chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 23.0
Sex: F
Vaccine: PPV
Symptoms: Body temperature increased, Cellulitis, Chills, Dizziness, Injected limb mobility decreased
Clinical narrative: PT WHO IS A NURSE RECEIVED PNEUMONIA VACCINE ON 11/20/07. PT HAD SOME TENDERNESS AT INJECTION SITE THAT EVENING. FOLLOWING MORNING, PT HAD MORE TENDERNESS AT SITE AND SOME SWELLING. FOLLOWING MORNING ON 11/22/07 PT HAD LOW GRADE TEMPS ALL DAY, SWELLING OF UPPER RIGHT ARM WHERE INJECTION WAS GIVEN, TENDERNESS (PT COULD BARELY LIFT UP ARM) AND SLIGHT REDNESS, PT TOOK TYLENOL. 11/23/07 PT HAD TEMP OF 102 AND HIGHER, DIZZINESS, NAUSEA, VOMITING, CHILLS, MORE TENDERNESS OF RIGHT UPPER ARM (PT COULDNT LIFT UP ARM WITHOUT EXCRUCIATING PAIN, AND REDNESS OVER ENTIRE RIGHT UPPER ARM FROM INJECTION SITE TO ELBOW, PT TOOK TYLENOL. PT TAKEN TO ER AND GIVEN ANTI NAUSEA MEDICATION, MOTRIN, AND ANTIBIOTICS, AND PRESCRIPTION FOR ANTIBIOTICS. PT GIVEN DIAGNOSIS OF CELLULITIS DUE TO PNEUMONIA VACCINE!
Age: 23.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Nausea, Vomiting
Clinical narrative: PT WHO IS A NURSE RECEIVED PNEUMONIA VACCINE ON 11/20/07. PT HAD SOME TENDERNESS AT INJECTION SITE THAT EVENING. FOLLOWING MORNING, PT HAD MORE TENDERNESS AT SITE AND SOME SWELLING. FOLLOWING MORNING ON 11/22/07 PT HAD LOW GRADE TEMPS ALL DAY, SWELLING OF UPPER RIGHT ARM WHERE INJECTION WAS GIVEN, TENDERNESS (PT COULD BARELY LIFT UP ARM) AND SLIGHT REDNESS, PT TOOK TYLENOL. 11/23/07 PT HAD TEMP OF 102 AND HIGHER, DIZZINESS, NAUSEA, VOMITING, CHILLS, MORE TENDERNESS OF RIGHT UPPER ARM (PT COULDNT LIFT UP ARM WITHOUT EXCRUCIATING PAIN, AND REDNESS OVER ENTIRE RIGHT UPPER ARM FROM INJECTION SITE TO ELBOW, PT TOOK TYLENOL. PT TAKEN TO ER AND GIVEN ANTI NAUSEA MEDICATION, MOTRIN, AND ANTIBIOTICS, AND PRESCRIPTION FOR ANTIBIOTICS. PT GIVEN DIAGNOSIS OF CELLULITIS DUE TO PNEUMONIA VACCINE!
Age: 23.0
Sex: F
Vaccine: PPV
Symptoms: White blood cell count increased
Clinical narrative: PT WHO IS A NURSE RECEIVED PNEUMONIA VACCINE ON 11/20/07. PT HAD SOME TENDERNESS AT INJECTION SITE THAT EVENING. FOLLOWING MORNING, PT HAD MORE TENDERNESS AT SITE AND SOME SWELLING. FOLLOWING MORNING ON 11/22/07 PT HAD LOW GRADE TEMPS ALL DAY, SWELLING OF UPPER RIGHT ARM WHERE INJECTION WAS GIVEN, TENDERNESS (PT COULD BARELY LIFT UP ARM) AND SLIGHT REDNESS, PT TOOK TYLENOL. 11/23/07 PT HAD TEMP OF 102 AND HIGHER, DIZZINESS, NAUSEA, VOMITING, CHILLS, MORE TENDERNESS OF RIGHT UPPER ARM (PT COULDNT LIFT UP ARM WITHOUT EXCRUCIATING PAIN, AND REDNESS OVER ENTIRE RIGHT UPPER ARM FROM INJECTION SITE TO ELBOW, PT TOOK TYLENOL. PT TAKEN TO ER AND GIVEN ANTI NAUSEA MEDICATION, MOTRIN, AND ANTIBIOTICS, AND PRESCRIPTION FOR ANTIBIOTICS. PT GIVEN DIAGNOSIS OF CELLULITIS DUE TO PNEUMONIA VACCINE!
Age: 68.0
Sex: F
Vaccine: FLU3
Symptoms: Drug administration error, Eye pain, Lacrimation increased, Medical device complication
Clinical narrative: As the nurse was administering the flu shot, the needle separated from the syringe and the entire contents of the vaccine shot into the patient's left eye. No eye wash solution was provided. A second shot was administered to patient, but was not recorded in patient's chart.Patient reported a "gritty feeling" under her eyelid immediately after the incident and for several days following. She also reported "watery eyes" and sharp pains behind both eyes a few days later.
