chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 31.0
Sex: M
Vaccine: ANTH, TYP
Symptoms: Antineutrophil cytoplasmic antibody negative, C-reactive protein normal, Complement factor C2 decreased, Complement factor C3 decreased, Complement factor C4
Clinical narrative: Pt received AVA #3 (left arm) and typhoid #2 (right arm) in the am of 4/29/10. Pt experienced minor bilateral arm soreness which resolved within 24 hours. On 5/1/10 the pt noted pain, redness, swelling and "hives" (very pruritic) that progressed from his feet to his lower legs, inner thighs, hands and arms (not palms or soles). He also noted "bruising" on his feet/toes. He went to the ER that evening and was treated with SOLU-MEDROL 125mg IV, BENADRYL25mg IV and ZANTAC 50mg IV with much improvement of the swelling, hives and erythema. His hands and feet were still painful to palpation. The pt states that he was sent home with BENADRYL and po steroids. On May 2 the pt noted that the hives returned to his arms, inner thighs and a few on his lower legs (of note he did not take the steroids on 5/2/10). The pt was seen by his PCM on 5/3/10 and was given ATARAX. The pt was much better on 5/4/10 with almost complete resolution of his symptoms. On 5/7/10 the pt had no signs of swelling, urticaria or skin discoloration. No hx of new foods, medications, herbals, supplements, cologne, outdoor exposures prior to onset of sx. On 5/14/10 the pt called stating that on 5/12/10 he wore the same boots that he was wearing on 4/29 and 4/30 (before his initial outbreak of urticarial lesions) and within a few hours he had tingling in his feet and pain in his great toe (similar to previous event) and when he removed his boots he had similar pruritic lesions on his LE. Pt took prednisone (left from ER visit on 1May10) and the symptoms resolved. The patient was referred to Dermatology for patch testing. The Dermatologist determined that the rash was "clinically more consistent with Contact Dermatitis or Contact Urticaria as opposed to a vaccine reaction, given the morphology of the skin lesions and relatively localized pattern."
Age: 31.0
Sex: M
Vaccine: ANTH, TYP
Symptoms: Contusion, Differential white blood cell count, Erythema, Full blood count, Hypersensitivity
Clinical narrative: Pt received AVA #3 (left arm) and typhoid #2 (right arm) in the am of 4/29/10. Pt experienced minor bilateral arm soreness which resolved within 24 hours. On 5/1/10 the pt noted pain, redness, swelling and "hives" (very pruritic) that progressed from his feet to his lower legs, inner thighs, hands and arms (not palms or soles). He also noted "bruising" on his feet/toes. He went to the ER that evening and was treated with SOLU-MEDROL 125mg IV, BENADRYL25mg IV and ZANTAC 50mg IV with much improvement of the swelling, hives and erythema. His hands and feet were still painful to palpation. The pt states that he was sent home with BENADRYL and po steroids. On May 2 the pt noted that the hives returned to his arms, inner thighs and a few on his lower legs (of note he did not take the steroids on 5/2/10). The pt was seen by his PCM on 5/3/10 and was given ATARAX. The pt was much better on 5/4/10 with almost complete resolution of his symptoms. On 5/7/10 the pt had no signs of swelling, urticaria or skin discoloration. No hx of new foods, medications, herbals, supplements, cologne, outdoor exposures prior to onset of sx. On 5/14/10 the pt called stating that on 5/12/10 he wore the same boots that he was wearing on 4/29 and 4/30 (before his initial outbreak of urticarial lesions) and within a few hours he had tingling in his feet and pain in his great toe (similar to previous event) and when he removed his boots he had similar pruritic lesions on his LE. Pt took prednisone (left from ER visit on 1May10) and the symptoms resolved. The patient was referred to Dermatology for patch testing. The Dermatologist determined that the rash was "clinically more consistent with Contact Dermatitis or Contact Urticaria as opposed to a vaccine reaction, given the morphology of the skin lesions and relatively localized pattern."
Age: 31.0
Sex: M
Vaccine: ANTH, TYP
Symptoms: Immune complex assay, Laboratory test normal, Oedema peripheral, Pain in extremity, Paraesthesia
Clinical narrative: Pt received AVA #3 (left arm) and typhoid #2 (right arm) in the am of 4/29/10. Pt experienced minor bilateral arm soreness which resolved within 24 hours. On 5/1/10 the pt noted pain, redness, swelling and "hives" (very pruritic) that progressed from his feet to his lower legs, inner thighs, hands and arms (not palms or soles). He also noted "bruising" on his feet/toes. He went to the ER that evening and was treated with SOLU-MEDROL 125mg IV, BENADRYL25mg IV and ZANTAC 50mg IV with much improvement of the swelling, hives and erythema. His hands and feet were still painful to palpation. The pt states that he was sent home with BENADRYL and po steroids. On May 2 the pt noted that the hives returned to his arms, inner thighs and a few on his lower legs (of note he did not take the steroids on 5/2/10). The pt was seen by his PCM on 5/3/10 and was given ATARAX. The pt was much better on 5/4/10 with almost complete resolution of his symptoms. On 5/7/10 the pt had no signs of swelling, urticaria or skin discoloration. No hx of new foods, medications, herbals, supplements, cologne, outdoor exposures prior to onset of sx. On 5/14/10 the pt called stating that on 5/12/10 he wore the same boots that he was wearing on 4/29 and 4/30 (before his initial outbreak of urticarial lesions) and within a few hours he had tingling in his feet and pain in his great toe (similar to previous event) and when he removed his boots he had similar pruritic lesions on his LE. Pt took prednisone (left from ER visit on 1May10) and the symptoms resolved. The patient was referred to Dermatology for patch testing. The Dermatologist determined that the rash was "clinically more consistent with Contact Dermatitis or Contact Urticaria as opposed to a vaccine reaction, given the morphology of the skin lesions and relatively localized pattern."
