chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 59.0
Sex: M
Vaccine: HEP
Symptoms: Dermatitis, Diarrhoea, Disturbance in attention, Dizziness, Dyspepsia
Clinical narrative: Abdominal pain, joints and muscles ache, acid reflux, anxiety, vertigo and dizziness, high cholesterol, chills. Concentration-trouble, difficulty, loss of. Depression. Dermatitis. Diarrhea, digestive problems, low energy. Gastritis. Headache. Ringing in ears. Inflammation inject site. Short term memory loss. Neck rigid. Numbness and tingling in arms and down one side of body. Pain legs, lower back, back, knees and hips. Stiffness. Pain in feet, inject site, neck. Rash. Itchy skin. Cellulitis. Skin discoloration. Stomach problems. Weight gain. Walking difficulty. Struggle for words.
Age: 59.0
Sex: M
Vaccine: HEP
Symptoms: Gait disturbance, Gastritis, Gastrooesophageal reflux disease, Headache, Hypoaesthesia
Clinical narrative: Abdominal pain, joints and muscles ache, acid reflux, anxiety, vertigo and dizziness, high cholesterol, chills. Concentration-trouble, difficulty, loss of. Depression. Dermatitis. Diarrhea, digestive problems, low energy. Gastritis. Headache. Ringing in ears. Inflammation inject site. Short term memory loss. Neck rigid. Numbness and tingling in arms and down one side of body. Pain legs, lower back, back, knees and hips. Stiffness. Pain in feet, inject site, neck. Rash. Itchy skin. Cellulitis. Skin discoloration. Stomach problems. Weight gain. Walking difficulty. Struggle for words.
Age: 59.0
Sex: M
Vaccine: HEP
Symptoms: Injection site inflammation, Injection site pain, Mental impairment, Musculoskeletal discomfort, Musculoskeletal stiffness
Clinical narrative: Abdominal pain, joints and muscles ache, acid reflux, anxiety, vertigo and dizziness, high cholesterol, chills. Concentration-trouble, difficulty, loss of. Depression. Dermatitis. Diarrhea, digestive problems, low energy. Gastritis. Headache. Ringing in ears. Inflammation inject site. Short term memory loss. Neck rigid. Numbness and tingling in arms and down one side of body. Pain legs, lower back, back, knees and hips. Stiffness. Pain in feet, inject site, neck. Rash. Itchy skin. Cellulitis. Skin discoloration. Stomach problems. Weight gain. Walking difficulty. Struggle for words.
Age: 59.0
Sex: M
Vaccine: HEP
Symptoms: Myalgia, Neck pain, Nuchal rigidity, Pain in extremity, Paraesthesia
Clinical narrative: Abdominal pain, joints and muscles ache, acid reflux, anxiety, vertigo and dizziness, high cholesterol, chills. Concentration-trouble, difficulty, loss of. Depression. Dermatitis. Diarrhea, digestive problems, low energy. Gastritis. Headache. Ringing in ears. Inflammation inject site. Short term memory loss. Neck rigid. Numbness and tingling in arms and down one side of body. Pain legs, lower back, back, knees and hips. Stiffness. Pain in feet, inject site, neck. Rash. Itchy skin. Cellulitis. Skin discoloration. Stomach problems. Weight gain. Walking difficulty. Struggle for words.
Age: 59.0
Sex: M
Vaccine: HEP
Symptoms: Pruritus, Rash, Skin discolouration, Stomach discomfort, Tinnitus
Clinical narrative: Abdominal pain, joints and muscles ache, acid reflux, anxiety, vertigo and dizziness, high cholesterol, chills. Concentration-trouble, difficulty, loss of. Depression. Dermatitis. Diarrhea, digestive problems, low energy. Gastritis. Headache. Ringing in ears. Inflammation inject site. Short term memory loss. Neck rigid. Numbness and tingling in arms and down one side of body. Pain legs, lower back, back, knees and hips. Stiffness. Pain in feet, inject site, neck. Rash. Itchy skin. Cellulitis. Skin discoloration. Stomach problems. Weight gain. Walking difficulty. Struggle for words.
Age: 59.0
Sex: M
Vaccine: HEP
Symptoms: Vertigo, Weight increased
Clinical narrative: Abdominal pain, joints and muscles ache, acid reflux, anxiety, vertigo and dizziness, high cholesterol, chills. Concentration-trouble, difficulty, loss of. Depression. Dermatitis. Diarrhea, digestive problems, low energy. Gastritis. Headache. Ringing in ears. Inflammation inject site. Short term memory loss. Neck rigid. Numbness and tingling in arms and down one side of body. Pain legs, lower back, back, knees and hips. Stiffness. Pain in feet, inject site, neck. Rash. Itchy skin. Cellulitis. Skin discoloration. Stomach problems. Weight gain. Walking difficulty. Struggle for words.
Sex: M
Vaccine: HIBV
Symptoms: Skin lesion
Clinical narrative: Patient developed about 20 lesions about 2 days ago.
Age: 1.01
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Rash pustular, Skin lesion, Varicella
Clinical narrative: Office visit 01/17/07 + pustular lesions on trunk/head/face varicella diagnosis.
Age: 1.0
Sex: F
Vaccine: HIBV, IPV, MMR
Symptoms: Acne, Blister, Medical observation
Clinical narrative: Multiple vesicles, papules.
Age: 0.46
Sex: F
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Agitation, Convulsion, Crying, Tremor
Clinical narrative: Per Foster parents child was fussy after shots then all of a sudden got very quite and started shaking all over lasted approx 3-5 min. Unconsolable cry before seizure.
Age: 1.33
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Otitis media, Rash generalised, Rhinorrhoea, Streptococcal serology positive
Clinical narrative: Reported to hospital ER 1/7/07 at 1439pm with c/o rash on face/neck, moved to trunk and abdomen, and runny nose. Pt was DX with L otitis media. ER doctor said rash was macular and similar to measles.
