chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 17.0
Sex: F
Vaccine: HPV4
Symptoms: Computerised tomogram normal, Headache, Lumbar puncture, Meningitis aseptic
Clinical narrative: Information has been received from a physician concerning a 17 year old female who on 13-AUG-2007 was vaccinated IM with 0.5mL Gardasil (lot # 657006/0188U). Concomitant therapy included tetanus toxoid vaccine. On 15-AUG-2007 the patient developed a severe headache and went to the emergency room. She underwent a head CT scan which was normal and a lumbar puncture which was positive for aseptic meningitis. She was diagnosed with aseptic meningitis. Her treatment was unknown. She was not hospitalized and had since recovered. The physician considered aseptic meningitis to be an other important medical event. Additional information has been requested.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, VARCEL
Symptoms: Cellulitis, Rash macular, Rash papular
Clinical narrative: Initial report received on 24 August 2007 from a health care professional. A four-year-old male patient, with no illness at the time of vaccination, had received a left deltoid, intramuscular injection of Daptacel, lot number C2657AA; a left deltoid, intramuscular injection of IPOL, lot number Z0873 (not a valid Sanofi Pasteur lot number); a left forearm administration of Tubersol 5 TU, lot number C2670AA; and a right deltoid, intramuscular injection of Varivax, manufacturer Merck, lot number 1015U; on 17 August 2007. The following day, the patient developed cellulitis from his left wrist to mid chest with macules and papules. He was examined by a physician two days later. Diagnostic testing was none. Treatment included Benadryl, Tylenol and Motrin as needed. Ice packs were applied intermittently. Recovery status was reported as unknown.
Age: 13.0
Sex: F
Vaccine: MNQ
Symptoms: Syncope
Clinical narrative: Initial report received on 24 August 2007 from a physician in the United States. A 13 year-old female patient, with no concurrent illnesses, use of other medications or any pre-existing medical conditions had received a first dose, left deltoid intramuscular injection of Menactra, lot number U2330AAA, on 14 August 2007. Immediately following vaccination with Menactra, the patient "fainted." It was not reported how long the patient had lost consciousness. No relevant diagnostic testing or laboratory data were performed. It was reported the patient recovered.
Sex: U
Vaccine: TDAP
Symptoms: Rheumatoid arthritis
Clinical narrative: Initial report received on 23 August 2007 from a physician in the United States. A patient (demographics not provided) had received a dose of Adacel date received, lot number, route and site not provided) and developed rheumatoid arthritis of "similar symptoms" after receiving Adacel. At the time of this report, the reporting physician was not completely convinced the "rheumatic symptoms" were directly associated with the vaccination of Adacel and requested further information from the manufacturer. No additional information was provided. Recovery status of the patient was not reported.
Age: 66.0
Sex: F
Vaccine: FLU3
Symptoms: Myocardial infarction, Palpitations
Clinical narrative: A 67-year-old female patient, with a history of atrial fibrillation, received an intramuscular right deltoid injection of Fluzone (lot number U2165CA) on 31 October 2006, at 1:30 pm. By 8:00 pm, the patient reported that "her heart was racing". This continued for two days, and the patient called her primary care physician and was informed that "it would subside". She subsequently travelled to visit her daughter, and while there experienced a heart attack (dates not provided). According to the patient, she was hospitalized for one week and underwent a "full cardiac work-up"; the events were considered to be resolved. Concomitant medications included Coumadin, Diovan, and Toprol XL.
Age: 47.0
Sex: F
Vaccine: RAB
Symptoms: Hypoaesthesia facial, Paraesthesia
Clinical narrative: Initial report received from a patient on 21 August 2007. A 47-year-old female patient with no pre-existing medical conditions or allergies, had received her third injection in the right deltoid (route not reported) of Imovax Rabies vaccine (lot number not reported) on 23 August 2007 for post exposure prophylaxis and four days later developed numbness and tingling on the left side of her face. The patient not experienced any adverse reactions after the first right deltoid injection or the second left deltoid injection of Imovax Rabies vaccine (lot numbers not reported) on 09 August 2007 and 12 August 2007. The patient also received Imogam Rabies HT in the gluteal muscle and anterior thigh (lot number not reported) on 09 August 2007. On 20 August 2007, four days after she had received the vaccine, the patient developed numbness and tingling on the left side of her face. 24 hours after the onset of symptoms, the patient described the intensity of the numbness and tingling as mild. The patient had not received any concomitant medications at the time of vaccination. She had been scheduled to receive her fourth dose of Imovax Rabies vaccine on 23 August 2007. Information had not been provided regarding the nature of the rabies exposure. The patient had not recovered from the event at the time of the report.
Age: 79.0
Sex: F
Vaccine: PPV
Symptoms: Blood culture negative, Cellulitis, Chills, Pain in extremity, Pruritus
Clinical narrative: Admitted to hosp 8/23 with fever, chills, arm pain - cellulitis rt triceps area. Infectious disease doctor consulted. Ancef 10mg every 8 hours. Benadryl 25mg IVG 6 hours for itching.  10/9/07 Reviewed hospital medical records which reveal patient experienced fever, chills, & right upper arm pain.  Admitted 8/24-8/27/07.  Fever on admit 103.  RUE injection site w/hematoma, erythema & warmth.  Tx w/IV antibiotics.  ID consult done.  Improved & d/c to home on continued oral antibiotics. FINAL DX: nonischemic cardiomyopathy, recent ICD implantation, 8/21/07; RUE cellulitis, resolving; hx of COPD; dyslipidemia.
Age: 79.0
Sex: F
Vaccine: PPV
Symptoms: Pyrexia
Clinical narrative: Admitted to hosp 8/23 with fever, chills, arm pain - cellulitis rt triceps area. Infectious disease doctor consulted. Ancef 10mg every 8 hours. Benadryl 25mg IVG 6 hours for itching.  10/9/07 Reviewed hospital medical records which reveal patient experienced fever, chills, & right upper arm pain.  Admitted 8/24-8/27/07.  Fever on admit 103.  RUE injection site w/hematoma, erythema & warmth.  Tx w/IV antibiotics.  ID consult done.  Improved & d/c to home on continued oral antibiotics. FINAL DX: nonischemic cardiomyopathy, recent ICD implantation, 8/21/07; RUE cellulitis, resolving; hx of COPD; dyslipidemia.
