chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 13.0
Sex: F
Vaccine: HPV4
Symptoms: Convulsion, Dyskinesia, Immediate post-injection reaction, Loss of consciousness, Syncope
Clinical narrative: Information has been received from a physician concerning a 13 year old female with a history of atrial septal defect repair who on 29-AUG-2007 was vaccinated IM with a first dose of Gardasil. On 29-AUG-2007 within 5 minutes post vaccination, the patient fainted. Subsequently, the patient recovered from fainting. The patient then sat up, but then started "seizure like jerking motion". The patient was "kept in the office" for an additional 15 minutes to 20 minutes. The patient then passed out again. The patient was admitted to the emergency room. At the time of the report, the patients status was unknown. Upon internal review, "seizure like jerking motion" was considered to be an other important medical event. Additional information has been requested.
Sex: U
Vaccine: HPV4
Symptoms: Hepatic failure
Clinical narrative: Information has been received from a physician concerning a colleague who on an unspecified date was vaccinated with a dose of Gardasil. The next day, the colleague experienced liver failure. The reporting physician implied that liver failure was related to therapy with Gardasil. Upon internal review, hepatic failure was considered to be an other important medical event. Additional information has been requested.
Age: 12.0
Sex: F
Vaccine: HEPA, HPV4, MNQ, TDAP
Symptoms: Body temperature increased, Feeling hot, Hearing impaired, Nausea, Syncope
Clinical narrative: Information has been received from a Registered Nurse (RN) concerning a 12 year old female patient who was currently being examined for juvenile rheumatoid arthritis due to leg pain who on 29-AUG-2007 was a first dose of Gardasil. On 29-AUG-2007, concomitant therapy included Menactra, DTaP. On 29-AUG-2007 the patient experienced syncope, nausea, and developed vomiting after getting her first injection. She also had impaired vision and difficulty hearing. She reported feeling hot and her temperature was checked and recorded as 99.1 degrees. In less than a minute, temperature went up to 99.8 degrees and then back down to 99.3 degrees. The office called 911 and the paramedics arrived. The outcome was unknown. The reporter believed calling 911 and paramedics and arrival of paramedics was an intervention to prevent a serious criteria and it was reported as an other medical event. Additional information has been requested.
Age: 12.0
Sex: F
Vaccine: HEPA, HPV4, MNQ, TDAP
Symptoms: Visual acuity reduced, Vomiting
Clinical narrative: Information has been received from a Registered Nurse (RN) concerning a 12 year old female patient who was currently being examined for juvenile rheumatoid arthritis due to leg pain who on 29-AUG-2007 was a first dose of Gardasil. On 29-AUG-2007, concomitant therapy included Menactra, DTaP. On 29-AUG-2007 the patient experienced syncope, nausea, and developed vomiting after getting her first injection. She also had impaired vision and difficulty hearing. She reported feeling hot and her temperature was checked and recorded as 99.1 degrees. In less than a minute, temperature went up to 99.8 degrees and then back down to 99.3 degrees. The office called 911 and the paramedics arrived. The outcome was unknown. The reporter believed calling 911 and paramedics and arrival of paramedics was an intervention to prevent a serious criteria and it was reported as an other medical event. Additional information has been requested.
Age: 13.0
Sex: F
Vaccine: HPV4
Symptoms: Blood glucose increased, Diabetes mellitus insulin-dependent, Glucose urine present, Haemoglobin increased, Urine analysis abnormal
Clinical narrative: Information has been received from a physician concerning a 13 year old female with eczema and peanut allergy who, on 19-FEB-2007, was vaccinated with the first dose of Gardasil (Lot #655126/0087U). Concomitant therapy included triamcinolone. On an unspecified date, she was vaccinated with the second dose of Gardasil (Lot #654741/1208F). The patient, who had completed the Gardasil (Lot #657622/0388U) series on 17-AUG-2007 had developed Type I diabetes (diagnosed on 29-AUG-2007). When the patient was initially seen at the office on 19-FEB-2007, she weighed 166 lbs and was 5 feet 3 inches. She informed the office that she would try to lose some weight. She presented to the office on 29-AUG-2007 at 122 lbs with a random blood glucose (finger stick) of 479 mg/dl and an A1c >14. A urine test found sugar and ketones present. The patient was admitted to the hospital on 29-AUG-2007 where she remained as of 30-AUG-2007 (not recovered). The patient sought medical attention. The physician considered the Type I diabetes to be immediately life-threatening. Additional information has been requested.   9/18/07 Reviewed hospital medical records which reveal patient experienced abdominal pain intermittently x 2-3 months, diarrhea for 2-3 weeks & incidental finding of elevated BS & glycosuria.  Admitted 8/29-8/31/2007.   W/u for celiac disease was neg. FINAL DX: newly detected diabetes.
Age: 13.0
Sex: F
Vaccine: HPV4
Symptoms: Urine ketone body present, Weight decreased
Clinical narrative: Information has been received from a physician concerning a 13 year old female with eczema and peanut allergy who, on 19-FEB-2007, was vaccinated with the first dose of Gardasil (Lot #655126/0087U). Concomitant therapy included triamcinolone. On an unspecified date, she was vaccinated with the second dose of Gardasil (Lot #654741/1208F). The patient, who had completed the Gardasil (Lot #657622/0388U) series on 17-AUG-2007 had developed Type I diabetes (diagnosed on 29-AUG-2007). When the patient was initially seen at the office on 19-FEB-2007, she weighed 166 lbs and was 5 feet 3 inches. She informed the office that she would try to lose some weight. She presented to the office on 29-AUG-2007 at 122 lbs with a random blood glucose (finger stick) of 479 mg/dl and an A1c >14. A urine test found sugar and ketones present. The patient was admitted to the hospital on 29-AUG-2007 where she remained as of 30-AUG-2007 (not recovered). The patient sought medical attention. The physician considered the Type I diabetes to be immediately life-threatening. Additional information has been requested.   9/18/07 Reviewed hospital medical records which reveal patient experienced abdominal pain intermittently x 2-3 months, diarrhea for 2-3 weeks & incidental finding of elevated BS & glycosuria.  Admitted 8/29-8/31/2007.   W/u for celiac disease was neg. FINAL DX: newly detected diabetes.
