chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 18.0
Sex: F
Vaccine: HPV4, MNQ
Symptoms: Thyroid function test
Clinical narrative: extreme fatigue, mono, chronic strep throat, Hashimoto's, extreme face and body swelling, aching muscles. Got first vaccine 7/10/09 Lot 0072X in conjunction with Menactra vaccine. Second vaccine 12/22/08 Lot 1311X. Went to college on cross country scholarship. Started off season great. She said she started noticing that she was having trouble running mid October and that her legs felt heavy. Starting getting facial swelling second week of January. Went to doctor and they said it was allergic reaction. Got sick in February - dx with strep. Didn't get better. Went to ER end of March with extreme facial swelling. Told her it was allergy and gave her prednisone. Re-dx with strep again in early April and then mono April 9th. Got really sick and could not get better. Extreme facial and body swelling. Dx with Hashimoto's June 29th. and started thyroid treatment. Was not able to return to college in August and is still home. Started getting muscle soreness in July. Made Gardasil connection 2 weeks ago and is going to begin treatment by doctor who has helped several other gardasil patients.  10/13/09 Medical records received, Dates of Service 4/19/09-8/10/09.  Dx:  Other Specified Acquired Hypothyroidism, Abnormal Weight Gain, Oligomenorrhea, Fatigue, Thyromegaly. Presenting Sx:  Pt. experienced an approximately 40 lb. weight gain over a 1 to 2 month period,  additionally she c/o fatigue, trouble sleeping and staying asleep, facial swelling, swelling around eyes, acne, one terminal hair periumbilical, headaches and a heavy period.  Pt. saw a nutritionist and was put on a diet plan.  She experienced menarche at age 13 and had irregular periods for several years (approximately 6 periods/yr.).  Ortho Tri-Cyclene-Low was initiated which she took for several years, but stopped early this year after missing several pills.  She re-started the pill a few months ago.  Concomitantly, she takes Synthroid, Cosyntropin and furosemide.  She was diagnosed with mononucleosis in April, and tested positive for Epstein-Barr Virus in May.  Her thyroid function testing has been essentially normal, with the exception of T-3 which has been testing slightly low.
Age: 18.0
Sex: F
Vaccine: TDAP
Symptoms: Rash pruritic
Clinical narrative: Pruritic rash on left ear and behind both knees began about 6 hours after getting Tdap for a dirty knife wound.  Treated todya with Zyrtec.
Age: 90.0
Sex: F
Vaccine: FLU3
Symptoms: Chest pain, Dizziness, Nausea
Clinical narrative: We gave her the flu vaccine at 9:10am then about 10 minutes later she was having nausea and dizziness. She said she hadn't eaten anything before showing up for her shot. We got her a Sprite and sat next to her for the next 20 minutes. She started experiencing chest pain then EMS was called and took her away about 9:30.
Age: 1.08
Sex: M
Vaccine: HEPA, MMR, PNC, VARCEL
Symptoms: Varicella post vaccine
Clinical narrative: 09-01-09 BREAKTHRU POX AFTER IMMUNIZATION
Age: 1.25
Sex: M
Vaccine: HEPA, MMR, PNC
Symptoms: Varicella post vaccine
Clinical narrative: 7-13-09 BREAKTHRU POX AFTER VACCINE
Age: 1.0
Sex: F
Vaccine: MMR, PNC
Symptoms: Varicella post vaccine
Clinical narrative: 7-15-09 BREAKTHRU POX AFTER VACCCINE
Age: 60.0
Sex: F
Vaccine: FLU3, VARZOS
Symptoms: Rash, Rash erythematous, Rash pustular
Clinical narrative: red, pustular skin rash treated with Cephalaxin 500mg BID x 7d and Valtrex 1GM BID x 5d
Age: 41.0
Sex: U
Vaccine: FLU3
Symptoms: Muscular weakness, Myalgia, Rhinorrhoea
Clinical narrative: left arm muscle ache, muscle pain, runny nose, left arm weakness
Age: 10.0
Sex: M
Vaccine: TDAP
Symptoms: Joint range of motion decreased, Joint stiffness, Musculoskeletal pain
Clinical narrative: Had Tdap in right arm 9/17/09.  Approx. 1-1/2 hours later in car on ride home, noted stiffness and pain in LEFT shoulder beginning. Woke up next AM in tears c/o LEFT shoulder hurting. No shot was given in left arm. No fever, warmth, redness, etc. in left shoulder area; just a lot of pain and limited ROM.  Had soccer practice night before injection given, but no specific injury known/received although was "horsing around with friends".
Age: 35.0
Sex: F
Vaccine: FLUX
Symptoms: Abdominal discomfort, Dizziness, Erythema, Skin burning sensation
Clinical narrative: The flu shot was administered via injection into left upper arm. Immediately my face began to burn my ears turned bright red, I got dizzy and sick to my stomach. They advised me to sit down for a while (5 minutes) and then sent me home. I continued to have these symptoms for several days. However The ER refused to see me. Now it is on my allergy list......
Age: 53.0
Sex: F
Vaccine: FLUX
Symptoms: Pruritus, Urticaria
Clinical narrative: Within 24 hours of the vaccination, I noticed hives on the inside of both of my thighs. I had the vaccine on 9/18 and today is 9/21 and the hives are still the same. The hives are not that itchy so I am just leaving them alone and hope they will go away soon.
Age: 17.0
Sex: M
Vaccine: HEP, HEPA, MMR, MNQ, TDAP, VARCEL
Symptoms: Paraesthesia, Syncope
Clinical narrative: CHILD FAINTED AND ASSISTED TO RESTING POSITION.  LEGS ELEVATED.  RESTED FOR 1/2 HOUR. FELT TINGLING IN FINGERS WHICH RESOLVED.  JUICE ADMINISTERED.  BP 140/80 AP 62 AND REGULAR, RESPIRATIONS EVEN AND UNLABORED.  MOTHER FED CHILD BREAD. CHILD HAD NOT EATEN ALL DAY.  ALERT, ORIENTED, STATES HE IS FEELING BETTER.  HOME WITH MOTHER AND AUNT.
Age: 14.0
Sex: F
Vaccine: HEPA, HPV4
Symptoms: Hypoventilation, Muscle twitching, Syncope
Clinical narrative: Within five minutes of vaccines being given client fainted.  She had some twitching and very shallow breathing- after a minute or two she was wide awake.
