chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 20.0
Sex: M
Vaccine: SMALL, SMALL
Symptoms: Dyskinesia, Electroencephalogram abnormal, Encephalitis, Gait disturbance, HIV test negative
Clinical narrative: Developed focal deficits temporally associated to receipt of the spv. See attached. Diagnosis: CEREBELLAR ATAXIA/menigoencephalitis. Symptoms: Abnormal head movement, Gait abnormality, slurred speech.  4/15/09-records received-clinic notes 3/31/09 follow-up visit after hospitalization for 'cerebritis'. C/O headache, fever and vomiting on 1/20/09. Deployed overseas. C/O neck pain with forward flexion and slurred speech, gait unbalanced. PE dysdiadochokinesia and dysmetric in BE on FTN. Treated with IVIG and symptoms unchanged after IVIG. 5/12/10 Follow up: still had tremors at time according to DoD documentation not taking more (Pimozide), improved. Being medically discharged from military.
Age: 20.0
Sex: M
Vaccine: SMALL, SMALL
Symptoms: Immunoglobulin therapy, Immunology test, Metabolic function test normal, Methicillin-resistant staphylococcal aureus test negative, Mycoplasma serology
Clinical narrative: Developed focal deficits temporally associated to receipt of the spv. See attached. Diagnosis: CEREBELLAR ATAXIA/menigoencephalitis. Symptoms: Abnormal head movement, Gait abnormality, slurred speech.  4/15/09-records received-clinic notes 3/31/09 follow-up visit after hospitalization for 'cerebritis'. C/O headache, fever and vomiting on 1/20/09. Deployed overseas. C/O neck pain with forward flexion and slurred speech, gait unbalanced. PE dysdiadochokinesia and dysmetric in BE on FTN. Treated with IVIG and symptoms unchanged after IVIG. 5/12/10 Follow up: still had tremors at time according to DoD documentation not taking more (Pimozide), improved. Being medically discharged from military.
Age: 20.0
Sex: M
Vaccine: SMALL, SMALL
Symptoms: Nuclear magnetic resonance imaging brain normal, Parasite blood test, Prothrombin time normal, Rheumatoid factor negative, Rickettsia antibody
Clinical narrative: Developed focal deficits temporally associated to receipt of the spv. See attached. Diagnosis: CEREBELLAR ATAXIA/menigoencephalitis. Symptoms: Abnormal head movement, Gait abnormality, slurred speech.  4/15/09-records received-clinic notes 3/31/09 follow-up visit after hospitalization for 'cerebritis'. C/O headache, fever and vomiting on 1/20/09. Deployed overseas. C/O neck pain with forward flexion and slurred speech, gait unbalanced. PE dysdiadochokinesia and dysmetric in BE on FTN. Treated with IVIG and symptoms unchanged after IVIG. 5/12/10 Follow up: still had tremors at time according to DoD documentation not taking more (Pimozide), improved. Being medically discharged from military.
Age: 20.0
Sex: M
Vaccine: SMALL, SMALL
Symptoms: Single photon emission computerised tomogram normal, Tremor, Virus serology test negative, Vitamin B12 normal
Clinical narrative: Developed focal deficits temporally associated to receipt of the spv. See attached. Diagnosis: CEREBELLAR ATAXIA/menigoencephalitis. Symptoms: Abnormal head movement, Gait abnormality, slurred speech.  4/15/09-records received-clinic notes 3/31/09 follow-up visit after hospitalization for 'cerebritis'. C/O headache, fever and vomiting on 1/20/09. Deployed overseas. C/O neck pain with forward flexion and slurred speech, gait unbalanced. PE dysdiadochokinesia and dysmetric in BE on FTN. Treated with IVIG and symptoms unchanged after IVIG. 5/12/10 Follow up: still had tremors at time according to DoD documentation not taking more (Pimozide), improved. Being medically discharged from military.
Age: 20.0
Sex: M
Vaccine: SMALL, SMALL
Symptoms: Amino acid level normal, Antinuclear antibody negative, Blood culture negative, Blood folate normal, Blood heavy metal normal
Clinical narrative: Developed focal deficits temporally associated to receipt of the spv. See attached. Diagnosis: CEREBELLAR ATAXIA/menigoencephalitis. Symptoms: Abnormal head movement, Gait abnormality, slurred speech.  4/15/09-records received-clinic notes 3/31/09 follow-up visit after hospitalization for 'cerebritis'. C/O headache, fever and vomiting on 1/20/09. Deployed overseas. C/O neck pain with forward flexion and slurred speech, gait unbalanced. PE dysdiadochokinesia and dysmetric in BE on FTN. Treated with IVIG and symptoms unchanged after IVIG. 5/12/10 Follow up: still had tremors at time according to DoD documentation not taking more (Pimozide), improved. Being medically discharged from military.
Age: 20.0
Sex: M
Vaccine: SMALL, SMALL
Symptoms: Blood magnesium normal, Blood phosphorus normal, Blood product transfusion, Borrelia burgdorferi serology negative, C-reactive protein normal
Clinical narrative: Developed focal deficits temporally associated to receipt of the spv. See attached. Diagnosis: CEREBELLAR ATAXIA/menigoencephalitis. Symptoms: Abnormal head movement, Gait abnormality, slurred speech.  4/15/09-records received-clinic notes 3/31/09 follow-up visit after hospitalization for 'cerebritis'. C/O headache, fever and vomiting on 1/20/09. Deployed overseas. C/O neck pain with forward flexion and slurred speech, gait unbalanced. PE dysdiadochokinesia and dysmetric in BE on FTN. Treated with IVIG and symptoms unchanged after IVIG. 5/12/10 Follow up: still had tremors at time according to DoD documentation not taking more (Pimozide), improved. Being medically discharged from military.
