chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 25.0
Sex: M
Vaccine: ANTH, SMALL
Symptoms: Rash maculo-papular
Clinical narrative: Rash developed on elbow area (B), 8/26/07, rash spread to rest arms, legs, trunk 8/27/07. Macular-papular rash, no pustules, no vesicles. Injection site intact - mild pruritus. Low grade temp 100.4. Derm biopsy lesion - few petechiae. No new lesions 30 Aug 07 - skin completely cleared 26 Sept 07. Anthrax #2 given 26 Sept 07. F/U 10 Oct 07 - no sx.
Age: 22.0
Sex: M
Vaccine: SMALL
Symptoms: Erythema, Fluid retention, Inflammation, Photosensitivity reaction, Scar
Clinical narrative: Pt vaccinated 8/16/06 with Smallpox vaccine, apparently had good take and since he deployed 4-5 d later. Scabbed/healed by end Sept/early Oct. No problems till June 07. Pt had short sleeve short, exposed arm to sunlight for 6-7 hrs, developed redness, inflammation, swelling and 1/2 of scar area was fluid filled (clear fluid). Resolved over 1 week without tx. No current lesion. Scar area 7x10 mm. This occurred 2-3 times Jun - Jul 07. No lesions since Jul 07 even with sun exposure.
Age: 22.0
Sex: M
Vaccine: SMALL
Symptoms: Swelling
Clinical narrative: Pt vaccinated 8/16/06 with Smallpox vaccine, apparently had good take and since he deployed 4-5 d later. Scabbed/healed by end Sept/early Oct. No problems till June 07. Pt had short sleeve short, exposed arm to sunlight for 6-7 hrs, developed redness, inflammation, swelling and 1/2 of scar area was fluid filled (clear fluid). Resolved over 1 week without tx. No current lesion. Scar area 7x10 mm. This occurred 2-3 times Jun - Jul 07. No lesions since Jul 07 even with sun exposure.
Age: 65.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Injection site pain, Sleep disorder
Clinical narrative: Extreme pain at site of injection. Patient said she could not sleep. Better on 10/13; completely fine 10/17. No residual effects.
Age: 51.0
Sex: F
Vaccine: FLU3
Symptoms: Injected limb mobility decreased, Musculoskeletal pain, Nervousness, Sensory disturbance
Clinical narrative: Client states she received flu shot at about 08:30/AM on 10/9, Rt arm was sore after shot. By 4AM, client states she had acute pain in her Rt shoulder with radiation down her Rt arm into her hands with decreased mobility in hands. She states she feels a "jumping" nerve like sensation in the inner aspect of her RT arm 10+. The area is painful to touch and she cannot move well. She has been taking Ultram since the inj secondary to the pain and immobility thinking it would get better and it has not. Client was given ice and BR and referred to her PMD.
Age: 30.0
Sex: F
Vaccine: FLU3
Symptoms: Chest pain, Dyspnoea, Nausea
Clinical narrative: Client received flu vaccine at Emergency Management Drill. She reported no hx of egg or latex allergy and no reaction from previous flu shots. She did report being allergic to sulfa and augmentin. She was instructed to wait 15" after vaccine, but chose to drove off. She then developed SOB, chest pain, and nausea, and returned to clinic site. She was then transported to ER by ambulance, where she received Epinephrine and oral steroids. She was d/c'd from ER after 45 minutes.
Age: 48.0
Sex: F
Vaccine: FLU3
Symptoms: Erythema, Flushing, Rash, Rash pruritic, Skin tightness
Clinical narrative: Approx after 1 hour pt became flushed, face reddened and developed itchy flat rash neck/arms bilaterally with tight feeling around mouth. Took Benadryl 50mg and sx began resolving after 20 minutes. Pt rash lessening but remained on arms. Advised to take exact dose every 6 hours.
Age: 20.0
Sex: F
Vaccine: HEPA, MMRV, PPV, TDAP
Symptoms: Wrong drug administered
Clinical narrative: On 5/1/07 pt given MMRV, a combination vaccine not approved for her age. No known adverse consequence.
Age: 33.0
Sex: F
Vaccine: TDAP
Symptoms: Urticaria
Clinical narrative: Pt returned to the clinic 6 hours after injection with severe hives. 911 was called; pt taken to the hospital.
Age: 54.0
Sex: F
Vaccine: FLU3
Symptoms: Blood pressure decreased, Dizziness, Injection site swelling, Presyncope
Clinical narrative: Light-headed, dizzy, slight puffiness near injection site, started to pass out but not totally. Vitals - ok; BP slightly low. Treated with Diphenhydramine 50mg p.o. Responded well, went home and slept for 1 1/2 hours. Follow up phone call on 10/24 at 2:05 PM - No adverse effects. She felt strong and well.
Age: 57.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Erythema, Induration, Pain in extremity, Skin warm, Swelling
Clinical narrative: (R) arm/deltoid - pain, soreness, warmth, erythema, swelling, induration - extending around front of arm, and toward elbow.
Age: 18.0
Sex: F
Vaccine: HPV4, TDAP
Symptoms: Rash
Clinical narrative: Client had rash on arms, stomach, palms and soles of feet. Took Benadryl 10/23/07 and relieved symptoms. Woke up on 10/24/07 with rash again. Taking Benadryl as needed. Rash slowly going away.
Age: 11.0
Sex: M
Vaccine: MEN, TDAP, UNK
Symptoms: Pyrexia
Clinical narrative: Very high fever the following morning (10/20) and evening - 103.9F - being the highest
Age: 11.0
Sex: F
Vaccine: FLU3, HPV4, MNQ, TDAP, VARCEL
Symptoms: Injection site erythema, Pyrexia
Clinical narrative: Child presented to office on 10-22/07 w/ 8 1/2 x 11 cm circular patch on (L) back of upper arm after vaccine given on 10-18-07. The only vaccine given in that area was Varicella. Had fevers 100-101 previously after shots also.
