chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 67.0
Sex: F
Vaccine: PPV, PPV
Symptoms: Diverticulum, Erythema, Hypertension, Pain in extremity
Clinical narrative: Information has been received from a 67 year old female with arthritis, right leg problems due to a "metal piece in that area" and a medical history of diverticulitis, and an auto accident in which her leg was crushed and her femur was broken, who on 04-FEB-2008 at approximately 15:00 was vaccinated with a dose of pneumococcal 23v polysaccharide vaccine. On 04-FEB-2008, at approximately 17:30 the patient experienced soreness of the injection site and the whole left arm. The patient reported that it was the most excruciating pain that she had ever felt. Later that night the patient was crying with pain. The patient's husband took her to the emergency room to be examined. However, the patient left and was not seen due to the emergency room being to crowded. The patient reported that she could not move her left arm without making the pain unbearable. The patient had to hold her left arm close to her body and her husband had to dress her. The patient treated herself with an unspecified pain medication that she hand used for her leg pain. The patient contacted her physician who advised her to come into the office. The physician ordered an X-ray. On 05-FEB-2008, an x-ray was performed that showed mild arthritis around the rotor cuff. Approximately a week later, a computed axial tomography scan was performed and showed the same results as the X-ray. The patient reported that after two weeks the pain began to lessen but left dull and other types of pain down by the arm, sometimes in the muscle of the upper arm, and sometimes in the lower arm. At the time of the report, there was still soreness at the point of injection although it was never red and there was never a rash. On approximately 07-MAR-2008, "last Friday," the patient was sent to have a nerve and muscle study. The physician reported that everything was normal. The patient reported that she notice her right arm responded much more then her left arm. At the time of report, the outcome of the patient was unknown. Additional information has been requested.
Age: 67.0
Sex: F
Vaccine: PPV, PPV
Symptoms: Arthritis, Computerised tomogram abnormal, Crying, Electromyogram normal, Injected limb mobility decreased
Clinical narrative: Information has been received from a 67 year old female with arthritis, right leg problems due to a "metal piece in that area" and a medical history of diverticulitis, and an auto accident in which her leg was crushed and her femur was broken, who on 04-FEB-2008 at approximately 15:00 was vaccinated with a dose of pneumococcal 23v polysaccharide vaccine. On 04-FEB-2008, at approximately 17:30 the patient experienced soreness of the injection site and the whole left arm. The patient reported that it was the most excruciating pain that she had ever felt. Later that night the patient was crying with pain. The patient's husband took her to the emergency room to be examined. However, the patient left and was not seen due to the emergency room being to crowded. The patient reported that she could not move her left arm without making the pain unbearable. The patient had to hold her left arm close to her body and her husband had to dress her. The patient treated herself with an unspecified pain medication that she hand used for her leg pain. The patient contacted her physician who advised her to come into the office. The physician ordered an X-ray. On 05-FEB-2008, an x-ray was performed that showed mild arthritis around the rotor cuff. Approximately a week later, a computed axial tomography scan was performed and showed the same results as the X-ray. The patient reported that after two weeks the pain began to lessen but left dull and other types of pain down by the arm, sometimes in the muscle of the upper arm, and sometimes in the lower arm. At the time of the report, there was still soreness at the point of injection although it was never red and there was never a rash. On approximately 07-MAR-2008, "last Friday," the patient was sent to have a nerve and muscle study. The physician reported that everything was normal. The patient reported that she notice her right arm responded much more then her left arm. At the time of report, the outcome of the patient was unknown. Additional information has been requested.
Age: 67.0
Sex: F
Vaccine: PPV, PPV
Symptoms: Injection site pain, Myalgia, Nerve conduction studies normal, Pain in extremity, X-ray limb abnormal
Clinical narrative: Information has been received from a 67 year old female with arthritis, right leg problems due to a "metal piece in that area" and a medical history of diverticulitis, and an auto accident in which her leg was crushed and her femur was broken, who on 04-FEB-2008 at approximately 15:00 was vaccinated with a dose of pneumococcal 23v polysaccharide vaccine. On 04-FEB-2008, at approximately 17:30 the patient experienced soreness of the injection site and the whole left arm. The patient reported that it was the most excruciating pain that she had ever felt. Later that night the patient was crying with pain. The patient's husband took her to the emergency room to be examined. However, the patient left and was not seen due to the emergency room being to crowded. The patient reported that she could not move her left arm without making the pain unbearable. The patient had to hold her left arm close to her body and her husband had to dress her. The patient treated herself with an unspecified pain medication that she hand used for her leg pain. The patient contacted her physician who advised her to come into the office. The physician ordered an X-ray. On 05-FEB-2008, an x-ray was performed that showed mild arthritis around the rotor cuff. Approximately a week later, a computed axial tomography scan was performed and showed the same results as the X-ray. The patient reported that after two weeks the pain began to lessen but left dull and other types of pain down by the arm, sometimes in the muscle of the upper arm, and sometimes in the lower arm. At the time of the report, there was still soreness at the point of injection although it was never red and there was never a rash. On approximately 07-MAR-2008, "last Friday," the patient was sent to have a nerve and muscle study. The physician reported that everything was normal. The patient reported that she notice her right arm responded much more then her left arm. At the time of report, the outcome of the patient was unknown. Additional information has been requested.
