chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 0.2
Sex: M
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Injection site discolouration
Clinical narrative: Initial report received from a health care professional on 01 May 2007.  A 3 month old, male patient (with no known allergies) developed a 1/2" long brown pigment discolouration to the skin surrounding the injection site, after he received Tripedia (lot number reported "41813AB") intramuscularly, in the right thigh; IPOL (lot number Z0306) subcutaneously, in the left thigh; Prevnar (Wyeth, lot number 808684D) intramuscularly, in the right thigh and Combivax (Merck, lot number 0010F) intramuscularly, in the left thigh on 02 March 2007.  The symptoms occurred in the right thigh.  It was reported both puncture marks were still visible.  There was no nodule, no tenderness and no systemic effects.  He did not have any laboratory or diagnostic tests performed.  At the time of the vaccinations, he did not have any illness.  Prior to hospital discharge at birth, he was given Hep B vaccine (manufacturer, lot number, route and site of administration unknown).  At the time of the report, he had not recovered.
Age: 1.3
Sex: M
Vaccine: DTAP, HIBV, PNC
Symptoms: Injection site reaction, Injection site swelling, Rash macular, Urticaria
Clinical narrative: Initial report received from a nurse on 22 June 2007.  A 15 month old, male patient (with a history of no known allergies, torticollis and 1 day cough and URI signs/symptoms) developed large welts and blotches at both injection sites, back, top of scalp, neck and cheek, within 5-10 minutes after receiving dose 4 of Tripedia (DTP-HIB) (reported US lot numbers UE827AA/U1857AA, corresponding sanofi pasteur SA lot number for Act-HIB (Y1096-3), intramuscularly in the left thigh and dose 4 of Prevnar (lot number B08679E) intramuscularly in the right thigh, on 22 June 2007.  Approximately 15 minutes post injection, there was increased swelling at the DTP-HIB site - left thigh.  The patient received 3/4 tsp Benadryl po.  Within 20 hours, welts were fading.  The patient was happy, active and did not have respiratory distress at any point.  It was reported the patient recovered.  The patient was previously evaluated by an allergist for hives after Hep B and flu shot.
Sex: U
Vaccine: DTAP
Symptoms: Fatigue, Pain, Pyrexia, Wrong drug administered
Clinical narrative: This case was reported by a health professional on 15 August 2007.  An adult patient was inadvertently administered Tripedia (lot number not reported) instead of Tdap on 14 August 2007.  The patient subsequently complained of fever, achiness, and fatigue.  The events remained ongoing.
Age: 11.0
Sex: F
Vaccine: MNQ
Symptoms: Dizziness, Immediate post-injection reaction
Clinical narrative: Initial report received on 21 September 2007 from a physician.  An 11 year-old female patient, had received an intramuscular dose of Menactra; lot number U2402AA, in the left deltoid on 18 September 2007.  Immediately following the vaccination, the patient experienced dizziness and was laid down on an examination table.  The patient's pulse rate and skin color did not change during this time.  The dizziness lasted less than five minutes, and the patient recovered.  The reporter for this case is the same as for case 2007-02753.
Sex: U
Vaccine: MNQ
Symptoms: Muscular weakness, Paraesthesia, Pyrexia
Clinical narrative: Initial report received on 07 September 2007 from a health care provider.  A patient (age not specified) had received an injection of Menactra, lot number U2386BA, on an "unknown" date.  Route and site of administration were not provided.  At an unspecified time post-vaccination, the patient experienced fever, muscle weakness, and severe lower extremity weakness and tingling which resolved in three days.  Additional medically relevant information was not provided.  Recovery status was not reported.  The reporter in this case is the same as in case 2007-03056.
Age: 22.0
Sex: F
Vaccine: MNQ, PPV, YF
Symptoms: Erythema, Injection site swelling, Limb discomfort, Pyrexia, Rash macular
Clinical narrative: Injection site swelling; Red blotches; Fever; Arm discomfort
Age: 27.0
Sex: F
Vaccine: MNQ, PPV
Symptoms: Chills, Erythema, Feeling hot, Injection site inflammation, Myalgia
Clinical narrative: Fever; Chills; Generalised muscle aches; Localised erythema, Localised feeling of warmth; Injection site inflammation
Age: 27.0
Sex: F
Vaccine: MNQ, PPV
Symptoms: Pyrexia
Clinical narrative: Fever; Chills; Generalised muscle aches; Localised erythema, Localised feeling of warmth; Injection site inflammation
Age: 55.0
Sex: M
Vaccine: FLU3
Symptoms: Migraine
Clinical narrative: Migraine like headache, within 8 hours of administration.
Age: 5.0
Sex: M
Vaccine: VARCEL
Symptoms: Cough, Influenza, Injection site erythema, Pyrexia
Clinical narrative: VERY RED WHERE THE SHOT WAS GIVEN AND BIG CIRCLE THEN SEVERAL DAYS LATER MY SON DEVELOPED A FEVER OF 102 F HE SOUNDED LIKE HE WAS SICK FROM HIS TROUGHT ALSO LIKE A FLU SIMPTOMS I TOOK HIM TO THE DOCTOR I MENTIONED EVERYTHING HES TALKING MED ANTIBIOTIC,AND FOR HIS COUGH, AND COLD HIS EYES ARE VERY SAD LOOKING VERY PUFFY HE GOT THE SHOT ON 9/25/07 TODAY IS 10/06/07.VERY WORRIED
Age: 59.0
Sex: F
Vaccine: FLUX, PPV
Symptoms: Erythema, Injection site swelling, Myalgia, Pain in extremity, Pyrexia
Clinical narrative: SEVERE PAIN INVOLVING ENTIRE DELTOID MUSCLE INTO WHICH PNEUMO VAC. WAS ADMINISTERED BEGINNING 5 HOURS AFTER IMMUNIZATION.  FEVER BUILDING TO 102 AT 24 HOURS; FEVER GONE AFTER 50 HOURS.  IMPROVEMENT IN MUSCLE PAIN AFTER 48 HOURS, BUT REDNESS AND SWELLING VISIBLE IN SPOTS EXTENDING FROM INJECTION SITE DOWN TO A 5"X 8" AREA IN THE LOWER PART OF THE MUSCLE.  TEATED WITH TYLENOL AND ALLEVE.
