chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 0.6
Sex: M
Vaccine: DTAPHEPBIP, PNC, RV5
Symptoms: Contusion, Erythema, Mass
Clinical narrative: ct's mom states tiny red dot day after immun. with a small not, states was not concerned.  states has recently become concerned. Took infant to DR. 9-11-07 due to enlarged reddened area with large knot.  This visualized reddend raised are iwth purplish center approx. 1 cm in dia. with 2 additional redden spots out from original reddened area.  There is dimpling of skin.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMRV
Symptoms: Erythema, Injection site induration, Skin warm, Swelling
Clinical narrative: PT RETURNED TO CLINIC 2 DAYS AFTER RECEIVING VACCINE WITH SIGNIFICANT SWELLING ON LEFT UPPER ARM, REDDNESS AND WARMTH.  APROXIMATELY 4 X 4 INCHES AREA OF INDURATION COVERING SITE OF BOTH INTRAMUSCULAR AND SUBCUTANEOUS VACCINES.
Age: 57.0
Sex: M
Vaccine: ANTH
Symptoms: Injection site oedema, Injection site pain, Injection site pruritus
Clinical narrative: Pt c/o pain/itching, edema at injection site (Right Deltoid)
Age: 38.0
Sex: F
Vaccine: PPV, PPV
Symptoms: Blood culture, Blood pressure, Body temperature, Chest pain, Computerised tomogram
Clinical narrative: Vaccine was given after questioning patient regarding previous receipt of vaccine. Patient was convinced that she had not previously received the vaccine.  She had last received the Pneumovax at our facility in 2000, as far as we knew. Information was given regarding vaccine. Pneumovax 0.50 cc subcutaneous was given Right upper outer aspect of arm. No noticable problems at that time. Patient was admitted to the hospital with cellulitis and reported sepsis on Sunday 6/17/07.  Pt has respitory failure post ARDS 1998.                                         Per MD note, "patient had documented a clear progression of the area of the right shoulder for 2-3 days prior to admission.  She also reported fever to 103 degrees Fahrenheit, shills diffuse myalgias and tenderness to palpation over the right shoulder. Pt was treated with Vancomycin 1 gram IV every 12 hours for the first two days with a significant imporvement of the cellulitis, pain and erythema and warmth, all of which diminished significantly. She was then transitioned to doxycycline 100 mg p.o. twice a day for total 7 days. Steroid doses were tripled on admission  and returned to normal doses upon discharge." 8/20/07-records received for DOS 6/17-6/20/07- DC DX: Cellulitis. Community acquired penumonia. Pulmonary fibrosis. Adrenal insufficiency. Peripheral neuropathy. Hypothyroidism.  who presented with right upper extremity pain and swelling for 2 days. Developed cellulitis of right shoulder associated with pneumovax. Fever to 103 degrees, chills, diffuse myalgias and tenderness to palpation over right shoulder. C/O chest and back pain with worsened hypoxia.
Age: 38.0
Sex: F
Vaccine: PPV, PPV
Symptoms: Confusional state, Dyspnoea, Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Vaccine was given after questioning patient regarding previous receipt of vaccine. Patient was convinced that she had not previously received the vaccine.  She had last received the Pneumovax at our facility in 2000, as far as we knew. Information was given regarding vaccine. Pneumovax 0.50 cc subcutaneous was given Right upper outer aspect of arm. No noticable problems at that time. Patient was admitted to the hospital with cellulitis and reported sepsis on Sunday 6/17/07.  Pt has respitory failure post ARDS 1998.                                         Per MD note, "patient had documented a clear progression of the area of the right shoulder for 2-3 days prior to admission.  She also reported fever to 103 degrees Fahrenheit, shills diffuse myalgias and tenderness to palpation over the right shoulder. Pt was treated with Vancomycin 1 gram IV every 12 hours for the first two days with a significant imporvement of the cellulitis, pain and erythema and warmth, all of which diminished significantly. She was then transitioned to doxycycline 100 mg p.o. twice a day for total 7 days. Steroid doses were tripled on admission  and returned to normal doses upon discharge." 8/20/07-records received for DOS 6/17-6/20/07- DC DX: Cellulitis. Community acquired penumonia. Pulmonary fibrosis. Adrenal insufficiency. Peripheral neuropathy. Hypothyroidism.  who presented with right upper extremity pain and swelling for 2 days. Developed cellulitis of right shoulder associated with pneumovax. Fever to 103 degrees, chills, diffuse myalgias and tenderness to palpation over right shoulder. C/O chest and back pain with worsened hypoxia.
Age: 38.0
Sex: F
Vaccine: PPV, PPV
Symptoms: Injection site warmth, Irritability, Oedema peripheral, Oxygen saturation, Pain
Clinical narrative: Vaccine was given after questioning patient regarding previous receipt of vaccine. Patient was convinced that she had not previously received the vaccine.  She had last received the Pneumovax at our facility in 2000, as far as we knew. Information was given regarding vaccine. Pneumovax 0.50 cc subcutaneous was given Right upper outer aspect of arm. No noticable problems at that time. Patient was admitted to the hospital with cellulitis and reported sepsis on Sunday 6/17/07.  Pt has respitory failure post ARDS 1998.                                         Per MD note, "patient had documented a clear progression of the area of the right shoulder for 2-3 days prior to admission.  She also reported fever to 103 degrees Fahrenheit, shills diffuse myalgias and tenderness to palpation over the right shoulder. Pt was treated with Vancomycin 1 gram IV every 12 hours for the first two days with a significant imporvement of the cellulitis, pain and erythema and warmth, all of which diminished significantly. She was then transitioned to doxycycline 100 mg p.o. twice a day for total 7 days. Steroid doses were tripled on admission  and returned to normal doses upon discharge." 8/20/07-records received for DOS 6/17-6/20/07- DC DX: Cellulitis. Community acquired penumonia. Pulmonary fibrosis. Adrenal insufficiency. Peripheral neuropathy. Hypothyroidism.  who presented with right upper extremity pain and swelling for 2 days. Developed cellulitis of right shoulder associated with pneumovax. Fever to 103 degrees, chills, diffuse myalgias and tenderness to palpation over right shoulder. C/O chest and back pain with worsened hypoxia.
