chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 17.0
Sex: F
Vaccine: HPV4
Symptoms: Dizziness, Nausea, Rash, Swelling
Clinical narrative: Information has been received from a focus group researcher concerning a 17 year old female who was vaccinated with GARDASIL. In April 2009, the patient experienced rash, swelling, nausea and dizziness. The reporter noted that therapy with GARDASIL was discontinued. The patient's rash, swelling, nausea and dizziness diminished within 3 days after stopping GARDASIL. The reporter considered the rash, swelling, nausea and dizziness to be other important medical event. Additional information has been requested.
Age: 18.0
Sex: F
Vaccine: HPV4, MNQ
Symptoms: Convulsion, Dyskinesia, Electroencephalogram abnormal, Nuclear magnetic resonance imaging abnormal
Clinical narrative: Information has been received from a consumer concerning her 18 year old daughter with no drug reactions/allergies who was vaccinated with the first dose of GARDASIL in "June 2008". The patient was vaccinated with meningococcal vaccine (manufacturer unknown) on the same day (Lot U2566AA). "Sometime in October 2008", the patient started having seizures. The patient was jerking sometimes and showing seizure episodes. The patient had some seizure attacks in "April 2009" and "June 2009". The patient was brought to the emergency room in "June 2009" and was not admitted in the hospital. The lab diagnostics studies performed: MRI, EEG, CAT SCAN. At the time of report the patient's status was not recovered. Follow-up information was received from a registered nurse indicated the patient received GARDASIL (Lot #660387/1967U) on 16-JUN-2008. Concomitant therapy included meningococcal vaccine (manufacturer unknown) (Lot #U2566AA). Follow-up information was received from a nurse assistant indicated that the patient had an EEG which was reported as "abnormal EEG" on 05-MAY-2009. On 12-MAY-2009 the patient had a MRI which revealed "Right frontal matter hyperintensity". On 14-MAY-2009 the patient was seen by a doctor and was placed on therapy with KEPPRA 750mg BID. The patient was instructed to not drive. The patient was to repeat the EEG and MRI in 6 months. The patient was to move to another state (date unknown) and instructed to find a treating neurologist when she moved. On 18-JUN-2009 the patient went to the emergency room due to "convulsions". The patient was not admitted to the hospital. Convulsion was considered to be an other medical event. Additional information has been requested.  8/12/09 PCP records received. In for PE with normal exam. Vaccines administered.   8/24//09 Neurological consult records received DOS 5/14/09. Assessment: Focal Seizures with possible secondary generalization. Patient presents for assessment of abnormal EEG. First episode of syncope 2/09 or 3/09. Twitching of body. Blurry vision. 2 weeks ago arm began hurting, unable to feel left side of body, passed out. Shaking, 'fuzzy eyesight'. Woke up confused.
Age: 62.0
Sex: F
Vaccine: VARZOS
Symptoms: Blood test, Computerised tomogram, Gait disturbance, Hyperhidrosis, Labyrinthitis
Clinical narrative: Information has been received from a Registered Nurse (R.N.) concerning herself (a 62 year old female) with hypothyroidism and no drug allergies who on 29-JUN-2009 was vaccinated with a dose of ZOSTAVAX (Merck). Concomitant therapy included TB test, BUSPAR, PROZAC and levothyroxine. The patient experienced severe nausea and vomiting, vertigo, profuse sweating, and had difficulty walking about 12 days after receiving vaccine (on 10-JUL-2009). The nurse was evaluated at a Hospital emergency room. Unspecified blood test, CAT scan and MRI of the head were performed. She was treated with antibiotics, antihistamines and VALIUM for an inner ear infection. She reported that she continued to experience vertigo. The patient had not recovered at the time of report. The reporter considered the adverse experiences to be disabling. Additional information has been requested.
Age: 62.0
Sex: F
Vaccine: VARZOS
Symptoms: Nausea, Nuclear magnetic resonance imaging, Vertigo, Vomiting
Clinical narrative: Information has been received from a Registered Nurse (R.N.) concerning herself (a 62 year old female) with hypothyroidism and no drug allergies who on 29-JUN-2009 was vaccinated with a dose of ZOSTAVAX (Merck). Concomitant therapy included TB test, BUSPAR, PROZAC and levothyroxine. The patient experienced severe nausea and vomiting, vertigo, profuse sweating, and had difficulty walking about 12 days after receiving vaccine (on 10-JUL-2009). The nurse was evaluated at a Hospital emergency room. Unspecified blood test, CAT scan and MRI of the head were performed. She was treated with antibiotics, antihistamines and VALIUM for an inner ear infection. She reported that she continued to experience vertigo. The patient had not recovered at the time of report. The reporter considered the adverse experiences to be disabling. Additional information has been requested.
Age: 73.0
Sex: F
Vaccine: VARZOS
Symptoms: Blood pressure increased, Cardiac stress test abnormal, Chest pain, Condition aggravated, Haematology test abnormal
Clinical narrative: Information has been received from a 73 year old female patient with blood pressure high and sulfonamide allergy who in October 2007, was vaccinated with ZOSTAVAX (Merck), SC. Concomitant therapy included AZOR. The patient stated that starting in March, 2008 she had a zit on her waist line that kept growing and got infected. Since the zit was infected the patient had to get it drained and was in the hospital for a couple of days. The consumer reported that not to long after that she had another zit on her lip area that went up her nose which kept growing and got infected again. The patient then went to the hospital again for two and a half days and had the zit drained and was put on vancomycin (manufacturer unspecified). The patient reported that her physician thought that what she had was either Mersa or staph infection, but she did not believe that was what she had. After leaving the hospital the patient was put on another medication (name, description and manufacturer unspecified), she started to experience severe chest pain, her blood pressure and heart rate went up and was sent to the hospital, and was there for three days. When she was at the hospital she had blood work done which showed she had a slight heart attack and when she had a stress test. The consumer reported that she still was getting the zits but they have not got as bad as they were the first two times." No further information is available.
