chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 43.0
Sex: M
Vaccine: HEPA
Symptoms: Blood bilirubin increased, Hepatitis viral test, Jaundice, Liver function test abnormal, Red blood cell sedimentation rate increased
Clinical narrative: This case was reported by a pharmacist and described the occurrence of elevated liver function test in a 43-year-old male subject who was vaccinated with HAVRIX (GlaxoSmithKline). Concurrent medical conditions included allergic rhinitis, chromosome abnormality and down's syndrome. The subject was a resident at a state supportive living center. Concurrent medications included PROTONIX, PEPCID, REGLAN and LEVOTHYROXINE. On 15 June 2011 the subject received 1st dose of HAVRIX (1440 iu, site unknown). On 29 June 2011, 14 days after vaccination with HAVRIX, the subject experienced elevated liver function tests, bilirubin increased, jaundice, elevated white blood cells and elevated sedimentation rate. The pharmacist considered the events were clinically significant (or requiring intervention). The pharmacist reported that the intervention required was the monitoring of blood lab work. Relevant test results included negative hepatitis screen on 29 June 2011. At the time of reporting the events of bilirubin increased, jaundice and elevated white blood cells were improved. The event of elevated sedimentation rate was unresolved, and the event of elevated liver function tests was worse. The pharmacist considered the events were probably related to vaccination with HAVRIX.
Age: 43.0
Sex: M
Vaccine: HEPA
Symptoms: Viral test negative, White blood cell count increased
Clinical narrative: This case was reported by a pharmacist and described the occurrence of elevated liver function test in a 43-year-old male subject who was vaccinated with HAVRIX (GlaxoSmithKline). Concurrent medical conditions included allergic rhinitis, chromosome abnormality and down's syndrome. The subject was a resident at a state supportive living center. Concurrent medications included PROTONIX, PEPCID, REGLAN and LEVOTHYROXINE. On 15 June 2011 the subject received 1st dose of HAVRIX (1440 iu, site unknown). On 29 June 2011, 14 days after vaccination with HAVRIX, the subject experienced elevated liver function tests, bilirubin increased, jaundice, elevated white blood cells and elevated sedimentation rate. The pharmacist considered the events were clinically significant (or requiring intervention). The pharmacist reported that the intervention required was the monitoring of blood lab work. Relevant test results included negative hepatitis screen on 29 June 2011. At the time of reporting the events of bilirubin increased, jaundice and elevated white blood cells were improved. The event of elevated sedimentation rate was unresolved, and the event of elevated liver function tests was worse. The pharmacist considered the events were probably related to vaccination with HAVRIX.
Age: 31.0
Sex: F
Vaccine: TTOX
Symptoms: Injection site erythema, Injection site induration, Injection site irritation, Skin irritation, Wrong drug administered
Clinical narrative: Initial report received from a non-health professional calling for a consumer on 06 April 2011. A 31-year-old female patient received on an unspecified date an intradermal injection of 0.1 milliliters (ml) of Tetanus Toxoid Adsorbed Preservative-free, sanofi pasteur lot number U3349BA. The patient was inadvertently administered 0.1 ml of Tetanus Toxoid Adsorbed Preservative-free instead of TUBERSOL. The patient experienced skin irritation at the site and red, hardened area at the site. The reported declined further information and identification. The outcome was reported as unknown. Documents held by sender: None.
Age: 39.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Drug exposure during pregnancy, Neonatal disorder
Clinical narrative: At the end of the first trimester (approx. 2 weeks prior to its end) was given FLUZONE 0.5cc on recommendation from my OBGYN. I had no reaction and things seemed ok for me. On April 19, 2011 my son was born, with birth defect of cleft palate (only thing diagnosed thus far).
Age: 0.57
Sex: M
Vaccine: HIBV
Symptoms: Injection site erythema, Injection site induration, Injection site papule
Clinical narrative: localized at injection site, right thigh, erythematous papules, with induration total area approximately 6cm in diameter, with gradual improvement and resolution by day 4.  no treatment given
Age: 11.0
Sex: F
Vaccine: HEPA, MNQ, TDAP
Symptoms: Injection site erythema, Injection site induration, Injection site pain, Injection site pruritus
Clinical narrative: Within 48 hours post-vaccinations the patient had onset, of indurated, tender slightly erythematous and pruritic areas in each deltoid area. Exam on 7/14 (approx 48 hrs post vaccination) showed 5 x 5.5 cm and 10 x 8 cm areas of induration - not fluctuant - in (R) and (L) deltoid muscle areas, respectively.
Age: 34.0
Sex: F
Vaccine: DTAP
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling
Clinical narrative: redness, itching and swelling around the injection site
Age: 17.0
Sex: M
Vaccine: HPV4
Symptoms: Fall, Loss of consciousness, Slow response to stimuli
Clinical narrative: was in clinic room with Mother and sister for 15 minute wait after HPV dose; on exam table; heard Mother yelling child name, went to room and he had passed out, was sitting on table and started to fall backwards, he responded slowly to verbal stimuli; placed in prone position for approx 3 minutes then he sat up, given crackers and tea, had not eaten prior to visit; VS 98.1-80-18  112/70
Age: 69.0
Sex: M
Vaccine: VARZOS
Symptoms: Oral herpes
Clinical narrative: Approximately 2 weeks after the shingles vaccine, client started getting intermittent cold sores above his upper lip.  This has continued.
Age: 1.02
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Skin lesion
Clinical narrative: Developed 8 lesions. Had booster does of Varivax 07/22/08.