Sex: F
Vaccine: PPV
Symptoms: Feeling hot, Injection site erythema, Tenderness
Clinical narrative: Redness at injection site and from shoulder around upper arm to Axilla, warm and tender.
Sex: M
Vaccine: IPV, PNC
Symptoms: Pruritus, Skin discolouration
Clinical narrative: Spots started on legs on 1/13/07. Areas itchy.
Age: 1.0
Sex: F
Vaccine: UNK
Symptoms: Erythema, Pruritus, Rash
Clinical narrative: Red spots on face on 1/12/07, more spots followed on neck, head, axilla. Spots are itchy.
Age: 9.0
Sex: M
Vaccine: VARCEL
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling
Clinical narrative: itchy swelling around 3cm, mild erythema in the center around 1.5cm at the injection site on left upper arm (deltoid)
Sex: U
Vaccine: PPV
Symptoms: Injection site nodule
Clinical narrative: Continues to have quarter size lump at injection site 1/18/07.
Sex: F
Vaccine: PPV
Symptoms: Cellulitis, Erythema, Tenderness
Clinical narrative: Cellulitis-like redness and tenderness that extended beyond upper arm past elbow.
Sex: U
Vaccine: PPV
Symptoms: Unevaluable event
Clinical narrative: None indicated.
Age: 6.0
Sex: M
Vaccine: DTAPHEPBIP, DTAPHEPBIP
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Father brought patient to clinic, states left upper arm was red and hot when patient woke up this morning. Exam reveals left arm red, hot, and swollen from shoulder to elbow. Referred patient to primary medical physician for treatment and follow up ASAP.
Age: 6.0
Sex: M
Vaccine: DTAPHEPBIP, DTAPHEPBIP
Symptoms: Erythema, Swelling
Clinical narrative: Father brought patient to clinic, states left upper arm was red and hot when patient woke up this morning. Exam reveals left arm red, hot, and swollen from shoulder to elbow. Referred patient to primary medical physician for treatment and follow up ASAP.
Age: 72.0
Sex: M
Vaccine: IPV, TYP
Symptoms: Hallucination, Headache
Clinical narrative: Took Typhoid vaccine in a capsule at 8 am on 6-9-06. By mid day had a headache, lay down to rest. Experienced hallucinations which continued. Taken to Hospital where they dissapated. Discharged by 6pm.
Age: 1.02
Sex: M
Vaccine: MMR, PNC, VARCEL
Symptoms: Skin lesion, Varicella
Clinical narrative: 1/18/06 child presented with 20-30 chicken pox lesions on trunk, face, arms and legs.
Age: 49.0
Sex: F
Vaccine: TDAP
Symptoms: Diarrhoea, Malaise, Pruritus, Tongue oedema
Clinical narrative: Approximately 24 hours after receiving vaccine patient had diarrhea lasting one hour, scalp itched and tongue swelled up. Also had transitory fever type feeling-itchy scalp and diarrhea lasted about 2 hours- felt ill after 48 hours.
Age: 3.0
Sex: M
Vaccine: DTAP, HEPA
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Urticaria
Clinical narrative: Significant redness, swelling, and tenderness at injections site, then hives. Treated with Keflex for possible super infection and Benadryl for hives.
Age: 34.0
Sex: M
Vaccine: ANTH, TYP
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Redness from deltoid to mid forearm, 100% circumferented included initially, 2 days later redness spontaneously starting to regress. Positive swelling also regressing on 12 Jan 07.
Age: 1.98
Sex: M
Vaccine: FLUX
Symptoms: Convulsion, Pyrexia
Clinical narrative: The patient developed fever with seizure on the fourth day after he received the vaccine.
Age: 1.3
Sex: M
Vaccine: DTAP, HIBV, PNC
Symptoms: Injection site mass, Pyrexia
Clinical narrative: Fever up to 102F early this AM (1/24/07). Small bump felt in legs, patient not wanting to walk. Advised alternate Tylenol and Motrin every 3 hours, cool compress to legs. If not better within 24 hours call back to come in.
Age: 21.0
Sex: F
Vaccine: HPV4
Symptoms: Dizziness, Loss of consciousness, Nausea, Syncope
Clinical narrative: Information has been received from a registered nurse concerning a 21 year old female with osteopenia who on 11-JAN-2007 was vaccinated with Gardasil vaccine (yeast) (lot#655165/1425F), intramuscularly in the left arm. Concomitant therapy included FOSAMAX and calcium (unspecified). Subsequently, on 11-JAN-2007, the patient "passed out", "fainted", was dizzy and nauseated. The patient recovered. There were relevant diagnostic or laboratory tests. It was noted that the patient had eaten before vaccination. Unspecified medical attention was sought. The reporter considered the patient's experience to be disabling because the patient was incapacitated for a short time. Additional information has been requested.
Age: 22.0
Sex: F
Vaccine: FLUX, PPV
Symptoms: Arthralgia, Body temperature increased, Hypokinesia, Injection site cellulitis, Injection site erythema
Clinical narrative: Information has been received from a registered nurse concerning a 22 year old female with asthma, sulfonamide allergy, shrimp allergy and latex sensitivity who on 15-JAN-2007, in the morning was vaccinated with Pneumovax 23 vaccine (lot number 655152/0889F), intramuscularly in right lower deltoid. The patient was also given influenza virus vaccine (unspecified) concomitantly in the upper deltoid of the right arm. Concomitant therapy also included MACROBID, ORTHO-TRI-CYCLEN. On 15-JAN-2007, in the evening, the patient experienced temperature of 100.4 degrees F, redness, swelling and pain at injection site, On 16-JAN-2007, the patient was seen in the physician's office and the injection site reaction was described as red, swollen area with cellulitis measuring 4 cm that was painful to the touch. The patient also complained of muscle weakness, and could not lift the injection arm. On 17-JAN-2007 the patient was again examined in the physician's office and the cellulitis was measured to be 9 cm and was still painful and tender to touch. The patient also complained of generalized malaise and hip pain the preceding day. The patient continued to report a temperature of 100.4F but when the temperature was measured in the physician's office it was recorded to be 97.2F on 16-JAN-2007, and 98.2 on 17-JAN-2007. The patient is considered not recovered as of 17-JAN-2007. The physician's office is requesting a lot check. Cellulitis of the injection arm, hip pain, temperature of 100.4 degrees F, redness and swelling and pain of the injection site, generalized malaise and muscle weakness were considered disabling. Additional information has been requested.
