chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Sex: U
Vaccine: ANTH
Symptoms: Nodule, Pain in extremity
Clinical narrative: Headaches, nodulars, fatigue, numbness and weakness in upperbody, neck and arm pain--chronic.
Sex: F
Vaccine: ANTH
Symptoms: Asthenia, Fatigue, Headache, Hypoaesthesia, Neck pain
Clinical narrative: headaches, nodulars, fatigue, numbness and weakness in upperbody , neck and arm pain--chronic
Sex: F
Vaccine: ANTH
Symptoms: Nodule, Pain in extremity
Clinical narrative: headaches, nodulars, fatigue, numbness and weakness in upperbody , neck and arm pain--chronic
Age: 28.0
Sex: F
Vaccine: FLUN3
Symptoms: Drug exposure during pregnancy, Pregnancy test positive, Ultrasound scan
Clinical narrative: Patient just found out that she is pregnant and they suspect she is 7 weeks pregnant - she would have been 5 weeks pregnant at the time
Age: 1.25
Sex: M
Vaccine: DTAP
Symptoms: Febrile convulsion, Pyrexia, Respiratory arrest
Clinical narrative: 9/26/08 parent states at 0530AM child had fever 102.9 and seizure activity noted for 5 minutes then child stopped breathing.  Airway cleared by dad by moving childs tongue and 2 breathes given then child began birthing.  Ambulance called and child transported to ER.
Age: 0.3
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5, DTAPHEPBIP, HEP, PNC, RV5
Symptoms: Abdominal distension, Diarrhoea, Intussusception, Surgery, Vomiting
Clinical narrative: INFANT DEVELOPED VOMITING, DIARRHEA, AND ABDOMINAL DISTENTION 1 MONTH AND 1 WEEK POST VACCINE ADMINISTRATION, AND WAS DIAGNOSED WITH INTRASUCCEPTION REQUIRING EMERGENCY SURGERY.  10/3/08 Reviewed hospital D/C summary of 7/11-7/17/2008. FINAL DX: Intussusception, exp lap w/small bowel resection & primary anastomosis Records reveal patient experienced fever & persistent emesis x 3-4 days, constipation, lethargy, abdominal distended & taut, dark red stool.  Findings in OR included small segment of necrotic bowel which was resected.  Admitted PICU, PICC line placed & started on parenteral nutrition.  Gradually returned to normal BMs & diet advanced fo full formula.  D/C to home w/surgery clinic f/u. 10/17/08 Reviewed additional hospital records of 7/11-7/17/2008.  Included path report which reveals necrotizing entercolitis.
Age: 0.3
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5, DTAPHEPBIP, HEP, PNC, RV5
Symptoms: Abdominal distension, Barium double contrast, Constipation, Diarrhoea, Explorative laparotomy
Clinical narrative: INFANT DEVELOPED VOMITING, DIARRHEA, AND ABDOMINAL DISTENTION 1 MONTH AND 1 WEEK POST VACCINE ADMINISTRATION, AND WAS DIAGNOSED WITH INTRASUCCEPTION REQUIRING EMERGENCY SURGERY.  10/3/08 Reviewed hospital D/C summary of 7/11-7/17/2008. FINAL DX: Intussusception, exp lap w/small bowel resection & primary anastomosis Records reveal patient experienced fever & persistent emesis x 3-4 days, constipation, lethargy, abdominal distended & taut, dark red stool.  Findings in OR included small segment of necrotic bowel which was resected.  Admitted PICU, PICC line placed & started on parenteral nutrition.  Gradually returned to normal BMs & diet advanced fo full formula.  D/C to home w/surgery clinic f/u. 10/17/08 Reviewed additional hospital records of 7/11-7/17/2008.  Included path report which reveals necrotizing entercolitis.
Age: 0.3
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5, DTAPHEPBIP, HEP, PNC, RV5
Symptoms: Faeces hard, Gastrointestinal necrosis, Haematochezia, Intestinal anastomosis, Intussusception
Clinical narrative: INFANT DEVELOPED VOMITING, DIARRHEA, AND ABDOMINAL DISTENTION 1 MONTH AND 1 WEEK POST VACCINE ADMINISTRATION, AND WAS DIAGNOSED WITH INTRASUCCEPTION REQUIRING EMERGENCY SURGERY.  10/3/08 Reviewed hospital D/C summary of 7/11-7/17/2008. FINAL DX: Intussusception, exp lap w/small bowel resection & primary anastomosis Records reveal patient experienced fever & persistent emesis x 3-4 days, constipation, lethargy, abdominal distended & taut, dark red stool.  Findings in OR included small segment of necrotic bowel which was resected.  Admitted PICU, PICC line placed & started on parenteral nutrition.  Gradually returned to normal BMs & diet advanced fo full formula.  D/C to home w/surgery clinic f/u. 10/17/08 Reviewed additional hospital records of 7/11-7/17/2008.  Included path report which reveals necrotizing entercolitis.
Age: 0.3
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5, DTAPHEPBIP, HEP, PNC, RV5
Symptoms: Lethargy, Necrotising colitis, Parenteral nutrition, Pyrexia, Small intestinal resection
Clinical narrative: INFANT DEVELOPED VOMITING, DIARRHEA, AND ABDOMINAL DISTENTION 1 MONTH AND 1 WEEK POST VACCINE ADMINISTRATION, AND WAS DIAGNOSED WITH INTRASUCCEPTION REQUIRING EMERGENCY SURGERY.  10/3/08 Reviewed hospital D/C summary of 7/11-7/17/2008. FINAL DX: Intussusception, exp lap w/small bowel resection & primary anastomosis Records reveal patient experienced fever & persistent emesis x 3-4 days, constipation, lethargy, abdominal distended & taut, dark red stool.  Findings in OR included small segment of necrotic bowel which was resected.  Admitted PICU, PICC line placed & started on parenteral nutrition.  Gradually returned to normal BMs & diet advanced fo full formula.  D/C to home w/surgery clinic f/u. 10/17/08 Reviewed additional hospital records of 7/11-7/17/2008.  Included path report which reveals necrotizing entercolitis.
