chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 26.0
Sex: F
Vaccine: HPV4
Symptoms: Abdominal pain, Activities of daily living impaired, Computerised tomogram, Contraception, Nausea
Clinical narrative: Information has been received from a Nurse Practitioner concerning a 26 year old female patient with no pertinent medical history and no known drug allergies/drug reactions who in February 2009 was vaccinated with the first dose of GARDASIL with no problems reported.  The patient received the second dose of GARDASIL at the beginning of June 2009.  Concomitant therapy included hormonal contraceptives (unspecified).  It was reported that "three or four weeks after dose two", approximately on 21-JUN-2009, the patient developed nausea and abdominal pain.  The patient was seen in the office on 29-JUN-2009 regarding her nausea and abdominal pain.  An ultrasound, and computed axial tomography of the lower abdominal quadrant were performed (results not provided).  It was reported that "a month after the symptoms began", approximately on 21-JUL-2009, the patient had recovered.  Nausea and abdominal pain were considered to be disabling.  It was reported that the patient missed work for 1 week.  Additional information has been requested.  9/14/09 Medical records received DOS 8/25/08 to 8/27/09. Assessment: Abdominal pain. Patient presents with lower right abdominal pain and lymphadenopathy. Chills, nausea, diarrhea, constipation. Oral contraceptives.
Age: 26.0
Sex: F
Vaccine: HPV4
Symptoms: Ultrasound abdomen
Clinical narrative: Information has been received from a Nurse Practitioner concerning a 26 year old female patient with no pertinent medical history and no known drug allergies/drug reactions who in February 2009 was vaccinated with the first dose of GARDASIL with no problems reported.  The patient received the second dose of GARDASIL at the beginning of June 2009.  Concomitant therapy included hormonal contraceptives (unspecified).  It was reported that "three or four weeks after dose two", approximately on 21-JUN-2009, the patient developed nausea and abdominal pain.  The patient was seen in the office on 29-JUN-2009 regarding her nausea and abdominal pain.  An ultrasound, and computed axial tomography of the lower abdominal quadrant were performed (results not provided).  It was reported that "a month after the symptoms began", approximately on 21-JUL-2009, the patient had recovered.  Nausea and abdominal pain were considered to be disabling.  It was reported that the patient missed work for 1 week.  Additional information has been requested.  9/14/09 Medical records received DOS 8/25/08 to 8/27/09. Assessment: Abdominal pain. Patient presents with lower right abdominal pain and lymphadenopathy. Chills, nausea, diarrhea, constipation. Oral contraceptives.
Sex: F
Vaccine: HPV4
Symptoms: Facial palsy, Horner's syndrome, Inappropriate schedule of drug administration, Nuclear magnetic resonance imaging
Clinical narrative: Information has been received from a physician concerning an unspecified age female who in "JUN-2007", in "AUG-2007" and in "SEP-2008" was vaccinated with a first, second and third dose of GARDASIL respectively (routes and lot numbers not reported).  The physician reported that the patient received her third dose of the vaccine in "September 2008" which was over a year from the time that she received the second dose of the vaccine.  The physician then continued that in "December 2008", the patient was diagnosed with "Horner's syndrome" and her one eye started drooping.  Physician noted that the mother of the patient wanted to know if her daughter's experience is associated with GARDASIL.  At the time of the report the outcome of the patient was unknown.  The patient sought medical attention by physician's office.  On an unspecified date a magnetic resonance imaging was performed results not reported.  Upon internal review, Horner's syndrome was determined to be another important medical event.  Additional information has been requested.
Sex: U
Vaccine: HPV4
Symptoms: Headache, Nervous system disorder
Clinical narrative: Information has been received from a physician concerning a patient who was vaccinated with GARDASIL.  Subsequently the patient experienced atypical headaches and neurological disorder.  The outcome of the patient was unknown.  Atypical headaches and neurological disorder were considered to be disabling.  This is one of several reports received from the same source.  Additional information has been requested.
Age: 0.24
Sex: M
Vaccine: DTAPIPVHIB
Symptoms: Apnoeic attack, Cyanosis, Electroencephalogram normal, Nuclear magnetic resonance imaging normal, Pyrexia
Clinical narrative: Fever 103.8 later on day of vaccine. About 48 hr after shot developed cyanotic apneic episode. Seen at ED then transferred for obs at another hospital. 2 subsequent episodes. Hospitalized x5d. Negative EEG, MRI. No further spells. 11/18/2009 MR for 8/16-8/18/2009, patient with c/o's fever, vomiting, diarrhea, loss of consciousness, unresponsive.  DC DX ALTE
Age: 31.0
Sex: F
Vaccine: HEPAB, IPV, MMR, TDAP, YF
Symptoms: Dyspnoea, Tenderness
Clinical narrative: "Trouble breathing & getting air" R ear & neck tenderness.  Received IV BENADRYL in ambulance with relief.  Observed - E.R. X 2 1/2 hours.  Taking Benadryl PO Q6 hours X 5 days.
Age: 28.0
Sex: F
Vaccine: HEPA, IPV, YF
Symptoms: Injection site swelling, Pruritus generalised, Tenderness, Urticaria
Clinical narrative: Started with hives on wrist, itching all over body; swelling right arm @ Y.F. vaccine site; tenderness R side of face, neck, ear.  BENADRYL PO & ZANTAC 75 mg PO Q6 hours X 3 d.
Age: 18.0
Sex: F
Vaccine: HPV4
Symptoms: Anxiety, Fall, Loss of consciousness, Pallor, Skin laceration
Clinical narrative: Second dose of GARDASIL given to left deltoid muscle along with PPD to forearm.  About 5-10 min after shot, became pale fell forward, hit floor, 3 cm laceration to right eyebrow area.  Total time she was unconscious was less than one minute.
Sex: M
Vaccine: FLUN3, HEPA, MNQ, TDAP
Symptoms: Syncope
Clinical narrative: Syncopal episode after receiving TDAP, MENACTRA, FLUMIST, HEP A.  Regained consciousness after few seconds.
