chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 18.0
Sex: F
Vaccine: HPV4
Symptoms: Hypoaesthesia, Insomnia, Irritability, Laboratory test normal, Lymphadenopathy
Clinical narrative: Pt states that for the past 5-6 days she has had a HA in mid forehead.  HA always present to some degree but does vary considerably in intensity.  Pt also c/o anterior neck discomfort earlier in day (not necessarily worse w/ swallowing) that has improved on its own.  She denies stiff neck or posterior neck pain.  She also c/o generalized fatigue, numbness and tingling in both her legs, "hot flashes", and sore muscles throughout her body.  She states her skin feels very sensitive to touch.  She states she has had increased anxiety in recent days (unsure why) and has been very irritable.  She adamantly denies any suicidal or homicidal thoughts/plans.  LMP 1 1/2 weeks ago > normal.  This 18-year-old has been in a couple of times now for this complaint.  She has seen Dr.  All of these symptoms started directly after her HPV vaccination.  This is discussed  in detail in Dr's notes.  The patient's current symptoms include numbness, malaise, swollen glands, joint pain, muscle pain, fatigue, increase in her headache frequency and hot flashes.  She even noticed that her right ear clicks after the injection.  In general, she does not feel well.  The respite from school has helped somewhat.  She is less stressful, but still, according to her and her mother, continues to be very anxious with lots of mood irritability.  She still does go to the gym daily and run.  She enjoys visiting with her friends.  Her sleep is still quite poor.  The AMBIEN has helped.  This recent episode was overlaid with a viral illness.  I reviewed her blood work from a couple of weeks ago with them again and that all looked normal.  This 18-year-old was seen by me last week in the same-day clinic.  I felt she might be depressed.  She was reacting to sore throat, fatigue, and insomnia.  Her lab studies are all perfectly normal.  Her strep screen was negative.  Her monotest was negative as well as a CBC and thyroid testing.  Today, she presents with her mother and history is more complete in that she had GARDASIL vaccine in October and then in December.  Her symptoms started in October, shortly after the first injection and got worse after the second injection.  Her symptoms, though somewhat vague, seem to be pretty consistent in that they include nausea, fatigue, difficulty sleeping, and now she is having some numbness in her calves when she crosses her legs.  Her mother did take her away for a week to get away from all the stress of home life and school, but her symptoms did not improve.  She was given some AMBIEN and did take that once during this last week.  Overall, her appetite has been okay.  While she has some teenage worries, she denies depression.
Age: 18.0
Sex: F
Vaccine: HPV4
Symptoms: Malaise, Mononucleosis heterophile test negative, Musculoskeletal discomfort, Myalgia, Paraesthesia
Clinical narrative: Pt states that for the past 5-6 days she has had a HA in mid forehead.  HA always present to some degree but does vary considerably in intensity.  Pt also c/o anterior neck discomfort earlier in day (not necessarily worse w/ swallowing) that has improved on its own.  She denies stiff neck or posterior neck pain.  She also c/o generalized fatigue, numbness and tingling in both her legs, "hot flashes", and sore muscles throughout her body.  She states her skin feels very sensitive to touch.  She states she has had increased anxiety in recent days (unsure why) and has been very irritable.  She adamantly denies any suicidal or homicidal thoughts/plans.  LMP 1 1/2 weeks ago > normal.  This 18-year-old has been in a couple of times now for this complaint.  She has seen Dr.  All of these symptoms started directly after her HPV vaccination.  This is discussed  in detail in Dr's notes.  The patient's current symptoms include numbness, malaise, swollen glands, joint pain, muscle pain, fatigue, increase in her headache frequency and hot flashes.  She even noticed that her right ear clicks after the injection.  In general, she does not feel well.  The respite from school has helped somewhat.  She is less stressful, but still, according to her and her mother, continues to be very anxious with lots of mood irritability.  She still does go to the gym daily and run.  She enjoys visiting with her friends.  Her sleep is still quite poor.  The AMBIEN has helped.  This recent episode was overlaid with a viral illness.  I reviewed her blood work from a couple of weeks ago with them again and that all looked normal.  This 18-year-old was seen by me last week in the same-day clinic.  I felt she might be depressed.  She was reacting to sore throat, fatigue, and insomnia.  Her lab studies are all perfectly normal.  Her strep screen was negative.  Her monotest was negative as well as a CBC and thyroid testing.  Today, she presents with her mother and history is more complete in that she had GARDASIL vaccine in October and then in December.  Her symptoms started in October, shortly after the first injection and got worse after the second injection.  Her symptoms, though somewhat vague, seem to be pretty consistent in that they include nausea, fatigue, difficulty sleeping, and now she is having some numbness in her calves when she crosses her legs.  Her mother did take her away for a week to get away from all the stress of home life and school, but her symptoms did not improve.  She was given some AMBIEN and did take that once during this last week.  Overall, her appetite has been okay.  While she has some teenage worries, she denies depression.