Age: 51.0
Sex: F
Vaccine: PPV, PPV
Symptoms: Cellulitis, Feeling hot, Hyperaesthesia, Hypokinesia, Injection site irritation
Clinical narrative: Initial and follow-up information has been received from a healthcare worker concerning a 51 year old female registered nurse with allergies to penicillin and BIAXIN, who on 24-MAR-2008 at 16:30 was vaccinated IM in the left arm with a first dose of pneumococcal 23v polysaccharide vaccine (lot # 659150/1384U). There were no illnesses at the time of the vaccination. On 24-MAR-2008 at 16:30, the patient experienced burning at the injection site that spread across the shoulder midway towards the clavicle and then down the arm midway towards the elbow. The patient developed blotches of reddened areas that were reported to feel like burns. The area was sensitive and warm to touch. The patient reported that it hurt to extend her arm. On 27-MAR-2008, the nurse presented to the office with shoulder pain and welts over her entire arm (treatment not specified). The doctor examined the area and said that it had developed into cellulitis. The patient was prescribed KEFLEX and was advised to apply ice to the site. It was reported that each day the symptoms have gotten worse, there are more red areas, an increase in pain, and swelling of the arm. At the time of this report, the nurse was not recovered. The healthcare worker requested a lot check be performed. A standard lot check investigation was performed. All in-process quality checks for the lot number in question were satisfactory. The lot met the requirements of the Center for Biologics Evaluation and Research and was released. This is one of 2 reports from the same source. Additional information has been requested.
Age: 51.0
Sex: F
Vaccine: PPV, PPV
Symptoms: Oedema peripheral, Pain, Rash macular
Clinical narrative: Initial and follow-up information has been received from a healthcare worker concerning a 51 year old female registered nurse with allergies to penicillin and BIAXIN, who on 24-MAR-2008 at 16:30 was vaccinated IM in the left arm with a first dose of pneumococcal 23v polysaccharide vaccine (lot # 659150/1384U). There were no illnesses at the time of the vaccination. On 24-MAR-2008 at 16:30, the patient experienced burning at the injection site that spread across the shoulder midway towards the clavicle and then down the arm midway towards the elbow. The patient developed blotches of reddened areas that were reported to feel like burns. The area was sensitive and warm to touch. The patient reported that it hurt to extend her arm. On 27-MAR-2008, the nurse presented to the office with shoulder pain and welts over her entire arm (treatment not specified). The doctor examined the area and said that it had developed into cellulitis. The patient was prescribed KEFLEX and was advised to apply ice to the site. It was reported that each day the symptoms have gotten worse, there are more red areas, an increase in pain, and swelling of the arm. At the time of this report, the nurse was not recovered. The healthcare worker requested a lot check be performed. A standard lot check investigation was performed. All in-process quality checks for the lot number in question were satisfactory. The lot met the requirements of the Center for Biologics Evaluation and Research and was released. This is one of 2 reports from the same source. Additional information has been requested.
Age: 51.0
Sex: F
Vaccine: PPV, PPV
Symptoms: Burning sensation, Cellulitis, Erythema, Injection site irritation, Musculoskeletal pain
Clinical narrative: Initial and follow-up information has been received from a healthcare worker concerning a 51 year old female registered nurse with allergies to penicillin and BIAXIN, who on 24-MAR-2008 at 16:30 was vaccinated IM in the left arm with a first dose of pneumococcal 23v polysaccharide vaccine (lot # 659150/1384U). There were no illnesses at the time of the vaccination. On 24-MAR-2008 at 16:30, the patient experienced burning at the injection site that spread across the shoulder midway towards the clavicle and then down the arm midway towards the elbow. The patient developed blotches of reddened areas that were reported to feel like burns. The area was sensitive and warm to touch. The patient reported that it hurt to extend her arm. On 27-MAR-2008, the nurse presented to the office with shoulder pain and welts over her entire arm (treatment not specified). The doctor examined the area and said that it had developed into cellulitis. The patient was prescribed KEFLEX and was advised to apply ice to the site. It was reported that each day the symptoms have gotten worse, there are more red areas, an increase in pain, and swelling of the arm. At the time of this report, the nurse was not recovered. The healthcare worker requested a lot check be performed. A standard lot check investigation was performed. All in-process quality checks for the lot number in question were satisfactory. The lot met the requirements of the Center for Biologics Evaluation and Research and was released. This is one of 2 reports from the same source. Additional information has been requested.
Age: 51.0
Sex: F
Vaccine: PPV, PPV
Symptoms: Oedema peripheral, Pain in extremity, Rash macular, Skin warm, Urticaria
Clinical narrative: Initial and follow-up information has been received from a healthcare worker concerning a 51 year old female registered nurse with allergies to penicillin and BIAXIN, who on 24-MAR-2008 at 16:30 was vaccinated IM in the left arm with a first dose of pneumococcal 23v polysaccharide vaccine (lot # 659150/1384U). There were no illnesses at the time of the vaccination. On 24-MAR-2008 at 16:30, the patient experienced burning at the injection site that spread across the shoulder midway towards the clavicle and then down the arm midway towards the elbow. The patient developed blotches of reddened areas that were reported to feel like burns. The area was sensitive and warm to touch. The patient reported that it hurt to extend her arm. On 27-MAR-2008, the nurse presented to the office with shoulder pain and welts over her entire arm (treatment not specified). The doctor examined the area and said that it had developed into cellulitis. The patient was prescribed KEFLEX and was advised to apply ice to the site. It was reported that each day the symptoms have gotten worse, there are more red areas, an increase in pain, and swelling of the arm. At the time of this report, the nurse was not recovered. The healthcare worker requested a lot check be performed. A standard lot check investigation was performed. All in-process quality checks for the lot number in question were satisfactory. The lot met the requirements of the Center for Biologics Evaluation and Research and was released. This is one of 2 reports from the same source. Additional information has been requested.
Age: 11.0
Sex: M
Vaccine: PPV, PPV
Symptoms: Cellulitis, Fatigue, Injection site erythema, Injection site pain, Pain
Clinical narrative: Initial and follow up information has been received from a registered nurse, concerning an 11 year old male student with allergies to mold, trees, grass, ragweed, cats, dust, corn, sesame, and almonds, who on 08-APR-2008 at 11:30 was vaccinated IM in the right deltoid with a second dose of pneumococcal 23v polysaccharide vaccine (Lot# 659148/1382U). The patient had mild nasal congestion at the time of the vaccination. On 09-APR-2008, the patient experienced a bad headache, was achy all over, a temperature of 101, and fatigue. The patient developed redness and pain at the injection site. The patient was treated with ADVIL and cool compresses. On 10-APR-2008, the patient developed a 3X5 cm red, warm, and swollen area at the injection site. The patient was diagnosed with cellulitis. The patient was treated with CEFTIN 250 mg, two times a day for 10 days and cool compresses. The patient recovered on an unspecified date. This is one of 3 reports from the same source. Additional information is not expected.
