chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 0.52
Sex: M
Vaccine: FLU3
Symptoms: Rash, Wheezing
Clinical narrative: PT RECEIVED INFLUENZA VACCINE .25 ML ON 12/27/06 AT APPROXIMATELY 11AM. LATER PRESENTED TO THE ER WITH WHEEZING AND RASH. WAS TREATED WITH BENADRYL AND WATCHED. SYMPTOMS RESOLVED. PT HAS NOT PRIOR HISTORY OF AN ALLERGIC REACTION TO EGGS.   MR received for ER visit several hours after flu vax for c/o irritability and intermittant wheezing.  Fine, erythematous rash noted on upper chest. DX: Allergic reaction.
Age: 0.19
Sex: F
Vaccine: HEP, IPV, MMR
Symptoms: Medication error
Clinical narrative: Shot was given secondary to recommendation chart.  Upon physicians review it was determined that due date was at 12 months.  Our office contacted a representative who advised us that as long as there was no reactions this would not be a problem other than mother would have to get shot again for child at appropriate time.
Age: 15.0
Sex: F
Vaccine: HEP
Symptoms: Blister, Erythema, Pain, Paraesthesia
Clinical narrative: On 12/18/06, client is here for HepB #3.  Client and his mother report that on 10-4-06, after receiving HepB #2 the day before, tiny red, fluid-filled blisters occurred on both palms of hands and up to both elbows.  Also, tingling in soles of feet. Symptoms lasted about 5 days.  Denied fever, itching.  Experienced lingering soreness of hands after rash left.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMRV
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: PATIENT HAD REDNESS AND SWELLING ON THIGH AREA 25 X 35MM IN DIAMETER.
Age: 3.0
Sex: F
Vaccine: FLU3
Symptoms: Pyrexia, Urticaria
Clinical narrative: Hives - mother noticed approximately 9 hours after injection with mild increased temperature.  Given antihistamine by family physician.
Age: 41.0
Sex: F
Vaccine: FLU3
Symptoms: Hypokinesia, Injection site pain, Pain
Clinical narrative: Given IM injection 12/5/2006 in right deltoid - states injection site sore for one week duration. Began hurting again 12/15 and now having difficulty moving right arm without pain.  Has not take any OTC meds or used moist heat to area.
Age: 51.0
Sex: F
Vaccine: TYP
Symptoms: Asthenia, Diarrhoea, Pyrexia, Vomiting
Clinical narrative: Pt took first dose of oral typhoid at 11pm on 12/30, on 12/31 at around 9pm, started vomiting & diarrhea for approximately 12 hours, Temp 102F.  Continues to have generalized weakness, no longer with fever or vomiting.  Some diarrhea.
Age: 50.0
Sex: M
Vaccine: TYP
Symptoms: Abdominal pain, Diarrhoea, Flushing, Pyrexia, Vomiting
Clinical narrative: Pt took vaccine on Thursday evening (12/28), on Friday, after Lunch felt some what flushed and abdominal pain, then in evening vomiting and diarrhea, temp 102F.  This for approximately 12 hours.  Better on Saturday am, cont with abdominal symptoms for several days.  Now improved.
Age: 0.38
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Ear disorder, Erythema, Eye oedema, Flushing, Lethargy
Clinical narrative: This case was reported by a healthcare professional can described the occurrence of flushing in a 4 month old male subject who was vaccainted with Pediarix, Hib vaccine (unspecified manufacturer) and Pneumococcal vaccine (unspecified Manufacturer) for prophylaxis. The subject had no pre existing medical conditions. There were no concurrent medications. On 16 August 2006, the subject received the 1st dose of Pediarix  without any side effects. On 31 October 2006 the subject received 2nd dose of Pediarix in the left thigh plus separate injections of Hib vaccine and Pneumococcal vaccine. The sites of administration of Hib vaccine and pneumococcal vaccine were not provided. On 31 October 2006, less than one day after vaccination with Hib vaccine, Pediarix and Pneumcococal vaccine, the subject experienced flushing, blotchy red rash, lethargy, purple toes and fingers and swollen eyes, ears, feet, and hands. The healthcare professional considered the events were life threatening and clinically significant (or requiring intervention) (OMIC). The subject was seen in the emergency room and was treated with Benadryl and Corticosteroids. The subject was subsequently seen by an allergist. The vaccination course with Pediarix was discontinued. At the time of initial reporting, 02 January 2007, the events were resolved. The healthcare professional considered the events were possibly related to vaccination with Pediarix, Hib vaccine and Pneumococcal vaccine.
Age: 0.38
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Oedema, Oedema peripheral, Rash, Rash macular, Skin discolouration
Clinical narrative: This case was reported by a healthcare professional can described the occurrence of flushing in a 4 month old male subject who was vaccainted with Pediarix, Hib vaccine (unspecified manufacturer) and Pneumococcal vaccine (unspecified Manufacturer) for prophylaxis. The subject had no pre existing medical conditions. There were no concurrent medications. On 16 August 2006, the subject received the 1st dose of Pediarix  without any side effects. On 31 October 2006 the subject received 2nd dose of Pediarix in the left thigh plus separate injections of Hib vaccine and Pneumococcal vaccine. The sites of administration of Hib vaccine and pneumococcal vaccine were not provided. On 31 October 2006, less than one day after vaccination with Hib vaccine, Pediarix and Pneumcococal vaccine, the subject experienced flushing, blotchy red rash, lethargy, purple toes and fingers and swollen eyes, ears, feet, and hands. The healthcare professional considered the events were life threatening and clinically significant (or requiring intervention) (OMIC). The subject was seen in the emergency room and was treated with Benadryl and Corticosteroids. The subject was subsequently seen by an allergist. The vaccination course with Pediarix was discontinued. At the time of initial reporting, 02 January 2007, the events were resolved. The healthcare professional considered the events were possibly related to vaccination with Pediarix, Hib vaccine and Pneumococcal vaccine.