Age: 42.0
Sex: M
Vaccine: ANTH
Symptoms: Amnesia, Blood cholesterol increased
Clinical narrative: Right back from MOB. The signs appears. Hospital is been taking care my symptoms like Thyroids, High Cholesterol, and Memory Lost.
Age: 52.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Oedema peripheral
Clinical narrative: left upper posterior arm swelling, cool, no erythema, no hives or blistering.  At the time patient reports the reaction (approximately 4 hrs post vaccination) the area of swelling was the size of my palm (4inches in diameter). Pt was advised to apply cold compress, elevate left arm above heart as often as possible, and take oral benadryl every 4 hrs for 24hrs, report reaction to PCP, notify clinic if condition worsens.  Pt arm evaluated at private doctor's office 10/5/07
Age: 67.0
Sex: F
Vaccine: FLUX, PPV
Symptoms: Erythema, Oedema peripheral, Pain, Skin warm
Clinical narrative: Received Pneumovax and Influenza, one in each upper arm.  Left upper arm very swollen, red, warm, painful.  Patient summary does not identify which vaccination was given in which arm, unable to learn which vaccination I am reacting to. Called Clinic, nurse never responded.  Went back to location, they said there was a computer problem yesterday and all records are lost, unable to tell me which vaccine was given in my left arm, which vaccine I am reacing to.
Age: 49.0
Sex: M
Vaccine: FLU3
Symptoms: Immediate post-injection reaction, Syncope
Clinical narrative: Patient fainted. Kept talking to patient and he eventually woke up after about 1 minute. Patient never stopped breathing.Patient stated that he was going to faint as soon as vaccine was given.
Age: 4.0
Sex: M
Vaccine: FLUX
Symptoms: Childhood disintegrative disorder, Condition aggravated, Electroencephalogram normal, Gluten free diet, Nuclear magnetic resonance imaging normal
Clinical narrative: Patient had been diagnosed with mild autism prior to receiving a flu vaccine in November 2005. His autism was mild and he was functioning well. Approximately two weeks following the flu shot he began regressing in skills on a global scale. From November up until February 2006 he gradually lost his ability to speak, eat with utensils, use the toilet, and socialize and interact with others and he also develped severe snesory processing issues. He frequently looked to be in pain but was unable to verbalize if he felt bad. On February 5, 2005 patient began a three month period of no speech or verbal sounds whatsoever. He made no noise at all, not even when he cried. We consulted his neurologist who was at a loss, but ordered an EEG and an MRI, both of which revealed nothing wrong with patient. We then consulted a Developmental Pediatric Specialist who advised us to put patient on a detoxifying gluten free/ casein free diet immediately. We attempted to add in supplements and fish oil to his diet but due to his sensory defensiveness he would not consume this items. One month after starting patient on the detox GF/CF diet he resumed speaking again, almost over night. Patient has made good progress regaining skills, but he still suffers from severe sensory processing disorder and his level of autism is not at a moderate level, whereas before it was extremely mild. For reference, I was not aware that VAERS existed and was never informed by a Dr that I should report this as an adverse reaction, which is why this has not been reported for the past two years. I was only recently made aware of VAERS and encouraged to report what happened.
Age: 4.0
Sex: M
Vaccine: FLUX
Symptoms: Pain, Regressive behaviour, Sensory integrative dysfunction, Social problem, Speech disorder
Clinical narrative: Patient had been diagnosed with mild autism prior to receiving a flu vaccine in November 2005. His autism was mild and he was functioning well. Approximately two weeks following the flu shot he began regressing in skills on a global scale. From November up until February 2006 he gradually lost his ability to speak, eat with utensils, use the toilet, and socialize and interact with others and he also develped severe snesory processing issues. He frequently looked to be in pain but was unable to verbalize if he felt bad. On February 5, 2005 patient began a three month period of no speech or verbal sounds whatsoever. He made no noise at all, not even when he cried. We consulted his neurologist who was at a loss, but ordered an EEG and an MRI, both of which revealed nothing wrong with patient. We then consulted a Developmental Pediatric Specialist who advised us to put patient on a detoxifying gluten free/ casein free diet immediately. We attempted to add in supplements and fish oil to his diet but due to his sensory defensiveness he would not consume this items. One month after starting patient on the detox GF/CF diet he resumed speaking again, almost over night. Patient has made good progress regaining skills, but he still suffers from severe sensory processing disorder and his level of autism is not at a moderate level, whereas before it was extremely mild. For reference, I was not aware that VAERS existed and was never informed by a Dr that I should report this as an adverse reaction, which is why this has not been reported for the past two years. I was only recently made aware of VAERS and encouraged to report what happened.
Age: 60.0
Sex: F
Vaccine: FLU3
Symptoms: Blood glucose normal, Blood pressure, Dizziness, Emotional disorder, Stress
Clinical narrative: Patient returned to clinic 4 minutes after recieving flu vaccine reporting dizziness.  She started to collapse and was assisted to the floor.  She did not lose consciousness.  Denies shortness of breath, tachycardia.  911 called.  EpiPen Adult administered to right anterolateral thigh.  Patient reported extreme stress and emotional distress.  Patient transferred by ambulance to hospital for further evaluation.
Age: 60.0
Sex: F
Vaccine: FLU3
Symptoms: Syncope
Clinical narrative: Patient returned to clinic 4 minutes after recieving flu vaccine reporting dizziness.  She started to collapse and was assisted to the floor.  She did not lose consciousness.  Denies shortness of breath, tachycardia.  911 called.  EpiPen Adult administered to right anterolateral thigh.  Patient reported extreme stress and emotional distress.  Patient transferred by ambulance to hospital for further evaluation.
