chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 19.0
Sex: F
Vaccine: HPV4
Symptoms: Lip swelling, Swollen tongue, Tongue disorder
Clinical narrative: Information has been received from a nurse practitioner concerning a 19 year old female with pertinent medical history reported as unspecified, who on 02-MAY-2008 was vaccinated with the first dose of GARDASIL vaccine (yeast), 0.5 ml, (Lot # and route not specified). Concomitant therapy included hormonal contraceptives (unspecified). On 03-MAY-2008 the mother of the patient called the office and reported that her daughter's lip swelled and there were sores and bumps on her upper and lower lip and on her tongue. The patient was told to take diphenhydramine HCL (BENADRYJ for the reactions. At the time of report the patient had not recovered. No product quality complaint was involved. Additional information has been requested.
Age: 17.0
Sex: F
Vaccine: HPV4
Symptoms: Rash
Clinical narrative: Information has been received from a health professional concerning a 17 year old female who on 29-APR-2008 was vaccinated intramuscularly with her first dose of GARDASIL vaccine (yeast) (lot# 0152X). On 29-APR-2008, about 3 hours after vaccination, the patient experienced a rash on her face. The patient was instructed to use over the counter diphenhydramine hydrochloride (BENADRYL) to treat rash. Subsequently, the patient recovered from the rash on her face. The patient sought  unspecified medical attention. Additional information has been requested.
Sex: F
Vaccine: HPV4
Symptoms: Injection site bruising
Clinical narrative: Information has been received from a health professional concerning herself who was vaccinated intramuscularly with her second dose of GARDASIL vaccine (yeast) (lot# not reported). There was no concomitant medication. Subsequently the patient experienced bruising at the injection site. The patient's bruising at the injection site persisted. No further information is available.
Age: 14.0
Sex: F
Vaccine: HPV4
Symptoms: Syncope
Clinical narrative: Information has been received from a nurse concerning two 14 year old females who were vaccinated intramuscularly with their first dose of GARDOSIL vaccine (yeast) (lot#'s not reported). Subsequently the patients experienced syncope and their outcome was not reported. The practice does not want to be contacted regarding this report. No further information is available.
Age: 17.0
Sex: F
Vaccine: HEPA, HPV4, MNQ
Symptoms: Abortion spontaneous, Drug exposure during pregnancy, Pregnancy test
Clinical narrative: Information has been received from a licensed visiting nurse through the Merck pregnancy registry concerning a 17 year old female patient with no history or allergies to medication, who on 09-APR-2007 was vaccinated intramuscularly into the right deltoid, with a dose of GARDASIL (Lot# 654885/1424F). Concomitant therapy administered into the left deltoid on included a dose of MENACTRA and a dose of VAQTA (MSD). It was noted the patient was not taking other medications. On 13-MAY-2007, a home pregnancy test was performed. On 14-MAY-2007, the patient was determined to be two months pregnant via information from the patient's mother. In June 2007, the patient had a miscarriage and was reported to be approximately 2 months pregnant at the time of the miscarriage. Unspecified medical attention was sought. At the time of this report, the patient's outcome was unknown. No product quality complaint was involved. Upon internal review, miscarriage was determined to be an other important medical event. Additional information has been requested.
Age: 15.0
Sex: F
Vaccine: HPV4
Symptoms: Neck pain
Clinical narrative: Information has been received from a nurse practitioner concerning a 16 year old female with pertinent medical history and drug reactions/allergies reported as unspecified, who on 19-NOV-2007 was vaccinated IM with the first dose of GARDASIL.  Concomitant medications were reported as none.  It was reported that the second dose of GARDASIL was given IM on 21-JAN-2008, and subsequently the patient experienced neck pain.  The patient did not notify the nurse practitioner of this experience until she went in to received her third dose of GARDASIL on 11-JUN-2008.  The patient did not go on to complete the series and was waiting till more information was available regarding this.  The patient sought medical attention at the hospital on an unspecified date, where she was observed and then released.  No treatment information had been provided.  The neck pain healed "on its own".  Additional information has been requested.  10/10/08 Hospital medical records reviewed for 6/2008. FINAL DX: alcohol & cannabis abuse, possible recurrent depression.
Age: 23.0
Sex: F
Vaccine: HPV4
Symptoms: Blood human chorionic gonadotropin positive, Drug exposure during pregnancy, Premature labour, Premature separation of placenta, Ultrasound scan normal
Clinical narrative: Initial and follow-up information has been received from a health professional through the Merck pregnancy registry concerning a 23 year old female smoker with no drug allergies, who on 30-JAN-2007 was vaccinated intramuscularly with a 0.5mL first dose of GARDASIL.  On 30-MAR-2007 the patient was vaccinated with a second dose of GARDASIL.  On 31-JUL-2007 the patient was vaccinated with a third dose of GARDASIL (Lot# 658222/0927U).  There was no concomitant medication.  Subsequently, the patient was pregnant and reported to be in her first trimester.  The patient took a home pregnancy test that was positive.  On 10-SEP-2007 prenatal blood work was taken and an ultrasound was performed that was normal.  The patient's last menstrual period was 03-JUL-2007 and her estimated delivery date was 09-APR-2007 (also reported as 11-APR-2008).  The patient called the office.  The patient had one previous pregnancy that resulted in a spontaneous abortion.  At the time of the report, the patient's outcome was unknown.  No product quality complaint was involved.  On 02-MAR-2008 the patient went into pre-term labor at 34 weeks with abruptio placenta and delivered a male baby that weighed 2175 grams.  It was reported that the baby was in the hospital NICU on oxygen and was receiving unspecified antibiotics.  The mother was bottle-feeding the baby.  The length of stay in the NICU, and the reason for the infant being treated with oxygen and unspecified antibiotics was not reported.  No further information was available on the baby's condition.  This is an amended report.  The serious criteria for hospitalization has been changed to yes for premature baby and birthweight low.  Additional information has been requested.
