chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 1.0
Sex: M
Vaccine: HEPA, MMR, PNC, VARCEL, PNC
Symptoms: Injection site erythema, Injection site induration, Injection site warmth
Clinical narrative: Information regarding PREVNAR was received from a healthcare professional regarding a 12-month-old male patient who experienced redness and induration (5-6 cm). At 12 months of age, the patient received the fourth dose on 23-Feb-2009. The patient experienced redness and induration (5-6 cm) on 23-Feb-2009. Outcome was reported as not recovered. No additional information was available at the time of this report.
Age: 1.0
Sex: M
Vaccine: HEPA, MMR, PNC, VARCEL, PNC
Symptoms: Erythema, Induration
Clinical narrative: Information regarding PREVNAR was received from a healthcare professional regarding a 12-month-old male patient who experienced redness and induration (5-6 cm). At 12 months of age, the patient received the fourth dose on 23-Feb-2009. The patient experienced redness and induration (5-6 cm) on 23-Feb-2009. Outcome was reported as not recovered. No additional information was available at the time of this report.
Age: 1.0
Sex: F
Vaccine: HEPA, MMR, PNC, VARCEL, PNC
Symptoms: Injection site erythema, Injection site induration, Injection site warmth
Clinical narrative: Information regarding PREVNAR was received from a healthcare professional regarding a 12-month-old female patient who experienced injection site induration (5-6 cm diameter), injection site redness and injection site warmth. The patient received the fourth dose on 23-Feb-2009. The patient experienced injection site induration (5-6 cm diameter), injection site redness (5-6 cm diameter) and injection site warmth (5-6 cm diameter) on 23-Feb-2009. The patient had not recovered from the injection site redness. The outcome of the injection site induration and injection site warmth was unknown. No additional information was available at the time of this report.
Age: 0.4
Sex: M
Vaccine: DTAPIPVHIB, PNC, RV5
Symptoms: Crying
Clinical narrative: Parents report that after shots on 2-19-09, pt cried non stop greater than 3 hrs.
Age: 0.5
Sex: U
Vaccine: RV5
Symptoms: Rotavirus infection
Clinical narrative: Information has been received from a physician concerning a 12 month old patient who on 20-JUN-2008, 06-AUG-2008 and 01-OCT-2008 was vaccinated with the first, second and third dose of ROTATEQ respectively. On 07-APR-2009 the patient experienced rotavirus and was hospitalized. The patient had no long-term effects and recovered. It is unknown if the patient sought medical attention. Additional information has been requested.
Age: 0.5
Sex: U
Vaccine: RV5
Symptoms: Rotavirus infection
Clinical narrative: Information has been received from a physician concerning a 17 month old patient who on 20-DEC-2007, 20-FEB-2008 and 17-APR-2008 was vaccinated with the first, second and third dose of ROTATEQ respectively. On 16-MAR-2009 the patient experienced rotavirus and was hospitalized. The patient had no long-term effects and recovered. It is unknown if the patient sought medical attention. Additional information has been requested.
Age: 15.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Activities of daily living impaired, Blood test, Convulsion, Fatigue, Gaze palsy
Clinical narrative: Initial information has been received from a physician and follow up information has been received from a registered nurse concerning a 15 year old female with no medical history, who on 14-APR-2009 was vaccinated with a first dose of GARDASIL (lot # 661846/1312X). There was no concomitant medication. The patient had blood work drawn a few minutes after receiving the vaccination. After the blood work was drawn. The patient fainted for approximately 15 seconds and may have had a minor seizure. The patient's eyes rolled to the back of her head and she became unresponsive for about 15 seconds. It was reported that her pupils were dilated and she was out for about 15 seconds. The patient regained consciousness and was given juice to drink. No medications or treatment were given to the patient. The patient stated that she did not have much to drink prior to the physician's visit. The patient was not hospitalized. The patient was observed for a little while and then was sent home with her mother. It was reported that the patient stayed home from school the next day and reported she was tired and had some muscle aches. On 15-APR-2009 the patient's mother was instructed to call the physician back if the patient continued with any problems. The physician advised the patient not to receive the remaining doses of GARDASIL. The patient did not receive any other vaccinations other than GARDASIL on 14-APR-2009. The patient had an appointment to see the physician on 07-MAY-2009. Upon internal review seizure was determined to be an other important medical event. Additional information has been requested.
Age: 15.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Myalgia, Mydriasis, Syncope, Unresponsive to stimuli
Clinical narrative: Initial information has been received from a physician and follow up information has been received from a registered nurse concerning a 15 year old female with no medical history, who on 14-APR-2009 was vaccinated with a first dose of GARDASIL (lot # 661846/1312X). There was no concomitant medication. The patient had blood work drawn a few minutes after receiving the vaccination. After the blood work was drawn. The patient fainted for approximately 15 seconds and may have had a minor seizure. The patient's eyes rolled to the back of her head and she became unresponsive for about 15 seconds. It was reported that her pupils were dilated and she was out for about 15 seconds. The patient regained consciousness and was given juice to drink. No medications or treatment were given to the patient. The patient stated that she did not have much to drink prior to the physician's visit. The patient was not hospitalized. The patient was observed for a little while and then was sent home with her mother. It was reported that the patient stayed home from school the next day and reported she was tired and had some muscle aches. On 15-APR-2009 the patient's mother was instructed to call the physician back if the patient continued with any problems. The physician advised the patient not to receive the remaining doses of GARDASIL. The patient did not receive any other vaccinations other than GARDASIL on 14-APR-2009. The patient had an appointment to see the physician on 07-MAY-2009. Upon internal review seizure was determined to be an other important medical event. Additional information has been requested.