Age: 0.3
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5, DTAPHEPBIP, HEP, PNC, RV5
Symptoms: Surgery, Vomiting
Clinical narrative: INFANT DEVELOPED VOMITING, DIARRHEA, AND ABDOMINAL DISTENTION 1 MONTH AND 1 WEEK POST VACCINE ADMINISTRATION, AND WAS DIAGNOSED WITH INTRASUCCEPTION REQUIRING EMERGENCY SURGERY.  10/3/08 Reviewed hospital D/C summary of 7/11-7/17/2008. FINAL DX: Intussusception, exp lap w/small bowel resection & primary anastomosis Records reveal patient experienced fever & persistent emesis x 3-4 days, constipation, lethargy, abdominal distended & taut, dark red stool.  Findings in OR included small segment of necrotic bowel which was resected.  Admitted PICU, PICC line placed & started on parenteral nutrition.  Gradually returned to normal BMs & diet advanced fo full formula.  D/C to home w/surgery clinic f/u. 10/17/08 Reviewed additional hospital records of 7/11-7/17/2008.  Included path report which reveals necrotizing entercolitis.
Age: 15.0
Sex: F
Vaccine: HEP, HEPA, HPV4, TDAP
Symptoms: Dizziness, Immediate post-injection reaction, Neurological examination normal, Syncope
Clinical narrative: Approximately 3-5 minutes postvaccination pt was squatting down near parent when pt stated she was starting to feel light headed then fainted. Legs were elevated and vital signs taken. Pt. revived within 30 - 40 seconds. An ARNP examined pt. who was then able to sit without difficutlies. Neuro check wnl PERRLA. Cranberry juice provided to pt. who had stated she had very little to eat today. Approximately 5-8 minutes post fainting pt. was able to stand without c/o light headedness. Had pt and parent stay 20-25 minutes longer for observation.
Age: 6.0
Sex: M
Vaccine: DTAP, HEPA, IPV, MMR, VARCEL
Symptoms: Pyrexia, Rash
Clinical narrative: Mother called on 9/23/2008 reporting low grade fever with scattered rash on L leg and chest.  Less than 50 lesions.  Appetite normal. T/C with father as follow up 9/24/2008 rash on leg gone, chest rash decresed but some lesions on back, afebrile.  Parents have opted not to give child Acetaminophen.  Will call RN if no change in 48 hours.  9/29/2008 No further contact with parents.
Age: 66.0
Sex: F
Vaccine: FLUX
Symptoms: Chills, Pain, Pyrexia
Clinical narrative: Symptoms began 5 hours after injection. It started with chills & body ached all over. I went to bed at 9pm with a fever of 101.6. During the next 4-5 hours it continued to rise as high as 104.6. I took Tylenol for the pain & fever. I took a tepid shower around 12 midnight which brought the fever down a bit. At this time Monday 8/29/08,6:30 pm CDT,  my fever & aches continue.
Age: 54.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Erythema, Skin warm, Tenderness
Clinical narrative: patient received pneumovax in right arm on 9/262008. returns on 9/29/2008 with 6cmby 12cm erythematous patch on right arm that has continued to spread in size over lastthree days.  area is hot to touch and extremely tender to touch. no nodes are palpable in right axilla and there is no red streaking. Patient advised to go to urgent care for antibiotic therapy TONIGHT as her doctor's office is closed. suggensted that she may need IM injection of antibiotics to begin treatment  notes she had s similar reaction to a tetanus shot sometimein the past
Age: 5.0
Sex: M
Vaccine: DTAP, FLU3
Symptoms: Injection site erythema, Injection site swelling, Pain, Pruritus
Clinical narrative: Left arm redness and swelling, no fever, taking TYLENOL for pain. Also BENADRYL for itching. To be seen if worsens.
Age: 1.5
Sex: F
Vaccine: MMR, PNC, TDAP, VARCEL
Symptoms: Wrong drug administered
Clinical narrative: Patient given TDAP instead of DTAP. 4th dose
Age: 21.0
Sex: F
Vaccine: HEP, HPV4, TD
Symptoms: Drug exposure during pregnancy
Clinical narrative: HPV vaccine given to pg woman (client speaks different language)
Age: 18.0
Sex: F
Vaccine: TDAP
Symptoms: Asthenia, Body temperature, Disorientation, Dyspnoea, Injection site pain
Clinical narrative: BP 108/64 Pulse 98 Temp 98.1 Disorientation x 3 hrs problems breathing and weakness evening after TDAP injection: Medical attnetion sought 12:12 pm 9/26/08. Slighty weak and soreness site of injection; No SOB-exam WNL
Age: 18.0
Sex: F
Vaccine: TDAP
Symptoms: Peak expiratory flow rate decreased
Clinical narrative: BP 108/64 Pulse 98 Temp 98.1 Disorientation x 3 hrs problems breathing and weakness evening after TDAP injection: Medical attnetion sought 12:12 pm 9/26/08. Slighty weak and soreness site of injection; No SOB-exam WNL
Age: 61.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Influenza like illness, Nausea, Pain, Pyrexia, Vomiting
Clinical narrative: Client called office states she has flu like symptoms, fever, N/V and pain. She feels she may have had reaction to pneumonia shot.
Age: 13.0
Sex: F
Vaccine: FLU3, HPV4
Symptoms: Immediate post-injection reaction, Loss of consciousness
Clinical narrative: Was given 2 injections, within seconds passed out for a brief moment.
Age: 12.0
Sex: M
Vaccine: TD, TDAP
Symptoms: Wrong drug administered
Clinical narrative: This patient was given a dose of Td and Boostrix (one dose each arm).  Parent was notified.
Age: 52.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Erythema, Oedema peripheral, Pyrexia, Skin warm
Clinical narrative: Fever, arm swollen, red, hot.  Seen this am - given AB's x 5 days
Age: 1.4
Sex: M
Vaccine: DTAP
Symptoms: Excoriation, Injection site erythema, Injection site induration, Injection site pruritus, Scab
Clinical narrative: Erythema extending from the shoulder to 1" above the elbow on the exterior surface of the (R) upper arm. Started and noticed by the mother on the next day 9/27/08 in the morning. Progressively worsened with intense itching at the site. Mild induration also seen. 5-6 linear scabbed abrasions (3-4 mm ) in the same area. Sx gradually decreased over 9/28/08 and 9/29/08.
Age: 15.0
Sex: F
Vaccine: VARCEL
Symptoms: Erythema, Skin warm, Swelling
Clinical narrative: Mom reports area of redness up to 3" - red and warm to the touch - no fever - redness and slight swelling on Friday but got worse on Saturday - place at injection site 1/2" now - advised to use cold compress and anti-inflammatories.