Age: 50.0
Sex: U
Vaccine: FLU3
Symptoms: Chest discomfort, Paraesthesia
Clinical narrative: tingling in back of throat, tightening of chest
Age: 55.0
Sex: U
Vaccine: FLU3
Symptoms: Chest discomfort
Clinical narrative: chest tightening
Age: 62.0
Sex: M
Vaccine: FLU3
Symptoms: Arthralgia, Feeling hot, Myalgia
Clinical narrative: patient states in just a few minutes he began to have muscle and joint pain throughout his body. Within approx 20 minutes he "felt extreme muscle pain and feverish" for approx. 3-4 hours and then symptoms began to subside.  He stated he felt better the next day.  He does have fibromyalgia and said he is never completely free from discomfort, but had never felt like this.  He did not take any medications to relieve the pain or fever because he was afraid he would "mask his symptoms".  He did take his regular medications at 9:00 pm.  Patient is from Oregon and just visiting in Montana until end of September.
Age: 55.0
Sex: F
Vaccine: FLU3
Symptoms: Allergy to vaccine, Contrast media allergy, Cough, Drug hypersensitivity, Dyspnoea
Clinical narrative: Approximately one hour after receiving vaccine started to feel short of breath, flushing of skin, throat tightness, non-productive cough, wheeze. Self administered Azmacort inhaler, Albuterol inhaler and took Benadry 25 mg by mouth. Coughing and wheezing persisted taken to ER, given Albuterol nebulizer, Ipratropium nebulizer, Prednisone 40 mg orally. Patient reported a history of multiple allergies-PCN, Demerol, IVP dye, Pentothol, Motrin, Sulfa, Cephalosporin, Metabusulfite, Tetanus vaccine. Reportedly carries epi pen for allergies but did not administer to self.
Age: 55.0
Sex: F
Vaccine: FLU3
Symptoms: Flushing, Multiple allergies, Throat tightness, Wheezing
Clinical narrative: Approximately one hour after receiving vaccine started to feel short of breath, flushing of skin, throat tightness, non-productive cough, wheeze. Self administered Azmacort inhaler, Albuterol inhaler and took Benadry 25 mg by mouth. Coughing and wheezing persisted taken to ER, given Albuterol nebulizer, Ipratropium nebulizer, Prednisone 40 mg orally. Patient reported a history of multiple allergies-PCN, Demerol, IVP dye, Pentothol, Motrin, Sulfa, Cephalosporin, Metabusulfite, Tetanus vaccine. Reportedly carries epi pen for allergies but did not administer to self.
Age: 53.0
Sex: F
Vaccine: MMR
Symptoms: Pruritus, Rash maculo-papular
Clinical narrative: macular papular rash, itching on trunk, neck, arms. looks like viral
Age: 41.0
Sex: F
Vaccine: FLU3
Symptoms: Influenza like illness, Oropharyngeal pain, Pain, Rhinorrhoea
Clinical narrative: flu-like sy's: sore  throat, achy, runny nose x 2 days
Sex: F
Vaccine: FLU3
Symptoms: Erythema, Pruritus, Rash macular, Skin discolouration
Clinical narrative: Patient recieved flu shot at approximately 6am on 9/15/09.  Approximately 2-3 hours later (per the patient) both arms became red and blotchy from elbow to wrist only.  Itch got progressively worse as day went on.  Patient washed with soap and water and covered with hydrocortisone cream.  At approximately 2pm patient visited with nurse who came in to administer flu shots for afternoon group.  Nurse verified that patient did have red, blotchy skin and some discoloration but patient reported that itchiness was gone by 2pm.  I spoke with patient on 9/16/09 and she stated that all discoloration was gone as well as itchy sensation.
Age: 24.0
Sex: M
Vaccine: FLUX
Symptoms: Borrelia burgdorferi serology, Facial palsy, Full blood count, HIV test, Hypoaesthesia oral
Clinical narrative: Numbness on patient's right half of tongue, inability to close patient's right eye, limited facial movements on patient's right side of face.  Tongue numbness began 3 days after vaccination, with rest of symptoms occurring suddenly 36 hours later.  Preliminary diagnosis of Bell's palsy.  Perscribed Prednisone and Valtrex.
Age: 66.0
Sex: F
Vaccine: FLU3
Symptoms: Urticaria
Clinical narrative: Hives on legs about 5 hours after the vaccine was given.  Lasted approximately 24 hours.  Took Benedryl for 24 hours.
Age: 28.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Injection site erythema, Injection site pain, Urticaria
Clinical narrative: Symptoms: patient complain of soreness of the right arm around the injection site: noted redness and 5 whelts ; Treatment: warm compressors to the  left arm with the redness and Benadryl.
Age: 38.0
Sex: F
Vaccine: FLUX
Symptoms: Deafness
Clinical narrative: Both me and my step-daughter (age 13) experienced hearing loss within 1 hour in one ear after the 2009 seasonal flu shot. The sensation seemed to travel from the arm to the ears. This lasted for 2-3 days. (Husband, 14 year old female and 5 year old male didn't have this reaction)
Age: 63.0
Sex: M
Vaccine: FLU3
Symptoms: Pruritus, Urticaria
Clinical narrative: HIVES,  ITCHING ON THE BACK, BACK OF ARMS, UPPER CHEST, AND SHOULDERS.  MOSTLY ON THE BACK.  BEGAN APPROX 6 HRS AFTER THE INJECTION.  HAVE APPLIED BENEDRYL (EXTRA STRENGTH) THROUGHOUT THE DAY APPROX EVERY 3-4 HOURS FOR SOME TEMPORARY RELIEF
Age: 49.0
Sex: M
Vaccine: FLU3
Symptoms: Diarrhoea, Nausea, Pain, Pyrexia, Rash generalised
Clinical narrative: Fever, generalized pain, nausea, disturbed sleep: onset 4 hours after vaccine. Diarrhea following day. Severe generalized rash: 3 days after vaccine  Treatment with epi, benedryl, and solumedrol
Age: 49.0
Sex: M
Vaccine: FLU3
Symptoms: Sleep disorder
Clinical narrative: Fever, generalized pain, nausea, disturbed sleep: onset 4 hours after vaccine. Diarrhea following day. Severe generalized rash: 3 days after vaccine  Treatment with epi, benedryl, and solumedrol
Age: 29.0
Sex: F
Vaccine: FLUX
Symptoms: Blood creatine phosphokinase, Injection site pain
Clinical narrative: significant pain at the site of injection. Started 12 h after admin. Still present 5 days later. Full ROM which has improved. Awaiting CPK isoenzymes. Administered at a different clinic. We are dealing w/ the side effect.
