chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 15.0
Sex: F
Vaccine: HPV4
Symptoms: Pruritus, Urticaria
Clinical narrative: Information has been received from a physician and the mother of a 15 year old female with a history of hypersensitivity reactions to allergens. On 10/3/06, the pt was vaccinated IM with the first dose of 0.5ml of HPV vaccine (lot 653650/0702F. Concomitant therapy included Ortho Tri Cyclen LO started on 10/6/06. On 10/06/06, the pt developed widespread itching and hives of both upper and lower extremities. The pt did not experience respiratory symptoms. The pt was self treated with Benadryl with only mild improvement. A nurse in the local ER was consultated by phone but the pt did not require hospitalization. The symptoms resolved after one week and the pt had not experienced further problems. On 10/13/06 the pt had recovered from the event. The physician considered the event to be serious as disabling. Additional information has been requested.
Sex: U
Vaccine: FLU3
Symptoms: Hypersensitivity, Pruritus
Clinical narrative: A pt with unk medical history, had received a dose of Fluzone SV 2006-2007 USP, lot number U2273AA on an unspecified date. The route and site of administration was not reported. The day after receiving the vaccination, the pt appeared to have a severe hypersensitivity to the vaccination of pruritic allergic reaction that progressed, and actually required short hospitalization and treatment with systemic corticosteroids, etc. Diagnostic performed were not reported. Per the reporter, there were no other causes that could be determined for this, and therefore the assumption was that it was indeed due to the influenza vaccine.
Age: 45.0
Sex: F
Vaccine: FLU3
Symptoms: Eye disorder, Face oedema, Ocular hyperaemia, Pruritus
Clinical narrative: Seriousness criteria other medically significant (OMIC). Initial report received on 11/1/06 from a health care professional. A 45 year old female pt, with unk medical history, had received an IM injection of Fluzone SV 2006-2007 USP, lot number U2180AA, on 10/31/06. The site of administration was not reported. Four hours post immunization, the pt experienced itchy eyes and throat. Her eyes turned bright red and her face started to swell. The pt went to the ER and was treated with Solu Medrol, IV Pepcid, Benadryl, and Zyrtec. Diagnostic performed were not reported. At the time of this report, the pt was much better with only red eyes.
Age: 17.0
Sex: M
Vaccine: FLU3
Symptoms: Chest discomfort, Nasal oedema, Throat tightness
Clinical narrative: Seriousness criteria other medically significant (OMIC). Initial report received on 11/3/06 from a health care professional. A 17 year old male pt had received an injection of Fluzone  SV 2006-2007, lot number U2275AA, at some time during the week of 10/23/06. Within a few minutes post vaccination, the pt experienced chest tightness, and swelling of the nose and throat. He was transported by ambulance to an ER where he was treated and released. At the time of this report, the pt had recovered.
Age: 24.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: 10/31/06 1530, Employee received FLULAVAL vaccine left deltoid.  11/01/06 1000, Employee woke up with redness and swelling at injection site.  11/02/2006 Employee states arm looks much worse, came in for evaluation.  Measured 50 cm X 50 cm redness, swelling and warmth at injection site.  Continued to monitor, employee states completely resolved 11/05/06. (OMIC) Per 60 day report: Total recovery. No file needed & she did not get the flu. No treatment required.
Age: 60.0
Sex: M
Vaccine: FLUX, VARZOS
Symptoms: Carotid artery occlusion, Cerebrovascular accident, Cerebrovascular accident, Nuclear magnetic resonance imaging brain abnormal
Clinical narrative: This pt my brother received Zostavax and a flu vaccine on the same visit approx 7-10 days prior to developing a stroke. The stroke by MRI MRA was a complete occlusion of his R internal carotid artery with the MCA arterial distribution affected. Risk factors were hyperlipidemia but this was well controlled with statin Zocor 40 for years. No hypertension. No diabetes. Healthy life style, occasional daily cocktail, non smoker ever. Only prior medical history otherwise was a urethral stone two or three years ago. 02/27/07-records received and reviewed for DOS 11/5-11/8/06 DC DX: cerebrovascular accident secondary to carotid dissection on the right side. hyperlipidemia. Admitted with left sided facial droopiness. He had a right internal carotid artery dissection is hole.  He still has cognitive impairment (mild), R facial droop.  He wil never be able to believe Per 60 day follow up: Pt had a right internal carotid artery dissection. He had a large R MCA stroke. He has regained most use of left hand. He still has a large left lip droop. He has difficulty with speech, of math calculations and difficulty concentrating.
Age: 0.2
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Cellulitis, Decreased appetite, Erythema, Feeling hot, Irritability
Clinical narrative: Some red mark on left cheek, progressed to cover entire left cheek, Temp 99.3, fussy, decreased appetite. Had neonatal tooth extracted 3 weeks ago from bottom left. DX buccal cellulitis TX IV antibiotics. D/C 11/2/06 on PO Augmentin. DC DX: buccal cellulitis. Had a natal tooth extracted from left lower jaw approximately 3 weeks ago. Presents with progressively spreading erythema and warmth of left cheek.  WBC 17.0. Treated with Rocephin.
Age: 0.2
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Pyrexia, White blood cell count increased
Clinical narrative: Some red mark on left cheek, progressed to cover entire left cheek, Temp 99.3, fussy, decreased appetite. Had neonatal tooth extracted 3 weeks ago from bottom left. DX buccal cellulitis TX IV antibiotics. D/C 11/2/06 on PO Augmentin. DC DX: buccal cellulitis. Had a natal tooth extracted from left lower jaw approximately 3 weeks ago. Presents with progressively spreading erythema and warmth of left cheek.  WBC 17.0. Treated with Rocephin.
Age: 12.0
Sex: F
Vaccine: FLUN3
Symptoms: Asthenia, Cough, Dizziness, Fatigue, Headache
Clinical narrative: Tired, Lethargic, dizzy, headache, weak, fever, cough, nausea. Temp of 103F, pale/peaked. Note from Nursing Supervisor. Child was vaccinated on a Thursday and came to school on Friday. She was absent on Monday and Tuesday of the following week but returned to school on Wednesday. The school nurse did not see the child in the shcool health office. As far as the school nurse and public health know, the child was never taken in to see a doctor for any complaints that were listed by the reporter. History includes suspected Beckers Muscular Dystrophy. Father has it.