Age: 9.0
Sex: M
Vaccine: HEPA
Symptoms: Disorientation, Syncope
Clinical narrative: Patient fainted within 6-10 minutes of receiving Hep A vaccine. He appeared disoriented for several minutes after being lifted from the floor. He was evaluated by PAC and parents were instructed to take him directly to E.R. for further evaluation and observation.
Age: 58.0
Sex: F
Vaccine: HEP, HEPA
Symptoms: Wrong drug administered
Clinical narrative: Client to get TWINRIX - Gave HEP B.  Called CDC and they stated to give HEP A and then in 5 months give 3rd TWINRIX.
Age: 20.0
Sex: F
Vaccine: VARCEL
Symptoms: Drug exposure during pregnancy
Clinical narrative: Varicella inadvertently given to pregnant woman.
Age: 4.0
Sex: F
Vaccine: DTAPIPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site induration
Clinical narrative: (R) deltoid to elbow red with induration at deltoid
Age: 57.0
Sex: F
Vaccine: PPV
Symptoms: Alanine aminotransferase normal, Asthenia, Asthenopia, Blood creatinine increased, Blood electrolytes normal
Clinical narrative: 9/23/08 AM received PNEUMOVAX. That afternoon chills, no energy. Painful red, swelling from site extending 25cm down arm (R). Temp 103 that night. 9/26/08 - no fever, still low energy, eyelids feel heavy, nausea, myalgia in legs, shortness of breath, O2 sat 93%.
Age: 57.0
Sex: F
Vaccine: PPV
Symptoms: Body temperature increased, Chills, Dyspnoea, Haemoglobin decreased, Injection site erythema
Clinical narrative: 9/23/08 AM received PNEUMOVAX. That afternoon chills, no energy. Painful red, swelling from site extending 25cm down arm (R). Temp 103 that night. 9/26/08 - no fever, still low energy, eyelids feel heavy, nausea, myalgia in legs, shortness of breath, O2 sat 93%.
Age: 57.0
Sex: F
Vaccine: PPV
Symptoms: Injection site pain, Injection site swelling, Myalgia, Nausea, Oxygen saturation decreased
Clinical narrative: 9/23/08 AM received PNEUMOVAX. That afternoon chills, no energy. Painful red, swelling from site extending 25cm down arm (R). Temp 103 that night. 9/26/08 - no fever, still low energy, eyelids feel heavy, nausea, myalgia in legs, shortness of breath, O2 sat 93%.
Age: 57.0
Sex: F
Vaccine: PPV
Symptoms: Platelet count normal, White blood cell count normal
Clinical narrative: 9/23/08 AM received PNEUMOVAX. That afternoon chills, no energy. Painful red, swelling from site extending 25cm down arm (R). Temp 103 that night. 9/26/08 - no fever, still low energy, eyelids feel heavy, nausea, myalgia in legs, shortness of breath, O2 sat 93%.
Age: 2.0
Sex: M
Vaccine: HEPA
Symptoms: Urticaria
Clinical narrative: Urticarial rash 24 hours after receiving vaccine.  Persistent for 4 days; Prescribed Benadryl, Hydroxyzine.
Age: 7.0
Sex: F
Vaccine: VARCEL
Symptoms: Rash vesicular
Clinical narrative: Varivax # 8-9-02, Varivax #2 9-16-08.  Broke out with multiple vesicles full body Sept 27, 28.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV
Symptoms: Rash
Clinical narrative: Rash on (L) upper arm since yesterday. No c/o itching. Afebrile Flat rash with central clearing.
Age: 25.0
Sex: F
Vaccine: HEP, MMR, TTOX
Symptoms: Nausea, Pain, Vomiting
Clinical narrative: Began feeling nausea 1230. Increased w/ talking. Emesis at 205 and 245. General achiness. Denies temp. Denies rash. Denies difficulty breathing.
Age: 82.0
Sex: M
Vaccine: FLUX
Symptoms: Abasia, Hypoaesthesia, Injection site anaesthesia, Laboratory test normal, Mobility decreased
Clinical narrative: Three days after vaccine had numbness at site of flu shot which spread to both arms and legs. Four days later had multiple organ failure and paralysis. To date has been in 4 hospitals and has only made a partial recovery.  1/29/2010 Follow-up: As of 12-1-09 patient has very limited mobility of the nectk, arms, and hands. Patient is still unable to walk.
Age: 82.0
Sex: M
Vaccine: FLUX
Symptoms: Multi-organ failure, Paralysis
Clinical narrative: Three days after vaccine had numbness at site of flu shot which spread to both arms and legs. Four days later had multiple organ failure and paralysis. To date has been in 4 hospitals and has only made a partial recovery.  1/29/2010 Follow-up: As of 12-1-09 patient has very limited mobility of the nectk, arms, and hands. Patient is still unable to walk.
Age: 12.0
Sex: M
Vaccine: IPV, MMR, IPV, MMR
Symptoms: Amnesia, Confusional state, Dizziness, Feeling hot, Headache
Clinical narrative: Per MD arm numbness, severe headache, mental confusion, swollen arm, dizziness.  Sx were on 8/7/08.  Seen at ER.  The note makes no mention of vaccine concerns.  MD states ER diagnosed viral illness.  Mother has filed VAERS report on line.
Age: 12.0
Sex: M
Vaccine: IPV, MMR, IPV, MMR
Symptoms: Hypoaesthesia, Laboratory test abnormal, Lymphadenopathy, Oedema peripheral, Streptococcal identification test negative
Clinical narrative: Per MD arm numbness, severe headache, mental confusion, swollen arm, dizziness.  Sx were on 8/7/08.  Seen at ER.  The note makes no mention of vaccine concerns.  MD states ER diagnosed viral illness.  Mother has filed VAERS report on line.
Age: 12.0
Sex: M
Vaccine: IPV, MMR, IPV, MMR
Symptoms: Viral infection
Clinical narrative: Per MD arm numbness, severe headache, mental confusion, swollen arm, dizziness.  Sx were on 8/7/08.  Seen at ER.  The note makes no mention of vaccine concerns.  MD states ER diagnosed viral illness.  Mother has filed VAERS report on line.
Age: 12.0
Sex: M
Vaccine: IPV, MMR, IPV, MMR
Symptoms: Blood calcium decreased, Confusional state, Dizziness, Full blood count, Haemoglobin normal
Clinical narrative: Per MD arm numbness, severe headache, mental confusion, swollen arm, dizziness.  Sx were on 8/7/08.  Seen at ER.  The note makes no mention of vaccine concerns.  MD states ER diagnosed viral illness.  Mother has filed VAERS report on line.
