLOGIST VISITING): NL 7/13/07-records received. Impression: Myocarditis. Positive enzymes that occurred 45 days after receipt of smallpox vaccine. Developed chest pain on 2/23/07 and had HX of 2 similar episodes shorter in duration since receiving vaccine. One 1/31/07-had a supraclavicular node excised (same side as smallpox vaccine) which was positive for MSRA. DX: reactive follicular hyperplasia. Family HX father had MI at age of 19.
Age: 20.0
Sex: M
Vaccine: SMALL, SMALL
Symptoms: Chest pain, Electrocardiogram abnormal, Hyperplasia
Clinical narrative: Chest pain or discomfort. Concern for smallpox induced myopericarditis
Age: 20.0
Sex: M
Vaccine: SMALL, SMALL
Symptoms: Chest pain, Myopericarditis
Clinical narrative: Chest pain or discomfort. Concern for smallpox induced myopericarditis
Age: 29.0
Sex: F
Vaccine: FLU3
Symptoms: Abasia, Blood culture negative, Computerised tomogram, Dysarthria, Electroencephalogram
Clinical narrative: Pt received the flu shot on 9 Dec, 2006 and on 9 Jan 2007 RT side of her jaw had a constant pain. On Jan 17 she developed slurred speech. Went to ER on Jan 18 and discharged on the 20th. Next she had L foot numbness that spread into her chest. Could not walk without assistance. Was transferred to medical center for more tests. Diagnosis was Sub acute encephalomyelitis due to the influenza vaccine. 03/05/07-records received from facility for DOS 01/27-02/03/07-DC DX: subacute encephalomyelitis due to influenza vaccine. HX:1/9/07 right jaw ache, 1/17/07 acutely developed slurred speech, seen in ER 1/18/07, admitted. Brain scan and EEG at that time normal. 1/20/07 developed left foot numbness spread to right side of belly and chest, right hip tender to touch, bowel urgency and 'panic attacks' three times over 5 days. Difficulty walking and changes in her hand writing.  PE: speech slurred, cranial nerve VII nasolabial flattening noted on smile, no facial asymmetry on eyebrown rise or eyelid closure. Cranial nerve XII tongue deviates to right on protrusion, decrease strength on right lateral deviation of tongue.  Motor:no atrophy/drift. normal tone, 4/5 strength on ankle dorsiflexion on right side otherwise 5/5 throughout. Sensation:pinprick was decrease 40% on left side up to mid chest and upper back. Inconsistent response on proprioception testing on distal right lower extremity. Vibration intact. Reflexes:DTR 2 plus and symetric. Plantar responses flexor. Gait:native was unstable and with short steps, unable to walk on toes, heel or heel to toe.
Age: 29.0
Sex: F
Vaccine: FLU3
Symptoms: Encephalitis, HIV test negative, Hypoaesthesia, Nuclear magnetic resonance imaging, Pain in jaw
Clinical narrative: Pt received the flu shot on 9 Dec, 2006 and on 9 Jan 2007 RT side of her jaw had a constant pain. On Jan 17 she developed slurred speech. Went to ER on Jan 18 and discharged on the 20th. Next she had L foot numbness that spread into her chest. Could not walk without assistance. Was transferred to medical center for more tests. Diagnosis was Sub acute encephalomyelitis due to the influenza vaccine. 03/05/07-records received from facility for DOS 01/27-02/03/07-DC DX: subacute encephalomyelitis due to influenza vaccine. HX:1/9/07 right jaw ache, 1/17/07 acutely developed slurred speech, seen in ER 1/18/07, admitted. Brain scan and EEG at that time normal. 1/20/07 developed left foot numbness spread to right side of belly and chest, right hip tender to touch, bowel urgency and 'panic attacks' three times over 5 days. Difficulty walking and changes in her hand writing.  PE: speech slurred, cranial nerve VII nasolabial flattening noted on smile, no facial asymmetry on eyebrown rise or eyelid closure. Cranial nerve XII tongue deviates to right on protrusion, decrease strength on right lateral deviation of tongue.  Motor:no atrophy/drift. normal tone, 4/5 strength on ankle dorsiflexion on right side otherwise 5/5 throughout. Sensation:pinprick was decrease 40% on left side up to mid chest and upper back. Inconsistent response on proprioception testing on distal right lower extremity. Vibration intact. Reflexes:DTR 2 plus and symetric. Plantar responses flexor. Gait:native was unstable and with short steps, unable to walk on toes, heel or heel to toe.
Sex: U
Vaccine: YF
Symptoms: Abdominal discomfort, Chills, Diarrhoea, Flank pain, Vomiting
Clinical narrative: 2/6/07 abdominal pressure, vomited, some diarrhea, chills, lasted 28 hr still R flank achy.
Age: 42.0
Sex: F
Vaccine: YF
Symptoms: Injection site erythema, Injection site rash, Injection site swelling, Tenderness
Clinical narrative: Raised red spot where shot was given. Tender to touch.
Age: 50.0
Sex: F
Vaccine: YF
Symptoms: Arthralgia, Pain in extremity
Clinical narrative: Pain in elbow and wrist within 3 hours of shot - still have, painful to lift heavy or tap against anything.
Age: 43.0
Sex: F
Vaccine: YF
Symptoms: Injection site erythema, Injection site pain, Injection site warmth, Nausea
Clinical narrative: 1.5 days after vaccine, nausea x 1 day, area at vaccine site reddened, warm to touch, tender to touch, gradually worsened over days, 6 days from vaccine still very tender at injection site reddened 1 1/2" by 1" area.