Age: 15.0
Sex: F
Vaccine: HPV4
Symptoms: Confusional state, Laboratory test
Clinical narrative: Per mother 2 hours after injection behavior changes, unaware of surrounding. Pt went to ER. In 4 days.   pt returned to ER Blood test and MRI were done Per mom everything was normal. Pt discharged 8/28/07.  09/25/2007 MR received for DOS 8/23/2007 for D/C DX of Disorientation, weakness resolved and additional records for 8/24-28/07.  Pt presented to ER x 2 with mental status changes, confusion, and dizziness. Was D/C after all labs were normal.  Increasing fatigue and weakness in the BLEs resulted in return to ER. Confusion was improved at this time. PE shows 4/5 LE stength. Otherwise WNL. Neuro attending reports hx and exam not suggestive of severe neuro complication. Disorientation c/w orthostasis, improved with IVF. Discharged 8/27/07 in improved condition with normal exam.
Age: 12.0
Sex: F
Vaccine: HPV4
Symptoms: Eye swelling, Gait disturbance, Injection site pain, Lacrimation increased, Pain in extremity
Clinical narrative: 6/14/07 - the day after HPV #1 given, developed severe pain (10/10) at injection site on upper arm that extended down her entire right arm. No numbness or motor loss. Pain resolved after about 3 days. 8/14/07 - 2-3 days after HPV #2 given, developed pain along her entire arm and the thigh of the side on which she was injected. Also developed swelling of eye on affected side with tearing and redness. No rash. No respiratory problems. Pain has lasted about 3 days but is lessening. Pain makes walking difficult.
Age: 65.0
Sex: M
Vaccine: PPV, VARZOS
Symptoms: Arthralgia, Asthenia, Headache, Hyperhidrosis, Injection site erythema
Clinical narrative: Injection site red, intense pain in shoulder, c/o headache 1 1/2 days, joint pain, sweating and general weakness.
Age: 65.0
Sex: M
Vaccine: PPV, VARZOS
Symptoms: Musculoskeletal pain
Clinical narrative: Injection site red, intense pain in shoulder, c/o headache 1 1/2 days, joint pain, sweating and general weakness.
Age: 20.0
Sex: F
Vaccine: HPV4
Symptoms: Anogenital warts
Clinical narrative: 2 wks after injection patient noted warts lesion on external genitalia- 6 mos persisted. She was seen today and has 1 cm. condyloma.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMRV
Symptoms: Injection site erythema, Injection site mass, Injection site swelling, Pyrexia
Clinical narrative: c/o knot (R) side were injection was given of DTaP and IPV, red swollen and fever present at site x 2 days.
Age: 13.0
Sex: F
Vaccine: MNQ, VARCEL
Symptoms: Cold sweat, Flushing, Hyperhidrosis, Loss of consciousness, Vomiting
Clinical narrative: Pt passed out at approx 11:35am - face was very flushed, skin sweaty/clammy. Once she came to she vomited x 2. Per pt she hadn't had breakfast or fluids. Monitored for 30 min in exam room without any complications.
Age: 18.0
Sex: F
Vaccine: TD, TDAP
Symptoms: Incorrect route of drug administration
Clinical narrative: (1) Read box as Tb and Td so Td misadministered interdermally as PPO (2) tyen 0.05 cc of Tdap given (3) Retested with PPD 7/25/07 (-) result
Age: 63.0
Sex: F
Vaccine: IPV, TYP, YF
Symptoms: Asthenia, Pharyngeal oedema, Swollen tongue, Urticaria
Clinical narrative: Patient called the clinic today to report a serious reaction to vaccines she received here. I phoned her at 1:00 and she related the following to me: She was seen 8/10/07 in the International Travel Clinic and received the following vaccines: IPV, Yellow Fever and Typhoid (VI). On 8/16/07 she broke out with whole body hives. She went to her PMD and received Prednisone, Benadryl and Tagamet. That evening she had hives again and her tongue started swelling, she went to the ED and received the same meds. 8/17/07 in the evening she returned to the ED with hives and the back of her throat swollen. She was treated with same meds. On 8/18/07 she again returned to the ED with hives and the back of her throat swollen and was treated with the same meds. On 8/20/07 she saw her PMD who said to continue the regime and added Decadron. Her doctor said it was the most severe reactions he had ever seen. He said to call the Public Health Clinic. She has not had any blood work done. Every day she continues to have hives, no strength and cannot work. The patient said that she has never been allergic to anything until this past July when she broke out in a rash to Levaquin four days after starting it. She has had Hep B vaccine in the past with no reaction and received Hep A vaccine 8/8/07 at her PMD. I spoke to a doctor today and filled him in on the situation. He said it is being handled appropriately.
Age: 3.0
Sex: M
Vaccine: DTAPHEPBIP, HEPA, HIBV, MMRV, PNC
Symptoms: Asthenia, Gait disturbance, Haematoma, Infection, Injection site swelling
Clinical narrative: Pt. received 5 vaccines. 3 to LLE, 2 to RLE. 2 days later with fever, limp, Rt. upper leg swelling, continued x 1 week. Ultrasound done of Rt knee and thigh. Dx=probable infected hematoma. Treated with Emergency Dept. with antibiotics.
Age: 3.0
Sex: M
Vaccine: DTAPHEPBIP, HEPA, HIBV, MMRV, PNC
Symptoms: Pyrexia, Ultrasound scan
Clinical narrative: Pt. received 5 vaccines. 3 to LLE, 2 to RLE. 2 days later with fever, limp, Rt. upper leg swelling, continued x 1 week. Ultrasound done of Rt knee and thigh. Dx=probable infected hematoma. Treated with Emergency Dept. with antibiotics.
Age: 12.0
Sex: F
Vaccine: HPV4
Symptoms: Nausea, Pain in extremity, Vomiting
Clinical narrative: Nausea/vomit x 72 hours; Arm pain x 2 wks, no redness/swelling.
Age: 18.0
Sex: M
Vaccine: MNQ
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: No adverse effects identified - patient rec'd second Menactra 3 weeks after initial dose. Hx of 1st dose unknown to patient and provider. Menactra mandatory for incoming students at University. Student signed vaccine consent form and authorization of payment - unaware he had had vaccine. No documentation with him.
