chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 0.87
Sex: F
Vaccine: PNC
Symptoms: Convulsion, Crying, Electroencephalogram normal, Hypotonia, Lip swelling
Clinical narrative: On March 17, 2008, mother and father was awaken by a cry that was described as "not normal" coming from their 11 month old daughter's room. They found their daughter asleep but crying with her eyes closed and no other movement was noted. When approaching the child, they suspected that she was having a nightmare so the father proceeded to pick up the child from the crib. The child did not respond to neither one of the parents' voices and the child had no muscle tone in her arms, legs, or neck. The child continued to cry with eyes closed and no muscle tone. The parents noted that the child was breathing normally but her face and lips were swollen. The child remained in that condition for a total of 45 minutes. // 2nd event// April 2, 2008: Child was found in the crib at 7:00 am having full "body convulsions" with eyes open and non-responsive to parents. Again, face and lips looked abnormally swollen but breathing was regular. Father caught incident on tape to report to the doctor in the emergency room. Incident lasted for 10 minutes and child responded by crying for a minute and then was laid down on the parents bed for further examination of child. Mother noticed that the child had no muscle tone from the neck down. Child was alert, normal baby talking, smiling and laughing took place but child could not move arms or legs. Child regained full muscle tone an hour later upon reaching emergency room. Doctor diagnosed child with having seizures and proceeded to write precription for Diastat. Neurologist prescribed Keppra. Parents noted that these two incidents happened only when child was drinking whole milk. Doctors stated that a milk allergy could not have caused her seizure-like incidents. If milk could not have caused incident then the child's vaccination could have caused this adverse action. Vaccine was given less than a month of the first incident.// 4/10/08-records received from ED for DOS 03/17/08-DX: Altered level of consciousness. C/O acting differently, lethargic, weak cry, irritable. Appeared clenched.
Age: 0.87
Sex: F
Vaccine: PNC
Symptoms: Nuclear magnetic resonance imaging normal, Swelling face, Unresponsive to stimuli, Urine analysis normal
Clinical narrative: On March 17, 2008, mother and father was awaken by a cry that was described as "not normal" coming from their 11 month old daughter's room. They found their daughter asleep but crying with her eyes closed and no other movement was noted. When approaching the child, they suspected that she was having a nightmare so the father proceeded to pick up the child from the crib. The child did not respond to neither one of the parents' voices and the child had no muscle tone in her arms, legs, or neck. The child continued to cry with eyes closed and no muscle tone. The parents noted that the child was breathing normally but her face and lips were swollen. The child remained in that condition for a total of 45 minutes. // 2nd event// April 2, 2008: Child was found in the crib at 7:00 am having full "body convulsions" with eyes open and non-responsive to parents. Again, face and lips looked abnormally swollen but breathing was regular. Father caught incident on tape to report to the doctor in the emergency room. Incident lasted for 10 minutes and child responded by crying for a minute and then was laid down on the parents bed for further examination of child. Mother noticed that the child had no muscle tone from the neck down. Child was alert, normal baby talking, smiling and laughing took place but child could not move arms or legs. Child regained full muscle tone an hour later upon reaching emergency room. Doctor diagnosed child with having seizures and proceeded to write precription for Diastat. Neurologist prescribed Keppra. Parents noted that these two incidents happened only when child was drinking whole milk. Doctors stated that a milk allergy could not have caused her seizure-like incidents. If milk could not have caused incident then the child's vaccination could have caused this adverse action. Vaccine was given less than a month of the first incident.// 4/10/08-records received from ED for DOS 03/17/08-DX: Altered level of consciousness. C/O acting differently, lethargic, weak cry, irritable. Appeared clenched.
Age: 1.11
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Urticaria
Clinical narrative: Urticaria on abdomen, both legs and both arms with onset approximately 24 hours after vaccine administration. Treated with Benadryl and prednisolone in emergency department.
Age: 23.0
Sex: F
Vaccine: HPV4
Symptoms: Caesarean section, Drug exposure during pregnancy, Labour onset delayed, Ultrasound scan
Clinical narrative: Initial and follow-up information has been received from the Merck Pregnancy Registry via a health professional concerning a 23 year old female with migraines, seasonal allergies, sulfonamide allergy and penicillin allergy who on 18-APR-2007 was vaccinated intramuscularly with the first 0.5 ml dose of GARDASIL (lot # 657617/0384U). Concomitant therapy included ALLEGRA and birth control (therapy unspecified). The reporter indicated that the patient was pregnant, but she did not know if the patient was pregnant at the time of the vaccination. The date of the patient's last menstrual period was 26-APR-2007. The estimated conception date was 11-MAY-2007. The estimated date of delivery is 31-JAN-2008. The patient sought unspecified medical attention. There was no laboratory or diagnostic tests performed. Other medications used during this pregnancy included prenatal vitamins and ZOFRAN for vomiting. Follow up information was received on 24-MAR-2008. Labor was non-progressing and a C-section was performed at 41 weeks from LMP. On 04-FEB-2008, the mother delivered a live born male infant, 8 pounds seven ounces, 20.5 inches long, head circumference was 14 inches. The infant's apgar score was 9/9. The infant was normal with no congenital anomalies. There were no infections or illnesses during pregnancy and no concurrent medical conditions. Upon internal review, the non-progressing labor was considered to be an Other Important Medical Event. No further information is expected.
Age: 0.2
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Crying, Feeling jittery, Pyrexia
Clinical narrative: After her 2 mo vaccines, Mom reported she was jittery, crying and had a fever. She then gave Tylenol which helped the fever and crying but she was jittery the night of vaccines
Age: 29.0
Sex: M
Vaccine: TDAP
Symptoms: Asthenia, Myalgia, Nausea, Pain
Clinical narrative: Pt. received Tdap shot on Sat. at work Sun began with (R) arm decreased energy myalgia and nausea. Seen in our office Tues. still has body aches
Age: 11.0
Sex: F
Vaccine: MNQ, TDAP, VARCEL
Symptoms: Erythema, Feeling hot, Induration, Oedema peripheral
Clinical narrative: Patient received vaccines 4/8/08.  On 4/9/08 patient noted to have developed large, red, swollen area to left upper arm overnight.  Warm to touch.  Area of induration 3 1/2 x 3 1/2 inches.