Age: 18.0
Sex: F
Vaccine: HPV4
Symptoms: Pharyngolaryngeal pain, Streptococcal identification test negative, Tinnitus, Viral infection
Clinical narrative: Pt states that for the past 5-6 days she has had a HA in mid forehead.  HA always present to some degree but does vary considerably in intensity.  Pt also c/o anterior neck discomfort earlier in day (not necessarily worse w/ swallowing) that has improved on its own.  She denies stiff neck or posterior neck pain.  She also c/o generalized fatigue, numbness and tingling in both her legs, "hot flashes", and sore muscles throughout her body.  She states her skin feels very sensitive to touch.  She states she has had increased anxiety in recent days (unsure why) and has been very irritable.  She adamantly denies any suicidal or homicidal thoughts/plans.  LMP 1 1/2 weeks ago > normal.  This 18-year-old has been in a couple of times now for this complaint.  She has seen Dr.  All of these symptoms started directly after her HPV vaccination.  This is discussed  in detail in Dr's notes.  The patient's current symptoms include numbness, malaise, swollen glands, joint pain, muscle pain, fatigue, increase in her headache frequency and hot flashes.  She even noticed that her right ear clicks after the injection.  In general, she does not feel well.  The respite from school has helped somewhat.  She is less stressful, but still, according to her and her mother, continues to be very anxious with lots of mood irritability.  She still does go to the gym daily and run.  She enjoys visiting with her friends.  Her sleep is still quite poor.  The AMBIEN has helped.  This recent episode was overlaid with a viral illness.  I reviewed her blood work from a couple of weeks ago with them again and that all looked normal.  This 18-year-old was seen by me last week in the same-day clinic.  I felt she might be depressed.  She was reacting to sore throat, fatigue, and insomnia.  Her lab studies are all perfectly normal.  Her strep screen was negative.  Her monotest was negative as well as a CBC and thyroid testing.  Today, she presents with her mother and history is more complete in that she had GARDASIL vaccine in October and then in December.  Her symptoms started in October, shortly after the first injection and got worse after the second injection.  Her symptoms, though somewhat vague, seem to be pretty consistent in that they include nausea, fatigue, difficulty sleeping, and now she is having some numbness in her calves when she crosses her legs.  Her mother did take her away for a week to get away from all the stress of home life and school, but her symptoms did not improve.  She was given some AMBIEN and did take that once during this last week.  Overall, her appetite has been okay.  While she has some teenage worries, she denies depression.
Age: 18.0
Sex: F
Vaccine: HEPA, TYP
Symptoms: Abasia, Arthralgia, Diarrhoea, Pain, Pyrexia
Clinical narrative: This case was reported by a consumer (subject's mother) and described the occurrence of inability to walk in an 18-year-old female subject who was vaccinated with HAVRIX adult, GlaxoSmithKline. A physician or other health care professional has not verified this report. The subject's medical history included acne, allergies, endoscopy, irritable bowel syndrome, lactose interolance, mononucleosis, psychosomatic disorder and tendonitis. Concurrent vaccinations given on 29 November 2004 included Salmonella typhi Vi capsular polysaccharide vaccine; manufacturer unspecified. Concurrent medication included Allergy medication (Allergy shots)  and Nutritional supplement (Probiotics). On 29 November 2004, the subject received the 1st dose of HAVRIX adult (unknown). On 30 November 2004, one day after vaccination with HAVRIX adult, the subject experienced inability to walk, body pain, fever, diarrhea and joint pain. The subject's mother considered the events to be disabling, and reported that her daughter planned to continue follow-up with her physician on an unspecified date. At the time of reporting, the inability to walk, body pain, and fever were resolved, and the diarrhea and joint pain were improved.
Age: 14.0
Sex: F
Vaccine: FLU3
Symptoms: Ear pain, Headache, Pharyngolaryngeal pain, Upper respiratory tract infection
Clinical narrative: headache earache upper respitory sore throat
Age: 16.0
Sex: F
Vaccine: HPVX
Symptoms: Convulsion, Dizziness, Feeling abnormal, Immediate post-injection reaction, Musculoskeletal stiffness
Clinical narrative: Immediately following the shot, while walking to  a chair in the doctors office my daughter said her arm really hurt and she could feel the medicine running through her body.  SHe then said she felt dizzy.  Before I could get to the nurse, her head dropped and she stiffened up and had a seizure.  She was out for about 3-5 minutes.  When she awoke, she didn't remember anything but feeling dizzy.
Age: 16.0
Sex: F
Vaccine: HPVX
Symptoms: Pain in extremity
Clinical narrative: Immediately following the shot, while walking to  a chair in the doctors office my daughter said her arm really hurt and she could feel the medicine running through her body.  SHe then said she felt dizzy.  Before I could get to the nurse, her head dropped and she stiffened up and had a seizure.  She was out for about 3-5 minutes.  When she awoke, she didn't remember anything but feeling dizzy.
Age: 66.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site induration, Injection site swelling, Injection site warmth, Pruritus
Clinical narrative: 06/18/208 Zostavax received on 06/13/2008 11am, right arm subcutaneously.  On 06/14/2008 am pt. noticed injection site felt "hot to touch,reddened raised area size of golf ball, hardened area around there size of softball", c/o itching also. Office visit today, 06/18/2008, for evaluation.  Red raised area size of golf ball still present, no hardened area around the red area noted.  Pt. states still feels "itchy".  States did apply ice  3x with some relief, swelling did go down, itching did subside for a while.
Age: 69.0
Sex: F
Vaccine: HEP
Symptoms: Pruritus, Rash, Swelling face
Clinical narrative: Began having itching 6/17/2008 on left hand; progressed to left arm, then chest and face. Having some facial swelling. Also have rash on hips and abdomen mostly on the left side. Right hand began with rash and itching in a.m. 6/18/2008.
Age: 52.0
Sex: F
Vaccine: TYP
Symptoms: Dry mouth, Glossitis, Oral pain, Tongue disorder
Clinical narrative: Pharmasist reports that a nurse friend of hers completed 4 doses of oral typhoid vaccine unknown brand name one month ago in May. Mouth has been dry, painful for past month. Pt describes tongue fissures, taste buds on tip of tongue inflammed.  Is currently experiencing symptoms.  Has not seen doctor.
Age: 8.0
Sex: M
Vaccine: VARCEL
Symptoms: Dyspnoea
Clinical narrative: Patient began having Dyspnea approximately 45 minutes after the varivax vaccine was administered.  After treatment with xopenex and prevacid patients symptoms resolved within approximately 1 hour.
Age: 62.0
Sex: F
Vaccine: FLU3
Symptoms: Abnormal behaviour, Asthenia, Dizziness, Hyperhidrosis, Pallor
Clinical narrative: Patient claimed within 1 hours after receiving the flu vaccine experienced behavior changes, paleness, weakness, dizziness, sweating.