Age: 12.0
Sex: F
Vaccine: FLUN3
Symptoms: Lethargy, Nausea, Pallor, Pyrexia
Clinical narrative: Tired, Lethargic, dizzy, headache, weak, fever, cough, nausea. Temp of 103F, pale/peaked. Note from Nursing Supervisor. Child was vaccinated on a Thursday and came to school on Friday. She was absent on Monday and Tuesday of the following week but returned to school on Wednesday. The school nurse did not see the child in the shcool health office. As far as the school nurse and public health know, the child was never taken in to see a doctor for any complaints that were listed by the reporter. History includes suspected Beckers Muscular Dystrophy. Father has it.
Age: 66.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Blood pressure increased, Cardiac failure, Hypertension, Hypoaesthesia, Transient ischaemic attack
Clinical narrative: Within 15 minutes of receiving flu and Pneumo shots at flu clinic pts did not feel well, was seated I went to him, he stated he felt some numbness on left side of face, no pallor, no difficulty breathing. I gave him smelling salts and took his BP 195/101 pulse 68, Pt admitted he did not take BP med that am. He sat for 1/2 hour longer and wife administered BP med. Pt was oriented, not confused. Advised him to call MD ASAP and they left. DC DX: probable transient ischemic attack with left facial and hand numbness resolved. poorly controlled hypertension dilated ascending aorta with mild aortic insufficiency and aortic valvular sclerosis and left ventricular hypertrophy with normal left ventricular ejection fraction. Repeat echo via transesophageal echocardiogram showed no cardiac source of emboli. Mild aortic regurgitation with mild aortic vale thickening. Trace tricuspid and mitral regurgitation. Normal LV/RV size and function. Pulmonary artery of normal size. Ascending aorta/root is normal in size. Dyslipidemia Anxiety History of Lyme Disease not presently active Palpitations. BP on admission 190/93. Neurologic exam 5/5 bilateral upper and lower extremities. Cranial nerves 2 through 12 grossly intact other than decreased sensation on left side initially. Per 60 day follow up: I have received no further information regarding this patient.
Age: 69.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Erythema, Feeling hot, Swelling
Clinical narrative: Hot, red, swollen on 11-07-06. Swollen part in lower arm. Inside of elbow still today (11-8-06) still not as bad. Take 50mg of Benadryl tonight.
Age: 47.0
Sex: F
Vaccine: DTP
Symptoms: Myalgia
Clinical narrative: myalgia, muscle severe aches.
Age: 1.0
Sex: M
Vaccine: FLU3, HIBV, MMRV, PNC
Symptoms: Pyrexia, Rash macular
Clinical narrative: Development of fever 105 and maculopapular circular rash over site of vaccinations 7 days after immunizations.
Age: 87.0
Sex: M
Vaccine: DTP, TDAP
Symptoms: Cellulitis, White blood cell count increased
Clinical narrative: Cellulitis (severe), Emergency room and Dr visit elevated WBC. Levaquin, Elicon.
Age: 87.0
Sex: M
Vaccine: DTP, TDAP
Symptoms: Cellulitis, Laboratory test abnormal, Medication error
Clinical narrative: Cellulitis (severe), Emergency room and Dr visit elevated WBC. Levaquin, Elicon.
Age: 66.0
Sex: F
Vaccine: PPV
Symptoms: Erythema, Feeling hot, Injection site swelling, Pain, Pyrexia
Clinical narrative: Had Pneumovax on 11/1/06. By afternoon arm was aching and by evening was swollen to elbow. Also red and hot to touch. States temp of 100.6. Daughter works for a local physician and called him to report reaction. He prescribed Cephalexin 500mg BIDx10 days on 11/2/06. States she is feeling better this AM although she still has aches.
Age: 12.0
Sex: F
Vaccine: MNQ
Symptoms: Erythema, Fatigue, Injection site induration, Injection site rash, Injection site vesicles
Clinical narrative: 11/5 Tired, blister near injection site burst; 11/6 emesis x2, headache, rash at injection site; 11/7 increased size rash (4.5x7cm erythema/induration on exterior surface left upper arm)-no streaking.
Age: 66.0
Sex: F
Vaccine: FLUX, PPV
Symptoms: Influenza like illness, Malaise, Pain, Pyrexia, Swelling
Clinical narrative: flu & pneumoccal vaccine given on 10/24 at 2pm. Patient experiencing flu like symptoms on Wednesday (febrile, chills, sweats). Patient woke up Thursday with temp 101F and redness , increased swelling on arm-pain 7/10. Area 10x12cm, general malaise, feeling slightly better Friday. Afebrile.
Age: 52.0
Sex: F
Vaccine: FLU3
Symptoms: Lacrimation increased, Throat tightness, Wheezing
Clinical narrative: Patient complained of throat closing up, burning eyes, wheezing, no rash after leaving clinic at night. Patient states was doing fine next AM. Patient declined to return to clinic.
Age: 16.0
Sex: M
Vaccine: FLU3
Symptoms: Feeling hot, Pain, Swelling
Clinical narrative: Swollen 50 degrees, warm, painful
Age: 37.0
Sex: F
Vaccine: FLU3
Symptoms: Urticaria
Clinical narrative: Urticaria. Given Deponedrol 80 mg, oral Prednisone and hydroenyzme.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, VARCEL
Symptoms: Cellulitis, Injection site swelling
Clinical narrative: Bump at injection site 2-3 days after vaccine. Area in right upper thigh 7.5 x7.0cm has dark discoloration. Resolving cellulitis. Reported to us 11/2/06 at our office.
Age: 65.0
Sex: M
Vaccine: FLU3
Symptoms: Arthralgia, Chills, Fatigue, Headache, Hyperhidrosis
Clinical narrative: Extreme chills/sweating. Fatigue. Severe aches in most joints. Some joint swelling. No nausea. Bedridden 6 days. Headache. Intermittent fever 101.
