chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 31.0
Sex: M
Vaccine: ANTH
Symptoms: Paralysis
Clinical narrative: Amyotrophic Lateral Sclerosis.  2/19/08 Reviewed medical records which reveal patient initially seen in neuromuscular/MDA clinic 4/2007 referred for possible motor neuron disease.  Patient symptoms began 9/2005 w/decreased dexterity of left hand which worsened progressively.  Recently started w/right hand as well w/cramping & decreased dexterity.  Had 30# wt loss over past year.  Returned to clinic 5/2007 & started Rilutek for ALS & discussed clinical trials.  Returned to clinic 8/2007 with increased weakness of arms & hands.  Neuropsychology testing was done & found to be WNL.  Returned to clinic 11/2007 w/continued loss of dexterity of hands. Reported that hand cramping began in 1999-2000 while on board ship.  These were felt to represent initial stages of ALS.  Returned to clinic 2/2008 w/progression of weakness, fatigue & awkwardness.  Now w/weakness of ankles but respiratory function preserved.  Started on lithium & continued serial labs. FINAL DX: amyotrophic lateral sclerosis. Per 60 day follow up: Progressive weakness, muscle atrophy and paralysis dut to Amyotrophic Lateral Sclerosis; loss of motor neurons as defined in: http://www.springerlink.com/content/x457214811q62412/ Received shot 1-1/27/9999 FAV038, Shot 2-2/12/99 FAV038, Shot 3-2/24/99 FAV038, Shot 4-7/29/99 FAV038, Shot 5-1/27/2000 FAV031
Age: 27.0
Sex: F
Vaccine: ANTH
Symptoms: Neuropathy
Clinical narrative: LEFT DISTAL ULNAR NEUROPATHY.
Age: 0.3
Sex: F
Vaccine: DTAP, IPV, RV5, DTAP, IPV, RV5
Symptoms: Injection site swelling
Clinical narrative: Initial report received on 31 January 2008 from a physician.  This information was submitted by the reporter to VAERS Report # E-20654.  A 4 month-old female patient, with concurrent upper respiratory illness/viral syndrome that was improved, and who had no other pre-existing medical conditions, had received on 15 January 2008 at 16:30 p.m. a second, intramuscular left leg dose of Daptacel (Lot number C2933AB), a second, intramuscular left leg dose of IPOL (Lot number Z0872-2), and a second, oral dose of Rotateq (manufacturer Merck, Lot number 1232F).  Approximately 48 hours post-vaccination, on 17 January 2008 at around 08:00 a.m., the patient developed mild whole-thigh swelling on the left thigh after receiving a second dose of Daptacel and IPOL in the same leg, so that the pajamas could not be snapped on that side.  The mother brought the patient to her physician after the swelling would not resolve for 12 consecutive days.  The swelling was worse in the evening than in the morning each day.  The patient did not experience any fever, pain, redness, rash, warmth, or pruritis associated with the swelling, and there was no induration around the sites of vaccination.  There was no indication of vascular compromise of the extremity.  The patient's leg had full range of motion and there was no apparent pain with movement.  The patient was able to use the left leg without difficulty.  The physician was thinking of having the next set of vaccinations given by an allergist.  No treatment, or diagnostic testing was performed.  At the time of this report, the patient had not recovered.
Age: 13.0
Sex: F
Vaccine: HEPA, MNQ, VARCEL, VARCEL
Symptoms: Syncope
Clinical narrative: Initial report received 31 January 2008 from a health care professional.  A 13-year-old female patient with no pre-existing medical conditions, had received an intramuscular left deltoid injection of Menactra, lot number U2326AA, and an intramuscular left deltoid injection of Varicella, lot number 1576U (manufacturer Merck), and an intramuscular left deltoid injection of Hepatitis A, lot number 6510/AHAVB225BB (manufacturer GSK), and an Aplisol test (route, site, manufacturer not reported), and within minutes, she fainted in the elevator.  The patient's blood pressure was stable and no other symptoms were observed.  The patient had no concurrent illness, no concomitant medications and she had not experienced any adverse events following prior vaccinations.  The patient had recovered from the event and no further information was provided.
Age: 65.0
Sex: F
Vaccine: VARZOS
Symptoms: Erythema, Hypoaesthesia, Injected limb mobility decreased, Oedema peripheral, Pain in extremity
Clinical narrative: Information has been received from a 65 year old female licensed practical nurse who on 28-JAN-2008 was vaccinated SC with a dose of Zostavax. Concomitant therapy included TOPROL XL TABLETS and AMBIEN. On 28-JAN-2008 the patient experienced pain, swelling, erythema and numbness in her fingers and thumb. The patient stated that she was having great difficulty using her arm. The patient was treated at an urgent care center. It was unspecified if lab studies were performed. At the time of the report the patient had not recovered. There was no product quality complaint involved. No further information was provided. The patient considered her events to be disabling. Additional information has been requested.
Age: 16.0
Sex: F
Vaccine: HPV4
Symptoms: Cervical dysplasia, Smear cervix abnormal
Clinical narrative: Information has been received from a nurse practitioner concerning a 16 year old female not pregnant who was vaccinated with a 0.5 mL dose of Gardasil.  On approximately 21-JAN-2008 (reported as last week) the patient was diagnosed with cervical dysphasia.  The patient's cervical dysphasia persisted.  The nurse practitioner reported that she did not know if the patient finished all three doses of Gardasil.  On approximately 21-JAN-2008 (reported as last week) a "PAP test" was performed.  Additional information has been requested. This is in follow-up to report (s) previously submitted on 2/8/2008; 2/15/2008; 2/27/2008. In follow-up it was reported by the nurse practitioner that the patient a 16 year old female received GARDASIL vaccine from another provider. It was reported that the patient came to the nurse practitioner later for PAP which came back as high risk human papilloma virus on liguid prep. Typing was not done. Additional follow up form the NP indicated that she "wasn't the one seeing this patient when GARDASIL vaccine was started - she may have been infected prior." No further details were provided. Additional information is not expected.
