chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 21.0
Sex: M
Vaccine: ANTH, HEP, HEPA, SMALL
Symptoms: Blood creatine phosphokinase MB, Blood creatine phosphokinase increased, C-reactive protein increased, Chest X-ray abnormal, Chest pain
Clinical narrative: 14 Jun 06: Cardiology clinic - vaccinated 1 Jun with onset of headache on 10 Jun he reported increasing headache associated with fever, shakes, chills. On 12 Jun he reported onset of episodic resting sharp chest pains. He was treated with antibiotic and NSAIDS. Subsequent CK, CKMB, and Tnl were positive and patient was instructed to drive to the emergency department. With the exception of a minor headache the patient is now asymptomatic. ECG over the past 2 days demonstrate diffuse 0.5-1 mm ST elevation with T-wave inversions. There are not any appreciable PR depressions. The patinet denies travel or sick contacts. Flu-like symtoms <96 hours Start: 06/11/06 Comment: headache/fever/chills. Chest pain, sub-sternal Start: 06/12/2006.  04/23/2007 MR received for 2 OVs on 6/15/2006 for F/u for c/o 2 day hx of headache, fever chills and new onset of episodic resting sharp chest pain. A/P:  Acute Myopericarditis:  Temporally related to the vaccinia virus/small pox vaccination. F/U 7/10/2006 Asymptomatic. Per annual follow up: Pt lost to F/U.
Age: 21.0
Sex: M
Vaccine: ANTH, HEP, HEPA, SMALL
Symptoms: Chills, Diagnostic procedure, Electrocardiogram ST segment elevation, Electrocardiogram T wave inversion, Electrocardiogram abnormal
Clinical narrative: 14 Jun 06: Cardiology clinic - vaccinated 1 Jun with onset of headache on 10 Jun he reported increasing headache associated with fever, shakes, chills. On 12 Jun he reported onset of episodic resting sharp chest pains. He was treated with antibiotic and NSAIDS. Subsequent CK, CKMB, and Tnl were positive and patient was instructed to drive to the emergency department. With the exception of a minor headache the patient is now asymptomatic. ECG over the past 2 days demonstrate diffuse 0.5-1 mm ST elevation with T-wave inversions. There are not any appreciable PR depressions. The patinet denies travel or sick contacts. Flu-like symtoms <96 hours Start: 06/11/06 Comment: headache/fever/chills. Chest pain, sub-sternal Start: 06/12/2006.  04/23/2007 MR received for 2 OVs on 6/15/2006 for F/u for c/o 2 day hx of headache, fever chills and new onset of episodic resting sharp chest pain. A/P:  Acute Myopericarditis:  Temporally related to the vaccinia virus/small pox vaccination. F/U 7/10/2006 Asymptomatic. Per annual follow up: Pt lost to F/U.
Age: 21.0
Sex: M
Vaccine: ANTH, HEP, HEPA, SMALL
Symptoms: Headache, Influenza like illness, Pneumonia, Pyrexia, Tremor
Clinical narrative: 14 Jun 06: Cardiology clinic - vaccinated 1 Jun with onset of headache on 10 Jun he reported increasing headache associated with fever, shakes, chills. On 12 Jun he reported onset of episodic resting sharp chest pains. He was treated with antibiotic and NSAIDS. Subsequent CK, CKMB, and Tnl were positive and patient was instructed to drive to the emergency department. With the exception of a minor headache the patient is now asymptomatic. ECG over the past 2 days demonstrate diffuse 0.5-1 mm ST elevation with T-wave inversions. There are not any appreciable PR depressions. The patinet denies travel or sick contacts. Flu-like symtoms <96 hours Start: 06/11/06 Comment: headache/fever/chills. Chest pain, sub-sternal Start: 06/12/2006.  04/23/2007 MR received for 2 OVs on 6/15/2006 for F/u for c/o 2 day hx of headache, fever chills and new onset of episodic resting sharp chest pain. A/P:  Acute Myopericarditis:  Temporally related to the vaccinia virus/small pox vaccination. F/U 7/10/2006 Asymptomatic. Per annual follow up: Pt lost to F/U.
Age: 21.0
Sex: M
Vaccine: ANTH, HEP, HEPA, SMALL
Symptoms: Troponin I increased
Clinical narrative: 14 Jun 06: Cardiology clinic - vaccinated 1 Jun with onset of headache on 10 Jun he reported increasing headache associated with fever, shakes, chills. On 12 Jun he reported onset of episodic resting sharp chest pains. He was treated with antibiotic and NSAIDS. Subsequent CK, CKMB, and Tnl were positive and patient was instructed to drive to the emergency department. With the exception of a minor headache the patient is now asymptomatic. ECG over the past 2 days demonstrate diffuse 0.5-1 mm ST elevation with T-wave inversions. There are not any appreciable PR depressions. The patinet denies travel or sick contacts. Flu-like symtoms <96 hours Start: 06/11/06 Comment: headache/fever/chills. Chest pain, sub-sternal Start: 06/12/2006.  04/23/2007 MR received for 2 OVs on 6/15/2006 for F/u for c/o 2 day hx of headache, fever chills and new onset of episodic resting sharp chest pain. A/P:  Acute Myopericarditis:  Temporally related to the vaccinia virus/small pox vaccination. F/U 7/10/2006 Asymptomatic. Per annual follow up: Pt lost to F/U.
