chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 17.0
Sex: M
Vaccine: MNQ
Symptoms: Blood culture positive, Cough, Dyspnoea, Gram stain positive, Neisseria test positive
Clinical narrative: Nineteen year old male with history of onset of slight fever evening of 3/20/09. On 3/22/09 began with cough and fever returned. Began vomiting early 3/23/09 and had difficulty breathing. Presented to local ED, diagnosed with pneumonia, blood cultures drawn, patient admitted.
Age: 17.0
Sex: M
Vaccine: MNQ
Symptoms: Pneumonia, Pyrexia, Vomiting
Clinical narrative: Nineteen year old male with history of onset of slight fever evening of 3/20/09. On 3/22/09 began with cough and fever returned. Began vomiting early 3/23/09 and had difficulty breathing. Presented to local ED, diagnosed with pneumonia, blood cultures drawn, patient admitted.
Age: 35.0
Sex: F
Vaccine: HEP, MMRV
Symptoms: Inappropriate schedule of drug administration, Injection site erythema, Injection site induration, Injection site swelling
Clinical narrative: States had small, hard ball @ inj. site immediately after on L arm. In last couple days, area now equals half-dollar sized hard, red area with heat.  Also has redness 3 to 4 inches around arm.  Area around hard spot itches, although the hard spot does not itch.
Age: 5.0
Sex: M
Vaccine: DTAPIPV, MMR
Symptoms: Injection site erythema, Injection site induration, Injection site pain, Injection site pruritus, Injection site swelling
Clinical narrative: 1 1/2 teaspoons of Ibuprofen were given to child at 6:00 pm due to complaints of pain from the injection by his mother.  Child went to bed and woke up at 6:00 am on 8/27/2010.  His right upper arm is warm to the touch, swollen hard, and itching.  There is a 2.5 inch red area around the injection site.  Child has vomited.
Age: 5.0
Sex: M
Vaccine: DTAPIPV, MMR
Symptoms: Injection site warmth, Vomiting
Clinical narrative: 1 1/2 teaspoons of Ibuprofen were given to child at 6:00 pm due to complaints of pain from the injection by his mother.  Child went to bed and woke up at 6:00 am on 8/27/2010.  His right upper arm is warm to the touch, swollen hard, and itching.  There is a 2.5 inch red area around the injection site.  Child has vomited.
Age: 25.0
Sex: M
Vaccine: ANTH
Symptoms: Nausea, Pain, Pain in extremity, Pyrexia, Swelling
Clinical narrative: arm pain, swelling, fever, nausea, body aches
Age: 0.17
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC13, RV5
Symptoms: Chest X-ray normal, Computerised tomogram normal, Convulsion, Full blood count normal, Urine analysis normal
Clinical narrative: GENERALIZED SEIZURE, 3 MINUTES, NEGATIVE E.R. EVAL
Age: 4.0
Sex: M
Vaccine: DTPHIB, MMR, VARCEL
Symptoms: Injection site swelling
Clinical narrative: Dad noticed that pts Right lower extremity was swollen especially around knee and upper thigh.  Pt denied pain.
Age: 34.0
Sex: F
Vaccine: FLU3
Symptoms: Burning sensation, Electromyogram, Grip strength decreased, Hypoaesthesia, Immunoglobulin therapy
Clinical narrative: I developed burning, numbness, and pain in both feet. Nerve conduction studies done the following month (November) showed nerve damage indicative of peripheral neuropathy. I was admitted to hospital in early December 2009 to receive a 5 day/dose course of IVIG. Symptoms seemed to slightly improve but then returned within a few weeks. I still have the sensory symptoms and now, in addition, am experiencing muscle symptoms in my feet such as cramping and pain upon standing for any length of time, especially on hard surfaces. My hands have developed some numbness as well. I drop things more often and my grip seems to have weakened. I have been seen at a local neurology group, (who did the first nerve studies in November 2009) as well as another hospital who did a second round of nerve studies April 20, 2010. There does not appear to be improvement in the nerve damage. In fact, it appears it may have worsened over time.
Age: 34.0
Sex: F
Vaccine: FLU3
Symptoms: Laboratory test, Muscle disorder, Muscle spasms, Myalgia, Nerve conduction studies abnormal
Clinical narrative: I developed burning, numbness, and pain in both feet. Nerve conduction studies done the following month (November) showed nerve damage indicative of peripheral neuropathy. I was admitted to hospital in early December 2009 to receive a 5 day/dose course of IVIG. Symptoms seemed to slightly improve but then returned within a few weeks. I still have the sensory symptoms and now, in addition, am experiencing muscle symptoms in my feet such as cramping and pain upon standing for any length of time, especially on hard surfaces. My hands have developed some numbness as well. I drop things more often and my grip seems to have weakened. I have been seen at a local neurology group, (who did the first nerve studies in November 2009) as well as another hospital who did a second round of nerve studies April 20, 2010. There does not appear to be improvement in the nerve damage. In fact, it appears it may have worsened over time.
Age: 34.0
Sex: F
Vaccine: FLU3
Symptoms: Nerve injury, Neuropathy peripheral, Pain in extremity, Sensory disturbance
Clinical narrative: I developed burning, numbness, and pain in both feet. Nerve conduction studies done the following month (November) showed nerve damage indicative of peripheral neuropathy. I was admitted to hospital in early December 2009 to receive a 5 day/dose course of IVIG. Symptoms seemed to slightly improve but then returned within a few weeks. I still have the sensory symptoms and now, in addition, am experiencing muscle symptoms in my feet such as cramping and pain upon standing for any length of time, especially on hard surfaces. My hands have developed some numbness as well. I drop things more often and my grip seems to have weakened. I have been seen at a local neurology group, (who did the first nerve studies in November 2009) as well as another hospital who did a second round of nerve studies April 20, 2010. There does not appear to be improvement in the nerve damage. In fact, it appears it may have worsened over time.
