chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 17.0
Sex: F
Vaccine: HPV4
Symptoms: Blood pressure decreased, Caesarean section, Drug exposure during pregnancy, Urine human chorionic gonadotropin positive
Clinical narrative: Initial information and follow up has been received from a nurse and consumer for the Pregnancy Registry for GARDASIL concerning a 17 year old female who was born three months premature was vaccinated on 22-AUG-2007 intramuscularly with her first dose of GARDASIL (lot# 655618/0186U). on 25-APR-2008 the patient was vaccinated intramuscularly with her second dose of GARDASIL (lot# 659655/1486U) and was pregnant. Concomitant therapy on 25-APR-2008 included HepB (duration and dose not reported). The patient's LMP was estimated to be 24-MAR-2008. She had a positive urine pregnancy test. The patient sought medical attention on an unspecified date in the physician's office. Subsequently the patient experienced no symptoms. The patient has had no previous pregnancies. Follow-up information was received from the registered nurse. On 13-JAN-2009 the patient, with no significant past medical history and no concurrent medical condition, gave birth to a live, normal female baby with birth weight 6 lb 5 oz, length 19.2 inch, head circumference 13 and passed Apgar score and all testing. The baby was delivered by c-section due to mother's blood pressure dropping. There was no other complication. There were no congenital anomalies and other complications or abnormalities. Upon internal review, delivered by c-section due to mother's blood pressure dropping was determined to be an other important medical event. Additional information is not expected.
Age: 35.0
Sex: M
Vaccine: SMALL
Symptoms: Injection site pruritus, Injection site vesicles, Keloid scar
Clinical narrative: Smallpox site still itches.  Recently blistered & keloid.  Pt c/o severe itching @ vaccination site.  5/26/09 Received clinic medical records of 9/3/2008-4/30/2009. FINAL DX: chronic dermatitis at smallpox injection site. Records reveal that on 4/30/09 patient experienced pain, marked swelling & redness at smallpox injection site x 1 wk.  Site originally had healed 10/2008 but in 4/09 scar expanded to a blister x 1 wk then flattened & spread, very sensitive to any contact with site causing extreme irritation & itching.  Itching had been present x 7 mo.  Referred to Derm clinic but no additional records included.
Age: 1.0
Sex: F
Vaccine: PNC
Clinical narrative: L thigh firm area of redness 1" diameter No fever.
Age: 6.0
Sex: F
Vaccine: VARCEL
Symptoms: Injection site urticaria
Clinical narrative: Hives at injection site Benadryl 25 mg PO + triamcinolone cream to site.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV
Symptoms: Injection site erythema, Injection site mass, Injection site swelling
Clinical narrative: Red swollen lump at injection site (R arm).  Benadryl given by mother (day after injection)
Age: 23.0
Sex: F
Vaccine: HEP, TDAP
Symptoms: Oral pruritus, Pruritus generalised
Clinical narrative: c/o itching over all of body, tongue + lips.  Referred to Dr at Health office.
Age: 1.3
Sex: M
Vaccine: DTAP, HIBV, MMRV, PNC, VARCEL
Symptoms: Skin lesion, Varicella post vaccine
Clinical narrative: Varicella lesions eruption  4/27/09 AM
Age: 20.0
Sex: M
Vaccine: HEPAB, TYP
Symptoms: Immediate post-injection reaction
Clinical narrative: Patient received both TWINRIX & TYPHOID before collapsing on the chair.  Immidiately patient started to cease.  Patient was moved to the floor and feet were elevated. Vitals were taken.  Shortly after EMS arrived on the scene and took the patient to the ER.
Age: 13.0
Sex: F
Vaccine: FLU3, MNQ
Symptoms: Dizziness, Pallor, Unresponsive to stimuli
Clinical narrative: Patient became lightheaded, pale, and unresponsive for approx. 1 minute. BP 90/48. Placed on couch w/ feet elevated. Given apple juice after alert & oriented x3. BP 98/60 prior to leaving office.
Age: 15.0
Sex: F
Vaccine: HPV4, MNQ
Symptoms: Abdominal pain, Back pain, Cholecystectomy, Headache, Musculoskeletal pain
Clinical narrative: Parents concerned that vaccine (s) have caused chronic pain. Has had ulcers and cholecystectomy (abnormal gallbladder scan), but persists with abdominal, back and shoulder pain, headaches.  5/18/09 Received vaccine & PCP medical records of 7/30/08-4/28/2009. FINAL DX: none provided Records reveal patient experienced chest pain & palpitations 8/08 & seen in ER.  Cardio w/u WNL.  Referred for GI consult, GB US.  Began home schooling 9/08.  Had cholecystectomy.  Developed sinus infection 12/08.  Found disc herniation & referred to PT.  Recurrent sinusitis 2/09.  Returned to school but was missing enough that returned to home schooling.  Seeing pain mgt & accupuncture but still w/chronic pain.  Discussed possible referral to rheum for possible fibromyalgia & return to GI for continued abd pain.
Age: 15.0
Sex: F
Vaccine: HPV4, MNQ
Symptoms: Pain
Clinical narrative: Parents concerned that vaccine (s) have caused chronic pain. Has had ulcers and cholecystectomy (abnormal gallbladder scan), but persists with abdominal, back and shoulder pain, headaches.  5/18/09 Received vaccine & PCP medical records of 7/30/08-4/28/2009. FINAL DX: none provided Records reveal patient experienced chest pain & palpitations 8/08 & seen in ER.  Cardio w/u WNL.  Referred for GI consult, GB US.  Began home schooling 9/08.  Had cholecystectomy.  Developed sinus infection 12/08.  Found disc herniation & referred to PT.  Recurrent sinusitis 2/09.  Returned to school but was missing enough that returned to home schooling.  Seeing pain mgt & accupuncture but still w/chronic pain.  Discussed possible referral to rheum for possible fibromyalgia & return to GI for continued abd pain.
Age: 9.0
Sex: F
Vaccine: VARCEL
Symptoms: Injection site induration, Injection site swelling, Injection site warmth
Clinical narrative: Pt received Varicella vaccine on 4/30/09. On 5/1/09 pt's parent reporting approximately 1" swollen area around injection site. Was seen in clinic on 5/2/09, site had 1" x 1" warm induration. Rx'd home care: cold pack, TYLENOL.
