chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 24.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Head injury, Loss of consciousness, Syncope
Clinical narrative: Patient at check out desk approx. 15 min after her Gardasil injection had syncope episode. Brief loss of consciousness - hit her head knocking the telephone off the wall. No visible injury from fall. Ambulance responded - pt declined going to Emergency Room.
Age: 24.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Fall, Head injury, Loss of consciousness, Syncope
Clinical narrative: Patient at check out desk approx. 15 min after her Gardasil injection had syncope episode. Brief loss of consciousness - hit her head knocking the telephone off the wall. No visible injury from fall. Ambulance responded - pt declined going to Emergency Room.
Age: 18.0
Sex: F
Vaccine: MNQ
Symptoms: Fatigue, Feeling hot, Headache, Pain, Pruritus
Clinical narrative: c/o swelling and itching rash around mouth approx 6 1/2 hrs after receiving immun-lasted approx 30 hrs. Felt feverish didn't check temp; Took Benadryl 25 mg. Also had "really bad headache", felt tired and achy. Took 3 reg Tylenol.
Age: 18.0
Sex: F
Vaccine: MNQ
Symptoms: Rash, Swelling
Clinical narrative: c/o swelling and itching rash around mouth approx 6 1/2 hrs after receiving immun-lasted approx 30 hrs. Felt feverish didn't check temp; Took Benadryl 25 mg. Also had "really bad headache", felt tired and achy. Took 3 reg Tylenol.
Age: 16.0
Sex: F
Vaccine: MNQ
Symptoms: Antinuclear antibody negative, Arthralgia, C-reactive protein increased, Full blood count, Headache
Clinical narrative: 8/30/07 Day of physical, patient had throat erythematous - no sympt. 9/4/07 presents with runny nose, headache, mild sore throat, no fever. 9/8/07 Pain ankles and feet/swollen toes and rash, itchy chest/thighs. 9/10/07 Seen at office: rash maculopapular itchy generalized swollen ankles and legs, tenderness ankles and calves. RDT present. Rx Zyrtec.
Age: 16.0
Sex: F
Vaccine: MNQ
Symptoms: Laboratory test normal, Oedema peripheral, Pain in extremity, Pharyngolaryngeal pain, Pruritus
Clinical narrative: 8/30/07 Day of physical, patient had throat erythematous - no sympt. 9/4/07 presents with runny nose, headache, mild sore throat, no fever. 9/8/07 Pain ankles and feet/swollen toes and rash, itchy chest/thighs. 9/10/07 Seen at office: rash maculopapular itchy generalized swollen ankles and legs, tenderness ankles and calves. RDT present. Rx Zyrtec.
Age: 16.0
Sex: F
Vaccine: MNQ
Symptoms: Rash maculo-papular, Rhinorrhoea, Streptococcal identification test, Throat irritation
Clinical narrative: 8/30/07 Day of physical, patient had throat erythematous - no sympt. 9/4/07 presents with runny nose, headache, mild sore throat, no fever. 9/8/07 Pain ankles and feet/swollen toes and rash, itchy chest/thighs. 9/10/07 Seen at office: rash maculopapular itchy generalized swollen ankles and legs, tenderness ankles and calves. RDT present. Rx Zyrtec.
Age: 44.0
Sex: F
Vaccine: HEPAB, TDAP
Symptoms: Pruritus, Rash
Clinical narrative: Client reported itching Wed 9/12/7 evening. Rash and itching increased on 9/13/7 and the evening went to ER
Age: 22.0
Sex: F
Vaccine: TDAP
Symptoms: Asthenia, Dizziness, Dyspnoea, Nausea, Pyrexia
Clinical narrative: 9-17-07-Dizziness, weakness, nausea, vomiting, fever 103.2, shortness of breath-Treated self with Tylenol 1000 mg and Benadryl 100 mg po 9-18-07 Same symptoms, no vomiting, T-101 9-19-07 occasional dizziness, weakness, stomach queeziness without vomiting, T-99 9-19-07 Referred to personal physician and sent home from work
Age: 83.0
Sex: F
Vaccine: TDAP, VARZOS
Symptoms: Blister
Clinical narrative: Patient reports via phone that she developed "blisters in right anterior rib cage; began with a couple area about size of "little finger" on 9-15-07; by next day she noted that they "wrapped around to back in upwards fashion-"some areas look like watery blisters-others drier and scabby-plans to see local MD today-Dr. notified.
Age: 24.0
Sex: F
Vaccine: HPV4
Symptoms: Incorrect route of drug administration
Clinical narrative: Gave patient dose subcut instead of IM. Patient did not have nay adverse event or irritation at site. T-called to primary care Dr and immunization center. Said to repeat dose in 1 week.
Age: 20.0
Sex: M
Vaccine: SMALL
Symptoms: Cardiac enzymes normal, Chest pain, Echocardiogram normal, Electrocardiogram ST-T change, Electrocardiogram normal
Clinical narrative: Substernal chest pain 2 days after receipt of primary SPV; Initially intermittent, then became constant; non-radiating; no other associated symptoms
Age: 20.0
Sex: M
Vaccine: SMALL
Symptoms: Full blood count normal, Laboratory test, Nuclear magnetic resonance imaging normal
Clinical narrative: Substernal chest pain 2 days after receipt of primary SPV; Initially intermittent, then became constant; non-radiating; no other associated symptoms
Age: 0.3
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Urticaria
Clinical narrative: Diffuse hives, no wheezing.
Age: 1.6
Sex: F
Vaccine: FLU3
Symptoms: Allergy test negative, Monocyte count increased, Pyrexia, Rash generalised, Rash papular
Clinical narrative: Fever 102 9/12 to 9/14. Papular rash throughout body 9/15 - 9/18. 9/19 rash improving but not sore.
Age: 1.6
Sex: F
Vaccine: FLU3
Symptoms: White blood cell count normal
Clinical narrative: Fever 102 9/12 to 9/14. Papular rash throughout body 9/15 - 9/18. 9/19 rash improving but not sore.