Age: 17.0
Sex: F
Vaccine: HEPA, HPV4, VARCEL
Symptoms: Injection site erythema, Injection site induration, Injection site pain, Injection site warmth, Local reaction
Clinical narrative: Large red indurated local reaction to (R) arm at Varivax site (SQ) painful, warm.
Age: 24.0
Sex: F
Vaccine: HPV4
Symptoms: Syncope vasovagal
Clinical narrative: Pt received a Gardasil shot #1 in (Lt) delt on 4-8-08 at 3:00 pm-she got a "vasovagal reaction." She recovered within a few minutes.
Age: 2.0
Sex: F
Vaccine: DTAP, PNC, VARCEL
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Pt. had swelling and redness at the site x 5 days. Started the next day.- (R) thigh
Age: 6.0
Sex: M
Vaccine: VARCEL
Symptoms: Varicella
Clinical narrative: probable chickenpox lesions
Age: 76.0
Sex: F
Vaccine: TD
Symptoms: Erythema, Headache, Pain, Swelling
Clinical narrative: 2 forms of TD injection left deltoid.  Patient developed pain, redness and swelling around arm injection site.  Followed by headache.  Pain that moved to left node neck.
Age: 5.0
Sex: F
Vaccine: VARCEL
Symptoms: Erythema, Skin warm, Syncope
Clinical narrative: About 5 minutes after vaccine given Lg. reddened area, hot to touch, faint rash noted on chest- Benadryl .25mm/5ml-2tsp PO
Age: 5.0
Sex: M
Vaccine: DTAP, HEPA, IPV, MMR, VARCEL
Symptoms: Varicella
Clinical narrative: Apparent case of atypical chicken pox (</= 50 lesions) with three days of crops and lesions in various stages.  Mother has shingles five days earlier.
Age: 1.8
Sex: M
Vaccine: HEPA, HIBV, PNC
Symptoms: Erythema, Induration, Skin warm, Swelling
Clinical narrative: Redness, swelling, warm to the touch. Induration measuring 5 cm x 4 cm. Tx cool compress, Motrin and Benadryl as directed.
Age: 1.79
Sex: M
Vaccine: DTAPHEPBIP, PNC
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth, Pyrexia
Clinical narrative: Child received vaccine on 3/5/08, had fever; 3/6/08 R thigh area gradually swelling red, warm, tender, no vesicle, no blister, slight fever 99.  Child walking ok, gait ok.
Age: 50.0
Sex: M
Vaccine: ANTH
Symptoms: Deafness, Tinnitus
Clinical narrative: Tinnitus after AVA #3. Symptom: Tinnitus comment: 388.30
Age: 43.0
Sex: F
Vaccine: FLU3, PPV, FLU3, PPV
Symptoms: Burning sensation, Chest discomfort, Chills, Cough, Erythema
Clinical narrative: After receiving the pneumonia shot my arm started throbbing - I could not move it. I ran 103 fever that night. The pain the arm was constant. A few days latewr the pain spread to my other arm and rest of my body. I currently can not get off of prednisone or I am unable to walk. I am testing positive for Parvo-Virus but it all started after that vaccination.
Age: 43.0
Sex: F
Vaccine: FLU3, PPV, FLU3, PPV
Symptoms: Injected limb mobility decreased, Injection site erythema, Injection site induration, Injection site irritation, Injection site swelling
Clinical narrative: After receiving the pneumonia shot my arm started throbbing - I could not move it. I ran 103 fever that night. The pain the arm was constant. A few days latewr the pain spread to my other arm and rest of my body. I currently can not get off of prednisone or I am unable to walk. I am testing positive for Parvo-Virus but it all started after that vaccination.
Age: 43.0
Sex: F
Vaccine: FLU3, PPV, FLU3, PPV
Symptoms: Myalgia, Oral mucosal blistering, Pyrexia, Skin warm, Tremor
Clinical narrative: After receiving the pneumonia shot my arm started throbbing - I could not move it. I ran 103 fever that night. The pain the arm was constant. A few days latewr the pain spread to my other arm and rest of my body. I currently can not get off of prednisone or I am unable to walk. I am testing positive for Parvo-Virus but it all started after that vaccination.
Age: 43.0
Sex: F
Vaccine: FLU3, PPV, FLU3, PPV
Symptoms: Abasia, Injected limb mobility decreased, Pain, Pain in extremity, Parvovirus B19 serology positive
Clinical narrative: After receiving the pneumonia shot my arm started throbbing - I could not move it. I ran 103 fever that night. The pain the arm was constant. A few days latewr the pain spread to my other arm and rest of my body. I currently can not get off of prednisone or I am unable to walk. I am testing positive for Parvo-Virus but it all started after that vaccination.
Age: 43.0
Sex: F
Vaccine: FLU3, PPV, FLU3, PPV
Symptoms: Parvovirus infection, Pyrexia
Clinical narrative: After receiving the pneumonia shot my arm started throbbing - I could not move it. I ran 103 fever that night. The pain the arm was constant. A few days latewr the pain spread to my other arm and rest of my body. I currently can not get off of prednisone or I am unable to walk. I am testing positive for Parvo-Virus but it all started after that vaccination.
Age: 1.2
Sex: F
Vaccine: DTAP, MMR, VARCEL, DTAP, MMR, VARCEL
Symptoms: Computerised tomogram normal, Electroencephalogram, Pyrexia, Rash erythematous, Rash maculo-papular
Clinical narrative: On 3/30/08 developed temp of 102.5 F, treated with Tylenol. On 3/31/08 at 6:00 p developed shivering and poor responsiveness, she then became less responsive and developed generalized tonic seizure. Seizure lasted 20-30 minutes.
