chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 83.0
Sex: M
Vaccine: FLU3
Symptoms: Nerve conduction studies abnormal, Nuclear magnetic resonance imaging abnormal, Nuclear magnetic resonance imaging brain normal, Oesophagram, Thyroid function test
Clinical narrative: Initial report received on 23 April 2007 from an investigator participating in the above-mentioned trial in the United States under the reference number FIM05. An 83-year-old male subject developed myasthenia gravis approximately one month after he had received a first, intramuscular, left deltoid dose of study vaccine FLUZONE (lot number not reported), on 14 October 2006. The subject had relevant past medical history of fatigue (2005) and ocular hypertension. Sometime in November 2006, approximately one month post-vaccination, the subject began having bilateral facial weakness, difficulty swallowing both liquids and solids, and difficulty articulating his words. He was diagnosed with myasthenia gravis. The subject had a radiographic swallowing study that was normal. An MRI of the brain on 30 November 2006 showed normal brain with mild atrophic changes commensurate with age, thickening of the transverse ligament compatible with inflammatory arthropathies, and no flattening of the cervical medullary junction. On 02 December 2006 and MRI of the cervical spine showed diffuse degenerative disc and vertebral disease changes at the cervical spine with mild central stenosis involving C3-4 through C6-7 levels. There was multilevel asymetric foraminal narrowing and abundant pannus formation about the dens. An Esophagram on 15 December 2006 was normal. On 20 December 2006 EMG and nerve conduction studies showed abnormalities that were not specific for nerve, neuromuscular junction, or muscle disease. Diagnostic laboratory data on 02 January 2007 showed creatine kinase level of 36 (normal range 24-26), and elevated acetylcholine receptor antibody levels of 8.4 (normal range 0.00-0.24). On 18 January 2007, the subject was evaluated by neurology and started on Mestinon. A CAT scan of the chest was ordered along with thyroid panel, serum B12, methylmalonics acid, and ANA (results not reported). The subject continues to progress "well" and is being followed by neurology. The subject did not recovered, but has continued in the study trial. According to the investigator, the event of myasthenia gravis is related to the study vaccine, but not to the concomitant medications. Document held by sender: Neurology doctor notes, EMG and nerve conduction study results. Unblinding information received on 31 August 2007. The subject received Fluzone.
Age: 83.0
Sex: M
Vaccine: FLU3
Symptoms: Vitamin B12
Clinical narrative: Initial report received on 23 April 2007 from an investigator participating in the above-mentioned trial in the United States under the reference number FIM05. An 83-year-old male subject developed myasthenia gravis approximately one month after he had received a first, intramuscular, left deltoid dose of study vaccine FLUZONE (lot number not reported), on 14 October 2006. The subject had relevant past medical history of fatigue (2005) and ocular hypertension. Sometime in November 2006, approximately one month post-vaccination, the subject began having bilateral facial weakness, difficulty swallowing both liquids and solids, and difficulty articulating his words. He was diagnosed with myasthenia gravis. The subject had a radiographic swallowing study that was normal. An MRI of the brain on 30 November 2006 showed normal brain with mild atrophic changes commensurate with age, thickening of the transverse ligament compatible with inflammatory arthropathies, and no flattening of the cervical medullary junction. On 02 December 2006 and MRI of the cervical spine showed diffuse degenerative disc and vertebral disease changes at the cervical spine with mild central stenosis involving C3-4 through C6-7 levels. There was multilevel asymetric foraminal narrowing and abundant pannus formation about the dens. An Esophagram on 15 December 2006 was normal. On 20 December 2006 EMG and nerve conduction studies showed abnormalities that were not specific for nerve, neuromuscular junction, or muscle disease. Diagnostic laboratory data on 02 January 2007 showed creatine kinase level of 36 (normal range 24-26), and elevated acetylcholine receptor antibody levels of 8.4 (normal range 0.00-0.24). On 18 January 2007, the subject was evaluated by neurology and started on Mestinon. A CAT scan of the chest was ordered along with thyroid panel, serum B12, methylmalonics acid, and ANA (results not reported). The subject continues to progress "well" and is being followed by neurology. The subject did not recovered, but has continued in the study trial. According to the investigator, the event of myasthenia gravis is related to the study vaccine, but not to the concomitant medications. Document held by sender: Neurology doctor notes, EMG and nerve conduction study results. Unblinding information received on 31 August 2007. The subject received Fluzone.
Age: 37.0
Sex: F
Vaccine: FLU3
Symptoms: Asthma, Chest discomfort, Dyspnoea
Clinical narrative: Initial serious report received from a health care professional on 31 August 2007. A 37-year-old female with a history of childhood asthma had received an intramuscular injection of Fluzone (Lot number U2436AA) to her left arm at 6:00 AM on 31 August 2007. At 9:45 AM that same day, the patient felt tightness in her chest and shortness of breath, described as, "Like asthma attack". The patient had no illness at the time of vaccination and had not received any other vaccinations within four weeks prior to this event. It was reported that the patient was not taking any concomitant medications. Recovery status was reported as "Recovered". No additional information has been provided at the time of this report.