Age: 18.0
Sex: F
Vaccine: HPV4
Symptoms: Blood pressure immeasurable, Cold sweat, Hyperhidrosis, Malaise, Mydriasis
Clinical narrative: 8/24/09 around 1:30pm after I gave pt GARDASIL injection, noticed that she wasn't feeling well. I asked if she had had lunch and she said no. I went to get juice & crackers and asked staff to watch her. When I came back she had no BP, pulse was difficult to obtain, eyes dilated, sweating, clammy. We called Dr to come and check her out. Lasted about 15-20 minutes.
Age: 18.0
Sex: F
Vaccine: HPV4
Symptoms: Pulse pressure decreased
Clinical narrative: 8/24/09 around 1:30pm after I gave pt GARDASIL injection, noticed that she wasn't feeling well. I asked if she had had lunch and she said no. I went to get juice & crackers and asked staff to watch her. When I came back she had no BP, pulse was difficult to obtain, eyes dilated, sweating, clammy. We called Dr to come and check her out. Lasted about 15-20 minutes.
Age: 52.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site rash, Injection site warmth
Clinical narrative: Red, Rash on left upper arm, warm to the touch.  Triamcinlone 40mg IM, antihistamine
Age: 17.0
Sex: F
Vaccine: HPV4, MNQ, TDAP, HPV4, MNQ, TDAP
Symptoms: Crohn's disease, Discomfort, Dizziness, Fall, Immediate post-injection reaction
Clinical narrative: 11:30am-Pt was given Tdap, HPV, & Meningococcal Vaccine while sitting on exam table. Pt stated she felt "lightheaded" following injections and was instructed to lie down, but pt declined. Very shortly after the pt received immunizations, she fainted. As she was moving from sitting to lying down, she actually slumped forward. The drawer holding some books on the exam table was open. She apparently landed onto the drawer first and then rolled off the drawer landing on the floor. The pt awakened immediately upon becoming supine, as Dr. rushed into exam room upon hearing the loud noise. Initially pt denied discomfort but then did discover that she had some discomfort on the dorsal aspect of her R wrist. The pt was observed closely for quite some time and then allowed to sit up. Even when standing after 15-20 min., she was a little lightheaded. Further questioning revealed pt had no PO intake for the entire day. She was given a couple of glass of apple juice and was brought to parent vehicle via wheelchair. Pt mother was instructed to push fluids for remainder of the day and continue to monitor.
Age: 17.0
Sex: F
Vaccine: HPV4, MNQ, TDAP, HPV4, MNQ, TDAP
Symptoms: Joint injury, Syncope, X-ray limb
Clinical narrative: 11:30am-Pt was given Tdap, HPV, & Meningococcal Vaccine while sitting on exam table. Pt stated she felt "lightheaded" following injections and was instructed to lie down, but pt declined. Very shortly after the pt received immunizations, she fainted. As she was moving from sitting to lying down, she actually slumped forward. The drawer holding some books on the exam table was open. She apparently landed onto the drawer first and then rolled off the drawer landing on the floor. The pt awakened immediately upon becoming supine, as Dr. rushed into exam room upon hearing the loud noise. Initially pt denied discomfort but then did discover that she had some discomfort on the dorsal aspect of her R wrist. The pt was observed closely for quite some time and then allowed to sit up. Even when standing after 15-20 min., she was a little lightheaded. Further questioning revealed pt had no PO intake for the entire day. She was given a couple of glass of apple juice and was brought to parent vehicle via wheelchair. Pt mother was instructed to push fluids for remainder of the day and continue to monitor.
Age: 17.0
Sex: F
Vaccine: HPV4, MNQ, TDAP, HPV4, MNQ, TDAP
Symptoms: Discomfort, Dizziness, Syncope, X-ray limb
Clinical narrative: 11:30am-Pt was given Tdap, HPV, & Meningococcal Vaccine while sitting on exam table. Pt stated she felt "lightheaded" following injections and was instructed to lie down, but pt declined. Very shortly after the pt received immunizations, she fainted. As she was moving from sitting to lying down, she actually slumped forward. The drawer holding some books on the exam table was open. She apparently landed onto the drawer first and then rolled off the drawer landing on the floor. The pt awakened immediately upon becoming supine, as Dr. rushed into exam room upon hearing the loud noise. Initially pt denied discomfort but then did discover that she had some discomfort on the dorsal aspect of her R wrist. The pt was observed closely for quite some time and then allowed to sit up. Even when standing after 15-20 min., she was a little lightheaded. Further questioning revealed pt had no PO intake for the entire day. She was given a couple of glass of apple juice and was brought to parent vehicle via wheelchair. Pt mother was instructed to push fluids for remainder of the day and continue to monitor.
Age: 17.0
Sex: F
Vaccine: HPV4, MNQ, TDAP, HPV4, MNQ, TDAP
Symptoms: Crohn's disease, Discomfort, Dizziness, Fall, Immediate post-injection reaction
Clinical narrative: 11:30am-Pt was given Tdap, HPV, & Meningococcal Vaccine while sitting on exam table. Pt stated she felt "lightheaded" following injections and was instructed to lie down, but pt declined. Very shortly after the pt received immunizations, she fainted. As she was moving from siting to lying down, she actually slumped forward. The drawer holding some books on the exam table was open. She apparently landed onto the drawer first and then rolled off the drawer landing on the floor. The pt awakened immediately upon becoming supine, as Dr. rushed into exam room upon hearing the loud noise. Initially pt denied discomfort but then discover that she had some discomfort on the dorsal aspect of her R wrist. The pt was observed closely for quite some time and then allowed to sit up. Even when standing after 15-20 min., she was a little lightheaded. Further questioning revealed pt had no PO intake for the entire day. She was given a couple of glass of apple juice and was brought to parent vehicle via wheelchair. Pt mother was instructed to push fluids for remainder of the day and continue to monitor.
Age: 17.0
Sex: F
Vaccine: HPV4, MNQ, TDAP, HPV4, MNQ, TDAP
Symptoms: Joint injury, Syncope, X-ray limb
Clinical narrative: 11:30am-Pt was given Tdap, HPV, & Meningococcal Vaccine while sitting on exam table. Pt stated she felt "lightheaded" following injections and was instructed to lie down, but pt declined. Very shortly after the pt received immunizations, she fainted. As she was moving from siting to lying down, she actually slumped forward. The drawer holding some books on the exam table was open. She apparently landed onto the drawer first and then rolled off the drawer landing on the floor. The pt awakened immediately upon becoming supine, as Dr. rushed into exam room upon hearing the loud noise. Initially pt denied discomfort but then discover that she had some discomfort on the dorsal aspect of her R wrist. The pt was observed closely for quite some time and then allowed to sit up. Even when standing after 15-20 min., she was a little lightheaded. Further questioning revealed pt had no PO intake for the entire day. She was given a couple of glass of apple juice and was brought to parent vehicle via wheelchair. Pt mother was instructed to push fluids for remainder of the day and continue to monitor.
