chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 18.0
Sex: F
Vaccine: MNQ
Symptoms: Chills, Heart rate increased, Pain, Pyrexia
Clinical narrative: Low grade fever, aches, chills, rapid heart beat of 120/min beginning the next day, about 8 a.m. (15 hours later). Took Ibuprofen 1 p.m. and sx gone at 10 p.m., 14 hours after onset. Mom did take child to ER early evening.
Age: 0.34
Sex: F
Vaccine: DTAP, IPV, PNC, RV5, DTAP, HIBV, IPV, PNC, RV5
Symptoms: Abdominal distension, Crying, Irritability, Urinary system X-ray, X-ray abnormal
Clinical narrative: Crying/irritable - to ER. GI - mild distension, soft, nontender, no masses. KUB showed - "doesn't appear like intussusception; looks like she gave herself an air enema".  10/15/2007 VAX record received and info updated in database./pc  11/05/2007 ER record received for DOS 9/4-5/2007. Child presented to ER with parental report of inconsolable crying and not wanting to eat.  Mom reports abdomen appears swollen and child appears pale. PE WNL. D/C home with DX: Crying. 11/06/2007 Spoke with reporter.  Pt did not have DX of Intussusception.
Age: 1.52
Sex: F
Vaccine: DTAP, PNC
Symptoms: Aggression, Apnoea, Computerised tomogram normal, Convulsion, Electroencephalogram normal
Clinical narrative: Had an apneic, seizure-like event with post-ictal phase - required PICU admission. Had an encephalopathic type course for 2d's with combativeness, unsteady gait; then full recovery.  10/15/2007 MR received for hospital DOS 8/23-26/2007 for D/C DX: Encephalopathy- resolved 2' to viral process or to DTaP vax. Child presented to the ER after an episode of fussiness, followed by gasping breaths, stiffening, and back arching with pallor.  Father gave a rescue breath which initiated breathing but child was not as responsive as usual.  Child had a mild runny nose x several days prior to incident.  Child continued to have recurring posturing and arching. Neuro consult for chief c/o Altered Mental Status, Seizures.
Age: 1.52
Sex: F
Vaccine: DTAP, PNC
Symptoms: Gait disturbance, Intensive care, Postictal state
Clinical narrative: Had an apneic, seizure-like event with post-ictal phase - required PICU admission. Had an encephalopathic type course for 2d's with combativeness, unsteady gait; then full recovery.  10/15/2007 MR received for hospital DOS 8/23-26/2007 for D/C DX: Encephalopathy- resolved 2' to viral process or to DTaP vax. Child presented to the ER after an episode of fussiness, followed by gasping breaths, stiffening, and back arching with pallor.  Father gave a rescue breath which initiated breathing but child was not as responsive as usual.  Child had a mild runny nose x several days prior to incident.  Child continued to have recurring posturing and arching. Neuro consult for chief c/o Altered Mental Status, Seizures.
Age: 64.0
Sex: M
Vaccine: HEPAB, TD, YF
Symptoms: Guillain-Barre syndrome
Clinical narrative: Diagnosed - Guillain-Barre Syndrome.  9/14/07 Reviewed hospital medical records which reveal patient experienced progressive  weakness, leg & arm numbness, difficulty walking & difficulty climbing stairs x approx 1 week prior to admit.  Had received vax for travel to Africa.   Admitted 8/27-8/30/2007.  Tx w/IVIG x 5 doses & had notable improvement in strength but no change in numbness.  Had HTN while hospitlized which normalized by d/c.  Received final IVIG as outpatient. FINAL DX: Guillain-Barre syndrome. 9/18/07 Received EMG/NCS report which reveals abnormal study with delayed distal latencies, decreased conduction velocities, mild temporal dispersion, decreased amplitude but no signs of denervation c/w acute inflammatory demyelinating polyneuropathic process affecting the LEs more than the UEs. Follow up: The patient proceeded with his trip out of country although required re-hospitalization upon his return. Regaining strength and return to work as of 11/15/07.
Age: 0.4
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Pyrexia
Clinical narrative: Fever 103.
Age: 1.4
Sex: F
Vaccine: MMRV
Symptoms: Pallor, Rash, Rash maculo-papular, Rhinorrhoea
Clinical narrative: Macular/papular rash - started face, neck, chest, arms, abdomen - progressing and + blanching, + clear nasal discharge.
Age: 4.0
Sex: F
Vaccine: DTAP, HEPA, IPV, MMRV
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth, Nausea, Pyrexia
Clinical narrative: Approx 6 hr after administration of vaccines child c/o feeling nausea and vomiting per mom 2 hr later child felt feverish. No temp taken. 9/6/07 child c/o swollen R deltoid with redness-hot to touch 4 pm 9/6/07 saw provider at clinic Rx Benadryl every 6 hr with cold compress to site. 9/7/07 4 pm p.c. to mother per mom child much improved
Age: 4.0
Sex: F
Vaccine: DTAP, HEPA, IPV, MMRV
Symptoms: Vomiting
Clinical narrative: Approx 6 hr after administration of vaccines child c/o feeling nausea and vomiting per mom 2 hr later child felt feverish. No temp taken. 9/6/07 child c/o swollen R deltoid with redness-hot to touch 4 pm 9/6/07 saw provider at clinic Rx Benadryl every 6 hr with cold compress to site. 9/7/07 4 pm p.c. to mother per mom child much improved
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5, DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Body temperature increased, Rash maculo-papular
Clinical narrative: 9-5-07 Generalized maculopapular rash 24 hrs after Pediarix, HIB, Prevnar, Polio; temp (98.3 temporal). Will check 9-6-07.
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5, DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Rash maculo-papular
Clinical narrative: 9-5-07 Generalized maculopapular rash 24 hrs after Pediarix, HIB, Prevnar, Polio; temp (98.3 temporal). Will check 9-6-07.