Age: 13.0
Sex: M
Vaccine: MNQ
Symptoms: Erythema, Swelling
Clinical narrative: C/O after received MCV4 right arm deltoid increased redness/swelling.
Age: 0.35
Sex: M
Vaccine: DTAP, HBHEPB, IPV, PNC, RV5
Symptoms: Body temperature increased, Injection site erythema, Injection site swelling
Clinical narrative: Local redness and swelling at the site of injection and temperature 100.1 next day.
Age: 18.0
Sex: F
Vaccine: MNQ
Symptoms: Erythema, Oedema peripheral, Pain in extremity, Pruritus, Rash generalised
Clinical narrative: Approximately 25 1/2 hrs after vaccine administration, pt noticed itching to back. Subsequently broke out in hive-like rash all over body. Today (8/10/07) rash is still very visible, red, raised - to entire body. Seen in Urgent Care facility 8/9/07 and given medication to help with itching. Also c/o of pain and swelling to hands and feet.
Age: 18.0
Sex: F
Vaccine: MNQ
Symptoms: Urticaria
Clinical narrative: Approximately 25 1/2 hrs after vaccine administration, pt noticed itching to back. Subsequently broke out in hive-like rash all over body. Today (8/10/07) rash is still very visible, red, raised - to entire body. Seen in Urgent Care facility 8/9/07 and given medication to help with itching. Also c/o of pain and swelling to hands and feet.
Age: 34.0
Sex: F
Vaccine: HEP, MMRV
Symptoms: Oedema peripheral
Clinical narrative: Pt has red swollen area left arm warm to touch, no pain, no fever, it was not hard and it was 35x38.
Age: 32.0
Sex: F
Vaccine: HEP, MMRV
Symptoms: Erythema, Inappropriate schedule of drug administration, Injection site nodule, Nodule, Oedema peripheral
Clinical narrative: Red, swollen area to (L) arm with nodule, 40 x 40 mm, warm to touch, no pain, no fever. Pain began 7/30/07 late evening
Age: 32.0
Sex: F
Vaccine: HEP, MMRV
Symptoms: Pain, Skin warm
Clinical narrative: Red, swollen area to (L) arm with nodule, 40 x 40 mm, warm to touch, no pain, no fever. Pain began 7/30/07 late evening
Age: 5.0
Sex: F
Vaccine: DTAP, HEPA, IPV, MMRV
Symptoms: Syncope
Clinical narrative: Syncope event within 5 minutes after administration. Full recovery. No intervention needed.
Age: 18.0
Sex: M
Vaccine: HEP, MNQ, TDAP
Symptoms: Chills, Dizziness, Feeling hot, Headache, Hypoaesthesia
Clinical narrative: States he woke up shaking/"shivering" cold and felt hot at 120-130. Felt little dizzy/blurry getting up, hands tingling, legs felt numb. Had taken arthritis pain relief about 5 or 6 PM for HA. He was treated with Motrin and Tylenol, and NS IV. Discharged at 6:45 am.
Age: 18.0
Sex: M
Vaccine: HEP, MNQ, TDAP
Symptoms: Paraesthesia, Peripheral coldness, Tremor, Vision blurred
Clinical narrative: States he woke up shaking/"shivering" cold and felt hot at 120-130. Felt little dizzy/blurry getting up, hands tingling, legs felt numb. Had taken arthritis pain relief about 5 or 6 PM for HA. He was treated with Motrin and Tylenol, and NS IV. Discharged at 6:45 am.
Age: 62.0
Sex: F
Vaccine: TD
Symptoms: Injection site erythema, Injection site induration, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: 8/10/07 pm-site, red, hot, started to swell 8/11/07 am-site-swollen, hard, red, hot to touch, painful 8/11/07 pm-site same-pain in rt shoulder, neck, down rt arm into hand 8/12/07 am-site-same-pain-now also in rt upper arm-shoulder blade-rt  8/13/07-site still red,hot,swollen,hot to touch, pain reduce, not in rt hand and arm 8/14/07-site area 1-1 1/2" circular-still hard, red, hot to touch, slightly swollen pain in the neck/shoulder area and down to the elbow.
Age: 4.0
Sex: M
Vaccine: DTAP, HEPA, IPV
Symptoms: Injection site erythema, Injection site induration, Injection site nodule, Injection site swelling, Injection site warmth
Clinical narrative: C/O knot on right side where injection was given of DTaP and Polio - red, swollen and fever is present, around site. Area where shot was given was hot to the touch, hard and spread over entire top part of arm on ride side.
Age: 4.0
Sex: M
Vaccine: DTAP, HEPA, IPV
Symptoms: Pyrexia
Clinical narrative: C/O knot on right side where injection was given of DTaP and Polio - red, swollen and fever is present, around site. Area where shot was given was hot to the touch, hard and spread over entire top part of arm on ride side.
Age: 0.43
Sex: F
Vaccine: DTAPHEPBIP
Symptoms: Incorrect drug dosage form administered
Clinical narrative: Diluent given without HIB vaccine. No adverse event or signs/symptoms reported.
Age: 13.0
Sex: M
Vaccine: HEPA, VARCEL
Symptoms: Injection site erythema, Injection site rash, Injection site warmth
Clinical narrative: 8/20/07 adm. Varivax (LA SQ); mom called 8/21/07 "warm to touch and red" PHN advised to use ice (not directly on skin) to arm, Tylenol for discomfort. 8/22/07 mom called back and PHN asked to bring child in; dk pin, s/o raised 40mm area, warm to touch; "itches"; no fever; PHN referred to pvt MD to evaluate. 8/22/07 pvt Md states "local reaction, tx with Prednisone and anti-histamines"
Age: 17.0
Sex: F
Vaccine: VARCEL
Symptoms: Diarrhoea, Pruritus, Rash generalised
Clinical narrative: itching head, neck, back started Wed am (8/22/07) raised, multiple circular areas all over body trunk & extremities by Wed evening, covered more area by Thurs. no blisters. Started Benadryl 50 mg every 6 hrs on Thurs (8/22/07) approx 4 pm. Fri am nurse observed same as above with some areas. Continued Benadryl and add Hydrocortisone 1% ointment to itchies areas no mucosal involvement reported no fever some diarrhea (really urgency) stools qd since Benadryl rash resolved with Benadryl by Sun (8/26/07) Did not develop any blisters.