Age: 18.0
Sex: M
Vaccine: MNQ, MNQ
Symptoms: Computerised tomogram normal, Dysphagia, Guillain-Barre syndrome, Muscular weakness, Myalgia
Clinical narrative: tingling in limbs, weakness, loss of motor function. emergency room visits twice before being diagnosed with Gullain Barre syndrome. Treated with intravenous Immunoglobulin G times five doses
Age: 18.0
Sex: M
Vaccine: MNQ, MNQ
Symptoms: Neck injury, Paraesthesia, Spinal X-ray normal
Clinical narrative: tingling in limbs, weakness, loss of motor function. emergency room visits twice before being diagnosed with Gullain Barre syndrome. Treated with intravenous Immunoglobulin G times five doses
Age: 18.0
Sex: M
Vaccine: MNQ, MNQ
Symptoms: Asthenia, Electromyogram, Guillain-Barre syndrome, Immunoglobulins, Motor dysfunction
Clinical narrative: tingling in limbs, weakness, loss of motor function. emergency room visits twice before being diagnosed with Gullain Barre syndrome. Treated with intravenous Immunoglobulin G times five doses
Age: 18.0
Sex: M
Vaccine: MNQ, MNQ
Symptoms: Nerve conduction studies, Paraesthesia
Clinical narrative: tingling in limbs, weakness, loss of motor function. emergency room visits twice before being diagnosed with Gullain Barre syndrome. Treated with intravenous Immunoglobulin G times five doses
Age: 13.0
Sex: M
Vaccine: HEP, IPV, MMR, MNQ
Symptoms: Blindness unilateral, Computerised tomogram normal, Lumbar puncture, Nuclear magnetic resonance imaging normal, Optic neuritis
Clinical narrative: sudden onset loss of vision in left eye, optic neuritis diagnosis 12/31/07-records received for DOS 7/16-7/17/07-DC DX: Papillitis.Decreased visual acuity. Presented to ED with 3 day C/O blurry vision, seeing gray in left eye in upper lateral eye fields along with pain with movment of left eye. On vacation at time of onset, camping. also has sick contacts, sister who has blurry vision and is taking antibiotics and steroids. Per 60 day follow up: Continued loss of vision in partial area of left eye. 1/21/2010 Still has some loss of vision in affected eye.
Age: 13.0
Sex: M
Vaccine: HEP, IPV, MMR, MNQ
Symptoms: Visual field defect, White blood cell count increased
Clinical narrative: sudden onset loss of vision in left eye, optic neuritis diagnosis 12/31/07-records received for DOS 7/16-7/17/07-DC DX: Papillitis.Decreased visual acuity. Presented to ED with 3 day C/O blurry vision, seeing gray in left eye in upper lateral eye fields along with pain with movment of left eye. On vacation at time of onset, camping. also has sick contacts, sister who has blurry vision and is taking antibiotics and steroids. Per 60 day follow up: Continued loss of vision in partial area of left eye. 1/21/2010 Still has some loss of vision in affected eye.
Age: 1.5
Sex: M
Vaccine: DTAP, FLUX, HEPA
Symptoms: Apnoea, Chills, Dyspnoea, Grand mal convulsion, Loss of consciousness
Clinical narrative: Vaccines at 4:30 pm, given tylenol at 4:45.  Awoke with chills at 9:50, gave ibuprofen, but fever immediately rose-last measured at 103.3 but still rose higher within approx. 5-10 minutes.  Then breathing was labored & he had a grand mal seizure, lost consciousness and stopped breathing.  Per 911, put on left side & undressed, & he regained consciousness & breathing.  Ambulance arrived at 10:02-gave O2, checked blood sugar & vitals, took to ER.  ER Dr. gave more ibuprofen & tylenol & told us to alternate doses & increase dose we were normally giving.  Next day at Peds office, checked vitals & reflexes- felt certain seizure brought on by fever caused by vaccinations.
Age: 1.5
Sex: M
Vaccine: DTAP, FLUX, HEPA
Symptoms: Pyrexia, Respiratory arrest
Clinical narrative: Vaccines at 4:30 pm, given tylenol at 4:45.  Awoke with chills at 9:50, gave ibuprofen, but fever immediately rose-last measured at 103.3 but still rose higher within approx. 5-10 minutes.  Then breathing was labored & he had a grand mal seizure, lost consciousness and stopped breathing.  Per 911, put on left side & undressed, & he regained consciousness & breathing.  Ambulance arrived at 10:02-gave O2, checked blood sugar & vitals, took to ER.  ER Dr. gave more ibuprofen & tylenol & told us to alternate doses & increase dose we were normally giving.  Next day at Peds office, checked vitals & reflexes- felt certain seizure brought on by fever caused by vaccinations.
Age: 69.0
Sex: M
Vaccine: VARZOS
Symptoms: Culture, Rash, Varicella
Clinical narrative: Pt. reported to our Urgent Care Center complaining of a rash. He received a Zostavax about 1 month ago. His rash is clinically consistent with Varicella. Viral culture was taken
Age: 66.0
Sex: M
Vaccine: UNK
Symptoms: Erythema, Pain, Pruritus, Swelling
Clinical narrative: Redness, soreness, swelling and itching as well as some pain Started on second day after vaccine given for Shingles
Age: 67.0
Sex: F
Vaccine: FLU3, FLUX
Symptoms: Rash
Clinical narrative: Rash on both arms, trunk of body and top of both legs. Started as blotches that spread. Resembled a severe sunburn. 2 steroid shots and Prednisone dose pack, which gave no relief. Cardazone cream and Varicream. Took 6 weeks to completely clear up. Body still very dry.
Age: 67.0
Sex: F
Vaccine: FLU3, FLUX
Symptoms: Biopsy, Biopsy skin, Dry skin, Rash, Rash macular
Clinical narrative: Rash on both arms, trunk of body and top of both legs. Started as blotches that spread. Resembled a severe sunburn. 2 steroid shots and Prednisone dose pack, which gave no relief. Cardazone cream and Varicream. Took 6 weeks to completely clear up. Body still very dry.
Age: 33.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Dyspnoea, Injection site pruritus
Clinical narrative: Seriousness Criteria: Other-Medically Significant Initial report received from a health professional on 08 November 2007. A 33-year-old female with history of allergies to codeine, Dilaudid, milk and cats received a fourth dose of Fluzone (lot number U2487AA) administered intramuscularly to the right deltoid) on 06 November 2007 and within minutes complained of redness and itching at the injection site. She then complained of her throat feeling thick, and she developed shortness of breath. She was taken in the emergency room and received treatment with 0.3 mg epinephrine times three and 125 mg intramuscular Solu-Medrol. All symptoms resolved and the patient was released from the emergency room.
Age: 33.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Dyspnoea, Injection site erythema, Injection site pruritus, Pharyngeal oedema
Clinical narrative: Seriousness Criteria: Other-Medically Significant Initial report received from a health professional on 08 November 2007. A 33-year-old female with history of allergies to codeine, Dilaudid, milk and cats received a fourth dose of Fluzone (lot number U2487AA) administered intramuscularly to the right deltoid) on 06 November 2007 and within minutes complained of redness and itching at the injection site. She then complained of her throat feeling thick, and she developed shortness of breath. She was taken in the emergency room and received treatment with 0.3 mg epinephrine times three and 125 mg intramuscular Solu-Medrol. All symptoms resolved and the patient was released from the emergency room.
