chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Hypersensitivity, Torticollis
Clinical narrative: 1) Local allergic reaction (IPOL & VARIVAX) on R deltoid also (arm) --> 9cm x 11cm.  2) neck torticollis
Age: 29.0
Sex: F
Vaccine: ANTH, SMALL
Symptoms: Erythema, Injection site reaction, Injection site streaking, Lymphadenopathy, Pruritus
Clinical narrative: Vigorous smallpox reaction at deltoid (local), rubor, pruritus, lymphadenopathy (streaking).
Age: 35.0
Sex: M
Vaccine: FLU3, TDAP, YF
Symptoms: Dyspnoea, Sleep disorder
Clinical narrative: Patient has complained of waking up at night with shortness of breath on two occasions so far.
Age: 15.0
Sex: F
Vaccine: HEPA, HPV4, MNQ, TDAP
Symptoms: Headache, Pain, Pain in extremity, Pyrexia
Clinical narrative: 8/11/08 patient states she has had a fever 20 minutes after she received vaccines and still has fever today.  8/11/08 states she has headache and pain in arm and feels achy.  State Tylenol and Motrin do not control fever reported to MD.  Saw doctor 8/11/08.  8/27/08 mom said child recovered.
Age: 14.0
Sex: M
Vaccine: HEPA, MNQ, TDAP
Symptoms: Eye swelling, Rash
Clinical narrative: Patient has rash on chest and neck, swollen eyes. Began on 8/28/08. Was taken to ER, told it was a reaction. Grandmother stated that patient also has bad allergies and is very sensitive to many things.
Age: 11.0
Sex: M
Vaccine: HEPA, MNQ, TDAP
Symptoms: Chest pain, Dyspnoea, Hypersomnia, Nausea, Pyrexia
Clinical narrative: 8-7-08 fever started at 6:30p 101F. Slept all day 8-8-08 and most of 8-9 and 8-10. On 8-11-08 chest pain and SOB with NIV during late afternoon. Mom to take child to Pediatrician this A.M. Brother started having fever 8-11-08 with coughing and gaggling.
Age: 11.0
Sex: M
Vaccine: HEPA, MNQ, TDAP
Symptoms: Sick relative, Vomiting
Clinical narrative: 8-7-08 fever started at 6:30p 101F. Slept all day 8-8-08 and most of 8-9 and 8-10. On 8-11-08 chest pain and SOB with NIV during late afternoon. Mom to take child to Pediatrician this A.M. Brother started having fever 8-11-08 with coughing and gaggling.
Age: 6.0
Sex: M
Vaccine: HEPA
Symptoms: Abdominal pain, Cough, Pyrexia, Retching
Clinical narrative: See VAERS on brother completed same day as this report.  08/11/2008, fever 101 degrees F late afternoon, apparently coughing & gagging. To take to pediatrician this A.M.- with brother. Mom started this A.M. with abd cramping
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Erythema, Oedema peripheral, Skin warm
Clinical narrative: Left upper arm edematous, erythematous, warm to the touch.  Parents stated no fever, but children's Tylenol given and ice applied to arm 9-9-08/9-11-08 reported to RN.  Asked mom and dad to take to family MD and ER if condition persists after Tylenol and ice packs.
Age: 11.0
Sex: F
Vaccine: HPV4, MNQ, TDAP, VARCEL
Symptoms: Dizziness, Fall, Pallor
Clinical narrative: Felt dizzy after vaccines administered stood up started walking & fell to floor.
Age: 43.0
Sex: F
Vaccine: YF
Symptoms: Blister, Erythema, Herpes zoster, Injection site erythema, Injection site warmth
Clinical narrative: PC from pt 02/28/08 AM reporting that she "broke out in hives" on back at bra strap and arm and at elastic bad area where underwear come to; took BENADRYL. Referred to ER-Advised to go to ER/ Urgent care. 02/29/2008 PC to pt-did not go to ER/ urgent care, symptoms no worse, ED work up can't take BENADRYL at work-makes sleepy. Advised go to ER/Urgent care.
Age: 43.0
Sex: F
Vaccine: YF
Symptoms: Pruritus, Urticaria
Clinical narrative: PC from pt 02/28/08 AM reporting that she "broke out in hives" on back at bra strap and arm and at elastic bad area where underwear come to; took BENADRYL. Referred to ER-Advised to go to ER/ Urgent care. 02/29/2008 PC to pt-did not go to ER/ urgent care, symptoms no worse, ED work up can't take BENADRYL at work-makes sleepy. Advised go to ER/Urgent care.
Age: 48.0
Sex: F
Vaccine: FLU3
Symptoms: Immediate post-injection reaction, Local swelling, Swelling face
Clinical narrative: Patient was administered influenza vaccine.  Immediately following, patient had facial swelling, especially around her eyes and right area of neck.  Patient was administered 20mg IV dexamethasone.
Age: 0.4
Sex: F
Vaccine: DTAP, HIBV, IPV, PNC, RV5
Clinical narrative: As per hospital death on 8-5-08. 10/15/08-autopsy report received-cause of death:Sudden Infant Death Syndrome.
Age: 15.0
Sex: F
Vaccine: HPV4
Symptoms: Dizziness, Immediate post-injection reaction, Nausea
Clinical narrative: After vaccinated Pt immediately got dizzy and felt like vomiting.  Pt stayed 20-30 min and then was able to leave.
Age: 61.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Erythema, Eye pruritus, Hyperhidrosis, Lacrimation increased, Oedema peripheral
Clinical narrative: 10-6-08 received pneumococcal vaccine right arm.  That evening upper arm swollen, turned red, was so painful he thought his "arm would fall off".  Shortly after, sweats and fever developed, then very sore throat, itchy watery eyes.
Age: 61.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Pain in extremity, Pharyngolaryngeal pain, Pyrexia, Streptococcal identification test negative
Clinical narrative: 10-6-08 received pneumococcal vaccine right arm.  That evening upper arm swollen, turned red, was so painful he thought his "arm would fall off".  Shortly after, sweats and fever developed, then very sore throat, itchy watery eyes.
