chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 3.0
Sex: F
Vaccine: HEPA
Symptoms: Unevaluable event
Clinical narrative: Hepatitis A vaccine given on 5-02-06 and repeated on 06-06-06. Pt has had no adverse reaction to date. No treatment was given.
Age: 0.34
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Crying, Injection site erythema, Injection site swelling
Clinical narrative: Excessive crying, red and swollen area of vaccine injection site.
Age: 0.5
Sex: M
Vaccine: DTP
Symptoms: Convulsion, Pyrexia
Clinical narrative: The evening of the injection patient spiked a fever of 106 and went into convulsions.
Age: 61.0
Sex: F
Vaccine: MMR, TDAP
Symptoms: Arthralgia, Chills, Erythema, Fatigue, Feeling hot
Clinical narrative: Severe fever, chilling, sore throat and severe fatigue starting 6/3. Sunday 6/4 severe pain in neck where unable to move neck side to side. starting on one side then progressing to both sides. Also knee joint pain. Redness over lateral anterior elbows and knees. Warm to touch with slight swelling. Lasting 2 days. Amoxicillian treatment started and feeling better.
Age: 61.0
Sex: F
Vaccine: MMR, TDAP
Symptoms: Hypokinesia, Neck pain, Oedema, Pharyngolaryngeal pain, Pyrexia
Clinical narrative: Severe fever, chilling, sore throat and severe fatigue starting 6/3. Sunday 6/4 severe pain in neck where unable to move neck side to side. starting on one side then progressing to both sides. Also knee joint pain. Redness over lateral anterior elbows and knees. Warm to touch with slight swelling. Lasting 2 days. Amoxicillian treatment started and feeling better.
Age: 21.0
Sex: U
Vaccine: ANTH
Symptoms: Amnesia, Arthralgia, Back pain, Dizziness, Fatigue
Clinical narrative: Multiple myalgia/arthralgia to back, joint, shoulders, lower back pain, visual problems, dizziness, sleep disorder, knee injury, respiratory problems, headaches, fatigue, and memory loss since June 04 AVA and deployment 2004.
Age: 21.0
Sex: U
Vaccine: ANTH
Symptoms: Headache, Injury, Myalgia, Respiratory disorder, Shoulder pain
Clinical narrative: Multiple myalgia/arthralgia to back, joint, shoulders, lower back pain, visual problems, dizziness, sleep disorder, knee injury, respiratory problems, headaches, fatigue, and memory loss since June 04 AVA and deployment 2004.
Age: 21.0
Sex: U
Vaccine: ANTH
Symptoms: Sleep disorder, Visual acuity reduced
Clinical narrative: Multiple myalgia/arthralgia to back, joint, shoulders, lower back pain, visual problems, dizziness, sleep disorder, knee injury, respiratory problems, headaches, fatigue, and memory loss since June 04 AVA and deployment 2004.
Age: 40.0
Sex: M
Vaccine: ANTH, MMR, SMALL, TD
Symptoms: Abdominal pain, Arthralgia, Asthenia, Balance disorder, Chest pain
Clinical narrative: Abdominal pains, Chest pains or sensations, Dizziness or balance problems, Fatigue, lethargy or weakness, Headache, Hearing problems or ringing in ears, Itching, tenderness or swellings, Memory or thinking problems, Muscle or joints pains, Muscle weakness or tremor, Sexual problems, Sleep problems, Wheezing, cough or shortness of breath, lump on upper left abdomen causes pain. Have there been other symptoms like this associated with anthrax? What do I need to do to get properly treated? I feel like there is a lump in my throat all the time. And it's harder to breath lying down. This 40 year old patient began updating his vaccinations in preparation for deployment in April 2004. He reported no adverse events with receipt of hepatitis B #1, yellow fever and typhoid vaccine on 26 April 2004 or with his second hepatitis B vaccination on 21 June 2004. He reported having a sinus infection 2-4 weeks prior to his AVA series treated with steroids and antibiotics. His anthrax series began on 11 July 2004 along with administration of the smallpox vaccine, meningococcal, tetanus-diphtheria, polio, and measles-mumps-rubella.  He reported sleeping for 16 hours post vaccinations feeling extremely sore with diffuse joint and muscle aches that lasted for a few days before resolving. He was using Celebrex or Naprosyn at the time for torn ligaments to his right elbow following a football injury weeks before. His second and third anthrax vaccinations were administered on 25 July 2004 and 14 August 2004 without any remembered adverse effects. Hepatitis A and Influenza Vaccines received on 01 November 2004 reported no adverse events. However, he reported continued right elbow discomfort requiring cortisone injections with onset of left knee pain (unknown cause/onset) prior to deployment on 22 November 2004.
Age: 40.0
Sex: M
Vaccine: ANTH, MMR, SMALL, TD
Symptoms: Cough, Dizziness, Dyspnoea, Fatigue, Hearing impaired
Clinical narrative: Abdominal pains, Chest pains or sensations, Dizziness or balance problems, Fatigue, lethargy or weakness, Headache, Hearing problems or ringing in ears, Itching, tenderness or swellings, Memory or thinking problems, Muscle or joints pains, Muscle weakness or tremor, Sexual problems, Sleep problems, Wheezing, cough or shortness of breath, lump on upper left abdomen causes pain. Have there been other symptoms like this associated with anthrax? What do I need to do to get properly treated? I feel like there is a lump in my throat all the time. And it's harder to breath lying down. This 40 year old patient began updating his vaccinations in preparation for deployment in April 2004. He reported no adverse events with receipt of hepatitis B #1, yellow fever and typhoid vaccine on 26 April 2004 or with his second hepatitis B vaccination on 21 June 2004. He reported having a sinus infection 2-4 weeks prior to his AVA series treated with steroids and antibiotics. His anthrax series began on 11 July 2004 along with administration of the smallpox vaccine, meningococcal, tetanus-diphtheria, polio, and measles-mumps-rubella.  He reported sleeping for 16 hours post vaccinations feeling extremely sore with diffuse joint and muscle aches that lasted for a few days before resolving. He was using Celebrex or Naprosyn at the time for torn ligaments to his right elbow following a football injury weeks before. His second and third anthrax vaccinations were administered on 25 July 2004 and 14 August 2004 without any remembered adverse effects. Hepatitis A and Influenza Vaccines received on 01 November 2004 reported no adverse events. However, he reported continued right elbow discomfort requiring cortisone injections with onset of left knee pain (unknown cause/onset) prior to deployment on 22 November 2004.