Age: 27.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Dehydration, Dyspnoea, Feeling abnormal, Heart rate increased, Hypertension
Clinical narrative: Initial report received from a health care provider on 08 November 2007. A 27-year-old female patient with a medical history of seizures, had received an intramuscular left deltoid injection of Fluzone SV 2007-2008, lot number U2464AA on 24 October 2007 and 30 minutes later, she experienced generalized itching, couldn't catch her breath and had fainted. The patient was in and out of consciousness and medics were called. IV fluids, oxygen and Benadryl were administered. The patients vitals; BP 215/120, HR 127, with irregular breathing. The patient was taken to the emergency room (ER). She began having a migraine and the left side of her body became numb. Relevant diagnostic testing performed included CT Scan, EKG, and a heart monitor (results not provided). The patient was monitored in the ER, discharged with a diagnosis of viral infection and prescribed antibiotics. The patient followed-up visit with her physician the next day. The patient had recovered from the event.
Age: 27.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Loss of consciousness, Migraine, Pruritus, Sinusitis, Syncope
Clinical narrative: Initial report received from a health care provider on 08 November 2007. A 27-year-old female patient with a medical history of seizures, had received an intramuscular left deltoid injection of Fluzone SV 2007-2008, lot number U2464AA on 24 October 2007 and 30 minutes later, she experienced generalized itching, couldn't catch her breath and had fainted. The patient was in and out of consciousness and medics were called. IV fluids, oxygen and Benadryl were administered. The patients vitals; BP 215/120, HR 127, with irregular breathing. The patient was taken to the emergency room (ER). She began having a migraine and the left side of her body became numb. Relevant diagnostic testing performed included CT Scan, EKG, and a heart monitor (results not provided). The patient was monitored in the ER, discharged with a diagnosis of viral infection and prescribed antibiotics. The patient followed-up visit with her physician the next day. The patient had recovered from the event.
Age: 27.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Altered state of consciousness, Computerised tomogram, Dyspnoea, Electrocardiogram, Hypoaesthesia
Clinical narrative: Initial report received from a health care provider on 08 November 2007. A 27-year-old female patient with a medical history of seizures, had received an intramuscular left deltoid injection of Fluzone SV 2007-2008, lot number U2464AA on 24 October 2007 and 30 minutes later, she experienced generalized itching, couldn't catch her breath and had fainted. The patient was in and out of consciousness and medics were called. IV fluids, oxygen and Benadryl were administered. The patients vitals; BP 215/120, HR 127, with irregular breathing. The patient was taken to the emergency room (ER). She began having a migraine and the left side of her body became numb. Relevant diagnostic testing performed included CT Scan, EKG, and a heart monitor (results not provided). The patient was monitored in the ER, discharged with a diagnosis of viral infection and prescribed antibiotics. The patient followed-up visit with her physician the next day. The patient had recovered from the event.
Age: 27.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Loss of consciousness, Migraine, Pruritus generalised, Syncope, Viral infection
Clinical narrative: Initial report received from a health care provider on 08 November 2007. A 27-year-old female patient with a medical history of seizures, had received an intramuscular left deltoid injection of Fluzone SV 2007-2008, lot number U2464AA on 24 October 2007 and 30 minutes later, she experienced generalized itching, couldn't catch her breath and had fainted. The patient was in and out of consciousness and medics were called. IV fluids, oxygen and Benadryl were administered. The patients vitals; BP 215/120, HR 127, with irregular breathing. The patient was taken to the emergency room (ER). She began having a migraine and the left side of her body became numb. Relevant diagnostic testing performed included CT Scan, EKG, and a heart monitor (results not provided). The patient was monitored in the ER, discharged with a diagnosis of viral infection and prescribed antibiotics. The patient followed-up visit with her physician the next day. The patient had recovered from the event.
Age: 62.0
Sex: M
Vaccine: FLUX
Symptoms: Tendonitis
Clinical narrative: Tendinitis like symptoms in vaccinated arm in elbow.  I am alergic to thimerisol and the vaccine contained thimerisol.
Age: 59.0
Sex: M
Vaccine: FLUX
Symptoms: Influenza
Clinical narrative: Recieved flu shot 11/21/07. Within 2 days had flu symptons, and within 3 days had the flu fairly bad! As of 11/26 I'm still quiet sick.
Age: 71.0
Sex: F
Vaccine: FLU3
Symptoms: Pruritus, Rash erythematous
Clinical narrative: Raised red areas around waist and mild itching
Age: 66.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Erythema, Musculoskeletal pain, Pain in extremity, Skin warm, Stomach discomfort
Clinical narrative: Left arm/Left shoulder pain, red, swollen warm, to the touch.  Upset stomach
Age: 66.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Swelling
Clinical narrative: Left arm/Left shoulder pain, red, swollen warm, to the touch.  Upset stomach
Age: 28.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Body temperature increased, Musculoskeletal pain, Pain, Pain in extremity, Rash erythematous
Clinical narrative: Painful, swollen red bumps on Left arm.Ran temp of 103.  Shoulder and  left arm sore.  Went to MD on 10/19 received antibiotics and advised by physician not to get pneumonia shots.
Age: 28.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Swelling
Clinical narrative: Painful, swollen red bumps on Left arm.Ran temp of 103.  Shoulder and  left arm sore.  Went to MD on 10/19 received antibiotics and advised by physician not to get pneumonia shots.
Age: 66.0
Sex: F
Vaccine: FLU3, VARZOS
Symptoms: Diarrhoea, Herpes zoster, Hypersensitivity, Pain, Pruritus
Clinical narrative: Patient reports itching that sent her to ER on 10/27/2007. She reports that they treated her for an allergic reaction, giving her an IV and a script for an oral medication. Later went to her primary medical provider who gave diagnoses of Shingles. Patient states that the "rash" started as pimples on skin, beginning on her neck and later spreading to her hips. Medical provider also began testing for other symptoms:based on a recent kidney scan, patient has just been diagnosed with cancer in right kidney. Further medical appointments now scheduled for patient. Patient relates following symptoms due to Shingles: open sores on buttocks, pain, and diarrhea. Treatment consists of Benedryl, soda baths and a "white pill". Patient also stated that she now had chicken pox on neck and buttocks. A call was placed to her health care provider to confirm chickenpox (a reportable disease). Provider confirmed Shingles but denied that patient had chickenpox. Provider states that patient does now have diagnoses of cancer but that she did not have that diagnoses at time of vaccination.