Age: 53.0
Sex: F
Vaccine: HEPAB
Symptoms: Chest pain, Chills, Cough, Exposure to communicable disease, Headache
Clinical narrative: On evening of dose #2 of twinrix, client experienced symptoms of headache, cough, congestion, aches, chills, pain in chest, fever of 99.5 deg F. Client was recently exposed to a child on commercial flight that had flu-like symptoms. Client encouraged to seek medical attention for possible flu diagnosis.
Age: 53.0
Sex: F
Vaccine: HEPAB
Symptoms: Influenza like illness, Pain, Pyrexia, Respiratory tract congestion
Clinical narrative: On evening of dose #2 of twinrix, client experienced symptoms of headache, cough, congestion, aches, chills, pain in chest, fever of 99.5 deg F. Client was recently exposed to a child on commercial flight that had flu-like symptoms. Client encouraged to seek medical attention for possible flu diagnosis.
Age: 70.0
Sex: F
Vaccine: FLU3, PPV, VARZOS
Symptoms: Blood test, Dyspnoea, Fatigue, Injection site pruritus, Injection site rash
Clinical narrative: The patient was given a dose of the Zostavax vaccine in the left arm.  At the same time, she received Pneumovax in the same arm, and Fluzone in the other arm.  She experienced severe rash and itching at Zostavax site for seven days, with lump in muscle.  Nine days after administration, she discovered swelling in lymph system on left side of the body from the rib area under the arm up to the neck, above the clavicle.  She experienced fatigue and shortness of breath.  On-call doctor advised a trip to Urgent Care facility on the night of ninth day.  There, X-rays were taken and patient was advised to return the following day.  Upon return another physician requested blood work.  Results of both X-rays and blood work were normal.  The next day, patient saw her family physician, who questioned a possible diagnosis of lymphoma (a possibility, according to the second physician in Urgent Care), and indicated the likely cause was the Shingles vaccine.  At this time, swelling remains, but has subsided to a small degree.
Age: 70.0
Sex: F
Vaccine: FLU3, PPV, VARZOS
Symptoms: Laboratory test normal, Lymphadenopathy, X-ray normal
Clinical narrative: The patient was given a dose of the Zostavax vaccine in the left arm.  At the same time, she received Pneumovax in the same arm, and Fluzone in the other arm.  She experienced severe rash and itching at Zostavax site for seven days, with lump in muscle.  Nine days after administration, she discovered swelling in lymph system on left side of the body from the rib area under the arm up to the neck, above the clavicle.  She experienced fatigue and shortness of breath.  On-call doctor advised a trip to Urgent Care facility on the night of ninth day.  There, X-rays were taken and patient was advised to return the following day.  Upon return another physician requested blood work.  Results of both X-rays and blood work were normal.  The next day, patient saw her family physician, who questioned a possible diagnosis of lymphoma (a possibility, according to the second physician in Urgent Care), and indicated the likely cause was the Shingles vaccine.  At this time, swelling remains, but has subsided to a small degree.
Age: 38.0
Sex: M
Vaccine: ANTH, DTOX, HEPAB, TYP
Symptoms: Injection site discomfort, Oedema peripheral
Clinical narrative: Extreme discomfort at injection site   swelling of hand and arm 32 hours after injection
Sex: U
Vaccine: DTAPIPV
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: This case was reported by a physician via sales representative and described the occurrence of injection site redness in an unknown number of subjects of unspecified ages and gender who were vaccinated with KINRIX (GlaxoSmithKline). On unspecified dates in "late July to August", the subjects received unspecified doses of KINRIX (.5 ml, unknown). At unspecified times after vaccination with KINRIX, the subjects experienced injection site redness, injection site pain, swelling injection site and hot to touch. "Around 10 subjects have received KINRIX vaccine with a reaction of redness, pain, hot to touch and swelling at injection out of 3-400 or more. Some of the subjects have received the vaccine at a County Health department". It was reported the office administers over 200 doses a month and it was possible that ibuprofen was administered to treat symptoms. The physician considered the events were clinically significant (or requiring intervention). The subject was treated with ibuprofen. At the time of reporting the outcome of the events were unspecified.
Age: 23.0
Sex: F
Vaccine: FLU3
Symptoms: Anaphylactic reaction, Pulse absent, Tachycardia, Tremor, Vomiting
Clinical narrative: This case was reported by a healthcare professional and described the occurrence of anaphylaxis in a 23-year-old female subject who was vaccinated with FLUARIX (GlaxoSmithKline). Concurrent medications included ACCUTANE. On 17 September 2009 at 15:00, the subject received a dose of FLUARIX (.5 ml, unknown, left arm). On 17 September 2009, 30 minutes after vaccination with FLUARIX, the subject experienced anaphylaxis, tachycardia, tremor, vomiting and absent pulse. "At one point she had no pulse. The subject was given epinephrine and taken to the emergency room." The healthcare professional considered the events were disabling, life threatening and clinically significant (or requiring intervention). The subject was treated with EPINEPHRINE. At the time of reporting the outcome of the events were unspecified. The healthcare professional considered the events were probably related to vaccination with FLUARIX.