Age: 40.0
Sex: M
Vaccine: ANTH, MMR, SMALL, TD
Symptoms: Lethargy, Memory impairment, Myalgia, Oedema, Pruritus
Clinical narrative: Abdominal pains, Chest pains or sensations, Dizziness or balance problems, Fatigue, lethargy or weakness, Headache, Hearing problems or ringing in ears, Itching, tenderness or swellings, Memory or thinking problems, Muscle or joints pains, Muscle weakness or tremor, Sexual problems, Sleep problems, Wheezing, cough or shortness of breath, lump on upper left abdomen causes pain. Have there been other symptoms like this associated with anthrax? What do I need to do to get properly treated? I feel like there is a lump in my throat all the time. And it's harder to breath lying down. This 40 year old patient began updating his vaccinations in preparation for deployment in April 2004. He reported no adverse events with receipt of hepatitis B #1, yellow fever and typhoid vaccine on 26 April 2004 or with his second hepatitis B vaccination on 21 June 2004. He reported having a sinus infection 2-4 weeks prior to his AVA series treated with steroids and antibiotics. His anthrax series began on 11 July 2004 along with administration of the smallpox vaccine, meningococcal, tetanus-diphtheria, polio, and measles-mumps-rubella.  He reported sleeping for 16 hours post vaccinations feeling extremely sore with diffuse joint and muscle aches that lasted for a few days before resolving. He was using Celebrex or Naprosyn at the time for torn ligaments to his right elbow following a football injury weeks before. His second and third anthrax vaccinations were administered on 25 July 2004 and 14 August 2004 without any remembered adverse effects. Hepatitis A and Influenza Vaccines received on 01 November 2004 reported no adverse events. However, he reported continued right elbow discomfort requiring cortisone injections with onset of left knee pain (unknown cause/onset) prior to deployment on 22 November 2004.
Age: 40.0
Sex: M
Vaccine: ANTH, MMR, SMALL, TD
Symptoms: Sexual dysfunction, Sinusitis, Sleep disorder, Tenderness, Thinking abnormal
Clinical narrative: Abdominal pains, Chest pains or sensations, Dizziness or balance problems, Fatigue, lethargy or weakness, Headache, Hearing problems or ringing in ears, Itching, tenderness or swellings, Memory or thinking problems, Muscle or joints pains, Muscle weakness or tremor, Sexual problems, Sleep problems, Wheezing, cough or shortness of breath, lump on upper left abdomen causes pain. Have there been other symptoms like this associated with anthrax? What do I need to do to get properly treated? I feel like there is a lump in my throat all the time. And it's harder to breath lying down. This 40 year old patient began updating his vaccinations in preparation for deployment in April 2004. He reported no adverse events with receipt of hepatitis B #1, yellow fever and typhoid vaccine on 26 April 2004 or with his second hepatitis B vaccination on 21 June 2004. He reported having a sinus infection 2-4 weeks prior to his AVA series treated with steroids and antibiotics. His anthrax series began on 11 July 2004 along with administration of the smallpox vaccine, meningococcal, tetanus-diphtheria, polio, and measles-mumps-rubella.  He reported sleeping for 16 hours post vaccinations feeling extremely sore with diffuse joint and muscle aches that lasted for a few days before resolving. He was using Celebrex or Naprosyn at the time for torn ligaments to his right elbow following a football injury weeks before. His second and third anthrax vaccinations were administered on 25 July 2004 and 14 August 2004 without any remembered adverse effects. Hepatitis A and Influenza Vaccines received on 01 November 2004 reported no adverse events. However, he reported continued right elbow discomfort requiring cortisone injections with onset of left knee pain (unknown cause/onset) prior to deployment on 22 November 2004.
Age: 40.0
Sex: M
Vaccine: ANTH, MMR, SMALL, TD
Symptoms: Tinnitus, Wheezing
Clinical narrative: Abdominal pains, Chest pains or sensations, Dizziness or balance problems, Fatigue, lethargy or weakness, Headache, Hearing problems or ringing in ears, Itching, tenderness or swellings, Memory or thinking problems, Muscle or joints pains, Muscle weakness or tremor, Sexual problems, Sleep problems, Wheezing, cough or shortness of breath, lump on upper left abdomen causes pain. Have there been other symptoms like this associated with anthrax? What do I need to do to get properly treated? I feel like there is a lump in my throat all the time. And it's harder to breath lying down. This 40 year old patient began updating his vaccinations in preparation for deployment in April 2004. He reported no adverse events with receipt of hepatitis B #1, yellow fever and typhoid vaccine on 26 April 2004 or with his second hepatitis B vaccination on 21 June 2004. He reported having a sinus infection 2-4 weeks prior to his AVA series treated with steroids and antibiotics. His anthrax series began on 11 July 2004 along with administration of the smallpox vaccine, meningococcal, tetanus-diphtheria, polio, and measles-mumps-rubella.  He reported sleeping for 16 hours post vaccinations feeling extremely sore with diffuse joint and muscle aches that lasted for a few days before resolving. He was using Celebrex or Naprosyn at the time for torn ligaments to his right elbow following a football injury weeks before. His second and third anthrax vaccinations were administered on 25 July 2004 and 14 August 2004 without any remembered adverse effects. Hepatitis A and Influenza Vaccines received on 01 November 2004 reported no adverse events. However, he reported continued right elbow discomfort requiring cortisone injections with onset of left knee pain (unknown cause/onset) prior to deployment on 22 November 2004.