Sex: U
Vaccine: MMR, VARCEL
Symptoms: Unevaluable event
Clinical narrative: Information has been received from a healthcare worker concerning a child who on an unspecified date was vaccinated with a dose of vARIVAX vaccine and concomitantly with a dose of MMR II. Subsequently the patient died. There was no product quality complaint involved. Additional information was sought, and the reporting healthcare worker indicated that she heard of this case through a pediatrician who was since retired. The patient was not a patient in the reporters office. She did not know if the patient had actually ever been a patient of the retired pediatrician. No further information was provided. No further information is available.
Sex: U
Vaccine: PPV
Symptoms: Cellulitis, Injection site erythema, Injection site pain, Injection site swelling, Pyrexia
Clinical narrative: Information has been received from a health professional concerning a patient (1 out of 40) who was vaccinated with pneumococcal 23v polysaccharide (lot number 651406/0620F). It is unknown of the patient was vaccinated with the influenza virus vaccine (unspecified) on the same day. Subsequently the patient experienced fever, pain at injection site, redness at injection site, swelling at injection site and red streaks on injection arm. The patient went went to the Emergency Department and was treated with IV antibiotics to  "prevent further serious criteria" and was then discharged. Subsequently the patient had a "reaction to the antibiotics". The health professional stated the patient was disabled from the events, but it was "unclear if the disability was from the vaccination or the reaction to the antibiotics". Subsequently, the patient recovered from fever, pain at injection site, redness at injection site, swelling at injection site and red streaks on injection arm. Fever, pain at injection site, redness at injection site, swelling at injection site and red streaks on injection arm were considered other important medical events (OMIC). Additional information has been requested.
Sex: U
Vaccine: PPV
Symptoms: Cellulitis, Injection site erythema, Injection site pain, Injection site swelling, Pyrexia
Clinical narrative: Information has been received from a health professional concerning a patient (2 out of 40) who was vaccinated with pneumococcal 23v polysaccharide vaccine (lot number 651406/0620F). It was unknown if the patient was vaccinated with the influenza virus vaccine (unspecified) on the same day. Subsequently the patient experienced fever, pain at injection site, redness at injection site, swelling at injection site and red streaks on injection arm. The patient went to the Emergency Department and was treated with IV antibiotics to "prevent further serious criteria" and was then discharged. Subsequently the patient had a "reaction to the antibiotics". The health professional stated the patient was disabled from the events, but it was "unclear if the disability was from the vaccination or the reaction to the antibiotics". Subsequently, the patient recovered from fever, pain at injection site, redness at injection site, swelling at injection site and red streaks on injection arm. Fever, pain at injection site, redness at injection site, swelling at injection site and red streaks on injection arm were considered other medical events (OMIC). Additional information has been requested.
Age: 0.17
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Hypophagia, Intussusception, Irritability, Ultrasound kidney normal
Clinical narrative: Information has been received from a physician concerning a 2-month-old male who was vaccinated with the first dose of ROTATEQ. The physician reported that the patient developed intussusception within "a month of getting vaccinated". Unspecified medical attention was sought. Subsequently, the patient recovered. It was noted that the patient would not be vaccinated with the second or third dose. Upon internal review, intussusception was determined to be an other important medical event (OMIC). Additional information has been requested.  1/18/07 Received medical records from hospital which reveal patient admitted 11/19-11/22/06 for suspected intussusception (IS) after 3 day hx of vomiting, fussiness & decreased oral intake.  Seen by PCP for gastroenteritis but did not resolve so went to ER.  In ER, given Tigan suppository & after that had bloody stool & bilious emesis.  Transferred to larger hospital for further w/u.  Surgery consult done. Second attempt to reduce IS with air contrast enema was successful.  Emesis resolved.  Kept in hospital for observation, did well & was d/c to home for f/u on HTN by PCP. FINAL DX: Intussusception, resolved by air contrast enema; hypertension, resolved. Updated information for VAERS # 270003. Treated at hospital on 11/19/06-11/22/06 for intussusception. Rocovered.
Age: 0.5
Sex: F
Vaccine: RV5
Symptoms: Haematochezia
Clinical narrative: Information has been received from a nurse practitioner (NP) concerning an approximately 6-month-old female who on approximately 27-Nov-2006 was vaccinated PO with a 2.0 ml dose of rotavirus G1 G2 G3 G4 P1 reassortant vaccine live (human-bovine). The NP reported that on approximately 29-Nov-2006, the patient developed bloody stool. Unspecified medication attention was sought and a stool Clostridium difficile toxin test was performed (results not provided). At the time of this report, the patient's bloody stool persisted. Upon internal review, bloody stool was determined to be an other important medical event (OMIC). Additional information has been requested.
Age: 24.0
Sex: F
Vaccine: HEP, HPV4, TDAP, TYP
Symptoms: Dizziness
Clinical narrative: Patient became very light headed and dizzy w/in moment of vaccine. Patient was observed and released.
Age: 46.0
Sex: M
Vaccine: ANTH, HEP, PPV, SMALL, TYP, VARCEL
Symptoms: Unevaluable event
Clinical narrative: None Stated
Age: 2.0
Sex: M
Vaccine: DTAP, MMRV, PNC
Symptoms: Irritability, Pyrexia, Rash, Skin ulcer
Clinical narrative: Mom brought patient to office today reporting rash - 1 week after vaccine, scabbed lesions X 8 < 0.5 mm to right post ribcage in thoracic to lumbar level one inflamed vesicle to right upper medial arm - 1 mm no pruritus but fever and fussy, painful to touch over lesions. Treated with Zovirax 400 TID for 14 days.
Age: 1.5
Sex: F
Vaccine: DTAP, FLU3
Symptoms: Lethargy, Pyrexia
Clinical narrative: Fever 103.9, lethargic.
Age: 0.17
Sex: F
Vaccine: DTAP, HEP, HIBV, IPV, PNC, RV5
Symptoms: Oedema peripheral, Urticaria
Clinical narrative: Urticartial rash, swelling or hands and eyelids.
Age: 54.0
Sex: M
Vaccine: ANTH
Symptoms: Blood cholesterol increased, Diabetes mellitus, Dizziness, Neuropathy, Pain
Clinical narrative: Incontinence urinary, ache: bones joint, muscles neuropathy, skin: sores in throat and mouth, dizziness, high cholesterol.