Age: 15.0
Sex: F
Vaccine: HPV4
Symptoms: Fall, Loss of consciousness, Muscle rigidity, Pallor, Staring
Clinical narrative: HPV administered left arm while patient sitting on exam table. Immediately after patient alert/conversant then several minutes later patient fainted, slumped forward and fell off exam table. I was able to break her fall somewhat and she landed on her side/shoulder then side of head touched down, posture stiffened with rigid upper extremities and eyes open in stare. Her legs were quickly elevated and she regained consciousness immediately with significant lip pallor. BP: 110/68 HR: 100 in supine position with legs elevated/juice/snack administered, and color returned to face/lips.   10 minutes later supine: HR: 76 BP: 100/68, PERRLA, alert/oriented x 3. Joints stable with FROM, no pain to shoulders/arms or cervical spine. NO lumps palpable over skull. No obvious injury from fall.   10 minutes later standing: HR: 84 BP 94/60 and able to walk normally. Discharged home with instructions for rest/nutrition/fluids.
Age: 15.0
Sex: F
Vaccine: HPV4
Symptoms: Syncope
Clinical narrative: HPV administered left arm while patient sitting on exam table. Immediately after patient alert/conversant then several minutes later patient fainted, slumped forward and fell off exam table. I was able to break her fall somewhat and she landed on her side/shoulder then side of head touched down, posture stiffened with rigid upper extremities and eyes open in stare. Her legs were quickly elevated and she regained consciousness immediately with significant lip pallor. BP: 110/68 HR: 100 in supine position with legs elevated/juice/snack administered, and color returned to face/lips.   10 minutes later supine: HR: 76 BP: 100/68, PERRLA, alert/oriented x 3. Joints stable with FROM, no pain to shoulders/arms or cervical spine. NO lumps palpable over skull. No obvious injury from fall.   10 minutes later standing: HR: 84 BP 94/60 and able to walk normally. Discharged home with instructions for rest/nutrition/fluids.
Age: 0.35
Sex: F
Vaccine: DTAPIPVHIB, RV5
Symptoms: Injection site erythema, Injection site warmth, Irritability
Clinical narrative: Excessive fussiness, redness & warmth at the injection site.
Age: 76.0
Sex: F
Vaccine: VARZOS
Symptoms: Blister, Skin lesion
Clinical narrative: Blistered lesions in various stages of healing (R) side of face trigeminal nerve.
Age: 47.0
Sex: F
Vaccine: PPV
Symptoms: Erythema, Injected limb mobility decreased, Injection site swelling, Skin warm
Clinical narrative: Swollen site, hard to move arm red, warm to touch.
Age: 69.0
Sex: F
Vaccine: PPV, TDAP
Symptoms: Injected limb mobility decreased, Injection site erythema, Injection site vesicles, Injection site warmth
Clinical narrative: Blisters, red, hard to move, hot arm shoulder to elbow after injection.
Age: 0.18
Sex: F
Vaccine: DTAPIPVHIB, HEP, PNC, RVX
Symptoms: Urticaria
Clinical narrative: Initial report received from a health care professional on 07 June 2011. A female patient with a birth date of 15 January 2011 received the following vaccinations on 01 April 2011: intramuscular injection (dose 1) of PENTACEL, sanofi pasteur lot number C3799AA, hepatitis B, pneumococcal and rota virus. On an unknown date, the patient developed splotchy hives on head, face, neck and legs after the vaccines. The patient was seen by an allergist. No further information was available. The outcome was reported as unknown. Follow-up information was received on 08 July 2011 from a medical assistant, via another manufacturer, under reference number 2011131829. Based upon this new information, the case has been upgraded to serious. The patient was a 2-month-old female, with no relevant medical history and no concomitant medications. Pneumococcal vaccine was reported as PREVNAR (lot not reported). On 01 April 2011, the same day as vaccination, the patient experienced hives. At the time of the report, she was recovering. Documents held by sender: None.
Age: 47.0
Sex: F
Vaccine: TDAP
Symptoms: Body temperature increased, Erythema, Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: On 7/18/11 injection site red, warm and swollen. T 99.3. 5cm erythema and L forearm. Client states arm improving since 7/16/11. Inst to continue ice PRN and return 7/19 if not better. 7/19/11 states "little better".
Age: 61.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site erythema, Injection site pain, Injection site warmth
Clinical narrative: 7/6/11 received ADACEL Tdap (L) arm 60 mm hot, red, tender over injection site. Rx KEFLEX 500 mg q 12 hrs x 7 days.
Age: 11.0
Sex: M
Vaccine: MNQ, VARCEL
Symptoms: Unevaluable event
Clinical narrative: None stated.
Age: 64.0
Sex: F
Vaccine: PPV, VARZOS
Symptoms: Injection site erythema, Injection site pruritus, Injection site warmth, Pain, Pruritus
Clinical narrative: Woke up 7-16-11 with redness and warmth at site of injection with parameters approx 120 mm x 130 mm. No rash. Sunday (7-17-11) noted itching on both lower legs. Used hydrocortisone with relief. No breathing problems. No itching at site of inject. 7-18-11 area still red, slightly warm approx size 120 x 130 mm but not as painful. Pt use emu oil for relief topically.
Age: 12.0
Sex: M
Vaccine: HPV4
Symptoms: Rash, Rash pruritic
Clinical narrative: Mother states pt stated complaining about rash with itching 1-2 hours after injection to buttocks/thighs. No SOB.
Age: 1.04
Sex: M
Vaccine: HEPA, MMRV, MMRV
Symptoms: Full blood count normal, Metabolic function test normal, Pallor, Pyrexia, Rash generalised
Clinical narrative: Diffuse papular rash on body with coalesce w/blanching on trunk, arms, & legs & cheeks. Sparing forehead; low grade fever & runny nose.
Age: 1.04
Sex: M
Vaccine: HEPA, MMRV, MMRV
Symptoms: Rash papular, Rhinorrhoea
Clinical narrative: Diffuse papular rash on body with coalesce w/blanching on trunk, arms, & legs & cheeks. Sparing forehead; low grade fever & runny nose.