Age: 15.0
Sex: F
Vaccine: HPV4, HPV4, HPV4, HPV4
Symptoms: Dizziness, Headache, Hypoaesthesia, Laboratory test, Muscular weakness
Clinical narrative: Information has been received from a consumer concerning her 15 year old daughter with no pertinent medical history and no known allergies who in February 2007, was vaccinated with Gardasil. In May 2007, she received the second dose and on 29-JAN-2008, she received the third dose. There was no concomitant medication. There were no adverse events following the first and second doses. On 29-JAN-2008, four hours after the third dose, the patient experienced numbness in her legs, severe headaches, Dizziness, nausea, fever, muscle weakness and her body would not stop shaking. The patient sought medical attention and has been in and out of the hospital since 29-JAN-2008. The reporter was unsure of the exact amount of time she was hospitalized. As of 04-FEB-2008, the patient had not recovered. Additional information has been requested.   03/13/2008 MR received for DOS 1/31-2/5/2008 with D/C DX: Anxiety NOS with hysterical gait disorder. Pt presented for admission with 2 day hx of shaking episodes which began within hours of HPV vax #3 on 1/29/08. Also c/o photophobia, nausea, and dizziness. Pt has episodic multi-amplitude shivering/shaking type movements of the upper and lower extremities, trunk, and head somewhat decreased when distracted on PE.  Neuro and psych consults. Neuro exam (+) for psychogenic wide-based gait with pseudotremor and ataxia. D/C for outpt f/u.
Age: 15.0
Sex: F
Vaccine: HPV4, HPV4, HPV4, HPV4
Symptoms: Nausea, Pyrexia, Tremor
Clinical narrative: Information has been received from a consumer concerning her 15 year old daughter with no pertinent medical history and no known allergies who in February 2007, was vaccinated with Gardasil. In May 2007, she received the second dose and on 29-JAN-2008, she received the third dose. There was no concomitant medication. There were no adverse events following the first and second doses. On 29-JAN-2008, four hours after the third dose, the patient experienced numbness in her legs, severe headaches, Dizziness, nausea, fever, muscle weakness and her body would not stop shaking. The patient sought medical attention and has been in and out of the hospital since 29-JAN-2008. The reporter was unsure of the exact amount of time she was hospitalized. As of 04-FEB-2008, the patient had not recovered. Additional information has been requested.   03/13/2008 MR received for DOS 1/31-2/5/2008 with D/C DX: Anxiety NOS with hysterical gait disorder. Pt presented for admission with 2 day hx of shaking episodes which began within hours of HPV vax #3 on 1/29/08. Also c/o photophobia, nausea, and dizziness. Pt has episodic multi-amplitude shivering/shaking type movements of the upper and lower extremities, trunk, and head somewhat decreased when distracted on PE.  Neuro and psych consults. Neuro exam (+) for psychogenic wide-based gait with pseudotremor and ataxia. D/C for outpt f/u.
Age: 15.0
Sex: F
Vaccine: HPV4, HPV4, HPV4, HPV4
Symptoms: Activities of daily living impaired, Blood test, Computerised tomogram, Convulsion, Gait disturbance
Clinical narrative: Information has been received from a consumer concerning her 15 year old daughter with no pertinent medical history and no known allergies who in February 2007, was vaccinated with Gardasil. In May 2007, she received the second dose and on 29-JAN-2008, she received the third dose. There was no concomitant medication. There were no adverse events following the first and second doses. On 29-JAN-2008, four hours after the third dose, the patient experienced numbness in her legs, severe headaches, Dizziness, nausea, fever, muscle weakness and her body would not stop shaking. The patient sought medical attention and has been in and out of the hospital since 29-JAN-2008. The reporter was unsure of the exact amount of time she was hospitalized. As of 04-FEB-2008, the patient had not recovered. Additional information has been requested.   03/13/2008 MR received for DOS 1/31-2/5/2008 with D/C DX: Anxiety NOS with hysterical gait disorder. Pt presented for admission with 2 day hx of shaking episodes which began within hours of HPV vax #3 on 1/29/08. Also c/o photophobia, nausea, and dizziness. Pt has episodic multi-amplitude shivering/shaking type movements of the upper and lower extremities, trunk, and head somewhat decreased when distracted on PE.  Neuro and psych consults. Neuro exam (+) for psychogenic wide-based gait with pseudotremor and ataxia. D/C for outpt f/u.
Age: 15.0
Sex: F
Vaccine: HPV4, HPV4, HPV4, HPV4
Symptoms: Tremor
Clinical narrative: Information has been received from a consumer concerning her 15 year old daughter with no pertinent medical history and no known allergies who in February 2007, was vaccinated with Gardasil. In May 2007, she received the second dose and on 29-JAN-2008, she received the third dose. There was no concomitant medication. There were no adverse events following the first and second doses. On 29-JAN-2008, four hours after the third dose, the patient experienced numbness in her legs, severe headaches, Dizziness, nausea, fever, muscle weakness and her body would not stop shaking. The patient sought medical attention and has been in and out of the hospital since 29-JAN-2008. The reporter was unsure of the exact amount of time she was hospitalized. As of 04-FEB-2008, the patient had not recovered. Additional information has been requested.   03/13/2008 MR received for DOS 1/31-2/5/2008 with D/C DX: Anxiety NOS with hysterical gait disorder. Pt presented for admission with 2 day hx of shaking episodes which began within hours of HPV vax #3 on 1/29/08. Also c/o photophobia, nausea, and dizziness. Pt has episodic multi-amplitude shivering/shaking type movements of the upper and lower extremities, trunk, and head somewhat decreased when distracted on PE.  Neuro and psych consults. Neuro exam (+) for psychogenic wide-based gait with pseudotremor and ataxia. D/C for outpt f/u.