Age: 17.0
Sex: F
Vaccine: HPV4, MNQ, TDAP, HPV4, MNQ, TDAP
Symptoms: Discomfort, Dizziness, Syncope, X-ray limb
Clinical narrative: 11:30am-Pt was given Tdap, HPV, & Meningococcal Vaccine while sitting on exam table. Pt stated she felt "lightheaded" following injections and was instructed to lie down, but pt declined. Very shortly after the pt received immunizations, she fainted. As she was moving from siting to lying down, she actually slumped forward. The drawer holding some books on the exam table was open. She apparently landed onto the drawer first and then rolled off the drawer landing on the floor. The pt awakened immediately upon becoming supine, as Dr. rushed into exam room upon hearing the loud noise. Initially pt denied discomfort but then discover that she had some discomfort on the dorsal aspect of her R wrist. The pt was observed closely for quite some time and then allowed to sit up. Even when standing after 15-20 min., she was a little lightheaded. Further questioning revealed pt had no PO intake for the entire day. She was given a couple of glass of apple juice and was brought to parent vehicle via wheelchair. Pt mother was instructed to push fluids for remainder of the day and continue to monitor.
Age: 26.0
Sex: F
Vaccine: FLUN3
Symptoms: Drug exposure during pregnancy, Pregnancy test positive
Clinical narrative: Patient received FLu Mist on 25Aug09. Before administering vaccine patient submitted a negative pregnancy test. 28Aug09 patient took a second test and it was positive.
Age: 1.0
Sex: M
Vaccine: HEPA, MMR, PNC, HEPA, MMR, PNC
Symptoms: Decreased appetite, Full blood count, Pyrexia, Viral infection, White blood cell count decreased
Clinical narrative: The pt developed fever later in the day following vaccinations, which continued daily ranging from 101-103. Patient also experienced decreased appetite, but denies any other complaints. Patient was brought in by parents and was examined by Dr. Following examination and blood work for prolonged fever, differential diagnosis would be a coincidental viral illness starting either at the same time or contiguous to the immunizations versus a prolonged fever from immunizations. Due to low white blood cell count and prolonged nature of fever, Dr. determined fever is likely related to a new seperate viral illness and was discussed with family. Patient parents were advised to treat with Tylenol or Motrin for pain or fever.
Age: 1.0
Sex: M
Vaccine: HEPA, MMR, PNC, HEPA, MMR, PNC
Symptoms: Decreased appetite, Full blood count, Pyrexia, Viral infection, White blood cell count decreased
Clinical narrative: The pt developed fever later in the day following vaccinations, which continued daily ranging from 101-103.  Patient also experienced decreased appetite, but denies any other complaints.  Patient was brought in by parents and was examined by Dr.  Following examination and blood work for  prolonged fever, differential diagnosis would be a coincidental viral illness starting either at the same time or contiguous to the immunizations versus a prolonged fever from immunizations. Due to low white blood cell count and prolonged nature of fever, Dr determined fever is likely related to a new seperate viral illness and was discussed with family. Patient parents were advised to treat with Tylenol or Motrin for pain or fever.
Age: 11.0
Sex: F
Vaccine: TDAP
Symptoms: Erythema, Oedema peripheral
Clinical narrative: Mother called stating child had red swollen area and increased soreness to 2" below injection.  Mother was advised to take child to PMD.  Was prescribed Bactrim.  Now greatly improved.
Age: 34.0
Sex: F
Vaccine: TDAP
Symptoms: Blood chloride normal, Blood creatinine normal, Blood glucose normal, Blood potassium normal, Blood sodium normal
Clinical narrative: 7/9/2009 Associate reports cold sx , no fever.  7/17/2009 Associate received Tdap vaccine.  8/26/2009 Associate reported:  8/1/2009 onset of hands and feet tingling. 8/3/2009 numbness to rectal/perineal area and legs tingling. 8/4/2009 treated in Hospital ED, CT of head negative, discharged on Xanax.  8/5/2009 leg weakness to point of having to lift her legs with her hands to get out of her car.  8/6/2009 fell at home, went back to ED and was admitted with diagnosis of Guillain Barre Syndrome.  Hospitalized from 8/6 - 8/11/2009 and transferred to Hospital 8/11- 8/19/2009.  Reports paralysis from waist down while hospitalized.  8/26/2009 is now walking with a walker, receiving physical/ occupational therapy by home health agency. 10/19/09 ICD Codes:  357.0, 599.0, 782.0, 305.1, 260.9, 041.4.
Age: 34.0
Sex: F
Vaccine: TDAP
Symptoms: Blood thyroid stimulating hormone normal, Blood urea decreased, Carbon dioxide normal, Chest X-ray normal, Computerised tomogram normal
Clinical narrative: 7/9/2009 Associate reports cold sx , no fever.  7/17/2009 Associate received Tdap vaccine.  8/26/2009 Associate reported:  8/1/2009 onset of hands and feet tingling. 8/3/2009 numbness to rectal/perineal area and legs tingling. 8/4/2009 treated in Hospital ED, CT of head negative, discharged on Xanax.  8/5/2009 leg weakness to point of having to lift her legs with her hands to get out of her car.  8/6/2009 fell at home, went back to ED and was admitted with diagnosis of Guillain Barre Syndrome.  Hospitalized from 8/6 - 8/11/2009 and transferred to Hospital 8/11- 8/19/2009.  Reports paralysis from waist down while hospitalized.  8/26/2009 is now walking with a walker, receiving physical/ occupational therapy by home health agency. 10/19/09 ICD Codes:  357.0, 599.0, 782.0, 305.1, 260.9, 041.4.