Age: 73.0
Sex: F
Vaccine: VARZOS
Symptoms: Heart rate increased, Infection, Myocardial infarction, Rash papular
Clinical narrative: Information has been received from a 73 year old female patient with blood pressure high and sulfonamide allergy who in October 2007, was vaccinated with ZOSTAVAX (Merck), SC. Concomitant therapy included AZOR. The patient stated that starting in March, 2008 she had a zit on her waist line that kept growing and got infected. Since the zit was infected the patient had to get it drained and was in the hospital for a couple of days. The consumer reported that not to long after that she had another zit on her lip area that went up her nose which kept growing and got infected again. The patient then went to the hospital again for two and a half days and had the zit drained and was put on vancomycin (manufacturer unspecified). The patient reported that her physician thought that what she had was either Mersa or staph infection, but she did not believe that was what she had. After leaving the hospital the patient was put on another medication (name, description and manufacturer unspecified), she started to experience severe chest pain, her blood pressure and heart rate went up and was sent to the hospital, and was there for three days. When she was at the hospital she had blood work done which showed she had a slight heart attack and when she had a stress test. The consumer reported that she still was getting the zits but they have not got as bad as they were the first two times." No further information is available.
Age: 72.0
Sex: M
Vaccine: VARZOS
Symptoms: Computerised tomogram normal, Electrocardiogram normal, Loss of dreaming, Visual impairment
Clinical narrative: Information has been received from a 73 year old male patient with gastrooesophageal reflux disease who on 24-JUN-2009 was vaccinated with ZOSTAVAX (Merck). Secondary suspect therapy included pneumococcal vaccine (manufacturer unknown), polyval, (duration, dose and indication not reported). Concomitant therapy included ACIPHEX, LIPITOR, ECOTRIN, vitamins (unspecified) and PLAVIX. On 08-AUG-2002 the patient received a dose of PNEUMOVAX 23 (manufacturer unknown). On 23-JUL-2009 the patient was unable to visualize and dream after the administration of ZOSTAVAX (Merck). The patient's unable to visualize and dream persisted. On 25-JUL-2009, the patient was examined at the emergency room and was given a computed axial tomography scan which was negative. On 29-JUL-2009, the patient received a electrocardiogram which was also negative. The patient had not recovered. Upon internal review, the patient's unable to visualize was considered to be an other important medical event. Additional information has been requested.
Age: 50.0
Sex: F
Vaccine: PPV
Symptoms: Seroconversion test negative
Clinical narrative: Information has been received from a female registered nurse with reflex sympathetic dystrophy, cystitis interstitial, allergic reaction to cefaclor and sulfonamide allergy and a history of bronchiectasis who on unspecified dates was vaccinated with three doses of PNEUMOVAX 23 (lot# unknown). Concomitant therapy included amitriptyline hydrochloride (MSD), XANAX, RELAFEN, albuterol, NASACORT, cyclobenzaprine HCl (MSD) and ADVAIR. Subsequently the patient did not seroconvert to all 23 serotypes after three doses of vaccination. The titers were checked 4-6 weeks after administration. Unspecified medical attention was sought. At the time of the report, the patient had not recovered. Not seroconverting to all 23 serotypes was considered to be disabling. Additional information has been requested.
Age: 32.0
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Abortion spontaneous, Drug exposure during pregnancy, Pregnancy test, Varicella zoster serology negative
Clinical narrative: Information has been received for the Merck Pregnancy Registry from a physician for VARIVAX (Merck) concerning a 33 year old female with cardiac murmur and no drug reactions/allergies who on 22-FEB-2008 was vaccinated with VARIVAX (Merck) 0.5 mL subcutaneously. On 22-FEB-2008 secondary suspect therapy included MMR 0.5 mL subcutaneously. There was no other concomitant medication. The physician reported that his employee had no immunity to varicella and mumps. The patient vaccination history was not available at the time. On 03-MAR-2008 the patient stated that she was 3 weeks pregnant as per her two home pregnancy tests. Medical attention was sought. The date of the LMP was not available. The estimated date of delivery is unknown. Follow-up information has been received from the physician. In approximately April 2008, the female patient had a spontaneous abortion (approximately 8 weeks from LMP). She had a history of spontaneous abortion with her first pregnancy on an unspecified date, and she has no full term deliveries. On 11-FEB-2008, the serum varicella zoster virus antibody test result was negative. There were no other maternal adverse events during maternal period. No other information was available at the time of this report. The spontaneous abortion was considered to be an other medical important event. Additional information has been requested.
Age: 5.0
Sex: U
Vaccine: DTAP
Symptoms: Abasia, Gait disturbance, Inflammation, Joint swelling, Type III immune complex mediated reaction
Clinical narrative: Initial report received on 29 July 2009 from a health care professional. A cluster of two five year old patients with a history of speech delay and autism received DAPTACEL (lot number C3141AA) intramuscularly in the left thigh on 27 July 2009 in the morning. By that evening the children had significant knee swelling of the left leg which extended to the upper thigh. The children were unable to walk that night. The next morning they were both walking with a limp. They were seen by a physician who diagnosed them with Arthus Reaction Type 3, severe local inflammatory reaction. Recovery status was unknown. List of Documents held by Sender: none. The reporter of this case is the same as case number 2009-03235.