Age: 51.0
Sex: F
Vaccine: YF
Symptoms: Pruritus, Urticaria
Clinical narrative: Presented at 8:20P with hives and severe itching on head, torso, arms.
Age: 57.0
Sex: F
Vaccine: YF
Symptoms: Chills, Pain, Pyrexia
Clinical narrative: Chills, body aches, low grade fever.
Age: 80.0
Sex: F
Vaccine: VARZOS
Symptoms: Erythema, Pruritus, Urticaria
Clinical narrative: Hives on legs about 3 hours after the shot. Itch back of Right knee, red spot appeared on Right knee. 5 Red spots appeared on Left knee. She had no temperature.
Age: 67.0
Sex: F
Vaccine: HPV4
Symptoms: Blister, Erythema, Rash, Skin warm
Clinical narrative: 4 days after receiving Gardasil vaccine 1st injection patient c/o red, hot rash on both hands and upper thighs, rash on thighs with small blisters lasted approx 1 hour then subsided this went on daily for the next 10 days each time lasting 1 hour.
Age: 14.0
Sex: M
Vaccine: TDAP
Symptoms: Body temperature increased, Injection site pain, Injection site swelling
Clinical narrative: Pain and swelling to injection site. temperature 100.8 on 2/23/07. Nurse at health dept notified. 2/23/07 spoke to mother at 1:30pm. child is doing fine. Mother decided not to go to the Dr.
Sex: F
Vaccine: SMALL
Symptoms: Nasopharyngitis, Pyrexia, Rash generalised, Urticaria
Clinical narrative: 3 days after smallpox, fever and cold symptoms-note-this fever/cold symptoms was going around 4 days after smallpox vac hive like rash covering entire body with exception of hands and feet
Age: 27.0
Sex: M
Vaccine: SMALL
Symptoms: Rash erythematous
Clinical narrative: Raised red rash to dorsal aspect of right and left arms extending from mild humerous to finger tips. Rash to right and left knees and to the tops of both feet. Treated with Benadryl 50 mg PO Q-4-6 hrs x 2 days.
Age: 80.0
Sex: F
Vaccine: FLU3
Symptoms: Injected limb mobility decreased, Musculoskeletal stiffness, Pain in extremity
Clinical narrative: Pt came into the pharmacy on 2-12-2007 said her arm is still sore/limited movement without pain-right arm where injection was given. Arm before injection was fine after injection - maybe next day stiff & sore - never got better but we did not hear from patient until the date of report. Sorry to be so vague on onset.
Age: 0.09
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Inappropriate schedule of drug administration, No adverse effect
Clinical narrative: During registration an error occurred in documenting pt, dob 12-21-06 registered as 11/21/06. This caused early administration of vaccines by 1 month. No adverse reactions occurred.
Age: 36.0
Sex: F
Vaccine: FLU3, TTOX
Symptoms: Cellulitis, Injection site erythema, Injection site pain, Injection site swelling, Pyrexia
Clinical narrative: 2/15/07 received Tetanus vaccine on left arm at clinic. (vax also given to husband) came back to clinic next day with large reddened swollen area around site of immunization, that was tender to touch, feverish; refers to provider. Case seen by ER on 2/16/07, Keflex x 10 days, warm compress to site x3-4 days, returning problems. Public health nurse spoke with pt on 2/23/07-feeling better, arm less red, swelling decreased.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, PNC, RV5, DTAP, HBHEPB, IPV, PNC, RV5
Symptoms: Listless, Moaning, Pyrexia
Clinical narrative: 9 hrs after vaccine were administered, patient had an episode of becoming limp and started to moan.  Episode lasted 1 min. pt febrile 100.6.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, PNC, RV5, DTAP, HBHEPB, IPV, PNC, RV5
Symptoms: Diarrhoea, Hypotonia, Moaning
Clinical narrative: 9 hrs after vaccine were administered, patient had an episode of becoming limp and started to moan.  Episode lasted 1 min. pt febrile 100.6.
Age: 1.0
Sex: F
Vaccine: DTAP, VARCEL
Symptoms: Agitation, Head banging, Pyrexia, Rash, Screaming
Clinical narrative: Patient had a fever and a small rash 3 days after vaccination. On the sixth day she began to be very fussy. She would scream when the lights were turned on, if any toy made noise or it I touched her very much. She would bang her hang against things and was happiest in her room, by herself, in the dark. It was a dramatic change to her normal behavior. Someone mentioned it might be a Vitamin D deficiency. I gave her Cod Liver oil.
Age: 65.0
Sex: F
Vaccine: VARZOS
Symptoms: Headache, Pyrexia, Rash generalised
Clinical narrative: Pt received shingle vaccine on 2/16/07, developed rash all over on 2/17/07, no blisters, positive low grade fever and HA no SOB. Pt did not seek medical attention. She took Benadryl 50 mg every 8 hrs.  Rash resolved by 2/20/07.
