chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 82.0
Sex: F
Vaccine: VARZOS
Symptoms: Malaise
Clinical narrative: Violent reaction next am-Emergency visit to Dr.- 11/16/08 next day -Saline-2lts antibiotic drip -No improvement-refer to hospital -Patient sensed imminent death-very ill. 3-31-08 Patient to undergo-Liver Biopsy, -Bone marrow same -still symptomatic 4-1-08.  4/8/08 Case closed w/records that accompanied report.   DX 11/21/07: UTI, dehydration, weakness Records reveal patient experienced nausea, diarrhea & fatigue x 5 days when seen in ER on 11/21/2007.  Had been dx w/UTI on 11/18/07 & was taking Cipro.  Had severe sweating & chills 11/20/07.   Returned to ER 11/27/2007 & admitted 11/27-11/29/2007.   DX 11/27/07: acute cholecystitis, hepatitis & sepsis. Presented w/nausea, vomiting, poor appetite, intermittent fevers, soaking night sweats, urinary incontinence, tender RUQ & epigastrum where liver easily palpable & tender.  Feeling unwell x 2 weeks.  Had significant weight loss over past year.   GI consult done & EGD/colonoscopy done.  Office notes from 12/12/2007-2/19/2008. PCP FINAL Dx: viral sepsis secondary to shingles vaccine. Records reveal repeat labs improved.  Exam on 12/27 WNL w/heart murmur.  PCP felt patient septic from shingles vaccine.  Started on megace to improve appetite 1/14/08 although clinically she felt much improved.
Age: 0.17
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Diarrhoea
Clinical narrative: Severe episode of diarrhea - lasting 10 days. This is in follow-up to report (s) previously sumbitted on 2/14/2008:with 3/4/2008 Information has been received from a physician concerning an 8-week-old male with no medical history or allergies who on 07-NOV-2007 was vaccinated with PO with the first dose of ROTATEQ(Lot #657519/1129U). Concomitant vaccinations administered on that same day included with first dose in the right thigh of PEDIARIX (Lot #AC218128AB), the first dose in the left thigh of ACTHIB (Lot #UF196AA) and the first dose in the left thigh of PREVNAR (B70743A). On 07-NOV-2007, the patient developed persistant severe diarrhea. No laboratory/diagnostic tests were performed as medical attention was not sought. On 16-NOV-2007, the patient recovered. Additional information is not expected.
Age: 1.0
Sex: F
Vaccine: HEPA, MMRV, PNC
Symptoms: Injection site urticaria
Clinical narrative: Patient's mother called the following week (5 days) post injections.  Patient developed hive on left thigh about 2-3 days after injection.  Patient also saw physician 1 day after injection and started Claritin at that time.  As of today hives were going away.
Age: 0.3
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Pyrexia, Swelling
Clinical narrative: Patient came in with fever and swelling on the right upper thigh after receiving immunization yesterday.
Age: 31.0
Sex: F
Vaccine: TDAP
Symptoms: Hypoaesthesia, Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Patient described red, warm, tender swollen area at injection site with numbness in fingers.  Went to urgent care and area without redness or warmth with minimal tenderness and intermittent numbness in finger.  Swelling mild.
Sex: U
Vaccine: TDAP
Symptoms: Paraesthesia
Clinical narrative: "Prickly" feelings on back upper, and chest area; comes and goes (periodic) lasts 5 minutes.  Had occurred 1 time 2 wks prior to shot.  More frequently post shot.  More with doing push-ups.
Age: 69.0
Sex: F
Vaccine: VARZOS
Symptoms: Erythema, Induration, Oedema peripheral, Pruritus, Skin warm
Clinical narrative: R arm red, swollen, hot to touch, hard, and itchy.
Age: 13.0
Sex: F
Vaccine: HEPA, HPV4
Symptoms: Injection site atrophy, Injection site erythema, Injection site induration
Clinical narrative: 2x1 cm area of erythema and dimpling of skin noted on R arm at site of vaccine injection.  Local skin atrophy.  This appeared 2-3 day of vaccines were given, no pain, no treatment given, observation done.
Age: 16.0
Sex: F
Vaccine: HEP, HPV4
Symptoms: Dyspnoea, Injection site erythema, Injection site swelling
Clinical narrative: Redness & swelling both injection sites, shortness of breath.  Difficulty taking deep breath.
Age: 42.0
Sex: F
Vaccine: TDAP
Symptoms: Glossodynia, Limb discomfort, Skin warm, Swollen tongue
Clinical narrative: Received vaccination 3-27-08; on 3-28-08 left arm sore and fevered; patient woke on 3-29-08 and states tongue swollen and sore, by day of report swelling had reduced, but continued to be sore.
Age: 11.0
Sex: M
Vaccine: HEPA, TDAP, VARCEL
Symptoms: Injection site pruritus, Injection site rash
Clinical narrative: About 1-2 hrs after receiving vaccines, R arm developed a rash to upper arm surrounding the injection site with a total area of about 5 inches.  States had itching the area.  Lasted about 2-3 days.  No fever reported.
Age: 13.0
Sex: F
Vaccine: FLUN3, HPV4
Symptoms: Swelling
Clinical narrative: Firm subcutaneous swelling, 1 cm. >one month after immunization
Age: 0.2
Sex: F
Vaccine: DTAP, IPV, PNC, RV5
Symptoms: Body temperature increased, Crying, Diet refusal
Clinical narrative: Infant began inconsolable crying 48 hours after receiving vaccine.  Crying accompanied by temperature 100-101 F.  Refusal to eat.  Crying evaluated in clinic 04-02-08.  No site illness.  Reaction determined to be from vaccines.
Age: 70.0
Sex: F
Vaccine: FLU3
Symptoms: Pain in extremity
Clinical narrative: Pain in arm of vaccine lasting months-has occurred in 07 and 06.
Age: 10.0
Sex: M
Vaccine: TDAP
Symptoms: Unevaluable event
Clinical narrative: None stated
Age: 14.0
Sex: F
Vaccine: TDAP
Symptoms: Erythema, Swelling, Tenderness
Clinical narrative: Redness, swelling slightly with tenderness
Age: 11.0
Sex: F
Vaccine: HEPA, HPV4, MNQ, TDAP
Symptoms: Injection site erythema, Injection site swelling, Injection site urticaria
Clinical narrative: Hives, minimal swelling and redness at site. Tylenol/or Ibuprofen ice 20 min max prn. pt's mom administered Benadryl to counter reaction.
