chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 36.0
Sex: M
Vaccine: ANTH, HEP
Symptoms: Laboratory test abnormal, Pyrexia
Clinical narrative: Pt received vaccinations on 07 April - one in each deltoid.  Pt received Hepatitis B and Anthrax, and documentation was done, but given by someone else (name unknown)  Pt reported warmth in left deltoid for several days, with onset of rash and knot in vaccine adminstration location on 13 April.  Rash grew progressively larger and pt reported on evening of 13 April.  Recorded BP and temperature as being elevated, and referred pt to clinic the next day.  PT has been taking Tylenol for elevated temperature, and seen here in clinic today (14 April).  Vital signs are stable and pt is afebrile.  Rash is approximately 9 cm in diameter with area of induration in the center.
Age: 26.0
Sex: M
Vaccine: ANTH, TYP
Symptoms: Erythema, Pruritus, Swelling
Clinical narrative: Patient noticed redness, itching and swelling under the left arm. Patient was concerned for infection. Examined in local ER and treated with course of Keflex and Benadryl. No further problems noted.
Age: 29.0
Sex: M
Vaccine: SMALL
Symptoms: Cellulitis, Injection site erythema, Lymphadenopathy
Clinical narrative: Smallpox vaccination. Within 2 days, developed single right enlarged and tender axillary node. 9 days later, pronounced erythematous ring appeared around vaccination site with cellulitis-like streaking down right shoulder to enlarged node site. Afebrile. Non-acute appearing otherwise.
Sex: F
Vaccine: HEPA, IPV, MEN
Symptoms: Pruritus, Urticaria
Clinical narrative: Reported hives beginning 24 hours post vaccination.Starting on forehead and spreading gradually over entire face and under her chin. Reported mild itching. The hives gradually faded after three days. Denied SOB, trouble swallowing, horseness or wheezing, paleness, weakness fast hertbeat, or dizziness.
Age: 3.0
Sex: M
Vaccine: HEP
Symptoms: Disturbance in attention, Drug toxicity, Gastrointestinal disorder, Hypokinesia, Immune system disorder
Clinical narrative: This case was reported by a lawyer and described the occurrence of neurological injuries in a 10 yr old male subject who was vaccinated with hep B vaccine recombinant (Engerix B), combination diphtheria and tetanus toxoids, pertussis adsorbed and Haemophilus influenzae type b conjugate vaccine (Tetramune) and haemophilus influenzae type b conjugate (HibTiter) and combination diphtheria and tetanus toxoids, pertussis adsorbed and haemophilus influenzae type b conjugate vaccine (Acel Imune) for prophylaxis and who was exposed to Hyprho D (Rh immune globulin) in utero. A physician or other health care professional has not verified this report. On 14Sep98, 11Nov96 and 09Feb96, the subject received Engerix B (unk). On 03Jul96 the subject received  unspecified dose of Tetramune (unk). On 01Jul97 the subject received unspecified dose of Hibtiter (unk) and Acel Imune (unk). While the subject's mother was pregnant with the subject, she received HypRho D (Rh immune globulin). Per the statement of claim it was reported that as a result of his pre and post natal exposure to the thimerosal containing products above, the subject received a cumulative dose of between 202-223 micrograms of organic  mercury. It was reported that the mercury causing his injuries was contained in thimerosal a preservative added both to the vaccines he received during his first three years of life and to HypRho D administered to his mother while she was pregnant with him. After an unspecified time after exposure to HypRho D and vaccination with Engerix B, Hibtiter, Acel Imune, and Tetramune, the subject experienced neurological injuries included developmental delays, learning disabilities, social delays and deficits, impairment of fine motor skills, gastrointestinal illness, immune system dysfunction, and other unspecified symptoms of mercury poisoning. It was reported that some of his injuries were likely to be permanent. At the time of reporting the outcome of the events were was unspecified. This information was received via a complaint and jury demand. Follow up information received via another manf on April 06, 2006, indicated that the events were disabling. It was also noted that the pt experienced a nerve root injury.
Age: 3.0
Sex: M
Vaccine: HEP
Symptoms: Mental retardation severity unspecified, Nerve injury, Nervous system disorder, Unintended pregnancy
Clinical narrative: This case was reported by a lawyer and described the occurrence of neurological injuries in a 10 yr old male subject who was vaccinated with hep B vaccine recombinant (Engerix B), combination diphtheria and tetanus toxoids, pertussis adsorbed and Haemophilus influenzae type b conjugate vaccine (Tetramune) and haemophilus influenzae type b conjugate (HibTiter) and combination diphtheria and tetanus toxoids, pertussis adsorbed and haemophilus influenzae type b conjugate vaccine (Acel Imune) for prophylaxis and who was exposed to Hyprho D (Rh immune globulin) in utero. A physician or other health care professional has not verified this report. On 14Sep98, 11Nov96 and 09Feb96, the subject received Engerix B (unk). On 03Jul96 the subject received  unspecified dose of Tetramune (unk). On 01Jul97 the subject received unspecified dose of Hibtiter (unk) and Acel Imune (unk). While the subject's mother was pregnant with the subject, she received HypRho D (Rh immune globulin). Per the statement of claim it was reported that as a result of his pre and post natal exposure to the thimerosal containing products above, the subject received a cumulative dose of between 202-223 micrograms of organic  mercury. It was reported that the mercury causing his injuries was contained in thimerosal a preservative added both to the vaccines he received during his first three years of life and to HypRho D administered to his mother while she was pregnant with him. After an unspecified time after exposure to HypRho D and vaccination with Engerix B, Hibtiter, Acel Imune, and Tetramune, the subject experienced neurological injuries included developmental delays, learning disabilities, social delays and deficits, impairment of fine motor skills, gastrointestinal illness, immune system dysfunction, and other unspecified symptoms of mercury poisoning. It was reported that some of his injuries were likely to be permanent. At the time of reporting the outcome of the events were was unspecified. This information was received via a complaint and jury demand. Follow up information received via another manf on April 06, 2006, indicated that the events were disabling. It was also noted that the pt experienced a nerve root injury.