Age: 54.0
Sex: M
Vaccine: ANTH
Symptoms: Urinary incontinence
Clinical narrative: Incontinence urinary, ache: bones joint, muscles neuropathy, skin: sores in throat and mouth, dizziness, high cholesterol.
Age: 29.0
Sex: F
Vaccine: HEP, MMR
Symptoms: Dyspnoea, Hypersensitivity, Pruritus
Clinical narrative: Shortness of breath, itching.
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Flushing, Rash
Clinical narrative: Rash and flushing face, chest and legs immediately after receiving immunization in the legs. Benadryl 10 mg IM given immediately. Signs/ Symptoms resolved within 15 minutes.
Age: 28.0
Sex: M
Vaccine: HEPA, TDAP
Symptoms: Asthenia, Dyspnoea, Fatigue, Malaise
Clinical narrative: Complain of not feeling well, weak, tired, short of breath, heart pounded.
Age: 56.0
Sex: F
Vaccine: FLU3, HEPA, YF
Symptoms: Diarrhoea, Erythema, Headache, Pyrexia, Swelling face
Clinical narrative: Headache, diarrhea, fever 1-2 days post injection 2-3 days post injection face swelling, LA at flu site - 1-2 inches redness.
Age: 83.0
Sex: F
Vaccine: PPV
Symptoms: Cellulitis, Injection site erythema, Injection site oedema, Injection site pain, Syncope
Clinical narrative: Admitted to hospital 12/21/06 for syncope 1 day after pneumovax injection. Noted to have pain right arm around injection site and erythema and swelling of entire right upper arm extending to elbow area. Syncope likely related to pain in arm. Possible cellulitis right upper arm.  2/2/07 Received medical records from hospital which reveal patient experienced syncopal episode & fall at home w/laceration to back of head.  Right arm where received pneumovax noted to be very tender & painful, very large area of erythema on RUE & low grade fever of 100.  Admitted 12/21-12/22/06.  Tx w/antibiotics & d/c to close f/u. FINAL DX: syncopal episode w/fall; right upper arm erythema & swelling likely vaccine reaction to pneumovax, possible early cellulitis; & HTN.
Age: 34.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site reaction
Clinical narrative: Pt developed 2x2cm scar effect on right arm where flu vaccine was injected. (OMIC) Per 60 day follow up: Pt has residual "scar effect" lesion on right arm where vaccine was given.
Age: 70.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site pain, Pain, Shoulder pain
Clinical narrative: 12/06/2006 Complain of right arm starting 3 hours after receiving flu vaccine on 11/30/06. Positive pain with movement of arm, occasional pain to shoulder and arm. Took Tylenol and Advil with improvement. 12/7/06 pain decrease, now only at  injection site denies redness/swelling advised to call PCP.
Age: 83.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Pain, Pyrexia, Swelling
Clinical narrative: Client reports having his flu and PPV 23 vaccine at 12:30 p.m. on 12/12/06, at 5:00 p.m. he noticed swelling in his right arm. When he got up in the morning it was swollen from shoulder to elbow, hot with fever and painful. He took Benadryl to help. Today (12-13-06) it remain swollen, hot to touch and painful. Encouraged him to see his doctor today.
Age: 86.0
Sex: F
Vaccine: PPV
Symptoms: Cellulitis, Pain
Clinical narrative: Pain and cellulitis in right arm. Went to walk in MD clinic. Treated with Cipro for 10 days, Zepharin and then given ? Nambutol. Received vaccine at store.
Age: 71.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Delirium, Erythema, Hyperhidrosis, Nausea, Pain
Clinical narrative: The day after Pneumonia shot, I awoke at about 2 a.m. with cold sweats, somewhat delirious, nauseous. The next morning, the call doctor directed me to ER. My arm was swollen from shoulder to elbow, red rash, and pain.
Age: 71.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Rash, Swelling
Clinical narrative: The day after Pneumonia shot, I awoke at about 2 a.m. with cold sweats, somewhat delirious, nauseous. The next morning, the call doctor directed me to ER. My arm was swollen from shoulder to elbow, red rash, and pain.
Age: 1.74
Sex: M
Vaccine: DTAP, FLU3, HEPA
Symptoms: Feeling hot, Injection site erythema, Injection site oedema
Clinical narrative: Patient developed 10 x 10 cm area of redness, edema and warmth 24 hours after receiving Dtap (INFANRIX) at site of injection. Patient seen 12/22/06 at 5:30 p.m. by MD and was given prescription for Keflex.
Age: 65.0
Sex: F
Vaccine: FLUX
Symptoms: Malaise, Myalgia
Clinical narrative: Patient last flu shot 11 years ago and at that time had a golf ball size reaction at site of injection. This time she experienced approximately 1 week to 2 weeks of extreme muscle aches and malaise. Was seen by her internist. Complete blood count, CPK and CMP all normal. Reaction lasted 2 weeks. Dr. states flu shot and not to take in future.
Age: 3.0
Sex: F
Vaccine: FLU3
Symptoms: Erythema, Rash
Clinical narrative: Child had red rash, bilateral arms about 2 hours after vaccine given.
Age: 73.0
Sex: F
Vaccine: TDAP
Symptoms: Arthralgia, Medication error, Tenderness
Clinical narrative: Adacel administered to person > 65 years tenderness in neck and neck joints, sacroiliac joint pain 3 weeks following vaccination.
Age: 61.0
Sex: F
Vaccine: TDAP
Symptoms: Arthralgia, Back pain, Malaise, Neck pain
Clinical narrative: Very painful joints hands and hips 1 week following vaccination. 2 weeks later unilateral neck pain and lower back pain feeling unwell.
Age: 57.0
Sex: M
Vaccine: FLU3
Symptoms: Dizziness, Nausea, Vomiting
Clinical narrative: Severe dizziness within 1/2 hour of vaccination. Stomach queasiness the next day. Vomiting the day after that. Slow recovery with weeks of dizziness/queasiness now sporadic and slight.