Age: 61.0
Sex: F
Vaccine: VARZOS
Symptoms: Abdominal discomfort, Chills, Headache, Pyrexia
Clinical narrative: Shingles vaccine caused chills, fever, upset stomach, headache.
Age: 3.0
Sex: M
Vaccine: DTAPIPV
Symptoms: Injection site erythema, Vaccination site pain, Vaccination site swelling
Clinical narrative: Redness, swelling, pain to Right upper arm, site of vaccination. Tylenol taken.
Age: 17.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site erythema, Vaccination site pain
Clinical narrative: Redness, pain to L arm site of vaccination
Sex: U
Vaccine: HPV4
Symptoms: Condition aggravated, Convulsion, Epilepsy
Clinical narrative: Information has been received from an immunization technician. She heard from a patient who heard from an occupational therapist who heard from another person that one patient with a history of seizure was vaccinated with the second dose of GARDASIL. Concomitant therapy included seizure medication. Subsequently the patient experienced seizure. It was unknown if the patient was hospitalized. It was reported that "the patient was diagnosed with epilepsy". Therapy with GARDASIL was discontinued. At the time of reporting, the outcome was unknown. It is unknown if the patient sought medical attention. Upon internal review, epilepsy was determined to be an other important medical event. This is one of several reports received from the same source. The Immunization Technician stated that she did not remember the patient's name or contact information who reported that she heard about a patient that was diagnosed with epilepsy after receiving GARDASIL. Attempts to verify the existence of an identifiable patient have been unsuccessful. Additional information is not expected.
Age: 11.0
Sex: F
Vaccine: HPV4, MNQ, TDAP
Symptoms: Movement disorder
Clinical narrative: Information has been received from a physician assistant concerning a female who was vaccinated with her second dose of GARDASIL (lot # not provided, dates of vaccination not available). On an unknown date, the patient experienced seizure like symptoms. Therapy with GARDASIL was discontinued due to the adverse event. It was unknown if the patient sought medical attention. At the time of the reporting, the patient's status was unknown. Upon internal review, seizure like symptoms was considered to be an other important medical event. Additional information has been requested.
Sex: U
Vaccine: HPV4
Symptoms: Convulsion, Epilepsy
Clinical narrative: Information has been received from an immunization technician. She heard from a patient who heard from an occupational therapist who heard from another person that one patient was vaccinated with the second dose of GARDASIL. Subsequently the patient experienced seizure and was hospitalized. It was reported that "the patient was diagnosed with epilepsy". Therapy with GARDASIL was discontinued. At the time of reporting, the outcome was unknown. This is one of several reports received from the same source. The Immunization Technician stated that she did not remember the patient's name or contact information who reported that she heard about a patient that was diagnosed with epilepsy after receiving GARDASIL. Attempts to verify the existence of an identifiable patient have been unsuccessful. Additional information is not expected.
Age: 0.47
Sex: F
Vaccine: HIBV, PNC
Symptoms: Bronchial wall thickening, Bronchiolitis, Chest X-ray abnormal, Diet refusal, Dysphonia
Clinical narrative: Information regarding PREVNAR was received from a patient's Mother regarding a 5-month-old female patient who experienced growling noises described as hoarse wheezing, suspected chest infection, growling noises described as hoarse wheezing, peribronchial thickening, esophageal ulcers, blood in stools, bronchiolitis, severe reflux and stopped eating. At 5 months of age, the patient received the first dose in Jun-201. The patient also received a dose of Haemophilus Influenza Type B Polysaccharide (manufacturer unknown) in Jun-2010. In Jun-2010 the patient was administered PREVNAR just before 12:00 and at 18:00 experienced growling noises described as hoarse wheezing. Over the next seven days the patient continued to wheeze and stopped eating. She was seen by her physician and was sent for a chest x-ray which showed peribronchial thickening. The patient's Mother was told by the physician that she suspected a chest infection which was not related to the PREVNAR vaccine. In Jul-2010 the patient stopped eating completely, she began to experience severe gastric problems and blood was appearing in her stools. On 11-Jul-2010 the patient was admitted to the hospital because she had not eaten in 11 days. Unspecified testing showed no viral or bacterial infections and no milk or food allergies. The patient was diagnosed with bronchiolitis and it was determined that the gastric problems were severe reflux caused by esophageal ulcers. On 15-Jul-2010 the patient began treatment with unspecified antacids and the blood in her stool resolved. On 16-Jul-2010 the patient was discharged from the hospital. On 18-Jul-2010 the patient was recovering from the esophageal ulcers and was still experiencing gastric problems. On 19-Jul-2010 that patient continued to recover and the current weight was 21 pounds. The outcome of blood in her stools and stopped eating was recovered at the time of this report. The outcome of growling noises described as hoarse wheezing, suspected chest infection, peribronchial thickening, esophageal ulcers, bronchiolitis and severe reflux was recovering at the time of this report. No additional information was available at the time of this report.
Age: 0.47
Sex: F
Vaccine: HIBV, PNC
Symptoms: Gastric disorder, Gastrooesophageal reflux disease, Haematochezia, Laboratory test normal, Lower respiratory tract infection
Clinical narrative: Information regarding PREVNAR was received from a patient's Mother regarding a 5-month-old female patient who experienced growling noises described as hoarse wheezing, suspected chest infection, growling noises described as hoarse wheezing, peribronchial thickening, esophageal ulcers, blood in stools, bronchiolitis, severe reflux and stopped eating. At 5 months of age, the patient received the first dose in Jun-201. The patient also received a dose of Haemophilus Influenza Type B Polysaccharide (manufacturer unknown) in Jun-2010. In Jun-2010 the patient was administered PREVNAR just before 12:00 and at 18:00 experienced growling noises described as hoarse wheezing. Over the next seven days the patient continued to wheeze and stopped eating. She was seen by her physician and was sent for a chest x-ray which showed peribronchial thickening. The patient's Mother was told by the physician that she suspected a chest infection which was not related to the PREVNAR vaccine. In Jul-2010 the patient stopped eating completely, she began to experience severe gastric problems and blood was appearing in her stools. On 11-Jul-2010 the patient was admitted to the hospital because she had not eaten in 11 days. Unspecified testing showed no viral or bacterial infections and no milk or food allergies. The patient was diagnosed with bronchiolitis and it was determined that the gastric problems were severe reflux caused by esophageal ulcers. On 15-Jul-2010 the patient began treatment with unspecified antacids and the blood in her stool resolved. On 16-Jul-2010 the patient was discharged from the hospital. On 18-Jul-2010 the patient was recovering from the esophageal ulcers and was still experiencing gastric problems. On 19-Jul-2010 that patient continued to recover and the current weight was 21 pounds. The outcome of blood in her stools and stopped eating was recovered at the time of this report. The outcome of growling noises described as hoarse wheezing, suspected chest infection, peribronchial thickening, esophageal ulcers, bronchiolitis and severe reflux was recovering at the time of this report. No additional information was available at the time of this report.
