chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 64.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Angioedema, Blister, Dyspnoea, Hypoaesthesia, Pain
Clinical narrative: Approximately 1 wk following injection: large hives 4" to 6" (blister like) on both legs from knee to hip for about 1 week- shooting pains in hands-followed by numbness in fingers- now in finger tips and pain in Achilles tendons (still hurts but not so acute) still injured and shortness of breath.
Age: 64.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Pain in extremity, Tendon pain
Clinical narrative: Approximately 1 wk following injection: large hives 4" to 6" (blister like) on both legs from knee to hip for about 1 week- shooting pains in hands-followed by numbness in fingers- now in finger tips and pain in Achilles tendons (still hurts but not so acute) still injured and shortness of breath.
Age: 17.0
Sex: F
Vaccine: HPV4
Symptoms: Blood pressure decreased, Loss of consciousness
Clinical narrative: Patient blacked out after receiving HPV vaccine.
Age: 18.0
Sex: F
Vaccine: FLU3, MNQ
Symptoms: Headache, Menstruation irregular
Clinical narrative: Increased headache, increase menstrual periods (3 in 2 months).
Age: 4.0
Sex: F
Vaccine: DTAP, FLU3, MMR, VARCEL
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Site of DTaP on L deltoid very red, swollen, hot to touch, site of flu shot on R deltoid also very red, swollen and hot to touch.
Age: 42.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site erythema, Injection site induration, Injection site swelling
Clinical narrative: Raised red area at vaccine site + about 1.5cm. Hardened area- circular.
Sex: F
Vaccine: FLU3
Symptoms: Dyspnoea, Wheezing
Clinical narrative: 4 female school teachers c/o S.O.B. & wheezing to school nurse - treated with Ibuprofen.
Age: 1.0
Sex: M
Vaccine: HEPA, HIBV, MMR, PNC, VARCEL
Symptoms: Erythema, Rash
Clinical narrative: Patient RTC on 12/31/08- c/o .5cm red area with 3 small bumps that appeared 2 days after Immunization.
Age: 32.0
Sex: M
Vaccine: ANTH
Symptoms: Erythema, Pruritus, Rash, Swelling
Clinical narrative: Swollen shoulder w/red itchy rash
Age: 36.0
Sex: M
Vaccine: ANTH, HEP, TYP, HEP, SMALL
Symptoms: Rash erythematous, Skin warm, Tenderness
Clinical narrative: Pt received ANTHRAX vaccine #7 on 9 Sep 08.  A erythematous rxy followed & the size of a softball, 4" in diameter, 1/2 inch raised, warm to touch, with 101 degree fever.  The arm was sore to the point that a t-shirt was uncomfortable.  On day 5, the reaction started to subside.
Age: 36.0
Sex: M
Vaccine: ANTH, HEP, TYP, HEP, SMALL
Symptoms: Aphthous stomatitis, Oedema peripheral, Pyrexia, Rash, Rash macular
Clinical narrative: Pt received ANTHRAX vaccine #7 on 9 Sep 08.  A erythematous rxy followed & the size of a softball, 4" in diameter, 1/2 inch raised, warm to touch, with 101 degree fever.  The arm was sore to the point that a t-shirt was uncomfortable.  On day 5, the reaction started to subside.
Age: 36.0
Sex: M
Vaccine: ANTH, HEP, TYP, HEP, SMALL
Symptoms: Rash papular, Urticaria, Viral skin infection
Clinical narrative: Pt received ANTHRAX vaccine #7 on 9 Sep 08.  A erythematous rxy followed & the size of a softball, 4" in diameter, 1/2 inch raised, warm to touch, with 101 degree fever.  The arm was sore to the point that a t-shirt was uncomfortable.  On day 5, the reaction started to subside.
Age: 16.0
Sex: F
Vaccine: HEP
Symptoms: Blood pressure decreased, Syncope
Clinical narrative: 12/26/08 1520 client fainted 5-10 secs., did not fall, no injuries noted, B/P 90/60, R14, P60, no SOB noted, push/grips strong, perria intact, skin u/d appropriate for face, A10 x 3, able to follow commands, answered appropriately, denied pain, client drank fluids, legs raised while lying down 15 mins, stated "feeling better, did not drink a lot of fluids, got up late, don't like shots".  Encouraged dad to follow-up physician.
Age: 61.0
Sex: F
Vaccine: UNK, VARZOS
Symptoms: Erythema, Pain in extremity, Skin warm
Clinical narrative: Left upper arm just distal to shoulder, reddened area roughly 4cm in diameter with another 1cm border which is lightly reddened. The area is very warm to touch, painful. Injection received 12/22 seen in ER 12/24/08. Treatment of 300mg CLINDAMYCIN Q10 for 7 days and to apply ice or hot packs to the area.
Age: 61.0
Sex: F
Vaccine: UNK, VARZOS
Symptoms: Cellulitis, Injection site discolouration, Injection site erythema, Injection site pain, Injection site pruritus
Clinical narrative: Left upper arm just distal to shoulder, reddened area roughly 4cm in diameter with another 1cm border which is lightly reddened. The area is very warm to touch, painful. Injection received 12/22 seen in ER 12/24/08. Treatment of 300mg CLINDAMYCIN Q10 for 7 days and to apply ice or hot packs to the area.
Age: 61.0
Sex: F
Vaccine: UNK, VARZOS
Symptoms: Injection site reaction, Injection site swelling
Clinical narrative: Left upper arm just distal to shoulder, reddened area roughly 4cm in diameter with another 1cm border which is lightly reddened. The area is very warm to touch, painful. Injection received 12/22 seen in ER 12/24/08. Treatment of 300mg CLINDAMYCIN Q10 for 7 days and to apply ice or hot packs to the area.
