chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 0.3
Sex: M
Vaccine: DTAP, HBHEPB, RV5, RV5
Symptoms: Barium double contrast, Cough, Diarrhoea, Irritability, Vomiting
Clinical narrative: Diarrhea, vomiting x 3 days, hospitalized on IVF protracted vomiting despite NPO and was bilious vomiting after 24 hrs; period of waxing  and waning, sighing and clutching belly-Referred to hosp- Operated for Intussusception 04/30/08-record received for DOS 04/13-04/14/08-DC DX: Inutssusception. Presented to ED with persistent abdominal pain. Fussy, blood in rectum. Oral thrush noted. Vomitng began 2 days prior initially diarrhea green colored stools then orange, dehyrdsation. No stool for 2 days.Surgery:Laparotomy, manual reducible ileocolic intussusception. Returned to ED post operative with C/O abdominal pain.
Age: 0.3
Sex: M
Vaccine: DTAP, HBHEPB, RV5, RV5
Symptoms: Intussusception
Clinical narrative: Diarrhea, vomiting x 3 days, hospitalized on IVF protracted vomiting despite NPO and was bilious vomiting after 24 hrs; period of waxing  and waning, sighing and clutching belly-Referred to hosp- Operated for Intussusception 04/30/08-record received for DOS 04/13-04/14/08-DC DX: Inutssusception. Presented to ED with persistent abdominal pain. Fussy, blood in rectum. Oral thrush noted. Vomitng began 2 days prior initially diarrhea green colored stools then orange, dehyrdsation. No stool for 2 days.Surgery:Laparotomy, manual reducible ileocolic intussusception. Returned to ED post operative with C/O abdominal pain.
Age: 53.0
Sex: F
Vaccine: TDAP
Symptoms: Chest discomfort, Dyspnoea, Injection site swelling, Pain in extremity
Clinical narrative: Pt sustained scratch to Rt hand 4-4-08. Received Tdap upper (L) arm. Pt seen by doctor 4-10-08 reporting (L) arm soreness and swelling injection site. Received Keflex qid. On 4-11-08, pt had severe chest discomfort, syncope, and shortness of breath. Was airlifted to hospital.  04/28/2008 MR received for DOS 4/11-12/2008 with D/C DX: Substernal chest heaviness/unstable angina pectoris: Documented normal coronary arteries per heart cath. L arm swelling: S/P TDaP injection 2 weeks ago.  Suspect inflammatory reaction treated with Solumedrol. Hx of cerebral blood flow abnormality with subsequent Chiari procedure 4 yrs ago.  Hx of carcinoma of the breast with R mastectomy.  Exogenous obesity.  Hyperlipidemia.  Negative gallbladder sonogram.  Negative bilateral Doppler study of lower extremities. Pt transported to ER with substernal chest discomfort, weakness and near syncope. Pt was on abx x 1 day for swelling and pain in the injected arm. Cardiac w/u (-). D/C in stable condition.
Age: 13.0
Sex: M
Vaccine: MNQ, TDAP
Symptoms: Injection site swelling
Clinical narrative: Swelling at site of injection 4" in diameter
Age: 17.0
Sex: F
Vaccine: HPV4
Symptoms: Erythema, Rash generalised
Clinical narrative: Red rash on back, trunk, face and arms.
Age: 12.0
Sex: F
Vaccine: HEP, HPV4, MNQ, TDAP
Symptoms: Syncope
Clinical narrative: Patient fainted briefly recovered immediately, did not suffer injuries.
Age: 22.0
Sex: M
Vaccine: HEPA, SMALL, TYP
Symptoms: Platelet count decreased, Thrombocytopenia
Clinical narrative: 22 year old patient received ACAM2000, Typhoid, and Hepatitis A vaccines on 11 March 2008.  He was found on follow-up lab testing to have developed Thrombocytopenia (last PLT 70K) after an initially normal PLT count of 170K before beginning the study.  6/24/08 Reviewed medical records of 4/15/2008. FINAL DX: thrombocytopenia Records reveal patient was in good health on day of vaccination.  Had 1-2 days of mild axillary pain s/p vaccinations.
Age: 55.0
Sex: F
Vaccine: TDAP
Symptoms: Bursitis, Injected limb mobility decreased, Pain in extremity
Clinical narrative: Associated reported continued pain with limited range of motion to left deltoid on 3/31/08. Associate was given authorization on 3/31/08 to see medical provider of choice, and went to see above MD on 4/15/08. Medical diagnosis is bursitis.
Age: 36.0
Sex: F
Vaccine: TDAP
Symptoms: Diarrhoea, Injection site mass, Oedema peripheral, Rash, Vomiting
Clinical narrative: Pt. called me 4-16-08 & stated she had no redness or any symptoms until one wk. after the injection when she started with a lump at the injection site.  She was seen at hosp. on 4-8-08 & cephalexin was prescribed.  Stated she started with vomiting that same day & contributed it to the med. (she D/C'd med).  On 4-11-08 vomiting was accompanied by diarrhea.  Went back to hosp. on 4-11-08.  Had I.V. infusion Toradol (for arm discomfort) & R.A. X-ray which was neg.  Pt. was unhappy when physician Dx her with viral condition & hadn't done labs/X-rays (which is why he most likely did an X-ray of her arm).  The physician told her to continue the cephalexin & did not give her an IV antibiotic.  The pt. D/C'd the cephalexin again on 4-11-08.  She states that on Sun. April 13th, her entire arm became edematous & was accompanied by a rash so she decided to start the cephalexin again & increased her food intake with same.  She called her PCP on Monday 4-14-08 (although she felt better in regard to n/v & arm) but the physician was not available.  She received a return call from PCP's answering service ??? today (4-16-08) & has an appointment scheduled for tomorrow 4-17-08.  I asked her why she didn't just see her PCP's coverage & she stated she doesn't like that physician.  I've asked this patient to call me with any questions.  I feel this situation had to have started with a minor local reaction which was not addressed & later when it progressed to a cellulitis, was not properly tended to (just my opinion from the history obtained).