Age: 18.0
Sex: F
Vaccine: MMR, UNK
Symptoms: Abasia, Aspiration biopsy, Malaise, Movement disorder
Clinical narrative: Information has been received from a mother concerning her 18 year old daughter, with a penicillin allergy and an allergic reaction to antibiotics and no other medical history, who in May 1996 at the age of 5 years old, was vaccinated with a dose of MMR II (Enders-Edmonston, Jeryl Lynn, Wistar RA 27/3). The reporter stated that her daughter received routine pediatric vaccines along with the dose of MMR II (Enders-Edmonston, Jeryl Lynn, Wistar RA 27/3) on the same day. The mother stated that after the first dose (date not specified), her daughter "became sick." On an unspecified date, the patient was vaccinated with a second dose of MMR II (Enders-Edmonston, Jeryl Lynn, Wistar RA 27/3) (MSD). "Within 30 days" after the second dose the mother stated that her daughter "could not walk. She was crippled, not able to move her hands and arms. She was hospitalized for six days." The daughter is now 18 years old and experiences "flare-ups in her hips and legs every now and then." A diagnostic hip aspiration was performed (results were not provided). At the time of this report, the patient was recovering. No product quality complaint was involved. No further information is available.
Age: 73.0
Sex: F
Vaccine: PPV
Symptoms: Injected limb mobility decreased, Injection site reaction, Pyrexia
Clinical narrative: Information has been received from a physician concerning a 73 year old female with liver disease (unspecified) who was vaccinated IM with a dose of 0.5 ml PNEUMOVAX 23 vaccine in the left or right deltoid "within the last 2 months." The physician reported that the patient experienced a severe injection site reaction which impaired the use of the injection site arm (could not lift for 3 to 4 days) and had a fever over "103 degrees" and was in bed for 3 days. The patient sought medical attention and contacted the physician. At the time of the report, the patient recovered. The reporting physician considered injection site reaction, impaired use of injection site arm, (could not lift) and fever over "103" to be disabling. This is one of several reports received from the same source. Additional information has been requested.
Sex: U
Vaccine: PPV
Symptoms: Injected limb mobility decreased, Injection site reaction
Clinical narrative: Information has been received from a physician concerning a patient with liver disease (unspecified) who was vaccinated IM with a dose of 0.5 ml PNEUMOVAX 23 in the left or right deltoid "within the last 2 months."  The physician reported that the patient experienced a severe injection site reaction which impaired the use of the injection site arm (could not lift for 3 to 4 days).  The patient sought medical attention and contacted the physician.  At the time of the report, the patient recovered.  The reporting physician considered injection site reaction and impaired use of injection site arm, (could not lift) to be disabling.  This is one of several reports received from the same source.  Additional information has been requested.
Sex: U
Vaccine: PPV
Symptoms: Injected limb mobility decreased, Injection site reaction
Clinical narrative: Information has been received from a physician concerning a patient with liver disease (unspecified) who was vaccinated IM with a dose of 0.5 ml PNEUMOVAX in the left or right deltoid "within the last 2 months."  The physician reported that the patient experienced a severe injection site reaction which impaired the use of the injection site arm (could not lift for 3 to 4 days).  The patient sought medical attention and contacted the physician.  At the time of the report, the patient recovered.  The reporting physician considered injection site reaction and impaired use of injection site arm, (could not lift) to be disabling.  This is one of several reports received from the same source.  Additional information has been requested.
Sex: U
Vaccine: PPV
Symptoms: Injected limb mobility decreased, Injection site reaction
Clinical narrative: Information has been received from a physician concerning a patient with liver disease (unspecified) who was vaccinated IM with a dose of 0.5 ml PNEUMOVAX 23 in the left or right deltoid "within the last 2 months." The physician reported that the patient experienced a severe injection site reaction which impaired the use of the injection site arm (could not lift for 3 to 4 days). The patient sought medical attention and contacted the physician. At the time of the report, the patient recovered. The reporting physician considered injection site reaction and impaired use of injection site arm, (could not lift) to be disabling. This is one of several reports received from the same source. Additional information has been requested.
Age: 16.0
Sex: F
Vaccine: HPV4, MNQ
Symptoms: Dysaesthesia, Guillain-Barre syndrome, Hypoaesthesia, Pain, Paraesthesia
Clinical narrative: Initial information received from a health care professional on 11 June 2008. A 17-year-old female patient with a past history of Bell's palsy and asthma, received an intramuscular injection of MENACTRA, lot number U2330AA, in the left deltoid, and an intramuscular injection GARDASIL (manufacturer Merck), lot number 1060U, in the right deltoid on 22 August 2007. 224 days later, on 02 April 2008, the patient presented to the physician's office with painful dysesthesias in her feet and legs. She also complained of numbness and tingling in her feet, which was reported to have been "going on for awhile". The numbness and tingling had progressed to her fingers and forearm. She was treated with gabapentin with no success. Subsequently, she was seen by a neurologist and was diagnosed with Guillain-Barre syndrome. Laboratory work was completed on an unspecified date and showed a sed rate of 30 and Rheumatoid factor greater than 15. At the time of this report, the patient had not recovered from the events. 11/4/08-records received-office visit 4/9/08-C/O numbness in both feet for 2-3 weeks progressively worse. Present in bottoms of feet only with pins and needles sensation and sharp stabbing pain. Able to walk and run without any problems.  Assessment:sensory polyneuropathy subacute onset-probably Guillain-Barre syndrome. Office visit 4/11/08-more pain in feet and numbness is a little bit worse, denies weakness. Presented 4/15/08 with C/O either a viral syndrome or streptococcal pharyngitis, diarrhea, nausea and purulent pharyngitis. Impression: subacute sensory polyneuropathy of undetermined etiology, possibly Guillain-Barre variant.Office visit 5/20/08-largely asymptomatic since 4/21/08-working diagnosis is sensory variant of Guillain-Barre syndrome resolving.