Age: 65.0
Sex: M
Vaccine: FLU3
Symptoms: Joint swelling, Pyrexia
Clinical narrative: Extreme chills/sweating. Fatigue. Severe aches in most joints. Some joint swelling. No nausea. Bedridden 6 days. Headache. Intermittent fever 101.
Age: 60.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Feeling hot, Pain, Rash, Tenderness
Clinical narrative: 10/24 pain and warmth developed in right arm. 10/25 rash appears on right hip and leg. 10/26 rash spreads to left hip and leg resolving on right side some what. 10/30 wife calls to inform of rash. 11/1 rash resolved arm still tender.
Age: 13.0
Sex: M
Vaccine: FLU3, MNQ, TDAP
Symptoms: Erythema, Headache, Swelling, Vomiting
Clinical narrative: Headache, vomited x 1, swollen and red right arm.
Age: 0.18
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Diarrhoea, Irritability, Muscle spasms, Rash
Clinical narrative: Immediately following 1st dose of Rotateq patient developed cramping/fussiness then diarrhea that lasted about 2 weeks and sever diaper rash.
Age: 8.0
Sex: M
Vaccine: FLU3
Symptoms: Headache
Clinical narrative: Had flu vaccine at approx 9:30am 11/6/06 and developed severe headache at 4pm, which lasted 36 hours. No prior history of headaches.
Age: 60.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Injection site oedema, Injection site pain, Paraesthesia oral
Clinical narrative: Severe local reaction erythema and edema and pain elbow to shoulder 5 days. Paresthesia of lips 5 days.
Age: 0.51
Sex: M
Vaccine: DTAPHEPBIP, HIBV, IPV
Symptoms: Medication error
Clinical narrative: No adverse event inadvertently administered Pediarix and IPV.
Age: 30.0
Sex: M
Vaccine: HEPA, TD
Symptoms: Fatigue, Injection site erythema, Injection site pain
Clinical narrative: Within 24 hours after TD developed fatigue, pain in shoulder where injected and erythema. Pain described as 5 of 10. On exam + erythema, no induration, no welts.
Age: 82.0
Sex: F
Vaccine: TD
Symptoms: Injection site erythema, Injection site warmth
Clinical narrative: 10/11/06 given TD IM lot 03915 right deltoid. 10/16/06 had 70x115 local redness and warmth no tenderness.
Age: 50.0
Sex: M
Vaccine: PPV
Symptoms: Injection site erythema, Injection site oedema, Tenderness
Clinical narrative: Pt presented within 12 hours of vaccine with 18x13cm area of erythema upper arm to elbow with edema. No induration. Tender to touch, Pt was treated with Benadryl, Tylenol, compressed.
Age: 85.0
Sex: F
Vaccine: PPV
Symptoms: Chills, Injection site erythema, Injection site oedema, Injection site pain, Injection site warmth
Clinical narrative: Pt called the office 24 hours after the injection. c/o pain at site of injection and chills last PM. Seen in office skin at site of inj right deltoid area and around arm is pink, warm to touch and swollen. Temp 97.4.
Age: 0.59
Sex: F
Vaccine: DTAP, IPV, PNC
Symptoms: Diarrhoea, Rash
Clinical narrative: Rash all over body around mouth, diarrhea.
Age: 1.07
Sex: M
Vaccine: VARCEL
Symptoms: Herpes zoster, Viral infection
Clinical narrative: Patient received VARIVAX on 7/26/1996. Patient was examined on 10/18/06. He had shingles in the left T/O dermatome.
Age: 7.0
Sex: F
Vaccine: HEP, MMR, TD, VARCEL
Symptoms: Rash maculo-papular, Rash pruritic, Skin ulcer
Clinical narrative: Pt developed raised, pruritic lesions to face, trunk and extremities within 48 hours of receiving vaccination series. Symptoms lasted at least 5 days before medical attention received. Pt had moved from out of the country 2 days prior to vaccinations series received. Evaluated by MD on 11/2/06 prescribed calamine lotion.
Age: 27.0
Sex: F
Vaccine: TD
Symptoms: Injection site erythema, Injection site oedema, Injection site pain, Injection site swelling
Clinical narrative: Swelling on right arm with red raise area in location of injection. Advised pt to take Benadryl and Ibuprofen for swelling and pain.
Age: 1.02
Sex: F
Vaccine: VARCEL
Symptoms: Viral infection
Clinical narrative: Varicella resolving.
Age: 1.49
Sex: M
Vaccine: DTAP
Symptoms: Viral infection
Clinical narrative: Varicella in Groin.
Age: 80.0
Sex: F
Vaccine: PPV
Symptoms: Fall, Injection site oedema, Injection site pain, Injury, Insomnia
Clinical narrative: During the day arm felt heavy. By evening arm was swollen and painful, was unable to fall sleep. Woke up at 4am to take aspirin for pain but fainted/unconscious, Felt hard. Dentist came over to examine missing teeth from fall called doctor in the morning but was unable to go due to bad weather was able to fall sleep after taking some Tylenol. Swelling in arm as decreased but still has pain under armpit. Has appointment with dentist today to fix teeth.
Age: 80.0
Sex: F
Vaccine: PPV
Symptoms: Loss of consciousness, Pain, Sensation of heaviness, Syncope
Clinical narrative: During the day arm felt heavy. By evening arm was swollen and painful, was unable to fall sleep. Woke up at 4am to take aspirin for pain but fainted/unconscious, Felt hard. Dentist came over to examine missing teeth from fall called doctor in the morning but was unable to go due to bad weather was able to fall sleep after taking some Tylenol. Swelling in arm as decreased but still has pain under armpit. Has appointment with dentist today to fix teeth.
Age: 31.0
Sex: M
Vaccine: YF
Symptoms: Chest pain, Fatigue, Headache, Vertigo
Clinical narrative: Vertigo 90 minutes after vaccination and still present; also has headache, fatigue, and chest pain; slight transaminitis; no fever, mental status changes, abdominal pain.