Age: 11.0
Sex: M
Vaccine: HEPA, TD
Symptoms: Abasia, Abdominal pain, Abdominal pain upper, Arthralgia, Chest discomfort
Clinical narrative: Woke up at night with hot flashes, stomach abdominal pain, nausea, fever. Taken to ER 8/15 discharged with heat stroke diagnosis, given Motrin. 9/10/09 Back to ER with rash on lower legs and back pain in ankles and knees, low grade fever. Given Motrin and IV for dehydration. Diagnosed with HPS (Henoch-Schonlein Purpura). 9/12/09 Back to ER. hands and feet swollen, rash turned purple like bruising, pain on extremities unable to work. Chest pain/discomfort. Rash has moved since 9/10 under his hair, entire body eyelids swollen, this testicles got swollen and taken to ER on 9/14; was admitted overnight discharged on 9/15. Seen at Hospital. 9/18/09. Swelling continues to go up and down, migrates all over body.   8/22/09 MR received for DOS 9/14-15/09 with dx:  Henoch-Schlonlein Purpura.  Abdominal Pain resolved.  Pt initially presented to ER on 9/9/09 with erythematous marks on the legs and ankle swelling. DX:  HSP.  Pt developed increasing pain over the ankles and swelling of the legs and lower back. Later developed pain/swelling in the wrists and hands, eyelid swelling, nausea and difficulty walking 2' to knee pain. Further developed abdominal pain and lack of appetite and intake and arrived at the ER at this point.  PE (+) for purpura and swelling as above.Greatly improved after IVFs. Some difficulty voiding with residual urine of 30ccs after voiding which resolved. Recent episode of heat exhaustion.
Age: 11.0
Sex: M
Vaccine: HEPA, TD
Symptoms: Chest pain, Contusion, Dehydration, Eyelid oedema, Heat stroke
Clinical narrative: Woke up at night with hot flashes, stomach abdominal pain, nausea, fever. Taken to ER 8/15 discharged with heat stroke diagnosis, given Motrin. 9/10/09 Back to ER with rash on lower legs and back pain in ankles and knees, low grade fever. Given Motrin and IV for dehydration. Diagnosed with HPS (Henoch-Schonlein Purpura). 9/12/09 Back to ER. hands and feet swollen, rash turned purple like bruising, pain on extremities unable to work. Chest pain/discomfort. Rash has moved since 9/10 under his hair, entire body eyelids swollen, this testicles got swollen and taken to ER on 9/14; was admitted overnight discharged on 9/15. Seen at Hospital. 9/18/09. Swelling continues to go up and down, migrates all over body.   8/22/09 MR received for DOS 9/14-15/09 with dx:  Henoch-Schlonlein Purpura.  Abdominal Pain resolved.  Pt initially presented to ER on 9/9/09 with erythematous marks on the legs and ankle swelling. DX:  HSP.  Pt developed increasing pain over the ankles and swelling of the legs and lower back. Later developed pain/swelling in the wrists and hands, eyelid swelling, nausea and difficulty walking 2' to knee pain. Further developed abdominal pain and lack of appetite and intake and arrived at the ER at this point.  PE (+) for purpura and swelling as above.Greatly improved after IVFs. Some difficulty voiding with residual urine of 30ccs after voiding which resolved. Recent episode of heat exhaustion.
Age: 11.0
Sex: M
Vaccine: HEPA, TD
Symptoms: Henoch-Schonlein purpura, Hot flush, Nausea, Oedema peripheral, Pain in extremity
Clinical narrative: Woke up at night with hot flashes, stomach abdominal pain, nausea, fever. Taken to ER 8/15 discharged with heat stroke diagnosis, given Motrin. 9/10/09 Back to ER with rash on lower legs and back pain in ankles and knees, low grade fever. Given Motrin and IV for dehydration. Diagnosed with HPS (Henoch-Schonlein Purpura). 9/12/09 Back to ER. hands and feet swollen, rash turned purple like bruising, pain on extremities unable to work. Chest pain/discomfort. Rash has moved since 9/10 under his hair, entire body eyelids swollen, this testicles got swollen and taken to ER on 9/14; was admitted overnight discharged on 9/15. Seen at Hospital. 9/18/09. Swelling continues to go up and down, migrates all over body.   8/22/09 MR received for DOS 9/14-15/09 with dx:  Henoch-Schlonlein Purpura.  Abdominal Pain resolved.  Pt initially presented to ER on 9/9/09 with erythematous marks on the legs and ankle swelling. DX:  HSP.  Pt developed increasing pain over the ankles and swelling of the legs and lower back. Later developed pain/swelling in the wrists and hands, eyelid swelling, nausea and difficulty walking 2' to knee pain. Further developed abdominal pain and lack of appetite and intake and arrived at the ER at this point.  PE (+) for purpura and swelling as above.Greatly improved after IVFs. Some difficulty voiding with residual urine of 30ccs after voiding which resolved. Recent episode of heat exhaustion.
Age: 11.0
Sex: M
Vaccine: HEPA, TD
Symptoms: Pyrexia, Rash generalised, Testicular swelling
Clinical narrative: Woke up at night with hot flashes, stomach abdominal pain, nausea, fever. Taken to ER 8/15 discharged with heat stroke diagnosis, given Motrin. 9/10/09 Back to ER with rash on lower legs and back pain in ankles and knees, low grade fever. Given Motrin and IV for dehydration. Diagnosed with HPS (Henoch-Schonlein Purpura). 9/12/09 Back to ER. hands and feet swollen, rash turned purple like bruising, pain on extremities unable to work. Chest pain/discomfort. Rash has moved since 9/10 under his hair, entire body eyelids swollen, this testicles got swollen and taken to ER on 9/14; was admitted overnight discharged on 9/15. Seen at Hospital. 9/18/09. Swelling continues to go up and down, migrates all over body.   8/22/09 MR received for DOS 9/14-15/09 with dx:  Henoch-Schlonlein Purpura.  Abdominal Pain resolved.  Pt initially presented to ER on 9/9/09 with erythematous marks on the legs and ankle swelling. DX:  HSP.  Pt developed increasing pain over the ankles and swelling of the legs and lower back. Later developed pain/swelling in the wrists and hands, eyelid swelling, nausea and difficulty walking 2' to knee pain. Further developed abdominal pain and lack of appetite and intake and arrived at the ER at this point.  PE (+) for purpura and swelling as above.Greatly improved after IVFs. Some difficulty voiding with residual urine of 30ccs after voiding which resolved. Recent episode of heat exhaustion.