Age: 16.0
Sex: F
Vaccine: HPV4, MNQ
Symptoms: Red blood cell sedimentation rate increased, Rheumatoid factor positive
Clinical narrative: Initial information received from a health care professional on 11 June 2008. A 17-year-old female patient with a past history of Bell's palsy and asthma, received an intramuscular injection of MENACTRA, lot number U2330AA, in the left deltoid, and an intramuscular injection GARDASIL (manufacturer Merck), lot number 1060U, in the right deltoid on 22 August 2007. 224 days later, on 02 April 2008, the patient presented to the physician's office with painful dysesthesias in her feet and legs. She also complained of numbness and tingling in her feet, which was reported to have been "going on for awhile". The numbness and tingling had progressed to her fingers and forearm. She was treated with gabapentin with no success. Subsequently, she was seen by a neurologist and was diagnosed with Guillain-Barre syndrome. Laboratory work was completed on an unspecified date and showed a sed rate of 30 and Rheumatoid factor greater than 15. At the time of this report, the patient had not recovered from the events. 11/4/08-records received-office visit 4/9/08-C/O numbness in both feet for 2-3 weeks progressively worse. Present in bottoms of feet only with pins and needles sensation and sharp stabbing pain. Able to walk and run without any problems.  Assessment:sensory polyneuropathy subacute onset-probably Guillain-Barre syndrome. Office visit 4/11/08-more pain in feet and numbness is a little bit worse, denies weakness. Presented 4/15/08 with C/O either a viral syndrome or streptococcal pharyngitis, diarrhea, nausea and purulent pharyngitis. Impression: subacute sensory polyneuropathy of undetermined etiology, possibly Guillain-Barre variant.Office visit 5/20/08-largely asymptomatic since 4/21/08-working diagnosis is sensory variant of Guillain-Barre syndrome resolving.
Age: 19.0
Sex: M
Vaccine: MNQ, TDAP
Symptoms: Alanine aminotransferase normal, Aspartate aminotransferase normal, Blood alkaline phosphatase normal, Blood bicarbonate normal, Blood bilirubin normal
Clinical narrative: Brought from home to ER by ambulance due to seizure activity, convulsions. Found by father after hearing thud. Patient was on ground, disoriented, shaking, eyes rolled back into head. Epi pen enroute to hospital. Arrived ER at 2045. Answering questions and stable vital signs in ER. Given Benadryl 50mg IV and Solumedrol 125 mg IVP in ER.  6/27/08 Reviewed hospital medical records of 5/30-5/31/2008. FINAL DX: convulsions Records reveal patient experienced fall, disoriented, shaking, eyes rolled back into head.  Tx w/epi, steroids, antihistamine.  Admitted overnight for observation.  No further seizure activity noted.  Referred for outpatient neuro consult.  7/11/08 Reviewed neuro records of 6/2/2008. FINAL DX:convulsion, probably vaccine related Records reveal patient experienced seizure & seen in ER where injection sites were noted to by red & hot.  No treatment ordered & was to have repeat MRI in 6 mos.
Age: 19.0
Sex: M
Vaccine: MNQ, TDAP
Symptoms: Blood calcium normal, Blood chloride normal, Blood creatinine normal, Blood glucose normal, Blood potassium decreased
Clinical narrative: Brought from home to ER by ambulance due to seizure activity, convulsions. Found by father after hearing thud. Patient was on ground, disoriented, shaking, eyes rolled back into head. Epi pen enroute to hospital. Arrived ER at 2045. Answering questions and stable vital signs in ER. Given Benadryl 50mg IV and Solumedrol 125 mg IVP in ER.  6/27/08 Reviewed hospital medical records of 5/30-5/31/2008. FINAL DX: convulsions Records reveal patient experienced fall, disoriented, shaking, eyes rolled back into head.  Tx w/epi, steroids, antihistamine.  Admitted overnight for observation.  No further seizure activity noted.  Referred for outpatient neuro consult.  7/11/08 Reviewed neuro records of 6/2/2008. FINAL DX:convulsion, probably vaccine related Records reveal patient experienced seizure & seen in ER where injection sites were noted to by red & hot.  No treatment ordered & was to have repeat MRI in 6 mos.
Age: 19.0
Sex: M
Vaccine: MNQ, TDAP
Symptoms: Blood sodium normal, Blood urea decreased, Convulsion, Disorientation, Fall
Clinical narrative: Brought from home to ER by ambulance due to seizure activity, convulsions. Found by father after hearing thud. Patient was on ground, disoriented, shaking, eyes rolled back into head. Epi pen enroute to hospital. Arrived ER at 2045. Answering questions and stable vital signs in ER. Given Benadryl 50mg IV and Solumedrol 125 mg IVP in ER.  6/27/08 Reviewed hospital medical records of 5/30-5/31/2008. FINAL DX: convulsions Records reveal patient experienced fall, disoriented, shaking, eyes rolled back into head.  Tx w/epi, steroids, antihistamine.  Admitted overnight for observation.  No further seizure activity noted.  Referred for outpatient neuro consult.  7/11/08 Reviewed neuro records of 6/2/2008. FINAL DX:convulsion, probably vaccine related Records reveal patient experienced seizure & seen in ER where injection sites were noted to by red & hot.  No treatment ordered & was to have repeat MRI in 6 mos.
Age: 19.0
Sex: M
Vaccine: MNQ, TDAP
Symptoms: Gaze palsy, Granulocyte count, Haematocrit normal, Haemoglobin normal, Platelet count normal
Clinical narrative: Brought from home to ER by ambulance due to seizure activity, convulsions. Found by father after hearing thud. Patient was on ground, disoriented, shaking, eyes rolled back into head. Epi pen enroute to hospital. Arrived ER at 2045. Answering questions and stable vital signs in ER. Given Benadryl 50mg IV and Solumedrol 125 mg IVP in ER.  6/27/08 Reviewed hospital medical records of 5/30-5/31/2008. FINAL DX: convulsions Records reveal patient experienced fall, disoriented, shaking, eyes rolled back into head.  Tx w/epi, steroids, antihistamine.  Admitted overnight for observation.  No further seizure activity noted.  Referred for outpatient neuro consult.  7/11/08 Reviewed neuro records of 6/2/2008. FINAL DX:convulsion, probably vaccine related Records reveal patient experienced seizure & seen in ER where injection sites were noted to by red & hot.  No treatment ordered & was to have repeat MRI in 6 mos.