Age: 11.0
Sex: M
Vaccine: PPV, PPV
Symptoms: Pyrexia
Clinical narrative: Initial and follow up information has been received from a registered nurse, concerning an 11 year old male student with allergies to mold, trees, grass, ragweed, cats, dust, corn, sesame, and almonds, who on 08-APR-2008 at 11:30 was vaccinated IM in the right deltoid with a second dose of pneumococcal 23v polysaccharide vaccine (Lot# 659148/1382U). The patient had mild nasal congestion at the time of the vaccination. On 09-APR-2008, the patient experienced a bad headache, was achy all over, a temperature of 101, and fatigue. The patient developed redness and pain at the injection site. The patient was treated with ADVIL and cool compresses. On 10-APR-2008, the patient developed a 3X5 cm red, warm, and swollen area at the injection site. The patient was diagnosed with cellulitis. The patient was treated with CEFTIN 250 mg, two times a day for 10 days and cool compresses. The patient recovered on an unspecified date. This is one of 3 reports from the same source. Additional information is not expected.
Age: 11.0
Sex: M
Vaccine: PPV, PPV
Symptoms: Body temperature increased, Fatigue, Headache, Injection site cellulitis, Injection site erythema
Clinical narrative: Initial and follow up information has been received from a registered nurse, concerning an 11 year old male student with allergies to mold, trees, grass, ragweed, cats, dust, corn, sesame, and almonds, who on 08-APR-2008 at 11:30 was vaccinated IM in the right deltoid with a second dose of pneumococcal 23v polysaccharide vaccine (Lot# 659148/1382U). The patient had mild nasal congestion at the time of the vaccination. On 09-APR-2008, the patient experienced a bad headache, was achy all over, a temperature of 101, and fatigue. The patient developed redness and pain at the injection site. The patient was treated with ADVIL and cool compresses. On 10-APR-2008, the patient developed a 3X5 cm red, warm, and swollen area at the injection site. The patient was diagnosed with cellulitis. The patient was treated with CEFTIN 250 mg, two times a day for 10 days and cool compresses. The patient recovered on an unspecified date. This is one of 3 reports from the same source. Additional information is not expected.
Age: 11.0
Sex: M
Vaccine: PPV, PPV
Symptoms: Injection site pain, Injection site swelling, Pain, Pyrexia
Clinical narrative: Initial and follow up information has been received from a registered nurse, concerning an 11 year old male student with allergies to mold, trees, grass, ragweed, cats, dust, corn, sesame, and almonds, who on 08-APR-2008 at 11:30 was vaccinated IM in the right deltoid with a second dose of pneumococcal 23v polysaccharide vaccine (Lot# 659148/1382U). The patient had mild nasal congestion at the time of the vaccination. On 09-APR-2008, the patient experienced a bad headache, was achy all over, a temperature of 101, and fatigue. The patient developed redness and pain at the injection site. The patient was treated with ADVIL and cool compresses. On 10-APR-2008, the patient developed a 3X5 cm red, warm, and swollen area at the injection site. The patient was diagnosed with cellulitis. The patient was treated with CEFTIN 250 mg, two times a day for 10 days and cool compresses. The patient recovered on an unspecified date. This is one of 3 reports from the same source. Additional information is not expected.
Age: 0.2
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5, RV5
Symptoms: Haematochezia, Occult blood positive
Clinical narrative: Information has been received from a physician concerning a 2 month old male who on 30-JUL-2008 was vaccinated with the initial dose of oral ROTATEQ.  On 31-JUL-2008 the patient developed bloody stool.  It has not been determined if the patient shall receive future doses of ROTATEQ.  Fecal study was performed which was positive.  It was reported that bloody stool has not improved.  Unspecified medical attention was sought.  No product quality complaint.  Upon internal review, bloody stool was determined to be an other important medical event.  Additional information has been requested.
Age: 0.2
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5, RV5
Symptoms: Haematochezia, Stool analysis abnormal
Clinical narrative: Information has been received from a physician concerning a 2 month old male who on 30-JUL-2008 was vaccinated with the initial dose of oral ROTATEQ.  On 31-JUL-2008 the patient developed bloody stool.  It has not been determined if the patient shall receive future doses of ROTATEQ.  Fecal study was performed which was positive.  It was reported that bloody stool has not improved.  Unspecified medical attention was sought.  No product quality complaint.  Upon internal review, bloody stool was determined to be an other important medical event.  Additional information has been requested.
Age: 15.0
Sex: F
Vaccine: HPV4, TDAP
Symptoms: Convulsion, Tuberculin test
Clinical narrative: Information has been received from a nurse concerning a 15 year old female who on 16-JUL-2008 was vaccinated with the first dose of GARDASIL.  Concomitant therapy included Tdap.  The patient was also administered a TB test.  On 20-JUL-2008 the patient experienced seizure.  The patient was rushed to the Emergency Room.  On an unspecified date, the patient recovered from seizure.  No product quality was involved.  Upon internal review, seizure was determined to be an other important medical event.  Additional information has been requested.  This was reported to VAERS by the healthcare facility on 23-JUL-2008.
Age: 18.0
Sex: F
Vaccine: HPV4
Symptoms: Convulsion, Loss of consciousness
Clinical narrative: Information has been received from a physician concerning an 18 year old female with no known drug allergies and no pertinent medical history who on unspecified dates was vaccinated with the first and second doses of GARDASIL.  On 23-JUL-2008, after receiving her third dose of GARDASIL the patient passed out and exhibited seizure like activity.  The patient sought unspecified medical attention.  No lab/diagnostic studies were performed.  Fifteen minutes after the event, the patient improved.  She recovered the same day.  Upon internal review, seizure like activity was considered to be an other important medical event.  Additional information has been requested.