Age: 34.0
Sex: F
Vaccine: TDAP
Symptoms: Fall, Guillain-Barre syndrome, Haematocrit decreased, Haemoglobin normal, Hypoaesthesia
Clinical narrative: 7/9/2009 Associate reports cold sx , no fever.  7/17/2009 Associate received Tdap vaccine.  8/26/2009 Associate reported:  8/1/2009 onset of hands and feet tingling. 8/3/2009 numbness to rectal/perineal area and legs tingling. 8/4/2009 treated in Hospital ED, CT of head negative, discharged on Xanax.  8/5/2009 leg weakness to point of having to lift her legs with her hands to get out of her car.  8/6/2009 fell at home, went back to ED and was admitted with diagnosis of Guillain Barre Syndrome.  Hospitalized from 8/6 - 8/11/2009 and transferred to Hospital 8/11- 8/19/2009.  Reports paralysis from waist down while hospitalized.  8/26/2009 is now walking with a walker, receiving physical/ occupational therapy by home health agency. 10/19/09 ICD Codes:  357.0, 599.0, 782.0, 305.1, 260.9, 041.4.
Age: 34.0
Sex: F
Vaccine: TDAP
Symptoms: Muscular weakness, Nasopharyngitis, Nitrite urine present, Nuclear magnetic resonance imaging abnormal, Paraesthesia
Clinical narrative: 7/9/2009 Associate reports cold sx , no fever.  7/17/2009 Associate received Tdap vaccine.  8/26/2009 Associate reported:  8/1/2009 onset of hands and feet tingling. 8/3/2009 numbness to rectal/perineal area and legs tingling. 8/4/2009 treated in Hospital ED, CT of head negative, discharged on Xanax.  8/5/2009 leg weakness to point of having to lift her legs with her hands to get out of her car.  8/6/2009 fell at home, went back to ED and was admitted with diagnosis of Guillain Barre Syndrome.  Hospitalized from 8/6 - 8/11/2009 and transferred to Hospital 8/11- 8/19/2009.  Reports paralysis from waist down while hospitalized.  8/26/2009 is now walking with a walker, receiving physical/ occupational therapy by home health agency. 10/19/09 ICD Codes:  357.0, 599.0, 782.0, 305.1, 260.9, 041.4.
Age: 34.0
Sex: F
Vaccine: TDAP
Symptoms: Paralysis, Platelet count normal, Spinal X-ray normal, Walking aid user, White blood cell count normal
Clinical narrative: 7/9/2009 Associate reports cold sx , no fever.  7/17/2009 Associate received Tdap vaccine.  8/26/2009 Associate reported:  8/1/2009 onset of hands and feet tingling. 8/3/2009 numbness to rectal/perineal area and legs tingling. 8/4/2009 treated in Hospital ED, CT of head negative, discharged on Xanax.  8/5/2009 leg weakness to point of having to lift her legs with her hands to get out of her car.  8/6/2009 fell at home, went back to ED and was admitted with diagnosis of Guillain Barre Syndrome.  Hospitalized from 8/6 - 8/11/2009 and transferred to Hospital 8/11- 8/19/2009.  Reports paralysis from waist down while hospitalized.  8/26/2009 is now walking with a walker, receiving physical/ occupational therapy by home health agency. 10/19/09 ICD Codes:  357.0, 599.0, 782.0, 305.1, 260.9, 041.4.
Age: 20.0
Sex: F
Vaccine: TDAP
Symptoms: Chest discomfort, Chills, Fatigue, Headache, Injection site pain
Clinical narrative: Pt's  mom called and says that expierenced pain and some swelling at site of injection as well as fever (?), headache, tiredness, chills, body aches and rash at site. Mom has been alternating Tylenol and Motrin without relief.  One day after the vaccine pt.c/o some tightness in her chest and mom gave her albuterol (pt. also an asthmatic)Mom says that was getting more and more stressed which may have caused the tightness in her chest. Mom gave her Benadryl at HS.Today (2 days after vaccine) still c/o the same symptons (headache and body aches) Advised to go to PCP for evaluation of symptoms.  Mom says that she is driving to college today and if her symptoms persist she will take her to the doctor on the campus.
Age: 20.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site rash, Injection site swelling, Pain, Pyrexia, Stress
Clinical narrative: Pt's  mom called and says that expierenced pain and some swelling at site of injection as well as fever (?), headache, tiredness, chills, body aches and rash at site. Mom has been alternating Tylenol and Motrin without relief.  One day after the vaccine pt.c/o some tightness in her chest and mom gave her albuterol (pt. also an asthmatic)Mom says that was getting more and more stressed which may have caused the tightness in her chest. Mom gave her Benadryl at HS.Today (2 days after vaccine) still c/o the same symptons (headache and body aches) Advised to go to PCP for evaluation of symptoms.  Mom says that she is driving to college today and if her symptoms persist she will take her to the doctor on the campus.
Age: 11.0
Sex: M
Vaccine: TDAP
Symptoms: Erythema, Oedema peripheral, Pain in extremity
Clinical narrative: Pt presented to clinic 2 days after administration of Tdap.  Pt complains of redness in Left arm, swelling and pain. Patiens arm has visible erythema with edema, and is warm to touch.  Pt is afebrile and has no  complaints of respiratory difficulty. Ice pack given to arm and patient advised to take Motrin and report back to clinic on Monday for follow up. Pt advised to go to ER if reaction progresses and symptoms worsen.
Age: 64.0
Sex: M
Vaccine: FLUX, FLU3
Symptoms: Chills, Dizziness, Hyperhidrosis, Nausea, Pain
Clinical narrative: Chills, sweats, body aches, light-headedness, nausea
Age: 64.0
Sex: M
Vaccine: FLUX, FLU3
Symptoms: Chills, Pain, Pyrexia
Clinical narrative: Chills, sweats, body aches, light-headedness, nausea
Age: 65.0
Sex: M
Vaccine: FLUX, FLU3
Symptoms: Chills, Dizziness, Hyperhidrosis, Nausea, Pain
Clinical narrative: Client states low grade fever of <100 Oral, body aches, chills.  States he is feeling better today. Recommended either Tylenol or Ibuprophen for symptomatic control and to call physician if no improvement by 8/29/09
Age: 65.0
Sex: M
Vaccine: FLUX, FLU3
Symptoms: Chills, Pain, Pyrexia
Clinical narrative: Client states low grade fever of <100 Oral, body aches, chills.  States he is feeling better today. Recommended either Tylenol or Ibuprophen for symptomatic control and to call physician if no improvement by 8/29/09
Age: 72.0
Sex: F
Vaccine: PPV
Symptoms: Cellulitis, Chills, Hyperhidrosis, Pain in extremity, Rash erythematous
Clinical narrative: Received pneumovax at about 10am. started feeling chills and possibly low grade temp and sweats 10pm. subsequently developed swelling and increased warmth and a red rash.  left arm got achy 2 days later.  seen in office and diagnosed with cellulitis. treated with keflex.