Age: 19.0
Sex: M
Vaccine: MNQ, TDAP
Symptoms: Tremor, White blood cell count increased
Clinical narrative: Brought from home to ER by ambulance due to seizure activity, convulsions. Found by father after hearing thud. Patient was on ground, disoriented, shaking, eyes rolled back into head. Epi pen enroute to hospital. Arrived ER at 2045. Answering questions and stable vital signs in ER. Given Benadryl 50mg IV and Solumedrol 125 mg IVP in ER.  6/27/08 Reviewed hospital medical records of 5/30-5/31/2008. FINAL DX: convulsions Records reveal patient experienced fall, disoriented, shaking, eyes rolled back into head.  Tx w/epi, steroids, antihistamine.  Admitted overnight for observation.  No further seizure activity noted.  Referred for outpatient neuro consult.  7/11/08 Reviewed neuro records of 6/2/2008. FINAL DX:convulsion, probably vaccine related Records reveal patient experienced seizure & seen in ER where injection sites were noted to by red & hot.  No treatment ordered & was to have repeat MRI in 6 mos.
Age: 72.0
Sex: M
Vaccine: VARZOS
Symptoms: Herpes zoster
Clinical narrative: Got shingles vac. 10/2007.  Came on heavy case of shingles 01/2008.  Am still on drugs for P.H.N as of 6/16/08.  Have tried acupuncture, have been referred to chronic pain clinic w/in system now on LYRICA-no more B rates.
Age: 20.0
Sex: M
Vaccine: YF
Symptoms: Dyspnoea, Periorbital oedema, Pruritus, Urticaria
Clinical narrative: Itchy skin with hives all over body, peri-orbital edema, SOB.
Age: 58.0
Sex: F
Vaccine: TDAP
Symptoms: Auricular swelling, Pruritus
Clinical narrative: 6/1208- c/o Rt. ear lobe itching & swollen.
Age: 70.0
Sex: F
Vaccine: VARZOS
Symptoms: Pain, Pruritus
Clinical narrative: Client traveled soon after vaccine administration.  Approx 12/3/07 L shoulder had burning pain that went down back, under arm & side of L breast.  Last about 3 weeks.  No rash was noted by client.  Client seen by a chiropractor.  Since Jan 08, client experiences burning & itching under arm & L breast that comes & goes.
Age: 1.3
Sex: F
Vaccine: DTAP, FLU3, HEPA, MMR, PNC, VARCEL
Symptoms: Erythema, Injection site erythema, Rash macular
Clinical narrative: Both legs became reddened and blotchy from ankles to hips, not raised. No temp, swelling or difficulty breathing. Advised to pediatrician.
Age: 18.0
Sex: F
Vaccine: HEPA, MNQ, TDAP
Symptoms: Cold sweat, Dizziness, Immediate post-injection reaction, Pallor
Clinical narrative: 10 mins after pt. received vaccines pt. c/o feeling faint.  Pt. became pale & clammy but did not faint.
Age: 0.5
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Blood urine present, Body temperature increased, Bowel movement irregularity, CSF cell count normal, CSF culture negative
Clinical narrative: 6 mo male seen yesterday by Dr. for 6 mo WCC, normal healthy history and exam - received PEDIARIX, Hib, PREVNAR and ROTARIX.  Acted his usual normal self except some mild increased fussiness yesterday evening.  Fed normally until and including 3am feed at breast (exclusive breast).  Refused breast until 10am - fed only for few minutes and not aggressively (examined at 11am).  Mom and grand mother note he had a temperature elevation to 99.1, but then began to feel even warmer and became limp lasting for approximately 2hours.  They do not describe any seizure like activity (although the limp behavior is puzzling for possible post-ictal state).  His last wet was at 5am and was a little wet in the office on exam.
Age: 0.5
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: CSF protein normal, Culture urine negative, Diet refusal, Fontanelle bulging, Gram stain negative
Clinical narrative: 6 mo male seen yesterday by Dr. for 6 mo WCC, normal healthy history and exam - received PEDIARIX, Hib, PREVNAR and ROTARIX.  Acted his usual normal self except some mild increased fussiness yesterday evening.  Fed normally until and including 3am feed at breast (exclusive breast).  Refused breast until 10am - fed only for few minutes and not aggressively (examined at 11am).  Mom and grand mother note he had a temperature elevation to 99.1, but then began to feel even warmer and became limp lasting for approximately 2hours.  They do not describe any seizure like activity (although the limp behavior is puzzling for possible post-ictal state).  His last wet was at 5am and was a little wet in the office on exam.
Age: 0.5
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Haematocrit normal, Haemoglobin normal, Hypotonia, Irritability, Lymphocyte percentage decreased
Clinical narrative: 6 mo male seen yesterday by Dr. for 6 mo WCC, normal healthy history and exam - received PEDIARIX, Hib, PREVNAR and ROTARIX.  Acted his usual normal self except some mild increased fussiness yesterday evening.  Fed normally until and including 3am feed at breast (exclusive breast).  Refused breast until 10am - fed only for few minutes and not aggressively (examined at 11am).  Mom and grand mother note he had a temperature elevation to 99.1, but then began to feel even warmer and became limp lasting for approximately 2hours.  They do not describe any seizure like activity (although the limp behavior is puzzling for possible post-ictal state).  His last wet was at 5am and was a little wet in the office on exam.
Age: 0.5
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Neutrophil percentage increased, Platelet count increased, Protein urine present, Pyrexia, Red blood cell count normal
Clinical narrative: 6 mo male seen yesterday by Dr. for 6 mo WCC, normal healthy history and exam - received PEDIARIX, Hib, PREVNAR and ROTARIX.  Acted his usual normal self except some mild increased fussiness yesterday evening.  Fed normally until and including 3am feed at breast (exclusive breast).  Refused breast until 10am - fed only for few minutes and not aggressively (examined at 11am).  Mom and grand mother note he had a temperature elevation to 99.1, but then began to feel even warmer and became limp lasting for approximately 2hours.  They do not describe any seizure like activity (although the limp behavior is puzzling for possible post-ictal state).  His last wet was at 5am and was a little wet in the office on exam.