Age: 21.0
Sex: F
Vaccine: HPV4
Symptoms: Amnesia, Blood pressure increased, Electrocardiogram normal, Heart rate increased, Tremor
Clinical narrative: The patient returned 45 min. after injection c/o feeling shaky and increased heart rate. Episode lasted for one hour. Hx of allergy shots with no problem. O - BP 150/60 (pt's norm 110/70), P-120. Pt was shaking. No respiratory involvement. No rash. No treatment; observation only. Does not remember coming to health services after shot.
Age: 24.0
Sex: F
Vaccine: HPV4
Symptoms: Sinus headache
Clinical narrative: patient had a Gardasil injection on 8/30/07 at 10:30 am, at 6:00 pm developed sinus headache. No other symptoms. 8/31/07 Headache resolved without medication-9/6/07 headache took Tylenol with no relief went to sleep. Awoke on 9/7/07 with headache. No complaint of headache or any other symptoms 9/7/07. Pt has hx of headaches at intervals before Gardasil vaccine.
Age: 4.0
Sex: M
Vaccine: DTAP, HEPA, IPV, MMR, PNC, VARCEL
Symptoms: Urticaria
Clinical narrative: Pt broke out with hives the evening after his shots were given. He had small hives over the right upper thigh, that then spread to and thru his groin area. He was brought to the office the next day. He was given Zyrtec syrup and mom was instructed to give him tylenol or motrin for the next 2-3 days. Pt is to return to the office on 9-7-07 for a follow-up appt.
Age: 0.2
Sex: F
Vaccine: RV5
Symptoms: Aspiration, Dehydration, Diarrhoea, Laboratory test, Respiratory arrest
Clinical narrative: Pt had vomiting, diarrhea, dehydration.  EMS was called 7 days after vaccination as pt refluxed on vomit, aspirated, and stopped breathing.  Rescue breathing was administered by mother in the home, transported to ER (01/19/07), admitted to hospital x 4 days.  09/21/2007 MR received for hospital DOS 1/19-21/2007 for DX of ALTE possibly 2' to GERD despite normal UGI.  Infant presented to ER with 3 day hx of vomiting with loose green stools.  On date of admit infant regurgitated feeding then developed blue lips, flaccidity and lethargy.   2nd episode in ambulance on way to hospital.
Age: 0.2
Sex: F
Vaccine: RV5
Symptoms: Vomiting
Clinical narrative: Pt had vomiting, diarrhea, dehydration.  EMS was called 7 days after vaccination as pt refluxed on vomit, aspirated, and stopped breathing.  Rescue breathing was administered by mother in the home, transported to ER (01/19/07), admitted to hospital x 4 days.  09/21/2007 MR received for hospital DOS 1/19-21/2007 for DX of ALTE possibly 2' to GERD despite normal UGI.  Infant presented to ER with 3 day hx of vomiting with loose green stools.  On date of admit infant regurgitated feeding then developed blue lips, flaccidity and lethargy.   2nd episode in ambulance on way to hospital.
Age: 11.0
Sex: F
Vaccine: HPV4
Symptoms: Blood pressure, Cyanosis, Dizziness, Dyspnoea, Heart rate increased
Clinical narrative: Approximately 10 minutes following administration of Gardisil vaccine, pt became cyanotic, syncopal, and c/o dizziness.  Pulse rate was 50 initially then increased to 100.  BP 122/90.  She then felt like her throat was closing off and was having some shortness of breath.  We administered oxygen, gave Benadryl 25mg IM, and patient did recover within 15 minutes.
Age: 11.0
Sex: F
Vaccine: HPV4
Symptoms: Syncope, Throat tightness
Clinical narrative: Approximately 10 minutes following administration of Gardisil vaccine, pt became cyanotic, syncopal, and c/o dizziness.  Pulse rate was 50 initially then increased to 100.  BP 122/90.  She then felt like her throat was closing off and was having some shortness of breath.  We administered oxygen, gave Benadryl 25mg IM, and patient did recover within 15 minutes.
Age: 1.0
Sex: F
Vaccine: DTP, MMRV
Symptoms: Eye swelling, Hypersensitivity, Pharyngeal oedema, Urticaria
Clinical narrative: after his 12month shots that evening we took him to the ER because his he was having an allergic reaction,his eyes swole shut ,he had hives all over him ,his throat was swelling shut.  9/11/07 Received ER medical records which reveal patient experienced  cough, swollen eyes, red rash on 3/23/01.  Patient had been started on whole milk on day of vax & had been give chocolate milk for first time just prior to reaction.  Treated w/IM steroids & antihistamine & d/c to home on soy formula, steroids & antihistamine. FINAL DX: Allergic reaction to ??chocolate milk. 10/23/2007 Received school psychological report from parent which reveals patient diagnosed w/autistic disorder 9/2005.
Age: 19.0
Sex: M
Vaccine: SMALL
Symptoms: CSF cell count abnormal, CSF culture negative, Encephalopathy, Feeling abnormal, Headache
Clinical narrative: Patient was vaccinated 82307 with vaccinia, also had anthrax vaccine on 818 and 830, as well as typhoid on 81807. On 9/2/07 c/o headache, 9/3/07 and nausea and "feeling going crazy", admitted to WM on 9/4/07 with progressive encephalopathy. LP with lymphocytic pleocytosis, neg gs, no growth 48 hrs. Intubated (for aw prot) tx to MICU. MRI at hospital shows diffuse white>gray matter changes c/w ADEM.   10/19/07 Reviewed hospital medical records which reveal patient experienced 2-3 days of AMS, fever & confusion.  Admitted 9/5-10/01/2007.  Transferred from outlying ER.  Intubated.  Neurology consult done.  Tx w/IV steroids, IV antibiotics, IV antivirals & IVIG x 4 days.  Also tx w/vaccinia immunoglobulin x 1 dose after consult w/CDC.   Improved but remained universally weak, esp in legs bilaterally & required assistance to function. Required I/O catheterizations q8h on transfer.  Also had rash thought to be secondary to steroids.  Transferred to inpatient rehab unit 10/1-10/9/07. Continued to need supervision w/ADLs on d/c.  Had left vocal cord paralysis & UTI at time of d/c.  FINAL DX: acute demyelinating encephalomyelitis (ADEM) secondary to vaccinia.