Age: 12.0
Sex: F
Vaccine: TDAP
Symptoms: Nausea, Vomiting
Clinical narrative: n/v x approx 1 day
Age: 62.0
Sex: M
Vaccine: FLU3
Symptoms: Joint swelling, Oedema peripheral
Clinical narrative: Patient developed bilateral swelling in hands and wrists.
Age: 0.6
Sex: F
Vaccine: DTAP, IPV, MMR, PNC, RV5, VARCEL
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: On 9/26/08 spoke with patient's mom and she denies any adverse effects.
Age: 0.5
Sex: F
Vaccine: DTAPHEPBIP, HIBV
Symptoms: Injection site erythema, Injection site swelling, Local reaction, Vaccine positive rechallenge
Clinical narrative: Pt had red swollen local rxn at site of this vaccine later the same day after both the 4 & 6 mo vaccines.
Age: 0.9
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Body temperature increased, Chills, Pyrexia
Clinical narrative: Pt received 2 doses of PEDIARIX, PREVNAR, and ACTHIB within 2 weeks, Pt. developed fever & shivering after office hours & mother took him to ER.  Temp in ER 102.5 R
Sex: U
Vaccine: MMR, MU
Symptoms: Wrong drug administered
Clinical narrative: Information has been received from a pharmacy technician concerning a patient who was vaccinated with a dose of MUMPSVAX instead of MMR II. No other information was reported. A product quality complaint was not reported. Further information is not expected.
Age: 5.0
Sex: M
Vaccine: MU
Symptoms: Wrong drug administered
Clinical narrative: Information has been received from a licensed practical nurse concerning a 5 year old male patient who on 07-MAR-2008 was inadvertently vaccinated with a dose of MUMPSVAX instead of a dose of MMR II. There was no product quality complaint. Additional information has been requested.
Age: 20.0
Sex: F
Vaccine: MU
Symptoms: Mumps antibody test negative, No therapeutic response
Clinical narrative: Information has been received from a physician concerning a 21-year-old female who in November 2007, was  vaccinated with a booster dose of MUMPSVAX. It was noted that the patient had two vaccination with MMR II as a child (dates unspecified). Mumps titers were performed and the patient failed to exhibit an immune response > 0.91 for mumps. The patient was seen at the physician's office. No adverse symptoms were reported. A product quality complaint was not involved. Follow-up information was received regarding the 21-year old female white patient (120 pounds, 65 inches) who was vaccinated with a booster dose of MUMPSVAX. The patient received a dose of MMR II on 30-SEP-1988, 11-MAY-1992, and 29-NOV-2007. Laboratory tests on 27-NOV-2007 and 25-APR-2008 showed mumps IgG levels < 0.91. No further information is expected.
Age: 5.0
Sex: M
Vaccine: MU
Symptoms: Wrong drug administered
Clinical narrative: Information has been received from a physician concerning a 5 year old patient who on 12-JUN-2008 was vaccinated with MUMPSVAX instead of PROQUAD. The physician stated that the products looked the same and the names of the product were written very small. No adverse event was reported. Outcome was not provided. No product quality complaint. Additional information has been requested.  This is in follow-up to report (s) previously submitted on 9/29/2008; 9/29/2009.  Information has been received from a physician concerning a 5 year old patient who on 12-JUN-2008 was vaccinated with MUMPSVAX instead of PROQUAD. The physician stated that the products looked the same and the names of the product were written very small. No adverse event was reported. Outcome was not provided. No product quality complaint.  Follow up information received from the physician who reported that on 12-JUN-2008, the male patient was vaccinated intramuscularly with 0.5 ml of MUMPSVAX (Lot # 695616/1982U), expiration date 07-DEC-2009) instead of PROQUAD.  No reaction was reported.  No further information is expected.
Age: 1.7
Sex: M
Vaccine: MU
Symptoms: Mumps antibody test negative, No therapeutic response
Clinical narrative: Information has been received from a physician concerning a 19 year old male with no drug allergies and a history of familial risk factor (at birth, mother had positive hepatitis B surface antigen) who on 26-JUN-1990 was vaccinated with MUMPSVAX. The physician reported that the patient recently (dates not specified) tested negative for mumps titer. No problems were reported. Additional information has been requested.
Sex: F
Vaccine: MMR, MU
Symptoms: Wrong drug administered
Clinical narrative: Initial and follow-up information has been received from a licensed practical nurse concerning a female patient who on an unspecified date was vaccinated with MUMPSVAX instead of with MMR II. There were no adverse effects reported. The nurse said the error was not due to product label confusion. It was reported that the first nurse pulled a vial from the MUMPSVAX box without verifying it. After dose administration, the nurse put the vial into the MMR II box. Subsequently, another nurse pulled the same MUMPSVAX and administered it. It was noted that neither nurse caught the error at the time of administration. The error was noticed at the end of the day. At the time of the report, the patient's status was unknown. There was no product quality complaint involved. Additional information requested.
Sex: F
Vaccine: MMR, MU
Symptoms: Wrong drug administered
Clinical narrative: Initial and follow-up information has been received from a licensed practical nurse concerning a female patient who on an unspecified date was vaccinated with MUMPSVAX instead of with MMR II. There were no adverse effects reported. The nurse said the error was not due to product label confusion. It was reported that the first nurse pulled a vial from the MUMPSVAX box without verifying it. After dose administration, the nurse put the vial into the MMR II box. Subsequently, another nurse pulled the same MUMPSVAX and administered it. It was noted the neither nurse caught the error at the time of administration. The error was noticed at the end of the day. At the time of the report, the patient's status was unknown. There was no product quality complaint involved. Additional information requested. This is one of several reports from the same source.