Age: 1.04
Sex: M
Vaccine: HEPA, MMRV, MMRV
Symptoms: Aspartate aminotransferase normal, Basophil count decreased, Full blood count, Lymphocyte count increased, Metabolic function test
Clinical narrative: Diffuse papular rash on body with coalesce w/blanching on trunk, arms, & legs & cheeks. Sparing forehead; low grade fever & runny nose.
Age: 1.04
Sex: M
Vaccine: HEPA, MMRV, MMRV
Symptoms: Pallor, Pyrexia, Rash generalised, Rash papular, Rhinorrhoea
Clinical narrative: Diffuse papular rash on body with coalesce w/blanching on trunk, arms, & legs & cheeks. Sparing forehead; low grade fever & runny nose.
Age: 14.0
Sex: M
Vaccine: MNQ
Symptoms: Blood potassium decreased, Depressed level of consciousness, Electrocardiogram normal, Feeling abnormal, Injection site pain
Clinical narrative: After leaving the clinic, patient complained of pain at shot site. Driving 1/2 block from the clinic he said that the didn't feel good. In a few seconds patient became unresponsive. I shook him he aroused a little. I took him to the ER where his BP was 107/55, EKG (-). O2 sat ok. He c/o leg weakness and shakiness. He got 2 cc of IVF.
Age: 14.0
Sex: M
Vaccine: MNQ
Symptoms: Muscular weakness, Tremor, Unresponsive to stimuli
Clinical narrative: After leaving the clinic, patient complained of pain at shot site. Driving 1/2 block from the clinic he said that the didn't feel good. In a few seconds patient became unresponsive. I shook him he aroused a little. I took him to the ER where his BP was 107/55, EKG (-). O2 sat ok. He c/o leg weakness and shakiness. He got 2 cc of IVF.
Age: 67.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site pain, Injection site pruritus, Injection site warmth
Clinical narrative: Vaccine administered on 7/11/11. Patient said on 7/13/11 in evening noticed redness, itching, soreness & warmth at injection site. Denied prior symptoms to this. patient instructed to take BENADRYL and ice area, if symptoms become worse contact physician or go to ER if needed.
Age: 19.0
Sex: F
Vaccine: HPV4
Symptoms: Dizziness, Syncope
Clinical narrative: After vaccine administered, pt fainted on exam table. She then quickly was layed on table. Was given cold compress on forehead. Given water & crackers. Pt stated she felt dizzy.
Age: 4.0
Sex: M
Vaccine: DTAPIPV, HIBV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Area of erythema, warmth & minimum swelling 3x3.5 cm around site of HIB vaccine.
Age: 7.0
Sex: M
Vaccine: IPV, PNC, VARCEL
Symptoms: Varicella
Clinical narrative: Patient had varicella.
Age: 75.0
Sex: M
Vaccine: PPV
Symptoms: Injection site pain, Nerve conduction studies abnormal, Neuralgic amyotrophy
Clinical narrative: Pain, severe - right upper extremity about 2 hours after receiving PNEUMOVAX injection in rt deltoid.
Age: 11.0
Sex: M
Vaccine: MNQ, TDAP
Symptoms: Fall, Hypoaesthesia oral, Lip injury, Syncope
Clinical narrative: While seated, approximately three to five minutes following immunizations, patient had syncopal episode lasting less than one minute, resulting in patient falling from chair to floor. A small cut to the right side of patient's inner lower lip and c/o right upper tooth numbness was noted. Patient remained supine with lower extremities elevated for five minutes and pressure applied to lower lip. Gradual rise to upright position followed by standing to enable return to seat was achieved where patient remained for thirty minutes observation. Full level of consciousness was noted. Instructions given to notify medical doctor of any nausea/vomiting, headache, disorientation, confusion or any noted change to level of wellness/consciousness. Encouraged to consult dentist for tooth evaluation.
Age: 11.0
Sex: F
Vaccine: HPV4, TDAP, VARCEL
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: On 07/13/11 about 7:15 am pt got out of the shower and noticed "redness" & "pain in (L) outer upper arm. On 07/14/11 about 3:50 pm. Pt seen at clinic - erythema in (L) outer upper arm 3 in wide x 2 in long, slight swelling & c/o tenderness. Patient and her mother were advised to consult with medical provider if signs/symptoms increase or worsen. Pt's mother was advised by supervising PHN to administer over-the-counter BENADRYL, and to apply a cold pack over the site, but making sure to avoid direct contact with skin. On 07/15/11 follow-up phone conversation with pt's mother. Reported that pt. took BENADRYL at bedtime on 07/14/11, and "redness" seems now to be improving.
Age: 11.0
Sex: M
Vaccine: MEN, TDAP
Symptoms: Abdominal pain upper, Activities of daily living impaired, Arthralgia, Dizziness, Fatigue
Clinical narrative: Last week following my son's Meninningococcal and TDaP vaccines he began having what I originally thought to be normal reactions to the shots. He experienced some soreness at the injection sight and was very achey/sore the next day. He complained of joint/muscle soreness and he said his stomach and head hurt badly. He never vomited, or felt sick to his stomach. He just said he was sore all over. These symptoms continued and he became more lethargic everyday. He said he was tired, dizzy and light-headed. He said it hurt his head when he walked. He is normally a very active child. You cannot keep in inside, let alone in bed, and he has not done any physical activity in several days. I was very concerned and took him to the doctor on Tues. He also developed fever on Tuesday and has had one now for over 3 days. He was completely healthy when we walked into the office last Thursday. When I asked the doctors office to report the reactions he was having they insisted it was a virus not related to the vaccine. I really find that hard to believe. My husband and I both looked up the information and it said these symptoms could be experienced for up to 6 weeks after the vaccinations take place. I really don't know what to do for my son. He is miserable. The doctors do not seem to have any answers either, except that they really don't believe the events are related. It seems too coincidental to me! I would love to know or have some idea of how to help/treat him or at least how long these symptoms will last. It is my understanding that the Meningococcal vaccine was not given to younger children until recently. Of course, it's hard to tell, because the TDaP was given at the same time. I think if he had a problem with the TDaP- we may have noticed some difficulty with the DTaP vaccines he received when he was younger. Like I stated earlier. He has every symptom on the list except for the diarrhea, nausea, and vomiting. It has been a week for most of the symptoms and over 3 days for the fever. His fever has been ranged between 100.8 and 103.6. It is mostly in the middle 101 to 102.