Age: 12.0
Sex: M
Vaccine: MNQ
Symptoms: Blood glucose increased, Convulsion, Hepatic enzyme abnormal, Laboratory test abnormal
Clinical narrative: 12/15/06 Father reported child found in his bed 12/14/06 approximately 9 PM having a possible seizure, 911 transported to Hospital. 01/05/07-records received and reviewed.  02/08/07-additional information received and reviewed.  ER DX: Seizure-likely first time, afebrile seizure. Arrived in ER speech slurred garbled, unsteady on feet.  EEG because of left central temporal spikes brought out with drowsiness. The tracing was otherwise normal. EEG suggest slightly more risk for focal seizures especially during sleep. It is problematic whether it has any connection to the unusual event after the vaccine. There could be a correlation with the EEG abnormality and a complex partial seizure, it is possible the episode after the vaccination was a complex partial seizure.
Age: 62.0
Sex: F
Vaccine: PPV
Symptoms: Erythema, Injection site erythema, Injection site pain, Swelling
Clinical narrative: 6 Hours after injection pain radiating from left side of neck to fingertips left arm swollen/arm area from left shoulder/to elbow. Area from left shoulder to elbow red/ especially at injection site. Still have sharp pain at injection site.
Sex: M
Vaccine: HEPA, MMR, MNQ
Symptoms: Bradycardia, Pallor
Clinical narrative: Patient has history of passing out 3 times after a biopsy right after stitches were removed and 3 times after blood drawing. He was instructed to remain for 5 minutes after shots and was fine but suddenly became pale and about to faint - pale, bradycardia. He recovered in 1 minute. He was laid down and given O2.
Age: 4.0
Sex: M
Vaccine: DTAP, FLU3, IPV, MMR
Symptoms: Erythema, Swelling
Clinical narrative: Patient started with a red area size of half dollar on 12-27-06 then redness increased to include arm from shoulder to elbow some swelling treated with Benadryl.
Age: 0.2
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC, RV5, DTAP, HIBV, IPV, PNC, RV5
Symptoms: Pyrexia
Clinical narrative: Patient received Dtpa, IPV, Act Hib, Prevnar and Rotateq on 11/30/06. Patient ran a temperature of 101 degrees for 24 hours. Temperature was 101- 102 degrees. No other symptoms.
Age: 0.2
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC, RV5, DTAP, HIBV, IPV, PNC, RV5
Symptoms: Body temperature increased, No reaction on previous exposure to drug, Pyrexia
Clinical narrative: Patient received Dtpa, IPV, Act Hib, Prevnar and Rotateq on 11/30/06. Patient ran a temperature of 101 degrees for 24 hours. Temperature was 101- 102 degrees. No other symptoms.
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Pruritus, Rash, Urticaria
Clinical narrative: 15 minutes after IM injection of Gardasil in right arm. Patient developed hives on her neck right side continued to move up on face. 20 minutes post injection rash and then itching over neck, face and back. Benadryl used IM. Vital signs remained stable.
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Anaphylactoid reaction, Pruritus, Rash, Urticaria
Clinical narrative: 15 minutes after IM injection of Gardasil in right arm. Patient developed hives on her neck right side continued to move up on face. 20 minutes post injection rash and then itching over neck, face and back. Benadryl used IM. Vital signs remained stable.
Age: 20.0
Sex: F
Vaccine: HPV4
Symptoms: Dizziness, Hot flush, Nausea
Clinical narrative: Patient complain of nausea, light-headed, hot flashes, right after injection. Told patient to lay down on back on the table, took some water about 25 minutes recheck BP and pulse. Ok to leave.
Age: 39.0
Sex: M
Vaccine: ANTH, HEP, HEPA, SMALL
Symptoms: Diarrhoea haemorrhagic, Epistaxis, Headache, Hypoaesthesia, Muscle spasms
Clinical narrative: Numbness: legs and arms, rectal bleeding, mood: anxious, nasal: nose bleeds, diarrhea: bloody, headaches, cramps legs, blood pressure: varies, sneezing, weight gain, sleep: problems.
Age: 39.0
Sex: M
Vaccine: ANTH, HEP, HEPA, SMALL
Symptoms: Rectal haemorrhage, Sleep disorder, Sneezing, Weight increased
Clinical narrative: Numbness: legs and arms, rectal bleeding, mood: anxious, nasal: nose bleeds, diarrhea: bloody, headaches, cramps legs, blood pressure: varies, sneezing, weight gain, sleep: problems.
Sex: F
Vaccine: FLU3
Symptoms: Influenza, Rash
Clinical narrative: Rash 6 days after immunization Flu for 4 days from 1-2 days after vaccine given.
Age: 1.12
Sex: M
Vaccine: FLU3, HEPA
Symptoms: Pallor, Pyrexia, Vomiting, Wheezing
Clinical narrative: Woke up at 2:00 am with emesis times 6 in one hour. Wheezing, pale, and fever to ER. Fever was 101.8. No treatment or laboratory tests at ER. Sent home.
Age: 59.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Erythema, Pruritus
Clinical narrative: Patient stated right arm red and hot to touch, itchy down to elbow. Saw arm MD, was placed on Benadryl 50 mg PO QD for 7 days and Zantac (OTC) PO for 7 days.
Age: 80.0
Sex: F
Vaccine: FLU3
Symptoms: Unevaluable event
Clinical narrative: Patient moved her arm and indicated where she wanted the injection given. Injection was given below the deltoid - question if it was given IM or SC. Flu injection re-given on 12/06/06.
Age: 5.0
Sex: M
Vaccine: DTAP, FLU3
Symptoms: Erythema, Pruritus, Swelling
Clinical narrative: Swelling in left upper arm "almost twice the size of normal", redness to area covering top of arm almost down to elbow and wrapping 3/4 of way around arm, complain of itching at site,no fever, no dyspnea. Seen on 12/22 in office, no pain, no limit to movement. Treatment: Benadryl 2 tsp every 6 hours as needed and cold compresses.
Age: 18.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site pain, Pyrexia, Swelling
Clinical narrative: Shortly after vaccination patient experienced fever, increased pain at injection site with localized swelling of left arm. Went to local ED 12/14/06. Saw PCP, for follow-up. Treated with OTC Benadryl.