Age: 12.0
Sex: M
Vaccine: IPV, MMR, IPV, MMR
Symptoms: Headache, Hypoaesthesia, Oedema peripheral, Streptococcal identification test, White blood cell count decreased
Clinical narrative: Per MD arm numbness, severe headache, mental confusion, swollen arm, dizziness.  Sx were on 8/7/08.  Seen at ER.  The note makes no mention of vaccine concerns.  MD states ER diagnosed viral illness.  Mother has filed VAERS report on line.
Age: 5.0
Sex: M
Vaccine: DTAP, FLUN3, IPV, MMR, VARCEL, DTAP, FLUN3, IPV, MMR, VARCEL, DTAP, FLUN3, IPV, MMR, VARCEL
Symptoms: Depressed level of consciousness, Dysphagia, Eyelid oedema, Flushing, Lip swelling
Clinical narrative: Initial report received from a health care professional on 25 September 2008. A 5-year-old male patient had received a left arm intramuscular injection of DAPTACEL (lot number C2956AA), a right arm intramuscular injection of IPOL (lot number A0836), a right arm subcutaneous injection of MMR II (manufacturer Merck, lot number 1119X), a left arm subcutaneous injection of VARIVAX (manufacturer Merck, lot number 1002X) and a intranasal dose of FLUMIST (manufacturer MedImmune Vaccines, lot number 500545P) on 24 September 2008. Thirty minutes after the vaccinations, the patient became flushed with hives present; his eyelids, tongue and lips were swollen; he was having difficulty swallowing; had decreased responsiveness (eyes were open, but he was not talking), and the patient's mother returned him to the doctor's office. An emergency phone call was made for paramedics. On exam, the patient's physician found him to be tachycardic with normal respiratory rate. Epi-pen Jr was administered to the left thigh. Oxygen saturation was 96-98%. Paramedics arrived within five minutes and the patient was transported to the hospital in stable condition for further evaluation and treatment. Details concerning evaluation and treatment were not provided. It was reported that the patient recovered.
Age: 5.0
Sex: M
Vaccine: DTAP, FLUN3, IPV, MMR, VARCEL, DTAP, FLUN3, IPV, MMR, VARCEL, DTAP, FLUN3, IPV, MMR, VARCEL
Symptoms: Oxygen saturation normal, Respiratory rate, Swollen tongue, Tachycardia, Urticaria
Clinical narrative: Initial report received from a health care professional on 25 September 2008. A 5-year-old male patient had received a left arm intramuscular injection of DAPTACEL (lot number C2956AA), a right arm intramuscular injection of IPOL (lot number A0836), a right arm subcutaneous injection of MMR II (manufacturer Merck, lot number 1119X), a left arm subcutaneous injection of VARIVAX (manufacturer Merck, lot number 1002X) and a intranasal dose of FLUMIST (manufacturer MedImmune Vaccines, lot number 500545P) on 24 September 2008. Thirty minutes after the vaccinations, the patient became flushed with hives present; his eyelids, tongue and lips were swollen; he was having difficulty swallowing; had decreased responsiveness (eyes were open, but he was not talking), and the patient's mother returned him to the doctor's office. An emergency phone call was made for paramedics. On exam, the patient's physician found him to be tachycardic with normal respiratory rate. Epi-pen Jr was administered to the left thigh. Oxygen saturation was 96-98%. Paramedics arrived within five minutes and the patient was transported to the hospital in stable condition for further evaluation and treatment. Details concerning evaluation and treatment were not provided. It was reported that the patient recovered.
Age: 5.0
Sex: M
Vaccine: DTAP, FLUN3, IPV, MMR, VARCEL, DTAP, FLUN3, IPV, MMR, VARCEL, DTAP, FLUN3, IPV, MMR, VARCEL
Symptoms: Drug hypersensitivity, Dysphagia, Eyelid oedema, Flushing, Hypokinesia
Clinical narrative: Initial report received from a health care professional on 25 September 2008. A 5-year-old male patient had received a left arm intramuscular injection of DAPTACEL (lot number C2956AA), a right arm intramuscular injection of IPOL (lot number A0836), a right arm subcutaneous injection of MMR II (manufacturer Merck, lot number 1119X), a left arm subcutaneous injection of VARIVAX (manufacturer Merck, lot number 1002X) and a intranasal dose of FLUMIST (manufacturer MedImmune Vaccines, lot number 500545P) on 24 September 2008. Thirty minutes after the vaccinations, the patient became flushed with hives present; his eyelids, tongue and lips were swollen; he was having difficulty swallowing; had decreased responsiveness (eyes were open, but he was not talking), and the patient's mother returned him to the doctor's office. An emergency phone call was made for paramedics. On exam, the patient's physician found him to be tachycardic with normal respiratory rate. Epi-pen Jr was administered to the left thigh. Oxygen saturation was 96-98%. Paramedics arrived within five minutes and the patient was transported to the hospital in stable condition for further evaluation and treatment. Details concerning evaluation and treatment were not provided. It was reported that the patient recovered.
Age: 5.0
Sex: M
Vaccine: DTAP, FLUN3, IPV, MMR, VARCEL, DTAP, FLUN3, IPV, MMR, VARCEL, DTAP, FLUN3, IPV, MMR, VARCEL
Symptoms: Lip swelling, Swollen tongue, Tachycardia, Urticaria
Clinical narrative: Initial report received from a health care professional on 25 September 2008. A 5-year-old male patient had received a left arm intramuscular injection of DAPTACEL (lot number C2956AA), a right arm intramuscular injection of IPOL (lot number A0836), a right arm subcutaneous injection of MMR II (manufacturer Merck, lot number 1119X), a left arm subcutaneous injection of VARIVAX (manufacturer Merck, lot number 1002X) and a intranasal dose of FLUMIST (manufacturer MedImmune Vaccines, lot number 500545P) on 24 September 2008. Thirty minutes after the vaccinations, the patient became flushed with hives present; his eyelids, tongue and lips were swollen; he was having difficulty swallowing; had decreased responsiveness (eyes were open, but he was not talking), and the patient's mother returned him to the doctor's office. An emergency phone call was made for paramedics. On exam, the patient's physician found him to be tachycardic with normal respiratory rate. Epi-pen Jr was administered to the left thigh. Oxygen saturation was 96-98%. Paramedics arrived within five minutes and the patient was transported to the hospital in stable condition for further evaluation and treatment. Details concerning evaluation and treatment were not provided. It was reported that the patient recovered.
