chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 21.0
Sex: F
Vaccine: ANTH, SMALL, SMALL, TYP, ANTH, SMALL
Symptoms: Dyspnoea, Oral disorder, Pruritus, Pyrexia, Skin lesion
Clinical narrative: Self inoculated self on Right index finger. Lesion developed.  Also developed lesions in mounth and on Pharynx (stated she put finger in mouth) unable to confirm lesions in mouth are due to vaccine.  No other rash but did experience some itching. Did report some SOB following vaccination and slight fever.  3/20/09 MR received. One week s/p smallpox vax pt inadvertently scratched innoculation site and then ate finger food.  Developed papular lesions on index finger and in pharynx.  Also c/o extreme fatigue and myalgias, sore throat. Assessment:  Auto-innoculation by scratch, then spread on R index finger and posterior pharynx.  Myalgia and myositis. Tx: pain meds
Age: 21.0
Sex: F
Vaccine: ANTH, SMALL, SMALL, TYP, ANTH, SMALL
Symptoms: Blister, Oropharyngeal blistering
Clinical narrative: Self inoculated self on Right index finger. Lesion developed.  Also developed lesions in mounth and on Pharynx (stated she put finger in mouth) unable to confirm lesions in mouth are due to vaccine.  No other rash but did experience some itching. Did report some SOB following vaccination and slight fever.  3/20/09 MR received. One week s/p smallpox vax pt inadvertently scratched innoculation site and then ate finger food.  Developed papular lesions on index finger and in pharynx.  Also c/o extreme fatigue and myalgias, sore throat. Assessment:  Auto-innoculation by scratch, then spread on R index finger and posterior pharynx.  Myalgia and myositis. Tx: pain meds
Age: 21.0
Sex: F
Vaccine: ANTH, SMALL, SMALL, TYP, ANTH, SMALL
Symptoms: Dyspnoea, Fatigue, Myalgia, Myositis, Oropharyngeal pain
Clinical narrative: Self inoculated self on Right index finger. Lesion developed.  Also developed lesions in mounth and on Pharynx (stated she put finger in mouth) unable to confirm lesions in mouth are due to vaccine.  No other rash but did experience some itching. Did report some SOB following vaccination and slight fever.  3/20/09 MR received. One week s/p smallpox vax pt inadvertently scratched innoculation site and then ate finger food.  Developed papular lesions on index finger and in pharynx.  Also c/o extreme fatigue and myalgias, sore throat. Assessment:  Auto-innoculation by scratch, then spread on R index finger and posterior pharynx.  Myalgia and myositis. Tx: pain meds
Age: 21.0
Sex: F
Vaccine: ANTH, SMALL, SMALL, TYP, ANTH, SMALL
Symptoms: Post vaccination autoinoculation, Pruritus, Pyrexia, Skin lesion, Stomatitis
Clinical narrative: Self inoculated self on Right index finger. Lesion developed.  Also developed lesions in mounth and on Pharynx (stated she put finger in mouth) unable to confirm lesions in mouth are due to vaccine.  No other rash but did experience some itching. Did report some SOB following vaccination and slight fever.  3/20/09 MR received. One week s/p smallpox vax pt inadvertently scratched innoculation site and then ate finger food.  Developed papular lesions on index finger and in pharynx.  Also c/o extreme fatigue and myalgias, sore throat. Assessment:  Auto-innoculation by scratch, then spread on R index finger and posterior pharynx.  Myalgia and myositis. Tx: pain meds
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site induration, Pyrexia
Clinical narrative: Mom reports pt with hard red area 2 1/2 inch in diameter. Fever of 104.0. Advised to give benadryl and tylenol along with use of warm compress at the site.
Age: 13.0
Sex: F
Vaccine: HPV4
Symptoms: Alopecia, Antinuclear antibody, Arthralgia, Asthenia, Back pain
Clinical narrative: October, 2007 - Back and Hip pain         Winter, 2007/08 - addition of shoulder and elbow pain, ankle pain and weakness, increase in back and hip pain  - medicated with Advil/Tylenol (OTC)                                       March, 2008 - addition of tingling and numbness in arms and legs.  Shooting pains in arms and legs.  Extreme exhaustion and fatigue        June, 2008 -  Treated with Physical Therapy and Mobic/Advil.  Had MRI of Lumbar spine on 7/07/08                                         August, 2008 - extreme pain when running.  All of the earlier symptoms were still present.  Intense muscles cramps in legs and arms, especially at night.  Addition of muscle cramps in hands when writing or playing piano for a very short time (10 minutes).           September, 2008 -  All symptoms remain.  Addition of hair loss, weight loss, increase in fatigue. blurry vision.  lightheadedness, dizziness 3/19/09 records received-office visit 7/1/08-multiple complaints over sometimes, Active in gymnastics, somewhat knock-kneed. C/O left hip popping in and out with activity appears to be iliotibial band phenomena. Right knee and kneecap popping in and out with activity and some tightness in tendons in back with activity. Right elbow complaints with activity. Spot on left forearm been there a few months, looks like possible pencil lead in skin. Assessment: hip problem suspect iliotibial band. Knee problem looks like patellar malalignment. Elbow problem looks like tennis elbow phenomena. Referral to sports medicine. office visit 3/16/09- No complaints.