Age: 57.0
Sex: F
Vaccine: FLU3
Symptoms: Asthenia, Dyspnoea, Gait disturbance, Guillain-Barre syndrome, Hypoaesthesia
Clinical narrative: Aching in legs, weakness, numbness, shortness of breath, admitted to hospital 10/31/06.  11/21/06 Received medical records from hospital which reveal patient admitted 10/31/06 for progressive generalized weakness which began 10/29 associated with paresthesias & progressive gait disorder. Patient admitted for further w/u to exclude cord compression. There was no obvious muscle weakness on exam of 11/1 & it was felt that patient had quickly resolved GBS.  She was D/C at that time.  Patient was readmittted on 11/2/06 with dx of GBS & respiratory failure.  Noted to have phrenic nerve involvement requiring bipap support after being seen with SOB. Treated with plasma exchange x 5 & improved well.  D/C to home 11/7/06 PMH: asthma, obesity, HTN, osteoporosis, restless leg syndrome. Final DX: GBS w/respiratory failure, resolving./ss
Age: 57.0
Sex: F
Vaccine: FLU3
Symptoms: Pain, Paraesthesia, Respiratory failure
Clinical narrative: Aching in legs, weakness, numbness, shortness of breath, admitted to hospital 10/31/06.  11/21/06 Received medical records from hospital which reveal patient admitted 10/31/06 for progressive generalized weakness which began 10/29 associated with paresthesias & progressive gait disorder. Patient admitted for further w/u to exclude cord compression. There was no obvious muscle weakness on exam of 11/1 & it was felt that patient had quickly resolved GBS.  She was D/C at that time.  Patient was readmittted on 11/2/06 with dx of GBS & respiratory failure.  Noted to have phrenic nerve involvement requiring bipap support after being seen with SOB. Treated with plasma exchange x 5 & improved well.  D/C to home 11/7/06 PMH: asthma, obesity, HTN, osteoporosis, restless leg syndrome. Final DX: GBS w/respiratory failure, resolving./ss
Age: 0.18
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Anaemia, Aspiration, Blindness, Blood triglycerides increased, Convulsion
Clinical narrative: Seen on 6/27/06 for well child visit 2 months. Immunization given as below. 2 days later pt with decrease alter. Increase sleep and decreased feeding. 3 days later still with decreased feeding and decrease alert. Emesis x 1. Father reports seizure activity 3 seizures over 3 days. Pt seen in ER 7/2/06 admitted a extensive work up. No obvious cause. Still encephalopathic. Does not open eyes often. Some severe developmental delays.  12/19/06 Received hospital records which reveal patient admitted 7/2/06-7/27/06 following acute onset of lethargy, poor feeding, vomiting & seizure activity. Neuro, heme, genetic, ophthal, plastic surgery & wound care consults included.  Patient on NG tube feeds due to aspiration concerns. Final Dx: Seizures; respiratory distress; dysphagia leading to aspiration; anemia; thrombocytopenia; triglyceridemia; right foot wound secondary to acyclovir infiltration; mild bilateral hearing loss; developmentally delayed; possible vision loss.  Since seizure activity began 2 days s/p 2 mo vax, removal of pertussis in future vax was recommended. 1/4/2010 Severe developmental delay. Head lay, does not sit, or roll, cries but does not vocalize.
Age: 0.18
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Crying, Cytomegalovirus antibody positive, Deafness bilateral, Decreased appetite, Depressed level of consciousness
Clinical narrative: Seen on 6/27/06 for well child visit 2 months. Immunization given as below. 2 days later pt with decrease alter. Increase sleep and decreased feeding. 3 days later still with decreased feeding and decrease alert. Emesis x 1. Father reports seizure activity 3 seizures over 3 days. Pt seen in ER 7/2/06 admitted a extensive work up. No obvious cause. Still encephalopathic. Does not open eyes often. Some severe developmental delays.  12/19/06 Received hospital records which reveal patient admitted 7/2/06-7/27/06 following acute onset of lethargy, poor feeding, vomiting & seizure activity. Neuro, heme, genetic, ophthal, plastic surgery & wound care consults included.  Patient on NG tube feeds due to aspiration concerns. Final Dx: Seizures; respiratory distress; dysphagia leading to aspiration; anemia; thrombocytopenia; triglyceridemia; right foot wound secondary to acyclovir infiltration; mild bilateral hearing loss; developmentally delayed; possible vision loss.  Since seizure activity began 2 days s/p 2 mo vax, removal of pertussis in future vax was recommended. 1/4/2010 Severe developmental delay. Head lay, does not sit, or roll, cries but does not vocalize.
Age: 0.18
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Developmental delay, Dysphagia, Electroencephalogram abnormal, Encephalopathy, Feeding disorder neonatal
Clinical narrative: Seen on 6/27/06 for well child visit 2 months. Immunization given as below. 2 days later pt with decrease alter. Increase sleep and decreased feeding. 3 days later still with decreased feeding and decrease alert. Emesis x 1. Father reports seizure activity 3 seizures over 3 days. Pt seen in ER 7/2/06 admitted a extensive work up. No obvious cause. Still encephalopathic. Does not open eyes often. Some severe developmental delays.  12/19/06 Received hospital records which reveal patient admitted 7/2/06-7/27/06 following acute onset of lethargy, poor feeding, vomiting & seizure activity. Neuro, heme, genetic, ophthal, plastic surgery & wound care consults included.  Patient on NG tube feeds due to aspiration concerns. Final Dx: Seizures; respiratory distress; dysphagia leading to aspiration; anemia; thrombocytopenia; triglyceridemia; right foot wound secondary to acyclovir infiltration; mild bilateral hearing loss; developmentally delayed; possible vision loss.  Since seizure activity began 2 days s/p 2 mo vax, removal of pertussis in future vax was recommended. 1/4/2010 Severe developmental delay. Head lay, does not sit, or roll, cries but does not vocalize.