Age: 10.0
Sex: M
Vaccine: VARCEL
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: 8x4 cm redness + swelling at injection site afebrile; no pain; warmth to touch
Age: 11.0
Sex: M
Vaccine: HEPA, MNQ, TDAP
Symptoms: Erythema, Oedema peripheral
Clinical narrative: Redness/swelling @ upper arm - 8" length 5th" width Benadryl/Tylenol.
Age: 1.3
Sex: M
Vaccine: DTAPIPVHIB, MMR
Symptoms: Irritability, Pyrexia
Clinical narrative: 104 fever & fussiness 9 days after MMR vaccine given (along with PENTACEL).  Patient's fever resolved by 48 hours and there were no other associated symptoms (ie rash or cold symptoms)
Age: 4.0
Sex: F
Vaccine: DTAPIPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site induration, Injection site pain, Injection site swelling
Clinical narrative: Local reaction swollen redness injection site left T size right to left  25 X 25 mm up and down sore and hard.
Age: 20.0
Sex: F
Vaccine: JEV, RAB, TYP
Symptoms: Rash, Rash macular, Swelling
Clinical narrative: 04/06/09 Rash on Rt leg above knee- both feet - rash is spotty and puffy, worse in AM - better in PM. Took Benadryl 4/09 rash still present -not as red or puffy - Has not spread. Psychiatrist said rash not thought to be from Lamactil - stopped it for 2 days + resumed without problems. 4/13 - rash gone - decided aginst JE #2.
Age: 42.0
Sex: M
Vaccine: TD
Symptoms: Rash, Urticaria
Clinical narrative: Pt started experiencing rash/hive type symptoms on his arms + legs.  This started on 4/25/09 and was still present on 5/1/09.  Pt was advised to take Pepcid w/ Zyrtec or benadryl to relieve symptoms.
Age: 11.0
Sex: M
Vaccine: TDAP, VARCEL
Symptoms: Local reaction
Clinical narrative: Local reaction right arm
Age: 1.3
Sex: M
Vaccine: DTAPIPVHIB, MMR, VARCEL
Symptoms: Pyrexia, Sick relative
Clinical narrative: Fever 102.8 at 5:00 pm day following vaccine. Continued with fever 5/1/09 - sibling sick with otitis started on ZITHROMAX.
Age: 33.0
Sex: F
Vaccine: TDAP
Symptoms: Local reaction
Clinical narrative: Local reaction left arm
Age: 29.0
Sex: F
Vaccine: MMR
Symptoms: Body temperature increased, Flushing, Vomiting
Clinical narrative: @ 1/2 hour after vaccine administration c/o flushing of face with temp elevation to 99.6 F.  Also reported vomiting.  Vomiting and facial flushing continued through the next morning.
Age: 13.0
Sex: F
Vaccine: HEPA, HPV4, VARCEL
Symptoms: Urticaria
Clinical narrative: Hives occured 9 days after administration of HPV, HepA and Varicella vaccines
Age: 39.0
Sex: M
Vaccine: ANTH
Symptoms: Blindness, Constipation
Clinical narrative: constipation, some lost of vision
Age: 1.25
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Convulsion, Febrile convulsion, Pyrexia
Clinical narrative: VACCINES ADMINISTERED 4-13-09 ON 4-21-09 PATIENT DEVELOPED A FEVER AND HAD A SEIZURE LASTING 2 MINUTES. TRANSPORTED TO HOSPITAL BY AMBULANCE AND DIAGNOSED WITH SIMPLE FEBRILE SEIZURE.  18 HOURS LATER PATIENT HAD ANOTHER SEIZURE AND WAS TRANSPORTED AGAIN BY AMBULANCE TO HOSPITAL AND DIAGNOSED WITH COMPLEX FEBRILE SEIZURE. NO OTHER SIGNS OR SYPTOMS OF ILLNESS AT THE TIME OF FEVERS OR IN THE SUBSEQUENT WEEK.  NO FAMILY HISTORY OR PREVIOUS HISTORY OF SEIZURES.
Age: 14.0
Sex: M
Vaccine: MNQ, TDAP
Symptoms: Injection site erythema, Injection site oedema, Injection site warmth, Local reaction, Pallor
Clinical narrative: Skin pale with heat and edema surrounding injection site with erythema ring approx 3-4 cm surrounding pale area appearing 4 days after vaccination to Right deltoid area where Tdap had been administered. Patient states no pain to site now or since vaccination. No fever observed by patient or mother since vaccination. Previous tetanus booster given as DTap per record on 06/08/1999.  Mother followed up with family doctor and was told it was localized reaction and to provide usual comfort measures that are provided for anyone post vaccination.
Age: 24.0
Sex: F
Vaccine: FLU3, HEPA
Symptoms: Grand mal convulsion, Presyncope
Clinical narrative: Pt presented for pre-travel vaccinations prior to travel.  Vital signs at presentation were as follows; B/P 120/62, T 97.7, R 12 and HR 60.  Cursory physical exam was accomplshed, nml heart and lungs.  Past medical hx of febrile seizures.  Pt was to receive four vaccinations; however, after receiving 1.0ml HAVRIX #1 and 0.5ml Fluzone separately (separated by 7cm) patient had a vasovagal episode, was laid supine, then after approx. 15 seconds she had a 15 second tonic-clonic seizure episode.  She fully recovered, with HR 68 and B/P 120/70 after episode.  After resting for 20 minutes, waited for another 10 minutes and was sent by POV to emergency room and had a normal work-up.  Believed to be secondary to prior hx of seizure (none related to prior vaccinations).  Talked to mother of patient this morning and patient is feeling well.
Age: 68.0
Sex: M
Vaccine: VARZOS
Symptoms: Fatigue, Glossodynia, Injection site swelling, Injection site warmth, Oropharyngeal pain
Clinical narrative: Rcvd call from pt. wife stating husband c/o sore throat and one side of his tongue is sore, being tired and that injection site is swollen and warm and is about quarter-sized.  Wife is unsure as to whether tonge soreness is on same side as injection as husband is out fishing.  Wife states, "I guess he can't feel too bad.".  Wife verifies that husband is able to eat normally, uses hand without a problem.  Recommended cold pack on injection site.  F/U call on 4/22; no answer, left msg.  4/23/09 8:52am Rcvd. voice mail from pt.; he states "It's all better now.  Got up this morning and everything was fine."
