chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 67.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site irritation, Injection site pruritus, Injection site warmth
Clinical narrative: 12-03-07 patient came to health department 1:00 pm and complained of severe itching at site of injection.  5x5cm circular area of erythema present.  Advised it appeared to be norma reaction.  On 12-11-07 patient called health department and said the area had gotten larger, intense itching and burning and felt hot to touch.  Was given Keflex and stopped due to nausea.  Was then given Amoxicillin 500mg for 10 days.  Started improving in 2-3 days.  Totally normal now.
Age: 79.0
Sex: U
Vaccine: VARZOS
Symptoms: Dizziness, Urticaria
Clinical narrative: DIZZINESS- 11/24 and 11/25 (BRIEF SPELLS). HIVES- APPROX. 11/31 AREA OF RIB CAGE, BACK AND ARMS. LASTED 7-10 DAYS.
Age: 1.5
Sex: F
Vaccine: DTAP, FLU3, IPV
Symptoms: Injection site erythema, Injection site induration, Injection site warmth
Clinical narrative: 5 cm area of erythema and induration left upper arm.  Warm but no apparent tenderness.
Age: 18.0
Sex: F
Vaccine: HEP, HEPA, IPV, MMR, TDAP, VARCEL
Symptoms: Blister, Herpes zoster, Rash erythematous, Rash pustular, Skin lesion
Clinical narrative: Shingles outbreak began R back at lower scapula on 12/14/07, extends unilaterally around body covering R outer side of breast.  L eye lower L outer corner involvement.  12/16 07 3-4 pustules noted today.  12/18/07 clear sclera.  Back lesions varying stages of development, large blisters dime sized, red pustules large to pencil lead size approx 5 inch wide band.  Acyclovir 800 mg Tid and ophthalmology referral.
Age: 11.0
Sex: M
Vaccine: MNQ, TD
Symptoms: Local swelling, Oedema peripheral, Rash
Clinical narrative: 1:35 pm Mom called stating patient Left upper arm chest and Left side of neck was swollen and red dots on chest.
Age: 1.7
Sex: F
Vaccine: DTAPH, HEPA, MMRV, PNC
Symptoms: Pyrexia
Clinical narrative: Mom called on 6/29/06 stating child started running low grade fever on 6/27/06 and on 6/28/06 child's fever went up to 102.8. Mom was giving Tylenol. Denies any other symptoms. Instructed mom to notify MD for further instructions and obtain permission for future immunizations. June 29,2006 Mother called stating the child's fever went up to 103.8. She gave Tylenol and Ibuprofen and a tepid bath with no break in the fever. She then took the child to the emergency room. The doctor said this was not considered a severe reaction to the shots and that the child would be ok to receive future immunizations but the child also had fluid behind the ear and just to pay close attention to the child's hearing status. The doctor prescribed Tylenol, Ibuprofen and Palgic for the ears. Child saw doctor at the hospital. July 5, 2006 Spoke to mother and all symptoms have completely resolved.
Age: 9.0
Sex: M
Vaccine: MMR
Symptoms: Fatigue, Pain, Pyrexia, Rash, Streptococcal identification test negative
Clinical narrative: Immediately after MMR (0n 10/4/07 Vaccine given) was achy and tired. On 10/15/07 had rash on trunk, face and arms, fever to 101.5.
Age: 19.0
Sex: F
Vaccine: HPV4
Symptoms: Urticaria
Clinical narrative: Torso Hives Patient was placed Predinose 30 mg BID for 5 days and Benadryl 50 mg every 6 hours. Waited in office 1 hr after doses.
Age: 11.0
Sex: F
Vaccine: HEPA, MMR, TDAP
Symptoms: Body temperature increased, Erythema, Musculoskeletal pain, Oedema peripheral, Pain in extremity
Clinical narrative: Approximately the evening of receiving MMR SQ and Tdap in Right deltoid arm and Hepatitis A in Left arm deltoid, 9/1/07. Patient developed a painful swollen-reddened Right arm from shoulder area down to 2-3 inches above the elbow. After using Ibuprofen/ice she finally saw pediatrician on 9/5/07 and was placed on antibiotics. 24 hours later symptoms mostly resolved and completely gone in 2-3 days. Temperature about 100 degrees.
Age: 1.3
Sex: M
Vaccine: DTAP, HIBV, VARCEL
Symptoms: Cellulitis
Clinical narrative: Local cellulitis
Age: 1.3
Sex: M
Vaccine: FLU3, MMR
Symptoms: Rash vesicular
Clinical narrative: Received Varivax vaccine on 12/4/07.  Now has several chicken-pox looking bumps on leg 12/15/07.
Age: 0.37
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Diarrhoea, Vomiting
Clinical narrative: Baby developed diarrhea 2-3 days after immunization on 12/4 which lasted for 5 days and then had vomiting for 1 day.  Treated successfully with oral hydration.
Age: 37.0
Sex: F
Vaccine: FLU3
Symptoms: Immediate post-injection reaction, Injection site pain, Musculoskeletal pain
Clinical narrative: Pt. received Influenza vaccine L deltoid 11/6/07 and immediately had pain at injection site and L shoulder pain.
Age: 0.2
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Body temperature increased, Rash papular
Clinical narrative: Tylenol given on day of vaccine, due to temperature.  Second day post vaccine noted red papular-like eruptions throughout legs and trunk.
Age: 3.0
Sex: M
Vaccine: FLUX
Symptoms: Crying, Muscle spasms
Clinical narrative: Complaint of cramping in leg But I believe he woke suddenly, started crying, complained of leg cramp, then forgot which leg he had complained about
Age: 11.0
Sex: M
Vaccine: MNQ
Symptoms: Dizziness, Feeling abnormal, Headache
Clinical narrative: Acute dizziness, especially with movement.  Starting 1 hour after vaccine, ending 20 hours after vaccine.  Also "felt like a dream" first evening, mild headache morning after vaccine.
Age: 34.0
Sex: F
Vaccine: TDAP
Symptoms: Blood pressure, Dyspnoea, Heart rate normal, Injection site anaesthesia, Injection site erythema
Clinical narrative: 10:20 within minutes of receiving Tdap shot, patient complained of "throat closing", mild SOB, felt palpitations.  10:34 BP=155/112, pulse=79.  10:44 Decadron long IV given & Pepcid 20 mg IV, also noted numbness & redness at injection site.  Signs/symptoms resolved within one hour.