Age: 21.0
Sex: M
Vaccine: ANTH
Symptoms: Ankylosing spondylitis, Back pain, Blood test abnormal, Chlamydia serology positive, Gait disturbance
Clinical narrative: Patient is a 21 year old male who received Anthrax vaccine #1 16 Aug 04, #2 Sep 04, and #3 on 25 Sep 04. He reported no problems with these vaccinations. Between shots #2 and #3 he began to notice lower back discomfort with radiation down his right leg. He denied any history of injury and never had pain like this before. No other associated symptoms and he did not seek medical attention. He did not notice any immediate worsening of this pain with Anthrax #3. From Sep 05-Jan 06, He noticed a gradual increase in his back pain. He stated the pain was across his lower back and he noticed a decrease during the day as his movements increased. He did not seek medical attention for this pain until the spring of 05. He was told it was muscle strain and was given anti-inflammatories and muscle relaxants. He reported no relief with these measures. In Jun/Jul 05 he went to a chiropractor and he experienced only slight relief and the pain eventually returned. He went back to his provider and was given anti-inflammatories and muscle relaxants. During New Year 06 he stated his pain became so bad that he could hardly move or even walk, especially during the am. His pain continued to ease during the day. He went back to his provider and had x-rays and physical therapy. He reported that his x-rays showed something so they were repeated along with the blood work. His blood work revealed a + HLA B27 gene and he was referred to rheumatology, had an MRI and was diagnosed with Ankylosing Spondylitis (A.S.) this past spring. He was started on Enbrel and is reporting relief, however, he is noticing upper back pain. He stated that the pain was always there but that he did not notice before because of the severe lower back pain. He reported this pain to his rheumatologist who thinks that it is related to the A.S. or scoliosis. Even though he realizes he has the gene for A.S. he thinks the anthrax vaccine triggered it to become active. Pain 09/2004 low back with morning stiffness.
Age: 21.0
Sex: M
Vaccine: ANTH
Symptoms: Musculoskeletal stiffness, Nuclear magnetic resonance imaging abnormal, Pain, Physiotherapy, Red blood cell sedimentation rate increased
Clinical narrative: Patient is a 21 year old male who received Anthrax vaccine #1 16 Aug 04, #2 Sep 04, and #3 on 25 Sep 04. He reported no problems with these vaccinations. Between shots #2 and #3 he began to notice lower back discomfort with radiation down his right leg. He denied any history of injury and never had pain like this before. No other associated symptoms and he did not seek medical attention. He did not notice any immediate worsening of this pain with Anthrax #3. From Sep 05-Jan 06, He noticed a gradual increase in his back pain. He stated the pain was across his lower back and he noticed a decrease during the day as his movements increased. He did not seek medical attention for this pain until the spring of 05. He was told it was muscle strain and was given anti-inflammatories and muscle relaxants. He reported no relief with these measures. In Jun/Jul 05 he went to a chiropractor and he experienced only slight relief and the pain eventually returned. He went back to his provider and was given anti-inflammatories and muscle relaxants. During New Year 06 he stated his pain became so bad that he could hardly move or even walk, especially during the am. His pain continued to ease during the day. He went back to his provider and had x-rays and physical therapy. He reported that his x-rays showed something so they were repeated along with the blood work. His blood work revealed a + HLA B27 gene and he was referred to rheumatology, had an MRI and was diagnosed with Ankylosing Spondylitis (A.S.) this past spring. He was started on Enbrel and is reporting relief, however, he is noticing upper back pain. He stated that the pain was always there but that he did not notice before because of the severe lower back pain. He reported this pain to his rheumatologist who thinks that it is related to the A.S. or scoliosis. Even though he realizes he has the gene for A.S. he thinks the anthrax vaccine triggered it to become active. Pain 09/2004 low back with morning stiffness.
Age: 21.0
Sex: M
Vaccine: ANTH
Symptoms: Rheumatoid factor negative, Spinal X-ray abnormal, Spinal deformity
Clinical narrative: Patient is a 21 year old male who received Anthrax vaccine #1 16 Aug 04, #2 Sep 04, and #3 on 25 Sep 04. He reported no problems with these vaccinations. Between shots #2 and #3 he began to notice lower back discomfort with radiation down his right leg. He denied any history of injury and never had pain like this before. No other associated symptoms and he did not seek medical attention. He did not notice any immediate worsening of this pain with Anthrax #3. From Sep 05-Jan 06, He noticed a gradual increase in his back pain. He stated the pain was across his lower back and he noticed a decrease during the day as his movements increased. He did not seek medical attention for this pain until the spring of 05. He was told it was muscle strain and was given anti-inflammatories and muscle relaxants. He reported no relief with these measures. In Jun/Jul 05 he went to a chiropractor and he experienced only slight relief and the pain eventually returned. He went back to his provider and was given anti-inflammatories and muscle relaxants. During New Year 06 he stated his pain became so bad that he could hardly move or even walk, especially during the am. His pain continued to ease during the day. He went back to his provider and had x-rays and physical therapy. He reported that his x-rays showed something so they were repeated along with the blood work. His blood work revealed a + HLA B27 gene and he was referred to rheumatology, had an MRI and was diagnosed with Ankylosing Spondylitis (A.S.) this past spring. He was started on Enbrel and is reporting relief, however, he is noticing upper back pain. He stated that the pain was always there but that he did not notice before because of the severe lower back pain. He reported this pain to his rheumatologist who thinks that it is related to the A.S. or scoliosis. Even though he realizes he has the gene for A.S. he thinks the anthrax vaccine triggered it to become active. Pain 09/2004 low back with morning stiffness.
Age: 0.82
Sex: M
Vaccine: FLU3
Symptoms: Chest X-ray abnormal, Pulmonary congestion, Pyrexia, Virus serology test, White blood cell count normal
Clinical narrative: 12/16/06 21:45 Subject taken to ER for lung congestion and fever. WBC 12.2 other labs WNL, Chest x-ray perihilar congestion due to recent URI or bronchitis. RSV negative, NKDA. Discharge home after ER observation at 7:50 hours.
Age: 65.0
Sex: F
Vaccine: PPV, PPV
Symptoms: Asthenia, Erythema, Pain, Swelling
Clinical narrative: Intense pain swelling around childhood vaccination scar about 5". Continued increased swelling of entire upper arm and fingers and warm and redness. All of my energy was sapped - could not move arm to get dressed or do anything. Went to doctor on 2-1-07 got Amoxicillin 500mg, Hydroxyl HCl 25 mg and Aleve.
Age: 65.0
Sex: F
Vaccine: PPV, PPV
Symptoms: Joint stiffness, Oedema peripheral, Pain
Clinical narrative: Intense pain swelling around childhood vaccination scar about 5". Continued increased swelling of entire upper arm and fingers and warm and redness. All of my energy was sapped - could not move arm to get dressed or do anything. Went to doctor on 2-1-07 got Amoxicillin 500mg, Hydroxyl HCl 25 mg and Aleve.