Age: 73.0
Sex: F
Vaccine: VARZOS
Symptoms: Blood test normal, Condition aggravated, Headache, Herpes zoster, Pain in jaw
Clinical narrative: Adm. zoster vax on 2/4/09.  Rcvd call from pt. on 4/24/09 10:16a.  She reports the following: on 3/28, she experienced pain in scalp and jaw and blurred vision.  Went to MD on 4/1; was prescribed prednisone, blood tests normal.  On 4/6 went to dermatologist; was prescribed cortisone topical ointment for "sores" which were later found to be pre-cancerous. She is having them removed in June/July.  Dermatologist believes that she has shingles as she is very itchy.  She c/o bad headaches concentrated on Rt. side and has another appt. this noon.  The itching is "tolerable" and rash is "all over crown" to include rt. and lt sides.  Her last episode of shingles was on the Rt. side.  and she reports having had headaches last time but "not like this."  Pt. also states that she is stressed because she is having polyps removed that were found on a colonoscopy on 3/5/09.  "I am under alot of stress."  Will speak to colorectal surgeon and get back with me regarding whether she wants to have that surgery or not.  Rcvd. call from pt. States that physician told her to have the surgery and "get it over with" and that might help with her stress levels and improve her condition.  Tried calling pt. today for update; no answer, no answering machine.  Will f/u at a later date.
Age: 73.0
Sex: F
Vaccine: VARZOS
Symptoms: Pain of skin, Precancerous skin lesion, Pruritus, Rash, Vision blurred
Clinical narrative: Adm. zoster vax on 2/4/09.  Rcvd call from pt. on 4/24/09 10:16a.  She reports the following: on 3/28, she experienced pain in scalp and jaw and blurred vision.  Went to MD on 4/1; was prescribed prednisone, blood tests normal.  On 4/6 went to dermatologist; was prescribed cortisone topical ointment for "sores" which were later found to be pre-cancerous. She is having them removed in June/July.  Dermatologist believes that she has shingles as she is very itchy.  She c/o bad headaches concentrated on Rt. side and has another appt. this noon.  The itching is "tolerable" and rash is "all over crown" to include rt. and lt sides.  Her last episode of shingles was on the Rt. side.  and she reports having had headaches last time but "not like this."  Pt. also states that she is stressed because she is having polyps removed that were found on a colonoscopy on 3/5/09.  "I am under alot of stress."  Will speak to colorectal surgeon and get back with me regarding whether she wants to have that surgery or not.  Rcvd. call from pt. States that physician told her to have the surgery and "get it over with" and that might help with her stress levels and improve her condition.  Tried calling pt. today for update; no answer, no answering machine.  Will f/u at a later date.
Age: 0.2
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV1
Symptoms: Emotional distress, Injection site swelling, Irritability, Local swelling
Clinical narrative: MOTHER CALLED AND STATED HE HAD SHOTS YESTERDAY, WHEN SHE GOT HOME WITH THE CHILD HIS LEGS WERE VERY SWOLLEN, STATED HE STARTED SWELLING INTO HIS GROIN AREA AND STATED HE WAS INCONSOLOBLE , VERY FUSSY, MOTHER TOOK HIM TO THE ER BECAUSE SHE THOUGHT HE MAY HAVE HAD A SMALL SEIZURE, HE DID NOT HAVE A TEMPERATURE AT THAT TIME, MOM STATED HE WAS SO UPSET COULD NOT TELL IF HE WAS HAVING TROUBLE BREATHING, BY THE TIME SHE GOT TO THE ER HE HAD CALMED DOWN SOME AND BREATHING WAS BETTER, SHE STATED ALL THEY DID WAS GIVE TYLENOL.  TODAY THE SWELLING IS A LITTLE BETTER TODAY BUT MOM STATED THAT HIS GROIN AREA WAS STILL A LITTLE SWOLLEN. MOTHER INSTRUCTED TO GIVE 1/4 TSP BENADRYL Q 6 HOURS
Age: 68.0
Sex: F
Vaccine: VARZOS
Symptoms: Angioedema, Induration, Injection site erythema, Injection site pain, Injection site pruritus
Clinical narrative: 24 hrs following, swelling, itchiness and pain at site of injection increasing to giant hives on neck, trunk and arm. Considerable pain, throbbing and itching increasing until the ingesting of prednisone 20mg, (perscribed for fire ant allergy but available to me on a Sunday)improvement after 3 pills, telephoned doctor but was only allowed to speak to a nurse who said this was an unusual reaction did I want to make an appointment to see the doctor. As this is a 140 mile roundtrip by car and my arm hurt I declined and continued self medicating with prednisone and benadryl. While hives ceased within 24 hours, the pain, swelling and magenta coloring surrounding the injection site took about one week to go away. I also developed a fever sore in the corner of my mouth within 48 hours of the vaccine which took about 5 days to go away using Abreva. As of April 26th I have developed an annoying tingling in the arm where the shot was administered, it is intermittent but appears to be increasing in frequency.
Age: 68.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site swelling, Oral herpes, Pain, Pain in extremity, Paraesthesia
Clinical narrative: 24 hrs following, swelling, itchiness and pain at site of injection increasing to giant hives on neck, trunk and arm. Considerable pain, throbbing and itching increasing until the ingesting of prednisone 20mg, (perscribed for fire ant allergy but available to me on a Sunday)improvement after 3 pills, telephoned doctor but was only allowed to speak to a nurse who said this was an unusual reaction did I want to make an appointment to see the doctor. As this is a 140 mile roundtrip by car and my arm hurt I declined and continued self medicating with prednisone and benadryl. While hives ceased within 24 hours, the pain, swelling and magenta coloring surrounding the injection site took about one week to go away. I also developed a fever sore in the corner of my mouth within 48 hours of the vaccine which took about 5 days to go away using Abreva. As of April 26th I have developed an annoying tingling in the arm where the shot was administered, it is intermittent but appears to be increasing in frequency.