Age: 20.0
Sex: M
Vaccine: SMALL, SMALL
Symptoms: CSF neutrophil count increased, CSF protein increased, CSF white blood cell count increased, Cerebellar syndrome, Drug screen negative
Clinical narrative: Developed focal deficits temporally associated to receipt of the spv. See attached. Diagnosis: CEREBELLAR ATAXIA/menigoencephalitis. Symptoms: Abnormal head movement, Gait abnormality, slurred speech.  4/15/09-records received-clinic notes 3/31/09 follow-up visit after hospitalization for 'cerebritis'. C/O headache, fever and vomiting on 1/20/09. Deployed overseas. C/O neck pain with forward flexion and slurred speech, gait unbalanced. PE dysdiadochokinesia and dysmetric in BE on FTN. Treated with IVIG and symptoms unchanged after IVIG. 5/12/10 Follow up: still had tremors at time according to DoD documentation not taking more (Pimozide), improved. Being medically discharged from military.
Age: 20.0
Sex: M
Vaccine: SMALL, SMALL
Symptoms: Dysarthria, Dyskinesia, Electroencephalogram abnormal, Encephalitis, Gait disturbance
Clinical narrative: Developed focal deficits temporally associated to receipt of the spv. See attached. Diagnosis: CEREBELLAR ATAXIA/menigoencephalitis. Symptoms: Abnormal head movement, Gait abnormality, slurred speech.  4/15/09-records received-clinic notes 3/31/09 follow-up visit after hospitalization for 'cerebritis'. C/O headache, fever and vomiting on 1/20/09. Deployed overseas. C/O neck pain with forward flexion and slurred speech, gait unbalanced. PE dysdiadochokinesia and dysmetric in BE on FTN. Treated with IVIG and symptoms unchanged after IVIG. 5/12/10 Follow up: still had tremors at time according to DoD documentation not taking more (Pimozide), improved. Being medically discharged from military.
Age: 20.0
Sex: M
Vaccine: SMALL, SMALL
Symptoms: HIV test negative, Headache, Metabolic function test normal, Methicillin-resistant staphylococcal aureus test negative, Nausea
Clinical narrative: Developed focal deficits temporally associated to receipt of the spv. See attached. Diagnosis: CEREBELLAR ATAXIA/menigoencephalitis. Symptoms: Abnormal head movement, Gait abnormality, slurred speech.  4/15/09-records received-clinic notes 3/31/09 follow-up visit after hospitalization for 'cerebritis'. C/O headache, fever and vomiting on 1/20/09. Deployed overseas. C/O neck pain with forward flexion and slurred speech, gait unbalanced. PE dysdiadochokinesia and dysmetric in BE on FTN. Treated with IVIG and symptoms unchanged after IVIG. 5/12/10 Follow up: still had tremors at time according to DoD documentation not taking more (Pimozide), improved. Being medically discharged from military.
Age: 20.0
Sex: M
Vaccine: SMALL, SMALL
Symptoms: Nuclear magnetic resonance imaging brain normal, Prothrombin time normal, Rheumatoid factor negative, Single photon emission computerised tomogram normal, Virus serology test negative
Clinical narrative: Developed focal deficits temporally associated to receipt of the spv. See attached. Diagnosis: CEREBELLAR ATAXIA/menigoencephalitis. Symptoms: Abnormal head movement, Gait abnormality, slurred speech.  4/15/09-records received-clinic notes 3/31/09 follow-up visit after hospitalization for 'cerebritis'. C/O headache, fever and vomiting on 1/20/09. Deployed overseas. C/O neck pain with forward flexion and slurred speech, gait unbalanced. PE dysdiadochokinesia and dysmetric in BE on FTN. Treated with IVIG and symptoms unchanged after IVIG. 5/12/10 Follow up: still had tremors at time according to DoD documentation not taking more (Pimozide), improved. Being medically discharged from military.
Age: 20.0
Sex: M
Vaccine: SMALL, SMALL
Symptoms: Vitamin B12 normal, Vomiting
Clinical narrative: Developed focal deficits temporally associated to receipt of the spv. See attached. Diagnosis: CEREBELLAR ATAXIA/menigoencephalitis. Symptoms: Abnormal head movement, Gait abnormality, slurred speech.  4/15/09-records received-clinic notes 3/31/09 follow-up visit after hospitalization for 'cerebritis'. C/O headache, fever and vomiting on 1/20/09. Deployed overseas. C/O neck pain with forward flexion and slurred speech, gait unbalanced. PE dysdiadochokinesia and dysmetric in BE on FTN. Treated with IVIG and symptoms unchanged after IVIG. 5/12/10 Follow up: still had tremors at time according to DoD documentation not taking more (Pimozide), improved. Being medically discharged from military.
Age: 17.0
Sex: F
Vaccine: HPV4
Symptoms: Activities of daily living impaired, Convulsion
Clinical narrative: Information has been received from a physician concerning a 17 year old female who was vaccinated with her second dose of GARDASIL, 0.5 mL, IM. The physician stated that the patient's mother had contacted him and questioned him about the vaccine. It was reported that the patient had been having seizures "almost every day" since getting the second dose. She had been "to a lot of specialists" who had not been able to make a diagnosis. The reporter was not the patient's physician. It was unknown if there were any seizures after the first shot or if they only appeared after it was reintroduced. The patient would not be completing the series. The patient had not been able to go to school because of this experience. As of 01-APR-2009 the patient had not recovered. Laboratory diagnostic studies performed included "all kinds of different tests" (results not provided). Upon internal review the patient's seizure was considered to be an Other Important Medical Event. Additional information has been requested.
Age: 51.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Burning sensation, Joint range of motion decreased, Pain in extremity
Clinical narrative: Client reports pain & burning sensation to right upper arm since flu vaccination.  Severe pain started approximately 2 wks after administration.  She reports pain is better at times, then worse again.  She states it has affected her ROM to this arm, & can't lay on this side.
Age: 51.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Burning sensation, Injected limb mobility decreased, Pain in extremity
Clinical narrative: Client reports pain & burning sensation to right upper arm since flu vaccination.  Severe pain started approximately 2 wks after administration.  She reports pain is better at times, then worse again.  She states it has affected her ROM to this arm, & can't lay on this side.
Age: 5.0
Sex: M
Vaccine: DTAPIPV
Symptoms: Body temperature increased, Injection site erythema, Injection site swelling
Clinical narrative: Right deltoid (arm) red and swollen, mother of patient stated that kid had a low grade temp. of 99.4 the day after vaccine administered.