Age: 66.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Erythema, Injected limb mobility decreased, Pyrexia, Swelling
Clinical narrative: Red, swollen about 4-5 inches below injection site. Fever 100 degrees C for 1 day. Problems mainly arm; unable to lift. MD prescribed BACTRIM and BENADRYL. Required IV antibiotics, 4 days hospitalization. Area swollen from shoulder to elbow; now recovered.   10/22/09:  Hospital Medical Records and Discharge Summary received for dates of service 9/17/09 to 9/20/09.  Dx:  Severe allergic reaction pneumococcal vaccination, Cellulitis of the right arm complicating vaccination injection, hypertension, Assessment:  Presented with swelling, warmth, erythema and spreading lymphangitis up the arm.  She also developed swelling and erythema in the face. BP 189/92.  Rehydrated and treated with antibiotic therapy, prednisone as well as antihistamine medication.  Discharged dramatically improved.  To follow up with allergy specialist.    ICD Codes:  72981, 99939, 6823, V854, E9488, E8490, 27800, 4019, 3384, 56409.
Age: 55.0
Sex: F
Vaccine: FLU3
Symptoms: Feeling abnormal, Inflammation, Liver disorder, Pyrexia, White blood cell count decreased
Clinical narrative: 4 hours after vaccination she was not lucid and spiked a high fever.  Admitted to hospital.  White blood count 0.  Liver function affected.  Diagnosis an inflammatory reaction to flu shot.  10-27-2009  Medical records, discharge summary and ICD9 coding received for DOS 9/16-9/18. FINAL DX:  Pancytopenia, transaminitis, coronary artery disease, hypokalemia, probable severe reaction to the influenza vaccination. Patient presented in ED with fever of 102, hallucinations. Was concurrently being treated for UTI and had seen PCP same day.  Received flu vaccine. 3-4 hours later developed chills, fever hallucinations and delusions. Also reported nausea. Treated empirically for urosepsis. C/O frequency, urgency and dysuria.  Subsequently developed pancytopenia and transaminitis. Pancytopenia improving. Transaminitis resolving. Hypokalemia resolved. Discharged to home with planned follow-up. ICD Codes: 809, 780.97, 284.89, 599, 995, 276.8, 414.01, 250, 401.9, 272.4, E949.6, 790.6.
Age: 4.0
Sex: F
Vaccine: DTAPIPV, MMR, VARCEL
Symptoms: Computerised tomogram abnormal, Condition aggravated, Convulsion, Electroencephalogram normal, Intensive care
Clinical narrative: Seizure - went to ER. Received 4 doses of ATIVAN and 1 dose of DILANTIN. Admitted to PICU.  Medical records and ICD9 codes received for DOS  9/18/09.    FInal DX:Altered mental staus, focal seizure Vaccines given 9/13/09. C/O child sitting up in bed and staring. Tried to talk. Focal seizure witnessed in ED with L eye shift and L extremity movement/stiffness. (+) urinary incont. Lethargy. Previous GI virus with vomiting. Head CT/MRI abn. PICU admit.  ICD9 Codse:  780.39, 780.02, 789.02, 767.6
Age: 4.0
Sex: F
Vaccine: DTAPIPV, MMR, VARCEL
Symptoms: Nuclear magnetic resonance imaging abnormal
Clinical narrative: Seizure - went to ER. Received 4 doses of ATIVAN and 1 dose of DILANTIN. Admitted to PICU.  Medical records and ICD9 codes received for DOS  9/18/09.    FInal DX:Altered mental staus, focal seizure Vaccines given 9/13/09. C/O child sitting up in bed and staring. Tried to talk. Focal seizure witnessed in ED with L eye shift and L extremity movement/stiffness. (+) urinary incont. Lethargy. Previous GI virus with vomiting. Head CT/MRI abn. PICU admit.  ICD9 Codse:  780.39, 780.02, 789.02, 767.6
Age: 67.0
Sex: F
Vaccine: FLU3
Symptoms: Injected limb mobility decreased, Pain in extremity
Clinical narrative: 24 hours after vaccine administration patient was seen in urgent care w/Dx of arm pain, and referred to or the further evaluation. Patient complained of pain, limited range of motion to Left arm.
Age: 37.0
Sex: F
Vaccine: FLU3
Symptoms: Pain in extremity
Clinical narrative: My left arm hurts from shoulder to wrist.
Age: 51.0
Sex: F
Vaccine: FLU3
Symptoms: Abdominal discomfort, Hyperventilation, Malaise, Unresponsive to stimuli
Clinical narrative: One minute after receiving vaccine pt. claim to feel sick in stomach, started to breath heavily then became dosing off and not responsive. Gave 0.3mg epipen.
Age: 80.0
Sex: M
Vaccine: FLU3
Symptoms: Influenza like illness, Pulmonary congestion
Clinical narrative: Flu like symptoms, chest congestion
Age: 32.0
Sex: F
Vaccine: FLU3
Symptoms: Chills, Dizziness, Dyspnoea, Paraesthesia
Clinical narrative: Shortness of breath, lightheadedness, chills, later tingling of fingers, hands, arms, and tingling on legs from knees down. Patient went to ER, vital signs normal. Patient given CLARITIN tablet at 5:30pm.
Age: 6.0
Sex: F
Vaccine: FLUN3
Symptoms: Urticaria
Clinical narrative: Urticaria tx with Celadrin 4mg, antihistamine and Orapred.
Age: 71.0
Sex: F
Vaccine: FLU3
Symptoms: Pruritus, Rash papular
Clinical narrative: Patient states she had a rash 2 days after vaccination lasting 2 days. She reportedly applied a cold compress to alleviate the itching. The raised rash around stomach. She said looked like hives.
Age: 62.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site pruritus, Injection site rash
Clinical narrative: Red spot at injection site with little red (2-3 inch around) bumps around it, itching.
Age: 28.0
Sex: F
Vaccine: FLU3
Symptoms: Axillary pain, Neck pain, Pain in extremity
Clinical narrative: Pt stated a couple of hour after receiving the shot she experienced pain. Each day it has increased. Now at 10 days. She fells it under her arm - travelling up her neck. Per pt it has increased more every day. Daughter had one same day and was fine.
Age: 0.2
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC, RV5
Symptoms: Lip swelling
Clinical narrative: Swelling of bottom lip with repetitive licking (possibly due to itching).
Age: 13.0
Sex: M
Vaccine: MNQ, VARCEL
Symptoms: Dizziness, Hypotonia, Unresponsive to stimuli
Clinical narrative: Child was given a VARIVAX and MENACTRA on L arm. Medical assistant left the room and within sec mom called for help when the physician returned child was slumped over and unresponsive. He was place on bed on exam table feet raised and after about 30 sec. became responsive to verbal commands. No tonic clonic movement. After P 60 and BP 110/60. After after 15 min was sitting up P 50 BP 118/66 after a few more min able to speak no faint. C/O feeling dizzy but for the next day.