Age: 72.0
Sex: F
Vaccine: PPV
Symptoms: Skin warm, Swelling
Clinical narrative: Received pneumovax at about 10am. started feeling chills and possibly low grade temp and sweats 10pm. subsequently developed swelling and increased warmth and a red rash.  left arm got achy 2 days later.  seen in office and diagnosed with cellulitis. treated with keflex.
Age: 24.0
Sex: F
Vaccine: HPV4
Symptoms: Pruritus generalised, Urticaria
Clinical narrative: Patient developed hives and itching all over body 30 minutes after HPV vaccine given.  Patient called our office and reported this 1-2 hours after hives developed.  Spoke with Dr., instructed to take Benadryl for hives and itching.
Age: 6.0
Sex: M
Vaccine: FLU3
Symptoms: No adverse event
Clinical narrative: No adverse events noted to date.
Age: 3.0
Sex: F
Vaccine: DTAPHEPBIP, HEP, PPV
Symptoms: Wrong drug administered
Clinical narrative: None noted at present. But client got 2 doses of Hepatitis B pediatric vaccine on this day, one dose in Pediarix, and another with Hep. B pedi given seperately. Should have gotten Pentacel and Hep. B OR Pediarix and Hib vaccine on this day.
Age: 10.0
Sex: F
Vaccine: FLU3
Symptoms: Unevaluable event
Clinical narrative: NO Adverse Events to date.
Age: 5.0
Sex: F
Vaccine: DTAPIPV, HEPA, MMR, VARCEL
Symptoms: Cough, Dizziness, Dyskinesia, Fatigue, Pyrexia
Clinical narrative: Tired, sleepy after vaccines.  2 am - child's fever at 104F - awoke from sleep with jerking, vomiting.  Mom gave Motrin alternating with Tylenol.  Arouses but can't sit up - when sits up, says dizzy7.  Hasn't eaten/drunk since 11:30 am yesterday.  Temp is now 100.2F; croupy cough(?) and vomiting.  Referred to PMD.  PMD advised symptoms due to high fever.  Child reported to be fine now.
Age: 5.0
Sex: F
Vaccine: DTAPIPV, HEPA, MMR, VARCEL
Symptoms: Somnolence, Vomiting
Clinical narrative: Tired, sleepy after vaccines.  2 am - child's fever at 104F - awoke from sleep with jerking, vomiting.  Mom gave Motrin alternating with Tylenol.  Arouses but can't sit up - when sits up, says dizzy7.  Hasn't eaten/drunk since 11:30 am yesterday.  Temp is now 100.2F; croupy cough(?) and vomiting.  Referred to PMD.  PMD advised symptoms due to high fever.  Child reported to be fine now.
Age: 4.0
Sex: F
Vaccine: DTAPIPV, FLUN3, MMR, VARCEL
Symptoms: Full blood count, Injection site erythema, Injection site swelling, Injection site vesicles, Red blood cell sedimentation rate increased
Clinical narrative: Patient presented on 8/27/09 with redness and blistering over left upper arm.  Mom reports the redness began on 8/26 and began to spread, the blisters formed on the evening on 8/26.  She received Rocephin for possible cellulitis.  Mom called and the redness was spreading with swollen elbow that afternoon.  she was sent to UK Children's ER for evaluation.  She was begun on Vancomycin and then detremined to be adverse reaction with beginning resolution.  9/17/09 Hospital records received DOS 8/27/09 to 8/28/09. Assessment: Arthus Reaction. Patient was admitted with swollen left upper arm progressing in size and redness. Soft-tissue swelling. Pustule lesions area of injection site. The following morning the lesion was erythematous and warm but nontender to touch and located from shoulder to elbow on left upper extremity. Heart rate elevated. Respiratory rate elevated.  9/14/09 ICD-9 Codes Received: 999.5 Other serum reaction, 682.3 Cellulitis of arm, E949.9 Adverse effect of other and unspecified vaccines and biological substances.
Age: 4.0
Sex: F
Vaccine: DTAPIPV, FLUN3, MMR, VARCEL
Symptoms: White blood cell count increased
Clinical narrative: Patient presented on 8/27/09 with redness and blistering over left upper arm.  Mom reports the redness began on 8/26 and began to spread, the blisters formed on the evening on 8/26.  She received Rocephin for possible cellulitis.  Mom called and the redness was spreading with swollen elbow that afternoon.  she was sent to UK Children's ER for evaluation.  She was begun on Vancomycin and then detremined to be adverse reaction with beginning resolution.  9/17/09 Hospital records received DOS 8/27/09 to 8/28/09. Assessment: Arthus Reaction. Patient was admitted with swollen left upper arm progressing in size and redness. Soft-tissue swelling. Pustule lesions area of injection site. The following morning the lesion was erythematous and warm but nontender to touch and located from shoulder to elbow on left upper extremity. Heart rate elevated. Respiratory rate elevated.  9/14/09 ICD-9 Codes Received: 999.5 Other serum reaction, 682.3 Cellulitis of arm, E949.9 Adverse effect of other and unspecified vaccines and biological substances.
Age: 4.0
Sex: F
Vaccine: FLU3
Symptoms: No adverse event
Clinical narrative: NO ADVERSE EVENTS TO DATE
Age: 8.0
Sex: M
Vaccine: VARCEL
Symptoms: Cough, Erythema, Eye irritation, Heart rate increased, Injection site erythema
Clinical narrative: Patient left the office and came immediately back in complaining of a burning throat and eyes,a racing heart and feet that were itching. He immediately had a localized reaction including swelling, warmth and redness at the injection site. He also presented with hives and swelling to his face and bilateral arms. While he was in our office for approximately one hour he received doses of oral Prednisone and oral Benadryl.Benadryl 1 tsp at 1020, Orapred 30mg at 1022, Benadryl 1 tsp 1050 and Orapred 15 mg at 1050. He had emesis after his meds at 1050. He received a half teaspoon of Benadryl at 1110 prior to him being sent to the ER down the street.  He also received an Albuterol breathing treatment that was changed to Xopenex . His oxygen saturation was 97-98% his heart rate was 134 and his blood pressure was 118/70. By the time we sent him to the ER his oxygen sat was 99% and his heart rate was 104. At the time of transfer child had redness to face, hands and feet with facial and extremity edema. Nasal congestion with tight cough/lungs clear with adequate air exchange. LOC was alert and oriented x 3 upon leaving our office.