Age: 73.0
Sex: M
Vaccine: PPV
Symptoms: Hypoaesthesia, Pain in extremity
Clinical narrative: Pain and numbness below the knee in bilateral legs. Patient saw primary care physician, Prednisone prescribed.
Sex: F
Vaccine: UNK
Symptoms: Confusional state, Drooling, Eye rolling
Clinical narrative: Patient has immunization approximately 11:45 am. Home/nap, no fever noted sitting on aunts lap. Arched/drool/rolled eyes back ---> confused after awakening lasted approximately 1-2 minutes tired rest of evening.
Age: 4.0
Sex: M
Vaccine: DTAP
Symptoms: Cellulitis, Erythema, Swelling
Clinical narrative: Left thigh, red, swollen after administration of Dtap on 01/31/07.
Age: 1.01
Sex: F
Vaccine: HIBV, MMR
Symptoms: Lymphadenopathy, Rash maculo-papular
Clinical narrative: Full body maculopapular rash, occipital lymph node enlargement, spots in mouth.
Age: 39.0
Sex: F
Vaccine: TD
Symptoms: Injection site erythema, Injection site swelling, Medication error, Nausea, Wrong drug administered
Clinical narrative: Patient mistakenly received Td intradermally, instead of Tb skin test, and experienced red swelling at the injection site- 8mm, nausea, joint soreness, especially in a jaw and shoulder of arm with injection site. Follow up 02/06/2006. Patient is betting, swelling is subsiding, although still feels hard underneath. Patient noted that her jaws are fine now.
Age: 27.0
Sex: F
Vaccine: TD
Symptoms: Blood test, Blood test normal, Erythema, Rash maculo-papular
Clinical narrative: Patient developed macularpapular, irregular patches distal injection site and redness a week after receiving Td injection. Patient saw a doctor on 02/20/06 and received Claritin. On 02/21/06 patient came back for a scheduled doctor's visit to have blood drawn to check for infection. Patient told doctor that she is improving. Blood work results were reported to be fine.
Age: 73.0
Sex: M
Vaccine: TD
Symptoms: Aphthous stomatitis, Lip ulceration, Mouth ulceration
Clinical narrative: Patient received Td booster for routine prophylaxis. Patient's wife called doctor's office to report that next day patient developed ulcerations inside the mouth, bottom lip. Patient was gargling with little relief. No other symptoms. Follow up received on 06/09/2006: Patient went to the doctor's office and was told that he has a canker sore. Patient never experienced canker sores before and was alarmed by it.
Age: 33.0
Sex: M
Vaccine: TD
Symptoms: Asthenia, Pain, Pyrexia
Clinical narrative: Patient received Td injection on 06/16/06 and contacted the doctor on 06/19/06 stating that he developed a fever (101.9F), weakness and body aches later on in a  day after receiving Td injection. Patient took 2 capsules of Advil and the fever was gone in 5-6 hours. On the day of the call (06/19/06) patient felt better but still had a fever of 101.5F. Follow up received on 06/27/06: Patient completely recovered.
Age: 31.0
Sex: F
Vaccine: TD
Symptoms: Chills, Injection site erythema, Injection site swelling, Muscle tightness, Myalgia
Clinical narrative: Patient received Td injection and next day developed redness, swelling at injection site, generalized muscle pain, muscle tightness, nausea and chills. Patient visited Urgent Care Center to report an adverse event. At the time of the visit patient's reaction was subsiding. Patient still had some generalized muscle pain and was given Benadryl and Ibuprofen.
Age: 31.0
Sex: F
Vaccine: TD
Symptoms: Nausea
Clinical narrative: Patient received Td injection and next day developed redness, swelling at injection site, generalized muscle pain, muscle tightness, nausea and chills. Patient visited Urgent Care Center to report an adverse event. At the time of the visit patient's reaction was subsiding. Patient still had some generalized muscle pain and was given Benadryl and Ibuprofen.
Sex: F
Vaccine: TD
Symptoms: Cellulitis, Erythema, Induration, Local reaction, Tenderness
Clinical narrative: 2 days after Td administration, local area became red and tender. Patient went to ER on 7/19/06 and saw a doctor- local reaction approximately 2 inches in diameter, indurated, red and tender, no abscess. ER doctor diagnosed local cellulitis. Patient was prescribed Bactrim twice a day. Patient returned on 07/20/06 to ER and showed signs of improvement. ER doctor said that patient will recover. Follow up: On 07/26/06 ER doctor had no additional information in the patient and suggested contacting patient's primary doctor. On 07/26/06 and 08/04/06 patient's primary care physician was contacted and was unable to locate patient's medical record. No further attempts to obtain follow up information will be made, as neither of the doctors have any additional information on the patient.
Age: 25.0
Sex: F
Vaccine: TD
Symptoms: Injection site pain, Injection site warmth
Clinical narrative: Patient experienced warmth and tenderness at injection site.
Age: 26.0
Sex: F
Vaccine: TD
Symptoms: Erythema, Local reaction
Clinical narrative: Patient received Td injection on 06/14/06 and came back to doctor's office on 06/16/06 with red and raised "egg sized" local reaction, warm to touch but not tender.
Age: 38.0
Sex: F
Vaccine: TD
Symptoms: Erythema, Local reaction
Clinical narrative: Patient developed red and raised "egg sized" local reaction, warm to touch but not tender.
Age: 22.0
Sex: F
Vaccine: TD
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Patient received PPD and Td on 08/07/06, and developed swelling and redness at Td injection site couple of hours later. Patient saw a nurse at the Board of Health to have PPD test read on 08/10/06 and complained of the reaction to Td. Nurse noted that the reaction was approximately 5mm by 3mm. Patient said that redness has gone down. There was no drainage at the injection site. Follow up on 08/15/06: patient recovered.