Age: 58.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site erythema, Injection site induration, Injection site oedema
Clinical narrative: Day of vaccination- No symptoms. 2nd day -edema, redness, hardening at site. 3rd day- All symptoms intensified. 4th day all symptoms intensified. 5th day all symptoms intensified steroid shot received.
Age: 21.0
Sex: M
Vaccine: FLU3
Symptoms: Dizziness, Heart rate normal, Hyperhidrosis, Pallor, Respiratory rate increased
Clinical narrative: Pt complained of dizziness, light headiness, became pale, sweaty, fainting hot 15 minutes after vaccine administered. 9/21/09 pt placed in supine position with feet elevated, cold packs applied, 6.75 FL. oz juices given P.O. Pt. recovered in approximately 10 minutes. Vital signs BP 144/82 Hr 76, resp 28, 2nd vitals 141/80, Hr 69, HXG; Resp 24.
Age: 21.0
Sex: M
Vaccine: FLU3
Symptoms: Syncope
Clinical narrative: Pt complained of dizziness, light headiness, became pale, sweaty, fainting hot 15 minutes after vaccine administered. 9/21/09 pt placed in supine position with feet elevated, cold packs applied, 6.75 FL. oz juices given P.O. Pt. recovered in approximately 10 minutes. Vital signs BP 144/82 Hr 76, resp 28, 2nd vitals 141/80, Hr 69, HXG; Resp 24.
Age: 60.0
Sex: F
Vaccine: FLU3
Symptoms: Blood pressure decreased, Dizziness
Clinical narrative: Patient experienced lightheadedness and decrease in blood pressure (76/53) after vaccination with FLUVIRIN.
Age: 3.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Swollen red hot left arm where flu shot was given (from shoulder almost to elbow). Swollen red (L) arm. Rx. cold compress - No BENADRYL.
Age: 11.0
Sex: F
Vaccine: MNQ, TDAP, VARCEL
Symptoms: Injection site cellulitis, Pain, Pruritus
Clinical narrative: (R) upper arm cellulitis - Itching and stinging the day after immunization 9/17/09.
Age: 52.0
Sex: F
Vaccine: TDAP
Symptoms: Axillary mass, Fatigue, Headache, Hyperhidrosis, Lethargy
Clinical narrative: L Axillary lump noted in arm on 9-20-09. Then developed fatigue, lethargy, HA, nausea. Seen at urgent care @ 830PM ON 9-20-09. Woke at 3AM on 9-21-9 with sweats. Seen and f/u here at 11:30 PM. Still with slight HA and fullness L axilla
Age: 52.0
Sex: F
Vaccine: TDAP
Symptoms: Nausea
Clinical narrative: L Axillary lump noted in arm on 9-20-09. Then developed fatigue, lethargy, HA, nausea. Seen at urgent care @ 830PM ON 9-20-09. Woke at 3AM on 9-21-9 with sweats. Seen and f/u here at 11:30 PM. Still with slight HA and fullness L axilla
Age: 81.0
Sex: M
Vaccine: FLU3
Symptoms: Pruritus, Rash erythematous, Rash macular
Clinical narrative: Itching+ red blotches on arms + legs on Thurs.  afternoon.  Patient was at the beach earlier in the day.  Small, red bumps on the arms + legs.  Patient took CHLORTRIMETON and it has resolved.
Age: 67.0
Sex: F
Vaccine: FLU3
Symptoms: Pruritus, Rash erythematous, Rash macular
Clinical narrative: Itching and bright red blotches on both arms + legs starting Friday morning.  Has not fully resolved yet as of Sunday afternoon.  Patient was in the sun at the beach Wednesday afternoon.  She has been taking CHLORTRIMETON and is better.
Age: 49.0
Sex: F
Vaccine: FLU3
Symptoms: Myalgia, Pain in extremity
Clinical narrative: 12:20pm 9/18/09 patient returned to pharmacy to report deltoid muscle pain after 9/4/09 has not diminished. Hurts to move right arm especially painful taking off putting on sweaters.
Age: 53.0
Sex: F
Vaccine: FLU3
Symptoms: Erythema, Pruritus, Urticaria
Clinical narrative: Patient contacted clinic the 17th stating she developed small hives and redness and itching 2 1/2 hrs after vaccine given. Stated she applied HC cream.
Age: 4.0
Sex: M
Vaccine: DTAPIPV, MMR, PNC, VARCEL
Symptoms: Injection site erythema, Injection site warmth
Clinical narrative: Erythema right upper arm. Warm non tender.
Age: 3.0
Sex: M
Vaccine: FLU3
Symptoms: Cough, Drooling, Gaze palsy, Protrusion tongue, Pyrexia
Clinical narrative: Approx. 1 hour after receiving vaccine, mom noted patient to be unresponsive in back seat of car. Patient's eyes rolled back in head, tongue was hanging out, drooling and mumbling. Symptoms were resolved by the time patient got to ER. Developed croupy cough that night and fever the next am.
Age: 3.0
Sex: M
Vaccine: FLU3
Symptoms: Unresponsive to stimuli
Clinical narrative: Approx. 1 hour after receiving vaccine, mom noted patient to be unresponsive in back seat of car. Patient's eyes rolled back in head, tongue was hanging out, drooling and mumbling. Symptoms were resolved by the time patient got to ER. Developed croupy cough that night and fever the next am.
Age: 6.0
Sex: M
Vaccine: FLU3
Symptoms: Injection site erythema
Clinical narrative: 13 x 13cm erythema left upper arm.
Age: 4.0
Sex: M
Vaccine: DTAPIPV, FLU3, MMR, VARCEL
Symptoms: Injection site erythema, Injection site pain, Injection site warmth
Clinical narrative: 9X9 cm care of erythema mild warmth and mild TTP to left upper deltoid.
Age: 9.0
Sex: M
Vaccine: FLU3
Symptoms: Rash, Urticaria
Clinical narrative: Approximate 30 hours after vaccination Pt. had rash which progressed to hives - 48 hrs after vaccination seen in ED and placed on  ATARAX nd Prednisone. Has hid.