Age: 0.2
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Blood culture negative, CSF culture negative, CSF glucose normal, CSF protein normal, Convulsion
Clinical narrative: Pt was transferred to Hospital on 5/10/08 after presenting to a different hospital with fever and seizures.  At hospital, she was loaded with phenobarbital to stop her seizures.  MRI performed without contrast was a normal MRI of the brain.  EEG showed posterior ictal spikes and waves with some slowing.  Due to the patient's fever, blood cultures and urine cultures were sent at the outside hospital, both of which were no growth  final.  CSF was drawn and CSF cultures were sent, as well as protein and glucose, all of which were within normal limits.  The  CSF from the outside hospital was requested to hospital in order to run a HSV PCR on the sample.  HSV PCR was performed at hospital and was negative, at which time the ceftriaxone and acyclovir which was started on admission were both discontinued.  7/15/08 Reviewed hospital medical records for 5/10-5/13/2008 FINAL DX: new onset seizure disorder Records reveal patient experienced fever, staring, tonic movement of extremities, unresponsiveness lasting approx 5 min 1 day after vaccination.  Temp max 103.  Seen in outlying ER where additional seizure like activity observed & transfered to higher level of care.  Seizures observed during admission process & loaded w/antiseizure meds.  No further seizures noted.  D/C to home on continued antiseizure meds w/neuro f/u.
Age: 0.2
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Culture urine negative, Electroencephalogram abnormal, Herpes simplex serology negative, Nuclear magnetic resonance imaging brain normal, Polymerase chain reaction
Clinical narrative: Pt was transferred to Hospital on 5/10/08 after presenting to a different hospital with fever and seizures.  At hospital, she was loaded with phenobarbital to stop her seizures.  MRI performed without contrast was a normal MRI of the brain.  EEG showed posterior ictal spikes and waves with some slowing.  Due to the patient's fever, blood cultures and urine cultures were sent at the outside hospital, both of which were no growth  final.  CSF was drawn and CSF cultures were sent, as well as protein and glucose, all of which were within normal limits.  The  CSF from the outside hospital was requested to hospital in order to run a HSV PCR on the sample.  HSV PCR was performed at hospital and was negative, at which time the ceftriaxone and acyclovir which was started on admission were both discontinued.  7/15/08 Reviewed hospital medical records for 5/10-5/13/2008 FINAL DX: new onset seizure disorder Records reveal patient experienced fever, staring, tonic movement of extremities, unresponsiveness lasting approx 5 min 1 day after vaccination.  Temp max 103.  Seen in outlying ER where additional seizure like activity observed & transfered to higher level of care.  Seizures observed during admission process & loaded w/antiseizure meds.  No further seizures noted.  D/C to home on continued antiseizure meds w/neuro f/u.
Age: 0.2
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Pyrexia
Clinical narrative: Pt was transferred to Hospital on 5/10/08 after presenting to a different hospital with fever and seizures.  At hospital, she was loaded with phenobarbital to stop her seizures.  MRI performed without contrast was a normal MRI of the brain.  EEG showed posterior ictal spikes and waves with some slowing.  Due to the patient's fever, blood cultures and urine cultures were sent at the outside hospital, both of which were no growth  final.  CSF was drawn and CSF cultures were sent, as well as protein and glucose, all of which were within normal limits.  The  CSF from the outside hospital was requested to hospital in order to run a HSV PCR on the sample.  HSV PCR was performed at hospital and was negative, at which time the ceftriaxone and acyclovir which was started on admission were both discontinued.  7/15/08 Reviewed hospital medical records for 5/10-5/13/2008 FINAL DX: new onset seizure disorder Records reveal patient experienced fever, staring, tonic movement of extremities, unresponsiveness lasting approx 5 min 1 day after vaccination.  Temp max 103.  Seen in outlying ER where additional seizure like activity observed & transfered to higher level of care.  Seizures observed during admission process & loaded w/antiseizure meds.  No further seizures noted.  D/C to home on continued antiseizure meds w/neuro f/u.
Age: 13.0
Sex: F
Vaccine: MMR
Symptoms: Rash
Clinical narrative: 13 days after MMR (first) administration, mother called to report mild rash on child's neck and back, not itchy, no fever, no other sx. of allergic rxn.  Uncertain whether vaccine related or not. Pt. is out of town on vacation, so not able to come to office to see the rash.  Given instructions re: when to seek care.  Given self care instructions re: symptom relief.
Age: 15.0
Sex: F
Vaccine: HPV4
Symptoms: Dizziness, Fall
Clinical narrative: Administered HPV vaccine to patient at approx 8:30 am. Within 5 minutes she became dizzy and dropped to the floor but remained consious throughtout. Laid patient on floor with legs elevated for approx 10 min. Alert and Oriented x3. Shortly thereafter she was able to come to seated position, drinking fluids, sat for another 15 minutes in office and then felt much better. Released at approx. 9:00am w/mother.
Age: 28.0
Sex: F
Vaccine: VARCEL
Symptoms: Blister, Injection site erythema, Injection site mass, Injection site pruritus, Rash
Clinical narrative: Client came to clinic 06/16/2008 for Varicella vaccine 3:30pm. Administered in R arm SQ. Pt. Phoned Health Department 06/18/2008 9:15am stating she was now out of town and her arm had a blistered rash with a knot the size of her fist.  (Pt. stated she noticed 06/17/2008 @ 11:30pm after a 4 hour walk that site was red and itching with a slight knot). Instructed client to seek medical attention if condition worsened and she could take OTC Benadryl for reaction. (Client stated she has previously had chickenpox--needed titer for proof of disease for school--had decided to received vaccine)
Age: 45.0
Sex: F
Vaccine: FLU3
Symptoms: Facial pain, Headache, Upper respiratory tract congestion
Clinical narrative: upper respitory  congestion-nose&chest headache facial pain
Age: 20.0
Sex: M
Vaccine: ANTH, SMALL, ANTH, SMALL
Symptoms: Blood creatine phosphokinase MB increased, Blood creatine phosphokinase increased, Chest X-ray, Chest discomfort, Chest pain
Clinical narrative: Came to ER describing "it feels like something is trying to push its way out of my chest" for 2 days. The pain was constant with no radiation. Hurts while being still, but hurts much more with movement. Pt had Chest X-ray, labs drawn, and EKG. Received 3 doses of Nitrospray at 400mcg each and 1 inch of Nirtopaste and 162mg of Aspirin. Transferred to Medical Center to the CCU via transport. 8/08/08-records received-on 6/18/08 presented with chest pain, elevated cardiac markers.  Echocardiogram normal sinus rhythm, pericardium appeared normal.On 7/15/08-Myocarditis secondary to smallpox vaccination.  10/6/08-records received-Papular nonpruritis rash on chest and shoulders times 3 days. Right arm and axillary pain after vaccine for 5 days.