Age: 1.12
Sex: M
Vaccine: FLU3, HEPA, MMR, PNC
Symptoms: Erythema, Pruritus
Clinical narrative: 20 days post Varicella vaccine at local doctor's office - woke with red raised spots on face 4-5, 1 on back of neck, 2 on stomach, 1 under arm- itchy. afebrile. Family called doctor's office then local health department phone call with interview to PHN with comfort measures. 15 spots in 24 hours from onset.
Age: 34.0
Sex: F
Vaccine: FLU3
Symptoms: Chest discomfort, Dizziness, Paraesthesia
Clinical narrative: Client received flu vaccine. Patient complain of burning feeling. Told patient that is most likely the medicine, and to stay the 15 minutes. PATIENT WAITED AROUND. patient left to clock out for lunch, but felt lightheaded. Patient came back to room. Patient was laid down on floor with legs elevated. Patient pulse was 88 bpm and no signs of respiratory distress. Patient complain of tightness in chest and throat area. Cool towel was given. Patient was still 88 bpm 15 minutes later. Patient complain of a tingling in her tongue with the tightness in chest. Husband stated that his wife has a past history of panic attacks. Patient not in medication. Gave 0.2 Epi SC to patient. Pulse was 96 bpm 5 minutes later patient stated that her chest felt better. Continue to watch patient for 30 minutes, and she still didn't feel right. Patient call her doctor office left message to call me back. The nurse called back, and I spoke with her and told her patients symptoms. The nurse advised for patient to go to ER. Husband took patient to ER. Reported this.
Age: 49.0
Sex: F
Vaccine: FLU3
Symptoms: Immediate post-injection reaction, Injected limb mobility decreased, Insomnia, Intervertebral disc protrusion, Nodule
Clinical narrative: See attached. 12/29/06 Protruding disk Left side causing pain down leg. Still had pain Left arm can not apply weight or lie on left side. Sleep 1hr/day. 1st week of November received vaccine-upper arm-extremely sore inside and outside. Could hardly lift it at all. Took TYLENOL, couple of days. Unable to lift behind my back any higher than my waist. Still extremely tendered and "knotty".  Follow-up received states - upper area tender to touch immediately, continued to hurt more as each day passed - resulted in "Frozen Shoulder" required P.T., medication, still hurts today.
Age: 49.0
Sex: F
Vaccine: FLU3
Symptoms: Nuclear magnetic resonance imaging, Pain in extremity, Periarthritis, Tenderness, Weight bearing difficulty
Clinical narrative: See attached. 12/29/06 Protruding disk Left side causing pain down leg. Still had pain Left arm can not apply weight or lie on left side. Sleep 1hr/day. 1st week of November received vaccine-upper arm-extremely sore inside and outside. Could hardly lift it at all. Took TYLENOL, couple of days. Unable to lift behind my back any higher than my waist. Still extremely tendered and "knotty".  Follow-up received states - upper area tender to touch immediately, continued to hurt more as each day passed - resulted in "Frozen Shoulder" required P.T., medication, still hurts today.
Age: 49.0
Sex: F
Vaccine: FLU3
Symptoms: X-ray
Clinical narrative: See attached. 12/29/06 Protruding disk Left side causing pain down leg. Still had pain Left arm can not apply weight or lie on left side. Sleep 1hr/day. 1st week of November received vaccine-upper arm-extremely sore inside and outside. Could hardly lift it at all. Took TYLENOL, couple of days. Unable to lift behind my back any higher than my waist. Still extremely tendered and "knotty".  Follow-up received states - upper area tender to touch immediately, continued to hurt more as each day passed - resulted in "Frozen Shoulder" required P.T., medication, still hurts today.
Age: 47.0
Sex: M
Vaccine: FLUX, PPV
Symptoms: Dyspnoea, Urticaria, Wheezing
Clinical narrative: Hives on body almost daily since shot was given about 6 weeks ago. Wheezing, shortness of breath also. Now taking Methylprednisolone. (will take meds for 6 weeks)
Age: 1.39
Sex: M
Vaccine: FLU3, HIBV, PNC
Symptoms: Convulsion, Pyrexia
Clinical narrative: Approximately 32 hours after multiple vaccinations developed sudden onset of fever and seizure activity. Due to status referred to PICU at Pediatric Hospital
Age: 1.0
Sex: M
Vaccine: HIBV, MMRV
Symptoms: Decreased appetite, Lethargy, Vomiting
Clinical narrative: Patient was lethargic, poor appetite, vomiting x 3-4 times.
Age: 66.0
Sex: U
Vaccine: UNK
Symptoms: Erythema, Hypoaesthesia, Joint range of motion decreased, Pain, Swelling
Clinical narrative: Shot given around 11:15 by 1pm was not able to move right arm. Swelling, redness, thumb and first finger went numb, pain in right breast and under arm, skin could not be touched so tender. Pain moved to left shoulder and client is still not normal.
Age: 66.0
Sex: U
Vaccine: UNK
Symptoms: Tenderness
Clinical narrative: Shot given around 11:15 by 1pm was not able to move right arm. Swelling, redness, thumb and first finger went numb, pain in right breast and under arm, skin could not be touched so tender. Pain moved to left shoulder and client is still not normal.
Age: 1.48
Sex: M
Vaccine: VARCEL
Symptoms: Pharyngolaryngeal pain, Rash papular, Rash pruritic, Rash vesicular, Skin ulcer
Clinical narrative: Some vesicular/ others erythematous papular pruritic lesions started shoulder/face and spread over body with exposure to friend few weeks prior who had Varicella. Also had strep during illness-put on Amoxicilin.
Age: 3.0
Sex: F
Vaccine: VARCEL
Symptoms: Blister, Erythema, Rash
Clinical narrative: Brother with Varicella 11/21/06. On 12/6/06 started with rash on hands, legs, abdomen, forehead, erythema pruritic, some scabbed over from scratching when seen 12/7/06 in office. Continued to get more over next few days. Mom states some blister.
Age: 3.0
Sex: M
Vaccine: VARCEL
Symptoms: Erythema, Rash papular, Rash pruritic, Skin ulcer
Clinical narrative: Erythematous, papular/vesicular pruritic lesions started on back and spread over trunk, face, neck and some on arms too.