Age: 19.0
Sex: M
Vaccine: SMALL
Symptoms: Intubation, Leukoencephalomyelitis, Lumbar puncture abnormal, Nausea, Nuclear magnetic resonance imaging abnormal
Clinical narrative: Patient was vaccinated 82307 with vaccinia, also had anthrax vaccine on 818 and 830, as well as typhoid on 81807. On 9/2/07 c/o headache, 9/3/07 and nausea and "feeling going crazy", admitted to WM on 9/4/07 with progressive encephalopathy. LP with lymphocytic pleocytosis, neg gs, no growth 48 hrs. Intubated (for aw prot) tx to MICU. MRI at hospital shows diffuse white>gray matter changes c/w ADEM.   10/19/07 Reviewed hospital medical records which reveal patient experienced 2-3 days of AMS, fever & confusion.  Admitted 9/5-10/01/2007.  Transferred from outlying ER.  Intubated.  Neurology consult done.  Tx w/IV steroids, IV antibiotics, IV antivirals & IVIG x 4 days.  Also tx w/vaccinia immunoglobulin x 1 dose after consult w/CDC.   Improved but remained universally weak, esp in legs bilaterally & required assistance to function. Required I/O catheterizations q8h on transfer.  Also had rash thought to be secondary to steroids.  Transferred to inpatient rehab unit 10/1-10/9/07. Continued to need supervision w/ADLs on d/c.  Had left vocal cord paralysis & UTI at time of d/c.  FINAL DX: acute demyelinating encephalomyelitis (ADEM) secondary to vaccinia.
Age: 19.0
Sex: M
Vaccine: SMALL
Symptoms: Pleocytosis
Clinical narrative: Patient was vaccinated 82307 with vaccinia, also had anthrax vaccine on 818 and 830, as well as typhoid on 81807. On 9/2/07 c/o headache, 9/3/07 and nausea and "feeling going crazy", admitted to WM on 9/4/07 with progressive encephalopathy. LP with lymphocytic pleocytosis, neg gs, no growth 48 hrs. Intubated (for aw prot) tx to MICU. MRI at hospital shows diffuse white>gray matter changes c/w ADEM.   10/19/07 Reviewed hospital medical records which reveal patient experienced 2-3 days of AMS, fever & confusion.  Admitted 9/5-10/01/2007.  Transferred from outlying ER.  Intubated.  Neurology consult done.  Tx w/IV steroids, IV antibiotics, IV antivirals & IVIG x 4 days.  Also tx w/vaccinia immunoglobulin x 1 dose after consult w/CDC.   Improved but remained universally weak, esp in legs bilaterally & required assistance to function. Required I/O catheterizations q8h on transfer.  Also had rash thought to be secondary to steroids.  Transferred to inpatient rehab unit 10/1-10/9/07. Continued to need supervision w/ADLs on d/c.  Had left vocal cord paralysis & UTI at time of d/c.  FINAL DX: acute demyelinating encephalomyelitis (ADEM) secondary to vaccinia.
Age: 9.0
Sex: M
Vaccine: VARCEL
Symptoms: Local reaction, Rash erythematous, Skin warm
Clinical narrative: Local reaction (right posterior upper arm) with circular raised erythematous firm and warm rash, non-tender, approximately 5cm in diameter, developed over first 24 hours after vaccine administration.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMRV
Symptoms: Pyrexia, Rash, Varicella, Varicella post vaccine
Clinical narrative: Presented to the office with daycare provider for note to return to school due to chickenpox.  Daycare provider reported patient received chickenpox vaccine on 8-13-07 and had high fever on 8-26 and 8-27. Broke out with rash on face after that.  Today has reddened raised  non fluid filled areas on face.  Dime size area on lower chin area that is red and raised.  Also small pox on upper chest and on left elbow.  Daycare provider reported that he does have areas on back of legs and buttocks.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMRV
Symptoms: Cellulitis, Induration
Clinical narrative: 180cm X 110 cm area of induration and cellulitis on L thigh.  Treated with Keflex 250/5 ml 4 ml TID for 10 days.  Benadryl 12.5 mg/5 ml 7.5 ml po q6hours prn.
Age: 57.0
Sex: F
Vaccine: HEPAB
Symptoms: Rash, Urticaria
Clinical narrative: since having the vaccine she develops hive-like skin eruption on skin that has been exposed to the sun
Age: 60.0
Sex: F
Vaccine: VARZOS
Symptoms: Oral herpes, Oral mucosal eruption
Clinical narrative: Herpes eruption on lip and on roof of mouth. Appeared on Friday, August 31 and Sunday, Sept 2nd.
Age: 62.0
Sex: M
Vaccine: PPV
Symptoms: Muscular weakness, Pain in extremity
Clinical narrative: Vaccine was administered and about 12 hours after patient complained of pain/weakness in the arm that injection was given.
Age: 18.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Fall, Head injury, Immediate post-injection reaction, Loss of consciousness
Clinical narrative: Passed out within 3 minutes of receiving injection. Hit her head on the wall as she passed out and fell to the floor . Ambulance called - refused transport to hospital.  Mother stated she would take her to the ER.
Age: 18.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Fall, Head injury, Syncope
Clinical narrative: Passed out within 3 minutes of receiving injection. Hit her head on the wall as she passed out and fell to the floor . Ambulance called - refused transport to hospital.  Mother stated she would take her to the ER.
Age: 54.0
Sex: F
Vaccine: PPV
Symptoms: Injection site pain
Clinical narrative: Pneumococcal vaccine administered IM to left-upper arm. Afterwards, 5cm diameter area that was slightly tender to touch was noted. No lasting effects.