Age: 0.5
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Skin warm, White blood cell count normal
Clinical narrative: 6 mo male seen yesterday by Dr. for 6 mo WCC, normal healthy history and exam - received PEDIARIX, Hib, PREVNAR and ROTARIX.  Acted his usual normal self except some mild increased fussiness yesterday evening.  Fed normally until and including 3am feed at breast (exclusive breast).  Refused breast until 10am - fed only for few minutes and not aggressively (examined at 11am).  Mom and grand mother note he had a temperature elevation to 99.1, but then began to feel even warmer and became limp lasting for approximately 2hours.  They do not describe any seizure like activity (although the limp behavior is puzzling for possible post-ictal state).  His last wet was at 5am and was a little wet in the office on exam.
Age: 65.0
Sex: F
Vaccine: VARZOS
Symptoms: Burning sensation, Immediate post-injection reaction, Injection site erythema, Injection site pruritus, Injection site swelling
Clinical narrative: Shot rec'd 6-5-08.  Within 5 min: burning; within 15 min: itching; within one hour: swelling.  Within 3 hours - enlarged (1 1/2" x 2 1/2") bright red area at injection site with a lighter discolored area extending (4") down arm toward the elbow.  12 hours: no burning, but swollen, red, itching.  6-11-08 (6 days later) still swollen & red, very little itch.  6-14-08: no swelling or itching, but still red.
Age: 65.0
Sex: F
Vaccine: VARZOS
Symptoms: Pruritus, Swelling
Clinical narrative: Shot rec'd 6-5-08.  Within 5 min: burning; within 15 min: itching; within one hour: swelling.  Within 3 hours - enlarged (1 1/2" x 2 1/2") bright red area at injection site with a lighter discolored area extending (4") down arm toward the elbow.  12 hours: no burning, but swollen, red, itching.  6-11-08 (6 days later) still swollen & red, very little itch.  6-14-08: no swelling or itching, but still red.
Age: 17.0
Sex: F
Vaccine: HPV4, MNQ
Symptoms: Dizziness, Headache, Nausea, Vomiting
Clinical narrative: N/V h/a dizziness.
Age: 29.0
Sex: F
Vaccine: HPV4
Symptoms: Chills, Erythema, Inappropriate schedule of drug administration, Incorrect route of drug administration, Induration
Clinical narrative: Patient reports 2" x 3" knot, redness, itching at intradernal test site.  No symptoms/signs at intramuscular site.  (Intradernal test done secondary to fever, chills, nausea after 1st injection).  Patient was instructed to use Benadryl, hydrocortisone cream and ice.  This reaction occurred 24 hours after injection.  1st reaction occurred approximately 8 hours following injection.
Age: 29.0
Sex: F
Vaccine: HPV4
Symptoms: Nausea, Pruritus, Pyrexia
Clinical narrative: Patient reports 2" x 3" knot, redness, itching at intradernal test site.  No symptoms/signs at intramuscular site.  (Intradernal test done secondary to fever, chills, nausea after 1st injection).  Patient was instructed to use Benadryl, hydrocortisone cream and ice.  This reaction occurred 24 hours after injection.  1st reaction occurred approximately 8 hours following injection.
Age: 27.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site erythema, Injection site nodule, Injection site swelling
Clinical narrative: Redness and swelling at site one week post injection - had quarter size nodule 1 week after injection.
Age: 42.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site erythema, Injection site induration, Injection site warmth
Clinical narrative: Redness, warmth, knot to arm, Dx with palp area of warmth, redness 4 1/4 x 3.
Age: 10.0
Sex: M
Vaccine: VARCEL
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: None stated.
Age: 16.0
Sex: F
Vaccine: HEPA
Symptoms: Urticaria
Clinical narrative: Took oral typhoid vaccine (Ty 21A) on 6/9, 6/11, 6/13 and 6/15. On 6/15/08 developed bilateral hives on elbows/knees and knuckles. Given 50mg Benadryl with resolution of hives. Seen on 6/16/08 by pediatrician who ordered OTC Zyrtec x 2 days.
Age: 14.0
Sex: F
Vaccine: DTAP
Symptoms: Wrong drug administered
Clinical narrative: Nurse drew up and gave DTaP instead of Tdap to 14 yo.
Age: 9.0
Sex: M
Vaccine: HEPA, VARCEL
Symptoms: Cellulitis, Oedema peripheral, Tenderness
Clinical narrative: (L) arm became red and swollen. (+) tenderness. Patient was seen at ER on 6/7/08. Diagnosed with cellulitis and treated with antibiotic, Keflex.
Age: 0.8
Sex: F
Vaccine: IPV
Symptoms: Rash erythematous, Rash papular
Clinical narrative: Erythematous papular rash - some with central blanching, some hive-like scattered diffusely. Appeared gradually the day after IPV. No Rx.
Age: 1.0
Sex: M
Vaccine: FLU3, HEPA, FLU3, HEPA, MMRV
Symptoms: Erythema, Rash, Rash papular
Clinical narrative: T2 and T3 dermatome involvement. Onset rash 4/19/08. (L) lateral back w/ 20 clustered red papules. (L) post arm w/ 20 clustered red papules. Resolving at 5/14/08 visit.
Age: 1.0
Sex: M
Vaccine: FLU3, HEPA, FLU3, HEPA, MMRV
Symptoms: Herpes zoster, Rash, Rash papular, Skin lesion
Clinical narrative: T2 and T3 dermatome involvement. Onset rash 4/19/08. (L) lateral back w/ 20 clustered red papules. (L) post arm w/ 20 clustered red papules. Resolving at 5/14/08 visit.
Age: 71.0
Sex: M
Vaccine: UNK
Symptoms: Body temperature increased, Fatigue
Clinical narrative: 102 temp, achy feeling, tired, lasted 2 days.