Age: 45.0
Sex: F
Vaccine: FLUX
Symptoms: Asthenia, Blood test, Confusional state, Dizziness, Dysphonia
Clinical narrative: Times are approx. 0845 - Flu vaccine administered in right upper arm. 0905 - Lightheaded/dizzy, voice very hoarseness. 0907 - Nauseous, hives starting. 0910 - Told nurse was getting ill, started itching due to hives, knew what I wanted to say but could not talk properly. Tongue felt swollen. 0915 - Wheel chaired by nurse to ER. 0920 - Skin observed by doctor - red, blood pressure high, incoherent, confused. 0925 - Benadryl administered thru IV, fell asleep. 1230 PM - ER released me - still felt ill and confused, hives continued for 2 days, muscles very sore, very weak.
Age: 45.0
Sex: F
Vaccine: FLUX
Symptoms: Erythema, Hypertension, Incoherent, Malaise, Myalgia
Clinical narrative: Times are approx. 0845 - Flu vaccine administered in right upper arm. 0905 - Lightheaded/dizzy, voice very hoarseness. 0907 - Nauseous, hives starting. 0910 - Told nurse was getting ill, started itching due to hives, knew what I wanted to say but could not talk properly. Tongue felt swollen. 0915 - Wheel chaired by nurse to ER. 0920 - Skin observed by doctor - red, blood pressure high, incoherent, confused. 0925 - Benadryl administered thru IV, fell asleep. 1230 PM - ER released me - still felt ill and confused, hives continued for 2 days, muscles very sore, very weak.
Age: 45.0
Sex: F
Vaccine: FLUX
Symptoms: Nausea, Pruritus, Swollen tongue, Urticaria
Clinical narrative: Times are approx. 0845 - Flu vaccine administered in right upper arm. 0905 - Lightheaded/dizzy, voice very hoarseness. 0907 - Nauseous, hives starting. 0910 - Told nurse was getting ill, started itching due to hives, knew what I wanted to say but could not talk properly. Tongue felt swollen. 0915 - Wheel chaired by nurse to ER. 0920 - Skin observed by doctor - red, blood pressure high, incoherent, confused. 0925 - Benadryl administered thru IV, fell asleep. 1230 PM - ER released me - still felt ill and confused, hives continued for 2 days, muscles very sore, very weak.
Age: 72.0
Sex: F
Vaccine: VARZOS
Symptoms: Rash, Rash erythematous, Rash papular, Rash pruritic
Clinical narrative: Rash on neck, inner aspect of biceps bilaterally, erythematous papular 2-5cm, consistency, pruritic. No fever - hx of chicken pox as child.
Age: 58.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site inflammation, Injection site swelling, Lymphadenopathy
Clinical narrative: Site of injection with significant inflammation, swelling extending to breast. Also + lymph node.
Age: 82.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: Pt received 2 doses of Pneumovax within an approximate 6 weeks period of time.
Age: 57.0
Sex: F
Vaccine: FLU3
Symptoms: Influenza like illness
Clinical narrative: 7 day flu like symptoms. No treatment.
Sex: U
Vaccine: FLU3
Symptoms: Influenza like illness
Clinical narrative: 7 days flu like symptoms. No treatment.
Age: 56.0
Sex: M
Vaccine: FLU3
Symptoms: Rash, Urticaria
Clinical narrative: Skin rash, hives - note patient not allergic to eggs, Thimerosal, gelatin, Neomycin, or Gentamycin.
Age: 15.0
Sex: F
Vaccine: FLU3, MNQ, PPV
Symptoms: Erythema, Oedema peripheral, Pain, Pyrexia, Tenderness
Clinical narrative: 10-24-07 Pt Rt arm is red, swollen, tender to touch. Fever 100-102. Area is red about size of 9 1/2 tall, 6 1/2 wide redness. Very painful.
Age: 39.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site erythema, Injection site pain, Injection site warmth
Clinical narrative: Site of administration is hot, red, very painful for 3 days +.
Age: 13.0
Sex: F
Vaccine: MEN, TDAP
Symptoms: Chest discomfort, Chest pain, Headache, Heart rate increased, Pharyngolaryngeal pain
Clinical narrative: Patient received the MCV4 Meningococcal and T-Dap vaccine at approximately 2:30 pm on October 22, 2007.  She awoke the next day with a rapid heartbeat, chest pain/tightness, sore throat and headache.  She was seen at her primary care physicians office on October 23, 2007.  He indicated that she possibly is having an adverse reaction to her vaccines.  He prescribed her Zithromax and is re-checking her heart rate in one week.  If it is still elevated, he will order an EKG.
Age: 80.0
Sex: F
Vaccine: FLUX
Symptoms: Dyskinesia, Nervousness
Clinical narrative: Extreme nervousness at bedtime with many body movements, with very little control.  No fever, but gave her two Tylenol PM gelcaps to help her sleep.
Age: 60.0
Sex: F
Vaccine: FLU3
Symptoms: Chills, Myalgia, Pyrexia
Clinical narrative: SEVERE RIGORS, FEVER TO 100.8 AND MUSCLE ACHING LASTING 12-14 HRS. RESPONDED TO TYLENOL AND WARMING.
Age: 79.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Cellulitis, Erythema, Pain in extremity
Clinical narrative: PATIENT RECEIVED PNEUMOVAX (LEFT ARM) AND FLUZONE (RIGHT ARM) ON SUNDAY 10/21/07 AROUND 3:00. PATIENT REPORTS SHE BEGAN TO EXPERIENCE REDNESS AND PAIN IN LEFT ARM LATE THAT EVENING. SAW A VISITING NURSE TUESDAY 10/24/07, WAS REFERRED TO EMERGENCY ROOM. PATIENT DIAGNOSED WITH CELLULITIS AND GIVEN ANTIBIOTIC TREATMENT FOR 10 DAYS.