Age: 66.0
Sex: M
Vaccine: PPV
Symptoms: Cellulitis, Erythema, Pain in extremity, Pruritus, Swelling
Clinical narrative: Pt received pneumococcal 23 on 2-20-07. Pt called out office on 2-21-07 complaining of left arm soreness, slightly red, swollen, itchy.  Pt seen by pcp 2-21-07-subjective data=erythema overlying left elbow; tender in deltoid region but no fluctuance warmth or erythema with pt supine. Treatment cellulitis vs reaction to vaccine, placed on Dicloxacillin sodium cap 500 mg
Age: 66.0
Sex: M
Vaccine: PPV
Symptoms: Tenderness
Clinical narrative: Pt received pneumococcal 23 on 2-20-07. Pt called out office on 2-21-07 complaining of left arm soreness, slightly red, swollen, itchy.  Pt seen by pcp 2-21-07-subjective data=erythema overlying left elbow; tender in deltoid region but no fluctuance warmth or erythema with pt supine. Treatment cellulitis vs reaction to vaccine, placed on Dicloxacillin sodium cap 500 mg
Age: 18.0
Sex: F
Vaccine: HPV4
Symptoms: Convulsion, Fall, Head injury, Injury, Syncope
Clinical narrative: Pt received Gardasil and within a minute, pt fainted while sitting on table, fell of and hit her head on a drawer handle, pt began to seize. Called 911, she was stabilized by EMS. 03/05/07-records received from PCP:Five minutes after administration of vaccine episode of eyes rolling back, fell off exam table and struck neck and head on cabinet drawers. Unresponsive to voice with stiffening of all extremities. Event lasted 30 seconds, afterwards alert oriented and recalled speaking to urse prior to event. Glucose 76, O2 sats 99% on RA. BP after episode 99/52, pulse 49. Transported to ER.  03/09/07-records received from facility for DOS 2/16/07-DX:Syncope. Post syncopal seizure.
Age: 1.0
Sex: F
Vaccine: FLU3, IPV, MMRV, PNC
Symptoms: Brain stem ischaemia, CSF test normal, Convulsion, Electroencephalogram abnormal, Muscle spasticity
Clinical narrative: Seizures post MMRV with MRI evidence of brain stem ischemia. Residual spasticity onset fever 10 d past dose MMRV, Prevnar, Hib, Influenza 03/15/07-records received from facility for DOS 11/14-11/28/06 DC DX: respiratory syncytial virus bronchiolitis, resolved. Encephalopathy with basal ganglia lesions of unknown etiology. Seizure disorder. Dysphagia. mild spasticity. PMH:no significant medical history.  Developed fever and neurologic changes 11/14/06 approximately 10 days after vaccinations. initial symptoms included stiffening of legs, sucking type action of tongue and temperature to 104 and somnolence.  Remains with cognitive delays including Language, social, and reston  Follow-up: Pt has a confirmed diagnosis of: Complex I deficiency Mitochondrial Encephalomyopathy. This is an inherited metabolic defect, and the direct cause of her seizures and brainstem atrophy. The seizures were likely triggered by fever from the MMR vaccine, but not causally related otherwise. Formal report will be forwarded if requested, and approved by pt's parents.
Age: 1.0
Sex: F
Vaccine: FLU3, IPV, MMRV, PNC
Symptoms: Nuclear magnetic resonance imaging brain, Pyrexia
Clinical narrative: Seizures post MMRV with MRI evidence of brain stem ischemia. Residual spasticity onset fever 10 d past dose MMRV, Prevnar, Hib, Influenza 03/15/07-records received from facility for DOS 11/14-11/28/06 DC DX: respiratory syncytial virus bronchiolitis, resolved. Encephalopathy with basal ganglia lesions of unknown etiology. Seizure disorder. Dysphagia. mild spasticity. PMH:no significant medical history.  Developed fever and neurologic changes 11/14/06 approximately 10 days after vaccinations. initial symptoms included stiffening of legs, sucking type action of tongue and temperature to 104 and somnolence.  Remains with cognitive delays including Language, social, and reston  Follow-up: Pt has a confirmed diagnosis of: Complex I deficiency Mitochondrial Encephalomyopathy. This is an inherited metabolic defect, and the direct cause of her seizures and brainstem atrophy. The seizures were likely triggered by fever from the MMR vaccine, but not causally related otherwise. Formal report will be forwarded if requested, and approved by pt's parents.
Age: 35.0
Sex: F
Vaccine: TDAP
Symptoms: Influenza like illness, Injection site swelling, Injection site warmth, Pyrexia
Clinical narrative: Flu like illness, moderate swelling to L deltoid. Approx 10cm x 5 cm. Warm to touch, fever (subjective).
Age: 1.08
Sex: F
Vaccine: HEPA, HIBV, MMR, PNC, VARZOS, VARZOS
Symptoms: Body temperature increased, Inappropriate schedule of drug administration, Pyrexia, Rash erythematous, Wrong drug administered
Clinical narrative: Pt given a Zostavax instead of Varivax at age 1. Error found at approx 5:00pm on 2-23-07. HD #10 aware. No treatment advised. Pt mother notified on 2-26-07. Information has been received from a registered nurse concerning a 12 month old white female with no allergies or medical history who in the AM of 23-FEB-2007 was inadvertently vaccinated SC in the right leg with a first dose of Zostavax (lot # 656606/0033U) instead of dose of Varivax. Other concomitant vaccination at the same time included a first SC dose in the left leg of measles MMR II (lot # 645654/0235F), a first IM dose in the right leg of hepatitis A vaccine (inactive) (lot # 656320/1281F), a third IM dose in the left leg of pneumococcal 4 (PREVNAR) ( lot # 808674F). There was no illness at the time of vaccination. Unspecified medical attention was sought . At the time of the reort no symptoms had been reported. It was reported that the product confusion was ruled out and that this event occurred due to human error. There was no product quality complaint involved. Additional information has been received from the registered nurse who reported that the mother stated the child developed a 101 degree temperature two days after the vaccination, on 25-FEB-2007, which lasted one to two hours. On the third day after vaccination, two to three small red spots at the injection were noted. In one to two days, the spots were gone. As of 20-MAR-2007, no other reactions were observed. No diagnostic laboratory tests were performaed. There was no adverse events following prior vaccination. No further information is expected.