Age: 11.0
Sex: F
Vaccine: MNQ, VARCEL
Symptoms: Arthropod bite, Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Large area of redness and swelling developed over 48 hours at the site of the immunization - measures approx 3 by 4.5 inches, warm to touch and tender with two small adjacent lesions which look like mosquito bites
Age: 11.0
Sex: F
Vaccine: MNQ, VARCEL
Symptoms: Skin lesion
Clinical narrative: Large area of redness and swelling developed over 48 hours at the site of the immunization - measures approx 3 by 4.5 inches, warm to touch and tender with two small adjacent lesions which look like mosquito bites
Age: 3.0
Sex: F
Vaccine: VARCEL
Symptoms: Urticaria
Clinical narrative: Hives on face.  Treated with Benedryl.
Age: 13.0
Sex: F
Vaccine: HPV4
Symptoms: Asthenia, Dizziness, Headache, Vertigo
Clinical narrative: Per visit w/ Dr. 9-6-2007 - Pt complaint of dizzy/weak onset 2 weeks ago. Severity is moderate. The problem is unchanged. It occurs intermittently. The patient describes it as an light-headed and spinning. Symptom is aggravated by getting out of bed, rapid rise, turning head to left and turning head to right. Reliving factors included medication and tylenol. Pertinent negatives include chest pain, ear ache, fever, eharing loss, nausea, slurred speech and vision loss. Additional information; pt had HPV vaccine 8/22/07. Started after she got the HPV vaccine. developed symptoms 1 day after it. Eating fine, drinks enough fluids. No none allergies - positive for headaches and light headed / dizziness. Neuro exam normal
Age: 59.0
Sex: F
Vaccine: HEP
Symptoms: Diarrhoea, Dry eye, Eye pain, Headache, Pyrexia
Clinical narrative: Vaccination given at 8:00 a.m. on 7/6/07;symptoms started at 10:30 p.m. 7/6/07.Vomiting, diarrhea, fever, headache and eyes were sore and dry
Age: 59.0
Sex: F
Vaccine: HEP
Symptoms: Vomiting
Clinical narrative: Vaccination given at 8:00 a.m. on 7/6/07;symptoms started at 10:30 p.m. 7/6/07.Vomiting, diarrhea, fever, headache and eyes were sore and dry
Age: 17.0
Sex: F
Vaccine: HPV4
Symptoms: Anorexia, Chills, Fatigue, Pyrexia, Rash erythematous
Clinical narrative: Pt began to feel fatigue and anorexic the day after administration.  This became progressively worse and then developed chills and rash on day 4. On day 5 awoke with swollen face, temp 101.3 in office and erythematous rash on face and slight on left upper arm and upper chest. Was seen in the office at that point and recommended to initiate Benadryl 50mg every 6 hrs for 48 hrs.  Her fever was gone the next day and the swelling and rash subsided within 2-3 days.
Age: 17.0
Sex: F
Vaccine: HPV4
Symptoms: Swelling face
Clinical narrative: Pt began to feel fatigue and anorexic the day after administration.  This became progressively worse and then developed chills and rash on day 4. On day 5 awoke with swollen face, temp 101.3 in office and erythematous rash on face and slight on left upper arm and upper chest. Was seen in the office at that point and recommended to initiate Benadryl 50mg every 6 hrs for 48 hrs.  Her fever was gone the next day and the swelling and rash subsided within 2-3 days.
Age: 18.0
Sex: F
Vaccine: HEPA, HPV4, VARCEL
Symptoms: Blister, Erythema, Urticaria
Clinical narrative: PT DEVELOPED A 3 INCH  ACROSS WELT REDDNESS WITH 2 BLISTERS. ON LEFT OUTER ASPECT OF ARM WHERE CHICKEN POX WAS GIVEN ICE PACK RECOMMEND AND HYDORCORTISONE.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV
Symptoms: Erythema, Oedema peripheral, Pruritus
Clinical narrative: Right upper arm red with swelling, hot to touch, and itching.
Age: 17.0
Sex: F
Vaccine: HPV4
Symptoms: Burning sensation, Chills, Dizziness, Headache, Hyperventilation
Clinical narrative: Vaccinated on 09/30/07 at 2:30 pm in left upper arm.  Began experiencing extreme burning in left hand at 6:30 pm and extreme pain on touch.  Ice was applied but did not ease symptoms.  Hand started tightening and spasming.  Unable to relax hand and unable to grip.  This was followed by headache, dizziness, chills and nausea.  Called and spoke to nurse in ER. Admitted to emergency room at 9:00 pm and was given morphine and cortisol IV.  Began hyperventillating. Zanax given orally. Left arm went numb from the shoulder to the wrist.  Also began experiencing burning in the left foot along with pain to touch.  Outer ears started hurting.  Extreme itchiness over whole body.  Given benedryl IV.  Was sent home at 10:30 pm.  Told to follow up with own doctor in am.  Was still experiencing burning, pain, numbness and itchiness which continued for 3 days.
Age: 17.0
Sex: F
Vaccine: HPV4
Symptoms: Hypoaesthesia, Muscle spasms, Nausea, Pain, Pruritus
Clinical narrative: Vaccinated on 09/30/07 at 2:30 pm in left upper arm.  Began experiencing extreme burning in left hand at 6:30 pm and extreme pain on touch.  Ice was applied but did not ease symptoms.  Hand started tightening and spasming.  Unable to relax hand and unable to grip.  This was followed by headache, dizziness, chills and nausea.  Called and spoke to nurse in ER. Admitted to emergency room at 9:00 pm and was given morphine and cortisol IV.  Began hyperventillating. Zanax given orally. Left arm went numb from the shoulder to the wrist.  Also began experiencing burning in the left foot along with pain to touch.  Outer ears started hurting.  Extreme itchiness over whole body.  Given benedryl IV.  Was sent home at 10:30 pm.  Told to follow up with own doctor in am.  Was still experiencing burning, pain, numbness and itchiness which continued for 3 days.