Age: 41.0
Sex: M
Vaccine: HEP
Symptoms: Dizziness, Hypoaesthesia
Clinical narrative: Left side:  numbness, dizziness.
Age: 23.0
Sex: M
Vaccine: PPV
Symptoms: Injection site induration, Oedema, Pain
Clinical narrative: Edema, pain, induration - improving.  Treated with Indocin, Benadryl, APAP, Cold packs.
Age: 12.0
Sex: F
Vaccine: TD, TTOX
Symptoms: Arthralgia, Injection site mass, Injection site oedema, Rash
Clinical narrative: Swollen arm with Goose Egg, generalized arthralgia. Maybe fine sandpaper rash. Rash felt to be due to antibiotic. Symptoms reported over the phone. Pt asked to return to clinic, but never returned, therefore, not actually seen to have any symptoms.
Age: 12.0
Sex: F
Vaccine: TD, TTOX
Symptoms: Arthralgia, Asthenia, Crying, Pain, Pyrexia
Clinical narrative: Swollen arm with Goose Egg, generalized arthralgia. Maybe fine sandpaper rash. Rash felt to be due to antibiotic. Symptoms reported over the phone. Pt asked to return to clinic, but never returned, therefore, not actually seen to have any symptoms.
Age: 12.0
Sex: F
Vaccine: TD, TTOX
Symptoms: Swelling
Clinical narrative: Swollen arm with Goose Egg, generalized arthralgia. Maybe fine sandpaper rash. Rash felt to be due to antibiotic. Symptoms reported over the phone. Pt asked to return to clinic, but never returned, therefore, not actually seen to have any symptoms.
Age: 38.0
Sex: F
Vaccine: TDAP
Symptoms: Cold sweat, Erythema, Feeling hot, Hypoaesthesia, Oedema
Clinical narrative: Red, warm, swelling, pain, numbness. Onset 4/13/06 wrist/hand puffy. Hand clammy and just hurts.
Age: 38.0
Sex: F
Vaccine: TDAP
Symptoms: Pain
Clinical narrative: Red, warm, swelling, pain, numbness. Onset 4/13/06 wrist/hand puffy. Hand clammy and just hurts.
Age: 0.17
Sex: M
Vaccine: DTAP, HIBV, IPV
Symptoms: Crying, Depressed level of consciousness, Lethargy, Pallor, Pyrexia
Clinical narrative: Screaming for approx 15 minutes, paleness, lethargy, difficult to arouse from nap per mother, testicular swelling, temp to 100.4 R, went to ER and all SX had resolved, seen here next day and pt was fine.
Age: 0.17
Sex: M
Vaccine: DTAP, HIBV, IPV
Symptoms: Screaming, Testicular disorder
Clinical narrative: Screaming for approx 15 minutes, paleness, lethargy, difficult to arouse from nap per mother, testicular swelling, temp to 100.4 R, went to ER and all SX had resolved, seen here next day and pt was fine.
Age: 0.34
Sex: F
Vaccine: DTAP, HIBV, IPV
Symptoms: Rash
Clinical narrative: Patient broke out in rash on both legs and on face and head.  Patient was given 1ml Benadryl and stayed in office for 45 minutes.  By the time patient left rash was almost gone.
Age: 11.0
Sex: F
Vaccine: TD
Symptoms: Convulsion, Dizziness, Vertigo, Vomiting projectile
Clinical narrative: Almost immediately after the former 5th grade shot, I had a complex partial seizure involving extreme dizziness, the world turning upside down, and at the end projectile vomiting in the hallway. The treatment was go home and rest, my mother didn't know it was a seizure. Since that time I've had flop-on-the-ground seizures and have been on anticonvulsant medication for several years. 4/20/06 Medical records received from neurologist which reveal initial EEG done 3/4/05 was WNL(ordered by patient's psychiatrist).  Reported s/s & repeat EEG of 6/05 revealed subtle slowing in right temporal region w/no specific epileptiform activity.  MRI was WNL.  Dx: mesial temporal sclerosis.
Age: 0.2
Sex: F
Vaccine: DTAP, HEP, HIBV, IPV
Symptoms: Autism, Hypersensitivity, Neurodevelopmental disorder, Screaming, Speech disorder
Clinical narrative: My daughter was born On June 22, 2003. She was vaccinated on Sept. 3, 2003. After the injection she screamed and continued to scream for 7 hours. I returned her to the physicians office after the first 2-3 hours, and was told she was having an allergic reaction to the pertussis portion of the DPT vaccination. Up to that point my daughter seemed to be developing at a normal rate. I have 2 other older children. After, she stopped trying to roll, did not walk til she was 23 months, cannot speak clearly with the exceptions of about 4 words. We have been told she might have CP, then it was just developmentally delayed, now autism. 04/27/06 Office Notes  x 9 pgs received/reviewed. Documentation of "flat nasal bridge" and "undefined inguinal folds" several months before vaccination. 10/26/06; records reviewed. C section for breech presentation. office note of 9/3/03 documents questionable flab nasal bridge and questionable undefined inguinal folds in pelvic areas. 6/26/03 visit cyanotic legs and feet. Sent to MPH ER for O2 saturation testing. Note from 9/3/06 mom called physician office c/o child having swollen left leg at injection site, persistent crying for 30 minutes. Pt seen by MD but mom to continue to monitor child and notify of findings tomorrow or report to ER this PM if condition worsens. Note of 9/10/03 no show to physician office called times 2 no answer.