Age: 1.0
Sex: M
Vaccine: FLU3, HEPA, MMR, VARCEL
Symptoms: Rash, Rash macular, Rash papular
Clinical narrative: MMR, Varivax, Hepatitis A, and Fluzone given on 9/4/07. 9/14/07 awoke with rash on torso, neck and face - blotchy, papular. 1 tsp Benadryl given.
Age: 11.0
Sex: M
Vaccine: HEPA, MNQ
Symptoms: Dizziness, Headache, Pyrexia
Clinical narrative: Tues. night 8/28/07 c/o headache. Child woke up 8/29/07 at 6am with headache, fever 100.9 and dizziness. Advil given x 2 during the day. Child missed 1 day of school. Mom stated fine on 8/30/07. Mom called physician when symptoms occurred.
Age: 17.0
Sex: M
Vaccine: HEP, HEPA, IPV, MMRV, MNQ, TD
Symptoms: Inappropriate schedule of drug administration, Wrong drug administered
Clinical narrative: a 17 yo was inadvertently given ProQuad, a combination MMR/Varicella vaccine, instead of Separate MMR & Varicella. ProQuad is licensed through 12 years of age.
Age: 15.0
Sex: M
Vaccine: HEP, HEPA, IPV, MMRV, MNQ, TDAP
Symptoms: Wrong drug administered
Clinical narrative: A 15 yo was inadvertently given ProQuad, a combination MMR/Varicella vaccine, instead of separate MMR + Varicella. ProQuad is licensed through 12 years of age.
Age: 59.0
Sex: F
Vaccine: HEPA, TDAP, TYP
Symptoms: Dehydration, Diarrhoea, Vomiting
Clinical narrative: Received Tdap, Hep A, and Typhoid Vi on 8/28/07. Patient began vomitting at 9:30 AM on 8/29/07 and also experienced diarrhea.  Patient became very dehydrated and was admitted to Hospital on 8/29/07. On 8/30th - patient much improved. Discharged on 8/30, stable and tolerating fluids well. 10/22/07-records received for DOS 8/29/07 and  9/6-9/7/07-DC DX: Dehydration, resolved. Vomiting and nausea, resolved. Diarrhea, resolved. Rheumatic disease. Side effect from Imuran. Second admission in month for vomiting and diarrhea and dehydration and both times it happened after she took her Prednisone and Imuran. Started with projectile vomiting. Previous episode this same month she blamed on Hepatitis A immunization.
Age: 1.17
Sex: F
Vaccine: DTAP, HEPA, HIBV, MMR, PNC, VARCEL
Symptoms: Autopsy, Pyrexia
Clinical narrative: Mother reported that child ran a fever following the immunizations.
Age: 80.0
Sex: F
Vaccine: VARZOS
Symptoms: Post herpetic neuralgia
Clinical narrative: pt developed recurrent post herpetic neuralgia after receiving Zostravax in same area she previously had
Age: 14.0
Sex: M
Vaccine: MNQ, TDAP, MNQ, TDAP, MNQ, TDAP
Symptoms: Muscle twitching
Clinical narrative: 9/17/07 At approximately 3:45pm pt. received vaccines and was observed for 15 minutes with no s/s of adverse effects. 9/18/07 Pt. went to school nurse because his left arm muscles between the deltoid and the elbow were constantly twitching. She reported to this office, and when the condition did not improve he was sent home. She and RN. both told family to take him to the doctor. 4:30 pm Family Practice called to tell her he was there and his arm was still twitching. The school nurse and Family Practice did not see any redness or swelling at the injection site, and the pt. did not complain of pain. contacted Sanofi Pasteur, medical division, and asked them to call Dr.at Family Practice. He was given Diazepam and sent home to return 9/19 at 10:30am. 9/19/07 He was seen at Family Practice with his arm still constantly twitching. He was referred to Dr. , a neurologist at Hospital to be seen at 2pm.  9/20/07 Received tel. call from pt's mother reporting that they saw Dr. Blood was drawn and an x-ray was done, and he was given an Rx for Xanax. She said his arm is still twitching this morning, but he can move it, and does not have pain, swelling, numbness or tingling. They are to stay in contact with Dr. to let him know how he is doing. 9/28/07-records received for DOS 9/18-9/19/07-Assessment:adverse reaction to Tdap. twitching to upper left arm site of TD injection.Menactra vaccine in right arm.  L arm hurts from elbow down to writst and a strong twitch that goes down to his hand to makes his arms and fingers lock.  On office visit of 9/19/07-twitching stopped yesterday then started again, Pain in forearm gone. Neurology consult. Able to voluntarily suppress twitiching for a period of time, no pain no loss of sensation no loss of motor function or muscle power. PE: irregulr non-rhythmic jerking of left upper extremity which stops when he is distracted and stops on action as well. Stops when on postural movement such as having him hold his arms outstretched. Impression: abnormal voluntary movements strongly suspect these are probably psychogenic in nature, does not appear to be a vaccine related problem. Benign problem that will probably spontaneously resolve.