Age: 66.0
Sex: F
Vaccine: FLU3, VARZOS
Symptoms: Rash vesicular, Renal cell carcinoma stage unspecified
Clinical narrative: Patient reports itching that sent her to ER on 10/27/2007. She reports that they treated her for an allergic reaction, giving her an IV and a script for an oral medication. Later went to her primary medical provider who gave diagnoses of Shingles. Patient states that the "rash" started as pimples on skin, beginning on her neck and later spreading to her hips. Medical provider also began testing for other symptoms:based on a recent kidney scan, patient has just been diagnosed with cancer in right kidney. Further medical appointments now scheduled for patient. Patient relates following symptoms due to Shingles: open sores on buttocks, pain, and diarrhea. Treatment consists of Benedryl, soda baths and a "white pill". Patient also stated that she now had chicken pox on neck and buttocks. A call was placed to her health care provider to confirm chickenpox (a reportable disease). Provider confirmed Shingles but denied that patient had chickenpox. Provider states that patient does now have diagnoses of cancer but that she did not have that diagnoses at time of vaccination.
Age: 72.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Erythema, Oedema peripheral, Pain in extremity, Skin warm
Clinical narrative: Left arm Red, swollen, warm  to the touch, unable to lay on it.
Age: 7.0
Sex: M
Vaccine: HEPA
Symptoms: Diet refusal, Pain, Pyrexia, Somnolence, Vomiting
Clinical narrative: Received vaccine on Monday, November 19, 1007. Became ill with fever, vomiting and aches on Thursday, November 22, 2007. Symptoms continued on Friday, November 23, 2007. Mom reports child felt "better" on Saturday, but was sleepy on Sunday. Still refusing food on Monday, November 26. Advised by nurse completing report to contact child's pediatrician.
Age: 36.0
Sex: F
Vaccine: PPV
Symptoms: Breast tenderness, Cellulitis, Injection site erythema, Injection site pain, Injection site warmth
Clinical narrative: Approximately 24 hours after injection developed a 3X3 in area of redness about an inch away from injection site.  It was warm to the touch and painful.  I also had tenderness in my left breast and left ribcage.  Was seen at an urgent care center on 11/23 and was put on bactrim and prednisone for cellulitis.  The doc first called it hives until I explained it did not itch.  The area is less red now and only mildly tender.
Age: 71.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Erythema, Oedema peripheral, Pain in extremity
Clinical narrative: Redness, pain and swelling to Right arm...swelling approx. 20cm x 20cm per physician office...
Age: 71.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Erythema, Insomnia, Lethargy, Pain in extremity
Clinical narrative: Left arm Red, painful, lethargic, couldn't sleep, arm too sore.
Age: 71.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Erythema, Pain in extremity
Clinical narrative: Right arm red, painful
Age: 77.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Erythema, Oedema peripheral, Skin warm
Clinical narrative: Upper Left Arm red, swollen, warm to touch, just lower part of arm not at injection site.
Age: 65.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Nodule, Pain
Clinical narrative: Knot under arm..Pain when press on lump under arm.
Age: 70.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Erythema, Oedema peripheral, Pain in extremity, Tenderness
Clinical narrative: Swelling in the left arm. Redness, tender and painful
Age: 12.0
Sex: F
Vaccine: FLU3, HPV4, MNQ, TDAP, FLU3, HPV4, MNQ, TDAP
Symptoms: Blood electrolytes normal, Computerised tomogram normal, Electrocardiogram normal, Epilepsy, Full blood count normal
Clinical narrative: 11/16/2007  7:30 am patient had episode of spinning-head tilted to r-then whole body shaking lasting less than 2 minutes- no fever- EMS called and taken to ER- ?partial complex seizure vs syncopal episode.  Transferred to Hospital for further evaluation. Discharged home on 11/18/2007.  On 11/20/2007 mom called to say that patient had another seizure.  She returned to hospital and was begun on depakote. 1/2/08-records received for DOS 11/16-11/18/07-DC DX: Seizure. One episode of eye twitching. Per parent happened 3 times, collapssed. No post ictal state. 1/2/08-records received for DOS 11/16-11/18/07-DC DX seizure.  Morning of ER visit found on floor.  Per 60 day follow up: Patient diagnosed with generalized epilepsy by neurologists. MRI brain- normal. She is being treated with DEPAKOTE ER 500 mg qhs. R/C in EEG consistent iwth genralized motor epilepsy.
Age: 12.0
Sex: F
Vaccine: FLU3, HPV4, MNQ, TDAP, FLU3, HPV4, MNQ, TDAP
Symptoms: Nuclear magnetic resonance imaging, Posture abnormal, Syncope, Tremor, Vertigo
Clinical narrative: 11/16/2007  7:30 am patient had episode of spinning-head tilted to r-then whole body shaking lasting less than 2 minutes- no fever- EMS called and taken to ER- ?partial complex seizure vs syncopal episode.  Transferred to Hospital for further evaluation. Discharged home on 11/18/2007.  On 11/20/2007 mom called to say that patient had another seizure.  She returned to hospital and was begun on depakote. 1/2/08-records received for DOS 11/16-11/18/07-DC DX: Seizure. One episode of eye twitching. Per parent happened 3 times, collapssed. No post ictal state. 1/2/08-records received for DOS 11/16-11/18/07-DC DX seizure.  Morning of ER visit found on floor.  Per 60 day follow up: Patient diagnosed with generalized epilepsy by neurologists. MRI brain- normal. She is being treated with DEPAKOTE ER 500 mg qhs. R/C in EEG consistent iwth genralized motor epilepsy.