Age: 5.0
Sex: M
Vaccine: DTAPIPVHIB, MMR
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: Child received PENTACEL and he was 5 yrs. 3 mos.
Age: 10.0
Sex: M
Vaccine: HEPA, VARCEL
Symptoms: Injection site pain, Injection site swelling, Pyrexia
Clinical narrative: Pt mom's states child has severe painful swelling on site that was given the Hep A right deltoid. Developed fever x1 day only on 9-18-09 at school, she called a nurse and was told to apply heat at 20min intervals, and gave him Tylenol and Benadryl. Swelling down child back to normal and in school today 9-21-09.
Age: 9.0
Sex: M
Vaccine: VARCEL
Symptoms: Injected limb mobility decreased, Injection site swelling, Injection site warmth, Pyrexia
Clinical narrative: Fever and Arm swelling Friday night Pt says unable to bend arm. Today pt's arm warm to touch and swollen at injection site pt's mother advised to go to MD.
Age: 87.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: 9-21-09 Mon AM. Daughter called VNA office stating her mother was having reaction @ the site of flu shot given on Fri, Sept 18. Having egg size area of redness and swelling, warm to touch and painful to touch.
Age: 65.0
Sex: F
Vaccine: FLU3, PPV, VARZOS
Symptoms: Injection site erythema, Injection site induration, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: On 9/18/09 around dinner time, patient's L arm appeared as a small red area at injection site and was tender and a bit swollen.  On 9/19/2009 patient noticed a big lump high on her left shoulder above the inj site area.  Her arm was red from elbow up to her neck, was extremely hot and looked like it had been burned.  Patient called pharmacy on that day 9/19/09 to report reaction & RPN on duty consulted patient to watch closely and if no improvement contact MD.  Patient also took her temperature on 9/19/09 and said it was normal.  On 9/20/09 the lump on the shoulder area appeared smaller, but the swelling seemed increased from the elbow to shoulder.  It felt warm and tight.  On 09/21/09 patient stated she still had some redness and puffiness, but not swollen as it had been.  she feels that it is definitely getting better and feels much better.  Pharmacist had spoke with patient around 4:00 pm on 9/21/09 when this was last reported.
Age: 65.0
Sex: F
Vaccine: FLU3, PPV, VARZOS
Symptoms: Mass
Clinical narrative: On 9/18/09 around dinner time, patient's L arm appeared as a small red area at injection site and was tender and a bit swollen.  On 9/19/2009 patient noticed a big lump high on her left shoulder above the inj site area.  Her arm was red from elbow up to her neck, was extremely hot and looked like it had been burned.  Patient called pharmacy on that day 9/19/09 to report reaction & RPN on duty consulted patient to watch closely and if no improvement contact MD.  Patient also took her temperature on 9/19/09 and said it was normal.  On 9/20/09 the lump on the shoulder area appeared smaller, but the swelling seemed increased from the elbow to shoulder.  It felt warm and tight.  On 09/21/09 patient stated she still had some redness and puffiness, but not swollen as it had been.  she feels that it is definitely getting better and feels much better.  Pharmacist had spoke with patient around 4:00 pm on 9/21/09 when this was last reported.
Age: 47.0
Sex: F
Vaccine: FLU3
Symptoms: Abdominal pain upper, Diarrhoea, Erythema, Sensation of heaviness
Clinical narrative: Next morning after flu shot awoke with reddened @ elbow, "heavy" sensation in L arm, increased intensity and extending to L shoulder shoulder posteriorly 2 days after shot. Mild stomach pain and diarrhea 2 days after.
Age: 70.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Pt. called 9-21 said her R arm was swollen from shoulder to elbow. Red and warm to touch. Asked Pt to call PCP and see what he said. Pt called MD - MD said OK - to use TYLENOL and cold compress for pain.
Age: 65.0
Sex: U
Vaccine: PPV
Symptoms: Injection site erythema
Clinical narrative: Erythema 12x13cm at injection site 4 day s/p injection.
Age: 57.0
Sex: F
Vaccine: RAB, RAB
Symptoms: Chills, Confusional state, Coordination abnormal, Depression, Erythema
Clinical narrative: This spontaneous case was received from a consumer on 09 September 2009. A 57 year-old female patient, with a history of bronchitis, closed head injury, erythromycin allergy, and "multiple medical problems", received an injection of IMOVAX Rabies (lot number B0359) and IMMUNOGLOBULIN HUMAN ANTIRABIES (manufacturer not reported) on 19 December 2008. Concomitant medications included Motrin, Aspirin, Tylenol, and "multiple prescriptions". The patient reported that she received the post-exposure series and antibiotics after experiencing a dog bite. The day of vaccination, she began experiencing sweats, dizziness, headache, nausea, and a fast heart beat. She subsequently received two additional doses of IMOVAX Rabies: 22 December 2008 (lot number B0359) and 26 December 2008 (lot number B0359-2). She also received another dose of rabies vaccine (manufacturer unknown, lot number 942320) on 02 January 2009. The patient had undergone pulmonary and cardiac testing, in addition to having a urinalysis and protein levels assessed; results were not reported. She reported that she had been evaluated by several physicians for her persistent symptoms of sweats and increased heart rate. Outcome was not reported.
Age: 57.0
Sex: F
Vaccine: RAB, RAB
Symptoms: Fatigue, Headache, Hyperhidrosis, Muscle fatigue, Retching
Clinical narrative: This spontaneous case was received from a consumer on 09 September 2009. A 57 year-old female patient, with a history of bronchitis, closed head injury, erythromycin allergy, and "multiple medical problems", received an injection of IMOVAX Rabies (lot number B0359) and IMMUNOGLOBULIN HUMAN ANTIRABIES (manufacturer not reported) on 19 December 2008. Concomitant medications included Motrin, Aspirin, Tylenol, and "multiple prescriptions". The patient reported that she received the post-exposure series and antibiotics after experiencing a dog bite. The day of vaccination, she began experiencing sweats, dizziness, headache, nausea, and a fast heart beat. She subsequently received two additional doses of IMOVAX Rabies: 22 December 2008 (lot number B0359) and 26 December 2008 (lot number B0359-2). She also received another dose of rabies vaccine (manufacturer unknown, lot number 942320) on 02 January 2009. The patient had undergone pulmonary and cardiac testing, in addition to having a urinalysis and protein levels assessed; results were not reported. She reported that she had been evaluated by several physicians for her persistent symptoms of sweats and increased heart rate. Outcome was not reported.