Age: 66.0
Sex: M
Vaccine: VARZOS
Symptoms: Oral herpes
Clinical narrative: Cold sore spread from right to left nostril, circular around nostril instead of bump.  Today 4/3/08 still have it but getting better.
Age: 16.0
Sex: F
Vaccine: HPV4
Symptoms: Convulsion, Loss of consciousness
Clinical narrative: 04-02-08 MA administered GARDASIL vaccine.  Patient lost consciousness.  She was lowered to the floor and immediately regained consciousness.  SBP112.  She was retained at the office for 15 minutes.  Then released to home with grandmother.  (Seizure type reaction with LOC).
Age: 15.0
Sex: F
Vaccine: HPV4
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: Given past 4 month interval
Age: 10.0
Sex: F
Vaccine: MNQ, TDAP, VARCEL
Symptoms: Inappropriate schedule of drug administration, Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Redness and swelling on left upper arm, lateral aspect, about 2 inches in diameter, warm to touch.
Age: 7.0
Sex: M
Vaccine: VARCEL
Symptoms: Eye swelling
Clinical narrative: PERIORBITAL SWELLING (FAMILY HISTORY OF PERIORBITAL SWELLING WITH CERTAIN CERTAIN MEDICATIONS & PRESERVATIVES).
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Cellulitis, Injection site swelling, Injection site warmth
Clinical narrative: Received DtaP, MMR AND IPOL on 4/2/08.  On 4/3/08 woke up with left arm warm, hot, and swollen.  Seen in our office on 4/3/08 and diagnosed with Early Cellulitis left arm s/p DtaP & IPOL immunization.
Age: 0.33
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Culture stool negative, Haematochezia
Clinical narrative: Child developed blood in the stools a day after administration of the rotavirus vaccine.
Age: 1.0
Sex: F
Vaccine: DTAPH, HEPA, MMR, PNC, VARCEL, DTAPH, HEPA, MMR, PNC, VARCEL
Symptoms: Injection site rash, Injection site streaking, Rash maculo-papular
Clinical narrative: child noted to have red maculopapular rash to left cheek and neck and around injection site (L)arm 5 minutes past immunization.  Also, few whelps around injection site(L)arm.  Baby evaluated per B. Nail, FNP.  Benadry 1 1/2 tsp PO given.  20 minutes after Benadryl rash faded.
Age: 1.0
Sex: F
Vaccine: DTAPH, HEPA, MMR, PNC, VARCEL, DTAPH, HEPA, MMR, PNC, VARCEL
Symptoms: Injection site erythema, Injection site rash, Injection site reaction, Rash erythematous, Rash maculo-papular
Clinical narrative: child noted to have red maculopapular rash to left cheek and neck and around injection site (L)arm 5 minutes past immunization.  Also, few whelps around injection site(L)arm.  Baby evaluated per B. Nail, FNP.  Benadry 1 1/2 tsp PO given.  20 minutes after Benadryl rash faded.
Age: 1.0
Sex: F
Vaccine: DTAPH, HEPA, MMR, PNC, VARCEL, DTAPH, HEPA, MMR, PNC, VARCEL
Symptoms: Urticaria
Clinical narrative: child noted to have red maculopapular rash to left cheek and neck and around injection site (L)arm 5 minutes past immunization.  Also, few whelps around injection site(L)arm.  Baby evaluated per B. Nail, FNP.  Benadry 1 1/2 tsp PO given.  20 minutes after Benadryl rash faded.
Age: 1.39
Sex: M
Vaccine: DTAP, HEPA, IPV, MMRV
Symptoms: Abnormal behaviour, Autism, Childhood disintegrative disorder, Disturbance in attention, Fear
Clinical narrative: My son has Autism. He started experiencing these symptoms shortly after his Vaccinations on March 23, 2007.  He stopped talking, singing, dancing, stopped making eye contact, stopped playing with his sisters and peers, he started flapping his arms and turning in circles all the time. He became deathly afraid of his bathtime. Before his vaccinations he loved his bathtime. He became obsessed with hair and started pulling out my hair and his sisters hair and then flossing with it. He pulls his own hair. He is getting hearing and speech evaluations. He is attending therapy at a Autism Institute.  04/15/2008 MR received from PCP for 15 month WCC 3/23/2007 and 2 yr WCC 4/01/08. Normal development noted at 15 month check.  All milestones met except unable to point to body parts.  At 2 yr WCC developmental abnormalities noted; no talking, unresponsive to voices, doesn't interact with others, hand wringing, running in circles, throwing things and does not point to objects. C/w Autism.  Refered for eval. My son stopped talking after receiving these vaccines (listed above on 3/23/2007). (He was saying 15-30 words adn 2-3 word sentenced prior to vaccines). He stopped responding to us or anybody else. He stopped responding to verbal comands. He became afraid of his bath time (which he used to love, same when we go to the pool, he is scared, used to love it). He developed transition problems. He is scared of loud noised example toilet flushing, hand drying machines in public rest rooms. Has been observed and the results put him at a level of the youngest a 3-6 month old and the oldest a nine month old. My son stims on an everyday basis. My husband and myself watched our son's slate get wiped dry after his vaccination on 3-23-07. Everyday is a struggle for our son. It is very frustrating for him not to be able to talk especially when he used to talk. To tell us what he needs or wants is a frustrating challenge for him and us. I can't go anywhere unless I have my husband (or another adult) with me to help with my son so that my 3 other children will be supervised also. I can't even go outside with my children unless another adult is present because autistic children have no sense of danger and will just take off and could run into the street. Going to church is a struggle. Once my son turns 3 he will not have a nursery to go to at the church and he is unable to sit in one place for that long. My son's autism effects his life and his families life daily. There is no cure, he will not recover. The damage has been done.