Age: 10.0
Sex: M
Vaccine: VARCEL
Symptoms: Injection site erythema, Injection site haemorrhage, Injection site pain, Injection site swelling
Clinical narrative: Had VARIVAX 6/10/08.  On 6/12/08 developed red swollen area at site of injection R upper arm.  Seen today 6/13/08 has small area of ecchymosis, mild erythema, no induration, minimally tender.  Rx: TYLENOL.
Age: 5.0
Sex: F
Vaccine: DTAP, HEPA, IPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site induration, Injection site pain
Clinical narrative: 1 day after vaccines given in (L) thigh (Hep A and DTaP) child developed red, indurated area, tender, no fever. On day 2 after vaccine area measured 5x5 1/2 inch diameter and was no longer enlarging.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV
Symptoms: Abscess, Injection site erythema, Injection site rash, Injection site swelling
Clinical narrative: LL at site, site DTaP swollen, pink rash diffusely and wasn't to hot. Sterile abscess.
Age: 12.0
Sex: F
Vaccine: VARCEL
Symptoms: Erythema, Induration, Oedema peripheral
Clinical narrative: 2x2 cm erythematous swollen patch, sl indurated area (L) deltoid - faint erythematous circle about 5x5 cm with outside square. ? sl warm to touch. Benadryl 1-2 days to resolve reaction. Monitor for any reaction, increased redness, fever, etc.
Age: 24.0
Sex: M
Vaccine: TDAP
Symptoms: Erythema, Pain, Skin warm
Clinical narrative: 60x70mm area of redness, warm to touch, soreness.
Age: 5.0
Sex: M
Vaccine: DTAPHEPBIP, HEPA, MMR, VARCEL
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Parent returned to office with child on 6/12/08.  Childs L upper arm reddened swollen & tender & warm to touch.  Ice pack to area & instructions given to apply ice pack for 15 min. & give TYLENOL.
Age: 34.0
Sex: F
Vaccine: HEP, MMR
Symptoms: Dizziness, Dysphagia, Motion sickness, Nausea, Paraesthesia
Clinical narrative: Pin and needles feeling in all joints, excessive swelling of body, difficulty swallowing, nausea, motion sickness, dizzy. Saw Primary Doctor, given Epi and Prednisone.
Age: 34.0
Sex: F
Vaccine: HEP, MMR
Symptoms: Swelling
Clinical narrative: Pin and needles feeling in all joints, excessive swelling of body, difficulty swallowing, nausea, motion sickness, dizzy. Saw Primary Doctor, given Epi and Prednisone.
Age: 4.0
Sex: F
Vaccine: TD
Symptoms: Incorrect route of drug administration, Injection site erythema, Injection site induration
Clinical narrative: Nurse inadvertently injected Td instead of PPD skin test on 06/13/08. Induration and erythema developed on (L) arm. Tx warm soaks/Tylenol.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, VARCEL
Symptoms: Injection site abscess sterile, Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Patient received DTAP, IPOL and VARIVAX vaccines on 6/16/08.  Patient presented to office on 6/18/08 with painful, red, swelling of DTAP injection site.  Diagnosed with sterile abscess - Duricef prescribed along with Tylenol and compresses to area.
Age: 21.0
Sex: F
Vaccine: ANTH
Symptoms: Injection site rash, Rash pruritic, Skin lesion, Vaccine positive rechallenge
Clinical narrative: Itchy rash on arms, legs and torso with multiple raised, scaly lesions. Patient is dark skinned and redness was not noted.  Concentration of lesions at vaccination site.  Appeared within 48 hours of vaccination.  Previous two Anthrax vaccinations in the series also produced a similar rash but were not as extensive.  Patient was prescribed Diphenhydramine 25mg.
Age: 23.0
Sex: F
Vaccine: HEP, HEPA, HPV4, MNQ, TDAP
Symptoms: Injection site pain, Injection site swelling
Clinical narrative: Immediately after administering the Hepatitis B vaccine in the left arm, which was the second vaccine administered in the left arm, the patient and I noticed swelling in the arm. No redness was noted in the left arm, but the patient did complain of some discomfort and pain. I asked the patient to wait in the waiting room for 15 minutes so that I could monitor any further swelling or reactions. After 15 minutes the swelling was not as significant as first noted. Yet, slight swelling remained. The patient was given two 200mg tablets of Ibuprofen.
Age: 1.0
Sex: F
Vaccine: MMR
Symptoms: Irritability, Lethargy, Rash
Clinical narrative: The first few days (06/06) she was extremely cranky and really lethargic, after that she broke out with a rash all over her trunk and it spread a bit.  I contacted the office and they informed me that she was just having a side effect and to continue watching her.  The rash lasted for four days before it began to get better.
Age: 65.0
Sex: M
Vaccine: VARCEL
Symptoms: Wrong drug administered
Clinical narrative: Patient given Varivax vaccine instead of Zostavax vaccine.
Age: 0.25
Sex: M
Vaccine: HIBV
Symptoms: Erythema marginatum, Injection site erythema, Injection site pain, Injection site rash, Irritability
Clinical narrative: Child rec'd ACTHib vaccine in R thigh 5/30/08. Seen 6/16/08 with 24 hour history of fever to 104. Exam was normal, diagnosed with viral syndrome. On revisit 6/19/08 presented with ~24 hour history of rash at R thigh injection site, afebrile, normal exam other than irregular ~7x8 cm rim of palpable, non-tender erythema with clinical appearance similar to E. Marginatum. Still a bit fussy but easily consolable and drinking well.
