chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 70.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site pain, Injection site swelling
Clinical narrative: Patient reported to primary medical doctor nurse on 3/15/07 that she was experiencing swelling of arm at injection site; states affected area was approximately 8cmx8cm in size and slightly (1/4"swelling); rate pain at "3 on scale from 1-10, 10 being worst pain experienced; denies any fever; shortness of breathing; symptoms resolved 4 days after injection
Age: 18.0
Sex: F
Vaccine: MNQ
Symptoms: Full blood count normal, Headache, Heart rate increased, Lymphadenopathy, Oedema peripheral
Clinical narrative: Immunization given 8am on 3/28/07 at 7PM on 3/28/07 she c/o severe headache, fever was 102.8. Tylenol and cool compresses used with little relief. 10PM c/o heart racing pulse being 132-140. Taken to local ER - Lab done. Benadryl 100mg PRN given. Lymph glands and right arm swelling of arm noted next day.
Age: 18.0
Sex: F
Vaccine: MNQ
Symptoms: Palpitations, Pyrexia, Streptococcal identification test negative, Urine analysis normal
Clinical narrative: Immunization given 8am on 3/28/07 at 7PM on 3/28/07 she c/o severe headache, fever was 102.8. Tylenol and cool compresses used with little relief. 10PM c/o heart racing pulse being 132-140. Taken to local ER - Lab done. Benadryl 100mg PRN given. Lymph glands and right arm swelling of arm noted next day.
Age: 49.0
Sex: U
Vaccine: PPV
Symptoms: Injection site swelling, Injection site warmth
Clinical narrative: Swelling/warmth at injection site. Treatment ice to Left shoulder four times a day for 48 hours.
Age: 68.0
Sex: F
Vaccine: TD
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling
Clinical narrative: Pt had a redness, swelling, itchy at site of injection about 7" area
Age: 1.17
Sex: M
Vaccine: DTAP, HBHEPB, IPV, MMR, PNC, VARCEL
Symptoms: Rash maculo-papular
Clinical narrative: Confluent maculopapular erythematous exanthem over entire face/neck/trunk/diaper area/extremities. w/o fever, fussiness, or abnl of exam
Age: 13.0
Sex: M
Vaccine: HEPA, VARCEL
Symptoms: Injection site erythema, Injection site pain, Oedema
Clinical narrative: Localized erythema at site of varicella vaccine. moderate edema, pain at site
Age: 11.0
Sex: M
Vaccine: HEPA, TDAP, VARCEL
Symptoms: Erythema, Injection site pruritus, Oedema, Rash
Clinical narrative: Rash, localized erythema and pruritis at site of varicella vaccine, moderate edema
Age: 15.0
Sex: M
Vaccine: MNQ, TDAP
Symptoms: Body temperature increased, Pain, Vomiting
Clinical narrative: Child here for shots around 11:00 3-21-07; around 8 pm that night-temp 101.2 vomited x1 achy. 3-23-07 temp, 100.5 oral-By Friday 3-23-07 feeling fine no fevers, aches or complaints.
Age: 44.0
Sex: M
Vaccine: BCG, HEP
Symptoms: Blood pressure normal, Chills, Diarrhoea, Fatigue, Nausea
Clinical narrative: Within 1 hour of vaccine, pt c/o extreme fatigue, fever and chills. Short waves of nausea 3 1/2 hours after vaccine-onset of diarrhea
Age: 44.0
Sex: M
Vaccine: BCG, HEP
Symptoms: Pyrexia
Clinical narrative: Within 1 hour of vaccine, pt c/o extreme fatigue, fever and chills. Short waves of nausea 3 1/2 hours after vaccine-onset of diarrhea
Sex: F
Vaccine: DTAP, IPV, MMRV
Symptoms: Arthralgia, Oedema peripheral, Skin warm
Clinical narrative: Hot and swollen arm 10 x 5 cm area.  Achy joints. Had previous MMR/Varicella separately with no reaction.
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5, DTAPHEPBIP, HIBV, PNC, RV5, DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Intussusception, Laboratory test, Surgery, Vomiting, X-ray with contrast upper gastrointestinal tract
Clinical narrative: Initial report received on 22 March 2007 from an other manufacturer, reference number WAES0703USA00769. Verbatim from report: "Information has been received concerning a male with no medical history or allergies who on 06-DEC-2006 at 15:00 was vaccinated with the first oral dose of Rotateq (Lot # 655405/1113F). Concomitant vaccination administered that day included an IM first dose in right leg of PEDIARIX (Lot # AC21B074BA). "(also reported as AC1B074BA) "an IM first dose in left leg ACTHIB (Lot # UF023AA)" (manufacturer lot number Z0816-2) "and an IM first dose in left leg PREVNAR (Lot # B0862D) "there was no illness at the time of vaccination. On 17-JAN-2007, the patient developed vomiting and was hospitalized for intussusception requiring surgical intervention. The patient's hospitalization lasted two days. The patient underwent laboratory tests 17 (?) January 2007 and X-ray with contrast of upper GI tract on 17(?) January 2007 (results not provided). Subsequently, the patient recovered from intussusception and vomiting on an unspecified date. The records of testing prior to release of the lot in question has been rechecked and found to be satisfactory. The lot met the requirements and was released. Additional information is not expected.
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5, DTAPHEPBIP, HIBV, PNC, RV5, DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Intussusception, Laboratory test, Surgery, Vomiting, X-ray gastrointestinal tract
Clinical narrative: Initial report received on 22 March 2007 from an other manufacturer, reference number WAES0703USA00769. Verbatim from report: "Information has been received concerning a male with no medical history or allergies who on 06-DEC-2006 at 15:00 was vaccinated with the first oral dose of Rotateq (Lot # 655405/1113F). Concomitant vaccination administered that day included an IM first dose in right leg of PEDIARIX (Lot # AC21B074BA). "(also reported as AC1B074BA) "an IM first dose in left leg ACTHIB (Lot # UF023AA)" (manufacturer lot number Z0816-2) "and an IM first dose in left leg PREVNAR (Lot # B0862D) "there was no illness at the time of vaccination. On 17-JAN-2007, the patient developed vomiting and was hospitalized for intussusception requiring surgical intervention. The patient's hospitalization lasted two days. The patient underwent laboratory tests 17 (?) January 2007 and X-ray with contrast of upper GI tract on 17(?) January 2007 (results not provided). Subsequently, the patient recovered from intussusception and vomiting on an unspecified date. The records of testing prior to release of the lot in question has been rechecked and found to be satisfactory. The lot met the requirements and was released. Additional information is not expected.