Age: 1.25
Sex: F
Vaccine: HBHEPB, HIBV, PNC, HBHEPB, PNC
Symptoms: Influenza, Viral infection
Clinical narrative: Patient accidently received 2 full doses of Hiberary influenza.  A day after shot, she had an instant severe diaper rash, over a week later vomiting began, then high fever, and body rash. Follow up - Vaccines given on 11/7 were COMVAX (MSD) - Pneumococcal (PCV7)Wyeth.
Age: 1.25
Sex: F
Vaccine: HBHEPB, HIBV, PNC, HBHEPB, PNC
Symptoms: Medication error, Pyrexia, Rash, Vomiting
Clinical narrative: Patient accidently received 2 full doses of Hiberary influenza.  A day after shot, she had an instant severe diaper rash, over a week later vomiting began, then high fever, and body rash. Follow up - Vaccines given on 11/7 were COMVAX (MSD) - Pneumococcal (PCV7)Wyeth.
Age: 1.29
Sex: M
Vaccine: HEPA, DTAP, HEPA, HIBV, MMR, PNC
Symptoms: Diarrhoea, Pyrexia, Vomiting
Clinical narrative: Mother states that approximately 8 hours after her son received his vaccinations he ran a temp (about 101) and states he had severe vomiting and diarrhea for about 24 hours. Stated it was 48 hours before he was back to himself and a week before he was completely normal again, eating and sleeping as he should.  Mom requested no combination vaccines. Child had had varicella previously @ her physicians office (12/28/2005), but not the MMR.
Age: 19.0
Sex: M
Vaccine: HEPAB, SMALL, TYP
Symptoms: Injection site vesicles, Rash
Clinical narrative: Patient received smallpox vaccine on 4April06 after receiving a briefing on the care of smallpox vaccination sites and soldier also verified the care of vaccine site with the immunization provider and the PA prior to being vaccinated.  Patient returned to the clinic on 10April 06.  He stated that he had gotten a tattoo on 7April06 and that he now has bumps around the tattoo and was not sure if it was from the smallpox vaccine or from a reaction from the tattoo.  Patient was instructed to cover bumps and to monitor them for changes and to return to clinic for further changes.  Patient returned to clinic today.  Bumps have been spreading to arms and torso, each site covered with gauze, tape and ace wrap.  Patient instructed to return to clinic every morning for bandage changes.  Patient again given instructions for care of inoculated sites and was told to change bed linens, wash towels, and to spray with bleach all surfaces he had touched.  Patient also reported to his chain of command.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site hypersensitivity
Clinical narrative: Immunization given 4/12 next day had large red area on left leg IPV and DTap.
Age: 1.31
Sex: F
Vaccine: HEPA, HIBV, MMR
Symptoms: Pyrexia
Clinical narrative: Fever - temperature to 104.4 degrees, decreased with Tylenol and Motrin.
Age: 0.2
Sex: M
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Rhinitis, Sudden infant death syndrome
Clinical narrative: Death.  4/26/06 Received autopsy report which stated COD as SIDS.  Patient had been placed face down in playpen w/adult sized blanket folded.  Had recent runny nose/ss
Age: 10.0
Sex: M
Vaccine: FLUX
Symptoms: Hyperplasia
Clinical narrative: Seriousness criteria Other medically significant (OMIC). From initial information received on 4/4/2006 from a literature report entitled PET scan hypermetabolism induced by influenza vaccination in a patient with non Hodgkin lymphoma. It was reported, that a 10 year old boy developed an intense hypermetabolism area on positron emission tomography PET scan after receiving influenza virus vaccine. The boy, who was two years off therapy for non Hodgkins lymphoma, received an influenza virus vaccine (dosage not stated) in his left deltoid muscle and, nine days later, a routine PET scan showed an intense hypermetabolism area in his left axillary region and a smaller hypermetabolism area in his left supraclavicular area, a disease progression was suspected. The boy underwent excision on his lymph node (1.3 in greatest dimension), a reactive lymph node with evidence of follicular and interfollicular hyperplasia was found. Eight months after the initial PET scan, another hypermetabolic lymph node was found in his left axilla with about half of the metabolic intensity of his initial node. The node (2.5 cm in greatest dimension) was excised and was found to have florid hyperplasia with no lymphoma evidence. Author comment, the intense isolated hypermetabolism areas on two occasions, the pathological findings of reactive lymph nodes and the boys continued good health nine months after the initial PET scan, support the hypothesis that this hypermetabolism area (occurred as a result of local antigens processing and lymphocyte proliferation in response to the patients influenza vaccination). A search did not reveal any7 previous case reports of hypermetabolism associated with influenza virus vaccine.
Age: 1.4
Sex: F
Vaccine: DTAP, FLU3
Symptoms: Cellulitis, Condition aggravated, Cough, Ear pain, Injection site abscess
Clinical narrative: Initial report received on 1/31/2006 from a health care professional. A 17 month old female patient with no significant medical history had received an administration (route not reported) of Fluzone SV 2005 2006 USP, lot number U1915AA, in the left thigh and an administration (route not reported) of Tripedia, lot number U1345BA, in the left thigh on 1/25/2006. At an unspecified time later, the patient developed an injection site abscess with redness and edema. The abscess was verified by ultrasound and the patient was evaluated by a physician and treated with antibiotics. At the time of this report, the patient had recovered from these events. The reporter for this case is the same as for case 200600227. Follow up information received on 4/10/2006. The patient has a past medical history of recurrent otitis media with myringotomy and tympanostomy tube placement in Oct 2005. The patient received her Fluzone and Tripedia vaccine intramuscular on 1/25/2006. One day post immunization, she developed severe left leg redness, swelling and pain at the injection site. She was seen by her physician the following day. On examination, her left proximal thigh had a large area of erythema, induration, tenderness and warmth around and distal to the injection site. She was also found to have an ear infection, earache, rhinitis, intermittent fever and cough. She was diagnosed with acute upper respiratory infection and ear infection. Per the physician, there was a small risk for cellulitis/abscess, and she was admitted to the hospital for treatment. She was to have a CBC with platelets, influenza swab, and RSV test. No laboratory results were provided.