Age: 1.39
Sex: M
Vaccine: DTAP, HEPA, IPV, MMRV
Symptoms: Social avoidant behaviour, Speech disorder developmental
Clinical narrative: My son has Autism. He started experiencing these symptoms shortly after his Vaccinations on March 23, 2007.  He stopped talking, singing, dancing, stopped making eye contact, stopped playing with his sisters and peers, he started flapping his arms and turning in circles all the time. He became deathly afraid of his bathtime. Before his vaccinations he loved his bathtime. He became obsessed with hair and started pulling out my hair and his sisters hair and then flossing with it. He pulls his own hair. He is getting hearing and speech evaluations. He is attending therapy at a Autism Institute.  04/15/2008 MR received from PCP for 15 month WCC 3/23/2007 and 2 yr WCC 4/01/08. Normal development noted at 15 month check.  All milestones met except unable to point to body parts.  At 2 yr WCC developmental abnormalities noted; no talking, unresponsive to voices, doesn't interact with others, hand wringing, running in circles, throwing things and does not point to objects. C/w Autism.  Refered for eval. My son stopped talking after receiving these vaccines (listed above on 3/23/2007). (He was saying 15-30 words adn 2-3 word sentenced prior to vaccines). He stopped responding to us or anybody else. He stopped responding to verbal comands. He became afraid of his bath time (which he used to love, same when we go to the pool, he is scared, used to love it). He developed transition problems. He is scared of loud noised example toilet flushing, hand drying machines in public rest rooms. Has been observed and the results put him at a level of the youngest a 3-6 month old and the oldest a nine month old. My son stims on an everyday basis. My husband and myself watched our son's slate get wiped dry after his vaccination on 3-23-07. Everyday is a struggle for our son. It is very frustrating for him not to be able to talk especially when he used to talk. To tell us what he needs or wants is a frustrating challenge for him and us. I can't go anywhere unless I have my husband (or another adult) with me to help with my son so that my 3 other children will be supervised also. I can't even go outside with my children unless another adult is present because autistic children have no sense of danger and will just take off and could run into the street. Going to church is a struggle. Once my son turns 3 he will not have a nursery to go to at the church and he is unable to sit in one place for that long. My son's autism effects his life and his families life daily. There is no cure, he will not recover. The damage has been done.
Age: 12.0
Sex: F
Vaccine: HPV4, VARCEL
Symptoms: Erythema, Local reaction, Oedema, Pruritus
Clinical narrative: LOCAL REACTION R ARM W/REDNESS, ITCHINESS, ERYTHEMA/EDEMA AROUND SITE PATIENT LOOKS WELL NO FEVER NO CHILLS, DYSPIRGIA.
Age: 0.18
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC, RV5
Symptoms: Diarrhoea, Frequent bowel movements, Full blood count normal, Irritability, Lymphocyte percentage increased
Clinical narrative: Irritability, Frequent loose stools 10-12 times per day and poor sleeping with onset 6 hours after vaccine dose and persistent for at least 3 days.  4/8/08 spoke to Nurse -pt has loose stools (no blood or muccus) and is vomiting more than usual; no fever; no ER or hospital stay.
Age: 0.18
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC, RV5
Symptoms: Sleep disorder, White blood cell count
Clinical narrative: Irritability, Frequent loose stools 10-12 times per day and poor sleeping with onset 6 hours after vaccine dose and persistent for at least 3 days.  4/8/08 spoke to Nurse -pt has loose stools (no blood or muccus) and is vomiting more than usual; no fever; no ER or hospital stay.
Age: 53.0
Sex: M
Vaccine: DT
Symptoms: Rash, Urticaria
Clinical narrative: Pt c/o rash and hive during office visit. Per NP, pt had no SOB, respiratory distress, chest pain of fever. Pt. received no treatment since syptoms were improving. Also, pt declined antihistamine at the time.
Age: 12.0
Sex: F
Vaccine: HPV4, MNQ, TDAP, VARCEL
Symptoms: Facial palsy
Clinical narrative: VACCINES GIVEN ON 3/26/2008. (MENACTRA, VARIVAX, ADACEL, GARDASIL.  Patient Presented with Bells Palsy to ED on 3-29-08.  Treated with Acyclovir and Prednisone.  4/22/08 Reviewed ER medical records from PCP of 3/29/08. FINAL DX: Bell's Palsy Records reveal patient experienced left facial droop & numbness, HA, & unable to wrinkle forehead x 1 day.  Tx w/antiviral, steroids, eye ointment & taping.
Age: 84.0
Sex: F
Vaccine: PPV
Symptoms: Erythema, Fatigue, Local reaction, Myalgia, Skin warm
Clinical narrative: Severe local reaction left arm diffusely tender, red, warm, edematous down to forearm.  Slight swelling of neck/throat.  Patient Afebrile but with myalgias, fatigue.
Age: 84.0
Sex: F
Vaccine: PPV
Symptoms: Swelling, Tenderness
Clinical narrative: Severe local reaction left arm diffusely tender, red, warm, edematous down to forearm.  Slight swelling of neck/throat.  Patient Afebrile but with myalgias, fatigue.
Age: 29.0
Sex: F
Vaccine: ANTH, HEP, HEPA, SMALL, TYP
Symptoms: Amnesia, Decreased appetite, Disorientation, Disturbance in attention, Dizziness
Clinical narrative: I felt nauseated, lightheaded and had an odd pain in my head which began soon after the vaccinations. I couldn't focus my eyes on anything slightly bright for longer than a few seconds. Later that night my eyesight became blurry and everything looked 'gummy' and saw tracers. Turning my head too much to either side made the head pain worse. The next day I went to work and the lights in the office and my computer were making me nauseated and I nearly vomited on several occasions. I wasn't able to eat anything for lunch. I left work early that afternoon and went to the emergency room. I was prescribed some Motrin and nausea medication and given 24-hour quarters. The next day I slept most of the day, because I felt horrible and it hurt my eyes to watch tv. Everything looked 'swirly' and I had trouble with short-term memory loss. I randomly walked across a busy street and was nearly hit by a car. I was afraid to drive while this was affecting me, things just looked weird. The symptoms slowly decreased over the course of the next 2 weeks. During that time, I felt very disoriented and lightheaded, very tired, and my eyes were not normal.