Age: 11.0
Sex: M
Vaccine: MEN, TDAP
Symptoms: Feeling abnormal, Headache, Injection site pain, Lethargy, Myalgia
Clinical narrative: Last week following my son's Meninningococcal and TDaP vaccines he began having what I originally thought to be normal reactions to the shots. He experienced some soreness at the injection sight and was very achey/sore the next day. He complained of joint/muscle soreness and he said his stomach and head hurt badly. He never vomited, or felt sick to his stomach. He just said he was sore all over. These symptoms continued and he became more lethargic everyday. He said he was tired, dizzy and light-headed. He said it hurt his head when he walked. He is normally a very active child. You cannot keep in inside, let alone in bed, and he has not done any physical activity in several days. I was very concerned and took him to the doctor on Tues. He also developed fever on Tuesday and has had one now for over 3 days. He was completely healthy when we walked into the office last Thursday. When I asked the doctors office to report the reactions he was having they insisted it was a virus not related to the vaccine. I really find that hard to believe. My husband and I both looked up the information and it said these symptoms could be experienced for up to 6 weeks after the vaccinations take place. I really don't know what to do for my son. He is miserable. The doctors do not seem to have any answers either, except that they really don't believe the events are related. It seems too coincidental to me! I would love to know or have some idea of how to help/treat him or at least how long these symptoms will last. It is my understanding that the Meningococcal vaccine was not given to younger children until recently. Of course, it's hard to tell, because the TDaP was given at the same time. I think if he had a problem with the TDaP- we may have noticed some difficulty with the DTaP vaccines he received when he was younger. Like I stated earlier. He has every symptom on the list except for the diarrhea, nausea, and vomiting. It has been a week for most of the symptoms and over 3 days for the fever. His fever has been ranged between 100.8 and 103.6. It is mostly in the middle 101 to 102.
Age: 11.0
Sex: M
Vaccine: MEN, TDAP
Symptoms: Pain, Pyrexia
Clinical narrative: Last week following my son's Meninningococcal and TDaP vaccines he began having what I originally thought to be normal reactions to the shots. He experienced some soreness at the injection sight and was very achey/sore the next day. He complained of joint/muscle soreness and he said his stomach and head hurt badly. He never vomited, or felt sick to his stomach. He just said he was sore all over. These symptoms continued and he became more lethargic everyday. He said he was tired, dizzy and light-headed. He said it hurt his head when he walked. He is normally a very active child. You cannot keep in inside, let alone in bed, and he has not done any physical activity in several days. I was very concerned and took him to the doctor on Tues. He also developed fever on Tuesday and has had one now for over 3 days. He was completely healthy when we walked into the office last Thursday. When I asked the doctors office to report the reactions he was having they insisted it was a virus not related to the vaccine. I really find that hard to believe. My husband and I both looked up the information and it said these symptoms could be experienced for up to 6 weeks after the vaccinations take place. I really don't know what to do for my son. He is miserable. The doctors do not seem to have any answers either, except that they really don't believe the events are related. It seems too coincidental to me! I would love to know or have some idea of how to help/treat him or at least how long these symptoms will last. It is my understanding that the Meningococcal vaccine was not given to younger children until recently. Of course, it's hard to tell, because the TDaP was given at the same time. I think if he had a problem with the TDaP- we may have noticed some difficulty with the DTaP vaccines he received when he was younger. Like I stated earlier. He has every symptom on the list except for the diarrhea, nausea, and vomiting. It has been a week for most of the symptoms and over 3 days for the fever. His fever has been ranged between 100.8 and 103.6. It is mostly in the middle 101 to 102.
Age: 58.0
Sex: M
Vaccine: PPV
Symptoms: Dizziness, Vertigo
Clinical narrative: Pt c/o dizziness with vertigo within 2 min of injection. He felt better after 5 min of resting and discharged from clinic.
Age: 61.0
Sex: F
Vaccine: VARZOS
Symptoms: Pruritus, Rash, Vaccination complication
Clinical narrative: patient reported to doctor's office with complaint of rash and itching on 7.18.11. doctor diagnosed with reaction to vaccine
Age: 22.0
Sex: F
Vaccine: HEPAB, TDAP, VARCEL
Symptoms: Fatigue, Headache, Pain in extremity
Clinical narrative: Arm pain from shoulder to elbow rated as 7 out of 10 on pain scale, headache, fatigue
Age: 60.0
Sex: F
Vaccine: VARZOS
Symptoms: Blister
Clinical narrative: multiple tense bullae on left anterior forearm (site of injection is left deltoid), scattered smaller bullae on anterior lower legs and left forearm
Age: 64.0
Sex: M
Vaccine: VARZOS
Symptoms: Rash
Clinical narrative: Rash on lower left arm consisting of raised bumps - no vesicles seen around site of injection.  Patient applied hydrocortisone cream to rash and it has been gradually improving over past week.  Came in to pharmacy today (7-19), rash still visible but patient reports it is much improved.  No itching.