Age: 43.0
Sex: M
Vaccine: RAB
Symptoms: Asthenia, Dizziness, Dysstasia, Electroencephalogram normal, Fall
Clinical narrative: Initial report was received 17 September 2008 from a consumer. A 43-year-old male patient with no reported medical history, had received an injection of IMOVAX Rabies vaccine (lot number, route and site not reported) on 30 July 2008, and two days later, he complained of tension headaches, dizziness, and generalized body weakness to the point of falling when attempting to stand. While driving, the patient also experienced a feeling like he was "zoning out, everything closing in" and tunnel vision. The symptoms became worse when the patient was driving (the patient is employed as a truck driver). At the time of the report, the symptoms had decreased, but still occurred. The patient had been seen by a neurologist; MRI and EEG results were normal. No corrective treatments were prescribed. The patient had begun post exposure prophylaxis due to a bat bite on his ear. No additional information was provided.
Age: 43.0
Sex: M
Vaccine: RAB
Symptoms: Feeling abnormal, Impaired driving ability, Nuclear magnetic resonance imaging normal, Tension headache, Tunnel vision
Clinical narrative: Initial report was received 17 September 2008 from a consumer. A 43-year-old male patient with no reported medical history, had received an injection of IMOVAX Rabies vaccine (lot number, route and site not reported) on 30 July 2008, and two days later, he complained of tension headaches, dizziness, and generalized body weakness to the point of falling when attempting to stand. While driving, the patient also experienced a feeling like he was "zoning out, everything closing in" and tunnel vision. The symptoms became worse when the patient was driving (the patient is employed as a truck driver). At the time of the report, the symptoms had decreased, but still occurred. The patient had been seen by a neurologist; MRI and EEG results were normal. No corrective treatments were prescribed. The patient had begun post exposure prophylaxis due to a bat bite on his ear. No additional information was provided.
Age: 17.0
Sex: F
Vaccine: HEP, HPV4
Symptoms: Blood test normal, Cephalo-pelvic disproportion, Culture negative, Delayed delivery, Drug exposure during pregnancy
Clinical narrative: Information has been received for Pregnancy Registry for GARDASIL from a consumer's mother concerning her 18 year old daughter with no medical history who on 24-JAN-2007 was vaccinated with a first dose of GARDASIL.  Concomitant therapy included HEP B (unspecified) and Vitamins (Prenatal DHA).  The reporter mentioned that "her daughter received her first injection and found out that she was pregnant 2-3 weeks later."  No adverse event reported.  It was reported that she had a pregnancy test done.  On 27-SEP-2007, the patient delivered a normal, healthy female baby weighing 7 lbs and 6 oz, length 20, apgar score 8/9, head circumference not reported.  No congenital anomalies.  Complications during pregnancy or labor/delivery included Nuchal cord x 1 and cephalopelvis disproportion (1 CTC/S) failure to progress.  Diagnostic test during pregnancy included routine Quad screen, routine labs, culture and biophysical all within normal limits.  Upon internal review cephalopelvis disproportion and failure to progress were considered to be an other important medical event.  No further information is available.
Age: 17.0
Sex: F
Vaccine: HEP, HPV4
Symptoms: Laboratory test normal, Pregnancy test, Umbilical cord around neck
Clinical narrative: Information has been received for Pregnancy Registry for GARDASIL from a consumer's mother concerning her 18 year old daughter with no medical history who on 24-JAN-2007 was vaccinated with a first dose of GARDASIL.  Concomitant therapy included HEP B (unspecified) and Vitamins (Prenatal DHA).  The reporter mentioned that "her daughter received her first injection and found out that she was pregnant 2-3 weeks later."  No adverse event reported.  It was reported that she had a pregnancy test done.  On 27-SEP-2007, the patient delivered a normal, healthy female baby weighing 7 lbs and 6 oz, length 20, apgar score 8/9, head circumference not reported.  No congenital anomalies.  Complications during pregnancy or labor/delivery included Nuchal cord x 1 and cephalopelvis disproportion (1 CTC/S) failure to progress.  Diagnostic test during pregnancy included routine Quad screen, routine labs, culture and biophysical all within normal limits.  Upon internal review cephalopelvis disproportion and failure to progress were considered to be an other important medical event.  No further information is available.
Age: 12.0
Sex: F
Vaccine: HPV4, MNQ, TDAP
Symptoms: Activities of daily living impaired, Blood test, Headache, Hypoaesthesia, Pain
Clinical narrative: Information has been received from a physician concerning a 12 year old female with a history of infectious mononucleosis, who "about two months ago" (approximately in July  2008) was vaccinated with the first dose of GARDASIL, a dose of MENACTRA and another unspecified vaccine. Concomitant therapy included NEURONTIN, ELAVIL, NEXIUM and CLARITIN. The physician stated that "about one week" after receiving vaccination, the patient developed headache, numbness, extremity tingling and pain on the left side of the body. The patient had been unable to attend school for two months because of the adverse symptoms. The patient sought medical attention with an office visit. At time of reporting, the patient had not recovered. Lab tests included a blood work with unknown results. The physician considered the adverse events to be disabling. Additional information has been requested.  12/08/2008 MR received from PCP. Seen 7/14/08 with c/o sore throat, H/A, congestion x 1 week. DX:  Sinusitis-tx abx. Seen in ER 7/15/08 with same sx in addition to joint aches. Thought to be viral etiology. Seen 7/16/08 with additional stomach cramping, body aches, and red bumps on back. Worsening H/A. Worsening pain upper L side.  Feels like throat is swelling up, migratory joint pain. Tx-Tylenol #3. Still c/o joint pain and difficulty sleeping. Assessment:  Joint Pain/Fatigue. ? Viral Syndrome.  By 8/26/08 pt worsening sx-H/A and sensory issues on the L side. Been out of school for long time. Referred to Rheumatology and Neurology.  1/5/09 MR received from Immunology and Neurology consults. 8/19/2008 and 8/26/08. Seen for c/o fatigue, H/A, back pain  and joint pain. Also with c/o numbness of jaw and extremities, episodes of joint swelling, SOB, muscle tightness and nausea which began several days after receiving Gardasil vax. Now in home school due to intensity of sx.  PE (+) for 8/10 H/a, mild (+) Romberg, point tenderness.  Returned 9/16/08 for c/o disturbances of skin sensation.  DX:  Reflex Symphathetic Dystrophy, GER.  Episode 9/18/08 of severe H/A , bilateral arm and leg pain, fever, shaking and vomiting resulting in ER visit.  Assessment: Acute viral illness exacerbating chronic pain d/o.