Age: 22.0
Sex: F
Vaccine: FLUX, PPV
Symptoms: Injection site oedema, Injection site pain, Injection site swelling, Malaise, Muscular weakness
Clinical narrative: Information has been received from a registered nurse concerning a 22 year old female with asthma, sulfonamide allergy, shrimp allergy and latex sensitivity who on 15-JAN-2007, in the morning was vaccinated with Pneumovax 23 vaccine (lot number 655152/0889F), intramuscularly in right lower deltoid. The patient was also given influenza virus vaccine (unspecified) concomitantly in the upper deltoid of the right arm. Concomitant therapy also included MACROBID, ORTHO-TRI-CYCLEN. On 15-JAN-2007, in the evening, the patient experienced temperature of 100.4 degrees F, redness, swelling and pain at injection site, On 16-JAN-2007, the patient was seen in the physician's office and the injection site reaction was described as red, swollen area with cellulitis measuring 4 cm that was painful to the touch. The patient also complained of muscle weakness, and could not lift the injection arm. On 17-JAN-2007 the patient was again examined in the physician's office and the cellulitis was measured to be 9 cm and was still painful and tender to touch. The patient also complained of generalized malaise and hip pain the preceding day. The patient continued to report a temperature of 100.4F but when the temperature was measured in the physician's office it was recorded to be 97.2F on 16-JAN-2007, and 98.2 on 17-JAN-2007. The patient is considered not recovered as of 17-JAN-2007. The physician's office is requesting a lot check. Cellulitis of the injection arm, hip pain, temperature of 100.4 degrees F, redness and swelling and pain of the injection site, generalized malaise and muscle weakness were considered disabling. Additional information has been requested.
Age: 49.0
Sex: F
Vaccine: HEPA
Symptoms: Abdominal pain, Alanine aminotransferase increased, Aspartate aminotransferase increased, Blood bilirubin, Blood bilirubin increased
Clinical narrative: Patient required admission for abdominal pain, malaise, jaundice. 12/22/06 SGOT 285, SGPT 966, Total Bilirubin 0.9. 12/12/06 HCV PCR (+) but 655 then 10, Hep Bsag (+), HCV ab (+), HIV (-), Hep Delta (-), Hep Bsab (-), Hep Bc IgM (+).  1/26/07 Received medical records from hospital which reveal patient experienced jaundice, tender hepatomegaly, malaise, nausea, headaches & cough. Thought to have hep b reactivation, probable drug induced hepatitis & probable ETOH hepatitis as well.  Tx w/steroids & thiamine & responded very well.  D/C to home on tapering steroids & thiamine; all other meds d/c; to be followed by GI & ID as outpatient. FINAL DX: subacute hepatitis & coagulopathy.
Age: 49.0
Sex: F
Vaccine: HEPA
Symptoms: HIV test negative, Hepatitis B antibody negative, Hepatitis B surface antigen positive, Hepatitis C virus, Hepatitis D
Clinical narrative: Patient required admission for abdominal pain, malaise, jaundice. 12/22/06 SGOT 285, SGPT 966, Total Bilirubin 0.9. 12/12/06 HCV PCR (+) but 655 then 10, Hep Bsag (+), HCV ab (+), HIV (-), Hep Delta (-), Hep Bsab (-), Hep Bc IgM (+).  1/26/07 Received medical records from hospital which reveal patient experienced jaundice, tender hepatomegaly, malaise, nausea, headaches & cough. Thought to have hep b reactivation, probable drug induced hepatitis & probable ETOH hepatitis as well.  Tx w/steroids & thiamine & responded very well.  D/C to home on tapering steroids & thiamine; all other meds d/c; to be followed by GI & ID as outpatient. FINAL DX: subacute hepatitis & coagulopathy.
Age: 49.0
Sex: F
Vaccine: HEPA
Symptoms: Jaundice, Malaise
Clinical narrative: Patient required admission for abdominal pain, malaise, jaundice. 12/22/06 SGOT 285, SGPT 966, Total Bilirubin 0.9. 12/12/06 HCV PCR (+) but 655 then 10, Hep Bsag (+), HCV ab (+), HIV (-), Hep Delta (-), Hep Bsab (-), Hep Bc IgM (+).  1/26/07 Received medical records from hospital which reveal patient experienced jaundice, tender hepatomegaly, malaise, nausea, headaches & cough. Thought to have hep b reactivation, probable drug induced hepatitis & probable ETOH hepatitis as well.  Tx w/steroids & thiamine & responded very well.  D/C to home on tapering steroids & thiamine; all other meds d/c; to be followed by GI & ID as outpatient. FINAL DX: subacute hepatitis & coagulopathy.
Age: 59.0
Sex: F
Vaccine: FLU3
Symptoms: Pain in extremity, Pruritus
Clinical narrative: Same day flu shot administered. Arm became itchy, from fingers to shoulder. This has continued to present day. Ibuprofen has only relieved pain for short periods of time.
Age: 52.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth, Skin discolouration
Clinical narrative: Patient received Pneumovax and flu shot in same arm. 1 IM 1 SQ. The SQ Pneumovax reacted with redness and swelling 8cm x 5cm Left upper arm. Some discoloration to purple also noted in this area. Area is hot to touch and very painful.
Age: 73.0
Sex: F
Vaccine: FLU3
Symptoms: Abasia, Dizziness, Malaise
Clinical narrative: Dizzy, unable to walk, felt dogged.