Age: 1.0
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Computerised tomogram normal, Convulsion, Electroencephalogram normal, Pyrexia, Vomiting
Clinical narrative: Patient had her MMR and Chickenpox vaccine on October 5-07 and had a slight fever October 7-07. The day of the 7th she was taking a nap and I found her having a seizue and had vomited. She was taken by ambulance to Hospital where she spent 3 days of MRI's, a CT scan and an EEG. No reason for the seizure was found! I did a little reseach of my own and found that the vaccines has seizure side effects!   10/30/07 Reviewed pcp medical records including vax records.  VAERS database updated w/same.  Records indicate patient in good health on 10/5/07 except for right hip contact dermtatitis.  Hospital d/c summary also included which indicates patient had vomited & was twitching w/head fixed to right when awakening from nap.  Taken to outlying hospital & transferred to higher level of care.  admitted 10/7-10/9/2007 w/final dx seizure.  Neuro consult done who dx as right sided complex partial seizure.  Return to pcp on 10/12    11/6/07 Received additional pcp records which reveal patient experienced seizure activity at home w/emesis.  MRI at that time revealed anomaly.  Admitted 10/7-10/09/2007.   FINAL DX: Seizure.
Age: 36.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Oedema peripheral
Clinical narrative: Patient had significant swelling to her right upper arm with hours after her injection.  No redness, warmth, fever, chills, or any other signs of infection noted.  Patient was instructed to use ice to area and benadryl as needed
Age: 87.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Erythema, Herpes zoster, Rash vesicular, Tenderness
Clinical narrative: 2cm shingles-like rash with vesicles, redness and mild tenderness.
Age: 87.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Blister, Erythema, Herpes zoster, Injection site pruritus, Tenderness
Clinical narrative: 2cm shingles-like rash with vesicles, redness and mild tenderness.
Age: 54.0
Sex: F
Vaccine: FLU3
Symptoms: Headache, Pruritus, Rash, Sensory disturbance, Swelling face
Clinical narrative: Received vaccine on October 19, 2007 in A.M. The next day, Sat. 10-20-2007, had mild facial swelling,  sensitive to the touch, and headache.  She took 400 mg of Ibuprofen, for relief of the headache.  On Sun. 10-21-2007, had more pronounced facial swelling, around sinusus, bridge of nose and eyes. Developed a red,raised rash on the inner aspect of her upper arms, the nonhairy skin surface of the underarms. It was itchy. She took 25 mg of Benadryl for relief.  On Mon. 10-22-2007, had more facial swelling and rash continued, so she took 25mg of Benadryl for relief.
Age: 0.8
Sex: F
Vaccine: FLU3
Symptoms: Computerised tomogram normal, Convulsion, Lumbar puncture normal, Pyrexia
Clinical narrative: Child was given an influenza vaccine on the afternoon of 10/22/07 at approximatly 3pm.  At 3am on 12/23/07 mom wake to find the chidl with fever.  The child then began to seize.  Mom felt that seizure was focal and that it began with the left hand and arm.  She cannot be certain of this though.  Child was taken to the ED and ativan was need to stop the seizure.  On arrival to ED the seizure was generalized in nature.  Total duration was about 20 to 25 minutes of seizure time. 11/20/07-records received for DOS 10/23-10/24/07-DC DX: Febrile seizures possibly atypical with the concern about initial focal left-sided seizure that later generalized although the mother is not fully confident that it was localized. Presented to ED actively seizing. Temperature in ED 103.8. At home crying twitiching of left arm and left leg. Staring with eyes open. In ED generalized seizure observed lasting 20-25 minutes. Twelve hours prior to onset of seizure seen in PCP office because she was pulling at her ears and not sleeping well for 24-48 hours. PE in office ears normal.
Age: 52.0
Sex: F
Vaccine: FLU3
Symptoms: Chills, Full blood count, Headache, Pyrexia, Vomiting
Clinical narrative: RECEIVED VACCINE AT 3PM, ONSET OF SYMPTOMS AT 6PM-VOMITING, CHILLS, FEVER, HEADACHE
Age: 68.0
Sex: M
Vaccine: FLU3
Symptoms: Chills, Headache, Pyrexia, Tremor
Clinical narrative: 2 days after Fluzone was given I developed severe chills and fever and severs uncontrolable shaking of my head, upper limbs, and headache.  the next day the symptoms were gone. I am a retired physician and in good health and feel the the above was directly related to the fluzone.
Age: 1.01
Sex: F
Vaccine: DTAP, HEPA, HIBV, MMR, PNC, VARCEL
Symptoms: Rash erythematous, Urticaria
Clinical narrative: Child's mom called on 10/16/07 to let me know that the child had developed a rash on 10/15/07. On 10/17/07, child's mom brought child into the health department since the rash was worse.  This child had hive like rash on her face, arms, legs and trunk area.  Child was alert and playful; she did not appear to be in any distress.  Advised mom to take her to a doctor today. On 10/18/07, I called child's mom to find out how she was doing and what the doctor said about the rash.  Patient's mother, said that the doctor did not see her but had a nurse weigh the child and told her how much Benadryl to give her.  Mother said that she has been giving her the Benadryl and also gave her a bath in baking soda, which seemed to help for a little while but later the red rash came back and looked worse than before.  Mother said that patient has a doctor's appointment for 10/19/07.  On October 22, 2007, I called mother to check on patient and later mother returned my call and said that patient was better.  She said that the doctor told her that she had an allergic reaction to something and they would not know if it was the vaccines until she received them again.  Patient's next vaccine will be due on April 10, 2008, and it will be a Hepatitis A.
Age: 83.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Injection site erythema, Injection site induration
Clinical narrative: 2 inch by 2 1/2 inch indurated, mildly erythematous area around site of sc PPV23 given on 10/23/07 in posterior right upper arm.  No systemic S/S of reaction.
Age: 65.0
Sex: F
Vaccine: FLU3
Symptoms: Arthralgia, Joint range of motion decreased, Muscular weakness, Paraesthesia
Clinical narrative: Muscle weakness left upper arm and left shoulder since 10/1/2007 (date of flu vaccinations).  Also left shoulder joint pain with movement and limited range of motion. Left arm paresthesia and on down to left 5th finger.