Age: 38.0
Sex: F
Vaccine: PPV, PPV
Symptoms: Pyrexia, Respiration abnormal, Respiratory rate, Urine analysis
Clinical narrative: Vaccine was given after questioning patient regarding previous receipt of vaccine. Patient was convinced that she had not previously received the vaccine.  She had last received the Pneumovax at our facility in 2000, as far as we knew. Information was given regarding vaccine. Pneumovax 0.50 cc subcutaneous was given Right upper outer aspect of arm. No noticable problems at that time. Patient was admitted to the hospital with cellulitis and reported sepsis on Sunday 6/17/07.  Pt has respitory failure post ARDS 1998.                                         Per MD note, "patient had documented a clear progression of the area of the right shoulder for 2-3 days prior to admission.  She also reported fever to 103 degrees Fahrenheit, shills diffuse myalgias and tenderness to palpation over the right shoulder. Pt was treated with Vancomycin 1 gram IV every 12 hours for the first two days with a significant imporvement of the cellulitis, pain and erythema and warmth, all of which diminished significantly. She was then transitioned to doxycycline 100 mg p.o. twice a day for total 7 days. Steroid doses were tripled on admission  and returned to normal doses upon discharge." 8/20/07-records received for DOS 6/17-6/20/07- DC DX: Cellulitis. Community acquired penumonia. Pulmonary fibrosis. Adrenal insufficiency. Peripheral neuropathy. Hypothyroidism.  who presented with right upper extremity pain and swelling for 2 days. Developed cellulitis of right shoulder associated with pneumovax. Fever to 103 degrees, chills, diffuse myalgias and tenderness to palpation over right shoulder. C/O chest and back pain with worsened hypoxia.
Age: 38.0
Sex: F
Vaccine: PPV, PPV
Symptoms: Blood culture positive, Cellulitis, Chills, Erythema, Myalgia
Clinical narrative: Vaccine was given after questioning patient regarding previous receipt of vaccine. Patient was convinced that she had not previously received the vaccine.  She had last received the Pneumovax at our facility in 2000, as far as we knew. Information was given regarding vaccine. Pneumovax 0.50 cc subcutaneous was given Right upper outer aspect of arm. No noticable problems at that time. Patient was admitted to the hospital with cellulitis and reported sepsis on Sunday 6/17/07.  Pt has respitory failure post ARDS 1998.                                         Per MD note, "patient had documented a clear progression of the area of the right shoulder for 2-3 days prior to admission.  She also reported fever to 103 degrees Fahrenheit, shills diffuse myalgias and tenderness to palpation over the right shoulder. Pt was treated with Vancomycin 1 gram IV every 12 hours for the first two days with a significant imporvement of the cellulitis, pain and erythema and warmth, all of which diminished significantly. She was then transitioned to doxycycline 100 mg p.o. twice a day for total 7 days. Steroid doses were tripled on admission  and returned to normal doses upon discharge." 8/20/07-records received for DOS 6/17-6/20/07- DC DX: Cellulitis. Community acquired penumonia. Pulmonary fibrosis. Adrenal insufficiency. Peripheral neuropathy. Hypothyroidism.  who presented with right upper extremity pain and swelling for 2 days. Developed cellulitis of right shoulder associated with pneumovax. Fever to 103 degrees, chills, diffuse myalgias and tenderness to palpation over right shoulder. C/O chest and back pain with worsened hypoxia.
Age: 38.0
Sex: F
Vaccine: PPV, PPV
Symptoms: Pain, Pyrexia, Sepsis, Skin warm, Staphylococcal bacteraemia
Clinical narrative: Vaccine was given after questioning patient regarding previous receipt of vaccine. Patient was convinced that she had not previously received the vaccine.  She had last received the Pneumovax at our facility in 2000, as far as we knew. Information was given regarding vaccine. Pneumovax 0.50 cc subcutaneous was given Right upper outer aspect of arm. No noticable problems at that time. Patient was admitted to the hospital with cellulitis and reported sepsis on Sunday 6/17/07.  Pt has respitory failure post ARDS 1998.                                         Per MD note, "patient had documented a clear progression of the area of the right shoulder for 2-3 days prior to admission.  She also reported fever to 103 degrees Fahrenheit, shills diffuse myalgias and tenderness to palpation over the right shoulder. Pt was treated with Vancomycin 1 gram IV every 12 hours for the first two days with a significant imporvement of the cellulitis, pain and erythema and warmth, all of which diminished significantly. She was then transitioned to doxycycline 100 mg p.o. twice a day for total 7 days. Steroid doses were tripled on admission  and returned to normal doses upon discharge." 8/20/07-records received for DOS 6/17-6/20/07- DC DX: Cellulitis. Community acquired penumonia. Pulmonary fibrosis. Adrenal insufficiency. Peripheral neuropathy. Hypothyroidism.  who presented with right upper extremity pain and swelling for 2 days. Developed cellulitis of right shoulder associated with pneumovax. Fever to 103 degrees, chills, diffuse myalgias and tenderness to palpation over right shoulder. C/O chest and back pain with worsened hypoxia.
Age: 38.0
Sex: F
Vaccine: PPV, PPV
Symptoms: Tenderness
Clinical narrative: Vaccine was given after questioning patient regarding previous receipt of vaccine. Patient was convinced that she had not previously received the vaccine.  She had last received the Pneumovax at our facility in 2000, as far as we knew. Information was given regarding vaccine. Pneumovax 0.50 cc subcutaneous was given Right upper outer aspect of arm. No noticable problems at that time. Patient was admitted to the hospital with cellulitis and reported sepsis on Sunday 6/17/07.  Pt has respitory failure post ARDS 1998.                                         Per MD note, "patient had documented a clear progression of the area of the right shoulder for 2-3 days prior to admission.  She also reported fever to 103 degrees Fahrenheit, shills diffuse myalgias and tenderness to palpation over the right shoulder. Pt was treated with Vancomycin 1 gram IV every 12 hours for the first two days with a significant imporvement of the cellulitis, pain and erythema and warmth, all of which diminished significantly. She was then transitioned to doxycycline 100 mg p.o. twice a day for total 7 days. Steroid doses were tripled on admission  and returned to normal doses upon discharge." 8/20/07-records received for DOS 6/17-6/20/07- DC DX: Cellulitis. Community acquired penumonia. Pulmonary fibrosis. Adrenal insufficiency. Peripheral neuropathy. Hypothyroidism.  who presented with right upper extremity pain and swelling for 2 days. Developed cellulitis of right shoulder associated with pneumovax. Fever to 103 degrees, chills, diffuse myalgias and tenderness to palpation over right shoulder. C/O chest and back pain with worsened hypoxia.