Age: 5.0
Sex: F
Vaccine: HEPA
Symptoms: Blood glucose normal, Bradycardia, Cyanosis, Fluid replacement, Oxygen supplementation
Clinical narrative: 5 y.o. girl who presented with cyanosis, unresponsiveness, bradycardia HR =40 approx 5-10 minutes after HepA. 1 mg Epi, 4L O2, IVF were given with response.  09/06/2007 Progress note received for DOS 8/31/2007 at 11:35 am. Approximately 10 minutes after receiving Hep A vax (2nd dose) child was returned to clinic floppy and not responding.  Pt was cyanotic, not responding to verbal stimuli, and hypotonic with HR in the 40's.  Was treated with Epi, O2, and IV fluids.  Pt became responsive and back to baseline after ~2 minutes with HR increase to 90's and then 120's. Spoke with RN in clinic.  Child was not hospitalized. DXd with syncope in ER and released.
Age: 5.0
Sex: F
Vaccine: HEPA
Symptoms: Unresponsive to stimuli
Clinical narrative: 5 y.o. girl who presented with cyanosis, unresponsiveness, bradycardia HR =40 approx 5-10 minutes after HepA. 1 mg Epi, 4L O2, IVF were given with response.  09/06/2007 Progress note received for DOS 8/31/2007 at 11:35 am. Approximately 10 minutes after receiving Hep A vax (2nd dose) child was returned to clinic floppy and not responding.  Pt was cyanotic, not responding to verbal stimuli, and hypotonic with HR in the 40's.  Was treated with Epi, O2, and IV fluids.  Pt became responsive and back to baseline after ~2 minutes with HR increase to 90's and then 120's. Spoke with RN in clinic.  Child was not hospitalized. DXd with syncope in ER and released.
Age: 14.0
Sex: F
Vaccine: HPV4
Symptoms: Injection site pain
Clinical narrative: pain at injection site 2 days later. No s/s of infection or erythema. No treatment needed
Age: 1.3
Sex: F
Vaccine: MMRV
Symptoms: Pyrexia, Rash papular
Clinical narrative: vaccine was given on 8/22/07 (MMRV) low grade fever 1 wk after vaccine was given rash started 1 week later with pink/red papules developing on legs, arms, face after few days also small pink papular rash on back few days later
Age: 18.0
Sex: F
Vaccine: HPV4
Symptoms: Arthralgia, Musculoskeletal stiffness, Myalgia
Clinical narrative: Diffuse complaints of joint and muscle pain and stiffness. Onset 2 days after receiving Gardasil.
Age: 18.0
Sex: F
Vaccine: MNQ
Symptoms: Body temperature increased, Chest X-ray normal, Chills, Cough, Full blood count normal
Clinical narrative: c/o chills, cough, neck pain, generalized body aches, increased tm 100-seen in ER at 4am 7-21-07 IV fluids given. Torodal given for pain Diagnosed with (1) Viral illness (2) poss. Vaccine reaction
Age: 18.0
Sex: F
Vaccine: MNQ
Symptoms: Metabolic function test normal, Neck pain, Pain, Urine analysis normal, Viral infection
Clinical narrative: c/o chills, cough, neck pain, generalized body aches, increased tm 100-seen in ER at 4am 7-21-07 IV fluids given. Torodal given for pain Diagnosed with (1) Viral illness (2) poss. Vaccine reaction
Age: 11.0
Sex: M
Vaccine: MNQ, TDAP
Symptoms: Abdominal pain upper, Culture throat negative, Culture urine positive, Headache, Metabolic function test normal
Clinical narrative: Began vomiting with a severe HA, nausea, stomachaches. No diarrhea no muscle stiffness. Went to the ER on 8/17 at 10:45 pm c/o HA vomiting and "pins and needles" in her toes. Rec'd IV fluid, Zofran and Toradol, then discharged home.
Age: 11.0
Sex: M
Vaccine: MNQ, TDAP
Symptoms: Nausea, Neutrophil count normal, Paraesthesia, Urine analysis normal, Vomiting
Clinical narrative: Began vomiting with a severe HA, nausea, stomachaches. No diarrhea no muscle stiffness. Went to the ER on 8/17 at 10:45 pm c/o HA vomiting and "pins and needles" in her toes. Rec'd IV fluid, Zofran and Toradol, then discharged home.
Age: 11.0
Sex: M
Vaccine: MNQ, TDAP
Symptoms: White blood cell count increased
Clinical narrative: Began vomiting with a severe HA, nausea, stomachaches. No diarrhea no muscle stiffness. Went to the ER on 8/17 at 10:45 pm c/o HA vomiting and "pins and needles" in her toes. Rec'd IV fluid, Zofran and Toradol, then discharged home.
Age: 13.0
Sex: M
Vaccine: TDAP
Symptoms: Arthralgia, Chills, Headache, Pyrexia
Clinical narrative: Fever, chills, joint pain headache
Age: 59.0
Sex: F
Vaccine: VARZOS
Symptoms: Headache, Injection site erythema, Injection site induration, Injection site pain, Injection site warmth
Clinical narrative: Site (L) red - hard - sore - hot - (headaches). Went from 1 1/2 to 2 in to 3" x 5" till I went on Keflex.
Age: 26.0
Sex: F
Vaccine: HPV4
Symptoms: Rash
Clinical narrative: pt had 2nd injection 4/24/07 developed a rash on her face, chest, & back 3 days after the injection. Medrol dose pack was given by primary care physician
Age: 47.0
Sex: F
Vaccine: TDAP
Symptoms: Dysphonia, Fatigue, Headache, Injected limb mobility decreased, Injection site pain
Clinical narrative: Pain at site - same day unable to lift arm - 7/27-7/30. Swelling and rash 7/27-8/1 on arms and shins. Headache 7/27-7-29, tiredness 7/27-7/29. Nausea 7/27. Swollen lymph glands, hoarseness 7/28-7/31.