Age: 5.0
Sex: U
Vaccine: DTAP
Symptoms: Abasia, Gait disturbance, Inflammation, Joint swelling, Type III immune complex mediated reaction
Clinical narrative: Initial report received on 29 July 2009 from a health care professional. A cluster of two five year old patients with a history of speech delay and autism received DAPTACEL (lot number C3141AA) intramuscularly in the left thigh on 27 July 2009 in the morning. By that evening the children had significant knee swelling of the left leg which extended to the upper thigh. The children were unable to walk that night. The next morning they were both walking with a limp. They were seen by a physician who diagnosed them with Arthus reaction type 3, severe local inflammatory reaction. Recovery status was unknown. List of documents held by sender: none. The reporter of this case is the same as case number 2009-03234.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV
Symptoms: Agitation, Dyspnoea, Hyperhidrosis, Oxygen saturation, Oxygen saturation decreased
Clinical narrative: Following administration of DTaP-IPV vaccines patient developed agitation and difficulty breathing. She had been extremely combative during the immunization process. When she did not calm down quickly albuterol & O2 were administered by mask. Her O2 sats at room air were 85%. She developed pallor and was diaphoretic an Epi Pen Jr was injected in her thigh. EMS was called, by the time they arrived she was calming, cooperative and able to speak some. She was transported to ER and later admitted for 24 hours.   9/14/09 Hospital records received DOS 7/30/09. Assessment: Anaphylaxis. Patient presents with wheezing, difficulty breathing. Face flushed. Hypoxia. Diffuse body erythema.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV
Symptoms: Pallor
Clinical narrative: Following administration of DTaP-IPV vaccines patient developed agitation and difficulty breathing. She had been extremely combative during the immunization process. When she did not calm down quickly albuterol & O2 were administered by mask. Her O2 sats at room air were 85%. She developed pallor and was diaphoretic an Epi Pen Jr was injected in her thigh. EMS was called, by the time they arrived she was calming, cooperative and able to speak some. She was transported to ER and later admitted for 24 hours.   9/14/09 Hospital records received DOS 7/30/09. Assessment: Anaphylaxis. Patient presents with wheezing, difficulty breathing. Face flushed. Hypoxia. Diffuse body erythema.
Age: 1.0
Sex: F
Vaccine: HEPA, MMR, PNC, VARCEL
Symptoms: Lip swelling
Clinical narrative: Upper lip swelling 3 hour after Immun.  Gave BENADRYL - No further swelling within next 1 hour.  No respiratory distress.
Age: 0.52
Sex: F
Vaccine: DTAPIPVHIB, HEP, IPV, RV5
Symptoms: Unevaluable event
Clinical narrative: None stated.
Age: 57.0
Sex: F
Vaccine: FLU3
Symptoms: Electromyogram abnormal, Paraesthesia, Peripheral sensory neuropathy
Clinical narrative: After immunization, patient developed paresthesia of all limbs. 8/19/09 Neuro consults received dated 12/15/2008 with dx:  Paresthesias of the hands and feet, likely mild peripheral neuropathy r/t immunization.  Pt presented with c/o onset of sensation of vibration in the hands/feet shortly after receiving flu vax. Pt initially developed flu-like sx then the onset of vibration. PE (+) for diminished reflexes.
Age: 1.2
Sex: F
Vaccine: FLU3, MMR, VARCEL
Symptoms: Body temperature fluctuation, Rash
Clinical narrative: Temp on & off X 4 days, rash on back and neck X 1 wk and spreading.
Age: 74.0
Sex: F
Vaccine: VARZOS
Symptoms: Herpes zoster, Rash, Varicella
Clinical narrative: Pt reported 35 days post vaccination that she had been diagnosed with chickenpox. Zosters cover body, concentrated on trunk, non-febrile. Treating with antihistamines.
Age: 14.0
Sex: F
Vaccine: HPV4, MNQ
Symptoms: Dizziness, Fall, Head injury, Headache, Syncope
Clinical narrative: 14 yo female fainted for seconds and fell back post vaccine admin. - head hit floor when fell - Required lying in exam room until able to get up without c/o HA or dizziness - Had only eaten a bagel in am and then run mile before appoint.  Given coca cola to drink and hard candy.
Age: 1.06
Sex: M
Vaccine: DTAPHEPBIP, HIBV, MMR, PNC, VARCEL
Symptoms: Skin lesion, Varicella post vaccine
Clinical narrative: VARICELLA lesions erupted 8/3/09.
Age: 1.4
Sex: M
Vaccine: DTAPIPVHIB, PNC
Symptoms: Erythema multiforme, Full blood count, Skin reaction
Clinical narrative: Erythema multiforme skin RXN.
Age: 17.0
Sex: M
Vaccine: HEP, HEPA, MNQ
Symptoms: Anxiety, Cold sweat, Fatigue, Feeling cold, Injection site irritation
Clinical narrative: 8/3/09 Mother phoned at approx. 3:50 PM - States that after arriving home, patient was pale - "White as a ghost" & clammy.  No hives, no problems breathing.  States also when patient was walking to car, had complained of burning at injection sites & blurred vision.  Reports that patient was anxious about injections.  Phone call to mother at 4:05 PM - Vision clearing.  Phone call at 4:25 PM patient tired, cold.  Phone at 5:10 PM tired but no further problems - & same on 8/4/09 - per phone call to mother.
Age: 17.0
Sex: M
Vaccine: HEP, HEPA, MNQ
Symptoms: Pallor, Vision blurred
Clinical narrative: 8/3/09 Mother phoned at approx. 3:50 PM - States that after arriving home, patient was pale - "White as a ghost" & clammy.  No hives, no problems breathing.  States also when patient was walking to car, had complained of burning at injection sites & blurred vision.  Reports that patient was anxious about injections.  Phone call to mother at 4:05 PM - Vision clearing.  Phone call at 4:25 PM patient tired, cold.  Phone at 5:10 PM tired but no further problems - & same on 8/4/09 - per phone call to mother.
Age: 73.0
Sex: F
Vaccine: VARZOS
Symptoms: Headache, Injection site erythema, Injection site induration, Injection site oedema
Clinical narrative: Headache - Induration at site of injection 5cm X 2cm - Erythema, tissue edema total area 10 cm X 10 cm at injection site.
Age: 27.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site pain, Muscle tightness
Clinical narrative: Patient reports pain at injection site and tight muscle since 7/25/09. No redness, no warmth, no swelling. Patient advised to return to clinic or see PCP.