Sex: F
Vaccine: HPV4
Symptoms: Injection site induration, No reaction on previous exposure to drug, Nuclear magnetic resonance imaging abnormal, Pain in extremity, Synovitis
Clinical narrative: Information has been received from a registered nurse concerning a female with no pertinent medical history who on 01-JUN-2007 was vaccinated intramuscularly in the right deltoid with a second dose of Gardasil (Lot #0210U). There was no illness at the time of vaccination. The patient's mother reported the patient's arm had been sore since injection 01-JUN-2007 and the pain extended to the elbow. A small induration could be felt at the site. The patient was treated with ADVIL, gabapentin, LIDODERM patches, prednisone, and ice. On 06-JUL-2007 and 16-JUL-2007 the patient was seen in the physician's office. On 05-AUG-2007 an magnetic resonance imaging (MRI) was performed on the right humerus findings of the proximal humerus are nonspecific and can be related to trauma, infection or neoplasm and should be correlated with clinical findings. There is synovitis of the Glenohumeral joint, which again could be reactive, post-traumatic, or infectious in etiology. On 30-AUG-2007, it was noted that the patient was doing "much better." It was reported that the patient had no problems with the first injection of Gardasil. It was reported that the patient's sister had the Gardasil injections with no problems. The nurse considered the painful arm and injection site induration to be persistent and significant disabling events. Additional information has been requested.
Age: 16.0
Sex: F
Vaccine: HPV4
Symptoms: Arthralgia, Aspiration biopsy, Aspiration joint, Joint swelling, Laboratory test
Clinical narrative: Information has been received from a physician concerning a 16 year old female who on 08-AUG-2007 was vaccinated with a dose of Gardasil. On 08-AUG-2007 the patient experienced bilateral knee pain and knee swelling. The physician aspirated fluid from the patient's knee and reported there was no infection. However the physician states he saw pyrophosphate crystals in the fluid from the knee which he stated "is rare in younger people". At the time of the report the patient was recovering from bilateral knee pain and knee swelling. It was noted that lab test were performed. The reporting physician considered bilateral knee pain and knee swelling to be disabling. Additional information has been requested.
Age: 13.0
Sex: F
Vaccine: HPV4
Symptoms: Computerised tomogram normal, Convulsion, Headache, Laboratory test normal, No reaction on previous exposure to drug
Clinical narrative: Information has been received from a registered nurse concerning a 13 year old female who was vaccinated with the first dose of Gardasil, intramuscularly (IM) on 16-FEB-2007, the second dose of Gardasil on 19-APR-2007, both lot numbers 654702/0011U, with no adverse reaction. She received the third dose of Gardasil on 21-AUG-2007, lot number 658222/0927U. "Four days later", on 26-AUG-2007, she had a seizure for 3 1/2 minutes. The patient also complained of headaches within a short duration after the third dose of Gardasil. It is not known what treatment or interventions were given in the ambulance on transport to the Emergency Room (ER). She was seen and examined in the ER. All lab tests, computerized tomography (CT) scan, and neck x-ray were normal. The patient saw a Neurologist on 27-AUG-2007 with no neurological findings for seizure. As of 28-AUG-2007, the patient had recovered from the headaches and the seizure. Upon internal review, seizure was determined to be an other important medical event. This is one of several reports from the same source/siblings. Additional information has been requested.
Age: 13.0
Sex: F
Vaccine: HPV4
Symptoms: X-ray normal
Clinical narrative: Information has been received from a registered nurse concerning a 13 year old female who was vaccinated with the first dose of Gardasil, intramuscularly (IM) on 16-FEB-2007, the second dose of Gardasil on 19-APR-2007, both lot numbers 654702/0011U, with no adverse reaction. She received the third dose of Gardasil on 21-AUG-2007, lot number 658222/0927U. "Four days later", on 26-AUG-2007, she had a seizure for 3 1/2 minutes. The patient also complained of headaches within a short duration after the third dose of Gardasil. It is not known what treatment or interventions were given in the ambulance on transport to the Emergency Room (ER). She was seen and examined in the ER. All lab tests, computerized tomography (CT) scan, and neck x-ray were normal. The patient saw a Neurologist on 27-AUG-2007 with no neurological findings for seizure. As of 28-AUG-2007, the patient had recovered from the headaches and the seizure. Upon internal review, seizure was determined to be an other important medical event. This is one of several reports from the same source/siblings. Additional information has been requested.
Age: 23.0
Sex: F
Vaccine: HPV4
Symptoms: Cardiac monitoring, Convulsion, Dizziness, Electrocardiogram, Electroencephalogram
Clinical narrative: Information has been received from a 23 year old female patient with allergic reaction to an unknown antibiotic (hives, rash) and asthma who on 15-MAY-2007 was vaccinated with a first dose of Gardasil. Concomitant therapy included ORTHO TRI-CYCLEN, prednisone, FLOVENT, SEREVENT, and albuterol. On 15-JUN-2007 the patient began to feel very sweaty, experienced dizziness and convulsions and lost consciousness. She was taken to a hospital and treated by the emergency department. She was not admitted as an inpatient. On 22-JUN-2007 she again became very dizzy, experienced convulsions, her hands and arms were tingling, her arms felt numb, and again she lost consciousness. She was taken to the hospital again and was treated by the emergency department. She was not admitted as an in-patient. On 30-JUN-2007 same thing occurred. She felt a "weird rush to her head," felt tingling and dizzy, and again lost consciousness. She went to a hospital again and treated by the emergency department. Again, she was not admitted as an in-patient. She reported that the only diagnoses made were "inappropriate sinus tachycardia and syncope". Since these three trips to the hospital, she had episodes of her hands beginning to tingle, "rushes to her head," and dizziness. She did not lose consciousness again. She still has dizziness all the time. It was reported the following tests were done: magnetic resonance imaging (MRI), electroencephalography (EEG), electrocardiogram (EKG), sonogram and heart monitor diagnostic tests were done but the results not available. At the time of this report the patient was recovering. Upon internal review, convulsion was determined to be an other important medical event. Additional information has been requested.