Age: 15.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Fatigue, Muscle contractions involuntary, Muscle rigidity, Mydriasis
Clinical narrative: Initial information has been received from a physician and follow up information has been received from a registered nurse concerning a 15 year old female with no medical history, who on 14-APR-2009 was vaccinated with a first dose of GARDASIL (lot # 661846/1312X). There was no concomitant medication. The patient had blood work drawn a few minutes after receiving the vaccination. After the blood work was drawn. The patient fainted for approximately 15 seconds and may have had a minor seizure. The patient's eyes rolled to the back of her head and she became unresponsive for about 15 seconds. It was reported that her pupils were dilated and she was out for about 15 seconds. The patient regained consciousness and was given juice to drink. No medications or treatment were given to the patient. The patient stated that she did not have much to drink prior to the physician's visit. The patient was not hospitalized. The patient was observed for a little while and then was sent home with her mother. It was reported that the patient stayed home from school the next day and reported she was tired and had some muscle aches. On 15-APR-2009 the patient's mother was instructed to call the physician back if the patient continued with any problems. The physician advised the patient not to receive the remaining doses of GARDASIL. The patient did not receive any other vaccinations other than GARDASIL on 14-APR-2009. The patient had an appointment to see the physician on 07-MAY-2009. Upon internal review seizure was determined to be an other important medical event. Additional information has been requested.
Age: 16.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Activities of daily living impaired, Blood test, Convulsion, Fatigue, Gaze palsy
Clinical narrative: Received GARDASIL shot. Approx 3-5 min. later had several vials of blood drawn. After last vial pt. became "rigid", had muscle contractions, eyes were open, pupils were "dilated" and she mad some noises - per mother. Lasted 15-20 seconds. Examined by provider. Next day tired, but "better" per mother.
Age: 16.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Myalgia, Mydriasis, Syncope, Unresponsive to stimuli
Clinical narrative: Received GARDASIL shot. Approx 3-5 min. later had several vials of blood drawn. After last vial pt. became "rigid", had muscle contractions, eyes were open, pupils were "dilated" and she mad some noises - per mother. Lasted 15-20 seconds. Examined by provider. Next day tired, but "better" per mother.
Age: 16.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Fatigue, Muscle contractions involuntary, Muscle rigidity, Mydriasis
Clinical narrative: Received GARDASIL shot. Approx 3-5 min. later had several vials of blood drawn. After last vial pt. became "rigid", had muscle contractions, eyes were open, pupils were "dilated" and she mad some noises - per mother. Lasted 15-20 seconds. Examined by provider. Next day tired, but "better" per mother.
Age: 11.0
Sex: M
Vaccine: TDAP
Symptoms: Allergy test, Asthma, Dyspnoea, Injection site pruritus, Rhinorrhoea
Clinical narrative: Initial report was received 17 April 2009 from a consumer, who is the patient's parent. An 11-year-old male patient (also reported as 12 years of age) with allergies to milk, eggs, and dairy products, had received an intramuscular injection of ADACEL (lot number reported) and an intradermal PPD injection (manufacturer and lot number not reported) on an unspecified day during June 2008, and moments after vaccination, the patient developed itching at the injection site. At 15 minutes post vaccination, the patient began sneezing and had nasal drainage. At 30 minutes post vaccination, the patient experienced a full blown asthma attack with labored breathing and wheezing. The patient returned to their physician's office and received Benadryl, Albuterol, Pulmicort and steroids as corrective treatment and subsequently recovered from the event (event duration not reported). The patient was evaluated by an allergist and had allergy testing performed. The allergist had been provided a sample of the ADACEL vaccine for testing (same lot number that was administered) and according to the reporter, the MD reported that a very, very small amount of milk found to be in the product. No additional information was provided at the time of report. Documents held by sender: None.
Age: 11.0
Sex: M
Vaccine: TDAP
Symptoms: Sneezing, Wheezing
Clinical narrative: Initial report was received 17 April 2009 from a consumer, who is the patient's parent. An 11-year-old male patient (also reported as 12 years of age) with allergies to milk, eggs, and dairy products, had received an intramuscular injection of ADACEL (lot number reported) and an intradermal PPD injection (manufacturer and lot number not reported) on an unspecified day during June 2008, and moments after vaccination, the patient developed itching at the injection site. At 15 minutes post vaccination, the patient began sneezing and had nasal drainage. At 30 minutes post vaccination, the patient experienced a full blown asthma attack with labored breathing and wheezing. The patient returned to their physician's office and received Benadryl, Albuterol, Pulmicort and steroids as corrective treatment and subsequently recovered from the event (event duration not reported). The patient was evaluated by an allergist and had allergy testing performed. The allergist had been provided a sample of the ADACEL vaccine for testing (same lot number that was administered) and according to the reporter, the MD reported that a very, very small amount of milk found to be in the product. No additional information was provided at the time of report. Documents held by sender: None.
Age: 30.0
Sex: F
Vaccine: TTOX
Symptoms: Chills, Headache, Hyperhidrosis, Injection site swelling, Nausea
Clinical narrative: The evening of the vaccine swelling developed at injection site. The next day she developed a headache, chills, nausea and sweating. Today (day 3) she continues to have left arm swelling with chills and sweating.
Age: 1.3
Sex: M
Vaccine: PNC
Symptoms: Computerised tomogram, Convulsion, Drug screen, Electroencephalogram, Encephalopathy
Clinical narrative: The patient had a seizure on the Friday after getting the vaccine. Patient had a seizure w/u-extension, LP/UDS. Patient had CT scan and EEG. The EEG showed diffuse encephalopathy.
Age: 1.3
Sex: M
Vaccine: PNC
Symptoms: Lumbar puncture, Nuclear magnetic resonance imaging
Clinical narrative: The patient had a seizure on the Friday after getting the vaccine. Patient had a seizure w/u-extension, LP/UDS. Patient had CT scan and EEG. The EEG showed diffuse encephalopathy.
Age: 60.0
Sex: M
Vaccine: MEN, TYP, YF
Symptoms: Dizziness, Headache, Throat tightness
Clinical narrative: This patient received travel vaccines (yellow fever, meningococcal, typhoid) at an outpatient travel clinic 4/1/09.  He developed a headache about 5 minutes later and the nurse gave him apple juice.  About 8 minutes after vaccine administration, he felt like his throat was closing and he became lightheaded.  He was given diphenhydramine 25mg PO in the office, which he states helped relieve his throat symptoms.  He was sent to our ER for evaluation, monitored and given 1 dose of prednisone 50mg and discharged home in stable condition.  His symptoms had resolved.