Age: 29.0
Sex: F
Vaccine: ANTH, HEP, HEPA, SMALL, TYP
Symptoms: Feeling abnormal, Headache, Impaired driving ability, Nausea, Somnolence
Clinical narrative: I felt nauseated, lightheaded and had an odd pain in my head which began soon after the vaccinations. I couldn't focus my eyes on anything slightly bright for longer than a few seconds. Later that night my eyesight became blurry and everything looked 'gummy' and saw tracers. Turning my head too much to either side made the head pain worse. The next day I went to work and the lights in the office and my computer were making me nauseated and I nearly vomited on several occasions. I wasn't able to eat anything for lunch. I left work early that afternoon and went to the emergency room. I was prescribed some Motrin and nausea medication and given 24-hour quarters. The next day I slept most of the day, because I felt horrible and it hurt my eyes to watch tv. Everything looked 'swirly' and I had trouble with short-term memory loss. I randomly walked across a busy street and was nearly hit by a car. I was afraid to drive while this was affecting me, things just looked weird. The symptoms slowly decreased over the course of the next 2 weeks. During that time, I felt very disoriented and lightheaded, very tired, and my eyes were not normal.
Age: 29.0
Sex: F
Vaccine: ANTH, HEP, HEPA, SMALL, TYP
Symptoms: Vision blurred
Clinical narrative: I felt nauseated, lightheaded and had an odd pain in my head which began soon after the vaccinations. I couldn't focus my eyes on anything slightly bright for longer than a few seconds. Later that night my eyesight became blurry and everything looked 'gummy' and saw tracers. Turning my head too much to either side made the head pain worse. The next day I went to work and the lights in the office and my computer were making me nauseated and I nearly vomited on several occasions. I wasn't able to eat anything for lunch. I left work early that afternoon and went to the emergency room. I was prescribed some Motrin and nausea medication and given 24-hour quarters. The next day I slept most of the day, because I felt horrible and it hurt my eyes to watch tv. Everything looked 'swirly' and I had trouble with short-term memory loss. I randomly walked across a busy street and was nearly hit by a car. I was afraid to drive while this was affecting me, things just looked weird. The symptoms slowly decreased over the course of the next 2 weeks. During that time, I felt very disoriented and lightheaded, very tired, and my eyes were not normal.
Age: 0.18
Sex: F
Vaccine: DTAPHEPBIP, HIBV, RV5
Symptoms: Irritability, Rash erythematous, Rash papular
Clinical narrative: Red spots slightly raised on body increased after several hours.  Fussy for 1 hour after shots & oral suspension.
Age: 0.2
Sex: M
Vaccine: RV5
Symptoms: Diarrhoea
Clinical narrative: Diarrhea approximately 4-6 PM 1 day x 2 wks after 1st ROTATEQ.  Resolved without treatment.
Age: 16.0
Sex: F
Vaccine: HPV4
Symptoms: Blood pressure, Cyanosis, Dizziness, Fatigue, Flushing
Clinical narrative: Within 5 minutes of vaccine administration, patient felt lightheaded, went pale and suffered low BP.  Within 15 minutes she recovered after ice pack to head, salty fluid and lying down. Recheck BP improved.  2 hours later-she got flushed & lightheaded again at school, bluish, reseen by MD-fine now with N BP.  Fatigued only.
Age: 16.0
Sex: F
Vaccine: HPV4
Symptoms: Haemoglobin increased, Hypotension, Immediate post-injection reaction, Pallor
Clinical narrative: Within 5 minutes of vaccine administration, patient felt lightheaded, went pale and suffered low BP.  Within 15 minutes she recovered after ice pack to head, salty fluid and lying down. Recheck BP improved.  2 hours later-she got flushed & lightheaded again at school, bluish, reseen by MD-fine now with N BP.  Fatigued only.
Age: 4.0
Sex: M
Vaccine: DTAPHEPBIP, MMRV
Symptoms: C-reactive protein, Full blood count, Local reaction, Skin exfoliation, Streptococcal identification test
Clinical narrative: Hives at day 3 (with large local reaction desquamation of both thumbs and continues large local Rxn (R) thigh at 2 wks).
Age: 4.0
Sex: M
Vaccine: DTAPHEPBIP, MMRV
Symptoms: Urticaria
Clinical narrative: Hives at day 3 (with large local reaction desquamation of both thumbs and continues large local Rxn (R) thigh at 2 wks).
Age: 85.0
Sex: M
Vaccine: VARZOS, VARZOS, VARZOS, VARZOS
Symptoms: Eye swelling, Rash, Scab
Clinical narrative: Very swollen Rt eye and also later left eye. Red spots on forehead and rash - then scabs. ON chest, back and lips. Rx 3-28-08 Erythromycin ophthalmic ointment. Rx 3-29-08 Famcyclovir 500 mg TID.
Age: 85.0
Sex: M
Vaccine: VARZOS, VARZOS, VARZOS, VARZOS
Symptoms: Erythema, Eye swelling, Scab
Clinical narrative: Very swollen Rt eye and also later left eye. Red spots on forehead and rash - then scabs. ON chest, back and lips. Rx 3-28-08 Erythromycin ophthalmic ointment. Rx 3-29-08 Famcyclovir 500 mg TID.
Age: 85.0
Sex: M
Vaccine: VARZOS, VARZOS, VARZOS, VARZOS
Symptoms: Herpes zoster, Pain, Rash, Rash erythematous
Clinical narrative: Very swollen Rt eye and also later left eye. Red spots on forehead and rash - then scabs. ON chest, back and lips. Rx 3-28-08 Erythromycin ophthalmic ointment. Rx 3-29-08 Famcyclovir 500 mg TID.
Age: 85.0
Sex: M
Vaccine: VARZOS, VARZOS, VARZOS, VARZOS
Symptoms: Erythema, Eye swelling, Herpes zoster, Scab
Clinical narrative: Very swollen Rt eye and also later left eye. Red spots on forehead and rash - then scabs. ON chest, back and lips. Rx 3-28-08 Erythromycin ophthalmic ointment. Rx 3-29-08 Famcyclovir 500 mg TID.