Sex: M
Vaccine: ANTH, ANTH
Symptoms: Abnormal faeces, Acne, Anxiety, Arthralgia, Arthritis
Clinical narrative: The subject reports sweating, hot and cold, gas, muscle aches and pains, twitching of the muscle(s) group(s), weak and chronically sore joints, limbs and muscles, bones that break easily, numbing of the limbs which occurs daily, pinched nerves in cervical spine, degenerative disc disease between C-4 and C-5, arthritis w/in the same grouping, chemical imbalance, treatment with anti-depressants for 6 years, irregular stools, no appetite, obsessive compulsive disorder, constantly and easily stressed, and anxiety issues. He reports that he was hospitalized twice for attempted suicide and once for drug dependency. He states he has completed and submitted a report to VAERS, E-file #17317. The VAERS ID assigned to E-report # 17317 is #288085.
Sex: M
Vaccine: ANTH, ANTH
Symptoms: Asthenia, Cold sweat, Decreased appetite, Feeling hot and cold, Flatulence
Clinical narrative: The subject reports sweating, hot and cold, gas, muscle aches and pains, twitching of the muscle(s) group(s), weak and chronically sore joints, limbs and muscles, bones that break easily, numbing of the limbs which occurs daily, pinched nerves in cervical spine, degenerative disc disease between C-4 and C-5, arthritis w/in the same grouping, chemical imbalance, treatment with anti-depressants for 6 years, irregular stools, no appetite, obsessive compulsive disorder, constantly and easily stressed, and anxiety issues. He reports that he was hospitalized twice for attempted suicide and once for drug dependency. He states he has completed and submitted a report to VAERS, E-file #17317. The VAERS ID assigned to E-report # 17317 is #288085.
Sex: M
Vaccine: ANTH, ANTH
Symptoms: Hyperhidrosis, Hypoaesthesia, Mouth ulceration, Muscle twitching, Myalgia
Clinical narrative: The subject reports sweating, hot and cold, gas, muscle aches and pains, twitching of the muscle(s) group(s), weak and chronically sore joints, limbs and muscles, bones that break easily, numbing of the limbs which occurs daily, pinched nerves in cervical spine, degenerative disc disease between C-4 and C-5, arthritis w/in the same grouping, chemical imbalance, treatment with anti-depressants for 6 years, irregular stools, no appetite, obsessive compulsive disorder, constantly and easily stressed, and anxiety issues. He reports that he was hospitalized twice for attempted suicide and once for drug dependency. He states he has completed and submitted a report to VAERS, E-file #17317. The VAERS ID assigned to E-report # 17317 is #288085.
Sex: M
Vaccine: ANTH, ANTH
Symptoms: Obsessive-compulsive disorder, Stress, Vertigo
Clinical narrative: The subject reports sweating, hot and cold, gas, muscle aches and pains, twitching of the muscle(s) group(s), weak and chronically sore joints, limbs and muscles, bones that break easily, numbing of the limbs which occurs daily, pinched nerves in cervical spine, degenerative disc disease between C-4 and C-5, arthritis w/in the same grouping, chemical imbalance, treatment with anti-depressants for 6 years, irregular stools, no appetite, obsessive compulsive disorder, constantly and easily stressed, and anxiety issues. He reports that he was hospitalized twice for attempted suicide and once for drug dependency. He states he has completed and submitted a report to VAERS, E-file #17317. The VAERS ID assigned to E-report # 17317 is #288085.
Sex: M
Vaccine: ANTH, ANTH
Symptoms: Anorexia, Anxiety, Arthralgia, Arthritis, Asthenia
Clinical narrative: The subject reports sweating, hot and cold, gas, muscle aches and pains, twitching of the muscle(s) group(s), weak and chronically sore joints, limbs and muscles, bones that break easily, numbing of the limbs which occurs daily, pinched nerves in cervical spine, degenerative disc disease between C-4 and C-5, arthritis w/in the same grouping, chemical imbalance, treatment with anti-depressants for 6 years, irregular stools, no appetite, obsessive compulsive disorder, constantly and easily stressed, and anxiety issues. He reports that he was hospitalized twice for attempted suicide and once for drug dependency. He states he has completed and submitted a report to VAERS, E-file #17317. The VAERS ID assigned to E-report # 17317 is #288085.
Sex: M
Vaccine: ANTH, ANTH
Symptoms: Bone density decreased, Bowel movement irregularity, Depression, Drug dependence, Feeling hot and cold
Clinical narrative: The subject reports sweating, hot and cold, gas, muscle aches and pains, twitching of the muscle(s) group(s), weak and chronically sore joints, limbs and muscles, bones that break easily, numbing of the limbs which occurs daily, pinched nerves in cervical spine, degenerative disc disease between C-4 and C-5, arthritis w/in the same grouping, chemical imbalance, treatment with anti-depressants for 6 years, irregular stools, no appetite, obsessive compulsive disorder, constantly and easily stressed, and anxiety issues. He reports that he was hospitalized twice for attempted suicide and once for drug dependency. He states he has completed and submitted a report to VAERS, E-file #17317. The VAERS ID assigned to E-report # 17317 is #288085.
Sex: M
Vaccine: ANTH, ANTH
Symptoms: Flatulence, Fracture, Hyperhidrosis, Hypoaesthesia, Intervertebral disc degeneration
Clinical narrative: The subject reports sweating, hot and cold, gas, muscle aches and pains, twitching of the muscle(s) group(s), weak and chronically sore joints, limbs and muscles, bones that break easily, numbing of the limbs which occurs daily, pinched nerves in cervical spine, degenerative disc disease between C-4 and C-5, arthritis w/in the same grouping, chemical imbalance, treatment with anti-depressants for 6 years, irregular stools, no appetite, obsessive compulsive disorder, constantly and easily stressed, and anxiety issues. He reports that he was hospitalized twice for attempted suicide and once for drug dependency. He states he has completed and submitted a report to VAERS, E-file #17317. The VAERS ID assigned to E-report # 17317 is #288085.