Age: 47.0
Sex: F
Vaccine: TDAP
Symptoms: Lymphadenopathy, Nausea, Rash, Swelling
Clinical narrative: Pain at site - same day unable to lift arm - 7/27-7/30. Swelling and rash 7/27-8/1 on arms and shins. Headache 7/27-7-29, tiredness 7/27-7/29. Nausea 7/27. Swollen lymph glands, hoarseness 7/28-7/31.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMRV
Symptoms: Cough, Eye irritation, Eye swelling, Ocular hyperaemia, Sneezing
Clinical narrative: 6:30 pm coughing, sneezing-p 88 res no redness swelling warmth 6:45 pm P 88R, Reg unlabored breathing. No change 25 mg po Benadryl po given 7:10 pm 82/58, 90R, unlabored resp-started sneezing, rubbing eyes, eyes puffy and blood shot. 2.5 ml Epinephrine SC (L) arm. Improvement with redness in minutes. Paramedics arrived no further meds given at health department
Age: 38.0
Sex: F
Vaccine: RAB
Symptoms: Chills, Headache, Night sweats
Clinical narrative: Donor received 2nd/5 rabies vaccinations on 8/27/07. She did not report any problems with 1st/5 on 8/24/07. After 2nd vaccination, on 8/23/07 while sleeping donor began to c/o night sweats, chills and headache symptoms "come and go", but have not completely resolved as of 8/31/07. Donor stable when presenting to center, no additional complaints. Donor removed from program. No further vaccinations given.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Agitation, Body temperature increased, Disorientation, Headache, Hyperhidrosis
Clinical narrative: Headache, sweaty, agitated, and disoriented "out of it" for 24 hrs after vaccine. Temp 100-101.
Age: 1.0
Sex: F
Vaccine: HEPA, HIBV, MMR, PNC, VARCEL
Symptoms: Body temperature increased, Erythema, Induration, Mass, Rash
Clinical narrative: Patient right upper thigh had a red, hard, lump 6cm by 3cm. Patient showed signs of streaking and rash on chest and face. Patient had temperature of 101.6.
Age: 6.0
Sex: M
Vaccine: DTAP, VARCEL
Symptoms: Injection site erythema, Injection site rash, Injection site swelling
Clinical narrative: Red rash and swelling at site.
Age: 18.0
Sex: F
Vaccine: UNK
Symptoms: Erythema, Oedema peripheral, Tenderness
Clinical narrative: Rl (L) UA swollen, reddened, tender.
Age: 1.1
Sex: M
Vaccine: DTAP, HIBV, MMR, VARCEL
Symptoms: Rash, Varicella
Clinical narrative: Broke out with rash on 9/3/07. Seen in office 9/4/07; diagnosed with Varicella.
Age: 27.0
Sex: F
Vaccine: HEPAB
Symptoms: Allergy test positive, Headache, Nausea, Vision blurred
Clinical narrative: Complained of severe headache, nausea and blurred vision, starting 2-2 1/2 hours after receiving vaccine. Headache continued for 3 days. She did call the local emergency room for instructions. She was told to alternate Tylenol and Ibuprofen every 4 hours and to come to the ER if sx continued. She fell asleep and did not go to the hospital.
Age: 6.0
Sex: M
Vaccine: DTAPHEPBIP, MMR
Symptoms: Erythema, Pruritus
Clinical narrative: Red itchy area on left arm.
Age: 18.0
Sex: M
Vaccine: MMR
Symptoms: Asthenia, Body temperature increased, Electromyogram, Nerve conduction studies, Neuropathy
Clinical narrative: Temperature 100.4 day after MMR. Tingling and pain in arms, legs and weakness and neuropathy.
Age: 18.0
Sex: M
Vaccine: MMR
Symptoms: Pain in extremity, Paraesthesia
Clinical narrative: Temperature 100.4 day after MMR. Tingling and pain in arms, legs and weakness and neuropathy.
Age: 4.0
Sex: F
Vaccine: DTAP, HEPA, IPV, MMR, VARCEL
Symptoms: Rash macular
Clinical narrative: 8/13/07 EPSDxx done around 10:30am, I may given about 11:00am, about 11:45am mom comes back into health department with child and asks me look at child. Observed macular rash covering both arms and both legs, none on face, back or stomach. No respiratory distress noted.
Age: 5.0
Sex: M
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Erythema, Oedema peripheral
Clinical narrative: 8/16/07 Made by mother who stated child's left arm was redden swollen (in deltoid) area stated she did not see the child on 8/15/07 but the a.m. of 8/16/07 she noticed the swelling and redness.
Age: 10.0
Sex: F
Vaccine: HEPA, VARCEL
Symptoms: Cold compress therapy, Erythema, Oedema peripheral, Skin warm
Clinical narrative: One day after vaccines, patient's right arm (upper SQ area) was red with edema and warm to the touch. Area of redness and edema measuring 4 inches x 4 inches. Mother using cold compresses to relieve pain and swelling. Signs and symptoms improving today (8-9-07).
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMRV
Symptoms: Pruritus, Urticaria
Clinical narrative: Client was administered vaccine approximately 11:15 am. 11:45 return to clinic "itching" head, cheeks, reddened. Hives present on cheeks, axillary area and neck. Child taken to ER. Mother stated child receive Benadryl IM. Return to clinic 3:30pm. No hive present. Telephone call to parent 8/2/07. Child without any adverse effects.
Age: 42.0
Sex: F
Vaccine: ANTH
Symptoms: Confusional state, Hypoaesthesia
Clinical narrative: Patient received her 1st Anthrax vaccine morning of 22 August 07. Initially c/o feeling numb to left upper arm and shoulder area 30 minutes after vaccination. Numbness got worse during night spreading to other parts of body. Confused next morning was sent to hospital with escort. Stayed at ER x 3 hours then released back to ship.
Age: 40.0
Sex: M
Vaccine: ANTH
Symptoms: Nausea, Vomiting
Clinical narrative: Patient received his 5th Anthrax vaccine am of 17AUG07 when 15 minutes later he felt nauseated, then vomited once. He felt a bit better but still a little queasy. Without treatment, he finally felt well after one hour.
Age: 7.0
Sex: M
Vaccine: VARCEL
Symptoms: Dyspnoea, Erythema, Reaction to previous exposure to any vaccine, Swelling face, Urticaria
Clinical narrative: Difficulty breathing, swelling of face, red face, hives.  09/10/2007 MR received for ER visit 6/27/2007 for c/o facial swelling and trouble breathing s/p varicella vaccine. PE (+) for wheezing, hives, at the injection site and on back, facial redness and edema. Impression:  Allergic reaction.