Age: 1.4
Sex: F
Vaccine: DTAP, FLU3
Symptoms: Injection site erythema, Injection site hypersensitivity, Injection site induration, Injection site oedema, Injection site pain
Clinical narrative: Initial report received on 1/31/2006 from a health care professional. A 17 month old female patient with no significant medical history had received an administration (route not reported) of Fluzone SV 2005 2006 USP, lot number U1915AA, in the left thigh and an administration (route not reported) of Tripedia, lot number U1345BA, in the left thigh on 1/25/2006. At an unspecified time later, the patient developed an injection site abscess with redness and edema. The abscess was verified by ultrasound and the patient was evaluated by a physician and treated with antibiotics. At the time of this report, the patient had recovered from these events. The reporter for this case is the same as for case 200600227. Follow up information received on 4/10/2006. The patient has a past medical history of recurrent otitis media with myringotomy and tympanostomy tube placement in Oct 2005. The patient received her Fluzone and Tripedia vaccine intramuscular on 1/25/2006. One day post immunization, she developed severe left leg redness, swelling and pain at the injection site. She was seen by her physician the following day. On examination, her left proximal thigh had a large area of erythema, induration, tenderness and warmth around and distal to the injection site. She was also found to have an ear infection, earache, rhinitis, intermittent fever and cough. She was diagnosed with acute upper respiratory infection and ear infection. Per the physician, there was a small risk for cellulitis/abscess, and she was admitted to the hospital for treatment. She was to have a CBC with platelets, influenza swab, and RSV test. No laboratory results were provided.
Age: 1.4
Sex: F
Vaccine: DTAP, FLU3
Symptoms: Injection site warmth, Otitis media, Pyrexia, Rhinitis, Tenderness
Clinical narrative: Initial report received on 1/31/2006 from a health care professional. A 17 month old female patient with no significant medical history had received an administration (route not reported) of Fluzone SV 2005 2006 USP, lot number U1915AA, in the left thigh and an administration (route not reported) of Tripedia, lot number U1345BA, in the left thigh on 1/25/2006. At an unspecified time later, the patient developed an injection site abscess with redness and edema. The abscess was verified by ultrasound and the patient was evaluated by a physician and treated with antibiotics. At the time of this report, the patient had recovered from these events. The reporter for this case is the same as for case 200600227. Follow up information received on 4/10/2006. The patient has a past medical history of recurrent otitis media with myringotomy and tympanostomy tube placement in Oct 2005. The patient received her Fluzone and Tripedia vaccine intramuscular on 1/25/2006. One day post immunization, she developed severe left leg redness, swelling and pain at the injection site. She was seen by her physician the following day. On examination, her left proximal thigh had a large area of erythema, induration, tenderness and warmth around and distal to the injection site. She was also found to have an ear infection, earache, rhinitis, intermittent fever and cough. She was diagnosed with acute upper respiratory infection and ear infection. Per the physician, there was a small risk for cellulitis/abscess, and she was admitted to the hospital for treatment. She was to have a CBC with platelets, influenza swab, and RSV test. No laboratory results were provided.
Age: 1.4
Sex: F
Vaccine: DTAP, FLU3
Symptoms: Upper respiratory tract infection
Clinical narrative: Initial report received on 1/31/2006 from a health care professional. A 17 month old female patient with no significant medical history had received an administration (route not reported) of Fluzone SV 2005 2006 USP, lot number U1915AA, in the left thigh and an administration (route not reported) of Tripedia, lot number U1345BA, in the left thigh on 1/25/2006. At an unspecified time later, the patient developed an injection site abscess with redness and edema. The abscess was verified by ultrasound and the patient was evaluated by a physician and treated with antibiotics. At the time of this report, the patient had recovered from these events. The reporter for this case is the same as for case 200600227. Follow up information received on 4/10/2006. The patient has a past medical history of recurrent otitis media with myringotomy and tympanostomy tube placement in Oct 2005. The patient received her Fluzone and Tripedia vaccine intramuscular on 1/25/2006. One day post immunization, she developed severe left leg redness, swelling and pain at the injection site. She was seen by her physician the following day. On examination, her left proximal thigh had a large area of erythema, induration, tenderness and warmth around and distal to the injection site. She was also found to have an ear infection, earache, rhinitis, intermittent fever and cough. She was diagnosed with acute upper respiratory infection and ear infection. Per the physician, there was a small risk for cellulitis/abscess, and she was admitted to the hospital for treatment. She was to have a CBC with platelets, influenza swab, and RSV test. No laboratory results were provided.
Age: 18.0
Sex: M
Vaccine: MNQ
Symptoms: Headache, Musculoskeletal stiffness, Nausea, Pyrexia
Clinical narrative: Initial report receive from a health care provider on 4/6/2006. A 17 year old male patient, with no pre existing medical conditions, had received a right deltoid injection of Menactra, Lot number U1808AA, on 1/16/2006. He had also received an injection of Tetanus Diphtheria vaccine, manufacturer not reported. lot number not reported, route and site of administration not reported, on 1/13/2006. One day following the Menactra vaccination and four day following the Tetanus diphtheria vaccination, the patient experience severe headaches, stiff neck, fever, nausea. Per the reporter, the event required hospitalization, and two weeks following discharge, the patient still had not returned to school. Relevant testing included a CT scan, chest X ray and spinal tap although results were not provided. The reporter indicated that the responsible physician noted on the VAERS report is not the patients personal physician ant that she did not have contact information for the personal physician or additional information concerning this case.