Age: 36.0
Sex: F
Vaccine: TDAP
Symptoms: X-ray normal
Clinical narrative: Pt. called me 4-16-08 & stated she had no redness or any symptoms until one wk. after the injection when she started with a lump at the injection site.  She was seen at hosp. on 4-8-08 & cephalexin was prescribed.  Stated she started with vomiting that same day & contributed it to the med. (she D/C'd med).  On 4-11-08 vomiting was accompanied by diarrhea.  Went back to hosp. on 4-11-08.  Had I.V. infusion Toradol (for arm discomfort) & R.A. X-ray which was neg.  Pt. was unhappy when physician Dx her with viral condition & hadn't done labs/X-rays (which is why he most likely did an X-ray of her arm).  The physician told her to continue the cephalexin & did not give her an IV antibiotic.  The pt. D/C'd the cephalexin again on 4-11-08.  She states that on Sun. April 13th, her entire arm became edematous & was accompanied by a rash so she decided to start the cephalexin again & increased her food intake with same.  She called her PCP on Monday 4-14-08 (although she felt better in regard to n/v & arm) but the physician was not available.  She received a return call from PCP's answering service ??? today (4-16-08) & has an appointment scheduled for tomorrow 4-17-08.  I asked her why she didn't just see her PCP's coverage & she stated she doesn't like that physician.  I've asked this patient to call me with any questions.  I feel this situation had to have started with a minor local reaction which was not addressed & later when it progressed to a cellulitis, was not properly tended to (just my opinion from the history obtained).
Age: 0.5
Sex: M
Vaccine: DTAPHEPBIP, HIBV, MMR, PNC, RV5
Symptoms: Inappropriate schedule of drug administration, Injection site rash
Clinical narrative: Rash on right leg. Started 4-16-08
Age: 66.0
Sex: F
Vaccine: PPV, VARZOS
Symptoms: Chills, Injection site erythema, Injection site swelling, Local reaction, Pyrexia
Clinical narrative: Heavy rigors about 12 hr post vac. (1) Fever to 102 about 12 hr post vac. (2) severe local reaction with swelling and redness 1st at zoster vac. site then a couple days later at pneum. vac. site
Sex: U
Vaccine: VARCEL
Symptoms: Herpes zoster, Varicella
Clinical narrative: Patient diagnosed with varicella in 2003; Patient diagnosed with herpes zoster 4/08
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Dyspnoea
Clinical narrative: Pt c/o ST and difficulty breathing about 6 hrs after immunizations administered - was given Albuterol neb and steroids at after hours clinic.
Age: 1.7
Sex: M
Vaccine: DTAP, MMR
Symptoms: Rash generalised
Clinical narrative: 4-4-08 rash appeared, no fever, no runny nose per mother. 4-8-08 child seen in office, rash on face, trunk, back, and external genitalia-taking Benadryl. 4-9-08 child seen in office-rash is more pronounced all over including eyelids and ears-taking Benadryl and Orapred.
Age: 10.0
Sex: M
Vaccine: HEPA, VARCEL
Symptoms: Injection site erythema, Injection site pruritus
Clinical narrative: Developed erythema and itching at site of Varivax injection - approximately 3 cm. diameter. Put on Keflex 250 mg qid.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Right deltoid red/swollen > 1/2".
Age: 1.5
Sex: M
Vaccine: DTAP, HEPA, MMR, PNC, VARCEL
Symptoms: Varicella post vaccine
Clinical narrative: Varivax administered 3/26/2008.  Pt. returned to office on 4/17/2008 with diagnosed varicella disease <20 lesions.
Age: 0.2
Sex: F
Vaccine: DTAP, HIBV, IPV, PNC, RV5
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Left leg warm, red, swollen knee to groin, right about 3cm diameter at site as of 4/17/08 245 pm (returned)
Age: 4.0
Sex: U
Vaccine: DTAP, IPV, VARCEL
Symptoms: Injection site erythema
Clinical narrative: 6x4 cm erythema left upper arm, no induration.
Age: 7.0
Sex: F
Vaccine: VARCEL
Symptoms: Erythema, Rash, Swelling
Clinical narrative: Red and swollen rash. Not painful. Uncomfortable.
Age: 4.0
Sex: M
Vaccine: DTAP, HEPA, MMR, VARCEL
Symptoms: Injection site cellulitis
Clinical narrative: Cellulitis R arm.  Treated with antibiotics 4/16/08.
Age: 22.0
Sex: M
Vaccine: ANTH, SMALL, TYP, SMALL
Symptoms: Immunisation reaction, Musculoskeletal stiffness, Myositis, Pain in extremity, Pyrexia
Clinical narrative: Myositis Left Axilla, chest wall
Age: 22.0
Sex: M
Vaccine: ANTH, SMALL, TYP, SMALL
Symptoms: Myositis
Clinical narrative: Myositis Left Axilla, chest wall
Age: 38.0
Sex: M
Vaccine: SMALL, SMALL
Symptoms: Erythema multiforme, Injection site erythema, Injection site pain, Lymph node pain, Malaise
Clinical narrative: Erythema Multiforme (arm soreness, clills, redness)
Age: 38.0
Sex: M
Vaccine: SMALL, SMALL
Symptoms: Oedema peripheral
Clinical narrative: Erythema Multiforme (arm soreness, clills, redness)
Age: 38.0
Sex: M
Vaccine: SMALL, SMALL
Symptoms: Chills, Erythema, Erythema multiforme, Pain in extremity
Clinical narrative: Erythema Multiforme (arm soreness, clills, redness)
Age: 0.3
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Activated partial thromboplastin time normal, Petechiae, Platelet aggregation abnormal, Platelet count normal, Prothrombin time normal
Clinical narrative: Initial report received on 04 April 2008 from a health care professional.  A four-month-old male patient, with no past medical history, had received a second dose injection of ActHIB, lot number unknown; a second dose injection of Pediarix, manufacturer GSK (reported as Merck), lot number unknown; and a second dose injection of Prevnar, manufacturer Wyeth (reported as Merck), lot number unknown; on an unknown date.  There was no illness at the time of vaccination, and the patient was on no other medications.  Approximately 11 days post-vaccination, the patient developed petechiae.  Diagnostic testing revealed an unspecific platelet aggregation disorder.  PT, PTT, and platelet count were within normal limits.  At the time of this report, recovery status was unknown.