Sex: M
Vaccine: ANTH, ANTH
Symptoms: Muscle twitching, Myalgia, Nerve compression, Neuralgia, Obsessive-compulsive disorder
Clinical narrative: The subject reports sweating, hot and cold, gas, muscle aches and pains, twitching of the muscle(s) group(s), weak and chronically sore joints, limbs and muscles, bones that break easily, numbing of the limbs which occurs daily, pinched nerves in cervical spine, degenerative disc disease between C-4 and C-5, arthritis w/in the same grouping, chemical imbalance, treatment with anti-depressants for 6 years, irregular stools, no appetite, obsessive compulsive disorder, constantly and easily stressed, and anxiety issues. He reports that he was hospitalized twice for attempted suicide and once for drug dependency. He states he has completed and submitted a report to VAERS, E-file #17317. The VAERS ID assigned to E-report # 17317 is #288085.
Sex: M
Vaccine: ANTH, ANTH
Symptoms: Pain in extremity, Stress, Suicide attempt
Clinical narrative: The subject reports sweating, hot and cold, gas, muscle aches and pains, twitching of the muscle(s) group(s), weak and chronically sore joints, limbs and muscles, bones that break easily, numbing of the limbs which occurs daily, pinched nerves in cervical spine, degenerative disc disease between C-4 and C-5, arthritis w/in the same grouping, chemical imbalance, treatment with anti-depressants for 6 years, irregular stools, no appetite, obsessive compulsive disorder, constantly and easily stressed, and anxiety issues. He reports that he was hospitalized twice for attempted suicide and once for drug dependency. He states he has completed and submitted a report to VAERS, E-file #17317. The VAERS ID assigned to E-report # 17317 is #288085.
Age: 13.0
Sex: F
Vaccine: HEPA, HPV4, MNQ, HEPA, HPV4, MEN, HEPA, HPV4, MEN, HEPA, HPV4, MNQ
Symptoms: Convulsion, Eye rolling, Syncope
Clinical narrative: Information has been received from a consumer concerning her 13 year old daughter with no medical history or drug allergies who on 21-AUG-2007 was vaccinated with a 0.5mL first dose of Gardasil (Lot # not provided). Concomitant vaccination included Hepatitis A (unspecified) and Meningococcal vaccine (unspecified). On 21-AUG-2007 the patient fainted and experienced seizure like activity after receiving the Gardasil. It was noted by the reporter that the patient received the vaccination on an empty stomach. The patient sought unspecified medical attention. No laboratory diagnostic tests were performed. On 21-AUG-2007, the patient recovered. No product quality complaint was involved. Upon internal review, seizure like activity was considered to be an other important medical event. Additional information has been requested.
Age: 13.0
Sex: F
Vaccine: HEPA, HPV4, MNQ, HEPA, HPV4, MEN, HEPA, HPV4, MEN, HEPA, HPV4, MNQ
Symptoms: Convulsion, Syncope
Clinical narrative: Information has been received from a consumer concerning her 13 year old daughter with no medical history or drug allergies who on 21-AUG-2007 was vaccinated with a 0.5mL first dose of Gardasil (Lot # not provided). Concomitant vaccination included Hepatitis A (unspecified) and Meningococcal vaccine (unspecified). On 21-AUG-2007 the patient fainted and experienced seizure like activity after receiving the Gardasil. It was noted by the reporter that the patient received the vaccination on an empty stomach. The patient sought unspecified medical attention. No laboratory diagnostic tests were performed. On 21-AUG-2007, the patient recovered. No product quality complaint was involved. Upon internal review, seizure like activity was considered to be an other important medical event. Additional information has been requested.
Age: 13.0
Sex: F
Vaccine: HEPA, HPV4, MNQ, HEPA, HPV4, MEN, HEPA, HPV4, MEN, HEPA, HPV4, MNQ
Symptoms: Eye rolling, Pallor, Syncope, Tremor
Clinical narrative: Information has been received from a consumer concerning her 13 year old daughter with no medical history or drug allergies who on 21-AUG-2007 was vaccinated with a 0.5mL first dose of Gardasil (Lot # not provided). Concomitant vaccination included Hepatitis A (unspecified) and Meningococcal vaccine (unspecified). On 21-AUG-2007 the patient fainted and experienced seizure like activity after receiving the Gardasil. It was noted by the reporter that the patient received the vaccination on an empty stomach. The patient sought unspecified medical attention. No laboratory diagnostic tests were performed. On 21-AUG-2007, the patient recovered. No product quality complaint was involved. Upon internal review, seizure like activity was considered to be an other important medical event. Additional information has been requested.
Age: 0.17
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5, DTAPHEPBIP, PNC, RV5, DTAPHEPBIP, PNC, RV5, DTAPHEPBIP, PNC, RV5
Symptoms: Death, Developmental delay, Failure to thrive
Clinical narrative: The patient had a congenital anomaly. Information regarding Prevnar was received from a healthcare professional regarding a 2-month-old male patient who experienced death. At 2 months of age, the patient received the first dose on 23-Aug-2007. The patient also received a dose of Rotateq (Merck & Co Inc) and a dose of Pediarix (GlaxoSmithKline) on 23-Aug-2007. On 23-Aug-2007, the patient received Prevnar, Rotarix and Pediarix. Two days later on 25-Aug-2007, the patient died. The reporter noted the patient had unspecified genetic disorders. The cause of death was unknown. No additional information was available at the time of this report.
Age: 0.17
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5, DTAPHEPBIP, PNC, RV5, DTAPHEPBIP, PNC, RV5, DTAPHEPBIP, PNC, RV5
Symptoms: Death, Sepsis
Clinical narrative: The patient had a congenital anomaly. Information regarding Prevnar was received from a healthcare professional regarding a 2-month-old male patient who experienced death. At 2 months of age, the patient received the first dose on 23-Aug-2007. The patient also received a dose of Rotateq (Merck & Co Inc) and a dose of Pediarix (GlaxoSmithKline) on 23-Aug-2007. On 23-Aug-2007, the patient received Prevnar, Rotarix and Pediarix. Two days later on 25-Aug-2007, the patient died. The reporter noted the patient had unspecified genetic disorders. The cause of death was unknown. No additional information was available at the time of this report.