Age: 47.0
Sex: M
Vaccine: ANTH, HEP, SMALL, TYP
Symptoms: Anxiety, Arthralgia, Back pain, Erectile dysfunction, Insomnia
Clinical narrative: Low back pain. L-S, Degeneration of lumbar or lumbasocral internal disc.  L-S, Internal degenerate of Knee (ICD 9 CM 717.9). Erectile Dysfunction (ICD 9 CM 302.72), anxiety disorder, pain in knee, Insomnia.
Age: 15.0
Sex: F
Vaccine: HEP, HEPA, MMR, MNQ, TDAP
Symptoms: Hot flush, Pruritus, Rash, Urticaria
Clinical narrative: Patients mother states client woke up on morning of 3/29/06 with a rash on her face. Clients mother states rash looks like hives, and patient has c/o itching and hotness on face. Rash appears only on patients face. No other symptoms. Instructed to take Benadryl.
Age: 0.52
Sex: F
Vaccine: DTAPHEPBIP, FLU3, HIBV, PNC
Symptoms: Feeling hot
Clinical narrative: Friday 04/07/2006, Mom states felt warm and gave Advil.  Saturday, 04/08/2006, no fever but left leg child was keeping straight, no noted redness or swelling.  Was seen at doctor on Monday, 04/10/2006, but Mother upset and was unable to examine baby well.
Age: 18.0
Sex: F
Vaccine: MNQ
Symptoms: Rash
Clinical narrative: Client had rash on body- seen by doctor who said just a localized reaction, decreased on 03/23/2006.  Reaction today- doctor did not feel a problem and was instructed to take Benadryl.
Age: 1.01
Sex: M
Vaccine: DTAP, HIBV, MMR, PNC
Symptoms: Medication error
Clinical narrative: Tdap administered as dose #4 instead of DTap.
Age: 37.0
Sex: M
Vaccine: ANTH, SMALL
Symptoms: Migraine
Clinical narrative: Migraine
Age: 38.0
Sex: M
Vaccine: ANTH
Symptoms: Abdominal pain, Anxiety, Arthralgia, Arthritis, Blood cholesterol increased
Clinical narrative: Pain in joints, abdominal cramps, abdominal pain, acid reflux, high cholesterol, bronchitis, anxiety, arthralgia, loss of concentration, arthritis, conjunctivitis, constipation, cough, dizzy spells, leg cramps, high blood pressure
Age: 38.0
Sex: M
Vaccine: ANTH
Symptoms: Bronchitis, Conjunctivitis, Constipation, Cough, Disturbance in attention
Clinical narrative: Pain in joints, abdominal cramps, abdominal pain, acid reflux, high cholesterol, bronchitis, anxiety, arthralgia, loss of concentration, arthritis, conjunctivitis, constipation, cough, dizzy spells, leg cramps, high blood pressure
Age: 38.0
Sex: M
Vaccine: ANTH
Symptoms: Dizziness, Gastrooesophageal reflux disease, Hypertension, Muscle spasms
Clinical narrative: Pain in joints, abdominal cramps, abdominal pain, acid reflux, high cholesterol, bronchitis, anxiety, arthralgia, loss of concentration, arthritis, conjunctivitis, constipation, cough, dizzy spells, leg cramps, high blood pressure
Age: 5.0
Sex: M
Vaccine: DTAP, HEP, MMR
Symptoms: Erythema, Injection site hypersensitivity, Injection site induration, Injection site oedema, Injection site warmth
Clinical narrative: Swelling, redness, hot to touch. Patient mother called 3/21/06 pm said patient had lump on arm with low grade fever. She was giving him TYLENOL and hot packs 3/22/06 patient came into office left deltoid down to elbow and around to back red, swollen, hard. Patient to take BENADRYL and TYLENOL. Watch if any other signs bring patient to office.
Age: 5.0
Sex: M
Vaccine: DTAP, HEP, MMR
Symptoms: Oedema, Pyrexia
Clinical narrative: Swelling, redness, hot to touch. Patient mother called 3/21/06 pm said patient had lump on arm with low grade fever. She was giving him TYLENOL and hot packs 3/22/06 patient came into office left deltoid down to elbow and around to back red, swollen, hard. Patient to take BENADRYL and TYLENOL. Watch if any other signs bring patient to office.
Age: 5.0
Sex: M
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Injection site hypersensitivity, Injection site infection, Injection site oedema, Injection site warmth, Skin discolouration
Clinical narrative: Vaccines received 3/13/2006. MD called 3/15/06 stating child's entire (R) shoulder to injection very red, swollen, black/blue, from site to elbow very red, entire arm upper arm very hot to touch. Saw PMD DX infection at site prescribed antibiotic.
Age: 18.0
Sex: M
Vaccine: TYP
Symptoms: Dyspnoea, Rash, Urticaria
Clinical narrative: Patient took 1st pill on 2/23/06, 2nd pill 2/25/06, at 2pm 2/26/06 developed hives all over body with difficulty breathing, took BENADRYL. Saw PMD on 2/27/06, rash and breathing problems gone. D/C last 2 doses.
Age: 0.66
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Irritability, Pyrexia, Staring, Urinary incontinence
Clinical narrative: 01/202006 I spoke to mom on phone 2D of intermittent fever, cranky and staring episodes. Urination during staring episode. Sent patient to ER to R/O seizure and pt appeared healthy. No further ? seizure activity. Mom declined neuro consult.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site hypersensitivity, Injection site oedema, Tenderness
Clinical narrative: Swelling, redness around site of injection, right thigh. Slight tenderness. TX ice packs to area and RX Prednisone 6 days and Zyrtec QD.
Age: 54.0
Sex: F
Vaccine: TD
Symptoms: Injection site abscess
Clinical narrative: Abscess formation at site.
Age: 13.0
Sex: M
Vaccine: TDAP
Symptoms: Erythema, Rash vesicular, Swelling
Clinical narrative: 03/06/2006 patient received varicella and td vaccine.  03/25/2006 patient noticed red swollen bump to right neck.  On 03/27/2006 patient woke up with multiple macular and vesicular lesions to chest, arms, legs, and face.