Age: 0.47
Sex: F
Vaccine: HIBV, PNC
Symptoms: Oesophageal ulcer, Wheezing
Clinical narrative: Information regarding PREVNAR was received from a patient's Mother regarding a 5-month-old female patient who experienced growling noises described as hoarse wheezing, suspected chest infection, growling noises described as hoarse wheezing, peribronchial thickening, esophageal ulcers, blood in stools, bronchiolitis, severe reflux and stopped eating. At 5 months of age, the patient received the first dose in Jun-201. The patient also received a dose of Haemophilus Influenza Type B Polysaccharide (manufacturer unknown) in Jun-2010. In Jun-2010 the patient was administered PREVNAR just before 12:00 and at 18:00 experienced growling noises described as hoarse wheezing. Over the next seven days the patient continued to wheeze and stopped eating. She was seen by her physician and was sent for a chest x-ray which showed peribronchial thickening. The patient's Mother was told by the physician that she suspected a chest infection which was not related to the PREVNAR vaccine. In Jul-2010 the patient stopped eating completely, she began to experience severe gastric problems and blood was appearing in her stools. On 11-Jul-2010 the patient was admitted to the hospital because she had not eaten in 11 days. Unspecified testing showed no viral or bacterial infections and no milk or food allergies. The patient was diagnosed with bronchiolitis and it was determined that the gastric problems were severe reflux caused by esophageal ulcers. On 15-Jul-2010 the patient began treatment with unspecified antacids and the blood in her stool resolved. On 16-Jul-2010 the patient was discharged from the hospital. On 18-Jul-2010 the patient was recovering from the esophageal ulcers and was still experiencing gastric problems. On 19-Jul-2010 that patient continued to recover and the current weight was 21 pounds. The outcome of blood in her stools and stopped eating was recovered at the time of this report. The outcome of growling noises described as hoarse wheezing, suspected chest infection, peribronchial thickening, esophageal ulcers, bronchiolitis and severe reflux was recovering at the time of this report. No additional information was available at the time of this report.
Age: 30.0
Sex: F
Vaccine: RAB
Symptoms: Blood electrolytes, Dizziness, Erythema, Fatigue, Full blood count
Clinical narrative: Initial case received from a consumer, who is also the patient, on 18 August 2010. A 30-year-old female patient received a first post-exposure intramuscular left deltoid dose of IMOVAX Rabies (lot number not known) on 13 August 2010. The patient had received 3 doses of rabies vaccine 9 years previously as part of a pre-exposure series. She had no known allergies, no medical history, and was not ill at the time of vaccination. She was exposed to a bat and scratched by a cat on 13 August 2010. Approximately 30 minutes post-vaccinations, the patient developed ringing in her right ear which lasted 1 hour. Within 24 hours of vaccination she developed dizziness, fatigue, and muscle aches; on 15 August 2010 she reported that she fainted. She presented to the emergency department on 16 August 2010 and underwent laboratory testing including a CBC and "electrolytes"; no treatment was provided at that time. She continued to experience dizziness, slept for 17 hours, and developed red splotches on her face which lasted 30 minutes. On 17 August 2010 she returned to the emergency department and was treated with fluids at the time. At the time of the report, the events had not recovered, and the patient refused her second post-exposure dose.
Age: 30.0
Sex: F
Vaccine: RAB
Symptoms: Hypersomnia, Myalgia, Rash macular, Syncope, Tinnitus
Clinical narrative: Initial case received from a consumer, who is also the patient, on 18 August 2010. A 30-year-old female patient received a first post-exposure intramuscular left deltoid dose of IMOVAX Rabies (lot number not known) on 13 August 2010. The patient had received 3 doses of rabies vaccine 9 years previously as part of a pre-exposure series. She had no known allergies, no medical history, and was not ill at the time of vaccination. She was exposed to a bat and scratched by a cat on 13 August 2010. Approximately 30 minutes post-vaccinations, the patient developed ringing in her right ear which lasted 1 hour. Within 24 hours of vaccination she developed dizziness, fatigue, and muscle aches; on 15 August 2010 she reported that she fainted. She presented to the emergency department on 16 August 2010 and underwent laboratory testing including a CBC and "electrolytes"; no treatment was provided at that time. She continued to experience dizziness, slept for 17 hours, and developed red splotches on her face which lasted 30 minutes. On 17 August 2010 she returned to the emergency department and was treated with fluids at the time. At the time of the report, the events had not recovered, and the patient refused her second post-exposure dose.
Age: 21.0
Sex: F
Vaccine: RAB
Symptoms: Headache, Nausea, Syncope
Clinical narrative: This case was received from the foreign Health Authority on 18-Aug-10 under the reference number 20682333. This case is medically confirmed. A 21 years old female patient had received a dose of Rabies BP (batch number E0640-1) intramuscularly, site not reported on 02-Aug-10. One hour post vaccination, she experienced a headache and nausea and two hours post vaccination, the patient collapsed whilst at home. The patient had a medical history with juvenile absence epilepsy in 1995 and anxiety with depression in 2005. The patient was receiving concomitant medication of co-codamol, mefenamic acid, MICROGYNON and orlistat 120 mg for unreported indications. The patient recovered after four hours. According to the reporter and the agency the reaction was considered serious for other medically significant reason. The agency coded the events of headache, loss of consciousness and nausea.