Age: 14.0
Sex: M
Vaccine: MNQ, TDAP, MNQ, TDAP, MNQ, TDAP
Symptoms: Muscle twitching, Pain in extremity
Clinical narrative: 9/17/07 At approximately 3:45pm pt. received vaccines and was observed for 15 minutes with no s/s of adverse effects. 9/18/07 Pt. went to school nurse because his left arm muscles between the deltoid and the elbow were constantly twitching. She reported to this office, and when the condition did not improve he was sent home. She and RN. both told family to take him to the doctor. 4:30 pm Family Practice called to tell her he was there and his arm was still twitching. The school nurse and Family Practice did not see any redness or swelling at the injection site, and the pt. did not complain of pain. contacted Sanofi Pasteur, medical division, and asked them to call Dr.at Family Practice. He was given Diazepam and sent home to return 9/19 at 10:30am. 9/19/07 He was seen at Family Practice with his arm still constantly twitching. He was referred to Dr. , a neurologist at Hospital to be seen at 2pm.  9/20/07 Received tel. call from pt's mother reporting that they saw Dr. Blood was drawn and an x-ray was done, and he was given an Rx for Xanax. She said his arm is still twitching this morning, but he can move it, and does not have pain, swelling, numbness or tingling. They are to stay in contact with Dr. to let him know how he is doing. 9/28/07-records received for DOS 9/18-9/19/07-Assessment:adverse reaction to Tdap. twitching to upper left arm site of TD injection.Menactra vaccine in right arm.  L arm hurts from elbow down to writst and a strong twitch that goes down to his hand to makes his arms and fingers lock.  On office visit of 9/19/07-twitching stopped yesterday then started again, Pain in forearm gone. Neurology consult. Able to voluntarily suppress twitiching for a period of time, no pain no loss of sensation no loss of motor function or muscle power. PE: irregulr non-rhythmic jerking of left upper extremity which stops when he is distracted and stops on action as well. Stops when on postural movement such as having him hold his arms outstretched. Impression: abnormal voluntary movements strongly suspect these are probably psychogenic in nature, does not appear to be a vaccine related problem. Benign problem that will probably spontaneously resolve.
Age: 14.0
Sex: M
Vaccine: DTAP, MNQ
Symptoms: Wrong drug administered
Clinical narrative: None aware of.
Age: 1.08
Sex: M
Vaccine: HEP
Symptoms: Varicella
Clinical narrative: Visual diagnosis of varicella by 2 providers on 9/20/2007 after prior vaccination on 10/4/1999 according to previous vaccination records provided to this office by parent.  Exposed at school to reported varicella, according to mother.
Age: 1.5
Sex: F
Vaccine: VARCEL
Symptoms: Secondary transmission, Varicella
Clinical narrative: Mother had shingles 2 weeks before; child seen with probable dg of varicella on 7/10/2007
Age: 5.0
Sex: F
Vaccine: DTAP, HEPA, IPV, MMRV
Symptoms: Oedema peripheral, Rash macular
Clinical narrative: MOTHER PHONED TO REPORT PATIENT HAS A SWOLLEN RIGHT ARM AND A RED BUMPY RASH EXTENDING FROM HER SHOULDER TO HER ELBOW.  NO FEVER
Age: 42.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site erythema, Injection site mass, Injection site pain, Injection site pruritus, Injection site swelling
Clinical narrative: Received inj Tues afternoon.  Wed morning symptoms appeared.  This morning, and this afternoon worse (Thurs). At injection site: pain, swelling, knot, redness, heat, somewhat itchy.  Redness- size of a quarter; knot- size of 1/2 dollar; swelling area size of a baseball.  Treatment- Advil/Tylenol.
Age: 42.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site warmth
Clinical narrative: Received inj Tues afternoon.  Wed morning symptoms appeared.  This morning, and this afternoon worse (Thurs). At injection site: pain, swelling, knot, redness, heat, somewhat itchy.  Redness- size of a quarter; knot- size of 1/2 dollar; swelling area size of a baseball.  Treatment- Advil/Tylenol.
Age: 38.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site induration, Injection site pain, Injection site swelling
Clinical narrative: Painful swelling with erythema and 6 cm induration at injection site.
Age: 15.0
Sex: M
Vaccine: HEP
Symptoms: Disorientation, Dizziness, Dyspnoea, Headache, Lymphadenopathy
Clinical narrative: Fever 102, shortness of breath, swollen glands, headache, sore throat, dizziness, disoriented. This happened 18 to 24 hours after injection.  Treated with prednisone and Tyleno for fever.
Age: 15.0
Sex: M
Vaccine: HEP
Symptoms: Pharyngolaryngeal pain, Pyrexia
Clinical narrative: Fever 102, shortness of breath, swollen glands, headache, sore throat, dizziness, disoriented. This happened 18 to 24 hours after injection.  Treated with prednisone and Tyleno for fever.
Age: 57.0
Sex: F
Vaccine: TDAP
Symptoms: Cough, Oedema peripheral, Throat tightness
Clinical narrative: Approximately 1 1/2 hours after receiving Tdap hands started swelling, palmar surfaces turned bright orange and approximately another 20 minutes later started coughing and feeling throat closing.  Was given IV steroids, IV benadryl and sent home with oral steroid pack and epi-pen.
Age: 55.0
Sex: F
Vaccine: TYP
Symptoms: Anorexia, Chills, Headache, Pyrexia, Stomach discomfort
Clinical narrative: patient received typhoid po vaccine on 8-24-07. Last dose was on the 30th. Developed fever, chills, stomach upset, lost appetite and severe headaches on 9/6/07. Headaches bothered her the most. Did not see a doctor and rested. Was sick for 7 days and now has recovered completely.
Age: 1.0
Sex: M
Vaccine: HIBV, MMR, PNC
Symptoms: Abdominal pain upper, Pyrexia, Rash
Clinical narrative: 9/11/06 6pm slight rash on stomache with increased temp. throughout the night. Highest temp 101F. Feverish with rash on stomache until 9/13/07 and symptoms resolved. 9/19/07 Rash on legs and stomache that has spread to face. Reports temp. 99F. Parents have given Tylenol as needed and Benadryl.
Age: 30.0
Sex: F
Vaccine: ANTH
Symptoms: Hyperhidrosis, Laryngeal oedema, Muscle spasms, Pruritus, Urticaria
Clinical narrative: LARYNGEAL EDEMA/SPASM, HIVES, PRURITTS, WHEELS, SWEATING 1/2 HOUR POST ANTHRAX SHOT
Age: 35.0
Sex: F
Vaccine: DTAP, MMR
Symptoms: Burning sensation, Pruritus, Rash, Wrong drug administered
Clinical narrative: TDAP and MMR administered 9/14/2007, that evening pt had a small rash on left upper arm where vaccine was administered.  On 9/17/2007,pt was in employee health and rash was noted by employee health nurse and thought to be a localized reaction to immunizations.  Rash was only on left upper arm at the time.  Rash is still remaining on left upper arm and has since spread to left elbow and right elbow and right cheek  Pt came in today with complaint of severe itching and burning.  Sent to occupational health MD.