Age: 67.0
Sex: M
Vaccine: FLU3
Symptoms: Pain in extremity
Clinical narrative: After flu shot was received patient had a sore arm, soreness from fingers to shoulders.  Ibuprofen has relieved pain for short periods of time, pain has persisted to present day.
Age: 56.0
Sex: M
Vaccine: FLU3
Symptoms: Influenza like illness, Pain, Pulmonary congestion, Pyrexia, Tremor
Clinical narrative: Patient describes got reaction like flu symptoms for almost 1 week, chest congestion, fever, body aches, shaking.
Age: 1.01
Sex: F
Vaccine: VARCEL
Symptoms: Rash erythematous
Clinical narrative: Red dots on face and abdomen on 1-23-07.
Age: 1.02
Sex: F
Vaccine: HEP, MMR, VARCEL
Symptoms: Blister, Erythema, Herpes zoster, Purpura
Clinical narrative: Red areas, purpura and blisters on face, back, abd and chest. Done + shingles.
Age: 0.15
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Erythema, Rash, Skin discolouration, Urticaria
Clinical narrative: Shots given 10/31/06.  On 11/6 patient developed few red spots. 11/7 body covered with hives big hives some with deep purple center. Patient was given Zyrtec and hives (urticaria) resolved in 3-4 days.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Swollen and erythematous left thigh at site of immunization-involved entire thigh.
Age: 5.0
Sex: F
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Swollen and erythematous Left thigh at site of immunization. Involved entire thigh.
Age: 1.51
Sex: F
Vaccine: DTAP, VARCEL
Symptoms: Injection site erythema, Injection site pain
Clinical narrative: Redness and pain at injection site with 5x5cm indurated area that is painful. Started Benadryl over the counter 12/11/06.
Age: 45.0
Sex: F
Vaccine: TDAP
Symptoms: Dysgeusia, Dysphagia, Tongue oedema
Clinical narrative: One hour after administration vaccine employee was on her way home started feeling tongue swelling and hardening with metallic taste. Also had difficulty swallowing. One hour after symptoms employee took 12.5mg of liquid Benadryl.
Age: 31.0
Sex: M
Vaccine: YF
Symptoms: Asthenia, Erythema, Headache, Localised oedema, Mass
Clinical narrative: Headache, weakness, local redness/edema/mass/pain and rhinorrhea.
Age: 31.0
Sex: M
Vaccine: YF
Symptoms: Pain, Rhinorrhoea
Clinical narrative: Headache, weakness, local redness/edema/mass/pain and rhinorrhea.
Age: 0.6
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Vomiting
Clinical narrative: Parents state that child has severe vomiting for one week after both sets of previous immunizations.  Immunizations were given on 01/18/2007 and a phone call was placed to parents to monitor for vomiting again---no vomiting this time after vaccines received.
Age: 46.0
Sex: M
Vaccine: FLUN3
Symptoms: Chest pain, Extrasystoles, Tachycardia
Clinical narrative: BIGEMINY, TACHYCARDIA, PULSE 90-110 RESTING, SLIGHT CHEST PAIN.  1/25/07 Received medical records from hospital which reveal patient seen in ER 10/15/06 for chest pain which felt like constant burning.  Also had nasal congestion.  Tx w/antacid & d/c to f/u by PCP next day. FINAL DX: GERD & chest pain, non cardiac.
Age: 2.0
Sex: F
Vaccine: FLU3
Symptoms: Asthenia, Coordination abnormal, Culture urine negative, Electromyogram, Electroneurography
Clinical narrative: Received influenza immunizations on 11/10/06 (Lot #U2255 AA given by LPN) and 12/21/06 (administered by RN).  She had very mild cold symptoms (slight rhinorrhea) early in January 2007.  On 1/13 she developed ataxia, fatigue and leg pain.  She had then progressive weakness and pain (legs/arms/back) and then frank refusal to bear weight.  She was hospitalized on 1/16/07. She had an LP and nerve conduction velocities done on 1/17.  LP with elevated protein and no pleocytosis and EMG revealed prologed nerve conduction velocities.  She was diagnosed with Guillain-Barre Syndrome and received 5 days of IVIG.  She was discharged on 1/24/07 still with weakness and refusal to bear weight, but her truncal ataxia was improved as was her pain.  She was discharged home on Neurontin and with physical therapy. 2/2/07 Received medical records from hospital which reveal patient experienced inability to walk, leg pain, hip pain, back pain, arm pain, malaise & constipation.  Patient had significant left hip pain w/touch or movement. Parents reported a couple of weeks prior to onset of s/s patient had mild URI in addition to having flu shot 1 mo prior.  Admitted 1/16-1/24/07 for probable toxic synovitis; constipation; & low grad emp.  Ortho consult done to r/u septic hip which was ruled out.  Neuro exam revealed areflexia by 1/17.  Tx w/5 course IVIG w/significant motor improvement.  D/C to home w/PT & to f/u w/PCP & neuro. FINAL DX: Guillain Barre Syndrome. No CSF labs or report of NCS included.  T/C to medical records.  Unable to locate.  Request refaxed. Per information received from annual follow up, she has recovered complete motor control. Still does not have reflexes in lower extremities bilaterally. She is still recovering. She is in physical therapy and has residual weakness in her legs.