Age: 0.87
Sex: F
Vaccine: HEP
Symptoms: Diarrhoea, Fatigue, Irritability, Pyrexia
Clinical narrative: Fever 103.4F Rectally, Irritability, Tiredness, Diarrhea
Age: 0.49
Sex: M
Vaccine: DTAPIPVHIB, PNC13, RV5
Symptoms: Abdominal distension, Intestinal operation, Intussusception, Lethargy, Vomiting
Clinical narrative: Patient was well. Recieved RotaTeq #3 on 06/20/11. Developed frequent vomiting on 07/02/11 followed with abdomonial distension and lethargy. Confirmed ileo-colic intussusception and required surgical reduction on 07/05/11.
Age: 12.0
Sex: M
Vaccine: HEPA, TDAP, VARCEL
Symptoms: Body temperature increased, Fatigue, Pain
Clinical narrative: temp 102 and generalized aches and pain and fatigue. no treatment
Age: 55.0
Sex: F
Vaccine: VARZOS
Symptoms: Pityriasis rosea, Viral infection
Clinical narrative: Developed Pityriasis rosea.  Virus still active in patient.
Age: 31.0
Sex: F
Vaccine: TDAP, TDAP
Symptoms: Eye pain, Injection site pain, Pyrexia
Clinical narrative: Tender eyelids, low grade fever injection site soreness.
Age: 31.0
Sex: F
Vaccine: TDAP, TDAP
Symptoms: Influenza like illness, Nausea, Tenderness
Clinical narrative: Tender eyelids, low grade fever injection site soreness.
Age: 31.0
Sex: F
Vaccine: HEP
Symptoms: Oedema peripheral, Pain in extremity
Clinical narrative: After recieving 3rd dose of Hepatitis B vaccine in her Left arm employee experienced swelling and pain in Left arm; employee didn't have any type of injury to arm, only the vaccine.  She went to the ED Friday 7/15/11 at 2200.  Then reported to Employee Health 7/18/11 an apt. was made with Occ. Med for 7/19/11.  She was given a prescription for Medrol 1 dose pack.
Age: 5.0
Sex: F
Vaccine: DTAPIPV, MMR, VARCEL
Symptoms: Body temperature increased, Injection site erythema, Injection site pain, Injection site rash, Injection site swelling
Clinical narrative: Upper shoulder where Dtap given: rash, very red and hot, painful. Next day (Sat) swollen and puffy, at night had temp of 100.2. On Sunday, Arm continued to hurt had patchy red rash, was hot. Did call MD for advice, told to watch and take the meds.  Took ibuprofen and Benadryl.  By Sunday night she was much better and Monday she was OK.
Age: 5.0
Sex: F
Vaccine: DTAPIPV, MMR, VARCEL
Symptoms: Injection site warmth
Clinical narrative: Upper shoulder where Dtap given: rash, very red and hot, painful. Next day (Sat) swollen and puffy, at night had temp of 100.2. On Sunday, Arm continued to hurt had patchy red rash, was hot. Did call MD for advice, told to watch and take the meds.  Took ibuprofen and Benadryl.  By Sunday night she was much better and Monday she was OK.
Age: 63.0
Sex: M
Vaccine: VARCEL
Symptoms: Heart rate increased, Injection site pain, Injection site rash, Pyrexia
Clinical narrative: rash around injection site soreness at injection site fast heart beat approximately 100 bpm for 2 hours fever
Age: 3.0
Sex: F
Vaccine: DTAPIPVHIB
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling
Clinical narrative: SWELLING, REDNESS AND ITCHINESS OF THE RIGHT ANTERIOR THIGH.
Age: 10.0
Sex: F
Vaccine: MNQ, TDAP
Symptoms: Loss of consciousness, Syncope, Unresponsive to stimuli
Clinical narrative: Patient had a syncopal episode and was unresponsive for about 15seconds. When she regained consciousness, she observed in the office for 15minutes. At the time of discharge, she was A+O x 3 and reported feeling well.
Age: 16.0
Sex: F
Vaccine: TDAP
Symptoms: Electrocardiogram, Heart rate increased, Loss of consciousness, Syncope
Clinical narrative: Patient had a syncopal episode while walking through the office. She regained consciousness after about 5 seconds at which time she complained of a rapid heart rate prior to the syncope. She was able to walk herself to the waiting room where she was observed for 15minutes. After 15minutes, she reported feeling well and was A+O x 3.
Age: 5.0
Sex: F
Vaccine: YF
Symptoms: Injection site erythema, Injection site pain, Injection site rash, Injection site swelling, Injection site warmth
Clinical narrative: Cutaneous swelling, warmth, redness and pain upon palpation surrounding the injection site. The affected area was at least 4 inches in diameter also with small, white bumps near the center of the affected region. The patient noticed this reaction the morning after vaccination.
Age: 2.0
Sex: M
Vaccine: MMR
Symptoms: Abnormal behaviour, Aggression, Pyrexia, Rash generalised
Clinical narrative: began 7/14 - fever began 7/12 - behavioral changes - violent tantrums began 7/18 - all over body rash
Age: 68.0
Sex: F
Vaccine: PPV
Symptoms: Urticaria
Clinical narrative: Hives on back of neck extreme dizziness
Age: 11.0
Sex: M
Vaccine: HPV4, TDAP, VARCEL
Symptoms: Dizziness, Hyperhidrosis, Pallor, Presyncope
Clinical narrative: Vaccine administered,pt. states "I feel dizzy"  Had near syncopal episode.  Mom and patient helped him to lie down.  I came in and he was pale and diaphoretic but awake and lucid.  After 5 min we sat him up, bp was 108/72, pulse 78.  He took water and stated I want McDonalds.  Normal color, no longer diaphoretic.  Stood and walked without dizziness.  Mom relates , "this is the third time this has happened", and it happens to his sister too.