Age: 18.0
Sex: M
Vaccine: MNQ
Symptoms: Back pain, Headache, Influenza serology negative, Nausea, Neck pain
Clinical narrative: Headache, neck, back pain, nausea, fever, starting 12 hours after vaccine.
Age: 18.0
Sex: M
Vaccine: MNQ
Symptoms: Pyrexia, Streptococcal identification test negative
Clinical narrative: Headache, neck, back pain, nausea, fever, starting 12 hours after vaccine.
Age: 37.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth, Pyrexia
Clinical narrative: Site was reddened warm to touch, & with pain; swelling Pt stated "I am feeling better".  "I did have a fever".  T 97.0.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Injection site swelling, Rash papular
Clinical narrative: Left leg swelling, left arm bumps.
Age: 11.0
Sex: F
Vaccine: HEPA, HPV4, MNQ
Symptoms: Oedema peripheral, Pain in extremity, Skin warm
Clinical narrative: Client received MCV4 on 8/4/09 in left deltoid.  On 8/5/09 client's left deltoid is sore, swollen and warm to touch.
Age: 15.0
Sex: F
Vaccine: FLU3, HEPA, HPV4, VARCEL
Symptoms: Computerised tomogram, Electroencephalogram, Fall, Nuclear magnetic resonance imaging, Syncope
Clinical narrative: Patient fainted and fell to the floor, soon after receiving immunizations.
Age: 80.0
Sex: F
Vaccine: VARZOS
Symptoms: Blister, Rash, Scar
Clinical narrative: Pt received ZOSTAVAX on 7/16/09.  Within seven days, she states she developed a blistery rash on both sides of her face.  Pt did not seek medical treatment as of yet (8/5/09).  She says the rash has mostly cleared up with the exception of "scarring".
Age: 11.0
Sex: U
Vaccine: MNQ, TDAP, VARCEL
Symptoms: Eye pain, Feeling abnormal, Pain in jaw
Clinical narrative: Vaccines given on Aug. 4, 2009, went home started to have bilateral Jaw pain.  Pain behind his eyes, zoning out per mom.
Age: 16.0
Sex: F
Vaccine: MEN
Symptoms: Hypoaesthesia facial, Pain in extremity, Paraesthesia
Clinical narrative: Arm pain followed by tingling in the arm/ hand.  She then developed numbness/ tingling on some side face.  Resolved overnight.
Age: 4.0
Sex: M
Vaccine: DTAPIPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Red, swollen upper/forearm, warmth of arm of right arm lasted for 3 days - Swelling and redness started treatment 20 hours after immunization: cool compress - hydrocortisone cream.
Age: 0.3
Sex: F
Vaccine: DTAPIPVHIB, PNC
Symptoms: Allergy to vaccine, Chest X-ray normal, Culture urine negative, Diarrhoea, Hypersensitivity
Clinical narrative: Fever, hives 7/27 went to ER CXR NL U/A - Cx- negative - Went to clinic u/c 7/27 sent to another clinic seen by doctor 7-29-09 - Hives under neck, diarrhea, vomiting x 5 days - Referred to allergist - allergic reaction to vaccination - also had banana that day - 7-31-09 Rash improving - *Mom said 7-31-09 had a similar reaction after 1st immun but not as much - did not tell doctors.
Age: 0.3
Sex: F
Vaccine: DTAPIPVHIB, PNC
Symptoms: Pyrexia, Urine analysis normal, Urticaria, Vaccine positive rechallenge, Vomiting
Clinical narrative: Fever, hives 7/27 went to ER CXR NL U/A - Cx- negative - Went to clinic u/c 7/27 sent to another clinic seen by doctor 7-29-09 - Hives under neck, diarrhea, vomiting x 5 days - Referred to allergist - allergic reaction to vaccination - also had banana that day - 7-31-09 Rash improving - *Mom said 7-31-09 had a similar reaction after 1st immun but not as much - did not tell doctors.
Age: 11.0
Sex: F
Vaccine: TDAP, VARCEL
Symptoms: Injection site erythema, Injection site warmth
Clinical narrative: 8x9mm area of redness, warm to touch right deltoid area at Tdap injection site, redness just noted today 8/7/09. Area of 11.5 mm x 12 mm area of redness, warmth noted today, redness  started 8/6/09. Darker area of redness noted 3 1/2 mm x 4 mm left arm.
Age: 10.0
Sex: F
Vaccine: HEPA, HPV4, TDAP
Symptoms: Head injury, Mydriasis, Syncope, Unresponsive to stimuli
Clinical narrative: Pt fainted with assistance to floor. Posterior head was struck on fridge. Pupils dilated approx 7mm - pt was not following commands to squeeze hands or track movement. Symptoms lasted approx 30 seconds. Dr. in vaccine room prior to pt becoming responsive. Per mother pt has a history of fainting when seen blood.
Age: 12.0
Sex: F
Vaccine: HPV4
Symptoms: Computerised tomogram normal, Convulsion, Electrocardiogram normal, Fall, Gaze palsy
Clinical narrative: My daughter received her 1st dose of GARDASIL IM. We then went to check out at the receptionist's window. My daughter fainted or had a stiffening type seizure, eyes rolled back in her head and she fell on the floor striking her head on a cement flower pot. We went by ambulance to the emergency room where she had to have a CT of her head and EKG. Thank God so far everything is ok. This was a nightmare.
Age: 12.0
Sex: F
Vaccine: HPV4
Symptoms: Head injury, Scan brain, Syncope
Clinical narrative: My daughter received her 1st dose of GARDASIL IM. We then went to check out at the receptionist's window. My daughter fainted or had a stiffening type seizure, eyes rolled back in her head and she fell on the floor striking her head on a cement flower pot. We went by ambulance to the emergency room where she had to have a CT of her head and EKG. Thank God so far everything is ok. This was a nightmare.