Age: 68.0
Sex: F
Vaccine: VARZOS
Symptoms: Pyrexia
Clinical narrative: 24 hrs following, swelling, itchiness and pain at site of injection increasing to giant hives on neck, trunk and arm. Considerable pain, throbbing and itching increasing until the ingesting of prednisone 20mg, (perscribed for fire ant allergy but available to me on a Sunday)improvement after 3 pills, telephoned doctor but was only allowed to speak to a nurse who said this was an unusual reaction did I want to make an appointment to see the doctor. As this is a 140 mile roundtrip by car and my arm hurt I declined and continued self medicating with prednisone and benadryl. While hives ceased within 24 hours, the pain, swelling and magenta coloring surrounding the injection site took about one week to go away. I also developed a fever sore in the corner of my mouth within 48 hours of the vaccine which took about 5 days to go away using Abreva. As of April 26th I have developed an annoying tingling in the arm where the shot was administered, it is intermittent but appears to be increasing in frequency.
Age: 28.0
Sex: F
Vaccine: TDAP, TTOX
Symptoms: Guillain-Barre syndrome
Clinical narrative: Guillain-Barre' Syndrom  6/8/09 Hospital records and DC summary received DOS 4/03/09 to 4/17/09. Final Diagnosis: Guillain-Barre syndrome. Post vaccination transferred from another facility presenting with headache, photophobia, diplopia and generalized weakness. Complained of cervical pain, numbness and tingling in feet and hands. Areflexia. Trouble swallowing, facial diplegia, dysphonia. IVIg administered. Tachypneic. UTI.  6/9/09 ER records received DOS 4/3/09.  Includes records of 2 prior visits to other urgent care centers. Assessment: Polyneuropathy, ascending weakness. Post vaccination presents to ER with headache, progressive weakness, double vision, head sensitive to touch, photophobia, nausea. Pain, 'pins and needles' upper and lower extremities, unsteady gait, sensation decreased, DTRs decreased, patellar reflex absent. Symptoms worsening. UTI. Transfered to another hospital.  5/13/09 Rec PCP medical records of 3/13-4/3/09. Records reveal patient experienced nasal congestion, right eye tearing & tr urine protein on 3/13.  RTC 4/3 w/weakness of LEs x few days, sent to ED for LP.  6/23/09 ICD-9 codes received. 3570
Age: 28.0
Sex: F
Vaccine: TDAP, TTOX
Symptoms: Abasia, Back pain, Blood test abnormal, Gastrointestinal tube insertion, Guillain-Barre syndrome
Clinical narrative: Guillain-Barre' Syndrom  6/8/09 Hospital records and DC summary received DOS 4/03/09 to 4/17/09. Final Diagnosis: Guillain-Barre syndrome. Post vaccination transferred from another facility presenting with headache, photophobia, diplopia and generalized weakness. Complained of cervical pain, numbness and tingling in feet and hands. Areflexia. Trouble swallowing, facial diplegia, dysphonia. IVIg administered. Tachypneic. UTI.  6/9/09 ER records received DOS 4/3/09.  Includes records of 2 prior visits to other urgent care centers. Assessment: Polyneuropathy, ascending weakness. Post vaccination presents to ER with headache, progressive weakness, double vision, head sensitive to touch, photophobia, nausea. Pain, 'pins and needles' upper and lower extremities, unsteady gait, sensation decreased, DTRs decreased, patellar reflex absent. Symptoms worsening. UTI. Transfered to another hospital.  5/13/09 Rec PCP medical records of 3/13-4/3/09. Records reveal patient experienced nasal congestion, right eye tearing & tr urine protein on 3/13.  RTC 4/3 w/weakness of LEs x few days, sent to ED for LP.  6/23/09 ICD-9 codes received. 3570
Age: 28.0
Sex: F
Vaccine: TDAP, TTOX
Symptoms: Lumbar puncture, Mechanical ventilation, Migraine, Paraesthesia, Paraesthesia oral
Clinical narrative: Guillain-Barre' Syndrom  6/8/09 Hospital records and DC summary received DOS 4/03/09 to 4/17/09. Final Diagnosis: Guillain-Barre syndrome. Post vaccination transferred from another facility presenting with headache, photophobia, diplopia and generalized weakness. Complained of cervical pain, numbness and tingling in feet and hands. Areflexia. Trouble swallowing, facial diplegia, dysphonia. IVIg administered. Tachypneic. UTI.  6/9/09 ER records received DOS 4/3/09.  Includes records of 2 prior visits to other urgent care centers. Assessment: Polyneuropathy, ascending weakness. Post vaccination presents to ER with headache, progressive weakness, double vision, head sensitive to touch, photophobia, nausea. Pain, 'pins and needles' upper and lower extremities, unsteady gait, sensation decreased, DTRs decreased, patellar reflex absent. Symptoms worsening. UTI. Transfered to another hospital.  5/13/09 Rec PCP medical records of 3/13-4/3/09. Records reveal patient experienced nasal congestion, right eye tearing & tr urine protein on 3/13.  RTC 4/3 w/weakness of LEs x few days, sent to ED for LP.  6/23/09 ICD-9 codes received. 3570
Age: 28.0
Sex: F
Vaccine: TDAP, TTOX
Symptoms: Scan brain, Sensory loss, Speech disorder
Clinical narrative: Guillain-Barre' Syndrom  6/8/09 Hospital records and DC summary received DOS 4/03/09 to 4/17/09. Final Diagnosis: Guillain-Barre syndrome. Post vaccination transferred from another facility presenting with headache, photophobia, diplopia and generalized weakness. Complained of cervical pain, numbness and tingling in feet and hands. Areflexia. Trouble swallowing, facial diplegia, dysphonia. IVIg administered. Tachypneic. UTI.  6/9/09 ER records received DOS 4/3/09.  Includes records of 2 prior visits to other urgent care centers. Assessment: Polyneuropathy, ascending weakness. Post vaccination presents to ER with headache, progressive weakness, double vision, head sensitive to touch, photophobia, nausea. Pain, 'pins and needles' upper and lower extremities, unsteady gait, sensation decreased, DTRs decreased, patellar reflex absent. Symptoms worsening. UTI. Transfered to another hospital.  5/13/09 Rec PCP medical records of 3/13-4/3/09. Records reveal patient experienced nasal congestion, right eye tearing & tr urine protein on 3/13.  RTC 4/3 w/weakness of LEs x few days, sent to ED for LP.  6/23/09 ICD-9 codes received. 3570
Age: 43.0
Sex: M
Vaccine: HPV4
Symptoms: Chest pain, Dyspnoea, Pulmonary embolism
Clinical narrative: Patient states that he developed diffculty breathing and chest pain on 3/18/09 and went to the Emergency room where he was admitted for a pulmonary embolism.  He spent approximately 10 days at the hospital and was given heparin inthe hospital and was released on coumadin.  He will probably remain on coumadin for at least 6 months maybe longer depending on his hematologist.  Patient states that he had a DVT in 2008 that occurred while on a plane.  5/18/09 Hospital records received DOS 3/18/09 to 3/20/09. FINAL DIAGNOSIS: Pulmonary emboli Post vaccination: chest pain, back pain, shortness of breath.