Age: 1.0
Sex: F
Vaccine: MMR, PNC, VARCEL
Symptoms: Rash erythematous, Rash vesicular
Clinical narrative: Patient presented to the office with <20 erythematous vesicular lesions on torso. No fever or any other sx at this time.
Age: 39.0
Sex: M
Vaccine: VARCEL, VARCEL
Symptoms: Abscess, Pruritus
Clinical narrative: itching lips started the third day after taking chickenpox vaccine. small water bubble on lips look like chickenpox. Liquid came out of lips.
Age: 39.0
Sex: M
Vaccine: VARCEL, VARCEL
Symptoms: Blister, Dry mouth, Erythema, Face oedema, Pain
Clinical narrative: itching lips started the third day after taking chickenpox vaccine. small water bubble on lips look like chickenpox. Liquid came out of lips.
Age: 39.0
Sex: M
Vaccine: VARCEL, VARCEL
Symptoms: Pruritus, Skin exfoliation
Clinical narrative: itching lips started the third day after taking chickenpox vaccine. small water bubble on lips look like chickenpox. Liquid came out of lips.
Age: 1.13
Sex: M
Vaccine: DTAP, HIBV, MMR, VARCEL
Symptoms: Blister, Infection
Clinical narrative: Patient presents to office with <25 vesicles, mainly goled crusted confluent areas. The largest area was the left axilla area of 3in by 2in. No fever; however, the affected area was infected and treated accordingly.
Age: 44.0
Sex: F
Vaccine: SMALL
Symptoms: Laboratory test abnormal, Pain, Paraesthesia
Clinical narrative: This patient contacted the Vaccine Healthcare Center on 14 December 2005 complaining of soreness in his left shoulder blade with tingling from left midaxillary line 5th ICS up to axilla radiating down under arm to entire palm of left hand. Occurred initally once every 2 days for 30 secs and now has progressed to 30-60 sec every 4 hours. Denies any weakness, grip problems, chest pain, palpitations, SOB, radiating pain or discomfort, n/v/d, neck pain, jaw pain or any discomfort, or any visible rash. Advised to follow up with ER or PCP for evaluation of atypical myopercarditis vs musculoskeletal causes vs shingles. He called back later to state he was fine and released from the ER unknown diagnosis. No further contact has been made by this service member and medical records remain pending as of May 2006.  Review of CHCS II noted a CXR on 14 Dec 2005 as normal.  A c-spine film for complaints of right arm pain from the posterior shoulder area radiating down the lateral/posterior aspect to his fingers for 2 weeks was ordered on 18 Apr 2006. He had no paresthesia or other symptoms.  Strength was 5/5 equal bilaterally.  The x-ray showed "lordosis is reversed with arthritic changes to verterbral bodies of C4-5-6 with anterior and posterior marginal osteophytes present.  There is disc thinning and decreased vertebral height at C5 and C6." With this update the original symptoms of left arm tingling may be related to arthritic and disc changes from C4-6.  There have been no report of any cardiac symptoms at this time.
Age: 57.0
Sex: F
Vaccine: TDAP
Symptoms: Feeling hot, Hyperhidrosis, Injection site oedema, Injection site pain, Laboratory test abnormal
Clinical narrative: Patient was given vaccination on 6-2-06.  She returned to the clinic 6-5-06 to see Provider for her reaction.  Pt went home on 6-2-06 and said that she was feeling achy all over, she also felt warm and sweaty.  She then felt sick the next couple days.  She noticed that the site of her injection was swollen and tender to the touch.  The swelling increased in size.  Patient was treated with Keflex 500mg QID for 7 days.
Age: 57.0
Sex: F
Vaccine: TDAP
Symptoms: Malaise, Pain
Clinical narrative: Patient was given vaccination on 6-2-06.  She returned to the clinic 6-5-06 to see Provider for her reaction.  Pt went home on 6-2-06 and said that she was feeling achy all over, she also felt warm and sweaty.  She then felt sick the next couple days.  She noticed that the site of her injection was swollen and tender to the touch.  The swelling increased in size.  Patient was treated with Keflex 500mg QID for 7 days.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Anorexia, Asthenia, CSF protein increased, CSF test abnormal, Headache
Clinical narrative: Developed weakness, vomiting, body aches 4/21/06. Seen 4/24/06 and admitted to Hospital with weakness, severe malagias,headache, photophobis,hypertension, and anorexia. 4/26/06 transferred to PICU at Medical Center. Developed progressive weakness. Lumbar puncture 5/3/06 showed protein of 176 c/w Guillain-Barre syndrome. Intubated 5/3/06. Received IV-IG for 2 courses. Discharged home on 6/5/05 from PICU with residual lower extremity weakness. Discharge summary states pain, irritability, incontinent, tachypneq, sinisitis, respiratory arrest. msv. 60 day Follow-up Information 22-AUG-2006: Still with mild residual leg weakness, intermittent "shooting" pains down legs.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Hypertension, Irritability, Myalgia, Pain, Photophobia
Clinical narrative: Developed weakness, vomiting, body aches 4/21/06. Seen 4/24/06 and admitted to Hospital with weakness, severe malagias,headache, photophobis,hypertension, and anorexia. 4/26/06 transferred to PICU at Medical Center. Developed progressive weakness. Lumbar puncture 5/3/06 showed protein of 176 c/w Guillain-Barre syndrome. Intubated 5/3/06. Received IV-IG for 2 courses. Discharged home on 6/5/05 from PICU with residual lower extremity weakness. Discharge summary states pain, irritability, incontinent, tachypneq, sinisitis, respiratory arrest. msv. 60 day Follow-up Information 22-AUG-2006: Still with mild residual leg weakness, intermittent "shooting" pains down legs.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Respiratory arrest, Sinusitis, Tachycardia, Tachypnoea, Urinary incontinence
Clinical narrative: Developed weakness, vomiting, body aches 4/21/06. Seen 4/24/06 and admitted to Hospital with weakness, severe malagias,headache, photophobis,hypertension, and anorexia. 4/26/06 transferred to PICU at Medical Center. Developed progressive weakness. Lumbar puncture 5/3/06 showed protein of 176 c/w Guillain-Barre syndrome. Intubated 5/3/06. Received IV-IG for 2 courses. Discharged home on 6/5/05 from PICU with residual lower extremity weakness. Discharge summary states pain, irritability, incontinent, tachypneq, sinisitis, respiratory arrest. msv. 60 day Follow-up Information 22-AUG-2006: Still with mild residual leg weakness, intermittent "shooting" pains down legs.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Vomiting
Clinical narrative: Developed weakness, vomiting, body aches 4/21/06. Seen 4/24/06 and admitted to Hospital with weakness, severe malagias,headache, photophobis,hypertension, and anorexia. 4/26/06 transferred to PICU at Medical Center. Developed progressive weakness. Lumbar puncture 5/3/06 showed protein of 176 c/w Guillain-Barre syndrome. Intubated 5/3/06. Received IV-IG for 2 courses. Discharged home on 6/5/05 from PICU with residual lower extremity weakness. Discharge summary states pain, irritability, incontinent, tachypneq, sinisitis, respiratory arrest. msv. 60 day Follow-up Information 22-AUG-2006: Still with mild residual leg weakness, intermittent "shooting" pains down legs.