Age: 0.25
Sex: M
Vaccine: HIBV
Symptoms: Pyrexia, Viral infection
Clinical narrative: Child rec'd ACTHib vaccine in R thigh 5/30/08. Seen 6/16/08 with 24 hour history of fever to 104. Exam was normal, diagnosed with viral syndrome. On revisit 6/19/08 presented with ~24 hour history of rash at R thigh injection site, afebrile, normal exam other than irregular ~7x8 cm rim of palpable, non-tender erythema with clinical appearance similar to E. Marginatum. Still a bit fussy but easily consolable and drinking well.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Fall, Loss of consciousness
Clinical narrative: pt received 3 vaccinations MMR DTAP and IPV and as she was with her father and grandmother at our check out counter she passed out and fell to the floor
Age: 32.0
Sex: M
Vaccine: ANTH, SMALL
Symptoms: Rash erythematous
Clinical narrative: REDDISH RASH ON CHEST AREA. RASH DOSE NOT ITCH. 18 JUN 08 RASH APPEARED. NO OTHER AREAS OF THE BODY HAVE RASH.
Age: 70.0
Sex: F
Vaccine: PPV
Symptoms: Dyspnoea, Erythema, Night sweats, Oedema peripheral, Pain in extremity
Clinical narrative: PATIENT CALLED THIS AM, STATING THAT HOURS AFTER ADMIN. SHE HAD REDNESS, SWELLING WITH A RIDGE AROUND THE SWELLING AND SEVERE ITCHING WHICH ALL STARTED BELOW THE INJECTION SIGHT.IT LOOKED LIKE A SAC. NOTHING AT THE SIGHT OF INJECTION AT ALL.  SOME SHORTNESS OF BREATH AND SWEATS DURING THE NIGHT AND THIS AM. SHE CAME INTO OFFICE THIS AM IT IS STILL RED AND WARM FEELING AND PAINFUL TO TOUCH BUT AGAIN NOT AT THE SIGHT OF INJECTION BUT BELOW AND AROUND TO THE BACK SIDE OF ARM
Age: 70.0
Sex: F
Vaccine: PPV
Symptoms: Pruritus, Skin warm
Clinical narrative: PATIENT CALLED THIS AM, STATING THAT HOURS AFTER ADMIN. SHE HAD REDNESS, SWELLING WITH A RIDGE AROUND THE SWELLING AND SEVERE ITCHING WHICH ALL STARTED BELOW THE INJECTION SIGHT.IT LOOKED LIKE A SAC. NOTHING AT THE SIGHT OF INJECTION AT ALL.  SOME SHORTNESS OF BREATH AND SWEATS DURING THE NIGHT AND THIS AM. SHE CAME INTO OFFICE THIS AM IT IS STILL RED AND WARM FEELING AND PAINFUL TO TOUCH BUT AGAIN NOT AT THE SIGHT OF INJECTION BUT BELOW AND AROUND TO THE BACK SIDE OF ARM
Age: 51.0
Sex: F
Vaccine: TDAP
Symptoms: Erythema, Induration, Oedema peripheral, Skin warm
Clinical narrative: LEFT ARM BEING RED, SWOLLEN, HOT AND HARD. REACTION STARTED THE DAY AFTER THE SHOT WAS GIVEN.
Age: 0.3
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Intussusception
Clinical narrative: INTUSSUSCEPTION 6/20/08-records received for DOS 4/30-4/2/08-DC DX: Inussusception now resolved, status post surgical repair. Leukocytosis. Presented to ED with decreased activity, decreased oral intake, increased irritability and emesis. Bloody stool with diarrhea, lethargy. Surgical laparotomy with appendectomy. 7/7/08-ER recs received for DOS 4/29/08-C/O vomiting, lethargic, . Dehydration, irritability.
Age: 43.0
Sex: F
Vaccine: TDAP
Symptoms: Facial pain, Headache, Injection site pain, Injection site swelling, Nausea
Clinical narrative: Tdap vaccination administered on 6/11/2008. Client called the HD on 6/12/2008 with c/o facial pain, sinusitis, headache and mild tenderness and swelling at the site of the injection in the right deltoid region. Client had called her physician as she also has food allergies and she felt her reactions were the same as when she has had an allergic food reaction. She was advised by her physician to rest until the symptoms resolved. Later that evening on 6/12/2008 she experienced Nausea and vomiting which resided by the late afternoon of 6/13/2008. by 6/14/2008 all her symptoms has resided and she felt back to normal. The initial symptoms began aprox. 23 hours after receiving the Tdap vaccine and were resolved in 3 days. The client had no known allergies to the components of the Tdap vaccine prior to her vaccination and had received both pertussis and tetanus and diptheria vaccinations in her past history. No treatment was administered by her physician. HD Health Officer was notified and the follow up plan included- a return call to the client for assessment of ther resolution of symptoms and a VAERS report was to be filed.
Age: 43.0
Sex: F
Vaccine: TDAP
Symptoms: No reaction on previous exposure to drug, Sinusitis, Vomiting
Clinical narrative: Tdap vaccination administered on 6/11/2008. Client called the HD on 6/12/2008 with c/o facial pain, sinusitis, headache and mild tenderness and swelling at the site of the injection in the right deltoid region. Client had called her physician as she also has food allergies and she felt her reactions were the same as when she has had an allergic food reaction. She was advised by her physician to rest until the symptoms resolved. Later that evening on 6/12/2008 she experienced Nausea and vomiting which resided by the late afternoon of 6/13/2008. by 6/14/2008 all her symptoms has resided and she felt back to normal. The initial symptoms began aprox. 23 hours after receiving the Tdap vaccine and were resolved in 3 days. The client had no known allergies to the components of the Tdap vaccine prior to her vaccination and had received both pertussis and tetanus and diptheria vaccinations in her past history. No treatment was administered by her physician. HD Health Officer was notified and the follow up plan included- a return call to the client for assessment of ther resolution of symptoms and a VAERS report was to be filed.
Age: 1.03
Sex: F
Vaccine: HEPA, MMR, VARCEL
Symptoms: Breath holding, Crying
Clinical narrative: HEP A WAS THE FIRST VACCINE TO BE ADMINISTER ON (L) THIGH. SHE HELD HER BREATH FOR 10-15 SECONDS, . SHE STARTED TO CRY BUT IT WAS A WEAK CRY &  BECAME SLEEPY FOR COUPLE SECONDS BUT SHE NEVER STOPPED BREATHING. SHE DID NOT HAVE GENERALIZED MOVEMENTS ON HER EXTRIMITIES OR STIFFNES NO L.O.C., IN 15 TO 20 SECONDS SHE WAS BACK TO COMPLETLY NORMAL SELF. I, SUGGESTED TO HOLD OFF ON REMAINING VACCINES ,BUT MOM WANTED TO CONTINUE WITH REST OF THEM WHICH WERE UNEVENTFUL. PATIENT WALKED OUT OF THE OFFICE.