Age: 1.2
Sex: F
Vaccine: DTAP, MMR, VARCEL, DTAP, MMR, VARCEL
Symptoms: Chills, Grand mal convulsion, Pyrexia, Unresponsive to stimuli
Clinical narrative: On 3/30/08 developed temp of 102.5 F, treated with Tylenol. On 3/31/08 at 6:00 p developed shivering and poor responsiveness, she then became less responsive and developed generalized tonic seizure. Seizure lasted 20-30 minutes.
Age: 12.0
Sex: F
Vaccine: HEPA, HPV4
Symptoms: Arrhythmia, Brain death, Brugada syndrome, Convulsion, Death
Clinical narrative: Information has been received from a consumer concerning her 12 year old daughter with a history of seizures and heart arrhythmias, who on 25-JAN-2007 was vaccinated with a first dose of Gardasil. On 27-APRIL-2007 the patient was vaccinated with a second dose of Gardasil. Concomitant therapy included LAMICTAL, vitamins (unspecified) and KEPPRA. Subsequently, the patient began to have seizures, developed a rash on her arm, and was complaining about headaches. On 22-JUN-2007 the patient experienced a heart arrhythmia and was hospitalized. Due to the arrhythmia the patient was placed on life support and died on 29-JUN-2007. The patient's mother reported that the patient had an electrocardiogram (EKG) about 5 years ago to test for prolonged QT syndrome. The test came back normal. It was reported that at that time the patient was in and out of the emergency room due to having seizures periodically. The patient had been seeing a neurologist and had not had any seizures for about two years until she received the second dose of Gardasil. The patient's mother reported after her daughter's death and burial she had received copies of her daughter's medical records. Throughout the reports it showed that for the past five years the patient had prolonged QT syndrome, and proguda syndrome "which causes seizures and heart arrythmias." The patient's cause of death was prolonged QT syndrome, brain death, and proguda syndrome. No product quality complaint was involved. The seizures, rash, headaches, heart arrythmias, prolonged QT syndrome, brain death, and proguda syndrome were considered to be other important medical events. Additional information is not available.
Age: 12.0
Sex: F
Vaccine: HEPA, HPV4
Symptoms: Electrocardiogram, Electrocardiogram QT prolonged, Headache, Life support, Rash
Clinical narrative: Information has been received from a consumer concerning her 12 year old daughter with a history of seizures and heart arrhythmias, who on 25-JAN-2007 was vaccinated with a first dose of Gardasil. On 27-APRIL-2007 the patient was vaccinated with a second dose of Gardasil. Concomitant therapy included LAMICTAL, vitamins (unspecified) and KEPPRA. Subsequently, the patient began to have seizures, developed a rash on her arm, and was complaining about headaches. On 22-JUN-2007 the patient experienced a heart arrhythmia and was hospitalized. Due to the arrhythmia the patient was placed on life support and died on 29-JUN-2007. The patient's mother reported that the patient had an electrocardiogram (EKG) about 5 years ago to test for prolonged QT syndrome. The test came back normal. It was reported that at that time the patient was in and out of the emergency room due to having seizures periodically. The patient had been seeing a neurologist and had not had any seizures for about two years until she received the second dose of Gardasil. The patient's mother reported after her daughter's death and burial she had received copies of her daughter's medical records. Throughout the reports it showed that for the past five years the patient had prolonged QT syndrome, and proguda syndrome "which causes seizures and heart arrythmias." The patient's cause of death was prolonged QT syndrome, brain death, and proguda syndrome. No product quality complaint was involved. The seizures, rash, headaches, heart arrythmias, prolonged QT syndrome, brain death, and proguda syndrome were considered to be other important medical events. Additional information is not available.
Age: 22.0
Sex: F
Vaccine: HPV4
Symptoms: Abortion spontaneous, Drug exposure during pregnancy, Foetal disorder, Ultrasound scan abnormal
Clinical narrative: Information has been received from a physician concerning a 22 year old female with no medical history and no concurrent conditions, who on 11-JAN-2008 was vaccinated with a second dose of Gardasil (Lot# 659653/1448U).  Concomitant therapy included prenatal vitamins (unspecified).  Subsequently, the patient was pregnant.  The estimated conception date was 12-DEC-2007, the patient's last menstrual period was 28-NOV-2007, and the estimated delivery date was 03-SEP-2008.  On 11-JAN-2008 an ultrasound was performed and showed one gestational sac, and was positive for yolksac fetal pole.  On 31-JAN-2008 and 01-FEB-2008 repeat ultrasounds were performed and showed a single intrauterine pregnancy, crown-rump length (CRL) was approximately 7.9 weeks, there was no fetal heart tones with embryonic demise.  The patient did not have any previous pregnancies and no full-term deliveries.  On 08-FEB-2008 the patient experienced a spontaneous abortion nine weeks and one day from her last menstrual period.  The products of conception were examined and were normal appearing. The fetus was not normal due to chromosomes 69XXY.  At the time of the report, the outcome of the patient was unknown.  Upon internal review spontaneous intrauterine embryonic demise was considered to be an other important medical event.  Additional information has been requested.
Age: 0.3
Sex: M
Vaccine: RV5
Symptoms: Haematochezia
Clinical narrative: Information has been received from a physician concerning a 4 month old male who one month after being vaccinated orally with a second dose of ROTATEQ developed hematochezia.  The hematochezia resolved without requiring any treatment and the patient fully recovered.  It was noted that the patient completed the series without further adverse symptoms.  The dates of administration and lot numbers of the first, second and third doses of ROTATEQ were unknown.  Unspecified medical attention was sought, which included the patient being examined in the office.  There was no product quality complaint.  Upon internal review the event of hematochezia was considered as a other medically important event (OME).  Additional information has been requested.