Age: 65.0
Sex: F
Vaccine: VARCEL
Symptoms: Injection site erythema, Injection site pain, Injection site pruritus, Injection site swelling
Clinical narrative: Redness,soreness,swelling ,itching at site of injection  1 1/2 " by  1 1/2 "
Age: 5.0
Sex: M
Vaccine: DTAP, IPV
Symptoms: Cellulitis, Injection site erythema, Injection site pain, Injection site warmth
Clinical narrative: Pt came to our appointment clinic on 09/17/07 for 5 y/o child received 2 vaccinations around 11:30 AM, one in each thigh. DTaP#5 was give to (L) thigh and IPV#4 to (R) thigh. Pt then presented to our walk-in clinic on 09/19/07 at 10:52 AM with complaints of "knot from shots" on (L) thigh. Received shots and parent noticed progressive erythema macula at (L) thigh site which became warm and painful to palpation. Pt was diagnosed with (L) thigh cellulitis and was started on Keflex 1 gm PO q6h x10d.(Mother of child stated pt won't swallow pills and not going to take Clindamycin.) Pt to f/u in 2 days to re-evaluate; to C if fever, increasing macules or redness at site.
Age: 11.0
Sex: M
Vaccine: HEPA, MNQ
Symptoms: Abdominal pain upper, Asthenia, Dyspnoea, Hypotonia, Loss of consciousness
Clinical narrative: approx. 10 minutes after immunization was given, after leaving and getting in the vehicle to go home, he went limp, passed out, and had seizure  like activity.  This lasted approx. 1 1/2 minutes.  He was very pale and weak.  The rest of the evening, he was short of breath, yawning frequently, and complaining of severe stomach pains.  At apprx. 6:30pm he vomitted and began to feel somewhat better for about 1/2 hour.  He then began to complain about his stomach hurting and vomitted again around 8:00 pm.
Age: 11.0
Sex: M
Vaccine: HEPA, MNQ
Symptoms: Pallor, Vomiting, Yawning
Clinical narrative: approx. 10 minutes after immunization was given, after leaving and getting in the vehicle to go home, he went limp, passed out, and had seizure  like activity.  This lasted approx. 1 1/2 minutes.  He was very pale and weak.  The rest of the evening, he was short of breath, yawning frequently, and complaining of severe stomach pains.  At apprx. 6:30pm he vomitted and began to feel somewhat better for about 1/2 hour.  He then began to complain about his stomach hurting and vomitted again around 8:00 pm.
Age: 17.0
Sex: F
Vaccine: HEPA, HPV4, MNQ, TDAP, VARCEL, HEPA, HPV4, MNQ, VARCEL
Symptoms: Blood glucose normal, Convulsion, Dizziness, Headache, Hypotonia
Clinical narrative: Within one minute of vaccination with Gardasil, the patient felt nausea, and fell over the side of the bed on which she was sitting with complete loss of conciousness. She fell on her face and was unresponsive and hypotonic for about one minute. She then became hypertonic and rigid for thirty seconds before responding. She had post ictal headaches, dizziness and no memory of the event. This episode is in keeping with seizure like activity.
Age: 17.0
Sex: F
Vaccine: HEPA, HPV4, MNQ, TDAP, VARCEL, HEPA, HPV4, MNQ, VARCEL
Symptoms: Loss of consciousness, Memory impairment, Nausea, Unresponsive to stimuli
Clinical narrative: Within one minute of vaccination with Gardasil, the patient felt nausea, and fell over the side of the bed on which she was sitting with complete loss of conciousness. She fell on her face and was unresponsive and hypotonic for about one minute. She then became hypertonic and rigid for thirty seconds before responding. She had post ictal headaches, dizziness and no memory of the event. This episode is in keeping with seizure like activity.
Age: 17.0
Sex: F
Vaccine: HEPA, HPV4, MNQ, TDAP, VARCEL, HEPA, HPV4, MNQ, VARCEL
Symptoms: Convulsion, Headache, Loss of consciousness
Clinical narrative: Within one minute of vaccination with Gardasil, the patient felt nausea, and fell over the side of the bed on which she was sitting with complete loss of conciousness. She fell on her face and was unresponsive and hypotonic for about one minute. She then became hypertonic and rigid for thirty seconds before responding. She had post ictal headaches, dizziness and no memory of the event. This episode is in keeping with seizure like activity.
Age: 34.0
Sex: M
Vaccine: ANTH
Symptoms: Blood pressure, Body temperature increased, Chills, Pyrexia
Clinical narrative: On 18 September 2007 the patient awoke rigorous with fever and chills at 2100 and reported to medical.  The patient's temperature was 99.2 F and he was then treated with two 325 mg tablets of Tylenol PO and advised to return to medical if Signs and/or symptoms worsened or persisted.  On 19 September the patient presented to medical with fever, chills, a temperature of 99.8, a B/P of 170/89 and a pulse of 101.  Patient was found to be orthostatic.  Patient was treated with 800 mg Motrin, 160 mg Diovan (Previously prescribed to the patient) by mouth, 1 liter of NS and 24 hours Bed rest.  Signs and symptoms have resolved on 20 September 2007.
Age: 5.0
Sex: M
Vaccine: DTAP
Symptoms: Oedema peripheral
Clinical narrative: Patient was seen at 8:45 a.m. on 08-29-2007 for a DAPTACEL REACTION. Pt came in on 08-29-2007 with a swollen right thigh. Child developed no fever according to father. Child was walking well and did not state any other discomforts.