Age: 52.0
Sex: F
Vaccine: RAB
Symptoms: Blood test normal, Chest X-ray normal, Chest discomfort, Electrocardiogram normal, Paralysis
Clinical narrative: on first exposure, Imovax injection: immediate paresis of fingers/hands and "heavy/compressive feeling in chest", within ten minutes total paralysis of limbs,neck,back,abdomen,jaw, etc. ---within fifteen minutes (of injection) severe, full-body/Parkinsonian type tremors.  on iv treatment with benadryl,ativan,and solu-medrol, symptoms subsided to normal state within two hours.  10/15/2007 MR received for ER visit with DX: Possible allergic reaction to IM Immunoglobulin and/or rabies vaccine.  Pt began rabies series and rabies Ig after possible exposure to rabies.  Within a few minutes pt felt generally bad, dizzy and c/o chest tightness, SOB, and tightness in her throat. Pt transported to ER where given IV steroids and Benadryl.  Benadryl made her feel worse but pt had good response to steroids.  Pt observed o/n with no sx.  Recommended steroid prophylaxis for next rabies vax.
Age: 52.0
Sex: F
Vaccine: RAB
Symptoms: Paresis, Tremor
Clinical narrative: on first exposure, Imovax injection: immediate paresis of fingers/hands and "heavy/compressive feeling in chest", within ten minutes total paralysis of limbs,neck,back,abdomen,jaw, etc. ---within fifteen minutes (of injection) severe, full-body/Parkinsonian type tremors.  on iv treatment with benadryl,ativan,and solu-medrol, symptoms subsided to normal state within two hours.  10/15/2007 MR received for ER visit with DX: Possible allergic reaction to IM Immunoglobulin and/or rabies vaccine.  Pt began rabies series and rabies Ig after possible exposure to rabies.  Within a few minutes pt felt generally bad, dizzy and c/o chest tightness, SOB, and tightness in her throat. Pt transported to ER where given IV steroids and Benadryl.  Benadryl made her feel worse but pt had good response to steroids.  Pt observed o/n with no sx.  Recommended steroid prophylaxis for next rabies vax.
Age: 1.0
Sex: F
Vaccine: DTAP, HEPA, HIBV, MMR, PPV
Symptoms: Anorexia, Diarrhoea, Fluid intake reduced, Moaning, Pallor
Clinical narrative: Vaccinations administered on October 3 2007. Fever of 105 degrees with vomiting and shaking 12 hours after vaccinations. Patient was pale and moaning in my arms. Diarrhea followed 18 hours after vaccinations. Patient has loss of appetite. She is not eating full meals nor drinking full 8 ounce bottles as of today, October 7, 2007. She was taken to her new doctor. on October 4, 2007 and the emergency room on October 6, 2007 due to high fevers over 103 degrees. She had her ears checked, a catheter inserted for urine extraction, throat checked and blood checked for infections. She was diagnosed with NO infections. She was Not sick when vaccinations were administered and I am told that the vaccinations were not a source of her "reactions". I do NOT believe this. Her fevers are less than 105 degrees today October 7, 2007. However, patient still has fevers with loss of appetite. She was happy, healthy and eating perfecty before these vaccinations. The Health Department insists that patient is NOT having reactions. The emergency room doctor told my husband and I that the vaccinations is a possibility. I apologize for NOT knowing which legs the shots were administered in or the manufacturers names and lot numbers. I didn't know at the time of the vaccinations that I needed to know this information. She had a total of 5 shots and both legs were used.
Age: 1.0
Sex: F
Vaccine: DTAP, HEPA, HIBV, MMR, PPV
Symptoms: Pyrexia, Tremor, Vomiting
Clinical narrative: Vaccinations administered on October 3 2007. Fever of 105 degrees with vomiting and shaking 12 hours after vaccinations. Patient was pale and moaning in my arms. Diarrhea followed 18 hours after vaccinations. Patient has loss of appetite. She is not eating full meals nor drinking full 8 ounce bottles as of today, October 7, 2007. She was taken to her new doctor. on October 4, 2007 and the emergency room on October 6, 2007 due to high fevers over 103 degrees. She had her ears checked, a catheter inserted for urine extraction, throat checked and blood checked for infections. She was diagnosed with NO infections. She was Not sick when vaccinations were administered and I am told that the vaccinations were not a source of her "reactions". I do NOT believe this. Her fevers are less than 105 degrees today October 7, 2007. However, patient still has fevers with loss of appetite. She was happy, healthy and eating perfecty before these vaccinations. The Health Department insists that patient is NOT having reactions. The emergency room doctor told my husband and I that the vaccinations is a possibility. I apologize for NOT knowing which legs the shots were administered in or the manufacturers names and lot numbers. I didn't know at the time of the vaccinations that I needed to know this information. She had a total of 5 shots and both legs were used.
Age: 63.0
Sex: F
Vaccine: FLUX
Symptoms: Arthralgia, Chest discomfort, Chills, Dysphagia, Dyspnoea
Clinical narrative: Three hours after shot, I developed tightening in throat and chest, difficult to swallow, some mild restriction of breathing - alleviated after taking  benadryl. (If the breathing and throat constriction had not improved, I would have called 911). Continued "headiness" somewhat like a head cold but without sinus drainage. Headache, joint pain and chills overnight. Low grade fever of 99.6 Symptons somewhat alleviated by taking aspirin. Next morning still some "headiness" with very little sinus drainage. Continued low grade fever, headache and joint pain. The area of the shot shows NO redness, tenderness or swelling and never has exhibited the expected reactions. I've not experienced a sore throat or coughing. Am continuing bed rest, fluids and aspirin.
Age: 63.0
Sex: F
Vaccine: FLUX
Symptoms: Headache, Pyrexia, Throat tightness
Clinical narrative: Three hours after shot, I developed tightening in throat and chest, difficult to swallow, some mild restriction of breathing - alleviated after taking  benadryl. (If the breathing and throat constriction had not improved, I would have called 911). Continued "headiness" somewhat like a head cold but without sinus drainage. Headache, joint pain and chills overnight. Low grade fever of 99.6 Symptons somewhat alleviated by taking aspirin. Next morning still some "headiness" with very little sinus drainage. Continued low grade fever, headache and joint pain. The area of the shot shows NO redness, tenderness or swelling and never has exhibited the expected reactions. I've not experienced a sore throat or coughing. Am continuing bed rest, fluids and aspirin.