Sex: U
Vaccine: FLU3
Symptoms: Drug exposure during pregnancy, Foetal disorder, Glucose tolerance impaired, Premature baby, Ultrasound scan abnormal
Clinical narrative: Initial case was received on 08 April 2008 from a health care professional affiliated with an organization under OTIS reference number 0711271442, who received this information from the patient's parent. A newborn infant (gender not provided), had been diagnosed with multicystic renal dysplasia, ventricular septal defect, nos, atrial septal defect, nos and single umbilical artery 115 days after they had received a transplacental dose of Fluzone (lot number not reported) on 30 October 2007. The infant had also received the following medications transplacentally which consisted of prenatal vitamins q.d., Enbrel 50mg weekly injections (20 June 2007 to 30 July 2007), and one steroid, NOS injection on 30 November 2007. The infant's mother had a past medical history of rheumatoid arthritis which was diagnosed in 2006. The infant's date of conception had been 04 July 2007 and they were born at 35 weeks gestational age on 22 February 2008. While in utero, the mother of the baby had been diagnosed by ultrasound with a short umbilical cord and two vessel cord. The ultrasound also confirmed the presence of a cyst on the baby's kidney (non-functional). A glucose tolerance test was performed on 15 January 2008; results were reported as "failed one hour". A non-stress test was performed on 19 February 2008 (results not provided). An ultrasound was also performed on 19 February 2008 and revealed that the baby had not been growing so labor was induced on 22 February 2008. At the time of delivery, the infant was cyanotic and had respiratory problems. The infant was admitted to the neonatal intensive care unit (NICU) after delivery and placed on a ventilator for 24 hours after delivery. The cyanosis and respiratory problems resolved within 24-48 hours after delivery. The baby received a blood transfusion on 23 February 2008 due to complications from the short umbilical cord resulting in less blood flow during pregnancy. The infant remained in the NICU for 21 days (released on 13 March 2008). According to the reporter, the physicians felt the heart defects were related to the two vessel umbilical cord and birth defects were not related to exposures during pregnancy. No further information was provided at the time of the report.
Age: 69.0
Sex: F
Vaccine: HEP, TD, YF, YF
Symptoms: Activities of daily living impaired, Arthralgia, Asthenia, Back pain, Confusional state
Clinical narrative: Approximately 2 weeks after receiving vaccine, patient was on a cruise with her husband when she developed an acute febrile illness with fevers to 105 degrees, profound weakness, confusion and generalized malaise. She was taken off the ship to a hospital in another country and after about 5 days was transferred back to her home country where she eventually was transferred to a rehab unit for recovery. She reports that she has never returned to normal - she has urinary incontinence and persitent profound fatigue and sleepiness. She describes a dramatic decrease in her ability to carry out her usual activities as well as, diffuse myalgias, arthralgias, and low back pain. She states that her thinking is not as clear or sharp, she has had frequent and severe headaches and occasional falls with left lower extremity weakness. She is seeing a neurologist who discovered that the patient also had a scratch from a sloth prior to the febrile illness and he referred her to an infectious disease specialist to look into this aspect. The ID physician ordered serolgies for St. Louis encephalitis, eastern equine encephalitis and HTLV-1 which were all negative. Mild mod problems with mentation, gait, voiding. Temporal relationship to yellow fever, causation unclear.
Age: 69.0
Sex: F
Vaccine: HEP, TD, YF, YF
Symptoms: Fall, Fatigue, Febrile infection, Headache, Malaise
Clinical narrative: Approximately 2 weeks after receiving vaccine, patient was on a cruise with her husband when she developed an acute febrile illness with fevers to 105 degrees, profound weakness, confusion and generalized malaise. She was taken off the ship to a hospital in another country and after about 5 days was transferred back to her home country where she eventually was transferred to a rehab unit for recovery. She reports that she has never returned to normal - she has urinary incontinence and persitent profound fatigue and sleepiness. She describes a dramatic decrease in her ability to carry out her usual activities as well as, diffuse myalgias, arthralgias, and low back pain. She states that her thinking is not as clear or sharp, she has had frequent and severe headaches and occasional falls with left lower extremity weakness. She is seeing a neurologist who discovered that the patient also had a scratch from a sloth prior to the febrile illness and he referred her to an infectious disease specialist to look into this aspect. The ID physician ordered serolgies for St. Louis encephalitis, eastern equine encephalitis and HTLV-1 which were all negative. Mild mod problems with mentation, gait, voiding. Temporal relationship to yellow fever, causation unclear.
Age: 69.0
Sex: F
Vaccine: HEP, TD, YF, YF
Symptoms: Muscular weakness, Myalgia, Pyrexia, Somnolence, Thinking abnormal
Clinical narrative: Approximately 2 weeks after receiving vaccine, patient was on a cruise with her husband when she developed an acute febrile illness with fevers to 105 degrees, profound weakness, confusion and generalized malaise. She was taken off the ship to a hospital in another country and after about 5 days was transferred back to her home country where she eventually was transferred to a rehab unit for recovery. She reports that she has never returned to normal - she has urinary incontinence and persitent profound fatigue and sleepiness. She describes a dramatic decrease in her ability to carry out her usual activities as well as, diffuse myalgias, arthralgias, and low back pain. She states that her thinking is not as clear or sharp, she has had frequent and severe headaches and occasional falls with left lower extremity weakness. She is seeing a neurologist who discovered that the patient also had a scratch from a sloth prior to the febrile illness and he referred her to an infectious disease specialist to look into this aspect. The ID physician ordered serolgies for St. Louis encephalitis, eastern equine encephalitis and HTLV-1 which were all negative. Mild mod problems with mentation, gait, voiding. Temporal relationship to yellow fever, causation unclear.