Age: 34.0
Sex: F
Vaccine: TDAP
Symptoms: Palpitations, Throat tightness
Clinical narrative: 10:20 within minutes of receiving Tdap shot, patient complained of "throat closing", mild SOB, felt palpitations.  10:34 BP=155/112, pulse=79.  10:44 Decadron long IV given & Pepcid 20 mg IV, also noted numbness & redness at injection site.  Signs/symptoms resolved within one hour.
Age: 5.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Injection site swelling
Clinical narrative: Swelling of R upper arm extending deltoid area to elbow.
Age: 4.0
Sex: F
Vaccine: DTAP, FLU3, IPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Left deltoid raised, red, hot to touch.  Approx. 7 cm x 10 cm size bump.
Age: 64.0
Sex: F
Vaccine: VARZOS
Symptoms: Blister, Rash, Rash macular
Clinical narrative: Blistering pururitic rash in left facial dermatome with isolated other hemorrhagic macules with overlying vesicles.
Age: 1.1
Sex: M
Vaccine: FLU3, HEPA, MMRV
Symptoms: Rash, Rash generalised, Wheezing
Clinical narrative: Patient developed rash over body and face next morning following immunizations.  Pt returned to clinic on 12/19/07, seen by Dr.  MdI inhaler (Albuterol) prn for episode of wheezing.  F/u call placed by nurse, mother stated pt is fine and rash has improved.  Denied pt to have SOB or difficulty breathing.
Age: 82.0
Sex: F
Vaccine: VARZOS
Symptoms: Herpes zoster
Clinical narrative: Patient developed shingles (L) neck and upper arm 12/16/07.
Age: 0.2
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Full blood count, Incisional drainage, Infection, Lymphadenitis, Metabolic function test
Clinical narrative: Pyogenic lymphadenitis 11/01/07.  I&D R groin lymph node 11/04/07.
Age: 42.0
Sex: M
Vaccine: FLUN3
Symptoms: Chills, Dysphagia, Erythema, Facial pain, Full blood count
Clinical narrative: Pain in left side of head, hard to swallow, fever (99.0-101.9), chills, night sweats, lymphadenopathy, facial pain (left temple), L EOC erythemic, increased neutrophils.
Age: 42.0
Sex: M
Vaccine: FLUN3
Symptoms: Headache, Lymphadenopathy, Neutrophil count increased, Night sweats, Pyrexia
Clinical narrative: Pain in left side of head, hard to swallow, fever (99.0-101.9), chills, night sweats, lymphadenopathy, facial pain (left temple), L EOC erythemic, increased neutrophils.
Age: 42.0
Sex: M
Vaccine: FLUN3
Symptoms: Syphilis test, Urine analysis
Clinical narrative: Pain in left side of head, hard to swallow, fever (99.0-101.9), chills, night sweats, lymphadenopathy, facial pain (left temple), L EOC erythemic, increased neutrophils.
Age: 1.1
Sex: F
Vaccine: HBHEPB
Symptoms: Pyrexia, Vomiting
Clinical narrative: Vomiting/lethargy 11-3-07 to 11-4-07.  Also with fever.  No treatment.  Parents spoke to on call doctor regarding symptoms.
Age: 1.1
Sex: F
Vaccine: MMR, PPV, VARCEL
Symptoms: Measles, Vaccination failure
Clinical narrative: Diagnosed at ER with vaccine related measles. Was broke out from head to toe. Her Dr. Said it wasn't because of shot, ER confirmed it was. Treatment: Anti-itch medicine, ibuprofen and Calamine lotion.
Age: 7.0
Sex: F
Vaccine: HEP, IPV, MMR, TD, VARCEL
Symptoms: Cellulitis, Erythema, Injection site erythema, Injection site induration, Injection site mass
Clinical narrative: Client's aunt discovered swollen red arm this morning before bathing child.  Egg shaped lump at site of Td, L arm vaccination.  Red and firm upon palpation observed by RN at TST skin test reading.  Ice applied and client referred to urgent care to treat or r/o cellulitis.
Age: 7.0
Sex: F
Vaccine: HEP, IPV, MMR, TD, VARCEL
Symptoms: Oedema peripheral
Clinical narrative: Client's aunt discovered swollen red arm this morning before bathing child.  Egg shaped lump at site of Td, L arm vaccination.  Red and firm upon palpation observed by RN at TST skin test reading.  Ice applied and client referred to urgent care to treat or r/o cellulitis.
Age: 51.0
Sex: F
Vaccine: FLUX, PPV
Symptoms: Rash
Clinical narrative: Rash
Age: 1.3
Sex: M
Vaccine: DTAPH, IPV
Symptoms: Erythema, Urticaria
Clinical narrative: Shot was given around 2:00 pm on 12-19-07.  On 12-20-07 at about 10:30 am, a plum sized welt appeared on the child's left thigh around injection sites.  It was red, hot to touch, but did not seem to be painful to the child when touched.
Age: 11.0
Sex: M
Vaccine: MNQ, TDAP, VARCEL
Symptoms: Blood pressure increased, Headache, Heart rate increased, Lethargy, Loss of consciousness
Clinical narrative: Mom called on 12-21-07 and stated child received the Tdap, Varicella #2, and Menactra on 12-19-07 at our health department.  About 2 hours after shot, he became lethargic and passed out.  He was taken to emergency room.  He also had a rash on both cheeks.  The doctor in emergency room felt it might be a reaction to one of the shots.  He was given fluids and EKG was done since blood pressure and pulse were elevated.  He also experienced a headache and some nausea.  He was sent home.  Was sluggish yesterday but doing fine today.  Mom stated child was very anxious about getting shots.  No temperature.
Age: 11.0
Sex: M
Vaccine: MNQ, TDAP, VARCEL
Symptoms: Nausea, Rash
Clinical narrative: Mom called on 12-21-07 and stated child received the Tdap, Varicella #2, and Menactra on 12-19-07 at our health department.  About 2 hours after shot, he became lethargic and passed out.  He was taken to emergency room.  He also had a rash on both cheeks.  The doctor in emergency room felt it might be a reaction to one of the shots.  He was given fluids and EKG was done since blood pressure and pulse were elevated.  He also experienced a headache and some nausea.  He was sent home.  Was sluggish yesterday but doing fine today.  Mom stated child was very anxious about getting shots.  No temperature.