Age: 13.0
Sex: F
Vaccine: HPV4
Symptoms: Blood calcium, Blood creatine phosphokinase, Blood magnesium, Blood phosphorus, Blood potassium
Clinical narrative: October, 2007 - Back and Hip pain         Winter, 2007/08 - addition of shoulder and elbow pain, ankle pain and weakness, increase in back and hip pain  - medicated with Advil/Tylenol (OTC)                                       March, 2008 - addition of tingling and numbness in arms and legs.  Shooting pains in arms and legs.  Extreme exhaustion and fatigue        June, 2008 -  Treated with Physical Therapy and Mobic/Advil.  Had MRI of Lumbar spine on 7/07/08                                         August, 2008 - extreme pain when running.  All of the earlier symptoms were still present.  Intense muscles cramps in legs and arms, especially at night.  Addition of muscle cramps in hands when writing or playing piano for a very short time (10 minutes).           September, 2008 -  All symptoms remain.  Addition of hair loss, weight loss, increase in fatigue. blurry vision.  lightheadedness, dizziness 3/19/09 records received-office visit 7/1/08-multiple complaints over sometimes, Active in gymnastics, somewhat knock-kneed. C/O left hip popping in and out with activity appears to be iliotibial band phenomena. Right knee and kneecap popping in and out with activity and some tightness in tendons in back with activity. Right elbow complaints with activity. Spot on left forearm been there a few months, looks like possible pencil lead in skin. Assessment: hip problem suspect iliotibial band. Knee problem looks like patellar malalignment. Elbow problem looks like tennis elbow phenomena. Referral to sports medicine. office visit 3/16/09- No complaints.
Age: 13.0
Sex: F
Vaccine: HPV4
Symptoms: Blood thyroid stimulating hormone, Borrelia burgdorferi serology, C-reactive protein increased, Calcium ionised, Differential white blood cell count
Clinical narrative: October, 2007 - Back and Hip pain         Winter, 2007/08 - addition of shoulder and elbow pain, ankle pain and weakness, increase in back and hip pain  - medicated with Advil/Tylenol (OTC)                                       March, 2008 - addition of tingling and numbness in arms and legs.  Shooting pains in arms and legs.  Extreme exhaustion and fatigue        June, 2008 -  Treated with Physical Therapy and Mobic/Advil.  Had MRI of Lumbar spine on 7/07/08                                         August, 2008 - extreme pain when running.  All of the earlier symptoms were still present.  Intense muscles cramps in legs and arms, especially at night.  Addition of muscle cramps in hands when writing or playing piano for a very short time (10 minutes).           September, 2008 -  All symptoms remain.  Addition of hair loss, weight loss, increase in fatigue. blurry vision.  lightheadedness, dizziness 3/19/09 records received-office visit 7/1/08-multiple complaints over sometimes, Active in gymnastics, somewhat knock-kneed. C/O left hip popping in and out with activity appears to be iliotibial band phenomena. Right knee and kneecap popping in and out with activity and some tightness in tendons in back with activity. Right elbow complaints with activity. Spot on left forearm been there a few months, looks like possible pencil lead in skin. Assessment: hip problem suspect iliotibial band. Knee problem looks like patellar malalignment. Elbow problem looks like tennis elbow phenomena. Referral to sports medicine. office visit 3/16/09- No complaints.
Age: 13.0
Sex: F
Vaccine: HPV4
Symptoms: Dizziness, Fatigue, HLA marker study, Haematocrit, Haemoglobin
Clinical narrative: October, 2007 - Back and Hip pain         Winter, 2007/08 - addition of shoulder and elbow pain, ankle pain and weakness, increase in back and hip pain  - medicated with Advil/Tylenol (OTC)                                       March, 2008 - addition of tingling and numbness in arms and legs.  Shooting pains in arms and legs.  Extreme exhaustion and fatigue        June, 2008 -  Treated with Physical Therapy and Mobic/Advil.  Had MRI of Lumbar spine on 7/07/08                                         August, 2008 - extreme pain when running.  All of the earlier symptoms were still present.  Intense muscles cramps in legs and arms, especially at night.  Addition of muscle cramps in hands when writing or playing piano for a very short time (10 minutes).           September, 2008 -  All symptoms remain.  Addition of hair loss, weight loss, increase in fatigue. blurry vision.  lightheadedness, dizziness 3/19/09 records received-office visit 7/1/08-multiple complaints over sometimes, Active in gymnastics, somewhat knock-kneed. C/O left hip popping in and out with activity appears to be iliotibial band phenomena. Right knee and kneecap popping in and out with activity and some tightness in tendons in back with activity. Right elbow complaints with activity. Spot on left forearm been there a few months, looks like possible pencil lead in skin. Assessment: hip problem suspect iliotibial band. Knee problem looks like patellar malalignment. Elbow problem looks like tennis elbow phenomena. Referral to sports medicine. office visit 3/16/09- No complaints.
Age: 13.0
Sex: F
Vaccine: HPV4
Symptoms: Hypoaesthesia, Immunoglobulins, Mean cell haemoglobin, Mean cell haemoglobin concentration, Mean cell volume
Clinical narrative: October, 2007 - Back and Hip pain         Winter, 2007/08 - addition of shoulder and elbow pain, ankle pain and weakness, increase in back and hip pain  - medicated with Advil/Tylenol (OTC)                                       March, 2008 - addition of tingling and numbness in arms and legs.  Shooting pains in arms and legs.  Extreme exhaustion and fatigue        June, 2008 -  Treated with Physical Therapy and Mobic/Advil.  Had MRI of Lumbar spine on 7/07/08                                         August, 2008 - extreme pain when running.  All of the earlier symptoms were still present.  Intense muscles cramps in legs and arms, especially at night.  Addition of muscle cramps in hands when writing or playing piano for a very short time (10 minutes).           September, 2008 -  All symptoms remain.  Addition of hair loss, weight loss, increase in fatigue. blurry vision.  lightheadedness, dizziness 3/19/09 records received-office visit 7/1/08-multiple complaints over sometimes, Active in gymnastics, somewhat knock-kneed. C/O left hip popping in and out with activity appears to be iliotibial band phenomena. Right knee and kneecap popping in and out with activity and some tightness in tendons in back with activity. Right elbow complaints with activity. Spot on left forearm been there a few months, looks like possible pencil lead in skin. Assessment: hip problem suspect iliotibial band. Knee problem looks like patellar malalignment. Elbow problem looks like tennis elbow phenomena. Referral to sports medicine. office visit 3/16/09- No complaints.