Age: 85.0
Sex: F
Vaccine: PPV
Symptoms: Immediate post-injection reaction, Injection site erythema, Injection site pain, Injection site warmth, Swelling
Clinical narrative: Recieved pneumonia vaccine 4/20/09 in left arm. Stated it was immediately painful.  Localized swelling occured over the next 6 hours.  Swelling increased down to elbow by 5 pm on 4/21/09.  Called MD and was told to use ice packs and Benadryl as needed.  Swelling has continued to increase and is now affecting left hand and fingers.  It is warm to the touch and redness at injection site and forearm.  Advised to call MD.
Age: 61.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site pain, Injection site pruritus, Injection site swelling
Clinical narrative: Right arm had slight swelling about 5cm, redness, itching, and pain
Age: 16.0
Sex: M
Vaccine: MNQ, TDAP
Symptoms: Incorrect dose administered
Clinical narrative: GAVE 2ND MCV
Age: 0.4
Sex: F
Vaccine: DTAPIPVHIB, PNC
Symptoms: Blood culture, Injection site cellulitis, Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Patient received her 4 month vaccines on approximately 4/12/09 of this year (2 injections, 1 to the R thigh and 1 to the L thigh presumably pentacel and prevnar).  4 days after receiving vaccines, she developed redness, tenderness and swelling around the injection site on her R thigh.  This progressed and she was admitted to Hospital on 4/23 for cellulitis at a vaccination site on iv clindamycin.  She was discharged home on 4/24 on po clindamycin.  7/24/09 Hospital records received 4/23/09 to 4/24/09. Assessment: Cellulitis, fever. Patient presents with redness, swelling, right thigh at site of Prevnar vaccination. Fever, fussiness, increased sleeping. Erythema, tender indurated area.
Age: 0.4
Sex: F
Vaccine: DTAPIPVHIB, PNC
Symptoms: Ultrasound scan normal
Clinical narrative: Patient received her 4 month vaccines on approximately 4/12/09 of this year (2 injections, 1 to the R thigh and 1 to the L thigh presumably pentacel and prevnar).  4 days after receiving vaccines, she developed redness, tenderness and swelling around the injection site on her R thigh.  This progressed and she was admitted to Hospital on 4/23 for cellulitis at a vaccination site on iv clindamycin.  She was discharged home on 4/24 on po clindamycin.  7/24/09 Hospital records received 4/23/09 to 4/24/09. Assessment: Cellulitis, fever. Patient presents with redness, swelling, right thigh at site of Prevnar vaccination. Fever, fussiness, increased sleeping. Erythema, tender indurated area.
Age: 14.0
Sex: F
Vaccine: HPV4
Symptoms: Alopecia, Amnesia, Arthralgia, Back pain, Blood test
Clinical narrative: Symptoms started exactly 2 months after her 2nd shot. Started with headaches, nausea, vomiting, strep throat and body aches. Continues on with non-epileptic seizures, twitches, unconsciousness, long and short term memory loss, hair loss, fatigue, joint pain and neck and back pain. Continues on after 3 1/2 months.  4/27/09 Received vaccine & PCP medical records of 8/1/08-2/3/2009. FINAL DX: encephalopathy w/memory loss. Records reveal patient experienced good general health on 8/1 when seen for sports physical.  RTC 8/26 w/insect bite w/swelling, warmth & pain LUE, felt sick, nausea, HA.  Tx w/antibiotics.  RTC 12/18 w/vomiting, abd pain, nausea, chest pain x 1 mo, coughing, earache, migraine HA increased in frequency, sore throat, fatigue & malaise x 5 mo, excessive sleeping.  Tonsils enlarged, strep test (+) & dx/tx for strep pharyngitis.  RTC 1/5/09 appearing ill w/sore throat, cervical lymphadenopathy, sick stomach, nausea, vomiting, low grade fever, HA, decreased appetite, dizziness.  Dx w/continued strep pharyngitis.  Tx w/IM antibiotic & continued on oral antibiotics for another course.  Seen in ER on 1/8/09.  RTC 2/3/09 w/sore throat, sister w/strep throat.  Parent reported episodes of seizure like posturing, gaze palsy, opisthotonos since 1/7/09 daily until 1/19.  Had multiple ER visits.  Hospitalized overnight for EEG which was WNL.  No further seizure episodes but significant memory loss.  Neuro-psych eval dx w/30% remaining memory.  Missed a lot of school.  Dx 2/3 w/pharyngitis, probably viral; encephalopathy w/memory loss, uncertain nature & cause.  5/18/09 Received hospital medical records of 1/16-1/17/2009. FINAL DX: nocturnal spasms Records reveal patient experienced muscle tension, arching back, eyes rolling back, unresponsive & dystonia nightly x  7-10 days lasting 15 min to 2 hr.   School performance had been affected since mid-Dec when episodes had started. Admitted for 24-hr video EEG which was WNL.  Neuro exam WNL.  Referred to Psych.  5/20/09 ED records received multiple DOS 1/7/09 to 1/12 FINAL DIAGNOSIS: Syncope, seizure, acute vomiting, cephalgia and neck stiffness Post vaccination: nausea, vomiting, body aches, twitching, unresponsive at home, headache, neck stiff. Dizziness, numbness, tingling in hands and feet, crying. Hyperventilation with carpal pedal spasms. Myoclonic tremors.