Age: 15.0
Sex: F
Vaccine: HPV4
Symptoms: Facial palsy
Clinical narrative: Patient developed Bell's Palsy 12 days after the vaccine was administered.  9/7/07 Received vax record which provided dose & Lot #.  VAERS database updated w/same.  9/28/07 Reviewed hospital medical records which reveal patient experienced left eye twitching & abnormal taste x 2 days.  Noted crooked smile & difficulty closing left eye.  Seen in ER on 8/31/07.  Had returned from summer camp 1 week prior.  Peds neuro consult done.  Tx w/prednisone & antivirals.  FINAL DX: Bell's Palsy.
Age: 18.0
Sex: F
Vaccine: MNQ, TDAP
Symptoms: Facial palsy, Upper respiratory tract infection
Clinical narrative: Received Adacel and Menactra vaccines on 7/31/07 prior to college admission.  Treated for upper respiratory infection on 08/28/07 with cefaclor per urgent care.  Developed Bell's Palsy on 08/31/07.  Treated in ER with prednisone.
Age: 14.0
Sex: F
Vaccine: HPV4
Symptoms: Cough, Dyspnoea, Throat tightness, Vertigo
Clinical narrative: CALLED TO NAU C/O SOB ADVISED TO CALL 911. HPV INJ #2 STATES COUGHING Q 30-60SEC 1 HOURS AFTER INJ, C/O VERTIGO, STATES FEELS LIKE THROAT CLOSING
Age: 1.0
Sex: F
Vaccine: MMRV
Symptoms: Diarrhoea, Diet refusal, Hypersomnia, Lethargy, Pyrexia
Clinical narrative: Patient was given MMRV and Prevnar (PCV-7) on 8/21/07. Patient has known severe food allergies to dairy and eggs with anaphylactic reactions. Dr. did not discuss the fact that the MMRV contains chicken embryos with parents prior to administering. Following the vaccinations, patient refused food, became lethargic, began sleeping as much as possible, got fine rash all over body which comes and goes, has fevers as high as 103.2 off and on, diahrea, and small pimple like sores on bottom. Patient was taken to ER and no diagnosis was made on 8/22/07. Patient returned to Dr. office on 8/24/07 and Dr. said it was a reaction to the immunizations, however, still did not mention that there were chicken embryos in the MMRV. Patient taken to another Dr. on 8/31/07 for second opinion as symptoms persisting. Dr. says that patient is having an allergic reaction to the MMRV because of the chicken embryo as she is sensitive enough to react to the protein. Patient is being sent to Allergy specialist for consultation on 9/6/07. Symptoms are persisting 2 weeks after the vaccines.
Age: 1.0
Sex: F
Vaccine: MMRV
Symptoms: Rash generalised, Skin lesion
Clinical narrative: Patient was given MMRV and Prevnar (PCV-7) on 8/21/07. Patient has known severe food allergies to dairy and eggs with anaphylactic reactions. Dr. did not discuss the fact that the MMRV contains chicken embryos with parents prior to administering. Following the vaccinations, patient refused food, became lethargic, began sleeping as much as possible, got fine rash all over body which comes and goes, has fevers as high as 103.2 off and on, diahrea, and small pimple like sores on bottom. Patient was taken to ER and no diagnosis was made on 8/22/07. Patient returned to Dr. office on 8/24/07 and Dr. said it was a reaction to the immunizations, however, still did not mention that there were chicken embryos in the MMRV. Patient taken to another Dr. on 8/31/07 for second opinion as symptoms persisting. Dr. says that patient is having an allergic reaction to the MMRV because of the chicken embryo as she is sensitive enough to react to the protein. Patient is being sent to Allergy specialist for consultation on 9/6/07. Symptoms are persisting 2 weeks after the vaccines.
Age: 41.0
Sex: M
Vaccine: HEP
Symptoms: Immediate post-injection reaction, Syncope
Clinical narrative: Syncopal episode immediately after injection of first of primary series.
Age: 1.08
Sex: F
Vaccine: DTAPH, HEPA, MMRV, PNC
Symptoms: Crying, Irritability, Pyrexia, Sleep disorder, White blood cell count normal
Clinical narrative: DTaP/Hib, MMRV, Prevnar, Hep A administered 08152007. 08242007, child developed fever as high as 104. Was seen by PCP and no cause for fever found. Fever returned to normal but child continued to be extremely fussy and cried almost continuously and slept less than one hour at a time until 08282007. Child was again evaluated on 08272007 with no s/sx illness found.
Age: 18.0
Sex: F
Vaccine: MNQ, MEN
Symptoms: Asthenia, Body temperature increased, Computerised tomogram normal, Convulsion, Full blood count normal
Clinical narrative: Patient recived the vaccine on 8/30/07 in the am.  That evening she complained of shaking uncontrollably, tempature 100. The next morning after getting up she c/o a headache.  Went to tell her dad that she still did not feel well and c/o blurred vision and weakness and then had a convolsion witnessed by dad that lasted about 3 minutes, she was alert afterwards but passed out again with the same symptoms before.  At that time EMS was called and she was taken to the ER.  She was evaluated there and d/c home but subsequently had another episode leaving the ER and was then admitted for observation were she had another episode.  While in the hospital, she had sever headaches, mild hypokalemia, and low blood pressure.  She was discharged home on 9/1/07, all tests were negative.  Still with headaches, weakness.  10/16/2007 MR received for DOS 8/31-9/1/2007 for DX: Vasovagal episodes with syncope.  Meningococcal vaccine reaction ?. Right costal ridge bruise, s/p fall. Mild hypokalemia. Pt presented to ER after 2 episodes of passing out with shaking activity. Pt had complained of blurred vision and weakness prior to passing out. Chills and weakness the night before. (+) H/A. Pt also had a witnessed syncopal episode with convulsion while sitting prior to ER d/c, so observed o/n.