Age: 0.17
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5, DTAPHEPBIP, PNC, RV5, DTAPHEPBIP, PNC, RV5, DTAPHEPBIP, PNC, RV5
Symptoms: Death
Clinical narrative: The patient had a congenital anomaly. Information regarding Prevnar was received from a healthcare professional regarding a 2-month-old male patient who experienced death. At 2 months of age, the patient received the first dose on 23-Aug-2007. The patient also received a dose of Rotateq (Merck & Co Inc) and a dose of Pediarix (GlaxoSmithKline) on 23-Aug-2007. On 23-Aug-2007, the patient received Prevnar, Rotarix and Pediarix. Two days later on 25-Aug-2007, the patient died. The reporter noted the patient had unspecified genetic disorders. The cause of death was unknown. No additional information was available at the time of this report.
Age: 13.0
Sex: F
Vaccine: HEPA, HPVX, HEPA, HPV4
Symptoms: Urticaria
Clinical narrative: Pt received HepA and HPV vaccines at approx. 2pm on 9/7/07. pt developed hives at approx. 9pm the same day. No difficulty breathing/No fainting/No difficulty swallowing. Benadryl given by parent.Home care provided by parent. No further course of treatment needed at this time.
Age: 11.0
Sex: M
Vaccine: MNQ, TDAP, VARCEL
Symptoms: Alanine aminotransferase normal, Aspartate aminotransferase normal, Basophil count increased, Blood albumin normal, Blood bilirubin normal
Clinical narrative: The patient is an 11 year-old, admitted yesterday for observation with a history of vomiting, lethargy, tiredness, headache. This patient was seen in the Clinic the day before admission for a health physical, and he received immunizations consisting of Td, Menactra and Varivax. The patient vomited once in the Clinic, and also once in the Emergency Room. He was admitted to the Pediatric floor. He received D5 normal saline at the rate of 80 ml/hr, and he was kept NPO. The patient had no fever during his hospital stay. He slept most of the day yesterday, and physical examination was essentially normal. My main concern was to rule out a possible encephalitis or Guillain Barre syndrome.
Age: 11.0
Sex: M
Vaccine: MNQ, TDAP, VARCEL
Symptoms: Blood creatinine normal, Blood urea normal, C-reactive protein increased, Fatigue, Globulin
Clinical narrative: The patient is an 11 year-old, admitted yesterday for observation with a history of vomiting, lethargy, tiredness, headache. This patient was seen in the Clinic the day before admission for a health physical, and he received immunizations consisting of Td, Menactra and Varivax. The patient vomited once in the Clinic, and also once in the Emergency Room. He was admitted to the Pediatric floor. He received D5 normal saline at the rate of 80 ml/hr, and he was kept NPO. The patient had no fever during his hospital stay. He slept most of the day yesterday, and physical examination was essentially normal. My main concern was to rule out a possible encephalitis or Guillain Barre syndrome.
Age: 11.0
Sex: M
Vaccine: MNQ, TDAP, VARCEL
Symptoms: Haematocrit decreased, Haemoglobin decreased, Headache, Lethargy, Lymphocyte count decreased
Clinical narrative: The patient is an 11 year-old, admitted yesterday for observation with a history of vomiting, lethargy, tiredness, headache. This patient was seen in the Clinic the day before admission for a health physical, and he received immunizations consisting of Td, Menactra and Varivax. The patient vomited once in the Clinic, and also once in the Emergency Room. He was admitted to the Pediatric floor. He received D5 normal saline at the rate of 80 ml/hr, and he was kept NPO. The patient had no fever during his hospital stay. He slept most of the day yesterday, and physical examination was essentially normal. My main concern was to rule out a possible encephalitis or Guillain Barre syndrome.
Age: 11.0
Sex: M
Vaccine: MNQ, TDAP, VARCEL
Symptoms: Monocyte count normal, Neutrophil percentage increased, Platelet count increased, Protein total normal, Red blood cell sedimentation rate increased
Clinical narrative: The patient is an 11 year-old, admitted yesterday for observation with a history of vomiting, lethargy, tiredness, headache. This patient was seen in the Clinic the day before admission for a health physical, and he received immunizations consisting of Td, Menactra and Varivax. The patient vomited once in the Clinic, and also once in the Emergency Room. He was admitted to the Pediatric floor. He received D5 normal saline at the rate of 80 ml/hr, and he was kept NPO. The patient had no fever during his hospital stay. He slept most of the day yesterday, and physical examination was essentially normal. My main concern was to rule out a possible encephalitis or Guillain Barre syndrome.
Age: 11.0
Sex: M
Vaccine: MNQ, TDAP, VARCEL
Symptoms: Vomiting, White blood cell count increased
Clinical narrative: The patient is an 11 year-old, admitted yesterday for observation with a history of vomiting, lethargy, tiredness, headache. This patient was seen in the Clinic the day before admission for a health physical, and he received immunizations consisting of Td, Menactra and Varivax. The patient vomited once in the Clinic, and also once in the Emergency Room. He was admitted to the Pediatric floor. He received D5 normal saline at the rate of 80 ml/hr, and he was kept NPO. The patient had no fever during his hospital stay. He slept most of the day yesterday, and physical examination was essentially normal. My main concern was to rule out a possible encephalitis or Guillain Barre syndrome.
Age: 39.0
Sex: M
Vaccine: RAB
Symptoms: Asthenia, Blood test, Bone scan, Computerised tomogram, Depression
Clinical narrative: Pain, inflammation, swelling, weight loss, rashes, fatigue, insomnia, weakness, depression since onset have seen several specialists (from 9/25/05 to present) (multiple treatments).  10/2/07 Reviewed hospital medical records which reveal patient experienced diffuse body myalgias, arthralgias, pain in left subcostal area,intermittent diarrhea, night sweats, anorexia & weight loss of 52 # since 9/2005.  Admitted 2/3/06-2/9/06.  Had exposure to bat w/?rabies 9/2005 & received IVIG.  GI, ENT, cardiology, pain management & psych consults done.  Remain stable in hospital & d/c to home. FINAL DX: nonspecific myalgias & myositis; depression; mild restrictive lung disease; gastric ulcer disease; intermittent diarrhea; gastritis; esophagitis.