Age: 23.0
Sex: F
Vaccine: HPV4
Symptoms: Feeling abnormal, Hyperhidrosis, Hypoaesthesia, Loss of consciousness, Nuclear magnetic resonance imaging
Clinical narrative: Information has been received from a 23 year old female patient with allergic reaction to an unknown antibiotic (hives, rash) and asthma who on 15-MAY-2007 was vaccinated with a first dose of Gardasil. Concomitant therapy included ORTHO TRI-CYCLEN, prednisone, FLOVENT, SEREVENT, and albuterol. On 15-JUN-2007 the patient began to feel very sweaty, experienced dizziness and convulsions and lost consciousness. She was taken to a hospital and treated by the emergency department. She was not admitted as an inpatient. On 22-JUN-2007 she again became very dizzy, experienced convulsions, her hands and arms were tingling, her arms felt numb, and again she lost consciousness. She was taken to the hospital again and was treated by the emergency department. She was not admitted as an in-patient. On 30-JUN-2007 same thing occurred. She felt a "weird rush to her head," felt tingling and dizzy, and again lost consciousness. She went to a hospital again and treated by the emergency department. Again, she was not admitted as an in-patient. She reported that the only diagnoses made were "inappropriate sinus tachycardia and syncope". Since these three trips to the hospital, she had episodes of her hands beginning to tingle, "rushes to her head," and dizziness. She did not lose consciousness again. She still has dizziness all the time. It was reported the following tests were done: magnetic resonance imaging (MRI), electroencephalography (EEG), electrocardiogram (EKG), sonogram and heart monitor diagnostic tests were done but the results not available. At the time of this report the patient was recovering. Upon internal review, convulsion was determined to be an other important medical event. Additional information has been requested.
Age: 23.0
Sex: F
Vaccine: HPV4
Symptoms: Paraesthesia, Sinus tachycardia, Syncope, Ultrasound scan
Clinical narrative: Information has been received from a 23 year old female patient with allergic reaction to an unknown antibiotic (hives, rash) and asthma who on 15-MAY-2007 was vaccinated with a first dose of Gardasil. Concomitant therapy included ORTHO TRI-CYCLEN, prednisone, FLOVENT, SEREVENT, and albuterol. On 15-JUN-2007 the patient began to feel very sweaty, experienced dizziness and convulsions and lost consciousness. She was taken to a hospital and treated by the emergency department. She was not admitted as an inpatient. On 22-JUN-2007 she again became very dizzy, experienced convulsions, her hands and arms were tingling, her arms felt numb, and again she lost consciousness. She was taken to the hospital again and was treated by the emergency department. She was not admitted as an in-patient. On 30-JUN-2007 same thing occurred. She felt a "weird rush to her head," felt tingling and dizzy, and again lost consciousness. She went to a hospital again and treated by the emergency department. Again, she was not admitted as an in-patient. She reported that the only diagnoses made were "inappropriate sinus tachycardia and syncope". Since these three trips to the hospital, she had episodes of her hands beginning to tingle, "rushes to her head," and dizziness. She did not lose consciousness again. She still has dizziness all the time. It was reported the following tests were done: magnetic resonance imaging (MRI), electroencephalography (EEG), electrocardiogram (EKG), sonogram and heart monitor diagnostic tests were done but the results not available. At the time of this report the patient was recovering. Upon internal review, convulsion was determined to be an other important medical event. Additional information has been requested.
Age: 18.0
Sex: F
Vaccine: HPV4
Symptoms: Feeling abnormal, Throat tightness, Vaccine positive rechallenge
Clinical narrative: Initial and follow-up information has been received from a physician and a certified nurse midwife concerning an 18 year old female who on 13-APR-2007 was vaccinated intramuscularly with a first dose of Gardasil (655324/0089U). Concomitant therapy included ORTHO TRI CYCLEN. On 13-APR-2007 the patient, "felt her throat closing and tightening". It was reported by the physician that the patient is not going to finish the series. The patient did not seek medical attention. Subsequently, the patient recovered. On 13-JUL-2007 the patient was vaccinated with a second dose of Gardasil. Two hours after vaccination the patient started "feeling funny", and her throat was constricted. On 14-JUL-2007 the next day the patient took BENADRYL and one hour later the symptoms subsided. Additional information has been requested.
Age: 24.0
Sex: F
Vaccine: HEP, HEPA, TDAP, TYP, YF
Symptoms: Diarrhoea, Nausea, Pyrexia, Vomiting
Clinical narrative: C/O of nausea and continuing for 5 days after taking oral typhoid. Felt feverish, has some diarrhea and some vomiting. Only can eat soup and crackers.
Age: 11.0
Sex: M
Vaccine: MNQ, VARCEL
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Redness and swelling of (R) arm around the area of injection of Varicella and Meningococcal vaccines.
Age: 16.0
Sex: F
Vaccine: HPV4
Symptoms: Nausea, Syncope, Vomiting
Clinical narrative: -Nausea/vomiting -Fainting episode
Age: 17.0
Sex: F
Vaccine: HPV4
Symptoms: Nausea, Vomiting
Clinical narrative: Nausea, vomited.
Age: 43.0
Sex: F
Vaccine: TDAP
Symptoms: Arthralgia, Body temperature increased, Chills, Headache, Injection site induration
Clinical narrative: Approximately 3 hours after receiving vaccine (Tdap) employee awoke from a nap, experiencing migraine headache, general malaise, chills, temp of 100.7, nausea. Lingering H/A following day accompanied with swollen fingers on right hand and a "grapefruit" size induration on right deltoid at site of injection. This lasted for 10 days, along with pain at the site. Right wrist pain developed and has continued to present. Employee helped by wearing supportive brace. Generalized muscle aches persisted 5-6 days after injection.