Age: 31.0
Sex: M
Vaccine: ANTH, TYP
Symptoms: Rash pruritic, Red blood cell sedimentation rate normal, Skin lesion, Skin test positive, Urine analysis normal
Clinical narrative: Pt received AVA #3 (left arm) and typhoid #2 (right arm) in the am of 4/29/10. Pt experienced minor bilateral arm soreness which resolved within 24 hours. On 5/1/10 the pt noted pain, redness, swelling and "hives" (very pruritic) that progressed from his feet to his lower legs, inner thighs, hands and arms (not palms or soles). He also noted "bruising" on his feet/toes. He went to the ER that evening and was treated with SOLU-MEDROL 125mg IV, BENADRYL25mg IV and ZANTAC 50mg IV with much improvement of the swelling, hives and erythema. His hands and feet were still painful to palpation. The pt states that he was sent home with BENADRYL and po steroids. On May 2 the pt noted that the hives returned to his arms, inner thighs and a few on his lower legs (of note he did not take the steroids on 5/2/10). The pt was seen by his PCM on 5/3/10 and was given ATARAX. The pt was much better on 5/4/10 with almost complete resolution of his symptoms. On 5/7/10 the pt had no signs of swelling, urticaria or skin discoloration. No hx of new foods, medications, herbals, supplements, cologne, outdoor exposures prior to onset of sx. On 5/14/10 the pt called stating that on 5/12/10 he wore the same boots that he was wearing on 4/29 and 4/30 (before his initial outbreak of urticarial lesions) and within a few hours he had tingling in his feet and pain in his great toe (similar to previous event) and when he removed his boots he had similar pruritic lesions on his LE. Pt took prednisone (left from ER visit on 1May10) and the symptoms resolved. The patient was referred to Dermatology for patch testing. The Dermatologist determined that the rash was "clinically more consistent with Contact Dermatitis or Contact Urticaria as opposed to a vaccine reaction, given the morphology of the skin lesions and relatively localized pattern."
Age: 31.0
Sex: M
Vaccine: ANTH, TYP
Symptoms: Urticaria, Urticaria contact
Clinical narrative: Pt received AVA #3 (left arm) and typhoid #2 (right arm) in the am of 4/29/10. Pt experienced minor bilateral arm soreness which resolved within 24 hours. On 5/1/10 the pt noted pain, redness, swelling and "hives" (very pruritic) that progressed from his feet to his lower legs, inner thighs, hands and arms (not palms or soles). He also noted "bruising" on his feet/toes. He went to the ER that evening and was treated with SOLU-MEDROL 125mg IV, BENADRYL25mg IV and ZANTAC 50mg IV with much improvement of the swelling, hives and erythema. His hands and feet were still painful to palpation. The pt states that he was sent home with BENADRYL and po steroids. On May 2 the pt noted that the hives returned to his arms, inner thighs and a few on his lower legs (of note he did not take the steroids on 5/2/10). The pt was seen by his PCM on 5/3/10 and was given ATARAX. The pt was much better on 5/4/10 with almost complete resolution of his symptoms. On 5/7/10 the pt had no signs of swelling, urticaria or skin discoloration. No hx of new foods, medications, herbals, supplements, cologne, outdoor exposures prior to onset of sx. On 5/14/10 the pt called stating that on 5/12/10 he wore the same boots that he was wearing on 4/29 and 4/30 (before his initial outbreak of urticarial lesions) and within a few hours he had tingling in his feet and pain in his great toe (similar to previous event) and when he removed his boots he had similar pruritic lesions on his LE. Pt took prednisone (left from ER visit on 1May10) and the symptoms resolved. The patient was referred to Dermatology for patch testing. The Dermatologist determined that the rash was "clinically more consistent with Contact Dermatitis or Contact Urticaria as opposed to a vaccine reaction, given the morphology of the skin lesions and relatively localized pattern."
Age: 17.0
Sex: F
Vaccine: HPV4, MEN
Symptoms: Convulsion, Dizziness, Fall, Head injury, Syncope
Clinical narrative: Felt dizzy and lightheaded.  Fainted. Fell backwards and cracked head on concrete. Seizure lasting 2 minutes.  Went to hospital in ambulance.  Treated and released same day.
Age: 40.0
Sex: F
Vaccine: DT
Symptoms: Arthralgia, Asthenia, Burning sensation, Headache, Monocyte count increased
Clinical narrative: Sudden onset headache and generalized body aches, without fever, worsening over 1 month to intermittent polymyalgias and arthralgias, tingling in extremeties, and at times severe burning muscle pain and weakness.
Age: 40.0
Sex: F
Vaccine: DT
Symptoms: Myalgia, Pain, Paraesthesia, Toxicologic test abnormal
Clinical narrative: Sudden onset headache and generalized body aches, without fever, worsening over 1 month to intermittent polymyalgias and arthralgias, tingling in extremeties, and at times severe burning muscle pain and weakness.
Age: 17.0
Sex: M
Vaccine: HPV4, MNQ
Symptoms: Blood test normal, Computerised tomogram normal, Electroencephalogram normal, Grand mal convulsion, Nuclear magnetic resonance imaging
Clinical narrative: PATIENT SUFFERED A GRAND MAL SEIZURE AT SCHOOL.  HIS SISTER ALSO RECEIVED THE VACCINE (VAERS ID 383436) AND HAD GRAND MAL SEIZURE ON 03/17/2010.  SISTER'S SEIZURE WAS 85 DAYS AFTER HER FIRST SHOT, PATIENT'S WAS 83 DAYS AFTER HIS FIRST SHOT.
Age: 50.0
Sex: M
Vaccine: VARZOS
Symptoms: Ageusia, Drooling, Dysgeusia, Eyelid function disorder, Facial palsy
Clinical narrative: Information has been received from a male physician in his 50s who had been under a lot of stress prior getting the vaccine who about a month ago (approximately April 2010), was vaccinated with a dose of ZOSTAVAX (Merck). Three hours later, the patient experienced paralysis in his left of his face. The physician stated he could not close his eye lid, he was drooling and he also lost taste in his taste buds and everything seems to taste salty. He sought unspecified medical attention. At the time of the report, the patient had not recovered from these events. "Could not close his eye lid" was considered to be disabling by the physician. These events were not considered to be life threatening by the physician. Upon internal review, "paralysis in his left of his face" was determined to be an other important medical event. Additional information has been requested.