Age: 12.0
Sex: F
Vaccine: HPV4, TDAP
Symptoms: Rash erythematous, Rash papular, Rash pruritic
Clinical narrative: 11 y/o WF dependent daughter developed fine erythemic pruritic papular rash on neck, chest and abdomen 72 hours after receipt of primary Gardasil vaccine and Tdap both given in right deltoid on afternoon of 03/05/08. Denies fever or malaise in temporal association with receipt of vaccines.
Age: 53.0
Sex: F
Vaccine: TDAP
Symptoms: Erythema, Feeling hot, Injection site erythema, Injection site swelling, Pain
Clinical narrative: Baseball sized, red, raised area at site of injection with several red, warm to touch areas down arm.  Achy with fever for 3-4 days, tremors, high level of discomfort in arm.
Age: 53.0
Sex: F
Vaccine: TDAP
Symptoms: Pain in extremity, Pyrexia
Clinical narrative: Baseball sized, red, raised area at site of injection with several red, warm to touch areas down arm.  Achy with fever for 3-4 days, tremors, high level of discomfort in arm.
Age: 4.0
Sex: F
Vaccine: DTAP, FLU3, IPV, MMR, VARCEL
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: Hep A # 2 was given prior to recommended 6 mos interval for booster. The patient is stable. The mother is aware of incorrect administration.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Cellulitis, Injection site erythema, Injection site pain, Injection site warmth
Clinical narrative: 3x4" red, hot to touch, tenderness around injection site on right upper thigh. Dx cellulitis treating with antibiotics and antihistamines.
Age: 61.0
Sex: F
Vaccine: PPV
Symptoms: Type III immune complex mediated reaction
Clinical narrative: Arthus reaction arm at injection - Gave Tylenol and hot packs.
Age: 81.0
Sex: F
Vaccine: PPV
Symptoms: Type III immune complex mediated reaction
Clinical narrative: Arthus reaction arm at injection. Tylenol and hot packs.
Age: 2.0
Sex: M
Vaccine: HEPA
Symptoms: Urticaria
Clinical narrative: Received vaccine 4/1/08 - around 1 AM 4/2/08 family noted pt awake - starting to have hives - no resp distress. Seen in office 4/2/08 for evaluation. Prelone given for rxn with Benadryl.
Age: 31.0
Sex: F
Vaccine: HEP
Symptoms: Pruritus, Urticaria
Clinical narrative: Client received both a Hep B adult vaccine #3 and PPD skin test at around 9 am.  Client called and stated "I am broke out in itchy welts."  Advised client to go see PMD or to ER.  Client verbalized under standing.
Age: 0.5
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Crying, Irritability, Pyrexia
Clinical narrative: Parents state baby cried and stayed fussy ever since shots were given - could not console - ran fever of 102 at home - was 103.4.  Right in office day after shots were given - was 98.4 before shots were given.
Age: 0.3
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Irritability, Pyrexia
Clinical narrative: Fever 100.8, fussy.
Age: 1.4
Sex: M
Vaccine: DTAP, VARCEL
Symptoms: Erythema, Oedema peripheral
Clinical narrative: Swelling and redness on (L) thigh.
Age: 9.0
Sex: M
Vaccine: VARCEL
Symptoms: Erythema, Feeling hot
Clinical narrative: 5cm x 3 1/2cm erythema.  11cm x 10cm lighter erythema.  Warm to touch.  SQ - right upper arm.
Age: 5.0
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Erythema, Tenderness
Clinical narrative: 8 1/2 cm x 9 cm erythema - tender Rt back upper arm.
Age: 9.0
Sex: F
Vaccine: VARCEL
Symptoms: Cellulitis, Erythema, Feeling hot
Clinical narrative: 3-28-08 10 x 8 cm erythema - increased warmth - edema started on Augmentin 875mg BID 10 days.  3-29-08 - Cellulitis improving.
Age: 10.0
Sex: F
Vaccine: VARCEL, VARCEL
Symptoms: Cellulitis, Erythema, Hyperaesthesia, Oedema, Skin warm
Clinical narrative: 7-10 1/2 cm erythema with increased warmth - circle, sl. edema and tenderness to touch. Was put on Augmentin 875mg BID 10 days. 3/28/08 Cellulitis improved.
Age: 10.0
Sex: F
Vaccine: VARCEL, VARCEL
Symptoms: Injection site erythema, Injection site oedema, Injection site pain, Injection site warmth
Clinical narrative: 7-10 1/2 cm erythema with increased warmth - circle, sl. edema and tenderness to touch. Was put on Augmentin 875mg BID 10 days. 3/28/08 Cellulitis improved.
Age: 64.0
Sex: F
Vaccine: TD
Symptoms: Erythema, Tenderness
Clinical narrative: Redness, slight tenderness to left arm.
Age: 1.5
Sex: M
Vaccine: HEPA
Symptoms: Pyrexia, Vomiting
Clinical narrative: Vomiting and 102 temp spike on way home after immunization.
Age: 14.0
Sex: M
Vaccine: DTAP
Symptoms: No adverse event
Clinical narrative: Time course DTaP given 11/28/07 and 3/17/08.  There were no adverse reactions noted.
Age: 1.0
Sex: F
Vaccine: HEPA, PPV
Symptoms: Vomiting
Clinical narrative: Five episodes of vomiting within a 2-hour time period. Onset approx. 5 hours after vaccines given. No fever, no diarrhea; no concurrent illness. No treatment administered - self-limited episode.
Age: 18.0
Sex: M
Vaccine: VARCEL
Symptoms: Discomfort, Ecchymosis, Pyrexia
Clinical narrative: Pt presented to student health for Varivax #2 today. He stated that he had a low grade fever, ecchymosis, and swelling and generalized feeling of discomfort x 2 weeks after Varivax #1 given on 02-27-08. Varivax #2 not given today.
Age: 1.5
Sex: M
Vaccine: DTAP, MMR
Symptoms: Skin nodule
Clinical narrative: Mom phoned today and had been 1 wk since receiving vaccines. Now still has a knot, no redness, no heat, no pain.