Age: 79.0
Sex: F
Vaccine: YF
Symptoms: Arthralgia, Blood test, Facial pain, Gait disturbance, Headache
Clinical narrative: Shot 3-17-02, left leg and unable to walk.  3-20-02 tried tread mill.  Condition severe pain.  Left leg, left hip, side of face, left shoulder pain.  Dr. called.  Top of head - pain.  Back of neck pain.  3-25-02 called doctor.  Celibrex given.  Itch, hives.  D/C med.  4-4-08 some relief leg.  Undated report with c/o redness, heat and pain to R upper arm. No office visits or notes post vaccine
Age: 79.0
Sex: F
Vaccine: YF
Symptoms: Musculoskeletal pain, Neck pain, Pain in extremity, Pruritus, Urticaria
Clinical narrative: Shot 3-17-02, left leg and unable to walk.  3-20-02 tried tread mill.  Condition severe pain.  Left leg, left hip, side of face, left shoulder pain.  Dr. called.  Top of head - pain.  Back of neck pain.  3-25-02 called doctor.  Celibrex given.  Itch, hives.  D/C med.  4-4-08 some relief leg.  Undated report with c/o redness, heat and pain to R upper arm. No office visits or notes post vaccine
Age: 33.0
Sex: F
Vaccine: HPVX
Symptoms: Back pain, Brain stem auditory evoked response normal, Demyelination, Intervertebral disc disorder, Migraine
Clinical narrative: This 33-year old female subject was enrolled in the prophylactic observer blind study 108933 (HPV-010) which compares GSK's Human Papillomavirus type 16 and 18 vaccine to Merck's GARDASIL. She received three doses of blinded vaccine on 21 February 2007, 28 March 2007 and 30 April 2007. The subject has a medical history of tension headaches, anxiety-depression bipolar disorder, reflux esophagitis and gastrooesophageal reflux disease. In 2005, she was diagnosed with chronic lower back pain associated with a disc disease. In November 2006, the subject developed migrainous headache for which a CAT scan of the head without contrast was unremarkable on 01 March 2007. Since 2000, the subject was taking bupropion hydrochloride (for depression), was taking Omeprazole since 01 April 2007 (for gastrooesophageal reflux disease), and used baclofen and vicodin for chronic pain control. On 30 April 2007, 33 days after the second of vaccine and on the same day as the third dose of vaccine, the subject went to the emergency room because of blurred vision. A MRI of the brain performed the same day was suspicious for an early demyelinating process. The cervical spine MRI was within normal limits, as were the visual evoked potentials and brainstem evoked potentials. She was treated with sodium chloride, prednisone and methylpredisolone sodium succinate for treatment of multiple sclerosis. Following this treatment, the double vision resolved. On 01 May 2007, the MRI of the cervical spine with and without contrast was negative. She was discharged from the hospital on 02 May 2007. At the time of reporting, the event was unresolved. The subject is being followed by a neurologist. The investigator considered there was no reasonable possibility that the multiple sclerosis may have been caused by the administration of the investigational product. Expert review: A blinded review of the case by an independent expert did not support the diagnosis of multiple sclerosis as this diagnosis required a dissemination of lesions in space and time. This subject most likely presents with a "clinically isolated syndrome" (CIS) suggestive of a first demyelinating event. The expert comments that hypointense MRI lesions could indicate a latent disease present before vaccination.
Age: 33.0
Sex: F
Vaccine: HPVX
Symptoms: Nuclear magnetic resonance imaging brain abnormal, Nuclear magnetic resonance imaging normal, Spinal X-ray normal, Vision blurred, Visual evoked potentials normal
Clinical narrative: This 33-year old female subject was enrolled in the prophylactic observer blind study 108933 (HPV-010) which compares GSK's Human Papillomavirus type 16 and 18 vaccine to Merck's GARDASIL. She received three doses of blinded vaccine on 21 February 2007, 28 March 2007 and 30 April 2007. The subject has a medical history of tension headaches, anxiety-depression bipolar disorder, reflux esophagitis and gastrooesophageal reflux disease. In 2005, she was diagnosed with chronic lower back pain associated with a disc disease. In November 2006, the subject developed migrainous headache for which a CAT scan of the head without contrast was unremarkable on 01 March 2007. Since 2000, the subject was taking bupropion hydrochloride (for depression), was taking Omeprazole since 01 April 2007 (for gastrooesophageal reflux disease), and used baclofen and vicodin for chronic pain control. On 30 April 2007, 33 days after the second of vaccine and on the same day as the third dose of vaccine, the subject went to the emergency room because of blurred vision. A MRI of the brain performed the same day was suspicious for an early demyelinating process. The cervical spine MRI was within normal limits, as were the visual evoked potentials and brainstem evoked potentials. She was treated with sodium chloride, prednisone and methylpredisolone sodium succinate for treatment of multiple sclerosis. Following this treatment, the double vision resolved. On 01 May 2007, the MRI of the cervical spine with and without contrast was negative. She was discharged from the hospital on 02 May 2007. At the time of reporting, the event was unresolved. The subject is being followed by a neurologist. The investigator considered there was no reasonable possibility that the multiple sclerosis may have been caused by the administration of the investigational product. Expert review: A blinded review of the case by an independent expert did not support the diagnosis of multiple sclerosis as this diagnosis required a dissemination of lesions in space and time. This subject most likely presents with a "clinically isolated syndrome" (CIS) suggestive of a first demyelinating event. The expert comments that hypointense MRI lesions could indicate a latent disease present before vaccination.
Age: 19.0
Sex: F
Vaccine: VARCEL
Symptoms: Erythema
Clinical narrative: 5 x 4 cm patch erythema.
Age: 20.0
Sex: F
Vaccine: HPV4
Symptoms: Convulsion, Loss of consciousness, Malaise
Clinical narrative: 30 seconds after administration, pt stated she felt unwell, then began LOC with seizure lasting 1 minute. )2 administered, supportive care given. Transported to ER to eval by medics.
Age: 50.0
Sex: F
Vaccine: PPV, TDAP
Symptoms: Headache, Injection site erythema, Injection site pain, Injection site swelling, Myalgia
Clinical narrative: Left deltoid 7x4 cm red tender swollen area at site still present 22 days after admin/moist warm compresses. HA's, myalgias since vaccine undetermined if related to vaccine or patient's other health problems.