Age: 22.0
Sex: M
Vaccine: ANTH
Symptoms: Acne, Arthralgia, Burning sensation, Mobility decreased, Pain
Clinical narrative: Immunizations were given starting the left arm then rotating to the left then the right etc. Five immunizations were given total. All 5 shots were given in 1 year 4 months time span from 03/28/2003 until the last was given 7/13/2004. Symptoms include burning for 24 hours in each arm for a full 24 hours after each shot occured. Arms breaking out in pimples that had never occured before, about a couple weeks after first shot. Other symptoms are ongoing soreness which affected mobility in both arms ocurring for up to 2 months after each shot. Also after 1st shot arthritis symptoms have appeared in both wrists. The wrist pain and acne are still occuring symptoms belived to be from the antrhax vaccine.
Age: 27.0
Sex: F
Vaccine: ANTH
Symptoms: Arthralgia, Dizziness, Headache, Myalgia
Clinical narrative: Approx. 12 hours after vaccination, patient developed a severe headache, lightheadedness, myalgias and arthralgias. These lasted at least 3 days (so far) and have resulted in at least 2 days off from work. Treatment has been symptomatic - rest, fluids, Tylenol, Motrin.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Chest discomfort, Paraesthesia, Skin warm, Swelling face
Clinical narrative: 9:50 am- patient's mother called school office to report that he had an allergic reaction to vaccines that were given on HRE today around 9:15. Patient had IPV #4, DTaP #5, MMR II, Var #2, and PPD today. Left message for mom to call us re: his status. 12:15 pm-patient's mom brought him back to medical center to report what happened. He developed chest tightness, tingling in his fingers, and "hot" hands, and swollen face about 20 minutes after immunization. Mo. took him to medical center where they gave him Epi Pen injection, O2 and called 911. Paramedics took him to hospital where they observed him and discharged him home with Benadryl po and recommended that he be evaluated by an allergist. Mo. states they do have insurance and will go to PCP to get an allergic referral.
Age: 5.0
Sex: M
Vaccine: DTAP
Symptoms: Injection site erythema, Oedema peripheral, Pallor
Clinical narrative: DTaP #5 given on 8/30/07; on 8/31/07 the DTaP site became red from top of shoulder to just above elbow (4 3/4" long), local pallor, no fever, no c/o local discomfort, no limited range of motion, no decreased activity; the upper arm was swollen 9" circumference vs non-affected arm of 7 1/4" circumference.
Age: 1.2
Sex: M
Vaccine: DTAP, HIBV, MMR, VARCEL
Symptoms: Rash vesicular
Clinical narrative: Vesicular rash along dermatome consistent with Varicella Zoster.
Age: 26.0
Sex: M
Vaccine: ANTH
Symptoms: Dizziness, Injection site induration, Injection site irritation, Nausea, Pain in extremity
Clinical narrative: Woke up on 9/6/07 - had pain top of shoulder to mid arm, burning sensation, hardness around injection site. SM c/o nausea and dizziness.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV
Symptoms: Urticaria
Clinical narrative: Patient returned to clinic approximately 30 minutes after immunization with hives on face, neck, trunk and extremities.
Age: 6.0
Sex: F
Vaccine: VARCEL
Symptoms: Exposure to communicable disease, Varicella
Clinical narrative: Clinical mild Varicella (onset 6/5/07) also exposure to Varicella pain to vaccination.
Age: 0.3
Sex: F
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Abdominal pain, Irritability, Screaming
Clinical narrative: Very irritable, abdominal pain, screaming started 4-5 hours after immunization, but no blood in stool or vomiting.
Age: 1.5
Sex: M
Vaccine: HEPA
Symptoms: Rash macular
Clinical narrative: Came into office with red splotches behind legs, woke from nap with them. Plan to treat with Atarax and call mom for F/U.
Age: 13.0
Sex: M
Vaccine: VARCEL
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling
Clinical narrative: Patient developed redness, swelling, pain and itching exceeding 1-15 index in area of injection.
Sex: M
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Convulsion, Grand mal convulsion
Clinical narrative: After vaccines (04 10 07) the baby had 1 seizure. Then on 06-05-07, the patient had 4 episodes of Grand Mal. Follow up by a pediatric neurologist - treatment not started yet.
Age: 13.0
Sex: M
Vaccine: VARCEL
Symptoms: Injection site erythema, Injection site mass, Rash generalised, Skin warm
Clinical narrative: Knot 1/2 dollar size at injection site with redness around the site and a rash of body. Put on Benadryl by mouth when seen 9-1-07. 9-2-07 vaccine site is better and warm to touch and no rash of body. Continue to observe and see in office as needed.
Age: 71.0
Sex: F
Vaccine: TD
Symptoms: Erythema, Pain, Skin warm, Swelling
Clinical narrative: Swelling and soreness developed 2-3 days after vaccination intense redness, "heat" and increased swelling began 3rd days thereafter. (see photo attached)
Age: 4.0
Sex: F
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: 24 After vaccine administration patient's arm was red and swollen at site of injection 48 hours symptoms worsened without soreness. Assessment of right deltoid region on 8/31/07 shows red and swollen area approximately 3 x 5 inch, warm to touch. Patient has full ROM without c/o pain - No fever or other systemic symptoms - recommend Ibuprofen and cool compress. Call MD if symptoms increase over weekend.
Age: 5.0
Sex: F
Vaccine: HEPA, VARCEL
Symptoms: Blister, Varicella
Clinical narrative: Broke out with a terrible case of chicken pox. Missed over the first week and half if school. Ended up with scars from blisters. All children in family was given the Varivax on the same day and all ended up with chicken pox.