Age: 5.0
Sex: M
Vaccine: IPV, MMR
Symptoms: Erythema, Feeling hot, Tenderness
Clinical narrative: Right glutteal region red, tender, and warm.  Treated with Keflex for 7 days, Benadryl.  Ambulating without difficulty.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site hypersensitivity, Injection site induration, Injection site warmth
Clinical narrative: 6 CM area of redness to left thigh with warmth and induration.
Age: 3.0
Sex: F
Vaccine: DT
Symptoms: Abdominal pain upper, Chest pain, Injection site hypersensitivity
Clinical narrative: 3 episodes of pain in upper epigastric, lower chest, each lasting about 10 minutes, at 23 mins, 25 1/2 mins, 30 mins after administration of DT vaccine. No vomiting, cough, difficulty breathing. No fever Concomitant redness at site of shot.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Cellulitis, Injection site erythema, Injection site oedema, Tenderness
Clinical narrative: Swollen Left arm with erythema and tenderness 4x4 cm x 2 days, Keflex was prescribed.
Sex: F
Vaccine: DTAP, IPV
Symptoms: Injection site hypersensitivity, Injection site induration, Injection site warmth
Clinical narrative: Red, indurated, hot touch left upper arm 5 1/2 x 3 1/2 DTap.
Age: 39.0
Sex: F
Vaccine: HEP
Symptoms: Asthenia, Pruritus, Tongue disorder, Tongue oedema, Wheezing
Clinical narrative: 04/11/06 at 10:35 Hep B, vac given at 11am employee called C/O Tongue swelling, advised to come straight to ER arrived at 11:21 c/o tongue very sensitive and feels weak all over. Itchy, VS 96.9, 84P, 18R, 118/88 BP, 98% POX RA, no stridor or distress. Scattered inspiratory wheeze. No swelling of tongue or oral mucosa. Decreased Itching with Benadryl. Treated with Benadryl 50 mg PO, Claritin 10 mg PO.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site hypersensitivity, Injection site oedema, Pruritus, Tenderness
Clinical narrative: Area red, edema, itching, tender.
Age: 25.0
Sex: F
Vaccine: TD
Symptoms: Cellulitis, Injection site reaction
Clinical narrative: Cellulitis R arm at injection site.
Age: 1.0
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Rash
Clinical narrative: Rash developed on face, chest, abdomen, arms, back, legs on 4/11/06, blanching non resolved.
Age: 43.0
Sex: F
Vaccine: TD
Symptoms: Chills, Headache, Injection site pain, Pyrexia, Vomiting
Clinical narrative: Patient states ate lunch at 1PM, then at about 3 or 3:30 had chills, fever, headache and vomited twice.  No further complaint.  No local reaction at injection site noted, only some soreness.
Age: 24.0
Sex: M
Vaccine: HEP
Symptoms: Abdominal pain upper, Cyanosis, Dyspnoea, Hypokinesia, Hypotension
Clinical narrative: On 2/24/06 at approximately 12pm pt reports having stomach pain, pale and blue around lips, could not move arms and legs and was having trouble catching his breath, his significant other called SHC instructed to call 911 pt reports paramedics came to house, no fever, low BP (exact reading unknown). Pt refused to go to ED pt reported this episode subsided after 3 hours.
Age: 24.0
Sex: M
Vaccine: HEP
Symptoms: Pallor
Clinical narrative: On 2/24/06 at approximately 12pm pt reports having stomach pain, pale and blue around lips, could not move arms and legs and was having trouble catching his breath, his significant other called SHC instructed to call 911 pt reports paramedics came to house, no fever, low BP (exact reading unknown). Pt refused to go to ED pt reported this episode subsided after 3 hours.
Age: 0.5
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Convulsion, Crying, Feeling hot, Hypotonia, Screaming
Clinical narrative: Mom states baby started crying around 6pm (2/28/06) would stop for about 30 mins at a time then start again. Felt hot to touch, but did not take temp. Both legs hot to touch. Eating and drinking ok. Denies SOB. Seizures, limp limbs. Tylenol did help. States baby cried for 2 hrs after first set of shots.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV
Symptoms: Injection site oedema
Clinical narrative: Swelling of the arm 5" area received DTaP and IPV in right deltoid.
Age: 6.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Asthma, Condition aggravated, Injection site erythema, Injection site oedema, Injection site pain
Clinical narrative: Had vaccine Saturday 3/18/06 at 1PM or so. By Sunday evening 3/19/06 arm, right arm, was very swollen (1 1/2 inches larger than left arm). Area red about 6" in diameter, area painful and red. No drainage from injection site. Fever of 101F. To MD 3/20/06 given Keflex. 1st dose at 14:00. 3/20/06 swelling improved 3/21/06 no fever, swelling, almost gone 3/23/06 asthma flared up 3/22/06 and 3/23/06.
Age: 25.0
Sex: U
Vaccine: MEN, TYP
Symptoms: Chills, Dehydration, Dizziness, Nausea, Pharyngolaryngeal pain
Clinical narrative: 25 y/o female c/o sore throat, fever, chills, nausea, vomiting, lightheadness and dizziness. 101.1 temp. At this time pt on ward for hydration for past two days.
Age: 25.0
Sex: U
Vaccine: MEN, TYP
Symptoms: Pyrexia, Vomiting
Clinical narrative: 25 y/o female c/o sore throat, fever, chills, nausea, vomiting, lightheadness and dizziness. 101.1 temp. At this time pt on ward for hydration for past two days.
Age: 6.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Agitation, Convulsion, Crying, Irritability, Syncope
Clinical narrative: Child fainted immediately upon walking from immunization room (immediately after receiving shots). Small duration (5-10 seconds) seizure observed. Pt awakened quickly cried and irritable when aroused fully T97.6-98 via ear probe thermometer.