Age: 1.02
Sex: F
Vaccine: HEPA, MMR, PNC, VARCEL
Symptoms: Erythema, Injection site nodule
Clinical narrative: Patients right thigh had a raised thickened dark pink-red area approximately 1"long on area where 2 of 4 vaccinations were given on 12/15/06.
Age: 1.39
Sex: F
Vaccine: DTAP
Symptoms: Rash erythematous, Rash papular
Clinical narrative: 10am- Rash, erythematous papular confluent rash over trunk and back 2 hours after vaccine administration.
Age: 39.0
Sex: M
Vaccine: ANTH
Symptoms: Chest discomfort, Dizziness, Dyspnoea
Clinical narrative: Approximately 20-30 min after receiving vaccine, I became lightheaded, short of breath, and felt pressure in my chest which made my breathing labored. Felt  very much like an allergy attack. Recovered in 30 min lying down. No reaction to previous 4 shots.
Age: 1.02
Sex: M
Vaccine: DTAP, HIBV, MMR, PNC, VARCEL
Symptoms: Pyrexia, Rash morbilliform
Clinical narrative: Patient ran a fever of 102 post immunization and developed diffuse morebilliform rash on day 6 post immunization.
Age: 66.0
Sex: F
Vaccine: PPV
Symptoms: Erythema, Feeling hot, Oedema
Clinical narrative: Left arm with redness, edema, warm to touch.
Age: 5.0
Sex: F
Vaccine: DTP, HIBV
Symptoms: Erythema, Feeling hot, Oedema
Clinical narrative: Redness and edema. Warm right lateral thigh 4x5 started next day after the shot.
Age: 13.0
Sex: M
Vaccine: PPV
Symptoms: Hypoxia, Pneumonia, Pyrexia, Rash, Renal failure
Clinical narrative: Information has been received from a health professional concerning a 13 year old male patient with Batten's disease and with penicillin and lamotrigine (LAMICTAL) allergies who on 01-Dec-2006 was vaccinated with a dose of pneumococcal 23v polysaccharide vaccine. Concomitant therapy included clorazepate dipotassium (TRANXENE), glycopyrroalate (ROBINUL), trazodone HCl and " fluperine". On 09-Dec-2006 the patient first developed a rash on his thighs and a temperature of 102 degrees. A lab test showed that his white blood cell count was elevated and an x-ray of his lungs was clear. He was admitted to the hospital two days later, developed pneumonia and was put on life support because he had septic shock. He was also put on dialysis because his kidneys failed. No additional information was available. The reporter thought that the patient's experiences were life threatening, disabling and other important medical events (OMIC).
Age: 13.0
Sex: M
Vaccine: PPV
Symptoms: Sepsis, Shock, White blood cell count increased
Clinical narrative: Information has been received from a health professional concerning a 13 year old male patient with Batten's disease and with penicillin and lamotrigine (LAMICTAL) allergies who on 01-Dec-2006 was vaccinated with a dose of pneumococcal 23v polysaccharide vaccine. Concomitant therapy included clorazepate dipotassium (TRANXENE), glycopyrroalate (ROBINUL), trazodone HCl and " fluperine". On 09-Dec-2006 the patient first developed a rash on his thighs and a temperature of 102 degrees. A lab test showed that his white blood cell count was elevated and an x-ray of his lungs was clear. He was admitted to the hospital two days later, developed pneumonia and was put on life support because he had septic shock. He was also put on dialysis because his kidneys failed. No additional information was available. The reporter thought that the patient's experiences were life threatening, disabling and other important medical events (OMIC).
Age: 19.0
Sex: F
Vaccine: HPV4
Symptoms: Blindness transient, Dizziness, Headache, Pallor
Clinical narrative: information has been received from the mother of a 19 year old female with a drug hypersensitivity to unspecified antibiotics. On 21 Dec 2006, the patient was vaccinated with the first dose of HPV vaccine. There were no concomitant medications reported. On 21 Dec 2006, the patient felt like her head was going to burst, she looked pale and was possibly going to faint. The patient developed temporary blindness that lasted about two minutes. The patient sought unspecified medical attention. On 21 Dec 2006, the patient had recovered from the events, "after a few minutes". Upon internal review, the temporary blindness was considered to be an other important medical event (OMIC). Additional information has been requested.
Age: 25.0
Sex: F
Vaccine: HPV4
Symptoms: Abortion, Ectopic pregnancy, Laboratory test abnormal
Clinical narrative: Information has been received from a licensed practical nurse concerning a 25 year old female with no drug reactions/allergies, and unknown date of last menstrual period due to irregular periods and a history of 2 live children (number of pregnancies was not reported) who on 25 Oct 2006 was vaccinated with first dose of HPV vaccine. There was no concomitant medication. The patient sought medical attention. Around 25 Nov 2006, (Thanksgiving time), the patient presented to the office. She had an ectopic pregnancy, went to the emergency room and was administered methotrexate to abort the child. She was monitored for several hours and released. The patient was not hospitalized. It was unk if the patient was pregnant when she was vaccinated with HPV Vaccine due to irregular periods, unknown LMP. At the time of reporting, the patient was recovering, her quantitative HCG was at 85, it should be at 2, but was going downward. The reporter felt that the event required intervention to prevent serious criteria (other important medical event) (OMIC). This report is part of the pregnancy registry. Additional information has been requested.
Age: 19.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Headache, Nausea, Rash, Upper respiratory tract infection, Urticaria
Clinical narrative: 12/01/2006 Nausea, headache, urticaria 12/04/2006. URI symptoms developed after rash. Treated with Benadryl, Prednisone, and Zyrtec. Phone call 1 week later, rash completely gone, urticaria due to vaccine VS intercurrent URI.
Age: 19.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Headache, Nausea, Pain, Rash, Upper respiratory tract infection
Clinical narrative: 12/01/2006 Nausea, headache, urticaria 12/04/2006. URI symptoms developed after rash. Treated with Benadryl, Prednisone, and Zyrtec. Phone call 1 week later, rash completely gone, urticaria due to vaccine VS intercurrent URI.