Age: 59.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Musculoskeletal pain, Rotator cuff syndrome, Shoulder operation
Clinical narrative: A 59-year-old female patient had received an injection (route/site and lot number not reported) of FLUZONE SV 2007-2008, and on the day of vaccination, she complained of pain in her shoulder that persisted for approximately four months.  She was diagnosed approximately four months later with a torn rotator cuff which she had surgically corrected.  Past medical history included osteoarthritis and menopausal symptoms.  No further information was provided.
Age: 59.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Musculoskeletal pain, Rotator cuff syndrome, Surgery
Clinical narrative: A 59-year-old female patient had received an injection (route/site and lot number not reported) of FLUZONE SV 2007-2008, and on the day of vaccination, she complained of pain in her shoulder that persisted for approximately four months.  She was diagnosed approximately four months later with a torn rotator cuff which she had surgically corrected.  Past medical history included osteoarthritis and menopausal symptoms.  No further information was provided.
Age: 18.0
Sex: F
Vaccine: RAB
Symptoms: Anger, Back pain, Confusional state, Headache, Lumbar puncture
Clinical narrative: Initial report received on 28 July 2008 from a health care professional.  An 18-year-old female patient, with "unknown" past medical history was exposed to a cat (date not provided) that was known to have rabies and she subsequently received a first dose of IMOVAX, and a first dose of IMOGAM on 18 July 2008 in the morning hours.  The Lot numbers, routes and sites of administration were "unknown".  At an unspecified amount of time later, on the same day, reported as in the morning, the patient became confused and was angry.  She "returned to the hospital" and was admitted.  A lumbar puncture test was performed; however the results of the test were not provided.  The patient was released from the hospital the following day.  It was "unknown" if the patient had fully recovered.  It is worthy to note, the patient subsequently received a second dose of IMOVAX on 21 July 2008 and a third dose on 27 July 2008 and experienced back pain and a headache after each dose.  These adverse events are reported in case 2008-02453.
Age: 18.0
Sex: F
Vaccine: RAB
Symptoms: Vaccine positive rechallenge
Clinical narrative: Initial report received on 28 July 2008 from a health care professional.  An 18-year-old female patient, with "unknown" past medical history was exposed to a cat (date not provided) that was known to have rabies and she subsequently received a first dose of IMOVAX, and a first dose of IMOGAM on 18 July 2008 in the morning hours.  The Lot numbers, routes and sites of administration were "unknown".  At an unspecified amount of time later, on the same day, reported as in the morning, the patient became confused and was angry.  She "returned to the hospital" and was admitted.  A lumbar puncture test was performed; however the results of the test were not provided.  The patient was released from the hospital the following day.  It was "unknown" if the patient had fully recovered.  It is worthy to note, the patient subsequently received a second dose of IMOVAX on 21 July 2008 and a third dose on 27 July 2008 and experienced back pain and a headache after each dose.  These adverse events are reported in case 2008-02453.
Sex: F
Vaccine: FLUX, TTOX
Symptoms: Drooling, Influenza, Trismus
Clinical narrative: Initial report was received on 28 July 2008 from another manufacturer who received the report from a health care professional.  A female patient (age and date of birth not reported) had received an Influenza vaccination in 1986 and developed the flu.  She also received a Tetanus vaccination in 1986 and developed lock jaw and drooling.  The event onset dates were reported as "1986".  The vaccine names, manufacturers, lot numbers, routes and sites of administration were not reported.  The patient's recovery status was not reported.
Age: 13.0
Sex: F
Vaccine: HPV4
Symptoms: Anxiety, Dizziness, Hyperhidrosis, Pallor, Presyncope
Clinical narrative: 2 minutes after administering HPV 31, patient became pale, diaphoretic, dizzy, reaction complete syncope, anxious state x 1-2 minutes. Recovered in 15 minutes to discharge; Near fainting
Age: 13.0
Sex: F
Vaccine: HPV4
Symptoms: Syncope
Clinical narrative: 2 minutes after administering HPV 31, patient became pale, diaphoretic, dizzy, reaction complete syncope, anxious state x 1-2 minutes. Recovered in 15 minutes to discharge; Near fainting
Age: 18.0
Sex: F
Vaccine: HEP, MNQ
Symptoms: Computerised tomogram, Dyspnoea, Rash, Syncope
Clinical narrative: Syncopal epis after leaving facility (>85 degree temp et non-air conditioned vehicle).  -SOB, rash.  Pt had been observed x15 min after immun with no adv rxn noted.
Age: 2.0
Sex: F
Vaccine: HEP, HEP
Symptoms: Expired drug administered
Clinical narrative: Administered outdated Hepatitis B vaccine; exp- 7-11-08
Age: 6.0
Sex: F
Vaccine: MNQ
Symptoms: Blood pressure, Fall, Heart rate normal, Hypotonia, Inappropriate schedule of drug administration
Clinical narrative: Shortly after giving meningococcal vaccine U2643AA 11/09; Patient turned pale become limp and fell to the floor; BP was 86/40 - O2 was administered
Age: 6.0
Sex: F
Vaccine: MNQ
Symptoms: Oxygen saturation normal, Oxygen supplementation, Pallor
Clinical narrative: Shortly after giving meningococcal vaccine U2643AA 11/09; Patient turned pale become limp and fell to the floor; BP was 86/40 - O2 was administered
Age: 40.0
Sex: F
Vaccine: HEP
Symptoms: Pruritus, Rash erythematous, Rash macular
Clinical narrative: Red blotchy rash - complained of itchy "all over"; Tx Benadryl 25mg in ER; Benadryl 25mg to go - take home; adm in 6 hours
Age: 11.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site erythema, Injection site induration, Local reaction
Clinical narrative: Erythema at injection site began within 24 hours. By 48 hours patient had 20cm x 10cm erythematous, indurated local reaction. This spontaneously resolved over 4 days.