Age: 32.0
Sex: M
Vaccine: ANTH, SMALL
Symptoms: Amnesia, Arthralgia, Back pain, Headache
Clinical narrative: joints and back pain.  Headaches. Loss of memory
Age: 37.0
Sex: M
Vaccine: IPV, MNQ, PPV, TYP
Symptoms: Chest X-ray normal, Flank pain, Headache, Injection site swelling, Pyrexia
Clinical narrative: Initial report received on 04 August 2007 from a health care professional. A  37 year old male patient received on 02 August 2007 first dose of Menactra (lot# U2366AA) into the left side (route and site of administration not reported); first dose of Typhim Vi (lot# Z1102-2) into the left side (route and site of administration not reported); first dose of IPOL (lot# Z0873-2) into the right side (route and site of administration not reported). Within 6 hours post vaccination, the patient experienced fever. The patient was also experiencing headache and left flank pain. He went to the ER on 04 August 2007 for evaluation and was released home. Fever was down to 102. The flank pain was reported to be better. White Blood Count (WBC) was high, chest x-ray (CXR) was clear, lungs were clear. The patient did not have illness at vaccination time and any known allergies (NKA). The patient's concomitant medications included: Omacor, Zetia and lescol. The patient did not have experience adverse event following prior vaccination. The patient had not recovered. Follow-up information was received on 25 September 2007 from the original reporting physician. Per the physician,"although we administered the vaccines to this patient, he did not return to our care for when he became ill." The physician was notified by telephone of the patient's illness and was not consulted regarding the patient's medical care; nor was he given access to the patient's medical records, "thus out knowledge of this case is from personal communication with the patient." The patient reported to the physician that as his illness progressed, he developed a severe but localized swelling at the site of the pneumococcal vaccination. Contrary to the medical history given at the time of the vaccinations on 02 August 2007, the patient has a previous "relatively recent" pneumococcal vaccination. Therefore, it was felt "this illness represented a severe Arthus-type reaction to that vaccine." The patient was treated with intravenous antibiotics and corticosteroids and made a "good recovery." Due to this new information, this case was upgraded to serious.
Age: 37.0
Sex: M
Vaccine: IPV, MNQ, PPV, TYP
Symptoms: Type III immune complex mediated reaction, White blood cell count increased
Clinical narrative: Initial report received on 04 August 2007 from a health care professional. A  37 year old male patient received on 02 August 2007 first dose of Menactra (lot# U2366AA) into the left side (route and site of administration not reported); first dose of Typhim Vi (lot# Z1102-2) into the left side (route and site of administration not reported); first dose of IPOL (lot# Z0873-2) into the right side (route and site of administration not reported). Within 6 hours post vaccination, the patient experienced fever. The patient was also experiencing headache and left flank pain. He went to the ER on 04 August 2007 for evaluation and was released home. Fever was down to 102. The flank pain was reported to be better. White Blood Count (WBC) was high, chest x-ray (CXR) was clear, lungs were clear. The patient did not have illness at vaccination time and any known allergies (NKA). The patient's concomitant medications included: Omacor, Zetia and lescol. The patient did not have experience adverse event following prior vaccination. The patient had not recovered. Follow-up information was received on 25 September 2007 from the original reporting physician. Per the physician,"although we administered the vaccines to this patient, he did not return to our care for when he became ill." The physician was notified by telephone of the patient's illness and was not consulted regarding the patient's medical care; nor was he given access to the patient's medical records, "thus out knowledge of this case is from personal communication with the patient." The patient reported to the physician that as his illness progressed, he developed a severe but localized swelling at the site of the pneumococcal vaccination. Contrary to the medical history given at the time of the vaccinations on 02 August 2007, the patient has a previous "relatively recent" pneumococcal vaccination. Therefore, it was felt "this illness represented a severe Arthus-type reaction to that vaccine." The patient was treated with intravenous antibiotics and corticosteroids and made a "good recovery." Due to this new information, this case was upgraded to serious.
Age: 11.0
Sex: F
Vaccine: HEPA, MNQ, TDAP, HEPA, MNQ, TDAP
Symptoms: Cellulitis, Incorrect route of drug administration
Clinical narrative: This case was reported by a healthcare professional and described the occurrence of cellulitis in an 11-year-old female subject who was vaccinated with Boostrix, GlaxoSmithKline, Havrix, GlaxoSmithKline, and Menactra, Sanofi Pasteur for prophylaxis. The subject's medical history included allergy to Keflex and egg allergy. There were no concurrent medications. On 13 September 2007 the subject received the second dose of Boostrix (unknown), a booster dose of Havrix (unknown), and a booster dose of Menactra (unknown). On 13 September 2007, one of the three vaccines that the subject received was inadvertantly administered via the incorrect route (subcutaneous). It was noted that the person who administered the vaccines did not document the injection site of each vaccine. On 13 September 2007, the same day that she was vaccinated with Boostrix, Havrix and Menactra, the subject experienced tissue cellulitis. This case was assessed as medically serious by GSK. The subject was treated with Augmentin. At the time of reporting the outcome of the events was unspecified.
Age: 63.0
Sex: M
Vaccine: VARZOS
Symptoms: Cardiac arrest, Death
Clinical narrative: vaccine given 9/27/07 died in sleep 9/29/07 presumed cardiac arrest by autopsy.  1/15/08 Reviewed autopsy report which states COD as occlusive coronary artery disease with HTN & sleep apnea as contributing factors.  Findings at autopsy included: RCA 70% occluded; LAD 80-90% occluded; LCA 70% occluded; microscopic evidence of ischemic heart disease w/increased fibrosis in tissue; fatty infiltration into RV wall of heart; and chronic HTN.  Patient died in his sleep after recently c/o being tired.
Age: 0.2
Sex: M
Vaccine: DTAP, HBHEPB, IPV, PNC, RV5
Symptoms: Gastroenteritis viral, Haematochezia, Intussusception, Vomiting
Clinical narrative: Vaccine given 8/24/07. Started vomiting 9/23/07, no fever, no diarrhea initially - diagnosed with viral gastroenteritis. On 9/25/07 had large bloody bowel movement - seen in local ER, transferred to another hospital where diagnosed with intussusception and underwent surgical correction/resection.  Hospital records received from PCP for DOS 9/26-30/2007 for DX Incarcerated Intussusception.  Infant presented with lethargy, mental status changes, decreased po intake and a large bloody bowel movement.  PE significant for T=100.6'F, listness and acutely ill appearing, dry mucus membranes, minimal response to painful stimuli, rectal exam (+) for gross blood. Reduction failed by air contrast enema and infant taken to OR for Exploratory Lap with small bowel resection for IS.  Pt tolerated advancing diet and was d/c home on 9/30/2007.   10/23/2007 Vax record received and correlates with VAERS submission. Per 60 day follow up: Patient underwent exploratory laparotomy with small bowel resection for incarcerated intussusception.