Age: 50.0
Sex: M
Vaccine: VARZOS
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: Information has been received from a male physician in his 50s who had been under a lot of stress prior getting the vaccine who about a month ago (approximately April 2010), was vaccinated with a dose of ZOSTAVAX (Merck). Three hours later, the patient experienced paralysis in his left of his face. The physician stated he could not close his eye lid, he was drooling and he also lost taste in his taste buds and everything seems to taste salty. He sought unspecified medical attention. At the time of the report, the patient had not recovered from these events. "Could not close his eye lid" was considered to be disabling by the physician. These events were not considered to be life threatening by the physician. Upon internal review, "paralysis in his left of his face" was determined to be an other important medical event. Additional information has been requested.
Age: 9.0
Sex: F
Vaccine: VARCEL
Symptoms: Convulsion
Clinical narrative: Mom stated child had a seizure and was going to the ER.
Age: 2.0
Sex: F
Vaccine: DTAP, HEPA, HIBV, PNC13
Symptoms: Abasia, Body temperature increased, Injection site erythema, Injection site mass, Injection site pain
Clinical narrative: Temp noted of 100.4 degrees F.  Right leg very tender with large baseball size red lump.  Patient unwilling to walk (per mom).
Age: 2.0
Sex: F
Vaccine: PNC13
Symptoms: Discomfort, Oedema peripheral, Pyrexia, Rash, Rash erythematous
Clinical narrative: Given PREVNAR 13 right anterolateral thigh 5/19/10 had URI symptoms that day, no fever. Next day (5/20/10) tactile low-grade fever, cranky in evening lacey rash and swelling R anteromedial thigh with fever 103.3; 5/21/10 am T 102.8 office visit, thigh swell decrease. Right AOM lacey flat pink rash not warm below vaccine injection site T 103.5. Not tender not warm not swollen.
Age: 2.0
Sex: F
Vaccine: PNC13
Symptoms: Upper respiratory tract infection
Clinical narrative: Given PREVNAR 13 right anterolateral thigh 5/19/10 had URI symptoms that day, no fever. Next day (5/20/10) tactile low-grade fever, cranky in evening lacey rash and swelling R anteromedial thigh with fever 103.3; 5/21/10 am T 102.8 office visit, thigh swell decrease. Right AOM lacey flat pink rash not warm below vaccine injection site T 103.5. Not tender not warm not swollen.
Age: 1.94
Sex: F
Vaccine: HEPA, PNC13
Symptoms: Injection site erythema, Injection site nodule, Injection site pain
Clinical narrative: Approx. 4 hrs after vaccine placed, MOC noticed "knot" in right leg, several hours later, area was red and tender. No fever was noted. Symptoms have now resolved fully.
Age: 3.0
Sex: M
Vaccine: FLU3
Symptoms: Blood glucose decreased, Computerised tomogram, Diet refusal, Dyskinesia, Electroencephalogram
Clinical narrative: A consumer report from another company was received on 12 May 2010. This is a case of misuse where FLUZONE was administered in a divided dose (1 hour apart). A 4-year-old male patient had received a divided dose (1 hour apart) of FLUZONE SV on 03 November 2009 at the allergist's office. The lot number, route and site of administration was not reported. On 17 November 2009, i.e., 14 days post-vaccination, the patient did not eat his dinner and the following morning the mother found the patient shaking like he had a fever/seizure and he was "lifeless for 3 hours." He was taken to the emergency department where his blood sugar was noted to be low (exact reading not provided). Treatment included intravenous fluids and the patient was admitted for observation. Diagnostic tests included CAT scan and sleep deprived EEG; however results of these tests were not provided. It was reported that another incident occurred 5 days later, where the patient was in a trance and "laying there." He would not eat, was irritable, "sleeping", and had projectile vomiting after taking orange juice. After that he was able to eat chicken nuggets without any further vomiting. The patient had no history of prior episodes, but did also have medical history of allergy to wheat, soy, dairy, eggs and nuts which causes eczema. The patient also had history of RSV one year prior to 03 November 2009 that was treated with PULMICORT and prednisone. Per the mother, the patient was diagnosed with ketotic hypoglycemia and required the right amounts of carbohydrates and proteins. She reported that her son will be tested for suspected tumor or cyst on the pancreas which may be interfering with processing of insulin. The mother feels that the patient's reaction may be the result of his allergies and not from the flu vaccine injection. At the time of this report, the patient had not recovered. Documents held by sender: None.
Age: 3.0
Sex: M
Vaccine: FLU3
Symptoms: Hypoglycaemia, Irritability, Pancreatic cyst, Trance, Tremor
Clinical narrative: A consumer report from another company was received on 12 May 2010. This is a case of misuse where FLUZONE was administered in a divided dose (1 hour apart). A 4-year-old male patient had received a divided dose (1 hour apart) of FLUZONE SV on 03 November 2009 at the allergist's office. The lot number, route and site of administration was not reported. On 17 November 2009, i.e., 14 days post-vaccination, the patient did not eat his dinner and the following morning the mother found the patient shaking like he had a fever/seizure and he was "lifeless for 3 hours." He was taken to the emergency department where his blood sugar was noted to be low (exact reading not provided). Treatment included intravenous fluids and the patient was admitted for observation. Diagnostic tests included CAT scan and sleep deprived EEG; however results of these tests were not provided. It was reported that another incident occurred 5 days later, where the patient was in a trance and "laying there." He would not eat, was irritable, "sleeping", and had projectile vomiting after taking orange juice. After that he was able to eat chicken nuggets without any further vomiting. The patient had no history of prior episodes, but did also have medical history of allergy to wheat, soy, dairy, eggs and nuts which causes eczema. The patient also had history of RSV one year prior to 03 November 2009 that was treated with PULMICORT and prednisone. Per the mother, the patient was diagnosed with ketotic hypoglycemia and required the right amounts of carbohydrates and proteins. She reported that her son will be tested for suspected tumor or cyst on the pancreas which may be interfering with processing of insulin. The mother feels that the patient's reaction may be the result of his allergies and not from the flu vaccine injection. At the time of this report, the patient had not recovered. Documents held by sender: None.