Age: 13.0
Sex: F
Vaccine: HPV4
Symptoms: Muscle spasms, Musculoskeletal pain, Nuclear magnetic resonance imaging, Pain, Paraesthesia
Clinical narrative: October, 2007 - Back and Hip pain         Winter, 2007/08 - addition of shoulder and elbow pain, ankle pain and weakness, increase in back and hip pain  - medicated with Advil/Tylenol (OTC)                                       March, 2008 - addition of tingling and numbness in arms and legs.  Shooting pains in arms and legs.  Extreme exhaustion and fatigue        June, 2008 -  Treated with Physical Therapy and Mobic/Advil.  Had MRI of Lumbar spine on 7/07/08                                         August, 2008 - extreme pain when running.  All of the earlier symptoms were still present.  Intense muscles cramps in legs and arms, especially at night.  Addition of muscle cramps in hands when writing or playing piano for a very short time (10 minutes).           September, 2008 -  All symptoms remain.  Addition of hair loss, weight loss, increase in fatigue. blurry vision.  lightheadedness, dizziness 3/19/09 records received-office visit 7/1/08-multiple complaints over sometimes, Active in gymnastics, somewhat knock-kneed. C/O left hip popping in and out with activity appears to be iliotibial band phenomena. Right knee and kneecap popping in and out with activity and some tightness in tendons in back with activity. Right elbow complaints with activity. Spot on left forearm been there a few months, looks like possible pencil lead in skin. Assessment: hip problem suspect iliotibial band. Knee problem looks like patellar malalignment. Elbow problem looks like tennis elbow phenomena. Referral to sports medicine. office visit 3/16/09- No complaints.
Age: 13.0
Sex: F
Vaccine: HPV4
Symptoms: Red blood cell count, Red blood cell sedimentation rate, Red cell distribution width, Thyroxine free, Vision blurred
Clinical narrative: October, 2007 - Back and Hip pain         Winter, 2007/08 - addition of shoulder and elbow pain, ankle pain and weakness, increase in back and hip pain  - medicated with Advil/Tylenol (OTC)                                       March, 2008 - addition of tingling and numbness in arms and legs.  Shooting pains in arms and legs.  Extreme exhaustion and fatigue        June, 2008 -  Treated with Physical Therapy and Mobic/Advil.  Had MRI of Lumbar spine on 7/07/08                                         August, 2008 - extreme pain when running.  All of the earlier symptoms were still present.  Intense muscles cramps in legs and arms, especially at night.  Addition of muscle cramps in hands when writing or playing piano for a very short time (10 minutes).           September, 2008 -  All symptoms remain.  Addition of hair loss, weight loss, increase in fatigue. blurry vision.  lightheadedness, dizziness 3/19/09 records received-office visit 7/1/08-multiple complaints over sometimes, Active in gymnastics, somewhat knock-kneed. C/O left hip popping in and out with activity appears to be iliotibial band phenomena. Right knee and kneecap popping in and out with activity and some tightness in tendons in back with activity. Right elbow complaints with activity. Spot on left forearm been there a few months, looks like possible pencil lead in skin. Assessment: hip problem suspect iliotibial band. Knee problem looks like patellar malalignment. Elbow problem looks like tennis elbow phenomena. Referral to sports medicine. office visit 3/16/09- No complaints.
Age: 13.0
Sex: F
Vaccine: HPV4
Symptoms: Vitamin D, Weight decreased, White blood cell count
Clinical narrative: October, 2007 - Back and Hip pain         Winter, 2007/08 - addition of shoulder and elbow pain, ankle pain and weakness, increase in back and hip pain  - medicated with Advil/Tylenol (OTC)                                       March, 2008 - addition of tingling and numbness in arms and legs.  Shooting pains in arms and legs.  Extreme exhaustion and fatigue        June, 2008 -  Treated with Physical Therapy and Mobic/Advil.  Had MRI of Lumbar spine on 7/07/08                                         August, 2008 - extreme pain when running.  All of the earlier symptoms were still present.  Intense muscles cramps in legs and arms, especially at night.  Addition of muscle cramps in hands when writing or playing piano for a very short time (10 minutes).           September, 2008 -  All symptoms remain.  Addition of hair loss, weight loss, increase in fatigue. blurry vision.  lightheadedness, dizziness 3/19/09 records received-office visit 7/1/08-multiple complaints over sometimes, Active in gymnastics, somewhat knock-kneed. C/O left hip popping in and out with activity appears to be iliotibial band phenomena. Right knee and kneecap popping in and out with activity and some tightness in tendons in back with activity. Right elbow complaints with activity. Spot on left forearm been there a few months, looks like possible pencil lead in skin. Assessment: hip problem suspect iliotibial band. Knee problem looks like patellar malalignment. Elbow problem looks like tennis elbow phenomena. Referral to sports medicine. office visit 3/16/09- No complaints.
Sex: M
Vaccine: DTAP, IPV, MMRV
Symptoms: Exposure to communicable disease, Milia, Pyrexia, Rash
Clinical narrative: EXPOSE TO CHICKEN POX AT DAYCARE. WOKE UP ON 2/13 WITH A FEW SAMLL BUMPS ON HEAD AND UPPER CHEST, AS DAY WENT ON MORE BUMPS APPEARED THEY BECAME LARGER AND HAD RAISED WHITE HEADS.  HE CAME DOWN WITH A FEVER, WITH MORE BUMPS NEXT FEW DAYS. WHITEHEADS ERUPTED 6 DAYS LATER AND FEVER BROKE.  SUPPORTIVE CARE AT HOME ADMINISTERED.
Age: 21.0
Sex: F
Vaccine: TTOX
Symptoms: Concussion, Erythema, Injection site mass, Mobility decreased, Pain
Clinical narrative: I got a concussion and with the stitches they gave me a tetanus vaccine. My arm since has hurt a great deal. I cannot move it. I have a very large lump and my skin is red. I also got a fever and horrible body aches afterwards, though Im not sure if that was caused by the shot or the concussion. Keeping Ice on it helps, but does not clear it up in any way. I am on day 2 and the area has only gotten worse.