Age: 20.0
Sex: F
Vaccine: TD
Symptoms: Asthenia, Dizziness, Electrocardiogram normal, Headache, Hyperhidrosis
Clinical narrative: Patient woke up dizzy, didn't eat or drink but doesn't usually in the AM, went to class, felt dizzy and thirsty. Left class to go outside and just outside the door patient fainted, woke up sweating. Walked back to the dorm but felt weak. Went to health Centre (ambulatory) at 11:30/12:00 noon. Complained of being lightheaded and dizzy. Hypotension when changing position. BP 118/76 (lying and sitting); 112/73 (standing), Pulse-80, strong. Patient felt short of breath at one point prior to arrival. Patient also complained of a  headache. She was not feeling any better. Injections from the Td vial was given to three other patients, there were no other reports of reactions. Follow up on 09/21/06: Patient came back into the office on 09/20/06 and was perfectly fine. Patient was a little dizzy over the weekend but had fully recovered. Reporter was not sure when the patient was diagnosed with possible scarlet fever. Patient noticed rash around 08/09/06 and went to see a doctor between 20th and 25th of August. No labs were done.
Age: 20.0
Sex: F
Vaccine: TD
Symptoms: Hypotension, Rash, Scarlet fever, Syncope, Thirst
Clinical narrative: Patient woke up dizzy, didn't eat or drink but doesn't usually in the AM, went to class, felt dizzy and thirsty. Left class to go outside and just outside the door patient fainted, woke up sweating. Walked back to the dorm but felt weak. Went to health Centre (ambulatory) at 11:30/12:00 noon. Complained of being lightheaded and dizzy. Hypotension when changing position. BP 118/76 (lying and sitting); 112/73 (standing), Pulse-80, strong. Patient felt short of breath at one point prior to arrival. Patient also complained of a  headache. She was not feeling any better. Injections from the Td vial was given to three other patients, there were no other reports of reactions. Follow up on 09/21/06: Patient came back into the office on 09/20/06 and was perfectly fine. Patient was a little dizzy over the weekend but had fully recovered. Reporter was not sure when the patient was diagnosed with possible scarlet fever. Patient noticed rash around 08/09/06 and went to see a doctor between 20th and 25th of August. No labs were done.
Age: 20.0
Sex: F
Vaccine: TD
Symptoms: Urine analysis normal
Clinical narrative: Patient woke up dizzy, didn't eat or drink but doesn't usually in the AM, went to class, felt dizzy and thirsty. Left class to go outside and just outside the door patient fainted, woke up sweating. Walked back to the dorm but felt weak. Went to health Centre (ambulatory) at 11:30/12:00 noon. Complained of being lightheaded and dizzy. Hypotension when changing position. BP 118/76 (lying and sitting); 112/73 (standing), Pulse-80, strong. Patient felt short of breath at one point prior to arrival. Patient also complained of a  headache. She was not feeling any better. Injections from the Td vial was given to three other patients, there were no other reports of reactions. Follow up on 09/21/06: Patient came back into the office on 09/20/06 and was perfectly fine. Patient was a little dizzy over the weekend but had fully recovered. Reporter was not sure when the patient was diagnosed with possible scarlet fever. Patient noticed rash around 08/09/06 and went to see a doctor between 20th and 25th of August. No labs were done.
Age: 49.0
Sex: F
Vaccine: TD
Symptoms: Flushing, Vertigo
Clinical narrative: Patient experienced facial flushing and vertigo five minutes after Td vaccine was given. Patient responded to Benadryl.
Age: 27.0
Sex: F
Vaccine: TD
Symptoms: Injection site erythema, Injection site pain, Injection site pruritus, Injection site warmth, Menstruation irregular
Clinical narrative: Patient received Td injection on 09/18/06 and on 09/20/06 patient visited a nurse with a bilateral pitting edema/swelling of legs, redness, warmth and pain at the injection site. Patient also reported that her menses arrived 2 weeks early. Patient was given ice packs and Advil. Patient did not experience an adverse reaction when she was previously vaccinated with Td. Follow up obtained on 09/25/06: Patient had a bilateral 1+ pedal edema. Patient was previously healthy and had never had edema in the past. edema improved if feet were kept up, but returned when the patient was standing or keeping feet down. On 09/22/06 edema subsided and was not a problem anymore. Patient was treated with Benadryl and Advil. Local reaction improved as well. Patient still had some itchiness and was somewhat sore at the site, but the RN considered it much improved.
Age: 27.0
Sex: F
Vaccine: TD
Symptoms: Oedema, Oedema peripheral, Pitting oedema
Clinical narrative: Patient received Td injection on 09/18/06 and on 09/20/06 patient visited a nurse with a bilateral pitting edema/swelling of legs, redness, warmth and pain at the injection site. Patient also reported that her menses arrived 2 weeks early. Patient was given ice packs and Advil. Patient did not experience an adverse reaction when she was previously vaccinated with Td. Follow up obtained on 09/25/06: Patient had a bilateral 1+ pedal edema. Patient was previously healthy and had never had edema in the past. edema improved if feet were kept up, but returned when the patient was standing or keeping feet down. On 09/22/06 edema subsided and was not a problem anymore. Patient was treated with Benadryl and Advil. Local reaction improved as well. Patient still had some itchiness and was somewhat sore at the site, but the RN considered it much improved.
Age: 38.0
Sex: F
Vaccine: TD
Symptoms: Asthenia, Hypoaesthesia, Pain
Clinical narrative: Patient developed numbness in the arm where Td was administered, one week after Td administration. Couple of weeks later numbness spread to patient's legs and feet. Subsequently, the reaction subsided, although patient is still experiencing numbness in her arm, hand and elbow. Patient did not experienced adverse reactions to previous Td vaccinations. Follow up obtained on 10/31/06: Patient received the vaccine as a booster shot. Patient had no other symptoms besides numbness: specifically no pain nor weakness. The doctor did not associate the numbness with the immunization given its onset one week post immunization and given the nature of the event. The doctor had no explanation for the numbness and referred the patient to a neurologist. Patient had no recovered at the time of the follow up. Follow up obtained on 04/27/07: Patient did not go see a neurologist. The pain and numbness went away couple of days after the visit to the doctor's office. The patient had no other complaints.