Age: 15.0
Sex: F
Vaccine: HPV4, HPV4, HPV4, HPV4
Symptoms: Blood test normal, Computerised tomogram normal, Convulsion, Dizziness, Headache
Clinical narrative: Information has been received from a consumer concerning her 15 year old daughter with no pertinent medical history and no known allergies who in February 2007, was vaccinated with Gardasil. In May 2007, she received the second dose and on 29-JAN-2008, she received the third dose. There was no concomitant medication. There were no adverse events following the first and second doses. On 29-JAN-2008, four hours after the third dose, the patient experienced numbness in her legs, severe headaches, Dizziness, nausea, fever, muscle weakness and her body would not stop shaking. The patient sought medical attention and has been in and out of the hospital since 29-JAN-2008. The reporter was unsure of the exact amount of time she was hospitalized. As of 04-FEB-2008, the patient had not recovered. Additional information has been requested.   03/13/2008 MR received for DOS 1/31-2/5/2008 with D/C DX: Anxiety NOS with hysterical gait disorder. Pt presented for admission with 2 day hx of shaking episodes which began within hours of HPV vax #3 on 1/29/08. Also c/o photophobia, nausea, and dizziness. Pt has episodic multi-amplitude shivering/shaking type movements of the upper and lower extremities, trunk, and head somewhat decreased when distracted on PE.  Neuro and psych consults. Neuro exam (+) for psychogenic wide-based gait with pseudotremor and ataxia. D/C for outpt f/u.
Age: 15.0
Sex: F
Vaccine: HPV4, HPV4, HPV4, HPV4
Symptoms: Hypoaesthesia, Nuclear magnetic resonance imaging normal, Pain, Paraesthesia, Pyrexia
Clinical narrative: Information has been received from a consumer concerning her 15 year old daughter with no pertinent medical history and no known allergies who in February 2007, was vaccinated with Gardasil. In May 2007, she received the second dose and on 29-JAN-2008, she received the third dose. There was no concomitant medication. There were no adverse events following the first and second doses. On 29-JAN-2008, four hours after the third dose, the patient experienced numbness in her legs, severe headaches, Dizziness, nausea, fever, muscle weakness and her body would not stop shaking. The patient sought medical attention and has been in and out of the hospital since 29-JAN-2008. The reporter was unsure of the exact amount of time she was hospitalized. As of 04-FEB-2008, the patient had not recovered. Additional information has been requested.   03/13/2008 MR received for DOS 1/31-2/5/2008 with D/C DX: Anxiety NOS with hysterical gait disorder. Pt presented for admission with 2 day hx of shaking episodes which began within hours of HPV vax #3 on 1/29/08. Also c/o photophobia, nausea, and dizziness. Pt has episodic multi-amplitude shivering/shaking type movements of the upper and lower extremities, trunk, and head somewhat decreased when distracted on PE.  Neuro and psych consults. Neuro exam (+) for psychogenic wide-based gait with pseudotremor and ataxia. D/C for outpt f/u.
Age: 15.0
Sex: F
Vaccine: HPV4, HPV4, HPV4, HPV4
Symptoms: Tremor, Urine analysis normal
Clinical narrative: Information has been received from a consumer concerning her 15 year old daughter with no pertinent medical history and no known allergies who in February 2007, was vaccinated with Gardasil. In May 2007, she received the second dose and on 29-JAN-2008, she received the third dose. There was no concomitant medication. There were no adverse events following the first and second doses. On 29-JAN-2008, four hours after the third dose, the patient experienced numbness in her legs, severe headaches, Dizziness, nausea, fever, muscle weakness and her body would not stop shaking. The patient sought medical attention and has been in and out of the hospital since 29-JAN-2008. The reporter was unsure of the exact amount of time she was hospitalized. As of 04-FEB-2008, the patient had not recovered. Additional information has been requested.   03/13/2008 MR received for DOS 1/31-2/5/2008 with D/C DX: Anxiety NOS with hysterical gait disorder. Pt presented for admission with 2 day hx of shaking episodes which began within hours of HPV vax #3 on 1/29/08. Also c/o photophobia, nausea, and dizziness. Pt has episodic multi-amplitude shivering/shaking type movements of the upper and lower extremities, trunk, and head somewhat decreased when distracted on PE.  Neuro and psych consults. Neuro exam (+) for psychogenic wide-based gait with pseudotremor and ataxia. D/C for outpt f/u.
Age: 15.0
Sex: F
Vaccine: HPV4, HPV4, HPV4, HPV4
Symptoms: Chills, Electroencephalogram normal, Headache, Inappropriate schedule of drug administration, Nuclear magnetic resonance imaging normal
Clinical narrative: Information has been received from a consumer concerning her 15 year old daughter with no pertinent medical history and no known allergies who in February 2007, was vaccinated with Gardasil. In May 2007, she received the second dose and on 29-JAN-2008, she received the third dose. There was no concomitant medication. There were no adverse events following the first and second doses. On 29-JAN-2008, four hours after the third dose, the patient experienced numbness in her legs, severe headaches, Dizziness, nausea, fever, muscle weakness and her body would not stop shaking. The patient sought medical attention and has been in and out of the hospital since 29-JAN-2008. The reporter was unsure of the exact amount of time she was hospitalized. As of 04-FEB-2008, the patient had not recovered. Additional information has been requested.   03/13/2008 MR received for DOS 1/31-2/5/2008 with D/C DX: Anxiety NOS with hysterical gait disorder. Pt presented for admission with 2 day hx of shaking episodes which began within hours of HPV vax #3 on 1/29/08. Also c/o photophobia, nausea, and dizziness. Pt has episodic multi-amplitude shivering/shaking type movements of the upper and lower extremities, trunk, and head somewhat decreased when distracted on PE.  Neuro and psych consults. Neuro exam (+) for psychogenic wide-based gait with pseudotremor and ataxia. D/C for outpt f/u.