Age: 15.0
Sex: M
Vaccine: HEP, TDAP, VARCEL
Symptoms: No adverse event
Clinical narrative: No adverse events occurred.
Age: 11.0
Sex: F
Vaccine: HPV4, MNQ, TDAP, HPV4
Symptoms: Activities of daily living impaired, Dizziness, Hypoaesthesia, Pallor, Paraesthesia
Clinical narrative: Arrived at clinic for HPV #2 on 7/22/08. Mom reports that patient had dizziness, paleness and fever (temp not taken) for 72 hours after first HPV on 4/22/08. Mom kept home from school on 4/23/08. Patient reported brief episode of right hand numbness/tingling at school on 4/24/08. HPV #2 deferred. Series suspended.
Age: 11.0
Sex: F
Vaccine: HPV4, MNQ, TDAP, HPV4
Symptoms: Pyrexia
Clinical narrative: Arrived at clinic for HPV #2 on 7/22/08. Mom reports that patient had dizziness, paleness and fever (temp not taken) for 72 hours after first HPV on 4/22/08. Mom kept home from school on 4/23/08. Patient reported brief episode of right hand numbness/tingling at school on 4/24/08. HPV #2 deferred. Series suspended.
Age: 11.0
Sex: F
Vaccine: HPV4, MNQ, TDAP, HPV4
Symptoms: Dizziness, Hypoaesthesia, Paraesthesia, Pyrexia
Clinical narrative: Arrived at clinic for HPV #2 on 7/22/08. Mom reports that patient had dizziness, paleness and fever (temp not taken) for 72 hours after first HPV on 4/22/08. Mom kept home from school on 4/23/08. Patient reported brief episode of right hand numbness/tingling at school on 4/24/08. HPV #2 deferred. Series suspended.
Age: 57.0
Sex: F
Vaccine: TDAP
Symptoms: Injected limb mobility decreased, Rotator cuff syndrome
Clinical narrative: Impingement syndrome of left shoulder. I had previous Td 5 years ago. 3 hours after vaccine, I couldn't lift my arm. Over about 7 day, it became obvious that problem was more than just muscle soreness. Dr. (internist) dianosed the problem. Orthopedist suggested rest. I am 50% better already.  I am slowly improving. I expect to recover fully.
Age: 7.0
Sex: M
Vaccine: HEPA
Symptoms: Injection site swelling, Pyrexia, Rash
Clinical narrative: Mother called, patient had swelling at site.  Rash and fever, nausea.  Give Tylenol and Benadryl.
Age: 15.0
Sex: F
Vaccine: HEPA, HPV4, MNQ
Symptoms: Blood pressure, Blood pressure decreased, Crying, Dizziness, Heart rate normal
Clinical narrative: NP called into room at 2:50 pm after receiving Hep A and MCV4 in left arm. Patient felt lightheaded & crying that arms hurt. Alert & Ox3, appeared pale, HR-88, BP 116/62, pulse ox 98%. About 3pm pt sat up and Gardasil given in right arm. Had pt lie flat til 3:08pm. Verbalized feeling better & sat up. Pt felt dizzy again HR-96, BP 88/60. Had pt lie flat again & BP 98/56. At 3:20 pm pt felt better and sat up BP 110/70, HR-84. Had pt sit for a few minutes and then stand for a few minutes before walking. Steady on feet. Only complaint of arms sore.
Age: 15.0
Sex: F
Vaccine: HEPA, HPV4, MNQ
Symptoms: Oxygen saturation normal, Pain in extremity, Pallor
Clinical narrative: NP called into room at 2:50 pm after receiving Hep A and MCV4 in left arm. Patient felt lightheaded & crying that arms hurt. Alert & Ox3, appeared pale, HR-88, BP 116/62, pulse ox 98%. About 3pm pt sat up and Gardasil given in right arm. Had pt lie flat til 3:08pm. Verbalized feeling better & sat up. Pt felt dizzy again HR-96, BP 88/60. Had pt lie flat again & BP 98/56. At 3:20 pm pt felt better and sat up BP 110/70, HR-84. Had pt sit for a few minutes and then stand for a few minutes before walking. Steady on feet. Only complaint of arms sore.
Age: 24.0
Sex: F
Vaccine: TDAP
Symptoms: Chills, Pain, Stomach discomfort
Clinical narrative: Phone call from patient. Stated woke up "Sore all over last night. Didn't want to get out of bed". Reported chills (unsure if had fever). States also had stomach upset. Reports took ibuprofen with some relief today. (Felt better today.)See MD if persists or worsens
Age: 1.92
Sex: F
Vaccine: DTAP, HEPA, HIBV
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: 7-31-08 Child's left thigh was reddened, swollen and hot.  Referred to doc or ER.  8-01-08 thigh was worse and was teken to ER again and given Rx for Keflex.  8-04-08 mom reports the leg is better.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site streaking, Injection site swelling, Injection site warmth
Clinical narrative: Left arm from collar bone to elbow red, swollen, warm to touch with streaking reported by mother.  Child was given p.o. Tylenol for symptoms.  Mother seeking appt. with PCP today (7/30/08)
Age: 14.0
Sex: F
Vaccine: HEPA, HPV4, VARCEL
Symptoms: Dizziness, Heart rate normal, Nausea, Pallor, Respiratory rate
Clinical narrative: Patient became lightheaded, pale and nauseated about 10 minutes after receiving the vaccines.  She was lowered to the floor. She never blacked out.  Pulse 70 Resp 20.  Color slowly returned in about 10 minutes.  Sat up, was given some apple juice.  Patient left on her own power with mom 20 minutes after the incident occurred.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: EXTENSIVE SWELLING AND REDNESS AT THE SITE OF INJECTION EXTENDING DOWN TO ARM
Age: 0.17
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Body temperature increased, Vaccine positive rechallenge
Clinical narrative: Patient received vaccine on 05/29/08 (pediarix)mom reported that evening temperature of 102.6. Patient examined in office on 05/30/08 and was a completely normal examination. On 07/29/08 patinet received second Pediarix mom reported temperature of 101 and fever resolved in less than 24 hours.