Age: 19.0
Sex: F
Vaccine: HPV4
Symptoms: Abortion induced, Drug exposure during pregnancy
Clinical narrative: Information has been received from a Certified Medical Assistant for the Pregnancy Registry for GARDASIL concerning a 19 year old female with penicillin allergy who on 30-JUN-2008 was vaccinated with a 0.5 ml first dose of GARDASIL (LOT # 0250X) and on 29-AUG-2008 received a second dose of GARDASIL (LOT # 0573X). The reporter stated that the patient who had received the GARDASIL vaccine "is pregnant". Her LMP was 19-SEP-2008. Expected date of delivery is 26-JUN-2009. There was no concomitant medication. No adverse effect was reported. The patient was seen in the office for medical attention. Follow up information was received on 30-DEC-2008 from a certified medical assistant who stated that there was a elective termination of the pregnancy. It was unknown if the products of conception were examined or if the fetus was normal. Upon internal review, elective termination was considered to be an other important medical event. Additional information has been requested.
Age: 25.0
Sex: F
Vaccine: HPV4
Symptoms: Abortion spontaneous, Drug exposure during pregnancy
Clinical narrative: Information has been received from a consumer, for the Pregnancy Registry for GARDASIL vaccine, concerning his 25 year old wife general anesthesia allergy who was vaccinated 3 doses of GARDASIL vaccine (Lot # not reported) prior to becoming pregnant.  Concomitant therapy included heart medication.  Consumer's wife is the patient in this case.  Consumer reported that his wife had completed the GARDASIL vaccine series approximately six months to becoming pregnant with their first child.  Consumer reported that they learned at 17 weeks gestation that his wife had lost their baby around 12 weeks of gestation.  Laboratory test was performed previous to pregnancy and during pregnancy.  Consumer reported that his wife will call back with more specific dates and information.  Upon internal review, abortion spontaneous was determined to be an other important medical event.  Additional information has been requested. 11/13/09 Medical records received for date 11/10/09. DX: PID, UTI, dysmenorrheal. Presented with pelvic pain x1 month abrupt onset. Pt states intermittent cramps. Assessment: WNL, cervical/uterus exam WNL, pt signed out before external genitalia exam. Pt signed out AMA.
Age: 18.0
Sex: F
Vaccine: HPV4
Symptoms: Abortion induced, Drug exposure during pregnancy
Clinical narrative: Information has been received from a physician, for the pregnancy registry for GARDASIL, concerning an 18 year old female with a history of 2 pregnancies, 2 elective terminations, 0 live births and no other medical history who on 27-May-2008 was vaccinated with the second dose of GARDASIL (lot#659964/1978U). There was no concomitant medication. Subsequently, she became pregnant and her LMP was 26-Jul-2008. On 30-Aug-2008, about 5 weeks from her LMP, the patient underwent elective termination. Upon internal review, elective termination was determined to be an other important medical event. Additional information has been requested.
Age: 9.0
Sex: F
Vaccine: PPV
Symptoms: Abnormal behaviour, Blood culture negative, Cellulitis, Computerised tomogram normal, Diarrhoea
Clinical narrative: Information has been received from an office manager concerning a female who in August 2007, was vaccinated with a dose of PNEUMOVAX 23 vaccine (lot #656439/0577U). On an unspecified date the patient developed cellulitis and was hospitalized. Subsequently, the patient recovered from cellulitis. This is one of several reports received from the same source. A lot check has been requested. A standard lot check investigation was performed. All in-process quality checks for the lot number in question were satisfactory. In addition, an expanded lot check investigation was performed. The testing performed on the batch prior to release met all release specifications. The lot met the requirements of the Center and was released. Follow-up information was received from the office manager in the form of medical records concerning the 9 year old female patient with a history of pneumonia who on 15-AUG-2007 was vaccinated the second dose of PNEUMOVAX 23 vaccine (lot #656439/0577U) in the right arm. On 17-AUG-2007, also reported as 4 days prior to the admission, the patient had a fever, swelling of the right forearm and some induration of the forearm. On 17-AUG-2007, the patient was hospitalized. Upon admission, the patient had some lethargy, fever, diarrhea, and unusual behavior. The patient was also experiencing headache and eye blinking. The patient had a leukocytosis of over 24,000 white cells. The patient answered questions appropriately but could not remember some facts. The patient had also been on BENADRYL for this reaction post immunization. The patient was started on ROCEPHIN which was later changed to CLINDAMYCIN, and the patient was started on IV fluids. The patient was seen in consultation by doctor of infectious disease and also the patient was seen by pediatric neurologist. On 20-AUG-2007, the patient was afebrile. On an unspecified date the patient was diagnosed with myositis. Laboratory tests showed that blood cultures were all negative, and a CAT scan was within normal limits. On 21-AUG-2007, the patient had shown significant improvement. The impression at the time of discharge was cellulitis, myositis, diarrhea and immunization reaction. The patient had been thought to have a reaction also due to the BENADRYL which had appeared in some unusual behavior and neurological signs. At time of this report, the patient recovered from the events. Additional information is not expected.
Age: 9.0
Sex: F
Vaccine: PPV
Symptoms: Excessive eye blinking, Headache, Immunisation reaction, Induration, Lethargy
Clinical narrative: Information has been received from an office manager concerning a female who in August 2007, was vaccinated with a dose of PNEUMOVAX 23 vaccine (lot #656439/0577U). On an unspecified date the patient developed cellulitis and was hospitalized. Subsequently, the patient recovered from cellulitis. This is one of several reports received from the same source. A lot check has been requested. A standard lot check investigation was performed. All in-process quality checks for the lot number in question were satisfactory. In addition, an expanded lot check investigation was performed. The testing performed on the batch prior to release met all release specifications. The lot met the requirements of the Center and was released. Follow-up information was received from the office manager in the form of medical records concerning the 9 year old female patient with a history of pneumonia who on 15-AUG-2007 was vaccinated the second dose of PNEUMOVAX 23 vaccine (lot #656439/0577U) in the right arm. On 17-AUG-2007, also reported as 4 days prior to the admission, the patient had a fever, swelling of the right forearm and some induration of the forearm. On 17-AUG-2007, the patient was hospitalized. Upon admission, the patient had some lethargy, fever, diarrhea, and unusual behavior. The patient was also experiencing headache and eye blinking. The patient had a leukocytosis of over 24,000 white cells. The patient answered questions appropriately but could not remember some facts. The patient had also been on BENADRYL for this reaction post immunization. The patient was started on ROCEPHIN which was later changed to CLINDAMYCIN, and the patient was started on IV fluids. The patient was seen in consultation by doctor of infectious disease and also the patient was seen by pediatric neurologist. On 20-AUG-2007, the patient was afebrile. On an unspecified date the patient was diagnosed with myositis. Laboratory tests showed that blood cultures were all negative, and a CAT scan was within normal limits. On 21-AUG-2007, the patient had shown significant improvement. The impression at the time of discharge was cellulitis, myositis, diarrhea and immunization reaction. The patient had been thought to have a reaction also due to the BENADRYL which had appeared in some unusual behavior and neurological signs. At time of this report, the patient recovered from the events. Additional information is not expected.