Age: 15.0
Sex: F
Vaccine: HPV4, HPV4, HPV4, HPV4
Symptoms: Photophobia, Tremor, Urine human chorionic gonadotropin negative
Clinical narrative: Information has been received from a consumer concerning her 15 year old daughter with no pertinent medical history and no known allergies who in February 2007, was vaccinated with Gardasil. In May 2007, she received the second dose and on 29-JAN-2008, she received the third dose. There was no concomitant medication. There were no adverse events following the first and second doses. On 29-JAN-2008, four hours after the third dose, the patient experienced numbness in her legs, severe headaches, Dizziness, nausea, fever, muscle weakness and her body would not stop shaking. The patient sought medical attention and has been in and out of the hospital since 29-JAN-2008. The reporter was unsure of the exact amount of time she was hospitalized. As of 04-FEB-2008, the patient had not recovered. Additional information has been requested.   03/13/2008 MR received for DOS 1/31-2/5/2008 with D/C DX: Anxiety NOS with hysterical gait disorder. Pt presented for admission with 2 day hx of shaking episodes which began within hours of HPV vax #3 on 1/29/08. Also c/o photophobia, nausea, and dizziness. Pt has episodic multi-amplitude shivering/shaking type movements of the upper and lower extremities, trunk, and head somewhat decreased when distracted on PE.  Neuro and psych consults. Neuro exam (+) for psychogenic wide-based gait with pseudotremor and ataxia. D/C for outpt f/u.
Age: 16.0
Sex: F
Vaccine: HPV4
Symptoms: Cerebrovascular accident, Paralysis, Walking aid user
Clinical narrative: Information has been received from a physician concerning a 16 year old female who on approximately 31-DEC-2007 was vaccinated with the first dose of Gardasil and experienced a stroke. The patient was admitted to the hospital where she remained for 3 weeks. The patient experienced an unspecified partial paralysis. After 3 weeks, the patient was discharged and could walk with the assistance of a walker. As of 04-FEB-2008, the patient was recovering. The physician felt that the stroke and partial paralysis were disabling. No further information is available.
Age: 0.33
Sex: M
Vaccine: RV5
Symptoms: Intussusception, Surgery
Clinical narrative: Information has been received from a physician concerning an approximately 4 month old male who in January 2008, was vaccinated PO with his second dose of Rotateq. There was no concomitant medication. In January 2008, a few days after the second dose, the patient experienced intussusception and was subsequently hospitalized. In January 2008, the patient underwent surgery. The outcome was unknown at the time of this report. There was no product quality complaint. Intussusception was considered to be an other important medical event (surgery) by the physician. Additional information has been requested.
Age: 4.0
Sex: F
Vaccine: HEPA
Symptoms: Lymphadenopathy, Pyrexia
Clinical narrative: Mother states on June 4th child became ill, developed fever of 104-105, (R) lymph node in neck became enlarged. Mother took client to doctor. On June 7th client was admitted to hospital. She underwent surgery on June 8th - had (R) lymph node removed. Mom states when child received 4 yr old shots that she had bilat. lymph node enlargement with increased fever but recovered ok.  3/5/08 Reviewed hospital medical records. FINAL DX: right neck abscess. Records reveal patient experienced fever, enlarging right neck mass, HA x 7 days.  Had been seen by pcp 4 days prior to admit & tx w/oral antibiotics.  No improvement & admitted 6/7-6/8/2008.  ENT consult done.  Exam revealed 8 x 9 cm fluctuant, tender mass on posterior right submandibular inferior oracle; shotty, tiny inguinal ymph nodes, more on right side.  Taken to OR for I&D which revealed approx 5 cm purulent material.  Progressed well & d/c to home on continued antibiotics.
Age: 1.1
Sex: M
Vaccine: HEPA, HIBV, MMR, PNC
Symptoms: Abdominal pain, Activated partial thromboplastin time prolonged, Full blood count, Prothrombin time prolonged, Purpura
Clinical narrative: Non blanchable rash on abdomen (purpura) and abdominal pain for 3 days.
Age: 2.0
Sex: M
Vaccine: DTAP
Symptoms: Heart rate normal, Listless, Muscular weakness, Pallor, Vomiting
Clinical narrative: Client's mom-states child vomited and sent limp in her arms-after having injection child appears pale and listless. Parents took child to their doctor for immediate attention and evaluation.
Age: 2.0
Sex: F
Vaccine: FLU3
Symptoms: Crying, Headache
Clinical narrative: Flu shot given around 10:45am 2-6-08.  Cried with shot - continued to cry for 4 hours.  Tried Tylenol and cold pack to leg.  No redness or swelling noted.  Child started complaining of head hurting.  No temperature.  Re-examined child at 1555.
Age: 4.0
Sex: F
Vaccine: DTAPHEPBIP, MMR, VARCEL
Symptoms: Unevaluable event
Clinical narrative: None Stated
Age: 26.0
Sex: F
Vaccine: HEPAB, IPV, MMR, MNQ, TDAP
Symptoms: Drug exposure during pregnancy
Clinical narrative: Client is a refugee and had an interpreter with her.  I was starting her immigration immunizations.  I asked the interpreter to ask if there was any chance that she was pregnant.  I asked more than once.  She denied being pregnant.  Upon a follow up visit 2 months later, on December 28 2007, client told another nurse in the clinic that she was pregnant and that she had known that she was when I gave her the immunizations.
Age: 9.0
Sex: F
Vaccine: VARCEL
Symptoms: Erythema, Swelling
Clinical narrative: Red swollen
Age: 65.0
Sex: M
Vaccine: PPV
Symptoms: Chills, Erythema, Nervousness, Oedema peripheral, Swelling
Clinical narrative: Day of shot erythema & swelling that progressed to shaking & chills the following day.  Erythema & swelling in left arm at nite of shot then into left elbow.