Age: 19.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Urticaria
Clinical narrative: 12/01/2006 Nausea, headache, urticaria 12/04/2006. URI symptoms developed after rash. Treated with Benadryl, Prednisone, and Zyrtec. Phone call 1 week later, rash completely gone, urticaria due to vaccine VS intercurrent URI.
Age: 17.0
Sex: F
Vaccine: HPV4, MNQ, HPV4, MNQ
Symptoms: Headache, Hypoaesthesia, Muscle rigidity, Neck pain
Clinical narrative: 17 year old female received Menactra on 12/28/06. On 1/2/06, patient reported pain in neck and head with non-specific bilateral numbness sensation and pain present in lower extremities (thighs, calves, feet (soles)). Bilateral knee and ankle tendon reflexes normal. Also bilateral calf tightness reported.
Age: 17.0
Sex: F
Vaccine: HPV4, MNQ, HPV4, MNQ
Symptoms: Headache, Hypoaesthesia, Hyporeflexia, Neck pain
Clinical narrative: 17 year old female received Menactra on 12/28/06. On 1/2/06, patient reported pain in neck and head with non-specific bilateral numbness sensation and pain present in lower extremities (thighs, calves, feet (soles)). Bilateral knee and ankle tendon reflexes normal. Also bilateral calf tightness reported.
Age: 41.0
Sex: M
Vaccine: HEP
Symptoms: Injection site vesicles
Clinical narrative: Hepatitis B #2 immunization give 1/3/07. 1/4/07 patient developed .5cm blister at injecito site-which he noticed after removing bandaid on 1/4/07.
Age: 64.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Erythema, Injection site warmth, Pain, Pyrexia, Swelling
Clinical narrative: 11/3/2006:  PM hours following AM vaccination with influenza and PPV23 vaccines, patient reported the following symptoms:  generalized body shaking, fever, and pain.  Left arm red and warm to touch with swelling.  Duration of 2 days, after which she visited her family MD.  Prescribed Keflex 100 mg po bid for 7 days.  All symptoms subsided.
Age: 64.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Tremor
Clinical narrative: 11/3/2006:  PM hours following AM vaccination with influenza and PPV23 vaccines, patient reported the following symptoms:  generalized body shaking, fever, and pain.  Left arm red and warm to touch with swelling.  Duration of 2 days, after which she visited her family MD.  Prescribed Keflex 100 mg po bid for 7 days.  All symptoms subsided.
Age: 24.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site swelling, Injection site warmth, Pain
Clinical narrative: Influenza vaccine administered on Thursday, November 16th. Noticed soreness at site on Thursday evening.  On Friday, the 17th, woke at 5AM - arm very edematous (softball in size) injection site area black, blue, and purple and very warm to touch with increased soreness.  Went to clinic - patient was given Cefabroxil.  Patient follow-up: Nurse phoned patient who reported that symptoms improving with decreased edema and tenderness.
Age: 45.0
Sex: F
Vaccine: FLUX
Symptoms: Joint range of motion decreased, Livedo reticularis, Muscular weakness, Myalgia, Pain
Clinical narrative: Progressive pain and stiffness in left arm. Pain localized around shot area and radiating down arm. Muscle weakness, pain and circulation affected. Unable to raise arm above chest level. Also, a webbed mottling pattern under the skin on bicep still present after two months. The symptoms were reported to the Employee Health Dept who continues to state take 400mg of Motrin and do some exercise for the arm. Give it about two months.  This time has now expired and no improvement has been made.
Age: 13.0
Sex: M
Vaccine: MNQ, TDAP
Symptoms: Dyspnoea, Headache, Myalgia, Pyrexia
Clinical narrative: Within 12 hours of Adacel and Menactra, pt started having full body muscle aches, including jaw involvement, fever to 103, difficulty breathing described as not being able to take a deep breath, and headache.
Age: 2.0
Sex: F
Vaccine: FLU3
Symptoms: Erythema, Swelling, Urticaria
Clinical narrative: AROUND 6 PM MOM NOTICED HE WAS GETTING RED AND SWOLLEN FROM THE BUTT DOWN, AND FROM SHOULDERS TO WRISTS. SHE TOOK HIM TO THE ER AND BY THAT TIME HE WAS RED ON STOMACH AND BACK. IT STARTED TO LOOK LIKE HIVES AROUND 8:30 PM. BENADRYL GIVEN AROUND 9 PM. NO BREATHING PROBLEMS. SAW PA-C ON FRIDAY. RAST TEST DONE THAT SAME DAY.