Age: 49.0
Sex: F
Vaccine: FLUX
Symptoms: Angioedema, Enlarged uvula, Hypersensitivity
Clinical narrative: Angloedema & swelling of uvula.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Body temperature, Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Rt arm red swollen warm to touch.  Are measures 8x6 cm. no pain.  Temp 99.
Age: 66.0
Sex: F
Vaccine: VARZOS
Symptoms: Dyspnoea, Erythema, Injection site irritation, Injection site pain, Oedema peripheral
Clinical narrative: Received shingle shot. Asked nurse if it would hurt. No, just like flu shot, it did hurt and burned. 03-19-09 4 AM difficulties breathing for 1 hr. Noticed itching all over body. later swelling of Lt arm got worse. Called nurse from home 03-20-09. Suggested urgent care, called Dr. got CEPHALEXIN 500 mg capsules for 10 days 4 times daily and cream. Swelling and dark red part is gone. Still itch (See attachment)
Age: 66.0
Sex: F
Vaccine: VARZOS
Symptoms: Pruritus generalised
Clinical narrative: Received shingle shot. Asked nurse if it would hurt. No, just like flu shot, it did hurt and burned. 03-19-09 4 AM difficulties breathing for 1 hr. Noticed itching all over body. later swelling of Lt arm got worse. Called nurse from home 03-20-09. Suggested urgent care, called Dr. got CEPHALEXIN 500 mg capsules for 10 days 4 times daily and cream. Swelling and dark red part is gone. Still itch (See attachment)
Age: 9.0
Sex: M
Vaccine: VARCEL
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Pt. had slightly raised, warm to touch pink area @ injec. site post getting VARICELLA vaccine on 3/30/09 14.5 cm X 7cm.  Reported by guardian on 4/1/09.
Age: 9.0
Sex: F
Vaccine: HEPA, VARCEL
Symptoms: Injection site erythema, Pallor
Clinical narrative: 15x10cm area of blanching erythema around injection site at L upper arm.  Started a few hours after injection- zero treatment included with systemic symptoms.
Age: 15.0
Sex: F
Vaccine: HPV4
Symptoms: Abortion induced, Blood human chorionic gonadotropin positive, Drug exposure during pregnancy, Inappropriate schedule of drug administration
Clinical narrative: Information has been received from a nurse practitioner, for the Pregnancy Registry for GARDASIL, concerning a 15 year old female with iron deficiency anaemia and no known drug allergies who on 27-NOV-2007 was vaccinated intramuscularly with a 0.5 ml first dose of GARDASIL (Lot# 658554/0928U). On 16-MAY-2008, the patient was vaccinated intramuscularly with a 0.5 ml second dose of GARDASIL (Lot# 659964/1978U). The patient was asked if she was pregnant before each dose which she denied. After receiving the second dose, the patient said she might be pregnant. Blood work for pregnancy in the office confirmed the pregnancy (LMP March 2008). There was no concomitant medication. Unspecified medical attention was sought in the office. The patient's outcome is unknown. Follow-up information was received which reported that the patient terminated pregnancy. A phone call was made on 06-APR-2009 but no further information obtained. Upon internal review, the patient terminated pregnancy was considered to be other important medical event. Additional information has been requested.
Age: 24.0
Sex: F
Vaccine: HPV4
Symptoms: Caesarean section, Drug exposure during pregnancy, Glucose tolerance test normal, Incisional drainage, Labour complication
Clinical narrative: Information has been received from a physician assistant concerning a 24 year old pregnant female with a history of penicillin allergy who on 12-FEB-2008 was vaccinated IM with the first 0.5 mL dose of GARDASIL (lot # 658556/1060U).  Concomitant therapy included vitamins (unspecified).  On 26-FEB-2008 the patient was examined in the doctor's office and the pregnancy was confirmed by urine pregnancy test.  The patient was referred to an obstetrician for care.  No problems were reported.  The patient's status is unknown.  Follow up information received on 13-MAR-2008.  It was reported that the patient a female with a history of depression, upper endoscopy for pill stuck in her throat in 2004, and ex-smoker was given a dose of GARDASIL (lot # 658556/1060U) and she knew she was pregnant.   The expected delivery date is 26-OCT-2008.  It was also reported that the patient was treated with ZOLOFT for depression and that she stopped therapy with ZOLOFT in August 2007.  The patient stopped smoking on 26-FEB-2008.  There were no previous pregnancies, full term deliveries, pre-term deliveries, spontaneous abortion, elective terminations or fetal defects.  Follow up information received from an outcome pregnancy questionnaire on 02-APR-2009 stated that the patient's husband had Methicillin Resistant Staphylococcus aureus (MRSA).  Concomitant medication includes prenatal vitamins started on 26-FEB-2008.  The patient had no complications during pregnancy and delivered a normal female liveborn on 04-NOV-2008 at 40 6/7 weeks from LMP, who had 7 pounds 12 oz weight and 21 inches length.  Apgar score was 4/8/9 and head circumference was 13 inches.  The patient had a C/section due to failure to progress.  The patient had a wound and an incision and drainage was performed at the physician's office.  The patient was prescribed VICODIN or TYLENOL for pain after the incision and drainage of the wound.  Laboratories studies performed include a glucose tolerance test (GTT) on 01-AUG-2008, 83 mg/dl.  Follow up information received on 03-APR-2009 from the nurse practitioner stated that the patient had delivered a baby girl who was normal with no congenital anomalies.  Upon internal review, C-section due to failure to progress was considered to be an Other Important Medical Event.  No further information is available.