Age: 0.5
Sex: M
Vaccine: DTAP, HIBV, PNC, RV5
Symptoms: Barium enema, Intussusception
Clinical narrative: PO Rotavirus vaccination on 9/20/07 in doctor's office. Admitted to hospital 10/8/07 with diagnosis of intussusception. 10/25/07-records received DOS 10/8/07-DX: Intussusception. 12 days prior to admission developed low grade fever and 3 episodes of vomiting. Treated with Pedialyte and no emesis for 1 week. Last week had dark brown stools, has not had a bowel movement since 4 days prior to admission. 3 days prior to admission cranky, more fussy, intermittently crying, drawing legs up or became rigid. Vomiting began day prior to admission.
Age: 0.2
Sex: M
Vaccine: HEPA, HIBV, MMRV
Symptoms: Inappropriate schedule of drug administration, Medication error
Clinical narrative: Administered unnecessary vaccines to child. 1) Proquad in right leg SC. 2) Hep A in left leg IM. No reaction to vaccines while in office x 1 hour.
Age: 75.0
Sex: F
Vaccine: VARZOS
Symptoms: Herpes zoster
Clinical narrative: H. Zoster 9/24/07
Age: 2.0
Sex: M
Vaccine: DTAP, HEPA, HIBV
Symptoms: Injection site cellulitis
Clinical narrative: Cellulitis at site of injection on (L) arm.
Age: 5.0
Sex: M
Vaccine: DTAP, FLU3, MMRV
Symptoms: Erythema, Induration
Clinical narrative: 14x10 cm redness and induration (L) deltoid area.
Age: 1.3
Sex: M
Vaccine: DTAP, HEPA, HIBV, MMRV
Symptoms: Ecchymosis, Injection site erythema, Pyrexia, Swelling
Clinical narrative: (R) leg at site of injection on day after vaccines with erythema, then child with fever. 2 d later in clinic with temp 101 and erythema, swelling about 8cm and then with central ecchymosis about 4 cm.
Age: 43.0
Sex: F
Vaccine: TDAP
Symptoms: Lymphadenopathy, Neck pain
Clinical narrative: Received vaccine 9/20/07. 9/21/07 Developed sore neck with enlarged lymph nodes. 9/25/07 Lymph nodes decreasing in size.
Age: 29.0
Sex: F
Vaccine: TDAP
Symptoms: Fatigue, Headache, Injection site pain, Nausea, Pyrexia
Clinical narrative: Received Tdap at approx 3 PM on 9-24-07. Woke up next AM w/ the following S/S: headache, fever (106.2 F), nausea, tired, soreness at injection site but no redness or swelling. Tx: Ibuprofen 400mg. She states she does not think she needs to see a physician. 9-26-07 "Feeling much better". 10-2-07 "Full recovery in 24-48 hrs. Other family members had similar S/S.
Age: 56.0
Sex: F
Vaccine: TDAP, VARZOS
Symptoms: Herpes zoster, Inappropriate schedule of drug administration
Clinical narrative: 3-4 days after receiving Zostavax developed herpes zoster in V. nerve distribution.
Age: 13.0
Sex: F
Vaccine: HPV4
Symptoms: Dizziness, Nausea
Clinical narrative: Dizziness, nausea.
Age: 15.0
Sex: F
Vaccine: FLU3, HEPA, VARCEL
Symptoms: Erythema, Injection site induration, Injection site pruritus
Clinical narrative: Pt noted redness to (L) arm just before came for appointment. Noted both at influenza and Varicella site with varicella cite also a little firmer and itchy. No hives, no difficulty breathing.
Age: 0.3
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Blood culture, Full blood count, Grand mal convulsion, Lumbar puncture, Scan brain
Clinical narrative: Left side tonic/clonic seizure within 12 hrs of imm's given, afebrile. Admitted for observations overnight.  10/19/07 Reviewed hospital medical records which reveal patient experienced grunting, irritable, reduced oral intake in afternoon after vax.  Went to ER & d/c to home.  Later same day tegan twitching w/rapid eye movement & then tonic clonic jerking of left side.  Returned to ER via EMS.  Valium in ER aborted seizure. Afebrile.   Very sleepy & lethargic after seizure.  Then vomited.  Admitted 9/12-9/13/2007 for observation.  Neurology consult done.  D/c to home w/neuro & pcp f/u. FINAL DX: tonic clonic seizure. 10/19/07 Reviewed pcp medical record & vax record which reveal patient in excellent health on 9/12/07.  RO dose & Lot # confirmed as correct.
Age: 13.0
Sex: F
Vaccine: HPV4, TDAP
Symptoms: Chills, Injection site erythema, Injection site swelling, Pyrexia
Clinical narrative: Swelling and redness at injection site. Treated with antibiotics but really I doubt infection. Child also had low grade fever and chills. Problem rapidly resolved w/o sequela.
Age: 18.0
Sex: F
Vaccine: HPV4
Symptoms: Asthenia, Dizziness, Heart rate increased, Nausea
Clinical narrative: Following administration of vaccine (unsure of onset) she had episodes of "fast heart rate", weakness, dizziness and nausea. Episodes infrequent initially then became daily. Episodes lasted for one month.
Age: 5.0
Sex: F
Vaccine: DTAP, HEPA, IPV, MMRV
Symptoms: Contusion, Dizziness, Hypotonia, Pain in extremity, Pyrexia
Clinical narrative: Limp, dizzy. Fever 104.5, sore legs, bruise (R) thigh.