Age: 53.0
Sex: F
Vaccine: FLU3
Symptoms: Immediate post-injection reaction, Pain in extremity
Clinical narrative: Patient seen in office for right arm pain, onset at time of injection 12-20-07. Pain continued to date of 1/25/08. Right deltoid tender to palp. No heat, Rubur or swelling.
Age: 64.0
Sex: F
Vaccine: VARZOS
Symptoms: Blister, Erythema, Injection site erythema, Injection site pruritus, Injection site swelling
Clinical narrative: Vaccine given 9:20 AM.  During evening began to have redness, itching, swelling at inj site. Gradually increased in size & severity.  When checked here on 02-04-08 11:30 AM redness & swelling, warm to touch ~60mm.  Also with area in center of blister type rash 20mm.  Pt seen by Dr. & tx'd with Zovirax ointment.  Patient refused oral med.
Age: 64.0
Sex: F
Vaccine: VARZOS
Symptoms: Rash, Skin warm, Swelling
Clinical narrative: Vaccine given 9:20 AM.  During evening began to have redness, itching, swelling at inj site. Gradually increased in size & severity.  When checked here on 02-04-08 11:30 AM redness & swelling, warm to touch ~60mm.  Also with area in center of blister type rash 20mm.  Pt seen by Dr. & tx'd with Zovirax ointment.  Patient refused oral med.
Age: 72.0
Sex: F
Vaccine: FLU3
Symptoms: Full blood count normal, Influenza like illness, Influenza serology negative, Muscular weakness, Musculoskeletal pain
Clinical narrative: Extreme pain or weakness in arm, leg, buttock muscles. Pain worsens at night - ongoing for 2 months with periods of low grade fever, aches flu-like symptoms
Age: 72.0
Sex: F
Vaccine: FLU3
Symptoms: Pain, Pain in extremity, Pyrexia
Clinical narrative: Extreme pain or weakness in arm, leg, buttock muscles. Pain worsens at night - ongoing for 2 months with periods of low grade fever, aches flu-like symptoms
Age: 22.0
Sex: M
Vaccine: FLU3, TYP
Symptoms: Pruritus generalised, Rash
Clinical narrative: 2-5-08. 1:30pm Call from "patient" saying he is itching "all over" since he started taking Oral Typhoid. He took 1 pill on 1/30, 2/1, and 2/3. Says he has no visible rash today but he did have last night. Recommended to contact his physician how and to not take any further medicine until he consults with Dr. He said he didn't want to contact his Dr. I again stressed the importance of not continuing his medication and contacting hid Dr.
Age: 26.0
Sex: M
Vaccine: MMR
Symptoms: Cough, Hyperhidrosis, Local swelling, Lymphadenopathy, Malaise
Clinical narrative: Developed cough, malaise and sweating on 1/29/08 then noticed swollen glands neck/face on 2/4/08.  Has significant left parotid area swelling at presentation to clinic 2/5/08.  Vital signs 979-84-16, 150/106 (previous 12/07 152/100).  Breath sounds clear.  No obvious salivary gland obstruction, pharynx unremarkable except right submandibular nodes swelling and left parotid swelling.  Taking Aleve, Benadryl.  Referred to primary health provider.
Age: 26.0
Sex: M
Vaccine: MMR
Symptoms: Swelling face
Clinical narrative: Developed cough, malaise and sweating on 1/29/08 then noticed swollen glands neck/face on 2/4/08.  Has significant left parotid area swelling at presentation to clinic 2/5/08.  Vital signs 979-84-16, 150/106 (previous 12/07 152/100).  Breath sounds clear.  No obvious salivary gland obstruction, pharynx unremarkable except right submandibular nodes swelling and left parotid swelling.  Taking Aleve, Benadryl.  Referred to primary health provider.
Age: 15.0
Sex: M
Vaccine: HEPA, VARCEL
Symptoms: Inappropriate schedule of drug administration, Injection site erythema, Injection site swelling
Clinical narrative: Redness surrounding injection site, with raised swollen area - error was - patient received 3rd dose of Hep A.
Age: 11.0
Sex: M
Vaccine: HEPA, MNQ, TDAP, VARCEL
Symptoms: Erythema, Injection site induration, Swelling
Clinical narrative: Left arm tricep swollen, red.  5 cm redness induration where Varicella was given.  No pain per patient.
Age: 1.1
Sex: M
Vaccine: FLU3, HEPA, MMR, VARCEL
Symptoms: Febrile convulsion, Pyrexia, Urine analysis normal
Clinical narrative: Immunizations were given at 11:00AM.  By 4:00-5:00PM pt had a fever (temp not taken).  Pt had a febrile seizure.  Parents called 911.  Pt taken to ER.  Temp was 104 degrees.  UA was neg.  Dx: febrile seizure.  Parents instructed to give Motrin before and after pt. receives shots in the future.  Fever gone after 24 hours.
Age: 66.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Asthenia, Ataxia, Balance disorder, Dysphagia, Facial paresis
Clinical narrative: Patient received immunizations for Influenza and Pneumonia at the same time at different sites on 10/14/2007. Shortly after receiving them, "patient" described that she had a headache and then noticed increased numbness/tingling in her hands and feet with difficulty swallowing for a week prior to admission."Patient" was admitted to Medical Center, on 10/21/2007 with headache, gait disorder, weakness, balance problems, facial weakness and ataxia and was diagnosed with Guillain-Barre Syndrome Miller Fisher variant secondary to immunizations. She was transferred to a rehab center on 12/10/2007 but still is experiencing numbness in her hands and feet. 3/27/08-records received for DOS 10/21-10/30-07-DC DX:Miller Fisher Guillain Barre syndrome. Dysphagia. Admitted with C/O fascial numbness, difficulty swallowing, slurred speech, weakness and ataxia. RX with IVIG, transferred to rehab facility, at time of DC continued to have significant issues with dysphagia.