Age: 8.0
Sex: F
Vaccine: HEPA, VARCEL
Symptoms: Varicella
Clinical narrative: Broke out wit a terrible case of chicken pox. Missed her first week and a half of school. All children in the family was given the Varivax on the same day and all ended up with chicken pox.
Age: 2.0
Sex: F
Vaccine: VARCEL
Symptoms: Varicella
Clinical narrative: Broke out with a terrible case of chickenpox. All children in family was given the Varivax on the same day and all ended up with chicken pox.
Age: 0.5
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Pyrexia
Clinical narrative: High fever only increased 103-104 x 2 days; treated with Ibuprofen.
Age: 4.0
Sex: M
Vaccine: DTAP, VARCEL
Symptoms: Cough, Croup infectious, Lethargy, Nasal congestion, Somnolence
Clinical narrative: Lethargic, croupy cough, sleeping a lot, congestion.
Age: 18.0
Sex: F
Vaccine: MNQ, MEN
Symptoms: Asthenia, Body temperature increased, Computerised tomogram normal, Convulsion, Full blood count normal
Clinical narrative: Patient received the immunization Thursday Aug. 30, 2007.  her arm was sore, but that was it, she ate supper and went to bed, at about 11:30 pm she said she began to shake uncontrollably, severe chills and was very weak.  she could not get out of bed to get to us.  she woke up again a little later in the night and was worse.  still could not get to us.  My husband woke her up at 7:00am, 8-31-07, she could barely walk to the living room and she began to tell him how bad she felt and then she went rigid and stiff and passed out.  He picked her up and put her on the couch, called me at work i rushed home, 7:40 arrived home, she was very hot to the touch and pale.  she stated that she needed to go to the restroom and my husband walked her in their, i went to get her robe so we could take her to the ER.  he screamed to come quick she was having another one.  she began to go rigid,stiff again and a very pale blue color, and passed out again almost a minute this time.  i called 911, she remained very pale in color ambulance arrived put her on oxygen and iv drip.  we went to hospital,  she was admitted to ER. they continued to watch her for the next hour or so.  she was very weak and pale and slept alot.  the doctor said he was going to release her to go home and rest, symptoms should disappear soon. the nurse took her out in a wheelchair to wait for my husband, after just a few minutes of waiting she went rigid, stiff and passed out again in the wheel chair: the nurse rushed her back into the ER and yelled for Doctors to come quick.  by the time we got back inside she had another episode, almost seizure or convulsive type(very rigid, stiff and pale when she passes out) she is not falling limp.  the doctors admitted her to the hospital at that time. her blood pressure was severly low.  her symptoms now are severe headache, weakness, gets hot very quick, she cannot drive just yet and has a very low bloodpressure, it was 90/40 in hospital.  has come up some since.  she has missed a weak of college and still may be out some the next few weeks until her body is back to normal.  she also has a 3 1/2" scrape on her back right shoulder where she hit the wall, along with a bruised side and shoulder.  we are not sure how long these symptoms will last. Doctor said he did not know. still home resting.
Age: 18.0
Sex: F
Vaccine: MNQ, MEN
Symptoms: Headache, Hypokalaemia, Hypotension, Laboratory test normal, Loss of consciousness
Clinical narrative: Patient received the immunization Thursday Aug. 30, 2007.  her arm was sore, but that was it, she ate supper and went to bed, at about 11:30 pm she said she began to shake uncontrollably, severe chills and was very weak.  she could not get out of bed to get to us.  she woke up again a little later in the night and was worse.  still could not get to us.  My husband woke her up at 7:00am, 8-31-07, she could barely walk to the living room and she began to tell him how bad she felt and then she went rigid and stiff and passed out.  He picked her up and put her on the couch, called me at work i rushed home, 7:40 arrived home, she was very hot to the touch and pale.  she stated that she needed to go to the restroom and my husband walked her in their, i went to get her robe so we could take her to the ER.  he screamed to come quick she was having another one.  she began to go rigid,stiff again and a very pale blue color, and passed out again almost a minute this time.  i called 911, she remained very pale in color ambulance arrived put her on oxygen and iv drip.  we went to hospital,  she was admitted to ER. they continued to watch her for the next hour or so.  she was very weak and pale and slept alot.  the doctor said he was going to release her to go home and rest, symptoms should disappear soon. the nurse took her out in a wheelchair to wait for my husband, after just a few minutes of waiting she went rigid, stiff and passed out again in the wheel chair: the nurse rushed her back into the ER and yelled for Doctors to come quick.  by the time we got back inside she had another episode, almost seizure or convulsive type(very rigid, stiff and pale when she passes out) she is not falling limp.  the doctors admitted her to the hospital at that time. her blood pressure was severly low.  her symptoms now are severe headache, weakness, gets hot very quick, she cannot drive just yet and has a very low bloodpressure, it was 90/40 in hospital.  has come up some since.  she has missed a weak of college and still may be out some the next few weeks until her body is back to normal.  she also has a 3 1/2" scrape on her back right shoulder where she hit the wall, along with a bruised side and shoulder.  we are not sure how long these symptoms will last. Doctor said he did not know. still home resting.