Age: 24.0
Sex: F
Vaccine: HPV4
Symptoms: Urine human chorionic gonadotropin positive, Wound
Clinical narrative: Information has been received from a physician assistant concerning a 24 year old pregnant female with a history of penicillin allergy who on 12-FEB-2008 was vaccinated IM with the first 0.5 mL dose of GARDASIL (lot # 658556/1060U).  Concomitant therapy included vitamins (unspecified).  On 26-FEB-2008 the patient was examined in the doctor's office and the pregnancy was confirmed by urine pregnancy test.  The patient was referred to an obstetrician for care.  No problems were reported.  The patient's status is unknown.  Follow up information received on 13-MAR-2008.  It was reported that the patient a female with a history of depression, upper endoscopy for pill stuck in her throat in 2004, and ex-smoker was given a dose of GARDASIL (lot # 658556/1060U) and she knew she was pregnant.   The expected delivery date is 26-OCT-2008.  It was also reported that the patient was treated with ZOLOFT for depression and that she stopped therapy with ZOLOFT in August 2007.  The patient stopped smoking on 26-FEB-2008.  There were no previous pregnancies, full term deliveries, pre-term deliveries, spontaneous abortion, elective terminations or fetal defects.  Follow up information received from an outcome pregnancy questionnaire on 02-APR-2009 stated that the patient's husband had Methicillin Resistant Staphylococcus aureus (MRSA).  Concomitant medication includes prenatal vitamins started on 26-FEB-2008.  The patient had no complications during pregnancy and delivered a normal female liveborn on 04-NOV-2008 at 40 6/7 weeks from LMP, who had 7 pounds 12 oz weight and 21 inches length.  Apgar score was 4/8/9 and head circumference was 13 inches.  The patient had a C/section due to failure to progress.  The patient had a wound and an incision and drainage was performed at the physician's office.  The patient was prescribed VICODIN or TYLENOL for pain after the incision and drainage of the wound.  Laboratories studies performed include a glucose tolerance test (GTT) on 01-AUG-2008, 83 mg/dl.  Follow up information received on 03-APR-2009 from the nurse practitioner stated that the patient had delivered a baby girl who was normal with no congenital anomalies.  Upon internal review, C-section due to failure to progress was considered to be an Other Important Medical Event.  No further information is available.
Age: 12.0
Sex: M
Vaccine: UNK
Symptoms: Cellulitis, Erythema, Injection site reaction
Clinical narrative: Red spot on arm.  Not sure if it was vaccine reaction or early cellulitis.
Age: 46.0
Sex: F
Vaccine: DTOX, PPV
Symptoms: Dyspnoea, Headache, Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Patient had syncopal episode, shortness of breath, headache, throat felt "fuzzy" Injection site swollen, red, achy.
Age: 46.0
Sex: F
Vaccine: DTOX, PPV
Symptoms: Syncope, Throat irritation
Clinical narrative: Patient had syncopal episode, shortness of breath, headache, throat felt "fuzzy" Injection site swollen, red, achy.
Age: 1.3
Sex: M
Vaccine: MMR
Symptoms: Acute disseminated encephalomyelitis, Autism spectrum disorder, Choking, Convulsion, Gaze palsy
Clinical narrative: Information has been received from a case in litigation via Litigation Reports concerning a 15 month old male patient who on 14-MAR-2000 was vaccinated with a dose of MMR II (lot# not reported). ON 30-MAR-2000 (16 days after vaccination), the patient experienced a seizure "with eye rolling and choking". Patient was admitted to the ER and had an MRI of his brain taken which was interpreted by the treating radiologist as "most consistent with demyelinating process of immune etiology such as may be seen with acute disseminated encephalomyelitis (ADEM) or perhaps post-vaccination". It was noted that the patient's ADEM led to Pervasive Developmental Delay (PDD), a condition from which the patient continued to suffer. No further information is available.
Age: 1.3
Sex: M
Vaccine: MMR
Symptoms: Nuclear magnetic resonance imaging abnormal
Clinical narrative: Information has been received from a case in litigation via Litigation Reports concerning a 15 month old male patient who on 14-MAR-2000 was vaccinated with a dose of MMR II (lot# not reported). ON 30-MAR-2000 (16 days after vaccination), the patient experienced a seizure "with eye rolling and choking". Patient was admitted to the ER and had an MRI of his brain taken which was interpreted by the treating radiologist as "most consistent with demyelinating process of immune etiology such as may be seen with acute disseminated encephalomyelitis (ADEM) or perhaps post-vaccination". It was noted that the patient's ADEM led to Pervasive Developmental Delay (PDD), a condition from which the patient continued to suffer. No further information is available.
Sex: U
Vaccine: FLUX
Symptoms: Anaphylactic reaction
Clinical narrative: This case was received from a health professional on 26 March 2009, via another manufacturer (document number 45215838). A patient received Flu vaccine (manufacturer and lot number not reported) "sometime in the past" and subsequently experienced an anaphylactic reaction. No additional information was available.
Age: 75.0
Sex: F
Vaccine: VARZOS
Symptoms: Unevaluable event
Clinical narrative: See attached copy.
Age: 8.0
Sex: F
Vaccine: FLU3, HEPA, VARCEL
Symptoms: Dyspnoea, Rash pruritic, Urticaria
Clinical narrative: Whelps developed. Got in waiting area she began to break out with a pruritic rash and had difficulty breathing. 62.5 Solumedrol IM given, 0.2 Epinephrine SQ given, 25mg Benadryl IM given. After 10 minutes, VS remained stable and pt reported relief. Was followed up 3/13/09.
Age: 23.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Headache, Palpitations, Vomiting
Clinical narrative: 1st GARDASIL 1-30-09 - At 2nd appt for GARDASIL 4-2-09 pt. described symptoms from first IZ admin. stated had severe headache with vomiting and heart palpitations the evening after IZ administration.
Age: 23.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Abdominal discomfort, Headache, Heart rate increased
Clinical narrative: 1st GARDASIL 1-30-09 - At 2nd appt for GARDASIL 4-2-09 pt. described symptoms from first IZ admin. stated had severe headache with vomiting and heart palpitations the evening after IZ administration.