Age: 72.0
Sex: M
Vaccine: FLU3
Symptoms: Cough, Death, Syncope, Wheezing
Clinical narrative: Patient's daughter called after the event and reported that patientexperienced wheezing, cough and syncope "later that day" after he returned home from flu clinic.  She did not indicate which, if any, hospital he was taken to, but that she had called his physician. Cardiologist.  She reported that her father died on Sunday 10-21-2007 11/6/07 Received hospital clinic & cardiology medical records which reveal patient experienced CAD, s/p CABG (1982 & 1990) & severe LVD s/p ICD biventricular deployment; chronic back problems; hyperlipidemia; diabetes type 2; & controlled HTN.  Cardiac cath of 4/2006 revealed patent left internal mammary arter to LAD bypass graft w/other grafts being occluded.  Had been hospitalized 7/07 for pacemaker device discharge.  Had DOE at that time.  Pacer rate was increased due to myocardial ischemia.  Developed chest pain, nausea & additional DOE.  Dx w/unstable angina 7/11/07 & admitted to hospital.   1/18/08 Reviewed ER records of 10/22/07 which reveal patient fell & had witnessed cardiac arrest at home 50 min prior to arrival in ER.  Had been intubated & IV access placed in field.  ECG revealed V-fib & then asystole & patient expired 10/22/07. 1/29/08 Cardiac arrest per death certificate.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site oedema, Injection site warmth, Oedema
Clinical narrative: SEVERELY EDEMATOUS LEFT ARM.WARM TO TOUCH. MOM STATES,CONDITION NOTED 10/23/07 PM. NO ELEVATED TEMP. EXTREMITY FREELY MOBILE AND CHILD DENIES PAIN.PATIENT REFERRED TO PRIMARY CARE PROVIDER FOR FURTHER MEDICAL MANAGEMENT .
Age: 60.0
Sex: F
Vaccine: FLU3
Symptoms: Headache, Nausea
Clinical narrative: Fri. 10/19/2007 8:00a.m. received Fluzone.  Sat. 10/20/2007 at 1:00 p.m. while riding in the car, felt nauseous and had a bad headache. Went to lunch, was able to eat. While driving felt nauseous again and headache was worsening. At first stop, got out of car and laid on the lawn. Then went inside (her mother-in-law's house)and slept for one hour.  Then returned home, took two extra strength Tylenol tablets and slept for three hours more. Then she got up and ate a piece of apple and was recovered.
Age: 5.0
Sex: M
Vaccine: DTAP, HEP, IPV, MMRV
Symptoms: Body temperature increased, Crying, Pain in extremity, Swelling
Clinical narrative: Child received vaccines during the day of the 15th of October. That night the child c/o pain and cried thru the night. C/o  severe pain left arm, swelling down to elbow and radiating to left shoulder blade region.  Scaling hot in temperature. Mother applied cool compressesand cold packs, gave Tylenol. Saw the doctor on wednesday. who gave the child Benedryl and some steriods. Next day, child was fine, swelling gone and feeling better.  Mother stated child's brother died fews back and was allergic to pertussis. The child received all DTaP vaccines since age 2 months. Child did not receive any varicella before age 5 years.
Age: 11.0
Sex: M
Vaccine: TDAP, VARCEL
Symptoms: Erythema, Oedema peripheral, Pain in extremity
Clinical narrative: Client received shot on 10/22/07, noticed soreness of left arm on 10/23 and by 10/24 upper left arm was red and edematous. Client did report that the afternoon of the shot he went to wrestling practice.Instructed to use alternating warm and cold compresses and take Ibuprofen. Referred to MD for evaluation
Age: 69.0
Sex: F
Vaccine: PPV
Symptoms: Dyspnoea, Injection site pain, Palpitations, Pyrexia
Clinical narrative: fever 101. for 48 hours not relieved by asprin.  Pain at RT Deltoid site lasting for 48 hours.  Palpatations, difficulty breathing on onset lasting for 3-4 hours. Condition resolve after 50 hours.
Age: 40.0
Sex: M
Vaccine: ANTH
Symptoms: Arthralgia, Chronic sinusitis, Colonoscopy, Diarrhoea, Hyperlipidaemia
Clinical narrative: Received anthrax vaccinations starting 2/20/2003 to 2/17/2004; In 2004 pt began experiencing leg and hip pain, tinnitis, chronic diarrhea, skin rash on hands, chronic sinusitis, hyperlipidemia.
Age: 40.0
Sex: M
Vaccine: ANTH
Symptoms: Nuclear magnetic resonance imaging normal, Pain in extremity, Rash, Tinnitus
Clinical narrative: Received anthrax vaccinations starting 2/20/2003 to 2/17/2004; In 2004 pt began experiencing leg and hip pain, tinnitis, chronic diarrhea, skin rash on hands, chronic sinusitis, hyperlipidemia.
Age: 45.0
Sex: F
Vaccine: FLU3
Symptoms: Chest pain, Cold sweat, Dizziness, Electrocardiogram, Headache
Clinical narrative: Quizzie about 20 minutes after vaccination,then more nuaseated, burning in chest, light headed, HA and cold Sweat.  Seen in ED                           States had similiar reaction 8-9 years ago.
Age: 45.0
Sex: F
Vaccine: FLU3
Symptoms: Nausea, Similar reaction on previous exposure to drug
Clinical narrative: Quizzie about 20 minutes after vaccination,then more nuaseated, burning in chest, light headed, HA and cold Sweat.  Seen in ED                           States had similiar reaction 8-9 years ago.
Age: 0.33
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Abnormal behaviour, Irritability, Speech disorder
Clinical narrative: Mom can in today stated that pt had an adverse reaction from his second set of Vaccinations.  Mom states that she did not notice any change in the infant after his first set of vaccines.  Mom states that she began notciing changes in the infant the day after he recieved his second set of vaccines.  The s/s that Mom reports are as folows: No vocalization from September 24th to October 17th with the exception that he laughed very rarely. fussy for 3-4 days after the immunizations Mom states that pt continues to smile and interact with family.  Mom states that after the 17th of October vocalizations returned.  Mom also states that during the time of no vocalizations but was able to track family and conintued to smile.  Mom states that pt had no changes in his eating, voiding, bowel activity, or sleeping.  Mom denies noticing any other neurological changes.  Mom states that when pt did start talk that it appear that the pt need a large amount of concentration to vocalize.   Mom also denies any localize reaction at the sites of injection.