Age: 83.0
Sex: F
Vaccine: FLUX
Symptoms: Antineutrophil cytoplasmic antibody negative, Aphasia, Blood glucose, Confusional state, Dysphagia
Clinical narrative: Received half dose of flu vaccine Nov. 11, 2006.  That day developed fever, confusion. Has had a progressive decline in cognitive function to point she is totally aphasic, bed bound, dysphagia.  Now hospitalized with what appears to be Jacob-Cruetfeldt disease whose symptoms began the day of the flu vaccine.  1/18/07 Received medical records from hospital which reveal patient admitted 12/28/06-1/5/07 with rapid onset & marked mental deteriorationfever, confusion,  global aphasia & ataxia with occasional myoclonic jerks over an approx 6 wk course beginning same day as receied 1/2 dose flu vax due to her egg allergy. Patient had been mentally intact & running her own business prior to receiving flu vax. Developed URI symptoms a few days prior to admit.  While hospitalized, continued steady decline with increased myoclonic activity & developed left facial droop. IV infiltrate site developed cellulitis & left eye developed conjunctivitis, both treated with antibiotics. FINAL DX: Jakob-Creutzfeldt disease.  Patient placed in hospice. Per 60 day follow up: Patient expired. Diagnosis JACKOB-CREUTZFELDT disease
Age: 83.0
Sex: F
Vaccine: FLUX
Symptoms: Electroencephalogram, Laboratory test, Lumbar puncture, Nuclear magnetic resonance imaging, Nuclear magnetic resonance imaging brain normal
Clinical narrative: Received half dose of flu vaccine Nov. 11, 2006.  That day developed fever, confusion. Has had a progressive decline in cognitive function to point she is totally aphasic, bed bound, dysphagia.  Now hospitalized with what appears to be Jacob-Cruetfeldt disease whose symptoms began the day of the flu vaccine.  1/18/07 Received medical records from hospital which reveal patient admitted 12/28/06-1/5/07 with rapid onset & marked mental deteriorationfever, confusion,  global aphasia & ataxia with occasional myoclonic jerks over an approx 6 wk course beginning same day as receied 1/2 dose flu vax due to her egg allergy. Patient had been mentally intact & running her own business prior to receiving flu vax. Developed URI symptoms a few days prior to admit.  While hospitalized, continued steady decline with increased myoclonic activity & developed left facial droop. IV infiltrate site developed cellulitis & left eye developed conjunctivitis, both treated with antibiotics. FINAL DX: Jakob-Creutzfeldt disease.  Patient placed in hospice. Per 60 day follow up: Patient expired. Diagnosis JACKOB-CREUTZFELDT disease
Age: 83.0
Sex: F
Vaccine: FLUX
Symptoms: Protein total, Pyrexia, Red blood cell count normal, White blood cell count
Clinical narrative: Received half dose of flu vaccine Nov. 11, 2006.  That day developed fever, confusion. Has had a progressive decline in cognitive function to point she is totally aphasic, bed bound, dysphagia.  Now hospitalized with what appears to be Jacob-Cruetfeldt disease whose symptoms began the day of the flu vaccine.  1/18/07 Received medical records from hospital which reveal patient admitted 12/28/06-1/5/07 with rapid onset & marked mental deteriorationfever, confusion,  global aphasia & ataxia with occasional myoclonic jerks over an approx 6 wk course beginning same day as receied 1/2 dose flu vax due to her egg allergy. Patient had been mentally intact & running her own business prior to receiving flu vax. Developed URI symptoms a few days prior to admit.  While hospitalized, continued steady decline with increased myoclonic activity & developed left facial droop. IV infiltrate site developed cellulitis & left eye developed conjunctivitis, both treated with antibiotics. FINAL DX: Jakob-Creutzfeldt disease.  Patient placed in hospice. Per 60 day follow up: Patient expired. Diagnosis JACKOB-CREUTZFELDT disease
Age: 48.0
Sex: F
Vaccine: FLU3
Symptoms: Pain
Clinical narrative: Arm became sore after receiving flu immunization to the point unable to sleep on it and if reaching (full extension) needs to support arm to carry out task.  Denies redness, fever swelling, rash.
Age: 4.0
Sex: F
Vaccine: MMR
Symptoms: Kawasaki's disease, Lymphadenopathy, Pyrexia
Clinical narrative: Within 5-7 days after receiving second dose of MMR vaccine developed fever, lymphadenopathy and was diagnosed with Kawasaki disease and hospitalized. 01/05/07-spoke with reporter's office, patient did not have a reaction to vaccine diagnosed with Kawasaki's.  01/30/07- received letter from hospital. Patient was not seen in their facility. Contacted reporter/PCP for additional information. 01/31/07-records received and reviewed from PCP. MMR lot #0378R was administered on 2/23/06. Notes for 3/4/06 report complaint of sneezing, runny nose, headache, neck pain fever 101. Temp in office 100.  3/6/06, seen at hospital with DX of Kawasaki.  Spoke with Dr. and she indicated that the reason for the VAERS report was that the parent did not wish to have the child receive the next dose of Hepatitis A. There was no reaction to the MMR vaccine provided on 2/23/06.
Age: 60.0
Sex: F
Vaccine: TDAP
Symptoms: Dizziness, Dyspnoea, Pallor, Palpitations, Throat tightness
Clinical narrative: Within 20 minutes of injection, I experienced severe shortness of breath, heart palpatations, throat tightening, dizziness, wheezing, pallor. I was close enough to a facility to drive myself there, thankfully.
Age: 60.0
Sex: F
Vaccine: TDAP
Symptoms: Wheezing
Clinical narrative: Within 20 minutes of injection, I experienced severe shortness of breath, heart palpatations, throat tightening, dizziness, wheezing, pallor. I was close enough to a facility to drive myself there, thankfully.
Age: 1.03
Sex: F
Vaccine: HEPA, MMR, VARCEL
Symptoms: Coordination abnormal, Encephalitis, Laboratory test abnormal, Listless, Meningitis
Clinical narrative: 11/21/06 seen for URI, 11/27/06 fever unknown illness, 11/29/06 to ER for listlessness, 11/30/06 admitted for viral meningitis, 12/05/06 transferred to NICU for truncal ataxia. 12/07/06 d/c home, normal CT, no growth on CSF x2, Abnl MRI. 01/08/07-records received and reviewed.  DOS 12/1-12/5/06 DC DX: from Methodist Hospital. Began with FUO, progressed to listlessness and not responsive, not looking at people. CSF: WBC 100 with glucose and protein studies consistent with meningitis. IV Rocephin, vancomycin and acyclovir. CSF cultures negative, PCR HSV negative, CXR mild bronchitis. Allergic to vancomycin. IV treatments discontinued. However, clinical picture did not rapidly improve. CT essentially negative. Suspected possibility of partially treated bacterial meningitis and repeated LP showed 0 WBC, slightly decreased glucose and protein in range of 60s. Restarted on acyclovir and Rocephin. Afebrile throughout stay. PE: nucal rigidity, truncal ataxia and drooling. Transferred to Sutter Hospital. records requested.  01/16/07-records received and reviewed from Sutter Memorial . DC Summary for DOS 12/5-12/7/06 DC DX: Viral meningeal encephalitis MRI no mass or hydrocephaly. Abnormal signal bi-thalamic and bilaterally in basal ganglia. This can be due to ischemic hypoxemic, infectious , inflammatory demyelinating causes. The absence of definite diffusion abnormality suggests that acute ischemia is not the explanation. Differential diagnosis is ischemia, infection, demyelination. Admitted with truncal ataxia and no feeding and fevers.  RX with acyclovir, ceftriaxone and vancomycin. Developed red man syndrome with vancomycin