Age: 8.0
Sex: M
Vaccine: VARCEL
Symptoms: Injection site swelling, Injection site warmth, Nasal congestion, Oedema, Oedema peripheral
Clinical narrative: Patient left the office and came immediately back in complaining of a burning throat and eyes,a racing heart and feet that were itching. He immediately had a localized reaction including swelling, warmth and redness at the injection site. He also presented with hives and swelling to his face and bilateral arms. While he was in our office for approximately one hour he received doses of oral Prednisone and oral Benadryl.Benadryl 1 tsp at 1020, Orapred 30mg at 1022, Benadryl 1 tsp 1050 and Orapred 15 mg at 1050. He had emesis after his meds at 1050. He received a half teaspoon of Benadryl at 1110 prior to him being sent to the ER down the street.  He also received an Albuterol breathing treatment that was changed to Xopenex . His oxygen saturation was 97-98% his heart rate was 134 and his blood pressure was 118/70. By the time we sent him to the ER his oxygen sat was 99% and his heart rate was 104. At the time of transfer child had redness to face, hands and feet with facial and extremity edema. Nasal congestion with tight cough/lungs clear with adequate air exchange. LOC was alert and oriented x 3 upon leaving our office.
Age: 8.0
Sex: M
Vaccine: VARCEL
Symptoms: Oxygen saturation decreased, Palpitations, Pruritus, Swelling face, Throat irritation
Clinical narrative: Patient left the office and came immediately back in complaining of a burning throat and eyes,a racing heart and feet that were itching. He immediately had a localized reaction including swelling, warmth and redness at the injection site. He also presented with hives and swelling to his face and bilateral arms. While he was in our office for approximately one hour he received doses of oral Prednisone and oral Benadryl.Benadryl 1 tsp at 1020, Orapred 30mg at 1022, Benadryl 1 tsp 1050 and Orapred 15 mg at 1050. He had emesis after his meds at 1050. He received a half teaspoon of Benadryl at 1110 prior to him being sent to the ER down the street.  He also received an Albuterol breathing treatment that was changed to Xopenex . His oxygen saturation was 97-98% his heart rate was 134 and his blood pressure was 118/70. By the time we sent him to the ER his oxygen sat was 99% and his heart rate was 104. At the time of transfer child had redness to face, hands and feet with facial and extremity edema. Nasal congestion with tight cough/lungs clear with adequate air exchange. LOC was alert and oriented x 3 upon leaving our office.
Age: 8.0
Sex: M
Vaccine: VARCEL
Symptoms: Urticaria, Vomiting
Clinical narrative: Patient left the office and came immediately back in complaining of a burning throat and eyes,a racing heart and feet that were itching. He immediately had a localized reaction including swelling, warmth and redness at the injection site. He also presented with hives and swelling to his face and bilateral arms. While he was in our office for approximately one hour he received doses of oral Prednisone and oral Benadryl.Benadryl 1 tsp at 1020, Orapred 30mg at 1022, Benadryl 1 tsp 1050 and Orapred 15 mg at 1050. He had emesis after his meds at 1050. He received a half teaspoon of Benadryl at 1110 prior to him being sent to the ER down the street.  He also received an Albuterol breathing treatment that was changed to Xopenex . His oxygen saturation was 97-98% his heart rate was 134 and his blood pressure was 118/70. By the time we sent him to the ER his oxygen sat was 99% and his heart rate was 104. At the time of transfer child had redness to face, hands and feet with facial and extremity edema. Nasal congestion with tight cough/lungs clear with adequate air exchange. LOC was alert and oriented x 3 upon leaving our office.
Age: 4.0
Sex: F
Vaccine: DTAPIPV, HEPA, MMR, VARCEL
Symptoms: Body temperature increased, Hypersomnia, Injection site swelling, Injection site warmth, Pruritus
Clinical narrative: Swelling of Left arm & shoulder and very hot to touch.  Areas itching for 48 hours - elevated temp (101F) for 72 hours.  Child sleeping more than 12 hours X 48 hours but eating well & playing.  Mom using comfort measures.  If child does not recover by 24-48 hours, mother will take to private physician.
Age: 76.0
Sex: F
Vaccine: PPV
Symptoms: Injection site swelling, Injection site warmth, Limb discomfort
Clinical narrative: Client recieved Pnuemovax 23 Rt arm on 10/27/2009 at 1035 am. reports that afternoon she began having arm discomfort and swelling at site of injection. Reports that she keep a cold compress on the site of injection site through out night. Presnted to clinic the following day- RN observed client gaurding rt arm, same arm appears swollen and warm to touch. Called clients MD - he is out of office today, and on call Dr. informed. Clinet choose to go to Hospital ER for treatment. Client called and states ER Dr. told her to take OTC pain medication, no other meds given.
Age: 82.0
Sex: F
Vaccine: TYP
Symptoms: Balance disorder, Cardiac disorder, Dizziness, Headache
Clinical narrative: Patient took 2nd dose of Vivotif on empty stomach. Went to exercise class. After exercise class felt dizzy, headache, and loss of balance. Called clinic and was referred to ED or PMD. Evaluated in ED, physician opinion given that this was a cardiac event, unrelated to Vivotiff, and pt is now on a Holter monitor and being followed by cardiologist.
Age: 17.0
Sex: M
Vaccine: MNQ, TDAP
Symptoms: Hypokinesia, Syncope
Clinical narrative: Fainting on and off for about 20 minutes.  Had difficulty moving hands at one point.  Got client on a bed to lay down, applied cold compress, and encouraged deep breathing.