Age: 39.0
Sex: M
Vaccine: RAB
Symptoms: Fatigue, Inflammation, Insomnia, Nuclear magnetic resonance imaging, Pain
Clinical narrative: Pain, inflammation, swelling, weight loss, rashes, fatigue, insomnia, weakness, depression since onset have seen several specialists (from 9/25/05 to present) (multiple treatments).  10/2/07 Reviewed hospital medical records which reveal patient experienced diffuse body myalgias, arthralgias, pain in left subcostal area,intermittent diarrhea, night sweats, anorexia & weight loss of 52 # since 9/2005.  Admitted 2/3/06-2/9/06.  Had exposure to bat w/?rabies 9/2005 & received IVIG.  GI, ENT, cardiology, pain management & psych consults done.  Remain stable in hospital & d/c to home. FINAL DX: nonspecific myalgias & myositis; depression; mild restrictive lung disease; gastric ulcer disease; intermittent diarrhea; gastritis; esophagitis.
Age: 39.0
Sex: M
Vaccine: RAB
Symptoms: Rash, Swelling, Weight decreased, X-ray
Clinical narrative: Pain, inflammation, swelling, weight loss, rashes, fatigue, insomnia, weakness, depression since onset have seen several specialists (from 9/25/05 to present) (multiple treatments).  10/2/07 Reviewed hospital medical records which reveal patient experienced diffuse body myalgias, arthralgias, pain in left subcostal area,intermittent diarrhea, night sweats, anorexia & weight loss of 52 # since 9/2005.  Admitted 2/3/06-2/9/06.  Had exposure to bat w/?rabies 9/2005 & received IVIG.  GI, ENT, cardiology, pain management & psych consults done.  Remain stable in hospital & d/c to home. FINAL DX: nonspecific myalgias & myositis; depression; mild restrictive lung disease; gastric ulcer disease; intermittent diarrhea; gastritis; esophagitis.
Age: 0.1
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Intussusception, Surgery
Clinical narrative: July 2007, intussusception S/P repair.  9/18/07 Reviewed vax record from provider which confirms RO dose & lot # as reported.  9/17/07 Reviewed hospital medical records which reveal patient experienced vomiting.  Seen in ER 7/15/07 & d/c to home.  Continued w/vomiting, abdominal pain & developed dark stools.  Admitted 7/16-7/19/2007.  Failed hydrostatic reduction & taken to OR for reduction & appy.  Progressed well & d/c to home. FINAL DX: Ileocecal intussusception w/lead point in midtransverse colon; appendectomy.
Age: 23.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Blood creatine phosphokinase increased, Lymphadenopathy, Myalgia, Red blood cell sedimentation rate normal, Trismus
Clinical narrative: This was pt's second Gardasil vaccine on 8/7/07. She developed symptoms 8/14 and was seen at hospital 8/20, 8/21, 8/22/07. She was suffering from myalgias, trismus, "lockjaw" and slight neck adenopathy. Her neck CT was normal.  9/18/07 Received hospital medical records which reveal patient experienced severe neck pain & swelling w/inability to open her mouth.  After 1st vax 6/07 had tenderness in right clavicle & neck area.  Saw pcp & dx w/reaction to vax.  Resolved over approx 1-2 mos.  Received 2nd vax in 8/07.  Approx 1 week later developed severe pain in right neck & axilla w/enlarged lymph nodes.  States pain was so severe that she could not open her mouth.  Saw pcp who again dx w/reaction to vax but referred to ER due to severity.  Exam revealed full ROM of neck w/tenderness & palpable tender lymph nodes of neck & right axillary.  D/C to home.  No improvement & returned to ER on 9/21.  Tx w/IVF, pain med & IV steroids.  Improved in ER & d/c to home.  Returned to ER on 8/22 for repeat labs & recheck of symptoms.  CPK improved but continued w/same symptoms but no adenopathy noted on exam.  Right arm exam WNL but w/increased tone to bicep/tricep area w/good ROM, strength & sensation.  Tx w/pain med & benzodiazapam w/excellent relief.  D/C to home & f/u w/pcp.   Final ER DX: 8/20/07 reactive lymphadenopathy, probable viral illness, ? TMJ syndrome, questionable AE to vaccine. Final ER DX: 8/21/07 myalgias w/extremely low grade rhabdomyolysis & ? serum immune complex type hypersensitivity reaction to vaccine. Final ER DX: 8/22/07 myalgias w/low grade rhabdomyalisis.
Age: 23.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Blood creatine phosphokinase increased, Computerised tomogram abnormal, Dyskinesia, Epstein-Barr virus antibody negative, Hypersensitivity
Clinical narrative: This was pt's second Gardasil vaccine on 8/7/07. She developed symptoms 8/14 and was seen at hospital 8/20, 8/21, 8/22/07. She was suffering from myalgias, trismus, "lockjaw" and slight neck adenopathy. Her neck CT was normal.  9/18/07 Received hospital medical records which reveal patient experienced severe neck pain & swelling w/inability to open her mouth.  After 1st vax 6/07 had tenderness in right clavicle & neck area.  Saw pcp & dx w/reaction to vax.  Resolved over approx 1-2 mos.  Received 2nd vax in 8/07.  Approx 1 week later developed severe pain in right neck & axilla w/enlarged lymph nodes.  States pain was so severe that she could not open her mouth.  Saw pcp who again dx w/reaction to vax but referred to ER due to severity.  Exam revealed full ROM of neck w/tenderness & palpable tender lymph nodes of neck & right axillary.  D/C to home.  No improvement & returned to ER on 9/21.  Tx w/IVF, pain med & IV steroids.  Improved in ER & d/c to home.  Returned to ER on 8/22 for repeat labs & recheck of symptoms.  CPK improved but continued w/same symptoms but no adenopathy noted on exam.  Right arm exam WNL but w/increased tone to bicep/tricep area w/good ROM, strength & sensation.  Tx w/pain med & benzodiazapam w/excellent relief.  D/C to home & f/u w/pcp.   Final ER DX: 8/20/07 reactive lymphadenopathy, probable viral illness, ? TMJ syndrome, questionable AE to vaccine. Final ER DX: 8/21/07 myalgias w/extremely low grade rhabdomyolysis & ? serum immune complex type hypersensitivity reaction to vaccine. Final ER DX: 8/22/07 myalgias w/low grade rhabdomyalisis.