Age: 50.0
Sex: M
Vaccine: PPV
Symptoms: Injection site pain, Injection site swelling, Injection site warmth, Pain in extremity, Pyrexia
Clinical narrative: PNEUMOVAX .5 CC GIVEN R DELTOID IM APPROX 10 A.M..   PT STATES THAT EVENING ARM TENDER, SOME SWELLING, WARMNESS AT SITE,C/O FEVER. STATES HE CALLED AN ER AND THEY TOLD HIM TO COME IN IF BREATHING DIFFICULTY.  PT DENIED SOB.  STATES ARM SORENESS LASTED 48-60 HOURS.
Age: 5.0
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Measles, Rash erythematous
Clinical narrative: Child received the MMR vaccine and varicella vaccine at one time.  Developed measles from the vaccine.  No treatment prescribed.  Began with rash/red bumps on the back of neck, then forearms, then chest, back and face.  Slowly spread till there was some presence all over.  Started clearing up in the same order it appeared about 5-7 days later.  No itching.
Age: 61.0
Sex: M
Vaccine: PPV
Symptoms: Cough, Fatigue, Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: dramatic swelling of the site w/ redness and pain same day as vaccine. pain, swelling slowly resolved over few days. No respiratory  complaints or dyspnea, some mild cough. no urinary complaints.  He feels tired  now. No fever reported - feeling better today.
Age: 18.0
Sex: F
Vaccine: HEPA, YF
Symptoms: Dizziness, Pallor, Tinnitus
Clinical narrative: Patient became lightheaded and lost color in her skin. Patient also complained of ringing in the right ear. Symptoms occured approximately 1 minute later and resolved within 20 minutes.
Age: 16.0
Sex: M
Vaccine: MNQ, TDAP, VARCEL
Symptoms: Paraesthesia, Pruritus, Vomiting
Clinical narrative: Pt c/o tingling, itching on back of arm and neck. Also has been vomiting.
Age: 71.0
Sex: F
Vaccine: PPV
Symptoms: Blood test normal, Hypersensitivity, Injection site swelling
Clinical narrative: Patient stated area of injection had egg-size swelling the evening after injection. Over the next 2 days, swelling appeared to spread down to elbow area. Patient stated there was no pain. Only treatment used was ice-pack on swelling. She was instructed to see her doctor to rule out infection. Doctor concluded most likely an allergic reaction. 4 days after date of vaccination, her swelling had cleared completely.
Age: 64.0
Sex: F
Vaccine: PPV
Symptoms: Ear discomfort, Rash erythematous, Urticaria
Clinical narrative: Approximately 4-5 hours after receiving the vaccine, I broke out in hives large about 5 in in diameter and raised. These were on my stomach. I had red patches on my chest area. I was on my way to pharmacy (dr would have been closed) and when he saw it, he told me to take liquid Benadryl. I called Dr.'s office on Friday May 1 (morning after) he told me to take 50 miligrams of Benadryl. I broke out again about 8:30 pm on 5/1 on my legs, thighs, and arms also left ear was blocked up. The original shot was given on April 30, 2009 at about 10:35 AM. The last out break was on Friday.
Sex: M
Vaccine: RV1
Symptoms: Rectal haemorrhage
Clinical narrative: This case was reported by a physician and described the occurrence of rectal bleeding in an infant male subject of unspecified age who was vaccinated with ROTARIX (GlaxoSmithKline). On an unspecified date the subject received 1st dose of ROTARIX (unknown). At an unspecified time after vaccination with ROTARIX, the subject experienced rectal bleeding. The physician was not sure if it was due to the vaccine. This case was assessed as medically serious by GSK. At the time of reporting the outcome of the event was unspecified. The subject also experienced rectal bleeding after the second dose of ROTARIX. Please see case A0782027A.
Age: 0.3
Sex: M
Vaccine: DTAPHEPBIP, HEP, PPV, RV1
Symptoms: Accidental overdose, Rectal haemorrhage, Vaccine positive rechallenge
Clinical narrative: This case was reported by a physician and described the occurrence of rectal bleeding in a 4-month-old male subject who was vaccinated with ROTARIX (GlaxoSmithKline), PEDIARIX and Hep B. Previous and/or concurrent vaccination included PNEUMO vaccines (non-gsk) ;non-GSK manufacturer given on 13 April 2009. There were no concurrent medications. The subject was reported to have no relevant medical history and was reported to be a healthy infant. The subject had rectal bleeding with the first dose of ROTARIX. (Please see A0781881A). On 13 April 2009 the subject received the 2nd dose of ROTARIX (oral). On 13 April 2009, the subject also received the 2nd dose of PEDIARIX (unknown) and the 2nd dose of Hep B (unknown) and experienced accidental overdose. On an unspecified date in April 2009, one week after vaccination with ROTARIX, the subject experienced one episode of rectal bleeding which resolved. This case was assessed as medically serious by GSK. The physician considered the rectal bleeding was probably related to vaccination with ROTARIX.