Age: 5.0
Sex: M
Vaccine: DTAP, MMR
Symptoms: Cellulitis, Erythema, Induration, Insomnia, Musculoskeletal pain
Clinical narrative: Pt had c/o pain in shoulder on day of administration and had difficulty sleeping. Day after imm., had 8 x 11 cm area warm, erythema, firm. ? Cellulitis.
Age: 5.0
Sex: M
Vaccine: DTAP, MMR
Symptoms: Skin warm
Clinical narrative: Pt had c/o pain in shoulder on day of administration and had difficulty sleeping. Day after imm., had 8 x 11 cm area warm, erythema, firm. ? Cellulitis.
Age: 1.3
Sex: M
Vaccine: DTAP, HIBV
Symptoms: Injection site atrophy, Injection site calcification, Injection site induration, Injection site mass
Clinical narrative: Patient has a hard lump and a indentation at the injection site.
Age: 66.0
Sex: F
Vaccine: TD
Symptoms: Erythema, Oedema peripheral, Skin warm
Clinical narrative: Pt reports red/swelling 3/27/8/ - left upper arm (lateral, given subcutaneous mid humerus) pin point noted with large area of redness/warmth, N/V intact, ROM intact. Outlined with pen. Given script for Keflex 3/26/08 - has not filled yet. Advised to fill script and apply warm packs frequently - monitor redness.
Age: 20.0
Sex: F
Vaccine: TTOX
Symptoms: Asthenia, Vomiting
Clinical narrative: Donor stated she felt weakness at approximately 1900 on 03/18/08 at approximately midnight of the same day she stated she vomited and felt fine afterward.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: swelling, pain, redness (L) thigh and knee within 24 hrs of vaccine administration.
Age: 9.0
Sex: F
Vaccine: VARCEL
Symptoms: Erythema, Oedema peripheral, Skin warm
Clinical narrative: Large area upper left arm, raised, warm, central reddened - clear d/c - no nodes.
Age: 1.8
Sex: M
Vaccine: DTAP
Symptoms: Rash macular
Clinical narrative: Widespread "blotchy" rash
Age: 56.0
Sex: M
Vaccine: MMR
Symptoms: Arthralgia, Erythema, Headache, Joint swelling, Musculoskeletal stiffness
Clinical narrative: Received MMR vaccine 3/4/08, started having night sweats, leg achiness and headaches week of 3/9/08. 3/13/08 Flat red rash over anterior and posterior trunk and both arms with mild itchiness. Rash gone in 4 days. 3/14/08 Increase in arthralgia with swollen hands and wrists with stiffness and pain, also hips and legs painful at joints. 4/1/08 Arthritis milder but headaches have been frequent and severe. Arthritis and H.A. persists at time of this report.
Age: 56.0
Sex: M
Vaccine: MMR
Symptoms: Night sweats, Oedema peripheral, Pain, Pain in extremity, Pruritus
Clinical narrative: Received MMR vaccine 3/4/08, started having night sweats, leg achiness and headaches week of 3/9/08. 3/13/08 Flat red rash over anterior and posterior trunk and both arms with mild itchiness. Rash gone in 4 days. 3/14/08 Increase in arthralgia with swollen hands and wrists with stiffness and pain, also hips and legs painful at joints. 4/1/08 Arthritis milder but headaches have been frequent and severe. Arthritis and H.A. persists at time of this report.
Age: 56.0
Sex: M
Vaccine: MMR
Symptoms: Rash, Rubella antibody negative
Clinical narrative: Received MMR vaccine 3/4/08, started having night sweats, leg achiness and headaches week of 3/9/08. 3/13/08 Flat red rash over anterior and posterior trunk and both arms with mild itchiness. Rash gone in 4 days. 3/14/08 Increase in arthralgia with swollen hands and wrists with stiffness and pain, also hips and legs painful at joints. 4/1/08 Arthritis milder but headaches have been frequent and severe. Arthritis and H.A. persists at time of this report.
Age: 25.0
Sex: M
Vaccine: HEP
Symptoms: Unevaluable event
Clinical narrative: None stated
Age: 39.0
Sex: M
Vaccine: TTOX
Symptoms: Hypokinesia, Insomnia, Nausea, Pain in extremity, Swelling
Clinical narrative: I got a routine tetanus shot as part of general check-up.  The first day after the shot I was fine, but by evening time and in the two days that followed, my arm has been in pretty extreme pain.  It's been getting worse.  I can hardly lift my arm at all and can reach barely my mid chest.  I am unable to sleep because every moment I make hurts.  It's swollen and very hard to feel.  Last night I even had a nausea attack and almost vomited.  I have not vomited in many many years.  I'm waiting for the pain to subside.
Age: 7.0
Sex: M
Vaccine: VARCEL
Symptoms: Varicella
Clinical narrative: Pt received varicella vaccine and booster and today presents with chicken pox rash (no fever) with >50 lesions.
Age: 1.0
Sex: F
Vaccine: HIBV, MEN, VARCEL
Symptoms: Abnormal behaviour, Blood test, Culture urine, Irritability, Pyrexia
Clinical narrative: 102-105 fever within 3 hours of shots. Cranky, sleepy, not eating or playing. This has continue for 3 days. Took her to E.R. about 48 hours after shots for 105.1 (Rectal) fever. Did blood and urine tests, negative. Blood and urine culture are pending. DR's do not think the fever is vaccine related, but unable to determine cause.
Age: 1.0
Sex: F
Vaccine: HIBV, MEN, VARCEL
Symptoms: Somnolence
Clinical narrative: 102-105 fever within 3 hours of shots. Cranky, sleepy, not eating or playing. This has continue for 3 days. Took her to E.R. about 48 hours after shots for 105.1 (Rectal) fever. Did blood and urine tests, negative. Blood and urine culture are pending. DR's do not think the fever is vaccine related, but unable to determine cause.