Age: 33.0
Sex: F
Vaccine: HEP, MMR
Symptoms: Drug exposure during pregnancy, No adverse reaction
Clinical narrative: none noted at this time
Age: 57.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Injection site warmth
Clinical narrative: Red at injection site, warm at site
Age: 9.0
Sex: F
Vaccine: FLU3
Symptoms: Anorexia, Heat rash, Pruritus, Rash, Vomiting
Clinical narrative: Child had no appetite on 10/18/1007, she had vomiting for 24 hours with the vomiting stopped by 10/20/2007.  A rash appeared on her trunk, arms, face and legs on 10/19/2007.  She c/o of itching.  Mom compared the rash to a "heat rash".  Mom states the child has continued her normal activities. The rash has not subsided.
Age: 12.0
Sex: M
Vaccine: HEPA, MNQ, TDAP, VARCEL
Symptoms: Erythema, Skin warm, Urticaria
Clinical narrative: On 10/11/2007 child's Left arm became hot and red.  Area of redness was 4 inches by 4 inches.  Mom compared area to "like a welt, but hot".  Child was treated at home with OTC Benadryl.  On 10/12/07 he saw a physician at the clinic.  The arm remained red and hot.  He was instructed to ice the arm every 2 hours for 20 minutes.  He was to return to the clinic if the arm became pus filled.  No pus was evident at any time. No medications were given or ordered by the physician.
Age: 55.0
Sex: F
Vaccine: FLU3
Symptoms: Chills, Cough, Influenza, Pharyngolaryngeal pain, Pulmonary congestion
Clinical narrative: 10/19/2007 Vet calls with report of flu sxs, cough, sore throat, chills, fever since this  am. She says, she received a flu shot on 10/16/2007at MC.  Follow up call done on 10/22/07 with symptoms decreasing to afebrile, chest congestion and cough.  Pt states that 10/20 was worst day, but feels progressively better.
Age: 55.0
Sex: F
Vaccine: FLU3
Symptoms: Pyrexia
Clinical narrative: 10/19/2007 Vet calls with report of flu sxs, cough, sore throat, chills, fever since this  am. She says, she received a flu shot on 10/16/2007at MC.  Follow up call done on 10/22/07 with symptoms decreasing to afebrile, chest congestion and cough.  Pt states that 10/20 was worst day, but feels progressively better.
Age: 4.0
Sex: F
Vaccine: DTAP, HEPA, IPV, MMRV
Symptoms: Injection site erythema, Injection site swelling, Rash vesicular
Clinical narrative: mmrv given  on right arm with dtap, pt had redness and swelling at site along with varicella rash on arm shot given on 10-16/2007 mother noted rash on 10/17/2007 in afternoon, brought to office on 10/18/2007, dried up with no drainage on 10/19/2007
Age: 12.0
Sex: M
Vaccine: FLU3
Symptoms: Chills, Cough, Dyspnoea, Headache, Pain
Clinical narrative: Fever, headache, sore throat, coughing, body aches, chills, vomiting and difficulty breathing--respiratory infection. He went to the doctor healthy and left out sick--he missed one complete week of school due to getting the FLU VACCINE.
Age: 12.0
Sex: M
Vaccine: FLU3
Symptoms: Pharyngolaryngeal pain, Pyrexia, Respiratory tract infection, Vomiting
Clinical narrative: Fever, headache, sore throat, coughing, body aches, chills, vomiting and difficulty breathing--respiratory infection. He went to the doctor healthy and left out sick--he missed one complete week of school due to getting the FLU VACCINE.
Age: 10.0
Sex: F
Vaccine: UNK
Symptoms: Dizziness, Rash, Rash pruritic
Clinical narrative: My 10 year old granddaughter received a flu shot at her physician's office on 10/23/07 at 4:25 pm.  At 6:50 pm she became very dizzy and had broken out in a rash.  She said the rash was very itchy and began to scratch.  The rash covered her body including her face.  She and her mother live with us.  There was nothing different in her home environment, no change in soap, washing powder, etc.  She had not eaten anything new.  The emergency room doctor thought the rash was due to her flu shot.  She received Prelone syrup at the ER.  The rash was very faint today, 10/24/07.  I am concerned since she has taken the flu shot each year since she was born and she now has a reaction.  She has no know allergies.  Was there something new in the preservative this year?  I called the doctor's office and got the lot number of the flu vaccine.  The lot number is U24378A.  Should she not have a flu shot from now on?  I will appreciate any information you can give me.
Age: 4.0
Sex: M
Vaccine: DTP, MMR, TD, VARCEL
Symptoms: Oedema peripheral, Skin warm, Swelling
Clinical narrative: arm swollen to approx 4xs its size, hot and hard to the touch, swelling from mid back to wrist and into face
Sex: U
Vaccine: FLU3
Symptoms: Incorrect dose administered
Clinical narrative: Staff erroneously drew up 1 cc instead of 0.5 cc for each injection.  We, therefore, gave out approximately 200 immunizations instead of the 400 or so needed. a second wave delivery of Flu vaccines is reportedly, which will
Sex: F
Vaccine: FLUX, PPV, FLU3, PPV
Symptoms: Influenza like illness, Insomnia, Neck pain, Pain in extremity
Clinical narrative: Patient recieved both the flu vaccine and the pneumococcal vaccine in the left deltoid.  Both vaccines were administered one inch apart.  Patient stated that she recieves annual flu shot and was also due to her pneumonia shot.  Patient was asked if she whould like both shots in one arm one inch apart (as there was no history of prior adverse event with either vaccine).  Patient stated that that evening after the vaccine she experienced prolonged arm soreness, some flu like symptoms, some neck ache, and that she was not able to sleep until the following morning due to the extreme arm soreness in her left arm.  Patient was afraid to take Aspirin to the soreness because thought it would interact with the vaccine.  I spoke with the patient the following morning at 11:45 am and she stated that she had taken aspirin earlier in the day and had slept for a few hours.  The patient stated that the soreness was subsiding.  I informed the patient to take what she would normally take for a headache or minor pain and if the soreness continued to contact the pharmacy and I would call her.