Age: 12.0
Sex: F
Vaccine: HPV4, MNQ, TDAP
Symptoms: Paraesthesia
Clinical narrative: Information has been received from a physician concerning a 12 year old female with a history of infectious mononucleosis, who "about two months ago" (approximately in July  2008) was vaccinated with the first dose of GARDASIL, a dose of MENACTRA and another unspecified vaccine. Concomitant therapy included NEURONTIN, ELAVIL, NEXIUM and CLARITIN. The physician stated that "about one week" after receiving vaccination, the patient developed headache, numbness, extremity tingling and pain on the left side of the body. The patient had been unable to attend school for two months because of the adverse symptoms. The patient sought medical attention with an office visit. At time of reporting, the patient had not recovered. Lab tests included a blood work with unknown results. The physician considered the adverse events to be disabling. Additional information has been requested.  12/08/2008 MR received from PCP. Seen 7/14/08 with c/o sore throat, H/A, congestion x 1 week. DX:  Sinusitis-tx abx. Seen in ER 7/15/08 with same sx in addition to joint aches. Thought to be viral etiology. Seen 7/16/08 with additional stomach cramping, body aches, and red bumps on back. Worsening H/A. Worsening pain upper L side.  Feels like throat is swelling up, migratory joint pain. Tx-Tylenol #3. Still c/o joint pain and difficulty sleeping. Assessment:  Joint Pain/Fatigue. ? Viral Syndrome.  By 8/26/08 pt worsening sx-H/A and sensory issues on the L side. Been out of school for long time. Referred to Rheumatology and Neurology.  1/5/09 MR received from Immunology and Neurology consults. 8/19/2008 and 8/26/08. Seen for c/o fatigue, H/A, back pain  and joint pain. Also with c/o numbness of jaw and extremities, episodes of joint swelling, SOB, muscle tightness and nausea which began several days after receiving Gardasil vax. Now in home school due to intensity of sx.  PE (+) for 8/10 H/a, mild (+) Romberg, point tenderness.  Returned 9/16/08 for c/o disturbances of skin sensation.  DX:  Reflex Symphathetic Dystrophy, GER.  Episode 9/18/08 of severe H/A , bilateral arm and leg pain, fever, shaking and vomiting resulting in ER visit.  Assessment: Acute viral illness exacerbating chronic pain d/o.
Age: 22.0
Sex: F
Vaccine: HPV4
Symptoms: Impaired work ability, Muscle spasms
Clinical narrative: Information has been received from a nurse concerning a 22 year old female who on 21-APR-2008 was vaccinated with the first dose of GARDASIL and on 23-APR-2008 developed back spasms. The patient's father called the office stating his daughter was off from work for 1 week due to the back spasms. The patient stated that she was not going to continue the GARDASIL series. At time of report, the patient was not having any problems. Back spasms were considered to be disabling. Additional information is not expected.
Age: 24.0
Sex: F
Vaccine: HPV4
Symptoms: Drug exposure during pregnancy, Ectopic pregnancy, Haemorrhage, Pregnancy test positive, Surgery
Clinical narrative: Information has been received from a 24 year old female patient, for the Pregnancy Registry for GARDASIL.  The patient with no drug allergy and no other medical history, on 02-APR-2008, was vaccinated with the first dose of GARDASIL.  On 06-JUN-2008, the patient received the second dose of GARDASIL.  There was no other concomitant medication.  On 17-JUN-2008 the patient went to the physician's office because her period is already late.  The blood test was implemented and the result showed that she was pregnant and experienced ectopic pregnancy (estimated due date of 17-FEB-2009).  On the night of 17-JUN-2008 the patient experienced bleeding and was brought to the hospital and was admitted for 1 day.  Subsequently, the patient ended up having a surgery because of the ectopic pregnancy.  At the time of this report, the patient is recovering.  The patient sought medical attention.  Additional information has been requested.
Age: 0.2
Sex: M
Vaccine: DTAP, HEP, HIBV, IPV, PNC, RV5
Symptoms: Intussusception, Surgery
Clinical narrative: Information has been received from a physician concerning a male who on 30-JUL-2008 was vaccinated with the first dose of ROTATEQ (lot #660681/0210X).  Concomitant suspect vaccine therapy included a dose of PEDVAXHIB (manufacturer unknown) and a dose of RECOMBIVAX HB (manufacturer unknown).  Other concomitant vaccine therapy included a dose of DTAP, IPOL and a dose of PREVNAR.  It was reported that the patient was admitted to the hospital and operated on immediately for intussusception (on an unspecified date between 30-JUL-2008 and 24-SEP-2008).  The patient has recovered (date not reported).  Additional information has been requested.
Age: 70.0
Sex: M
Vaccine: PPV
Symptoms: Injection site pain, Injection site swelling, Pyrexia, White blood cell count increased
Clinical narrative: Vaccine given 9/22/08 10:30 am side effect 5am 9/23/08 was fever - large left upper arm pain and swelling. WBC increased 13.5.  12/23/08 Reviewed hospital medical records of 9/17-9/26/2008. FINAL DX: prostate carcinoma; radical retropubic prostatectomy & bilateral pelvic lymphadenectomy; adverse reaction pneumovax vaccine. Records reveal patient experienced prostate cancer, underwent radical surgery w/o complication.  Received pneumovax on post op day 5.  Developed left shoulder injection site swelling, fever & leukocytosis on post op day 6.  Treated w/antibiotics. Resolved by post op day 9.  D/C to home with indwelling Foley catheter, on continued antibiotics.
Age: 18.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Back pain, Confusional state, Dizziness, Dyskinesia, Fatigue
Clinical narrative: Nov 07 till recent symptoms, headaches, fatigue, vomiting, dizziness, back and neck pain, weight loss, rash, nausea. Signs-jerking, dropping things confuse-seizures treatment-emergency room stay in hospital overnight. Diagnose with epilepsy, now on medication.  10/28/08 Reviewed hospital medical records of 08/18-08/19/2008. FINAL DX:juvenile myoclonic epilepsy Records reveal patient had initial convulsive seizure on 8/18/08 but had been experiencing myoclonic jerks x 2 years prior along w/brief episodes of speech loss.  11/4/08 Reviewed neurology medical records of 9/4/08. FINAL DX: seizure disorder, partial Records reveal patient had 'jerking episodes' of arms & head for approx 8 mos.  Developed generalized tonic-clonic seizure, bit tongue & was confused & disoriented afterward.  No further seizures while on medication.