Age: 42.0
Sex: F
Vaccine: TDAP, TDAP
Symptoms: Cellulitis, Erythema, Injection site warmth, Pain, Swelling
Clinical narrative: Initial information received on 24May06 from a health care professional. A 41 yr old female pt, who had a past medical history of malaise and soreness following vaccination with Diphtheria and Tetanus adsorbed at age 25 years, received her first dose of Adacel, lot number C2456AA, administered IM in the left arm on 17May06 at 2:30PM. Two days later, on 19May06 at 5:25AM, the pt's left upper arm became swollen, red, and warm. The area measured approx 4.5 inches. The area was aching and tender to touch. The pt treated herself with ibuprofen and ice to the site. She was seen in a walk in clinic on 20May06 and was diagnosed with cellulitis. She was treated with a medrol pack, Keflex and Kenalog cream. She was also told to initiate a ten pound weight restriction in the affected limb. The pt followed up at the clinic on 22May06 and was allowed to return to full duty at work and was to continue her medications as prescribed. The pt subsequently recovered from the events.
Age: 42.0
Sex: F
Vaccine: TDAP, TDAP
Symptoms: Tenderness
Clinical narrative: Initial information received on 24May06 from a health care professional. A 41 yr old female pt, who had a past medical history of malaise and soreness following vaccination with Diphtheria and Tetanus adsorbed at age 25 years, received her first dose of Adacel, lot number C2456AA, administered IM in the left arm on 17May06 at 2:30PM. Two days later, on 19May06 at 5:25AM, the pt's left upper arm became swollen, red, and warm. The area measured approx 4.5 inches. The area was aching and tender to touch. The pt treated herself with ibuprofen and ice to the site. She was seen in a walk in clinic on 20May06 and was diagnosed with cellulitis. She was treated with a medrol pack, Keflex and Kenalog cream. She was also told to initiate a ten pound weight restriction in the affected limb. The pt followed up at the clinic on 22May06 and was allowed to return to full duty at work and was to continue her medications as prescribed. The pt subsequently recovered from the events.
Age: 42.0
Sex: F
Vaccine: TDAP, TDAP
Symptoms: Cellulitis, Feeling hot, Injection site erythema, Injection site oedema, Injection site pain
Clinical narrative: Initial information received on 24May06 from a health care professional. A 41 yr old female pt, who had a past medical history of malaise and soreness following vaccination with Diphtheria and Tetanus adsorbed at age 25 years, received her first dose of Adacel, lot number C2456AA, administered IM in the left arm on 17May06 at 2:30PM. Two days later, on 19May06 at 5:25AM, the pt's left upper arm became swollen, red, and warm. The area measured approx 4.5 inches. The area was aching and tender to touch. The pt treated herself with ibuprofen and ice to the site. She was seen in a walk in clinic on 20May06 and was diagnosed with cellulitis. She was treated with a medrol pack, Keflex and Kenalog cream. She was also told to initiate a ten pound weight restriction in the affected limb. The pt followed up at the clinic on 22May06 and was allowed to return to full duty at work and was to continue her medications as prescribed. The pt subsequently recovered from the events.
Age: 42.0
Sex: F
Vaccine: TDAP, TDAP
Symptoms: Injection site reaction, Similar reaction on previous exposure to drug, Tenderness
Clinical narrative: Initial information received on 24May06 from a health care professional. A 41 yr old female pt, who had a past medical history of malaise and soreness following vaccination with Diphtheria and Tetanus adsorbed at age 25 years, received her first dose of Adacel, lot number C2456AA, administered IM in the left arm on 17May06 at 2:30PM. Two days later, on 19May06 at 5:25AM, the pt's left upper arm became swollen, red, and warm. The area measured approx 4.5 inches. The area was aching and tender to touch. The pt treated herself with ibuprofen and ice to the site. She was seen in a walk in clinic on 20May06 and was diagnosed with cellulitis. She was treated with a medrol pack, Keflex and Kenalog cream. She was also told to initiate a ten pound weight restriction in the affected limb. The pt followed up at the clinic on 22May06 and was allowed to return to full duty at work and was to continue her medications as prescribed. The pt subsequently recovered from the events.