Age: 13.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Nausea, Syncope
Clinical narrative: Syncope, nausea.
Age: 13.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Head injury, Laceration, Loss of consciousness, Nausea, Suture insertion
Clinical narrative: Syncope, nausea.
Age: 13.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Syncope
Clinical narrative: Syncope, nausea.
Age: 11.0
Sex: F
Vaccine: HPV4, MNQ, TDAP, VARCEL
Symptoms: Nausea, Syncope, Vomiting
Clinical narrative: Syncope, nausea, vomiting.
Age: 76.0
Sex: M
Vaccine: VARZOS
Symptoms: Chest pain, Dizziness, Headache
Clinical narrative: Severe chest pain - light headness.  Dizzy - headache - masking heart symptoms - checked out in ER at hospital.
Age: 24.0
Sex: F
Vaccine: HEPA, TYP, YF
Symptoms: Activities of daily living impaired, Cough, Dysphonia, Facial pain, Headache
Clinical narrative: The evening after vaccination she developed hoarseness and a sore throat.  A few days later she developed a cough with a right sided temporal and facial pain with 1 small red area on left arm.  Headache has interfered with her ability to sleep and attend classes.  Afebrile but reports hot flashes.  No loss of facial sensation.  No papilledema.  No facial asymmetry.  She has been prescribed Percocet for pain and placed on Augmentin for treatment of possible sinus infection.
Age: 24.0
Sex: F
Vaccine: HEPA, TYP, YF
Symptoms: Hot flush, Pharyngolaryngeal pain
Clinical narrative: The evening after vaccination she developed hoarseness and a sore throat.  A few days later she developed a cough with a right sided temporal and facial pain with 1 small red area on left arm.  Headache has interfered with her ability to sleep and attend classes.  Afebrile but reports hot flashes.  No loss of facial sensation.  No papilledema.  No facial asymmetry.  She has been prescribed Percocet for pain and placed on Augmentin for treatment of possible sinus infection.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Pruritus, Swelling
Clinical narrative: Redness, itching, swelling.  Bactrim if not improving.
Age: 12.0
Sex: M
Vaccine: MNQ, VARCEL
Symptoms: Injection site induration, Injection site pruritus, Local reaction
Clinical narrative: Pt came in for routine care 4/3/08.  Was given two vaccines MCV4 and Varicella.  Woke in AM w/ severe localized reaction.  Checked by Dr in office.  No fever, sl. induration, od itching.  Benadryl Q4 hrs. Call if increase size or fever.  The reaction was to Varivax.
Age: 64.0
Sex: M
Vaccine: PPV
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Redness, swelling and soreness at injection site.
Age: 1.3
Sex: M
Vaccine: DTAP, PNC
Symptoms: Periorbital cellulitis, Swelling face
Clinical narrative: Soft tissue swelling of left cheek and periorbital cellulitis.
Age: 38.0
Sex: M
Vaccine: ANTH
Symptoms: Amnesia, Arthralgia, Fatigue, Malaise, Neuropathy peripheral
Clinical narrative: AVA- dermatitis progressing to chronic urticaria, fatigue, arthralgias. Joint pain, multiple joints comment: 719.49, fatigue, malaise greater than 60 days comment: 780.79, urticaria, neuropathy, memory loss, short term comment: 780.93.
Age: 38.0
Sex: M
Vaccine: ANTH
Symptoms: Urticaria
Clinical narrative: AVA- dermatitis progressing to chronic urticaria, fatigue, arthralgias. Joint pain, multiple joints comment: 719.49, fatigue, malaise greater than 60 days comment: 780.79, urticaria, neuropathy, memory loss, short term comment: 780.93.
Age: 9.0
Sex: M
Vaccine: VARCEL
Symptoms: Cellulitis, Erythema, Induration, Injection site erythema, Injection site pruritus
Clinical narrative: Seen in office 4/4/08 c/o x 1 day hx L arm red itching & swelling at injection site. Afebrile. 8x9 cm erythematous area with 3-4 cm inner area with increased induration. DX vaccine reaction with cellulitis - on Keflex.
Age: 9.0
Sex: M
Vaccine: VARCEL
Symptoms: Injection site swelling
Clinical narrative: Seen in office 4/4/08 c/o x 1 day hx L arm red itching & swelling at injection site. Afebrile. 8x9 cm erythematous area with 3-4 cm inner area with increased induration. DX vaccine reaction with cellulitis - on Keflex.
Age: 1.11
Sex: M
Vaccine: DTP
Symptoms: Autism, Bipolar disorder, Crying, Dysphonia, Injection site swelling
Clinical narrative: Received first DPT at age 9 Months (Local Cty health Dept gave out free immunizations each month to low income, uninsured, minorities). My husband was in between jobs so I decided to get free immunizations that were offered there. My 9 month old had febrile episodes (up and down) for 5 days (vomiting, screaming, high fever). Waited to get 2nd because of the first reaction.  At age 13 months, my son received his 2nd DPT--This was far worse then the previous reaction. For 10 days(fever high at night-low grade in day) My baby had inconsolable crying, continuous vomiting and high fever. The injection site swelled as well. I did not go to hospital since I didn't think anything could be done for the fever that I wasn't already doing. I was also a young mother who did not have health insurance at that time. I did everything I could to bring the fever down and to make my son as comfortable as possible. I was alone and could never find a doctor who would believe me when I told them of not only what my son suffered but to see the regression and change in personality. Today my son is almost 28 years old and has severe autism. He requires 24/7. My 2 children born after have never been immunized since I was afraid the same reaction would have resulted.  04/18/08 Reviewed clinic medical records of 12/16/1982-2/10/1984. FINAL DX: atypical PDD, developmental delay Records reveal patient experienced swelling in left arm since 6 wks of age, lack of speech, short stature for age w/weight & head circumference WNL, decreased tone, temper tantrums, sleep difficulties, impulsive behaviors, lack of social skills. Life assistance needed to live as independent as possible  (1-1). Impulsive, agitation, mood cycling. Communicates very little does not socialize. (Regression continues-Cognitive decline) Dx autism/bipolar disorders.