Age: 4.0
Sex: U
Vaccine: DTAP, IPV, MMR
Symptoms: Feeling hot, Injection site erythema, Injection site oedema
Clinical narrative: Mother reports she noted that child had some redness and a little swelling over R deltoid area on morning following the day of admin (24 hrs later). Child behavior normal offering no complaints. This AM, some swelling remains no redness minimal warmth in area. Mother administered Tylenol x1. No fever noted.
Age: 3.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site oedema
Clinical narrative: Received shots on 4/13/06: right thigh: V2V, Dtap. Left thigh: MMR, IPV. Developed erythema on right thigh since arm of 4/13/06 gradually enlarged. Seen at clinic in the afternoon around 5pm 4/14/06. Possible vaccine reaction vs soft tissue infection. Started Keflex and Bactroban or 4/14/06.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site mass, Injection site oedema
Clinical narrative: Right thigh 2cm x 1 cm hard area and large red swelling extending to right knee.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Feeling hot, Injection site erythema, Injection site mass, Injection site oedema
Clinical narrative: 8 x 7 1/2 cm redness with increased warmth with mild induration. Moderate edema of left thigh and left knee. Left knee 28cm right knee 25cm. Placed on Benadryl 1 1/2 with every 6 hrs.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site oedema
Clinical narrative: Left thigh marked redness and swelling, area of swelling 16" x 17" extending to knee. Placed on Omnicef 250/5 1 90 x 3 days and Benadryl PO q 6h.
Age: 1.0
Sex: F
Vaccine: HEP, HEPA, HIBV, PNC, VARCEL
Symptoms: Medication error
Clinical narrative: Expired hep B vaccine given by mistake, vaccine expired 4/10/06. Vaccine given 4/14/06. As per advice repeat Hep B vaccine ASAP. Pt is scheduled 4/18/06 for Hep B vax.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Cellulitis, Injection site erythema, Injection site mass, Injection site oedema
Clinical narrative: Pt right had was red and swollen, reaction to one shots 12x10cm induration.
Age: 5.0
Sex: F
Vaccine: DTAP, HEP, IPV, MMR
Symptoms: Erythema, Headache, Injection site warmth, Pain, Pyrexia
Clinical narrative: 4/13/06 PM fever 101.3 developed hard lump on left deltoid. 4/14/2006 AM fever 102 lump red hot to touch headache and vomiting X 2. 4/16/2006 PM fever 102 c/o pain in left arm remains red lump hard. 4/17/2006 no fever moving arm freely lump hard no redness.
Age: 5.0
Sex: F
Vaccine: DTAP, HEP, IPV, MMR
Symptoms: Skin nodule, Vomiting
Clinical narrative: 4/13/06 PM fever 101.3 developed hard lump on left deltoid. 4/14/2006 AM fever 102 lump red hot to touch headache and vomiting X 2. 4/16/2006 PM fever 102 c/o pain in left arm remains red lump hard. 4/17/2006 no fever moving arm freely lump hard no redness.
Age: 53.0
Sex: M
Vaccine: HEP
Symptoms: Medication error
Clinical narrative: Pt was seen in travel clinic on 03/20/06 and had hepatitis vaccine 1st dose. 2nd dose is ordered after a month, but pt showed up after 7 days and inadvertently given the 2nd dose. Pt came today for TETANUS/DIPHTHERIA , and realized the mistake. Pt asymptomatic, evaluated by nurse. No complaints voiced. Notified Nurse Manager, Phamacist. Pt will be here on 04/27/06
Age: 0.56
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Injection site erythema, Injection site oedema
Clinical narrative: Local swelling and erythema 24 hrs after vaccine. Resolving at 48hrs.
Age: 1.01
Sex: M
Vaccine: HEP, IPV, VARCEL, HEP, IPV, VARCEL
Symptoms: CSF test abnormal, Cellulitis, Decreased appetite, Drug ineffective, Encephalitis
Clinical narrative: Information has been received from a registered nurse concerning an 8 year old white male with ADHD and a history of a neonatal enteroviral infection. At 4 months of age, the patient had a dozen varicella lesion and was given acyclovir. On 11/23/1998, at 1.01 years of age (also reported as 15 months old), the patient was vaccinated SC with a first dose of varicella virus vaccine live (lot 628032/1261H). Concomitant therapy that day included a third dose of hepatitis B vaccine, recomb (Engerix B) (batch 2725A2) and a third dose of poliovirus vaccine inactivated (Vero) (Ipol) (Batch W0197). Subsequently the patient experienced varicella meningo encephalitis. It was noted that his long term outlook was uncertain at the time of the report. It was noted that varicella was wild virus (not vaccine strain), so the adverse event was failure to protect. The outcome was reported as recovered. Follow up information received from medical records indicated that on 11/14/2005, the patient was admitted to the hospital due to fever, poor oral intake, vesicular papular rash in his back, and purulent lesions on his gluteal fold. During hospitalization, the first day the patient was found to have photophobia, phonophobia, headache, and neck stiffness. A lumbar puncture was performed and showed an increment of white blood cell to 435, and 269 red blood cells on the CSF, and the basic metabolic panel was noted to have decreasing sodium of 128. All other laboratory data are listed below. The patient was started on the antibiotic acyclovir IV and transferred to the PICU due to possible SIADH. Culture and direct antigen for vesicle were positive for varicella. The patient had improved significantly, and wad discharged to home on 11/17/2005 on IV acyclovir for 7 days. The patient was also treated with cephalexin (Keflex) for gluteal fold cellulitis. The final diagnosis was varicella meningitis. Discharge condition was stable and good. No additional information is expected. A copy of the medical records are attached for further documentation of the event.