Age: 29.0
Sex: F
Vaccine: FLU3
Symptoms: Abortion spontaneous, Drug exposure during pregnancy
Clinical narrative: Miscarriage at 10 weeks gestation within 48 hours of administration
Age: 11.0
Sex: F
Vaccine: HPV4, MNQ
Symptoms: Dizziness, Dyskinesia, Pallor
Clinical narrative: Involuntary movements, dizziness and pale. Symptoms lasted for 5 minutes.
Age: 11.0
Sex: F
Vaccine: HPV4
Symptoms: Dizziness, Dyskinesia, Immediate post-injection reaction, Loss of consciousness, Pallor
Clinical narrative: When the vaccine was administered the patient became pale, dizzy with loss of consciousness and involuntary movements.
Age: 48.0
Sex: F
Vaccine: FLU3
Symptoms: Auricular swelling, Dizziness, Erythema, Eye irritation, Eye swelling
Clinical narrative: DIZZINESS & VISUAL DISTURBANCES W/IN 15-20 MIN AFTER VACCINE, SEVERE ITCHING, REDNESS AND SWELLING OF EARS, EYES, LIPS, EYES FELT "GRITTY" W/IN 1-2 HOURS AFTER ADMINISTRATION
Age: 48.0
Sex: F
Vaccine: FLU3
Symptoms: Lip swelling, Pruritus, Visual disturbance
Clinical narrative: DIZZINESS & VISUAL DISTURBANCES W/IN 15-20 MIN AFTER VACCINE, SEVERE ITCHING, REDNESS AND SWELLING OF EARS, EYES, LIPS, EYES FELT "GRITTY" W/IN 1-2 HOURS AFTER ADMINISTRATION
Age: 12.0
Sex: M
Vaccine: FLUX, MNQ
Symptoms: Asthenia, Dizziness, Pallor
Clinical narrative: Dizziness following injection, dizziness approximately 2.5 hours later with paleness and weakness.  Allowed to lie down.
Age: 5.0
Sex: F
Vaccine: FLU3
Symptoms: Erythema, Lip swelling
Clinical narrative: Pt received the flu vaccine on 10/6/08 approximately at 1600, during an outpatient office visit with Dr.  The school nurse called mom on 10/7/08 to report that the child's lips had swollen and her face/neck were beet red. No wheezing, no coughing, no trouble breathing or swallowing. Parent denies that child was exposed to anything new, no other new medications, or foods. Edema and redness disappeared on its own.
Age: 63.0
Sex: U
Vaccine: FLU3, PPV
Symptoms: Injected limb mobility decreased, Insomnia, Musculoskeletal pain, Swelling
Clinical narrative: Client received PPV 23 11am 10/6 by evening L arm "shoulder joint" swollen and very painful. No redness, denies numbness or tingling. Difficulty sleeping related to pain. Enc ice/heat to arm. Taking motrin. Warm bath. Enc to seek medical care as needed. She did call her doctor. Call 10/8 States improvement of mobility, using ice and heat. Still quite painful
Age: 58.0
Sex: M
Vaccine: FLU3
Symptoms: Arthralgia, Chills, Fatigue, Headache, Pyrexia
Clinical narrative: Flu vaccine administered at 10:15 am.....over course of afternoon low fever/joint pain/fatigue...7pm fever spiked to 102 degrees....uncontrolable chills/shaking...skin surfaces very hot to the touch....sleep at night was frequently interrupted by chills/shaking or too hot...next am very fatigued/headache/low fever
Age: 58.0
Sex: M
Vaccine: FLU3
Symptoms: Skin warm, Sleep disorder, Tremor
Clinical narrative: Flu vaccine administered at 10:15 am.....over course of afternoon low fever/joint pain/fatigue...7pm fever spiked to 102 degrees....uncontrolable chills/shaking...skin surfaces very hot to the touch....sleep at night was frequently interrupted by chills/shaking or too hot...next am very fatigued/headache/low fever
Age: 5.0
Sex: F
Vaccine: HEPA, VARCEL
Symptoms: Injection site swelling
Clinical narrative: On 10/1/08 grandmother notheced swollen Left arm in deltoid area.  Swelling was about 1 1/2 - 2 inches in diatmeter.  Cool compress was applied at that time.  On 10/7/08 swelling in left deltoid is still present.  Child had no other syptoms such as fever, nausea, etc. Mother was encouraged to report this to Dr.
Age: 1.17
Sex: F
Vaccine: HEPA, MMR, PNC
Symptoms: Urticaria
Clinical narrative: Patient developed hives within 12 hours of immunization administration. No dyspnea / fever.
Age: 0.58
Sex: M
Vaccine: DTAPHEPBIP, PNC
Symptoms: Rash erythematous, Rash papular
Clinical narrative: Child developed a fine papular erythematous rash to trunk and to extremities post vaccination 15min
Age: 0.4
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Crying, Heart rate normal, Hypotonia, Loss of consciousness, Pyrexia
Clinical narrative: The patient was brought to the immunization room for her 4 month vaccinations. She had been evaluated by the physician for a well child check prior. The child was awake, alert, and active. She was given 3 injections and one vaccine orally. She cried appropriately and withdrew from the injection sites. She quieted once her mother picked her up and cried again when her mother laid her back on the table to dress her. Mother gathered her belongings and left to check out. Per the mother's report, she walked down our sidewalk (about one minute) and was visiting with the child's grandmother who works nearby. She was standing holding the child vertically facing outward so she could play with grandma. The child was cooing and playing and then suddenly her head slumped to the side and she became completely limp. The mother was not certain what had happened and the grandma said she thought the child had passed out. They attempted to awaken the infant without success and after a few minutes, proceeded back to the clinic for re-eval. Per mom's report, the child was completely unresponsive and limp for greater than 5 minutes (but less than 10 minutes because she had not been gone from the immunization room for 10 minutes when they returned). The child was brought into the immunization room and placed supine on immunization table. She slowly opened her eyes and looked around with her eyes but not moving around otherwise (had muscle tone but not a lot of moving). She was still quite groggy. She was breathing even and non-labored, heart rate was WNL, no color change, and no shaking noted through out my assessment (nor was any reported by the mother during the event prior to my assessment). After observing for approximately one minute, the patient was returned to the exam room for the physician to re-evaluate the patient. While walking with the child being held vertically, she was holding her head up spontaneously and looking around.  She continued to become more alert and active, but still not as active as she had been when she initially arrived for the immunizations. Dr. re-examined the patient and found her breathing even and non-labored at regular rate and heart rate at normal rate. Rectal temp was taken as 98.7 degrees F. Dr. felt the child probably had a vasovagal syncopal episode and would continue to recover.  The infant was observed for a total of 20 minutes after returning to the clinic.  She was then discharged with her mother with instructions to call us or proceed to the nearest emergency room if the event occurred again, she had any shaking episodes, had high fever that would not respond to anti-pyretics, any prolonged crying and fussy episodes, or not eating and drinking normally. Mother agreed and verbalized understanding. I called the mother this morning, 24 hours after episode and she reports the child was acting normally. She reports she had a fever yesterday afternoon of 99.0-100.5F (taken rectally) and took a long nap and is now acting completely normally.