Age: 2.0
Sex: F
Vaccine: FLU3
Symptoms: Fatigue, Guillain-Barre syndrome, Lumbar puncture, Nasopharyngitis, Pain
Clinical narrative: Received influenza immunizations on 11/10/06 (Lot #U2255 AA given by LPN) and 12/21/06 (administered by RN).  She had very mild cold symptoms (slight rhinorrhea) early in January 2007.  On 1/13 she developed ataxia, fatigue and leg pain.  She had then progressive weakness and pain (legs/arms/back) and then frank refusal to bear weight.  She was hospitalized on 1/16/07. She had an LP and nerve conduction velocities done on 1/17.  LP with elevated protein and no pleocytosis and EMG revealed prologed nerve conduction velocities.  She was diagnosed with Guillain-Barre Syndrome and received 5 days of IVIG.  She was discharged on 1/24/07 still with weakness and refusal to bear weight, but her truncal ataxia was improved as was her pain.  She was discharged home on Neurontin and with physical therapy. 2/2/07 Received medical records from hospital which reveal patient experienced inability to walk, leg pain, hip pain, back pain, arm pain, malaise & constipation.  Patient had significant left hip pain w/touch or movement. Parents reported a couple of weeks prior to onset of s/s patient had mild URI in addition to having flu shot 1 mo prior.  Admitted 1/16-1/24/07 for probable toxic synovitis; constipation; & low grad emp.  Ortho consult done to r/u septic hip which was ruled out.  Neuro exam revealed areflexia by 1/17.  Tx w/5 course IVIG w/significant motor improvement.  D/C to home w/PT & to f/u w/PCP & neuro. FINAL DX: Guillain Barre Syndrome. No CSF labs or report of NCS included.  T/C to medical records.  Unable to locate.  Request refaxed. Per information received from annual follow up, she has recovered complete motor control. Still does not have reflexes in lower extremities bilaterally. She is still recovering. She is in physical therapy and has residual weakness in her legs.
Age: 2.0
Sex: F
Vaccine: FLU3
Symptoms: Pain in extremity, Rhinorrhoea, Weight bearing difficulty, White blood cell count
Clinical narrative: Received influenza immunizations on 11/10/06 (Lot #U2255 AA given by LPN) and 12/21/06 (administered by RN).  She had very mild cold symptoms (slight rhinorrhea) early in January 2007.  On 1/13 she developed ataxia, fatigue and leg pain.  She had then progressive weakness and pain (legs/arms/back) and then frank refusal to bear weight.  She was hospitalized on 1/16/07. She had an LP and nerve conduction velocities done on 1/17.  LP with elevated protein and no pleocytosis and EMG revealed prologed nerve conduction velocities.  She was diagnosed with Guillain-Barre Syndrome and received 5 days of IVIG.  She was discharged on 1/24/07 still with weakness and refusal to bear weight, but her truncal ataxia was improved as was her pain.  She was discharged home on Neurontin and with physical therapy. 2/2/07 Received medical records from hospital which reveal patient experienced inability to walk, leg pain, hip pain, back pain, arm pain, malaise & constipation.  Patient had significant left hip pain w/touch or movement. Parents reported a couple of weeks prior to onset of s/s patient had mild URI in addition to having flu shot 1 mo prior.  Admitted 1/16-1/24/07 for probable toxic synovitis; constipation; & low grad emp.  Ortho consult done to r/u septic hip which was ruled out.  Neuro exam revealed areflexia by 1/17.  Tx w/5 course IVIG w/significant motor improvement.  D/C to home w/PT & to f/u w/PCP & neuro. FINAL DX: Guillain Barre Syndrome. No CSF labs or report of NCS included.  T/C to medical records.  Unable to locate.  Request refaxed. Per information received from annual follow up, she has recovered complete motor control. Still does not have reflexes in lower extremities bilaterally. She is still recovering. She is in physical therapy and has residual weakness in her legs.
Age: 8.0
Sex: F
Vaccine: FLU3, HEPA, VARCEL
Symptoms: Lip swelling, Respiratory distress, Urticaria
Clinical narrative: hives, respiratory distress, lip swelling
Age: 0.8
Sex: M
Vaccine: FLUX
Symptoms: Agitation, Eczema, Pruritus, Rhinorrhoea, Vomiting
Clinical narrative: After  booster flu shot was given,  a day later child had runny nose, and began itching. No previous cold.  Child has history of exzema.  Exzema was extrely mild at this time. Only region was ankles and under ears. Child became fussy, and exzema  was from head to toe.  Gross amounts on back and head. Also tiny red (pin size) dots were under chin, side of face, arms and small amounts were and still are on anus and on underside of penis and scrotum.  Dots will fade and come back and ezema is still extreme  ( breakage of skin from scratching) This has been going on for 1 and 1/2 weeks.  Administerd the generic form of Atarax, for itching. Lubricate child with over the counter Eurcin cream and a RX cream of Protopic.   1-24 gave child plain scramble egg.  After eating a few bites, child immediately threw up.  Allergies unknown at this time.  2/2/07 Received medical records from provider which real patient experienced thrush & diaper rash & was seen in ER on 1/6/07 for same.  Seen multiple times by PCP for rashes, facial puffiness & blotchiness.  Multiple trips to ER for same.  Multiple Rx w/steroids & Benadryl.  Skin infection 9/25/06.  OM & sinusitis/wheezing & possible pneumonia 12/06.   Continued antibiotics & was dx w/RAD.  Parent provided egg to patient on 1/24 & appears to have worsened eczema.  Continued on oral steroids & provided epi pen.  Counseled on diet restrictions. FINAL DX: allergic reaction to flu vax; allergic reaction most likely to eggs.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMRV, DTAP, IPV, MMRV, DTAP, IPV, MMRV
Symptoms: Depressed level of consciousness, Eye swelling, Lethargy, Ocular hyperaemia
Clinical narrative: Patient received vaccines- DTAP, IPV and MMRV as part of his 4 year annual physical exam.  Discharged.  Returned about 1 hour later (walk in) with mother stating that his eyes were red and puffy.  He was seen immediately by a nurse practitioner.  There was minimal redness and swelling of eyes, otherwise negative exam.  Given 12.5 mg PO Benadryl.  Observed.  After 10 minutes he became lethargic and less responsive.  MD exam, epinephrine administred.  Taken to ED.  Observed for 4 hours without further intervention and then discharged.  No symptoms at discharge.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMRV, DTAP, IPV, MMRV, DTAP, IPV, MMRV
Symptoms: Eye swelling, Lethargy, Ocular hyperaemia, Unresponsive to stimuli