Age: 43.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site pain, Malaise, Migraine, Myalgia, Nausea
Clinical narrative: Approximately 3 hours after receiving vaccine (Tdap) employee awoke from a nap, experiencing migraine headache, general malaise, chills, temp of 100.7, nausea. Lingering H/A following day accompanied with swollen fingers on right hand and a "grapefruit" size induration on right deltoid at site of injection. This lasted for 10 days, along with pain at the site. Right wrist pain developed and has continued to present. Employee helped by wearing supportive brace. Generalized muscle aches persisted 5-6 days after injection.
Age: 43.0
Sex: F
Vaccine: TDAP
Symptoms: Oedema peripheral
Clinical narrative: Approximately 3 hours after receiving vaccine (Tdap) employee awoke from a nap, experiencing migraine headache, general malaise, chills, temp of 100.7, nausea. Lingering H/A following day accompanied with swollen fingers on right hand and a "grapefruit" size induration on right deltoid at site of injection. This lasted for 10 days, along with pain at the site. Right wrist pain developed and has continued to present. Employee helped by wearing supportive brace. Generalized muscle aches persisted 5-6 days after injection.
Age: 16.0
Sex: F
Vaccine: HEP, HPV4, TDAP
Symptoms: Loss of consciousness, Throat tightness
Clinical narrative: Passed out briefly-when came around c/o of tightness in throat-lasting approx 5-6 min.
Age: 41.0
Sex: F
Vaccine: TDAP
Symptoms: Nausea, Pyrexia, Rash, Swelling, Tenderness
Clinical narrative: (L) deltoid tenderness, swelling, rash above shoulder and down to elbow approx 3 days. + Fever low grade x 2 days. Mild nausea - no emesis. Patient took Benadryl and Tylenol PRN approx 2 days.
Age: 11.0
Sex: F
Vaccine: TDAP
Symptoms: Computerised tomogram, Laboratory test, Loss of consciousness, Syncope vasovagal
Clinical narrative: Within 10 mins. after injection, pt lost consciousness in waiting room, briefly. Started to lose consciuosness again after finger stick to check blood sugar. Recovered quickly in wheelchair. Was transported to ER. Neuro-psychiatric eval done. Dx was vaso vagal syncope after vaccination
Age: 15.0
Sex: F
Vaccine: HPV4, TDAP
Symptoms: Convulsion
Clinical narrative: Pt received boostrix and gardasil vaccines on april 16th 2007. on 5/9 pt was seen in ED with seizure activity - no prior hx of seizured. Mother called MD office to inquire as to whether vaccines could be responsible for the seizure.
Age: 0.2
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5, DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Agitation, Body temperature increased, Diarrhoea, Diet refusal, Faeces discoloured
Clinical narrative: On day of vaccine, fussed for 7/8 hours refusing to breast feed. Developed stools black, were watery mucus x 3 days. Occult +. Not himself for the next 6 days with fever 5 days after with temp 101.7 next 24 hours. Gradually improved.  9/11/07 Received partial medical records from receiving hospital which indicates patient admitted 8/31/07.  No D/C summary available.  Patient experienced fever, intermittent abdominal pain & distention & 1 bloody BM x 1 week.  Ped surgery consult obtained.  IS felt unlikely; felt probable AGE.  9/18/07 Reviewed vax record which confirms RO dose & lot # as reported.  Visit note of 8/24/07 reveals patient in good health on day of vax. 9/18/07 Reviewed ER medical records which reveal patient experienced fever, irritability, rash & mucousy stools x 1 week.  Seen in ER on 8/30/07.  Patient's sibling broke out w/chickenpox on 8/24.  Seen at pcp office same day & sent to ER due to w/heme (+) stool, firm & tender abdomen.  LP in ER was unsuccessful.  Transferred to higher level of care. FINAL ER Dx: acute febrile illness, questionable etiology; heme (+) stools, r/o IS; bilateral foot rash.
Age: 0.2
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5, DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Mucous stools, Occult blood positive, Pyrexia
Clinical narrative: On day of vaccine, fussed for 7/8 hours refusing to breast feed. Developed stools black, were watery mucus x 3 days. Occult +. Not himself for the next 6 days with fever 5 days after with temp 101.7 next 24 hours. Gradually improved.  9/11/07 Received partial medical records from receiving hospital which indicates patient admitted 8/31/07.  No D/C summary available.  Patient experienced fever, intermittent abdominal pain & distention & 1 bloody BM x 1 week.  Ped surgery consult obtained.  IS felt unlikely; felt probable AGE.  9/18/07 Reviewed vax record which confirms RO dose & lot # as reported.  Visit note of 8/24/07 reveals patient in good health on day of vax. 9/18/07 Reviewed ER medical records which reveal patient experienced fever, irritability, rash & mucousy stools x 1 week.  Seen in ER on 8/30/07.  Patient's sibling broke out w/chickenpox on 8/24.  Seen at pcp office same day & sent to ER due to w/heme (+) stool, firm & tender abdomen.  LP in ER was unsuccessful.  Transferred to higher level of care. FINAL ER Dx: acute febrile illness, questionable etiology; heme (+) stools, r/o IS; bilateral foot rash.
Age: 0.2
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5, DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Abdominal distension, Abdominal tenderness, Decreased appetite, Diarrhoea, Irritability
Clinical narrative: On day of vaccine, fussed for 7/8 hours refusing to breast feed. Developed stools black, were watery mucus x 3 days. Occult +. Not himself for the next 6 days with fever 5 days after with temp 101.7 next 24 hours. Gradually improved.  9/11/07 Received partial medical records from receiving hospital which indicates patient admitted 8/31/07.  No D/C summary available.  Patient experienced fever, intermittent abdominal pain & distention & 1 bloody BM x 1 week.  Ped surgery consult obtained.  IS felt unlikely; felt probable AGE.  9/18/07 Reviewed vax record which confirms RO dose & lot # as reported.  Visit note of 8/24/07 reveals patient in good health on day of vax. 9/18/07 Reviewed ER medical records which reveal patient experienced fever, irritability, rash & mucousy stools x 1 week.  Seen in ER on 8/30/07.  Patient's sibling broke out w/chickenpox on 8/24.  Seen at pcp office same day & sent to ER due to w/heme (+) stool, firm & tender abdomen.  LP in ER was unsuccessful.  Transferred to higher level of care. FINAL ER Dx: acute febrile illness, questionable etiology; heme (+) stools, r/o IS; bilateral foot rash.