Sex: F
Vaccine: TDAP
Symptoms: Hypokinesia, Myalgia
Clinical narrative: Initial case was received on 23 August 2010 from a healthcare professional. A female patient (age not reported) received an injection (route and site not reported) on 03 May 2010 of ADACEL (lot number not reported). On 04 May 2010, the patient started experiencing deltoid pain and movement restriction. She was seen by a physician on 23 August 2010 and continued to have deltoid pain and decreased arm movement. No further information was provided. It was unknown at the time of this report if the adverse events resolved. Documents held by sender: None.
Age: 56.0
Sex: M
Vaccine: TDAP
Symptoms: Injection site erythema, Vaccination site pain, Vaccination site swelling
Clinical narrative: Pain, redness, swelling to Left arm site of vaccination.  Ice applied.
Age: 5.0
Sex: F
Vaccine: DTAPIPV, MMR, VARCEL
Symptoms: Conjunctival hyperaemia, Eye pruritus, Eyelid oedema
Clinical narrative: Left eyelid swelling and conjunctival redness/eye pruritis.  Benadryl given.  No wheeze/sob/emesis/hives/normal BP.
Age: 5.0
Sex: F
Vaccine: DTAPIPV, VARCEL
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site urticaria, Injection site warmth
Clinical narrative: Mother called 8/20/2010 to report local reaction at both injection sites.  8/17/2010- rt anterior thigh- redness, swelling, heat and pain, "one big hive the size of a hand, with fingers of raised area extending from knee to pantyline".  Right lateral thigh- redness, swelling shaped and sized like "a medium egg", tender, and hot.  Mom treated at home with Benadryl around the clock from 8/17 a.m. to 8/19 evening at the advise of local hospital, no doctor or hospital evaluation done in person.  Mom stated it resolved by 8/20/2010 a.m. so she stopped medicating child at that point.
Age: 66.0
Sex: F
Vaccine: PPV
Symptoms: Allergy to vaccine, Injection site pain, Pain in extremity
Clinical narrative: Pt reports started hurting at injection site continue thru day then radiating down arm, lifting arm felt like pulling inside arm.  Treated with ice, no response called facility 8/27/10 in am told to use warm compress, Aleve.
Age: 11.0
Sex: F
Vaccine: MNQ, TDAP, VARCEL
Symptoms: Injection site erythema, Injection site induration, Injection site pain, Injection site warmth
Clinical narrative: Left upper arm, lateral aspect is firm, red, warm and painful
Age: 18.0
Sex: M
Vaccine: MNQ
Symptoms: Hyperhidrosis, Musculoskeletal stiffness, Presyncope, Tremor
Clinical narrative: 3 minutes post vaccine, pt began to shake, limbs stiffened, diaphoretic, alert and verbal 5 seconds, requested water, parents present, Ambulance called, transported to hospital, released from hospital, determined reaction was a vagal response.
Age: 5.0
Sex: M
Vaccine: DTAP
Symptoms: Injection site erythema, Injection site urticaria, Vaccination site swelling
Clinical narrative: redness and extensive swelling at vaccination site 20 cm X 13 cm wheal on top of right thigh
Age: 15.0
Sex: F
Vaccine: HPV4, MNQ, VARCEL
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling, Injection site warmth
Clinical narrative: PT'S SITE OF INJECTION BECAME RED, SWOLLEN, ITCHY, AND HOT TO TOUCH. SITE MEASURED ABOUT 60MM.
Age: 14.0
Sex: F
Vaccine: HPV4, MNQ, VARCEL
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: PT'S INJECTION SITE BECAME RED, SWOLLEN, AND PAINFUL. REDNESS MEASURED ABOUT 30MM.
Age: 3.0
Sex: M
Vaccine: DTAPIPVHIB, MMR, VARCEL
Symptoms: Injection site erythema, Injection site warmth
Clinical narrative: 2.5 x 2 in erythema (L) thigh. Sl. increased warmth, no induration.
Age: 6.0
Sex: M
Vaccine: DTAPHEPBIP, HEPA, MMR, VARCEL
Symptoms: Rash generalised, Urticaria
Clinical narrative: Pt received imm on 8/11, first time ever receiving imm. Pt came on 8/23 c/o 4 days h/o rash that started in (R) leg but later covered all his body (urticaria like). Treated with PEDIAPRED. Pt improved. Unsure of causality.
Age: 16.0
Sex: F
Vaccine: HEPA, MNQ, TDAP
Symptoms: Dizziness, Pallor, Syncope
Clinical narrative: 16 yo female observed child was very anxious prior to receiving vaccine. Child had not eaten breakfast. After giving ADACEL and Hepatitis A vaccine. I stopped to see if child was ok. Said she felt a little dizzy. Waiting a few minutes had child drink orange juice. Pt said she felt better. I proceeded to give last vaccine-MENACTRA and color of pt face went pale and pt fainted. After pt awoke, laid pt down, applied cool towels and drank additional orange juice. Pt evaluated by doctor, pt released to go home with Mother, who stated "I'm a Nurse". Advised to F/U with PMD for further eval.
Age: 11.0
Sex: U
Vaccine: HPV4, TDAP, VARCEL
Symptoms: Erythema, Fatigue, Pruritus, Pyrexia, Skin warm
Clinical narrative: (1) Low grade Temp to 99.7, (2) Fatigue, (3) Local erythema, warmth, pruritis and swelling.
Age: 11.0
Sex: U
Vaccine: HPV4, TDAP, VARCEL
Symptoms: Swelling
Clinical narrative: (1) Low grade Temp to 99.7, (2) Fatigue, (3) Local erythema, warmth, pruritis and swelling.
Age: 4.0
Sex: M
Vaccine: DTAP, MMR
Symptoms: Injection site erythema, Injection site pain, Pyrexia, Rhinorrhoea
Clinical narrative: Injection site redness, soreness and low grade fever, running nose.