Age: 66.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Gait disturbance, Guillain-Barre syndrome, Headache, Hypoaesthesia, Miller Fisher syndrome
Clinical narrative: Patient received immunizations for Influenza and Pneumonia at the same time at different sites on 10/14/2007. Shortly after receiving them, "patient" described that she had a headache and then noticed increased numbness/tingling in her hands and feet with difficulty swallowing for a week prior to admission."Patient" was admitted to Medical Center, on 10/21/2007 with headache, gait disorder, weakness, balance problems, facial weakness and ataxia and was diagnosed with Guillain-Barre Syndrome Miller Fisher variant secondary to immunizations. She was transferred to a rehab center on 12/10/2007 but still is experiencing numbness in her hands and feet. 3/27/08-records received for DOS 10/21-10/30-07-DC DX:Miller Fisher Guillain Barre syndrome. Dysphagia. Admitted with C/O fascial numbness, difficulty swallowing, slurred speech, weakness and ataxia. RX with IVIG, transferred to rehab facility, at time of DC continued to have significant issues with dysphagia.
Age: 66.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Paraesthesia
Clinical narrative: Patient received immunizations for Influenza and Pneumonia at the same time at different sites on 10/14/2007. Shortly after receiving them, "patient" described that she had a headache and then noticed increased numbness/tingling in her hands and feet with difficulty swallowing for a week prior to admission."Patient" was admitted to Medical Center, on 10/21/2007 with headache, gait disorder, weakness, balance problems, facial weakness and ataxia and was diagnosed with Guillain-Barre Syndrome Miller Fisher variant secondary to immunizations. She was transferred to a rehab center on 12/10/2007 but still is experiencing numbness in her hands and feet. 3/27/08-records received for DOS 10/21-10/30-07-DC DX:Miller Fisher Guillain Barre syndrome. Dysphagia. Admitted with C/O fascial numbness, difficulty swallowing, slurred speech, weakness and ataxia. RX with IVIG, transferred to rehab facility, at time of DC continued to have significant issues with dysphagia.
Age: 44.0
Sex: M
Vaccine: HEPAB
Symptoms: Erythema, Rash macular
Clinical narrative: Red blotchy rash of upper torso-treated with po Benadryl.
Age: 0.18
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Dyskinesia, Gaze palsy, Loss of consciousness, Musculoskeletal stiffness, Tremor
Clinical narrative: Pt started jerky movements of both arms and rolled over eyes. Was stiffened up for some 10 minutes.  Patient regained consciousness by time arrival of EMs.  2/14/08 Received provider medical records which included hospital medical records & vax records. Patient was in good health except for buttock rash & stuffy nose w/no cough or fever on 2/7/08.  Approx 1 hr after vax, patient cried a lot, felt warm & started shaking left arm & leg, gaze to left, then eyes rolled up & became stiff.  Took to pcp & was lethargic gradually became more reactive & cried. Sent to ER & d/c to home.  Returned to PCP next day.  Referred to neurologist for EEG. FINAL ER Dx: possible seizure.
Age: 0.38
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Blood potassium increased, Blood test, Computerised tomogram, Convulsion, Epilepsy
Clinical narrative: Client received Pediarix, Hib, and Prevnar on 11/06/07 at approx. 4:00 p.m.  At approx.  5:00a.m. 11/07/07, client was transported to Medical Center for uncontrolable seizure activity and then sent via life flight to  Hospital.  Client was hospitalized for 3 days and has been hospitalized four times since. Child is currenty under care by the Neurology Department. 3/24/08-records received for 2/26/08-admitted for frequent seizures and EEG. Developed fevers after four month vaccines, had a grand mal and developed jerking movements. Currently on Keppra with no improvement per parent. Now has runny nose and cough for a few days. Right ear red and bulging tympanic membrane. DX: Seizure disorder and otitis media. 1/20/2010 According to the mother of patient, " he has developed Epilepsy since he had his shots". He is under care of a neurologist and is currently being treated with Klonopin, Lamectol, and Topomax.
Age: 0.38
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Lumbar puncture, Nuclear magnetic resonance imaging
Clinical narrative: Client received Pediarix, Hib, and Prevnar on 11/06/07 at approx. 4:00 p.m.  At approx.  5:00a.m. 11/07/07, client was transported to Medical Center for uncontrolable seizure activity and then sent via life flight to  Hospital.  Client was hospitalized for 3 days and has been hospitalized four times since. Child is currenty under care by the Neurology Department. 3/24/08-records received for 2/26/08-admitted for frequent seizures and EEG. Developed fevers after four month vaccines, had a grand mal and developed jerking movements. Currently on Keppra with no improvement per parent. Now has runny nose and cough for a few days. Right ear red and bulging tympanic membrane. DX: Seizure disorder and otitis media. 1/20/2010 According to the mother of patient, " he has developed Epilepsy since he had his shots". He is under care of a neurologist and is currently being treated with Klonopin, Lamectol, and Topomax.
Age: 11.0
Sex: M
Vaccine: FLUX
Symptoms: Erythema, Oedema peripheral, Pain in extremity
Clinical narrative: My son was given the inactive vaccine and within 10 minutes his arm had red patches, swelling, and a fair amount of discomfort. This patches and swelling continued to spread up his arm. Since we were still in the clinic, we went back to the administering nurse. We then saw the doctor, who then put a prescription for Benadryl in the computer. We walked to the pharmacy (onsite) and were helped right away (per the doctor's orders), and administered the Benadryl. Within an hour or two, the adverse reaction disappeared. Time of vaccination is actual appointment time, so the time the vaccination was administered was probably closer to 10:30.