Age: 0.2
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5, DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Mucous stools, Pyrexia, Ultrasound abdomen abnormal
Clinical narrative: On day of vaccine, fussed for 7/8 hours refusing to breast feed. Developed stools black, were watery mucus x 3 days. Occult +. Not himself for the next 6 days with fever 5 days after with temp 101.7 next 24 hours. Gradually improved.  9/11/07 Received partial medical records from receiving hospital which indicates patient admitted 8/31/07.  No D/C summary available.  Patient experienced fever, intermittent abdominal pain & distention & 1 bloody BM x 1 week.  Ped surgery consult obtained.  IS felt unlikely; felt probable AGE.  9/18/07 Reviewed vax record which confirms RO dose & lot # as reported.  Visit note of 8/24/07 reveals patient in good health on day of vax. 9/18/07 Reviewed ER medical records which reveal patient experienced fever, irritability, rash & mucousy stools x 1 week.  Seen in ER on 8/30/07.  Patient's sibling broke out w/chickenpox on 8/24.  Seen at pcp office same day & sent to ER due to w/heme (+) stool, firm & tender abdomen.  LP in ER was unsuccessful.  Transferred to higher level of care. FINAL ER Dx: acute febrile illness, questionable etiology; heme (+) stools, r/o IS; bilateral foot rash.
Age: 4.0
Sex: M
Vaccine: DTAP, HEPA, IPV, MMRV
Symptoms: Erythema, Pruritus, Swelling
Clinical narrative: Next morning mom noticed reddened swollen, faint itchy area size 4" round.
Age: 4.0
Sex: M
Vaccine: DTAP, HEPA, IPV, MMR, VARCEL
Symptoms: Swelling
Clinical narrative: Pt was seen at local hospital ER for swelling on (L) thigh from groin to just below knee. Spoke with mom on 8-7-07 and pt has completely recovered.
Age: 5.0
Sex: M
Vaccine: HEPA, VARCEL
Symptoms: Erythema, Induration, Oedema, Pain
Clinical narrative: 8-1 large local reaction in left thigh with erythema and edema increased 7-8 cm oral, central induration, no fever, erythema decreased to 3-4 cm on 8-2, decreased edema, decreased pain
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Injection site swelling
Clinical narrative: Developed swelling of leg at site of injection, non-tender, no evidence of infection, no abscess (L) leg.
Age: 1.7
Sex: M
Vaccine: DTAP, HEPA
Symptoms: Infection, Injection site erythema, Injection site swelling, Swelling
Clinical narrative: left thigh swollen, mild erythema swelling from groin to knee. nontender pt active playful, afebrile and evidence infection
Age: 66.0
Sex: F
Vaccine: HEP
Symptoms: Chills, Cough, Full blood count normal, Lethargy, Metabolic function test normal
Clinical narrative: On 7-5-07 pt developed severe chills, very lethargic, developed unproductive cough and stayed in bed for four days. On 7-11-07 saw PMD, exam, lab work. Pt had UTI and having a drug reaction to new med. Nabumentone, no vaccine related. No urticaria, no joint swelling.
Age: 66.0
Sex: F
Vaccine: HEP
Symptoms: Red blood cell sedimentation rate increased, Thyroid function test normal, Urinary tract infection, Urine analysis abnormal
Clinical narrative: On 7-5-07 pt developed severe chills, very lethargic, developed unproductive cough and stayed in bed for four days. On 7-11-07 saw PMD, exam, lab work. Pt had UTI and having a drug reaction to new med. Nabumentone, no vaccine related. No urticaria, no joint swelling.
Age: 1.3
Sex: F
Vaccine: DTAP, HIBV, PNC
Symptoms: Hyperpyrexia, Pyrexia
Clinical narrative: fever 104.8 began 4 hours after immunizations given, hyperpyrexia. Tylenol, Motrin, continue observation recheck if no improvement
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Skin necrosis, Skin warm
Clinical narrative: Patient's father brought him to the clinic on the morning of 7/27. Stated his (Rt) upper arm was very red the evening of 7/26. At this AM was hard and warm to touch. No lymph nodes were palpated. Started on warm soaks 15" tid and Augmentin 200mg BID.
Age: 4.0
Sex: M
Vaccine: DTAP, HEPA, IPV, MMR, VARCEL
Symptoms: Cough, Dyspnoea, Erythema, Urticaria
Clinical narrative: hives on neck and trunk, erythema of ears, face and legs in 30 min. after immunization, was given Benadryl PO, took to MD office with difficulty breathing and coughing, has given Epi shot. Steroids and Albuterol NEB ambulance called, transported from MD office to med. center by ambulance
Age: 30.0
Sex: F
Vaccine: ANTH
Symptoms: Drug exposure during pregnancy, Pregnancy test positive
Clinical narrative: Pt found pregnant 3 Aug 07. Pt is estimated to have been pregnant since on or about 01 Jul 07.
Age: 6.0
Sex: F
Vaccine: VARCEL
Symptoms: Erythema, Nail discolouration, Oxygen saturation decreased, Urticaria
Clinical narrative: At 1:30pm Varivax 0.5ml SC given; 2:00pm pt develops redness and hives on face, arms, trunk. 2:10PM Epinephrine 1.1000 (1mg/ml) 0.5cc SQ given. 2:15pm Prednisolone 15mg/5ml 5ml given per stomach tube. 2:30PM Pt clearing some, hives still noted, nail beds blue, O2 sat. 81%. Pt transferred to hospital for further care.