Age: 6.0
Sex: M
Vaccine: VARCEL
Symptoms: Confusional state, Eyelid oedema, Wheezing
Clinical narrative: Patient presented 15 minutes after administration of Varicella vaccine on 9/19/07 at 12:30 pm. With wheezing, eyelid swelling and confused Txed with 0.25 cc of Epinephrine 1:1000 -> Improved
Age: 5.0
Sex: M
Vaccine: VARCEL
Symptoms: Allergy to vaccine, Cold compress therapy, Erythema, Oedema peripheral, Pruritus
Clinical narrative: Grandmother stated after VZV given on 9-17-07 in left arm child c/o itching. On 9-18-07 child's left upper arm was red, swollen and still itching. Problem continued to get worse. On 9-19-07 grandmother called here to inform of problems. Stated redness was "about size of coffee cup". Advised to put cool compress on site, given Benadryl and take to MD. On 8-20-07 Grandmother called to inform MD dx of allergic reaction to VCV.
Age: 3.0
Sex: F
Vaccine: HEPA
Symptoms: Eye swelling, Swelling face, Swollen tongue
Clinical narrative: pt c/o swollen tongue, face, eyes and went to Emergency room
Age: 7.0
Sex: F
Vaccine: HEPA
Symptoms: Unevaluable event
Clinical narrative: None stated
Age: 8.0
Sex: F
Vaccine: VARCEL
Symptoms: Syncope
Clinical narrative: After giving Varivax in (L) arm SQ, pt went to leave through the waiting room. She fainted while in waiting room. We brought her to lie down on exam table - normal BP - given water to drink. Pt went home well.
Age: 3.0
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PPV
Symptoms: Convulsion
Clinical narrative: Pediarix on Friday fever of over 100 deg Sat & Sun-well on Monday-On Tuesday or Wednesday evening had a seizure. Mom states child afebrile-went to ER at hospital
Age: 1.9
Sex: F
Vaccine: DTAPH, HEPA, PNC
Symptoms: Cold compress therapy, Injection site pain, Injection site swelling
Clinical narrative: Local swelling at site of injection and pain. Advice cold compresses and Tylenol PRN.
Age: 1.3
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Injection site inflammation, Injection site swelling
Clinical narrative: 9-16-07 seen in clinic. Quarter size moderately inflamed tissue at injection site. Non-tender slightly raised.
Age: 9.0
Sex: F
Vaccine: HEPA, VARCEL
Symptoms: Injection site erythema, Injection site warmth, Rash vesicular
Clinical narrative: Red, warm arm with some vesicular rash over (R) upper outer arm area x 7" LX 3" W
Age: 0.17
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Irritability, Pyrexia, Vomiting
Clinical narrative: After immunizations on 2/20/07 was inconsolable for about 8 hours and had fever about 12 hours. After immunizations on 5/1/07 was inconsolable for about 6-8 hours, vomited several times for about 1 hour and had fever lasting about 24 hours.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV
Symptoms: Grand mal convulsion
Clinical narrative: generalized seizure (grand mal) duration 2 minutes on 9-8-07
Age: 42.0
Sex: F
Vaccine: PPV
Symptoms: Injection site pain, Injection site swelling, Pain, Pain in extremity, Swelling
Clinical narrative: Pt received vaccine in the back of her arm (L). Pt complained of (L) arm pain during and 8 hrs later. Pt with swollen area the size of a grapefruit around injection site nd soreness and pain and swelling.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site swelling, Pyrexia
Clinical narrative: injection site erythema/swelling up and down arm, low grade fever
Age: 34.0
Sex: F
Vaccine: VARCEL
Symptoms: Fatigue, Injection site rash, Nausea, Pain
Clinical narrative: Tired, achy, nausea, rash on site Treatment: increased fluids, PRN Benadryl, Tylenol PRN
Age: 78.0
Sex: F
Vaccine: PPV
Symptoms: Erythema, Injection site discharge, Scab
Clinical narrative: Saw doctor 5 times - took Keflex - Mupirocin ointment, still drains - has 3rd scab as 79/17/07 - still red around scab.
Age: 7.0
Sex: M
Vaccine: TDAP
Symptoms: Inappropriate schedule of drug administration, Oedema peripheral, Pain in extremity, Paraesthesia, Urticaria
Clinical narrative: Initial report received from a parent of a patient on 16 June 2007. A 7 year old male patient (with no known allergies) developed hives on his face, neck, arms and lower back, 3 1/2 to 4 hours after is received Adacel (lot number unknown intramuscularly in the left deltoid on 15 June 2007. He was treated with Benadryl and it resolved. He also complained of pain and swelling in the left arm and pain from the left clavicle extending to the right clavicle. He also complained of pins and needles in the "LLE" radiating from the hip. The patient did not have any illness and was not on any medications at the time of the vaccination. At the time of the report, he had not recovered.
Age: 32.0
Sex: F
Vaccine: TDAP
Symptoms: Arthralgia, Lymphadenopathy, Malaise, Muscular weakness, Myalgia
Clinical narrative: Initial report received from a patient in the USA on 18 July 2007. A 33 year old patient (with a medical history of allergies-PCN, egg, gluten, diary and mitral valve prolapse) complained of "shooting pains in the head and jaw", muscle and joint aches, malaise, lymph node swelling and weakness in legs after she received Adacel (lot number unknown, route and site of administration not reported) and a "TB test" (manufacturer, lot number, route and site administration not reported) "3 weeks ago". She denied any illness at the time of the vaccination. At the time of the report, some symptoms resolved but others persist. She has not been evaluated by a physician and her recovery status was not reported.
Age: 32.0
Sex: F
Vaccine: TDAP
Symptoms: Pain
Clinical narrative: Initial report received from a patient in the USA on 18 July 2007. A 33 year old patient (with a medical history of allergies-PCN, egg, gluten, diary and mitral valve prolapse) complained of "shooting pains in the head and jaw", muscle and joint aches, malaise, lymph node swelling and weakness in legs after she received Adacel (lot number unknown, route and site of administration not reported) and a "TB test" (manufacturer, lot number, route and site administration not reported) "3 weeks ago". She denied any illness at the time of the vaccination. At the time of the report, some symptoms resolved but others persist. She has not been evaluated by a physician and her recovery status was not reported.