Age: 44.0
Sex: F
Vaccine: MNQ, TDAP
Symptoms: Asthenia, Fatigue, Feeling abnormal, Myalgia, Pyrexia
Clinical narrative: Fatigue, achy muscles, fever warmth, a general feeling of weakness.  Some fuzziness in my head.  Drinking water and taking ADVIL.
Age: 11.0
Sex: F
Vaccine: HPV4, MNQ, VARCEL
Symptoms: Erythema, Skin warm, Swelling, Tenderness
Clinical narrative: Reddened/ raised area.  Warm to touch with tenderness - ADVIL given by caretaker - Warm compress applied - reaction appeared 8-6-09 to left arm.
Age: 11.0
Sex: F
Vaccine: HEPA, MNQ, TDAP, VARCEL
Symptoms: Erythema, Hyperhidrosis, Nausea, Pain in extremity, Pallor
Clinical narrative: Pt developed nausea, paleness, diaphoresis @ time of injection of VARICELLA #2. developed redness, swelling, warmth with tenderness and severe soreness on 8-7-09.
Age: 11.0
Sex: F
Vaccine: HEPA, MNQ, TDAP, VARCEL
Symptoms: Skin warm, Swelling, Tenderness
Clinical narrative: Pt developed nausea, paleness, diaphoresis @ time of injection of VARICELLA #2. developed redness, swelling, warmth with tenderness and severe soreness on 8-7-09.
Age: 30.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site erythema, Rash macular, Rash pruritic, Urticaria
Clinical narrative: 2-3 days mild itchy scattered pruritic macules progressive increased until day of eval on 7/30/09 R arm injection site redness/includes multiple scattered hives both feet / legs arms hands - severely pruritic; tx'd with Prednisone taper/7 days and Triamcinolone.
Age: 11.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Injection site red and swollen - Advised this is nl.
Sex: M
Vaccine: SMALL
Symptoms: Cardiac enzymes increased, Chest pain, Electrocardiogram normal, Myocarditis, Rash macular
Clinical narrative: Developed diffuse macular rash and chest pain.  Positive cardiac enzymes along with normal ECG thought developed myocarditis. Treatment was pain control with Ibuprofen. OP notes, he was placed on BACTRIM on the same day of immunization.
Age: 51.0
Sex: F
Vaccine: HEPAB, MMR, TDAP
Symptoms: Chills, Diplopia, Fatigue, Hypersomnia, Pyrexia
Clinical narrative: SC DAY AFTER VACCINES- FATIGUE,FEVER,CHILLS, SLEEPING 12 HRS A DAY X 2 WKS, DOUBLE VISION 2 WKS LATER, (R) PERIPHERAL VISION LOSS WHICH CON'T X 6-8 WKS AFTER VACCINES, SEEN BY MD 2 WKS AFTER VACCINES BUT NO TESTS DONE AND DID NOT COMMENT THAT SX WERE VACCINE RELATED --VACCINES REQUIRED BY NURSING SCHOOL
Age: 51.0
Sex: F
Vaccine: HEPAB, MMR, TDAP
Symptoms: Visual field defect
Clinical narrative: SC DAY AFTER VACCINES- FATIGUE,FEVER,CHILLS, SLEEPING 12 HRS A DAY X 2 WKS, DOUBLE VISION 2 WKS LATER, (R) PERIPHERAL VISION LOSS WHICH CON'T X 6-8 WKS AFTER VACCINES, SEEN BY MD 2 WKS AFTER VACCINES BUT NO TESTS DONE AND DID NOT COMMENT THAT SX WERE VACCINE RELATED --VACCINES REQUIRED BY NURSING SCHOOL
Age: 18.0
Sex: F
Vaccine: HEPA
Symptoms: Immunisation reaction, Pruritus, Rash generalised
Clinical narrative: Mom reports that Friday (8/7/09)evening patient began itching her feet.  She didn't make much of it and went to a friends to swim.  She spent the following day walking around town at a local craft fair (in the heat).  On Sunday (8/9/09) morning, the rash was not only on feet but up legs and on torso and down arms.  You could feel raised bumps all over her body.  She went to the ER at 9am on 8/9/09.  The ER doctor told her it was a reaction to the Hep A vaccine and not to receive the second dose in 6 months.  They gave her a shot of steroid in the hip, a RX for Medrol and told her to take Benadryl by mouth every four hours.  Mom reports this morning (Monday 8/10/09) that the rash is much better, almost gone.
Age: 14.0
Sex: M
Vaccine: HEPA, MMR, MNQ, TDAP, VARCEL
Symptoms: Feeling drunk, Grand mal convulsion, Malaise, Pallor
Clinical narrative: Patient had just received Tdap, Hep A, MCV4, MMR, & Varicella vaccines.  He was sitting down waiting while his sister sat on the exam table waiting to receive her shots.  About 2 minutes after receiving his vaccines, pt complained, " I don't feel so good."  He looked pale, so I instructed him to get up on the exam table and to lay on his side.  I gave him a safety sucker to slowly suck on.  About 30 seconds later, he began to have a generalized tonic clonic seizure.  I removed the sucker from his mouth immediately and assured a patent airway.  The seizure lasted less than 5 seconds, and patient maintained pink but pale color.  He was alert immediately following the incident, answering my questions appropriately.  He did complain that he "felt drunk" and was sl grey pink.  BP 98/58  HR 69 @1755.  Continued to have patient lie down until his color was normal.  He stated he felt normal at 6:00 pm and wanted to sit up.  His color was normal, so I allowed him to sit up, but continued to monitor him until 6:15, at which time his BP was 94/54 and pulse was 62.  His color was pink, and he was alert and appropriate. Mom reports that patient has a history of epilepsy, but has not had a seizure or meds in 10 years.  Advised her to have patient examined by his primary physician the following day (8/7).