Age: 18.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Headache, Hypokinesia, Nausea, Neck pain, Rash
Clinical narrative: Nov 07 till recent symptoms, headaches, fatigue, vomiting, dizziness, back and neck pain, weight loss, rash, nausea. Signs-jerking, dropping things confuse-seizures treatment-emergency room stay in hospital overnight. Diagnose with epilepsy, now on medication.  10/28/08 Reviewed hospital medical records of 08/18-08/19/2008. FINAL DX:juvenile myoclonic epilepsy Records reveal patient had initial convulsive seizure on 8/18/08 but had been experiencing myoclonic jerks x 2 years prior along w/brief episodes of speech loss.  11/4/08 Reviewed neurology medical records of 9/4/08. FINAL DX: seizure disorder, partial Records reveal patient had 'jerking episodes' of arms & head for approx 8 mos.  Developed generalized tonic-clonic seizure, bit tongue & was confused & disoriented afterward.  No further seizures while on medication.
Age: 18.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Vomiting, Weight decreased
Clinical narrative: Nov 07 till recent symptoms, headaches, fatigue, vomiting, dizziness, back and neck pain, weight loss, rash, nausea. Signs-jerking, dropping things confuse-seizures treatment-emergency room stay in hospital overnight. Diagnose with epilepsy, now on medication.  10/28/08 Reviewed hospital medical records of 08/18-08/19/2008. FINAL DX:juvenile myoclonic epilepsy Records reveal patient had initial convulsive seizure on 8/18/08 but had been experiencing myoclonic jerks x 2 years prior along w/brief episodes of speech loss.  11/4/08 Reviewed neurology medical records of 9/4/08. FINAL DX: seizure disorder, partial Records reveal patient had 'jerking episodes' of arms & head for approx 8 mos.  Developed generalized tonic-clonic seizure, bit tongue & was confused & disoriented afterward.  No further seizures while on medication.
Age: 18.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Back pain, Convulsion, Headache, Hypoaesthesia, Nausea
Clinical narrative: Nov 07 till recent symptoms, headaches, fatigue, vomiting, dizziness, back and neck pain, weight loss, rash, nausea. Signs-jerking, dropping things confuse-seizures treatment-emergency room stay in hospital overnight. Diagnose with epilepsy, now on medication.  10/28/08 Reviewed hospital medical records of 08/18-08/19/2008. FINAL DX:juvenile myoclonic epilepsy Records reveal patient had initial convulsive seizure on 8/18/08 but had been experiencing myoclonic jerks x 2 years prior along w/brief episodes of speech loss.  11/4/08 Reviewed neurology medical records of 9/4/08. FINAL DX: seizure disorder, partial Records reveal patient had 'jerking episodes' of arms & head for approx 8 mos.  Developed generalized tonic-clonic seizure, bit tongue & was confused & disoriented afterward.  No further seizures while on medication.
Age: 18.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Neck pain, Pregnancy test negative, Vomiting
Clinical narrative: Nov 07 till recent symptoms, headaches, fatigue, vomiting, dizziness, back and neck pain, weight loss, rash, nausea. Signs-jerking, dropping things confuse-seizures treatment-emergency room stay in hospital overnight. Diagnose with epilepsy, now on medication.  10/28/08 Reviewed hospital medical records of 08/18-08/19/2008. FINAL DX:juvenile myoclonic epilepsy Records reveal patient had initial convulsive seizure on 8/18/08 but had been experiencing myoclonic jerks x 2 years prior along w/brief episodes of speech loss.  11/4/08 Reviewed neurology medical records of 9/4/08. FINAL DX: seizure disorder, partial Records reveal patient had 'jerking episodes' of arms & head for approx 8 mos.  Developed generalized tonic-clonic seizure, bit tongue & was confused & disoriented afterward.  No further seizures while on medication.
Age: 0.3
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC, RV5
Symptoms: CSF culture negative, Culture stool negative, Culture throat negative, Enterovirus serology test negative, Irritability
Clinical narrative: Decreased po 1-2 d after vaccines, "fussy" 2-3 d after vaccine rash to back, face, torso approx 4 d after vaccines fever (102) 1 hr after vaccines -irritability -> to ER and had septic w/u with pleocytosis-admitted for meningitis.   10/7/08 Reviewed hospital medical records of 9/4-9/7/2008. FINAL DX: aseptic meningitis. Records reveal patient experienced rash all over that resolved after 2 days, irritability, conjunctival injection, loose stools & fever x 4-5 days s/p vaccinations. Had irritability, fever & loose stools s/p 2 mo vaccines as well.  Seen in ER where CSF (+).  Initially tx w/IV antibiotics until c/s neg.  ID consult done.  Fever resolved & improved.  D/C to home w/PCP f/u.
Age: 0.3
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC, RV5
Symptoms: Oral intake reduced, Pleocytosis, Pyrexia, Virus culture negative
Clinical narrative: Decreased po 1-2 d after vaccines, "fussy" 2-3 d after vaccine rash to back, face, torso approx 4 d after vaccines fever (102) 1 hr after vaccines -irritability -> to ER and had septic w/u with pleocytosis-admitted for meningitis.   10/7/08 Reviewed hospital medical records of 9/4-9/7/2008. FINAL DX: aseptic meningitis. Records reveal patient experienced rash all over that resolved after 2 days, irritability, conjunctival injection, loose stools & fever x 4-5 days s/p vaccinations. Had irritability, fever & loose stools s/p 2 mo vaccines as well.  Seen in ER where CSF (+).  Initially tx w/IV antibiotics until c/s neg.  ID consult done.  Fever resolved & improved.  D/C to home w/PCP f/u.
Age: 17.0
Sex: F
Vaccine: HPV4, MNQ
Symptoms: Injected limb mobility decreased, Injection site pain, Injection site swelling, Injection site warmth, Pyrexia
Clinical narrative: Marked pain involving entire upper arm where injection was given, swelling and warmth.  Patient unable to lift her arm due to pain.  Subjective fevers.  All occurred within 1-2 hours after vaccines and worsened over 36 hours.  Managed with acetaminophen and Ibuprofen.