Age: 18.0
Sex: F
Vaccine: HEP, HPV4, TDAP
Symptoms: Blood pressure, Dizziness, Heart rate decreased, Hyperhidrosis, Oxygen saturation normal
Clinical narrative: 9:48 am Np called into room when pt c/o feeling dizzy & sweaty after Hep B #1, Tdap, and Gardasil #1 given. Appeared pale, BP 104/60, pulse 64, pulse ox 98%, pt moved to exam table and had lie flat. 9:51 am pt talking  Bp 106/62, pulse 52, still lying down, feels alittle better. 10:02 am pt sat up on table BP 100/72 pulse 56.  10:10 am pt moved to chair, states feels OK, Bp 94/60, pulse 46, alert & oriented x3; gave apple to eat (no breakfast); 10:20 am BP 104/70, pulse 60, A & Ox3, steady on feet and ambulating. Verbaliezed feeling back to normal.
Age: 18.0
Sex: F
Vaccine: HEP, HPV4, TDAP
Symptoms: Pallor
Clinical narrative: 9:48 am Np called into room when pt c/o feeling dizzy & sweaty after Hep B #1, Tdap, and Gardasil #1 given. Appeared pale, BP 104/60, pulse 64, pulse ox 98%, pt moved to exam table and had lie flat. 9:51 am pt talking  Bp 106/62, pulse 52, still lying down, feels alittle better. 10:02 am pt sat up on table BP 100/72 pulse 56.  10:10 am pt moved to chair, states feels OK, Bp 94/60, pulse 46, alert & oriented x3; gave apple to eat (no breakfast); 10:20 am BP 104/70, pulse 60, A & Ox3, steady on feet and ambulating. Verbaliezed feeling back to normal.
Age: 70.0
Sex: M
Vaccine: HEPAB, TDAP
Symptoms: Feeling hot, Pain, Rash papular
Clinical narrative: Patient was administered the vaccine in his left deltoid on 8.4.08. On 8.6.08 he called to inform me that he felt "achey" and there was small spot on that are that "looks like a pimple but with no head on it". Patient he felt like he had a fever on 8.5.08 but is feeling better today (8.6.08).
Age: 11.0
Sex: M
Vaccine: TDAP, VARCEL
Symptoms: Cyanosis, Gaze palsy, Muscle contractions involuntary, Unresponsive to stimuli, Urinary incontinence
Clinical narrative: after receiving imms, pt.s eyes rolled back as did his head. Arms and hand contracted and lips went blue.mUnresponsive to name. Had urinary incontinence. Episode lasted 3-5 secs.
Age: 0.5
Sex: F
Vaccine: DTAP, PNC, RV5
Symptoms: Crying, Pyrexia
Clinical narrative: Pt cried all night and had fever above 102
Age: 16.0
Sex: F
Vaccine: HPV4
Symptoms: Fatigue, Hypersomnia, Immediate post-injection reaction, Pallor, Syncope
Clinical narrative: RIGHT AFTER THE VACCINE SHE WAS PALE AND FAINTED, SHE BECAME VERY TIRED AND SLEPT FOR THE REST OF THE DAY.
Age: 11.0
Sex: F
Vaccine: HEPA, TDAP, VARCEL
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Approximately 3 inch area redness, pain, comma, swelling at site of vaccination. Right Deltoid.
Age: 10.0
Sex: F
Vaccine: VARCEL
Symptoms: Injection site erythema, Injection site oedema, Injection site warmth
Clinical narrative: 12 X 12CM RED EDAMATOUS REACTION (LEFT ARM SQ)PT SEEN AT AFTER HOURS PEDIATRIC AND WAS PLACED ON BACTRIM. SITE WAS WARM TO TOUCH.
Age: 23.0
Sex: F
Vaccine: YF
Symptoms: Erythema, Induration, Pruritus
Clinical narrative: L arm induration 2.5 cm, itchy, erythematous
Age: 1.33
Sex: M
Vaccine: DTAPHEPBIP, HEPA, MMR, PPV
Symptoms: Decreased appetite, Fatigue, Pyrexia, Vomiting
Clinical narrative: Emesis, fever of 102.3; fatigue. Emesis started about 10 minutes following final injection. Fever controlled with acetimenophen and ibuprofen. Additional fluids given, appetite severly decreased.
Age: 27.0
Sex: M
Vaccine: RAB
Symptoms: Arthralgia, Headache, Malaise, Musculoskeletal stiffness, Rash erythematous
Clinical narrative: Employee reported that four days after receiving second dose of pre-exposure Imovax vaccine he developed a flat, red, non-puritic rash on the inner arms and legs. He had moderate joint pain in his hands, neck, elbow, knees and ankles. No fever, hives or swelling of face, etc. Called his private physician, but was not able to be seen before symptoms resolved (~3 days). Joint pain relieved by ASA, but not ibuprofen. Had a headache he related to the stiffness in his neck. Also had malaise. Reported to NIPINFO and was recommended to complete the rabies pre-exposure series.
Age: 27.0
Sex: M
Vaccine: RAB
Symptoms: Rash macular
Clinical narrative: Employee reported that four days after receiving second dose of pre-exposure Imovax vaccine he developed a flat, red, non-puritic rash on the inner arms and legs. He had moderate joint pain in his hands, neck, elbow, knees and ankles. No fever, hives or swelling of face, etc. Called his private physician, but was not able to be seen before symptoms resolved (~3 days). Joint pain relieved by ASA, but not ibuprofen. Had a headache he related to the stiffness in his neck. Also had malaise. Reported to NIPINFO and was recommended to complete the rabies pre-exposure series.
Age: 18.0
Sex: U
Vaccine: HEPA, TDAP
Symptoms: Rash erythematous, Rash papular
Clinical narrative: Recieved shots 8/1 and noticed red, bumpy spots "like mosquito bites, but bigger" Reports he noticed the bumps on his left arm first which then spread to right arm and left leg.  Seen by MN who advised bendryl and cortisone.