Age: 1.08
Sex: F
Vaccine: HEPA, HIBV, MMR, PNC, VARZOS, VARZOS
Symptoms: No adverse effect, Wrong drug administered
Clinical narrative: Pt given a Zostavax instead of Varivax at age 1. Error found at approx 5:00pm on 2-23-07. HD #10 aware. No treatment advised. Pt mother notified on 2-26-07. Information has been received from a registered nurse concerning a 12 month old white female with no allergies or medical history who in the AM of 23-FEB-2007 was inadvertently vaccinated SC in the right leg with a first dose of Zostavax (lot # 656606/0033U) instead of dose of Varivax. Other concomitant vaccination at the same time included a first SC dose in the left leg of measles MMR II (lot # 645654/0235F), a first IM dose in the right leg of hepatitis A vaccine (inactive) (lot # 656320/1281F), a third IM dose in the left leg of pneumococcal 4 (PREVNAR) ( lot # 808674F). There was no illness at the time of vaccination. Unspecified medical attention was sought . At the time of the reort no symptoms had been reported. It was reported that the product confusion was ruled out and that this event occurred due to human error. There was no product quality complaint involved. Additional information has been received from the registered nurse who reported that the mother stated the child developed a 101 degree temperature two days after the vaccination, on 25-FEB-2007, which lasted one to two hours. On the third day after vaccination, two to three small red spots at the injection were noted. In one to two days, the spots were gone. As of 20-MAR-2007, no other reactions were observed. No diagnostic laboratory tests were performaed. There was no adverse events following prior vaccination. No further information is expected.
Age: 4.0
Sex: M
Vaccine: DTAP, FLU3, IPV, MMRV
Symptoms: Injection site erythema, Injection site induration, Injection site swelling
Clinical narrative: 12/06/06 AM redness and swelling noted at injection sites. Gave Tylenol and used, swelling, redness and hardness spread up to his shoulder on 12-7-06. To his physician, mother said he was given steroids by his Dr.
Age: 3.0
Sex: M
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Redness and swelling at site (size of quarter).
Age: 23.0
Sex: M
Vaccine: RAB, TYP
Symptoms: Diabetes mellitus inadequate control, Erythema, Malaise, Nodule, Vomiting
Clinical narrative: Red lump on the back of left arm and has been ill for the last 2 days with fever up to 104. Taking Motrin. Diabetes out of control. Advised by MD to take aspirin, fluids, IV hydration was offered due to vomiting.
Age: 0.45
Sex: M
Vaccine: DTAP, HIBV
Symptoms: Body temperature increased
Clinical narrative: Temp 104
Age: 36.0
Sex: F
Vaccine: MMR, PPV
Symptoms: Chills, Induration, Injection site pain, Joint swelling, Lymphadenopathy
Clinical narrative: Local soreness, fever, chills (uncontrollable chills x 2 hours), malaise, lymph node swelling in armpit, striations toward armpit, large, local (size of golf ball) knot in elbow joint.
Age: 36.0
Sex: F
Vaccine: MMR, PPV
Symptoms: Malaise, Pyrexia, Skin striae
Clinical narrative: Local soreness, fever, chills (uncontrollable chills x 2 hours), malaise, lymph node swelling in armpit, striations toward armpit, large, local (size of golf ball) knot in elbow joint.
Age: 4.0
Sex: F
Vaccine: UNK
Symptoms: Injection site erythema, Injection site induration, Injection site pain, Injection site warmth
Clinical narrative: Per mom L deltoid area was very indurated and painful last night 02/22/07. Pt was vaccinated 2-21-07. Today 2-23-07 L deltoid area is red and warm with no induration about 6x5.5 cm with minimal pain.
Age: 0.18
Sex: F
Vaccine: DTAP, HIBV, IPV, PNC, RV5
Symptoms: Abdominal discomfort, Diarrhoea, Faeces discoloured, Vomiting
Clinical narrative: Mom 1st called to office with concerns of diarrhea after vaccine administered x 3-4 t days, green stools, so different from usual BM's, did vomit day of admin. Came to office 2/19/07, no signs acute abd. Reassured mom and discussed signs of distress.
Age: 1.25
Sex: M
Vaccine: DTAP, HIBV, MMR
Symptoms: Body temperature increased, Convulsion
Clinical narrative: Increased temperature to 104F and seizures x2 (has history of known seizure disorder).
Age: 1.07
Sex: F
Vaccine: HEPA, HIBV, PNC
Symptoms: Erythema, Nasal congestion, Nasopharyngitis, Pallor, Pyrexia
Clinical narrative: Received HepA, HIB,and Prevnar vaccine at 12 month checkup on 2/27/07-exam done by Dr. Child had no ill symptoms at the time of visit. Parent took child to Hospital that night due to blotchy hive-like reaction-was advised to give Benadryl q4-6h as needed for hives. No new foods or environmental items. HepA was the only vaccine that child had not received before. On 3/1/07, child was seen in our office by Dr. for follow up. Child presented with blanching eryth plaques over face/trunk and extremities,no target lesions per MD documentation. Mother reported mild nasal stuffiness and fever less than 100 for 2 days. Assessment-urticaria-possibly secondary to vaccines vs possible viral illness given recent cold symptoms. Advised to continue Benadryl q6h PRN and to call if ras not better in 2-3 days. On 3/1/07 child sen again in same ER due to worsening of rash- diagnosis the same-Rx given for Orapred for 6 days.