Sex: F
Vaccine: FLUX, PPV, FLU3, PPV
Symptoms: Body temperature increased, Pain in extremity, Sleep disorder
Clinical narrative: Patient recieved both the flu vaccine and the pneumococcal vaccine in the left deltoid.  Both vaccines were administered one inch apart.  Patient stated that she recieves annual flu shot and was also due to her pneumonia shot.  Patient was asked if she whould like both shots in one arm one inch apart (as there was no history of prior adverse event with either vaccine).  Patient stated that that evening after the vaccine she experienced prolonged arm soreness, some flu like symptoms, some neck ache, and that she was not able to sleep until the following morning due to the extreme arm soreness in her left arm.  Patient was afraid to take Aspirin to the soreness because thought it would interact with the vaccine.  I spoke with the patient the following morning at 11:45 am and she stated that she had taken aspirin earlier in the day and had slept for a few hours.  The patient stated that the soreness was subsiding.  I informed the patient to take what she would normally take for a headache or minor pain and if the soreness continued to contact the pharmacy and I would call her.
Age: 41.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site pain, Injection site swelling, Musculoskeletal pain, Myalgia, Rash erythematous
Clinical narrative: Terrible swelling at injection site (like a softball) with horrific pain in the muscle and shoulder joint!  Red, patchy rash covering almost entire upper arm from elbow to shoulder joint!
Age: 1.0
Sex: M
Vaccine: FLU3, HEPA, PNC
Symptoms: Erythema, Skin warm, Swelling, Tenderness
Clinical narrative: Pink, slightly tender, warm right leg. 3-4 day symptoms. Raised area 1-2 cm, resolved over 1 week.
Age: 22.0
Sex: F
Vaccine: FLU3
Symptoms: Hypoaesthesia
Clinical narrative: Patients left 2nd, 3rd, and 4th fingers have been numb since receiving flu shot on 10/2/07.
Age: 64.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: (L) arm at site of pneumonia (pneumococcal) vaccine red, swollen, warm to touch.
Age: 1.6
Sex: M
Vaccine: FLU3
Symptoms: Pyrexia, Streptococcal identification test, White blood cell count increased
Clinical narrative: High fever to 101.9 (ax) 2 days after vaccine Given. No identified source of fever.
Age: 4.0
Sex: M
Vaccine: DTAP, HEP, HEPA, IPV, MMRV
Symptoms: Swelling
Clinical narrative: Child "swelled up" from vaccine. Advised to go to hospital.
Age: 0.2
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Breast feeding, Haematochezia
Clinical narrative: Vaccines done 10/22/07. Mom noted flecks of blood in stool, no other sx. Breast feeding, no formula.
Age: 10.0
Sex: M
Vaccine: FLU3, HEPA, VARCEL
Symptoms: Injection site induration, Injection site pain
Clinical narrative: 6" diameter area of induration, tenderness at site of Varivax #2 shot 18-48 hours afterward.
Age: 45.0
Sex: F
Vaccine: PPV, TDAP
Symptoms: Unevaluable event
Clinical narrative: None stated.
Age: 60.0
Sex: M
Vaccine: FLUX, VARZOS
Symptoms: Blister, Dyspnoea, Erythema, Pyrexia, Skin lesion
Clinical narrative: Given Fri AM after getting flu shot earlier that morning. No immediately symptoms. 36 hours later noted "red bump" in middle of forehead. ? small blisters in lesion but no oozing/discharge. Over past 5 days, marks slowly resolving. 48 hrs after that, increased dyspnea - need prn inhaler with sxs relief (had not needed inhaler for >6mo). 72 hrs after vaccine had blister on (R) hand only (single); + subjective fever started at 24 hrs.
Age: 16.0
Sex: F
Vaccine: FLU3, HPV4
Symptoms: Dizziness, Hypotonia, Loss of consciousness, Musculoskeletal stiffness, Skin warm
Clinical narrative: Pt became warm and dizzy. Had pt hut her head down on the table, applied ice to her neck. Pt passed out several seconds later, became stiff as I was holding her, then became limp for sev seconds before awakening. Had pt lay down with legs elevated for about 15 min.
Age: 1.1
Sex: M
Vaccine: FLU3, HEPA, MMR, VARCEL
Symptoms: Blister, Erythema, Varicella
Clinical narrative: chicken pox lesions -> vesicles with surrounding erythema present diffusely on trunk (anteriorly + posteriorly), groin and upper extremities
Age: 36.0
Sex: F
Vaccine: ANTH
Symptoms: Rash
Clinical narrative: Pt broke out in rash on whole body. Confirmed by dermatologist.
Age: 3.0
Sex: F
Vaccine: DTAP, HEPA
Symptoms: Injection site erythema, Injection site induration
Clinical narrative: 6.5x5.0cm area of redness/induration around injection site at 48 hrs after injection.
Age: 71.0
Sex: F
Vaccine: PPV
Symptoms: Injected limb mobility decreased, Musculoskeletal pain, Pain
Clinical narrative: 10/19/07 - Daughter called this AM - mother received Pneumovax on 10-18-07 at 2 PM. Pain developed one hour after injection from Rt shoulder to fingertip - states went to ED due to increased pain in shoulder - can't raise arm - no redness, no swelling noted - ER physician gave Demerol and Phenergan IM pain, Benadryl and Vicodin for home use.
Age: 1.7
Sex: F
Vaccine: DTAPHEPBIP, HEPA, HIBV, PNC
Symptoms: Discomfort, Gait disturbance, Joint swelling
Clinical narrative: Rcd vaccines 10-1-07, increased discomfort, favoring (R) leg - limping, knee swollen on Friday 10/5. Seen in office 10/8 - still favoring (R) leg, no swelling or redness noted, no muscle mass noted. No hx trauma.
Age: 4.0
Sex: M
Vaccine: DTAPHEPBIP, HEPA, MMR
Symptoms: Blister, Erythema, Swelling
Clinical narrative: (R) arm red, swollen, blisters - red inj 10/8/07 was sore - swelling started 10/9/07 - blisters late Tues/early Wed (2 blisters noted). Seen in office 10-10-07.
Age: 4.0
Sex: F
Vaccine: DTAPHEPBIP, IPV, MMR, VARCEL
Symptoms: Injection site swelling
Clinical narrative: with red 8x7 nontender swelling on the right thigh.