Age: 35.0
Sex: F
Vaccine: DTAP, PPV, PPV, TDAP
Symptoms: Angioedema, Erythema, Oedema peripheral, Pain in extremity, Pruritus
Clinical narrative: 8/19 2:30 noticed itching, 3:00 noticed hive, 4:30 hive bigger called dr, 6:00 seen and given Hydroxyzide       8/20 arm still swelling, 9:00 went to ER as elbow hot to touch, very swollen,  and red, a lot of pain in arm. Given Prednisone.  8/21 pain decreased but swelling lasted for several more days in arm, elbow and hand
Age: 35.0
Sex: F
Vaccine: DTAP, PPV, PPV, TDAP
Symptoms: Skin warm, Urticaria
Clinical narrative: 8/19 2:30 noticed itching, 3:00 noticed hive, 4:30 hive bigger called dr, 6:00 seen and given Hydroxyzide       8/20 arm still swelling, 9:00 went to ER as elbow hot to touch, very swollen,  and red, a lot of pain in arm. Given Prednisone.  8/21 pain decreased but swelling lasted for several more days in arm, elbow and hand
Age: 35.0
Sex: F
Vaccine: DTAP, PPV, PPV, TDAP
Symptoms: Angioedema, Erythema, Injection site mass, Injection site pain, Injection site pruritus
Clinical narrative: 8/19 2:30 noticed itching, 3:00 noticed hive, 4:30 hive bigger called dr, 6:00 seen and given Hydroxyzide       8/20 arm still swelling, 9:00 went to ER as elbow hot to touch, very swollen,  and red, a lot of pain in arm. Given Prednisone.  8/21 pain decreased but swelling lasted for several more days in arm, elbow and hand
Age: 35.0
Sex: F
Vaccine: DTAP, PPV, PPV, TDAP
Symptoms: Oedema peripheral, Pain in extremity, Skin warm
Clinical narrative: 8/19 2:30 noticed itching, 3:00 noticed hive, 4:30 hive bigger called dr, 6:00 seen and given Hydroxyzide       8/20 arm still swelling, 9:00 went to ER as elbow hot to touch, very swollen,  and red, a lot of pain in arm. Given Prednisone.  8/21 pain decreased but swelling lasted for several more days in arm, elbow and hand
Age: 5.0
Sex: M
Vaccine: DTAP, HEPA, IPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site pain, Injection site urticaria
Clinical narrative: 2 TO 3 MINUTES AFTER RECEIVING KINDERGARTEN VACCINES CHILD C/O L ARM BURNING.ARM BECAME RED AND BEGAN TO WHELP AROUND AREA OF DTaP INJECTION. AREA APPROX. 5x3". NO OTHER SYMPTOMS. RECOMMENDED BENADRYL IM BUT MT REFUSED. HAD CHILD WAIT 30 MIN BEFORE LEAVING AND AREA WAS DECREASING. MT PLANNED TO GIVE PO BENADRYL AT HOME.
Age: 63.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site pain, Injection site vesicles, Neuralgia
Clinical narrative: Pox-like structure on the arm where the zostavax was given.  Lasted 3 days and was a little painful.  Generalized nerve pain randomly throughout her body.  also lasted for 3 days
Age: 16.0
Sex: F
Vaccine: FLU3
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: None noted
Age: 28.0
Sex: F
Vaccine: PPV
Symptoms: Incorrect route of drug administration, Oxygen saturation decreased, Pyrexia, Respiratory rate increased
Clinical narrative: The pneumvax vaccine was administered IV instead of IM by mistake at approximately 0830. The patient became febrile (from 37.1 C prior to vaccine up to 38.6 C following vaccine) and had increased respirations and decreased oxygen saturation (87% from 91%) by 0900. Acetaminophen and diphenhydramine were administered and the patient was put on 1 liter of oxygen. Symptoms continued at 0930. By 1100, vitals had returned to normal.
Age: 63.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site pain, Injection site pruritus, Injection site rash, Rash macular
Clinical narrative: Tenderness, pruitic, macular rash at injection site (right arm).
Age: 11.0
Sex: M
Vaccine: MNQ, TDAP
Symptoms: Convulsion, Foaming at mouth, Loss of consciousness, Pallor, Respiratory rate increased
Clinical narrative: After vaccination parent and child left the clinic.  Mom and child returned shortly afterward and mom stated that pt. had a seizure in the car.  She stated he was "out and foaming at the mouth". Reports LOC greater than 3 sec P RN asked. Pt. was placed in a chair and the RN's took his vitals.  Pulse was 74 and respirations were 22.  He was pale in color.
Age: 71.0
Sex: F
Vaccine: PPV, TD
Symptoms: Erythema, Injection site erythema, Injection site pain, Joint stiffness, Pain
Clinical narrative: Client called EIPHD on 8/27/09 reporting symptoms of fever, body aches, redness and tenderness at site of injection. Visited EIPHD on 8/28/09 stating fever subsided yesterday. Redness on upper arm extending along back of arm from below injection site to elbow. Red area on arm was warm. Patient reports shoulder joint stiffness in right limb.
Age: 71.0
Sex: F
Vaccine: PPV, TD
Symptoms: Pyrexia, Skin warm
Clinical narrative: Client called EIPHD on 8/27/09 reporting symptoms of fever, body aches, redness and tenderness at site of injection. Visited EIPHD on 8/28/09 stating fever subsided yesterday. Redness on upper arm extending along back of arm from below injection site to elbow. Red area on arm was warm. Patient reports shoulder joint stiffness in right limb.
Age: 14.0
Sex: F
Vaccine: HPV4, VARCEL
Symptoms: Injection site erythema, Injection site pain, Injection site rash, Injection site swelling, Injection site warmth
Clinical narrative: 8/25/2009: VZV#2 given SQ to Right Arm. Patient c/o pain and soreness that night. On 8/26/2009 Patient went to school and started to feel pain to right arm, went to the school nurse in the afternoon with a erythematous rash to right arm, tender to touch and warm to touch. Came to clinic at 3:00 pm to f/u on arm with an erythematous 1" x 1 1/2", slightly raised area noted to right arm. No anbxs given at the time. Was told to f/u in two days and to take Anaglesics as needed for pain. 8/28/09 at 9:00 am, patient f/u with a 5" x 5 1/2" erythematous area to right arm, slightly tender, slightly warm to touch, but no drainage. Rx: Amoxil 500 mg: 2 PO BID X 7 days; Zyrtec one tab daily.