Age: 1.07
Sex: F
Vaccine: HEPA, HIBV, PNC
Symptoms: Rash, Rash macular, Urticaria, Viral infection
Clinical narrative: Received HepA, HIB,and Prevnar vaccine at 12 month checkup on 2/27/07-exam done by Dr. Child had no ill symptoms at the time of visit. Parent took child to Hospital that night due to blotchy hive-like reaction-was advised to give Benadryl q4-6h as needed for hives. No new foods or environmental items. HepA was the only vaccine that child had not received before. On 3/1/07, child was seen in our office by Dr. for follow up. Child presented with blanching eryth plaques over face/trunk and extremities,no target lesions per MD documentation. Mother reported mild nasal stuffiness and fever less than 100 for 2 days. Assessment-urticaria-possibly secondary to vaccines vs possible viral illness given recent cold symptoms. Advised to continue Benadryl q6h PRN and to call if ras not better in 2-3 days. On 3/1/07 child sen again in same ER due to worsening of rash- diagnosis the same-Rx given for Orapred for 6 days.
Age: 68.0
Sex: M
Vaccine: VARZOS
Symptoms: Pruritus, Skin disorder, Skin lesion
Clinical narrative: pruritic scalp lesions appeared one day after vaccine administration.
Age: 10.0
Sex: F
Vaccine: TTOX
Symptoms: Erythema, Pain, Swelling
Clinical narrative: Pain, swelling, erythema Left upper arm.
Age: 0.5
Sex: M
Vaccine: DTAP, HIBV, PPV, RVX
Symptoms: Abdominal pain upper, Crying, Discomfort, Dyskinesia, Erythema
Clinical narrative: Vaccine RotaTeq received oraally on 2/28/2007, baby seemed uncomfortable that night and would cry when layed back to feed...when falling asleep would twist and turn a jerk stomach as if in pain. Has not had a bowl movement since Vaccine and has limited urine in diaper. Symptoms started 2/28 evening and continued 3/1 all day. On 3/1 doctor wall called and assured us that the old vaccine caused side affects but not the new one. Baby is obviously in discomfort. Seems fine one minutes then started to get red face and grunt as if in pain...still laughing. Sleeping during day a lot but not at night all of a sudden.
Age: 0.5
Sex: M
Vaccine: DTAP, HIBV, PPV, RVX
Symptoms: Grunting, Infrequent bowel movements, Pain, Sleep phase rhythm disturbance, Urine output decreased
Clinical narrative: Vaccine RotaTeq received oraally on 2/28/2007, baby seemed uncomfortable that night and would cry when layed back to feed...when falling asleep would twist and turn a jerk stomach as if in pain. Has not had a bowl movement since Vaccine and has limited urine in diaper. Symptoms started 2/28 evening and continued 3/1 all day. On 3/1 doctor wall called and assured us that the old vaccine caused side affects but not the new one. Baby is obviously in discomfort. Seems fine one minutes then started to get red face and grunt as if in pain...still laughing. Sleeping during day a lot but not at night all of a sudden.
Age: 57.0
Sex: F
Vaccine: PPV
Symptoms: Blood culture, Chills, Fatigue, Injection site erythema, Injection site induration
Clinical narrative: Received vaccine approximately 15:00 hrs, developed nausea, vomiting, fever of 101F around 19:00 hrs. The next day she returned to see MD, temp. 102.7F, erythematous patch with central induration around vaccine site, intermitten chills, fatigue, nausea and vomiting. Blood cultures and labs drawn, peripheral IV started, anzement and unasyn given. MD discussed case with Dermatologist, pt. admitted to  Medical Center for further evaluation and treatment.  03/05/2007 MR received for a 3 day hospital stay for fever, nausea and vomiting, with inability to keep medications down which occured on the evening of her Pneumovax.    PE showed a 3 inch erythematous patch on LUE with central 2cm. induration.  Temp-102.7'F.  Otherwise WNL. Pt. treated with antibiotics and discharged on day 3. Principal DX: Arthus Reaction.  Secondary DXs: APF, HTN, GERD, Fibromyalgia, IBS.
Age: 57.0
Sex: F
Vaccine: PPV
Symptoms: Nausea, Pyrexia, Vomiting
Clinical narrative: Received vaccine approximately 15:00 hrs, developed nausea, vomiting, fever of 101F around 19:00 hrs. The next day she returned to see MD, temp. 102.7F, erythematous patch with central induration around vaccine site, intermitten chills, fatigue, nausea and vomiting. Blood cultures and labs drawn, peripheral IV started, anzement and unasyn given. MD discussed case with Dermatologist, pt. admitted to  Medical Center for further evaluation and treatment.  03/05/2007 MR received for a 3 day hospital stay for fever, nausea and vomiting, with inability to keep medications down which occured on the evening of her Pneumovax.    PE showed a 3 inch erythematous patch on LUE with central 2cm. induration.  Temp-102.7'F.  Otherwise WNL. Pt. treated with antibiotics and discharged on day 3. Principal DX: Arthus Reaction.  Secondary DXs: APF, HTN, GERD, Fibromyalgia, IBS.
Age: 1.0
Sex: F
Vaccine: HIBV, MMR, PNC, VARCEL
Symptoms: Herpes zoster, Rash erythematous, Rash vesicular, Skin lesion
Clinical narrative: Patient devloped shingles (erythematous vesicular rash), seen by physician on 3/2/07. Shingles involved left T2 dermatome on back and upper arm. Note that shingles occurred 10 days after patient was started on Flonase 1 puff in each nostril daily.  Patient was treated with acyclovir and given pain medication. Advised parents no daycare/school until lesions crust over. To follow up in 1 week.
Age: 0.4
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Constipation, Crying, Eating disorder, Urine output decreased
Clinical narrative: Within 48 hours of vaccination the infant had inconsolable crying, refused to eat, and did not urinate nor soil diaper.