Age: 28.0
Sex: F
Vaccine: TDAP
Symptoms: Arthralgia, Incorrect route of drug administration, Injection site discolouration, Injection site nodule, Musculoskeletal stiffness
Clinical narrative: Initial report received from a patient on 24 July 2007. A 28 year old female patient (with a history of an adrenal tumour) had joint and muscle aches and low grade fever, 1 day after she Adacel (lot number C2769AA) subcutaneously in the left arm on 10 July 2007. She now had a "stiff neck" and black and blue" area and hard nodule at the injection site. The patient did not have any illness at the time of the vaccination, but had a needle stick at work. She was evaluated at the ER on 21 July 2007 and Motrin was given. At the time of the report, she had not recovered.
Age: 28.0
Sex: F
Vaccine: TDAP
Symptoms: Myalgia, Pyrexia
Clinical narrative: Initial report received from a patient on 24 July 2007. A 28 year old female patient (with a history of an adrenal tumour) had joint and muscle aches and low grade fever, 1 day after she Adacel (lot number C2769AA) subcutaneously in the left arm on 10 July 2007. She now had a "stiff neck" and black and blue" area and hard nodule at the injection site. The patient did not have any illness at the time of the vaccination, but had a needle stick at work. She was evaluated at the ER on 21 July 2007 and Motrin was given. At the time of the report, she had not recovered.
Age: 53.0
Sex: F
Vaccine: TDAP
Symptoms: Chills, Heart rate increased, Insomnia, Pain, Respiratory rate increased
Clinical narrative: Initial report received from a patient on 08 August 2007. A 53 year old, female patient (with no known allergies) developed chills, achiness and had difficulty sleeping. 7 hours after she received Adacel (lot number unknown) intramuscularly in the left deltoid on 07 August 2007. She also stated her "heart was beating fast" and her "breathing rate had increased." She denied having any illness at the time of the vaccination. At the time of the report, she was feeling better, but had not completely resolved.
Age: 44.0
Sex: M
Vaccine: TDAP
Symptoms: Axillary pain, Electromyogram, Grip strength decreased, Neck pain, Nerve conduction studies
Clinical narrative: Initial report received from a health care professional on 25 May 2007. A 44 year old male patient (with a history of no known allergies) complained of severe neck pain radiating down the left arm and left axillary area, 4 hours after he received Adacel (lot number C2730AA) intramuscularly in the left deltoid on 24 May 2007. There was loss of sensation anteriorly and posteriorly from the mid forearm to the left hand. He is unable to grasp or lift. He was sent to the emergency room for evaluation. He did not have any illness at the time of vaccination. At the time of the report, he had not recovered. Follow-up information was received from the health professional on 15 August 2007. The patient was referred for a neurology consult, and underwent EMG (electomyogram, NCV (nerve conduction velocity), and work-up for polyneuropathy. Results for these tests were not available.
Age: 44.0
Sex: M
Vaccine: TDAP
Symptoms: Pain in extremity, Sensory loss
Clinical narrative: Initial report received from a health care professional on 25 May 2007. A 44 year old male patient (with a history of no known allergies) complained of severe neck pain radiating down the left arm and left axillary area, 4 hours after he received Adacel (lot number C2730AA) intramuscularly in the left deltoid on 24 May 2007. There was loss of sensation anteriorly and posteriorly from the mid forearm to the left hand. He is unable to grasp or lift. He was sent to the emergency room for evaluation. He did not have any illness at the time of vaccination. At the time of the report, he had not recovered. Follow-up information was received from the health professional on 15 August 2007. The patient was referred for a neurology consult, and underwent EMG (electomyogram, NCV (nerve conduction velocity), and work-up for polyneuropathy. Results for these tests were not available.
Age: 32.0
Sex: F
Vaccine: TDAP
Symptoms: Cough, Injection site erythema, Injection site reaction, Injection site urticaria, Myalgia
Clinical narrative: Initial report received from a patient on 29 May 2007. A 32 year old female patient (with a history of no known allergies and was 6 weeks post partum) developed a large red welt around the injection site, 24 hours after she received Adacel (lot number unknown) intramuscularly in the left deltoid on 23 May 2007. She also had muscle aches and repetitive - nonproductive cough that began 5 days post immunization. She did not have any illness at the time of vaccination. At the time of the report, she states the cough subsides during the days and she has the same coughing as her infant. She has not recovered. Follow-up information received on 02 July 2007. Adacel lot number C2734AA was provided. Additional information was not provided.
Age: 22.0
Sex: F
Vaccine: HEP, TDAP
Symptoms: Cellulitis, Lymphadenopathy, Pain in extremity, Skin nodule, Tenderness
Clinical narrative: Initial report received from a health care professional on 30 May 2007. A 22 year old, female patient (with a history of asthma and a smoker, and allergy to Biaxin) complained of pain in the left collar bone, 5 days after she received Adacel (lot number C2730AA) intramuscularly in the left deltoid and Hep B (Merck, lot number 0039U) intramuscularly in the left deltoid, on 16 May 2007. She found it painful to raise her left arm and a 0.5 cm node was palpable at the mid clavicle. No weakness noted. It was unknown if she had any illness at the time of the vaccination. At the time of the report, the patient had not recovered. Follow-up information received on 09 August 2007. It was reported the patient developed cellulitis with local adenopathy after receiving the two (2) vaccines. She received a course of Keflex for the local infection and was seen by the reporter on 05 July 2007 reporting a persistent tenderness over the left shoulder area. An ultrasound of the neck was ordered to evaluate the symptom. She did not have any illness at the time of the vaccination. Her recovery status is good, she has improved greatly after the course of antibiotics.