Age: 0.2
Sex: M
Vaccine: DTAP, IPV, PNC, RV1
Symptoms: Blood culture negative, CSF culture negative, Culture stool, Culture urine, Pyrexia
Clinical narrative: 3 days of fever, 2 days of rash. Had CSF, blood & urine cultures & stool culture obtained & viral panel. Given CEFTRIOXONE X3 days.   5/18/09 ED records received DOS 4/29/09. FINAL DIAGNOSIS: Fever and diarrhea Post vaccination: fever, yellow diarrhea
Age: 0.2
Sex: M
Vaccine: DTAP, IPV, PNC, RV1
Symptoms: Rash, Viral test negative
Clinical narrative: 3 days of fever, 2 days of rash. Had CSF, blood & urine cultures & stool culture obtained & viral panel. Given CEFTRIOXONE X3 days.   5/18/09 ED records received DOS 4/29/09. FINAL DIAGNOSIS: Fever and diarrhea Post vaccination: fever, yellow diarrhea
Age: 58.0
Sex: M
Vaccine: FLU3
Symptoms: Unevaluable event
Clinical narrative: 3 times Emergency Rooms. 6 days Hospital Stay. 6 days In House Rehab.  5/13/09 hospital records received DOS 12/4/08-12/9/08. FINAL DIAGNOSIS: Guillain Barre syndrome, hypertension, urinary retention, constipation, hyponatremia At time of vaccination c/o ear fullness and sinus pressure. Post vaccination tingling in hands feet back, facial numbness. Bells palsy. Diffuse pain and weakness right side of face. Nausea, vomiting. Lower extremity weakness. Dysphagia. Administration of IVIG. Discharge to rehab facility for PT, OT, speech therapy.  5/15/09 Received ER medical records of 11/26 & 11/30/2008. FINAL DX: Bell's Palsy 11/26/08 records reveal patient experienced sinus infection & tx w/oral antibiotic by PCP.  Developed weakness & numbness to left facial area & paresthesias of hands & feet.  Tx w/steroids, antivirals & patching.  Referred to PCP.  11/30/08  FINAL DX: neuropathies of UE & LEs Records reveal patient experienced increased & progressive stinging/burning pain & tingling of arms & legs & returned to ER twice this date.  His pain interferred w/sleep.  Tx w/pain meds w/good results & d/c to home on steroids & neurontin & referred to PCP.  7/1/09 Neurology consultant records received DOS 12/4/08 to 5/21/09. Assessment: Post infectious polyneuropathy/Guillain-Barre sundrome. Patient presents with bilateral facial weakness, tingling, and numbness of all 4 extremities, increasing weakness of lower extremities. Speech impaired. Reflexes absent. Diminished vibration sense. Difficulty walking. Cranial nerve 7 loss of function. Hyponatremia.
Age: 1.3
Sex: F
Vaccine: DTAP, VARCEL
Symptoms: Cellulitis, Injection site erythema, Injection site swelling
Clinical narrative: Increased redness & swelling @ sites of injection, diagnosed in ER on 4/30/09 with right thigh cellulitis, treated with KEFLEX & BACTRIM
Age: 10.0
Sex: F
Vaccine: HPV4, MNQ
Symptoms: Injection site erythema, Injection site induration, Injection site pain, Injection site swelling, Rash papular
Clinical narrative: Received TYLENOL at home. Pt. received MENACTRA on R deltoid on 5/1/09. About 30 hours later on 5/2/09; mother noticed redness, induration pain and swelling about 4" below the injection site. When seen in the office on 5/4/09; there was an area of erythema with heat point of tenderness around a 2 mm papule which was about 4" below the injection site. Mild induration still present. Erythema spread all around that papule.
Age: 52.0
Sex: F
Vaccine: TDAP
Symptoms: Body temperature increased, Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: 100 temp 24 after shot, erythema tender (swollen started 3 days after shot , all erythema approximately 4cm disterl to shot site.
Age: 1.3
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Pyrexia
Clinical narrative: Fever.
Age: 37.0
Sex: F
Vaccine: MMR, TDAP, VARCEL
Symptoms: Drug exposure during pregnancy
Clinical narrative: Client found out pregnant 2 wks after receiving vaccinations.  Due date of 9/01/09.  Client gave permission on 5/1/09 to report to VARIVAX registry for pregnancy.
Age: 81.0
Sex: F
Vaccine: VARZOS
Symptoms: Herpes zoster
Clinical narrative: Patient had been diagnosed with shingles on 04/29/2009
Age: 13.0
Sex: F
Vaccine: HPV4, MNQ, TDAP, VARCEL
Symptoms: Erythema, Oedema peripheral
Clinical narrative: 3 1/2 cm x 5 cm swelling and redness to RPUA.
Age: 52.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling
Clinical narrative: Pt reported swelling, redness, and itching at injection site week after injection. Pt stated sxs was resolving without tx.
Age: 14.0
Sex: F
Vaccine: HPV4
Symptoms: Fall, Loss of consciousness
Clinical narrative: Immunization administered - child sitting in chair with mom at side. Approx. 10 min. passed and then finger stick hgb. done. Child uncomfortable with this procedure. Approx. 5 min. passed - child decided to go to bathroom. Upon entering bathroom child fell against wall and passed out. Dr. at side immediately - LOC for only seconds. Elevated gest B/P 100/58 - popsicle given. Released with mom after 20 min. observation.
Age: 3.0
Sex: F
Vaccine: DTAPHEPBIP
Symptoms: Injection site erythema, Injection site warmth, Rash generalised
Clinical narrative: Pt received combination vaccine of DTAP, HEPB, & POLIO on 4/24/09.  Pt. had no fever or s/s of any illness @ time of vaccination.  Pt. returned to clinic on 4/27/09 with localized reaction of redness with minimal warmth to right deltoid.  Rx. was given for PEDIAPRED, ZYRTEC, AMOXIL @ this visit.  Returned to clinic with red, raised rash to entire body. on 5/4/09.