Age: 69.0
Sex: F
Vaccine: HEP, TD, YF, YF
Symptoms: Urinary incontinence
Clinical narrative: Approximately 2 weeks after receiving vaccine, patient was on a cruise with her husband when she developed an acute febrile illness with fevers to 105 degrees, profound weakness, confusion and generalized malaise. She was taken off the ship to a hospital in another country and after about 5 days was transferred back to her home country where she eventually was transferred to a rehab unit for recovery. She reports that she has never returned to normal - she has urinary incontinence and persitent profound fatigue and sleepiness. She describes a dramatic decrease in her ability to carry out her usual activities as well as, diffuse myalgias, arthralgias, and low back pain. She states that her thinking is not as clear or sharp, she has had frequent and severe headaches and occasional falls with left lower extremity weakness. She is seeing a neurologist who discovered that the patient also had a scratch from a sloth prior to the febrile illness and he referred her to an infectious disease specialist to look into this aspect. The ID physician ordered serolgies for St. Louis encephalitis, eastern equine encephalitis and HTLV-1 which were all negative. Mild mod problems with mentation, gait, voiding. Temporal relationship to yellow fever, causation unclear.
Age: 69.0
Sex: F
Vaccine: HEP, TD, YF, YF
Symptoms: Arthralgia, Back pain, Confusional state, Fall, Fatigue
Clinical narrative: Approximately 2 weeks after receiving vaccine, patient was on a cruise with her husband when she developed an acute febrile illness with fevers to 105 degrees, profound weakness, confusion and generalized malaise. She was taken off the ship to a hospital in another country and after about 5 days was transferred back to her home country where she eventually was transferred to a rehab unit for recovery. She reports that she has never returned to normal - she has urinary incontinence and persitent profound fatigue and sleepiness. She describes a dramatic decrease in her ability to carry out her usual activities as well as, diffuse myalgias, arthralgias, and low back pain. She states that her thinking is not as clear or sharp, she has had frequent and severe headaches and occasional falls with left lower extremity weakness. She is seeing a neurologist who discovered that the patient also had a scratch from a sloth prior to the febrile illness and he referred her to an infectious disease specialist to look into this aspect. The ID physician ordered serolgies for St. Louis encephalitis, eastern equine encephalitis and HTLV-1 which were all negative. Mild mod problems with mentation, gait, voiding. Temporal relationship to yellow fever, causation unclear.
Age: 69.0
Sex: F
Vaccine: HEP, TD, YF, YF
Symptoms: Headache, Malaise, Muscular weakness, Myalgia, Pyrexia
Clinical narrative: Approximately 2 weeks after receiving vaccine, patient was on a cruise with her husband when she developed an acute febrile illness with fevers to 105 degrees, profound weakness, confusion and generalized malaise. She was taken off the ship to a hospital in another country and after about 5 days was transferred back to her home country where she eventually was transferred to a rehab unit for recovery. She reports that she has never returned to normal - she has urinary incontinence and persitent profound fatigue and sleepiness. She describes a dramatic decrease in her ability to carry out her usual activities as well as, diffuse myalgias, arthralgias, and low back pain. She states that her thinking is not as clear or sharp, she has had frequent and severe headaches and occasional falls with left lower extremity weakness. She is seeing a neurologist who discovered that the patient also had a scratch from a sloth prior to the febrile illness and he referred her to an infectious disease specialist to look into this aspect. The ID physician ordered serolgies for St. Louis encephalitis, eastern equine encephalitis and HTLV-1 which were all negative. Mild mod problems with mentation, gait, voiding. Temporal relationship to yellow fever, causation unclear.
Age: 69.0
Sex: F
Vaccine: HEP, TD, YF, YF
Symptoms: Serology negative, Urinary incontinence, Virus serology test positive
Clinical narrative: Approximately 2 weeks after receiving vaccine, patient was on a cruise with her husband when she developed an acute febrile illness with fevers to 105 degrees, profound weakness, confusion and generalized malaise. She was taken off the ship to a hospital in another country and after about 5 days was transferred back to her home country where she eventually was transferred to a rehab unit for recovery. She reports that she has never returned to normal - she has urinary incontinence and persitent profound fatigue and sleepiness. She describes a dramatic decrease in her ability to carry out her usual activities as well as, diffuse myalgias, arthralgias, and low back pain. She states that her thinking is not as clear or sharp, she has had frequent and severe headaches and occasional falls with left lower extremity weakness. She is seeing a neurologist who discovered that the patient also had a scratch from a sloth prior to the febrile illness and he referred her to an infectious disease specialist to look into this aspect. The ID physician ordered serolgies for St. Louis encephalitis, eastern equine encephalitis and HTLV-1 which were all negative. Mild mod problems with mentation, gait, voiding. Temporal relationship to yellow fever, causation unclear.
Age: 88.0
Sex: F
Vaccine: YF, YF
Symptoms: Diarrhoea, Nausea, Renal failure
Clinical narrative: Patient's family called our office on 4-11-08 stating she was c/o nausea and diarrhea on 4-10-08, but feeling some better on 4-11-08.  The nurse advised the family to seek medical attention if symptoms continued or got worse.  On 4-18-08 the patients son-in-law contacted our office.  He informed us patient had seen her physician who was admitting her to the hospital with a concern of renal failure.  6/13/08 Reviewed hospital medical records of 4/18-4/24/2008. FINAL DX: acute cholecystitis w/cholelithiasis w/gangrenous & purulent gallbladder; anemia secondary to blood loss; atrial fibrillation w/rapid ventricular response, resolved; HTN; NIDDM; hypothyroidism. Records reveal patient experienced abdominal pain, nausea, vomiting, diarrhea, dehydration x 7 days prior to admit.  Surgery of lap cholecystectomy.  Developed atrial fib post operatively & had very slow recovery overall.  D/C to home w/PICC line for continued IV antibiotics.