Age: 12.0
Sex: M
Vaccine: TDAP
Symptoms: Deafness, Dizziness
Clinical narrative: August 10th onset of hearing loss and dizziness - see ENT report enclosed.
Age: 66.0
Sex: U
Vaccine: VARZOS
Symptoms: Burning sensation, Dizziness, Erythema, Oedema peripheral, Rash macular
Clinical narrative: Patient came into pharmacy 2 days post vaccine with a very swollen, red & blotchy left arm. He stated it was very hot, almost burning and had felt dizzy at times. No difficulty breathing or fever. Recommended that he go see MD. RXN started 1 day post vaccine.
Age: 66.0
Sex: U
Vaccine: VARZOS
Symptoms: Skin warm
Clinical narrative: Patient came into pharmacy 2 days post vaccine with a very swollen, red & blotchy left arm. He stated it was very hot, almost burning and had felt dizzy at times. No difficulty breathing or fever. Recommended that he go see MD. RXN started 1 day post vaccine.
Age: 20.0
Sex: F
Vaccine: ANTH, HEP, HEPA, TYP
Symptoms: Blindness, Dizziness, Hyperhidrosis, Nervousness, Tinnitus
Clinical narrative: Pt received Anthrax, Hep A, Hep B Typhoid. After receiving Anthrax (last imms) she became diaphoretic and described a loss of vision, ringing in her ears and dizziness. Treatment- 0947 - Patient taken to clinic - Vital signs - BP 90/62 - 1005 - Pt has returned to normal state - describes feeling mildly shaky - B/P-100/72 - HR=72. 1010 - Pt back to normal state. Called to report adverse event - healthcare professional aware.
Age: 16.0
Sex: F
Vaccine: HEPA, MNQ, VARCEL
Symptoms: Dysuria, Injection site erythema, Injection site pain, Injection site swelling, Nausea
Clinical narrative: On 7/27/10 pt was given Hepatitis A I.M. Lt. Deltoid. 7/29/10 mom took pt to Medical Center - Emergency Room with c/o swelling, redness & pain at injection site. Also c/o n/v dysuria - rash.
Age: 16.0
Sex: F
Vaccine: HEPA, MNQ, VARCEL
Symptoms: Rash, Vomiting
Clinical narrative: On 7/27/10 pt was given Hepatitis A I.M. Lt. Deltoid. 7/29/10 mom took pt to Medical Center - Emergency Room with c/o swelling, redness & pain at injection site. Also c/o n/v dysuria - rash.
Age: 11.0
Sex: M
Vaccine: HPV4, MNQ, VARCEL
Symptoms: Hyperhidrosis, Pallor, Presyncope
Clinical narrative: After receiving varicella, HPV & MCV4 vaccines, pt appeared pale and diaphoretic and nearly fainted. We placed him lying down and raised his legs and fanned air around his face. His BPs were 106/68, 98/56, 104/68. We offered him apple juice. After 20 minutes he felt better and was discharged.
Age: 14.0
Sex: F
Vaccine: HEPA, HPV4, TDAP
Symptoms: Crying, Hyperventilation, Injection site pain, Sensory disturbance
Clinical narrative: After injection child began crying hysterically and saying the shot was burning her arm and then started hyperventilating. She then stated she could feel the medicine shooting through her body and that her legs wouldn't work. Pt insisted on leaving and walked to the car on her own.
Age: 53.0
Sex: F
Vaccine: TDAP
Symptoms: Bone pain, Injection site rash, Injection site urticaria, Neck pain, Oedema peripheral
Clinical narrative: Significant pain and swelling of arm with radiating pain to the neck and mid spine which lasted for 3 days. 3 urticarial rashes approximately 2 x 3 cm around injection site in the deltoid region of arm.
Age: 53.0
Sex: F
Vaccine: TDAP
Symptoms: Pain in extremity
Clinical narrative: Significant pain and swelling of arm with radiating pain to the neck and mid spine which lasted for 3 days. 3 urticarial rashes approximately 2 x 3 cm around injection site in the deltoid region of arm.
Age: 36.0
Sex: M
Vaccine: TDAP
Symptoms: Chills, Pyrexia
Clinical narrative: Fever & Chills x 2 days.
Age: 11.0
Sex: M
Vaccine: DTAPIPV, HEP, MMR, VARCEL
Symptoms: Blister, Pruritus, Urticaria
Clinical narrative: Started < 48 hours after vaccination with small hives with central blisters, very itchy; first in hands, then shoulder, neck, thorax, feet, mouth, not genitalia.
Age: 4.0
Sex: M
Vaccine: DTAPIPV, MMR, VARCEL
Symptoms: Laboratory test, Pyrexia, Rash erythematous, Vomiting
Clinical narrative: Evening after vaccination, ran 101 fever and vomiting. Next day after vaccination 105 fever (mom was giving fever meds and antinausea med - and cool baths etc). Brought to ER Tuesday 8-17-10 - gave IV fluids, antibiotics, blood work. Now taking antibiotic Amoxicillin. Fever broke 5 AM Wednesday. Thursday child developed fine red rash all over body, no itching, hives or trouble breathing (consistent with normal rash after MMR.)
Age: 13.0
Sex: F
Vaccine: HEPA, MNQ
Symptoms: Blood human chorionic gonadotropin, Computerised tomogram head, Dizziness, Dyspnoea, Fatigue
Clinical narrative: Approximately 5 min after vaccines c/o dizzy, fatigued, Encouraged to lie down x 10 min. Episode resolved when walking to car. C/o numbness at left side of body and SOB. Denies HA or CP, diminished reflexes noted. EMS notified and detained pt. transferred to local hospital for evaluation, VSS.