Age: 1.01
Sex: M
Vaccine: HEP, IPV, VARCEL, HEP, IPV, VARCEL
Symptoms: Headache, Inappropriate antidiuretic hormone secretion, Meningitis, Musculoskeletal stiffness, Phobia
Clinical narrative: Information has been received from a registered nurse concerning an 8 year old white male with ADHD and a history of a neonatal enteroviral infection. At 4 months of age, the patient had a dozen varicella lesion and was given acyclovir. On 11/23/1998, at 1.01 years of age (also reported as 15 months old), the patient was vaccinated SC with a first dose of varicella virus vaccine live (lot 628032/1261H). Concomitant therapy that day included a third dose of hepatitis B vaccine, recomb (Engerix B) (batch 2725A2) and a third dose of poliovirus vaccine inactivated (Vero) (Ipol) (Batch W0197). Subsequently the patient experienced varicella meningo encephalitis. It was noted that his long term outlook was uncertain at the time of the report. It was noted that varicella was wild virus (not vaccine strain), so the adverse event was failure to protect. The outcome was reported as recovered. Follow up information received from medical records indicated that on 11/14/2005, the patient was admitted to the hospital due to fever, poor oral intake, vesicular papular rash in his back, and purulent lesions on his gluteal fold. During hospitalization, the first day the patient was found to have photophobia, phonophobia, headache, and neck stiffness. A lumbar puncture was performed and showed an increment of white blood cell to 435, and 269 red blood cells on the CSF, and the basic metabolic panel was noted to have decreasing sodium of 128. All other laboratory data are listed below. The patient was started on the antibiotic acyclovir IV and transferred to the PICU due to possible SIADH. Culture and direct antigen for vesicle were positive for varicella. The patient had improved significantly, and wad discharged to home on 11/17/2005 on IV acyclovir for 7 days. The patient was also treated with cephalexin (Keflex) for gluteal fold cellulitis. The final diagnosis was varicella meningitis. Discharge condition was stable and good. No additional information is expected. A copy of the medical records are attached for further documentation of the event.
Age: 1.01
Sex: M
Vaccine: HEP, IPV, VARCEL, HEP, IPV, VARCEL
Symptoms: Photophobia, Pyrexia, Rash papular, Skin ulcer, Viral infection
Clinical narrative: Information has been received from a registered nurse concerning an 8 year old white male with ADHD and a history of a neonatal enteroviral infection. At 4 months of age, the patient had a dozen varicella lesion and was given acyclovir. On 11/23/1998, at 1.01 years of age (also reported as 15 months old), the patient was vaccinated SC with a first dose of varicella virus vaccine live (lot 628032/1261H). Concomitant therapy that day included a third dose of hepatitis B vaccine, recomb (Engerix B) (batch 2725A2) and a third dose of poliovirus vaccine inactivated (Vero) (Ipol) (Batch W0197). Subsequently the patient experienced varicella meningo encephalitis. It was noted that his long term outlook was uncertain at the time of the report. It was noted that varicella was wild virus (not vaccine strain), so the adverse event was failure to protect. The outcome was reported as recovered. Follow up information received from medical records indicated that on 11/14/2005, the patient was admitted to the hospital due to fever, poor oral intake, vesicular papular rash in his back, and purulent lesions on his gluteal fold. During hospitalization, the first day the patient was found to have photophobia, phonophobia, headache, and neck stiffness. A lumbar puncture was performed and showed an increment of white blood cell to 435, and 269 red blood cells on the CSF, and the basic metabolic panel was noted to have decreasing sodium of 128. All other laboratory data are listed below. The patient was started on the antibiotic acyclovir IV and transferred to the PICU due to possible SIADH. Culture and direct antigen for vesicle were positive for varicella. The patient had improved significantly, and wad discharged to home on 11/17/2005 on IV acyclovir for 7 days. The patient was also treated with cephalexin (Keflex) for gluteal fold cellulitis. The final diagnosis was varicella meningitis. Discharge condition was stable and good. No additional information is expected. A copy of the medical records are attached for further documentation of the event.
Age: 1.01
Sex: M
Vaccine: HEP, IPV, VARCEL, HEP, IPV, VARCEL
Symptoms: Blister, Blood sodium decreased, Cellulitis, Decreased appetite, Drug ineffective
Clinical narrative: Information has been received from a registered nurse concerning an 8 year old white male with ADHD and a history of a neonatal enteroviral infection. At 4 months of age, the patient had a dozen varicella lesion and was given acyclovir. On 11/23/1998, at 1.01 years of age (also reported as 15 months old), the patient was vaccinated SC with a first dose of varicella virus vaccine live (lot 628032/1261H). Concomitant therapy that day included a third dose of hepatitis B vaccine, recomb (Engerix B) (batch 2725A2) and a third dose of poliovirus vaccine inactivated (Vero) (Ipol) (Batch W0197). Subsequently the patient experienced varicella meningo encephalitis. It was noted that his long term outlook was uncertain at the time of the report. It was noted that varicella was wild virus (not vaccine strain), so the adverse event was failure to protect. The outcome was reported as recovered. Follow up information received from medical records indicated that on 11/14/2005, the patient was admitted to the hospital due to fever, poor oral intake, vesicular papular rash in his back, and purulent lesions on his gluteal fold. During hospitalization, the first day the patient was found to have photophobia, phonophobia, headache, and neck stiffness. A lumbar puncture was performed and showed an increment of white blood cell to 435, and 269 red blood cells on the CSF, and the basic metabolic panel was noted to have decreasing sodium of 128. All other laboratory data are listed below. The patient was started on the antibiotic acyclovir IV and transferred to the PICU due to possible SIADH. Culture and direct antigen for vesicle were positive for varicella. The patient had improved significantly, and wad discharged to home on 11/17/2005 on IV acyclovir for 7 days. The patient was also treated with cephalexin (Keflex) for gluteal fold cellulitis. The final diagnosis was varicella meningitis. Discharge condition was stable and good. No additional information is expected. A copy of the medical records are attached for further documentation of the event.