Age: 3.0
Sex: M
Vaccine: FLU3
Symptoms: Unresponsive to stimuli, Vomiting projectile
Clinical narrative: A consumer report from another company was received on 12 May 2010. This is a case of misuse where FLUZONE was administered in a divided dose (1 hour apart). A 4-year-old male patient had received a divided dose (1 hour apart) of FLUZONE SV on 03 November 2009 at the allergist's office. The lot number, route and site of administration was not reported. On 17 November 2009, i.e., 14 days post-vaccination, the patient did not eat his dinner and the following morning the mother found the patient shaking like he had a fever/seizure and he was "lifeless for 3 hours." He was taken to the emergency department where his blood sugar was noted to be low (exact reading not provided). Treatment included intravenous fluids and the patient was admitted for observation. Diagnostic tests included CAT scan and sleep deprived EEG; however results of these tests were not provided. It was reported that another incident occurred 5 days later, where the patient was in a trance and "laying there." He would not eat, was irritable, "sleeping", and had projectile vomiting after taking orange juice. After that he was able to eat chicken nuggets without any further vomiting. The patient had no history of prior episodes, but did also have medical history of allergy to wheat, soy, dairy, eggs and nuts which causes eczema. The patient also had history of RSV one year prior to 03 November 2009 that was treated with PULMICORT and prednisone. Per the mother, the patient was diagnosed with ketotic hypoglycemia and required the right amounts of carbohydrates and proteins. She reported that her son will be tested for suspected tumor or cyst on the pancreas which may be interfering with processing of insulin. The mother feels that the patient's reaction may be the result of his allergies and not from the flu vaccine injection. At the time of this report, the patient had not recovered. Documents held by sender: None.
Sex: F
Vaccine: PPV
Symptoms: Erythema, Swelling
Clinical narrative: Red & swollen.
Age: 10.0
Sex: F
Vaccine: TDAP, VARCEL
Symptoms: Rash pruritic
Clinical narrative: 2 small bumps on face Monday night after vaccination; 5 bumps on stomach on 5/25/10. States bumps itch. No other problems.
Age: 3.0
Sex: M
Vaccine: HEPA, HIBV, PNC13, VARCEL
Symptoms: Injection site erythema, Injection site induration, Injection site swelling
Clinical narrative: 11 x 10 cm area of erythema, induration swelling right upper arm at swollen sites (HIB and PREVNAR).
Age: 2.0
Sex: F
Vaccine: DTAP, HIBV, PNC
Symptoms: Diarrhoea, Injection site rash, Pyrexia
Clinical narrative: Bump on (L) arm site of injection, fever with diarrhea.
Age: 59.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Bronchospasm, Chills, Headache, Rhinorrhoea, Urticaria
Clinical narrative: 11-16-09-Post immunization running nose, chills, hives, HA, etc. 11-17-09- Running nose & hives & broncho-spasms, etc.11-16-09-present-Chronic hives(possibly egg-related).
Age: 34.0
Sex: F
Vaccine: HEP, MMR
Symptoms: Pruritus, Rash erythematous
Clinical narrative: Fine red rash all over body started 5-24-10 evening. Only face itched. Oral BENADRYL and cream. Monitor.
Sex: F
Vaccine: FLUX(H1N1)
Symptoms: Herpes zoster, Rash
Clinical narrative: BROKE OUT IN A RASH AN HOUR AFTER THE SHOT.  MOM CALLED THE CLINIC TO REPORT IT AND WAS TOLD NOT TO COME IN AND THAT IT WOULD GO AWAY. SHE WENT IN ON MONDAY AND THEY SAID IT WAS A RASH.  SAW A DIFFERENT DOCTOR AT THE CLINIC ON TUESDAY AND FOUND OUT IT IS SHINGLES.
Age: 4.0
Sex: M
Vaccine: DTAPIPV, VARCEL
Symptoms: Varicella
Clinical narrative: Documented Varicella disease.
Age: 0.3
Sex: M
Vaccine: DTAPIPVHIB, PNC13, RV5
Symptoms: Urticaria, Vomiting
Clinical narrative: Urticaria, vomiting, treated with Hydroxyzine.
Age: 37.0
Sex: F
Vaccine: RAB
Symptoms: Injection site erythema, Injection site rash, Injection site swelling, Injection site warmth
Clinical narrative: RIG: Red rasied rxn aprox. 4 times the size of int. injection.  Rabies Vac: Red diffuse warm swelling at site of injection.
Age: 0.17
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PPV, RVX
Symptoms: Decreased appetite, Diarrhoea, Hypersomnia, Infantile spitting up, Irritability
Clinical narrative: Watery stools; large spit up (twice); increased fussiness/irritibility; increased length naps/sleeping; drowsiness; decreased appetite
Age: 0.17
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PPV, RVX
Symptoms: Somnolence
Clinical narrative: Watery stools; large spit up (twice); increased fussiness/irritibility; increased length naps/sleeping; drowsiness; decreased appetite
Age: 12.0
Sex: F
Vaccine: DTAP, MNQ
Symptoms: Angiogram normal, Blood test normal, Computerised tomogram normal, Dysgraphia, Echocardiogram normal
Clinical narrative: Stroke like symptoms including tingling and numbing of left hand traveling up the arm and into the neck and face, weakness in left hand, difficulty with speech, nausea and vomiting, difficulty retreiving information (didn't know mother's name, sister's age, home town), difficulty reading and writing, later tingling and weakness in left leg.