Age: 9.0
Sex: F
Vaccine: PPV
Symptoms: Leukocytosis, Myositis, Oedema peripheral, Pyrexia, White blood cell count increased
Clinical narrative: Information has been received from an office manager concerning a female who in August 2007, was vaccinated with a dose of PNEUMOVAX 23 vaccine (lot #656439/0577U). On an unspecified date the patient developed cellulitis and was hospitalized. Subsequently, the patient recovered from cellulitis. This is one of several reports received from the same source. A lot check has been requested. A standard lot check investigation was performed. All in-process quality checks for the lot number in question were satisfactory. In addition, an expanded lot check investigation was performed. The testing performed on the batch prior to release met all release specifications. The lot met the requirements of the Center and was released. Follow-up information was received from the office manager in the form of medical records concerning the 9 year old female patient with a history of pneumonia who on 15-AUG-2007 was vaccinated the second dose of PNEUMOVAX 23 vaccine (lot #656439/0577U) in the right arm. On 17-AUG-2007, also reported as 4 days prior to the admission, the patient had a fever, swelling of the right forearm and some induration of the forearm. On 17-AUG-2007, the patient was hospitalized. Upon admission, the patient had some lethargy, fever, diarrhea, and unusual behavior. The patient was also experiencing headache and eye blinking. The patient had a leukocytosis of over 24,000 white cells. The patient answered questions appropriately but could not remember some facts. The patient had also been on BENADRYL for this reaction post immunization. The patient was started on ROCEPHIN which was later changed to CLINDAMYCIN, and the patient was started on IV fluids. The patient was seen in consultation by doctor of infectious disease and also the patient was seen by pediatric neurologist. On 20-AUG-2007, the patient was afebrile. On an unspecified date the patient was diagnosed with myositis. Laboratory tests showed that blood cultures were all negative, and a CAT scan was within normal limits. On 21-AUG-2007, the patient had shown significant improvement. The impression at the time of discharge was cellulitis, myositis, diarrhea and immunization reaction. The patient had been thought to have a reaction also due to the BENADRYL which had appeared in some unusual behavior and neurological signs. At time of this report, the patient recovered from the events. Additional information is not expected.
Age: 65.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Blood test normal, Chills, Dyspnoea, Headache, Injection site erythema
Clinical narrative: Information has been received from a physician concerning a 65 year old female who was vaccinated with a second 0.5 ml dose of PNEUMOVAX 23. On the same day the patient also received a dose of flu vaccine in the same arm. "Recently", the patient developed a "severe injection site reaction" and was hospitalized for 2 days. The patient was treated with intravenous antibiotics. Subsequently, on an unspecified date, the patient recovered. Follow up information was received from a registered nurse (R.N.) who reported that the retired female with chronic obstructive pulmonary disease, allergy to penicillin, clarithromycin, metronidazole and isoniazid, asthma and hypertension and emphysema who at 12:45 pm of 17-OCT-2008 was vaccinated in her left deltoid with a second dose of PNEUMOVAX 23 (lot #657526/0555U) and a dose of FLUZONE (lot #U2805AA). There was no illness at the time vaccination. Concomitant therapy included tramadol HCl, ADVAIR, hydrochlorothiazide, aspirin, prednisone, EFFEXOR XR, theophylline, AMBIEN, ULTRAVATE, AZULFIDINE, lisinopril-HCTZ, albuterol and tiotropium bromide. In the P.M. of 17-OCT-2008 the patient experienced increasing pain and redness at injection site, fever, chills, shortness of breath, nausea, vomiting, headache and stiff neck and was hospitalized (4 days). Blood culture was negative. On 24-OCT-2008, the patient recovered. Additional information is not expected.
Age: 65.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Injection site pain, Musculoskeletal stiffness, Nausea, Pyrexia, Vomiting
Clinical narrative: Information has been received from a physician concerning a 65 year old female who was vaccinated with a second 0.5 ml dose of PNEUMOVAX 23. On the same day the patient also received a dose of flu vaccine in the same arm. "Recently", the patient developed a "severe injection site reaction" and was hospitalized for 2 days. The patient was treated with intravenous antibiotics. Subsequently, on an unspecified date, the patient recovered. Follow up information was received from a registered nurse (R.N.) who reported that the retired female with chronic obstructive pulmonary disease, allergy to penicillin, clarithromycin, metronidazole and isoniazid, asthma and hypertension and emphysema who at 12:45 pm of 17-OCT-2008 was vaccinated in her left deltoid with a second dose of PNEUMOVAX 23 (lot #657526/0555U) and a dose of FLUZONE (lot #U2805AA). There was no illness at the time vaccination. Concomitant therapy included tramadol HCl, ADVAIR, hydrochlorothiazide, aspirin, prednisone, EFFEXOR XR, theophylline, AMBIEN, ULTRAVATE, AZULFIDINE, lisinopril-HCTZ, albuterol and tiotropium bromide. In the P.M. of 17-OCT-2008 the patient experienced increasing pain and redness at injection site, fever, chills, shortness of breath, nausea, vomiting, headache and stiff neck and was hospitalized (4 days). Blood culture was negative. On 24-OCT-2008, the patient recovered. Additional information is not expected.