Age: 1.21
Sex: M
Vaccine: DTAP, HEPA, HIBV, PNC, VARZOS
Symptoms: Wrong drug administered
Clinical narrative: None noted. On 9/24/07 pt was given Zostavax vaccine instead of Proquad (MMR/Varicella) - Pt's mother was contacted and will bring child back in 4 wk for correct dose.
Age: 15.0
Sex: F
Vaccine: MNQ, TDAP
Symptoms: Asthenia, Dizziness, Heart rate increased, Injection site pain, Injection site swelling
Clinical narrative: Pain and swelling at injection site, fever, pale, weakness, increased HR, dizzy, thirsty.
Age: 15.0
Sex: F
Vaccine: MNQ, TDAP
Symptoms: Pallor, Pyrexia, Thirst
Clinical narrative: Pain and swelling at injection site, fever, pale, weakness, increased HR, dizzy, thirsty.
Age: 5.0
Sex: F
Vaccine: DTAP, HEP, HEPA, MMRV
Symptoms: Abasia, Fatigue
Clinical narrative: Mom states - pt unable to walk - just not herself. Pt did walk into room and out of office - she was not running and jumping - seemed tired - Mom not happy with the way I gave shots. I wrote incorrect lot # down on form when checked out. I rewrote correct lot #.
Age: 12.0
Sex: M
Vaccine: MNQ, VARCEL
Symptoms: Injection site induration, Injection site inflammation, Rash macular
Clinical narrative: Within 24 hours, local site inflammation. Induration macule 4.6cm. Benadryl q 6-8 hrs for 2-3 days.
Age: 17.0
Sex: F
Vaccine: HPV4
Symptoms: Vasculitis
Clinical narrative: Vasculitis - legs buttocks and belly.
Age: 12.0
Sex: F
Vaccine: FLU3
Symptoms: Erythema, Pruritus, Rash
Clinical narrative: Rash on face - red and itching - started in AM on 10/8/07 behind (R) ear - pt took Claritin OTC.
Age: 23.0
Sex: F
Vaccine: HPV4
Symptoms: Mean platelet volume decreased, Platelet count normal, Pruritus, Rash
Clinical narrative: Onset rash - Saturday 10-6-07. Rec'd vaccine (HPV #2) on 10-3-07. Rash now over arms, legs, feet, some on back - itching on same day. Was to be seen by clinician. Also - end of initial HSV infection - on Valtrex.
Age: 29.0
Sex: F
Vaccine: FLU3, MMR, VARCEL
Symptoms: Erythema, Oedema peripheral, Swelling
Clinical narrative: Left arm (elbow) swelling after injection of MMR (24) hrs after injection redness and swelling. Benadryl given today 10-3-07.
Age: 65.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Injection site erythema, Injection site swelling, Muscular weakness, Myalgia
Clinical narrative: Patient experienced extreme muscle soreness/weakness and went to ER the evening of vaccination. She was told by physician to take Ibuprofen and rest. Patient also had redness and swelling at site of injection. She received 2 injections in right arm because surgery on left side.
Age: 0.4
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Erythema, Irritability, Lacrimation increased, Pruritus, Pyrexia
Clinical narrative: Pt seen in emergency room 9:30 PM on 9/20/07 with extreme irritability, red splotchy rash (? hives), rectal temp of 101.5. Treated with Benadryl and Tylenol. She also had profuse tearing both eyes and began scratching in ER.
Age: 0.4
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Rash
Clinical narrative: Pt seen in emergency room 9:30 PM on 9/20/07 with extreme irritability, red splotchy rash (? hives), rectal temp of 101.5. Treated with Benadryl and Tylenol. She also had profuse tearing both eyes and began scratching in ER.
Age: 74.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site swelling
Clinical narrative: Checked with pt on 10-6-07 in AM, her husband reported she was doing fine, 10-8-07 at 9:00 AM she called pharmacy and reported having swelling at injection site that started 10-6-07 in the evening. Told her to take APAP, diphenhydramine and I would check back on her later on 10-8-07.
Age: 10.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Eye swelling, Rash pruritic, Streptococcal identification test negative
Clinical narrative: Received Gardasil #3 about 4 PM. Next AM red pruritic rash on forehead which spread to cheeks. Swelling around eye (mild) and cheeks.
Age: 10.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Rash
Clinical narrative: Received Gardasil #3 about 4 PM. Next AM red pruritic rash on forehead which spread to cheeks. Swelling around eye (mild) and cheeks.
Age: 62.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Blood creatine phosphokinase normal, Erythema, Full blood count normal, Laboratory test normal, Oedema peripheral
Clinical narrative: Pt developed severe swelling of right arm and chest about 24 hours post vaccine. Erythema worsened over 48-72 hrs. Pt seen today with resolution of erythema and swelling.
Age: 54.0
Sex: F
Vaccine: FLU3
Symptoms: Erythema, Flushing, Oedema peripheral, Pyrexia, Skin warm
Clinical narrative: Swollen, red, hot area of arm - size of silver dollar. Soreness, some low grade fever, flushed feeling.
Age: 85.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Erythema, Oedema peripheral
Clinical narrative: Redness and swelling in arm to wrist - pt went to clinic - seen by triage nurse - told to see MD tomorrow. No tx given as of 10/5/07.
Age: 16.0
Sex: F
Vaccine: HPV4, TDAP
Symptoms: Dizziness, Syncope
Clinical narrative: Patient sat in room for 5 minutes - then was checking out and felt faint dizzy - resolved. Laid down for 5-10 minutes felt better - on her way home. Told to call with any questions.
Age: 65.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Fatigue, Pyrexia
Clinical narrative: severe fatigue, fevers to 102.5 F by patient history.  treated by private physician and instructed to take adult benadryl and advil. he stated he was advised via telephone.
Age: 71.0
Sex: F
Vaccine: VARZOS
Symptoms: Headache, Oral herpes
Clinical narrative: Severe headache starting 10 days after vaccine and lasting one week; also developed "cold sore" and pt never had one of these before.
Age: 66.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Cellulitis, Injection site erythema, Injection site pruritus, Injection site reaction, Injection site swelling
Clinical narrative: Patient experienced redness, swelling, and itching at site of injection.  Symptoms started on 10-6-07 and began improving thereafter.  Patient visited physician assistant on 10-8-07 and was given Zyrtec 10mg and Cephalexin 500mg tid for 10 days.  The PA diagnosed the patient with cellulitis, however, after examination, it appears to be an injection site reaction because the symptoms had improved from the first day.