Age: 12.0
Sex: M
Vaccine: VARCEL
Symptoms: Abdominal pain upper, Dizziness, Headache, Injection site erythema, Injection site induration
Clinical narrative: Red painful swollen indurated area R arm at site of injection, low grade fever (99 F) began 2/5/2008, 1 day after administration, 2/4/2008; Keflex called in 2/5/08; OV 2/6/2008 prescribed Septra and changed Keflex to Augmentin; 2/7/2008 afebrile, reaction fading but spreading distally in response to gravity; 2/8/08 phone call patient lightheaded, headache, stomach pain; advised to change Augmentin back to Keflex and make OV. Did not show for follow up OV.
Age: 12.0
Sex: M
Vaccine: VARCEL
Symptoms: Injection site pain, Pyrexia
Clinical narrative: Red painful swollen indurated area R arm at site of injection, low grade fever (99 F) began 2/5/2008, 1 day after administration, 2/4/2008; Keflex called in 2/5/08; OV 2/6/2008 prescribed Septra and changed Keflex to Augmentin; 2/7/2008 afebrile, reaction fading but spreading distally in response to gravity; 2/8/08 phone call patient lightheaded, headache, stomach pain; advised to change Augmentin back to Keflex and make OV. Did not show for follow up OV.
Age: 27.0
Sex: F
Vaccine: MMR, TDAP
Symptoms: Anorexia, Chills, Erythema, Fatigue, Feeling hot
Clinical narrative: Reports that she felt drained, chills, felt febrile (no temp taken), flushed, lack of appetite, and headache. Reports that hse had started her period that day as well. Right presents with redness & swelling, warm to touch of upper deltoid area swelling radiating to back of arm as well. No streaking noted. Patient has appointment today with MD and is to have arm evaluated. 2/11/2008 Patient called to report that MD felt that it was possibly a reaction to the immunization. Swelling is presently gone and no s/s remain.
Age: 27.0
Sex: F
Vaccine: MMR, TDAP
Symptoms: Flushing, Headache, Oedema peripheral, Pyrexia, Skin warm
Clinical narrative: Reports that she felt drained, chills, felt febrile (no temp taken), flushed, lack of appetite, and headache. Reports that hse had started her period that day as well. Right presents with redness & swelling, warm to touch of upper deltoid area swelling radiating to back of arm as well. No streaking noted. Patient has appointment today with MD and is to have arm evaluated. 2/11/2008 Patient called to report that MD felt that it was possibly a reaction to the immunization. Swelling is presently gone and no s/s remain.
Age: 51.0
Sex: F
Vaccine: FLU3
Symptoms: Chills, Dizziness, Facial pain, Hypoaesthesia, Hypoaesthesia facial
Clinical narrative: Within ten minutes of receiving the shot, I felt a sensation travel up my arm, shoulder and neck until it stopped in my right jaw area, and felt like novocaine kicking in. I have since had roving tingling, numb-ish sensation, and pain on both sides of my face and throughout my mouth, tingling in my legs, severe muscle tension in my neck, chills and fever, and dizziness. I have seen several doctors but no one has been of any help. I am trying alternative therapies and have have some improvement of symptoms.
Age: 51.0
Sex: F
Vaccine: FLU3
Symptoms: Hypoaesthesia oral, Muscle tightness, Neurological examination, Oral pain, Paraesthesia
Clinical narrative: Within ten minutes of receiving the shot, I felt a sensation travel up my arm, shoulder and neck until it stopped in my right jaw area, and felt like novocaine kicking in. I have since had roving tingling, numb-ish sensation, and pain on both sides of my face and throughout my mouth, tingling in my legs, severe muscle tension in my neck, chills and fever, and dizziness. I have seen several doctors but no one has been of any help. I am trying alternative therapies and have have some improvement of symptoms.
Age: 51.0
Sex: F
Vaccine: FLU3
Symptoms: Paraesthesia oral, Pyrexia
Clinical narrative: Within ten minutes of receiving the shot, I felt a sensation travel up my arm, shoulder and neck until it stopped in my right jaw area, and felt like novocaine kicking in. I have since had roving tingling, numb-ish sensation, and pain on both sides of my face and throughout my mouth, tingling in my legs, severe muscle tension in my neck, chills and fever, and dizziness. I have seen several doctors but no one has been of any help. I am trying alternative therapies and have have some improvement of symptoms.
Age: 58.0
Sex: F
Vaccine: FLU3
Symptoms: Hypoaesthesia, Hypoaesthesia facial, Joint range of motion decreased, Pain, Pain in extremity
Clinical narrative: Pain in left arm lasted for over 1 month feeling like shot was just given.  Then progressed to shooting pains in left arm, numbness and pins and needles in arm and face on left side. Wake at night with left upper arm pain and left hand asleep.  Now feeling some pins and needles in left lower leg also.  Shoulder is frozen decreased range of motion.  Dr. took x-ray and it looked normal.  Prescribed Gabapentin, 100 mg 3 x a day.  No relief from medication.  Have been referred to physical therapy for loss of range of motion.  Have not had first appointment yet.
Age: 58.0
Sex: F
Vaccine: FLU3
Symptoms: Paraesthesia, Periarthritis, X-ray limb
Clinical narrative: Pain in left arm lasted for over 1 month feeling like shot was just given.  Then progressed to shooting pains in left arm, numbness and pins and needles in arm and face on left side. Wake at night with left upper arm pain and left hand asleep.  Now feeling some pins and needles in left lower leg also.  Shoulder is frozen decreased range of motion.  Dr. took x-ray and it looked normal.  Prescribed Gabapentin, 100 mg 3 x a day.  No relief from medication.  Have been referred to physical therapy for loss of range of motion.  Have not had first appointment yet.