Age: 71.0
Sex: F
Vaccine: VARZOS
Symptoms: Back pain, Injection site pain, Insomnia, Musculoskeletal pain, Neck pain
Clinical narrative: Information has been received from a physician concerning his 71 year old wife with no known allergies and no pertinent medical history who on 19-DEC-2008 was vaccinated with a dose of ZOSTAVAX. Concomitant therapy included CRESTOR. On approximately 22-DEC-2008 the patient experienced pain on the upper left arm at the injection site. The pain was getting a lot worse and radiated from the left upper arm to the back to the shoulder and neck. The physician considered the pain on the upper left arm at the injection site radiating to the back, shoulder and neck were considered to be disabling because the patient couldn't sleep and the area was very sensitive. Additional information has been requested.
Age: 48.0
Sex: F
Vaccine: FLU3
Symptoms: Gait disturbance, Lumbar puncture, Myalgia, Neuropathy peripheral, Ultrasound Doppler
Clinical narrative: Post viral symptoms 4 weeks post Influenza vaccine, increased difficulty ambulating x 4 weeks myalgias, neuropathies, evaluated by ER physician on 12/12/08.  2/5/09 Received ER medical records of 12/20/2008. FINAL DX: left leg pain Records reveal patient experienced difficulty w/weakness since 10/9/08 flu shot.  States had flu symptoms shortly after shot & had been having muscle ache of left leg since.  On 12/20 had muscle spasms & pain in left leg & it gave out, was unable to bear weight on left leg.  Neuro consult done & was WNL.  Tx w/meds & d/c to home.  Referred to Ortho.
Age: 1.3
Sex: F
Vaccine: DTAP, MMR, VARCEL
Symptoms: Injection site erythema, Injection site induration, Injection site swelling
Clinical narrative: Redness swelling and induration anterior Right thigh at typical location of immunization -- MMR and DTaP adm on right side x 2-3 days. Afebrile. Treated with warm compress and rx'd Children's Motrin.
Age: 1.25
Sex: F
Vaccine: DTAP, FLU3, PNC
Symptoms: Convulsion
Clinical narrative: Patient had a seizure two hours after recieving the vaccine.  She had no history of seizures and she did not have a fever at the time
Age: 71.0
Sex: F
Vaccine: VARZOS
Symptoms: Asthenia, Erythema, Injected limb mobility decreased, Injection site rash, Pain in extremity
Clinical narrative: pain in arm, mild redness,  progressing in severity and radiating dowm arm to wrist and up into shoulder and neck,  rash at injection site  extending dowm arm to cubital fossa mostly and then to wrist,scattered lesions elsewhere and inability to raise arm with severe weakness. given analgesics, zovirax, gabapentin, nsid
Age: 71.0
Sex: F
Vaccine: VARZOS
Symptoms: Vaccination complication
Clinical narrative: pain in arm, mild redness,  progressing in severity and radiating dowm arm to wrist and up into shoulder and neck,  rash at injection site  extending dowm arm to cubital fossa mostly and then to wrist,scattered lesions elsewhere and inability to raise arm with severe weakness. given analgesics, zovirax, gabapentin, nsid
Age: 74.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Client stated that the evening after receiving her shot she had redness, swelling, and slight pain at site of injection.
Age: 0.3
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC, RV5
Symptoms: CSF protein normal, Chest X-ray abnormal, Hypotonia, Lumbar puncture, Nuclear magnetic resonance imaging normal
Clinical narrative: Parents stated that pt developed a mild URI and vomiting 3 days post immunization and a fever of 102.  Parents brought pt in 2 weeks post immunizations for constipation and it was also noted at that time that pt's legs were "flacid".  Pt was sent to the hospital and worked up for Guillain-Barre'.  Pt had an LP, MRI, Chem panel, CBC Sed rate, CRP, TSH and a chest x-ray.  Guillain- Baree' was r/o 1/7/09-records received for DOS 12/19-12/21/08-DC DX: Hypotonia per history. Guillain-Barre ruled out.Atelectasis potentially due to some hypoventilation during sedation for MRI scan now improved. Event occurred 3 days after immunizations with flaccid and decreased spontaneous movement of lwer extremities.
Age: 0.17
Sex: F
Vaccine: DTAPIPVHIB, HEP, PNC, RV5
Symptoms: Injection site urticaria, Urticaria
Clinical narrative: Within 5 minutes of getting vaccines Left leg (injection site) broke out with whelps spreading to the abdomen. Patient given 1/4 tsp. of Benadryl po and observed for 20 minutes before being allowed to leave office.
Age: 9.0
Sex: F
Vaccine: FLU3, HEPA, HPV4, TDAP, TYP, VARCEL
Symptoms: Erythema, Skin warm, Swelling, Tenderness
Clinical narrative: Pt presented with approx 5 cm area of redness, sl warmth but minimal swelling. Mildly tender.  No streaking. Rx'd Tylenol or Motrin for discomfort.
Age: 45.0
Sex: F
Vaccine: FLU3
Symptoms: Fatigue, Pain, Pyrexia
Clinical narrative: Fever of 101 -102, body aches, and fatique x 4 days.
Age: 73.0
Sex: F
Vaccine: VARZOS
Symptoms: Asthma, Condition aggravated, Nasopharyngitis, Upper respiratory tract infection
Clinical narrative: 12/16/08 RECIEVED VACCINE.  12/23/08 VISITED DOCTOR COMPLAINING OF UPPER RESPIRATORY INFECTION/ EXACERBATION OF ASTHMA.  WAS TREATED W/ANTIBIOTICS AND STERIODS. DOCTOR CONCLUDED THAT THE SHINGLES SHOT WAS TO BLAME FOR SEVERE COLD SYMPTOMS.