Age: 1.11
Sex: M
Vaccine: DTP
Symptoms: Personality change, Pyrexia, Regressive behaviour, Screaming, Vomiting
Clinical narrative: Received first DPT at age 9 Months (Local Cty health Dept gave out free immunizations each month to low income, uninsured, minorities). My husband was in between jobs so I decided to get free immunizations that were offered there. My 9 month old had febrile episodes (up and down) for 5 days (vomiting, screaming, high fever). Waited to get 2nd because of the first reaction.  At age 13 months, my son received his 2nd DPT--This was far worse then the previous reaction. For 10 days(fever high at night-low grade in day) My baby had inconsolable crying, continuous vomiting and high fever. The injection site swelled as well. I did not go to hospital since I didn't think anything could be done for the fever that I wasn't already doing. I was also a young mother who did not have health insurance at that time. I did everything I could to bring the fever down and to make my son as comfortable as possible. I was alone and could never find a doctor who would believe me when I told them of not only what my son suffered but to see the regression and change in personality. Today my son is almost 28 years old and has severe autism. He requires 24/7. My 2 children born after have never been immunized since I was afraid the same reaction would have resulted.  04/18/08 Reviewed clinic medical records of 12/16/1982-2/10/1984. FINAL DX: atypical PDD, developmental delay Records reveal patient experienced swelling in left arm since 6 wks of age, lack of speech, short stature for age w/weight & head circumference WNL, decreased tone, temper tantrums, sleep difficulties, impulsive behaviors, lack of social skills. Life assistance needed to live as independent as possible  (1-1). Impulsive, agitation, mood cycling. Communicates very little does not socialize. (Regression continues-Cognitive decline) Dx autism/bipolar disorders.
Age: 0.29
Sex: M
Vaccine: DTAP, HIBV, UNK
Symptoms: Developmental delay
Clinical narrative: Won't move in circles on back and front; won't move forward and back on front, all of which child could do before receiving vaccinations.
Age: 23.0
Sex: M
Vaccine: ANTH, TYP
Symptoms: Rash generalised
Clinical narrative: Rash/marks all over body.  Appeared approx. 3 weeks after vaccination.
Age: 50.0
Sex: F
Vaccine: TDAP
Symptoms: Erythema, Pruritus, Rash, Skin warm
Clinical narrative: LOCAL RASH, ITCHING, REDNESS STREAK, WARM TO TOUCH.
Age: 28.0
Sex: F
Vaccine: HEP
Symptoms: Burning sensation, Dizziness, Headache, Influenza like illness, Musculoskeletal chest pain
Clinical narrative: Vaccine adminstered 4/9/2008, late afternoon; Upon injection of vaccine, pt reported burning and pain.  Pt states that arm soreness continued in evening, progressed to pain under ribs, rash to legs, fever, "flu-like feelings," headache, dizziness.
Age: 28.0
Sex: F
Vaccine: HEP
Symptoms: Pain in extremity, Pyrexia, Rash
Clinical narrative: Vaccine adminstered 4/9/2008, late afternoon; Upon injection of vaccine, pt reported burning and pain.  Pt states that arm soreness continued in evening, progressed to pain under ribs, rash to legs, fever, "flu-like feelings," headache, dizziness.
Age: 4.0
Sex: F
Vaccine: DTAP, MMRV
Symptoms: Injection site cellulitis
Clinical narrative: MILD CELLULITIS AT ADMINISTRATION SITE.
Age: 63.0
Sex: F
Vaccine: VARZOS
Symptoms: Abdominal distension, Blood pressure increased, Head discomfort, Headache, Hypersomnia
Clinical narrative: Shot was given approx. at 5:00 pm on 4/7/08. Around 9 am on 4/8/08 I started feeling an oppression in my head and a sick feeling to my stomach. My head felt like it was being compressed, with a slight headache. I felt also very sleepy. I am on High Blood pressure medication (Cozaar 50 mg), and I took it earlier than I usually do, because I thought it could be high. I went on feeling sick and sleepy for the rest of the day. Besides, my stomach was distended, as if my body was swollen. I was at work, so I could not have my blood pressure checked. When I did check it around 6 p.m. it was 164 over 89, when the day before (at my doctor's office) it had been 121 over ?. I took 25 extra mg of Cozaar. Besides, I was so sleepy that I fell momentarily asleep TWICE while driving home from work! On 4/9/08, I woke up with the shot area swollen, red, and tender. But my blood pressure was back to normal, and I felt OK otherwise.
Age: 63.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Malaise, Somnolence
Clinical narrative: Shot was given approx. at 5:00 pm on 4/7/08. Around 9 am on 4/8/08 I started feeling an oppression in my head and a sick feeling to my stomach. My head felt like it was being compressed, with a slight headache. I felt also very sleepy. I am on High Blood pressure medication (Cozaar 50 mg), and I took it earlier than I usually do, because I thought it could be high. I went on feeling sick and sleepy for the rest of the day. Besides, my stomach was distended, as if my body was swollen. I was at work, so I could not have my blood pressure checked. When I did check it around 6 p.m. it was 164 over 89, when the day before (at my doctor's office) it had been 121 over ?. I took 25 extra mg of Cozaar. Besides, I was so sleepy that I fell momentarily asleep TWICE while driving home from work! On 4/9/08, I woke up with the shot area swollen, red, and tender. But my blood pressure was back to normal, and I felt OK otherwise.