Age: 4.0
Sex: M
Vaccine: FLU3
Symptoms: Rash generalised
Clinical narrative: Had flu shot on 11-7-07.  Within 24 hours rash developed on palms of hands and then scattered rash developed.  Child given Benadryl & rash resolved.
Age: 4.0
Sex: F
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Erythema, Skin warm, Tenderness, Urticaria
Clinical narrative: Left deltoid 6x6.5 cm of erythema.  Hot to the touch.  Hives at border.  No pus, minimal tender.
Age: 0.5
Sex: M
Vaccine: DTAPHEPBIP, PNC, RV5
Symptoms: Rash maculo-papular, Urticaria
Clinical narrative: Confluent macular/papular rash covering 70% body ~ urticaria.  Started steroid treatment today.
Age: 43.0
Sex: F
Vaccine: TDAP
Symptoms: Erythema, Injection site streaking, Pruritus
Clinical narrative: NO immediate reaction occurred, pt stated she observed red streak the night of and then it started itching and redness formed a round circle and started putting lotion on it.  Dr. looked at reaction and informed patient to take Benadryl and if reaction worsens to follow up in emergency room.
Age: 44.0
Sex: F
Vaccine: FLU3
Symptoms: Injected limb mobility decreased, Musculoskeletal pain
Clinical narrative: Pt has pain in her left shoulder, mostly at night and when she lifts her arm.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Injection site erythema
Clinical narrative: Large red area on L arm.  Apply cool compress.
Age: 47.0
Sex: M
Vaccine: FLU3
Symptoms: Rash generalised, Urticaria
Clinical narrative: Received flu shot on 12-13-07.  On 12-14-07 developed a rash and/or whelps scattered over body.
Age: 0.34
Sex: F
Vaccine: DTAP, HIBV, IPV, PNC, RV5
Symptoms: Erythema, Induration, Pruritus
Clinical narrative: Pruritic erythema with very little induration. Sites did not appear to be tender. The reactions were not contiguous with the actual injection site.
Age: 50.0
Sex: F
Vaccine: FLU3, MMR
Symptoms: Joint effusion
Clinical narrative: Effusion L knee joint & lesser degree R.
Age: 3.0
Sex: F
Vaccine: FLU3
Symptoms: Cellulitis, Injection site pain, Injection site warmth, Swelling
Clinical narrative: Pt had swelling the size of quarter or a little bigger.  Injection site had some fever & was sore to touch and was increasing in size.  This shot was given on 12/10/07 & child was seen for swelling on 12/12/07.  Pt was treated with Amoxicillin for cellulitis.
Age: 11.0
Sex: M
Vaccine: MNQ, TDAP
Symptoms: Dyspnoea, Pyrexia, Rash, Vomiting
Clinical narrative: Received TDaP and Menactra at about 8:40am 12/17 and developed a fever later that day.  Overnight Monday 12/17 experienced some trouble breathing, fever 101.2 axillary, vomiting, and rash on face.  Recovered on own without incident and is OK now per mom.
Age: 46.0
Sex: M
Vaccine: TDAP
Symptoms: Pyrexia
Clinical narrative: Pt developed fever the evening after receiving Tdap vaccine. I could not determine source - but I did Rx with steroid and Abx. He resolved in 24 hrs.
Age: 0.7
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Contusion, Pyrexia
Clinical narrative: Mom stated to this nurse her daughter ran a fever up to 103 couple days after her vaccines.  Stated had a bruise area on her leg, but mom stated she had fat legs.  Mom stated she never had to take her to the doctor or anywhere else and she is doing fine.
Age: 68.0
Sex: F
Vaccine: FLU3
Symptoms: Blood culture negative, Oedema peripheral, Paraesthesia, Tenderness
Clinical narrative: Pt began experiencing tingling and tenderness in her extremities similar to a bruise or sunburn.  It would come & go & seemed to "travel" around her body.  On 12/7/07 her feet began to swell.  Symptoms have improved as of 12/11/07.  Dr. thought possibly viral infection.
Age: 84.0
Sex: M
Vaccine: VARZOS
Symptoms: Injection site pain
Clinical narrative: Pain at injection site (L) arm and left thigh - dull with occ. sharp moments - lasting a few days after immunization.
Age: 23.0
Sex: F
Vaccine: TDAP
Symptoms: Unevaluable event
Clinical narrative: None stated
Age: 1.2
Sex: F
Vaccine: DTAPHEPBIP, FLU3, HIBV, MMR, PNC
Symptoms: Injection site discolouration, Injection site erythema, Injection site induration
Clinical narrative: Pt developed 45 mm indurated red area to thigh where vaccines were given.  Area L thigh still present although faded to brown in color.
Sex: U
Vaccine: FLU3, PPV
Symptoms: Asthenia, Chills, Hyperhidrosis, Injected limb mobility decreased, Injection site movement impairment
Clinical narrative: Within hours of receiving flu & pneumonia vax in the same arm, this case experienced; chills/sweats, weakness & fever 101.8-sx that lasted-6 days.  Left arm weakness with swelling & limited movement 3 days.  Seen by PCP, round of Cephalexin given.  BOH notified by case 12/10/07, case feeling better.
Sex: U
Vaccine: FLU3, PPV
Symptoms: Injection site swelling, Oedema peripheral, Pyrexia
Clinical narrative: Within hours of receiving flu & pneumonia vax in the same arm, this case experienced; chills/sweats, weakness & fever 101.8-sx that lasted-6 days.  Left arm weakness with swelling & limited movement 3 days.  Seen by PCP, round of Cephalexin given.  BOH notified by case 12/10/07, case feeling better.
Age: 22.0
Sex: M
Vaccine: ANTH, FLUN3, SMALL, TYP
Symptoms: Nodule
Clinical narrative: Patient noticed bump similar to his smallpox vaccination site about 2 cm from the vaccination site.
Age: 1.5
Sex: M
Vaccine: DTAP, FLU3
Symptoms: Incorrect dose administered
Clinical narrative: In for well visit 12/5/07, due for DTaP, IVP and flu.  Inadvertently given 2 flu vaccines .25 ml instead of 1 flu .25 ml and IPV.