Age: 88.0
Sex: F
Vaccine: YF, YF
Symptoms: Cholecystitis infective, Computerised tomogram abnormal, Diarrhoea, Nausea, Surgery
Clinical narrative: Patient's family called our office on 4-11-08 stating she was c/o nausea and diarrhea on 4-10-08, but feeling some better on 4-11-08.  The nurse advised the family to seek medical attention if symptoms continued or got worse.  On 4-18-08 the patients son-in-law contacted our office.  He informed us patient had seen her physician who was admitting her to the hospital with a concern of renal failure.  6/13/08 Reviewed hospital medical records of 4/18-4/24/2008. FINAL DX: acute cholecystitis w/cholelithiasis w/gangrenous & purulent gallbladder; anemia secondary to blood loss; atrial fibrillation w/rapid ventricular response, resolved; HTN; NIDDM; hypothyroidism. Records reveal patient experienced abdominal pain, nausea, vomiting, diarrhea, dehydration x 7 days prior to admit.  Surgery of lap cholecystectomy.  Developed atrial fib post operatively & had very slow recovery overall.  D/C to home w/PICC line for continued IV antibiotics.
Age: 38.0
Sex: M
Vaccine: ANTH, HEP, SMALL
Symptoms: Chest pain, Electrocardiogram change
Clinical narrative: New onset chest pain.  Admitted to hospital on 16 April with anticipated discharge on 18 April.  Per pt report, had ECG changes, pericardial effusion, and elevated cardiac enzymes.  (Awaiting consent for release of medical records - Follow up VAERS report to follow).  Symptom: Chest Pain  07/07/2008 MR received for DOS 4/16-19/2008 with D/C DX: Eczema vaccinatum.  Cellulitis Left Deltoid.  Post-vaccination pericarditis. Pt presented with sharp, midsternal chest pain-increased with deep breathing and lying flat, improved with sitting. Pt aslo c/o fevers and dizziness. Recent dx of 2' bacterial infection of smallpox vaccination site on Keflex.
Age: 1.6
Sex: M
Vaccine: DTAP, PNC
Symptoms: Blood electrolytes, Convulsion, Ear infection, Febrile convulsion, Full blood count
Clinical narrative: Fever onset less than 24 hr after vaccines with seizure lasting less than 10 minutes.  Treated symptomatically and with azithromycin for otitis.  Temp decreased.  Fever reoccurred 24 hr later with 2nd seizure.  Child admitted to hospital.  Maximum temp 104.5.  5/9 Received only partial hospital medical records for 4/8-4/10/2008 consisting only of lab reports.  8/5/08 Reviewed hospital medical records of 4/8-4/10/2008. FINAL DX: complex febrile seizures & acute viral illness.  Records reveal patient experiened fever of 104.5 & seizures w/flexion, clenched fists, shaking, eyes rolled up, frothing at mouth for approx 10 min then sleepy afterward.  Seen in ER & dx w/OM & febrile seizures.  Tx w/antipyretic & d/c to home.  Following day, fever of 102 despite antipyretic & had another seizure lasting 15-30 min.  Exam revealed injected TMs bilaterally, erythematous oropharynx w/enlarged tonsils & shotty lymph nodes.  No further seizure despite additional fevers.  D/C to home w/outpatient EEG & neuro f/u.
Age: 1.6
Sex: M
Vaccine: DTAP, PNC
Symptoms: Lumbar puncture, Pyrexia, Urine analysis
Clinical narrative: Fever onset less than 24 hr after vaccines with seizure lasting less than 10 minutes.  Treated symptomatically and with azithromycin for otitis.  Temp decreased.  Fever reoccurred 24 hr later with 2nd seizure.  Child admitted to hospital.  Maximum temp 104.5.  5/9 Received only partial hospital medical records for 4/8-4/10/2008 consisting only of lab reports.  8/5/08 Reviewed hospital medical records of 4/8-4/10/2008. FINAL DX: complex febrile seizures & acute viral illness.  Records reveal patient experiened fever of 104.5 & seizures w/flexion, clenched fists, shaking, eyes rolled up, frothing at mouth for approx 10 min then sleepy afterward.  Seen in ER & dx w/OM & febrile seizures.  Tx w/antipyretic & d/c to home.  Following day, fever of 102 despite antipyretic & had another seizure lasting 15-30 min.  Exam revealed injected TMs bilaterally, erythematous oropharynx w/enlarged tonsils & shotty lymph nodes.  No further seizure despite additional fevers.  D/C to home w/outpatient EEG & neuro f/u.
Age: 48.0
Sex: F
Vaccine: FLU3
Symptoms: Immediate post-injection reaction, Injected limb mobility decreased, Pain in extremity
Clinical narrative: Sore right arm immediately after vaccination. Couldn't lift arm. Still taking NSAIDS and physical therapy. Notified Employee Health re: above 4-1-08. Spoke with "patient" 4-18-08 to file report.
Age: 0.2
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Crying, Injection site discolouration
Clinical narrative: Shots given at approx. 1000 AM.  Baby wouldn't stop crying.  Mom called at 1545.  Tylenol infants given at 1130 and 1530.  No rash.  No swelling.  Pink at shot sites.
Age: 20.0
Sex: M
Vaccine: ANTH, SMALL
Symptoms: Chest pain, Dyspnoea, Headache, Injection site erythema, Musculoskeletal stiffness
Clinical narrative: Headaches; fever 101.4; nausea; swelling; erythema at site; tenderness; neck stiffness; SOB; chest pain.
Age: 20.0
Sex: M
Vaccine: ANTH, SMALL
Symptoms: Nausea, Pyrexia, Swelling, Tenderness
Clinical narrative: Headaches; fever 101.4; nausea; swelling; erythema at site; tenderness; neck stiffness; SOB; chest pain.
Age: 52.0
Sex: F
Vaccine: YF
Symptoms: Headache, Pain
Clinical narrative: Headache on top of her head and vice-like pain 5/7/10. Pain sometimes alleviated with Tylenol - onset 2 days post Yellow Fever vaccine (Same as husband) but persists to this day.
Age: 52.0
Sex: M
Vaccine: YF
Symptoms: Headache, Pyrexia
Clinical narrative: Headache 2 days post yellow fever vaccine (3/8/08) until 4/3/08 after he had a fever overnight.  They were out of town at the time without a thermometer to measure his fever. (Wife has the same headache).