Age: 63.0
Sex: F
Vaccine: VARZOS
Symptoms: Swelling
Clinical narrative: Shot was given approx. at 5:00 pm on 4/7/08. Around 9 am on 4/8/08 I started feeling an oppression in my head and a sick feeling to my stomach. My head felt like it was being compressed, with a slight headache. I felt also very sleepy. I am on High Blood pressure medication (Cozaar 50 mg), and I took it earlier than I usually do, because I thought it could be high. I went on feeling sick and sleepy for the rest of the day. Besides, my stomach was distended, as if my body was swollen. I was at work, so I could not have my blood pressure checked. When I did check it around 6 p.m. it was 164 over 89, when the day before (at my doctor's office) it had been 121 over ?. I took 25 extra mg of Cozaar. Besides, I was so sleepy that I fell momentarily asleep TWICE while driving home from work! On 4/9/08, I woke up with the shot area swollen, red, and tender. But my blood pressure was back to normal, and I felt OK otherwise.
Age: 16.0
Sex: F
Vaccine: DTAP, MNQ
Symptoms: Activities of daily living impaired, Headache, Nausea, Pyrexia, Wrong drug administered
Clinical narrative: Beginning the morning after shots, and lasting for about 24 hours, she had fever of about 101, nausea (no vomiting) and headache.  She could not get out of bed.  She felt fine when she awoke the following day.
Age: 46.0
Sex: M
Vaccine: PPV
Symptoms: Culture throat negative, Erythema, Swelling
Clinical narrative: Patient received a pneumo-ps injection to his left Deltoid on 4-8-08, He had called and said that it started swelling and got red 1 day after injection, and worsened on 4-10-08.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth, Pyrexia
Clinical narrative: Mom called office this morning and said, patient's right arm was swollen, red and hot to the touch. Also has a fever. These symptoms started the day that the vaccines were given. I requested for her to bring patient into the office for Dr. to see him. Area of redness was measured 10cm.X12cm. by Dr.
Age: 61.0
Sex: F
Vaccine: VARZOS
Symptoms: Rash, Vasculitis
Clinical narrative: Symptoms began with rash within 24 hours of administration of vaccine.  She presented to the office one week later secondary to worsening rash and was diagnosed with vasculitis.  The rash appeared self limiting at that point and coincidentaly tested positive for Influenza B at the visit, so no further treatment was initiated.  The rash subsequently became increasingly severe and it was biopsied, labs drawn, and prednisone started. She is under continued treatment with steroids and undergoing an evaluation by a rheumatologist.
Age: 19.0
Sex: F
Vaccine: HPV4, TDAP, VARCEL
Symptoms: Erythema, Headache, Neck pain, Pain, Rash
Clinical narrative: Patient reports having a small area after recieving the vaccine. States noticed her arm had more redness yesterday evening with some pain radiating up the arm to her neck, also c/o headache. Area appears to be around 3 inches diameter, raised, and red. Advised patient to take Benadryl as directed until reaction subsides. Also to alternate warm and cold compress as needed. Advised patient if area worsens to seek medical care.
Age: 19.0
Sex: F
Vaccine: HPV4, TDAP, VARCEL
Symptoms: Swelling
Clinical narrative: Patient reports having a small area after recieving the vaccine. States noticed her arm had more redness yesterday evening with some pain radiating up the arm to her neck, also c/o headache. Area appears to be around 3 inches diameter, raised, and red. Advised patient to take Benadryl as directed until reaction subsides. Also to alternate warm and cold compress as needed. Advised patient if area worsens to seek medical care.
Age: 60.0
Sex: M
Vaccine: VARZOS
Symptoms: Arthralgia, Inflammation, Pain in extremity, Ulnar nerve injury
Clinical narrative: Patient reports pain in little finger and 4th finger with some joint pain at elbow.  He feels it might be ulnar nerve inflammation. He wanted it reported however.
Age: 1.11
Sex: M
Vaccine: VARCEL
Symptoms: Pain, Polymerase chain reaction, Rash
Clinical narrative: PAINFUL UNILATERAL RASH (L2 DERMATOME) RASH RESOLVED WITHIN 4 WEEKS WITHOUT COMPLICATION.
Age: 30.0
Sex: F
Vaccine: VARCEL
Symptoms: Injection site erythema, Injection site pruritus, Injection site rash, Injection site swelling, Injection site warmth
Clinical narrative: Client returned to the office to have TB test read & notified RN that site of varicella vaccination from 2 days prior was "red and itchy".  Client stated that this reaction started on 4/8/08 in the afternoon.  She received the vaccination on 4/7/08. She reported no prior history of chickenpox disease or vaccination and was required to recieve the vaccine by her school (nursing degree).  Site was noted to be red, raised, warm to the touch and client reported 'itchy'.  Client denied signs or symptoms of anaphylaxis but was encouraged to go to the ER for evaluation.  Client returned to the office after going to the ER where she reported being told that this was a possible injection reaction and that she should return to the ER if she developed trouble breathing.  The Health District RN instructed the client to contact her physician for an opinion as to whether to receive the second dose of varicella and for an exemption notice for her school of nursing, should the doctor forbid her to receive the second dose.
Age: 8.0
Sex: F
Vaccine: VARCEL
Symptoms: Pain, Rash
Clinical narrative: HZ RASH WITHIN 42 DAYS OF VARICELLA VACCINE DOSE 2. T10 DERMATOME WITH PAIN.  CLINICAL DIAGNOSIS ONLY.
Age: 1.03
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Paralysis, Rash, Viral DNA test positive
Clinical narrative: HZ RASH WITH SEGMENTAL MOTOR PARALYSIS. C3 DERMATOME.
Age: 34.0
Sex: F
Vaccine: MMR
Symptoms: Injection site rash, Rash macular, Rash papular
Clinical narrative: Employee reports receiving vaccination on 10/2/07. She reported local rash at site of injection to Occupational Health Services about 2-3 days later. Rash then developed on trunk and "top of legs" at about 7-10 days. Employee's PMD diagnosed rash as measles.  Rash was macular papular in presentation resulting in "red splotches" that resolved in about 3 days without treatment.
Age: 16.0
Sex: F
Vaccine: HPV4
Symptoms: Abdominal pain upper, Back pain, Chills, Headache, Hyperhidrosis
Clinical narrative: Soreness at the injection site, nausea, tingling in hand, fever, chills, sweats, headache, backache, and stomach pain.