Age: 0.4
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Somnolence, Syncope vasovagal, Unresponsive to stimuli
Clinical narrative: The patient was brought to the immunization room for her 4 month vaccinations. She had been evaluated by the physician for a well child check prior. The child was awake, alert, and active. She was given 3 injections and one vaccine orally. She cried appropriately and withdrew from the injection sites. She quieted once her mother picked her up and cried again when her mother laid her back on the table to dress her. Mother gathered her belongings and left to check out. Per the mother's report, she walked down our sidewalk (about one minute) and was visiting with the child's grandmother who works nearby. She was standing holding the child vertically facing outward so she could play with grandma. The child was cooing and playing and then suddenly her head slumped to the side and she became completely limp. The mother was not certain what had happened and the grandma said she thought the child had passed out. They attempted to awaken the infant without success and after a few minutes, proceeded back to the clinic for re-eval. Per mom's report, the child was completely unresponsive and limp for greater than 5 minutes (but less than 10 minutes because she had not been gone from the immunization room for 10 minutes when they returned). The child was brought into the immunization room and placed supine on immunization table. She slowly opened her eyes and looked around with her eyes but not moving around otherwise (had muscle tone but not a lot of moving). She was still quite groggy. She was breathing even and non-labored, heart rate was WNL, no color change, and no shaking noted through out my assessment (nor was any reported by the mother during the event prior to my assessment). After observing for approximately one minute, the patient was returned to the exam room for the physician to re-evaluate the patient. While walking with the child being held vertically, she was holding her head up spontaneously and looking around.  She continued to become more alert and active, but still not as active as she had been when she initially arrived for the immunizations. Dr. re-examined the patient and found her breathing even and non-labored at regular rate and heart rate at normal rate. Rectal temp was taken as 98.7 degrees F. Dr. felt the child probably had a vasovagal syncopal episode and would continue to recover.  The infant was observed for a total of 20 minutes after returning to the clinic.  She was then discharged with her mother with instructions to call us or proceed to the nearest emergency room if the event occurred again, she had any shaking episodes, had high fever that would not respond to anti-pyretics, any prolonged crying and fussy episodes, or not eating and drinking normally. Mother agreed and verbalized understanding. I called the mother this morning, 24 hours after episode and she reports the child was acting normally. She reports she had a fever yesterday afternoon of 99.0-100.5F (taken rectally) and took a long nap and is now acting completely normally.
Age: 23.0
Sex: M
Vaccine: ANTH
Symptoms: Blood pressure increased, Dizziness, Palpitations
Clinical narrative: At approx 0900 pt received second dose of anthrax vaccine, walked to check out desk to exit reported feeling lightheaded and palpitations, sat in lobby for unknow amount of time, palpitations, increased dizziness, notified staff who assisted and a PA. B/P elevated, Decreased symptoms lasted approx 50 minutes and stopped. EMS was called pt refused care and signed out AMA with Ambulance company.
Age: 14.0
Sex: F
Vaccine: HEP, HPV4, IPV, VARCEL
Symptoms: Blood pressure decreased, Hyperhidrosis
Clinical narrative: Pt became diaphoretic within 5 minutes of receiving vaccinations.
Age: 37.0
Sex: M
Vaccine: SMALL
Symptoms: Conjunctivitis, Eye pain, Iritis, Ocular hyperaemia, Ophthalmological examination abnormal
Clinical narrative: Pt presented to the Troop Medical Clinic on 9/19/08 with c/o R eye pain and redness times two days. Reports that he also had pain the previous week for 2 days. Diagnosed with conjunctivitis and ordered Polytrim. In for follow up on 9/22/08 with worsening of sx to include vision changes and photophobia. SM vocalized concern that may be related to Smallpox vaccination as sx started after vaccination was given. SM referred to opthomology and they diagnosed iritis, possibly related to Smallpox vaccination, and reaction to polytrim. Polytrim was d/c'd and Predforte and Vigamox were ordered. Seen in follow up on 9/23/08 and 9/24/08 with improvement in sx noted.
Age: 37.0
Sex: M
Vaccine: SMALL
Symptoms: Photophobia, Visual disturbance
Clinical narrative: Pt presented to the Troop Medical Clinic on 9/19/08 with c/o R eye pain and redness times two days. Reports that he also had pain the previous week for 2 days. Diagnosed with conjunctivitis and ordered Polytrim. In for follow up on 9/22/08 with worsening of sx to include vision changes and photophobia. SM vocalized concern that may be related to Smallpox vaccination as sx started after vaccination was given. SM referred to opthomology and they diagnosed iritis, possibly related to Smallpox vaccination, and reaction to polytrim. Polytrim was d/c'd and Predforte and Vigamox were ordered. Seen in follow up on 9/23/08 and 9/24/08 with improvement in sx noted.