Age: 13.0
Sex: F
Vaccine: HEPA, MNQ
Symptoms: Full blood count, Hypoaesthesia, Hyporeflexia, Metabolic function test, Urine analysis
Clinical narrative: Approximately 5 min after vaccines c/o dizzy, fatigued, Encouraged to lie down x 10 min. Episode resolved when walking to car. C/o numbness at left side of body and SOB. Denies HA or CP, diminished reflexes noted. EMS notified and detained pt. transferred to local hospital for evaluation, VSS.
Age: 25.0
Sex: F
Vaccine: HPV4, TDAP
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Redness, tenderness and swelling at the site of injection. Was given KEFLEX 500mg % po q 12 hours at hospital.
Age: 83.0
Sex: M
Vaccine: FLU3
Symptoms: Burning sensation, Dizziness, Immediate post-injection reaction, Myalgia
Clinical narrative: 1. Dizziness, slight; 2. Pain in arm muscle and side of neck. Happened right after injection, burning sensation when given shot. No itching. Pt reported these symptoms on 8/28/10.
Age: 17.0
Sex: M
Vaccine: FLU3
Symptoms: Back pain, Myalgia, Pain in extremity
Clinical narrative: Patient complained of pain on both of his trapezius muscles. The pain radiates to the middle of his back and down. Also he experienced pain on the back of his feet (just below the buttock).
Age: 20.0
Sex: F
Vaccine: FLU3
Symptoms: Hypoaesthesia, Limb discomfort
Clinical narrative: Pt. had numbness and pressure in left arm (arm shot given) starting w/in 10 minutes of shot. Unrelieved by TYLENOL.
Age: 31.0
Sex: F
Vaccine: HEPAB, IPV, TDAP, YF
Symptoms: Chest discomfort, Chills, Confusional state, Dyspnoea, Pain
Clinical narrative: Client received yellow fever on 8-5-2010. She notified this office on 8-17-10. She said several days after the immunization, she had pressure in her chest, difficulty breathing, congestion and aches. Reported low grade fever with chills and took TYLENOL & BENADRYL on 8-15-10. She felt some confusion.
Age: 31.0
Sex: F
Vaccine: HEPAB, IPV, TDAP, YF
Symptoms: Pyrexia, Respiratory tract congestion
Clinical narrative: Client received yellow fever on 8-5-2010. She notified this office on 8-17-10. She said several days after the immunization, she had pressure in her chest, difficulty breathing, congestion and aches. Reported low grade fever with chills and took TYLENOL & BENADRYL on 8-15-10. She felt some confusion.
Age: 11.0
Sex: M
Vaccine: HEPA, MNQ, TDAP, VARCEL
Symptoms: Oropharyngeal pain, Vomiting
Clinical narrative: ? Fever 104 8/25/2010, vomiting 8/26/2010 pt - c/o sore throat. Chart to clinic.
Age: 13.0
Sex: F
Vaccine: TDAP, VARCEL
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling
Clinical narrative: Mom called 2 days after shot reporting injection site swollen and red and itchy.
Age: 85.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site pain
Clinical narrative: Pt. phoned stating that her right arm at the site of flu shot was reddened and sore. No fever.
Age: 6.0
Sex: F
Vaccine: DTAP, IPV, MMR, PPV, VARCEL
Symptoms: Body temperature increased, Injection site pain, Injection site swelling
Clinical narrative: 8-21-10 Pain, slight swelling and tenderness (L) thigh, T. 99.8. Started on Cephalexin 250/5 10 ml BID. 8-23-10 (L) proximal thigh swollen, no significant erythema or fluctuance. T. 99.6. TSF to hospital per car per mother.
Age: 46.0
Sex: F
Vaccine: TDAP, DTAP
Symptoms: Radiculitis brachial
Clinical narrative: July 4: extreme pain in bicep (dead arm), severe pain in armpit(deep, tight-twisting pain). July 5: pain worsening, loss of mobility of arm (called doctor advised to use Motrin and heat). July 10: unable to move upper body, difficulty breathing, severe pain (taken to hospital ER by ambulance). July 14: still in considerable pain, return to doctor, advised diagnosis is bursitis. July 19: no pain relief, internet search of DTaP finds brachial plexus neuropathy as a side effect.  Return to doctor with documentation.  Advised to see a neurologist. July 26: pain level is at 8...upper arm feels very heavy, under arm feels twisted inside.  Neurologist orders lab work, MRI and nerve conduction study. Aug 5: noticeable swelling in underarm, can feel a small marble sized lump. Aug 9: Nerve conduction study; results normal, all labs; normal.  Noticeable swelling in underarm...suggests ultrasound. Aug 10: Left message for Primary Care doctor for ultrasound order, will not order without an office visit (first available Sept 17). Aug 14: Went to urgent care pain extreme, swelling getting worse.  Breast and underarm exam, more labs ordered, xrays ordered and referral to surgeon for biopsy... possible diagnosis axillary lympadenopathy. Aug 19: Surgery consult, ordered mammogram and ultrasound.  Surgeon consulted with pharmacist and found that my symptoms are side effect of DTaP - will follow up with pharmaceutical company. Mammogram and ultrasound results show enlarged lymph nodes.  Spoke with another patient in waiting with same symptoms, asked her if she had a tetanus shot recently and she confirmed that she had, just prior to onset of her symptoms.  Received call from surgeon.  His follow up with pharmaceutical company confirms that the company is aware of these adverse reactions but does not have any information for treatment or longevity of symptoms nor can they confirm or deny any permanent effects.   Aug 21: Pain level at 8 majority of the day, painful movement at shoulder level. Aug 23: pain level remains the same, difficulty with movement, swelling speading to neck on right side. Aug 28: neck stiffness, difficult movement, pain level at 5.