Age: 0.18
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Gastrointestinal tube insertion, Impaired healing, Laboratory test abnormal, Lethargy, Limb injury
Clinical narrative: Seen on 6/27/06 for well child visit 2 months. Immunization given as below. 2 days later pt with decrease alter. Increase sleep and decreased feeding. 3 days later still with decreased feeding and decrease alert. Emesis x 1. Father reports seizure activity 3 seizures over 3 days. Pt seen in ER 7/2/06 admitted a extensive work up. No obvious cause. Still encephalopathic. Does not open eyes often. Some severe developmental delays.  12/19/06 Received hospital records which reveal patient admitted 7/2/06-7/27/06 following acute onset of lethargy, poor feeding, vomiting & seizure activity. Neuro, heme, genetic, ophthal, plastic surgery & wound care consults included.  Patient on NG tube feeds due to aspiration concerns. Final Dx: Seizures; respiratory distress; dysphagia leading to aspiration; anemia; thrombocytopenia; triglyceridemia; right foot wound secondary to acyclovir infiltration; mild bilateral hearing loss; developmentally delayed; possible vision loss.  Since seizure activity began 2 days s/p 2 mo vax, removal of pertussis in future vax was recommended. 1/4/2010 Severe developmental delay. Head lay, does not sit, or roll, cries but does not vocalize.
Age: 0.18
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Neurodevelopmental disorder, Polymerase chain reaction, Respiratory distress, Somnolence, Thrombocytopenia
Clinical narrative: Seen on 6/27/06 for well child visit 2 months. Immunization given as below. 2 days later pt with decrease alter. Increase sleep and decreased feeding. 3 days later still with decreased feeding and decrease alert. Emesis x 1. Father reports seizure activity 3 seizures over 3 days. Pt seen in ER 7/2/06 admitted a extensive work up. No obvious cause. Still encephalopathic. Does not open eyes often. Some severe developmental delays.  12/19/06 Received hospital records which reveal patient admitted 7/2/06-7/27/06 following acute onset of lethargy, poor feeding, vomiting & seizure activity. Neuro, heme, genetic, ophthal, plastic surgery & wound care consults included.  Patient on NG tube feeds due to aspiration concerns. Final Dx: Seizures; respiratory distress; dysphagia leading to aspiration; anemia; thrombocytopenia; triglyceridemia; right foot wound secondary to acyclovir infiltration; mild bilateral hearing loss; developmentally delayed; possible vision loss.  Since seizure activity began 2 days s/p 2 mo vax, removal of pertussis in future vax was recommended. 1/4/2010 Severe developmental delay. Head lay, does not sit, or roll, cries but does not vocalize.
Age: 0.18
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Vomiting, Vomiting, White blood cell count decreased
Clinical narrative: Seen on 6/27/06 for well child visit 2 months. Immunization given as below. 2 days later pt with decrease alter. Increase sleep and decreased feeding. 3 days later still with decreased feeding and decrease alert. Emesis x 1. Father reports seizure activity 3 seizures over 3 days. Pt seen in ER 7/2/06 admitted a extensive work up. No obvious cause. Still encephalopathic. Does not open eyes often. Some severe developmental delays.  12/19/06 Received hospital records which reveal patient admitted 7/2/06-7/27/06 following acute onset of lethargy, poor feeding, vomiting & seizure activity. Neuro, heme, genetic, ophthal, plastic surgery & wound care consults included.  Patient on NG tube feeds due to aspiration concerns. Final Dx: Seizures; respiratory distress; dysphagia leading to aspiration; anemia; thrombocytopenia; triglyceridemia; right foot wound secondary to acyclovir infiltration; mild bilateral hearing loss; developmentally delayed; possible vision loss.  Since seizure activity began 2 days s/p 2 mo vax, removal of pertussis in future vax was recommended. 1/4/2010 Severe developmental delay. Head lay, does not sit, or roll, cries but does not vocalize.
Age: 75.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Injection site erythema, Injection site oedema, Injection site warmth
Clinical narrative: 10/21/2006 Pt c/o redness, warm, swelling from shoulder down to wrist left arm. Resolved by 10/25/06, Denies hives or dyspnea.
Age: 56.0
Sex: F
Vaccine: FLU3
Symptoms: Abdominal pain, Injection site oedema, Injection site warmth, Myalgia, Pain
Clinical narrative: 10/26/2006 pt gripping sensation in stomach, 1/2-1 hour duration 24 hours after inoculation, site of injection warm, tender and edematous. Pts normal temp 98.6, her temp 99.2. Pt c/o skin tender to touch, muscle and body aches 4 hours.
Age: 56.0
Sex: F
Vaccine: FLU3
Symptoms: Pyrexia, Tenderness
Clinical narrative: 10/26/2006 pt gripping sensation in stomach, 1/2-1 hour duration 24 hours after inoculation, site of injection warm, tender and edematous. Pts normal temp 98.6, her temp 99.2. Pt c/o skin tender to touch, muscle and body aches 4 hours.
Age: 60.0
Sex: M
Vaccine: FLU3
Symptoms: Insomnia, Myalgia, Nasal congestion, Pain, Restless legs syndrome
Clinical narrative: Patient has nasal congestion, legs feel achy. Patient shuffled as he walked, generalized "pain". Saw Dr 10-12-06 patient complained of severe constant muscle ache in calves or legs. Patient had difficulty sleeping last night.
Age: 9.0
Sex: M
Vaccine: FLUN3
Symptoms: Wheezing
Clinical narrative: Developed wheezing. Seen in private physicians office and treated with Xopenex nebulization on11/7/06 and cleared on 11/8/06 visit of wheezing.
Age: 59.0
Sex: F
Vaccine: PPV, TDAP
Symptoms: Erythema, Pain
Clinical narrative: Left arm pain from shoulder to elbow. Also outer chest area above left breast. Skin area red with blotchy raised area and hot.
Age: 53.0
Sex: F
Vaccine: FLU3
Symptoms: Muscular weakness
Clinical narrative: On 11/7/06 presented to Employee Health office reporting "weakness" in left arm since vaccination received. Denies pain. No localized, heart, redness, swelling. Denies fever.