Age: 66.0
Sex: F
Vaccine: DTOX, TTOX
Symptoms: Pain, Pruritus, Rash, Swelling
Clinical narrative: Following the injection on Monday (9/29/08) it was itchy & sore.  Didn't bother me too much until the following Monday (10/6/08)it became more itchy with pain and a rash that keeps enlarging.  Tuesday (10/7/08) it was worse and the rash area seems to be puffy/swollen.  Today (Wednesday-10/8/08)the rash has become more wide spread and more itchy.  Last night I took 2 Benadray and one this morning.  Will take more during the day today.  If it doesn't get better I will call my doctor.
Age: 1.0
Sex: F
Vaccine: HEPA, MMR, VARCEL
Symptoms: Balance disorder, Body temperature fluctuation, Decreased appetite, Fall, Rash papular
Clinical narrative: Mother states child has had decreased response to verbal stimuli, poor balance with increased falling, decreased urine output and decreased appetite since 1-2 days after vaccination.  Temperature varies from 99-101.  On 10--7-2008 red raised rash noted on outer thighs, back and ankles.  Recommended that child be seen by physician.  Mother states she will scheduled appointment.
Age: 1.0
Sex: F
Vaccine: HEPA, MMR, VARCEL
Symptoms: Unresponsive to stimuli, Urine output decreased
Clinical narrative: Mother states child has had decreased response to verbal stimuli, poor balance with increased falling, decreased urine output and decreased appetite since 1-2 days after vaccination.  Temperature varies from 99-101.  On 10--7-2008 red raised rash noted on outer thighs, back and ankles.  Recommended that child be seen by physician.  Mother states she will scheduled appointment.
Age: 26.0
Sex: F
Vaccine: SMALL
Symptoms: Culture wound positive, Injection site discharge, Injection site pain, Injection site swelling, Staphylococcal identification test positive
Clinical narrative: Patient was seen in ER on 9/12/08 with c/o green drainage to smallpox vaccination site with swelling and pain. SMV given approximately 20 days earlier, sx began one previous to ER visit. Culture obtained, Demerol and Vistaril given for pain, Cephalexin ordered with orders to follow up. Seen on 9/16/08 with improvement in sx. noted. Given order for Levaquin and Keflex.
Age: 12.0
Sex: F
Vaccine: FLU3
Symptoms: Burning sensation, C-reactive protein normal, Condition aggravated, Erythema, Pharyngolaryngeal pain
Clinical narrative: Patient received Flu vaccine in left deltoid, marked swelling and erythema, tenderness. Swelling about 3cm diameter. Twenty-four hours later with sore throat, burning sensation, felt like airway narrowing. Appeared to inflame the patient's Gastroesophageal Reflux Disease which had been dormant for 6 months. 12/15/08-records received for DOS 10/1-10/2-10/2/08-presented to ED with serum reaction. C/O dysnpnea, rash, swelling of throat. Assessment:acute allergic reaction.  Rhinorrhea.
Age: 12.0
Sex: F
Vaccine: FLU3
Symptoms: Red blood cell sedimentation rate increased, Swelling, Tenderness, Throat tightness, Urticaria
Clinical narrative: Patient received Flu vaccine in left deltoid, marked swelling and erythema, tenderness. Swelling about 3cm diameter. Twenty-four hours later with sore throat, burning sensation, felt like airway narrowing. Appeared to inflame the patient's Gastroesophageal Reflux Disease which had been dormant for 6 months. 12/15/08-records received for DOS 10/1-10/2-10/2/08-presented to ED with serum reaction. C/O dysnpnea, rash, swelling of throat. Assessment:acute allergic reaction.  Rhinorrhea.
Age: 12.0
Sex: F
Vaccine: FLU3
Symptoms: White blood cell count normal
Clinical narrative: Patient received Flu vaccine in left deltoid, marked swelling and erythema, tenderness. Swelling about 3cm diameter. Twenty-four hours later with sore throat, burning sensation, felt like airway narrowing. Appeared to inflame the patient's Gastroesophageal Reflux Disease which had been dormant for 6 months. 12/15/08-records received for DOS 10/1-10/2-10/2/08-presented to ED with serum reaction. C/O dysnpnea, rash, swelling of throat. Assessment:acute allergic reaction.  Rhinorrhea.
Age: 10.0
Sex: M
Vaccine: VARCEL
Symptoms: Injection site erythema, Injection site induration, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Patient noiced pain and swelling at the injection site about 28 hours after the injection when he removed the Band-Aid.  Site on posterior aspect of the deltoid appears reddened and indurated to approximately the size of a lemon.  Area feels warm to touch, but patient has no fever.
Age: 9.0
Sex: F
Vaccine: HIBV, PPV
Symptoms: Full blood count normal, Injected limb mobility decreased, Injection site pain, Injection site rash, Rash
Clinical narrative: Dermatology          9 year 10 month old female presents with c/o Rash HIB and Pneumovax was given yesterday. On left thigh where this was given there is a large area of Lacey rash. The area is also very painful to move or touch. Mother noticed this am.       Hip/Thigh          c/o Pain on upper left thigh where HIB and Pneumovax was given yesterday.       Constitutional          Denies : Fever.
Age: 68.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema
Clinical narrative: Patient observed circular red area approx 7 cm in diameter around injection site 7 days after vaccination. No tenderness, pain or itching at site.
Age: 62.0
Sex: F
Vaccine: FLU3
Symptoms: Laboratory test normal, Myalgia, Nuclear magnetic resonance imaging normal, Pyrexia
Clinical narrative: Severe myalgias. Low grade fevers
Age: 24.0
Sex: F
Vaccine: HPV4, TDAP
Symptoms: Blood glucose normal, Syncope
Clinical narrative: SYNCOPE APPROXIMATELY 1-2 MINUTES AFTER INJECTION. NO TREATMENT NECESSARY
Age: 44.0
Sex: F
Vaccine: HEPAB
Symptoms: Back pain, Dyspnoea
Clinical narrative: Patient called in 10/8/08 stating that 30 minutes after receiving the shot, she started to feel back pain. About another 30 minutes later she felt shortness of breath and the back pain was then extreme. Patient stated she went to ER a few hours later. Patient was concerned, she stated her back was fine prior to shot. Patient was advised that this is not a normal reaction that is usually expected from any vaccine and she should follow up with her primary care provider. Patient was also told that a VAERS will be filed. Patient verbalized understanding.