Age: 16.0
Sex: M
Vaccine: TDAP, VARCEL
Symptoms: Cough, Wheezing
Clinical narrative: Child had been coughing prior to vaccines, but the early am after the shots were given, he woke up coughing and feeling a wheeze in his chest.  Un-certain if this is related to Tdap or just a fluke.
Age: 15.0
Sex: F
Vaccine: HPV4, MNQ
Symptoms: Hypotonia, Pallor
Clinical narrative: pt received menactra and gardasil. Within 30-60 seconds she was pale around the mough and then limp in her chair. Assisted her to the floor and fanned her. Recovery began within the next 1-2 minutes. Allowed her to lay, then sit on floor, then to chair before leaving at approx 15 mins. Denied any reoccuring feelings, and insisted she felt ok at that time.
Age: 1.25
Sex: M
Vaccine: DTAP, PNC
Symptoms: Wrong drug administered
Clinical narrative: DTaP #4 was ordered on 6-11-08,PCV7 was inadvertently administered instead of DTaP. The  mistake was discovered soon after administration, the mom was informed and the fourth dose of DTaP was also administered.  The child had already received 4 doses of PCV7, appropriatly spaced, on 5-2-07, 7-3-07, 9-12-2007, & 3-10-2008.
Age: 37.0
Sex: F
Vaccine: TDAP
Symptoms: Disorientation, Dizziness, Immediate post-injection reaction, Syncope
Clinical narrative: Severe dizziness.  I fainted right after being given the shot.  Then I was disoriented and dizzy for the next 24 hours.  I also fainted again 12 hours after the shot.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Blood culture, Full blood count, Gait disturbance, Injection site erythema, Injection site oedema
Clinical narrative: Brought here by mother because of edema and erythema of LLT. He has been scratching this site since then. Lower grade fever during the night. Pain of left thigh. Skin Sx erythema on left lower thigh. Musculoskeletal Sx.Edema and erythema on left dorsal left lower thigh. Small dry scab of the skin on site of past injection. knee intactr, passive and active movement are preserved. Minimal limping on left side noticed, able to jump without any problems.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Injection site pain, Oedema peripheral, Pain in extremity
Clinical narrative: Brought here by mother because of edema and erythema of LLT. He has been scratching this site since then. Lower grade fever during the night. Pain of left thigh. Skin Sx erythema on left lower thigh. Musculoskeletal Sx.Edema and erythema on left dorsal left lower thigh. Small dry scab of the skin on site of past injection. knee intactr, passive and active movement are preserved. Minimal limping on left side noticed, able to jump without any problems.
Age: 5.0
Sex: M
Vaccine: DTAP, HEPA, IPV, MMR, VARCEL
Symptoms: Erythema, Pruritus
Clinical narrative: Call received morning after shot(6/18/08), with redness 3cm diameter, told to continue Motrin, add Claritin to lessen itch, and ice packs; seen in office 6/19/08 now 12cm x 4cm diameter redness and tense itchy skin, multiple scratches, no numbness or change in distal sensation
Age: 1.25
Sex: F
Vaccine: DTAP, MMR, VARCEL
Symptoms: Injection site erythema, Livedo reticularis, Pyrexia
Clinical narrative: Receuved Varicella vaccine on 06-04-2008 at approximately 3:00 P.M.  On 06-08-2008 developed a red spot at injection site.  Redness at injection site grew in size over a period of four days until it reached 2.5 cm long and .5 cm wide.  Developed fever on 06-12-2008 100.4 actual axillary temp.  After Tylenol actual axillary temp dropped to 99.6.  On 06-13 and 06-14-2008, actual axillary temp was 102.8 without Tylenol and after med dropped to 101.4, actual axillary temperature.  Actual axillary temp on 06-15-2008, without Tylenol was 101.8 and after Tylenol dropped to 100.4.  On 06-16-2008, actual axillary temp. without Tylenol was 101.2 and after Tylenol dropped to 99.4.  On 06-17-2008 had normal temperature all day.  On 06-18-2008 had actual axillary temp. of 99.4, Mother gave a dose of Tylenol. Mother reports around the 13th or 14th of June she noticed that after child got up from napping, her skin was mottled a reddish purple color where she had lain on wrinkled bedding.  After child was up and about for a while skin color returned to normal.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Conjunctival hyperaemia, Flushing, Pruritus, Sneezing, Urticaria
Clinical narrative: puritis, flushing, urticaria, confunctival injection, sneezing, vomiting
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Vomiting
Clinical narrative: puritis, flushing, urticaria, confunctival injection, sneezing, vomiting
Age: 29.0
Sex: F
Vaccine: DTAP
Symptoms: Arthralgia, Fatigue, Inappropriate schedule of drug administration, Myalgia, Somnolence
Clinical narrative: This case was reported by a healthcare professional and described the occurrence of myalgia in a 29-year-old female subject who was vaccinated with INFANRIX (GlaxoSmithKline). On 12 June 2008 at 11:30, the subject inadvertently received a dose of INFANRIX (.5 units unspecified, unknown, left arm), instead of an intended 1st dose of TDAP vaccine. Five hours after vaccination with INFANIX, at 16:30, the subject experienced myalgia, fatigue, joint pain, and sleepiness. The subject returned to the physician's office the next day due to the symptoms being unresolved. The physician referred the subject to a neurologist as a precaution. The reporting healthcare professional indicated that the events were systemic and considered the events to be clinically significant (or requiring intervention). At the time of reporting, the events were unresolved. The healthcare professional considered the events were probably related to vaccination with INFANRIX.