Age: 23.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Hypertonia, Immune system disorder, Lymphadenopathy, Lymphocyte count decreased, Myalgia
Clinical narrative: This was pt's second Gardasil vaccine on 8/7/07. She developed symptoms 8/14 and was seen at hospital 8/20, 8/21, 8/22/07. She was suffering from myalgias, trismus, "lockjaw" and slight neck adenopathy. Her neck CT was normal.  9/18/07 Received hospital medical records which reveal patient experienced severe neck pain & swelling w/inability to open her mouth.  After 1st vax 6/07 had tenderness in right clavicle & neck area.  Saw pcp & dx w/reaction to vax.  Resolved over approx 1-2 mos.  Received 2nd vax in 8/07.  Approx 1 week later developed severe pain in right neck & axilla w/enlarged lymph nodes.  States pain was so severe that she could not open her mouth.  Saw pcp who again dx w/reaction to vax but referred to ER due to severity.  Exam revealed full ROM of neck w/tenderness & palpable tender lymph nodes of neck & right axillary.  D/C to home.  No improvement & returned to ER on 9/21.  Tx w/IVF, pain med & IV steroids.  Improved in ER & d/c to home.  Returned to ER on 8/22 for repeat labs & recheck of symptoms.  CPK improved but continued w/same symptoms but no adenopathy noted on exam.  Right arm exam WNL but w/increased tone to bicep/tricep area w/good ROM, strength & sensation.  Tx w/pain med & benzodiazapam w/excellent relief.  D/C to home & f/u w/pcp.   Final ER DX: 8/20/07 reactive lymphadenopathy, probable viral illness, ? TMJ syndrome, questionable AE to vaccine. Final ER DX: 8/21/07 myalgias w/extremely low grade rhabdomyolysis & ? serum immune complex type hypersensitivity reaction to vaccine. Final ER DX: 8/22/07 myalgias w/low grade rhabdomyalisis.
Age: 23.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Neck pain, Red blood cell sedimentation rate normal, Rhabdomyolysis, Streptococcal identification test negative, Swelling
Clinical narrative: This was pt's second Gardasil vaccine on 8/7/07. She developed symptoms 8/14 and was seen at hospital 8/20, 8/21, 8/22/07. She was suffering from myalgias, trismus, "lockjaw" and slight neck adenopathy. Her neck CT was normal.  9/18/07 Received hospital medical records which reveal patient experienced severe neck pain & swelling w/inability to open her mouth.  After 1st vax 6/07 had tenderness in right clavicle & neck area.  Saw pcp & dx w/reaction to vax.  Resolved over approx 1-2 mos.  Received 2nd vax in 8/07.  Approx 1 week later developed severe pain in right neck & axilla w/enlarged lymph nodes.  States pain was so severe that she could not open her mouth.  Saw pcp who again dx w/reaction to vax but referred to ER due to severity.  Exam revealed full ROM of neck w/tenderness & palpable tender lymph nodes of neck & right axillary.  D/C to home.  No improvement & returned to ER on 9/21.  Tx w/IVF, pain med & IV steroids.  Improved in ER & d/c to home.  Returned to ER on 8/22 for repeat labs & recheck of symptoms.  CPK improved but continued w/same symptoms but no adenopathy noted on exam.  Right arm exam WNL but w/increased tone to bicep/tricep area w/good ROM, strength & sensation.  Tx w/pain med & benzodiazapam w/excellent relief.  D/C to home & f/u w/pcp.   Final ER DX: 8/20/07 reactive lymphadenopathy, probable viral illness, ? TMJ syndrome, questionable AE to vaccine. Final ER DX: 8/21/07 myalgias w/extremely low grade rhabdomyolysis & ? serum immune complex type hypersensitivity reaction to vaccine. Final ER DX: 8/22/07 myalgias w/low grade rhabdomyalisis.
Age: 23.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Temporomandibular joint syndrome, Tenderness, Trismus, Viral infection, White blood cell count
Clinical narrative: This was pt's second Gardasil vaccine on 8/7/07. She developed symptoms 8/14 and was seen at hospital 8/20, 8/21, 8/22/07. She was suffering from myalgias, trismus, "lockjaw" and slight neck adenopathy. Her neck CT was normal.  9/18/07 Received hospital medical records which reveal patient experienced severe neck pain & swelling w/inability to open her mouth.  After 1st vax 6/07 had tenderness in right clavicle & neck area.  Saw pcp & dx w/reaction to vax.  Resolved over approx 1-2 mos.  Received 2nd vax in 8/07.  Approx 1 week later developed severe pain in right neck & axilla w/enlarged lymph nodes.  States pain was so severe that she could not open her mouth.  Saw pcp who again dx w/reaction to vax but referred to ER due to severity.  Exam revealed full ROM of neck w/tenderness & palpable tender lymph nodes of neck & right axillary.  D/C to home.  No improvement & returned to ER on 9/21.  Tx w/IVF, pain med & IV steroids.  Improved in ER & d/c to home.  Returned to ER on 8/22 for repeat labs & recheck of symptoms.  CPK improved but continued w/same symptoms but no adenopathy noted on exam.  Right arm exam WNL but w/increased tone to bicep/tricep area w/good ROM, strength & sensation.  Tx w/pain med & benzodiazapam w/excellent relief.  D/C to home & f/u w/pcp.   Final ER DX: 8/20/07 reactive lymphadenopathy, probable viral illness, ? TMJ syndrome, questionable AE to vaccine. Final ER DX: 8/21/07 myalgias w/extremely low grade rhabdomyolysis & ? serum immune complex type hypersensitivity reaction to vaccine. Final ER DX: 8/22/07 myalgias w/low grade rhabdomyalisis.