Age: 19.0
Sex: F
Vaccine: TDAP
Symptoms: Nausea, Pruritus, Rash, Urticaria, Vomiting
Clinical narrative: Client states developed nausea, vomiting and diarrhea 6 27 06 and a rash that itched. States had chills and headache that PM. on 6-29-06 called health dept to report symptoms. States vomiting and diarrhea stopped after 12 hours but rash has developed into quarter sized welts severe itching and reports heaviness in chest. Went to emergency room 6-29-06 to be checked. Client sent home without treatment.
Age: 44.0
Sex: M
Vaccine: FLU3
Symptoms: Erythema, Eye irritation, Hypersensitivity, Pruritus, Swelling
Clinical narrative: Hives. Red, bumps to back, chest, neck, arms, started 11:30 in AM today. Swelling, redness and itching to Left eyelid started 11/07/06 at 16:30. Diagnosed-stye to Left eye, possible allergic reaction
Age: 44.0
Sex: M
Vaccine: FLU3
Symptoms: Urticaria
Clinical narrative: Hives. Red, bumps to back, chest, neck, arms, started 11:30 in AM today. Swelling, redness and itching to Left eyelid started 11/07/06 at 16:30. Diagnosed-stye to Left eye, possible allergic reaction
Age: 16.0
Sex: M
Vaccine: TD
Symptoms: Vaccination failure
Clinical narrative: None reported
Age: 9.0
Sex: F
Vaccine: FLU3
Symptoms: Urticaria
Clinical narrative: Complained of hives developing on face around eyes about 2-4 hours after Influenza vaccination. Parent called in report but didn't want to bring patient into clinic for evaluation.
Age: 44.0
Sex: F
Vaccine: TD
Symptoms: Discomfort, Feeling hot, Swelling
Clinical narrative: Patient had Td vaccine 9/29/06-she notes warmth, swelling at the site for a few days. Resolved. Has had persistent discomfort in left upper arm. No nausea or weakness. Not taking meds for discomfort. She made physician appointment 11/9/06 for xray. No obvious abnormality on xray.
Age: 1.0
Sex: F
Vaccine: HIBV
Symptoms: Urticaria
Clinical narrative: Admin HIB to left upper arm. Dev urticaria type rash arm and torso approx 10-15 minutes after admin of shot.  Admin ITSP Benadryl LIQ after 20 min, rash fading. No resp distress.
Age: 45.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Left deltoid site swollen/red/warm 13 cm x 11 cm, cool compress, Benadryl, Keflex soon one PO QID x 10 days.
Age: 0.25
Sex: F
Vaccine: DTAP, HEP, HIBV
Symptoms: Crying, Dyskinesia
Clinical narrative: Inconsolable crying - evening of immunization, jerk like movements 10/18/06
Age: 19.0
Sex: F
Vaccine: MMR, TDAP
Symptoms: Pain, Paraesthesia
Clinical narrative: Had vaccine in right arm (deltoid) yesterday and woke this AM with hand and lower arm tingling and occasional sharp pain in hand. Full ROM and intact sensation.
Age: 0.21
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Diarrhoea, Vomiting
Clinical narrative: Diarrhea x 5 days, spitting up, switched to Isomil formula, Kaopectate
Age: 63.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Erythema, Pain, Swelling
Clinical narrative: Patient reported developing swelling and redness of right arm and glands under the arm.  Patient stated that it was difficult and painful to raise her arm.  Patient stated she used ice packs and antibiotic cream on her arm with some improvement in symptoms.
Age: 61.0
Sex: F
Vaccine: PPV
Symptoms: Injection site pain, Injection site warmth, Pain
Clinical narrative: Received PPV23 on 11-6-06.  Next morning generalized body aches.  The next day developed hot and sore spot on Left upper arm ~3-4 inches below shot site.  Body aches lasted 24 hours.  Arm remains hot and sore 3 days later 3-4 inches below injection site.
Age: 0.17
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Diarrhoea, Pyrexia, Vomiting
Clinical narrative: Emesis began 72 hours after Rotateq, Pediarix, Prevnar and Pedvax.  Non bloddy, nonbilious emesis continued until 11/5 when ED visit and admission in early AM 11/6 took place. Also low grade fever transient and a few loose but not watery green stools.  Soy formula fed throughout.
Age: 70.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Erythema, Joint range of motion decreased, Pain, Swelling
Clinical narrative: 2-3 hours post vaccination pain in L axillary area then continued with redness and swollen.  ROM is decreased.  Cannot pick up anything with that arm.
Age: 48.0
Sex: F
Vaccine: FLU3
Symptoms: Cellulitis, Injection site reaction
Clinical narrative: Cellulitis at site- placed on Omnicef 300mg BID
Age: 3.0
Sex: M
Vaccine: FLU3
Symptoms: Medication error
Clinical narrative: Patient was inadvertently given the influenza vaccine adult formulation to be used for age 18 yrs and over.  Parent of child notified on same day after we contacted the vaccine manufacturer.  We informed parent of possible side affects to watch for, such as increase pain, redness, swelling, fever,headache, cough, sore throat.  Parent instructed to call back immediately to the office if they observe any of the symptoms.
Age: 0.0
Sex: F
Vaccine: FLU3
Symptoms: Swelling
Clinical narrative: Administerd Flu Vaccine in R Deltoid 11/6/2006; Presented with swelling under groin area of R arm 11/7/2006; Afebrile; Denied Tenderness @ swollen Area. Private MD visit 11/8/2006. Rx Valtaren SR
Age: 54.0
Sex: F
Vaccine: FLU3
Symptoms: Asthenia, Dizziness, Heart rate increased, Hypertension, Nausea
Clinical narrative: C/O weakness, dizzyness, nausea, and heart pounding ~30 minutes after shot given.  Shot was given at outside clinic.  Client presented to Public Health office 2 hours later were PHN took vitals.  BP and Pulse above normal range.  Advised to see Primary MD.
Age: 54.0
Sex: F
Vaccine: FLU3
Symptoms: Palpitations
Clinical narrative: C/O weakness, dizzyness, nausea, and heart pounding ~30 minutes after shot given.  Shot was given at outside clinic.  Client presented to Public Health office 2 hours later were PHN took vitals.  BP and Pulse above normal range.  Advised to see Primary MD.