Age: 5.0
Sex: F
Vaccine: IPV, MMRV, TDAP
Symptoms: Medication error, Wrong drug administered
Clinical narrative: Was given Adacel Tdap at age 5 when should not have been given until age 8.
Age: 41.0
Sex: M
Vaccine: FLU3
Symptoms: Drug administered at inappropriate site
Clinical narrative: IM influenza vaccine was mistaken for "FluMist" and administered to the nasal passage as a liquid.  Once mistake was determined it was given IM.
Age: 24.0
Sex: M
Vaccine: FLU3
Symptoms: Drug administered at inappropriate site
Clinical narrative: IM influenza vaccine was mistaken for "FluMist" and administered to the nasal passage as a liquid.  Once mistake was determined it was given IM.
Age: 35.0
Sex: M
Vaccine: FLU3
Symptoms: Incorrect route of drug administration
Clinical narrative: IM influenza vaccine was mistaken for 'FluMist' and administered to the nasal passage as a liquid. Once mistake was determined, it was given IM.
Age: 20.0
Sex: F
Vaccine: FLU3
Symptoms: Drug administered at inappropriate site
Clinical narrative: IM influenza vaccine was mistaken for "FluMist" and administered to the nasal passage as a liquid.  Once mistake was determined it was given IM.
Age: 28.0
Sex: M
Vaccine: FLU3
Symptoms: Drug administered at inappropriate site
Clinical narrative: IM influenza vaccine was mistaken for "FluMist" and administered to the nasal passage as a liquid.  Once mistake was determined it was given IM.
Age: 28.0
Sex: F
Vaccine: FLU3, HEP
Symptoms: Incorrect route of drug administration, Medication error
Clinical narrative: IM influenza, vaccine was mistaken for "Flu Mist" and administered to the nasal passage as a liquid.  Once mistake was determined it was given IM.
Age: 26.0
Sex: M
Vaccine: FLU3
Symptoms: Drug administered at inappropriate site
Clinical narrative: IM influenza vaccine was mistaken for "FluMist" and administered to the nasal passage as a liquid.  Once mistake was determined it was given IM.
Age: 40.0
Sex: M
Vaccine: FLU3
Symptoms: Incorrect route of drug administration
Clinical narrative: IM influenza vaccine was mistaken for 'FluMist' and administered to the nasal passage as a liquid. Once mistake was determined it was given IM.
Age: 33.0
Sex: M
Vaccine: FLU3
Symptoms: Incorrect route of drug administration, Medication error
Clinical narrative: IM influenza vaccine was mistaken for "Flu Mist" and administered to the nasal passage as a liquid.  Once mistake was determined it was given IM.
Age: 25.0
Sex: M
Vaccine: FLU3
Symptoms: Incorrect route of drug administration
Clinical narrative: IM influenza vaccine was mistaken for "FluMist" and administered to the nasal passage as a liquid.  Once mistake was determined it was given IM.
Age: 42.0
Sex: M
Vaccine: FLU3
Symptoms: Incorrect route of drug administration
Clinical narrative: IM influenza vaccine was mistaken for "FluMist" and administered to the nasal passage as a liquid.  Once mistake was determined it was given IM.
Age: 28.0
Sex: M
Vaccine: FLU3
Symptoms: Incorrect route of drug administration
Clinical narrative: IM influenza vaccine was mistaken for "FluMist" and administered to the nasal passage as a liquid.  Once mistake was determined it was given IM.
Age: 34.0
Sex: M
Vaccine: FLU3, HEP
Symptoms: Incorrect route of drug administration
Clinical narrative: IM influenza vaccine was mistaken for 'FluMist' and administered to the nasal passage as a liquid. Once mistake was determined it was given IM.
Age: 35.0
Sex: M
Vaccine: FLU3
Symptoms: Incorrect route of drug administration, Medication error
Clinical narrative: IM influenza vaccine was mistaken for "Flu Mist" and administered to the nasal passage as a liquid.  Once mistake was determined it was given IM.
Age: 26.0
Sex: M
Vaccine: FLU3
Symptoms: Incorrect route of drug administration, Medication error
Clinical narrative: IM influenza vaccine was mistaken for "Flu Mist" and administered to the nasal passage as a liquid.  Once mistake was determined it was given IM.
Age: 24.0
Sex: M
Vaccine: FLU3
Symptoms: Incorrect route of drug administration, Medication error
Clinical narrative: IM influenza vaccine was mistaken for "Flu Mist" and administered to the nasal passage as a liquid.  Once mistake was determined it was given IM.
Age: 24.0
Sex: M
Vaccine: FLU3, HEP
Symptoms: Incorrect route of drug administration, Medication error
Clinical narrative: IM influenza vaccine was mistaken for "Flu Mist" and administered to the nasal passage as a liquid.  Once mistake was determined it was given IM.
Age: 25.0
Sex: M
Vaccine: FLU3
Symptoms: Incorrect route of drug administration, Medication error
Clinical narrative: IM influenza vaccine was mistaken for "Flu Mist" and administered to the nasal passage as a liquid.  Once mistake was determined it was given IM.
Age: 46.0
Sex: M
Vaccine: FLU3, TD
Symptoms: Incorrect route of drug administration, Medication error
Clinical narrative: IM influenza vaccine was mistaken for "Flu Mist" and administered to the nasal passage as a liquid.  Once mistake was determined it was given IM.
Age: 41.0
Sex: M
Vaccine: FLU3
Symptoms: Incorrect route of drug administration
Clinical narrative: IM influenza vaccine was mistaken for 'FluMist' and administered to the nasal passage as a liquid. Once mistake was determined it was given IM.
Age: 44.0
Sex: M
Vaccine: FLU3
Symptoms: Incorrect route of drug administration, Medication error
Clinical narrative: IM influenza vaccine was mistaken for "Flu Mist" and administered to the nasal passage as a liquid.  Once mistake was determined it was given IM.
Age: 42.0
Sex: M
Vaccine: FLU3
Symptoms: Incorrect route of drug administration, Medication error
Clinical narrative: IM influenza vaccine was mistaken for "Flu Mist" and administered to the nasal passage as a liquid.  Once mistake was determined it was given IM.