Age: 1.1
Sex: F
Vaccine: HIBV, PNC, VARCEL
Symptoms: Culture wound positive, Erythema, Injection site induration, Methicillin-resistant staphylococcal aureus test positive, Pyrexia
Clinical narrative: On 8/28 woke up with 2 papules on right ankle and started running a fever of 102. On 8/29 woke up with a large reddened indurated area on left thigh in the injection area from Hib and Varicella shots. The papules on the (R) ankle were cultured. The results were positive for MRSA. Bactrim started 8/29/07. Admitted to hosp 8/30/07.  9/14/07 Reviewed hospital medical records which reveal patient experienced fever, papules on right ankle, large red indurated area at left thigh injection site.  Saw PCP on 8/29/07, papules were cultured & started on oral antibiotics for cellulitis.  Returned to PCP on 8/30 w/o improvement & actually increased WBC.  Admitted 8/30-9/3/07.  Ped surgery consult obtained.  Erythema & significant induration from left hip to knee.  Started on IV antibiotics.  To OR for I&D of left thigh on 8/30 for deep abscess extending to subfascia.  Wound packed & continued IV antibiotics.  Progressed well & d/c to home on continued oral antibiotics & wound packing w/follow up w/pcp & surgery. FINAL DX: MRSA abscess & cellulitis of left thigh, s/p I&D.
Age: 1.1
Sex: F
Vaccine: HIBV, PNC, VARCEL
Symptoms: Rash papular, Staphylococcal infection
Clinical narrative: On 8/28 woke up with 2 papules on right ankle and started running a fever of 102. On 8/29 woke up with a large reddened indurated area on left thigh in the injection area from Hib and Varicella shots. The papules on the (R) ankle were cultured. The results were positive for MRSA. Bactrim started 8/29/07. Admitted to hosp 8/30/07.  9/14/07 Reviewed hospital medical records which reveal patient experienced fever, papules on right ankle, large red indurated area at left thigh injection site.  Saw PCP on 8/29/07, papules were cultured & started on oral antibiotics for cellulitis.  Returned to PCP on 8/30 w/o improvement & actually increased WBC.  Admitted 8/30-9/3/07.  Ped surgery consult obtained.  Erythema & significant induration from left hip to knee.  Started on IV antibiotics.  To OR for I&D of left thigh on 8/30 for deep abscess extending to subfascia.  Wound packed & continued IV antibiotics.  Progressed well & d/c to home on continued oral antibiotics & wound packing w/follow up w/pcp & surgery. FINAL DX: MRSA abscess & cellulitis of left thigh, s/p I&D.
Age: 0.61
Sex: M
Vaccine: DTAPHEPBIP, PNC
Symptoms: Abdominal pain, Dehydration, Haematochezia, Intussusception, Lethargy
Clinical narrative: Pt seen in office with hx of bloody stool. Abdominal pain noted: pt lethargic, dehydrated (on 9-5-07). Referred to hospital by ambulance. Dx intussusception.  9/24/2007 Call placed to vaccine provider for verification per CDC request. Per vaccine provider, pt has not received any doses of Rotateq on that date or at any time. 9/25/07 Reviewed hospital medical records which reveal patient experienced unconsolable crying, abdominal pain, emesis & bloody stool x 1 day. Admitted 9/6-9/7/2007.  Enema initially reduced IS but recurred & taken to OR for laparoscopic reduction of ileocecal IS.  Did well postoperatively & d/c to home next day.  FINAL DX: Intussusception, surgically reduced.
Age: 44.0
Sex: F
Vaccine: TDAP
Symptoms: Feeling hot, Flushing, Palpitations, Panic reaction
Clinical narrative: 9/10/07 Tdap vaccination. S+S started 9/11/07 2am, client describes as "panic" type feelings - warm, flushed, racing heart. 9/11/07 visit to Dr. Tx was Solumedrol 125mg IM and Benadryl 50mg, Rx for Prednisone. Prednisone 50mg for 3d, 30mg for 3d, 20mg for 2d, 10mg for 2d. Client said the doctor thought it was the pertussis component.
Age: 16.0
Sex: F
Vaccine: HPV4, MNQ, TDAP, DTAP, HPV4, MNQ
Symptoms: Hypoaesthesia, Paraesthesia
Clinical narrative: Day after Gardasil and Adacel (R) arm (deltoid). Numbness/tingling in right forearm/index finger and right lower leg/foot.
Age: 16.0
Sex: F
Vaccine: HPV4, MNQ, TDAP, DTAP, HPV4, MNQ
Symptoms: Inappropriate schedule of drug administration, Paraesthesia
Clinical narrative: Day after Gardasil and Adacel (R) arm (deltoid). Numbness/tingling in right forearm/index finger and right lower leg/foot.
Age: 57.0
Sex: F
Vaccine: PPV, TDAP
Symptoms: Erythema, Induration, Skin warm
Clinical narrative: 2cm x 2cm eryth. hardened area with warmth over entire upper arm. Good ROM.
Age: 27.0
Sex: M
Vaccine: MNQ, TDAP
Symptoms: Chills, Nausea, Pain, Pyrexia, Tenderness
Clinical narrative: 6-8 hours after vaccination, pain, chills, nausea, localized tenderness (L) arm, fever 104 which lasted approx. 24 hrs - other symptoms lasted 72 hours. Did not seek medical attention. Pt fully recovered within 72 hours.
Age: 70.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site mass, Injection site pruritus, Injection site warmth
Clinical narrative: Raised warm, red, itchy, 5cm x 6cm lump at injection site.
Age: 7.0
Sex: F
Vaccine: MMRV, PNC
Symptoms: Erythema, Oedema peripheral, Skin nodule, Tenderness
Clinical narrative: Swelling, redness, tenderness 3x3ccm 7x5 cm (R) upper arm. 1.5 x 1.5cm lump over (R) upper arm.
Age: 14.0
Sex: F
Vaccine: HPV4, VARCEL
Symptoms: Erythema, Skin warm, Tenderness
Clinical narrative: 9 1/2 x 6 1/2 cm area of redness, warmth and tenderness (R) tricep
Age: 10.0
Sex: F
Vaccine: HEPA, MNQ, VARCEL
Symptoms: Unevaluable event
Clinical narrative: None reported.