Age: 0.2
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Dehydration, Dyspnoea, Pyrexia, Rash
Clinical narrative: High fever (102.9F), SOB & rash 3 days after receiving Pediarix, hib, Prevnar.  Evaluated in ER 11/6/08 at Hospital.  Patient admitted for 1 week due to dehydration & fever would not break.  No diagnosis made.  2/5/09 MR received for DOS 11/18-21/2008 with D/C DX:  Rotavirus Gastroenteritis.  Dehydration.  Oral Thrush. Reflux. Infant presented to ER with 2 day hx of vomiting, diarrhea, irritability, abdominal tenderness and poor po intake.  Fever intermittently since shots 11/2/08.  Rapid breathing, nasal congestion and chills since 11/14/08. Decreased activity. PE (+) for sunken eyes, dry lips, tachycardia, macular rash on back and papular rash on forehead. Tx with IVF and Nystatin for thrush.  By day 3 tolerating PO and d/c next day. 1/27/09 ER visit 12/28/08 for cough and fever. (+) wheezing and retractions noted. DX: Viral illness.
Sex: F
Vaccine: HEP
Symptoms: Convulsion, Feeding disorder neonatal, Head lag, Intensive care
Clinical narrative: Patient was given Hep B shot at 1 minute of age.  On the second day of life patient was having seizures and could no longer drink from her bottle.  On day three she was transported to NICU at hospital, where extensive testing was done for 2+ months with no diagnosis.  1/15/2009 D/C summary received for DOS 11/19/2007-2/5/2008 with D/C DX:  Suspected Glycogen Storage Disease. 2" DX:  Hypotonia.  Encephalopathy with seizure d/o. Non-head sparing IUGR.  ABO incompatability.  Resolving hyperbilirubinemia.  Apnea.  Ovarian cyst. Anemia.  S/P gastrostomy tube and fundiplication.  S/P R leg muscle bx. Pt transfered to higher level of care on Day 3 of life for eval of seizures and hypotonia.  Pt noted to have exaggerated Moro on admission exam and increasingly jittery despite normal D-sticks. Myoclonus and apneic episodes developed with O2 desaturations, then seizure-like activity with eye deviation to the L. Also tonic-clonic movements, tongue thrusting and lip smacking with associated apnea and desats.  Head lag noted on admission PE. Neurology, Metabolic, Genetics, Endocrinology, ENT and Ophth consults. Started on anti-seizure meds. NG tube placed 2' to feeding difficulty and replaced later with G-tube. Tx with abx for suspected peritonitis and placed on TPN. Returned to G-tube feeds 1/5/08 with episodes of hypoglycemia.  Suspected Glycogen Storage Disease. O2 for apneic episodes. Ophth consult (+) for punctate retinal hemorrhages. AT d/c still hypotonic, G-tube in place, on O2 NC. 02/01/2010 She is now 25 months old and is severly physically and mentally delayed. Patient has had every test under the sun and we still have no diagnosis.
Age: 1.04
Sex: M
Vaccine: FLU3, MMR, PNC, VARCEL
Symptoms: Injection site vesicles
Clinical narrative: Vesicles noted on right arm near site of varicella administration.
Age: 12.0
Sex: F
Vaccine: HIBV, PPV
Symptoms: Erythema, Induration, Mass, Pain, Pyrexia
Clinical narrative: Vaccines given in same arm 12/20/08.  12/22/08 Rt arm w/2" area of erythema, ver tender, induration and tender distal deltoid, continue pain control, warm compresses, doubtful shot abscess.  Incidently, pt was treated for sinusitis and fever 12/22/08.  12/24/08, return followup, overall much better, rt arm with 3" area of erythema and tenderness distal to tip of deltoid.  Slight indurated.  First area of erythema medial arm 1/2 size it was 12/22.  Continued with pain relief and warm packs.  Will followup if increased size, swelling.  12/31/08  Spots where vaccines received still present.  Complains of pain with pressure.  3 cm mild erythema with 1 cm underlying freely movable mass on rt arm just anterior to axilla.  7 cm area of induration with mild erythema over rt deltoid.  Tx ibuprofen and benedryl, return if no improvement.  1/6/09 Update, better, still slightly swollen and tender with a lump on deltoid.  Tenderness much better.  Now on 1 benedryl, 2 motrin am/pm.  Arm painful when bumped.  Will continue motrin/benedryl BID for another week.
Age: 12.0
Sex: F
Vaccine: HIBV, PPV
Symptoms: Sinusitis, Swelling, Tenderness
Clinical narrative: Vaccines given in same arm 12/20/08.  12/22/08 Rt arm w/2" area of erythema, ver tender, induration and tender distal deltoid, continue pain control, warm compresses, doubtful shot abscess.  Incidently, pt was treated for sinusitis and fever 12/22/08.  12/24/08, return followup, overall much better, rt arm with 3" area of erythema and tenderness distal to tip of deltoid.  Slight indurated.  First area of erythema medial arm 1/2 size it was 12/22.  Continued with pain relief and warm packs.  Will followup if increased size, swelling.  12/31/08  Spots where vaccines received still present.  Complains of pain with pressure.  3 cm mild erythema with 1 cm underlying freely movable mass on rt arm just anterior to axilla.  7 cm area of induration with mild erythema over rt deltoid.  Tx ibuprofen and benedryl, return if no improvement.  1/6/09 Update, better, still slightly swollen and tender with a lump on deltoid.  Tenderness much better.  Now on 1 benedryl, 2 motrin am/pm.  Arm painful when bumped.  Will continue motrin/benedryl BID for another week.
Age: 41.0
Sex: M
Vaccine: TDAP
Symptoms: Asthenia, Back pain, Chills, Dizziness, Exposure to communicable disease
Clinical narrative: Associate was given Tdap vaccination on 12/29/2008 for post exposure to Whooping cough.  He followed up on 12/30/2008 c/o dizziness, chills, weakness when walking and typing, and back ache associated with nausea.  Stated symptoms started the morning of 12/30/2008.