Age: 1.0
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Injection site erythema, Injection site swelling, Pyrexia
Clinical narrative: Fever, redness, swelling at injection site 9-10 days after vaccine.  At time of visit, no fever, swelling subsided
Age: 11.0
Sex: F
Vaccine: TDAP
Symptoms: Erythema, Oedema peripheral
Clinical narrative: Mother of child called Health Dept 5/1/09 with complaints of redness and swelling in child's arm - child had Tdap inject. L delt. 4/30/09. Mother was referred to Urgent Care - Child was seen that afternoon in UC and advised to keep arm elevated, apply ice pack and take BENADRYL.
Age: 1.0
Sex: M
Vaccine: HEPA, MMR, PNC, VARCEL
Symptoms: Blood lead normal, Haemoglobin normal, Injection site swelling, Irritability, Vomiting
Clinical narrative: Per mom, child was in the ER last night.  After leaving our office @ 2:06 pm.  Patient was fussy, throwing up, and swollen on the admin. site.
Age: 72.0
Sex: F
Vaccine: VARZOS
Symptoms: Autoimmune disorder, Blister, Coeliac disease, Dermatitis herpetiformis, Endoscopy abnormal
Clinical narrative: Blister rash present on knees, elbows & buttocks. Bx of elbow lesion -> herpetiformis dermatitis. Treatment with DAPSONE 25mg twice daily - revised to 50mg twice daily. Nov. 6th '08 visit to G.I. MD. Suspect celiac dx - prescribe gluten free diet. 11/24/08 pt. admit at ER with reaction to DAPSONE - discharged 11/26/08. d/c DAPSONE. 12/19/08 endoscopy - result Bx positive for celiac sprue. Continue with gluten free diet per MD. Follow up bloodwork March 17th 2009 weakly positive transaminases <20 from original Bx strongly positive >100 11/6/08. Continue now on gluten free diet. ZOSTAVAX was given 2/15/08 with onset of symptoms of rash ~9/29/08. No evidence of celiac dx or herpetiformis dermatitis before administration of vaccine - query whether vaccine produced auto-immune reaction?.  8/7/09 Hospital records received DOS inpatient 11/25/08 to 11/26/08 and GI consult 3/27/09. Assessment: Celiac disease, herpetiform dermatitis. Methemoglobinimia secondary to dapsone. Patient taking dapsone for dermatitis herpetiformis began noticing increased fatigue, blurry vision, paresthesias, shooting pains in neck, shoulders, back, arms and legs. She presents as extremely anxious, with 1 day of neck pain, posterior and mid-scapular pain, short of breath, chest pain, nausea, bilateral lower extremity cramping pain. Hypertensive, tachycardic, weak, hypokalemia. Loose stool. Lightheadedness. Anemia. Arthralgias.
Age: 72.0
Sex: F
Vaccine: VARZOS
Symptoms: Rash, Transaminases increased
Clinical narrative: Blister rash present on knees, elbows & buttocks. Bx of elbow lesion -> herpetiformis dermatitis. Treatment with DAPSONE 25mg twice daily - revised to 50mg twice daily. Nov. 6th '08 visit to G.I. MD. Suspect celiac dx - prescribe gluten free diet. 11/24/08 pt. admit at ER with reaction to DAPSONE - discharged 11/26/08. d/c DAPSONE. 12/19/08 endoscopy - result Bx positive for celiac sprue. Continue with gluten free diet per MD. Follow up bloodwork March 17th 2009 weakly positive transaminases <20 from original Bx strongly positive >100 11/6/08. Continue now on gluten free diet. ZOSTAVAX was given 2/15/08 with onset of symptoms of rash ~9/29/08. No evidence of celiac dx or herpetiformis dermatitis before administration of vaccine - query whether vaccine produced auto-immune reaction?.  8/7/09 Hospital records received DOS inpatient 11/25/08 to 11/26/08 and GI consult 3/27/09. Assessment: Celiac disease, herpetiform dermatitis. Methemoglobinimia secondary to dapsone. Patient taking dapsone for dermatitis herpetiformis began noticing increased fatigue, blurry vision, paresthesias, shooting pains in neck, shoulders, back, arms and legs. She presents as extremely anxious, with 1 day of neck pain, posterior and mid-scapular pain, short of breath, chest pain, nausea, bilateral lower extremity cramping pain. Hypertensive, tachycardic, weak, hypokalemia. Loose stool. Lightheadedness. Anemia. Arthralgias.
Age: 75.0
Sex: M
Vaccine: VARZOS
Symptoms: Biopsy bone marrow, Blood product transfusion, Colonoscopy, Ecchymosis, Full blood count abnormal
Clinical narrative: Early June 2008, noticed large ecchymoses on left flank. On June 10, a CBC showed platelets to be 36, 000 (normal 140, 000 -250,000). Saw hematologist at hospital. Test (incl. Bone marrow biopsy) Diagnosed ITP (Idiopathic thrombocytopenic purpura). Attempts to treat with WINRHO. High-dose Betamethasone and IG.G all failed. Started on study for N-Plate (AMGEN) platelets have now risen to 330, 000. Routine colonoscopy (3-24-08) with removal of 4 benign polyps (No complications). ZOSTAVAX administered 3-11-2008. Early June 2008 - 2 large ecchymoses of left flank . Subsequent Dx of ITP (see page 1/2)  6/24/09 Hematology/Oncology consult received DOS 6/12/08 to 4/16/09. Includes ER visit for 8/22/08. Assessment: Idiopathic thrombocytopenic purpura. Patient presented with concerns of increased bruisability. Later ER visit: Nausea and vomiting. Pancreatitis.
Age: 75.0
Sex: M
Vaccine: VARZOS
Symptoms: Idiopathic thrombocytopenic purpura, Platelet count decreased, Polyp
Clinical narrative: Early June 2008, noticed large ecchymoses on left flank. On June 10, a CBC showed platelets to be 36, 000 (normal 140, 000 -250,000). Saw hematologist at hospital. Test (incl. Bone marrow biopsy) Diagnosed ITP (Idiopathic thrombocytopenic purpura). Attempts to treat with WINRHO. High-dose Betamethasone and IG.G all failed. Started on study for N-Plate (AMGEN) platelets have now risen to 330, 000. Routine colonoscopy (3-24-08) with removal of 4 benign polyps (No complications). ZOSTAVAX administered 3-11-2008. Early June 2008 - 2 large ecchymoses of left flank . Subsequent Dx of ITP (see page 1/2)  6/24/09 Hematology/Oncology consult received DOS 6/12/08 to 4/16/09. Includes ER visit for 8/22/08. Assessment: Idiopathic thrombocytopenic purpura. Patient presented with concerns of increased bruisability. Later ER visit: Nausea and vomiting. Pancreatitis.