Age: 2.0
Sex: M
Vaccine: DTAP, HEPA, HIBV
Symptoms: Full blood count, Injection site erythema, Injection site induration, Pyrexia, White blood cell count increased
Clinical narrative: Erythema induration at left thigh elevated white blood cell count to 13.7 K Fever to 100.5
Age: 41.0
Sex: M
Vaccine: ANTH
Symptoms: Erythema, Fatigue, Headache, Oedema peripheral, Pain
Clinical narrative: Persitant redness, itching and swelling of the upper arm for a week followed by a general feeling of tiredness, headaches and general achiness lasting for several weeks
Age: 41.0
Sex: M
Vaccine: ANTH
Symptoms: Pruritus
Clinical narrative: Persitant redness, itching and swelling of the upper arm for a week followed by a general feeling of tiredness, headaches and general achiness lasting for several weeks
Age: 71.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site rash
Clinical narrative: Rash at injection site.
Age: 4.0
Sex: M
Vaccine: DTAPIPV, HEPA, MMR, VARCEL
Symptoms: Injection site erythema, Injection site pruritus, Injection site rash, Injection site swelling, Injection site warmth
Clinical narrative: Mother called stating that left arm is red, swollen, warm to touch, has a red splotchy rash and is the size of a "grapefruit".  Patient denies any pain, but complains of itching.
Age: 9.0
Sex: F
Vaccine: HEPA, VARCEL
Symptoms: Erythema, Oedema peripheral
Clinical narrative: Pt arm Turned red and slightly raised the evening of the day the shot was given.
Age: 18.0
Sex: F
Vaccine: SMALL
Symptoms: Drug exposure during pregnancy
Clinical narrative: Vaccinated with ACAM2000 during pregnancy. Pregnancy resulted in full term healthy delivery.
Age: 32.0
Sex: F
Vaccine: FLU3
Symptoms: Eye pruritus, Pharyngeal oedema, Pruritus, Tongue oedema
Clinical narrative: Edema of the tongue and throat. No acute respiratory distress. complained of mild itching around eyes and forehead. No erythema or rash noted in this area. Claritin 1 PO given.  Monitored for 1 hour.  Symptoms did not worsen. Discharged with two claritin tabs and instructed to take one on Thurs and Fri. AM.  Instructed to go to nearest ER if symptoms worsen.
Age: 2.0
Sex: F
Vaccine: DTAPHEPBIP, HEPA, PNC
Symptoms: Body temperature increased, Facial pain, Injection site pain, Injection site reaction, Screaming
Clinical narrative: CLT SCREAMED ALL DAY RIGHT AFTER SHE RECIEVED THE IMZ. RUN 103 TEMP THE FIRST DAY AND 101 TEMP THE NEXT TWO DAYS. CLT C/O L SIDE OF FACE HURTING AND HURT TO LEFT ARMS. LEFT INJECTION SITE LOOK LIKE BEE STING. DR. WAS CALLED AND WAS TOLD TO GIVE TYLENOL AND MORTIN. FAMILY HX OF PERTUSSIS REACTION.
Age: 47.0
Sex: F
Vaccine: TDAP
Symptoms: Chills, Lymphadenopathy, Malaise, Myalgia, Nausea
Clinical narrative: The patient received Tdap vaccine (Adacel) and experienced muscle aches, chills, general malaise, nausea and axillary lymphadenopathy. Symptoms resolved after 6 days.
Age: 4.0
Sex: M
Vaccine: DTAPIPV, HEPA, MMR, VARCEL
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: HEP A GIVEN X3
Age: 44.0
Sex: F
Vaccine: TDAP
Symptoms: Body temperature increased, Chills, Immediate post-injection reaction, Nausea, Rash
Clinical narrative: The patient received Tdap and experienced nausea, vomiting, chills, low grade temp and a rash beginning immediately after injection. Symtoms subsided within 1 to 2 days, the rash lasted 1 week.
Age: 44.0
Sex: F
Vaccine: TDAP
Symptoms: Vomiting
Clinical narrative: The patient received Tdap and experienced nausea, vomiting, chills, low grade temp and a rash beginning immediately after injection. Symtoms subsided within 1 to 2 days, the rash lasted 1 week.
Age: 0.02
Sex: M
Vaccine: HEP
Symptoms: Abscess, Arthralgia, Culture negative, Injected limb mobility decreased, Joint swelling
Clinical narrative: Patient has a Methicillin Sensitive Staph Aureus left septic hip and left abscess on ankle with presumed osteomyelitis of femur.  Patient's prenatal course complicated by maternal temp of unknown origin 4 days prior to delivery, GBS negative, c/s for failure to progress, Mom had cracked nipples.  PKU screen in left foot.  Patient presented to office 4 days after routine Hepatitis B vaccine in the left thigh with decrease movement of left lower extremity. On exam he had pain with extension of his leg.  Normal skin and no sign of cellulitis at Hep B injection site or heel. He was sent to Hospital for evaluation with negative leg XRAY and hip ultrasound.  Two days later, March 22nd, he was admitted with a fever, swollen left ankle and pain of left hip.  MSSA grew out of blood, ankle abscess.  Left hip had 160,000 plus WBC and negative culture.  He is on week 2 of 6 weeks of IV Oxacillin. 6/8/09-records received-for DOS 3/22-3/27/09 DC DX: Septic arthritis. Methicillin susceptible staph aureus bacteremia. left femoral osteomylitis. Presented with fever and decreased left leg movement and pain with movement. ICD-9 codes 771.89 other infec specific to perina. 711.05 pyrogen arthritis-pelvis, 711.97 pyogen, arthritis-ankle. 730.25 osteomyelitis-pelvis, 73026 osteomyelitis-left leg.041.11 methicillin susceptible staph, 682.6-cellulitis of leg.