Age: 13.0
Sex: F
Vaccine: HPV4
Symptoms: Urticaria
Clinical narrative: Hives on legs and arms on the first day; each day hives got progressively worse for the next five days, spreading all over body, face, hands and feet;
Age: 24.0
Sex: M
Vaccine: TDAP
Symptoms: Erythema, Feeling hot, Inflammation
Clinical narrative: Redness, inflammation, extreme warmth 3inx2in diameter area, 1 inch distal to injection site
Age: 17.0
Sex: F
Vaccine: TDAP
Symptoms: Abdominal pain upper, Arthropod bite, Back pain, Blood test, Chest X-ray abnormal
Clinical narrative: Back pains that turned into severe muscle aches with low grade fever.  Treated with Tylenol for fever and pain. Saw Doctor on Tues. 06/21/2011.  He did strep culture. Neg. for strep.  Patient did not complain of a sore throat nut of persistent body pain, nausea, diarrhea, headache, mild fever, chills, and swollen lymph glands, severe pain in left side.  Dr. told us to call him on Thurs if patient not better.  Called on Thurs and Dr. ordered blood tests to rule out mono and Rocky Mt. spotted fever, as patient had a bug bite on her ankle. Patient saw pediatrician on afternoon of Friday, June 24 as she was complaining of having trouble breathing and had a slight dry cough.  Dr. ordered a chest xray which showed probable pneumonia.  Dr. prescribed augmentin 875 mg. 2x day.  Patient continued to have severe headache  fever, and severe joint and muscle pains.
Age: 17.0
Sex: F
Vaccine: TDAP
Symptoms: Chills, Cough, Diarrhoea, Dyspnoea, Headache
Clinical narrative: Back pains that turned into severe muscle aches with low grade fever.  Treated with Tylenol for fever and pain. Saw Doctor on Tues. 06/21/2011.  He did strep culture. Neg. for strep.  Patient did not complain of a sore throat nut of persistent body pain, nausea, diarrhea, headache, mild fever, chills, and swollen lymph glands, severe pain in left side.  Dr. told us to call him on Thurs if patient not better.  Called on Thurs and Dr. ordered blood tests to rule out mono and Rocky Mt. spotted fever, as patient had a bug bite on her ankle. Patient saw pediatrician on afternoon of Friday, June 24 as she was complaining of having trouble breathing and had a slight dry cough.  Dr. ordered a chest xray which showed probable pneumonia.  Dr. prescribed augmentin 875 mg. 2x day.  Patient continued to have severe headache  fever, and severe joint and muscle pains.
Age: 17.0
Sex: F
Vaccine: TDAP
Symptoms: Laboratory test normal, Lymphadenopathy, Mononucleosis heterophile test negative, Myalgia, Nausea
Clinical narrative: Back pains that turned into severe muscle aches with low grade fever.  Treated with Tylenol for fever and pain. Saw Doctor on Tues. 06/21/2011.  He did strep culture. Neg. for strep.  Patient did not complain of a sore throat nut of persistent body pain, nausea, diarrhea, headache, mild fever, chills, and swollen lymph glands, severe pain in left side.  Dr. told us to call him on Thurs if patient not better.  Called on Thurs and Dr. ordered blood tests to rule out mono and Rocky Mt. spotted fever, as patient had a bug bite on her ankle. Patient saw pediatrician on afternoon of Friday, June 24 as she was complaining of having trouble breathing and had a slight dry cough.  Dr. ordered a chest xray which showed probable pneumonia.  Dr. prescribed augmentin 875 mg. 2x day.  Patient continued to have severe headache  fever, and severe joint and muscle pains.
Age: 17.0
Sex: F
Vaccine: TDAP
Symptoms: Pain, Pneumonia, Pyrexia, Rash, Streptococcus test negative
Clinical narrative: Back pains that turned into severe muscle aches with low grade fever.  Treated with Tylenol for fever and pain. Saw Doctor on Tues. 06/21/2011.  He did strep culture. Neg. for strep.  Patient did not complain of a sore throat nut of persistent body pain, nausea, diarrhea, headache, mild fever, chills, and swollen lymph glands, severe pain in left side.  Dr. told us to call him on Thurs if patient not better.  Called on Thurs and Dr. ordered blood tests to rule out mono and Rocky Mt. spotted fever, as patient had a bug bite on her ankle. Patient saw pediatrician on afternoon of Friday, June 24 as she was complaining of having trouble breathing and had a slight dry cough.  Dr. ordered a chest xray which showed probable pneumonia.  Dr. prescribed augmentin 875 mg. 2x day.  Patient continued to have severe headache  fever, and severe joint and muscle pains.
Age: 24.0
Sex: F
Vaccine: VARCEL
Symptoms: Asthenia, Gait disturbance, Hypoaesthesia, Injection site anaesthesia, Injection site pain
Clinical narrative: this was my second varicella vaccine in 2 weeks. no reaction to the first one at all.  2:30 shot was not abnormally painful upon administration 2:45 numbness tingling and weakness at injection site (L deltiod) 3:00 numbness tingling and weakness has traveled down my left arm to my fingertips. my arm feels like it weighs 100 pounds and it is hard to lift 3:30 stiffness, numbness and tingling travels up my neck 4:00 symptoms now on the left side of my face tongue and throat 4:20 NP (the shot administrator) tells me to go to the ER 4:25 weakness in my left leg, difficulty walking to the car and into the ER 4:30 ish arrive at ER get into a bed they triage me in the bed and i realize i can no longer move my left arm or leg. the symptoms are now beginning in my right arm. they pushed 50mg iv Benadryl then iv drip of solumedrol followed by a saline drip 730 i am not sure of the times i was woken up throughout the three hours i was in and out of sleep. each time my mom woke me up i seemed to regain a little more movement after the drug treatment. by 730 i had full movement back! my arm still is painful and a little weak at the injection site. my leg was still weak but seemed to be fully functional. 7/19/2011 - i feel good still have pain and mild weakness in my left deltoid. on prednisone and otc Benadryl as needed. have been advised to follow up with my regualr doctor this week. will be doing that as well as going to my allergist to see if i can have scratch tests to figure out what in the shot caused my reaction.