Age: 18.0
Sex: F
Vaccine: MNQ, MEN
Symptoms: Headache, Hypokalaemia, Hypotension, Laboratory test normal, Loss of consciousness
Clinical narrative: Patient recived the vaccine on 8/30/07 in the am.  That evening she complained of shaking uncontrollably, tempature 100. The next morning after getting up she c/o a headache.  Went to tell her dad that she still did not feel well and c/o blurred vision and weakness and then had a convolsion witnessed by dad that lasted about 3 minutes, she was alert afterwards but passed out again with the same symptoms before.  At that time EMS was called and she was taken to the ER.  She was evaluated there and d/c home but subsequently had another episode leaving the ER and was then admitted for observation were she had another episode.  While in the hospital, she had sever headaches, mild hypokalemia, and low blood pressure.  She was discharged home on 9/1/07, all tests were negative.  Still with headaches, weakness.  10/16/2007 MR received for DOS 8/31-9/1/2007 for DX: Vasovagal episodes with syncope.  Meningococcal vaccine reaction ?. Right costal ridge bruise, s/p fall. Mild hypokalemia. Pt presented to ER after 2 episodes of passing out with shaking activity. Pt had complained of blurred vision and weakness prior to passing out. Chills and weakness the night before. (+) H/A. Pt also had a witnessed syncopal episode with convulsion while sitting prior to ER d/c, so observed o/n.
Age: 18.0
Sex: F
Vaccine: MNQ, MEN
Symptoms: Malaise, Tremor, Urine analysis normal, Vision blurred
Clinical narrative: Patient recived the vaccine on 8/30/07 in the am.  That evening she complained of shaking uncontrollably, tempature 100. The next morning after getting up she c/o a headache.  Went to tell her dad that she still did not feel well and c/o blurred vision and weakness and then had a convolsion witnessed by dad that lasted about 3 minutes, she was alert afterwards but passed out again with the same symptoms before.  At that time EMS was called and she was taken to the ER.  She was evaluated there and d/c home but subsequently had another episode leaving the ER and was then admitted for observation were she had another episode.  While in the hospital, she had sever headaches, mild hypokalemia, and low blood pressure.  She was discharged home on 9/1/07, all tests were negative.  Still with headaches, weakness.  10/16/2007 MR received for DOS 8/31-9/1/2007 for DX: Vasovagal episodes with syncope.  Meningococcal vaccine reaction ?. Right costal ridge bruise, s/p fall. Mild hypokalemia. Pt presented to ER after 2 episodes of passing out with shaking activity. Pt had complained of blurred vision and weakness prior to passing out. Chills and weakness the night before. (+) H/A. Pt also had a witnessed syncopal episode with convulsion while sitting prior to ER d/c, so observed o/n.
Age: 18.0
Sex: F
Vaccine: MNQ, MEN
Symptoms: Abasia, Asthenia, Blood test, Chills, Computerised tomogram
Clinical narrative: Patient recived the vaccine on 8/30/07 in the am.  That evening she complained of shaking uncontrollably, tempature 100. The next morning after getting up she c/o a headache.  Went to tell her dad that she still did not feel well and c/o blurred vision and weakness and then had a convolsion witnessed by dad that lasted about 3 minutes, she was alert afterwards but passed out again with the same symptoms before.  At that time EMS was called and she was taken to the ER.  She was evaluated there and d/c home but subsequently had another episode leaving the ER and was then admitted for observation were she had another episode.  While in the hospital, she had sever headaches, mild hypokalemia, and low blood pressure.  She was discharged home on 9/1/07, all tests were negative.  Still with headaches, weakness.  10/16/2007 MR received for DOS 8/31-9/1/2007 for DX: Vasovagal episodes with syncope.  Meningococcal vaccine reaction ?. Right costal ridge bruise, s/p fall. Mild hypokalemia. Pt presented to ER after 2 episodes of passing out with shaking activity. Pt had complained of blurred vision and weakness prior to passing out. Chills and weakness the night before. (+) H/A. Pt also had a witnessed syncopal episode with convulsion while sitting prior to ER d/c, so observed o/n.
Age: 18.0
Sex: F
Vaccine: MNQ, MEN
Symptoms: Contusion, Convulsion, Cyanosis, Feeling hot, Headache
Clinical narrative: Patient recived the vaccine on 8/30/07 in the am.  That evening she complained of shaking uncontrollably, tempature 100. The next morning after getting up she c/o a headache.  Went to tell her dad that she still did not feel well and c/o blurred vision and weakness and then had a convolsion witnessed by dad that lasted about 3 minutes, she was alert afterwards but passed out again with the same symptoms before.  At that time EMS was called and she was taken to the ER.  She was evaluated there and d/c home but subsequently had another episode leaving the ER and was then admitted for observation were she had another episode.  While in the hospital, she had sever headaches, mild hypokalemia, and low blood pressure.  She was discharged home on 9/1/07, all tests were negative.  Still with headaches, weakness.  10/16/2007 MR received for DOS 8/31-9/1/2007 for DX: Vasovagal episodes with syncope.  Meningococcal vaccine reaction ?. Right costal ridge bruise, s/p fall. Mild hypokalemia. Pt presented to ER after 2 episodes of passing out with shaking activity. Pt had complained of blurred vision and weakness prior to passing out. Chills and weakness the night before. (+) H/A. Pt also had a witnessed syncopal episode with convulsion while sitting prior to ER d/c, so observed o/n.
Age: 18.0
Sex: F
Vaccine: MNQ, MEN
Symptoms: Hypersomnia, Hypokinesia, Hypotension, Injury, Loss of consciousness
Clinical narrative: Patient recived the vaccine on 8/30/07 in the am.  That evening she complained of shaking uncontrollably, tempature 100. The next morning after getting up she c/o a headache.  Went to tell her dad that she still did not feel well and c/o blurred vision and weakness and then had a convolsion witnessed by dad that lasted about 3 minutes, she was alert afterwards but passed out again with the same symptoms before.  At that time EMS was called and she was taken to the ER.  She was evaluated there and d/c home but subsequently had another episode leaving the ER and was then admitted for observation were she had another episode.  While in the hospital, she had sever headaches, mild hypokalemia, and low blood pressure.  She was discharged home on 9/1/07, all tests were negative.  Still with headaches, weakness.  10/16/2007 MR received for DOS 8/31-9/1/2007 for DX: Vasovagal episodes with syncope.  Meningococcal vaccine reaction ?. Right costal ridge bruise, s/p fall. Mild hypokalemia. Pt presented to ER after 2 episodes of passing out with shaking activity. Pt had complained of blurred vision and weakness prior to passing out. Chills and weakness the night before. (+) H/A. Pt also had a witnessed syncopal episode with convulsion while sitting prior to ER d/c, so observed o/n.