Age: 12.0
Sex: F
Vaccine: FLU3, HPV4, MNQ, TDAP, FLU3, HPV4, MNQ, TDAP
Symptoms: Blood electrolytes normal, Complex partial seizures, Computerised tomogram normal, Convulsion, Electrocardiogram normal
Clinical narrative: 11/16/2007  7:30 am patient had episode of spinning-head tilted to r-then whole body shaking lasting less than 2 minutes- no fever- EMS called and taken to ER- ?partial complex seizure vs syncopal episode.  Transferred to Hospital for further evaluation. Discharged home on 11/18/2007.  On 11/20/2007 mom called to say that patient had another seizure.  She returned to hospital and was begun on depakote. 1/2/08-records received for DOS 11/16-11/18/07-DC DX: Seizure. One episode of eye twitching. Per parent happened 3 times, collapssed. No post ictal state. 1/2/08-records received for DOS 11/16-11/18/07-DC DX seizure.  Morning of ER visit found on floor.  Per 60 day follow up: Patient diagnosed with generalized epilepsy by neurologists. MRI brain- normal. She is being treated with DEPAKOTE ER 500 mg qhs. R/C in EEG consistent iwth genralized motor epilepsy.
Age: 12.0
Sex: F
Vaccine: FLU3, HPV4, MNQ, TDAP, FLU3, HPV4, MNQ, TDAP
Symptoms: Electroencephalogram, Full blood count normal, Nuclear magnetic resonance imaging, Posture abnormal, Syncope
Clinical narrative: 11/16/2007  7:30 am patient had episode of spinning-head tilted to r-then whole body shaking lasting less than 2 minutes- no fever- EMS called and taken to ER- ?partial complex seizure vs syncopal episode.  Transferred to Hospital for further evaluation. Discharged home on 11/18/2007.  On 11/20/2007 mom called to say that patient had another seizure.  She returned to hospital and was begun on depakote. 1/2/08-records received for DOS 11/16-11/18/07-DC DX: Seizure. One episode of eye twitching. Per parent happened 3 times, collapssed. No post ictal state. 1/2/08-records received for DOS 11/16-11/18/07-DC DX seizure.  Morning of ER visit found on floor.  Per 60 day follow up: Patient diagnosed with generalized epilepsy by neurologists. MRI brain- normal. She is being treated with DEPAKOTE ER 500 mg qhs. R/C in EEG consistent iwth genralized motor epilepsy.
Age: 12.0
Sex: F
Vaccine: FLU3, HPV4, MNQ, TDAP, FLU3, HPV4, MNQ, TDAP
Symptoms: Tremor, Vertigo
Clinical narrative: 11/16/2007  7:30 am patient had episode of spinning-head tilted to r-then whole body shaking lasting less than 2 minutes- no fever- EMS called and taken to ER- ?partial complex seizure vs syncopal episode.  Transferred to Hospital for further evaluation. Discharged home on 11/18/2007.  On 11/20/2007 mom called to say that patient had another seizure.  She returned to hospital and was begun on depakote. 1/2/08-records received for DOS 11/16-11/18/07-DC DX: Seizure. One episode of eye twitching. Per parent happened 3 times, collapssed. No post ictal state. 1/2/08-records received for DOS 11/16-11/18/07-DC DX seizure.  Morning of ER visit found on floor.  Per 60 day follow up: Patient diagnosed with generalized epilepsy by neurologists. MRI brain- normal. She is being treated with DEPAKOTE ER 500 mg qhs. R/C in EEG consistent iwth genralized motor epilepsy.
Sex: F
Vaccine: FLU3
Symptoms: Chest discomfort, Chills, Cough, Headache, Myalgia
Clinical narrative: Vaccine administered about 1 pm. "Hives started in the afternoon/, fever, chills, muscle aches. Chest "fill up" almost like an asthma attack, chest congestion, coughing with heart racing lasting about 6 hours." Also developed headache, states gets migraines.
Sex: F
Vaccine: FLU3
Symptoms: Palpitations, Pyrexia, Urticaria
Clinical narrative: Vaccine administered about 1 pm. "Hives started in the afternoon/, fever, chills, muscle aches. Chest "fill up" almost like an asthma attack, chest congestion, coughing with heart racing lasting about 6 hours." Also developed headache, states gets migraines.
Age: 82.0
Sex: F
Vaccine: FLU3
Symptoms: Breast pain, Neck pain, Pain in extremity
Clinical narrative: Received Flu vaccine on Oct 16th at public clinic. Given in right upper deltoid.  That evening complained of right arm discomfort and ache.  Pain radiated to right breast and then to the right side of neck but this has subsided. The pain in sporadic and occurs between the right shoulder and elbow.  Using Buster-R cream to help pain.
Age: 7.0
Sex: F
Vaccine: FLU3, VARCEL
Symptoms: Erythema, Induration, Nodule, Oedema peripheral, Skin warm
Clinical narrative: Mother called clinic day after (11-17) vaccines were given to repot a 2 inch bump underneath the arm the vaccines were given. No fever at that time. Patient was scheduled to be seen in the office that day.  Evaluated by a provider and area of approx. 3cm in diameter of redness and swelling that was warm to touch noted.  Area is posterior area of R) arm.  Parent instructed to apply cool pack and observe.  Mother called back the next day (11-18) and patient is seen again by provider.  Redness has spread outside the area of a line drawn the day before.  Overall however there is less intense redness and the hardness int he middle and swelling seems improved.  No drainage or skin breakdown noted.  Area is more warm and tender than is was yesterday.  Patient was started on Amoxil the day of the immunizations due to an ear infection. Amoxil is stopped and patient is started on Augmentin.
Age: 7.0
Sex: F
Vaccine: FLU3, VARCEL
Symptoms: Tenderness
Clinical narrative: Mother called clinic day after (11-17) vaccines were given to repot a 2 inch bump underneath the arm the vaccines were given. No fever at that time. Patient was scheduled to be seen in the office that day.  Evaluated by a provider and area of approx. 3cm in diameter of redness and swelling that was warm to touch noted.  Area is posterior area of R) arm.  Parent instructed to apply cool pack and observe.  Mother called back the next day (11-18) and patient is seen again by provider.  Redness has spread outside the area of a line drawn the day before.  Overall however there is less intense redness and the hardness int he middle and swelling seems improved.  No drainage or skin breakdown noted.  Area is more warm and tender than is was yesterday.  Patient was started on Amoxil the day of the immunizations due to an ear infection. Amoxil is stopped and patient is started on Augmentin.