Age: 29.0
Sex: M
Vaccine: FLU3
Symptoms: Incorrect route of drug administration
Clinical narrative: IM influenza vaccine was mistaken for 'FluMist' and administered to the nasal passage as a liquid. Once mistake was determined it was given IM.
Age: 23.0
Sex: M
Vaccine: FLU3
Symptoms: Incorrect route of drug administration, Medication error
Clinical narrative: IM influenza vaccine was mistaken for "Flu Mist" and administered to the nasal passage as a liquid.  Once mistake was determined it was given IM.
Age: 36.0
Sex: M
Vaccine: FLU3, HEP, HEPA, TD
Symptoms: Incorrect route of drug administration, Medication error
Clinical narrative: IM influenza vaccine was mistaken for "Flu Mist" and administered to the nasal passage as a liquid.  Once mistake was determined it was given IM.
Age: 14.0
Sex: F
Vaccine: HPV4, MNQ
Symptoms: Abdominal pain upper, Amnesia, Bruxism, Convulsion, Headache
Clinical narrative: The school nurse had just finished giving this student the Menactra and HPV vaccines and the student slumped over, her body began shaking and began having "seizure like" activity of her body shaking, teeth clenched, for 45 seconds.  She did not remember any of the incident.  She then woke up.  The student complained of a headache and stomach ache after the incident.
Age: 14.0
Sex: F
Vaccine: HPV4, MNQ
Symptoms: Syncope, Tremor
Clinical narrative: The school nurse had just finished giving this student the Menactra and HPV vaccines and the student slumped over, her body began shaking and began having "seizure like" activity of her body shaking, teeth clenched, for 45 seconds.  She did not remember any of the incident.  She then woke up.  The student complained of a headache and stomach ache after the incident.
Age: 4.0
Sex: M
Vaccine: FLU3
Symptoms: Cough, Pyrexia, Respiration abnormal, Wheezing
Clinical narrative: Vaccine at 0900 a.m.  At night, fever from 102 to 104 degrees F.  Developed cough, wheeze, respiration distress.  Sent by 911 to emergency department for wheezing.
Age: 60.0
Sex: F
Vaccine: VARZOS
Symptoms: Sinusitis, Urticaria
Clinical narrative: 12/7/2007 given zoster vaccine.  Seen 12/10/07 for sinusitis, taking Cipro 500 mg one BID & pen 8 mg/Celestone 6 mg IM.  Urticaria rash on 12/15/07.
Age: 58.0
Sex: F
Vaccine: VARZOS
Symptoms: Herpes virus infection, Vaginal ulceration
Clinical narrative: Received vaccine 12/11/07 - S/S vaginal ulcers.
Age: 20.0
Sex: F
Vaccine: HEP
Symptoms: Dizziness, Headache, Pain in extremity
Clinical narrative: arm sore from the start, headache after an hours, dizzy, true onset from the start. Presented to medical center at 1525.
Age: 5.0
Sex: M
Vaccine: HEPA, VARCEL
Symptoms: Erythema multiforme, Rash
Clinical narrative: Rash on body, lasted several days. Treated with Benadryl. Erythema multiforme minor? Pt seen by dermatology.
Age: 65.0
Sex: F
Vaccine: TTOX
Symptoms: Erythema, Oedema peripheral, Pruritus
Clinical narrative: Itchy, red, left arm swollen 18cm x 15cm area around injection site.  Onset 3 days after injection.  Seen in office 12/26/07.
Age: 66.0
Sex: F
Vaccine: PPV
Symptoms: Oedema peripheral, Pain, Pain in extremity, Skin warm
Clinical narrative: Arm achy and sore the day vaccine was given. Arm also "hot and swollen" the day vaccine was given. Ice helped. Advised Tylenol and Motrin as needed. Took 5 days to recover.
Age: 12.0
Sex: M
Vaccine: DTAP
Symptoms: Inappropriate schedule of drug administration, No adverse reaction
Clinical narrative: DTaP given to 12-year-old should have been Tdap. No adverse event reported.
Age: 5.0
Sex: M
Vaccine: DT
Symptoms: Abnormal behaviour, Crying, Dyskinesia
Clinical narrative: 12/10/07 Mom reports child has not been acting right since DT on 11/27/07. Tears up during the day and hands jerk at night while asleep. Onset about 24 hours after vacc. Mom things its from DT.
Age: 27.0
Sex: F
Vaccine: HEP
Symptoms: Anxiety, Dizziness, Dyspnoea, Heart rate increased
Clinical narrative: 1/2 hr S/P vaccination-C/O SOB, increased pulse, dizziness and apprehension. A/P 104-irreg B/P/28/74 Resp 18 O2 2l applied-98 %-Lungs clear. c/s 85 1240-A/P 72, RRR, no SOB, no dizziness, 99% RAO2 follow/up 1330-no c/o calm, pulse RRR
Age: 1.0
Sex: F
Vaccine: VARCEL
Symptoms: Rash, Respiratory tract congestion, Rhinorrhoea
Clinical narrative: Runny nose, congestion, rash.
Age: 5.0
Sex: F
Vaccine: DTAP, HEP, VARCEL
Symptoms: Staphylococcal infection, Swelling
Clinical narrative: 11/19/07 - Reports received immunization 111607 (DTAP, HBV3 and Varicella).  Seen 11/18/07 emergency room with complaint of "ball size" hard and hot area to right thigh. Emergency room told mother it was "staph infection at injection site".  History of whelps and swelling with immunization done at primary doctor's office 2/07.  Reports noted improvements this morning.
Age: 0.39
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Body temperature increased, Cough
Clinical narrative: PC from mother at 0800 11/19/07 - states received immun 11/16/07 - (Pediarix, Hib, PCV-7) by 11/16/07 pm - had increased temp of 101-102 - sometime Sun am (11/18/07) went to 104 for several hrs. Went to ER Sun AM - antibiotics were given. Mother states had hoarse cough as well. 1st set of immun. Denied any recurrent illness. Has reflux - vomiting with formula problems. No temp since 11/18/07 PM.