Age: 20.0
Sex: M
Vaccine: ANTH, SMALL, ANTH, SMALL
Symptoms: Electrocardiogram, Troponin I increased
Clinical narrative: Came to ER describing "it feels like something is trying to push its way out of my chest" for 2 days. The pain was constant with no radiation. Hurts while being still, but hurts much more with movement. Pt had Chest X-ray, labs drawn, and EKG. Received 3 doses of Nitrospray at 400mcg each and 1 inch of Nirtopaste and 162mg of Aspirin. Transferred to Medical Center to the CCU via transport. 8/08/08-records received-on 6/18/08 presented with chest pain, elevated cardiac markers.  Echocardiogram normal sinus rhythm, pericardium appeared normal.On 7/15/08-Myocarditis secondary to smallpox vaccination.  10/6/08-records received-Papular nonpruritis rash on chest and shoulders times 3 days. Right arm and axillary pain after vaccine for 5 days.
Age: 20.0
Sex: M
Vaccine: ANTH, SMALL, ANTH, SMALL
Symptoms: Blood creatine phosphokinase MB, Blood creatine phosphokinase increased, Brain natriuretic peptide abnormal, C-reactive protein normal, Chest discomfort
Clinical narrative: Came to ER describing "it feels like something is trying to push its way out of my chest" for 2 days. The pain was constant with no radiation. Hurts while being still, but hurts much more with movement. Pt had Chest X-ray, labs drawn, and EKG. Received 3 doses of Nitrospray at 400mcg each and 1 inch of Nirtopaste and 162mg of Aspirin. Transferred to Medical Center to the CCU via transport. 8/08/08-records received-on 6/18/08 presented with chest pain, elevated cardiac markers.  Echocardiogram normal sinus rhythm, pericardium appeared normal.On 7/15/08-Myocarditis secondary to smallpox vaccination.  10/6/08-records received-Papular nonpruritis rash on chest and shoulders times 3 days. Right arm and axillary pain after vaccine for 5 days.
Age: 20.0
Sex: M
Vaccine: ANTH, SMALL, ANTH, SMALL
Symptoms: Chest pain, Limb discomfort, Myopericarditis, Nuclear magnetic resonance imaging abnormal, Paraesthesia
Clinical narrative: Came to ER describing "it feels like something is trying to push its way out of my chest" for 2 days. The pain was constant with no radiation. Hurts while being still, but hurts much more with movement. Pt had Chest X-ray, labs drawn, and EKG. Received 3 doses of Nitrospray at 400mcg each and 1 inch of Nirtopaste and 162mg of Aspirin. Transferred to Medical Center to the CCU via transport. 8/08/08-records received-on 6/18/08 presented with chest pain, elevated cardiac markers.  Echocardiogram normal sinus rhythm, pericardium appeared normal.On 7/15/08-Myocarditis secondary to smallpox vaccination.  10/6/08-records received-Papular nonpruritis rash on chest and shoulders times 3 days. Right arm and axillary pain after vaccine for 5 days.
Age: 20.0
Sex: M
Vaccine: ANTH, SMALL, ANTH, SMALL
Symptoms: Red blood cell sedimentation rate increased, Troponin I increased
Clinical narrative: Came to ER describing "it feels like something is trying to push its way out of my chest" for 2 days. The pain was constant with no radiation. Hurts while being still, but hurts much more with movement. Pt had Chest X-ray, labs drawn, and EKG. Received 3 doses of Nitrospray at 400mcg each and 1 inch of Nirtopaste and 162mg of Aspirin. Transferred to Medical Center to the CCU via transport. 8/08/08-records received-on 6/18/08 presented with chest pain, elevated cardiac markers.  Echocardiogram normal sinus rhythm, pericardium appeared normal.On 7/15/08-Myocarditis secondary to smallpox vaccination.  10/6/08-records received-Papular nonpruritis rash on chest and shoulders times 3 days. Right arm and axillary pain after vaccine for 5 days.
Age: 36.0
Sex: F
Vaccine: TD
Symptoms: Burning sensation, Myalgia, Paraesthesia
Clinical narrative: Aching,tingling,burning muscle went to Dr Diagnosed with Brachical Neuritis given prescription for steroids Referred to Neurologist on 6/20/08
Age: 1.0
Sex: M
Vaccine: HEPA, MMR, VARCEL
Symptoms: Dyspnoea, Erythema, Injection site erythema
Clinical narrative: Mother called clinic the day after 1 year vaccines (Var, MMR, Hep A) were administered to report that on the evening of the day on which the vaccines were administered, the patient "became red and developed difficulty breathing."  Mother rushed pt to the PER.  Mother was told by PER that pt had "had a reaction to the vaccine."  Mother was given a prescription for Benadryl and Prednisolone, but she did not fill prescription or give txmt because "she wasn't sure she should."  Mother told by PA at clinic, to get prescription filled and give medications as directed and to bring patient to clinic on 6/11/08 for an evaluation.  At time of this phone call (the day after reaction), mother reported patient "is better today, no respiratory problems, only small area erythema at injection site."