Age: 45.0
Sex: F
Vaccine: TDAP
Symptoms: Erythema, Oedema peripheral, Pain in extremity
Clinical narrative: left arm became red and swollen, and painful: seen be physician and ordered ibupropfen and antihistamine for 5 days
Age: 46.0
Sex: F
Vaccine: TDAP
Symptoms: Oedema peripheral, Pain in extremity, Skin warm
Clinical narrative: Left arm became warm and swollen and painful/ seen be Medical practitioner
Age: 9.0
Sex: F
Vaccine: VARCEL
Symptoms: Erythema
Clinical narrative: 3.5 x 4.0 cm, light red,raised, moderately soft area, left upper lateral arm.
Age: 52.0
Sex: F
Vaccine: FLU3
Symptoms: Back pain, Chills, Diarrhoea, Headache, Immediate post-injection reaction
Clinical narrative: Vaccine was given to me in left arm Friday afternoon, Nov. 23. I Immediately felt itching at injection site which went away after about 10 minutes.  Later in evening and next two days, I had stomach upset (diarrhea).  Also, the next morning, I awakened with a headache and developed pain in back and muscles all over body as well as low grade fever in the evening (with chills). Fever and chills gone after one day, but even today (3rd day), I still don't feel completely "well".
Age: 52.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site pruritus, Malaise, Myalgia, Pyrexia, Stomach discomfort
Clinical narrative: Vaccine was given to me in left arm Friday afternoon, Nov. 23. I Immediately felt itching at injection site which went away after about 10 minutes.  Later in evening and next two days, I had stomach upset (diarrhea).  Also, the next morning, I awakened with a headache and developed pain in back and muscles all over body as well as low grade fever in the evening (with chills). Fever and chills gone after one day, but even today (3rd day), I still don't feel completely "well".
Age: 40.0
Sex: F
Vaccine: FLU3
Symptoms: Cough, Eye pain, Eye pruritus, Headache, Ocular hyperaemia
Clinical narrative: Sudden onset of cough, general achiness, red eyeswith scratchiness and painful throbbing sensation. red eyes lasted 2 days/headache for one day
Age: 40.0
Sex: F
Vaccine: FLU3
Symptoms: Pain
Clinical narrative: Sudden onset of cough, general achiness, red eyeswith scratchiness and painful throbbing sensation. red eyes lasted 2 days/headache for one day
Age: 55.0
Sex: F
Vaccine: FLU3
Symptoms: Chills, Nausea, Vertigo
Clinical narrative: vertigo times 48 hours/ nausea and chills
Age: 15.0
Sex: F
Vaccine: HPV4
Symptoms: Acne, Idiopathic thrombocytopenic purpura, Immunoglobulins, Menorrhagia, Platelet count decreased
Clinical narrative: 5/18/07 patient given first Gardasil(HPV) lot 1447F.  8/2/07 patient given second Gardasil (HPV lot 09270 mfg Merck.   8/17/07 - Patient taken to Tx Hosp Emerg Room for excesssive bleeding related to menstrual cycle.  Blood test reveals platelet level approx 32K.  ITP diagnosed.  Platelet level would go down to 2K on 9/4/07. Treatments given have been Immune Globulin, WinRHO, and Prednisone.  Patient on birth control pills to stop bleeding.  Latest lab taken show level at 232K, first time over 100K since mid-August.  At present, patient still has some itching (all over) and acne on face (from medicines?).  Still monitoring platelet level - hope this nightmare is over.  Sister age 12 (at time) received same HPV vaccinations with no adverse reaction so far.  Not certain about Route in quest #13.    12/18/07 Reviewed hospital ER & Clinic medical records which reveal patient experienced heavy menses with clots & went to ER 8/17/07.  Tx w/tapering steroidsReferred to Heme, GYN & PMD.  Clinic records of 9/20-12/12/2007 indicate patient bleeding controlled w/low dose estrogen. Plts max low 2k on 9/4 w/bruising & petechiae. Received IVIG 9/7 x 1, plts rose to 16k. .  Received WinRho 9/11 & plts rose to 28k.  9/20 plts 12k, tx w/tapering steroids until 10/21.  11/9 plts 232k but restarted steroid taper for 2 more wks.  11/30 plts 203k & plan was to observe off meds.  No labs reported on 12/12 visit.   ER DX: thrombocytopenia & menorrhagia, hemodynamically stable.  2/22/08 Reviewed pcp medical records & vax records.  Corrected lot # in database.  Received initial HPV vax on 5/18/07, IM in left arm, lot # 1447E.  On 8/2/07 c/o nausea & dizziness s/p 1st HPV vax.  Vomiting w/each period & felt dizzy, cramping & heavy periods.  To see GYN if anti-inflammatories not helpful.  Office vs of 8/20 revealed pt w/ very heavy mentstuation & epistaxis.   Seen in ER where plt ct 36K.  Referred to GYN.  Returned to office 9/5/07 s/p dx w/ITP, plts 2K & had received IVIG.  9/14 plts 28K per t/c.  11/7/07 vs for stuffy runny nose, sore throat & urticarial rash on back.  Dx w/URI, urticaria, thrombocytopenia.  Last plt ct noted as 43K on BCP.   FINAL DX: Idiopathic thrombocytopenic purpura.