Age: 46.0
Sex: F
Vaccine: TDAP, DTAP
Symptoms: Axillary mass, Axillary pain, Blood alkaline phosphatase, Blood bilirubin, Blood creatine phosphokinase
Clinical narrative: July 4: extreme pain in bicep (dead arm), severe pain in armpit(deep, tight-twisting pain). July 5: pain worsening, loss of mobility of arm (called doctor advised to use Motrin and heat). July 10: unable to move upper body, difficulty breathing, severe pain (taken to hospital ER by ambulance). July 14: still in considerable pain, return to doctor, advised diagnosis is bursitis. July 19: no pain relief, internet search of DTaP finds brachial plexus neuropathy as a side effect.  Return to doctor with documentation.  Advised to see a neurologist. July 26: pain level is at 8...upper arm feels very heavy, under arm feels twisted inside.  Neurologist orders lab work, MRI and nerve conduction study. Aug 5: noticeable swelling in underarm, can feel a small marble sized lump. Aug 9: Nerve conduction study; results normal, all labs; normal.  Noticeable swelling in underarm...suggests ultrasound. Aug 10: Left message for Primary Care doctor for ultrasound order, will not order without an office visit (first available Sept 17). Aug 14: Went to urgent care pain extreme, swelling getting worse.  Breast and underarm exam, more labs ordered, xrays ordered and referral to surgeon for biopsy... possible diagnosis axillary lympadenopathy. Aug 19: Surgery consult, ordered mammogram and ultrasound.  Surgeon consulted with pharmacist and found that my symptoms are side effect of DTaP - will follow up with pharmaceutical company. Mammogram and ultrasound results show enlarged lymph nodes.  Spoke with another patient in waiting with same symptoms, asked her if she had a tetanus shot recently and she confirmed that she had, just prior to onset of her symptoms.  Received call from surgeon.  His follow up with pharmaceutical company confirms that the company is aware of these adverse reactions but does not have any information for treatment or longevity of symptoms nor can they confirm or deny any permanent effects.   Aug 21: Pain level at 8 majority of the day, painful movement at shoulder level. Aug 23: pain level remains the same, difficulty with movement, swelling speading to neck on right side. Aug 28: neck stiffness, difficult movement, pain level at 5.
Age: 46.0
Sex: F
Vaccine: TDAP, DTAP
Symptoms: Blood creatinine, Blood glucose, Blood urea, Bursitis, Dyspnoea
Clinical narrative: July 4: extreme pain in bicep (dead arm), severe pain in armpit(deep, tight-twisting pain). July 5: pain worsening, loss of mobility of arm (called doctor advised to use Motrin and heat). July 10: unable to move upper body, difficulty breathing, severe pain (taken to hospital ER by ambulance). July 14: still in considerable pain, return to doctor, advised diagnosis is bursitis. July 19: no pain relief, internet search of DTaP finds brachial plexus neuropathy as a side effect.  Return to doctor with documentation.  Advised to see a neurologist. July 26: pain level is at 8...upper arm feels very heavy, under arm feels twisted inside.  Neurologist orders lab work, MRI and nerve conduction study. Aug 5: noticeable swelling in underarm, can feel a small marble sized lump. Aug 9: Nerve conduction study; results normal, all labs; normal.  Noticeable swelling in underarm...suggests ultrasound. Aug 10: Left message for Primary Care doctor for ultrasound order, will not order without an office visit (first available Sept 17). Aug 14: Went to urgent care pain extreme, swelling getting worse.  Breast and underarm exam, more labs ordered, xrays ordered and referral to surgeon for biopsy... possible diagnosis axillary lympadenopathy. Aug 19: Surgery consult, ordered mammogram and ultrasound.  Surgeon consulted with pharmacist and found that my symptoms are side effect of DTaP - will follow up with pharmaceutical company. Mammogram and ultrasound results show enlarged lymph nodes.  Spoke with another patient in waiting with same symptoms, asked her if she had a tetanus shot recently and she confirmed that she had, just prior to onset of her symptoms.  Received call from surgeon.  His follow up with pharmaceutical company confirms that the company is aware of these adverse reactions but does not have any information for treatment or longevity of symptoms nor can they confirm or deny any permanent effects.   Aug 21: Pain level at 8 majority of the day, painful movement at shoulder level. Aug 23: pain level remains the same, difficulty with movement, swelling speading to neck on right side. Aug 28: neck stiffness, difficult movement, pain level at 5.
Age: 46.0
Sex: F
Vaccine: TDAP, DTAP
Symptoms: Electromyogram, Local swelling, Lymphadenopathy, Mammogram, Mobility decreased
Clinical narrative: July 4: extreme pain in bicep (dead arm), severe pain in armpit(deep, tight-twisting pain). July 5: pain worsening, loss of mobility of arm (called doctor advised to use Motrin and heat). July 10: unable to move upper body, difficulty breathing, severe pain (taken to hospital ER by ambulance). July 14: still in considerable pain, return to doctor, advised diagnosis is bursitis. July 19: no pain relief, internet search of DTaP finds brachial plexus neuropathy as a side effect.  Return to doctor with documentation.  Advised to see a neurologist. July 26: pain level is at 8...upper arm feels very heavy, under arm feels twisted inside.  Neurologist orders lab work, MRI and nerve conduction study. Aug 5: noticeable swelling in underarm, can feel a small marble sized lump. Aug 9: Nerve conduction study; results normal, all labs; normal.  Noticeable swelling in underarm...suggests ultrasound. Aug 10: Left message for Primary Care doctor for ultrasound order, will not order without an office visit (first available Sept 17). Aug 14: Went to urgent care pain extreme, swelling getting worse.  Breast and underarm exam, more labs ordered, xrays ordered and referral to surgeon for biopsy... possible diagnosis axillary lympadenopathy. Aug 19: Surgery consult, ordered mammogram and ultrasound.  Surgeon consulted with pharmacist and found that my symptoms are side effect of DTaP - will follow up with pharmaceutical company. Mammogram and ultrasound results show enlarged lymph nodes.  Spoke with another patient in waiting with same symptoms, asked her if she had a tetanus shot recently and she confirmed that she had, just prior to onset of her symptoms.  Received call from surgeon.  His follow up with pharmaceutical company confirms that the company is aware of these adverse reactions but does not have any information for treatment or longevity of symptoms nor can they confirm or deny any permanent effects.   Aug 21: Pain level at 8 majority of the day, painful movement at shoulder level. Aug 23: pain level remains the same, difficulty with movement, swelling speading to neck on right side. Aug 28: neck stiffness, difficult movement, pain level at 5.