Age: 18.0
Sex: F
Vaccine: MNQ, MEN
Symptoms: Malaise, Tremor, Urine analysis normal, Vision blurred
Clinical narrative: Patient received the immunization Thursday Aug. 30, 2007.  her arm was sore, but that was it, she ate supper and went to bed, at about 11:30 pm she said she began to shake uncontrollably, severe chills and was very weak.  she could not get out of bed to get to us.  she woke up again a little later in the night and was worse.  still could not get to us.  My husband woke her up at 7:00am, 8-31-07, she could barely walk to the living room and she began to tell him how bad she felt and then she went rigid and stiff and passed out.  He picked her up and put her on the couch, called me at work i rushed home, 7:40 arrived home, she was very hot to the touch and pale.  she stated that she needed to go to the restroom and my husband walked her in their, i went to get her robe so we could take her to the ER.  he screamed to come quick she was having another one.  she began to go rigid,stiff again and a very pale blue color, and passed out again almost a minute this time.  i called 911, she remained very pale in color ambulance arrived put her on oxygen and iv drip.  we went to hospital,  she was admitted to ER. they continued to watch her for the next hour or so.  she was very weak and pale and slept alot.  the doctor said he was going to release her to go home and rest, symptoms should disappear soon. the nurse took her out in a wheelchair to wait for my husband, after just a few minutes of waiting she went rigid, stiff and passed out again in the wheel chair: the nurse rushed her back into the ER and yelled for Doctors to come quick.  by the time we got back inside she had another episode, almost seizure or convulsive type(very rigid, stiff and pale when she passes out) she is not falling limp.  the doctors admitted her to the hospital at that time. her blood pressure was severly low.  her symptoms now are severe headache, weakness, gets hot very quick, she cannot drive just yet and has a very low bloodpressure, it was 90/40 in hospital.  has come up some since.  she has missed a weak of college and still may be out some the next few weeks until her body is back to normal.  she also has a 3 1/2" scrape on her back right shoulder where she hit the wall, along with a bruised side and shoulder.  we are not sure how long these symptoms will last. Doctor said he did not know. still home resting.
Age: 18.0
Sex: F
Vaccine: MNQ, MEN
Symptoms: Abasia, Asthenia, Blood test, Chills, Computerised tomogram
Clinical narrative: Patient received the immunization Thursday Aug. 30, 2007.  her arm was sore, but that was it, she ate supper and went to bed, at about 11:30 pm she said she began to shake uncontrollably, severe chills and was very weak.  she could not get out of bed to get to us.  she woke up again a little later in the night and was worse.  still could not get to us.  My husband woke her up at 7:00am, 8-31-07, she could barely walk to the living room and she began to tell him how bad she felt and then she went rigid and stiff and passed out.  He picked her up and put her on the couch, called me at work i rushed home, 7:40 arrived home, she was very hot to the touch and pale.  she stated that she needed to go to the restroom and my husband walked her in their, i went to get her robe so we could take her to the ER.  he screamed to come quick she was having another one.  she began to go rigid,stiff again and a very pale blue color, and passed out again almost a minute this time.  i called 911, she remained very pale in color ambulance arrived put her on oxygen and iv drip.  we went to hospital,  she was admitted to ER. they continued to watch her for the next hour or so.  she was very weak and pale and slept alot.  the doctor said he was going to release her to go home and rest, symptoms should disappear soon. the nurse took her out in a wheelchair to wait for my husband, after just a few minutes of waiting she went rigid, stiff and passed out again in the wheel chair: the nurse rushed her back into the ER and yelled for Doctors to come quick.  by the time we got back inside she had another episode, almost seizure or convulsive type(very rigid, stiff and pale when she passes out) she is not falling limp.  the doctors admitted her to the hospital at that time. her blood pressure was severly low.  her symptoms now are severe headache, weakness, gets hot very quick, she cannot drive just yet and has a very low bloodpressure, it was 90/40 in hospital.  has come up some since.  she has missed a weak of college and still may be out some the next few weeks until her body is back to normal.  she also has a 3 1/2" scrape on her back right shoulder where she hit the wall, along with a bruised side and shoulder.  we are not sure how long these symptoms will last. Doctor said he did not know. still home resting.
Age: 18.0
Sex: F
Vaccine: MNQ, MEN
Symptoms: Contusion, Convulsion, Cyanosis, Feeling hot, Headache
Clinical narrative: Patient received the immunization Thursday Aug. 30, 2007.  her arm was sore, but that was it, she ate supper and went to bed, at about 11:30 pm she said she began to shake uncontrollably, severe chills and was very weak.  she could not get out of bed to get to us.  she woke up again a little later in the night and was worse.  still could not get to us.  My husband woke her up at 7:00am, 8-31-07, she could barely walk to the living room and she began to tell him how bad she felt and then she went rigid and stiff and passed out.  He picked her up and put her on the couch, called me at work i rushed home, 7:40 arrived home, she was very hot to the touch and pale.  she stated that she needed to go to the restroom and my husband walked her in their, i went to get her robe so we could take her to the ER.  he screamed to come quick she was having another one.  she began to go rigid,stiff again and a very pale blue color, and passed out again almost a minute this time.  i called 911, she remained very pale in color ambulance arrived put her on oxygen and iv drip.  we went to hospital,  she was admitted to ER. they continued to watch her for the next hour or so.  she was very weak and pale and slept alot.  the doctor said he was going to release her to go home and rest, symptoms should disappear soon. the nurse took her out in a wheelchair to wait for my husband, after just a few minutes of waiting she went rigid, stiff and passed out again in the wheel chair: the nurse rushed her back into the ER and yelled for Doctors to come quick.  by the time we got back inside she had another episode, almost seizure or convulsive type(very rigid, stiff and pale when she passes out) she is not falling limp.  the doctors admitted her to the hospital at that time. her blood pressure was severly low.  her symptoms now are severe headache, weakness, gets hot very quick, she cannot drive just yet and has a very low bloodpressure, it was 90/40 in hospital.  has come up some since.  she has missed a weak of college and still may be out some the next few weeks until her body is back to normal.  she also has a 3 1/2" scrape on her back right shoulder where she hit the wall, along with a bruised side and shoulder.  we are not sure how long these symptoms will last. Doctor said he did not know. still home resting.