Age: 16.0
Sex: F
Vaccine: HPV4
Symptoms: Injection site pain, Nausea, Paraesthesia, Pyrexia
Clinical narrative: Soreness at the injection site, nausea, tingling in hand, fever, chills, sweats, headache, backache, and stomach pain.
Age: 10.0
Sex: M
Vaccine: TDAP, VARCEL
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: RT ARM SUBCUT WHERE VARICELLA WAS GIVEN HAD RAISED RED AREA OF 3MM X 3MM- WARM TO THE TOUCH. ADVISED COOL COMPRESSES, GIVE TYLENOL OR ADVIL - PT STATES THAT HIS RT ARM DOES NOT HAVE ANY ITCHING.
Age: 0.18
Sex: M
Vaccine: DTAPHEPBIP, HIBV, RV5
Symptoms: Crying, Diet refusal, Gastrointestinal sounds abnormal
Clinical narrative: Prolonged crying for six hours.  Not his normal cry.  He didnt eat and when he tried he would start crying again.  His stomach made loud growling noises.
Age: 8.0
Sex: F
Vaccine: VARCEL
Symptoms: Erythema, Skin warm
Clinical narrative: 5cm x 3cm localized erythematous reaction, warm to touch, 1 day after the injection was given. Treated with Benadryl and cool compresses.
Age: 72.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site pruritus, Injection site reaction, Injection site vesicles, Injection site warmth
Clinical narrative: Injection site reaction - warmth, redness, pruritis, blisters - about 2" around the injection site. No systemic symptoms per patient.
Age: 35.0
Sex: M
Vaccine: TDAP
Symptoms: Muscular weakness, Pain in extremity, Pyrexia
Clinical narrative: Weakness in legs, hi temp, very painful arm.
Age: 11.0
Sex: M
Vaccine: MNQ, TDAP, VARCEL
Symptoms: Erythema, Rhinorrhoea, Swelling, Throat irritation
Clinical narrative: About 15 minutes after administration of vaccines, mother stated that he started getting runny nose, itching in back of throat/nose.  No difficulty breathing, no stridor.  Patient was sent to ER for anti-histamine/further treatment.  Mother then stated that this had happened before at another clinic.  Patient had redness and swelling to right deltoid region only 24 hours later.
Age: 28.0
Sex: M
Vaccine: SMALL
Symptoms: Audiogram normal, Autonomic nervous system imbalance, Blood folate normal, Diplopia, Dizziness
Clinical narrative: Following receipt of primary patient 5/2006, patient endorsed recurrent episodes of brief mild dizziness, tinnitus, migraine headaches, and diplopia, non-medically attended.  In 3/2007 he had recurrent dizziness and tinnitus which occurred during a respiratory infection and became more pronounced and constant from that time on.  In Jun 2007 patient was diagnosed with dysautonomia.  Dizziness start: 05/30/2006.  Tinnitus start: 05/30/2006.  Headache, Migraine start: 05/30/2006.  Diplopia start: 05/30/2006.
Age: 28.0
Sex: M
Vaccine: SMALL
Symptoms: Electrocardiogram normal, Electromyogram normal, Full blood count normal, HIV test negative, Laboratory test normal
Clinical narrative: Following receipt of primary patient 5/2006, patient endorsed recurrent episodes of brief mild dizziness, tinnitus, migraine headaches, and diplopia, non-medically attended.  In 3/2007 he had recurrent dizziness and tinnitus which occurred during a respiratory infection and became more pronounced and constant from that time on.  In Jun 2007 patient was diagnosed with dysautonomia.  Dizziness start: 05/30/2006.  Tinnitus start: 05/30/2006.  Headache, Migraine start: 05/30/2006.  Diplopia start: 05/30/2006.
Age: 28.0
Sex: M
Vaccine: SMALL
Symptoms: Migraine, Nerve conduction studies normal, Nuclear magnetic resonance imaging brain normal, Nuclear magnetic resonance imaging normal, Respiratory tract infection
Clinical narrative: Following receipt of primary patient 5/2006, patient endorsed recurrent episodes of brief mild dizziness, tinnitus, migraine headaches, and diplopia, non-medically attended.  In 3/2007 he had recurrent dizziness and tinnitus which occurred during a respiratory infection and became more pronounced and constant from that time on.  In Jun 2007 patient was diagnosed with dysautonomia.  Dizziness start: 05/30/2006.  Tinnitus start: 05/30/2006.  Headache, Migraine start: 05/30/2006.  Diplopia start: 05/30/2006.
Age: 28.0
Sex: M
Vaccine: SMALL
Symptoms: Syphilis test negative, Tilt table test, Tinnitus, Tympanometry normal, Vitamin B1 decreased
Clinical narrative: Following receipt of primary patient 5/2006, patient endorsed recurrent episodes of brief mild dizziness, tinnitus, migraine headaches, and diplopia, non-medically attended.  In 3/2007 he had recurrent dizziness and tinnitus which occurred during a respiratory infection and became more pronounced and constant from that time on.  In Jun 2007 patient was diagnosed with dysautonomia.  Dizziness start: 05/30/2006.  Tinnitus start: 05/30/2006.  Headache, Migraine start: 05/30/2006.  Diplopia start: 05/30/2006.
Age: 28.0
Sex: M
Vaccine: SMALL
Symptoms: Vitamin B12 normal
Clinical narrative: Following receipt of primary patient 5/2006, patient endorsed recurrent episodes of brief mild dizziness, tinnitus, migraine headaches, and diplopia, non-medically attended.  In 3/2007 he had recurrent dizziness and tinnitus which occurred during a respiratory infection and became more pronounced and constant from that time on.  In Jun 2007 patient was diagnosed with dysautonomia.  Dizziness start: 05/30/2006.  Tinnitus start: 05/30/2006.  Headache, Migraine start: 05/30/2006.  Diplopia start: 05/30/2006.