Age: 49.0
Sex: F
Vaccine: FLU3
Symptoms: Urticaria
Clinical narrative: Received vaccine on 11/7/06 woke up the next morning on 11/8/06 with Hives over entire body. She took Benadryl and they started to resolve. Instructed to call PCP is symptoms worsened. Denied Shortness or breath.
Age: 61.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Fatigue, Injection site pain, Injection site swelling, Urticaria
Clinical narrative: hives, pain, and swelling at site.  systemic fatigue reported as well.
Age: 59.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Dizziness, Hyperhidrosis
Clinical narrative: 8:50 - c/o dizziness. Diaphoretic. BP 168/92 P 96 RR 16 Blood sugar - 65. Benadryl 50 mg given. Capri Sun given to drink. 9:00 BP 142/74 P 96 RR 16 9:05 142/70 - given animal crackers to eat 9:10 140/72 BS - 78 9:25 138/70 P 80 9:40 140/74 10:15 to Hospital for exam
Age: 59.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Blood glucose decreased, Blood pressure increased, Dizziness, Hyperhidrosis, Tremor
Clinical narrative: 8:50 - c/o dizziness. Diaphoretic. BP 168/92 P 96 RR 16 Blood sugar - 65. Benadryl 50 mg given. Capri Sun given to drink. 9:00 BP 142/74 P 96 RR 16 9:05 142/70 - given animal crackers to eat 9:10 140/72 BS - 78 9:25 138/70 P 80 9:40 140/74 10:15 to Hospital for exam
Age: 47.0
Sex: F
Vaccine: FLU3
Symptoms: Cough, Dysphonia, Pain, Pyrexia, Upper respiratory tract infection
Clinical narrative: After flu shot on 10/23/06, she had sore arm and fever of 100F come and go, coughs and hoarse voice. She was sick up to today 11/9/06. Doctor gave her sick leave and put her on Z-pack.
Age: 46.0
Sex: F
Vaccine: FLU3
Symptoms: Asthenia, Blood pressure increased, Dizziness, Hyperhidrosis, Nausea
Clinical narrative: 8:50 AM - c/o dizziness. Diaphoreic. BP178/110 P 72  RR 12. Blood sugar 51. Benadryl 50 mg given along with Capri Sun. 9:00 152/94 P 72 RR 12 9:05 156/90 P 72 RR 12 Given animal crackers to eat 9:10 134/78 P 72 RR 12 Blood sugar 74 9:25 116/58 P 72 RR 12 "Feeling a little better, but still weak and dizzy" 9:40 132/62 c/o nausea 10:15 To Hospital for exam
Age: 56.0
Sex: F
Vaccine: FLU3
Symptoms: Cerebrovascular accident, Dizziness, Dysarthria, Haemorrhage intracranial, Hyperhidrosis
Clinical narrative: Received vaccination at apporximately 11:45; onset of symptoms was approximately 12:06pm.  Symptoms:  Diaphoretic, "whoozie", slurred speech.  Was diagnosed in the hospital with a large hemorrhagic CVA and was vented due to respiratory distress. 12/21/06 Received medical records from hospital which reveal patient hospitalized 11/6/06-11/27/07.  Consults by neuro neurosurg, pulm, cardio, endocrin and GI.  Intubated in ER.  Developed aspiration pneumonia.  PEG feeding tube placed until extubated & able to tolerate puree diet.  Transferred to Rehab facility on 11/27/06 & d/c to home on 12/5/06. Final Dx: Intracranial hemorrhage in right basal ganglia; HTN; hypothyroid; and hypokalemia. Patient out come unknown; Please contact the family for any future updates.  Per 60 day follow up: Does not know the current status of the patient.
Age: 56.0
Sex: F
Vaccine: FLU3
Symptoms: Hypertension, Hypokalaemia, Hypothyroidism, Pneumonia aspiration, Respiratory distress
Clinical narrative: Received vaccination at apporximately 11:45; onset of symptoms was approximately 12:06pm.  Symptoms:  Diaphoretic, "whoozie", slurred speech.  Was diagnosed in the hospital with a large hemorrhagic CVA and was vented due to respiratory distress. 12/21/06 Received medical records from hospital which reveal patient hospitalized 11/6/06-11/27/07.  Consults by neuro neurosurg, pulm, cardio, endocrin and GI.  Intubated in ER.  Developed aspiration pneumonia.  PEG feeding tube placed until extubated & able to tolerate puree diet.  Transferred to Rehab facility on 11/27/06 & d/c to home on 12/5/06. Final Dx: Intracranial hemorrhage in right basal ganglia; HTN; hypothyroid; and hypokalemia. Patient out come unknown; Please contact the family for any future updates.  Per 60 day follow up: Does not know the current status of the patient.
Age: 52.0
Sex: F
Vaccine: DTAP
Symptoms: Erythema, Feeling hot, Pyrexia, Swelling
Clinical narrative: Received Tdap (L deltoid) on floor where she works (10NW)on 11/07. 11/08 got swelling, heat to L area and developed fever. Seen in OHS on 11/09 with 10cm area of erythema with +epitrochler node to left arm. + swelling of left wrist. No numbness, +radial pulse and CSM.
Age: 59.0
Sex: F
Vaccine: TDAP, TDAP
Symptoms: Injection site erythema, Injection site induration, Injection site warmth
Clinical narrative: Large, hard, erythematous, tender area on outer aspect of deltoid.  Very warm to touch. Sent to ER for evaluation for ? need antibiotics for cellulitis.
Age: 59.0
Sex: F
Vaccine: TDAP, TDAP
Symptoms: Injection site erythema, Injection site induration, Injection site pain, Injection site warmth
Clinical narrative: Large, hard, erythematous, tender area on outer aspect of deltoid.  Very warm to touch. Sent to ER for evaluation for ? need antibiotics for cellulitis.
Age: 65.0
Sex: F
Vaccine: FLUX
Symptoms: Pruritus, Urticaria
Clinical narrative: Day after receiving flu vaccine, I broke out in hives and had uncomfortable itching.  The following day I took an Alavert tablet, and the itching stopped in about 45 minutes.  Itching did not return.