Age: 0.2
Sex: M
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Hypotonia, Pallor, Stupor
Clinical narrative: Parent presented to ED describing 6 hours of decreased responsiveness, limpness, and ? pallor beginning at 1 pm (Comvax, IPV and PCV given at 10:30am). Stable vital signs at presentation, had returned to baseline. Observed x 3 hours in ED without recurrence and discharged.
Age: 39.0
Sex: M
Vaccine: HEPA, TD, TYP, YF, HEPA, TD, TYP, YF
Symptoms: Chills, Headache, Myalgia, Paraesthesia, Pharyngolaryngeal pain
Clinical narrative: Fever, myalgias, headache, chills, sore throat, chest tightness, hand's tingling. Seen @ Hospital ER on 5/31/06.
Age: 39.0
Sex: M
Vaccine: HEPA, TD, TYP, YF, HEPA, TD, TYP, YF
Symptoms: Pyrexia
Clinical narrative: Fever, myalgias, headache, chills, sore throat, chest tightness, hand's tingling. Seen @ Hospital ER on 5/31/06.
Age: 39.0
Sex: M
Vaccine: HEPA, TD, TYP, YF, HEPA, TD, TYP, YF
Symptoms: Chest discomfort, Chills, Headache, Myalgia, Paraesthesia
Clinical narrative: Fever, myalgias, headache, chills, sore throat, chest tightness, hand's tingling. Seen @ Hospital ER on 5/31/06.
Age: 39.0
Sex: M
Vaccine: HEPA, TD, TYP, YF, HEPA, TD, TYP, YF
Symptoms: Pharyngolaryngeal pain, Pyrexia
Clinical narrative: Fever, myalgias, headache, chills, sore throat, chest tightness, hand's tingling. Seen @ Hospital ER on 5/31/06.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Bacterial infection, Erythema, Incorrect route of drug administration, Injection site hypersensitivity, Injection site oedema
Clinical narrative: Seriousness Criteria other medically significant (OMIC). Initial report received on 5/23/2006 from a physician. A five year old female patient, with no past medical history, had received a left gluteal (administration not recommended in this site), fifth dose injection of Daptacel, lot number C2396AA, a right gluteal, fourth dose injection of IPOL, lot number not reported, and a right gluteal, second dose injection of Measles Mumps and Rubella vaccine, lot number 0579R, on 5/17/2006. Routes of administration were not reported. The patient woke up in the middle of the night after receiving the vaccinations and complained that her butt hurt. She had a large four x six inch swollen area at the injection site that was red in the middle and white around the edges. She had a fever of 99.9 to 101.9 degrees F. The patient was taken to the pediatrician who prescribed Tylenol alternating with Motrin every four hours and application of cold compresses. The next day, the site had worsened. The site was not five and a a half by six inches, and the redness had spread to the lower back and down the left leg. The patient was taken to the ER and treated with intravenous fluids, Keflex and Benadryl. Per the reporter, a blood count was fine but positive for bacteria. Blood cultures were positive for gram positive bacilli. The next day, the patient was feeling better. The fever has resolved, and the swelling had gone down. At the time of this report, the patient had mad a full recovery.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site pain, Pyrexia, Sepsis, Skin discolouration
Clinical narrative: Seriousness Criteria other medically significant (OMIC). Initial report received on 5/23/2006 from a physician. A five year old female patient, with no past medical history, had received a left gluteal (administration not recommended in this site), fifth dose injection of Daptacel, lot number C2396AA, a right gluteal, fourth dose injection of IPOL, lot number not reported, and a right gluteal, second dose injection of Measles Mumps and Rubella vaccine, lot number 0579R, on 5/17/2006. Routes of administration were not reported. The patient woke up in the middle of the night after receiving the vaccinations and complained that her butt hurt. She had a large four x six inch swollen area at the injection site that was red in the middle and white around the edges. She had a fever of 99.9 to 101.9 degrees F. The patient was taken to the pediatrician who prescribed Tylenol alternating with Motrin every four hours and application of cold compresses. The next day, the site had worsened. The site was not five and a a half by six inches, and the redness had spread to the lower back and down the left leg. The patient was taken to the ER and treated with intravenous fluids, Keflex and Benadryl. Per the reporter, a blood count was fine but positive for bacteria. Blood cultures were positive for gram positive bacilli. The next day, the patient was feeling better. The fever has resolved, and the swelling had gone down. At the time of this report, the patient had mad a full recovery.
Age: 1.01
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Pyrexia, Rash maculo-papular, Rash papular, Skin ulcer
Clinical narrative: Target lesions and raised papules symptomatic. Tx Atarax, Tylenol, Zantac, Orapred. Medical records state fever. msv
Age: 13.0
Sex: M
Vaccine: HEPA, MNQ, HEPA, MNQ
Symptoms: Injection site erythema, Pruritus, Rash, Skin nodule
Clinical narrative: 2 days post vaccine Hep-A, had rash, itching and redness 7 1/2" X 5 1/2" on LT arm possible axillary nodes.
Age: 13.0
Sex: M
Vaccine: HEPA, MNQ, HEPA, MNQ
Symptoms: Injection site erythema, Lymphadenopathy
Clinical narrative: 2 days post vaccine Hep-A, had rash, itching and redness 7 1/2" X 5 1/2" on LT arm possible axillary nodes.
Age: 27.0
Sex: M
Vaccine: HEP, SMALL
Symptoms: Cellulitis, Injection site erythema
Clinical narrative: 2 wks s/p vaccine administration, developing circumferential erythema with streaking.