Age: 41.0
Sex: M
Vaccine: TDAP
Symptoms: Nausea
Clinical narrative: Associate was given Tdap vaccination on 12/29/2008 for post exposure to Whooping cough.  He followed up on 12/30/2008 c/o dizziness, chills, weakness when walking and typing, and back ache associated with nausea.  Stated symptoms started the morning of 12/30/2008.
Age: 41.0
Sex: M
Vaccine: TTOX
Symptoms: Chills, Influenza like illness, Pain, Pyrexia, Tenderness
Clinical narrative: Approx. 10 hours after getting Tetanus booster I started having servere chills and body aches the entire day. The night after that I had a fever of 102.7 most of the night but temperature went back dowm to approx. 99.3 by the next morning. I felt better but still had moderate chills and body aches. The second night after vaccination I had a fever of approx. 100.5 most of the night. By the next morning my temperature was back down to 97.8 which is normal for me.  My arm is still very sore where I received the vaccination.  It is now 3 days after vaccination and I feel better but am wondering if I'm going to be feverish again tonight.  I would describe my symptoms as like have a bad case of the Flu.  I've only been this sick a few time in my life.   I felt fine before I recieved the vaccine.   It is now 3 days after I received the shot and I hope I continue to get better.  I had previously received a Tetanus booster 5 years ago and had arm pain and mild chills but nothing significant.
Age: 52.0
Sex: F
Vaccine: FLUN3
Symptoms: Facial palsy, Hypoaesthesia, Paraesthesia
Clinical narrative: A serious spontaneous report of Bell's Palsy has been received from a Registered Nurse concerning a 52-year-old female subsequent to FLUMIST. Medical history and concomitant medications were not reported. On 05-Oct-2008, the patient received FLUMIST. On 05-Nov-2008, the patient started to experience tingling and numbness. Subsequently, the symptoms became more prominent and a neurologist diagnosed her with BELL's Palsy. The event was ongoing. The sponsor considered the event of BELL's Palsy to be serious (important medical event).
Age: 0.6
Sex: M
Vaccine: DTAP, FLU3, IPV, PNC, RV5
Symptoms: Fontanelle bulging, Irritability, Pyrexia
Clinical narrative: This is a previously health 8-month-old boy with a 2-week history of runny nose and cough without fever. Three days prior to admission he developed a fever which has been a T-max of 103. He was seen in the emergency department at his referring hospital two days prior to this admission at which point he was diagnosed with bilateral otitis media. Labs were not drawn at that time. He was started on azithromycin orally for which he had received two doses when he returned to the emergency department last night due to persistent fever and irritability. At that point his bulging fontanelle was noticed and he was empirically given a dose of IM ceftriaxone 100 mg hg. Note that a lumbar puncture was attempted and yielded only a few drops of apparently bloody CSF. It is unclear to me in talking with the lab whether this was actually received by the lab. A blood culture was obtained and that is pending. Finally a urine culture was obtained, but the lab also does not have this specimen. The patient was then transported by a team originating from that hospital. He had an 10 in place as both peripheral and central access were unsuccessful. 1/6/09-records received for DOS 11/22/08-12/29/08-DC DX: Streptococcus meningitis. Streptococcus Bacteremia.admitted with C/O two week history of rhinorrhea and cough and 3 day histoy of fever to 103. Bilateral otitis media 2 days prior to admission. Irritability. Bulging fontanelles.
Age: 71.0
Sex: M
Vaccine: FLU3
Symptoms: Amnesia, Anorexia, Arthralgia, Deafness, Hypersomnia
Clinical narrative: On November 10 pt received Flu vaccine. At 9:30 am. After the vaccine he went to the dentist who prescribed an antibiotic for the tooth infection. On the 12 of November (Thursday) at midnight patient started to feel pain in his hip, right leg, left leg, and the elbow. While he was at home he took over the counter head ache pills. At the ER at the Hospital was prescribed oxycodone. He started losing hearing and also lost memory while he was taking this medication at home. Gradually, also had vomiting, prescribed COMPAZINE. Right hand began shaky, could not hold anything. Excess of sleeping. Slept during 15 hours a day. Patient did not eat during 3 weeks lost 30 pounds. He drank more water and fruit juice while he was at home. After all these episodes pt. went to the ER Hospital twice, where he had cat scans. After pt was discharged on the 4 of December, gradually hearing began to come back as well as appetite.   2/2/09 MR received fro ER visit 11/28/2008 with DX: depression.  Neuro consult Impression:  Increased Anxiety from baseline.  30 lb weight loss-r/o metastasis vs depression.  Hand tremor.   Pt presented with c/o increased anxiety, difficulty concentrating, 30lb wt loss in 3 weeks, headaches and hearing loss. Pt had felt ill since 2 days s/p Flu shot on 11/11/08 with fever, flu-like sx, nausea, H/A and confusion. Saw dentist for tooth infection. Rx: abx. PE (+) for visual apraxia, L flapping tremor, (+) intention tremor, (+) Romberg. Referred for psych consult due to recent losses.  DX:  MDD, Anxiety, Adjustment reactions. Referred for outpt f/u.