Age: 4.0
Sex: M
Vaccine: DTAP, HEPA, IPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Pt. seen 8/21/07 for physical, given vaccines. Noted (R) arm pain, swelling, redness the next afternoon. Pt seen for reaction 8/24/07- (R) arm with redness, edema, warmth and tenderness. Pt. treated with Keflex x 7D
Age: 1.3
Sex: M
Vaccine: DTAP, HEP, HIBV, PNC
Symptoms: Febrile convulsion, Pyrexia
Clinical narrative: Fever to 104 and febrile seizure < 24 hours after vaccine administration. Seizure duration was about 15 minutes. Paramedics transferred patient to ER. Seizure resolved after PR versed administered.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Body temperature increased, Pneumonia, Vomiting
Clinical narrative: 9-4-07 Follow up on pneumonia, lungs clear 9-5-07 Woke up during night vomiting and low grade temp. Started Zofran Vomiting that morning and wouldn't eat
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Hypotonia, Injection site erythema, Injection site rash, Pyrexia, Unresponsive to stimuli
Clinical narrative: Pt received vaccines at approx 9:00 am on 9/5/07 at our clinic. By 1:00 pm she was running a fever of 102 deg axillary. Tylenol did not affect fever. Mom came back to us with child, child appeared limp and barely responsive. Mom took pt to the ER. Fever treated with Advil, came down to 100.2 deg. Pt is better next day. Mom also reports a "pimple like" reaction at the injection site on Rt. arm; reddened with white center.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Nasopharyngitis, Urticaria
Clinical narrative: On Wednesday August 15th at 11:00 my son went in for his five year round of immunizations. Please see attached documentation of shots received. On Thursday he began showing symptoms of what appeared to be a cold. On Friday he woke up with hives all over his body. We administered Benadryl and hives went away but cold symptoms remained. Saturday again he appeared to have a cold  and then broke out in hives again.  We once again administered Benadryl and the hives went away. On Sunday we had the same experience he appeared to have a minor cold but midmorning he broke out in hives. We administered Benadryl. Monday everything was normal. On Monday I noticed he had hives at one of the areas where he was given the shots. I would like it documented that my son had an adverse reaction to the immunizations he received. Please call me if you have any further questions.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMRV
Symptoms: Cough, Erythema, Injection site reaction, Rhinorrhoea
Clinical narrative: After multiple vaccines 8/31 patient started with cough, runny nose 2 hours later. On 9/1 with T 38.5 - very red cheeks, large left arm where DTaP was injection.
Age: 33.0
Sex: F
Vaccine: SMALL
Symptoms: Cellulitis, Erythema, Injection site pustule, Rash pustular
Clinical narrative: Afebrile, 10-15 pustules on chest, scattered pustules around upper arm at site, redness extending site anteriorly to left axilla. Treated with Augmentin for cellulitis left arm (875mg BID x 10 days), Benadryl, Neflex.
Age: 0.4
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Crying, Dyskinesia, Irritability, Laboratory test normal, White blood cell count increased
Clinical narrative: Please see attached note
Age: 48.0
Sex: F
Vaccine: MMR, TDAP
Symptoms: Arthralgia
Clinical narrative: Pain in joints. Gradually increasing. Came into our office today (9-10-07). Was told by her doctor to come let us know about this.
Age: 1.1
Sex: F
Vaccine: MMRV
Symptoms: Blister, Rash erythematous, Rash maculo-papular
Clinical narrative: Eryth mac- papular spots thigh 3-4, arms 3-4, face with vesicular appearance to nose/forehead
Sex: M
Vaccine: TDAP
Symptoms: Arthralgia, Borrelia burgdorferi serology negative, Fatigue, Headache, Pyrexia
Clinical narrative: Next morning felt fatigued and had fever of 102.2. Went to ER again and told them that it was a possible viral infection so prescribed CIPRO. The fever subsided but still has fatigue and joint pain. Went to private doctor 9/6 who run lyme disease test. Also has severe headaches.
Sex: M
Vaccine: TDAP
Symptoms: X-ray normal
Clinical narrative: Next morning felt fatigued and had fever of 102.2. Went to ER again and told them that it was a possible viral infection so prescribed CIPRO. The fever subsided but still has fatigue and joint pain. Went to private doctor 9/6 who run lyme disease test. Also has severe headaches.
Age: 2.0
Sex: M
Vaccine: DTAP, HIBV, MMRV
Symptoms: Erythema, Induration, Swelling
Clinical narrative: Induration, swollen, redness 8cm x 10cm right thigh. Induration 2cm x 2cm left thigh.
Age: 4.0
Sex: M
Vaccine: MMRV
Symptoms: Erythema
Clinical narrative: Mom concerned regarding redden area left thigh thinks might have vaccine reaction. Previous MMR, Varicella shots no problems did use combination ProQuad. Keep checking it if worse make appointment.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site pain, Injection site swelling, Pyrexia
Clinical narrative: See chart note attached.
Sex: U
Vaccine: MNQ
Symptoms: Abdominal pain, Diarrhoea, Fatigue, Panic attack, Pharyngolaryngeal pain
Clinical narrative: 8/20 Diarrhea, abdominal pain, fatigue, sore throat, panic (vaccine given 7/31/2007).
Age: 66.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Injection site pain, Injection site pruritus, Injection site swelling, Injection site warmth
Clinical narrative: Patient reported swelling, itching, redness, pain, heat at site of injection and arm.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARZOS
Symptoms: Cellulitis, Injection site erythema, Injection site swelling, Injection site warmth, Wrong drug administered
Clinical narrative: on 8/8/07 mother called the HD stating her child developed a red warm swollen area to LDT where shot was administered. Mother took the child to the ER. DX. cellultis. TX.Keflex and Benadryl,ane tylenol.
Age: 17.0
Sex: F
Vaccine: MNQ, MNQ
Symptoms: Asthenia, Back pain, Burning sensation, C-reactive protein normal, CSF glucose normal
Clinical narrative: Patient had complaints of weakness, burning sensation in upper extremities, back, and lower extremities, severe back pain, urinary retention, difficulty walking. Patient admitted to Medical Center on 9/1/07 and discharged on 9/7/07.  Patient diagnosed with possible Guillain-Barre-like syndrome.  09/18/2007 D/C Summary received for DOS 9/1-7/2007 for D/C DX of Polyneuropathy 2' to meningitis vaccine and/or viral myelitis. Pt initially seen in ER on 8/31/07 for c/o upper body muscle pain which radiated to hands and arms with accompanying numbness/tingling. Pt reports being unable to hold pencil or play musical instrument. Labs and Diagnostics all (-) so pt D/Cd with DX of Neuralgia.  Recent meningococcal vaccine. Returned to ER 9/1/07 with increasing c/o as above with new onset of difficulty emptying bladder and leg weakness and pain.  Pt had several episodes of vomiting in past 24 hrs.  Started on IVIG for potential GBS, acyclovir,  and treated with abx for UTI. D/C home feeling much better.