Age: 21.0
Sex: F
Vaccine: TTOX
Symptoms: Pain in extremity, Pyrexia
Clinical narrative: I got a concussion and with the stitches they gave me a tetanus vaccine. My arm since has hurt a great deal. I cannot move it. I have a very large lump and my skin is red. I also got a fever and horrible body aches afterwards, though Im not sure if that was caused by the shot or the concussion. Keeping Ice on it helps, but does not clear it up in any way. I am on day 2 and the area has only gotten worse.
Age: 22.0
Sex: F
Vaccine: FLU3
Symptoms: Blood pressure diastolic decreased, Computerised tomogram normal, Loss of consciousness, Presyncope, Syncope
Clinical narrative: Patient vaccinated with Flu vaccine on 10/29/08 and developed syncope on 10/30/09 and passed-out. CT scan of head was negative, probably not a seizure per Emergency Room MD but rather a vasovagal reaction.
Age: 41.0
Sex: F
Vaccine: MMR, TDAP, VARCEL
Symptoms: Erythema, Induration, Pain, Skin warm, Swelling
Clinical narrative: pain, swelling, redness, hotness, hardened area increasing over several days. started antibiotics on 3/6/09; symptoms resolved by 3/8/09
Age: 70.0
Sex: F
Vaccine: VARZOS
Symptoms: Blister, Erythema, Pruritus
Clinical narrative: Red- blistery patches and itchy without pain all below injection site of left arm.
Age: 22.0
Sex: F
Vaccine: TDAP
Symptoms: Muscle twitching, Oedema peripheral, Pain, Paraesthesia
Clinical narrative: Following Tdap vaccine patient developed "twitching "over the left index finger initially and then generalized to the entire arm/arm also had become swollen/ seen in the emergency room they felt it was nerve irritation discharged with Codeine and local heat compresses/ when seen in student health the twitching and pins and needles had resolved still with some pain
Age: 63.0
Sex: F
Vaccine: VARZOS
Symptoms: Herpes zoster, Musculoskeletal chest pain
Clinical narrative: Herpes zoster rash 2 x 4 cm right thorax, pain right ribs, both for past 7 days.
Age: 0.5
Sex: F
Vaccine: DTPHIB, HIBV, PNC, RV5
Symptoms: Death
Clinical narrative: Death 7 days later 4/20/-09-autopsy report received-Final diagnoses:straw colored pericardial effusion and ascites. No antemortem trauma.
Age: 1.25
Sex: F
Vaccine: DTAP, PNC
Symptoms: Injection site erythema, Injection site induration, Injection site warmth
Clinical narrative: VACCINATION SITE BECAME RED, HARD AND HOT TO THE TOUCH THE DAY AFTER BEING IMMUNIZED
Age: 0.5
Sex: F
Vaccine: DTAP, FLU3, HIBV, PNC, RV5
Symptoms: Abdominal pain, Barium enema normal, Haematochezia, Irritability, Mucous stools
Clinical narrative: On 3/7/09, pt developed intermittent fussiness and apparent abdominal pain (legs curling up).  Worsened over next 24 hours, then passed a bloody/mucousy (currant jelly) stool.  Referred to Er, where barium enema did NOT demostrate intussusception; however, symptoms resolved completely at that point and did not return.  Although study did not confirm intussusception, clinical course is very consistent w/ that process, and I suspect the intussusception resolved spontaneously prior to the study. 3/31/09-records received for DOS 3/8/09-presented to ED with C/O abdominal pain times 2 days, bloody stool this morning. Intermittent abdominal pain. DX: Hematochezia, abdominal pain.
Age: 30.0
Sex: M
Vaccine: FLU3
Symptoms: Asthenia, Chills, Dizziness, Headache, Hyperhidrosis
Clinical narrative: Approximately 7 hours after vaccination on 3/10/09, started feeling febrile (no temperature was taken), chills, sweating, weakness, full body muscle ache, headache, and light-headed.  Sweating and chills resolved by morning, and all other symptoms except for headache resolved by the afternoon of the 11th.
Age: 30.0
Sex: M
Vaccine: FLU3
Symptoms: Myalgia, Pyrexia
Clinical narrative: Approximately 7 hours after vaccination on 3/10/09, started feeling febrile (no temperature was taken), chills, sweating, weakness, full body muscle ache, headache, and light-headed.  Sweating and chills resolved by morning, and all other symptoms except for headache resolved by the afternoon of the 11th.
Age: 3.0
Sex: F
Vaccine: DTAPIPV, HEPA
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: Kinrix was given to this patient. No reaction or adverse effects noticed as yet.
Age: 1.0
Sex: M
Vaccine: HEPA, MMR, PNC, VARCEL
Symptoms: Injection site erythema, Injection site induration
Clinical narrative: developed area of erythema (1 cm diameter) and induration (2 cm diameter) in area of vaccine administration on right thigh
Age: 43.0
Sex: F
Vaccine: TD
Symptoms: Burning sensation, Hypoaesthesia, Infection, Inflammation, Pain
Clinical narrative: PATIENT CLAIMS THAT AS SOON AS SHE WAS ADMINISTERED THE VACCINE (TETANUS BOOSTER) ON HER RIGHT ARM, AS SOON AS SHE WALKED OUT OF OUR CLINIC, SHE BEGAN DEVELOPING SWELLING. AS PER PATIENT, SHE FELT PAIN AND A BURNING SENSATION. PATIENT CLAIMS SHE WAS UNABLE TO FEEL HER ARM. THE INFLAMMATION WAS THE SIZE OF AN ORANGE.  AS A RESULT OF ALL THIS, THE PATIENT WENT TO THE EMERGENCY ROOM. AS PER PATIENT'S DAUGHTER, THEY WERE TOLD IN THE HOSPITAL THAT SHE DEVELOPED AN INFECTION PROBABLY DUE TO A CONTAMINATED NEEDLE. SHE WAS PRESCRIBED ANTIBIOTIC. DAUGHTER DID NOT RECALL THE NAME OF THE MEDICATION. OUR PHYSICIAN, WHO TOOK THE PATIENTS REPORT BY PHONE, INSTRUCTED THE PATIENT TO MAKE AN APPOINTMENT ON 3/2/09 TO BE EVALUATED, BUT THE PATIENT REFUSED TO BE SEEN OR RECEIVE ANY ATTENTION. Facility USES NEW AND STERILE NEEDLES AT ALL TIMES.  The manufacturer for the vaccine is sanofi pasteur.