Age: 14.0
Sex: F
Vaccine: VARCEL
Symptoms: Injection site erythema, Injection site urticaria
Clinical narrative: Second Varivax administered SQ to left upper arm.  Pt with questionable neomycin allergy.  Pt with erythematous area about 5cm by 5cm and with a 3cm raised wheal at injection site.  Pt waited in office after injection 20 minutes and then CPNP observed reaction.  Benadryl 2 tsp given.  Slight decrease in redness and size of redness about 10 minutes after Benadryl administered.  Followup the next day revealed no increase in reaction and redness continuing to decrease.  Mom called 2 days after vaccine given, and still with pink raised area and warm to touch - mom advised to come in if area increased in size or symptoms persisted.
Age: 3.0
Sex: F
Vaccine: FLU3
Symptoms: Fatigue, Irritability, Pyrexia
Clinical narrative: Fever for 7 days up to 102.5 degrees F. Fussy and tired for two days, but now with normal activity. Only constant fevers, especially at night.
Age: 14.0
Sex: F
Vaccine: TDAP
Symptoms: Inappropriate schedule of drug administration, No adverse reaction
Clinical narrative: None.
Age: 21.0
Sex: M
Vaccine: TYP
Symptoms: Abdominal pain, Fatigue, Full blood count, Haematochezia, Incorrect dose administered
Clinical narrative: Pt. recieved double dose (1.0 mL) Typhoid vaccine. Developed nausea, vomiting, fatigue, abdominal pain and passage of bloody stools about 2-3 days after recieving vaccine, and continued until today (4 days later).
Age: 21.0
Sex: M
Vaccine: TYP
Symptoms: Nausea, Vomiting
Clinical narrative: Pt. recieved double dose (1.0 mL) Typhoid vaccine. Developed nausea, vomiting, fatigue, abdominal pain and passage of bloody stools about 2-3 days after recieving vaccine, and continued until today (4 days later).
Age: 1.12
Sex: M
Vaccine: HEPA, MMR, VARCEL
Symptoms: Injection site cellulitis, Injection site erythema, Injection site induration, Injection site warmth
Clinical narrative: Patient seen in office on 2/6/08 for red bump on leg, r/o reaction to shots. On 1/25/08, pt received Hep A and Varicella in right leg. MD noted area on right lateral thigh 2x4 cm, red, warm, indurated, nonfluctuant area of cellulitis. MD rxed Keflex 250mg TID x10 days.
Age: 1.12
Sex: F
Vaccine: HEPA, MMR, VARCEL
Symptoms: Injection site erythema, Local reaction
Clinical narrative: PT SEEN IN OFFICE ON 2/8/08 FOR RED SPOT/BUMP ON LEG FOLLOWING SHOTS GIVEN 1/25/08. MD NOTED AREA ON RT LATERAL THIGH 0.75 X 1.5 CM OF SUPERFICIAL REDNESS, NO INDURATION, NO FLUCTUATION, NO PAIN. MD DXED MINOR LOCAL REACTION TO VACCINE AND RXED BACTROBAN OINTMENT TO BE APPLIED 5 TIMES/DAY UNTIL SKIN CLEAR FOR 24 HRS.
Age: 1.11
Sex: M
Vaccine: HBHEPB, MMR, PNC, VARCEL
Symptoms: Febrile convulsion, Grand mal convulsion, Pyrexia
Clinical narrative: Patient had fever to 103 and febrile seizure (generalized tonic clonic).
Age: 1.39
Sex: F
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: GAVE IPV VACCINE WASN'T SUPPOSE TO UNTIL AGE 4.
Age: 49.0
Sex: F
Vaccine: TDAP
Symptoms: Dyspnoea, Immediate post-injection reaction, Throat tightness
Clinical narrative: Almost immediately after vaccine admin. pt. experienced Shortness of Breath, difficulty breathing, and feeling as if throat was closing. Had to take aerosolized breathing treatment, Benadryl with symptoms continuing to escalate. Further treatment was sought through Emergency Room and still persists after 4 days post immunization. Pt. still requiring breathing treatments and Benadryl to hold symptoms at bay. 2/29/08-records received for ED visit 2/8/08. Impression: Allergic reaction. Present with allergic reaction lasting 12 hours, swelling throat, macular rash and urticarial. Pruritis. PE, cough and stridor.
Age: 30.0
Sex: F
Vaccine: HEP, TD, VARCEL
Symptoms: Back pain, Headache, Increased upper airway secretion, Neck pain, Pneumonia
Clinical narrative: ABOUT MIDNIGHT 02/08/08 STARTED GETTING A SCRATCHY THROAT THEN BY MORNING HAD A DRAINING IN THE BACK OF MY THROAT BY SUNDAY 02/10/2008 THE DRAINAGE WAS ALOT TO WHERE IT DRAINED INTO MY LUNGS (SEVERAL TIMES) DEVELOPED PNEUMONIA ALSO HAD SEVERE HEADACHES AND BACK OF THE NECK PAIN
Age: 30.0
Sex: F
Vaccine: HEP, TD, VARCEL
Symptoms: Throat irritation
Clinical narrative: ABOUT MIDNIGHT 02/08/08 STARTED GETTING A SCRATCHY THROAT THEN BY MORNING HAD A DRAINING IN THE BACK OF MY THROAT BY SUNDAY 02/10/2008 THE DRAINAGE WAS ALOT TO WHERE IT DRAINED INTO MY LUNGS (SEVERAL TIMES) DEVELOPED PNEUMONIA ALSO HAD SEVERE HEADACHES AND BACK OF THE NECK PAIN
Age: 6.0
Sex: F
Vaccine: DTAP, HEPA, MMR, UNK
Symptoms: Erythema, Lethargy, Skin discolouration, Urticaria
Clinical narrative: Leg of the injection site broke out in bright red hives that were more than 2 inches away from injection site. Symptoms have remained to date (5 days), with color of breakout turning from bright red to pale gray. On second day post-vaccine, patient was mildly lethargic.