Age: 12.0
Sex: F
Vaccine: DTAP, MNQ
Symptoms: Electroencephalogram normal, Hypoaesthesia, Lumbar puncture normal, Memory impairment, Muscular weakness
Clinical narrative: Stroke like symptoms including tingling and numbing of left hand traveling up the arm and into the neck and face, weakness in left hand, difficulty with speech, nausea and vomiting, difficulty retreiving information (didn't know mother's name, sister's age, home town), difficulty reading and writing, later tingling and weakness in left leg.
Age: 12.0
Sex: F
Vaccine: DTAP, MNQ
Symptoms: Nausea, Neurological symptom, Nuclear magnetic resonance imaging normal, Paraesthesia, Reading disorder
Clinical narrative: Stroke like symptoms including tingling and numbing of left hand traveling up the arm and into the neck and face, weakness in left hand, difficulty with speech, nausea and vomiting, difficulty retreiving information (didn't know mother's name, sister's age, home town), difficulty reading and writing, later tingling and weakness in left leg.
Age: 12.0
Sex: F
Vaccine: DTAP, MNQ
Symptoms: Speech disorder, Vomiting
Clinical narrative: Stroke like symptoms including tingling and numbing of left hand traveling up the arm and into the neck and face, weakness in left hand, difficulty with speech, nausea and vomiting, difficulty retreiving information (didn't know mother's name, sister's age, home town), difficulty reading and writing, later tingling and weakness in left leg.
Age: 20.0
Sex: F
Vaccine: VARCEL
Symptoms: Burning sensation, Headache, Injection site pruritus, Injection site swelling, Pyrexia
Clinical narrative: Noticed headache an hour after receiving dose; injection site red and swollen following morning, felt itching to area later in the day then fever; day 2 now with some intermittent burning and slight fever; found out later that dose #1 in series received at age 5 caused some reaction as well.
Age: 20.0
Sex: F
Vaccine: VARCEL
Symptoms: Similar reaction on previous exposure to drug
Clinical narrative: Noticed headache an hour after receiving dose; injection site red and swollen following morning, felt itching to area later in the day then fever; day 2 now with some intermittent burning and slight fever; found out later that dose #1 in series received at age 5 caused some reaction as well.
Age: 0.17
Sex: M
Vaccine: DTAPIPVHIB, HEP, PNC, RV5
Symptoms: Convulsion, Electroencephalogram, Lumbar puncture, Nuclear magnetic resonance imaging, Pyrexia
Clinical narrative: High fevers + seizure.
Age: 8.0
Sex: M
Vaccine: VARCEL
Symptoms: Varicella
Clinical narrative: Documented Varicella disease.
Age: 4.0
Sex: M
Vaccine: DTAPIPV, MMR, VARCEL
Symptoms: Varicella post vaccine
Clinical narrative: Documented varicella disease.
Age: 4.0
Sex: F
Vaccine: DTAP, HEPA, IPV, MMR, PNC13, VARCEL
Symptoms: Injection site erythema, Injection site inflammation
Clinical narrative: 4x4 red inflammed, non tender or painful area at injection site. Afebrile. Cold cloth or ice to area, call if redness extends beyond pen outline or sx worse.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Blister, Body temperature increased, Injection site erythema, Injection site induration, Injection site pain
Clinical narrative: Started with increased temp 103 degrees on 5-24-10 @ 8pm. Presented in office on 5-26-10 (R) arm red 22 cm x 15 cm on upper arm from shoulder to upper forearm. Red/hard/warm/painful/itchy. Several sm. blisters noted on skin (fluid filled) (L) bicep measured 22 cm in diam/ (R) bicep 27 cm in diam. (L) forearm 191/2 cm in diam/(R) forearm 24 cm in diam.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Injection site pruritus, Injection site warmth, White blood cell count increased
Clinical narrative: Started with increased temp 103 degrees on 5-24-10 @ 8pm. Presented in office on 5-26-10 (R) arm red 22 cm x 15 cm on upper arm from shoulder to upper forearm. Red/hard/warm/painful/itchy. Several sm. blisters noted on skin (fluid filled) (L) bicep measured 22 cm in diam/ (R) bicep 27 cm in diam. (L) forearm 191/2 cm in diam/(R) forearm 24 cm in diam.
Age: 5.0
Sex: F
Vaccine: DTAPIPV, HEPA, MMR, VARCEL
Symptoms: Injection site cellulitis, Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Left arm redness and swelling 9.5 cm by 9 cm swollen tender slightly cellulitic.  Given amoxicillin & ORAPRED on 5/26/10.
Age: 4.0
Sex: U
Vaccine: DTAP, IPV, MMR, PNC13, VARCEL
Symptoms: Contraindication to vaccination
Clinical narrative: Patient with Traps Syndrome, given live vaccines MMR/Varicella.
Age: 2.0
Sex: M
Vaccine: DTAP, HEPA, PNC13
Symptoms: Injection site erythema
Clinical narrative: RUE with baseball sized (5-6 cm) round area of erythema.
Age: 58.0
Sex: F
Vaccine: PPV
Symptoms: Injected limb mobility decreased, Injection site pain
Clinical narrative: Severe site pain, loss of range of motion within 8 hrs. Today on presentation pt has pain but o/w no site abnormalities & good range of motion.
Age: 5.0
Sex: M
Vaccine: DTAPHEPBIP, MMR, VARCEL
Symptoms: Erythema, Oedema peripheral, Pain in extremity, Skin warm
Clinical narrative: Left arm swollen, hot, red, painful.  Recommended Benadryl & ice packs.
Age: 71.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Injection site pruritus, Injection site swelling
Clinical narrative: The patient develeoped swelling at the site of administration and itching.  Itching resolved with Benadryl prn.  For the residual swelling, the patient had the option of using Motrin prn.
Age: 1.52
Sex: M
Vaccine: PNC13
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: R anterior thigh, small erythema 1.5 X 2cm surrounding shot site; area of erythema 4.5 X 5cm extending distally from site, mild warm, non-tender, no induration, minimal swelling.
Age: 70.0
Sex: M
Vaccine: VARZOS
Symptoms: Body temperature increased, Diarrhoea, Pyrexia
Clinical narrative: Client complained of fever of 100.7 and one bout of diarrhea. Denied rash, itching, SOB, wheezing.