Age: 17.0
Sex: F
Vaccine: MNQ, MNQ
Symptoms: CSF protein normal, CSF white blood cell count increased, Gait disturbance, Haematocrit normal, Haemoglobin normal
Clinical narrative: Patient had complaints of weakness, burning sensation in upper extremities, back, and lower extremities, severe back pain, urinary retention, difficulty walking. Patient admitted to Medical Center on 9/1/07 and discharged on 9/7/07.  Patient diagnosed with possible Guillain-Barre-like syndrome.  09/18/2007 D/C Summary received for DOS 9/1-7/2007 for D/C DX of Polyneuropathy 2' to meningitis vaccine and/or viral myelitis. Pt initially seen in ER on 8/31/07 for c/o upper body muscle pain which radiated to hands and arms with accompanying numbness/tingling. Pt reports being unable to hold pencil or play musical instrument. Labs and Diagnostics all (-) so pt D/Cd with DX of Neuralgia.  Recent meningococcal vaccine. Returned to ER 9/1/07 with increasing c/o as above with new onset of difficulty emptying bladder and leg weakness and pain.  Pt had several episodes of vomiting in past 24 hrs.  Started on IVIG for potential GBS, acyclovir,  and treated with abx for UTI. D/C home feeling much better.
Age: 17.0
Sex: F
Vaccine: MNQ, MNQ
Symptoms: Platelet count normal, Urinary retention, Urine analysis normal, White blood cell count increased
Clinical narrative: Patient had complaints of weakness, burning sensation in upper extremities, back, and lower extremities, severe back pain, urinary retention, difficulty walking. Patient admitted to Medical Center on 9/1/07 and discharged on 9/7/07.  Patient diagnosed with possible Guillain-Barre-like syndrome.  09/18/2007 D/C Summary received for DOS 9/1-7/2007 for D/C DX of Polyneuropathy 2' to meningitis vaccine and/or viral myelitis. Pt initially seen in ER on 8/31/07 for c/o upper body muscle pain which radiated to hands and arms with accompanying numbness/tingling. Pt reports being unable to hold pencil or play musical instrument. Labs and Diagnostics all (-) so pt D/Cd with DX of Neuralgia.  Recent meningococcal vaccine. Returned to ER 9/1/07 with increasing c/o as above with new onset of difficulty emptying bladder and leg weakness and pain.  Pt had several episodes of vomiting in past 24 hrs.  Started on IVIG for potential GBS, acyclovir,  and treated with abx for UTI. D/C home feeling much better.
Age: 17.0
Sex: F
Vaccine: MNQ, MNQ
Symptoms: CSF lymphocyte count normal, CSF protein normal, CSF white blood cell count increased, Gait disturbance, Guillain-Barre syndrome
Clinical narrative: Patient had complaints of weakness, burning sensation in upper extremities, back, and lower extremities, severe back pain, urinary retention, difficulty walking. Patient admitted to Medical Center on 9/1/07 and discharged on 9/7/07.  Patient diagnosed with possible Guillain-Barre-like syndrome.  09/18/2007 D/C Summary received for DOS 9/1-7/2007 for D/C DX of Polyneuropathy 2' to meningitis vaccine and/or viral myelitis. Pt initially seen in ER on 8/31/07 for c/o upper body muscle pain which radiated to hands and arms with accompanying numbness/tingling. Pt reports being unable to hold pencil or play musical instrument. Labs and Diagnostics all (-) so pt D/Cd with DX of Neuralgia.  Recent meningococcal vaccine. Returned to ER 9/1/07 with increasing c/o as above with new onset of difficulty emptying bladder and leg weakness and pain.  Pt had several episodes of vomiting in past 24 hrs.  Started on IVIG for potential GBS, acyclovir,  and treated with abx for UTI. D/C home feeling much better.
Age: 17.0
Sex: F
Vaccine: MNQ, MNQ
Symptoms: Haematocrit normal, Haemoglobin normal, Lymphocyte count abnormal, Nuclear magnetic resonance imaging brain normal, Platelet count normal
Clinical narrative: Patient had complaints of weakness, burning sensation in upper extremities, back, and lower extremities, severe back pain, urinary retention, difficulty walking. Patient admitted to Medical Center on 9/1/07 and discharged on 9/7/07.  Patient diagnosed with possible Guillain-Barre-like syndrome.  09/18/2007 D/C Summary received for DOS 9/1-7/2007 for D/C DX of Polyneuropathy 2' to meningitis vaccine and/or viral myelitis. Pt initially seen in ER on 8/31/07 for c/o upper body muscle pain which radiated to hands and arms with accompanying numbness/tingling. Pt reports being unable to hold pencil or play musical instrument. Labs and Diagnostics all (-) so pt D/Cd with DX of Neuralgia.  Recent meningococcal vaccine. Returned to ER 9/1/07 with increasing c/o as above with new onset of difficulty emptying bladder and leg weakness and pain.  Pt had several episodes of vomiting in past 24 hrs.  Started on IVIG for potential GBS, acyclovir,  and treated with abx for UTI. D/C home feeling much better.