Age: 4.0
Sex: F
Vaccine: IPV
Symptoms: Diarrhoea, Vomiting
Clinical narrative: Began vomiting about 2 hours after administration of vaccine. Vomited 6 times, later had small amount of diarrhea. No fevers. Treated with Zofran 4mg ODT. Note: Patient's mother and sister developed same symptoms within 12 hours of vaccine administration to this patient only.
Age: 84.0
Sex: F
Vaccine: PPV
Symptoms: Back pain, Electrocardiogram abnormal, Syncope vasovagal, Unresponsive to stimuli
Clinical narrative: Pt complained of back pain 1 min after injection. Pt slumped in chair/non-responsive/but no difficulty breathing 5 min after injection x 2 min. ECG indicative of vasovagal resp; pt taken to hospital for observation.
Age: 48.0
Sex: M
Vaccine: ANTH
Symptoms: Dermatitis atopic, Mass, Pain, Pruritus
Clinical narrative: Pt received 5th Anthrax vac. 04 Sep 07 in (R) arm SQ. He developed lump. Continues to have multiple lumps x 2-3. Now has developed Atropic Dermatitis at the site. It flares up-and-receds. Occasionally painful, and pruritic
Age: 4.0
Sex: F
Vaccine: VARCEL
Symptoms: Varicella
Clinical narrative: Client received varicella vaccine in 2003. Developed S/S chicken pox 12/10/07.
Age: 77.0
Sex: F
Vaccine: PPV
Symptoms: Erythema, Pain, Swelling
Clinical narrative: Swelling, turned red, extremely painful.
Age: 90.0
Sex: F
Vaccine: PPV
Symptoms: Injection site pain
Clinical narrative: Extreme pain at site of injection and then entire arm and left chest.  Pain medications given.
Age: 70.0
Sex: F
Vaccine: PPV
Symptoms: Fatigue, Injection site pain, Malaise, Pharyngolaryngeal pain
Clinical narrative: 10/29/07 complain pain right arm (site of injection) 10 days later sore throat, fatigue, malaise. After 1 month s/s did labs suggestive viral dis. (+) EBV IgM
Age: 19.0
Sex: M
Vaccine: HEP
Symptoms: Expired drug administered
Clinical narrative: Vaccine expired - given 12/14/07.  Expired on 11/18/07.
Age: 13.0
Sex: F
Vaccine: VARCEL
Symptoms: Influenza like illness, Myalgia
Clinical narrative: Pedvax HiB was given by error instead of meningococcal vaccine.  Patient has sore muscle and flu like feeling for a few days, was also tired for 2 hours.  Trial of stimulant which since has been decreased.
Age: 65.0
Sex: F
Vaccine: PPV
Symptoms: Chills, Oedema peripheral, Pyrexia, Skin warm
Clinical narrative: Rec'd PPV 23 about noon 9 reports chills and fever of about 100 deg by 4pm. By next morning, (R) arm was swollen and warm, no discoloration. She treated with warm packs and movements. Took "long nap" 12-14-07. Arm back to normal by 12-16-07.
Age: 67.0
Sex: F
Vaccine: PPV
Symptoms: Cellulitis, Culture positive, Injected limb mobility decreased, Methicillin-resistant staphylococcal aureus test positive, Pain in extremity
Clinical narrative: On 11/23/7 after PPV I had a Very painful left arm which felt like I had been shocked. Later I could not raise my arm without pain which lasted 1 week and had a fever. Reported it to doctor office and advised to use ibuprofen *See Attached
Age: 67.0
Sex: F
Vaccine: PPV
Symptoms: Pyrexia
Clinical narrative: On 11/23/7 after PPV I had a Very painful left arm which felt like I had been shocked. Later I could not raise my arm without pain which lasted 1 week and had a fever. Reported it to doctor office and advised to use ibuprofen *See Attached
Age: 42.0
Sex: F
Vaccine: HEPA
Symptoms: Hypersensitivity, Odynophagia, Pharyngolaryngeal pain
Clinical narrative: After 6 hours having had the vaccine, "her throat felt like it was closing and was sore when she swallowed." She waited until the next day to seek medical attention due to having no money. Clients stated doctor at that time told her it was an allergic reaction, possibly from the vaccine. Was given Diprospan IM for allergy and rash.
Age: 1.0
Sex: F
Vaccine: VARCEL
Symptoms: Varicella
Clinical narrative: Client received Varicella vaccine on 6-18-2001. Developed s/s chickenpox 12/17/07
Age: 32.0
Sex: F
Vaccine: TDAP
Symptoms: Flushing, Headache, Musculoskeletal stiffness, Nausea, Pain
Clinical narrative: Initial report received from a nurse on 19 September 2007. A 32 year old female patient (with no medical history) developed headache, body aches, stiff neck, nausea and flushed, within 24 hours after she received Adacel (lot number C2769AA) intramuscularly in the left deltoid on 13 September 2007. The patient did not have illness at the time of vaccination. It was reported the symptoms resolved in 24 hours and the patient recovered.
Age: 38.0
Sex: F
Vaccine: TDAP
Symptoms: Cellulitis, Local reaction
Clinical narrative: Initial report received from a health care professional on 24 September 2007.  A 38 year old, female patient developed a large local reaction at the site of injection and was diagnosed with cellulitis, after she received Adacel (lot number C2771AA) in the right deltoid on 02 August 2007.  She did not have any illness at the time of the vaccination.  It was reported that patient recovered.  This case has the same reporter as cases 2007-02774 and 2007-03222.
Sex: F
Vaccine: HPV4, MNQ, TDAP
Symptoms: Cellulitis, Injection site reaction, Local reaction
Clinical narrative: Initial report received from a health care professional on 24 September 2007. A female patient developed a large local reaction at the site of injection and was diagnosed with cellulitis, after she received Adacel (lot number C2770AA) in the right deltoid. Meningococcal vaccine (manufacturer sanofi pasteur, lot number "U23816A") in the left deltoid and HPV vaccine (Merck, lot number 0927U) in the left deltoid. She did not have any illness at the time of the vaccinations. It was reported the patient recovered. This case has the same reporter as cases 2007-02774 and 2007-03221.