Age: 14.0
Sex: F
Vaccine: HPV4
Symptoms: Chest X-ray, Computerised tomogram, Convulsion, Fatigue, Headache
Clinical narrative: Symptoms started exactly 2 months after her 2nd shot. Started with headaches, nausea, vomiting, strep throat and body aches. Continues on with non-epileptic seizures, twitches, unconsciousness, long and short term memory loss, hair loss, fatigue, joint pain and neck and back pain. Continues on after 3 1/2 months.  4/27/09 Received vaccine & PCP medical records of 8/1/08-2/3/2009. FINAL DX: encephalopathy w/memory loss. Records reveal patient experienced good general health on 8/1 when seen for sports physical.  RTC 8/26 w/insect bite w/swelling, warmth & pain LUE, felt sick, nausea, HA.  Tx w/antibiotics.  RTC 12/18 w/vomiting, abd pain, nausea, chest pain x 1 mo, coughing, earache, migraine HA increased in frequency, sore throat, fatigue & malaise x 5 mo, excessive sleeping.  Tonsils enlarged, strep test (+) & dx/tx for strep pharyngitis.  RTC 1/5/09 appearing ill w/sore throat, cervical lymphadenopathy, sick stomach, nausea, vomiting, low grade fever, HA, decreased appetite, dizziness.  Dx w/continued strep pharyngitis.  Tx w/IM antibiotic & continued on oral antibiotics for another course.  Seen in ER on 1/8/09.  RTC 2/3/09 w/sore throat, sister w/strep throat.  Parent reported episodes of seizure like posturing, gaze palsy, opisthotonos since 1/7/09 daily until 1/19.  Had multiple ER visits.  Hospitalized overnight for EEG which was WNL.  No further seizure episodes but significant memory loss.  Neuro-psych eval dx w/30% remaining memory.  Missed a lot of school.  Dx 2/3 w/pharyngitis, probably viral; encephalopathy w/memory loss, uncertain nature & cause.  5/18/09 Received hospital medical records of 1/16-1/17/2009. FINAL DX: nocturnal spasms Records reveal patient experienced muscle tension, arching back, eyes rolling back, unresponsive & dystonia nightly x  7-10 days lasting 15 min to 2 hr.   School performance had been affected since mid-Dec when episodes had started. Admitted for 24-hr video EEG which was WNL.  Neuro exam WNL.  Referred to Psych.  5/20/09 ED records received multiple DOS 1/7/09 to 1/12 FINAL DIAGNOSIS: Syncope, seizure, acute vomiting, cephalgia and neck stiffness Post vaccination: nausea, vomiting, body aches, twitching, unresponsive at home, headache, neck stiff. Dizziness, numbness, tingling in hands and feet, crying. Hyperventilation with carpal pedal spasms. Myoclonic tremors.
Age: 14.0
Sex: F
Vaccine: HPV4
Symptoms: Loss of consciousness, Lumbar puncture, Muscle twitching, Nausea, Neck pain
Clinical narrative: Symptoms started exactly 2 months after her 2nd shot. Started with headaches, nausea, vomiting, strep throat and body aches. Continues on with non-epileptic seizures, twitches, unconsciousness, long and short term memory loss, hair loss, fatigue, joint pain and neck and back pain. Continues on after 3 1/2 months.  4/27/09 Received vaccine & PCP medical records of 8/1/08-2/3/2009. FINAL DX: encephalopathy w/memory loss. Records reveal patient experienced good general health on 8/1 when seen for sports physical.  RTC 8/26 w/insect bite w/swelling, warmth & pain LUE, felt sick, nausea, HA.  Tx w/antibiotics.  RTC 12/18 w/vomiting, abd pain, nausea, chest pain x 1 mo, coughing, earache, migraine HA increased in frequency, sore throat, fatigue & malaise x 5 mo, excessive sleeping.  Tonsils enlarged, strep test (+) & dx/tx for strep pharyngitis.  RTC 1/5/09 appearing ill w/sore throat, cervical lymphadenopathy, sick stomach, nausea, vomiting, low grade fever, HA, decreased appetite, dizziness.  Dx w/continued strep pharyngitis.  Tx w/IM antibiotic & continued on oral antibiotics for another course.  Seen in ER on 1/8/09.  RTC 2/3/09 w/sore throat, sister w/strep throat.  Parent reported episodes of seizure like posturing, gaze palsy, opisthotonos since 1/7/09 daily until 1/19.  Had multiple ER visits.  Hospitalized overnight for EEG which was WNL.  No further seizure episodes but significant memory loss.  Neuro-psych eval dx w/30% remaining memory.  Missed a lot of school.  Dx 2/3 w/pharyngitis, probably viral; encephalopathy w/memory loss, uncertain nature & cause.  5/18/09 Received hospital medical records of 1/16-1/17/2009. FINAL DX: nocturnal spasms Records reveal patient experienced muscle tension, arching back, eyes rolling back, unresponsive & dystonia nightly x  7-10 days lasting 15 min to 2 hr.   School performance had been affected since mid-Dec when episodes had started. Admitted for 24-hr video EEG which was WNL.  Neuro exam WNL.  Referred to Psych.  5/20/09 ED records received multiple DOS 1/7/09 to 1/12 FINAL DIAGNOSIS: Syncope, seizure, acute vomiting, cephalgia and neck stiffness Post vaccination: nausea, vomiting, body aches, twitching, unresponsive at home, headache, neck stiff. Dizziness, numbness, tingling in hands and feet, crying. Hyperventilation with carpal pedal spasms. Myoclonic tremors.