Age: 52.0
Sex: F
Vaccine: PPV
Symptoms: Cellulitis, Erythema, Oedema peripheral, Pain
Clinical narrative: I received PPV shot on Monday 10-22-07. Swelling to area on arm, redness, sore. Went back to doctor on 10-23-07 and now being treated for cellulitis with 875 mil amoxy. Follow up on 10-26-07.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, VARCEL
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Rt upper arm swelling after approx 24 hrs of receiving polio vaccination. After approx 32 hrs, the arm became warm, erythematous, and tender
Age: 66.0
Sex: F
Vaccine: PPV
Symptoms: Angioedema, Injection site urticaria, Malaise, Myalgia, Rash pruritic
Clinical narrative: Muscle aches, general malaise, severe itchy rash - like a giant hive - at the upper arm where shot was given - plus swelling. Took a week to get better.
Age: 66.0
Sex: F
Vaccine: PPV
Symptoms: Swelling
Clinical narrative: Muscle aches, general malaise, severe itchy rash - like a giant hive - at the upper arm where shot was given - plus swelling. Took a week to get better.
Age: 1.5
Sex: M
Vaccine: DTAP, IPV, PNC, VARCEL
Symptoms: Pruritus, Rash papular, Varicella
Clinical narrative: Varicella vaccine breakthrough. Diagnosed 10-17-07 with Varicella. Had about 60 papular and papulo-vesicular lesions. Itchy. No fever.
Age: 0.2
Sex: F
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Body temperature increased
Clinical narrative: 2 month immunizations given yesterday (10-15-07). Child developed a temp of 102 after receiving immunizations.
Age: 2.0
Sex: F
Vaccine: DTAPHEPBIP, HEP, IPV, PNC
Symptoms: Unevaluable event
Clinical narrative: None stated
Age: 11.0
Sex: M
Vaccine: TDAP
Symptoms: Erythema, Oedema peripheral, Tenderness
Clinical narrative: Rt. arm is red and swollen. Tender 5x3 cm
Age: 35.0
Sex: M
Vaccine: ANTH
Symptoms: Arthralgia, Back pain, Body temperature, Diarrhoea, Headache
Clinical narrative: Pt c/o watery diarrhea commenced night after Anthrax vax. Two days later, he then c/o fronto-temporal headache, malaise, achy joints, mild nausea w/ no emesis, and low back pain. Given Aspirin the first day, then switched to Tylenol tablets 2 the following day.
Age: 35.0
Sex: M
Vaccine: ANTH
Symptoms: Malaise, Nausea
Clinical narrative: Pt c/o watery diarrhea commenced night after Anthrax vax. Two days later, he then c/o fronto-temporal headache, malaise, achy joints, mild nausea w/ no emesis, and low back pain. Given Aspirin the first day, then switched to Tylenol tablets 2 the following day.
Age: 29.0
Sex: F
Vaccine: FLU3
Symptoms: Chills, Pain, Pyrexia
Clinical narrative: Vaccine administered on 10/17/07. Patient had fever & chills on Thursday PM. States she went home and went to bed.  On Friday 10/19/07 was achey with fever & chills and stayed in bed all day.  Started feeling better Saturday PM.
Age: 20.0
Sex: F
Vaccine: HPV4
Symptoms: Condition aggravated, Jaundice, Spleen disorder
Clinical narrative: Information has been received from a nurse concerning her daughter in her 20's who on an unspecified date "a few months ago" was vaccinated with a 0.5 mL second dose of Gardasil. Several days later, the patient was hospitalized for jaundice and "spleen issue". Subsequently, the patient recovered. The patient had one similar episode from an unspecified medication. It was reported that the patient had no adverse symptoms post vaccination with the first dose of Gardasil. Additional information has been requested.
Age: 18.0
Sex: F
Vaccine: HPV4
Symptoms: Condition aggravated, Gaucher's disease, Laboratory test, Neurological symptom
Clinical narrative: Information has been received from a Nurse concerning an 18 year old female patient with gaucher's disease type I and von willebrand's syndrome with heavy period controlled with birth control, who on 15-AUG-2007 was vaccinated IM with the first dose of Gardasil (lot # 658488/0930U). Concomitant therapy included weekly infusions of electrolytes (unspecified) and birth control (unspecified). Subsequently the patient experienced neurological problems and gaucher's disease progressed to type III (possibly terminal stage). Unknown medical attention was sought. The patient had not been recovered. No product quality complaint was involved. Additional information has been requested.
Age: 18.0
Sex: F
Vaccine: HPV4
Symptoms: Abortion spontaneous, Drug exposure during pregnancy, Inappropriate schedule of drug administration, Pregnancy test positive, Ultrasound scan
Clinical narrative: Information has been received from the Merck Pregnancy Registry via a physician concerning an 18 year old female with no previous pregnancies and a drug hypersensitivity to codeine who 28-FEB-2007 was vaccinated with a first dose of Gardasil (lot #655617/1447F). On 11-JUN-2007, the patient was vaccinated with a second dose of Gardasil (lot #655617/1447F). On 14-SEP-2007, the patient was vaccinated IM with a third 0.5 ml dose of Gardasil (lot #655617/1447F). There was no concomitant medication. On 14-SEP-2007, the patient had a positive pregnancy test. The patient's last menstrual period was 14-AUG-2007 and the estimated date of delivery was 20-MAY-2008. On 17-SEP-2007 and ultrasound revealed the patient was 4 weeks and 6 days with sac. On 03-OCT-2007, the patient had a spontaneous abortion. Upon internal review, spontaneous abortion was considered to be an other important medical event. Additional information has been requested.
Age: 16.0
Sex: F
Vaccine: HPV4
Symptoms: Convulsion, Syncope
Clinical narrative: Information has been received from a physician concerning a 16 year old female who on 12-OCT-2007 was vaccinated with a dose of Gardasil. After the patient had received the vaccination, the patient had fainted to the point where the physician thought she was convulsing. Unspecified medical attention was sought. Subsequently the patient recovered on the same day. No product quality complaint was involved. Additional information has been requested.