Age: 18.0
Sex: F
Vaccine: MNQ
Symptoms: Akinesia, Chills, Cyanosis, Fall
Clinical narrative: Shivering began in legs and spread up to hands - didn't feel cold - couldn't move fingers - fingers turned blue - slipped and fell getting into bed; couldn't move; lasted 4-5 hrs
Age: 14.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Dizziness, Headache
Clinical narrative: Per mom, had intermittent headaches and dizziness for several months. Had a possible seizure, syncope of 9-22-08. Called 911 tonight by ambulance to local hospital. Saw Neurologist 9/23, 24.  10/14/08 Reviewed ER medical records of 9/23/2008. FINAL DX: vasovagal syncope, possible seizure Records reveal patient experienced fall in bedroom after standing from bent over position w/mild shaking, mild abdominal pain.  Tx w/IVF & d/c to home.
Age: 14.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Computerised tomogram, Convulsion, Dizziness, Drooling, Electroencephalogram
Clinical narrative: Per mom, had intermittent headaches and dizziness for several months. Had a possible seizure, syncope of 9-22-08. Called 911 tonight by ambulance to local hospital. Saw Neurologist 9/23, 24.  10/14/08 Reviewed ER medical records of 9/23/2008. FINAL DX: vasovagal syncope, possible seizure Records reveal patient experienced fall in bedroom after standing from bent over position w/mild shaking, mild abdominal pain.  Tx w/IVF & d/c to home.
Age: 14.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Headache, Pallor
Clinical narrative: Per mom, had intermittent headaches and dizziness for several months. Had a possible seizure, syncope of 9-22-08. Called 911 tonight by ambulance to local hospital. Saw Neurologist 9/23, 24.  10/14/08 Reviewed ER medical records of 9/23/2008. FINAL DX: vasovagal syncope, possible seizure Records reveal patient experienced fall in bedroom after standing from bent over position w/mild shaking, mild abdominal pain.  Tx w/IVF & d/c to home.
Age: 17.0
Sex: F
Vaccine: HPV4, MNQ, TDAP
Symptoms: Fall, Head injury, Lip swelling, Syncope, Tooth fracture
Clinical narrative: Pt fainted after receiving 3 vaccines, TDAP MENACTRA and HPV #1. Pt. refused to lay down or to hold moms hand. She fainted after 5-8 seconds after vaccines were given. Fell hit her forehead, lip was swollen and chipped her tooth was discharged and reviewed by dr at office.
Age: 88.0
Sex: U
Vaccine: FLU3
Symptoms: Fatigue, Pharyngolaryngeal pain, Rash
Clinical narrative: Fatigue, sore throat, leg rash.
Age: 14.0
Sex: F
Vaccine: MNQ, TDAP, VARCEL
Symptoms: Arthralgia
Clinical narrative: Patient developed joint pain 2 days S/P vaccines.  No joint swelling, from all jts.  Involves left wrist, left ankle, all fingers, no fever, no rash.
Age: 2.0
Sex: M
Vaccine: TDAP
Symptoms: Wrong drug administered
Clinical narrative: Patient given TDAP instead of DTAP - no known adverse reaction.
Age: 10.0
Sex: M
Vaccine: TDAP, VARCEL
Symptoms: Erythema, Skin warm
Clinical narrative: Large area of erythema/warmth upper (L) arm
Age: 56.0
Sex: F
Vaccine: TDAP
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: Patient presented to Health Dept requesting TDAP - denied having TD in last 5 years.  NCIR unable to see record.  TDAP given then once NCIR accessible saw TDAP given 4/14/08 - patient unaware of this, when notified.  No complications.
Age: 39.0
Sex: F
Vaccine: TDAP
Symptoms: Pain, Pyrexia, Vomiting
Clinical narrative: Body aches, fever, vomiting -12 hrs after shot
Age: 0.5
Sex: F
Vaccine: DTAP, HIBV, RV5
Symptoms: Choking, Cyanosis, Inappropriate schedule of drug administration, Productive cough
Clinical narrative: After each dose within 24 hrs, thick,  inspissated mucous, coughing; after 3rd dose choked, cyanosis, required bulb suctioning. Paramedics called/not transported.
Age: 11.0
Sex: M
Vaccine: MNQ, TDAP
Symptoms: Hyperhidrosis, Lethargy, Nausea, Pallor, Paraesthesia
Clinical narrative: Ashen color, tunnel vision, pins and needles hand, lethargic, sweaty and nausea as per mom. Mom called us on 9/15/08 to inform us. Patient not seen in office.
Age: 11.0
Sex: M
Vaccine: MNQ, TDAP
Symptoms: Tunnel vision
Clinical narrative: Ashen color, tunnel vision, pins and needles hand, lethargic, sweaty and nausea as per mom. Mom called us on 9/15/08 to inform us. Patient not seen in office.
Age: 15.0
Sex: F
Vaccine: HPV4
Symptoms: Feeling abnormal, Muscle twitching, Peripheral coldness
Clinical narrative: Twitching or restless leg movements (muscles) starting at 10:30 PM-12:00 AM (midnight), feet cold, uneasy feeling due to quick onset. Rest, warm milk, camomil tea was given and child did not have any twitching in next AM, just the start of a cold.
Age: 40.0
Sex: F
Vaccine: HPV4
Symptoms: Burning sensation, Hypoaesthesia, Pain, Pain in extremity, Pyrexia
Clinical narrative: High fever (100 degrees) on the evening of 9/10/08, which returned to normal by morning. Also on the evening of 9-10-08, my fingertips on my right hand began to hurt (numbness, burning, aching) and have continued to hurt (worse at night). Now being treated with prednisone.
Age: 2.0
Sex: F
Vaccine: DTP, HEPA
Symptoms: Gait disturbance, Injection site swelling, Injection site warmth
Clinical narrative: 1 1/2 days after shots, noticed severe swelling in leg that shots were given. Swelling was from top of thigh to below the knee. Difficulty walking due to severe swelling. Gave her tylenol and used ice. Leg was hot at the knee.
Age: 18.0
Sex: F
Vaccine: HEPA
Symptoms: Chills, Dizziness, Pain, Pyrexia
Clinical narrative: Patient experienced fever, chills, body ache and dizziness about 1 1/2 hours after vaccine. Went to local emergency room, from symptoms lasting 18 hours.
Age: 1.0
Sex: F
Vaccine: HIBV, PNC, VARCEL
Symptoms: Convulsion
Clinical narrative: Had 3 day attacks/seizures approx. 18 hrs after vaccines given.