Age: 43.0
Sex: F
Vaccine: TDAP
Symptoms: Back pain, Headache, Injection site erythema, Injection site pain, Lumbar puncture
Clinical narrative: Initial report received from a health care provider on 14 September 2007. A 43-year-old female patient had received an intramuscular right deltoid injection of ADACEL, lot number C2788AA (lot number invalid) and three hours later complained of a headache, back ache, leg pain, and pain and redness at the injection site leading to an emergency room (ER) visit. While at the ER, a lumbar puncture was performed, results were pending at the time of the report. Darvocet and Motrin were administered as corrective treatment and the patient was discharged. The patient's medical history includes allergies to Vibramycin, Morphine, Vicodin, and Augmentin. At the time of the report, the patient was listed as recovered from the event. This case is linked to case 2007-03155 and 20007-03156 which were received from the same reporter.
Age: 43.0
Sex: F
Vaccine: TDAP
Symptoms: Pain in extremity
Clinical narrative: Initial report received from a health care provider on 14 September 2007. A 43-year-old female patient had received an intramuscular right deltoid injection of ADACEL, lot number C2788AA (lot number invalid) and three hours later complained of a headache, back ache, leg pain, and pain and redness at the injection site leading to an emergency room (ER) visit. While at the ER, a lumbar puncture was performed, results were pending at the time of the report. Darvocet and Motrin were administered as corrective treatment and the patient was discharged. The patient's medical history includes allergies to Vibramycin, Morphine, Vicodin, and Augmentin. At the time of the report, the patient was listed as recovered from the event. This case is linked to case 2007-03155 and 20007-03156 which were received from the same reporter.
Sex: F
Vaccine: TDAP
Symptoms: Injection site erythema, Injection site mass, Injection site reaction, Injection site swelling, Local reaction
Clinical narrative: Initial report received from a patient who is also a health care professional on 06 September 2007. A female patient (age, date of birth not reported and a medical history of asthma and 1 functioning kidney) developed a large, local reaction at the injection site - left deltoid of redness, swelling, and knot formation, after she received ADACEL (lot number C2775AA, route of administration not reported) in the left deltoid on 04 September 2007 for a 10 year booster. She self-medicated herself with ibuprofen. She did not have any illness at the time of the vaccination. At the time of the report, the symptoms were resolving.
Age: 35.0
Sex: F
Vaccine: TDAP
Symptoms: Breast pain, Headache, Injection site erythema, Injection site pruritus, Injection site swelling
Clinical narrative: Initial report received on 05 September 2007, from a health care professional. A 35 year old female patient, who was in remission from Dermatomyositis, received on 30 August 2007 first dose of ADACEL (lot# C2632AA), into the left deltoid. On 06 September 2007, 7 days post vaccination, she experienced pain in the left arm from shoulder to elbow with redness, swelling and itching at injection site. The patient also experienced pain under left breast and headache. She was not evaluated by a physician. A registered nurse evaluated her and advised ice and ADVIL. The outcome was unknown. There were no relevant diagnostic tests/laboratory data. The patient had no illness at vaccination time. The patient's medical history also included Codeine allergy. The patient was no taking concomitant medications.
Age: 35.0
Sex: F
Vaccine: TDAP
Symptoms: Pain in extremity
Clinical narrative: Initial report received on 05 September 2007, from a health care professional. A 35 year old female patient, who was in remission from Dermatomyositis, received on 30 August 2007 first dose of ADACEL (lot# C2632AA), into the left deltoid. On 06 September 2007, 7 days post vaccination, she experienced pain in the left arm from shoulder to elbow with redness, swelling and itching at injection site. The patient also experienced pain under left breast and headache. She was not evaluated by a physician. A registered nurse evaluated her and advised ice and ADVIL. The outcome was unknown. There were no relevant diagnostic tests/laboratory data. The patient had no illness at vaccination time. The patient's medical history also included Codeine allergy. The patient was no taking concomitant medications.
Sex: U
Vaccine: TDAP
Symptoms: Erythema, Injected limb mobility decreased, Oedema peripheral, Pain in extremity
Clinical narrative: A cluster of 7 patients who received ADACEL lot #C2769AA and experienced adverse events. This case is for the patient with the redness, swelling and pain of the entire vaccinated upper arm. This cluster is detailed in cases 2007-02921, 2007-02929, 2007-02995. Initial report received on 30 August 2007 from a health care professional. An unidentifiable patient received on an unspecified date a dose of ADACEL (lot #C2726AA) and experienced redness, swelling, severe pain of entire vaccinated upper arm, with impaired range of motion of his arm. The patient was seen in the office and was still recovering. No other information was provided.
Age: 48.0
Sex: F
Vaccine: HEPAB, TDAP, TYP, YF
Symptoms: Adverse event
Clinical narrative: A cluster of 3 patients who received YF Vax lot# UF045AA and Adacel lot# C2731AA and experienced adverse events, which are detailed in cases 2007-02925, 2007-02926, 2007-02927.
Sex: U
Vaccine: TDAP
Symptoms: Injection site erythema, Injection site mass
Clinical narrative: A cluster of 7 patients who received Adacel lot #C2769AA and experienced adverse events. This case is for the 2 patients with the injection site redness and "hard knots".  This cluster is detailed in cases 2007-02921, 2007-02929, 2007-02995.  Initial report received on 28 August 2007 from a health care professional.  6 unidentifiable patients received on an unspecified date Adacel (lot #C2769AA) (site, site and route of administration not provided) and experienced redness at injection site.  2 of the 6 patients experienced "hard knots" at injection site and were treated with antibiotics.  The patients had not recovered.