Age: 26.0
Sex: F
Vaccine: FLU(H1N1), HEPA, TDAP
Symptoms: Dizziness, Immediate post-injection reaction, Loss of consciousness, Nausea
Clinical narrative: Client became dizzy and nauseous immediately after receiving 3rd immunization; passed out and was unconscious for about 1 minute shortly after. Was assisted to lying position, dizziness and nausea persisted for about 15 minutes, resolved and client able to walk out on own after 30 minutes of resting, accompanied by boyfriend.
Age: 5.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Decreased appetite, Pain in extremity, Pyrexia, Rash, Vomiting
Clinical narrative: Per phone call with child's mother; mom states since vaccine was given, child had fever, vomiting, rash on his back and on his eye lids; that night she took child to ER. Was told to give Benadryl by mouth; child saw PCP on Monday 02/22/10 at clinic; mom states child had decrease appetite and feet hurt was told by PCP possible reaction to H1N1 the child had received at school on Friday.
Age: 0.18
Sex: M
Vaccine: 6VAX-F, HEP, RV5
Symptoms: Change of bowel habit, Constipation
Clinical narrative: Severe constipation of an exclusively breastfed infant. Dramatic change in bowel movement habits from before the first rotavirus vaccine to 13 days after the first vaccine. Prior to vaccine, there was a bowel movement every 1-3 hours. After the vaccine 3 bowel movements in 13 days. Child was seen by his pediatrician who, after a brief exam, prescribed lactulose 2.5 ml one time daily.
Age: 13.0
Sex: F
Vaccine: MNQ, TDAP, VARCEL
Symptoms: Injection site erythema, Injection site pain, Injection site warmth
Clinical narrative: Student received injections on 5-24-10 without complications. On 5-26-10 student presented to school nurse with a 3" reddened area on (R) deltoid with mild tenderness and warmth. Mother phoned HD on 5-26-10 at 10:00 am to inform mother instructed to talk  to Dr. for examination. Follow-up phone call made to mother, on 5-26-10 at 1:00pm. Mother called patient's Dr in am; was instructed to measure area apply ice and call back if area increases in size. Patient remaining in school today.
Age: 39.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Dysarthria, Muscular weakness, Pain in extremity, Urinary incontinence
Clinical narrative: Patient reports all symptoms started the morning of 5/20/10. Weakness and pain in both legs.  Alternates taking ibuprofen 800 mg x 3-4/day and the enxt day takes Percocet 5/325 x3/day.  Takes ibuprofen and Percocet every other day on alternate days.  "Leg pain is sometimes unbearable." Loss of bladder control.  Wets self during night when sleeping & decreased control during day.  Wears Poise pads. Slurring of speech.
Age: 5.0
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Blood culture negative, Pyrexia, Rash
Clinical narrative: Fever and rash.
Age: 0.04
Sex: M
Vaccine: DTAP
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth, Oedema peripheral, Pyrexia
Clinical narrative: Had significant fever 104-105 degrees for several days.  Had to go to ER on 5-5-2010.  Also, his upper arm swelled to a large size and was red and hot to the touch.
Age: 4.0
Sex: M
Vaccine: DTAPIPV, PNC13
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling, Injection site warmth, Oedema peripheral
Clinical narrative: Patient awoke, complaint of hot, itching arm. Arm was red, very swollen, hot to touch, fever of 103 with Motrin. Pt. to ER w/ same symptoms, worsening. Pt. was given Benadryl and Motrin.
Age: 4.0
Sex: M
Vaccine: DTAPIPV, PNC13
Symptoms: Pyrexia
Clinical narrative: Patient awoke, complaint of hot, itching arm. Arm was red, very swollen, hot to touch, fever of 103 with Motrin. Pt. to ER w/ same symptoms, worsening. Pt. was given Benadryl and Motrin.
Age: 35.0
Sex: M
Vaccine: TDAP
Symptoms: Arthralgia, Chills, Constricted affect, Dyspnoea, Injection site swelling
Clinical narrative: Reported by patient:  body aches started on 5/25/10 @ 0500. Throughout the day, body aches continued, fever (tympanic of 101.0), started to have shortness of breath and felt constriction ("didn't last long"), swelling to injection site (right deltoid).  Took ibuprofen and that helped with symptoms.  On 5/26/10 continued to have body aches, chills, felt like arthritis all over body, injection site swelling appears to be getting bigger, fever (tympanic 101.0). Continues to take ibuprofen which is helping symptoms.
Age: 35.0
Sex: M
Vaccine: TDAP
Symptoms: Pain, Pyrexia
Clinical narrative: Reported by patient:  body aches started on 5/25/10 @ 0500. Throughout the day, body aches continued, fever (tympanic of 101.0), started to have shortness of breath and felt constriction ("didn't last long"), swelling to injection site (right deltoid).  Took ibuprofen and that helped with symptoms.  On 5/26/10 continued to have body aches, chills, felt like arthritis all over body, injection site swelling appears to be getting bigger, fever (tympanic 101.0). Continues to take ibuprofen which is helping symptoms.
Age: 25.0
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Drug exposure during pregnancy, Ultrasound antenatal screen normal, Urine human chorionic gonadotropin positive
Clinical narrative: Pt. is pregnant. LMP 2/5/2010. 3/12/2010 found out she is pregnant.
Age: 0.83
Sex: F
Vaccine: UNK
Symptoms: Body temperature increased, Restlessness, Urticaria
Clinical narrative: Elevated temperature of 99.5 degrees, hives from neck to groin, restlessness.  No treatment needed.
Age: 29.0
Sex: F
Vaccine: PPV, TDAP
Symptoms: Aphagia, Arthralgia, Burning sensation, Dizziness, Fatigue
Clinical narrative: BURNING, REDNESS AT SITE OF VACCINATION (LEFT SHOULDER), FATIGUE, MUSCLE SORENESS, JOINT PAIN, ALL OVER ACHINESS, NAUSEA, UNABLE TO EAT, DIZZINESS, HEADACHE, LOW GRADE FEVER (101).