Age: 22.0
Sex: F
Vaccine: HEP, TDAP
Symptoms: Ultrasound scan
Clinical narrative: Initial report received from a health care professional on 30 May 2007. A 22 year old, female patient (with a history of asthma and a smoker, and allergy to Biaxin) complained of pain in the left collar bone, 5 days after she received Adacel (lot number C2730AA) intramuscularly in the left deltoid and Hep B (Merck, lot number 0039U) intramuscularly in the left deltoid, on 16 May 2007. She found it painful to raise her left arm and a 0.5 cm node was palpable at the mid clavicle. No weakness noted. It was unknown if she had any illness at the time of the vaccination. At the time of the report, the patient had not recovered. Follow-up information received on 09 August 2007. It was reported the patient developed cellulitis with local adenopathy after receiving the two (2) vaccines. She received a course of Keflex for the local infection and was seen by the reporter on 05 July 2007 reporting a persistent tenderness over the left shoulder area. An ultrasound of the neck was ordered to evaluate the symptom. She did not have any illness at the time of the vaccination. Her recovery status is good, she has improved greatly after the course of antibiotics.
Age: 37.0
Sex: F
Vaccine: TDAP
Symptoms: Balance disorder, Injection site pain, Injection site swelling, Injection site warmth, Lymphadenopathy
Clinical narrative: Initial report received from a health care professional in the USA on 06 June 2007. A 29 year old, female patient (with a medical history of no allergies) developed a 102 degrees F-fever and a painful injection site, 1 day after she received Adacel (lot number C2610AA) intramuscularly in the right deltoid on 30 March 2007. On 01 April 2007, she "felt off balance" with blurred vision-she refused treatment and transport to the ER. She was seen in the physician's office on 02 April 2007 with a temperature of 98.8 F. The injection site was painful, warm to touch and had swelling. She has swollen axillary nodes. She had Keflex 500 mg TID for 7 days and warm compresses as treatment. The patient did not have any illness at the time of the vaccination. It was reported that she recovered.
Age: 37.0
Sex: F
Vaccine: TDAP
Symptoms: Pyrexia, Vision blurred
Clinical narrative: Initial report received from a health care professional in the USA on 06 June 2007. A 29 year old, female patient (with a medical history of no allergies) developed a 102 degrees F-fever and a painful injection site, 1 day after she received Adacel (lot number C2610AA) intramuscularly in the right deltoid on 30 March 2007. On 01 April 2007, she "felt off balance" with blurred vision-she refused treatment and transport to the ER. She was seen in the physician's office on 02 April 2007 with a temperature of 98.8 F. The injection site was painful, warm to touch and had swelling. She has swollen axillary nodes. She had Keflex 500 mg TID for 7 days and warm compresses as treatment. The patient did not have any illness at the time of the vaccination. It was reported that she recovered.
Age: 69.0
Sex: M
Vaccine: TDAP
Symptoms: Adverse drug reaction, Cough, Dyspnoea, Wheezing
Clinical narrative: A 71 year old, male patient (with a history of stent (corrected) heart disease, hypertension) was short of breath, had wheezing and coughing within 2 hours after he received Adacel (lot number C2538AA) intramuscularly in the left arm on 13 June 2007. He did not seek medical attention until 6 days later-the cough still persists. He was treated with an Advair inhaler for one week. At the time of the vaccination, he was on heart meds, Zocor and BP meds. At the time of the report, he had not recovered. Follow-up information received on 17 August 2007. The patient had a history of stent. He was diagnosed with an adverse reaction-dyspnoea secondary to Adacel vaccine. The duration of the events was 7-10 days and he is now completely recovered.
Age: 56.0
Sex: F
Vaccine: TDAP
Symptoms: Chills, Cough, Fatigue, Headache, Myalgia
Clinical narrative: This case was reported by a health professional in the United States on 21 June 2007. A 56-year-old female patient received an injection of Adacel (lot number, route, and site not reported) on 02 April 2007 after a "pencil jab". Approximately eight hours after vaccination, she began to experience fever, chills, muscle and body aches, cough, congestion, headache, and tiredness which lasted for one week. The patient recovered.
Age: 56.0
Sex: F
Vaccine: TDAP
Symptoms: Nasal congestion, Pain, Pyrexia
Clinical narrative: This case was reported by a health professional in the United States on 21 June 2007. A 56-year-old female patient received an injection of Adacel (lot number, route, and site not reported) on 02 April 2007 after a "pencil jab". Approximately eight hours after vaccination, she began to experience fever, chills, muscle and body aches, cough, congestion, headache, and tiredness which lasted for one week. The patient recovered.
Sex: F
Vaccine: TDAP
Symptoms: Chills, Cough, Fatigue, Headache, Myalgia
Clinical narrative: This case was reported by a health professional in the United States on 21 June 2007. A female patient in her 20's received an injection of Adacel in the emergency room (lot number, route, site, and administration date not provided) following a puncture wound. She subsequently developed chills, fever, headache, muscle and body aches, tiredness, cough, and congestion which persisted for one week following vaccination. The events resolved.
Sex: F
Vaccine: TDAP
Symptoms: Nasal congestion, Pain, Pyrexia
Clinical narrative: This case was reported by a health professional in the United States on 21 June 2007. A female patient in her 20's received an injection of Adacel in the emergency room (lot number, route, site, and administration date not provided) following a puncture wound. She subsequently developed chills, fever, headache, muscle and body aches, tiredness, cough, and congestion which persisted for one week following vaccination. The events resolved.
Age: 69.0
Sex: F
Vaccine: TDAP
Symptoms: Chills, Dizziness, Injection site erythema, Injection site pain, Injection site pruritus
Clinical narrative: Initial report received from the husband of a patient in the USA on 25 June 2007. A 69 year old, female patient complained of severe dizziness, nausea, vomiting, chills, mild fever, body aches and had a large red spot at the injection site with itching and pain, after she received Adacel (manufacturer, lot number, route and site of administration not reported) on 01 June 2007. On the evening of 02 June 2007, the patient noticed a large, round, raised, red spot on her arm at the injection site. The spot was the colour of a severe sunburn, about two inches in diameter and 1/16th of a inch high. The spot felt warm, it itched and there was some pain in the area. She retired late, about 0140 in the morning on 03 June 2007, about 34 hours after the vaccination. She yelled from bed at around 0150, and her husband went to help her. She complained about severe dizziness and nausea. Over the next 20 minutes, she had the following symptoms: vomiting, aching in the arm with the injection site, both arms, then the whole body; mild fever; chills, nausea and considerable dizziness continued. Her pulse was 80 beats per minute. She refused to be taken to emergency. By 0500, the symptoms had subsided some what and she returned to bed. By Sunday afternoon, 03 June 2007, she felt much better but still was mildly dizzy and the red spot on her arm was still sore. By afternoon on 04 June 2007, all symptoms were gone except for the round, red spot on her arm. Follow-up information received on 13 August 2007. The patient is allergic to shellfish-causes dizziness, but no rash, face swelling or dyspnoea. She received Adacel (lot number C2731AA) in the left deltoid. She did not have any illness at the time of the vaccination. No treatment was given and the symptoms resolved.