Age: 18.0
Sex: F
Vaccine: MNQ
Symptoms: Chills, Headache, Hot flush, Laboratory test abnormal, Muscle twitching
Clinical narrative: Pt c/o hot flashes, fever/chills, "shakes" after vaccine given. Fell out of bed multiple times. C/o headache, body aches, involuntary muscle twitching the following AM after the vaccine given. Pt's sx resolving with 2 liters of IV fluids. 7/13/06 Received ER medical records which reveal patient experienced fever, twitching & HA since receiving MCA.  Labs were drawn & received 2L of IVF w/K+.  7/18/06 Received medical records from PCP which reveal patient experienced HA, body aches w/leg twitching & nausea but felt much better after receiving IVF at ER but HA had returned.  Initial BC + for staphylococcus lugdunensis which was felt to be skin contaminant. Dx probable adverse reaction to MCA, improving/ss
Age: 18.0
Sex: F
Vaccine: MNQ
Symptoms: Nausea, Pain, Pyrexia, Tremor
Clinical narrative: Pt c/o hot flashes, fever/chills, "shakes" after vaccine given. Fell out of bed multiple times. C/o headache, body aches, involuntary muscle twitching the following AM after the vaccine given. Pt's sx resolving with 2 liters of IV fluids. 7/13/06 Received ER medical records which reveal patient experienced fever, twitching & HA since receiving MCA.  Labs were drawn & received 2L of IVF w/K+.  7/18/06 Received medical records from PCP which reveal patient experienced HA, body aches w/leg twitching & nausea but felt much better after receiving IVF at ER but HA had returned.  Initial BC + for staphylococcus lugdunensis which was felt to be skin contaminant. Dx probable adverse reaction to MCA, improving/ss
Age: 0.99
Sex: M
Vaccine: VARCEL
Symptoms: Rash papular
Clinical narrative: Multiple vesicles, papules.
Age: 1.01
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Area 5cmx3cm erythema immediately after MMR injection. Area 2 to 3cmx2cm, red, warm, and raised at 12:35 PM. 12.5mg Benadryl PO administered.
Age: 50.0
Sex: F
Vaccine: TD
Symptoms: Injection site erythema, Injection site hypersensitivity, Injection site swelling, Injection site warmth, Pruritus
Clinical narrative: Client states arm started bothering her on 6/2/06 with redness, swelling, itching, and warmth at injection site. States redness a little better today, but arm still feels hot. To see her MD.
Age: 4.0
Sex: M
Vaccine: VARCEL
Symptoms: Rash pruritic, Viral infection
Clinical narrative: 6/2/06 Varicella, 2 days of pruritic rash over torso, varying stages of Dev-papules, some crusted. Is recovering.
Age: 1.02
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Rash, Viral infection
Clinical narrative: Varicella disease diagnosed by physician exam. History of vaccination 3/21/01.
Age: 1.17
Sex: M
Vaccine: VARCEL
Symptoms: Rash, Viral infection
Clinical narrative: Varicella disease diagnosed 6/2/06 by physician exam. History of varicella vaccine 8/2/01.
Age: 1.04
Sex: M
Vaccine: HEP, HIBV, MMR
Symptoms: Erythema, Pyrexia, Rash
Clinical narrative: Pt was administered vaccines on 5/2/06 and developed a red, blotchy rash and fever on 5/13/06. He was otherwise asymptomatic and treated conservatively with Tylenol.
Age: 1.07
Sex: M
Vaccine: HEP, MMR, VARCEL
Symptoms: Rash
Clinical narrative: Questionable varicella.
Age: 0.16
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Agitation, Erythema, Swelling
Clinical narrative: HIB and Prevnar given in right leg. Leg swollen and red. Baby inconsolable crying.
Age: 5.0
Sex: M
Vaccine: DTAPHEPBIP, MMRV, PNC
Symptoms: Unevaluable event
Clinical narrative: None noted.
Age: 5.0
Sex: M
Vaccine: DTAP, HEPA
Symptoms: Pruritus, Skin hyperpigmentation, Urticaria
Clinical narrative: Seen 2 wks after DTAP and Hep-A was given. Both legs noted to have deep hives, itchy and hyperpigmented area. Noted several hours after vaccine. Persist now for over 1 month time period.
Age: 17.0
Sex: M
Vaccine: RAB
Symptoms: Chest pain, Erythema, Face oedema, Oedema peripheral
Clinical narrative: Erythema and swelling of face and erythema of skin in general - mild swelling of digits. No dyspnea, positive chest pain, negative EKG.
Age: 53.0
Sex: F
Vaccine: TD
Symptoms: Influenza like illness, Pain, Pyrexia, Sleep disorder
Clinical narrative: Extremely sore arm started 12 hours after shot and woke her at night due to pain. Fever and flu-like symptoms started 24 hours after shot. Lasted one week.
Age: 73.0
Sex: F
Vaccine: TD
Symptoms: Injection site erythema, Injection site swelling, Muscle spasms, Pain, Pyrexia
Clinical narrative: Injection site was red. On 3rd day, fever started (101). Felt very sick with muscle spasms all over body especially on left arm. Felt like if someone was stabbing it. Problems also affected the hands. It took almost 2 weeks for hands to feel better. The arm was swollen from shoulder to elbow. Redness has decreased gradually by 3rd week it is pink. Also has rash on upper part of chest and even to this day, have some pink spots. The doctor recommended to take 2 Advil every 4 hours but still has not been to the doctor's office yet. Had physical therapy a week after vaccine was administered but could not do her pool exercises for her surgery recovery, because area was red. After 4 weeks starting to feel better.
Age: 73.0
Sex: F
Vaccine: TD
Symptoms: Rash
Clinical narrative: Injection site was red. On 3rd day, fever started (101). Felt very sick with muscle spasms all over body especially on left arm. Felt like if someone was stabbing it. Problems also affected the hands. It took almost 2 weeks for hands to feel better. The arm was swollen from shoulder to elbow. Redness has decreased gradually by 3rd week it is pink. Also has rash on upper part of chest and even to this day, have some pink spots. The doctor recommended to take 2 Advil every 4 hours but still has not been to the doctor's office yet. Had physical therapy a week after vaccine was administered but could not do her pool exercises for her surgery recovery, because area was red. After 4 weeks starting to feel better.