Age: 15.0
Sex: F
Vaccine: HPV4
Symptoms: Pruritus generalised
Clinical narrative: 5/18/07 patient given first Gardasil(HPV) lot 1447F.  8/2/07 patient given second Gardasil (HPV lot 09270 mfg Merck.   8/17/07 - Patient taken to Tx Hosp Emerg Room for excesssive bleeding related to menstrual cycle.  Blood test reveals platelet level approx 32K.  ITP diagnosed.  Platelet level would go down to 2K on 9/4/07. Treatments given have been Immune Globulin, WinRHO, and Prednisone.  Patient on birth control pills to stop bleeding.  Latest lab taken show level at 232K, first time over 100K since mid-August.  At present, patient still has some itching (all over) and acne on face (from medicines?).  Still monitoring platelet level - hope this nightmare is over.  Sister age 12 (at time) received same HPV vaccinations with no adverse reaction so far.  Not certain about Route in quest #13.    12/18/07 Reviewed hospital ER & Clinic medical records which reveal patient experienced heavy menses with clots & went to ER 8/17/07.  Tx w/tapering steroidsReferred to Heme, GYN & PMD.  Clinic records of 9/20-12/12/2007 indicate patient bleeding controlled w/low dose estrogen. Plts max low 2k on 9/4 w/bruising & petechiae. Received IVIG 9/7 x 1, plts rose to 16k. .  Received WinRho 9/11 & plts rose to 28k.  9/20 plts 12k, tx w/tapering steroids until 10/21.  11/9 plts 232k but restarted steroid taper for 2 more wks.  11/30 plts 203k & plan was to observe off meds.  No labs reported on 12/12 visit.   ER DX: thrombocytopenia & menorrhagia, hemodynamically stable.  2/22/08 Reviewed pcp medical records & vax records.  Corrected lot # in database.  Received initial HPV vax on 5/18/07, IM in left arm, lot # 1447E.  On 8/2/07 c/o nausea & dizziness s/p 1st HPV vax.  Vomiting w/each period & felt dizzy, cramping & heavy periods.  To see GYN if anti-inflammatories not helpful.  Office vs of 8/20 revealed pt w/ very heavy mentstuation & epistaxis.   Seen in ER where plt ct 36K.  Referred to GYN.  Returned to office 9/5/07 s/p dx w/ITP, plts 2K & had received IVIG.  9/14 plts 28K per t/c.  11/7/07 vs for stuffy runny nose, sore throat & urticarial rash on back.  Dx w/URI, urticaria, thrombocytopenia.  Last plt ct noted as 43K on BCP.   FINAL DX: Idiopathic thrombocytopenic purpura.
Age: 41.0
Sex: F
Vaccine: FLU3
Symptoms: Rash erythematous
Clinical narrative: Reddened rash chest. To Emergency Department for follow up. Took benedryl. Rash started to clear with in 1 hour. No other complications.
Age: 39.0
Sex: M
Vaccine: HEP
Symptoms: Asthenia, Chest discomfort, Hypoaesthesia
Clinical narrative: Tightness in chest and weakness and numbness in right side.  Symptoms occurred about 15 minutes after injection.
Age: 0.5
Sex: M
Vaccine: DTAPHEPBIP, FLU3, PNC
Symptoms: Pyrexia, Rash maculo-papular, Viral infection
Clinical narrative: Patient developed fever starting on the day of vaccine administration that lasted for 6 days. Patient developed diffuse skin-colored maculopapular rash. Mom called 11/24/2007 at 3:30 pm and was seen on 11/26/2007. At that time pt had no fever, did still have the rash. More likely viral illness, reporting because occurred just after vaccination
Age: 25.0
Sex: F
Vaccine: FLU3
Symptoms: Hypoaesthesia, Hypoaesthesia facial
Clinical narrative: Had Flu Shot L Deltoid, 1 half hours later numbness from mid forearm (outer aspect) radiating into l little finger, approx 15 minutes later numbness l side face. 11/11/07- symptoms  persist no improvment - saw physician 11/7 who stated that s/s unlikely to be vaccine related.  11/26 FU with client  sysmtoms decreasing, has put in Workman's Comp Claim  - client's physician ref her to neurologist -  first appointment  12/21 2007
Age: 24.0
Sex: F
Vaccine: FLU3
Symptoms: Diarrhoea, Feeling hot, Pain, Tremor, Vomiting
Clinical narrative: Appoximately 2-3 days after receiving flu vaccine began to feel shaky in the morning.  As day progressed became achy and felt she had fever.  Around 7:30 PM began to vomit and have diarrhea.  Symptoms lasted about 10 hours and then subsided.
Age: 34.0
Sex: F
Vaccine: FLU3, TDAP
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Injection site swollen, (5 cm) red, painful despite ibuprofen.  Peak at 4 days after, redness and swelling gone by 8th day, remains tender yet today.
Age: 54.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site swelling, Injection site warmth, Musculoskeletal pain, Pain in extremity
Clinical narrative: s/s:warmth and swelling at injection site, the left deltoid; pain in left arm and left shoulder.  treatment: prednisone taper, and ibuprofen, percocet, and exercises.
Age: 2.0
Sex: F
Vaccine: FLUN3
Symptoms: Blood test, Contusion, Cough, Pyrexia, Rash
Clinical narrative: 5 hours following the administration of the Flu Mist, the child began to vomit approximately every 20 minutes which lasted about 8 hours.  Fever started at night, was about 101 degrees and lasted about 10 hours.  She also started to cough.  The rash developed on 11/23/07, about 7 days after the shot was given. Rash began at the ankles, was bright red with what looked like bruising underneath the rash in some areas on her legs.  It continued from her belly button to her elbows.  The rash had very little itching.  When the rash began, patient's mother treated her with benedryl and the redness of the rash faded.  The family was on vacation so the patient was taken to the Clinic.  Blood work was done and her urine was checked.  Mother was told they felt the rash was associated with the Flu Mist nasal vaccine due to the bruised look under the rash on her legs.  The Clinic consulted with a hospital who agreed.  Although the rash has faded, it is still very visible and covers her legs. On the rest of her body, it has almost disappeared.  03/07/2008 MR received for ER visit 11/23/07 with DX: Hypersensitivity vasculitis 2' to FluMist vaccine. Infant presented to ER with rash which was spreading.  Infant had developed vomiting and fever on the day of vax which subsided. PE(+) for confluent, purpuric petechial rash from the waist down.  Impression of Henoch-Schonlein purpura.