Age: 12.0
Sex: M
Vaccine: MNQ, TDAP
Symptoms: CSF glucose increased, CSF protein increased, CSF white blood cell count increased, Encephalitis, Endotracheal intubation
Clinical narrative: Patient developed meningoencepalitis, altered mental status requiring intubation.  Also developed fever.  Unknown whether this is related to vacciation.  Cause of meningoencephalitis still unknown at this time. 11/10/08-DC Summary received for DOS 10/5-10/11/08-DC DX: Viral encephalitis. Presented with first time seizure on day of admission, generalized tonic clonic seizure was incontinent of urine, declining mental status and electively intubated. Mechanical ventilation. Febrile.   12/17/09-records received-fight/altercation at school, more sleepy, fell off couch with shaking movements observed,  foaming at mouth, incontent of urine. Minimally responsive-intubated. Unresponsive to painful stimuli.
Age: 12.0
Sex: M
Vaccine: MNQ, TDAP
Symptoms: Mental status changes, Polymerase chain reaction, Pyrexia, Red blood cells CSF positive
Clinical narrative: Patient developed meningoencepalitis, altered mental status requiring intubation.  Also developed fever.  Unknown whether this is related to vacciation.  Cause of meningoencephalitis still unknown at this time. 11/10/08-DC Summary received for DOS 10/5-10/11/08-DC DX: Viral encephalitis. Presented with first time seizure on day of admission, generalized tonic clonic seizure was incontinent of urine, declining mental status and electively intubated. Mechanical ventilation. Febrile.   12/17/09-records received-fight/altercation at school, more sleepy, fell off couch with shaking movements observed,  foaming at mouth, incontent of urine. Minimally responsive-intubated. Unresponsive to painful stimuli.
Age: 14.0
Sex: F
Vaccine: FLU3, HPV4
Symptoms: Convulsion, Electrocardiogram normal, Oxygen saturation normal, Syncope
Clinical narrative: SYNCOPE WITH BRIEF 5  SEC. SEIZURE
Age: 75.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Erythema, Swelling
Clinical narrative: Redness in left deltoid, area swollen approximately 6" in diameter.
Age: 16.0
Sex: F
Vaccine: HEP, MNQ, TDAP
Symptoms: Computerised tomogram normal, Condition aggravated, Drooling, Eyelid disorder, Facial palsy
Clinical narrative: Approx. 48 hrs after receiving vaccines, client awoke with drooling L side of mouth, could not close L eye, tearing L eye, headache, eye sensitive to light.  Went to ER and was diagnosed with Bells Palsy. Was prescribed Prednisone 20 mg. one every day x 5 days. HX of having Bells Palsy at age 11
Age: 16.0
Sex: F
Vaccine: HEP, MNQ, TDAP
Symptoms: Headache, Lacrimation increased, Photophobia
Clinical narrative: Approx. 48 hrs after receiving vaccines, client awoke with drooling L side of mouth, could not close L eye, tearing L eye, headache, eye sensitive to light.  Went to ER and was diagnosed with Bells Palsy. Was prescribed Prednisone 20 mg. one every day x 5 days. HX of having Bells Palsy at age 11
Age: 39.0
Sex: F
Vaccine: HEP, MMR
Symptoms: Feeling abnormal, Immediate post-injection reaction, Pruritus, Rash papular
Clinical narrative: Patient c/o feeling "funny" immediately after vaccine administration.  15 minutes after vaccine adminstration,  c/o left sided itching on forearm, upper arm, neck, scalp and foot.  Scattered papular rash observed left forearm.  Sent to ER- received PO prednisone & benadryl with good relief.
Age: 18.0
Sex: F
Vaccine: HPV4
Symptoms: Abdominal pain upper, Activities of daily living impaired, Back pain, Blood test, Computerised tomogram
Clinical narrative: Within a day or two after the first shot on 03/25/08 she developed severe back pain. On 04/27/08 she had a seizure and went to the ER. She had the second shot on 05/06/08 and had another seizure. She had two more seizures between then and 06/20/08 when she had three seizures at work and was admitted to the hospital. She had daily seizures throughout the summer, was diagnosed with epilepsy and put on anti-seizure meds. After a cluster of 4 seizures when she turned blue and stopped breathing she was admitted to the hospital and a Video EEG done. Epilepsy was ruled out and psuedoseizures diagnosed and meds stopped. She continued to have seizures and saw a psychiatrist as suggested. The psychiatrist said the seizures were not psychological and were medical. Put back on anti-seizure meds until she became toxic from the meds and was admitted to the hospital through the ER where she was given charcoal. After discharge she began to start feeling better and has been seizure free now for 30 days. Also from March until now she suffered from severe stomach aches, eye problems, headaches, one kidney infection and one urinary infection (never had any in her life before this), severe fatigue (this is a very hyper kid)and body aches. She is not currently on seizure meds and is slowly gaining her strength and getting back to her independent life as before the shot. She lost the ability to drive, to be left alone, was injured repeatedly from the drop seizures, lost her job and her confidence with the way the medical community threw her back and forth between treatments and diagnosis and labeled her as emotionally disturbed. This was a very happy, Dean's list, independent college kid before this shot.  Thankfully, she appears to be coming back to us but still has fatigue and stomach issues which we are treating with diet and vitamins. 10/27/08-records received for DOS 6/20-6/21/08-DC DX: Generalized tonic clonic seizures. First seizure 4/26/08 a partial seizure and two additional ones. Did not begin her anti-seizure medication until last week. Grand mal seizure 3 weeks ago after an upsetting episode. Tired feeling prior to seizures. Admitted for titration of anti-seizure medications.