Age: 49.0
Sex: F
Vaccine: TDAP
Symptoms: Abdominal pain upper, Asthenia, Axillary pain, Cellulitis, Chills
Clinical narrative: Initial report received on 20 August 2007 from a consumer, who is the patient. A 49 year old female patient received ADACEL (lot # was unknown) into the left deltoid on 15 August 2007. The next day she developed left arm stiffness, stomach ache, and diarrhea. On 17 August 2007 she had fever of 99.3 (Fahrenheit), she was weak, tired and had headache. Her arm was red, sore and swollen. On 19 August 2007, the patient called a medical center that recommended heat to site and ZITHROMAX for cellulitis. The patient had not recovered. The patient had allergy to sulfa and amoxicillin. The patient's concomitant medications included FOSAMAX once a week. The patient was not ill at vaccination time and had no adverse reaction following prior vaccinations. Follow-up information received from a health care provider on 04 October 2007. The patient had received an intramuscular left deltoid injection of ADACEL as part of a routine medical examination. On 19 August 2007, the patient presented to the urgent care clinic complaining of flu like symptoms for several days, dizziness, tender axilla and occasional chills. Assessment notes indicate the patient had "left shoulder redness/swelling/tender injection site with tender left axilla/LN". The patient contacted the urgent care clinic on 20 August 2007 the following day and stated that her arm was still "swollen, warm to touch and stiff" and her symptoms of diarrhea and headache continued. The patient stated that her symptoms "aren't worse or better". The patient had not received any vaccinations during the four weeks prior to receipt of ADACEL. The patient's past medical history included hypertension NOS, mitral valve disorder, osteoporosis NEC, endometriosis NOS, anxiety state NOS, backache NOS, and irritable bowel syndrome. Concomitant medications on the day of vaccination included LIBRAX, Lotrisone, desonide, fluocinonide, tobramycin sulfate and FOSAMAX. No further information was provided and the patient had not recovered at the time of the report. Follow-up information was received from the health professional on 29 October 2007. The patient had not received any prior doses of ADACEL. It was unknown if or when the patient had received previous tetanus injections. Treatment for the event began on 19 August 2007, and in addition to ZITHROMAX included ibuprofen for body aches and pain, and heat to injection site. The patient was instructed to follow-up with the physician if symptoms worsened or did not improve; no further contact was noted. It was unknown when the symptoms resolved. No diagnostic tests were ordered.
Age: 49.0
Sex: F
Vaccine: TDAP
Symptoms: Diarrhoea, Dizziness, Erythema, Fatigue, Headache
Clinical narrative: Initial report received on 20 August 2007 from a consumer, who is the patient. A 49 year old female patient received ADACEL (lot # was unknown) into the left deltoid on 15 August 2007. The next day she developed left arm stiffness, stomach ache, and diarrhea. On 17 August 2007 she had fever of 99.3 (Fahrenheit), she was weak, tired and had headache. Her arm was red, sore and swollen. On 19 August 2007, the patient called a medical center that recommended heat to site and ZITHROMAX for cellulitis. The patient had not recovered. The patient had allergy to sulfa and amoxicillin. The patient's concomitant medications included FOSAMAX once a week. The patient was not ill at vaccination time and had no adverse reaction following prior vaccinations. Follow-up information received from a health care provider on 04 October 2007. The patient had received an intramuscular left deltoid injection of ADACEL as part of a routine medical examination. On 19 August 2007, the patient presented to the urgent care clinic complaining of flu like symptoms for several days, dizziness, tender axilla and occasional chills. Assessment notes indicate the patient had "left shoulder redness/swelling/tender injection site with tender left axilla/LN". The patient contacted the urgent care clinic on 20 August 2007 the following day and stated that her arm was still "swollen, warm to touch and stiff" and her symptoms of diarrhea and headache continued. The patient stated that her symptoms "aren't worse or better". The patient had not received any vaccinations during the four weeks prior to receipt of ADACEL. The patient's past medical history included hypertension NOS, mitral valve disorder, osteoporosis NEC, endometriosis NOS, anxiety state NOS, backache NOS, and irritable bowel syndrome. Concomitant medications on the day of vaccination included LIBRAX, Lotrisone, desonide, fluocinonide, tobramycin sulfate and FOSAMAX. No further information was provided and the patient had not recovered at the time of the report. Follow-up information was received from the health professional on 29 October 2007. The patient had not received any prior doses of ADACEL. It was unknown if or when the patient had received previous tetanus injections. Treatment for the event began on 19 August 2007, and in addition to ZITHROMAX included ibuprofen for body aches and pain, and heat to injection site. The patient was instructed to follow-up with the physician if symptoms worsened or did not improve; no further contact was noted. It was unknown when the symptoms resolved. No diagnostic tests were ordered.
Age: 49.0
Sex: F
Vaccine: TDAP
Symptoms: Influenza like illness, Injection site induration, Injection site pain, Injection site warmth, Joint swelling
Clinical narrative: Initial report received on 20 August 2007 from a consumer, who is the patient. A 49 year old female patient received ADACEL (lot # was unknown) into the left deltoid on 15 August 2007. The next day she developed left arm stiffness, stomach ache, and diarrhea. On 17 August 2007 she had fever of 99.3 (Fahrenheit), she was weak, tired and had headache. Her arm was red, sore and swollen. On 19 August 2007, the patient called a medical center that recommended heat to site and ZITHROMAX for cellulitis. The patient had not recovered. The patient had allergy to sulfa and amoxicillin. The patient's concomitant medications included FOSAMAX once a week. The patient was not ill at vaccination time and had no adverse reaction following prior vaccinations. Follow-up information received from a health care provider on 04 October 2007. The patient had received an intramuscular left deltoid injection of ADACEL as part of a routine medical examination. On 19 August 2007, the patient presented to the urgent care clinic complaining of flu like symptoms for several days, dizziness, tender axilla and occasional chills. Assessment notes indicate the patient had "left shoulder redness/swelling/tender injection site with tender left axilla/LN". The patient contacted the urgent care clinic on 20 August 2007 the following day and stated that her arm was still "swollen, warm to touch and stiff" and her symptoms of diarrhea and headache continued. The patient stated that her symptoms "aren't worse or better". The patient had not received any vaccinations during the four weeks prior to receipt of ADACEL. The patient's past medical history included hypertension NOS, mitral valve disorder, osteoporosis NEC, endometriosis NOS, anxiety state NOS, backache NOS, and irritable bowel syndrome. Concomitant medications on the day of vaccination included LIBRAX, Lotrisone, desonide, fluocinonide, tobramycin sulfate and FOSAMAX. No further information was provided and the patient had not recovered at the time of the report. Follow-up information was received from the health professional on 29 October 2007. The patient had not received any prior doses of ADACEL. It was unknown if or when the patient had received previous tetanus injections. Treatment for the event began on 19 August 2007, and in addition to ZITHROMAX included ibuprofen for body aches and pain, and heat to injection site. The patient was instructed to follow-up with the physician if symptoms worsened or did not improve; no further contact was noted. It was unknown when the symptoms resolved. No diagnostic tests were ordered.