Age: 25.0
Sex: F
Vaccine: HPV4, TDAP
Symptoms: Asthenia, Gait disturbance, Myalgia, Pain in extremity
Clinical narrative: Pt had a left leg pain withing hours after having the injection (in her arm) and her quadriceps were sore- the next day she felt complete weakness and had to "lock" her knee to walk.  Today, 3 days later pain is better, but still walking abnormally.  9/8/09 PCP medical records received DOS 8/25/09 to 8/27/09 Patient c/o of muscle weakness in legs. Difficulty walking. Leg stiff and sore.
Age: 15.0
Sex: F
Vaccine: HPV4
Symptoms: Chest X-ray, Chest pain, Echocardiogram, Electroencephalogram, Epilepsy
Clinical narrative: between shot 2 and 3 started having chest pains and racing heart. Went to ER. After shot 3 started having daily headaches and blackouts. Mis-diagosed with Epilepsy. On Epilepsy medication for 12 months. 8-25-9 diagosed with Postural Orthostatic tachycardia syndrome.
Age: 15.0
Sex: F
Vaccine: HPV4
Symptoms: Headache, Loss of consciousness, Nuclear magnetic resonance imaging, Palpitations, Postural orthostatic tachycardia syndrome
Clinical narrative: between shot 2 and 3 started having chest pains and racing heart. Went to ER. After shot 3 started having daily headaches and blackouts. Mis-diagosed with Epilepsy. On Epilepsy medication for 12 months. 8-25-9 diagosed with Postural Orthostatic tachycardia syndrome.
Age: 15.0
Sex: F
Vaccine: HPV4
Symptoms: Tilt table test
Clinical narrative: between shot 2 and 3 started having chest pains and racing heart. Went to ER. After shot 3 started having daily headaches and blackouts. Mis-diagosed with Epilepsy. On Epilepsy medication for 12 months. 8-25-9 diagosed with Postural Orthostatic tachycardia syndrome.
Age: 6.0
Sex: M
Vaccine: DTAP
Symptoms: Injection site pain, Injection site rash, Injection site swelling, Pyrexia
Clinical narrative: The patient was seen 2 days after the immunization Daptacel Dtap R thigh.  His right thigh was swollen and tender and there was a rash noted around the injection site.  The pt. also had a fever of 103.1.  He was immediately referred to Emergency Dept.
Age: 17.0
Sex: F
Vaccine: HPV4
Symptoms: Migraine
Clinical narrative: Developed migrane headache
Age: 10.0
Sex: M
Vaccine: HEPA, VARCEL
Symptoms: Agitation, Urticaria
Clinical narrative: 1605 Administered Hep A and VZV to (L) arm at an IZ only visit. 1610 pt. left clinic. 1650 pt. returned to clinic with extensive urticaria on entire skin surface, agitated, alert and talkative. No SOB or wheezing. Examined by PA and pediatrician.  9/1/09  MR received from pcp including ER records from past immunization reaction.  Pt developed extensive urticaria on way home from PCP visit. Pt agitated but alert, with no respiratory problems.  Voice hoarse. Tachycardic at 109. DX:  anaphylactic Rxn to Immunizations. Tx: Benadryl, epi, steroids. Resolved by next day.
Age: 0.5
Sex: M
Vaccine: DTAPHEPBIP, PNC
Symptoms: Abdominal X-ray, Abdominal distension, Barium enema abnormal, Intussusception, Ultrasound abdomen abnormal
Clinical narrative: 10/31/08 Pt seen in office for vomiting and abd. distention - sent to ER for eval R/O intussusception or bowel obst- transferred to hospital for admit to hosp and BE for tx of intussusception.   10/5/09 Hospital DC summary received DOS 1031/08 to 11/2/09. Assessment: Intussusception. Intussusception resolved with contrast and air enema.
Age: 0.5
Sex: M
Vaccine: DTAPHEPBIP, PNC
Symptoms: Vomiting, X-ray abnormal
Clinical narrative: 10/31/08 Pt seen in office for vomiting and abd. distention - sent to ER for eval R/O intussusception or bowel obst- transferred to hospital for admit to hosp and BE for tx of intussusception.   10/5/09 Hospital DC summary received DOS 1031/08 to 11/2/09. Assessment: Intussusception. Intussusception resolved with contrast and air enema.
Age: 5.0
Sex: F
Vaccine: DTAPIPV, HEP, HEPA, MMR
Symptoms: Contusion, Erythema, Oedema peripheral
Clinical narrative: TC received by grandmother; states pt has a red swollen mark - on upper arm and a quarter sized bruise. Instructions given to monitor area/pt. Warm soak and seek medical attention if necessary.
Age: 19.0
Sex: F
Vaccine: HPV4
Symptoms: Cervical dysplasia, Papilloma viral infection, Smear cervix
Clinical narrative: Patient developed ASCUS PAP and high risk HPV detected following 3 GARDASIL vaccines given 2008/2009.
Age: 51.0
Sex: M
Vaccine: MNQ, TDAP, VARCEL, MNQ, TDAP, VARCEL
Symptoms: Headache, Rash pruritic, Rash vesicular
Clinical narrative: Child broke out with pox-like rash a few hours (about 4 hrs) after MENACTRA, Tdap and chickenpox vaccine. Pox-like spots covered back of thigh, mostly right thigh and a few other spots noted on torso, shins rash is itchy. Child has headache. Referred child to MD for diagnosis.
Age: 51.0
Sex: M
Vaccine: MNQ, TDAP, VARCEL, MNQ, TDAP, VARCEL
Symptoms: Headache, Rash pruritic, Rash vesicular, Varicella post vaccine
Clinical narrative: Child broke out with pox-like rash a few hours (about 4 hrs) after MENACTRA, Tdap and chickenpox vaccine. Pox-like spots covered back of thigh, mostly right thigh and a few other spots noted on torso, shins rash is itchy. Child has headache. Referred child to MD for diagnosis.
Age: 12.0
Sex: F
Vaccine: HPV4, TDAP
Symptoms: Dizziness, Immediate post-injection reaction, Loss of consciousness, Nausea, Pallor
Clinical narrative: Patient was given ADACEL first without incident pt was then given GARDASIL vaccine and immediately lost consciousness for 2-3 minutes, followed by a 15-20 min duration of pallor, nausea, light headedness. Had pt rest, cool compress to head, given juice and crackers.