Age: 0.17
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5, DTAPHEPBIP, HIBV, PNC, RV5, DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Crying, Feeding disorder of infancy or early childhood, Insomnia, Intussusception, Pyrexia
Clinical narrative: SERIOUSNESS CRITERIA: OTHER - MEDICALLY SIGNIFICANT. Initial report received on 22 March 2007 from an other manufacturer, reference number WAES 0703USA00778. This manufacturer had received. Verbatim from report: Information has been received concerning a 2 month old male, with no allergies, who on 17-JAN-2007, at 1:30 p.m., was vaccinated with an oral first dose of Rotateq (Lot# 655153-0847F). Concomitant vaccines administered on the same day included a first intramuscular dose in the right leg of PREVNAR (Lot # B08672F), a first intramuscular dose in the left leg of ACTHIB (Lot # UE915AA) and a first intramuscular dose in the right leg of PEDIARIX (Lot # AC21B069AA). On 20-FEB-2007, the patient's mother took the patient to the clinic at 2:00 p.m. complaining that the child would not sleep, would not eat anything, and was crying since 3:30 a.m. The patient vomited four times at home and once in the clinic. The patient had a fever and was sent to the hospital where he was diagnosed with intussusception. Subsequently the patient recovered. Upon internal review, the patient's intussusception was considered to be an other important medical event. A lot check has been requested. Additional information has been requested.
Age: 0.17
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5, DTAPHEPBIP, HIBV, PNC, RV5, DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Vomiting
Clinical narrative: SERIOUSNESS CRITERIA: OTHER - MEDICALLY SIGNIFICANT. Initial report received on 22 March 2007 from an other manufacturer, reference number WAES 0703USA00778. This manufacturer had received. Verbatim from report: Information has been received concerning a 2 month old male, with no allergies, who on 17-JAN-2007, at 1:30 p.m., was vaccinated with an oral first dose of Rotateq (Lot# 655153-0847F). Concomitant vaccines administered on the same day included a first intramuscular dose in the right leg of PREVNAR (Lot # B08672F), a first intramuscular dose in the left leg of ACTHIB (Lot # UE915AA) and a first intramuscular dose in the right leg of PEDIARIX (Lot # AC21B069AA). On 20-FEB-2007, the patient's mother took the patient to the clinic at 2:00 p.m. complaining that the child would not sleep, would not eat anything, and was crying since 3:30 a.m. The patient vomited four times at home and once in the clinic. The patient had a fever and was sent to the hospital where he was diagnosed with intussusception. Subsequently the patient recovered. Upon internal review, the patient's intussusception was considered to be an other important medical event. A lot check has been requested. Additional information has been requested.
Age: 0.17
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5, DTAPHEPBIP, HIBV, PNC, RV5, DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Anorexia, Crying, Insomnia, Intussusception, Pyrexia
Clinical narrative: SERIOUSNESS CRITERIA: OTHER - MEDICALLY SIGNIFICANT. Initial report received on 22 March 2007 from an other manufacturer, reference number WAES 0703USA00778. This manufacturer had received. Verbatim from report: Information has been received concerning a 2 month old male, with no allergies, who on 17-JAN-2007, at 1:30 p.m., was vaccinated with an oral first dose of Rotateq (Lot# 655153-0847F). Concomitant vaccines administered on the same day included a first intramuscular dose in the right leg of PREVNAR (Lot # B08672F), a first intramuscular dose in the left leg of ACTHIB (Lot # UE915AA) and a first intramuscular dose in the right leg of PEDIARIX (Lot # AC21B069AA). On 20-FEB-2007, the patient's mother took the patient to the clinic at 2:00 p.m. complaining that the child would not sleep, would not eat anything, and was crying since 3:30 a.m. The patient vomited four times at home and once in the clinic. The patient had a fever and was sent to the hospital where he was diagnosed with intussusception. Subsequently the patient recovered. Upon internal review, the patient's intussusception was considered to be an other important medical event. A lot check has been requested. Additional information has been requested.
Age: 0.35
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Injection site induration, Injection site papule, Rash papular
Clinical narrative: Papular rash with subcutaneous skin thickening at B injection sites. Treated with Benadryl and Elocon, pt still under treatment.
Age: 4.0
Sex: M
Vaccine: IPV
Symptoms: Pruritus, Swelling
Clinical narrative: Pt came in with mom mild swelling and left arm itching at chest to the trunk.
Age: 1.01
Sex: F
Vaccine: HEPA, MMRV, PNC
Symptoms: Contusion, Immunoglobulins, Petechiae, Platelet count decreased, Pyrexia
Clinical narrative: Received 12 month immunizations on 3-5-07. Had facial rash that evening. Had fever a few days later on 3-25-07 began to have petechiae. On 3-26-07 had more bruising, petechiae on face, trunk, genital area. Received IVIG with no response.  Discharged on prednisone on 4-2-07 plts 25,000.  4/17/07 Received medical records from hospital which reveal patient experienced facial rash, fever, emesis, mucus stools since vax, facial petechiae which spread to chest, trunk & legs.  Seen in PCP office on day of admit & plt count was reported as 7,000.  On day of admission 3/26, patients mother was treated for strep throat.  Admitted 3/26/07-4/2/07.  No d/c summary with records received.  Tx w/IVIG.  Platelets increased but remained well below normal at D/C to home w/close f/u & tapering steroids. FINAL DX: Thrombocytopenia, possibly vaccine related, viral or idiopathic.