Age: 15.0
Sex: F
Vaccine: VARCEL
Symptoms: Injection site erythema, Injection site irritation, Injection site pain, Injection site pruritus
Clinical narrative: Pt presents to HD 08/10/09 @ 800am with c/o of redness and itching, burning at site of varicella vacination to LPUA SQ site from shot given 08/07/09.  There is a 30wX40l erthythematous area to site does not feel warm or hard no swelling noted.Site is tender to touch.  She states she tried ice over the weekend and applied cortisone cream for itching.  I referred her to PCP.
Age: 12.0
Sex: F
Vaccine: TDAP
Symptoms: Dizziness, Head injury, Hypotonia, Immediate post-injection reaction, Muscle spasms
Clinical narrative: No contraindications to vaccine on screening.  Client give Tdap vaccination with father present and immediately reported dizziness.  Her color was pink, skin warm to touch, speaking and oriented at that time.  Had client rest head between her knees while remaining in seat and dizziness resolved within one minute.  She denied dizziness on standing and walked steadily to waiting area for post-vaccination monitoring.  I was then summoned to waiting area 2-3 minutes post vaccination as client had collapsed in her chair beside father.  She was limp and pale in color on approach.  She responded by opening her eyes when I lifted her to lower her to floor to supine position.  She was oriented x 3 immediately upon laying on floor.  No further episodes of unresponsiveness.  Color returned to normal within minutes.  Cool pack applied to forehead.  Father reports client spasmed briefly in chair and bumped head on wall seconds prior to collapse.  No history of seizures per father.  Vitals and neuros within normal limits post incident.
Age: 12.0
Sex: F
Vaccine: TDAP
Symptoms: Pallor, Skin discolouration, Skin warm, Syncope, Vital capacity normal
Clinical narrative: No contraindications to vaccine on screening.  Client give Tdap vaccination with father present and immediately reported dizziness.  Her color was pink, skin warm to touch, speaking and oriented at that time.  Had client rest head between her knees while remaining in seat and dizziness resolved within one minute.  She denied dizziness on standing and walked steadily to waiting area for post-vaccination monitoring.  I was then summoned to waiting area 2-3 minutes post vaccination as client had collapsed in her chair beside father.  She was limp and pale in color on approach.  She responded by opening her eyes when I lifted her to lower her to floor to supine position.  She was oriented x 3 immediately upon laying on floor.  No further episodes of unresponsiveness.  Color returned to normal within minutes.  Cool pack applied to forehead.  Father reports client spasmed briefly in chair and bumped head on wall seconds prior to collapse.  No history of seizures per father.  Vitals and neuros within normal limits post incident.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Swollen left arm-deltoid area-was seen in ER on Sunday, Aug 9th.  Mother states was hughe yesterday.  No c/o fever. Full ROM of proximal and distal joints.  Had bug bites prior to immunizations and was in sun for quite a while after shots.  Whole deltoid area still red and swollen today but markedly less than yesterday going by the markers ER had put on arm yesterday.  Antibiotics were prescribed by ER.
Age: 4.0
Sex: F
Vaccine: IPV, MMRV
Symptoms: Chills, Injection site induration, Injection site pain, Injection site warmth
Clinical narrative: PT GIVEN IPV AND MMR RIGHT ARM ON 08/05/209, RETURN BACK 8/06/20009 C/O TENDERNESS AND WARM TO THE LEFT ARM. BENADRYL, KEFLEX AND TYLENOL RX TO PT BY DR. ASK TO F/U IF SYMPTOMS PERSIST OR WORSEN. PT RETURN BACK TO CLINIC 08/07/2009 MOTHER CONCERNED CHILLS HAD SLIGHTLY INCREASE AREA OF INDURATION MOTHER SEND TO ER FOR FURTHER EVALUATION.
Age: 0.33
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Crying
Clinical narrative: Persistent high pitched crying x 3 days
Age: 7.0
Sex: F
Vaccine: IPV, MMR, TD, VARCEL
Symptoms: Injection site swelling
Clinical narrative: Localized swelling measuring 3.5 inches in diameter on left thigh.
Age: 1.5
Sex: M
Vaccine: DTAPIPVHIB, HEPA
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Localized redness measuring 6.5 in x 5.5 in, tenderness, and mild swelling.
Age: 44.0
Sex: F
Vaccine: TDAP
Symptoms: Abdominal pain upper, Activities of daily living impaired, Arthropathy, Headache, Injection site erythema
Clinical narrative: States 12-14 hours after immunization on 8-7-09; she experienced redness and inflammation at injection site, pain from ear down to wrist,fever,nausea,stomache ache,headache,and joint discomfort. Unable to function and bedbound for 1 day. General health gradually improving and symptoms decreasing. No meds have been taken for relief since administration of TDAP.
Age: 44.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site inflammation, Nausea, Pain, Pyrexia
Clinical narrative: States 12-14 hours after immunization on 8-7-09; she experienced redness and inflammation at injection site, pain from ear down to wrist,fever,nausea,stomache ache,headache,and joint discomfort. Unable to function and bedbound for 1 day. General health gradually improving and symptoms decreasing. No meds have been taken for relief since administration of TDAP.
Age: 11.0
Sex: M
Vaccine: VARCEL
Symptoms: Erythema, Skin warm, Swelling, Urticaria
Clinical narrative: 2.5 inch raised red welt formed the day after the shot, now gone down a bit but spread to 3X6 inches, "almost elbow to shoulder".  Still a little warm to the touch.  Still 1 inch red circle immediately around injection site. No fever.
Age: 14.0
Sex: M
Vaccine: HEPA, MNQ, TDAP
Symptoms: Feeling abnormal, Headache, Hyperhidrosis, Pallor, Tinnitus
Clinical narrative: Several minutes after shots were given, client began to complain of "feeling funny with ringing in his ears and headache, diaphoretic and pale. Cool cloth and ice pack placed on neck. Client unresponsive for seaveral seconds. color improves and client moved to clinic room to lay down for 20 minutes.