Age: 46.0
Sex: F
Vaccine: ANTH
Symptoms: Fatigue, Headache, Nausea, Vomiting projectile
Clinical narrative: MEMBER RECEIVED ANTHRAX VACCINE 2AUG08 STARTED EXPERIENCING SYMPTOMS WITHIN APPOX. 5 HRS. AFTER ADMINISTRATION. SYMPTOMS INCLUDED: NAUSEA AND FATIGUE.  4AUG08 MEMBER STATES SHE BEGAN EXPERIENCING HEADACHE RATED 5 ON PAINSCALE 0-10. 5AUG08 MEMBER REPORTS EXPERIENCING SEVERE HEADACHE RATED 9 ON PAINSCALE 0-10, FOLLOWED BY PROJECTILE VOMITING.  HEADACHE AND VOMITING BEGAN AT APPROX. 0530 AND CONTINUED UNTIL 0900.  TO EASE THE PAIN MEMBER LAID DOWN AT 0915 AND AWOKE AT APPROX 1500 EXPERIENCING FATIGUE BUT NO HEADACHE OR VOMITING.
Age: 70.0
Sex: F
Vaccine: TDAP, VARZOS
Symptoms: Injection site erythema, Injection site rash, Injection site warmth, Wrong drug administered
Clinical narrative: Tdap given instead of Td. Pt notified on 7-29-08 of error.  Educated to call local health dept with adverse reaction.  8-5-08 Pt reports red rash left arm injection site where Tdap was given, approx 4 inch x 2 inch, oval shape, slightly warm to touch.  Denies pain, itch or fever. Dr. med director, notified.  Instructed to continue to monitor pt.  No treatment at this time.
Age: 11.0
Sex: F
Vaccine: TDAP
Symptoms: Blindness transient, Electrocardiogram, Presyncope, Syncope, Tremor
Clinical narrative: Patient had a syncope/near syncope episode in the car on the way home. She was unable to see and everything went black. Her arms were shaking for a few minutes.  Event lasted several minutes. Proceeded to the ER.
Age: 4.0
Sex: F
Vaccine: DTAP, HEPA, IPV, MMR, VARCEL
Symptoms: Injection site bruising, Injection site erythema, Injection site warmth
Clinical narrative: red,warm to touch, contusion right thigh
Age: 9.0
Sex: M
Vaccine: HEPA, VARCEL
Symptoms: Pruritus, Urticaria
Clinical narrative: Approx 1 minute after vaccine administered to L arm pt stated was itchy hives were noted at that time no respiratory sypmtoms no wheezing sat 100% on RA benadryl given.  Approx 5 minutes after which hives and itching resolved Pt observed for another 20 minutes and was noted to be asymptomatic.
Age: 37.0
Sex: M
Vaccine: PPV
Symptoms: Cellulitis, Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Pain, swelling,redness,and elevated temperature in right upper arm.  Cellulitis
Age: 19.0
Sex: M
Vaccine: MNQ, PPV, MNQ, PPV
Symptoms: Band neutrophil count increased, Chills, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Pneumovax and Menactra given in left deltoid on 7/29/2008 about 1:30pm.  That evening he began to have pain in shoulder, fever to 102, and chills.  He was seen in the office and found to have marked tenderness, swelling and warmth of the left deltoid.  WBC was 13.7K.  The following day he was seen with 104-105 fever, red eyes, vomiting and marked tenderness and swelling of the left upper arm.  He was admitted to the hospital.  WBC 21K.  His fever continued for three more days and he developed cellulitis from shoulder to elbow.  He was discharged on 8/2.  He was seen on 8/4 with resolution of fever and redness but was still very tender and some swelling around original injection site.  8/26/2008 Reviewed hospital medical records of 7/31-8/2/2008. FINAL DX: fever, vomiting & cellulitis left deltoid. Records reveal patient experienced good health on day of vaccinaiton.  Next day returned to PCP w/ chills, fever, stiffness, generalized aching & injection site pain, redness & warmth.  Developed red watery eyes, chest tightness, vomiting & increased chills/fever of 104. Tx w/IVF & anti inflammatory meds.
Age: 19.0
Sex: M
Vaccine: MNQ, PPV, MNQ, PPV
Symptoms: Musculoskeletal pain, Nuclear magnetic resonance imaging abnormal, Ocular hyperaemia, Pyrexia, Vomiting
Clinical narrative: Pneumovax and Menactra given in left deltoid on 7/29/2008 about 1:30pm.  That evening he began to have pain in shoulder, fever to 102, and chills.  He was seen in the office and found to have marked tenderness, swelling and warmth of the left deltoid.  WBC was 13.7K.  The following day he was seen with 104-105 fever, red eyes, vomiting and marked tenderness and swelling of the left upper arm.  He was admitted to the hospital.  WBC 21K.  His fever continued for three more days and he developed cellulitis from shoulder to elbow.  He was discharged on 8/2.  He was seen on 8/4 with resolution of fever and redness but was still very tender and some swelling around original injection site.  8/26/2008 Reviewed hospital medical records of 7/31-8/2/2008. FINAL DX: fever, vomiting & cellulitis left deltoid. Records reveal patient experienced good health on day of vaccinaiton.  Next day returned to PCP w/ chills, fever, stiffness, generalized aching & injection site pain, redness & warmth.  Developed red watery eyes, chest tightness, vomiting & increased chills/fever of 104. Tx w/IVF & anti inflammatory meds.