Age: 18.0
Sex: F
Vaccine: HPV4
Symptoms: Conversion disorder, Convulsion, Cyanosis, Electroencephalogram, Emotional disorder
Clinical narrative: Within a day or two after the first shot on 03/25/08 she developed severe back pain. On 04/27/08 she had a seizure and went to the ER. She had the second shot on 05/06/08 and had another seizure. She had two more seizures between then and 06/20/08 when she had three seizures at work and was admitted to the hospital. She had daily seizures throughout the summer, was diagnosed with epilepsy and put on anti-seizure meds. After a cluster of 4 seizures when she turned blue and stopped breathing she was admitted to the hospital and a Video EEG done. Epilepsy was ruled out and psuedoseizures diagnosed and meds stopped. She continued to have seizures and saw a psychiatrist as suggested. The psychiatrist said the seizures were not psychological and were medical. Put back on anti-seizure meds until she became toxic from the meds and was admitted to the hospital through the ER where she was given charcoal. After discharge she began to start feeling better and has been seizure free now for 30 days. Also from March until now she suffered from severe stomach aches, eye problems, headaches, one kidney infection and one urinary infection (never had any in her life before this), severe fatigue (this is a very hyper kid)and body aches. She is not currently on seizure meds and is slowly gaining her strength and getting back to her independent life as before the shot. She lost the ability to drive, to be left alone, was injured repeatedly from the drop seizures, lost her job and her confidence with the way the medical community threw her back and forth between treatments and diagnosis and labeled her as emotionally disturbed. This was a very happy, Dean's list, independent college kid before this shot.  Thankfully, she appears to be coming back to us but still has fatigue and stomach issues which we are treating with diet and vitamins. 10/27/08-records received for DOS 6/20-6/21/08-DC DX: Generalized tonic clonic seizures. First seizure 4/26/08 a partial seizure and two additional ones. Did not begin her anti-seizure medication until last week. Grand mal seizure 3 weeks ago after an upsetting episode. Tired feeling prior to seizures. Admitted for titration of anti-seizure medications.
Age: 18.0
Sex: F
Vaccine: HPV4
Symptoms: Eye disorder, Fatigue, Headache, Injury, Kidney infection
Clinical narrative: Within a day or two after the first shot on 03/25/08 she developed severe back pain. On 04/27/08 she had a seizure and went to the ER. She had the second shot on 05/06/08 and had another seizure. She had two more seizures between then and 06/20/08 when she had three seizures at work and was admitted to the hospital. She had daily seizures throughout the summer, was diagnosed with epilepsy and put on anti-seizure meds. After a cluster of 4 seizures when she turned blue and stopped breathing she was admitted to the hospital and a Video EEG done. Epilepsy was ruled out and psuedoseizures diagnosed and meds stopped. She continued to have seizures and saw a psychiatrist as suggested. The psychiatrist said the seizures were not psychological and were medical. Put back on anti-seizure meds until she became toxic from the meds and was admitted to the hospital through the ER where she was given charcoal. After discharge she began to start feeling better and has been seizure free now for 30 days. Also from March until now she suffered from severe stomach aches, eye problems, headaches, one kidney infection and one urinary infection (never had any in her life before this), severe fatigue (this is a very hyper kid)and body aches. She is not currently on seizure meds and is slowly gaining her strength and getting back to her independent life as before the shot. She lost the ability to drive, to be left alone, was injured repeatedly from the drop seizures, lost her job and her confidence with the way the medical community threw her back and forth between treatments and diagnosis and labeled her as emotionally disturbed. This was a very happy, Dean's list, independent college kid before this shot.  Thankfully, she appears to be coming back to us but still has fatigue and stomach issues which we are treating with diet and vitamins. 10/27/08-records received for DOS 6/20-6/21/08-DC DX: Generalized tonic clonic seizures. First seizure 4/26/08 a partial seizure and two additional ones. Did not begin her anti-seizure medication until last week. Grand mal seizure 3 weeks ago after an upsetting episode. Tired feeling prior to seizures. Admitted for titration of anti-seizure medications.
Age: 18.0
Sex: F
Vaccine: HPV4
Symptoms: Nuclear magnetic resonance imaging, Pain, Respiratory arrest, Urinary tract infection
Clinical narrative: Within a day or two after the first shot on 03/25/08 she developed severe back pain. On 04/27/08 she had a seizure and went to the ER. She had the second shot on 05/06/08 and had another seizure. She had two more seizures between then and 06/20/08 when she had three seizures at work and was admitted to the hospital. She had daily seizures throughout the summer, was diagnosed with epilepsy and put on anti-seizure meds. After a cluster of 4 seizures when she turned blue and stopped breathing she was admitted to the hospital and a Video EEG done. Epilepsy was ruled out and psuedoseizures diagnosed and meds stopped. She continued to have seizures and saw a psychiatrist as suggested. The psychiatrist said the seizures were not psychological and were medical. Put back on anti-seizure meds until she became toxic from the meds and was admitted to the hospital through the ER where she was given charcoal. After discharge she began to start feeling better and has been seizure free now for 30 days. Also from March until now she suffered from severe stomach aches, eye problems, headaches, one kidney infection and one urinary infection (never had any in her life before this), severe fatigue (this is a very hyper kid)and body aches. She is not currently on seizure meds and is slowly gaining her strength and getting back to her independent life as before the shot. She lost the ability to drive, to be left alone, was injured repeatedly from the drop seizures, lost her job and her confidence with the way the medical community threw her back and forth between treatments and diagnosis and labeled her as emotionally disturbed. This was a very happy, Dean's list, independent college kid before this shot.  Thankfully, she appears to be coming back to us but still has fatigue and stomach issues which we are treating with diet and vitamins. 10/27/08-records received for DOS 6/20-6/21/08-DC DX: Generalized tonic clonic seizures. First seizure 4/26/08 a partial seizure and two additional ones. Did not begin her anti-seizure medication until last week. Grand mal seizure 3 weeks ago after an upsetting episode. Tired feeling prior to seizures. Admitted for titration of anti-seizure medications.