Age: 49.0
Sex: F
Vaccine: TD
Symptoms: Injection site pain
Clinical narrative: Patient called the clinic to report aches and pain at the injection site of TD vaccine. The patient started taking Motrin and Tylenol for the aches and pain and was advised by the physician to come in the clinic if she experiences any fever. Follow 12/05/06 patient recovered.
Age: 37.0
Sex: F
Vaccine: TD
Symptoms: Injection site bruising, Injection site haematoma, Lymphadenopathy
Clinical narrative: Patient received TD on 11/01/2006 and came back to the clinic on 11/03/2006 with hematoma at injection site with bruising and swollen left axial lymph node. Doctor prescribed  Clindamycin to the patient. Follow up 12/05/06 patient recovered.
Age: 52.0
Sex: F
Vaccine: HEP, TD
Symptoms: Arthropod bite, Injection site discolouration, Skin lesion, Skin ulcer
Clinical narrative: Approximately 3 days after vaccination, patient developed a round, dark brown spot on the arm where Td was administered. Couple of days later patient developed a similar spot on her neck. Spots looked like insect bites, but the doctor was concerned that they could be an adverse reaction to the Td vaccine. Td vaccination was a booster shot during patient's physical exam. Follow up obtained on 11/14/2006: The skin lesions were described as small depressed areas, as a small ulceration with minimal or no erythema and no feeling to them. At the time of follow up skin lesions were crusted and improving. Physician thinks most likely explanation is insect bites.
Age: 49.0
Sex: F
Vaccine: TD
Symptoms: Chills, Headache, Pain, Pyrexia
Clinical narrative: Patient received Td vaccine on 11/01/06 and visited a doctor on 11/03/06, complaining of headaches, chills, body aches, fever of 104F. Symptoms started on 11/02/06 and were still present at the time the event was reported (11/06/06). Patient asked doctor for Tylenol 3 for the headaches, however it was not prescribed at the time the event was reported.  At the day of Td vaccination, patient was prescribed Omnicef, Clarinex and Celebrex. Follow up obtained on 11/14/2006: patient was treated for the ant bites with omnicef, clarinex and celebrex.  Two days later patient reports headaches, chills, body aches and fever. Patient received Tylenol 3. Symptoms resolved.
Age: 42.0
Sex: F
Vaccine: TD
Symptoms: Cellulitis, Rash erythematous
Clinical narrative: Patient developed a 1x1cm nodule associated with 5x7cm erythematous area, left tricep. Patient was given ice, Tylenol and prescribed Keflex.  On a follow up visit doctor noted that nodule dissipated and cellulitis resolved.
Age: 60.0
Sex: F
Vaccine: TD
Symptoms: Erythema, Injection site erythema, Pruritus
Clinical narrative: Patient received Td vaccine on 11/08/06 and complained of itchiness and redness on 11/13/06.  Follow up on 11/15/06: Patient's adverse reaction got worse-redness at injection site measured 16x22cm. Patient was given Keflex.  Follow up on 12/07/06: patient came back for a follow up appointment on 11/20/06, all of the symptoms resolved and patient recovered. Patient was not given any additional treatment after she was prescribed Keflex.
Age: 29.0
Sex: F
Vaccine: TD
Symptoms: Anxiety, Back pain, Dyspnoea, Musculoskeletal chest pain
Clinical narrative: Patient received Td vaccine on 11/13/06. Next day, patient experienced shortness of breath, anxiety, pain at anterior chest wall, bilateral, and pain in left side of middle back. Patient came in to see the doctor and was advised to take over the counter Tylenol. Patient came back on 11/16/06 for a follow up visit and completely recovered.
Age: 48.0
Sex: F
Vaccine: TD
Symptoms: Asthenia, Hot flush, Hypoaesthesia, Influenza like illness, Nasopharyngitis
Clinical narrative: Patient experienced flu-like symptoms, cold and hot flashes, next day after Td injection. One week after Td injection patient could not extend her wrist and experienced weakness and numbness in her fingers. Patient was diagnosed with paralysis to the radial nerve.  Follow-up 12/15/06 location of radial nerve paralysis is on the right arm, same as vaccination site.
Age: 48.0
Sex: F
Vaccine: TD
Symptoms: Paralysis
Clinical narrative: Patient experienced flu-like symptoms, cold and hot flashes, next day after Td injection. One week after Td injection patient could not extend her wrist and experienced weakness and numbness in her fingers. Patient was diagnosed with paralysis to the radial nerve.  Follow-up 12/15/06 location of radial nerve paralysis is on the right arm, same as vaccination site.
Age: 69.0
Sex: F
Vaccine: TD
Symptoms: Blood test, Chills, Fatigue, Injection site erythema, Injection site swelling
Clinical narrative: patient was vaccinated on 11/24/06 and later on that day injection site became swollen and red. Over the weekend the redness and swelling increased and patient felt feverish, achy, tired and experienced chills. Patient saw doctor on 11/27/06 and reaction site measured 6 cm. Doctor prescribed the patient antibiotics and antihistamine, gave patient an ice pack, told her to take Motrin, and send her for blood work, which turned out to be fine, no infection was detected. Doctor also forwarded patient to an infectious disease specialist, who said that the patient does not have an infection and experienced an adverse reaction to the Td vaccination. Reaction cleared up in 5-6 days after Td injection and patient completely recovered.
Age: 69.0
Sex: F
Vaccine: TD
Symptoms: Pain, Pyrexia, Vaccination complication
Clinical narrative: patient was vaccinated on 11/24/06 and later on that day injection site became swollen and red. Over the weekend the redness and swelling increased and patient felt feverish, achy, tired and experienced chills. Patient saw doctor on 11/27/06 and reaction site measured 6 cm. Doctor prescribed the patient antibiotics and antihistamine, gave patient an ice pack, told her to take Motrin, and send her for blood work, which turned out to be fine, no infection was detected. Doctor also forwarded patient to an infectious disease specialist, who said that the patient does not have an infection and experienced an adverse reaction to the Td vaccination. Reaction cleared up in 5-6 days after Td injection and patient completely recovered.