Age: 14.0
Sex: M
Vaccine: HEPA, MNQ, TDAP
Symptoms: Unresponsive to stimuli
Clinical narrative: Several minutes after shots were given, client began to complain of "feeling funny with ringing in his ears and headache, diaphoretic and pale. Cool cloth and ice pack placed on neck. Client unresponsive for seaveral seconds. color improves and client moved to clinic room to lay down for 20 minutes.
Age: 25.0
Sex: F
Vaccine: HPV4
Symptoms: Pruritus, Rash macular, Urticaria
Clinical narrative: Approx. 2 days after the vaccine was administered the patient reports that she broke out in hives, all over her body but consentrated on the abdomen.  She also had a blochy rash in addition.  She reports itching, no fever.  She did not seek medical attention.  The hives lasted approx. 2 wks and the itching continued for approx. 1 month.
Age: 11.0
Sex: F
Vaccine: HPV4
Symptoms: Syncope
Clinical narrative: Received Gardasil dose #2.  Walked to waiting room and fainted.  BP 118/60.  Given ginger ale to sip.  Denied dizziness.  BP recheck 5 minutes later 108/50.  Feeling better.  Left office with mother.
Age: 61.0
Sex: F
Vaccine: VARZOS
Symptoms: Blister, Diarrhoea, Injection site pain, Injection site rash, Injection site warmth
Clinical narrative: Shingles vaccination Zostevax received Fri, 11AM, 8/7/09.  Evening of injection, slight fever, muscle ache down arm to hand and up neck behind ear and across, injection site very tender to touch and very hot. 8/8 rash all around injection site and very hot to the touch.  Achy full length of arm, slight fever. 8/9 Diarreah, rash has spread wider and down upper arm half way down the back of arm and is very hot. Fever is gone. 8/10 Three "pox" like blisters in rash area - itches like mad and is still very hot, occassional achy in back of arm. Reaction is not over yet but wanted to let dr. and CDC know about it.
Age: 61.0
Sex: F
Vaccine: VARZOS
Symptoms: Myalgia, Pruritus, Pyrexia, Rash, Rash vesicular
Clinical narrative: Shingles vaccination Zostevax received Fri, 11AM, 8/7/09.  Evening of injection, slight fever, muscle ache down arm to hand and up neck behind ear and across, injection site very tender to touch and very hot. 8/8 rash all around injection site and very hot to the touch.  Achy full length of arm, slight fever. 8/9 Diarreah, rash has spread wider and down upper arm half way down the back of arm and is very hot. Fever is gone. 8/10 Three "pox" like blisters in rash area - itches like mad and is still very hot, occassional achy in back of arm. Reaction is not over yet but wanted to let dr. and CDC know about it.
Age: 24.0
Sex: F
Vaccine: SMALL
Symptoms: Drug exposure during pregnancy, Pregnancy test positive
Clinical narrative: Vaccine administered May22, 2009.  LMP June 14, 2009.  Confirmed Pregnancy August 5, 2009 - 7.5 weeks gestation.
Age: 0.17
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Crying, Injection site erythema, Injection site swelling
Clinical narrative: Non stop crying for more than 4 hours non consolable and Swelling + erythema at the site of injection for PEDIARIX.
Age: 37.0
Sex: F
Vaccine: MMR
Symptoms: Activities of daily living impaired, Asthenia, Chills, Dizziness, Dry mouth
Clinical narrative: chills, dizziness, difficulty breathing, severe weakness, sleepiness, tremors all over the body, trembling, electricity-like motions all over the body, swollen parotid glands, dry mouth.It has been almost 3 weeks since MMR vaccine and I am feeling worse now then when the vaccine was given. I spent the last 2 days in bed feeling very weak and thirsty. I am dizzy and about to pass out. I was not like that before the MMR shot.
Age: 37.0
Sex: F
Vaccine: MMR
Symptoms: Dyspnoea, Echocardiogram, Feeling abnormal, Paraesthesia, Parotid gland enlargement
Clinical narrative: chills, dizziness, difficulty breathing, severe weakness, sleepiness, tremors all over the body, trembling, electricity-like motions all over the body, swollen parotid glands, dry mouth.It has been almost 3 weeks since MMR vaccine and I am feeling worse now then when the vaccine was given. I spent the last 2 days in bed feeling very weak and thirsty. I am dizzy and about to pass out. I was not like that before the MMR shot.
Age: 37.0
Sex: F
Vaccine: MMR
Symptoms: Presyncope, Pulmonary function test, Somnolence, Thirst, Tremor
Clinical narrative: chills, dizziness, difficulty breathing, severe weakness, sleepiness, tremors all over the body, trembling, electricity-like motions all over the body, swollen parotid glands, dry mouth.It has been almost 3 weeks since MMR vaccine and I am feeling worse now then when the vaccine was given. I spent the last 2 days in bed feeling very weak and thirsty. I am dizzy and about to pass out. I was not like that before the MMR shot.
Age: 1.0
Sex: F
Vaccine: HEPA, MMR, VARCEL
Symptoms: Varicella, Varicella post vaccine
Clinical narrative: Varicella vaccine administered on 7/23/2009.  First chicken-pox noticed on 8/07/2009.  Subsequent chicken-pox developed over the next 4 days on trunk and face.
Age: 16.0
Sex: F
Vaccine: HPV4, VARCEL
Symptoms: Confusional state, Contusion, Ear haemorrhage, Fall, Fatigue
Clinical narrative: Immediately following HPV#2 and Varivax #2 (10:45 am) patient fainted and fell forward off of the exam table and hit her Left cheek, ear and knee on the ground. Her ear bled at the site of her earring. After being on the ground flat she regained consciousness within 45-60 seconds.  She was confused for a few moments and tearful.  Ice was applied to her cheek and she stayed and was observed for 15 minutes. She was told not to drive or go to work today and to call if she had vomiting, headaches or other changes. Mom is very upset. I called at 5:30 pm and patient is napping and other than having a bruise on her cheek (not swollen) and tired has no other worrisome signs. Mom wants a CT of brain and cheek done (she works in radiology at hospital). I do not think these are warrented at this time. She is angry I won't order them now and is going to file a report with the hospital.(she says.)