Clinical narrative: Patient received vaccines- DTAP, IPV and MMRV as part of his 4 year annual physical exam.  Discharged.  Returned about 1 hour later (walk in) with mother stating that his eyes were red and puffy.  He was seen immediately by a nurse practitioner.  There was minimal redness and swelling of eyes, otherwise negative exam.  Given 12.5 mg PO Benadryl.  Observed.  After 10 minutes he became lethargic and less responsive.  MD exam, epinephrine administred.  Taken to ED.  Observed for 4 hours without further intervention and then discharged.  No symptoms at discharge.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMRV, DTAP, IPV, MMRV, DTAP, IPV, MMRV
Symptoms: Autism, Developmental delay, Eye swelling, Lethargy, No reaction on previous exposure to drug
Clinical narrative: Patient received vaccines- DTAP, IPV and MMRV as part of his 4 year annual physical exam.  Discharged.  Returned about 1 hour later (walk in) with mother stating that his eyes were red and puffy.  He was seen immediately by a nurse practitioner.  There was minimal redness and swelling of eyes, otherwise negative exam.  Given 12.5 mg PO Benadryl.  Observed.  After 10 minutes he became lethargic and less responsive.  MD exam, epinephrine administred.  Taken to ED.  Observed for 4 hours without further intervention and then discharged.  No symptoms at discharge.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMRV, DTAP, IPV, MMRV, DTAP, IPV, MMRV
Symptoms: Ocular hyperaemia, Unresponsive to stimuli
Clinical narrative: Patient received vaccines- DTAP, IPV and MMRV as part of his 4 year annual physical exam.  Discharged.  Returned about 1 hour later (walk in) with mother stating that his eyes were red and puffy.  He was seen immediately by a nurse practitioner.  There was minimal redness and swelling of eyes, otherwise negative exam.  Given 12.5 mg PO Benadryl.  Observed.  After 10 minutes he became lethargic and less responsive.  MD exam, epinephrine administred.  Taken to ED.  Observed for 4 hours without further intervention and then discharged.  No symptoms at discharge.
Age: 42.0
Sex: F
Vaccine: HEP
Symptoms: Blindness, Blood test, Cataract, Cataract operation, Disability
Clinical narrative: I received the hrpatitis series after being hired in a nursing home. I have also had the booster shots. In 2003 or 2004 I was diagnosed with cataracts. My vision had been getting very poor for a while prior to this date. In June of 2006 I was diagnosed with uveitis.  02/13/2007 Records received from opthomologist for 3 office visits for c/o declining vision. PE reveals vitreous debris bilaterally as well as inflammation.  The right pupil is irregularly shaped.  Synechiae of the right eye noted on 3rd exam.  Inflammation responded well to meds. Impression: Uveitis, cataracts, synechiae OS 2' to Uveitis, Cystoid macular Edema.  Follow-up: The last time you heard from me was this past winter. I had submitted a form about the hepatitis B series and a possible autoimmune reaction to the vaccine. My latest update is that I have had a cataract surgery which didn't much help. I am now on social security disability because I am considered legally blind. I know it is too late for me to be compensated for what I truly believe was a vaccine accident but I hope that the general public is better informed of the possibility than I was.
Age: 42.0
Sex: F
Vaccine: HEP
Symptoms: Retinal degeneration, Uveitis, Visual acuity reduced
Clinical narrative: I received the hrpatitis series after being hired in a nursing home. I have also had the booster shots. In 2003 or 2004 I was diagnosed with cataracts. My vision had been getting very poor for a while prior to this date. In June of 2006 I was diagnosed with uveitis.  02/13/2007 Records received from opthomologist for 3 office visits for c/o declining vision. PE reveals vitreous debris bilaterally as well as inflammation.  The right pupil is irregularly shaped.  Synechiae of the right eye noted on 3rd exam.  Inflammation responded well to meds. Impression: Uveitis, cataracts, synechiae OS 2' to Uveitis, Cystoid macular Edema.  Follow-up: The last time you heard from me was this past winter. I had submitted a form about the hepatitis B series and a possible autoimmune reaction to the vaccine. My latest update is that I have had a cataract surgery which didn't much help. I am now on social security disability because I am considered legally blind. I know it is too late for me to be compensated for what I truly believe was a vaccine accident but I hope that the general public is better informed of the possibility than I was.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMRV, DTAP, IPV, MMRV, DTAP, IPV, MMRV
Symptoms: Dyspnoea, Swelling face
Clinical narrative: Patient received DTAP< IPV and MMRV as part of his 4 year physical exam.  He remainedin the department for 30-45 minutes then left for home.  hortly after leaving he complained of difficulty breathing and Mom noted facial swelling.  he symptoms increased.  She came back to the hospital, to the clinic.  A nurse examined him upon arrival.  He was given Epinephrine and taken immediately to ED.  He was treated in the ED and observed until 9am this morning.  He was free of symptoms upon discharge.  Sent home on rapred, Benadryl and with EPI PEN.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMRV, DTAP, IPV, MMRV, DTAP, IPV, MMRV
Symptoms: Cough, Dyspnoea, Pharyngolaryngeal pain, Swelling face
Clinical narrative: Patient received DTAP< IPV and MMRV as part of his 4 year physical exam.  He remainedin the department for 30-45 minutes then left for home.  hortly after leaving he complained of difficulty breathing and Mom noted facial swelling.  he symptoms increased.  She came back to the hospital, to the clinic.  A nurse examined him upon arrival.  He was given Epinephrine and taken immediately to ED.  He was treated in the ED and observed until 9am this morning.  He was free of symptoms upon discharge.  Sent home on rapred, Benadryl and with EPI PEN.
Age: 49.0
Sex: M
Vaccine: HEPAB
Symptoms: Diarrhoea, Nausea
Clinical narrative: Pt. describes feeling nauseated and having diarrhea the evening of 01/20/2007.  He "almost passed out",so decided to call 911 to go to the emer. dept.  Was seen at ER; V/S within normal limits, except "BP was low". Was given IVF, and a rx for "something for the diarrhea", which pt. didn't have filled.  Had some residual nausea and a little diarrhea the next day, but did go to work on Monday.  Is planning to go to see his PCP next Wed. Requested pt. call back to give an update.