Age: 0.18
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Apnoea, Blood creatine phosphokinase increased, Blood potassium increased, Blood sodium decreased, Chest X-ray normal
Clinical narrative: Lethargy, febrille sezuires, electrolyte imbalence high Potassium, low Sodium, extremely Elevated WBC 23,000-53,000, low grade fever 99.0, apnea, starring off into space, unresponsive,diarreha, vomiting, teal-green meatalic colored stools, High-pitched scream, needed Blood Transfusions. HOSPITALIZED 21 DAYS. Still has elevated liver functions abnormalities. Had GERD for months after shots.  03/23/2007 MR received for 17 day hospital stay following transfer from another facility.  Initially seen in local ER 3 days after 2 month vax. with low grade temps (101.2), fussiness, emesis, lethergy, and multiple loose stools. Transfered to current pediatric facility after multiple unsuccessful LPs. Verified with PCP-NO Rotateq given. Multiple interdisciplinary consults:  Endocrine: Unlikely primary endocrine problem.  Likely that primary gastrointestinal illness led to severe protein losing enteropathy and consequent metabolic derangement.    Heme/Onc. consulted to R/O leukemia.  Elevated WBCs thought to be margination from steroid administration and dehydration.  Prolonged PT/PTT possibly due to severe protein losses and inadequate production of factors by the liver.  Coag studies normalized after FFPx1 and Vit. K on 6/4/06.  Infectious Disease consulted for undetectable IgG level of <50.  Low IgG probably 2' to GI losses of protein.  Given IVIG for hypogammaglobulinemia. (NO live vaccines to be given x 11 months s/p IVIG).  Gastroenterology consult with DX of severe acute gastroenteritis leading to protein losing enteropathy.  Received albumin x1.  Principal DX:  Sepsis Additional DXs: Electrolyte Imbalance, Endocrine Imbalance, Viral Gastroenteritis, Protein losing enteropathy.
Age: 0.18
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Computerised tomogram normal, Diarrhoea, Electrolyte imbalance, Faeces discoloured, Febrile convulsion
Clinical narrative: Lethargy, febrille sezuires, electrolyte imbalence high Potassium, low Sodium, extremely Elevated WBC 23,000-53,000, low grade fever 99.0, apnea, starring off into space, unresponsive,diarreha, vomiting, teal-green meatalic colored stools, High-pitched scream, needed Blood Transfusions. HOSPITALIZED 21 DAYS. Still has elevated liver functions abnormalities. Had GERD for months after shots.  03/23/2007 MR received for 17 day hospital stay following transfer from another facility.  Initially seen in local ER 3 days after 2 month vax. with low grade temps (101.2), fussiness, emesis, lethergy, and multiple loose stools. Transfered to current pediatric facility after multiple unsuccessful LPs. Verified with PCP-NO Rotateq given. Multiple interdisciplinary consults:  Endocrine: Unlikely primary endocrine problem.  Likely that primary gastrointestinal illness led to severe protein losing enteropathy and consequent metabolic derangement.    Heme/Onc. consulted to R/O leukemia.  Elevated WBCs thought to be margination from steroid administration and dehydration.  Prolonged PT/PTT possibly due to severe protein losses and inadequate production of factors by the liver.  Coag studies normalized after FFPx1 and Vit. K on 6/4/06.  Infectious Disease consulted for undetectable IgG level of <50.  Low IgG probably 2' to GI losses of protein.  Given IVIG for hypogammaglobulinemia. (NO live vaccines to be given x 11 months s/p IVIG).  Gastroenterology consult with DX of severe acute gastroenteritis leading to protein losing enteropathy.  Received albumin x1.  Principal DX:  Sepsis Additional DXs: Electrolyte Imbalance, Endocrine Imbalance, Viral Gastroenteritis, Protein losing enteropathy.
Age: 0.18
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Full blood count, Gastrooesophageal reflux disease, Lethargy, Liver function test abnormal, Pyrexia
Clinical narrative: Lethargy, febrille sezuires, electrolyte imbalence high Potassium, low Sodium, extremely Elevated WBC 23,000-53,000, low grade fever 99.0, apnea, starring off into space, unresponsive,diarreha, vomiting, teal-green meatalic colored stools, High-pitched scream, needed Blood Transfusions. HOSPITALIZED 21 DAYS. Still has elevated liver functions abnormalities. Had GERD for months after shots.  03/23/2007 MR received for 17 day hospital stay following transfer from another facility.  Initially seen in local ER 3 days after 2 month vax. with low grade temps (101.2), fussiness, emesis, lethergy, and multiple loose stools. Transfered to current pediatric facility after multiple unsuccessful LPs. Verified with PCP-NO Rotateq given. Multiple interdisciplinary consults:  Endocrine: Unlikely primary endocrine problem.  Likely that primary gastrointestinal illness led to severe protein losing enteropathy and consequent metabolic derangement.    Heme/Onc. consulted to R/O leukemia.  Elevated WBCs thought to be margination from steroid administration and dehydration.  Prolonged PT/PTT possibly due to severe protein losses and inadequate production of factors by the liver.  Coag studies normalized after FFPx1 and Vit. K on 6/4/06.  Infectious Disease consulted for undetectable IgG level of <50.  Low IgG probably 2' to GI losses of protein.  Given IVIG for hypogammaglobulinemia. (NO live vaccines to be given x 11 months s/p IVIG).  Gastroenterology consult with DX of severe acute gastroenteritis leading to protein losing enteropathy.  Received albumin x1.  Principal DX:  Sepsis Additional DXs: Electrolyte Imbalance, Endocrine Imbalance, Viral Gastroenteritis, Protein losing enteropathy.