Age: 55.0
Sex: F
Vaccine: FLU3
Symptoms: Eye swelling, Rash
Clinical narrative: Swelling under left eye and rash
Age: 74.0
Sex: F
Vaccine: FLU3
Symptoms: Asthenia, Chills, Fall, Pyrexia, White blood cell count normal
Clinical narrative: This patient received a Flu shot on 10/2/07 and started running fever on 10/5/07 of 104.  She stayed home Friday and Saturday and had 104 fever on Saturday evening.  On Sunday at 1620 with c/o fever and chills with generlized weakness and falls. WBC 7.0 At the time of this report the patient is an Inpatient at Piggott Community Hospital.  10/10/2007 MR received for hospital DOS10/07-09/2007 for the Assessment/DX of Fever, Weakness, Chronic A-fib.  Pt presented to ER with c/o chills, generalized weakness, and 2 recent falls at home.  Admitted for IVF and abx.  PE significant for T'=102.7.  Heart sounds irregularly irregular with 3/6 systolic murmur.  2+ edema in legs. Per 60 day follow up: Pt's husband stated the doctor's did not think the illness was related to the Flu vaccine-she is doing well.
Age: 11.0
Sex: F
Vaccine: HPV4, MNQ, TDAP, VARCEL
Symptoms: Dizziness, Injection site pruritus, Injection site swelling, Pain, Pyrexia
Clinical narrative: SQ SITE RIGHT ARM SOLLEN WITH ITCHING,MILD PAIN, LOW GRADE FEVER,DIZZINESS POST VACCINATION. NO BLISTERS OR VESICLES.
Age: 0.17
Sex: F
Vaccine: DTAPHEPBIP, HIBV, RV5
Symptoms: Culture stool, Haematochezia, Occult blood, Stool analysis
Clinical narrative: PT had several bowel movements with blood in her stool.
Age: 39.0
Sex: M
Vaccine: HEP
Symptoms: Pruritus, Rash, Reaction to preservatives
Clinical narrative: Rash and itching began approximately 2 hours after vaccine administration.  It spread to entire body within 3 days. Patient was seen in Hospital emergency room with diagnosis of vaccine reaction on 9/21/07. He received diphenhydramine 50mg, rantidine 50mg, promethazine 50mg, methyl sod suc 125mg. He was discharged with RX for hydroxyzine 25mg, Prednisone 40mg, Zantac 150mg.
Age: 41.0
Sex: F
Vaccine: FLUX
Symptoms: Erythema, Pruritus, Skin tightness, Swelling
Clinical narrative: SWELLING BELOW SITE OF INJECTION, WITH ITCHING, TIGHTNESS AND REDNESS.
Age: 14.0
Sex: F
Vaccine: HPVX, VARCEL
Symptoms: Injection site nodule, Pruritus, Skin warm
Clinical narrative: Resulted in approx 2"X3" bump at injection site on left arm. Very itchy, hot to the touch. Lasted 2.5-3 days.
Age: 61.0
Sex: F
Vaccine: FLU3
Symptoms: Chest discomfort, Cough, Eye pain, Hypersensitivity, Ocular hyperaemia
Clinical narrative: Became very sleepy 8 hours post, slept 12 hurs straigt, awoke with cough, wheezing, tightness of chest, red painful eyes with blurry vision, copious discharge from nose similar to severe respiratory allergic reaction
Age: 61.0
Sex: F
Vaccine: FLU3
Symptoms: Rhinorrhoea, Somnolence, Vision blurred, Wheezing
Clinical narrative: Became very sleepy 8 hours post, slept 12 hurs straigt, awoke with cough, wheezing, tightness of chest, red painful eyes with blurry vision, copious discharge from nose similar to severe respiratory allergic reaction
Age: 38.0
Sex: F
Vaccine: MMR
Symptoms: Chills, Pain, Pyrexia
Clinical narrative: Patient reported high fever(did not take temp), shivering and body aches 3 days post vaccination.Immunization injection sight WNL.  Symptoms lasted approximately 24 hours.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Convulsion, Gaze palsy
Clinical narrative: Approximately 3 minutes after the immunizations were given, the child's mother reported that the child had had a convulsion while lying on the exam table. The convulsion lasted less than 10 seconds per the mother. The mother reported that her eyes rolled back into her head. The child did not urinate on herself. Her Pulse ox was 97%, BP 80/44, and pulse 68. After the reported convulsion the child was acting extremely sleepy and was lying on the exam table. She was in this "post-ictal" state for approximately 30 minutes. Afterwards she was talkative and laughing as normal. We observed her for 30 minutes more and FNP spoke with a neurology office that said it was okay to send her home and she can take a nap and an appointment was made for their office at 4 o'clock that afternoon.
Sex: U
Vaccine: FLU3
Symptoms: Grand mal convulsion, Loss of consciousness
Clinical narrative: Patient lost consciousness immediately after receiving Fluarix lot # AfluA298BA for approx 30 seconds and had a brief tonic-clonic seizure affecting her neck, arms, and hands.
Age: 30.0
Sex: M
Vaccine: ANTH
Symptoms: Arthralgia, Gastric ulcer, Headache, Hepatomegaly, Rash
Clinical narrative: GASTRIC ULCER, SKIN RASH IN DIFERENTS PARTS, EXAM HAVE THE SWOLEN LIVER, HEADACHES NOT LIKE BEFORE, URINARY INFECCION FRECUENTLY, JOINT ACHES
Age: 30.0
Sex: M
Vaccine: ANTH
Symptoms: Urinary tract infection
Clinical narrative: GASTRIC ULCER, SKIN RASH IN DIFERENTS PARTS, EXAM HAVE THE SWOLEN LIVER, HEADACHES NOT LIKE BEFORE, URINARY INFECCION FRECUENTLY, JOINT ACHES
Age: 84.0
Sex: F
Vaccine: FLU3
Symptoms: Confusional state, Pain, Pyrexia
Clinical narrative: Patient devloped a fever the day following administration of a influenza vaccine. Yesterday she had severe body aches and was confused.  She was seen at the emergency room.  She had a full workup for an infectious illness none was found.  He fever resolved and she felt much better after started takeing tylenol.