Age: 13.0
Sex: M
Vaccine: MNQ, VARCEL
Symptoms: Injection site induration, Oedema peripheral
Clinical narrative: Received Menactra in left arm and Varivax in right arm 3/26. The following morning, left arm began to swell. By 3/28/08, there was an area of induration 8cm x 5cm around the Menactra injection site. Treated with Benadryl.
Age: 0.2
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Diarrhoea, Occult blood positive
Clinical narrative: Severe diarrhea & hemoccult positive stools after receiving Rotateq vaccination as reported from PCPs office.  Treated with Pedialyte & withholding formula temporarily.
Age: 0.2
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Diarrhoea, Occult blood positive, Rash, Rotavirus test
Clinical narrative: Child treated by PCP for episode of diarrhea lasting > 4 days which produced hemoccult positive stool result.  PCP treated with Pedialyte & placed formula feed on hold.  Desitin to rash.
Age: 0.4
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Crying
Clinical narrative: Mom called, states baby cried all night.
Age: 66.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema
Clinical narrative: Redness at injection site. No pain. No other symptoms. Red circle the size of a silver dollar.
Age: 32.0
Sex: F
Vaccine: TDAP
Symptoms: Chills, Headache, Injection site pain, Nausea, Pain
Clinical narrative: Pain at injection site. Nausea, redness and swelling, chills and body aches, Mild fever, headache
Age: 32.0
Sex: F
Vaccine: TDAP
Symptoms: Pyrexia
Clinical narrative: Pain at injection site. Nausea, redness and swelling, chills and body aches, Mild fever, headache
Age: 14.0
Sex: M
Vaccine: MNQ, PNC
Symptoms: Headache, Injection site discolouration, Injection site pain, Injection site swelling, Otitis media
Clinical narrative: Pt was awakened at midnight with pain in left deltoid. By noon on 041008 had HA; 101 fever and severe pain in deltoid. Arm was swollen at injection site. Friday-104 fever, taking Advil & Tylenol every 4 hours for pain. Swelling moving down arm to elbow. Injection site dull in color. Went to Dr. Px with ROM and given antibiotic. Told to go to HD to report immunization reaction. Mother had been in contact with HO during this time. Client and mother
Age: 14.0
Sex: M
Vaccine: MNQ, PNC
Symptoms: Pyrexia
Clinical narrative: Pt was awakened at midnight with pain in left deltoid. By noon on 041008 had HA; 101 fever and severe pain in deltoid. Arm was swollen at injection site. Friday-104 fever, taking Advil & Tylenol every 4 hours for pain. Swelling moving down arm to elbow. Injection site dull in color. Went to Dr. Px with ROM and given antibiotic. Told to go to HD to report immunization reaction. Mother had been in contact with HO during this time. Client and mother
Age: 14.0
Sex: F
Vaccine: HEPA, MNQ, PPV
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Patient came into clinic for PPD check-up.  Menactra and PPV 23 were administered on 3/31/08.  Both vaccines were administered to left upper arm.  Patient upper arm is swollen, red, warm to touch.
Age: 1.1
Sex: M
Vaccine: FLU3, HEPA, MMR, PNC, VARCEL
Symptoms: Varicella post vaccine
Clinical narrative: Developed varicella rash throughout body 4 days after shot given.
Age: 79.0
Sex: M
Vaccine: VARZOS
Symptoms: Condition aggravated, Herpes zoster, Pain
Clinical narrative: Patient did not receive this vaccine from our medical center, but did receive treatment for the adverse event from our facility. Patient states he received the ZOSTAVAX vaccine on 3/25/08. States he had shingles when he was vaccinated and should have never received the vaccine. Had an outbreak of shingles on the right chest and right back. Outbreak is improving now, and patient now has an order for gabapentin to help with the pain. Also received acyclovir 800 mg q4h following the immunization for treatment of the shingles. Patient denied having any other immunizations in the month prior to receiving ZOSTAVAX.
Age: 0.37
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Crying, No reaction on previous exposure to drug, Otitis media, Pneumonia, Pyrexia
Clinical narrative: Pt was seen at clinic for exam on 2/7/08.  MOCH stated infant developed 103 degree fever & uncontrollable crying after about 2 hrs from receiving DTaP/HepB/IPV #2, HIB #2, PCV #2, RTV #2 (no reaction to 1st series of shots).  Was taken to ER around 9:00 pm -> Dx with pneumonia & OM and prescribed ABX.  Informed of possible adverse reaction today by MOCH.  Referral made to PCP for evaluation for administration of 3rd series of immunizations.
Age: 13.0
Sex: M
Vaccine: MNQ, VARCEL
Symptoms: Injection site erythema, Injection site pain, Injection site pruritus
Clinical narrative: Redness, painful/fading itchiness approx 6-8 am R upper arm began this hrs after vaccine
Age: 77.0
Sex: F
Vaccine: VARZOS
Symptoms: Herpes zoster
Clinical narrative: Received vaccine to prevent me from having shingles in my own doctors lab on March 24. On April 4th I had shingles.
Age: 28.0
Sex: F
Vaccine: TDAP
Symptoms: Erythema, Hypokinesia, Induration, Injected limb mobility decreased, Pain
Clinical narrative: One day after receiving Tdap vaccine patient developed an ovoid 2x3 cm area of induration warmth and erythema and was unable to extend her right elbow due to pain she came to the office the following day and was started on Keflex 500 mg 3 times daily for 7 days/ instructed to ice the area and to do ROM to right elbow.
Age: 28.0
Sex: F
Vaccine: TDAP
Symptoms: Skin warm
Clinical narrative: One day after receiving Tdap vaccine patient developed an ovoid 2x3 cm area of induration warmth and erythema and was unable to extend her right elbow due to pain she came to the office the following day and was started on Keflex 500 mg 3 times daily for 7 days/ instructed to ice the area and to do ROM to right elbow.