Age: 24.0
Sex: F
Vaccine: VARCEL
Symptoms: Injection site reaction, Mobility decreased, Muscular weakness, Pain in extremity, Paraesthesia
Clinical narrative: this was my second varicella vaccine in 2 weeks. no reaction to the first one at all.  2:30 shot was not abnormally painful upon administration 2:45 numbness tingling and weakness at injection site (L deltiod) 3:00 numbness tingling and weakness has traveled down my left arm to my fingertips. my arm feels like it weighs 100 pounds and it is hard to lift 3:30 stiffness, numbness and tingling travels up my neck 4:00 symptoms now on the left side of my face tongue and throat 4:20 NP (the shot administrator) tells me to go to the ER 4:25 weakness in my left leg, difficulty walking to the car and into the ER 4:30 ish arrive at ER get into a bed they triage me in the bed and i realize i can no longer move my left arm or leg. the symptoms are now beginning in my right arm. they pushed 50mg iv Benadryl then iv drip of solumedrol followed by a saline drip 730 i am not sure of the times i was woken up throughout the three hours i was in and out of sleep. each time my mom woke me up i seemed to regain a little more movement after the drug treatment. by 730 i had full movement back! my arm still is painful and a little weak at the injection site. my leg was still weak but seemed to be fully functional. 7/19/2011 - i feel good still have pain and mild weakness in my left deltoid. on prednisone and otc Benadryl as needed. have been advised to follow up with my regualr doctor this week. will be doing that as well as going to my allergist to see if i can have scratch tests to figure out what in the shot caused my reaction.
Age: 0.57
Sex: F
Vaccine: DTAPIPVHIB, HEP
Symptoms: Injection site erythema, Injection site warmth
Clinical narrative: Rt anterior lateral thigh 5cm x 5cm. erythema, warm to touch, cold compresses, TYLENOL 7/19. 7/20 warm compress. Return if no changes noted, to clinic.
Age: 0.5
Sex: M
Vaccine: DTAPIPVHIB, HEP, PNC13, RV5
Symptoms: Cyanosis, Respiratory arrest
Clinical narrative: Went to ER after parent noticed child turning blue & not breathing. All our office received was an ER report and we have not been able to contact parent for outcome.
Age: 21.0
Sex: F
Vaccine: MMR
Symptoms: Decreased appetite, Measles antibody, Papule, Platelet count
Clinical narrative: 10 days after vaccine, papules appeared on limbs, 9 in total. Appetite decreased. Used vitamins to boost immune system. Feeling better. Lesions improving.
Age: 13.0
Sex: M
Vaccine: HPV4, MNQ, VARCEL
Symptoms: Pallor, Syncope
Clinical narrative: Patient was noticed to be pale today following by fainting episode after receiving HPV, varicella, PPD & MCV4. Pt was placed supine/horizontally on floor with rapid recovery of loss of awareness/return of color.
Age: 19.0
Sex: F
Vaccine: HEP
Symptoms: Urticaria
Clinical narrative: On the 12th of July I got the last shot of the Hepatitis B vaccine. When I got the second shot I had a allergic reaction, but  they still gave it to me. This time the hives were on my face.
Age: 73.0
Sex: F
Vaccine: PPV
Symptoms: Axillary pain, Erythema
Clinical narrative: (L) arm redness an pain to touch (L) armpit and inner aspect (L) arm. Deltoid no redness or swelling. Went to urgent care facility, no treatment, told to report reaction by MD.
Age: 43.0
Sex: M
Vaccine: TTOX
Symptoms: Headache, Nausea, Vomiting
Clinical narrative: Headache, nausea within 3 hours of receiving vaccine. Nausea with vomiting and headache one day after receiving vaccine.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Back pain, Injection site erythema, Injection site pain, Neck pain
Clinical narrative: 5 min later after (L) side arm developed local reddened rxn appx 3.5 x 2.5 cm (-) SOB, clear lungs, pain neck. At site of inj MMR only.
Age: 61.0
Sex: F
Vaccine: VARZOS
Symptoms: Hypoaesthesia, Paraesthesia
Clinical narrative: Numbness & tingling down left arm below elbow.
Age: 15.0
Sex: M
Vaccine: MEN, VARCEL
Symptoms: Asthenia, Pallor, Syncope
Clinical narrative: paleness, weakness, fainted collapsed in the parking lot my daughter ran for help, nurse and security came and help me get him up it lasted from 4 to 5min
Age: 1.4
Sex: M
Vaccine: HEP, HIBV, MMR
Symptoms: Thermal burn
Clinical narrative: Pt developed burn night of vaccinations on 6/29 with (L)OM.
Age: 0.3
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Rash generalised, Rash macular
Clinical narrative: Macular rash seen by mother in diaper area which extends to the entire body about 60-70%. No fever, fussiness, vomiting or diarrhea.
Age: 65.0
Sex: M
Vaccine: PPV
Symptoms: Asthenia, Dizziness, Erythema, Heart rate increased, Pallor
Clinical narrative: Fever, wheezing, paleness, weakness, dizziness, breathing, redness, hot on muscle, heart fast.
Age: 65.0
Sex: M
Vaccine: PPV
Symptoms: Pyrexia, Skin warm, Wheezing
Clinical narrative: Fever, wheezing, paleness, weakness, dizziness, breathing, redness, hot on muscle, heart fast.