Age: 14.0
Sex: F
Vaccine: HPV4
Symptoms: Nuclear magnetic resonance imaging, Pain, Pharyngitis streptococcal, Scan brain, Vomiting
Clinical narrative: Symptoms started exactly 2 months after her 2nd shot. Started with headaches, nausea, vomiting, strep throat and body aches. Continues on with non-epileptic seizures, twitches, unconsciousness, long and short term memory loss, hair loss, fatigue, joint pain and neck and back pain. Continues on after 3 1/2 months.  4/27/09 Received vaccine & PCP medical records of 8/1/08-2/3/2009. FINAL DX: encephalopathy w/memory loss. Records reveal patient experienced good general health on 8/1 when seen for sports physical.  RTC 8/26 w/insect bite w/swelling, warmth & pain LUE, felt sick, nausea, HA.  Tx w/antibiotics.  RTC 12/18 w/vomiting, abd pain, nausea, chest pain x 1 mo, coughing, earache, migraine HA increased in frequency, sore throat, fatigue & malaise x 5 mo, excessive sleeping.  Tonsils enlarged, strep test (+) & dx/tx for strep pharyngitis.  RTC 1/5/09 appearing ill w/sore throat, cervical lymphadenopathy, sick stomach, nausea, vomiting, low grade fever, HA, decreased appetite, dizziness.  Dx w/continued strep pharyngitis.  Tx w/IM antibiotic & continued on oral antibiotics for another course.  Seen in ER on 1/8/09.  RTC 2/3/09 w/sore throat, sister w/strep throat.  Parent reported episodes of seizure like posturing, gaze palsy, opisthotonos since 1/7/09 daily until 1/19.  Had multiple ER visits.  Hospitalized overnight for EEG which was WNL.  No further seizure episodes but significant memory loss.  Neuro-psych eval dx w/30% remaining memory.  Missed a lot of school.  Dx 2/3 w/pharyngitis, probably viral; encephalopathy w/memory loss, uncertain nature & cause.  5/18/09 Received hospital medical records of 1/16-1/17/2009. FINAL DX: nocturnal spasms Records reveal patient experienced muscle tension, arching back, eyes rolling back, unresponsive & dystonia nightly x  7-10 days lasting 15 min to 2 hr.   School performance had been affected since mid-Dec when episodes had started. Admitted for 24-hr video EEG which was WNL.  Neuro exam WNL.  Referred to Psych.  5/20/09 ED records received multiple DOS 1/7/09 to 1/12 FINAL DIAGNOSIS: Syncope, seizure, acute vomiting, cephalgia and neck stiffness Post vaccination: nausea, vomiting, body aches, twitching, unresponsive at home, headache, neck stiff. Dizziness, numbness, tingling in hands and feet, crying. Hyperventilation with carpal pedal spasms. Myoclonic tremors.
Age: 62.0
Sex: F
Vaccine: VARZOS
Symptoms: Rash vesicular
Clinical narrative: Patient was vaccinated 4/14. Presented for urgent care 4/23 with three patches of vesicles on left back.
Age: 52.0
Sex: F
Vaccine: MMR
Symptoms: Arthralgia, Muscular weakness, Musculoskeletal pain, Myalgia, Pain in extremity
Clinical narrative: I had severe muscle pain in lower legs that continued for 7 days, and they are still sore, but not so severe  Also after 3 days, I started to have muscle ache in arms and shoulders, pain in wrists. Still have weakness in wrists
Age: 0.4
Sex: M
Vaccine: DTAPHEPBIP, PNC, RV5
Symptoms: Alanine aminotransferase, Aspartate aminotransferase normal, Blood alkaline phosphatase increased, Blood calcium normal, Blood chloride normal
Clinical narrative: about 12 hours after receiving his vaccinations, he developed poor intake of his feeds, and became limp and unresponsive (CPR was initiated).  He did not have any fevers, vomiting, or diarrhea. He was admitted to the PICU and placed on nasal CPAP and oxygen.    About 2 days before he died, while on the ventilator he had 2 -3 episodes of seizure like activity but remained stable on the ventilator.  on the day of his death he had a sudden drop in his heart rate to 40 and was unresponsive. CPR was performed but were never able to obtain a heart rate or rhythm. There were no signs of  seizure before this last event.  5/28/09 autopsy report received DOS 9/18/09. FINAL DIAGNOSIS: I. Complications of Prematurity A. Chronic Lung Disease B. Gliosis, Medullary Nuclei. II. History or Maternal Abruptio Placenta and Delivery by Caesarian Section. CAUSE OF DEATH: Compications of Prematurity. MANNER OF DEATH: Natural.
Age: 0.4
Sex: M
Vaccine: DTAPHEPBIP, PNC, RV5
Symptoms: Blood creatinine decreased, Blood culture negative, Blood glucose increased, Blood magnesium normal, Blood pH
Clinical narrative: about 12 hours after receiving his vaccinations, he developed poor intake of his feeds, and became limp and unresponsive (CPR was initiated).  He did not have any fevers, vomiting, or diarrhea. He was admitted to the PICU and placed on nasal CPAP and oxygen.    About 2 days before he died, while on the ventilator he had 2 -3 episodes of seizure like activity but remained stable on the ventilator.  on the day of his death he had a sudden drop in his heart rate to 40 and was unresponsive. CPR was performed but were never able to obtain a heart rate or rhythm. There were no signs of  seizure before this last event.  5/28/09 autopsy report received DOS 9/18/09. FINAL DIAGNOSIS: I. Complications of Prematurity A. Chronic Lung Disease B. Gliosis, Medullary Nuclei. II. History or Maternal Abruptio Placenta and Delivery by Caesarian Section. CAUSE OF DEATH: Compications of Prematurity. MANNER OF DEATH: Natural.
Age: 0.4
Sex: M
Vaccine: DTAPHEPBIP, PNC, RV5
Symptoms: Blood phosphorus, Blood potassium normal, Blood sodium normal, Blood urea decreased, CSF culture negative
Clinical narrative: about 12 hours after receiving his vaccinations, he developed poor intake of his feeds, and became limp and unresponsive (CPR was initiated).  He did not have any fevers, vomiting, or diarrhea. He was admitted to the PICU and placed on nasal CPAP and oxygen.    About 2 days before he died, while on the ventilator he had 2 -3 episodes of seizure like activity but remained stable on the ventilator.  on the day of his death he had a sudden drop in his heart rate to 40 and was unresponsive. CPR was performed but were never able to obtain a heart rate or rhythm. There were no signs of  seizure before this last event.  5/28/09 autopsy report received DOS 9/18/09. FINAL DIAGNOSIS: I. Complications of Prematurity A. Chronic Lung Disease B. Gliosis, Medullary Nuclei. II. History or Maternal Abruptio Placenta and Delivery by Caesarian Section. CAUSE OF DEATH: Compications of Prematurity. MANNER OF DEATH: Natural.