Age: 18.0
Sex: F
Vaccine: MNQ, MEN
Symptoms: Hypersomnia, Hypokinesia, Hypotension, Injury, Loss of consciousness
Clinical narrative: Patient received the immunization Thursday Aug. 30, 2007.  her arm was sore, but that was it, she ate supper and went to bed, at about 11:30 pm she said she began to shake uncontrollably, severe chills and was very weak.  she could not get out of bed to get to us.  she woke up again a little later in the night and was worse.  still could not get to us.  My husband woke her up at 7:00am, 8-31-07, she could barely walk to the living room and she began to tell him how bad she felt and then she went rigid and stiff and passed out.  He picked her up and put her on the couch, called me at work i rushed home, 7:40 arrived home, she was very hot to the touch and pale.  she stated that she needed to go to the restroom and my husband walked her in their, i went to get her robe so we could take her to the ER.  he screamed to come quick she was having another one.  she began to go rigid,stiff again and a very pale blue color, and passed out again almost a minute this time.  i called 911, she remained very pale in color ambulance arrived put her on oxygen and iv drip.  we went to hospital,  she was admitted to ER. they continued to watch her for the next hour or so.  she was very weak and pale and slept alot.  the doctor said he was going to release her to go home and rest, symptoms should disappear soon. the nurse took her out in a wheelchair to wait for my husband, after just a few minutes of waiting she went rigid, stiff and passed out again in the wheel chair: the nurse rushed her back into the ER and yelled for Doctors to come quick.  by the time we got back inside she had another episode, almost seizure or convulsive type(very rigid, stiff and pale when she passes out) she is not falling limp.  the doctors admitted her to the hospital at that time. her blood pressure was severly low.  her symptoms now are severe headache, weakness, gets hot very quick, she cannot drive just yet and has a very low bloodpressure, it was 90/40 in hospital.  has come up some since.  she has missed a weak of college and still may be out some the next few weeks until her body is back to normal.  she also has a 3 1/2" scrape on her back right shoulder where she hit the wall, along with a bruised side and shoulder.  we are not sure how long these symptoms will last. Doctor said he did not know. still home resting.
Age: 18.0
Sex: F
Vaccine: MNQ, MEN
Symptoms: Malaise, Muscle rigidity, Musculoskeletal stiffness, Pain in extremity, Pallor
Clinical narrative: Patient received the immunization Thursday Aug. 30, 2007.  her arm was sore, but that was it, she ate supper and went to bed, at about 11:30 pm she said she began to shake uncontrollably, severe chills and was very weak.  she could not get out of bed to get to us.  she woke up again a little later in the night and was worse.  still could not get to us.  My husband woke her up at 7:00am, 8-31-07, she could barely walk to the living room and she began to tell him how bad she felt and then she went rigid and stiff and passed out.  He picked her up and put her on the couch, called me at work i rushed home, 7:40 arrived home, she was very hot to the touch and pale.  she stated that she needed to go to the restroom and my husband walked her in their, i went to get her robe so we could take her to the ER.  he screamed to come quick she was having another one.  she began to go rigid,stiff again and a very pale blue color, and passed out again almost a minute this time.  i called 911, she remained very pale in color ambulance arrived put her on oxygen and iv drip.  we went to hospital,  she was admitted to ER. they continued to watch her for the next hour or so.  she was very weak and pale and slept alot.  the doctor said he was going to release her to go home and rest, symptoms should disappear soon. the nurse took her out in a wheelchair to wait for my husband, after just a few minutes of waiting she went rigid, stiff and passed out again in the wheel chair: the nurse rushed her back into the ER and yelled for Doctors to come quick.  by the time we got back inside she had another episode, almost seizure or convulsive type(very rigid, stiff and pale when she passes out) she is not falling limp.  the doctors admitted her to the hospital at that time. her blood pressure was severly low.  her symptoms now are severe headache, weakness, gets hot very quick, she cannot drive just yet and has a very low bloodpressure, it was 90/40 in hospital.  has come up some since.  she has missed a weak of college and still may be out some the next few weeks until her body is back to normal.  she also has a 3 1/2" scrape on her back right shoulder where she hit the wall, along with a bruised side and shoulder.  we are not sure how long these symptoms will last. Doctor said he did not know. still home resting.
Age: 18.0
Sex: F
Vaccine: MNQ, MEN
Symptoms: Skin warm, Tremor
Clinical narrative: Patient received the immunization Thursday Aug. 30, 2007.  her arm was sore, but that was it, she ate supper and went to bed, at about 11:30 pm she said she began to shake uncontrollably, severe chills and was very weak.  she could not get out of bed to get to us.  she woke up again a little later in the night and was worse.  still could not get to us.  My husband woke her up at 7:00am, 8-31-07, she could barely walk to the living room and she began to tell him how bad she felt and then she went rigid and stiff and passed out.  He picked her up and put her on the couch, called me at work i rushed home, 7:40 arrived home, she was very hot to the touch and pale.  she stated that she needed to go to the restroom and my husband walked her in their, i went to get her robe so we could take her to the ER.  he screamed to come quick she was having another one.  she began to go rigid,stiff again and a very pale blue color, and passed out again almost a minute this time.  i called 911, she remained very pale in color ambulance arrived put her on oxygen and iv drip.  we went to hospital,  she was admitted to ER. they continued to watch her for the next hour or so.  she was very weak and pale and slept alot.  the doctor said he was going to release her to go home and rest, symptoms should disappear soon. the nurse took her out in a wheelchair to wait for my husband, after just a few minutes of waiting she went rigid, stiff and passed out again in the wheel chair: the nurse rushed her back into the ER and yelled for Doctors to come quick.  by the time we got back inside she had another episode, almost seizure or convulsive type(very rigid, stiff and pale when she passes out) she is not falling limp.  the doctors admitted her to the hospital at that time. her blood pressure was severly low.  her symptoms now are severe headache, weakness, gets hot very quick, she cannot drive just yet and has a very low bloodpressure, it was 90/40 in hospital.  has come up some since.  she has missed a weak of college and still may be out some the next few weeks until her body is back to normal.  she also has a 3 1/2" scrape on her back right shoulder where she hit the wall, along with a bruised side and shoulder.  we are not sure how long these symptoms will last. Doctor said he did not know. still home resting.