Age: 1.29
Sex: F
Vaccine: MMR
Symptoms: Abnormal behaviour, Anorexia, Blood culture, Chest X-ray, Convulsion
Clinical narrative: Received MMR shot on 3/28/08, perfectly healthy with no problems prior to that date.  On 3/31/08 patient stopped eating, drinking & was fussy.  Morning of 4/1 she awoke with a high temp we were treating with ibuprofen.  She was very uncomfortable & cried most of the day - still not eating or drinking, although she would reach for food.  She was sitting on my lap crying (reaching for food then pushing it away) right before 7 pm when she made a gurgling noise, then slumped over and began seizing.  Her eyes went blank, her body shaking, gurgling noises, saliva bubbles from her mouth, she turned blue and was unresponsive for just under 5 minutes.  She was taken by ambulance to Medical Center where they ran some tests & treated her for febrile seizure & dehydration.
Age: 1.29
Sex: F
Vaccine: MMR
Symptoms: Crying, Culture, Culture urine, Cyanosis, Dehydration
Clinical narrative: Received MMR shot on 3/28/08, perfectly healthy with no problems prior to that date.  On 3/31/08 patient stopped eating, drinking & was fussy.  Morning of 4/1 she awoke with a high temp we were treating with ibuprofen.  She was very uncomfortable & cried most of the day - still not eating or drinking, although she would reach for food.  She was sitting on my lap crying (reaching for food then pushing it away) right before 7 pm when she made a gurgling noise, then slumped over and began seizing.  Her eyes went blank, her body shaking, gurgling noises, saliva bubbles from her mouth, she turned blue and was unresponsive for just under 5 minutes.  She was taken by ambulance to Medical Center where they ran some tests & treated her for febrile seizure & dehydration.
Age: 1.29
Sex: F
Vaccine: MMR
Symptoms: Discomfort, Irritability, Laboratory test, Staring, Unresponsive to stimuli
Clinical narrative: Received MMR shot on 3/28/08, perfectly healthy with no problems prior to that date.  On 3/31/08 patient stopped eating, drinking & was fussy.  Morning of 4/1 she awoke with a high temp we were treating with ibuprofen.  She was very uncomfortable & cried most of the day - still not eating or drinking, although she would reach for food.  She was sitting on my lap crying (reaching for food then pushing it away) right before 7 pm when she made a gurgling noise, then slumped over and began seizing.  Her eyes went blank, her body shaking, gurgling noises, saliva bubbles from her mouth, she turned blue and was unresponsive for just under 5 minutes.  She was taken by ambulance to Medical Center where they ran some tests & treated her for febrile seizure & dehydration.
Age: 34.0
Sex: F
Vaccine: TDAP
Symptoms: Fatigue, Hypoaesthesia, Malaise
Clinical narrative: Member received TDap at approximately 1000 hrs in her left arm on 5 Apr 08 - she reported that her arm is numb (started today 6 Apr 08.)  She also stated she was very tired yesterday and that since receiving the shot she has not felt well.
Age: 71.0
Sex: F
Vaccine: FLUX, PPV
Symptoms: Dyspnoea, Erythema, Hypersomnia, Influenza like illness, Oedema peripheral
Clinical narrative: Severe pain in arm, swelling and severe redness from shoulder to elbow, hot to the touch.  Fever, flu-like symptoms (aches), and trouble breathing.  This lasted for over 24 hours.  Slept a good portion of the next day.
Age: 71.0
Sex: F
Vaccine: FLUX, PPV
Symptoms: Pain in extremity, Pyrexia, Skin warm
Clinical narrative: Severe pain in arm, swelling and severe redness from shoulder to elbow, hot to the touch.  Fever, flu-like symptoms (aches), and trouble breathing.  This lasted for over 24 hours.  Slept a good portion of the next day.
Age: 6.0
Sex: F
Vaccine: TYP
Symptoms: Dizziness, Influenza like illness, Vomiting
Clinical narrative: Vomiting, Dizziness, "Flu Like" symptoms.
Age: 25.0
Sex: M
Vaccine: FLU3, HEP, HEPA
Symptoms: Chest discomfort, Cough, Dyspnoea, Malaise, Sleep disorder
Clinical narrative: 12:45 Received Hep B, Hep. A and Flu vaccine. Returned to immunization area approx. 1 1/2 - 2 hours later c/o SOB, coughing, chest tightness. States feeling ill x 2 days, was not able to sleep last night due to coughing. B/P 126/78, P 100, R 22, T 97.8.
Age: 60.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site rash
Clinical narrative: Information has been received from a pharmacist concerning a 61 female who on 22-FEB-2007 was vaccinated with a 0.65 ml. subcutaneous dose of Zostavax (Oka/Merck).  On an unspecified date, the patient developed an injection site rash after she received the vaccine.  Treatment date was reported as 26-FEB-2007.  Treatment and current patient status was not reported.  At the time of this report, the reporter felt that VZV Analysis by PCR was not necessary because there was no current rash.  A product quality complaint was not reported.  Additional information has been requested.
Age: 10.0
Sex: M
Vaccine: HEPA, VARCEL
Symptoms: Erythema, Feeling hot
Clinical narrative: Right upper arm 5 1/2 in x 4 1/2 in area of warmth/erythema (deltoid area).  Cool compresses and Motrin.
Age: 88.0
Sex: F
Vaccine: PPV
Symptoms: Blood culture negative, Blood pressure, Body temperature, Burning sensation, Cellulitis
Clinical narrative: Information has been received from a physician concerning an 88 year old white female patient, nonsmoker, with allergies to Ibuprofen and aspirin, asthma, hypothyroidism, questionable congestive heart failure, hypertension, gastro-esophageal reflux disease, generalised arthritis, hard of hearing, anxiety and a surgical history included tonsillectomy and a right hip replacement, who on 07-NOV-2007 at 8:30 AM was vaccinated intramuscularly with a first dose of PNEUMOVAX (Lot #658673/0990U).  Concomitant therapy included lorazepam (ATIVAN), one tablet at hour of sleep.  The physician stated that the patient's arm "looked horrible."  On 10-NOV-2007 she presented to the emergency room complaining of left upper arm redness, swelling, pain and discoloration after receiving the pneumonia shot.  The left upper arm was discolored, reddish, purple on the posterior aspect with swelling noted at the elbow.  Discoloration extends up to the axilla and is warm to touch.  The patient reports taking lorazepam (ATIVAN) at home - supposed to take one tablet at hour of sleep (QHS), but "needs it more often," and takes it more often than ordered.  It was also reported that the patient didn't sleep well.  The patient was treated with intravenous antibiotics and levofloxacin (LEVAQUIN) 500 mg at 10:10.  The patient complained of feeling "very nervous," and was given lorazepam (ATIVAN) 0.5 mg orally at 10:50.  The patient was also treated with atenolol, furosimide (LASIX), potassium chloride (MICRO K LOW) and synthroid.  Diagnostic laboratory studies included blood cultures indicating no growth at 6 days, white blood count 5.8 (4.0-10.5 K/uL), red blood cell count 4.06 (4.20-5.40 M/uL), mean corpuscular hemoglobin 33.3 (27-31 pg), lymphocyte count 19.6 (25-45%).  Subsequently, the patient recovered.  Discharge instructions were given to the patient to return to the emergency room on 11-NOV-2007 and 12-NOV-2007 for intravenous levofloxacin (LEVAQUIN) and recheck.  The patient will also take diphenhydramine hydrochloride (BENADRYL) at bedtime for sleep.  No product quality complaint was involved.  Left upper arm cellulitis and large bruise were considered to be other medically important events.  The patient also experienced burning soles of her feet and feeling nervous.  Additional information has been requested.  All medical records are available upon request.