Age: 1.01
Sex: F
Vaccine: HEPA, MMRV, PNC
Symptoms: Rash
Clinical narrative: Received 12 month immunizations on 3-5-07. Had facial rash that evening. Had fever a few days later on 3-25-07 began to have petechiae. On 3-26-07 had more bruising, petechiae on face, trunk, genital area. Received IVIG with no response.  Discharged on prednisone on 4-2-07 plts 25,000.  4/17/07 Received medical records from hospital which reveal patient experienced facial rash, fever, emesis, mucus stools since vax, facial petechiae which spread to chest, trunk & legs.  Seen in PCP office on day of admit & plt count was reported as 7,000.  On day of admission 3/26, patients mother was treated for strep throat.  Admitted 3/26/07-4/2/07.  No d/c summary with records received.  Tx w/IVIG.  Platelets increased but remained well below normal at D/C to home w/close f/u & tapering steroids. FINAL DX: Thrombocytopenia, possibly vaccine related, viral or idiopathic.
Age: 16.0
Sex: F
Vaccine: HPV4
Symptoms: Chest discomfort, Dyspnoea, Erythema, Injection site pain, Injection site swelling
Clinical narrative: Information has been received from a registered nurse (a school nurse), via a company representative, concerning a 16 year old female patient, who in March 2007, was vaccinated with a dose, 0.5ml, IM, of Gardasil. The nurse reported that on the following day, the patient developed swelling and pain at the injection site, chest tightness, shortness of breath and facial redness, and was transported by ambulance to the emergency room. The nurse stated that treatment included oxygen, and epinephrine injection, and prednisone. Following treatment "the patient's symptoms resolved and the patient completely recovered." The nurse considered the events to be life threatening and disabling. Additional information has been requested.
Age: 16.0
Sex: F
Vaccine: HPV4
Symptoms: Oxygen supplementation
Clinical narrative: Information has been received from a registered nurse (a school nurse), via a company representative, concerning a 16 year old female patient, who in March 2007, was vaccinated with a dose, 0.5ml, IM, of Gardasil. The nurse reported that on the following day, the patient developed swelling and pain at the injection site, chest tightness, shortness of breath and facial redness, and was transported by ambulance to the emergency room. The nurse stated that treatment included oxygen, and epinephrine injection, and prednisone. Following treatment "the patient's symptoms resolved and the patient completely recovered." The nurse considered the events to be life threatening and disabling. Additional information has been requested.
Age: 34.0
Sex: F
Vaccine: TDAP
Symptoms: Injected limb mobility decreased, Pain, Pain in extremity
Clinical narrative: Patient received vaccination. Later that night, she couldn't move her arm. She was experiencing 9/10 pain. The pain lasted 3 weeks, now it is better. Her shot was 3 inches from her rotator cuff, which was most involved with the pain.
Age: 43.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site pain, Muscular weakness, Pain
Clinical narrative: Received vaccination for Adacel. Onset of pain was later that night and was 6/10 pain. The muscle pain at the injections site. The worse pain was after 1 week, then the pain tapered off, but the patient still has pain on an off. The most pain is when patient raises her arm overhead. She also experiences weakness in the arm on which the injection occurred.
Age: 36.0
Sex: F
Vaccine: TDAP
Symptoms: Insomnia, Pain, Pain in extremity
Clinical narrative: The day after the vaccination occurred, the patient had moderate-severe pain when lifting her arm overhead or lifting heavy objects. The pain comes and goes throughout the day, and disrupts her sleep at night. There months later the pain is finally better.
Age: 54.0
Sex: F
Vaccine: TDAP
Symptoms: Condition aggravated, Injected limb mobility decreased, Pain in extremity
Clinical narrative: Received vaccination for Adacel. That evening, the patient started having pain. She noted that the injection was given higher than what she thought was normal. She is a physical therapist. Pain ached down the arm, was worst at night. She tried heat, ice, ibuprofen 600 mg qid, ultrasound. Then she went to her physician, was started on sulindac, which helped. She has always had pain in her range of motion, but feels it is worse now. The pain has not gone away to date.
Age: 30.0
Sex: F
Vaccine: MMR, VARZOS
Symptoms: No adverse effect, Wrong drug administered
Clinical narrative: Information has been received from a health professional concerning a 30 year old female who on 16, Aug 2006 was inadvertently vaccinated with a dose of varicella-zoster virus vaccine live (Oka/Merck) (lot # 652925/0621F) instead of a second dose of varicella virus vaccine live (Oka/Merck) (MSD). It was reported that the patient was previously vaccinated with a first dose of varicella virus vaccine live (Oka/Merck) (MSD) on an unspecified date. The patient was seeing a fertility doctor, however she was not pregnant at the time of vaccination. No symptoms have been reported. Unspecified medical attention was sought. Additional information from the nurse indicated that the patient did not suffer any adverse experiences. The nurse reported that the error was an internal error. No other information was provided. No further information is expected.
Sex: M
Vaccine: VARZOS
Symptoms: Rash, Secondary transmission
Clinical narrative: Information has been received from a physician concerning a male who was recently exposed to his wife (WAES # 0611USA04592) who was vaccinated with a dose of varicella-zoster virus vaccine live (Oka/Merck) on 03,  Nov 2006. Subsequently the patient contracted a rash form his wife. No additional information was provided. Additional information has been requested.
Age: 0.19
Sex: M
Vaccine: DTAP, HEP, HIBV, IPV, PNC
Symptoms: Oedema peripheral, Screaming
Clinical narrative: On 3/28/07 mother stated infant screamed and had red swollen legs after 2 mo shots on 1-24-07
Age: 1.23
Sex: F
Vaccine: DTAP, HIBV
Symptoms: Injection site reaction
Clinical narrative: Local site reaction on Rt.thigh. Hydrocortisone cream 2.5% as directed.