Age: 0.2
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Apnoea, Echocardiogram abnormal
Clinical narrative: patient was given vaccines onthe date of 7/6/2006 and on the morning of 7/7/2006 was found in the bed (with parents) not breathing, was bought to ER via ambulance and pronounced dead. The autopsy was inconclusive.    8/8/08 Autopsy report states COD as undetermined & manner of death as undetermined.  Report also states that patient was co-sleeping w/parents in adult bed. PMH: patent foramen ovale; reducible umbilical hernia  7/11/08 Reviewed PCP clinic records, vax records & hospital medical records.  Clinic records reveal patient had congestion & cough, poor weight gain, thrush, umbilical hernia & 2/6 systolic heart murmur.  Cardiac consult done for ASD which was felt to be unlikely to cause s/s.  Was in usual state of health on day of vaccination.  7/11/08 Hospital medical records of 7/7/2006 reviewed.  Patient had been fed approx 4 hours prior to being found unresponsive, cyanotic, asystole, w/jaw clenched.  Unable to determine from records if patient was in crib or in bed with parents, reported in varying ways in records.  EMS unable to obtain IV access or intubate.  ER unable to resuscitate.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Erythema, Oedema peripheral
Clinical narrative: Left thigh redness and swellling. A line was drawn aroung redness and the father was instructed to return in the morning if swelling or redness increases.
Age: 0.2
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Diarrhoea, Full blood count, Irritability, Rotavirus infection, Urine analysis
Clinical narrative: STOOLS BECAME LOOSER NOW MUSHY TIMES 3-4 DAYS (PATIENTS STOOLS ARE NORMALLY FORMED, IRRITABLITY TIMES 8 DAYS(20 MINUTES AT A TIME)DR. DIAGNOSED PATIENT WITH ACTIVE ROTOVIRUS.
Age: 4.0
Sex: F
Vaccine: DTAP
Symptoms: Erythema, Induration
Clinical narrative: LEFT DELTOID SLIGHTLY RED,  3CM INDURATION. KEFLEX GIVEN FOR 10 DAYS.
Age: 48.0
Sex: F
Vaccine: HEP
Symptoms: Erythema, Pruritus
Clinical narrative: Developed redness and itching down entire arm and up neck to head that lasted for 2 days. Resolved with benadryl.
Age: 29.0
Sex: F
Vaccine: MMR, TDAP, VARCEL
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling
Clinical narrative: Red, raised, itchy area (6.5 cm x 6 cm) developed approximately 24 hours after vaccination was administered, at varicella administration site.
Age: 18.0
Sex: F
Vaccine: HPV4, MNQ
Symptoms: Full blood count normal, Inappropriate schedule of drug administration, Laboratory test normal, Nausea
Clinical narrative: Pt had some nausea. Had clinically evaluation and blood screen. No tx. Pt had sx after we discovered that the 3rd dose of HPV was given too early. First dose was on 2/12/08, 2nd dose was on 4/8/08, and the most current dose was 6/10/08.
Age: 35.0
Sex: F
Vaccine: TDAP
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: Boostrix ( age 10-18) given to 35yr. female
Age: 66.0
Sex: M
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site pain, Injection site vesicles, Rash, Rash macular
Clinical narrative: Pt reports soreness to left arm injection site since 6/15/08 and onset of several red blotches to left arm around injection site accompanied with 2 water like blisters to left arm-one above left wrist and one to anticubital left arm noted 6/18/08.
Age: 37.0
Sex: M
Vaccine: TDAP
Symptoms: Arthralgia, Headache, Injection site erythema, Injection site pain
Clinical narrative: 3 days post vaccination patient reported soreness at the vaccine site with mild erythema, headache and knee pain
Age: 68.0
Sex: F
Vaccine: VARZOS
Symptoms: Dizziness, Injection site erythema, Injection site pain, Injection site rash, Injection site swelling
Clinical narrative: 6-16-2008 patient felt dizzy and had a hard time focusing, lasting a few minutes then went away.  This hasn't happened since, per patient. 06-15-2008 patient noticed Rash, redness, warm to touch and sore picky feeling in her right upper arm.  6-17-2008 patient came to health department.  Right upper arm red, swollen and warm to touch.  Patient referred to family physician.  Patient put on antibiotic Keflex and Benadryl and if not better by 6-18-2008 to return to family physicians again.
Age: 68.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site warmth, Vision blurred
Clinical narrative: 6-16-2008 patient felt dizzy and had a hard time focusing, lasting a few minutes then went away.  This hasn't happened since, per patient. 06-15-2008 patient noticed Rash, redness, warm to touch and sore picky feeling in her right upper arm.  6-17-2008 patient came to health department.  Right upper arm red, swollen and warm to touch.  Patient referred to family physician.  Patient put on antibiotic Keflex and Benadryl and if not better by 6-18-2008 to return to family physicians again.
Age: 11.0
Sex: M
Vaccine: MNQ, TDAP
Symptoms: Fall, Head injury, Hyperhidrosis, Loss of consciousness
Clinical narrative: within 5 minutes of vaccination the patient became diaphoretic, passed out and fell from the exam table to the ground striking the right side of his head. He regained conciousness within 10 seconds of falling and was obsereved in the  office for an additional 30 minutes.
Age: 11.0
Sex: F
Vaccine: HPV4, MNQ, TDAP, VARCEL
Symptoms: Rectal haemorrhage, Vaccine positive rechallenge
Clinical narrative: Rectal bleeding x 1 episode after both doses of Gardasil ( 2-14-2008 and 04-17-2008)
Age: 72.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site mass, Injection site pruritus, Injection site warmth
Clinical narrative: itching, redness, warm ("hot spot"), lump (size of egg) at injection site occurred 06/12/08; reported on 6/14/08, with improvement of all.