Age: 29.0
Sex: F
Vaccine: PPV, TDAP
Symptoms: Headache, Influenza like illness, Injected limb mobility decreased, Injection site erythema, Injection site pain
Clinical narrative: BURNING, REDNESS AT SITE OF VACCINATION (LEFT SHOULDER), FATIGUE, MUSCLE SORENESS, JOINT PAIN, ALL OVER ACHINESS, NAUSEA, UNABLE TO EAT, DIZZINESS, HEADACHE, LOW GRADE FEVER (101).
Age: 29.0
Sex: F
Vaccine: PPV, TDAP
Symptoms: Myalgia, Myosclerosis, Nausea, Pain, Pyrexia
Clinical narrative: BURNING, REDNESS AT SITE OF VACCINATION (LEFT SHOULDER), FATIGUE, MUSCLE SORENESS, JOINT PAIN, ALL OVER ACHINESS, NAUSEA, UNABLE TO EAT, DIZZINESS, HEADACHE, LOW GRADE FEVER (101).
Age: 1.01
Sex: M
Vaccine: HEPA, MMR, PPV, VARCEL
Symptoms: Blood test, Chest X-ray, Febrile convulsion, Inappropriate schedule of drug administration, Loss of consciousness
Clinical narrative: Febrile seizure, loss of consciousness.
Age: 1.01
Sex: M
Vaccine: HEPA, MMR, PPV, VARCEL
Symptoms: Urine analysis
Clinical narrative: Febrile seizure, loss of consciousness.
Age: 16.0
Sex: M
Vaccine: FLU(H1N1), HEPA, MEN, TDAP
Symptoms: Injection site cellulitis, Injection site induration
Clinical narrative: Celluitis/induration to right tricep area (4 x 3 cm) approx 1-2 days post VARIVAX #2 treated with BENADRYL x 3 days and KEFLEX x 1 week.
Age: 26.0
Sex: F
Vaccine: HPV4
Symptoms: Chest discomfort, Malaise
Clinical narrative: 25 yo female received 3rd dose GARDASIL on 4/16/10. She calls in today c/o that she felt approximately 1 hr after getting the shot. (she was under observation here x 20-25 min). C/o sickness, chest pressure->Went to ER 2 days later->no specific treatment. Currently asymptomatic.
Age: 72.0
Sex: F
Vaccine: FLU3
Symptoms: Contusion, Haemorrhage, Injection site pain, No reaction on previous exposure to drug
Clinical narrative: Had a lot of bleeding post injection and had a large bruise on her arm. She still has a little pain at the site when she presses on it. Has never had any reaction to shots before.
Age: 22.0
Sex: M
Vaccine: ANTH, SMALL, TYP, ANTH, SMALL, TYP, ANTH, SMALL, TYP
Symptoms: Chest pain, Pericardial disease, Pericarditis, Troponin I increased
Clinical narrative: Initial report received on 19 May 2010 and follow up received on 20 May 2010 from an investigator under the reference number H-406-004. A 22 year-old male subject with no significant medical history received the following vaccines on 09 March 2009: ACAM2000 (lot number not reported); TYPHOID vaccine (manufacturer and lot number not  reported); and ANTHRAX vaccine (other manufacturer, lot number not reported). Ten days after vaccination the subject developed fatigue and severe chest pain described as "like someone was squeezing his heart". He was seen in the Emergency Room, and diagnosed with pericarditis (see case 2010-02637 for details) and bronchospasm. Additional symptoms noted on the Emergency Room report include: chills, productive cough with yellow sputum, rhinorrhea, and nasal congestion. The subject was treated for bronchospasm with albuterol (nebulizer 2.5 mg and inhaler 0.63 mg/mL), ATROVENT (500 mcg) and naproxen. The subject was discharged from the Emergency Room with instructions to follow-up with his healthcare provider. The resolution date and final outcome are unknown as attempts to contact the subject have been unsuccessful. The investigator assessed the event of bronchospasm as possibly related to the study product. This is a report of a 22 year-old who experienced pericarditis (described in case 2010-02637) and other symptoms consistent with bronchospasm and possible upper respiratory tract infection within 2 weeks of vaccination with ACAM2000, typhoid vaccine, and BIOTHRAX. Although it is possible that the cardiac event and the pulmonary event may have had an etiological association, it is highly likely that the brochospasm was triggered by a probable upper respiratory tract infection, as evidenced by the productive cough and sputum. The patient was lost to follow-up; recovery status is unknown and further information is not available.
Age: 22.0
Sex: M
Vaccine: ANTH, SMALL, TYP, ANTH, SMALL, TYP, ANTH, SMALL, TYP
Symptoms: Bronchospasm, Chest pain, Chills, Electrocardiogram abnormal, Fatigue
Clinical narrative: Initial report received on 19 May 2010 and follow up received on 20 May 2010 from an investigator under the reference number H-406-004. A 22 year-old male subject with no significant medical history received the following vaccines on 09 March 2009: ACAM2000 (lot number not reported); TYPHOID vaccine (manufacturer and lot number not  reported); and ANTHRAX vaccine (other manufacturer, lot number not reported). Ten days after vaccination the subject developed fatigue and severe chest pain described as "like someone was squeezing his heart". He was seen in the Emergency Room, and diagnosed with pericarditis (see case 2010-02637 for details) and bronchospasm. Additional symptoms noted on the Emergency Room report include: chills, productive cough with yellow sputum, rhinorrhea, and nasal congestion. The subject was treated for bronchospasm with albuterol (nebulizer 2.5 mg and inhaler 0.63 mg/mL), ATROVENT (500 mcg) and naproxen. The subject was discharged from the Emergency Room with instructions to follow-up with his healthcare provider. The resolution date and final outcome are unknown as attempts to contact the subject have been unsuccessful. The investigator assessed the event of bronchospasm as possibly related to the study product. This is a report of a 22 year-old who experienced pericarditis (described in case 2010-02637) and other symptoms consistent with bronchospasm and possible upper respiratory tract infection within 2 weeks of vaccination with ACAM2000, typhoid vaccine, and BIOTHRAX. Although it is possible that the cardiac event and the pulmonary event may have had an etiological association, it is highly likely that the brochospasm was triggered by a probable upper respiratory tract infection, as evidenced by the productive cough and sputum. The patient was lost to follow-up; recovery status is unknown and further information is not available.