Age: 0.4
Sex: M
Vaccine: DTAPHEPBIP, PNC, RV5
Symptoms: Carbon dioxide abnormal, Convulsion, Haematocrit decreased, Haemoglobin decreased, Heart rate decreased
Clinical narrative: about 12 hours after receiving his vaccinations, he developed poor intake of his feeds, and became limp and unresponsive (CPR was initiated).  He did not have any fevers, vomiting, or diarrhea. He was admitted to the PICU and placed on nasal CPAP and oxygen.    About 2 days before he died, while on the ventilator he had 2 -3 episodes of seizure like activity but remained stable on the ventilator.  on the day of his death he had a sudden drop in his heart rate to 40 and was unresponsive. CPR was performed but were never able to obtain a heart rate or rhythm. There were no signs of  seizure before this last event.  5/28/09 autopsy report received DOS 9/18/09. FINAL DIAGNOSIS: I. Complications of Prematurity A. Chronic Lung Disease B. Gliosis, Medullary Nuclei. II. History or Maternal Abruptio Placenta and Delivery by Caesarian Section. CAUSE OF DEATH: Compications of Prematurity. MANNER OF DEATH: Natural.
Age: 0.4
Sex: M
Vaccine: DTAPHEPBIP, PNC, RV5
Symptoms: Hypophagia, Hypotonia, Intensive care, Mechanical ventilation, PCO2 increased
Clinical narrative: about 12 hours after receiving his vaccinations, he developed poor intake of his feeds, and became limp and unresponsive (CPR was initiated).  He did not have any fevers, vomiting, or diarrhea. He was admitted to the PICU and placed on nasal CPAP and oxygen.    About 2 days before he died, while on the ventilator he had 2 -3 episodes of seizure like activity but remained stable on the ventilator.  on the day of his death he had a sudden drop in his heart rate to 40 and was unresponsive. CPR was performed but were never able to obtain a heart rate or rhythm. There were no signs of  seizure before this last event.  5/28/09 autopsy report received DOS 9/18/09. FINAL DIAGNOSIS: I. Complications of Prematurity A. Chronic Lung Disease B. Gliosis, Medullary Nuclei. II. History or Maternal Abruptio Placenta and Delivery by Caesarian Section. CAUSE OF DEATH: Compications of Prematurity. MANNER OF DEATH: Natural.
Age: 0.4
Sex: M
Vaccine: DTAPHEPBIP, PNC, RV5
Symptoms: PO2 increased, Platelet count normal, Respiratory syncytial virus test negative, Unresponsive to stimuli, White blood cell count
Clinical narrative: about 12 hours after receiving his vaccinations, he developed poor intake of his feeds, and became limp and unresponsive (CPR was initiated).  He did not have any fevers, vomiting, or diarrhea. He was admitted to the PICU and placed on nasal CPAP and oxygen.    About 2 days before he died, while on the ventilator he had 2 -3 episodes of seizure like activity but remained stable on the ventilator.  on the day of his death he had a sudden drop in his heart rate to 40 and was unresponsive. CPR was performed but were never able to obtain a heart rate or rhythm. There were no signs of  seizure before this last event.  5/28/09 autopsy report received DOS 9/18/09. FINAL DIAGNOSIS: I. Complications of Prematurity A. Chronic Lung Disease B. Gliosis, Medullary Nuclei. II. History or Maternal Abruptio Placenta and Delivery by Caesarian Section. CAUSE OF DEATH: Compications of Prematurity. MANNER OF DEATH: Natural.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Dyspnoea, Intensive care, Peripheral coldness, Skin test positive, Urticaria
Clinical narrative: Developed shortness of breath, wheezing, cold extremities, and hives within 5-15 minutes after receiving four immunizations and PPD.  5/14/09 hospital records received DOS 4/23/09 to 4/24/09. FINAL DIAGNOSIS: Anaphylactic Reaction Post vaccination: difficulty breathing, wheezing, coughing, retracting.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Wheezing
Clinical narrative: Developed shortness of breath, wheezing, cold extremities, and hives within 5-15 minutes after receiving four immunizations and PPD.  5/14/09 hospital records received DOS 4/23/09 to 4/24/09. FINAL DIAGNOSIS: Anaphylactic Reaction Post vaccination: difficulty breathing, wheezing, coughing, retracting.
Age: 15.0
Sex: M
Vaccine: MNQ, TDAP, VARCEL
Symptoms: Fatigue, Feeling abnormal, Injection site swelling, Injection site warmth, Syncope
Clinical narrative: Patient experienced two episodes of syncope after receiving vaccines on 4/21/09. First episode immediately after receiving vaccines, then 15 minutes later, when he got ready to leave. Mother called on 4/23/09 to tell us he started feeling tired and "just not right" the evening of 4/22/09. He did attend school the next day, but came home early due to vomiting. Left arm was swollen at sites of Tdap and also more swollen at site of Varicella vaccine. The area was also very warm to touch. I told mother to call physician. Physician did not think he needed to see the patient. Talked with mother on 4/24/09. He did stay home from school today, but is feeling better.
Age: 15.0
Sex: M
Vaccine: MNQ, TDAP, VARCEL
Symptoms: Vomiting
Clinical narrative: Patient experienced two episodes of syncope after receiving vaccines on 4/21/09. First episode immediately after receiving vaccines, then 15 minutes later, when he got ready to leave. Mother called on 4/23/09 to tell us he started feeling tired and "just not right" the evening of 4/22/09. He did attend school the next day, but came home early due to vomiting. Left arm was swollen at sites of Tdap and also more swollen at site of Varicella vaccine. The area was also very warm to touch. I told mother to call physician. Physician did not think he needed to see the patient. Talked with mother on 4/24/09. He did stay home from school today, but is feeling better.