Age: 43.0
Sex: F
Vaccine: TD
Symptoms: Swelling
Clinical narrative: PATIENT CLAIMS THAT AS SOON AS SHE WAS ADMINISTERED THE VACCINE (TETANUS BOOSTER) ON HER RIGHT ARM, AS SOON AS SHE WALKED OUT OF OUR CLINIC, SHE BEGAN DEVELOPING SWELLING. AS PER PATIENT, SHE FELT PAIN AND A BURNING SENSATION. PATIENT CLAIMS SHE WAS UNABLE TO FEEL HER ARM. THE INFLAMMATION WAS THE SIZE OF AN ORANGE.  AS A RESULT OF ALL THIS, THE PATIENT WENT TO THE EMERGENCY ROOM. AS PER PATIENT'S DAUGHTER, THEY WERE TOLD IN THE HOSPITAL THAT SHE DEVELOPED AN INFECTION PROBABLY DUE TO A CONTAMINATED NEEDLE. SHE WAS PRESCRIBED ANTIBIOTIC. DAUGHTER DID NOT RECALL THE NAME OF THE MEDICATION. OUR PHYSICIAN, WHO TOOK THE PATIENTS REPORT BY PHONE, INSTRUCTED THE PATIENT TO MAKE AN APPOINTMENT ON 3/2/09 TO BE EVALUATED, BUT THE PATIENT REFUSED TO BE SEEN OR RECEIVE ANY ATTENTION. Facility USES NEW AND STERILE NEEDLES AT ALL TIMES.  The manufacturer for the vaccine is sanofi pasteur.
Age: 0.5
Sex: F
Vaccine: DTAPHEPBIP, FLU3, PNC, RV5
Symptoms: Intussusception
Clinical narrative: 10m 3 wk old had  INTUSSUSCEPTION, had previously had 3 doses of Rotateq at correct schedule, last dose on 10/20/08 10/20/08-office visit-well baby exam. C/O constipation.  4/2/09-records received for DOS 3/9-3/9/09-DC DX:Febrile illness began on 3/6/09, seen in office normal physical exam, thought to have a viral infection. Fever broke and appeared fine. On day of admission woke up very irritable and acting like her stomach hurt, started vomiting, nonbilious. Seen in ED thought to have gastroenteritis. Returned later that afternoon after patient had a stool with bright red color and a second stool deeper red. Stool positive heme.
Age: 35.0
Sex: F
Vaccine: ANTH, HEP, TYP
Symptoms: Chills, Fatigue, Headache, Nausea, Pyrexia
Clinical narrative: MONDAY(9 MARCH 2009): EVENING - HEADACHE, CHILLS. LATE NIGHT - HEADACHE, MILD FEVER., TUESDAY (10 MARCH 2009): HEADACHE, SLIGHT NAUSEA, FATIGUE., WEDNESDAY (11 MARCH 2009) HEADACHE ALL DAY
Age: 43.0
Sex: M
Vaccine: TDAP
Symptoms: Arthralgia, Chest discomfort, Chills, Feeling cold, Hyperhidrosis
Clinical narrative: Patient just wanted to touch basis with Dr on some rough reactions to the Tdap injection pt received last Thursday (3/5). Following the injection pt returned to work and had a normal day. Pt attended a sporting event (spectator) in the evening and was in bed by 11:00pm with no symptoms. Pt awoke at 2:00am feverish, shivering intensely and sweating profusely. Pt treated with BAYER aspirin (3 tablets) and shot of orange juice. Pt out on some additional clothing as Pt had sensation of being cold, but was actually very warm to the touch. Pt wanted to sweat it out and break the fever. Rest was spotty from that point, with associated joint pain in my knees, back, neck and shoulders (elbows and wrist not affected?). Symptoms lasted throughout the day (Pt stayed out of work on Friday). Fever would come and go, it seems that shortly after eating anything, my temperature would increase (Some truth to feed a cold, Starve a fever- like the old wives say). Oddly, at 10 pm Friday evening, I felt the joint pain stop-not like an on-off switch, but over about ten minutes it went away and pt was able to go to sleep normally. That doesn't happen for me with a routine flu-bug - where symptoms will recede during a nights sleep. I am still not 100% recovered, but I'm ok for my normal duties. The injection site is slightly swollen and tender and warm to touch, but not red. The injection site was punched on Saturday evening (not hard) and pt experienced a slight recurrence of fever. I've got a little pressure in my chest - pt may have slept in an odd position, but I'm hyper sensitive now so I'll by in touch if it persists. I've never been diagnosed with Formalin allergy, but I think I've got one. I do know that I built up sensitivity to inoculations while at hospital as we spoke about during my last visit. Most of vaccinations pt took were viral, Q-Fever, Encephalitis and Rift Valley fever-those made me ill- not the disease, but for a 24 hour period, same symptoms, fever and aches and fatigue and usually a hard knot and pain at the injection site. Pt got Hepatitis and Anthrax vaccine series early on had no adverse reactions to them. I thought that only viral vaccines gave me the reaction- that's why I accepted the tetanus shot. I think I was mistaken and would like to refrain from scheduled pneumococcal vaccine. Pt would be interested in your opinion on this.