Age: 87.0
Sex: M
Vaccine: FLU3
Symptoms: Discomfort, Electrocardiogram normal, Headache, Injected limb mobility decreased, Malaise
Clinical narrative: 12 hours after the Flu Shot, pt complained that he could not move the arm of injection site, felt extreme discomfort (stiffness and pain)around the shoulder, neck and chest.He also had violent headache and nausea. He went to ER after four days of continuous discomfort and malaise, he was given a Vicodin rx for pain and sent home. His discomfort and malaise went away after one week.
Age: 87.0
Sex: M
Vaccine: FLU3
Symptoms: Musculoskeletal stiffness, Nausea, Nuclear magnetic resonance imaging normal, Pain, White blood cell count increased
Clinical narrative: 12 hours after the Flu Shot, pt complained that he could not move the arm of injection site, felt extreme discomfort (stiffness and pain)around the shoulder, neck and chest.He also had violent headache and nausea. He went to ER after four days of continuous discomfort and malaise, he was given a Vicodin rx for pain and sent home. His discomfort and malaise went away after one week.
Age: 1.6
Sex: F
Vaccine: DTAP, HIBV, MMR, VARCEL
Symptoms: Autism, Convulsion, Ear infection, Electroencephalogram, Nuclear magnetic resonance imaging
Clinical narrative: Patient was behind in baby vaccination do to always having chronic ear infections so she received her 12 mos shots when she was 17mos old at the time the P.A. had said that because she had no fever with double ear infection that she had to have her 12mos shots I had just given my daughter motrin about one hour before her appointment and I stated that I felt that the P.A. should wait for the vaccinations in till she felt better the P.A. denied my requested and told me she has fallen way behind. when I took my child home is was no longer then 40 minutes when she had a major seizure I jump in to my car and rush her back to the doctor's office the P.A had left the office so the doctor order antibiotic shot's in both of her legs to fight the bacteria that was in her little body from then on I notice that she was falling behind in her childhood skills finally when my daughter kept on having unusual tantrums holding her ears and screaming uncontrollably don't touch me for 45 minutes in fists finally by the time she was 3yrs olds I demand that my daughter be tested for Autism Dr. sent her to a pediatric Neruoloist and she was diagnose with moderate Autism. I believe that the MMR with the other mixture of shots that day Caused my daughters Autism.
Age: 1.6
Sex: F
Vaccine: DTAP, HIBV, MMR, VARCEL
Symptoms: Screaming
Clinical narrative: Patient was behind in baby vaccination do to always having chronic ear infections so she received her 12 mos shots when she was 17mos old at the time the P.A. had said that because she had no fever with double ear infection that she had to have her 12mos shots I had just given my daughter motrin about one hour before her appointment and I stated that I felt that the P.A. should wait for the vaccinations in till she felt better the P.A. denied my requested and told me she has fallen way behind. when I took my child home is was no longer then 40 minutes when she had a major seizure I jump in to my car and rush her back to the doctor's office the P.A had left the office so the doctor order antibiotic shot's in both of her legs to fight the bacteria that was in her little body from then on I notice that she was falling behind in her childhood skills finally when my daughter kept on having unusual tantrums holding her ears and screaming uncontrollably don't touch me for 45 minutes in fists finally by the time she was 3yrs olds I demand that my daughter be tested for Autism Dr. sent her to a pediatric Neruoloist and she was diagnose with moderate Autism. I believe that the MMR with the other mixture of shots that day Caused my daughters Autism.
Age: 60.0
Sex: M
Vaccine: IPV
Symptoms: Road traffic accident, Somnolence
Clinical narrative: Wife reported patient became sleepy on way home after vaccination and had MVA without any injury. Reported to clinic 37 days after incident.
Age: 1.3
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Measles, Rash
Clinical narrative: Child seen in office 10/8/07 w/ rash. Broke out in rash on 10/5/07. Verified via exam by physician. Dx measles.
Age: 10.0
Sex: F
Vaccine: VARCEL
Symptoms: Injection site induration, Injection site inflammation, Rash macular
Clinical narrative: Within 24 hours local site inflammation, indurated macule 6-8cm. Benadryl q 6-8 for 2-3 days.
Age: 7.0
Sex: F
Vaccine: MMR, PNC
Symptoms: Erythema, Rash papular, Rash vesicular
Clinical narrative: Eryth mac papules ~ 1/2cm size trunk pubic area few vesicular.
Age: 1.1
Sex: M
Vaccine: VARCEL
Symptoms: Blister
Clinical narrative: Scattered fluid, filled (vesicles) pink head, legs, abdomen ~ 5-10.
Age: 5.0
Sex: M
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Laboratory test, Parotitis, Pyrexia, White blood cell count increased
Clinical narrative: Parotitis - fever, for 3 days - WBC 19.1, Amylase 924 Keflex 250mg/ 5 ml - 6ml BID x 10 days. Tylenol/Motrin - fever negative - HIV, Coxsackie, CBC with diff improved after 2 days.
Age: 0.3
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Irritability
Clinical narrative: 10-3-07 Mother stated child was very fussy after vaccines 7/23/07.
Age: 65.0
Sex: F
Vaccine: PPV
Symptoms: Erythema, Headache, Pain, Tenderness
Clinical narrative: 2 days post vaccine developed area of redness, soreness, HA, area tender to touch.
Age: 13.0
Sex: F
Vaccine: VARCEL
Symptoms: Skin lesion
Clinical narrative: 50 - 249 lesions onset 10/1/07
Age: 1.5
Sex: M
Vaccine: DTAP, HEPA, IPV
Symptoms: Cellulitis, Erythema, Inflammation, Local reaction, Oedema peripheral
Clinical narrative: On 9/25/07 patient received vaccines listed below - on 9/26/07 patient returned to office c/o mild inflammation erythema - dx with localized rxn - supportive tx - on 9/27 patient returned to office with swelling spreading down left arm - dx with cellulitis due to shot rxn - tx with Duricef.