Age: 7.0
Sex: F
Vaccine: FLU3
Symptoms: Medication error
Clinical narrative: Patient was administered an adult dose (0.5ml) of flu vaccine not indicated for patients under 18 years of age. No adverse affects were observed. Patient's mother was informed that no 2nd dose was required. CDC was notified.
Age: 5.0
Sex: M
Vaccine: FLU3
Symptoms: Medication error
Clinical narrative: Patient was administered an adult dose (0.5ml) of flu vaccine not indicated for patients under 18 years of age. No adverse affects were observed. Patient's mother was informed that no 2nd dose was required. CDC was notified.
Age: 30.0
Sex: F
Vaccine: FLU3
Symptoms: Dizziness, Feeling hot, Pruritus, Rash, Throat tightness
Clinical narrative: Got flu shot and with in 6 - 8 minutes of injection, my throat started tightening up.  I started itching all over and developed rash starting on upper extremities, chest and stomach.  I became very dizzy and hot.   Has received flu shot for the last 12 yrs without incidence.   Was laid on back and elevated legs.  Received benadryl and prednisone.  Monitored B/P. Recovered fully. No health changes since receiving last flu shot.
Age: 8.0
Sex: M
Vaccine: FLU3
Symptoms: Medication error
Clinical narrative: Patient was administered an adult dose (0.5ml) of flu vaccine not indicated for patients under 18 years of age. No adverse affects were observed. Patient's mother was informed that no 2nd dose was required. CDC was notified.
Age: 65.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Joint range of motion decreased, Pain, Sleep disorder
Clinical narrative: Patient describes left arm as being very sore and difficult to move. No longer constant pain, but unable to sleep comfortably. Patient states that she has a history of left shoulder injury. Has been using a heating pad. Advised to see personal MD
Age: 1.3
Sex: M
Vaccine: HIBV, MMRV, PNC
Symptoms: Pyrexia, Rash
Clinical narrative: 103006 received MMR, mother states child had a little cold that day.Seen in Hosp. 110406 with fever of 104 with Tylenol and Motrin po. Contacted physician today. Was told to bring child to clinic for assessment but due to transportation problems brought child to Health Department. Fine rash noted on back/abd./extremities.
Age: 47.0
Sex: F
Vaccine: FLUX, PPV
Symptoms: Anorexia, Arthralgia, Chills, Dizziness, Injection site inflammation
Clinical narrative: Occurred within 6 hours and continue to occur 2 days later. Fever of 102 degrees, Chills, Nausea, Dizziness, Joint Pain, Loss of appetite, Vaccine site inflammation (muscle pain, swelling). Treated with asprin, tylenol, lots of fluid
Age: 47.0
Sex: F
Vaccine: FLUX, PPV
Symptoms: Myalgia, Nausea, Pyrexia, Swelling
Clinical narrative: Occurred within 6 hours and continue to occur 2 days later. Fever of 102 degrees, Chills, Nausea, Dizziness, Joint Pain, Loss of appetite, Vaccine site inflammation (muscle pain, swelling). Treated with asprin, tylenol, lots of fluid
Age: 1.8
Sex: F
Vaccine: FLU3
Symptoms: Febrile convulsion
Clinical narrative: Fever Tm104.9 today; generalized tonic-clonic seizure lasting <5minutes; ended spontaneously; seen in emergency room and discharged home.  11/28/06 Received medical records from ER which reveal patient presented with fever 104.9 & seizure lasting approx 30 sec then was post ictal.  When examined in ER she had recovered & had no further seizure activity & after observation was d/c to home. Birth HX: WNL.  delivered full term via c section, 7 lbs. Normal development.  No hx of seizures in patient or family members. Final DX: febrile seizure w/o evidence of infection./ss
Age: 57.0
Sex: F
Vaccine: FLU3
Symptoms: Joint range of motion decreased, Myelitis transverse, Neck pain, Nerve compression, Paralysis
Clinical narrative: Patient's husband reports that she received the flu shot on 10/25/06. On 10/31/06 went to the ER with severe pain in neck and shoulders with some limited movement to upper extemities.  Pain was the major presenting SX.  Patient's husband reports that patient was given a DX of "pinched nerve" or something like that.  Patient was given Vicodin and Ibuprofen and sent home.  Within 1 to 2 hours after arriving home, patient had complete paralysis.  Patient was able to talk and had no breathing difficulties, but could not move her upper or lower extemities.  Patient was transported to ER via 911 where she remains at the time of this report.  Some improvement has been reported at the time of this writing.  Pt is able to move her L arm and leg. Pt is able to wiggle toes and fingers on the right side.  Pt has no bowel or bladder function. Dx is Transverse Myelitis.  1/2/07 Received medical records from REHAB hosital which reveal patient admitted 11/8/06-11/29/06 with a 3 day history of progressive numbness & weakness of extremities.  Treated w/steroids, PT/OT & antibiotics.  Consults by ID, neuro & PMR PMH: hypothyroidism FINAL DX: cervical cord transverse myelitis; tetroplegia w/Brown Sequard syndrome; hypothyroidism; neurogenic bowel & bladder, resolved; low grade fever; c diff colitis; & strep & yeast UTI, resolved. 2/1/07 Received medical records from first hospital which reveal patient admitted 11/1-11/8/06 after experiencing bilateral arm & leg weakness to the point that she could not walk.  Two days prior to admit, had been helping to move furniture when felt pain in neck spreading to shoulder & weakness into her right arm.  Seen at urgent care center & received pai meds.  When leaving center, legs became weak to the point could not walk.  Ambulance called & taken to ER.   Admit exam revealed right arm strength of 0, left arm movement only from elbow down.  Right leg strength 0 & left leg can flex from knee down.  Having urine & bowel problems requiring enemas & Foley cath. Neuro & neurosurg consults done.  Tx w/5 days of high dose steroids which provided improvement but patient was still unable to walk.  PT/OT started. Transferred to rehab hospital, to f/u w/neuro & neurosurg & to repeat MRI of c spine in 6-8 weeks. FINAL DX: Transverse myelitis with right sided paralysis & left sided weakness; DJD in cervical spine; & history of hypothyroidism.