Age: 43.0
Sex: M
Vaccine: TDAP
Symptoms: Injection site pain, Injection site swelling, Injection site warmth, Pyrexia, Skin warm
Clinical narrative: Patient just wanted to touch basis with Dr on some rough reactions to the Tdap injection pt received last Thursday (3/5). Following the injection pt returned to work and had a normal day. Pt attended a sporting event (spectator) in the evening and was in bed by 11:00pm with no symptoms. Pt awoke at 2:00am feverish, shivering intensely and sweating profusely. Pt treated with BAYER aspirin (3 tablets) and shot of orange juice. Pt out on some additional clothing as Pt had sensation of being cold, but was actually very warm to the touch. Pt wanted to sweat it out and break the fever. Rest was spotty from that point, with associated joint pain in my knees, back, neck and shoulders (elbows and wrist not affected?). Symptoms lasted throughout the day (Pt stayed out of work on Friday). Fever would come and go, it seems that shortly after eating anything, my temperature would increase (Some truth to feed a cold, Starve a fever- like the old wives say). Oddly, at 10 pm Friday evening, I felt the joint pain stop-not like an on-off switch, but over about ten minutes it went away and pt was able to go to sleep normally. That doesn't happen for me with a routine flu-bug - where symptoms will recede during a nights sleep. I am still not 100% recovered, but I'm ok for my normal duties. The injection site is slightly swollen and tender and warm to touch, but not red. The injection site was punched on Saturday evening (not hard) and pt experienced a slight recurrence of fever. I've got a little pressure in my chest - pt may have slept in an odd position, but I'm hyper sensitive now so I'll by in touch if it persists. I've never been diagnosed with Formalin allergy, but I think I've got one. I do know that I built up sensitivity to inoculations while at hospital as we spoke about during my last visit. Most of vaccinations pt took were viral, Q-Fever, Encephalitis and Rift Valley fever-those made me ill- not the disease, but for a 24 hour period, same symptoms, fever and aches and fatigue and usually a hard knot and pain at the injection site. Pt got Hepatitis and Anthrax vaccine series early on had no adverse reactions to them. I thought that only viral vaccines gave me the reaction- that's why I accepted the tetanus shot. I think I was mistaken and would like to refrain from scheduled pneumococcal vaccine. Pt would be interested in your opinion on this.
Age: 64.0
Sex: F
Vaccine: VARZOS
Symptoms: Dizziness, Injection site erythema, Injection site swelling, Injection site urticaria
Clinical narrative: (1) welt / swelling at site 5" long X 2" wide. (2) Inj site red. (3) some dizziness.
Age: 4.0
Sex: M
Vaccine: DTAPIPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site oedema
Clinical narrative: Erythematous, edematous at vaccines site on right arm. BENADRYL, apply ice.
Age: 46.0
Sex: F
Vaccine: FLUX, PPV
Symptoms: Unevaluable event
Clinical narrative: Non stated.
Age: 18.0
Sex: F
Vaccine: HPV4
Symptoms: Balance disorder, Dysarthria
Clinical narrative: 8-19-08 Slurred speech. 8-13-08 Equallibrium off. 3/18/09-records received for DOS 8/21-8/25/08-DC DX: Viral encephalitis. In ED C/O dizziness, slurred speech times 2 weeks and left arm tremor times 1 week. Presented with some initial neurolgoical changes including confusion and broad based gait, severe headache. Confusion was with slurring speech, arm tremors. 4/16/09-neuro letter received for DOS 9/29/08-evaluation of gait-Beginning 8/9/06 after C/O urinary tract infection and receiving tetanus boost and Z-pak C/O feeling dizzy and swaying gait. 3rd dose of Gardasil received on 7/14/08. Week later slurring of speech worse with fatigue, week later follwed with tremor. All symptoms progressed until hospitalization 8/22/08. Continues to fall when feeling thirsty. Coughs and chokes with liquids. Impression: cerebellar ataxia.  Follow-up: The vaccine was not given in this office - The office that gave the injection would never do any paper work on it... As stated - 12-8-08.
Age: 0.52
Sex: F
Vaccine: DTAPIPVHIB, HEP, PNC
Symptoms: Electroencephalogram, Head titubation
Clinical narrative: Head bobbling; Questionable seizure episodes 8 days after 6 month vaccines administered on 2/5/2009. 3/23/09-records received for DOS 3/2-3/4/09 DC DX: encephalopathy. Discharged on VEEG. Presented with 2 weeks of ongoing pattern of what appears to be baby's head falls forward.
Age: 17.0
Sex: M
Vaccine: HEPA, MNQ
Symptoms: Malaise, Pallor, Respiratory arrest, Snoring, Sudden onset of sleep
Clinical narrative: Following Immunizations client sitting in waiting room reported "not feeling well". Head dropped to left side, became pale, went into deep sleep-snoring, was lowered to floor, 911 called. Mother then reported "not breathing". Within 10 secs had regained consciousness BP 122/82 Pulse 60-911 gave 02-sent to ER.  3/30/09 MR received for DOS 3/11/09 with dx: Syncope. Pt presented after episode of syncope which occured just after vaccination.  Pt felt lightheaded and dizzy and then LOC for ~ 5 minutes. Still reports dizziness at hospital. PE WNL. W/U (-).  D/C home.
Age: 25.0
Sex: M
Vaccine: IPV
Symptoms: No adverse event
Clinical narrative: No adverse events. Follow-up Information 23-MAR-2009: Outdated vaccine given 3/10/09 - 1430 hrs. No adverse events (effects)
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Adverse drug reaction, Blister, Rash, Urticaria
Clinical narrative: Patient received DTaP, IPV, MMR and VARIVAX on 3/9/2009. Pt developed blistery rash on 3/10/2009 and temperature. Patient presented on 3/11/2009 with same symptoms. Dr diagnosed patient with drug reaction from vaccines. Pt had hives.
Age: 1.01
Sex: F
Vaccine: MMR, PNC, VARCEL
Symptoms: Acne, Irritability, Rash, Rash erythematous, Rash maculo-papular
Clinical narrative: Rash and fussy 20 days after administration of vaccines. Rash on face, chest, back and arms. Erythematous macular/papular rash with areas where pinpoints and areas of consolidation esp on trunk. No vesicles.
Age: 38.0
Sex: M
Vaccine: MMR, TDAP
Symptoms: Rash morbilliform
Clinical narrative: Generalized rash similar to classic measles rash- (without oral lesions).