Age: 16.0
Sex: F
Vaccine: MNQ
Symptoms: Arthralgia, Bacterial test negative, Fatigue, Haematocrit, Headache
Clinical narrative: 5 hours after Menactra, patient had acute onset of severe headache that has been constant and continuous (for past 5 months). Also, history of arm/leg weakness and joint/muscle pain b/l in upper and lower ext. Has only been to school 2-3 days per week because of headache and fatigue. Has been evaluated by HA specialist, neurally-mediated hypotension specialist and by me pediatric infectious disease fellow. Currently on gabapentin 600mg TID, midodrine 5 mg TID, and Migreliff (OTC).01/25/07- telephone call from PCP, indicating that she has a family history of migraine headaches. Brother sustained concussion which subsequently triggered migraine headaches. Brother is seeing same specialists as patient. PCP does not believe that the Menactra is a result of the migraine but perhaps triggered the migraine.  01/25/07-records received from PCP Healthy child. Diagnosed at age 9 with asthma with some exercise induced component. The asthmas has been worse since 4/06, any exposure to second hand smoke prompts bronchoconstriction, improves with nebulizer. Constant  headache began on 8/31/06. Began 6 week course of Singular on 8/7/06 for asthma.  Seen in ER on 9/15/06 and received a regimen of medications, alleviated headache for about half a day. Tried on Imitrex, amitriptyline without much effect. Nausea treated with Zofran and metoclopramide, little effect. Had nausea, sore throat, headache and myalgias at the onset. Lyme disease blood test negative, EBV negative. Also treated with Amerge and prednisone, Migranal nasal spray with transient relief with first use but effect disappeared. Activity aggravates the headaches. Headaches increase with showering. MRI brain normal CT of head normal.  Assessment: daily persistent headaches shares her brother's tendency to orthostatic intolerance and is getting an aggravation of her headache whenever she is standing upright for any length of time. Her connective tissue laxity, most evident in her joint hypermobility is also causing some vascular distensibility, thereby contributing to the pathophysiology of her orthostatic intolerance. The hypermobility has probably contributed to her mechanical movement restriction as well.  Plan manual physical therapy. Physical therapy noted degree of dysfunction in terms of myofascial pain and mechanical and postural patterns through the spine. Positive Adson test consistent with a thoracic outlet syndrome. Muscle testing in the arms produce the frontal and temporal headache and increased tension in the head was present when the Adson test was performed.
Age: 16.0
Sex: F
Vaccine: MNQ
Symptoms: Muscular weakness, Myalgia, Nuclear magnetic resonance imaging
Clinical narrative: 5 hours after Menactra, patient had acute onset of severe headache that has been constant and continuous (for past 5 months). Also, history of arm/leg weakness and joint/muscle pain b/l in upper and lower ext. Has only been to school 2-3 days per week because of headache and fatigue. Has been evaluated by HA specialist, neurally-mediated hypotension specialist and by me pediatric infectious disease fellow. Currently on gabapentin 600mg TID, midodrine 5 mg TID, and Migreliff (OTC).01/25/07- telephone call from PCP, indicating that she has a family history of migraine headaches. Brother sustained concussion which subsequently triggered migraine headaches. Brother is seeing same specialists as patient. PCP does not believe that the Menactra is a result of the migraine but perhaps triggered the migraine.  01/25/07-records received from PCP Healthy child. Diagnosed at age 9 with asthma with some exercise induced component. The asthmas has been worse since 4/06, any exposure to second hand smoke prompts bronchoconstriction, improves with nebulizer. Constant  headache began on 8/31/06. Began 6 week course of Singular on 8/7/06 for asthma.  Seen in ER on 9/15/06 and received a regimen of medications, alleviated headache for about half a day. Tried on Imitrex, amitriptyline without much effect. Nausea treated with Zofran and metoclopramide, little effect. Had nausea, sore throat, headache and myalgias at the onset. Lyme disease blood test negative, EBV negative. Also treated with Amerge and prednisone, Migranal nasal spray with transient relief with first use but effect disappeared. Activity aggravates the headaches. Headaches increase with showering. MRI brain normal CT of head normal.  Assessment: daily persistent headaches shares her brother's tendency to orthostatic intolerance and is getting an aggravation of her headache whenever she is standing upright for any length of time. Her connective tissue laxity, most evident in her joint hypermobility is also causing some vascular distensibility, thereby contributing to the pathophysiology of her orthostatic intolerance. The hypermobility has probably contributed to her mechanical movement restriction as well.  Plan manual physical therapy. Physical therapy noted degree of dysfunction in terms of myofascial pain and mechanical and postural patterns through the spine. Positive Adson test consistent with a thoracic outlet syndrome. Muscle testing in the arms produce the frontal and temporal headache and increased tension in the head was present when the Adson test was performed.
Age: 20.0
Sex: M
Vaccine: SMALL
Symptoms: Vaccinia
Clinical narrative: Generalized vaccinia affecting primarily thorax and abdomen, front and back
Age: 22.0
Sex: M
Vaccine: FLU3
Symptoms: Dizziness, Food allergy, Hot flush, Hypoaesthesia, Nausea
Clinical narrative: The subject is a nursing student who received the flu shot during a simulated disaster drill type process.  He received the flu shot on 10/26/2006 at 1215.  At 1230 he returned to the clinic area stating that he was lightheaded and nauseated.  He also stated that his righ arm had a tight feeling and was numb and tingling.  At 1240 his face became very flushed and hot to the touch.  He did not have and respiratory distress.  The occupational health physician said to send him to the ED or give him an epi-pen.  He refused the ED so an epi-pen was provided and administered at 1300.  After about 15 to 20 min his face became less red and hot to the touch.  His lightheadedness and dizziness got better as well as the arm numbness and tingling.  His father picked him up and took hime to his regular doctor for follow-up since he had refused going to the ED.  He returned to school on 10/30/2006 with a full doctor's release with no restrictions.