Age: 1.0
Sex: F
Vaccine: HEPA, MMRV
Symptoms: Lymphadenopathy
Clinical narrative: On day 5 after ProQuad administration patient developed pea-size left inguinal adenopathy, no fever, no pain.
Age: 1.88
Sex: F
Vaccine: DTAP, MNQ
Symptoms: Inappropriate schedule of drug administration, No adverse effect
Clinical narrative: None noted on clinic visits 2/1/07 and 2/3/07.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Erythema, Hypersensitivity, Swelling
Clinical narrative: Allergic reaction to left upper arm. Redness and swelling. Seen at clinic today due to 3+ tonsils and reaction to vaccines. Adverse event onset was unknown.
Age: 0.33
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Erythema, Rash
Clinical narrative: Fine red rash on belly and legs developed 2 days after immunizations received. No accompanying fever. Child was not taken to the doctor.
Age: 0.16
Sex: M
Vaccine: DTAP, HBHEPB, IPV, PNC, RV5
Symptoms: Diarrhoea, Haematochezia
Clinical narrative: Bloody stools/diarrhea 24 hours after Rotateq administered. Treatment: Hydration with Pedialyte.
Age: 65.0
Sex: F
Vaccine: TD
Symptoms: Erythema, Swelling
Clinical narrative: Redness and swelling of upper arm. Got Td shot on 01/30/07, 3 days later 10 cm red and hot area on arm. 4 days later 14 cm, 5 days 18 cm, 6 days 22 cm. Not as red but still spreading,not hot to touch. Went to 1st assist after 2 1/2 days and was given antibiotics. Today (2-5-07) we gave her Benadryl. No SOB, heart palpitations, or other side effects.
Age: 17.0
Sex: F
Vaccine: HEPA, YF
Symptoms: Discomfort, Headache, Induration, Pain in extremity
Clinical narrative: 1-17-07 pc from mom pt started with discomfort, headache 4 days and (1-12-07) 3 days palpable not occipital bone meaty transverse growth. Has enlarged painful to touch, pain radiates down backside right arm. No other symptoms. 1/18/07 10:45 am pc talked to mom-improving knot resolving, less painful, no headache, no pain radiating down right arm, feeling much better, per pt in background.  1/14/07 pc spoke with mom, everything basically back to normal. 1/22/07 and 1/26/07 made numerous pc left messages no return calls.
Age: 79.0
Sex: F
Vaccine: FLU3
Symptoms: Computerised tomogram, Intubation, Tracheostomy, Vaccination failure, Vocal cord paralysis
Clinical narrative: Three days after Influenza vaccine, my mom's vocal cords were both paralyzed. She had to be intubated and given a tracheostomy. She never recovered.  2/12/07 Received medical records from hospital which reveal patient experienced SOB & abdominal pain on 11/2/06.  ENT consult revealed fixed vocal cords & required emergency entubation then tracheostomy.  G-tube placed for nutrition. Throughout hospitalization, had intermittent a-fib & nonsustained v-tach.  Patient was noted to be depressed & was evaluated by psych. Pt was transferred to SNF unit for rehab. 2/15/07 Received Death Certificate from daughter which reveals COD as cardiopulmonary arrest; COPD; & CAD.
Age: 0.17
Sex: F
Vaccine: DTAP, HBHEPB, IPV, PNC, RV5, DTAP, HBHEPB, IPV, PNC, RV5, DTAP, HBHEPB, IPV, PNC, RV5
Symptoms: Apnoeic attack, Death, Livedo reticularis, Lividity, Loss of consciousness
Clinical narrative: Dead on Arrival at ER.  2/8/07 Received Autopsy Report which reveals COD as SIDS.  Patient was found in prone position on sofa where she slept w/adult so overlay could not be excluded.
Age: 0.17
Sex: F
Vaccine: DTAP, HBHEPB, IPV, PNC, RV5, DTAP, HBHEPB, IPV, PNC, RV5, DTAP, HBHEPB, IPV, PNC, RV5
Symptoms: Muscle rigidity, Mydriasis, Pulse absent, Pupil fixed, Unresponsive to stimuli
Clinical narrative: Dead on Arrival at ER.  2/8/07 Received Autopsy Report which reveals COD as SIDS.  Patient was found in prone position on sofa where she slept w/adult so overlay could not be excluded.
Age: 0.17
Sex: F
Vaccine: DTAP, HBHEPB, IPV, PNC, RV5, DTAP, HBHEPB, IPV, PNC, RV5, DTAP, HBHEPB, IPV, PNC, RV5
Symptoms: Apnoea, Death, Livedo reticularis, Lividity, Loss of consciousness
Clinical narrative: Dead on Arrival at ER.  2/8/07 Received Autopsy Report which reveals COD as SIDS.  Patient was found in prone position on sofa where she slept w/adult so overlay could not be excluded.
Sex: U
Vaccine: RV5
Symptoms: Haematochezia, Vaccine positive rechallenge
Clinical narrative: Information has been received from a physician assistant concerning her child who was vaccinated with a first and second dose of Rotateq. It was reported that several days after each dose the patient had blood in it's stools that lasted three days each time. The patient was not given a third dose of Rotateq. Unspecified medical attention was sought. No product quality complaint was involved. No other information was provided. Upon internal review, blood in stool was considered to be an other important medical event. Additional information is not expected.
Age: 1.0
Sex: M
Vaccine: DTAP, HIBV, MMR, PNC
Symptoms: Abscess neck, Mumps antibody test negative, Parotitis, Pyrexia, Staphylococcal infection
Clinical narrative: Right parotitis onset 12/15/2006 and fever. Hospitalized; surgery to remove abscess on neck, on Clindamycin; culture evidence of MRSA.  02/07/2007  VAERS report submitted with attached medical records for a 1 year old who developed fever 1 week post vaccines which persisted x 2 weeks. Also, development of worsening swelling below the right ear and spreading to the right cheek x 1 week.  Initially treated with antibiotics on an outpatient basis without improvement.  Child was brought to the hospital where an I&D of the right cervical mass was performed and he received IV antibiotics . He was discharged home on oral antibiotics. Discharge DX:  Right cervical lymphadenitis with abscess.