Age: 69.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site warmth, Nausea, Pain, Pyrexia, Vomiting
Clinical narrative: Initial report received from the husband of a patient in the USA on 25 June 2007. A 69 year old, female patient complained of severe dizziness, nausea, vomiting, chills, mild fever, body aches and had a large red spot at the injection site with itching and pain, after she received Adacel (manufacturer, lot number, route and site of administration not reported) on 01 June 2007. On the evening of 02 June 2007, the patient noticed a large, round, raised, red spot on her arm at the injection site. The spot was the colour of a severe sunburn, about two inches in diameter and 1/16th of a inch high. The spot felt warm, it itched and there was some pain in the area. She retired late, about 0140 in the morning on 03 June 2007, about 34 hours after the vaccination. She yelled from bed at around 0150, and her husband went to help her. She complained about severe dizziness and nausea. Over the next 20 minutes, she had the following symptoms: vomiting, aching in the arm with the injection site, both arms, then the whole body; mild fever; chills, nausea and considerable dizziness continued. Her pulse was 80 beats per minute. She refused to be taken to emergency. By 0500, the symptoms had subsided some what and she returned to bed. By Sunday afternoon, 03 June 2007, she felt much better but still was mildly dizzy and the red spot on her arm was still sore. By afternoon on 04 June 2007, all symptoms were gone except for the round, red spot on her arm. Follow-up information received on 13 August 2007. The patient is allergic to shellfish-causes dizziness, but no rash, face swelling or dyspnoea. She received Adacel (lot number C2731AA) in the left deltoid. She did not have any illness at the time of the vaccination. No treatment was given and the symptoms resolved.
Age: 56.0
Sex: F
Vaccine: TDAP
Symptoms: Erythema, Swelling
Clinical narrative: A 56-year-old female patient with no current illness or preexisting conditions experienced erythema and swelling after receiving an intramuscular left arm injection of Adacel (lot number C2731AA). The vaccine was administered on 21 May 2007, and on 24 May 2007 the patient experienced erythema and swelling in a 6 cm by 12 cm area. The event subsequently resolved.
Sex: F
Vaccine: TDAP
Symptoms: Body temperature increased, Malaise, Pain, Pain in extremity
Clinical narrative: A female patient (age not reported), with no illness at the time of vaccination, had received a first dose, intramuscular injection of Adacel, lot number C2690AA, on 11 May 2007. At an unspecified amount of time post-vaccination, the patient experienced aches all over, a temperature of 104 degrees Fahrenheit, arm pain, and malaise for two days. Diagnostic testing was none. Other medications were "not available." The patient recovered from the event. The reporter in this case is the same as in cases 2007-02489, 2007-02496, 2007-02497, 2007-02498, and 2007-02499.
Age: 23.0
Sex: F
Vaccine: TDAP
Symptoms: Musculoskeletal stiffness, Neck pain
Clinical narrative: A 23-year-old female patient, who no pre-existing medical conditions and no illness at the time of vaccination, had received a first dose, intramuscular injection of Adacel, lot number C2690AA, on 09 May 2007. At an unspecified amount of time post-vaccination, the patient experienced severe left neck pain and stiffness. She did not experience fever or headache. Other medications were "not available." The patient recovered from the event. Additional medically relevant information was not provided. The reporter in this case is the same as in cases 2007-02489, 2007-02495, 2007-02497, 2007-02498, and 2007-02499.
Sex: F
Vaccine: TDAP
Symptoms: Body temperature increased, Headache, Lymphadenopathy
Clinical narrative: A female patient (age not reported), with no illness at the time of vaccination, had received a first dose, intramuscular injection of Adacel, lot number C2690AA, on 09 May 2007. At an unspecified amount of time post-vaccination, the patient experienced headache, swollen glands, and a temperature of 101.8 degrees Fahrenheit. The patient recovered from the event. The reporter in this case is the same as in cases 2007-02489, 2007-02495, 2007-02496, 2007-02497, and 2007-02499.
Sex: M
Vaccine: TDAP
Symptoms: Body temperature increased, Joint swelling, Lymphadenopathy, Pain
Clinical narrative: A male patient (age not specified), with no illness at the time of vaccination, had received a first dose, intramuscular, left deltoid injection of Adacel, lot number C2690AA, on 12 June 2007. At an unspecified amount of time post-vaccination, the patient experienced a temperature of 102.0 degrees Fahrenheit, severe swollen glands in the right neck, and aches which lasted for five days. It was also reported that he experienced a swollen left knee eight days following vaccination. Diagnostic testing was none. The patient recovered from the event. The reporter in this case is the same as in case 2007-02489, 2007-02495, 2007-02496, 2007-02497, and 2007-02498.
Age: 59.0
Sex: M
Vaccine: TDAP
Symptoms: Reaction to previous exposure to any vaccine, Vision blurred, Visual disturbance
Clinical narrative: A 59-year-old male patient, with no illness at the time of vaccination, had received a left deltoid, intramuscular injection of Adacel, lot number C2759AA, on 03 July 2007. Ten days post-vaccination, he experienced "blurred vision and a wavy appearance in the left eye." The patient reported experiencing a similar episode 15 years prior following Hepatitis B vaccination. At that time, he was diagnosed with pars planitis. Other medications were none. The patient was referred to an eye clinic for evaluation. At the time of this report, the patient had not recovered.