Sex: U
Vaccine: DTAP
Symptoms: Crying, Injection site erythema, Injection site pruritus, Pyrexia
Clinical narrative: This report was received from a health professional on 09 May 2008. The patient is one of three patients reported as part of a cluster. A child (exact age reported) experienced itching and redness at the injection site after receiving an intramuscular injection of DAPTACEL (lot number C2935AA). No other information was provided. The other two patients in this cluster are captured in case numbers 2008-01490  and 2008-01491. Additionally, this health professional reported fever and inconsolable crying following DAPTACEL and ActHIB administration, that event is captured in 2008-01488.
Sex: U
Vaccine: DTAP
Symptoms: Crying, Injection site erythema, Injection site pruritus, Pyrexia
Clinical narrative: This report was received from a health professional on 09 May 2008.  This patient is one of three patients reported as part of a cluster.  A child (exact age not reported) experienced itching and redness at the injection site after receiving an intramuscular injection of DAPTACEL (lot number C2935AA).  No other information was provided.  The other two patients in this cluster are captured in case numbers 2008-01489 and 2008-01491.  Additionally, this health professional reported fever and inconsolable crying following DAPTACEL and ActHIB administration; that event is captured in 2008-01488.
Sex: U
Vaccine: DTAP
Symptoms: Crying, Injection site erythema, Injection site pruritus, Pyrexia
Clinical narrative: This report was received from a health professional on 09 May 2008.  This patient is one of three patients reported as part of a cluster.  A child (exact age not reported) experienced itching and redness at the injection site after receiving an intramuscular injection of DAPTACEL (lot number C2935AA).  No other information was provided.  The other two patients in this cluster are captured in case numbers 2008-01490 and 2008-01489.  Additionally, this health professional reported fever and inconsolable crying following DAPTACEL and ActHIB administration; that event is captured in 2008-01488.
Age: 5.0
Sex: M
Vaccine: DTAP, MMR
Symptoms: Injection site erythema, Injection site inflammation, Injection site pain, Injection site pruritus, Injection site warmth
Clinical narrative: Initial report was received 04 September 2008 from a health care professional.  A five-year-old patient received an injection of DAPTACEL (lot number, date, route/site of vaccination not reported) and an unspecified amount of time later, they developed 2-3 cm swelling, with no redness, that had been sore to touch.  Five days post immunization, a red band developed below the injection site that was hot to touch, itchy and bumpy.  Over time (amount of time not specified), the band continued around the arm, almost to 360 degrees.  The patient was evaluated by a physician.  It was not reported if the patient had recovered.  No further information was provided.  17 September 2008: Corrective version created with the same latest date as the prior version to amend the received ate to 04 September 2008 in the source for the health care professional.  Follow-up information received on 14 November 2008 from a physician.  The patient received on 22 August 2008, the fifth dose of DAPTACEL (lot number C2950AA, expiration date 28 February 2010) in the left arm, and an additional second injection of "MMR" (manufacturer Merck, Lot number not provided) in the right arm.  The patient recovered.  Per the reporter, they have no further information to provide.  No further information is expected.  17 November 2008:  A corrective version was created with the same latest received date as the previous version (17 November 2008) in order to amend the expiration date of the DAPTACEL in the above narrative from 17 March 2008 to 28 February 2010 for lot number C2950AA.  The adverse event of medication error was also removed from the case as the product was given appropriately.  It was also noted that the patient had been evaluated by a physician and this information was added to the first narrative dated 04 September 2008 as reported by the health care professional at that time.  No other relevant medically significant information was added to the case.  Documents held by sender:  None
Age: 5.0
Sex: M
Vaccine: DTAP, MMR
Symptoms: Swelling
Clinical narrative: Initial report was received 04 September 2008 from a health care professional.  A five-year-old patient received an injection of DAPTACEL (lot number, date, route/site of vaccination not reported) and an unspecified amount of time later, they developed 2-3 cm swelling, with no redness, that had been sore to touch.  Five days post immunization, a red band developed below the injection site that was hot to touch, itchy and bumpy.  Over time (amount of time not specified), the band continued around the arm, almost to 360 degrees.  The patient was evaluated by a physician.  It was not reported if the patient had recovered.  No further information was provided.  17 September 2008: Corrective version created with the same latest date as the prior version to amend the received ate to 04 September 2008 in the source for the health care professional.  Follow-up information received on 14 November 2008 from a physician.  The patient received on 22 August 2008, the fifth dose of DAPTACEL (lot number C2950AA, expiration date 28 February 2010) in the left arm, and an additional second injection of "MMR" (manufacturer Merck, Lot number not provided) in the right arm.  The patient recovered.  Per the reporter, they have no further information to provide.  No further information is expected.  17 November 2008:  A corrective version was created with the same latest received date as the previous version (17 November 2008) in order to amend the expiration date of the DAPTACEL in the above narrative from 17 March 2008 to 28 February 2010 for lot number C2950AA.  The adverse event of medication error was also removed from the case as the product was given appropriately.  It was also noted that the patient had been evaluated by a physician and this information was added to the first narrative dated 04 September 2008 as reported by the health care professional at that time.  No other relevant medically significant information was added to the case.  Documents held by sender:  None
Age: 5.0
Sex: M
Vaccine: DTAP, MMR
Symptoms: Erythema, Induration, Oedema peripheral, Pruritus, Rash erythematous
Clinical narrative: Initial report received on 15 September 2008 from a healthcare professional.  A 5 year old male patient, with no medical history, no illness at the time of vaccination, and no previous reactions to vaccines, received on 22 AUGUST 2008 a fifth left deltoid intramuscular injection of DAPTACEL (lot number C2950AA) and a second right arm injection of MMR (Merck, lot number 00182U).  Twenty-four hours after vaccination, the patient had swelling of the left arm with a rash and red itchy bumps (as reported by the patient's mother on 28 August 2008).  BENADRYL and ice had been recommended.  On 29 August 2008, the patient was seen by a doctor and had a large area of induration, and "c/o redness and itchiness 2 cm area, palpable hive like lesions".  There was no shortness of breath and no fever.  The patient's recovery status was reported as unknown.  Follow-up information was received from the healthcare professional on 13 October 2008, and confirmed that the patient had recovered fully.  No diagnostic testing was performed.