Age: 20.0
Sex: F
Vaccine: HEP
Symptoms: Erythema, Hypoaesthesia, Pain, Pruritus, Skin nodule
Clinical narrative: Received Hep B on 6/5/06. Late evening, started to itch. Next morning 6/6, red, big bump, very painful and numbness in her fingers. Did not receive treatment yet.
Age: 27.0
Sex: F
Vaccine: TD
Symptoms: Injection site pain, Muscular weakness, Pain
Clinical narrative: Patient complains of prolonged injection site pain. Given Tetanus Diphtheria vaccine in left upper arm - deltoid. Pain started 3 days later. + ROM to left arm/hand, no bruising, no swelling, no erythema, denies numbness/tingling down arm. Reports "its just weak and painful in the morning." Reports decrease in symptoms in past 4 days. No PO analgesic use. Topical analgesic use 1 time with relief. Still reports some pain at site.
Age: 21.0
Sex: F
Vaccine: VARCEL
Symptoms: Rash vesicular
Clinical narrative: 4-5 discrete vesicular lesions scattered on upper body.
Age: 0.17
Sex: M
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Pyrexia
Clinical narrative: Vaccine administered as part of two month well exam. Developed fever to 103 (R). Seen @ ER. Diagnostic studies do not indicate a viral or bacterial infection.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Erythema, swelling, tenderness and heat over R upper arm; Afebrile.
Age: 42.0
Sex: F
Vaccine: PPV
Symptoms: Chills, Erythema, Infection, Pain, Rash
Clinical narrative: Arm pain, rash, redness, chills, streaking to axilla, infection, treated with ibuprofen and Augmentin.
Age: 11.0
Sex: M
Vaccine: HIBV, MNQ, PPV
Symptoms: Hypoxia, Laryngospasm, Pyrexia, Vomiting
Clinical narrative: Patient received three IM immunizations at once. Patient immediately reached for his throat due to apparent laryngeal spasm at approximately 12:00.  Oxygen administered immediately, 25mg IV diphenhydramine given. Epinephrine not required. Discharged to home after abservation period. Later that night 05/05/06 @ 02:48 patient presented to the ED with fever to 102, vomiting for 90 minutes. Diphenhydramine and prednisone given in ED at approximately 04:43. Patient discharged from ED with Epipen, prednisone prescription and instructions to take diphenhydramine.
Age: 1.01
Sex: M
Vaccine: HEPA, HIBV, MMR, PNC
Symptoms: Infection transmission via personal contact, Pyrexia, Rash
Clinical narrative: 6/1/06 Axillary temperature 103 F 6/8/06 Pinpoint rash on tummy 4-5 spots 5/26/06 to 5/29/06 Around someone who just received vaccinia vaccination.   6/2/06 Pt. went to Dr. office
Age: 6.0
Sex: F
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Injection site oedema, Injection site pain, Injection site rash
Clinical narrative: Onset about seven and a half hours after vaccinations given with swelling right leg and discomfort.  Rash at site and radiating to knee.  Has not seen doctor yet, plans to set an appointment this date.  Denied other complaints.  Mother reported swelling two times size at worst.  5/26/02 Discomfort less upper thigh, still continues below knee.  Two days later, leg was fine.
Age: 4.0
Sex: M
Vaccine: DTAP, FLU3, HEPA, MMR
Symptoms: Medication error
Clinical narrative: Drew up and labled vaccines for patient and sibling.  Patient was reciving 4 immunizations (DTaP, Hepatitis A, Polio, MMR) 2 in each thigh. Gave DTaP, Hepatitis A in the right thigh went to give Polio, MMR immunizations in left thigh and grabbed the immunizations drawn up for the sybling (Hepatitis A, Flu) and administered these instead of the intended vaccines.  Immediately realized what had occurred and informed patient's mother who was present in the exam room.  Patient's mother verbalized understanding of situation and agreement with patient to return at a later date to receive last dose of Polio vaccine as patient had already received 4 injections (one in error) today.  Patient was seen by PCM in Pediatrics NP immediately after leaving Immunization Clinic.  NP reviewed anaphalaxic signs and symptoms and what to watch for and be aware of with patient's mother.
Age: 0.17
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Injection site oedema, Irritability, Pyrexia
Clinical narrative: Fever Fussiness Swelling at injection site right after shots left thigh
Age: 5.0
Sex: M
Vaccine: IPV, MMR
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: ON 6/6 WAS ADMINISTERED INFARIX DTAP LOT AC14B006AA IM IN L DELTOID. IN 1 D DEVELOPED REDNESS, WARMTH AND SWELLING WITH SPREADING DOWN THE ARM.
Age: 5.0
Sex: F
Vaccine: DTAP, HEPA, IPV, MMRV
Symptoms: Injection site erythema, Injection site induration, Injection site oedema
Clinical narrative: 1 day following vaccinations, pt developed a 16 x 12 cm area of induration, edema and erythema on upper left arm. Pt was prescribed Claritin, cold packs and Bactrim today and will follow up as needed.
Age: 31.0
Sex: F
Vaccine: PPV, TTOX
Symptoms: Injection site erythema, Injection site pain, Injection site warmth, Joint range of motion decreased, Pyrexia
Clinical narrative: 05/25/06 at 1310 pt went to the Emergency Room for eval of Right Arm (deloid) where tetanus and pneumovax given on 05/23/06.  Patient complained of onset fever on 05/24/06 evening.  Site appeared to be erythema, warm to the touch, but muscle tissue soft otherwise with limited ROM secondary to pain per ER report.  Sensation intact, motor intact, no vascular compromise and tendon function normal per ER report.  Patient clinical impression was 1)Soft tissue localized reaction 2nd to immunization. 2)fever 2nd to immunization.   05/26/2006 Contacted mother of patient, are not as red - possible bigger in size, but patient is moving more.  Overall better.  Fever in evening os 5/25 was 101.7 AX but goes down with medicine.