Sex: F
Vaccine: HPV4
Symptoms: Abortion spontaneous, Drug exposure during pregnancy, Pregnancy test positive
Clinical narrative: Information has been received from a Merck pregnancy registry from a nurse concerning herself. She reported that on 21-APR-2007 she was vaccinated IM with the first dose of Gardasil (Lot#0641B). On 29-MAY-2007 she received the second dose of Gardasil (Lot# not provided). On 01-JUN-2007 she learned she was four weeks pregnant and experienced viral vaccine exposure during pregnancy. On 28-JUN-2007 the patient experienced a miscarriage and was hospitalized. Unspecified medical attention was sought. Subsequently, the patient recovered from the miscarriage. Upon internal medical review the spontaneous abortion was considered an other medical event. Additional information has been requested.
Age: 16.0
Sex: F
Vaccine: HPV4
Symptoms: Chemotherapy, Malaise
Clinical narrative: Information has been received from a physician concerning a female who on 10-JAN-2007 was vaccinated with Gardasil (Lot # 655617/1447F). There was no concomitant medication. It was reported that after receiving the vaccination she was not feeling well and one month after vaccination she was diagnosed with lymphoma (onset reported as January 2007). Patient has received chemotherapy and radiation. The patient's lymphoma persisted. Lymphoma was considered to be immediately life-threatening. The records of testing prior to release of the lot in question have been rechecked and found to be satisfactory. The lot met the requirements of an agency and released by the regulatory agency. Additional information has been requested. 4/22/08-records received for 2/9/07-2/6/08-First seen on 2/9/07--HX of not feeling well  for approximately 1 1/2 months and a one month history of intermittent fever, chills, easy fatigability, cough and occasional night sweats. 4/29/08-DC Summary received for DOS 2/9-2/16/07-DC DX: Hodgkin Lymphoma. 2 month history of intermittent fevers to 102, chills and night sweats.
Age: 12.0
Sex: F
Vaccine: HPV4
Symptoms: Alanine aminotransferase normal, Aspartate aminotransferase normal, Blood uric acid increased, Chest X-ray, Convulsion
Clinical narrative: Information has been received from a health professional concerning a 12 year old female with asthma with exertion, and joint pains at times with no illness at the time of being vaccinated. On 29-AUG-2006, the patient was vaccinated with a first dose of Gardasil (lot # 654540/0800F) IM in the right deltoid at 7 PM. On 29-AUG-2006, within 3-5 minutes after the injection (7:03 PM), the patient got light headed, her eyes rolled back into her head, and her face turned a blue/green color. The patient slid to the floor and began convulsing while her whole body tightened up. The patient experienced dizziness and feeling lightheaded which lasted for several weeks. On 08-SEP-2007, she had blood work performed, an electroencephalogram (result not reported), electrocardiogram (result not reported), chest x-ray (result not reported), and urinalysis. On an unspecified date, the patient recovered. Upon internal review, the convulsion was considered to be an Other Important Medical Event. Additional information has been requested.
Age: 12.0
Sex: F
Vaccine: HPV4
Symptoms: Dizziness, Electrocardiogram, Electroencephalogram, Fall, Gaze palsy
Clinical narrative: Information has been received from a health professional concerning a 12 year old female with asthma with exertion, and joint pains at times with no illness at the time of being vaccinated. On 29-AUG-2006, the patient was vaccinated with a first dose of Gardasil (lot # 654540/0800F) IM in the right deltoid at 7 PM. On 29-AUG-2006, within 3-5 minutes after the injection (7:03 PM), the patient got light headed, her eyes rolled back into her head, and her face turned a blue/green color. The patient slid to the floor and began convulsing while her whole body tightened up. The patient experienced dizziness and feeling lightheaded which lasted for several weeks. On 08-SEP-2007, she had blood work performed, an electroencephalogram (result not reported), electrocardiogram (result not reported), chest x-ray (result not reported), and urinalysis. On an unspecified date, the patient recovered. Upon internal review, the convulsion was considered to be an Other Important Medical Event. Additional information has been requested.
Age: 12.0
Sex: F
Vaccine: HPV4
Symptoms: Haematocrit increased, Haemoglobin normal, Red blood cell count normal, Rheumatoid factor negative, Skin discolouration
Clinical narrative: Information has been received from a health professional concerning a 12 year old female with asthma with exertion, and joint pains at times with no illness at the time of being vaccinated. On 29-AUG-2006, the patient was vaccinated with a first dose of Gardasil (lot # 654540/0800F) IM in the right deltoid at 7 PM. On 29-AUG-2006, within 3-5 minutes after the injection (7:03 PM), the patient got light headed, her eyes rolled back into her head, and her face turned a blue/green color. The patient slid to the floor and began convulsing while her whole body tightened up. The patient experienced dizziness and feeling lightheaded which lasted for several weeks. On 08-SEP-2007, she had blood work performed, an electroencephalogram (result not reported), electrocardiogram (result not reported), chest x-ray (result not reported), and urinalysis. On an unspecified date, the patient recovered. Upon internal review, the convulsion was considered to be an Other Important Medical Event. Additional information has been requested.
Age: 12.0
Sex: F
Vaccine: HPV4
Symptoms: Urine analysis
Clinical narrative: Information has been received from a health professional concerning a 12 year old female with asthma with exertion, and joint pains at times with no illness at the time of being vaccinated. On 29-AUG-2006, the patient was vaccinated with a first dose of Gardasil (lot # 654540/0800F) IM in the right deltoid at 7 PM. On 29-AUG-2006, within 3-5 minutes after the injection (7:03 PM), the patient got light headed, her eyes rolled back into her head, and her face turned a blue/green color. The patient slid to the floor and began convulsing while her whole body tightened up. The patient experienced dizziness and feeling lightheaded which lasted for several weeks. On 08-SEP-2007, she had blood work performed, an electroencephalogram (result not reported), electrocardiogram (result not reported), chest x-ray (result not reported), and urinalysis. On an unspecified date, the patient recovered. Upon internal review, the convulsion was considered to be an Other Important Medical Event. Additional information has been requested.
Sex: M
Vaccine: MMR
Symptoms: Autism
Clinical narrative: Information has been received from a physician's office manager concerning a male who in November 2002, was vaccinated with a dose of MMR II and developed autism shortly after vaccination. Medical attention was sought by calling the physician's office. The patient was not recovered at the time of reporting. There was no product quality complaint. Upon internal review autism was determined to be an other important medical event. Additional information has been requested.