Age: 12.0
Sex: F
Vaccine: HPV4
Symptoms: Rectal haemorrhage
Clinical narrative: Rectal bleeding x 1 episode following Gardasil administration
Age: 31.0
Sex: F
Vaccine: RAB
Symptoms: Headache, Hypoaesthesia, Injection site pain, Paraesthesia
Clinical narrative: RABIES VACC.GIVEN AT ER 3-31-08, WE GAVE RABIES BOOSTER # 2 ON 4-3-08. CLIENT REPORTS ON 4-4-08 STARTED HAVING SEVERE HEADACHE LT. SIDE OF HEADAND NECK THAT LASTED FOR 2 WEEKS. SINCE RECIEVING RABIES BOOSTER ON 4-3-08 HAS HAD PAIN IN DELTOID AREA OF LT.ALSO "ELECTRICAL JOLT LIKE FEELINGS LT. ARM,"ALSO NUMBNESS LT. HAND.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Choking, Complex partial seizures, Convulsion, Crying, Electroencephalogram abnormal
Clinical narrative: 4/5/08 - When she got the vaccine, her legs had swollen moderately and were real sore/stiff that night.  Then that night she threw up a lot in her bed/hair and did not wake up. Then several nights over the next 8 wks she threw up at night twice, awoke crying/moaning 3 nights, wet her bed once.  Then 6/2/08 she slept in our room and awoke at 4:45am with a shreak, we found her with increase tone, choking on her tounge, then had tonic/clonic movement of her whole body (seizure) for 60 sec.  Pt was found to have B inguinal hernias 5/30/08 - appt with peds Neurology felt the seizures likely exacerbated a congenitally weak area.  My husband and I are family physicians wanted to think the seizures were unrelated to her shots until a class mate had a witnessed seizure 3 wks after her shots and an acquaintance at church's 5 year old had new onset seizures.   Prior to this we have had 2 kids (one with shots at our office and one at the health dept) with marked local swelling/stiffness/pain lasting 2 days. My husband and I continue to give shots - but with trepidation - our fear is the varicella booster is causing some type of encephalitis. 7/1/08-records received for DOS 6/10/08-Impression:recent onset seizures  consistent with partial epilepsy. Seen for neurological evaluation regarding seizure spells. Doing well until one week prior to visit with witnessed seizure, turned to left side, rhythmic clonic activity involving left side with eyes turned upwards and to right side. Teeth clenched, breathing pattern erratic. Later C/O abdominal pain and leg soreness. In May woke up several times during night C/O headache or abdominal pain. Follow-up: Pt continues to have abnl EEG, Dx as partial complex seizure multifocal foci. She taken to hospital 2x/day recently increased due to night terrors and sleep walking. We were planning to apply to the Vaccine Compensation Program prior to getting this with the encouragement of our pediatrician.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Enuresis, Hypertonia, Moaning, Musculoskeletal stiffness, Nuclear magnetic resonance imaging brain normal
Clinical narrative: 4/5/08 - When she got the vaccine, her legs had swollen moderately and were real sore/stiff that night.  Then that night she threw up a lot in her bed/hair and did not wake up. Then several nights over the next 8 wks she threw up at night twice, awoke crying/moaning 3 nights, wet her bed once.  Then 6/2/08 she slept in our room and awoke at 4:45am with a shreak, we found her with increase tone, choking on her tounge, then had tonic/clonic movement of her whole body (seizure) for 60 sec.  Pt was found to have B inguinal hernias 5/30/08 - appt with peds Neurology felt the seizures likely exacerbated a congenitally weak area.  My husband and I are family physicians wanted to think the seizures were unrelated to her shots until a class mate had a witnessed seizure 3 wks after her shots and an acquaintance at church's 5 year old had new onset seizures.   Prior to this we have had 2 kids (one with shots at our office and one at the health dept) with marked local swelling/stiffness/pain lasting 2 days. My husband and I continue to give shots - but with trepidation - our fear is the varicella booster is causing some type of encephalitis. 7/1/08-records received for DOS 6/10/08-Impression:recent onset seizures  consistent with partial epilepsy. Seen for neurological evaluation regarding seizure spells. Doing well until one week prior to visit with witnessed seizure, turned to left side, rhythmic clonic activity involving left side with eyes turned upwards and to right side. Teeth clenched, breathing pattern erratic. Later C/O abdominal pain and leg soreness. In May woke up several times during night C/O headache or abdominal pain. Follow-up: Pt continues to have abnl EEG, Dx as partial complex seizure multifocal foci. She taken to hospital 2x/day recently increased due to night terrors and sleep walking. We were planning to apply to the Vaccine Compensation Program prior to getting this with the encouragement of our pediatrician.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Nuclear magnetic resonance imaging normal, Oedema peripheral, Pain in extremity, Sleep terror, Somnambulism
Clinical narrative: 4/5/08 - When she got the vaccine, her legs had swollen moderately and were real sore/stiff that night.  Then that night she threw up a lot in her bed/hair and did not wake up. Then several nights over the next 8 wks she threw up at night twice, awoke crying/moaning 3 nights, wet her bed once.  Then 6/2/08 she slept in our room and awoke at 4:45am with a shreak, we found her with increase tone, choking on her tounge, then had tonic/clonic movement of her whole body (seizure) for 60 sec.  Pt was found to have B inguinal hernias 5/30/08 - appt with peds Neurology felt the seizures likely exacerbated a congenitally weak area.  My husband and I are family physicians wanted to think the seizures were unrelated to her shots until a class mate had a witnessed seizure 3 wks after her shots and an acquaintance at church's 5 year old had new onset seizures.   Prior to this we have had 2 kids (one with shots at our office and one at the health dept) with marked local swelling/stiffness/pain lasting 2 days. My husband and I continue to give shots - but with trepidation - our fear is the varicella booster is causing some type of encephalitis. 7/1/08-records received for DOS 6/10/08-Impression:recent onset seizures  consistent with partial epilepsy. Seen for neurological evaluation regarding seizure spells. Doing well until one week prior to visit with witnessed seizure, turned to left side, rhythmic clonic activity involving left side with eyes turned upwards and to right side. Teeth clenched, breathing pattern erratic. Later C/O abdominal pain and leg soreness. In May woke up several times during night C/O headache or abdominal pain. Follow-up: Pt continues to have abnl EEG, Dx as partial complex seizure multifocal foci. She taken to hospital 2x/day recently increased due to night terrors and sleep walking. We were planning to apply to the Vaccine Compensation Program prior to getting this with the encouragement of our pediatrician.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Tonic clonic movements, Urinary incontinence, Vomiting