Age: 0.18
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Screaming, Staring, Transfusion, Ultrasound liver normal, Unresponsive to stimuli
Clinical narrative: Lethargy, febrille sezuires, electrolyte imbalence high Potassium, low Sodium, extremely Elevated WBC 23,000-53,000, low grade fever 99.0, apnea, starring off into space, unresponsive,diarreha, vomiting, teal-green meatalic colored stools, High-pitched scream, needed Blood Transfusions. HOSPITALIZED 21 DAYS. Still has elevated liver functions abnormalities. Had GERD for months after shots.  03/23/2007 MR received for 17 day hospital stay following transfer from another facility.  Initially seen in local ER 3 days after 2 month vax. with low grade temps (101.2), fussiness, emesis, lethergy, and multiple loose stools. Transfered to current pediatric facility after multiple unsuccessful LPs. Verified with PCP-NO Rotateq given. Multiple interdisciplinary consults:  Endocrine: Unlikely primary endocrine problem.  Likely that primary gastrointestinal illness led to severe protein losing enteropathy and consequent metabolic derangement.    Heme/Onc. consulted to R/O leukemia.  Elevated WBCs thought to be margination from steroid administration and dehydration.  Prolonged PT/PTT possibly due to severe protein losses and inadequate production of factors by the liver.  Coag studies normalized after FFPx1 and Vit. K on 6/4/06.  Infectious Disease consulted for undetectable IgG level of <50.  Low IgG probably 2' to GI losses of protein.  Given IVIG for hypogammaglobulinemia. (NO live vaccines to be given x 11 months s/p IVIG).  Gastroenterology consult with DX of severe acute gastroenteritis leading to protein losing enteropathy.  Received albumin x1.  Principal DX:  Sepsis Additional DXs: Electrolyte Imbalance, Endocrine Imbalance, Viral Gastroenteritis, Protein losing enteropathy.
Age: 0.18
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Vomiting, White blood cell count increased
Clinical narrative: Lethargy, febrille sezuires, electrolyte imbalence high Potassium, low Sodium, extremely Elevated WBC 23,000-53,000, low grade fever 99.0, apnea, starring off into space, unresponsive,diarreha, vomiting, teal-green meatalic colored stools, High-pitched scream, needed Blood Transfusions. HOSPITALIZED 21 DAYS. Still has elevated liver functions abnormalities. Had GERD for months after shots.  03/23/2007 MR received for 17 day hospital stay following transfer from another facility.  Initially seen in local ER 3 days after 2 month vax. with low grade temps (101.2), fussiness, emesis, lethergy, and multiple loose stools. Transfered to current pediatric facility after multiple unsuccessful LPs. Verified with PCP-NO Rotateq given. Multiple interdisciplinary consults:  Endocrine: Unlikely primary endocrine problem.  Likely that primary gastrointestinal illness led to severe protein losing enteropathy and consequent metabolic derangement.    Heme/Onc. consulted to R/O leukemia.  Elevated WBCs thought to be margination from steroid administration and dehydration.  Prolonged PT/PTT possibly due to severe protein losses and inadequate production of factors by the liver.  Coag studies normalized after FFPx1 and Vit. K on 6/4/06.  Infectious Disease consulted for undetectable IgG level of <50.  Low IgG probably 2' to GI losses of protein.  Given IVIG for hypogammaglobulinemia. (NO live vaccines to be given x 11 months s/p IVIG).  Gastroenterology consult with DX of severe acute gastroenteritis leading to protein losing enteropathy.  Received albumin x1.  Principal DX:  Sepsis Additional DXs: Electrolyte Imbalance, Endocrine Imbalance, Viral Gastroenteritis, Protein losing enteropathy.
Age: 12.0
Sex: F
Vaccine: VARCEL
Symptoms: Rash vesicular
Clinical narrative: mild varicella like rash developed 13 days after vaccine
Age: 17.0
Sex: M
Vaccine: MNQ
Symptoms: Chills, Discomfort, Dizziness, Headache, Nausea
Clinical narrative: Received Menactra and PPD on Friday, Feb 23, 2007.  About 10 minutes after the shots he got a headache and on Saturday he still had a headache.  Saturday evening he got a fever.  Sunday he woke up with a headache, nausea, vomiting, light headed, and fever of 103.  Fever came down with Excedrin and returned Sunday evening.  Client came into health department Monday morning (2-26-07) and still has a headache and fever.  Feeling chills this morning, but no longer nauseated.  Client did look pale and uncomfortable.  Referred to personal physician if symptoms worsen or do not improve.  Called to follow up on 3-2-07 and spoke with client's grandfather and said client has recovered and did not need to go to his physician.
Age: 17.0
Sex: M
Vaccine: MNQ
Symptoms: Pallor, Pyrexia, Vomiting
Clinical narrative: Received Menactra and PPD on Friday, Feb 23, 2007.  About 10 minutes after the shots he got a headache and on Saturday he still had a headache.  Saturday evening he got a fever.  Sunday he woke up with a headache, nausea, vomiting, light headed, and fever of 103.  Fever came down with Excedrin and returned Sunday evening.  Client came into health department Monday morning (2-26-07) and still has a headache and fever.  Feeling chills this morning, but no longer nauseated.  Client did look pale and uncomfortable.  Referred to personal physician if symptoms worsen or do not improve.  Called to follow up on 3-2-07 and spoke with client's grandfather and said client has recovered and did not need to go to his physician.