Age: 38.0
Sex: M
Vaccine: ANTH
Symptoms: Arthralgia, Back pain, Blood cholesterol increased, Blood uric acid increased, Discomfort
Clinical narrative: This 47 year old patient reported good health prior to receipt of AVA #1 on 29 Oct 1999  aboard the ship with lot # "FAV 043". However review of his medical records noted his first AVA was administered 24 Jan 1999. A few days his first vaccination he complained of bilateral ankle and knee pain but attributed it to playing basketball. Motrin 800mg for 2-3 days resolved this pain. He received his second AVA vaccine 19 Oct 1999 with similar complaints of ankle pain to medial/lateral aspects of his ankles. He described both episodes as a sharp (6-7/10) pain with stepping that would radiate up under his patella anteriorly. This lasted a few moments then dulled to a 2-3/10. This discomfort varied in duration with use of Motrin 800 mg. He reported this discomfort now occurred upon awakening in the morning, eased through out the day with activity and movement, then worsened when sitting still at night or relaxing during the day. He also complained of numbness and tingling to anterior portion of his feet extending into his great and 2nd toes with and occasional left lumbar region "ache" he has to stretch out then he feels better.  This discomfort persisted with subsequential AVA vaccines 11/29/1999?, 5 Mar 2000, 17 Nov 2003, and 01 Jun 2004 (duplicate entry on 11 Jun 2004?) with change in status. His discomforts persist as of this interview 04 April 2007. He also complained of bilateral elbow pain of similar description as above with numbness and tingling to fingers left>right following ulnar nerve pattern. Onset reported after dislocation of each elbow in 1992 and 2003.  He was diagnosed with first right then left foot gout in 2004 treated with Indocin and Colchicine.  He has not seen a rheumatologist and is being managed by Family Practice Clinic. He denied any restrictions in activities of daily living or social activities; however he does note limitations to swing while playing golf and stiffness/pain with positional changes throughout the day that changes with the weather (sometimes) and use of Motrin. Review of available medical records prior to and since 1999 vaccinations noted intermittent basketball and/or lifting injuries to various joints (arm/ankle) with diagnoses of tendonitis since 2000. In July 2003 while abroad, he awoke with right foot/toe pain with redness, swelling and MPJ tenderness to the 2nd digit. He was symptomatically diagnosed with gout with periodic flare-ups over the next several years to include his right index finger, left great toe, and right medial ankle and great toe. His bilateral elbow pain, numbness, tingling began after dislocations of each elbow with respective nerve involvement.  His symptoms have not increased however they have not resolved as of 2007. He voiced new complaints of "aching hip" in am that have not been evaluated.
Age: 38.0
Sex: M
Vaccine: ANTH
Symptoms: Electrocardiogram normal, Erythema, Gout, HIV test negative, Hypoaesthesia
Clinical narrative: This 47 year old patient reported good health prior to receipt of AVA #1 on 29 Oct 1999  aboard the ship with lot # "FAV 043". However review of his medical records noted his first AVA was administered 24 Jan 1999. A few days his first vaccination he complained of bilateral ankle and knee pain but attributed it to playing basketball. Motrin 800mg for 2-3 days resolved this pain. He received his second AVA vaccine 19 Oct 1999 with similar complaints of ankle pain to medial/lateral aspects of his ankles. He described both episodes as a sharp (6-7/10) pain with stepping that would radiate up under his patella anteriorly. This lasted a few moments then dulled to a 2-3/10. This discomfort varied in duration with use of Motrin 800 mg. He reported this discomfort now occurred upon awakening in the morning, eased through out the day with activity and movement, then worsened when sitting still at night or relaxing during the day. He also complained of numbness and tingling to anterior portion of his feet extending into his great and 2nd toes with and occasional left lumbar region "ache" he has to stretch out then he feels better.  This discomfort persisted with subsequential AVA vaccines 11/29/1999?, 5 Mar 2000, 17 Nov 2003, and 01 Jun 2004 (duplicate entry on 11 Jun 2004?) with change in status. His discomforts persist as of this interview 04 April 2007. He also complained of bilateral elbow pain of similar description as above with numbness and tingling to fingers left>right following ulnar nerve pattern. Onset reported after dislocation of each elbow in 1992 and 2003.  He was diagnosed with first right then left foot gout in 2004 treated with Indocin and Colchicine.  He has not seen a rheumatologist and is being managed by Family Practice Clinic. He denied any restrictions in activities of daily living or social activities; however he does note limitations to swing while playing golf and stiffness/pain with positional changes throughout the day that changes with the weather (sometimes) and use of Motrin. Review of available medical records prior to and since 1999 vaccinations noted intermittent basketball and/or lifting injuries to various joints (arm/ankle) with diagnoses of tendonitis since 2000. In July 2003 while abroad, he awoke with right foot/toe pain with redness, swelling and MPJ tenderness to the 2nd digit. He was symptomatically diagnosed with gout with periodic flare-ups over the next several years to include his right index finger, left great toe, and right medial ankle and great toe. His bilateral elbow pain, numbness, tingling began after dislocations of each elbow with respective nerve involvement.  His symptoms have not increased however they have not resolved as of 2007. He voiced new complaints of "aching hip" in am that have not been evaluated.