Age: 22.0
Sex: M
Vaccine: ANTH, SMALL, TYP, ANTH, SMALL, TYP, ANTH, SMALL, TYP
Symptoms: Nasal congestion, Pericarditis, Productive cough, Rhinorrhoea, Sputum discoloured
Clinical narrative: Initial report received on 19 May 2010 and follow up received on 20 May 2010 from an investigator under the reference number H-406-004. A 22 year-old male subject with no significant medical history received the following vaccines on 09 March 2009: ACAM2000 (lot number not reported); TYPHOID vaccine (manufacturer and lot number not  reported); and ANTHRAX vaccine (other manufacturer, lot number not reported). Ten days after vaccination the subject developed fatigue and severe chest pain described as "like someone was squeezing his heart". He was seen in the Emergency Room, and diagnosed with pericarditis (see case 2010-02637 for details) and bronchospasm. Additional symptoms noted on the Emergency Room report include: chills, productive cough with yellow sputum, rhinorrhea, and nasal congestion. The subject was treated for bronchospasm with albuterol (nebulizer 2.5 mg and inhaler 0.63 mg/mL), ATROVENT (500 mcg) and naproxen. The subject was discharged from the Emergency Room with instructions to follow-up with his healthcare provider. The resolution date and final outcome are unknown as attempts to contact the subject have been unsuccessful. The investigator assessed the event of bronchospasm as possibly related to the study product. This is a report of a 22 year-old who experienced pericarditis (described in case 2010-02637) and other symptoms consistent with bronchospasm and possible upper respiratory tract infection within 2 weeks of vaccination with ACAM2000, typhoid vaccine, and BIOTHRAX. Although it is possible that the cardiac event and the pulmonary event may have had an etiological association, it is highly likely that the brochospasm was triggered by a probable upper respiratory tract infection, as evidenced by the productive cough and sputum. The patient was lost to follow-up; recovery status is unknown and further information is not available.
Age: 22.0
Sex: M
Vaccine: ANTH, SMALL, TYP, ANTH, SMALL, TYP, ANTH, SMALL, TYP
Symptoms: Troponin increased
Clinical narrative: Initial report received on 19 May 2010 and follow up received on 20 May 2010 from an investigator under the reference number H-406-004. A 22 year-old male subject with no significant medical history received the following vaccines on 09 March 2009: ACAM2000 (lot number not reported); TYPHOID vaccine (manufacturer and lot number not  reported); and ANTHRAX vaccine (other manufacturer, lot number not reported). Ten days after vaccination the subject developed fatigue and severe chest pain described as "like someone was squeezing his heart". He was seen in the Emergency Room, and diagnosed with pericarditis (see case 2010-02637 for details) and bronchospasm. Additional symptoms noted on the Emergency Room report include: chills, productive cough with yellow sputum, rhinorrhea, and nasal congestion. The subject was treated for bronchospasm with albuterol (nebulizer 2.5 mg and inhaler 0.63 mg/mL), ATROVENT (500 mcg) and naproxen. The subject was discharged from the Emergency Room with instructions to follow-up with his healthcare provider. The resolution date and final outcome are unknown as attempts to contact the subject have been unsuccessful. The investigator assessed the event of bronchospasm as possibly related to the study product. This is a report of a 22 year-old who experienced pericarditis (described in case 2010-02637) and other symptoms consistent with bronchospasm and possible upper respiratory tract infection within 2 weeks of vaccination with ACAM2000, typhoid vaccine, and BIOTHRAX. Although it is possible that the cardiac event and the pulmonary event may have had an etiological association, it is highly likely that the brochospasm was triggered by a probable upper respiratory tract infection, as evidenced by the productive cough and sputum. The patient was lost to follow-up; recovery status is unknown and further information is not available.
Age: 22.0
Sex: M
Vaccine: ANTH, SMALL, TYP, ANTH, SMALL, TYP, ANTH, SMALL, TYP
Symptoms: Bronchospasm, Chest pain, Chills, Fatigue, Nasal congestion
Clinical narrative: Initial report received on 19 May 2010 and follow up received on 20 May 2010 from an investigator under the reference number H-406-004. A 22 year-old male subject with no significant medical history received the following vaccines on 09 March 2009: ACAM2000 (lot number not reported); TYPHOID vaccine (manufacturer and lot number not  reported); and ANTHRAX vaccine (other manufacturer, lot number not reported). Ten days after vaccination the subject developed fatigue and severe chest pain described as "like someone was squeezing his heart". He was seen in the Emergency Room, and diagnosed with pericarditis (see case 2010-02637 for details) and bronchospasm. Additional symptoms noted on the Emergency Room report include: chills, productive cough with yellow sputum, rhinorrhea, and nasal congestion. The subject was treated for bronchospasm with albuterol (nebulizer 2.5 mg and inhaler 0.63 mg/mL), ATROVENT (500 mcg) and naproxen. The subject was discharged from the Emergency Room with instructions to follow-up with his healthcare provider. The resolution date and final outcome are unknown as attempts to contact the subject have been unsuccessful. The investigator assessed the event of bronchospasm as possibly related to the study product. This is a report of a 22 year-old who experienced pericarditis (described in case 2010-02637) and other symptoms consistent with bronchospasm and possible upper respiratory tract infection within 2 weeks of vaccination with ACAM2000, typhoid vaccine, and BIOTHRAX. Although it is possible that the cardiac event and the pulmonary event may have had an etiological association, it is highly likely that the brochospasm was triggered by a probable upper respiratory tract infection, as evidenced by the productive cough and sputum. The patient was lost to follow-up; recovery status is unknown and further information is not available.