Age: 22.0
Sex: M
Vaccine: FLU3
Symptoms: Paraesthesia
Clinical narrative: The subject is a nursing student who received the flu shot during a simulated disaster drill type process.  He received the flu shot on 10/26/2006 at 1215.  At 1230 he returned to the clinic area stating that he was lightheaded and nauseated.  He also stated that his righ arm had a tight feeling and was numb and tingling.  At 1240 his face became very flushed and hot to the touch.  He did not have and respiratory distress.  The occupational health physician said to send him to the ED or give him an epi-pen.  He refused the ED so an epi-pen was provided and administered at 1300.  After about 15 to 20 min his face became less red and hot to the touch.  His lightheadedness and dizziness got better as well as the arm numbness and tingling.  His father picked him up and took hime to his regular doctor for follow-up since he had refused going to the ED.  He returned to school on 10/30/2006 with a full doctor's release with no restrictions.
Age: 1.0
Sex: M
Vaccine: MMRV, PNC
Symptoms: Cough, Full blood count, Haematocrit, Influenza serology negative, Pharyngeal erythema
Clinical narrative: Patient developed a fever of 105 (rectally) the evening of administration.  He also developed mild congestion, and had a mild cough.  He was seen in the office the following day, and had only a subjective low-grade fever that day, and had a mild red throat on exam.  The rest of his exam was normal.  A rapid flu and a rapid strep test were both negative in the office.  A CBC showed a white count of 9.2, H/H of 11/33, and platelets of 249.  There were no known ill contacts at the time.
Age: 1.0
Sex: M
Vaccine: MMRV, PNC
Symptoms: Platelet count, Pyrexia, Respiratory tract congestion, Streptococcal serology negative, White blood cell count
Clinical narrative: Patient developed a fever of 105 (rectally) the evening of administration.  He also developed mild congestion, and had a mild cough.  He was seen in the office the following day, and had only a subjective low-grade fever that day, and had a mild red throat on exam.  The rest of his exam was normal.  A rapid flu and a rapid strep test were both negative in the office.  A CBC showed a white count of 9.2, H/H of 11/33, and platelets of 249.  There were no known ill contacts at the time.
Age: 1.1
Sex: F
Vaccine: MMR
Symptoms: Culture, Skin lesion, Varicella
Clinical narrative: Breakthrough varicella with >200-300 lesions, no fever.  Vaccinated as a single dose on 10/28/1997.  Presently ongoing.  Culture results pending, but dermatologist fairly certain it is smallpox breakthrough.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Induration
Clinical narrative: L arm/deltoid erythema and induration
Age: 56.0
Sex: F
Vaccine: FLU3
Symptoms: Hypokinesia, Impingement syndrome, Nuclear magnetic resonance imaging, Pain in extremity
Clinical narrative: Prolonged arm pain > 4 weeks after injection. Patient did not "move arm for 2-3 weeks". Subsequently developed signs of impingement syndrome with arm. We treated times one - Aleve.
Age: 18.0
Sex: F
Vaccine: HPV4
Symptoms: Loss of consciousness, Road traffic accident
Clinical narrative: About 1-2 hrs after vaccination, while driving, lost consciousness, crashing into a car and mailboxes before regaining consciousness. 01/31/07-records received and reviewed.  Neuro consult 1/17/07.  Assessment:episodes of loss of consciousness. Differential diagnoses could include Juvenile Myoclonic Epilepsy, complicated migraine or cardiac arrhythmia. Holter monitor to evaluate for dysrhythmia.  Psychotherapy with respect to her depression and medical management.  PMH:This past summer had an episode where she suddenly got dizzy with the onset of sharp headache and then lost consciousness. She go back up and then blacked out again. No tongue biting or urinary incontinence. Disorientation lasted few minutes. Felt tired and achy but no further dizziness. In October 2006, episode of dizziness without loss of consciousness. Lips turned blue and whole body numb and tingling, greater on right side than left side. Head injury in October with concussion, confusion and dazed afterwards. EEG in October 2002 normal, MRI in March 2003 normal. On 1/15/07 while driving she was unaware that she had hit two mailboxes and a car. Half hour before accident she received HPV and noted swelling and throbbing at injection site. Experienced headache with this. Reports some occasional body jerks, especially noted at night when she is tired.  PMH: depression, migraines which started in middle school, eczema, asthma and chicken pox.
Age: 1.43
Sex: F
Vaccine: DTAP, FLU3, HIBV
Symptoms: Oedema peripheral, Vomiting
Clinical narrative: 1/12/07 Left leg swelling on Saturday 1/18/07 started vomiting ER visit on 1/14 meds given for vomiting. Left leg swelling vomiting reducing.
Age: 1.07
Sex: M
Vaccine: FLU3, HIBV, PNC, VARZOS, FLU3, HIBV, PNC, VARZOS
Symptoms: Constipation, Vomiting, Wrong drug administered
Clinical narrative: per pts parents, he vomited once on the day after vaccines were give. Currently he has some constipation, but feeding well. This is in follow-up to report(s) previously submitted on 2/13/2007. Information has been received from a physician concerning a 12 month old male with no know medical history or allergies who on  19-JAN-2007 at 08:30 was vaccinated SC in the right thigh witha a first dose of  ZOSTAVAX (lot# 654603/1405F) instead of PROQUAD.  Other concomitantvaccination given was the same  day included a fourth dose of PREVNAR(B08675D) given IM in the right thigh and a first dose of FLUZONE (lot# UT220PA) given IM in the left thigh. Illness at the time of vaccination inclkuded diaper rash and right lacrimal duct obstruction. Subsequently the patient developed constipation and threw-up once. Otherwise he was doing "okay"., she reported that he is an active mkid and no other changes were noted. The physician reported that the error was "human error" and not product confusion. The ZOSTAVAX  was stored in the same box as PROQUAD . The vial was picked up and administered to the patient without looking. The practice has since seperated the vaccines. Additional information from the physician indicated that the patient had no adverse events. No  further information is expected.