Age: 38.0
Sex: M
Vaccine: ANTH
Symptoms: Liver function test normal, Musculoskeletal stiffness, Pain, Pain in extremity, Paraesthesia
Clinical narrative: This 47 year old patient reported good health prior to receipt of AVA #1 on 29 Oct 1999  aboard the ship with lot # "FAV 043". However review of his medical records noted his first AVA was administered 24 Jan 1999. A few days his first vaccination he complained of bilateral ankle and knee pain but attributed it to playing basketball. Motrin 800mg for 2-3 days resolved this pain. He received his second AVA vaccine 19 Oct 1999 with similar complaints of ankle pain to medial/lateral aspects of his ankles. He described both episodes as a sharp (6-7/10) pain with stepping that would radiate up under his patella anteriorly. This lasted a few moments then dulled to a 2-3/10. This discomfort varied in duration with use of Motrin 800 mg. He reported this discomfort now occurred upon awakening in the morning, eased through out the day with activity and movement, then worsened when sitting still at night or relaxing during the day. He also complained of numbness and tingling to anterior portion of his feet extending into his great and 2nd toes with and occasional left lumbar region "ache" he has to stretch out then he feels better.  This discomfort persisted with subsequential AVA vaccines 11/29/1999?, 5 Mar 2000, 17 Nov 2003, and 01 Jun 2004 (duplicate entry on 11 Jun 2004?) with change in status. His discomforts persist as of this interview 04 April 2007. He also complained of bilateral elbow pain of similar description as above with numbness and tingling to fingers left>right following ulnar nerve pattern. Onset reported after dislocation of each elbow in 1992 and 2003.  He was diagnosed with first right then left foot gout in 2004 treated with Indocin and Colchicine.  He has not seen a rheumatologist and is being managed by Family Practice Clinic. He denied any restrictions in activities of daily living or social activities; however he does note limitations to swing while playing golf and stiffness/pain with positional changes throughout the day that changes with the weather (sometimes) and use of Motrin. Review of available medical records prior to and since 1999 vaccinations noted intermittent basketball and/or lifting injuries to various joints (arm/ankle) with diagnoses of tendonitis since 2000. In July 2003 while abroad, he awoke with right foot/toe pain with redness, swelling and MPJ tenderness to the 2nd digit. He was symptomatically diagnosed with gout with periodic flare-ups over the next several years to include his right index finger, left great toe, and right medial ankle and great toe. His bilateral elbow pain, numbness, tingling began after dislocations of each elbow with respective nerve involvement.  His symptoms have not increased however they have not resolved as of 2007. He voiced new complaints of "aching hip" in am that have not been evaluated.
Age: 38.0
Sex: M
Vaccine: ANTH
Symptoms: Swelling
Clinical narrative: This 47 year old patient reported good health prior to receipt of AVA #1 on 29 Oct 1999  aboard the ship with lot # "FAV 043". However review of his medical records noted his first AVA was administered 24 Jan 1999. A few days his first vaccination he complained of bilateral ankle and knee pain but attributed it to playing basketball. Motrin 800mg for 2-3 days resolved this pain. He received his second AVA vaccine 19 Oct 1999 with similar complaints of ankle pain to medial/lateral aspects of his ankles. He described both episodes as a sharp (6-7/10) pain with stepping that would radiate up under his patella anteriorly. This lasted a few moments then dulled to a 2-3/10. This discomfort varied in duration with use of Motrin 800 mg. He reported this discomfort now occurred upon awakening in the morning, eased through out the day with activity and movement, then worsened when sitting still at night or relaxing during the day. He also complained of numbness and tingling to anterior portion of his feet extending into his great and 2nd toes with and occasional left lumbar region "ache" he has to stretch out then he feels better.  This discomfort persisted with subsequential AVA vaccines 11/29/1999?, 5 Mar 2000, 17 Nov 2003, and 01 Jun 2004 (duplicate entry on 11 Jun 2004?) with change in status. His discomforts persist as of this interview 04 April 2007. He also complained of bilateral elbow pain of similar description as above with numbness and tingling to fingers left>right following ulnar nerve pattern. Onset reported after dislocation of each elbow in 1992 and 2003.  He was diagnosed with first right then left foot gout in 2004 treated with Indocin and Colchicine.  He has not seen a rheumatologist and is being managed by Family Practice Clinic. He denied any restrictions in activities of daily living or social activities; however he does note limitations to swing while playing golf and stiffness/pain with positional changes throughout the day that changes with the weather (sometimes) and use of Motrin. Review of available medical records prior to and since 1999 vaccinations noted intermittent basketball and/or lifting injuries to various joints (arm/ankle) with diagnoses of tendonitis since 2000. In July 2003 while abroad, he awoke with right foot/toe pain with redness, swelling and MPJ tenderness to the 2nd digit. He was symptomatically diagnosed with gout with periodic flare-ups over the next several years to include his right index finger, left great toe, and right medial ankle and great toe. His bilateral elbow pain, numbness, tingling began after dislocations of each elbow with respective nerve involvement.  His symptoms have not increased however they have not resolved as of 2007. He voiced new complaints of "aching hip" in am that have not been evaluated.
Age: 25.0
Sex: F
Vaccine: TD
Symptoms: Pruritus, Rash
Clinical narrative: Itching and rash started on the soles of the feet; then the itching and rash moved to the legs, knees, back, and stomach areas.
Age: 52.0
Sex: F
Vaccine: TDAP
Symptoms: Headache, Malaise, Nausea, Pain, Pyrexia
Clinical narrative: body aches, pain, malaise, fever 101.2, nausea, headache began approximately 72 hours after administration of vaccine.  Resolved within 48 hours
Age: 53.0
Sex: F
Vaccine: FLU3
Symptoms: Asthenia, Injection site pain, Pain, Pain in extremity, Sensation of heaviness
Clinical narrative: 10/20/2006: Immediately after receiving flu shot, left arm went heavy and limp with a dull ache-like pain.  Left arm remained so uncomfortable that unable to sleep on left side for several days.  The severe pain eased after approxiamtely 3 days.  Afterwards the injection site remained sore for weeks.  Patient noticed that when she moved her left arm to various positions, she could still feel the heavy, limp-like feeling all the way down her left arm. Currently (April, 2007) when she raises her left arm and places it in a backward position, the pain is elicited lasting for 20-35 seconds and then it goes away.  During this time, patient expresses "no strength in her arm". SPECIAL NOTE: the vaccine received was given on 10/20/06 and was part of the Fluvirin recalled lot.  Patient was revaccinated on 11/08/06 and did not experience any problems from the second influenza immunization.