Age: 5.0
Sex: M
Vaccine: DTAP, MMR
Symptoms: Urticaria
Clinical narrative: Initial report received on 15 September 2008 from a healthcare professional.  A 5 year old male patient, with no medical history, no illness at the time of vaccination, and no previous reactions to vaccines, received on 22 AUGUST 2008 a fifth left deltoid intramuscular injection of DAPTACEL (lot number C2950AA) and a second right arm injection of MMR (Merck, lot number 00182U).  Twenty-four hours after vaccination, the patient had swelling of the left arm with a rash and red itchy bumps (as reported by the patient's mother on 28 August 2008).  BENADRYL and ice had been recommended.  On 29 August 2008, the patient was seen by a doctor and had a large area of induration, and "c/o redness and itchiness 2 cm area, palpable hive like lesions".  There was no shortness of breath and no fever.  The patient's recovery status was reported as unknown.  Follow-up information was received from the healthcare professional on 13 October 2008, and confirmed that the patient had recovered fully.  No diagnostic testing was performed.
Age: 1.5
Sex: M
Vaccine: DTAP, HEPA
Symptoms: Blepharospasm, Muscle twitching, Pyrexia
Clinical narrative: Initial information was received from a health care professional on 06 October 2008.  A 19 month old male patient with no known allergies received a fourth injection of DAPTACEL (lot number C2958AA) and an injection of HEPATITIS A (lot number and manufacturer unknown) on 02 October 2008.  On 03 October 2008 the patient developed facial and eye twitching with a fever of 101.8.  The duration of symptoms were unknown.  The patient had a doctors visit on 04 October 2008.  The facial twitching persisted at the time of the visit.  The patient was treated with TYLENOL.  The patient was instructed to return for a visit if the symptoms persisted.  The patient recovered from the events.  Documents held by sender: none.
Age: 2.0
Sex: F
Vaccine: DTAP
Symptoms: Injection site haematoma, Injection site mass
Clinical narrative: Initial report was received 17 October 2008 from a health care professional.  A 2-year-old female patient with no past medical history, had received a fourth dose intramuscular left leg injection of DAPTACEL, lot number C2957AA on 01 October 2008 and on the day of vaccination, she developed a lump at the injection site.  The patient also developed bruising at the injection site (onset not reported).  No concomitant vaccinations had been administered.  The patient was evaluated by their health care provider (date not reported) and according to the reporter, the lump had resolved,  however the patient's leg was still bruised at the time of the report.  Follow-up information received on 13 November 2008 from the original reporter who is a health care professional.  It was confirmed the patient had no concurrent illnesses at the time of the vaccination on 01 October 2008.  The recovery status of the patient was not reported.  No further information is expected.  This case was reported within a cluster of two cases.  The other case number is 2008-03243.  Documents held by sender: None
Age: 1.3
Sex: F
Vaccine: DTAP, HIBV
Symptoms: Malaise, Pneumonia
Clinical narrative: This case was received from a consumer on 22 April 2008.  A consumer reported that her four-year-old daughter experienced "ongoing sicknesses such as pneumonia" after receiving DAPTACEL and ACTHIB.  On 01 July 2003, the patient received DAPTACEL (lot number C1383AA) and ACTHIB (lot number UA841AC); on 04 September 2003 she received DAPTACEL (lot number C1387AA) and number UA863AA); and on 12 August 2004 she received ACTHIB (lot number UE117AA).  The patient's parent stated the the vaccines "did not work". and noted that the patient had received boosters and was being "retested".  No additional information was provided.  Follow-up information was received from a physician on 14 July 2008.  The physician stated, "According to my records, the patient never had any immediate or delayed reactions to any vaccination.  She was never diagnosed with, treated for or hospitalized for pneumonia while she was my patient.  She was in my care until 10/05.  She was 2 1/2 yrs old at that time."  No additional information was provided.
Age: 26.0
Sex: F
Vaccine: DTAP
Symptoms: Headache, Injected limb mobility decreased, Injection site erythema, Injection site pain, Pyrexia
Clinical narrative: Initial report received on 22 September 2008 from a consumer, who is the patient's mother.  A 26 year old female patient, with no medical conditions and several allergies, received on 18 September 2008 a left arm injection of DAPTACEL (lot number not reported).  The patient had been scratched in the eye by a dog on 08 September 2008.  No other vaccines were administered within four weeks prior.  Concomitantly, the patient took VITEX (herbal) and her allergies were to gluten, DIMOTIL, HYCOTUSS, ERYTHROMYCIN, "INAPED", MEDAZINE, VICODIN, and latex.  On 19 September 2008, one day post-vaccination, the patient developed a "red round area five inches wide" at the injection site, her arm was sore to touch and difficult to move, and she had a "severe headache worse than migraines".  On 20 September 2008, she had a fever of 102 F.  The patient's mother and sister have both had similar reactions to TETANUS.  On an unspecified date, the patient had an emergency room visit.  Corrective treatment was not reported and the patient's outcome was reported as unknown.
Age: 26.0
Sex: F
Vaccine: DTAP
Symptoms: Tenderness
Clinical narrative: Initial report received on 22 September 2008 from a consumer, who is the patient's mother.  A 26 year old female patient, with no medical conditions and several allergies, received on 18 September 2008 a left arm injection of DAPTACEL (lot number not reported).  The patient had been scratched in the eye by a dog on 08 September 2008.  No other vaccines were administered within four weeks prior.  Concomitantly, the patient took VITEX (herbal) and her allergies were to gluten, DIMOTIL, HYCOTUSS, ERYTHROMYCIN, "INAPED", MEDAZINE, VICODIN, and latex.  On 19 September 2008, one day post-vaccination, the patient developed a "red round area five inches wide" at the injection site, her arm was sore to touch and difficult to move, and she had a "severe headache worse than migraines".  On 20 September 2008, she had a fever of 102 F.  The patient's mother and sister have both had similar reactions to TETANUS.  On an unspecified date, the patient had an emergency room visit.  Corrective treatment was not reported and the patient's outcome was reported as unknown.