Age: 18.0
Sex: F
Vaccine: HPV4
Symptoms: Loss of consciousness
Clinical narrative: Within 10 minutes of receiving her first Gardasil injection the patient blacked out.  SHe was treated with smelling salts to try and rouse her and was placed in an exam room where her vital signs were measured over a 45 minute period.  Her father was then called to come and picke her up as doctor did not want her to drive.
Age: 18.0
Sex: F
Vaccine: HEPA, MNQ, TDAP, VARCEL
Symptoms: Cellulitis, Injection site erythema, Injection site pain, Injection site pruritus, Injection site swelling
Clinical narrative: Within 24 hrs after receiving the immunizations listed below, patient's rt. arm began itching at the varicella site, then she noticed swelling and warmth to touch.  She used Benadryl (O) and put cold packs on her arm overnight.  On 3/25/09 the swelling and pain in her rt. arm was worse so she went to the ER and the MD gave her Rx for Percocet and instructed her to continue using the Benadryl and cold packs.  3/26/09 - Since her arm was even more swollen and red and warm, patient went to facility, the PA diagnosed cellulitis in her rt. arm and prescribed a course of Zithromax for her.  3/27/09 - TC to patient and she states the swelling is not worse and there are no signs of streaks going up her arm, etc.  Taking the antibiotics and also the Percocet for pain.  3/30/09 - patient reports she developed a rash over the weekend on her neck and rt. shoulder with some pustules noted.  Does say she is feeling a little better today, rash is fading, but is still taking Percocet for the pain.  4/9/09 - Office visit with patient to complete the VAERS form.  States she is feeling much better.
Age: 18.0
Sex: F
Vaccine: HEPA, MNQ, TDAP, VARCEL
Symptoms: Injection site warmth, Rash, Rash pustular
Clinical narrative: Within 24 hrs after receiving the immunizations listed below, patient's rt. arm began itching at the varicella site, then she noticed swelling and warmth to touch.  She used Benadryl (O) and put cold packs on her arm overnight.  On 3/25/09 the swelling and pain in her rt. arm was worse so she went to the ER and the MD gave her Rx for Percocet and instructed her to continue using the Benadryl and cold packs.  3/26/09 - Since her arm was even more swollen and red and warm, patient went to facility, the PA diagnosed cellulitis in her rt. arm and prescribed a course of Zithromax for her.  3/27/09 - TC to patient and she states the swelling is not worse and there are no signs of streaks going up her arm, etc.  Taking the antibiotics and also the Percocet for pain.  3/30/09 - patient reports she developed a rash over the weekend on her neck and rt. shoulder with some pustules noted.  Does say she is feeling a little better today, rash is fading, but is still taking Percocet for the pain.  4/9/09 - Office visit with patient to complete the VAERS form.  States she is feeling much better.
Age: 43.0
Sex: F
Vaccine: TD
Symptoms: Joint range of motion decreased, Pain in extremity
Clinical narrative: client called this facility and stated that since she was administered her Td vaccination in the right deltoid on 3/27/09 she has had "pain off and on in the right arm and decreased range of motion to the point of 50% motion in arm". Client responded that there were no areas of swelling, redness, or itching in that arm. There was no palpable masses in right deltoid. Client advised to call primary care physician by this nurse and have her arm examined.
Age: 5.0
Sex: M
Vaccine: DTAPIPV, MMR, VARCEL
Symptoms: Allergy test, Auricular swelling, Erythema, Injection site pain, Injection site pruritus
Clinical narrative: 10 minutes after receiving MMR vaccine subcutaneously, developed a 1.5 cm wheal that itched and hurt at the site of this vaccine administration. Treated with ice, benadryl 12.5mg PO and observed. 22 minutes after vaccine, began to develop facial redness, ear swelling and urticaria on the hands and feet. Never hypotension, wheeze, respiratory distress or oropharyngeal swelling.Treated with epinepherine IM 0.15 mg. 30 minutes after epinepherine administered, child had no urticaria and only 2 cm wheal at the injection site. Treated with benadryl 12.5 mg Q4hr while awake for next 48 hours with complete resolution of all urticaria by 4 hours after injection. NO recurrence in past 24 hours since vaccine
Age: 5.0
Sex: M
Vaccine: DTAPIPV, MMR, VARCEL
Symptoms: Injection site urticaria, Urticaria
Clinical narrative: 10 minutes after receiving MMR vaccine subcutaneously, developed a 1.5 cm wheal that itched and hurt at the site of this vaccine administration. Treated with ice, benadryl 12.5mg PO and observed. 22 minutes after vaccine, began to develop facial redness, ear swelling and urticaria on the hands and feet. Never hypotension, wheeze, respiratory distress or oropharyngeal swelling.Treated with epinepherine IM 0.15 mg. 30 minutes after epinepherine administered, child had no urticaria and only 2 cm wheal at the injection site. Treated with benadryl 12.5 mg Q4hr while awake for next 48 hours with complete resolution of all urticaria by 4 hours after injection. NO recurrence in past 24 hours since vaccine
Age: 4.0
Sex: M
Vaccine: DTAP, MMR, VARCEL
Symptoms: Cold sweat, Discomfort, Eye pain, Fatigue, Injection site erythema
Clinical narrative: After the vaccination on April 16th 2009 I noticed at the injection sight his arm was swollen, red and very hot to the touch. Everyone told me he was fine at the time. I gave him children's tylenol and some zyrtec to help ease the discomfort. This lasted until Sunday, April 19 2009. It was completely gone by Monday, the following day. On April 22, 2009 I had noticed some red spots on his torso, I had assumed he got bitten by a bug. April 23, 2009 at night I noticed many more bumps had appeared on his upper legs and belly. By April 24, 2009 his entire belly, both upper thighs and under his arms had dime to penny sized lesions covering them. He is extra tired and complains of his eyes hurting him. He complains of the lesions itching, I gave him an oatmeal bath to help eleviate the itching. No fever has been noticeable but he has been feeling clammy all day today, April 24. If they have spread further or a fever comes on I will take him to the doctor.