Age: 0.02
Sex: M
Vaccine: HEP
Symptoms: Methicillin-resistant staphylococcal aureus test positive, Osteomyelitis, Pain in extremity, Pyrexia, Staphylococcal abscess
Clinical narrative: Patient has a Methicillin Sensitive Staph Aureus left septic hip and left abscess on ankle with presumed osteomyelitis of femur.  Patient's prenatal course complicated by maternal temp of unknown origin 4 days prior to delivery, GBS negative, c/s for failure to progress, Mom had cracked nipples.  PKU screen in left foot.  Patient presented to office 4 days after routine Hepatitis B vaccine in the left thigh with decrease movement of left lower extremity. On exam he had pain with extension of his leg.  Normal skin and no sign of cellulitis at Hep B injection site or heel. He was sent to Hospital for evaluation with negative leg XRAY and hip ultrasound.  Two days later, March 22nd, he was admitted with a fever, swollen left ankle and pain of left hip.  MSSA grew out of blood, ankle abscess.  Left hip had 160,000 plus WBC and negative culture.  He is on week 2 of 6 weeks of IV Oxacillin. 6/8/09-records received-for DOS 3/22-3/27/09 DC DX: Septic arthritis. Methicillin susceptible staph aureus bacteremia. left femoral osteomylitis. Presented with fever and decreased left leg movement and pain with movement. ICD-9 codes 771.89 other infec specific to perina. 711.05 pyrogen arthritis-pelvis, 711.97 pyogen, arthritis-ankle. 730.25 osteomyelitis-pelvis, 73026 osteomyelitis-left leg.041.11 methicillin susceptible staph, 682.6-cellulitis of leg.
Age: 0.02
Sex: M
Vaccine: HEP
Symptoms: Staphylococcal bacteraemia, Staphylococcal sepsis, Ultrasound scan normal, X-ray normal
Clinical narrative: Patient has a Methicillin Sensitive Staph Aureus left septic hip and left abscess on ankle with presumed osteomyelitis of femur.  Patient's prenatal course complicated by maternal temp of unknown origin 4 days prior to delivery, GBS negative, c/s for failure to progress, Mom had cracked nipples.  PKU screen in left foot.  Patient presented to office 4 days after routine Hepatitis B vaccine in the left thigh with decrease movement of left lower extremity. On exam he had pain with extension of his leg.  Normal skin and no sign of cellulitis at Hep B injection site or heel. He was sent to Hospital for evaluation with negative leg XRAY and hip ultrasound.  Two days later, March 22nd, he was admitted with a fever, swollen left ankle and pain of left hip.  MSSA grew out of blood, ankle abscess.  Left hip had 160,000 plus WBC and negative culture.  He is on week 2 of 6 weeks of IV Oxacillin. 6/8/09-records received-for DOS 3/22-3/27/09 DC DX: Septic arthritis. Methicillin susceptible staph aureus bacteremia. left femoral osteomylitis. Presented with fever and decreased left leg movement and pain with movement. ICD-9 codes 771.89 other infec specific to perina. 711.05 pyrogen arthritis-pelvis, 711.97 pyogen, arthritis-ankle. 730.25 osteomyelitis-pelvis, 73026 osteomyelitis-left leg.041.11 methicillin susceptible staph, 682.6-cellulitis of leg.
Age: 0.33
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Injection site coldness, Injection site discolouration, Pallor
Clinical narrative: Injection site blanched and  cool to touch, after the blanching, the injection site had a bluish-tinged appearance. Ice pack applied to injection site, mom was instructed to monitor site and call office back if symptoms persist or worsens.
Age: 63.0
Sex: F
Vaccine: TDAP
Symptoms: Headache, Pain, Pyrexia
Clinical narrative: The patient received Tdap and experienced fever, bodyache and headaches. Symptoms subsided in 4 days.
Age: 58.0
Sex: F
Vaccine: TDAP
Symptoms: Lymphadenopathy, Nausea, Rash macular, Vomiting
Clinical narrative: The patient received the Tdap vaccine and experienced nausea/vomiting, axillary lymphadenopathy, blotches, beginning 8 hours after vaccine administered. The lymphadenopathy and blotches lasted 6 days.
Age: 25.0
Sex: F
Vaccine: TDAP
Symptoms: Chills, Diarrhoea, Vomiting
Clinical narrative: The patient received Tdap and experienced chills, diarrhea and vomiting 1-2 hours after injection. The symptoms subsided in 2 to 3 days.
Age: 22.0
Sex: F
Vaccine: HPV4
Symptoms: Dysstasia, Fatigue, Full blood count, Gait disturbance, Lymph node pain
Clinical narrative: I had the HPV vaccine Gardisil on March 31, 2009.  The next day I was feeling soar and tired, but did not think anything about it.  By Friday evening (April 3) I was still feeling tired, my body was aching, in general I did not feel well.  I also noticed that my lymph nodes in me neck and groin were very swollen and very painful.  This continued throughout the weekend and did not get better.  It became very painful to sit, stand and walk.  Pain radiated through my pelvis, so I went to an urgent care clinic on Monday March 6th.  There I went through a pelvic exam, palpation of my swollen glands, lab work and an ultrasound.  I recieved a shot of rochephin and rocephin to take at home for 10 days, in case there was some kind of infection.  I have had no fever.  My sonogram was normal, other than showing my swollen glands.  Labs are not back yet, but I believe they will be normal.  However I still have painful swollen neck and groin glands.  The groin glands are bothering me the most. 4/13/09-records received for DOS 9/6/08-C/O allergies. 4/6/09-C/O swollen glands and not feeling very good.
Age: 22.0
Sex: F
Vaccine: HPV4
Symptoms: Lymphadenopathy, Malaise, Pain, Pelvic pain, Ultrasound scan normal
Clinical narrative: I had the HPV vaccine Gardisil on March 31, 2009.  The next day I was feeling soar and tired, but did not think anything about it.  By Friday evening (April 3) I was still feeling tired, my body was aching, in general I did not feel well.  I also noticed that my lymph nodes in me neck and groin were very swollen and very painful.  This continued throughout the weekend and did not get better.  It became very painful to sit, stand and walk.  Pain radiated through my pelvis, so I went to an urgent care clinic on Monday March 6th.  There I went through a pelvic exam, palpation of my swollen glands, lab work and an ultrasound.  I recieved a shot of rochephin and rocephin to take at home for 10 days, in case there was some kind of infection.  I have had no fever.  My sonogram was normal, other than showing my swollen glands.  Labs are not back yet, but I believe they will be normal.  However I still have painful swollen neck and groin glands.  The groin glands are bothering me the most. 4/13/09-records received for DOS 9/6/08-C/O allergies. 4/6/09-C/O swollen glands and not feeling very good.