Clinical narrative: 4/5/08 - When she got the vaccine, her legs had swollen moderately and were real sore/stiff that night.  Then that night she threw up a lot in her bed/hair and did not wake up. Then several nights over the next 8 wks she threw up at night twice, awoke crying/moaning 3 nights, wet her bed once.  Then 6/2/08 she slept in our room and awoke at 4:45am with a shreak, we found her with increase tone, choking on her tounge, then had tonic/clonic movement of her whole body (seizure) for 60 sec.  Pt was found to have B inguinal hernias 5/30/08 - appt with peds Neurology felt the seizures likely exacerbated a congenitally weak area.  My husband and I are family physicians wanted to think the seizures were unrelated to her shots until a class mate had a witnessed seizure 3 wks after her shots and an acquaintance at church's 5 year old had new onset seizures.   Prior to this we have had 2 kids (one with shots at our office and one at the health dept) with marked local swelling/stiffness/pain lasting 2 days. My husband and I continue to give shots - but with trepidation - our fear is the varicella booster is causing some type of encephalitis. 7/1/08-records received for DOS 6/10/08-Impression:recent onset seizures  consistent with partial epilepsy. Seen for neurological evaluation regarding seizure spells. Doing well until one week prior to visit with witnessed seizure, turned to left side, rhythmic clonic activity involving left side with eyes turned upwards and to right side. Teeth clenched, breathing pattern erratic. Later C/O abdominal pain and leg soreness. In May woke up several times during night C/O headache or abdominal pain. Follow-up: Pt continues to have abnl EEG, Dx as partial complex seizure multifocal foci. She taken to hospital 2x/day recently increased due to night terrors and sleep walking. We were planning to apply to the Vaccine Compensation Program prior to getting this with the encouragement of our pediatrician.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Grand mal convulsion
Clinical narrative: grand mal seizure lasting about 20 seconds in the middle of the day. No concurrent illness and otherwise healthy prior to the event.
Age: 0.2
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Apnoea, CSF culture negative, Culture urine negative, Cytomegalovirus test negative, Diet refusal
Clinical narrative: Not taking feedings on 6/12/08. Developed apnea;transported by ambulance to ER. Apneic episode in ER & NICU. Intubated 6/12-6/16/08. Pressors for poor perfusion 6/12-6/16.  Developed rash/petichiae on 6/14.  Continues on antibiotics; acyclovir added.  Feedings initiated and advancing cautiously on 6/17. Continues hospitalized on this date. 7/4/08 Reviewed hospital medical records of 6/12-6/20/2008 after having been d/c to home from NICU on 6/3/2008 for the first time since birth. FINAL DX: ALTE, significant witnessed apnea, enterovirus sepsis, HTN Records reveal patient had apneic episode at home requiring rescue breaths & had a prolonged desaturation period in ER.  Admitted to NICU, lethargic, weak respiratory effort, intubated, pressors, developed maculopapular erythematous rash all over which resolved as general condition improved.  Developed neutropenia & anemia.  Transfused & tx w/IV antiibotics.  Improved, rash resolved & feeding well at d/c to home w/cardiology referral.
Age: 0.2
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Endotracheal intubation, Influenza serology negative, Intensive care, Methicillin-resistant staphylococcal aureus test negative, Petechiae
Clinical narrative: Not taking feedings on 6/12/08. Developed apnea;transported by ambulance to ER. Apneic episode in ER & NICU. Intubated 6/12-6/16/08. Pressors for poor perfusion 6/12-6/16.  Developed rash/petichiae on 6/14.  Continues on antibiotics; acyclovir added.  Feedings initiated and advancing cautiously on 6/17. Continues hospitalized on this date. 7/4/08 Reviewed hospital medical records of 6/12-6/20/2008 after having been d/c to home from NICU on 6/3/2008 for the first time since birth. FINAL DX: ALTE, significant witnessed apnea, enterovirus sepsis, HTN Records reveal patient had apneic episode at home requiring rescue breaths & had a prolonged desaturation period in ER.  Admitted to NICU, lethargic, weak respiratory effort, intubated, pressors, developed maculopapular erythematous rash all over which resolved as general condition improved.  Developed neutropenia & anemia.  Transfused & tx w/IV antiibotics.  Improved, rash resolved & feeding well at d/c to home w/cardiology referral.
Age: 0.2
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Poor peripheral circulation, Respiratory syncytial virus serology, Ultrasound scan normal, Virus serology test
Clinical narrative: Not taking feedings on 6/12/08. Developed apnea;transported by ambulance to ER. Apneic episode in ER & NICU. Intubated 6/12-6/16/08. Pressors for poor perfusion 6/12-6/16.  Developed rash/petichiae on 6/14.  Continues on antibiotics; acyclovir added.  Feedings initiated and advancing cautiously on 6/17. Continues hospitalized on this date. 7/4/08 Reviewed hospital medical records of 6/12-6/20/2008 after having been d/c to home from NICU on 6/3/2008 for the first time since birth. FINAL DX: ALTE, significant witnessed apnea, enterovirus sepsis, HTN Records reveal patient had apneic episode at home requiring rescue breaths & had a prolonged desaturation period in ER.  Admitted to NICU, lethargic, weak respiratory effort, intubated, pressors, developed maculopapular erythematous rash all over which resolved as general condition improved.  Developed neutropenia & anemia.  Transfused & tx w/IV antiibotics.  Improved, rash resolved & feeding well at d/c to home w/cardiology referral.
Age: 19.0
Sex: M
Vaccine: HEPA, MNQ, TDAP
Symptoms: Dizziness, Fall
Clinical narrative: Patient received Tdap, Hep A, MCV vaccines. Approximately 10 minutes later patient stood up, became dizzy, and fell to the floor. He remained awake and alert throughout. He was helped up and sat in a chair. He attempted to stand again approximately 15 later, and again became dizzy and fell to the floor. He was again helped into a chair, and given water to drink. He rested for 20+ minutes, then stood, and walked out without further incident.