Age: 32.0
Sex: F
Vaccine: VARCEL
Symptoms: Injection site oedema, Injection site pain, Injection site warmth, Rash pruritic, Skin irritation
Clinical narrative: Receiving vaccine due to non-immune status and with 3 month old infant. On 4/12 had initial "bump" on face with progression of large number of "bumps" on scalp, neck, chest, back, and arms.  Bumps not fluid-filled, but quite itchy per client.  Injection site edematous, hot to touch and painful - "feels very irritated" per client.
Age: 0.34
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC, DTAP, HIBV, IPV, PNC, RV5
Symptoms: Death, Intussusception
Clinical narrative: My son died 5 days after being vaccinated from an intussusception.  5/13/08 Autopsy report states COD as complications of intussusception.  Report states patient had clinical history of abdominal distension & vomiting; IS w/5 in telescoping of ascending into transverse colon beginning at the ileocecal valve;partially reducible telescoping w/colonic infarction & prominent lymph nodes at leading colonic edge; dilated abdomen w/increased abdominal distention; BRB per rectum on autopsy & history of currant jelly stool at home; sepsis w/E.coli cultures from heart blood, spleen & lung' interstitial pneumonitis w/positive RSV antigen from nasopharynx swab.
Age: 20.0
Sex: F
Vaccine: HPV4
Symptoms: Injection site pain, Mass, Oedema peripheral, Pain in extremity, Tenderness
Clinical narrative: Patient reports of left arm soreness/pain after receiving 1st Gardasil injection with a bump down her arm. No redness or bruising. Arm swollen initially. Still complains of tenderness to the touch and pain in the arm. With certain arm movements such as lifting, pain increases from a 1 to a 7 on a pain scale. Warm compresses and over the counter pain relief has not helped with pain.
Age: 2.0
Sex: F
Vaccine: HEPA
Symptoms: Crying, Urticaria
Clinical narrative: Woke up crying and having urticaria around 4AM on the night after receiving of Hepatitis A vaccine, resolving with Benadryl.
Age: 73.0
Sex: M
Vaccine: FLU3
Symptoms: Abasia, Activities of daily living impaired, Albumin CSF increased, Ataxia, Blood chloride decreased
Clinical narrative: Over course of 11 days worsening LE weakness and ataxia, low grade fever with chills and diarrhea, loss of sensation and proprioception; progressed to inbility to walk, diagnosis of Guillain-Barre Syndrome; impaired coordination.  Hospitalized 10/20/07, Discharged to home March 14, 2008 from rehab.  Unable to walk, confined to wheelchair and walker.  Requires assistance with all ADLS.  5/01/2008 MR received for ER visit 10/18/2007 and admission DOS 10/20-11/08/2207 with D/C DX: Guillain-Barre syndrome. Pt initially presented to PCP with lower extremity weakness and a shuffling gait. Pt had developed diarrhea, fever and chills initially, then lower extremity weakness with gait disturbance as well as constipation and bladder dysfunction. Dx: with GBS and instructed to go to ER if sx progressed. Pt presented with inability to stand or walk 2' to weakness. (+) numbness in stocking-glove pattern.  Decreased strength in feet, legs, arms and hands. Admited for ascending paralysis. Tx with plasmapheresis with some improvement in neuro fxn noted. D/C to rehab. 1/21/2010 Still disabled, recoverd some function.
Age: 73.0
Sex: M
Vaccine: FLU3
Symptoms: Blood creatine phosphokinase abnormal, Blood glucose increased, Blood potassium decreased, Blood sodium decreased, Blood urea increased
Clinical narrative: Over course of 11 days worsening LE weakness and ataxia, low grade fever with chills and diarrhea, loss of sensation and proprioception; progressed to inbility to walk, diagnosis of Guillain-Barre Syndrome; impaired coordination.  Hospitalized 10/20/07, Discharged to home March 14, 2008 from rehab.  Unable to walk, confined to wheelchair and walker.  Requires assistance with all ADLS.  5/01/2008 MR received for ER visit 10/18/2007 and admission DOS 10/20-11/08/2207 with D/C DX: Guillain-Barre syndrome. Pt initially presented to PCP with lower extremity weakness and a shuffling gait. Pt had developed diarrhea, fever and chills initially, then lower extremity weakness with gait disturbance as well as constipation and bladder dysfunction. Dx: with GBS and instructed to go to ER if sx progressed. Pt presented with inability to stand or walk 2' to weakness. (+) numbness in stocking-glove pattern.  Decreased strength in feet, legs, arms and hands. Admited for ascending paralysis. Tx with plasmapheresis with some improvement in neuro fxn noted. D/C to rehab. 1/21/2010 Still disabled, recoverd some function.
Age: 73.0
Sex: M
Vaccine: FLU3
Symptoms: Carbon dioxide normal, Chills, Coordination abnormal, Diarrhoea, Guillain-Barre syndrome
Clinical narrative: Over course of 11 days worsening LE weakness and ataxia, low grade fever with chills and diarrhea, loss of sensation and proprioception; progressed to inbility to walk, diagnosis of Guillain-Barre Syndrome; impaired coordination.  Hospitalized 10/20/07, Discharged to home March 14, 2008 from rehab.  Unable to walk, confined to wheelchair and walker.  Requires assistance with all ADLS.  5/01/2008 MR received for ER visit 10/18/2007 and admission DOS 10/20-11/08/2207 with D/C DX: Guillain-Barre syndrome. Pt initially presented to PCP with lower extremity weakness and a shuffling gait. Pt had developed diarrhea, fever and chills initially, then lower extremity weakness with gait disturbance as well as constipation and bladder dysfunction. Dx: with GBS and instructed to go to ER if sx progressed. Pt presented with inability to stand or walk 2' to weakness. (+) numbness in stocking-glove pattern.  Decreased strength in feet, legs, arms and hands. Admited for ascending paralysis. Tx with plasmapheresis with some improvement in neuro fxn noted. D/C to rehab. 1/21/2010 Still disabled, recoverd some function.