Age: 16.0
Sex: F
Vaccine: HPV4, VARCEL
Symptoms: Immediate post-injection reaction, Injury, Loss of consciousness, Syncope, Tearfulness
Clinical narrative: Immediately following HPV#2 and Varivax #2 (10:45 am) patient fainted and fell forward off of the exam table and hit her Left cheek, ear and knee on the ground. Her ear bled at the site of her earring. After being on the ground flat she regained consciousness within 45-60 seconds.  She was confused for a few moments and tearful.  Ice was applied to her cheek and she stayed and was observed for 15 minutes. She was told not to drive or go to work today and to call if she had vomiting, headaches or other changes. Mom is very upset. I called at 5:30 pm and patient is napping and other than having a bruise on her cheek (not swollen) and tired has no other worrisome signs. Mom wants a CT of brain and cheek done (she works in radiology at hospital). I do not think these are warrented at this time. She is angry I won't order them now and is going to file a report with the hospital.(she says.)
Age: 11.0
Sex: M
Vaccine: MNQ, TDAP
Symptoms: Rash papular
Clinical narrative: Developed papular rash over entire body later on 08-06-09.  No itching with rash.  No redness, swelling or inflammation noted at injection sites.  Benadryl given on 08-09-09 which diminished the appearance of the rash.
Age: 1.33
Sex: F
Vaccine: DTAP, HIBV
Symptoms: Injection site erythema, Injection site induration
Clinical narrative: left thigh with mild erythema, 3cm with slight induration, non-tender.
Age: 25.0
Sex: F
Vaccine: HEP, MMR, TDAP, VARCEL
Symptoms: Cellulitis, Dizziness, Erythema, Joint dislocation, Oedema peripheral
Clinical narrative: Received vaccines on 07/29/09, Varicella on the right arm. 07/31/09 right arm is red, hot, swollen and painful, patient vomited, dizzy and started to faint, she caught self with right arm and possibly dislocated shoulder which she has had surgery on it in the past. Went to ER received joint reduction for the right shoulder dislocation and antibiotic medication for right shoulder cellulitis.
Age: 25.0
Sex: F
Vaccine: HEP, MMR, TDAP, VARCEL
Symptoms: Pain in extremity, Skin warm, Syncope, Vomiting
Clinical narrative: Received vaccines on 07/29/09, Varicella on the right arm. 07/31/09 right arm is red, hot, swollen and painful, patient vomited, dizzy and started to faint, she caught self with right arm and possibly dislocated shoulder which she has had surgery on it in the past. Went to ER received joint reduction for the right shoulder dislocation and antibiotic medication for right shoulder cellulitis.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Rash, Scab, Secretion discharge
Clinical narrative: c/o Rash for 3 days left side around rib area, did drain some last PM. There has been some slight extension of lesions toward the back over the last couple of days. Some lesions have dried and crusted. The child did receive 4 year vaccinations on 7/30/2009 including varicella vaccination number 2.
Sex: F
Vaccine: LYME
Symptoms: Eye disorder, Fatigue, Headache, Hypoaesthesia, Migraine
Clinical narrative: This case was reported by a lawyer via a statement of injuries and described the occurrence of neck pain in a female subject of unspecified age who was vaccinated with LYMERIX (GlaxoSmithKline). A physician or other health care professional has not verified this report. On an unspecified date the subject received unspecified dose of LYMERIX (unknown). At an unspecified time after vaccination with LYMERIX, the subject experienced neck pain, back pain, stiff back, joint pain (knee, elbow, shoulder, and right ankle), scapula pain, thigh pain, severe headaches including migraines, leg heaviness, loss of balance, fatigue, "mottling in her eyes", and numbness/tingling in her toes, legs, back, arms, face, and fingers. The statement of injuries further alleged that the events "negatively impacted on her activities of daily living and enjoyment of life". At the time of reporting the outcome of the events were was unspecified. Follow-up information was received on 27 July 2009 via medical records. The subject was evaluated on 27 November 2001 for her headaches. She reportedly had a history of headaches for many years. Following exam, it was believed that the subject was suffering from either tension headaches versus migraines. She described a constant pulling feeling in the back of her head suggestive of a tension headache. However, migraine headaches can sometimes be associated with constant occipital pain. She has a family history of migraine. Her exam was unremarkable. The subject was seen again for headaches on 29 January 2002. It was remarked that it was not clear whether the subject suffered from tension headache versus atypical migraine. She was placed on Amitriptyline. The subject was evaluated for headache through 28 January 2003 and continued to do well on Amitriptyline. On 20 May 2003, it was reported that the subject was experiencing frequent headaches. The headaches were described as migraines. She was taking Amitriptyline, ACTONEL and ELAVIL. She was switched to TOPAMAX at this visit. In follow-up on 26 August 2003, it was reported that headaches were better and resolved after she stopped drinking coffee. At this visit, the subject reported right shoulder pain and pain at the tip of the right shoulder blade. She received chiropractic treatment and shortly afterwards started to experience numbness in the right second toe and occasional numbness in the left foot. Once she reported numbness in her fingertips bilaterally, but it resolved. Impression was believed to be cervical spondylosis. She was referred for physical therapy. The subject's second problem was numbness in the toes which was associated with decreased vibratory sensation on examination. This was suggestive of possible early polyneuropathy; the etiology was not clear. Additional testing was suggested. On 13 October 2003, the subject was seen in follow-up with new complaints of low back pain and spasms in the lower back. She was still having symptoms in both lower extremities. She had tightness in the calf muscles bilaterally and numbness in the toes. The