Age: 1.0
Sex: M
Vaccine: DTAP, HIBV, MMR, PNC
Symptoms: Surgery
Clinical narrative: Right parotitis onset 12/15/2006 and fever. Hospitalized; surgery to remove abscess on neck, on Clindamycin; culture evidence of MRSA.  02/07/2007  VAERS report submitted with attached medical records for a 1 year old who developed fever 1 week post vaccines which persisted x 2 weeks. Also, development of worsening swelling below the right ear and spreading to the right cheek x 1 week.  Initially treated with antibiotics on an outpatient basis without improvement.  Child was brought to the hospital where an I&D of the right cervical mass was performed and he received IV antibiotics . He was discharged home on oral antibiotics. Discharge DX:  Right cervical lymphadenitis with abscess.
Age: 1.01
Sex: F
Vaccine: HEPA, MMR, VARCEL
Symptoms: CSF test, Chorea, Hypotonia, Irritability, Movement disorder
Clinical narrative: 11 days after administration, patient presented with fussiness, decreased muscle tone, choreiform movements, patient initially treated with acyclovir until herpes ruled out. 3 weeks after onset of symptoms choreiform movements persist. 02/27/07-records received from facility for DOS 1/11-1/17/07 DC DX:altered mental status, hypotonia, choreo-athetotic movements.  HX:One week of altered mental status and seizure activity. Usual state of health until 1/6/07- Korean supplement  used in her food "Green Mineral Powder". URI two weeks parior to admission.
Age: 0.55
Sex: F
Vaccine: DTAPHEPBIP, PNC, RV5, DTAPHEPBIP, PNC, RV5
Symptoms: Intussusception, Surgery
Clinical narrative: Intussusception (6 weeks after 3rd dose of Rotavirus vaccine) requiring surgery. 02/16/07-Records reviewed for DOS 01/26-01/28/07- DC DX:Intussusception Surgical procedure:Laparotomy for manual reduction of intussusception. Unreducible intussusception status post attempted radiographic reduction.  Presented with history of vomiting hematechesia loss of appetite fever 100.4 plus. Reports currant jelly or blood stools present. Temp in ER 100.4 PE:WNL except for abdomen soft tenderness in periumbilical mild in intensity. Mass soft mobile mass approximately 5cm in diameter to right below of umbilicus, hypoactive bowel sounds. Rectal exam shows empty vault.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMRV
Symptoms: Blood glucose increased, Computerised tomogram normal, Convulsion, Hypotonia, Pyrexia
Clinical narrative: According to parents child "was burning up" and had seizure activity- described tonic and clonic behavior with vomiting at 7 pm on day he received vaccines at 10:00 am. Parents had been advised to give child Tylenol at regular intervals.  02/07/2007: Hospital H&P forwarded from reporter for overnight hospital stay. Parents report that their 4 year old  had an episode of tonic/clonic seizure-like activity on the evening of his vax, preceded by eyes rolling back and becoming tense. Child was brought to the ER vomiting, which persisted during the ER visit.  He had some congestion and coughing as well.  Temp. was 100.9'F. PE: Normal except except mild hypotonia, and a mildly ataxic gait. DX:  Seizure, probably seizure with fever as opposed to febrile seizure. Questionable reaction to immunizations.  More probably intercurrent febrile illness.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMRV
Symptoms: Tonic clonic movements, Vomiting, White blood cell count increased
Clinical narrative: According to parents child "was burning up" and had seizure activity- described tonic and clonic behavior with vomiting at 7 pm on day he received vaccines at 10:00 am. Parents had been advised to give child Tylenol at regular intervals.  02/07/2007: Hospital H&P forwarded from reporter for overnight hospital stay. Parents report that their 4 year old  had an episode of tonic/clonic seizure-like activity on the evening of his vax, preceded by eyes rolling back and becoming tense. Child was brought to the ER vomiting, which persisted during the ER visit.  He had some congestion and coughing as well.  Temp. was 100.9'F. PE: Normal except except mild hypotonia, and a mildly ataxic gait. DX:  Seizure, probably seizure with fever as opposed to febrile seizure. Questionable reaction to immunizations.  More probably intercurrent febrile illness.
Age: 1.02
Sex: F
Vaccine: HBHEPB, MMRV, PNC
Symptoms: Computerised tomogram normal, Convulsion, Electroencephalogram normal, Lumbar puncture normal, Nuclear magnetic resonance imaging normal
Clinical narrative: Seizure > 30 minutes <24 hours after 12 month immunizations (ProQuad #1, Comvax #3, Prevnar #4) previously healthy. EEG, MRI, CT, LP - normal. Treatment: oxcarbazepine.  02/07/2007 Hospital ER record received for ER visit following first episode of seizure activity which occurred the night of this 1 yr. old's vax.  Child was found by father in crib with rhythmic jerking noted on the right side of her body.  Left side of body was not moving at all.  She was transported via EMS to ER where the seizing was noted to have stopped but left hemiparesis and left eye deviation remained.  PE: Infant was quiet and subdued, minimally responsive. Initially flaccid on the left side. Generalized hypotonia. Leftward gaze. Otherwise WNL. Impression: Prolonged seizure with left sided weakness.  Possible Todd's paralysis. Principal DX:  Left Hemiplegia, seizure 02/16/2007 D/C Summary and Pediatric neurologic Re-evaluation received.  Neuro eval for status epilepticus reports child is almost back to normal with MRI (-) and EEG (-).  Discharge DX: Todd's Paralysis. 2' DX: first seizure.
Age: 1.05
Sex: M
Vaccine: HIBV, MMRV, PNC
Symptoms: Blood electrolytes normal, Blood glucose increased, Chest X-ray normal, Cyanosis, Dyspnoea
Clinical narrative: Vaccine admin in morning, doing well until 3:30pm when he woke up from a nap and was shaking and had fever. At 4:30 he appeared blue, and was gasping so mom brought him to the ER. He wanted to fall asleep but if mom shouted or turned the music up he would stay awoke. He had a red bulging ear drum in exam at ER otherwise nl exam.  02/26/2007 MR received for an ER visit and 1 night admission for a 1 yr old who had a shaking episode with fever followed by an episode of cyanosis and gasping for breath on the afternoon of his 12 month vax.  Upon arrival in ER child was somnolent with an elevated temperature of 101'F. PE showed the left TM to be erythematous and bulging.  Lungs were CTA. Otherwise WNL. No seizure activity noted during hospital stay. Final DX: Febrile seizure.  Secondary DX:  Possible right middle lobe pneumonia.  Left otitis media.