Age: 18.0
Sex: F
Vaccine: MNQ, MEN
Symptoms: Malaise, Muscle rigidity, Musculoskeletal stiffness, Pain in extremity, Pallor
Clinical narrative: Patient recived the vaccine on 8/30/07 in the am.  That evening she complained of shaking uncontrollably, tempature 100. The next morning after getting up she c/o a headache.  Went to tell her dad that she still did not feel well and c/o blurred vision and weakness and then had a convolsion witnessed by dad that lasted about 3 minutes, she was alert afterwards but passed out again with the same symptoms before.  At that time EMS was called and she was taken to the ER.  She was evaluated there and d/c home but subsequently had another episode leaving the ER and was then admitted for observation were she had another episode.  While in the hospital, she had sever headaches, mild hypokalemia, and low blood pressure.  She was discharged home on 9/1/07, all tests were negative.  Still with headaches, weakness.  10/16/2007 MR received for DOS 8/31-9/1/2007 for DX: Vasovagal episodes with syncope.  Meningococcal vaccine reaction ?. Right costal ridge bruise, s/p fall. Mild hypokalemia. Pt presented to ER after 2 episodes of passing out with shaking activity. Pt had complained of blurred vision and weakness prior to passing out. Chills and weakness the night before. (+) H/A. Pt also had a witnessed syncopal episode with convulsion while sitting prior to ER d/c, so observed o/n.
Age: 18.0
Sex: F
Vaccine: MNQ, MEN
Symptoms: Skin warm, Tremor
Clinical narrative: Patient recived the vaccine on 8/30/07 in the am.  That evening she complained of shaking uncontrollably, tempature 100. The next morning after getting up she c/o a headache.  Went to tell her dad that she still did not feel well and c/o blurred vision and weakness and then had a convolsion witnessed by dad that lasted about 3 minutes, she was alert afterwards but passed out again with the same symptoms before.  At that time EMS was called and she was taken to the ER.  She was evaluated there and d/c home but subsequently had another episode leaving the ER and was then admitted for observation were she had another episode.  While in the hospital, she had sever headaches, mild hypokalemia, and low blood pressure.  She was discharged home on 9/1/07, all tests were negative.  Still with headaches, weakness.  10/16/2007 MR received for DOS 8/31-9/1/2007 for DX: Vasovagal episodes with syncope.  Meningococcal vaccine reaction ?. Right costal ridge bruise, s/p fall. Mild hypokalemia. Pt presented to ER after 2 episodes of passing out with shaking activity. Pt had complained of blurred vision and weakness prior to passing out. Chills and weakness the night before. (+) H/A. Pt also had a witnessed syncopal episode with convulsion while sitting prior to ER d/c, so observed o/n.
Age: 0.25
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Body temperature increased, Injection site rash, Rash
Clinical narrative: VACCINES WERE GIVEN 08/27/07. CLIENT BROKE OUT IN RASH AT IMMUNIZATION SITES AND ON ABDOMEN ON 08/28/07 AND HAD LOW GRADE TEMP. CLIENT WAS SEEN IN CLINIC ON 08/30/07. RASH IS BETTER. NO OTHER SYMPTOMS PER MOTHER.
Age: 49.0
Sex: F
Vaccine: HEP, HEPA, MMR, TDAP
Symptoms: Blood pressure increased, Blood test normal, Headache, Palpitations
Clinical narrative: States 4 days after immunization, started to develop severe H/A's and "pressure in the head" Starting around 07-04-07, began having heart palpitations in the evenings.  Went to PCP, who was unable to diagnosis client.  Also states B/P increasing to an average of 140/80's; usual B/P 120/60's.  Denies any h/o anxiety disorder
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: R thigh red swollen 1 1/4 x 1 1/4
Age: 0.2
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Abscess, Culture negative, Eczema, Furuncle, Varicella
Clinical narrative: Information has been received from a registered nurse via medical records concerning a 9 week old female with a history of constipation, seborrhoeic dermatitis capitis and jaundice (all reported in WAES # 0704USA05856) who on 29-MAY-2007 was vaccinated with Rotateq. Concomitant vaccinations also given on 29-MAY-2007 included PREVNAR; PEDIARIX; and Hib conj vaccine (manufacturer not reported). The infant was evaluated in the emergency room on 03-JUN-2007 for a possible bug bite on the left arm and right shoulder. Examination revealed very bad eczema, and a few maculopapules resembling an early varicella rash. The diagnosis was varicella/infection, early abscess. Treatment included amox 125/5, 1 teaspoon po bid. On 04-JUN-2007, the infant was evaluated for large furuncle on her right shoulder. Pus was extruded and sent for a culture. The infant was switched to augmentin. The infant was rechecked on 05-JUN-2007 which revealed improved abscess of the shoulder. Soaks and augmentin was continued. The abscess was resolving on 11-JUN-2007. The outcome of the eczema was not reported. Additional information is not expected.
Sex: U
Vaccine: RV5
Symptoms: Infantile spitting up
Clinical narrative: Information has been received from a licensed practical nurse and a medical assistant concerning a patient who on 03-AUG-2007 was vaccinated PO with a dose of Rotateq (Lot # 656838/0968U) then spit up. The nurse mentioned that the infant was given a bottle prior to the administration of the vaccine. Unspecified medical attention was sought. There was no product quality complaint. Additional information has been requested.
Age: 0.2
Sex: M
Vaccine: RV5
Symptoms: Anal fissure, Dehydration, Diarrhoea, Faeces discoloured
Clinical narrative: Information has been received from a physician concerning a 8-week-old male who was vaccinated PO with a 2mL first dose of Rotateq (lot number unavailable). Subsequently, 4 days post vaccination, the patient experienced blue watery stool, was dehydrated, and had an anal fissure. Subsequently, the patient recovered. It was noted that he was sent to the emergency room but was uncertain of how may hours the patient stayed there. No additional information was provided. There was no product quality complaint. Additional information has been requested.