Age: 17.0
Sex: F
Vaccine: MNQ, MNQ
Symptoms: Protein total increased, Urinary retention, Urine analysis normal, White blood cell count increased
Clinical narrative: Patient had complaints of weakness, burning sensation in upper extremities, back, and lower extremities, severe back pain, urinary retention, difficulty walking. Patient admitted to Medical Center on 9/1/07 and discharged on 9/7/07.  Patient diagnosed with possible Guillain-Barre-like syndrome.  09/18/2007 D/C Summary received for DOS 9/1-7/2007 for D/C DX of Polyneuropathy 2' to meningitis vaccine and/or viral myelitis. Pt initially seen in ER on 8/31/07 for c/o upper body muscle pain which radiated to hands and arms with accompanying numbness/tingling. Pt reports being unable to hold pencil or play musical instrument. Labs and Diagnostics all (-) so pt D/Cd with DX of Neuralgia.  Recent meningococcal vaccine. Returned to ER 9/1/07 with increasing c/o as above with new onset of difficulty emptying bladder and leg weakness and pain.  Pt had several episodes of vomiting in past 24 hrs.  Started on IVIG for potential GBS, acyclovir,  and treated with abx for UTI. D/C home feeling much better.
Age: 63.0
Sex: F
Vaccine: VARZOS
Symptoms: Erythema, Myalgia, Pain, Skin warm
Clinical narrative: Symptoms appeared 40 hours after receiving immunization. The area was the size of an egg, was bright red, hot, with some muscle soreness. It took seven days to resolve. The patient used ibuprofen for redness and pain and takes an allergy pill, claritin daily.
Age: 68.0
Sex: F
Vaccine: VARZOS
Symptoms: Erythema, Swelling
Clinical narrative: Reports redness and swelling the size of a quarter. Denies soreness. Occurred approximately 48 hours after the immunization. No treatment used by patient.
Age: 4.0
Sex: M
Vaccine: IPV, MMRV
Symptoms: Rash
Clinical narrative: SMALL RED PRICKLY RASH ON FACE;PATIENT WAS GIVEN SOLUMEDROL 20 MG IM
Age: 11.0
Sex: F
Vaccine: HEPA, HPV4, MNQ, TDAP, VARCEL
Symptoms: Fatigue, Malaise, Nausea, Pyrexia, Vomiting
Clinical narrative: Child developed a fever of 104.6 F, nausea and vomitting during the night of 8/30/2007. Parent attempted to administer ibuprofen, but child was unable to keep it down due to the vomitting. On the 31st the child felt "wiped out and lousy, although the fever, nausea and vomitting was improving, but still occurring.  Mother reports child had low grade fever for three days and child did not feel better until 9/1/2007.
Age: 14.0
Sex: F
Vaccine: HEPA, TDAP, VARCEL
Symptoms: Oedema peripheral
Clinical narrative: swelling right arm
Age: 4.0
Sex: M
Vaccine: DTAP, HEPA, IPV, MMRV
Symptoms: Erythema, Flushing, Pruritus generalised
Clinical narrative: RED CHEEKS,ARMS, LEGS AND ITCHY ALL OVER
Age: 7.0
Sex: M
Vaccine: DTAP, PPV
Symptoms: Crying
Clinical narrative: crying......awake all night...
Age: 11.0
Sex: M
Vaccine: HEPA, VARCEL
Symptoms: Erythema, Induration, Local reaction, Pain, Swelling
Clinical narrative: local reaction of swelling, erythema, induration, and pain for 72 hours post administration
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: swelling at injection site, reddness the size of palm of hand
Age: 6.0
Sex: M
Vaccine: VARCEL
Symptoms: Erythema, Pain in extremity, Rash, Swelling, Tenderness
Clinical narrative: Pt came in with mother on 09/07/2007 and received a varicella vaccine subq into RPUA without pain or incident.  On Monday 09/10/2007 mom reported to school nurse child went hunting with dady on Saturday (09/08/2007) and Sunday (09/09/2007) am and on Saturday afternoon c/o arm being sore and again on Sunday afternoon but mom did not look at arm till Sunday afternoon then saw about orange size area of reddnes, sl swollen and tender, and red rash to belly.  She put ice to area and gave child Tylenol. On Monday morning area was less red, less sore, but rash was on belly and back. School nurse checked rash and reported it to be sl grandular feeling.  Child never had fever. No drainage noted from site.
Age: 21.0
Sex: M
Vaccine: TDAP
Symptoms: Dehydration, Electrocardiogram PR shortened, Loss of consciousness, Muscle contractions involuntary, Syncope
Clinical narrative: Patient had large tonic muscular contraction throughout his body immediately following administration of Tdap which lasted approximately 1 minute.  The patient was then unconscious for another minute.  Patient then regained consciousness on his own.  Transported to ER by ambulance.
Age: 5.0
Sex: U
Vaccine: DTAP, MMR
Symptoms: Oedema peripheral, Pruritus
Clinical narrative: SWELLING LT UPPER ARM APPROX 1/2 SIZE OF ARM, CICULAR, ITCHY.  NO FEVER OR RESPIRTOR DISTRESS.
Age: 0.67
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Rash
Clinical narrative: Rash developed on legs, arms and trunk 24- 36 hours after administration of vaccines.
Age: 49.0
Sex: M
Vaccine: DTAP
Symptoms: Dizziness, Wrong drug administered
Clinical narrative: Severe dizziness, gradually decreasing, but I still get dizzy (10 days later).  Note:  I don't know the manufacturer, so please don't ask me to lie.
Age: 71.0
Sex: M
Vaccine: VARZOS
Symptoms: Herpes zoster, Rash
Clinical narrative: Patient developed shingles rash on left upper rib cage area.
Age: 55.0
Sex: F
Vaccine: IPV, MMR, TDAP
Symptoms: Erythema, Malaise, Oedema peripheral, Pyrexia, Skin warm
Clinical narrative: Left arm very red hot to touch and swollen. Client states she is running fever and has general malise.  Started on 08/07/07 day after shot and has gotten progressively worse.  Reddedned area extends from 2 inches below shoulder to 4 inches above elbow.  Advised MD ASAP
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Urticaria
Clinical narrative: Hives that spread over body
Age: 11.0
Sex: F
Vaccine: MNQ, TDAP, VARCEL
Symptoms: Abdominal X-ray, Laboratory test normal, Lethargy, Nausea
Clinical narrative: Parent stated child experienced nausea and lethargy beginning 8/22/2007 and persisted for one week. An appointment was scheduled with her primary care provider, Dr., who drew blood and sent child for an abdominal x-ray.  Per MA at Dr's office, results were within normal limits.