Age: 1.0
Sex: F
Vaccine: HIBV, MMRV, MMRV
Symptoms: Clumsiness, Cough, Gait disturbance, Insomnia, Nasal mucosal discolouration
Clinical narrative: Received shots 2/16/07. Developed chicken pox 2/25/07 all over body, fever, also cough and green nasal drainage, not sleeping well, walking clumsy.
Age: 1.0
Sex: F
Vaccine: HIBV, MMRV, MMRV
Symptoms: Pyrexia, Rhinorrhoea, Varicella
Clinical narrative: Received shots 2/16/07. Developed chicken pox 2/25/07 all over body, fever, also cough and green nasal drainage, not sleeping well, walking clumsy.
Age: 1.0
Sex: F
Vaccine: HIBV, MMRV, MMRV
Symptoms: Blister, Oral soft tissue disorder, Scab, Varicella
Clinical narrative: Received shots 2/16/07. Developed chicken pox 2/25/07 all over body, fever, also cough and green nasal drainage, not sleeping well, walking clumsy.
Age: 1.5
Sex: F
Vaccine: DTAP, HIBV, PNC
Symptoms: Cellulitis, Injection site erythema, Injection site warmth
Clinical narrative: Warm, erythematous, 5-cm plaque surrounding the site of injection. Diagnosed with cellulitis and prescribed antibiotics.
Age: 15.0
Sex: M
Vaccine: MNQ
Symptoms: Asthenia, Chills, Dysphonia, Headache, Influenza
Clinical narrative: high fever-hoarsenss-weak-pale-pain/redness at injection site-headache-chill~ongoing as of 2/28/07-only treatment ibuprofen   Child was taken to his pediatrician's office and seen by a nurse practicioner who thought he had the flu.
Age: 15.0
Sex: M
Vaccine: MNQ
Symptoms: Injection site erythema, Injection site pain, Pallor, Pyrexia
Clinical narrative: high fever-hoarsenss-weak-pale-pain/redness at injection site-headache-chill~ongoing as of 2/28/07-only treatment ibuprofen   Child was taken to his pediatrician's office and seen by a nurse practicioner who thought he had the flu.
Age: 8.0
Sex: F
Vaccine: FLU3
Symptoms: Erythema, Induration
Clinical narrative: erythema and central induration of Right upper arm 2 days after shot given
Age: 1.3
Sex: F
Vaccine: DTAP, PNC, VARCEL
Symptoms: Erythema, Pyrexia, Rash papular, Skin lesion
Clinical narrative: On 1/30/2007 pt had fever of 99 and a few lesions: 1 lesion with an erythematous base, not quite a clear blister, but there was a papule, and she had some scattered erythematous fine papules in the diaper area.   Pt is a twin and her twin sister had a similiar reaction. Form submitted separately.
Age: 18.0
Sex: M
Vaccine: FLU3
Symptoms: Myalgia
Clinical narrative: PAIN IN DELTOID MUSCLE TWO WEEKS
Age: 1.3
Sex: F
Vaccine: DTAP, PNC, VARCEL
Symptoms: Erythema, Induration, Pyrexia, Skin lesion
Clinical narrative: On 1/30/2007 pt had fever of 99 and a few lesions: 1 spot on her right thigh with some surrounding erythema and induration, but no fluctuance.  There was no head to it and one other excoriated papule on her stomach.
Age: 46.0
Sex: F
Vaccine: TDAP
Symptoms: Cold compress therapy, Exposure to communicable disease, Injection site pruritus, Injection site swelling, Injection site warmth
Clinical narrative: 12-19-06 injection site, left arm had golf ball sized knot yesterday per pt.  Has decreased in size today.  Today site itches, feels warm.  Pt. advised to use cold compress at site; pain reliever, Tylenol, or Ibuprophen; antihistamine for itching.  Contact physician if increased pain, swelling or redness.
Age: 72.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Headache, Herpes zoster, Injection site erythema, Injection site reaction, Injection site swelling
Clinical narrative: Day of injection, local reactionw/swelling et redness.  Tuesday evening had H/A et took tylenol.  Woke Wednesday am et notices one bump above lt eye around eyebrow.  Later this day had another bump.  Thought something had bit her.  Woke Thursday morning with several bumps.  Went to dermatologist. Rx Valtrex tidx 7 days.  Now in eye et around eye et above in hairline.  Pain "5" on scale of 0-10 w/10 worse pain.  Tylenol every 4-6 hrs.  Will see Dr 2/15/07. This is in follow-up to report (s) previously submitted on 3/14/2007. Information has been recieved from a health professional concerning a 72 year old female with no known medical history , or allergies who on 06-Feb-2007 at 10:30 was vaccinated subcutaneously with a forst dose of ZOSTAVAX vaccine (Merck) (lot # 656608/0032U). There was no illness at the time of vaccination. There was no concomitant medication. On the day of the injection the patient developed a local reaction with swelling and redness. That evening the patient developed a headache, and took some TYLENOL. When the patient awoke the following morning, 07 Feb 2007, shenoticed one bump over the left eye around the eyebrow. Later that same day she noticed another bump, and questioned if it was an insect bite. On 08 FEB 2007 the patient had several bumps, and was seen by a dermatologist and diagnosed with shingles. The patient was prescribed VALTREX TID X 7 days, bumps "now in eye and around eye, and up into the hairline. On an scale of one to ten, with ten being the worst pain, the patient was experiencing pain at a level five. The patient was seen by the doctor on 15 FEB 2007. The patient was considered recovered on 20 FEB 2007. There was no product quality complaint involved. No laboratory tests were performed. No further information is expected.