Age: 2.0
Sex: F
Vaccine: FLUN3
Symptoms: Urine analysis, Vomiting
Clinical narrative: 5 hours following the administration of the Flu Mist, the child began to vomit approximately every 20 minutes which lasted about 8 hours.  Fever started at night, was about 101 degrees and lasted about 10 hours.  She also started to cough.  The rash developed on 11/23/07, about 7 days after the shot was given. Rash began at the ankles, was bright red with what looked like bruising underneath the rash in some areas on her legs.  It continued from her belly button to her elbows.  The rash had very little itching.  When the rash began, patient's mother treated her with benedryl and the redness of the rash faded.  The family was on vacation so the patient was taken to the Clinic.  Blood work was done and her urine was checked.  Mother was told they felt the rash was associated with the Flu Mist nasal vaccine due to the bruised look under the rash on her legs.  The Clinic consulted with a hospital who agreed.  Although the rash has faded, it is still very visible and covers her legs. On the rest of her body, it has almost disappeared.  03/07/2008 MR received for ER visit 11/23/07 with DX: Hypersensitivity vasculitis 2' to FluMist vaccine. Infant presented to ER with rash which was spreading.  Infant had developed vomiting and fever on the day of vax which subsided. PE(+) for confluent, purpuric petechial rash from the waist down.  Impression of Henoch-Schonlein purpura.
Age: 63.0
Sex: M
Vaccine: FLUX
Symptoms: Cough, Dyspnoea, Haemoptysis, Malaise, Pharyngolaryngeal pain
Clinical narrative: At first I had a sore throat and cough. The cough would not go away and just go worse over the next 3 days until I was very sick and hardly being able to breathe with chest congestion and 100.5 fever by Thanksgiving day. On Friday, 11/23/2007 I returned to the Physicians Assistant as I was coughing up blood with some mucus. I was given a prescription for Azrithromycin and told to use my rescue inhaler frequently. The antibiotic has had little affect after 4 days. Use of the rescue inhaler has helped some, but I am still sick. HHS has been very negligent in not spreading the word that there was a differnt formulation of flu shot vaccine for people with severe allergies. I am not and have never been allergic to eggs. It is the dam Mercury and preservatives that are the problem.
Age: 63.0
Sex: M
Vaccine: FLUX
Symptoms: Pulmonary congestion, Pyrexia
Clinical narrative: At first I had a sore throat and cough. The cough would not go away and just go worse over the next 3 days until I was very sick and hardly being able to breathe with chest congestion and 100.5 fever by Thanksgiving day. On Friday, 11/23/2007 I returned to the Physicians Assistant as I was coughing up blood with some mucus. I was given a prescription for Azrithromycin and told to use my rescue inhaler frequently. The antibiotic has had little affect after 4 days. Use of the rescue inhaler has helped some, but I am still sick. HHS has been very negligent in not spreading the word that there was a differnt formulation of flu shot vaccine for people with severe allergies. I am not and have never been allergic to eggs. It is the dam Mercury and preservatives that are the problem.
Age: 1.3
Sex: F
Vaccine: DTAP, FLU3, MMR, VARCEL
Symptoms: Blood electrolytes normal, C-reactive protein increased, Chest X-ray normal, Decreased activity, Dehydration
Clinical narrative: The day of vaccine pt came down with pink eye likely viral.  However the parents describe that the 10 days following the vaccine pt was very much less active that usual.  Indeed in the office pt actively level was quite low.  howevere the night of the 11/16/07 although sent home, from office spiked and fever and became quite dehydrated,  essential a partical septic work-up was done and some viral cultures were drwan and all were negative.  the CRP did get as high as 6.3, but pt was treated with IV hydration and released without antibiotic (was given a dose of rocephin in the ED) .  Was followed the next,following release, day in clinic and was doing well and activity was back to normal. 12/10/07-records received for DOS 11/17-11/18/07-DC DX: Fever, dehydration, tonsillitis. Seen in ED temp 102.3, history of fever times 2 days. Decreased oral intake, decreased urine output,  Cough, nasal congestion.PE: pharyngeal erythema, right and left sided tonsillar erythema, swelling and hypertropy.
Age: 1.3
Sex: F
Vaccine: DTAP, FLU3, MMR, VARCEL
Symptoms: Influenza serology negative, Polymerase chain reaction, Pyrexia, Streptococcal identification test negative, Urine analysis normal
Clinical narrative: The day of vaccine pt came down with pink eye likely viral.  However the parents describe that the 10 days following the vaccine pt was very much less active that usual.  Indeed in the office pt actively level was quite low.  howevere the night of the 11/16/07 although sent home, from office spiked and fever and became quite dehydrated,  essential a partical septic work-up was done and some viral cultures were drwan and all were negative.  the CRP did get as high as 6.3, but pt was treated with IV hydration and released without antibiotic (was given a dose of rocephin in the ED) .  Was followed the next,following release, day in clinic and was doing well and activity was back to normal. 12/10/07-records received for DOS 11/17-11/18/07-DC DX: Fever, dehydration, tonsillitis. Seen in ED temp 102.3, history of fever times 2 days. Decreased oral intake, decreased urine output,  Cough, nasal congestion.PE: pharyngeal erythema, right and left sided tonsillar erythema, swelling and hypertropy.
Age: 1.3
Sex: F
Vaccine: DTAP, FLU3, MMR, VARCEL
Symptoms: Virus serology test, White blood cell count increased, X-ray normal
Clinical narrative: The day of vaccine pt came down with pink eye likely viral.  However the parents describe that the 10 days following the vaccine pt was very much less active that usual.  Indeed in the office pt actively level was quite low.  howevere the night of the 11/16/07 although sent home, from office spiked and fever and became quite dehydrated,  essential a partical septic work-up was done and some viral cultures were drwan and all were negative.  the CRP did get as high as 6.3, but pt was treated with IV hydration and released without antibiotic (was given a dose of rocephin in the ED) .  Was followed the next,following release, day in clinic and was doing well and activity was back to normal. 12/10/07-records received for DOS 11/17-11/18/07-DC DX: Fever, dehydration, tonsillitis. Seen in ED temp 102.3, history of fever times 2 days. Decreased oral intake, decreased urine output,  Cough, nasal congestion.PE: pharyngeal erythema, right and left sided tonsillar erythema, swelling and hypertropy.