Age: 71.0
Sex: M
Vaccine: FLU3
Symptoms: Hypophagia, Laboratory test, Pain in extremity, Tooth infection, Tremor
Clinical narrative: On November 10 pt received Flu vaccine. At 9:30 am. After the vaccine he went to the dentist who prescribed an antibiotic for the tooth infection. On the 12 of November (Thursday) at midnight patient started to feel pain in his hip, right leg, left leg, and the elbow. While he was at home he took over the counter head ache pills. At the ER at the Hospital was prescribed oxycodone. He started losing hearing and also lost memory while he was taking this medication at home. Gradually, also had vomiting, prescribed COMPAZINE. Right hand began shaky, could not hold anything. Excess of sleeping. Slept during 15 hours a day. Patient did not eat during 3 weeks lost 30 pounds. He drank more water and fruit juice while he was at home. After all these episodes pt. went to the ER Hospital twice, where he had cat scans. After pt was discharged on the 4 of December, gradually hearing began to come back as well as appetite.   2/2/09 MR received fro ER visit 11/28/2008 with DX: depression.  Neuro consult Impression:  Increased Anxiety from baseline.  30 lb weight loss-r/o metastasis vs depression.  Hand tremor.   Pt presented with c/o increased anxiety, difficulty concentrating, 30lb wt loss in 3 weeks, headaches and hearing loss. Pt had felt ill since 2 days s/p Flu shot on 11/11/08 with fever, flu-like sx, nausea, H/A and confusion. Saw dentist for tooth infection. Rx: abx. PE (+) for visual apraxia, L flapping tremor, (+) intention tremor, (+) Romberg. Referred for psych consult due to recent losses.  DX:  MDD, Anxiety, Adjustment reactions. Referred for outpt f/u.
Age: 71.0
Sex: M
Vaccine: FLU3
Symptoms: Vomiting, Weight decreased
Clinical narrative: On November 10 pt received Flu vaccine. At 9:30 am. After the vaccine he went to the dentist who prescribed an antibiotic for the tooth infection. On the 12 of November (Thursday) at midnight patient started to feel pain in his hip, right leg, left leg, and the elbow. While he was at home he took over the counter head ache pills. At the ER at the Hospital was prescribed oxycodone. He started losing hearing and also lost memory while he was taking this medication at home. Gradually, also had vomiting, prescribed COMPAZINE. Right hand began shaky, could not hold anything. Excess of sleeping. Slept during 15 hours a day. Patient did not eat during 3 weeks lost 30 pounds. He drank more water and fruit juice while he was at home. After all these episodes pt. went to the ER Hospital twice, where he had cat scans. After pt was discharged on the 4 of December, gradually hearing began to come back as well as appetite.   2/2/09 MR received fro ER visit 11/28/2008 with DX: depression.  Neuro consult Impression:  Increased Anxiety from baseline.  30 lb weight loss-r/o metastasis vs depression.  Hand tremor.   Pt presented with c/o increased anxiety, difficulty concentrating, 30lb wt loss in 3 weeks, headaches and hearing loss. Pt had felt ill since 2 days s/p Flu shot on 11/11/08 with fever, flu-like sx, nausea, H/A and confusion. Saw dentist for tooth infection. Rx: abx. PE (+) for visual apraxia, L flapping tremor, (+) intention tremor, (+) Romberg. Referred for psych consult due to recent losses.  DX:  MDD, Anxiety, Adjustment reactions. Referred for outpt f/u.
Age: 52.0
Sex: F
Vaccine: FLU3
Symptoms: Injected limb mobility decreased, Injection site pain, Pain
Clinical narrative: Injection site hurt longer than any previous flu shot and muscle continues to hurt especially with movement of arm, with some restriction of movement and decreased use of arm due to pain.
Age: 54.0
Sex: F
Vaccine: FLU3
Symptoms: Pain, Pain in extremity, Skin burning sensation
Clinical narrative: Arm was sore for prolonged amount of time after receiving flu shot. Burning all the way down to the elbow for a few seconds, then ached for a month or more.
Age: 22.0
Sex: M
Vaccine: FLU3
Symptoms: Chest X-ray abnormal, Immediate post-injection reaction, Inflammation, Injection site pain
Clinical narrative: Arm was sore at site of injection for a prolonged amount of time immediately after injection.
Age: 29.0
Sex: F
Vaccine: FLU3
Symptoms: Arthralgia, Pain in extremity
Clinical narrative: Arm was sore after receiving flu shot for a prolonged amount of time "joint pain"-not relieved by Ibuprofen.
Age: 69.0
Sex: M
Vaccine: FLU3
Symptoms: Facial palsy, Facial paresis
Clinical narrative: Bell's palsy-absence of muscular control of right facial muscles-upper, middle, lower face-Drooping eye and mouth.
Age: 41.0
Sex: F
Vaccine: TDAP
Symptoms: Diarrhoea, Dizziness, Dry mouth, Dyspnoea, Injection site swelling
Clinical narrative: Patient got dizzy, was short of breath, and had a dry mouth 20 minutes after leaving the hospital, which lasted for 2 hrs.  In the evening the patient developed diarrhea.  Two days later the patient developed a rash and swelling of the arm at the injection site.  Treated with IBUPROFEN.
Age: 41.0
Sex: F
Vaccine: TDAP
Symptoms: Rash
Clinical narrative: Patient got dizzy, was short of breath, and had a dry mouth 20 minutes after leaving the hospital, which lasted for 2 hrs.  In the evening the patient developed diarrhea.  Two days later the patient developed a rash and swelling of the arm at the injection site.  Treated with IBUPROFEN.
Age: 30.0
Sex: F
Vaccine: TDAP
Symptoms: Arthralgia, Muscle spasms, Myalgia, Pain in extremity
Clinical narrative: Severe bilateral leg pain with cramping. Generalized muscle and joint pain, symptoms began around midnight today.
Age: 15.0
Sex: M
Vaccine: TDAP
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Lymphadenopathy, Pyrexia
Clinical narrative: Within 12 hrs of vaccine. L arm at vaccine swollen, red and painful.  Treated with BENADRYL.  Also, had a fever.
Age: 25.0
Sex: F
Vaccine: FLU3
Symptoms: Erythema, Local reaction, Pruritus, Rash erythematous, Rash generalised
Clinical narrative: 12/11/08 6:00pm, Rash appeared on L arm and L side of face and chest.  Pt. also had local reaction of warmth and redness, described "like the size of a fist "Night of 12/11 pt. 's throat and L side of body itchy.  12/12/08 am, On awakening:  She discovered red raised rash all over body.  Pt took BENADRYL and saw MD.  Pt. received steroid injection.  MD instructed pt. to continue BENADRYL.