Age: 0.3
Sex: F
Vaccine: PNC
Symptoms: Crying, Injection site swelling, Screaming, Urticaria
Clinical narrative: approx 2 hours after receiving vaccination, child began to scream, unconsolable x 30+ minutes.  Her left leg (site of immunization) became grossly swollen and she developed hives over most of her body.  Parents applied cold compresses, gave Tylenol and brought her directly here.  By the time they arrived symptoms were subsiding.
Age: 5.0
Sex: M
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Injection site erythema, Injection site induration, Injection site oedema, Injection site warmth
Clinical narrative: Left deltoid/shoulder swollen, red, warm and firm to touch
Age: 66.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Injection site induration, Injection site oedema
Clinical narrative: After injection noted red, swollen L arm/shoulder.  Severe induration/erythema involves most of upper arm.
Age: 45.0
Sex: M
Vaccine: TDAP
Symptoms: Injection site reaction, Musculoskeletal discomfort
Clinical narrative: Minor muscular discomfort since date of injection ~2 months ago @ site of injection when moving L arm.  No pain when at rest.  Previous Td 1989 or 1990. Follow up information received on 7/19/06 states - No known date of onset of adverse event. Patient reported "muscular disconfort" at site of injection 2 months following receipt of immunization.
Age: 34.0
Sex: M
Vaccine: TD
Symptoms: Injection site induration, Injection site nodule, Tenderness
Clinical narrative: Subcutaneous induration & nodule.  Tender to touch - 9cm x 7cm
Age: 13.0
Sex: M
Vaccine: TD
Symptoms: Skin nodule, Tenderness
Clinical narrative: Palpable, tender, indurated subcutaneous nodule - 3.5 cm x 4 cm
Age: 1.72
Sex: M
Vaccine: DTAP, HEPA, HIBV
Symptoms: Contusion, Injection site mass, Injection site warmth
Clinical narrative: One week p injection, 2 cm raised lump on R thigh not warm to touch - no redness.  Slight bruising present c palpable lump.
Age: 46.0
Sex: F
Vaccine: FLU3
Symptoms: Arthralgia, Arthralgia, Fatigue, Gait disturbance, Hot flush
Clinical narrative: A report was received from a consumer on 31May06, concerning a 46 yr old female vaccinee. The vaccinee has a medical history of Graves disease, for which she is being treated with levothyroxine daily. On 04Nov03 the vaccinee received Fluvirin vaccination. Within 24 hrs of the injection she began experiencing severe hot flashes, numbness and tingling, joint pain, night sweats and gait abnormalities. The symptoms have subsided slowly over the past three years, with significant improvement in the last four months, but have not yet completely resolved. The vaccinee was seen by a neurologist soon after the vaccination and serum sickness was diagnosed. Follow up information was received on 19 July 2006 from the subjects Neurologist. Following flu vaccination in November 2003 the vaccines felt generally "achy". She noted some whole body paresthesia, muscle aches, fatiguability and a suspicion regarding peripheral neuropathy was raised. The vaccinee denied any history of visual changes, and any family history of multiple sclerosis. The vaccinee has been monitored since March 2003., when she sustained a needlestick injury, and was subsequently found to have a false positive HIV result. Upon examination no neurological deficits were detected, distal and proximal strength and sensation were preserved. Gait and co-ordination were normal. Cranila nerve and mental status examination were unremarkable. Reflexes were symetric at 1/4 throughout including ankle jerks. The general impression was that the whol body paresthesia and pain following vaccination probably represented some immunological derangement similar to that seen in "serum sickness" and is improving. She did not appear at this time to have any clinical evidence of GUILLIAN-BARRE syndrome, peripheral neuropathy or multiple sclerosis, however an EMG of the lower extremities is to be performed to determine whether or not there is evidence of peripheral neuropathy. Awaiting follow up report from the vaccinees primary physician.
Age: 46.0
Sex: F
Vaccine: FLU3
Symptoms: Hypoaesthesia, Myalgia, Night sweats, Pain, Paraesthesia
Clinical narrative: A report was received from a consumer on 31May06, concerning a 46 yr old female vaccinee. The vaccinee has a medical history of Graves disease, for which she is being treated with levothyroxine daily. On 04Nov03 the vaccinee received Fluvirin vaccination. Within 24 hrs of the injection she began experiencing severe hot flashes, numbness and tingling, joint pain, night sweats and gait abnormalities. The symptoms have subsided slowly over the past three years, with significant improvement in the last four months, but have not yet completely resolved. The vaccinee was seen by a neurologist soon after the vaccination and serum sickness was diagnosed. Follow up information was received on 19 July 2006 from the subjects Neurologist. Following flu vaccination in November 2003 the vaccines felt generally "achy". She noted some whole body paresthesia, muscle aches, fatiguability and a suspicion regarding peripheral neuropathy was raised. The vaccinee denied any history of visual changes, and any family history of multiple sclerosis. The vaccinee has been monitored since March 2003., when she sustained a needlestick injury, and was subsequently found to have a false positive HIV result. Upon examination no neurological deficits were detected, distal and proximal strength and sensation were preserved. Gait and co-ordination were normal. Cranila nerve and mental status examination were unremarkable. Reflexes were symetric at 1/4 throughout including ankle jerks. The general impression was that the whol body paresthesia and pain following vaccination probably represented some immunological derangement similar to that seen in "serum sickness" and is improving. She did not appear at this time to have any clinical evidence of GUILLIAN-BARRE syndrome, peripheral neuropathy or multiple sclerosis, however an EMG of the lower extremities is to be performed to determine whether or not there is evidence of peripheral neuropathy. Awaiting follow up report from the vaccinees primary physician.