Age: 19.0
Sex: M
Vaccine: MNQ, PPV, MNQ, PPV
Symptoms: White blood cell count increased
Clinical narrative: Pneumovax and Menactra given in left deltoid on 7/29/2008 about 1:30pm.  That evening he began to have pain in shoulder, fever to 102, and chills.  He was seen in the office and found to have marked tenderness, swelling and warmth of the left deltoid.  WBC was 13.7K.  The following day he was seen with 104-105 fever, red eyes, vomiting and marked tenderness and swelling of the left upper arm.  He was admitted to the hospital.  WBC 21K.  His fever continued for three more days and he developed cellulitis from shoulder to elbow.  He was discharged on 8/2.  He was seen on 8/4 with resolution of fever and redness but was still very tender and some swelling around original injection site.  8/26/2008 Reviewed hospital medical records of 7/31-8/2/2008. FINAL DX: fever, vomiting & cellulitis left deltoid. Records reveal patient experienced good health on day of vaccinaiton.  Next day returned to PCP w/ chills, fever, stiffness, generalized aching & injection site pain, redness & warmth.  Developed red watery eyes, chest tightness, vomiting & increased chills/fever of 104. Tx w/IVF & anti inflammatory meds.
Age: 19.0
Sex: M
Vaccine: MNQ, PPV, MNQ, PPV
Symptoms: Band neutrophil count increased, Cellulitis, Chills, Culture negative, Injection site pain
Clinical narrative: Pneumovax and Menactra given in left deltoid on 7/29/2008 about 1:30pm.  That evening he began to have pain in shoulder, fever to 102, and chills.  He was seen in the office and found to have marked tenderness, swelling and warmth of the left deltoid.  WBC was 13.7K.  The following day he was seen with 104-105 fever, red eyes, vomiting and marked tenderness and swelling of the left upper arm.  He was admitted to the hospital.  WBC 21K.  His fever continued for three more days and he developed cellulitis from shoulder to elbow.  He was discharged on 8/2.  He was seen on 8/4 with resolution of fever and redness but was still very tender and some swelling around original injection site.  8/26/2008 Reviewed hospital medical records of 7/31-8/2/2008. FINAL DX: fever, vomiting & cellulitis left deltoid. Records reveal patient experienced good health on day of vaccinaiton.  Next day returned to PCP w/ chills, fever, stiffness, generalized aching & injection site pain, redness & warmth.  Developed red watery eyes, chest tightness, vomiting & increased chills/fever of 104. Tx w/IVF & anti inflammatory meds.
Age: 19.0
Sex: M
Vaccine: MNQ, PPV, MNQ, PPV
Symptoms: Injection site swelling, Injection site warmth, Musculoskeletal pain, Nuclear magnetic resonance imaging abnormal, Ocular hyperaemia
Clinical narrative: Pneumovax and Menactra given in left deltoid on 7/29/2008 about 1:30pm.  That evening he began to have pain in shoulder, fever to 102, and chills.  He was seen in the office and found to have marked tenderness, swelling and warmth of the left deltoid.  WBC was 13.7K.  The following day he was seen with 104-105 fever, red eyes, vomiting and marked tenderness and swelling of the left upper arm.  He was admitted to the hospital.  WBC 21K.  His fever continued for three more days and he developed cellulitis from shoulder to elbow.  He was discharged on 8/2.  He was seen on 8/4 with resolution of fever and redness but was still very tender and some swelling around original injection site.  8/26/2008 Reviewed hospital medical records of 7/31-8/2/2008. FINAL DX: fever, vomiting & cellulitis left deltoid. Records reveal patient experienced good health on day of vaccinaiton.  Next day returned to PCP w/ chills, fever, stiffness, generalized aching & injection site pain, redness & warmth.  Developed red watery eyes, chest tightness, vomiting & increased chills/fever of 104. Tx w/IVF & anti inflammatory meds.
Age: 19.0
Sex: M
Vaccine: MNQ, PPV, MNQ, PPV
Symptoms: Pyrexia, Vomiting, White blood cell count increased
Clinical narrative: Pneumovax and Menactra given in left deltoid on 7/29/2008 about 1:30pm.  That evening he began to have pain in shoulder, fever to 102, and chills.  He was seen in the office and found to have marked tenderness, swelling and warmth of the left deltoid.  WBC was 13.7K.  The following day he was seen with 104-105 fever, red eyes, vomiting and marked tenderness and swelling of the left upper arm.  He was admitted to the hospital.  WBC 21K.  His fever continued for three more days and he developed cellulitis from shoulder to elbow.  He was discharged on 8/2.  He was seen on 8/4 with resolution of fever and redness but was still very tender and some swelling around original injection site.  8/26/2008 Reviewed hospital medical records of 7/31-8/2/2008. FINAL DX: fever, vomiting & cellulitis left deltoid. Records reveal patient experienced good health on day of vaccinaiton.  Next day returned to PCP w/ chills, fever, stiffness, generalized aching & injection site pain, redness & warmth.  Developed red watery eyes, chest tightness, vomiting & increased chills/fever of 104. Tx w/IVF & anti inflammatory meds.
Age: 44.0
Sex: F
Vaccine: TDAP
Symptoms: Anaphylactic reaction, Dizziness, Respiratory distress, Tachycardia, Urticaria
Clinical narrative: PT PRESENTED WITH CLASSIC ANAPHYLAXIS SYMPTOMS I.E. RESPIRATORY DISTRESS, HIVES, DIZZINESS, TACHYCARDIA AFTER RECEIVING ADACEL TDAP SHOT IN LEFT ARM AT 0746 ON 25 JULY 08. PT WAS TREATED WITH T1-2 CAP PO Q6H P, BENADRYL INJECTION INTO THIGH, 1TAB PO BID F STOMACH NR
Age: 0.33
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Pyrexia, Rash erythematous, Rash macular
Clinical narrative: Patient on the night of vaccines, had fever x 8 days.  On last 3 days of fever also developed red diffuse splotchy rash.
Age: 65.0
Sex: F
Vaccine: PPV, TTOX
Symptoms: Body temperature, Erythema, Inflammation, Mobility decreased, Pain in extremity
Clinical narrative: intense pain starting in deltoid muscle migrating to elbow in the first hour. Unable to raise arm due to pain.  Rash progressing to solid redden area that was inflames and emense swelling in the next 24 hours.  Temperature of 99.7.  Swelling began to decrease after 48 hours.