Age: 46.0
Sex: F
Vaccine: TDAP, DTAP
Symptoms: Movement disorder, Musculoskeletal stiffness, Myalgia, Nerve conduction studies, Pain
Clinical narrative: July 4: extreme pain in bicep (dead arm), severe pain in armpit(deep, tight-twisting pain). July 5: pain worsening, loss of mobility of arm (called doctor advised to use Motrin and heat). July 10: unable to move upper body, difficulty breathing, severe pain (taken to hospital ER by ambulance). July 14: still in considerable pain, return to doctor, advised diagnosis is bursitis. July 19: no pain relief, internet search of DTaP finds brachial plexus neuropathy as a side effect.  Return to doctor with documentation.  Advised to see a neurologist. July 26: pain level is at 8...upper arm feels very heavy, under arm feels twisted inside.  Neurologist orders lab work, MRI and nerve conduction study. Aug 5: noticeable swelling in underarm, can feel a small marble sized lump. Aug 9: Nerve conduction study; results normal, all labs; normal.  Noticeable swelling in underarm...suggests ultrasound. Aug 10: Left message for Primary Care doctor for ultrasound order, will not order without an office visit (first available Sept 17). Aug 14: Went to urgent care pain extreme, swelling getting worse.  Breast and underarm exam, more labs ordered, xrays ordered and referral to surgeon for biopsy... possible diagnosis axillary lympadenopathy. Aug 19: Surgery consult, ordered mammogram and ultrasound.  Surgeon consulted with pharmacist and found that my symptoms are side effect of DTaP - will follow up with pharmaceutical company. Mammogram and ultrasound results show enlarged lymph nodes.  Spoke with another patient in waiting with same symptoms, asked her if she had a tetanus shot recently and she confirmed that she had, just prior to onset of her symptoms.  Received call from surgeon.  His follow up with pharmaceutical company confirms that the company is aware of these adverse reactions but does not have any information for treatment or longevity of symptoms nor can they confirm or deny any permanent effects.   Aug 21: Pain level at 8 majority of the day, painful movement at shoulder level. Aug 23: pain level remains the same, difficulty with movement, swelling speading to neck on right side. Aug 28: neck stiffness, difficult movement, pain level at 5.
Age: 46.0
Sex: F
Vaccine: TDAP, DTAP
Symptoms: Red blood cell sedimentation rate, Sensation of heaviness, Swelling, X-ray
Clinical narrative: July 4: extreme pain in bicep (dead arm), severe pain in armpit(deep, tight-twisting pain). July 5: pain worsening, loss of mobility of arm (called doctor advised to use Motrin and heat). July 10: unable to move upper body, difficulty breathing, severe pain (taken to hospital ER by ambulance). July 14: still in considerable pain, return to doctor, advised diagnosis is bursitis. July 19: no pain relief, internet search of DTaP finds brachial plexus neuropathy as a side effect.  Return to doctor with documentation.  Advised to see a neurologist. July 26: pain level is at 8...upper arm feels very heavy, under arm feels twisted inside.  Neurologist orders lab work, MRI and nerve conduction study. Aug 5: noticeable swelling in underarm, can feel a small marble sized lump. Aug 9: Nerve conduction study; results normal, all labs; normal.  Noticeable swelling in underarm...suggests ultrasound. Aug 10: Left message for Primary Care doctor for ultrasound order, will not order without an office visit (first available Sept 17). Aug 14: Went to urgent care pain extreme, swelling getting worse.  Breast and underarm exam, more labs ordered, xrays ordered and referral to surgeon for biopsy... possible diagnosis axillary lympadenopathy. Aug 19: Surgery consult, ordered mammogram and ultrasound.  Surgeon consulted with pharmacist and found that my symptoms are side effect of DTaP - will follow up with pharmaceutical company. Mammogram and ultrasound results show enlarged lymph nodes.  Spoke with another patient in waiting with same symptoms, asked her if she had a tetanus shot recently and she confirmed that she had, just prior to onset of her symptoms.  Received call from surgeon.  His follow up with pharmaceutical company confirms that the company is aware of these adverse reactions but does not have any information for treatment or longevity of symptoms nor can they confirm or deny any permanent effects.   Aug 21: Pain level at 8 majority of the day, painful movement at shoulder level. Aug 23: pain level remains the same, difficulty with movement, swelling speading to neck on right side. Aug 28: neck stiffness, difficult movement, pain level at 5.
Age: 37.0
Sex: F
Vaccine: DTAP
Symptoms: Dizziness, Ear pain, Fatigue, Myalgia, Neck pain
Clinical narrative: Started out feeling faint & dizzy. Muscle pain started at 12:30 PM on the side the vaccine was given (left arm) and then all around my neck and left outer ear. Fatigue set in and I had to lay down and cancel the rest of my day. Advil and Tylenol did not help. Warm shower and heat pack did not help.
Age: 11.0
Sex: F
Vaccine: HPV4
Symptoms: Discomfort, Headache, Injection site haematoma, Injection site swelling, Medical device complication
Clinical narrative: Pt received third (and final) Gardasil vaccine at 16:00 on 08/27/2010 @ doctor's office. RN giving vaccine had to attempt administration twice - plunger in syringe jammed after needle inserted into pt's arm. Syringe removed from pt's arm, plunger unjammed and injection administered on second try. Pt woke at 07:30 on 08/28/2010 with headache, fever of 102.4 F, generalized aches throughout body, slight swelling and bruising at injection site. 200mg Ibuprofen administered at 08:00 which did not alleviate fever or discomfort. Add'l 200mg Ibuprofen administered @ 09:00. Fever lowered to 100.4 but headache and body aches were not alleviated. Pt put into cool bath at 13:45 and received 400mb Ibuprofen. Fever lowered to 99.4 after bath. Fever abated at 17:00 and headache and body aches are almost gone.