Age: 73.0
Sex: M
Vaccine: FLU3
Symptoms: Haemoglobin decreased, Intervertebral disc degeneration, Loss of proprioception, Muscular weakness, Plasmapheresis
Clinical narrative: Over course of 11 days worsening LE weakness and ataxia, low grade fever with chills and diarrhea, loss of sensation and proprioception; progressed to inbility to walk, diagnosis of Guillain-Barre Syndrome; impaired coordination.  Hospitalized 10/20/07, Discharged to home March 14, 2008 from rehab.  Unable to walk, confined to wheelchair and walker.  Requires assistance with all ADLS.  5/01/2008 MR received for ER visit 10/18/2007 and admission DOS 10/20-11/08/2207 with D/C DX: Guillain-Barre syndrome. Pt initially presented to PCP with lower extremity weakness and a shuffling gait. Pt had developed diarrhea, fever and chills initially, then lower extremity weakness with gait disturbance as well as constipation and bladder dysfunction. Dx: with GBS and instructed to go to ER if sx progressed. Pt presented with inability to stand or walk 2' to weakness. (+) numbness in stocking-glove pattern.  Decreased strength in feet, legs, arms and hands. Admited for ascending paralysis. Tx with plasmapheresis with some improvement in neuro fxn noted. D/C to rehab. 1/21/2010 Still disabled, recoverd some function.
Age: 73.0
Sex: M
Vaccine: FLU3
Symptoms: Platelet count increased, Pyrexia, Sensory loss, Walking aid user, Wheelchair user
Clinical narrative: Over course of 11 days worsening LE weakness and ataxia, low grade fever with chills and diarrhea, loss of sensation and proprioception; progressed to inbility to walk, diagnosis of Guillain-Barre Syndrome; impaired coordination.  Hospitalized 10/20/07, Discharged to home March 14, 2008 from rehab.  Unable to walk, confined to wheelchair and walker.  Requires assistance with all ADLS.  5/01/2008 MR received for ER visit 10/18/2007 and admission DOS 10/20-11/08/2207 with D/C DX: Guillain-Barre syndrome. Pt initially presented to PCP with lower extremity weakness and a shuffling gait. Pt had developed diarrhea, fever and chills initially, then lower extremity weakness with gait disturbance as well as constipation and bladder dysfunction. Dx: with GBS and instructed to go to ER if sx progressed. Pt presented with inability to stand or walk 2' to weakness. (+) numbness in stocking-glove pattern.  Decreased strength in feet, legs, arms and hands. Admited for ascending paralysis. Tx with plasmapheresis with some improvement in neuro fxn noted. D/C to rehab. 1/21/2010 Still disabled, recoverd some function.
Age: 73.0
Sex: M
Vaccine: FLU3
Symptoms: White blood cell count increased
Clinical narrative: Over course of 11 days worsening LE weakness and ataxia, low grade fever with chills and diarrhea, loss of sensation and proprioception; progressed to inbility to walk, diagnosis of Guillain-Barre Syndrome; impaired coordination.  Hospitalized 10/20/07, Discharged to home March 14, 2008 from rehab.  Unable to walk, confined to wheelchair and walker.  Requires assistance with all ADLS.  5/01/2008 MR received for ER visit 10/18/2007 and admission DOS 10/20-11/08/2207 with D/C DX: Guillain-Barre syndrome. Pt initially presented to PCP with lower extremity weakness and a shuffling gait. Pt had developed diarrhea, fever and chills initially, then lower extremity weakness with gait disturbance as well as constipation and bladder dysfunction. Dx: with GBS and instructed to go to ER if sx progressed. Pt presented with inability to stand or walk 2' to weakness. (+) numbness in stocking-glove pattern.  Decreased strength in feet, legs, arms and hands. Admited for ascending paralysis. Tx with plasmapheresis with some improvement in neuro fxn noted. D/C to rehab. 1/21/2010 Still disabled, recoverd some function.
Age: 15.0
Sex: F
Vaccine: HEPA, MNQ, VARCEL
Symptoms: Erythema, Skin warm, Swelling
Clinical narrative: Patient's Mother reported a large red area that was swollen, and hot.  Mother did not report how large, but that the area did go away after a few days.  The patient was here for follow up on 4-17-08 and mother reported incident at that time. Patient was not seen during the period of reaction.
Age: 0.34
Sex: F
Vaccine: DTPPHIB, HIBV, PPV, RV5
Symptoms: Injection site rash
Clinical narrative: Mom states has rash on both legs at inj site, Dr thinks it is related to Bandaid.
Age: 12.0
Sex: M
Vaccine: HEPA, MNQ, TDAP, VARCEL
Symptoms: Injection site erythema
Clinical narrative: Patient came in for follow-up for an 8cm x 11 cm 2 days after being vaccined with 4 vaccines.  The area of redness was at the site where he had received a Varivax.  Pt was advised by Dr. to use Tylenol/Motrin for pain and come back if no better.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Ataxia, CSF culture negative, Dysarthria, Full blood count normal, Gait disturbance
Clinical narrative: About 48 hrs vaccines given, the patient was noted to have lethargy, unsteady gait, truncal ataxia, nystagmus, and dysarthria that lasted ~24 hrs.  No treatment was given.  5/27/2008 MR received for DOS 4/17-18/2008 with D/C DX:  Acute Cerebellar Ataxia (Cerebellitis).  Pt presented to ER with unstable gait and lethargy.  Pt was in usual state last night but was difficult to wake, irritable and kept falling asleep in am. (+) mental status changes as well as staring episodes.  PE (+) for ataxia and delayed finger to nose. Improvement noted o/n and d/c.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Lethargy, Lumbar puncture normal, Metabolic function test normal, Nystagmus, Scan brain
Clinical narrative: About 48 hrs vaccines given, the patient was noted to have lethargy, unsteady gait, truncal ataxia, nystagmus, and dysarthria that lasted ~24 hrs.  No treatment was given.  5/27/2008 MR received for DOS 4/17-18/2008 with D/C DX:  Acute Cerebellar Ataxia (Cerebellitis).  Pt presented to ER with unstable gait and lethargy.  Pt was in usual state last night but was difficult to wake, irritable and kept falling asleep in am. (+) mental status changes as well as staring episodes.  PE (+) for ataxia and delayed finger to nose. Improvement noted o/n and d/c.