Age: 5.0
Sex: M
Vaccine: HEP
Symptoms: Injection site erythema, Injection site swelling, Injection site urticaria, Injection site warmth
Clinical narrative: Received Hep B shot 3-31-09 VLL.  On 4-02-09, mom notice it was reddened, hot and hives were appearing as well as swelling on the upper left thigh.  no respiratory symptoms.  PCP recommended cool packs and use of Benadryl.  4-06-09 swelling gone, reddness gone but still a few small welts around the injection site.
Age: 11.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Wrong drug administered
Clinical narrative: Administered DTAP instead of Tdap to 11 yr old, administrative error, no adverse event
Age: 77.0
Sex: M
Vaccine: VARZOS
Symptoms: Arthralgia, Injection site erythema, Injection site swelling, Injection site warmth, Oedema peripheral
Clinical narrative: 03/14/2009@ 11:05AM, Injection site is red, swollen, warm to the touch, and pain in elbow.03/16/2009@ 3:05Pm, No pain, no warmth, but still swollen. 04/08/2009 @ 1:00PM, Arm still swollen and aching in joints in arm and shoulder.Md visited today, will recheck in 2 weeks.  PSA shows an increase and swelling in testicles.  Patient states that MD said this may be a reaction to the zostavax vaccine.
Age: 77.0
Sex: M
Vaccine: VARZOS
Symptoms: Prostatic specific antigen increased, Testicular swelling
Clinical narrative: 03/14/2009@ 11:05AM, Injection site is red, swollen, warm to the touch, and pain in elbow.03/16/2009@ 3:05Pm, No pain, no warmth, but still swollen. 04/08/2009 @ 1:00PM, Arm still swollen and aching in joints in arm and shoulder.Md visited today, will recheck in 2 weeks.  PSA shows an increase and swelling in testicles.  Patient states that MD said this may be a reaction to the zostavax vaccine.
Age: 4.0
Sex: F
Vaccine: DTAPIPVHIB, IPV, MMR
Symptoms: Injection site discolouration, Injection site swelling
Clinical narrative: Approximately 48 hours after immunizations her left leg at injection site began swelling and turned reddish purple, swelling continued and covered her entire upper leg.  Took her to dr on Monday and she was given Cephalexin, Benadryl, and Prednazone.  As of today leg is still swollen, angry but is looking a little better.
Age: 62.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Hemiparesis
Clinical narrative: Patient is a 62 year old male and recieved the flu vaccine on 1/12/09. He reported a history of Diabetes. He was recovering from a mild upper respiratory ailment and his oral temp was 98.4   No problems initially followed the vaccine. I saw the patient the weeks following the vaccine but he voiced no complaints. The school staff notified me in early March 2009 that patient had a diabetic stroke in late February 2009 and was hospitalized. I talked to the patient by phone on 4/2/09 and he told me he has suffered a stroke on the left side of his brain that caused weakness of the right side of his body.  4/20/09 MR received for DOS 2/25-3/06/2009 with D/C DX: Acute L Subcortical Ischemic stroke, DM2, high choleterol, High BP, hx GERD and hypokalemia.  Pt presented with 1 day hx of R sided weakness and numbness as well as heaviness in the R leg.  Attmpted to walk but fell, now with slurred speech. PE (+) for mild facial droop, decreased sensation, and R arm weakness.  Some improvement by d/c to rehab.
Age: 62.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Cerebrovascular accident
Clinical narrative: Patient is a 62 year old male and recieved the flu vaccine on 1/12/09. He reported a history of Diabetes. He was recovering from a mild upper respiratory ailment and his oral temp was 98.4   No problems initially followed the vaccine. I saw the patient the weeks following the vaccine but he voiced no complaints. The school staff notified me in early March 2009 that patient had a diabetic stroke in late February 2009 and was hospitalized. I talked to the patient by phone on 4/2/09 and he told me he has suffered a stroke on the left side of his brain that caused weakness of the right side of his body.  4/20/09 MR received for DOS 2/25-3/06/2009 with D/C DX: Acute L Subcortical Ischemic stroke, DM2, high choleterol, High BP, hx GERD and hypokalemia.  Pt presented with 1 day hx of R sided weakness and numbness as well as heaviness in the R leg.  Attmpted to walk but fell, now with slurred speech. PE (+) for mild facial droop, decreased sensation, and R arm weakness.  Some improvement by d/c to rehab.
Age: 5.0
Sex: M
Vaccine: DTAP, MMR, VARCEL
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling, Injection site warmth
Clinical narrative: Vaccinations were received on 04/06/09 (received DTaP, MMR, VZV). On 04/08/09 developed swelling, itching, redness in left arm at site just below the shoulder. Warm to touch. Redness lessened later in same day.
Age: 20.0
Sex: F
Vaccine: HEPA
Symptoms: Injection site pruritus, Lip swelling, Rash, Throat irritation
Clinical narrative: On 4/7/09 had a rash on neck and chest. Lips were swollen. Itching at rash sites. Also complained of itching throat. Went to ER administered Benedryl at ER and instructed to continue as needed. Given prescription for Prednisone instructed only to take if symptoms worsened. States Benedryl was helpful. States went to ER due to time of day (8pm) Would have gone to clinic if opened.