Age: 29.0
Sex: F
Vaccine: TYP, TYP, YF
Symptoms: Arthralgia, Body temperature increased, C-reactive protein increased, Headache, Influenza serology negative
Clinical narrative: Symptoms:  Headache, general, Fever, Joint Pain, multiple joints.  received TYPHOID VI BOOSTER 2/23/2009 and returned to work.  Within 2 hr, she c/o soreness to rt deltoid injection site with movement (no paresthesia, weakness, or site erythema).  3 hr post vac she c/o dull achy frontal/mastoid headache that resolved within 30 min after using MOTRIN 600 mg po (no n/v, visual disturbance, dizziness, or joint pain).  As the meds wore off, the HA returned but w/inc intensity now 4-5/10.  MOTRIN would decrease the ache (2-3/10) but not alleviate.  24 -48 hours later, she c/o diffuse body joint pain (2/10) "not muscular like the flu but bone pain" first felt in bilateral shoulders and hips, then knees and elbows (48 hr post vac).  She denied any prob w/ROM or diff using extremities or walking.  2/26/09 she awoke with worsening joint pain/HA (4-5/10) being unable to get out of bed x 1 hr w/o taking NAPROXYN (eased to 2/10).  She worked 1/2 day then went home to rest.  By 2/27/09 her joint pain was 7/10 and HA's 5/10 on MOTRIN 600 mg QID.  She c/o diff walking due to stiff hip joints.  She went to work that evening where she developed a fever 101F.  She denied cp, sob, rash, n/v, diaphoresis, visual c/o, etc. self treat with MOTRIN 600 mg QID and intermittent TYLENOL. 3/2/09 she presented to medical with sore throat, sore jaw, and swollen submandublar lymph glands - diagnosed with tonsilar strep, placed on CLINDAMYCIN/MOTRIN 800mg.  Her symptoms eased with resolution of fever; however her HA and joint pain continued at 4-5/10.  She f/u with MD 3/13-26/09 for cont'd sore throat, joint pain, & ha being given 2nd dose CLINDAMYCIN.  3/30/2009 SM presented to VHC complaining of diffuse "large joint pain 4/10" with frontal/mastoid area headaches 4/10 needing - slowly improving: IE: she use to have to take MOTRIN every 6 hours, but now every 10-12 hours.  The pain does not exacerbate as the meds wear off.  Activity remains a tigger to exacerbate the pain right > left side (is right handed) limiting her ability to PT, do activities with family, etc.  Her joint pains (not like past musculoskeletal pain with exercise) average 2-3/10 daily.  Her headaches occur about every 3 days easing with MOTRIN.  4/6/2009 HA is once a week with daily improvements in joint pain t-not on any medication for 3 days.  Her right side ached more than the left.  4/20/2009: headaches completely resolved about 4/8/09.  She reported marked improvement with right shoulder, right hip, and bilateral knee aches (1/10)
Age: 29.0
Sex: F
Vaccine: TYP, TYP, YF
Symptoms: Musculoskeletal pain, Myoglobin blood increased, Red blood cell sedimentation rate increased, Streptococcal identification test positive, White blood cell count increased
Clinical narrative: Symptoms:  Headache, general, Fever, Joint Pain, multiple joints.  received TYPHOID VI BOOSTER 2/23/2009 and returned to work.  Within 2 hr, she c/o soreness to rt deltoid injection site with movement (no paresthesia, weakness, or site erythema).  3 hr post vac she c/o dull achy frontal/mastoid headache that resolved within 30 min after using MOTRIN 600 mg po (no n/v, visual disturbance, dizziness, or joint pain).  As the meds wore off, the HA returned but w/inc intensity now 4-5/10.  MOTRIN would decrease the ache (2-3/10) but not alleviate.  24 -48 hours later, she c/o diffuse body joint pain (2/10) "not muscular like the flu but bone pain" first felt in bilateral shoulders and hips, then knees and elbows (48 hr post vac).  She denied any prob w/ROM or diff using extremities or walking.  2/26/09 she awoke with worsening joint pain/HA (4-5/10) being unable to get out of bed x 1 hr w/o taking NAPROXYN (eased to 2/10).  She worked 1/2 day then went home to rest.  By 2/27/09 her joint pain was 7/10 and HA's 5/10 on MOTRIN 600 mg QID.  She c/o diff walking due to stiff hip joints.  She went to work that evening where she developed a fever 101F.  She denied cp, sob, rash, n/v, diaphoresis, visual c/o, etc. self treat with MOTRIN 600 mg QID and intermittent TYLENOL. 3/2/09 she presented to medical with sore throat, sore jaw, and swollen submandublar lymph glands - diagnosed with tonsilar strep, placed on CLINDAMYCIN/MOTRIN 800mg.  Her symptoms eased with resolution of fever; however her HA and joint pain continued at 4-5/10.  She f/u with MD 3/13-26/09 for cont'd sore throat, joint pain, & ha being given 2nd dose CLINDAMYCIN.  3/30/2009 SM presented to VHC complaining of diffuse "large joint pain 4/10" with frontal/mastoid area headaches 4/10 needing - slowly improving: IE: she use to have to take MOTRIN every 6 hours, but now every 10-12 hours.  The pain does not exacerbate as the meds wear off.  Activity remains a tigger to exacerbate the pain right > left side (is right handed) limiting her ability to PT, do activities with family, etc.  Her joint pains (not like past musculoskeletal pain with exercise) average 2-3/10 daily.  Her headaches occur about every 3 days easing with MOTRIN.  4/6/2009 HA is once a week with daily improvements in joint pain t-not on any medication for 3 days.  Her right side ached more than the left.  4/20/2009: headaches completely resolved about 4/8/09.  She reported marked improvement with right shoulder, right hip, and bilateral knee aches (1/10)