Age: 1.05
Sex: M
Vaccine: HIBV, MMRV, PNC
Symptoms: Ear disorder, Erythema, Platelet count normal, Pyrexia, Somnolence
Clinical narrative: Vaccine admin in morning, doing well until 3:30pm when he woke up from a nap and was shaking and had fever. At 4:30 he appeared blue, and was gasping so mom brought him to the ER. He wanted to fall asleep but if mom shouted or turned the music up he would stay awoke. He had a red bulging ear drum in exam at ER otherwise nl exam.  02/26/2007 MR received for an ER visit and 1 night admission for a 1 yr old who had a shaking episode with fever followed by an episode of cyanosis and gasping for breath on the afternoon of his 12 month vax.  Upon arrival in ER child was somnolent with an elevated temperature of 101'F. PE showed the left TM to be erythematous and bulging.  Lungs were CTA. Otherwise WNL. No seizure activity noted during hospital stay. Final DX: Febrile seizure.  Secondary DX:  Possible right middle lobe pneumonia.  Left otitis media.
Age: 1.05
Sex: M
Vaccine: HIBV, MMRV, PNC
Symptoms: Tremor, Urine analysis normal, White blood cell count decreased
Clinical narrative: Vaccine admin in morning, doing well until 3:30pm when he woke up from a nap and was shaking and had fever. At 4:30 he appeared blue, and was gasping so mom brought him to the ER. He wanted to fall asleep but if mom shouted or turned the music up he would stay awoke. He had a red bulging ear drum in exam at ER otherwise nl exam.  02/26/2007 MR received for an ER visit and 1 night admission for a 1 yr old who had a shaking episode with fever followed by an episode of cyanosis and gasping for breath on the afternoon of his 12 month vax.  Upon arrival in ER child was somnolent with an elevated temperature of 101'F. PE showed the left TM to be erythematous and bulging.  Lungs were CTA. Otherwise WNL. No seizure activity noted during hospital stay. Final DX: Febrile seizure.  Secondary DX:  Possible right middle lobe pneumonia.  Left otitis media.
Age: 1.01
Sex: F
Vaccine: FLU3, HIBV, MMRV, PNC
Symptoms: Electrocardiogram, Ventricular tachycardia
Clinical narrative: Ventricular tachycardia 02/20/07-records received and reviewed for DOS 01/21-01/29/07; DC DX: ventricular tachycardia. Presented to clinic on 1/18/07 with poor feeding and rapid heart rate. Heart rate in ER 260 and 280 felt to be in stable SVT and received two doses of adenosine without any change. Fluid resuscitated and given amiodaron with resolution of tachycardia. Episodes of bigeminy, trigeminy and PVCs. Transported to another Hospital.  PMH:multiple ophthalmic abnormalities including bilateral microcornea, bilateral sclerocornea with opacification and bilateral micro-ophthalmus. Nonaccidental trauma left arm 11/06. PE:Oxygen sats on RA 98%. WNL
Age: 4.0
Sex: M
Vaccine: HEPA, MMRV, HEPA, MMRV
Symptoms: Allergy test, Flushing, Hypersensitivity, Oxygen saturation decreased, Pruritus
Clinical narrative: Itching within 5 minutes immediately followed by flushing, vomiting, drop in O2 Sat. Treated with epinephrine in office and twice more in ER. Gelatin allergy confirmed by skin testing at allergy clinic. 03/13/07-records received from facility for DOS 12/5/2006 DC DX:Allergic reaction after Hep A and proquad, MMR varivax. Within minutes of receiving vaccines he developed angioedema, lethargy, respiratory signs and symptoms and hives. Received EPI SQ, decadron, benadryl and pepcid prior to transfer to facility. IN ER alert, PE: WNL except for tube patent in left ear but TM is scarred.  Eyelid edema. Seen on 1/24/07 allergy clinic-anaphylaxis to gelatin in Proquad.
Age: 4.0
Sex: M
Vaccine: HEPA, MMRV, HEPA, MMRV
Symptoms: Vomiting
Clinical narrative: Itching within 5 minutes immediately followed by flushing, vomiting, drop in O2 Sat. Treated with epinephrine in office and twice more in ER. Gelatin allergy confirmed by skin testing at allergy clinic. 03/13/07-records received from facility for DOS 12/5/2006 DC DX:Allergic reaction after Hep A and proquad, MMR varivax. Within minutes of receiving vaccines he developed angioedema, lethargy, respiratory signs and symptoms and hives. Received EPI SQ, decadron, benadryl and pepcid prior to transfer to facility. IN ER alert, PE: WNL except for tube patent in left ear but TM is scarred.  Eyelid edema. Seen on 1/24/07 allergy clinic-anaphylaxis to gelatin in Proquad.
Age: 4.0
Sex: M
Vaccine: HEPA, MMRV, HEPA, MMRV
Symptoms: Allergy test, Dyspnoea, Hypersensitivity, Loss of consciousness, Oxygen saturation decreased
Clinical narrative: Itching within 5 minutes immediately followed by flushing, vomiting, drop in O2 Sat. Treated with epinephrine in office and twice more in ER. Gelatin allergy confirmed by skin testing at allergy clinic. 03/13/07-records received from facility for DOS 12/5/2006 DC DX:Allergic reaction after Hep A and proquad, MMR varivax. Within minutes of receiving vaccines he developed angioedema, lethargy, respiratory signs and symptoms and hives. Received EPI SQ, decadron, benadryl and pepcid prior to transfer to facility. IN ER alert, PE: WNL except for tube patent in left ear but TM is scarred.  Eyelid edema. Seen on 1/24/07 allergy clinic-anaphylaxis to gelatin in Proquad.