Age: 25.0
Sex: F
Vaccine: FLU3
Symptoms: Skin warm, Throat irritation
Clinical narrative: 12/11/08 6:00pm, Rash appeared on L arm and L side of face and chest.  Pt. also had local reaction of warmth and redness, described "like the size of a fist "Night of 12/11 pt. 's throat and L side of body itchy.  12/12/08 am, On awakening:  She discovered red raised rash all over body.  Pt took BENADRYL and saw MD.  Pt. received steroid injection.  MD instructed pt. to continue BENADRYL.
Age: 1.5
Sex: M
Vaccine: DTAP, FLU3, HEPA, PNC
Symptoms: Injection site swelling
Clinical narrative: Localized swelling (L) lateral thigh.
Age: 34.0
Sex: F
Vaccine: RAB
Symptoms: Asthenia, Chest X-ray, Cough, Dizziness, Headache
Clinical narrative: Pt given vaccine and after a few min. later had asthenia, numbness and tingling down (L) arm, dizzy, ringing in ears, frontal headache, no SOB. Cough, lethargic. Pt had wheezing increased and was given Nubulizer and albuterol. 083%. wheezing decreased sent to ER see there discharge instructions. Seen 1/5/09 still with cough and asthenia + non HA, smug tenderness.
Age: 34.0
Sex: F
Vaccine: RAB
Symptoms: Hypoaesthesia, Immediate post-injection reaction, Lethargy, Paraesthesia, Tenderness
Clinical narrative: Pt given vaccine and after a few min. later had asthenia, numbness and tingling down (L) arm, dizzy, ringing in ears, frontal headache, no SOB. Cough, lethargic. Pt had wheezing increased and was given Nubulizer and albuterol. 083%. wheezing decreased sent to ER see there discharge instructions. Seen 1/5/09 still with cough and asthenia + non HA, smug tenderness.
Age: 34.0
Sex: F
Vaccine: RAB
Symptoms: Tinnitus
Clinical narrative: Pt given vaccine and after a few min. later had asthenia, numbness and tingling down (L) arm, dizzy, ringing in ears, frontal headache, no SOB. Cough, lethargic. Pt had wheezing increased and was given Nubulizer and albuterol. 083%. wheezing decreased sent to ER see there discharge instructions. Seen 1/5/09 still with cough and asthenia + non HA, smug tenderness.
Age: 44.0
Sex: M
Vaccine: ANTH, FLUN3, UNK
Symptoms: Erythema, Full blood count normal, Incorrect route of drug administration, Laboratory test normal, Liver function test normal
Clinical narrative: Vaccine administrator (certified by Immunizations course) inadvertently provided a PPD utilizing the Anthrax vaccine .1cc intradermally.  Pt was not indicated to receive Anthrax (presented for PPD and Flumist) but had previous Anthrax vaccinations due to deployment.  PT advised immediately of the error.  No initial redness at site of inadvertent injection. Pt also received Flumist, PPD, and Anthrax additional by SC route per PT request. Pt will return within 48-72 hours for PPD reading (PPD was placed after incident in opposite arm) and will follow up at that time with Ambulatory care Clinic staff related to inadvertent Anthrax injection (Intradermal) to ensure there are no complications.  Head Nurse notified by immunization staff after encounter completed.  Head Nurse discussed incident with patient and advised to contact clinic if pain, redness, or swelling at site of injection occurs or Go to ER immediately if any acute issues occur. Contacted Dr, Immunizations Physician and advised of the incident.  He concurred with plan of care and advised there is a minimal likelihood of complications, other than local irritation to affected area, that may occur. Administrator provided patient with personal contact information for any questions, concerns, or issues.  2.  Patient was followed up by clinic providers on 16 DEC 2008, 17 DEC 2008, and 19 DEC 2008.  Provider visit on 19 DEC 2008 advised patient to return to clinic only as needed due to resolving redness and irritation.  Lab tests completed on 19 DEC 2008 were within normal range.  Specific medical documentation available in electronic record.  Administrator contacted on 30 DEC for verbal follow up.  Pt reported ½ dime size reddened area with a small nodule like a "BB" under skin.  Provider advised and no further medical action is needed at this time.  Continue to monitor and RTC if conditions worsen or return.
Age: 44.0
Sex: M
Vaccine: ANTH, FLUN3, UNK
Symptoms: Nodule, Skin irritation, Wrong drug administered
Clinical narrative: Vaccine administrator (certified by Immunizations course) inadvertently provided a PPD utilizing the Anthrax vaccine .1cc intradermally.  Pt was not indicated to receive Anthrax (presented for PPD and Flumist) but had previous Anthrax vaccinations due to deployment.  PT advised immediately of the error.  No initial redness at site of inadvertent injection. Pt also received Flumist, PPD, and Anthrax additional by SC route per PT request. Pt will return within 48-72 hours for PPD reading (PPD was placed after incident in opposite arm) and will follow up at that time with Ambulatory care Clinic staff related to inadvertent Anthrax injection (Intradermal) to ensure there are no complications.  Head Nurse notified by immunization staff after encounter completed.  Head Nurse discussed incident with patient and advised to contact clinic if pain, redness, or swelling at site of injection occurs or Go to ER immediately if any acute issues occur. Contacted Dr, Immunizations Physician and advised of the incident.  He concurred with plan of care and advised there is a minimal likelihood of complications, other than local irritation to affected area, that may occur. Administrator provided patient with personal contact information for any questions, concerns, or issues.  2.  Patient was followed up by clinic providers on 16 DEC 2008, 17 DEC 2008, and 19 DEC 2008.  Provider visit on 19 DEC 2008 advised patient to return to clinic only as needed due to resolving redness and irritation.  Lab tests completed on 19 DEC 2008 were within normal range.  Specific medical documentation available in electronic record.  Administrator contacted on 30 DEC for verbal follow up.  Pt reported ½ dime size reddened area with a small nodule like a "BB" under skin.  Provider advised and no further medical action is needed at this time.  Continue to monitor and RTC if conditions worsen or return.