Age: 8.0
Sex: M
Vaccine: HEPA, VARCEL
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: The next day left upper arm where Varicella was administered was red and swollen.  Resolved by 72 hours
Age: 26.0
Sex: F
Vaccine: FLUN3
Symptoms: Drug exposure during pregnancy
Clinical narrative: PATIENT WAS GIVEN THE FLUMIST VACCINE WHILE PREGNANT
Age: 25.0
Sex: M
Vaccine: FLU3
Symptoms: Urticaria
Clinical narrative: 10/06/08  Patient states within one hour of vaccination, broke out in hives (less than or equal to 30) over arms, face.  Took 25 mg Benadryl and hives decreased, but then reappeared 30 minutes later.  Took 25 mg Benadryl again and hives resolved
Age: 91.0
Sex: F
Vaccine: FLU3
Symptoms: Pruritus, Urticaria
Clinical narrative: PATIENT CAME IN WITH COMPLAINTS OF ITCHING AROUND THE NECK AND UPPER CHEST AREA.  SHE HAD SMALL BUMPS RESEMBELING HIVES AND SCRATCH MARKS AS IF SHE'D BEEN SCRATCHING.
Age: 56.0
Sex: M
Vaccine: FLU3
Symptoms: Dizziness, Headache
Clinical narrative: Lightheadedness and headache
Age: 4.0
Sex: F
Vaccine: DTAPIPV, FLU3
Symptoms: Injection site induration, Injection site pain, Injection site warmth
Clinical narrative: Left upper arm induration, warmth and tenderness, starting within first 24 hours after vaccine administration, worsening at 48 hours.  Treatment with cool compresses, motrin. Benadryl given by mother without improvement.
Age: 84.0
Sex: M
Vaccine: FLU3
Symptoms: Chest discomfort, Vertigo
Clinical narrative: Pt contacted facility with complaint of mild vertigo and chest heaviness approximately 2 hours after vaccination.
Age: 35.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site pruritus, Injection site warmth
Clinical narrative: itchiness/redness/heat at site of injection  Benadryl 25mg po given     Heatredness remains, itchiness resolved post one hour
Age: 51.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site erythema, Injection site induration, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Pt noted onset of arm pain, redness and swelling below the injection site that began within 72 hours of administration.  The area of redness increased and is warm to the touch.  Has pain in this area.  Erythematous area measures 18cm X 19cm with minimal induration.  No discharge noted.
Age: 11.0
Sex: F
Vaccine: FLUX, HEPA, MEN
Symptoms: Convulsion, Syncope
Clinical narrative: Syncopal Episode in the doctor's office, while standing, caught by nurse and myselfe(mother), accompanied by seizure activity.  We lifted her on the exam table and she "came to" after about one minute.  As a mother, I am very concerned after reading all of the internet reports of adverse effects.  I will not complete the next two treatments.
Age: 39.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Contusion, Headache, Musculoskeletal pain, Pyrexia
Clinical narrative: Patient c/o headache, fever up to 102.7 and left shoulder pain.  Small bruise at center of left shoulder.  Patient received both flu shot and Pneumovax at 9 a.m. 10/2/08 in the left deltoid.  Patient reported that several hours later she started developing symptoms (HA, fever, shoulder pain).  She presented to the immediate care the following day.  Beyond ANSAIDS and ice/heat, the MD ordered her to follow up in 2-3 days unless completely better.  There has been no follow up from patient.
Age: 41.0
Sex: M
Vaccine: FLU3
Symptoms: Eye pruritus, Hypersensitivity, Lip swelling
Clinical narrative: Patient developed swelling of lips and itching of eyes.  Allergic reaction.
Age: 16.0
Sex: F
Vaccine: HEPA, HPV4
Symptoms: Paraesthesia
Clinical narrative: Tingling in lower part of arm that shots were administered (upper arm, muscle). Often when arm was suddenly moved or the elbow was placed on a desk.
Age: 0.5
Sex: F
Vaccine: DTAPHEPBIP, PNC, RV5
Symptoms: Anorexia, Breath sounds abnormal, Chest X-ray, Diet refusal, Ultrasound abdomen
Clinical narrative: Intussusception - surgery.  Child brought in with "funny breathing" & not eating. 10/9/08-records received for DOS 9/28-9/29/08-DC DX: Intussusception. Presented to PCP office on 9/26/08 C/O funny breathing, diarrhea, stools hard. Hemoccult. Vomited. Increased fussiness. Acute abdominal pain. Attempt to reduce with barium enema, partial reduction. Exploratory laparotomy and reduction of ileocolonic intussusception with severe mesentery adenitis. Pathology report mild reactive lymphadenitis.
Age: 17.0
Sex: M
Vaccine: HEP, MNQ
Symptoms: Flushing, Headache, Pain in extremity
Clinical narrative: Severe headache/pressure, facial flushing, pain to (R) arm-resolved gradually over 24 hrs.
Age: 45.0
Sex: F
Vaccine: FLU3
Symptoms: Erythema, Pruritus
Clinical narrative: 4 inch red area that itched for 2 days.  MD gave patient Benadryl and it has resolved.
Age: 56.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Erythema, Infection, Pain in extremity, Skin striae, Tenderness
Clinical narrative: Patient had pain/tenderness in right arm and red streaks on chest.  ER doctor gave patient IV Abx, Zantac, Cephalerin, sm x 1 tmp and hydroxreine.  Patient states 10/8/08 he has improved.
Age: 69.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Erythema, Induration, Pain, Skin warm
Clinical narrative: After a few days the skin turned red, hot, sore and had a hard spot.
Age: 59.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Flushing, Paraesthesia, Paraesthesia oral, Syncope
Clinical narrative: Flushing, tingling of hands, gum, tongue, fainting.  She took a Benadryl on her arm.  She got a flu shot yearly but has never received a pneumo shot.  Onset happened within 5 minutes of pneumo shot.