Age: 39.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site cellulitis, Injection site erythema, Injection site swelling, Lethargy, Limb discomfort
Clinical narrative: RN had a significant local reaction to the TDAP shot.  She also reported a fever as high as 103 and feeling very lethargic and feeling "sick" and excessively sore throughout her arm and across her shoulders after recieving the vaccine.  Dr looked at her vaccination site, and told her it looked like she had developed cellulitis.  Her arm is red, and swollen from her deltoid to the mid portion of her upper arm. STARTED ON BACTRIM AND RIFAMPIN
Age: 39.0
Sex: F
Vaccine: TDAP
Symptoms: Local reaction, Malaise, Musculoskeletal pain, Oedema peripheral, Pain in extremity
Clinical narrative: RN had a significant local reaction to the TDAP shot.  She also reported a fever as high as 103 and feeling very lethargic and feeling "sick" and excessively sore throughout her arm and across her shoulders after recieving the vaccine.  Dr looked at her vaccination site, and told her it looked like she had developed cellulitis.  Her arm is red, and swollen from her deltoid to the mid portion of her upper arm. STARTED ON BACTRIM AND RIFAMPIN
Age: 39.0
Sex: F
Vaccine: TDAP
Symptoms: Pyrexia
Clinical narrative: RN had a significant local reaction to the TDAP shot.  She also reported a fever as high as 103 and feeling very lethargic and feeling "sick" and excessively sore throughout her arm and across her shoulders after recieving the vaccine.  Dr looked at her vaccination site, and told her it looked like she had developed cellulitis.  Her arm is red, and swollen from her deltoid to the mid portion of her upper arm. STARTED ON BACTRIM AND RIFAMPIN
Age: 1.0
Sex: F
Vaccine: HEPA, MMR
Symptoms: Pyrexia
Clinical narrative: Fever beginning on sixth day after vaccine and lasting for five days.  Treated with tylenol and motrin.
Age: 62.0
Sex: F
Vaccine: HEP, HEPA, TDAP, TYP, YF
Symptoms: Abdominal distension, Arthralgia, Fatigue, Gait disturbance, Insomnia
Clinical narrative: Symptoms began 3/18/07 morning before church, took Alovert and then 1 hour later took Benadryl meltaway (unsure of mg), hives and swelling stopped, but didn't really improve.  That evening patient vomitted for 2 hours, didn't take last dose of oral typhoid vaccine.  3/19/07 AM:  patient felt better, but tired - after lunch started having trouble using right hand to grasp, joints began to swell - extremely painful to bend all joints - patient stated "feels like meat falling off my bones".  Patient's stomach also swollen, hard to move/walk, with a shuffle when walking, difficult to sleep.  On 3/20/07, AM - patient still in extreme pain, able to eat an egg, no difficulty using with elimination.  Patient called her private MD - unable to talk with him, patient taken to ER and admitted. 4/13/07 Received medical records from hospital which reveal patient experienced acute arthgias & joint swelling on 3/19/07 which worsened progressively over next 24 hours until seen in ER on 3/20 & admitted 3/20-3/28/07 w/arthralgias, abdominal pain, weakness, malaise, fever & diarrhea.  In ER had acute elevated LFTs & elevated CRP, significant synovitis & lacy diffuse rash.   Had received vax for mission trip to Peru.  Consults by endocrine & urology.  Synovitis & abdominal pain recurred w/steroid wean & steroids had to be increased & then weaned very slowly.  Upon d/c to home, continued oral antibiotics & steroid taper.   FINAL DX: acute serum sickness-type reaction suspected secondary to live typhus vax; hyperglycemia secondary to steroid use; novolin insulin injection site angioneurotic edema, possible insulin allergy; dilated right ureter, unable to exclude distal ureteral obstruction; prior 2 hospitalizations for drug intolerance/sensitivities.
Age: 62.0
Sex: F
Vaccine: HEP, HEPA, TDAP, TYP, YF
Symptoms: Joint swelling, Mobility decreased, Swelling, Urticaria, Vomiting
Clinical narrative: Symptoms began 3/18/07 morning before church, took Alovert and then 1 hour later took Benadryl meltaway (unsure of mg), hives and swelling stopped, but didn't really improve.  That evening patient vomitted for 2 hours, didn't take last dose of oral typhoid vaccine.  3/19/07 AM:  patient felt better, but tired - after lunch started having trouble using right hand to grasp, joints began to swell - extremely painful to bend all joints - patient stated "feels like meat falling off my bones".  Patient's stomach also swollen, hard to move/walk, with a shuffle when walking, difficult to sleep.  On 3/20/07, AM - patient still in extreme pain, able to eat an egg, no difficulty using with elimination.  Patient called her private MD - unable to talk with him, patient taken to ER and admitted. 4/13/07 Received medical records from hospital which reveal patient experienced acute arthgias & joint swelling on 3/19/07 which worsened progressively over next 24 hours until seen in ER on 3/20 & admitted 3/20-3/28/07 w/arthralgias, abdominal pain, weakness, malaise, fever & diarrhea.  In ER had acute elevated LFTs & elevated CRP, significant synovitis & lacy diffuse rash.   Had received vax for mission trip to Peru.  Consults by endocrine & urology.  Synovitis & abdominal pain recurred w/steroid wean & steroids had to be increased & then weaned very slowly.  Upon d/c to home, continued oral antibiotics & steroid taper.   FINAL DX: acute serum sickness-type reaction suspected secondary to live typhus vax; hyperglycemia secondary to steroid use; novolin insulin injection site angioneurotic edema, possible insulin allergy; dilated right ureter, unable to exclude distal ureteral obstruction; prior 2 hospitalizations for drug intolerance/sensitivities.
Age: 1.83
Sex: M
Vaccine: DTAP
Symptoms: Anorexia, Body temperature increased, Fatigue, Lethargy, Nausea
Clinical narrative: Started as whining and tired 24 hrs after shot.  Awoke in morning with 104 temp.  Nausea, throwing up (3x)  Very whiny and lethargic.  Next morning temp 104.8.  Bowels normal, threw up 3-4x during day.  4th day temp 100.8, up as high as 102.5, whiny, and lethargic.  This morning is temp is 100.8.  He has had no appetite in 4 days.