Age: 57.0
Sex: F
Vaccine: RAB, RAB
Symptoms: Sleep disorder
Clinical narrative: This spontaneous case was received from a consumer on 09 September 2009. A 57 year-old female patient, with a history of bronchitis, closed head injury, erythromycin allergy, and "multiple medical problems", received an injection of IMOVAX Rabies (lot number B0359) and IMMUNOGLOBULIN HUMAN ANTIRABIES (manufacturer not reported) on 19 December 2008. Concomitant medications included Motrin, Aspirin, Tylenol, and "multiple prescriptions". The patient reported that she received the post-exposure series and antibiotics after experiencing a dog bite. The day of vaccination, she began experiencing sweats, dizziness, headache, nausea, and a fast heart beat. She subsequently received two additional doses of IMOVAX Rabies: 22 December 2008 (lot number B0359) and 26 December 2008 (lot number B0359-2). She also received another dose of rabies vaccine (manufacturer unknown, lot number 942320) on 02 January 2009. The patient had undergone pulmonary and cardiac testing, in addition to having a urinalysis and protein levels assessed; results were not reported. She reported that she had been evaluated by several physicians for her persistent symptoms of sweats and increased heart rate. Outcome was not reported.
Age: 57.0
Sex: F
Vaccine: RAB, RAB
Symptoms: Dizziness, Headache, Heart rate increased, Hyperhidrosis, Nausea
Clinical narrative: This spontaneous case was received from a consumer on 09 September 2009. A 57 year-old female patient, with a history of bronchitis, closed head injury, erythromycin allergy, and "multiple medical problems", received an injection of IMOVAX Rabies (lot number B0359) and IMMUNOGLOBULIN HUMAN ANTIRABIES (manufacturer not reported) on 19 December 2008. Concomitant medications included Motrin, Aspirin, Tylenol, and "multiple prescriptions". The patient reported that she received the post-exposure series and antibiotics after experiencing a dog bite. The day of vaccination, she began experiencing sweats, dizziness, headache, nausea, and a fast heart beat. She subsequently received two additional doses of IMOVAX Rabies: 22 December 2008 (lot number B0359) and 26 December 2008 (lot number B0359-2). She also received another dose of rabies vaccine (manufacturer unknown, lot number 942320) on 02 January 2009. The patient had undergone pulmonary and cardiac testing, in addition to having a urinalysis and protein levels assessed; results were not reported. She reported that she had been evaluated by several physicians for her persistent symptoms of sweats and increased heart rate. Outcome was not reported.
Age: 57.0
Sex: F
Vaccine: RAB, RAB
Symptoms: Protein total, Pulmonary function test, Urine analysis
Clinical narrative: This spontaneous case was received from a consumer on 09 September 2009. A 57 year-old female patient, with a history of bronchitis, closed head injury, erythromycin allergy, and "multiple medical problems", received an injection of IMOVAX Rabies (lot number B0359) and IMMUNOGLOBULIN HUMAN ANTIRABIES (manufacturer not reported) on 19 December 2008. Concomitant medications included Motrin, Aspirin, Tylenol, and "multiple prescriptions". The patient reported that she received the post-exposure series and antibiotics after experiencing a dog bite. The day of vaccination, she began experiencing sweats, dizziness, headache, nausea, and a fast heart beat. She subsequently received two additional doses of IMOVAX Rabies: 22 December 2008 (lot number B0359) and 26 December 2008 (lot number B0359-2). She also received another dose of rabies vaccine (manufacturer unknown, lot number 942320) on 02 January 2009. The patient had undergone pulmonary and cardiac testing, in addition to having a urinalysis and protein levels assessed; results were not reported. She reported that she had been evaluated by several physicians for her persistent symptoms of sweats and increased heart rate. Outcome was not reported.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL, DTAP, IPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site induration, Injection site swelling, Injection site warmth
Clinical narrative: On 7/16/09 p.m. the patient received care from private Dr. Dr.'s nurse stated patient there with c/o "redness and knot" in right deltoid area. Child had school boosters at Health Department on 7/14/2009. Nurse stated that the mom states the right arm became swollen and hard to touch on 7/15/09. States very red on 7/16/09.  Sstes, "thats when I went to the doctor".
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL, DTAP, IPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site induration, Injection site mass, Injection site swelling
Clinical narrative: On 7/16/09 p.m. the patient received care from private Dr. Dr.'s nurse stated patient there with c/o "redness and knot" in right deltoid area. Child had school boosters at Health Department on 7/14/2009. Nurse stated that the mom states the right arm became swollen and hard to touch on 7/15/09. States very red on 7/16/09.  Sstes, "thats when I went to the doctor".
Age: 61.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Chills, Headache, Pyrexia, Rash erythematous, Vomiting
Clinical narrative: Addendum to report filed previously, on 9/2/09 via inpatient: Patient reports she was seen by an M.D. on 9/3/09 and diagnosed with shingles. Put on Acyclovir. Rxn on face and chest, redness under right breath.
Age: 61.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Erythema, Herpes zoster
Clinical narrative: Addendum to report filed previously, on 9/2/09 via inpatient: Patient reports she was seen by an M.D. on 9/3/09 and diagnosed with shingles. Put on Acyclovir. Rxn on face and chest, redness under right breath.
Age: 53.0
Sex: F
Vaccine: TDAP, TDAP
Symptoms: Echocardiogram, Electroencephalogram abnormal, Fall, Ultrasound Doppler, Vaccination complication
Clinical narrative: Initial report received on 11 September 2009 from a health care professional. A 54-year-old female patient, who had no concurrent illnesses and medical history of allergy to Penicillin, had received a first intramuscular left deltoid injection of ADACEL (lot number C3248AA) on 30 June 2009. Twenty-seven days post-vaccination on 27 July 2009, the patient presented to the emergency room after falling at home and was admitted to hospital. An EEG was positive for seizure. Other diagnostic tests performed included an MRI of the head, Echocardiogram and carotid ultrasound; however the results of these tests were not reported. The patient was in the hospital two days. The neurologist believes the ADACEL precipitated the seizure on 27 July 2009. The patient recovered; however a recovery date was not provided. Documents held by sender: None.