Age: 28.0
Sex: F
Vaccine: HEPAB, TDAP, TYP
Symptoms: Blood pressure, Dizziness, Feeling hot, Heart rate normal, Hyperhidrosis
Clinical narrative: ABOUT 5 MINUTES POST SHOT CLIENT C/O NOT FEELING WELL AND NEEDING TO LAY DOWN, LIGHT HEADED AND LEGS ARE WEAK. ABLE TO GET TO TREATMENT ROOM AND ON THE EXAM TABLE - THEN SHE C/O BEING/FEELING HOT AND DIAPHORETIC. APPLIED ICE PACK AND START TAKING VS Q 5 MINS - PEAKED AT 130/90 FOR BP AND 90/MIN FOR PULSE. 20 MINS POST SQ SHOT OF EPINEPHRINE  0.3mL BY CLINICIAN A.BODIFORD FNP - THE CLIENT FELT BETTER AND VS BACK TO NORMAL OF 112/70 FOR BP AND 68PULSE. CLINICIAN DISCUSS WITH HER SUP WHAT TO DO NEXT SINCE THE CLIENT IS STABLE AND THEY DECIDED SINCE SHE IS STABLE SHE CAN BE RELEASED TO HOME WITH HER BOYFRIEND THAT ACCOPANIED HER. AND ADVICED IF ANY RETURNED OF THE S/S OF ALLERGY GO TO ER AT NO DELAY AND ADVICE OF NO IZs AT THIS TIME.
Age: 28.0
Sex: F
Vaccine: HEPAB, TDAP, TYP
Symptoms: Malaise, Muscular weakness
Clinical narrative: ABOUT 5 MINUTES POST SHOT CLIENT C/O NOT FEELING WELL AND NEEDING TO LAY DOWN, LIGHT HEADED AND LEGS ARE WEAK. ABLE TO GET TO TREATMENT ROOM AND ON THE EXAM TABLE - THEN SHE C/O BEING/FEELING HOT AND DIAPHORETIC. APPLIED ICE PACK AND START TAKING VS Q 5 MINS - PEAKED AT 130/90 FOR BP AND 90/MIN FOR PULSE. 20 MINS POST SQ SHOT OF EPINEPHRINE  0.3mL BY CLINICIAN A.BODIFORD FNP - THE CLIENT FELT BETTER AND VS BACK TO NORMAL OF 112/70 FOR BP AND 68PULSE. CLINICIAN DISCUSS WITH HER SUP WHAT TO DO NEXT SINCE THE CLIENT IS STABLE AND THEY DECIDED SINCE SHE IS STABLE SHE CAN BE RELEASED TO HOME WITH HER BOYFRIEND THAT ACCOPANIED HER. AND ADVICED IF ANY RETURNED OF THE S/S OF ALLERGY GO TO ER AT NO DELAY AND ADVICE OF NO IZs AT THIS TIME.
Age: 71.0
Sex: F
Vaccine: VARZOS
Symptoms: Headache, Injection site erythema, Pruritus
Clinical narrative: Redness at sight, head ache, itching,
Age: 6.0
Sex: M
Vaccine: VARCEL
Symptoms: Atopy, Dysphagia, Dyspnoea, Hypoxia, Immediate post-injection reaction
Clinical narrative: Approximately 5-10 minutes after dose given pt mtu wheezing and c/o unable to swallow and difficulty breathing.  O2 applied for O2 sat 82%, albuterol 0.083% given.  IM BENADRYL and SC epinephrine. 6/19/08-records received with report-After Varivax injection developed red face and began wheezing and coughing. Albuterol inhaler used. PE audible wheezing, coughing and difficulty breathing. No swelling. SC epi and IM benadryl administered. Decreased wheezing. Monitored for 30 minutes, stabilized. at onset C/O thoart hurting difficulty swallowing. Now resolved.
Age: 6.0
Sex: M
Vaccine: VARCEL
Symptoms: Oxygen saturation decreased, Wheezing
Clinical narrative: Approximately 5-10 minutes after dose given pt mtu wheezing and c/o unable to swallow and difficulty breathing.  O2 applied for O2 sat 82%, albuterol 0.083% given.  IM BENADRYL and SC epinephrine. 6/19/08-records received with report-After Varivax injection developed red face and began wheezing and coughing. Albuterol inhaler used. PE audible wheezing, coughing and difficulty breathing. No swelling. SC epi and IM benadryl administered. Decreased wheezing. Monitored for 30 minutes, stabilized. at onset C/O thoart hurting difficulty swallowing. Now resolved.
Age: 14.0
Sex: M
Vaccine: MMR, MNQ, VARCEL
Symptoms: Herpes zoster
Clinical narrative: Pt received Varivax on 6-8-08. Presented to my office on 6-17-08 with herpes rash.
Age: 45.0
Sex: F
Vaccine: MNQ, RUB, TDAP
Symptoms: Erythema, Oedema peripheral
Clinical narrative: Received vaccines on 6/5/08 for travel.  C/O redness, swelling to upper arm x2 days.  Seen in clinic on 6/12/08 no fever, chills.  Tx for cellulitis (KEFLEX) vs delayed hypo-sensitivity to vaccine.
Age: 88.0
Sex: F
Vaccine: VARZOS
Symptoms: Muscular weakness
Clinical narrative: Extreme weakness right arm for 4 weeks, getting physical therapy.
Age: 12.0
Sex: F
Vaccine: HEPA, MNQ, TDAP, VARCEL
Symptoms: Blood pressure, Dizziness, Heart rate, Pallor
Clinical narrative: Patient with lightheadedness and dizziness after vaccine administration.  Patient was lying on exam table, HR=80, B/P=102/68, pale, given, drink and lollipop.  Patient did not eat or drink prior to visit.  Patient waited 15 minutes then discharged to home without incidence.