Age: 1.83
Sex: M
Vaccine: DTAP
Symptoms: Vomiting
Clinical narrative: Started as whining and tired 24 hrs after shot.  Awoke in morning with 104 temp.  Nausea, throwing up (3x)  Very whiny and lethargic.  Next morning temp 104.8.  Bowels normal, threw up 3-4x during day.  4th day temp 100.8, up as high as 102.5, whiny, and lethargic.  This morning is temp is 100.8.  He has had no appetite in 4 days.
Age: 26.0
Sex: M
Vaccine: ANTH, HEP, SMALL, TYP
Symptoms: Bradycardia, Depressed level of consciousness, Hyperhidrosis, Mental impairment, Mental status changes
Clinical narrative: Patient received 4 vaccines (smallpox, typhoid, anthrax, and Hepatitis B) and experienced vasovagal-like response w/ decreased alertness, diaphoresis, transient left arm weakness, and not his usual self.  L. arm weakness persisted for about 10 minutes, but slow mentation continued even after pt consumed a can of orange juice and rested.  Vital signs and oxygen sats wnl w/ exception of HR of 52.  Pt had no problems breathing and responded to questions. Pt was transferred to SMC for further evaluation.
Age: 26.0
Sex: M
Vaccine: ANTH, HEP, SMALL, TYP
Symptoms: Muscular weakness, Oxygen saturation normal, Syncope vasovagal
Clinical narrative: Patient received 4 vaccines (smallpox, typhoid, anthrax, and Hepatitis B) and experienced vasovagal-like response w/ decreased alertness, diaphoresis, transient left arm weakness, and not his usual self.  L. arm weakness persisted for about 10 minutes, but slow mentation continued even after pt consumed a can of orange juice and rested.  Vital signs and oxygen sats wnl w/ exception of HR of 52.  Pt had no problems breathing and responded to questions. Pt was transferred to SMC for further evaluation.
Age: 49.0
Sex: M
Vaccine: TDAP
Symptoms: Injection site pain, Myalgia
Clinical narrative: arm pain at site.  myalgias.
Age: 19.0
Sex: F
Vaccine: UNK
Symptoms: Oral herpes
Clinical narrative: Developed a cold sore on her upper Right Vermilion after Gardasil given
Age: 21.0
Sex: F
Vaccine: HEP
Symptoms: Pain, Pain in extremity, Pruritus
Clinical narrative: Hospital employee received dose of Hepatitis B vaccination (Recomvibax HB at 3:15pm on 3/29/07.  Employee was working 3-11pm.  States that she experienced burning/itching/leg pain.  No hives, syncope, sob, facial swelling.  Seen in ED - no rash evident, c/o myalgia.  Received Benadryl iv, pepcid iv, Toradol.  ED MD recommended followup in 2 days.  Employee Health Nurse spoke with ED physician, unsure regarding if symptoms related to injection.  Recommended followup in with MD in two days.  Employee Health nurse contacted employee by phone several times after incident to discuss, left voice messages, no return call.  Finally spoke with employee 4/4/07 - who stated that she still was complaining of itching and body aches.  Spoke with Infectious Disease physician who recommended that incident be reported to VAERS.
Age: 0.51
Sex: F
Vaccine: DTAP, PNC, RV5, DTAP, PNC, RV5, DTAP, PNC, RV5
Symptoms: Intussusception, Ultrasound scan abnormal
Clinical narrative: intusseseption 04/24/07-records received from facility for DOS 03/16-03/17/07-DC DX:Intussusception. Admitted for observation after successful reduction of intussesception by air enema. Presented with abdominal pain, bloody stool. Cramping, colicky intermittent. 10 stools in past 24 hours, bloody stools.
Age: 0.51
Sex: F
Vaccine: DTAP, PNC, RV5, DTAP, PNC, RV5, DTAP, PNC, RV5
Symptoms: Inappropriate schedule of drug administration, Intussusception, Ultrasound scan abnormal
Clinical narrative: intusseseption 04/24/07-records received from facility for DOS 03/16-03/17/07-DC DX:Intussusception. Admitted for observation after successful reduction of intussesception by air enema. Presented with abdominal pain, bloody stool. Cramping, colicky intermittent. 10 stools in past 24 hours, bloody stools.
Age: 49.0
Sex: F
Vaccine: TDAP
Symptoms: Chills, Erythema, Flushing, Headache, Induration
Clinical narrative: Noted nickel size induration nodule, redness, edema, painful to touch, painful ROM, body aches, chills/flushed and H/A
Age: 49.0
Sex: F
Vaccine: TDAP
Symptoms: Mobility decreased, Nodule, Oedema, Pain
Clinical narrative: Noted nickel size induration nodule, redness, edema, painful to touch, painful ROM, body aches, chills/flushed and H/A
Age: 1.42
Sex: M
Vaccine: MMRV
Symptoms: Irritability, Rash pruritic
Clinical narrative: Itchy rash over most of body iritable,onset date 03/23/2007 temp 97.6 benadryl prn follow up prn
Age: 30.0
Sex: F
Vaccine: TDAP
Symptoms: Axillary pain, Erythema, Injected limb mobility decreased, Myalgia, Oedema
Clinical narrative: noted LA painful to touch and pain with ROM, axillary pain, redness, edema, body aches, also left hand middle finger noted redness and edema.
Age: 30.0
Sex: F
Vaccine: TDAP
Symptoms: Oedema peripheral, Pain in extremity
Clinical narrative: noted LA painful to touch and pain with ROM, axillary pain, redness, edema, body aches, also left hand middle finger noted redness and edema.