Age: 4.0
Sex: M
Vaccine: DTAP, MMR, VARCEL
Symptoms: Injection site swelling, Injection site warmth, Pruritus, Rash erythematous, Skin lesion
Clinical narrative: After the vaccination on April 16th 2009 I noticed at the injection sight his arm was swollen, red and very hot to the touch. Everyone told me he was fine at the time. I gave him children's tylenol and some zyrtec to help ease the discomfort. This lasted until Sunday, April 19 2009. It was completely gone by Monday, the following day. On April 22, 2009 I had noticed some red spots on his torso, I had assumed he got bitten by a bug. April 23, 2009 at night I noticed many more bumps had appeared on his upper legs and belly. By April 24, 2009 his entire belly, both upper thighs and under his arms had dime to penny sized lesions covering them. He is extra tired and complains of his eyes hurting him. He complains of the lesions itching, I gave him an oatmeal bath to help eleviate the itching. No fever has been noticeable but he has been feeling clammy all day today, April 24. If they have spread further or a fever comes on I will take him to the doctor.
Age: 0.2
Sex: M
Vaccine: DTAPIPVHIB, HEP, PNC, RV1
Symptoms: Death
Clinical narrative: None stated.  6/22/09 Autopsy report received DOS 4/22/09. Cause of Death: Sudden Infant Death Syndrome (SIDS). Manner of Death: Natural.
Age: 0.5
Sex: F
Vaccine: DTAPIPVHIB, PNC, RV5, RV5
Symptoms: Abdominal X-ray, Enema administration, Intussusception, Irritability, Listless
Clinical narrative: Intussusception, Bilious vomiting, Irritability, Listlessness. Intermittent vomiting episodes starting on 4-12-09. Increased vomiting noted on 4-21-09. Diagnosed with intussusception on 4-23-09.  5/6/09 Received hospital medical records of 4/23-4/24/2009. FINAL DX: Intussusception, enema reduced Records reveal patient experienced bilious vomiting, irritability, decreased appetite, listlessness x 1 day.  Had experienced projectile vomiting x 1 day 2 wks prior & 1 wk prior.  Seen in Urgent Care & dx w/gastroenteritis & viral pharyngitis.  Vomiting persisted & seen in ER wehre IS dx.  Air contrast enema reduced IS but continued to have considerable bowel edema.  Surgery consult done.  Admitted for observation.
Age: 0.5
Sex: F
Vaccine: DTAPIPVHIB, PNC, RV5, RV5
Symptoms: Ultrasound abdomen abnormal, Vomiting, X-ray abnormal
Clinical narrative: Intussusception, Bilious vomiting, Irritability, Listlessness. Intermittent vomiting episodes starting on 4-12-09. Increased vomiting noted on 4-21-09. Diagnosed with intussusception on 4-23-09.  5/6/09 Received hospital medical records of 4/23-4/24/2009. FINAL DX: Intussusception, enema reduced Records reveal patient experienced bilious vomiting, irritability, decreased appetite, listlessness x 1 day.  Had experienced projectile vomiting x 1 day 2 wks prior & 1 wk prior.  Seen in Urgent Care & dx w/gastroenteritis & viral pharyngitis.  Vomiting persisted & seen in ER wehre IS dx.  Air contrast enema reduced IS but continued to have considerable bowel edema.  Surgery consult done.  Admitted for observation.
Age: 0.5
Sex: F
Vaccine: DTAPIPVHIB, PNC, RV5, RV5
Symptoms: Intussusception, Rhinorrhoea, Surgery, Vomiting
Clinical narrative: Intussusception, Bilious vomiting, Irritability, Listlessness. Intermittent vomiting episodes starting on 4-12-09. Increased vomiting noted on 4-21-09. Diagnosed with intussusception on 4-23-09.  5/6/09 Received hospital medical records of 4/23-4/24/2009. FINAL DX: Intussusception, enema reduced Records reveal patient experienced bilious vomiting, irritability, decreased appetite, listlessness x 1 day.  Had experienced projectile vomiting x 1 day 2 wks prior & 1 wk prior.  Seen in Urgent Care & dx w/gastroenteritis & viral pharyngitis.  Vomiting persisted & seen in ER wehre IS dx.  Air contrast enema reduced IS but continued to have considerable bowel edema.  Surgery consult done.  Admitted for observation.
Age: 4.0
Sex: F
Vaccine: DTAPIPV, MMR, VARCEL
Symptoms: Rash, Somnolence, Vomiting
Clinical narrative: 1545 vaccines emesis about 10 minutes after vaccines, developed facial and arm rash 20 minutes after vaccines, Pt sleepy. BENADRYL 15 mg IM administered at 1609. EPI Jr administered at 1625. Transferred to ER via ambulance 1630. Repeat EPI ER, admitted for observation and further treatment.  6/1/09 Hospital records received DOS 4/16/09 to 5/6/09. FINAL DIAGNOSIS: Anaphylaxis, asthma. Shortly after vaccination presented with cough, wheezing, emesis, and an erythematous macular rash over face, arms and legs. Considered by MD to have allergies to: streptomycin, neomycin, polymyxin B, vaccine and toxoid combination preparations, gelatin. 6/25/09 ICD9-999.4-Anaphylactic shock due to serum.  999.5 Other serum reaction NEC.
Age: 0.5
Sex: M
Vaccine: DTAPIPVHIB, PNC
Symptoms: Intussusception, Surgery
Clinical narrative: Intussusception, s/p surgical reduction.  4/28/09 MR received for DOS 4/16-19/2009 with D/C dx: Intussusception.  Pt presented with vomiting, fussiness and reduced po x 12-18 hrs. IS dx by abd US and reduced by BE.  2 subsequent episodes again IS confirmed by US, so pt taken to OR for surgical reduction and appy. Diet advanced post-op without difficulty and d/c 4/19/09.  4/28/08 Vax rec received from PCP.  Rotateq given 12/16/2008 Merck 0469X.