Age: 5.0
Sex: M
Vaccine: DTAPIPV, MMR, VARCEL
Symptoms: Pyrexia, Urticaria
Clinical narrative: Onset of fevers to 101-102 day after vaccine admin x 4 days. Development of hives on day 4-5 after vaccines.
Age: 4.0
Sex: M
Vaccine: MMRV
Symptoms: Chest pain, Cough, Flushing, Injection site pruritus, Injection site reaction
Clinical narrative: Itching of chest & injection site. Chest pain, cough, mild flush ant chest & injection site. No urticaria, stridor, retractions, SOB. Responded to 1 tsp oral BENADRYL. Mild wheezing noted after BENADRYL, O2 sats 95 to 98. Improved within 20 mins.
Age: 4.0
Sex: M
Vaccine: MMRV
Symptoms: Pruritus, Wheezing
Clinical narrative: Itching of chest & injection site. Chest pain, cough, mild flush ant chest & injection site. No urticaria, stridor, retractions, SOB. Responded to 1 tsp oral BENADRYL. Mild wheezing noted after BENADRYL, O2 sats 95 to 98. Improved within 20 mins.
Age: 0.17
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Haematochezia
Clinical narrative: Mother reported one episode of hematochezia one day post ROTATEQ arm. Mom will opt out for future doses of ROTATEQ.
Sex: U
Vaccine: DTAP, DTP, HEP
Symptoms: Abscess, Abscess drainage, Abscess sterile, Atypical mycobacterium test positive, Bacterial test positive
Clinical narrative: Initial report received on 08 July 2011 from a literature citation (abstract). The following is verbatim per the abstract: "We reviewed reports to VAERS to determine the clinical and microbiologic characteristics of serious injection site abscesses following vaccination. Methods: VAERS is a passive surveillance system for collecting adverse events following vaccination. We reviewed reports coded as "abscess" or "sterile abscess" submitted from 7/90 to 4/01 and described by the reporter as serious (causing life-threatening illness, hospitalization or disability). To meet the case definition, reports described localized soft tissue collection of fluid at the injection site following vaccination, with spontaneous or surgical drainage or fluid collection diagnosed by imaging. Results: 69 reports met the case definition. Of 61 cases for which the associated vaccine could be identified, abscesses occurred at injection sites of DTP, DTaP or DTP/DTaP- based combinations in 32 and hepatitis B vaccine in 11 reports, 66 cases required hospitalization and 51 reported needle aspiration, surgical drainage or excision. Fever was reported in 16 cases. There were 9 reports of recurrent abscess at the same site after initial resolution and 5 reports of new abscess formation following subsequent vaccination. Median age was 0.8 yrs (range: birth-78) and 38 were females. Cultures were noted in 35 reports with organisms identified in 20, no growth reported in 12, and unspecified results in 3. For 31 reports, no information was provided on whether cultures were obtained. Organisms included S. aureus (11 reports), Group A streptococci (7), S. epidermidis (2), S. pneumoniae (2), unspecified streptococci (2), unspecified staphylococci (1), A. radiobacter (1), H. parainfluenzae (1), unspecified enterococci (1) and M. chelonae (1). 9 reports mentioned 2 organisms. Discussion: Abscesses after vaccination have been associated with hospitalization, surgical drainage and fever. Cultures of abscesses were often not reported or were negative. When reported, the majority of isolated organisms were common skin flora. A standardized approach to evaluate abscesses is warranted to better delineate etiology and to guide possible prevention efforts." Outcomes were not reported. Documents held by sender: None.
Sex: U
Vaccine: DTAP, DTP, HEP
Symptoms: Culture positive, Enterococcus test positive, Haemophilus test positive, Injection site abscess, Injection site discharge
Clinical narrative: Initial report received on 08 July 2011 from a literature citation (abstract). The following is verbatim per the abstract: "We reviewed reports to VAERS to determine the clinical and microbiologic characteristics of serious injection site abscesses following vaccination. Methods: VAERS is a passive surveillance system for collecting adverse events following vaccination. We reviewed reports coded as "abscess" or "sterile abscess" submitted from 7/90 to 4/01 and described by the reporter as serious (causing life-threatening illness, hospitalization or disability). To meet the case definition, reports described localized soft tissue collection of fluid at the injection site following vaccination, with spontaneous or surgical drainage or fluid collection diagnosed by imaging. Results: 69 reports met the case definition. Of 61 cases for which the associated vaccine could be identified, abscesses occurred at injection sites of DTP, DTaP or DTP/DTaP- based combinations in 32 and hepatitis B vaccine in 11 reports, 66 cases required hospitalization and 51 reported needle aspiration, surgical drainage or excision. Fever was reported in 16 cases. There were 9 reports of recurrent abscess at the same site after initial resolution and 5 reports of new abscess formation following subsequent vaccination. Median age was 0.8 yrs (range: birth-78) and 38 were females. Cultures were noted in 35 reports with organisms identified in 20, no growth reported in 12, and unspecified results in 3. For 31 reports, no information was provided on whether cultures were obtained. Organisms included S. aureus (11 reports), Group A streptococci (7), S. epidermidis (2), S. pneumoniae (2), unspecified streptococci (2), unspecified staphylococci (1), A. radiobacter (1), H. parainfluenzae (1), unspecified enterococci (1) and M. chelonae (1). 9 reports mentioned 2 organisms. Discussion: Abscesses after vaccination have been associated with hospitalization, surgical drainage and fever. Cultures of abscesses were often not reported or were negative. When reported, the majority of isolated organisms were common skin flora. A standardized approach to evaluate abscesses is warranted to better delineate etiology and to guide possible prevention efforts." Outcomes were not reported. Documents held by sender: None.