Age: 12.0
Sex: F
Vaccine: HEPA, HPV4, TDAP, HEPA, HPV4, TDAP
Symptoms: Abdominal pain, Biopsy bone marrow, Blood bilirubin increased, Fatigue, Hepatic enzyme abnormal
Clinical narrative: At time and the months up to March there was no local or systemic reaction to any of the Immunizations given on 12/19/08. On March 3 patient came to the office with s/sx of fatigue, abd pain,and jaundice. UA done showed 3 plus Bilirubin and 2 plus Urobilirubin. She had hepatomegaly and splenomegaly and pharyngitis. Labs revealed Epstein Barr Positive IgG  antibody which may indicate a past infection-mono. Patient returned to the clinic with severe jaundice, Negative Hepatitis panel with abnormal Hepatic levels. Was consulted with Pediatric Infectious Disease Specialist, repeat labs showed increases in liver enzymes and bilirubin level and US showed enlarged grossly thickened gallblader wall, mild hepatomegaly and mod splenomegaly. There was no evidence of bilary duct obstruction or pancreatic abnormality noted. Hospital consulted and patient was admitted where her hepatic levels continued to rise as well as her INR. She was at hospital for almost three weeks and a bone marrow was done. She was discharged 4/5/2009 and her hepatic functions and INR are continuing to be monitered.  This form is filled out at the request of physicians in the event the vaccines contributed to the illness. We can send copies of hospital visit and labs if needed. Dr. is calling this "seronegative hepatitis". 4/16/09-records received-for DOS 3/17-4/5/09-DC DX:DC DX: Liver failure.   Rash. Presented with sudden onset of emesis,l abdominal pain, diarrhea and jaundice 3 weeks  prior to admission. Developed erthematous pruritic papular rash.
Age: 12.0
Sex: F
Vaccine: HEPA, HPV4, TDAP, HEPA, HPV4, TDAP
Symptoms: Hepatitis, Hepatitis viral test, Hepatomegaly, Jaundice, Pharyngitis
Clinical narrative: At time and the months up to March there was no local or systemic reaction to any of the Immunizations given on 12/19/08. On March 3 patient came to the office with s/sx of fatigue, abd pain,and jaundice. UA done showed 3 plus Bilirubin and 2 plus Urobilirubin. She had hepatomegaly and splenomegaly and pharyngitis. Labs revealed Epstein Barr Positive IgG  antibody which may indicate a past infection-mono. Patient returned to the clinic with severe jaundice, Negative Hepatitis panel with abnormal Hepatic levels. Was consulted with Pediatric Infectious Disease Specialist, repeat labs showed increases in liver enzymes and bilirubin level and US showed enlarged grossly thickened gallblader wall, mild hepatomegaly and mod splenomegaly. There was no evidence of bilary duct obstruction or pancreatic abnormality noted. Hospital consulted and patient was admitted where her hepatic levels continued to rise as well as her INR. She was at hospital for almost three weeks and a bone marrow was done. She was discharged 4/5/2009 and her hepatic functions and INR are continuing to be monitered.  This form is filled out at the request of physicians in the event the vaccines contributed to the illness. We can send copies of hospital visit and labs if needed. Dr. is calling this "seronegative hepatitis". 4/16/09-records received-for DOS 3/17-4/5/09-DC DX:DC DX: Liver failure.   Rash. Presented with sudden onset of emesis,l abdominal pain, diarrhea and jaundice 3 weeks  prior to admission. Developed erthematous pruritic papular rash.
Age: 12.0
Sex: F
Vaccine: HEPA, HPV4, TDAP, HEPA, HPV4, TDAP
Symptoms: Splenomegaly, Urine analysis abnormal, Urine bilirubin increased, Urobilin urine present
Clinical narrative: At time and the months up to March there was no local or systemic reaction to any of the Immunizations given on 12/19/08. On March 3 patient came to the office with s/sx of fatigue, abd pain,and jaundice. UA done showed 3 plus Bilirubin and 2 plus Urobilirubin. She had hepatomegaly and splenomegaly and pharyngitis. Labs revealed Epstein Barr Positive IgG  antibody which may indicate a past infection-mono. Patient returned to the clinic with severe jaundice, Negative Hepatitis panel with abnormal Hepatic levels. Was consulted with Pediatric Infectious Disease Specialist, repeat labs showed increases in liver enzymes and bilirubin level and US showed enlarged grossly thickened gallblader wall, mild hepatomegaly and mod splenomegaly. There was no evidence of bilary duct obstruction or pancreatic abnormality noted. Hospital consulted and patient was admitted where her hepatic levels continued to rise as well as her INR. She was at hospital for almost three weeks and a bone marrow was done. She was discharged 4/5/2009 and her hepatic functions and INR are continuing to be monitered.  This form is filled out at the request of physicians in the event the vaccines contributed to the illness. We can send copies of hospital visit and labs if needed. Dr. is calling this "seronegative hepatitis". 4/16/09-records received-for DOS 3/17-4/5/09-DC DX:DC DX: Liver failure.   Rash. Presented with sudden onset of emesis,l abdominal pain, diarrhea and jaundice 3 weeks  prior to admission. Developed erthematous pruritic papular rash.
Age: 12.0
Sex: F
Vaccine: HEPA, HPV4, TDAP, HEPA, HPV4, TDAP
Symptoms: Abdominal pain, Alanine aminotransferase increased, Biopsy bone marrow, Biopsy liver abnormal, Blood bilirubin increased
Clinical narrative: At time and the months up to March there was no local or systemic reaction to any of the Immunizations given on 12/19/08. On March 3 patient came to the office with s/sx of fatigue, abd pain,and jaundice. UA done showed 3 plus Bilirubin and 2 plus Urobilirubin. She had hepatomegaly and splenomegaly and pharyngitis. Labs revealed Epstein Barr Positive IgG  antibody which may indicate a past infection-mono. Patient returned to the clinic with severe jaundice, Negative Hepatitis panel with abnormal Hepatic levels. Was consulted with Pediatric Infectious Disease Specialist, repeat labs showed increases in liver enzymes and bilirubin level and US showed enlarged grossly thickened gallblader wall, mild hepatomegaly and mod splenomegaly. There was no evidence of bilary duct obstruction or pancreatic abnormality noted. Hospital consulted and patient was admitted where her hepatic levels continued to rise as well as her INR. She was at hospital for almost three weeks and a bone marrow was done. She was discharged 4/5/2009 and her hepatic functions and INR are continuing to be monitered.  This form is filled out at the request of physicians in the event the vaccines contributed to the illness. We can send copies of hospital visit and labs if needed. Dr. is calling this "seronegative hepatitis". 4/16/09-records received-for DOS 3/17-4/5/09-DC DX:DC DX: Liver failure.   Rash. Presented with sudden onset of emesis,l abdominal pain, diarrhea and jaundice 3 weeks  prior to admission. Developed erthematous pruritic papular rash.