Age: 88.0
Sex: F
Vaccine: PPV
Symptoms: Contusion, Erythema, Feeling hot, Heart rate, Lymphocyte count decreased
Clinical narrative: Information has been received from a physician concerning an 88 year old white female patient, nonsmoker, with allergies to Ibuprofen and aspirin, asthma, hypothyroidism, questionable congestive heart failure, hypertension, gastro-esophageal reflux disease, generalised arthritis, hard of hearing, anxiety and a surgical history included tonsillectomy and a right hip replacement, who on 07-NOV-2007 at 8:30 AM was vaccinated intramuscularly with a first dose of PNEUMOVAX (Lot #658673/0990U).  Concomitant therapy included lorazepam (ATIVAN), one tablet at hour of sleep.  The physician stated that the patient's arm "looked horrible."  On 10-NOV-2007 she presented to the emergency room complaining of left upper arm redness, swelling, pain and discoloration after receiving the pneumonia shot.  The left upper arm was discolored, reddish, purple on the posterior aspect with swelling noted at the elbow.  Discoloration extends up to the axilla and is warm to touch.  The patient reports taking lorazepam (ATIVAN) at home - supposed to take one tablet at hour of sleep (QHS), but "needs it more often," and takes it more often than ordered.  It was also reported that the patient didn't sleep well.  The patient was treated with intravenous antibiotics and levofloxacin (LEVAQUIN) 500 mg at 10:10.  The patient complained of feeling "very nervous," and was given lorazepam (ATIVAN) 0.5 mg orally at 10:50.  The patient was also treated with atenolol, furosimide (LASIX), potassium chloride (MICRO K LOW) and synthroid.  Diagnostic laboratory studies included blood cultures indicating no growth at 6 days, white blood count 5.8 (4.0-10.5 K/uL), red blood cell count 4.06 (4.20-5.40 M/uL), mean corpuscular hemoglobin 33.3 (27-31 pg), lymphocyte count 19.6 (25-45%).  Subsequently, the patient recovered.  Discharge instructions were given to the patient to return to the emergency room on 11-NOV-2007 and 12-NOV-2007 for intravenous levofloxacin (LEVAQUIN) and recheck.  The patient will also take diphenhydramine hydrochloride (BENADRYL) at bedtime for sleep.  No product quality complaint was involved.  Left upper arm cellulitis and large bruise were considered to be other medically important events.  The patient also experienced burning soles of her feet and feeling nervous.  Additional information has been requested.  All medical records are available upon request.
Age: 88.0
Sex: F
Vaccine: PPV
Symptoms: Mean cell volume increased, Oedema peripheral, Oxygen saturation, Pain in extremity, Red blood cell count decreased
Clinical narrative: Information has been received from a physician concerning an 88 year old white female patient, nonsmoker, with allergies to Ibuprofen and aspirin, asthma, hypothyroidism, questionable congestive heart failure, hypertension, gastro-esophageal reflux disease, generalised arthritis, hard of hearing, anxiety and a surgical history included tonsillectomy and a right hip replacement, who on 07-NOV-2007 at 8:30 AM was vaccinated intramuscularly with a first dose of PNEUMOVAX (Lot #658673/0990U).  Concomitant therapy included lorazepam (ATIVAN), one tablet at hour of sleep.  The physician stated that the patient's arm "looked horrible."  On 10-NOV-2007 she presented to the emergency room complaining of left upper arm redness, swelling, pain and discoloration after receiving the pneumonia shot.  The left upper arm was discolored, reddish, purple on the posterior aspect with swelling noted at the elbow.  Discoloration extends up to the axilla and is warm to touch.  The patient reports taking lorazepam (ATIVAN) at home - supposed to take one tablet at hour of sleep (QHS), but "needs it more often," and takes it more often than ordered.  It was also reported that the patient didn't sleep well.  The patient was treated with intravenous antibiotics and levofloxacin (LEVAQUIN) 500 mg at 10:10.  The patient complained of feeling "very nervous," and was given lorazepam (ATIVAN) 0.5 mg orally at 10:50.  The patient was also treated with atenolol, furosimide (LASIX), potassium chloride (MICRO K LOW) and synthroid.  Diagnostic laboratory studies included blood cultures indicating no growth at 6 days, white blood count 5.8 (4.0-10.5 K/uL), red blood cell count 4.06 (4.20-5.40 M/uL), mean corpuscular hemoglobin 33.3 (27-31 pg), lymphocyte count 19.6 (25-45%).  Subsequently, the patient recovered.  Discharge instructions were given to the patient to return to the emergency room on 11-NOV-2007 and 12-NOV-2007 for intravenous levofloxacin (LEVAQUIN) and recheck.  The patient will also take diphenhydramine hydrochloride (BENADRYL) at bedtime for sleep.  No product quality complaint was involved.  Left upper arm cellulitis and large bruise were considered to be other medically important events.  The patient also experienced burning soles of her feet and feeling nervous.  Additional information has been requested.  All medical records are available upon request.