Age: 11.0
Sex: M
Vaccine: TDAP
Symptoms: Adverse drug reaction, Blood test normal, Chest X-ray normal, Chest pain, Computerised tomogram normal
Clinical narrative: Within 1 wk - flu symptoms, within 2 wks - constant headache,crushing chest pain,overall achy. Within 7 wks lost upper body movement for 2 days only, since then no lower body movement in the mornings.Some days till late afternoon, sometimes at night.
Age: 11.0
Sex: M
Vaccine: TDAP
Symptoms: Headache, Hypokinesia, Influenza, Movement disorder, Oxygen saturation normal
Clinical narrative: Within 1 wk - flu symptoms, within 2 wks - constant headache,crushing chest pain,overall achy. Within 7 wks lost upper body movement for 2 days only, since then no lower body movement in the mornings.Some days till late afternoon, sometimes at night.
Age: 11.0
Sex: M
Vaccine: TDAP
Symptoms: Pain, Parasite blood test, Red blood cell sedimentation rate normal, Vaccination complication
Clinical narrative: Within 1 wk - flu symptoms, within 2 wks - constant headache,crushing chest pain,overall achy. Within 7 wks lost upper body movement for 2 days only, since then no lower body movement in the mornings.Some days till late afternoon, sometimes at night.
Age: 2.0
Sex: F
Vaccine: DTAPHEPBIP, FLU3, HIBV, PNC
Symptoms: No reaction on previous exposure to drug, Urticaria, Vaccination failure
Clinical narrative: Patient developed hives the day after receiveing vaccinations. Began on lower extremeities and spread to her upper chest. Afebrile. Otherwise feeling fine. Benedryl provided relief. Symptoms had improved after 4 days, althou some hives were still present. Patient was adopted from another country, childhood immnuizations were documented as being received, but when titers were drawn, pt was found not immune, therfore repeat vaccinations are being provided per pediatricians recommendations.
Age: 1.31
Sex: M
Vaccine: MMR
Symptoms: Crying, Diarrhoea, Injection site erythema, Injection site swelling, Lethargy
Clinical narrative: Severe vomitting and diarrhea, redness and swelling at the injection site. Inconsolable crying lasting on and off for about 48+ hours. Severely lethargic and trembly. 04/10/07-records received from PCP. Records document frequent otitis media, bilateral myringotomies on 9/2/05. DX autism vs speech delay 7/27/05-
Age: 1.31
Sex: M
Vaccine: MMR
Symptoms: Tremor, Vomiting
Clinical narrative: Severe vomitting and diarrhea, redness and swelling at the injection site. Inconsolable crying lasting on and off for about 48+ hours. Severely lethargic and trembly. 04/10/07-records received from PCP. Records document frequent otitis media, bilateral myringotomies on 9/2/05. DX autism vs speech delay 7/27/05-
Age: 22.0
Sex: F
Vaccine: HEP, HEPA, RAB, TDAP
Symptoms: Injection site hypersensitivity, Musculoskeletal stiffness, Myalgia, Neck pain, Pain
Clinical narrative: From time vaccine given through sleep normal expected muscle soreness; About 0700 03/03/07 woke up in more pain than when I went to sleep. At work at 0800 neck began going stiff and left arm growing more painful as I tried to work out soreness. By 0900I could not move my head in any direction or way to the left because pain severe. By 0930 neck more stiff and painful aswell as arm so sensitive that when my shirt brushed up against my arm it stung as though I had been hit while at same time the inside of my left arm felt as it was being broken in small pieces from the wrist up through the humorus. If I tried to move my head it felt like a stake being shoved up from my shoulder through my neck to the left side of my head and ear. On 03/03/07 I went back to the facility and a doctor told me it was because I slept wrong from being uncomfortable from the vaccines. I was given Flexaril and Toradol. Told I could go back to work on Monday.
Age: 22.0
Sex: F
Vaccine: HEP, HEPA, RAB, TDAP
Symptoms: Pain in extremity
Clinical narrative: From time vaccine given through sleep normal expected muscle soreness; About 0700 03/03/07 woke up in more pain than when I went to sleep. At work at 0800 neck began going stiff and left arm growing more painful as I tried to work out soreness. By 0900I could not move my head in any direction or way to the left because pain severe. By 0930 neck more stiff and painful aswell as arm so sensitive that when my shirt brushed up against my arm it stung as though I had been hit while at same time the inside of my left arm felt as it was being broken in small pieces from the wrist up through the humorus. If I tried to move my head it felt like a stake being shoved up from my shoulder through my neck to the left side of my head and ear. On 03/03/07 I went back to the facility and a doctor told me it was because I slept wrong from being uncomfortable from the vaccines. I was given Flexaril and Toradol. Told I could go back to work on Monday.
Age: 1.0
Sex: F
Vaccine: DTAP, HIBV, MMR
Symptoms: Abdominal pain, Pyrexia
Clinical narrative: Information has been received from a physician concerning a 12 month old female with no allergies or medical history who in approximately 2004 was vaccinated with a third dose of PedvaxHib (manufacturer unknown). Concomitant vaccination included a third dose of DTaP (unspecified) (+) tetanus toxoid. Subsequently, the patient developed a fever and abdominal pain and was hospitalized. Additional information has been requested. The patient subsequently experienced fever after vaccination with MMR II (WAES # 0612USA02888).
Age: 1.59
Sex: M
Vaccine: DTAP, FLUX, HEPA, HIBV, PNC
Symptoms: Haematocrit normal, Haemoglobin normal, Injection site rash, Platelet count normal, Rash maculo-papular
Clinical narrative: Maculo Papulo vesicular rash on vaccine administration site approximately 6 days post administration.  4/6/07 Received medical records from PCP which reveal patient experienced mild URI symptoms on 3/27/07 day of vax.  Vaccination record included. 5/4/07 Received medical records from hospital which reveal patient experienced erythematous rash w/pain & pruritis on left thigh & gluteus, macular vesicular apulae in appearance.  Admitted 4/3-4/5/07.  Tx w/IV antibiotics for initial cellulitis.  Dermatology & Allergology consults done.   Temp in hospital 102.9 FINAL DX: Herpes zoster left leg.