Age: 25.0
Sex: U
Vaccine: FLU3
Symptoms: Dysphagia, Muscle tightness, Pharyngeal oedema
Clinical narrative: This case was reported by a health professional on 31 August 2007. A 25-year-old patient with a history of migraine received an intramuscular left arm injection of Fluzone (U2436AA) on 30 August 2007 at 2:00pm. The patient had a mild headache at the time of injection, and after receiving Fluzone took Relpax to treat the headache. Three hours later, at 5:00pm, the patient noticed "tense muscles", "throat swelled", and difficulty drinking/eating. The events resolved. No additional information was provided.
Age: 70.0
Sex: F
Vaccine: PPV, TDAP
Symptoms: Injection site cellulitis, Injection site swelling
Clinical narrative: Initial report received on 07 September 2007 from a nurse. A 70 year-old female patient with no concurrent illnesses, and who has medical history of allergy to Codeine, glaucoma, COPD, cutaneous T-cell lymphoma, back pain and depression, had received an intramuscular dose of Adacel, lot number C2769AA, in the right deltoid, and an intramuscular dose of Pneumovax, lot number 06980, in the left deltoid. The following day, the patient experienced "severe swelling and cellulitis at the injections site." The patient was evaluated by a physician and was administered Solu-Medrol intramuscularly. The patient was started on a tapering dose of "Prednisone." The patient was seen by the physician twice. No relevant diagnostic testing was performed. The patient had not received any other vaccinations within four weeks and it was "unknown" if the patient had experienced any adverse events following prior vaccinations. At the time of this report, the patient had not recovered.
Age: 0.3
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Choking, Cough, Death, Pneumonia viral
Clinical narrative: Mother stated "gave breathing medicine to my baby at 5 PM Friday and baby began to choke and cough. Took baby to the ER and she died at midnight."  9/25/07 Reviewed medical records provided by reporter which reveal patient in good health on day of vax.   Admitted to ER on 3/22/07 w/difficulty breathing & vomiting.  Family noted hospitalization x 5-6 days for RSV bronchiolitis & d/c 3 days prior to ER visit. Tx w/nebs & supplemental O2 w/initial improvement but then worsened again.  Mottled cool skin w/sluggish cap refill, tachycardic, prolonged expiratory phase respiration, tracheal tugging, intercostal & subcostal retractions, fever 105.  Multiple attempts to establish IV access & to obtain ABG were unsuccessful.  Intubated emergently.  Had to start chest compressions secondary to EMD.  Epi administered via interosseos access as well as endotracheal w/o initiation of  perfusing rhythm or spontaneous breathing.  Reporter notes indicate patient expired w/dx respiratory arrest secondary to RUL pneumonia. 12/4/07 Received autopsy report which states COD as acute bronchopneumonia due to viral respiratory infection.  Manner of death: natural.  Findings at autopsy: chronic inflammation, upper & lower airways; acute & chronic otitis media; and acute bronchopneumonia.  Had been seen hospitalized 3/15-3/19/2007 w/RSV pneumonia.  Worsened 3/22/07 & taken back to ER where she arrested.
Age: 0.3
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC, RV5
Symptoms: Autopsy, Sudden infant death syndrome, Unresponsive to stimuli
Clinical narrative: Sudden infant death. Family visiting relatives found baby unresponsive in crib.  6/13/08 Autopsy report states COD as SIDS.  Report states patient traveled with family out of state over holiday w/e.  Placed in portable crib for nap.  Found unresponsive & cool approx 3 hrs later.  CPR started & EMS called but no pulse or respirations.
Age: 63.0
Sex: F
Vaccine: TYP, YF
Symptoms: Abdominal pain, Diarrhoea, Headache, Laboratory test normal, Nausea
Clinical narrative: Nausea, vomiting, abd pain, HA - hurtingg all over body, diarrhea.  10/9/07 Reviewed hospital medical records which reveal patient experienced fever,  nausea, back pain, hypotension, pyelonephritis, dehydration.  Admitted 5/29-6/4/2007.  Transferred to ICU & improved.  D/C to home on continued antibiotics & antivirals. LABS: blood & urine c/s (+) e. coli.  Admit creatinine 2.9, d/c 1.1.  Echocardiogram WNL.  Admit WBC 13.9 (H) CT of abdomen revealed diverticulosis & stranding around right kidney. FINAL DX: sepsis, UTI, HTN, acute renal failure, herpes simplex labialis & HA. 10/19/07 Received hospital medical records for 6/28-6/29/07 admisssion which reveal patient experienced nausea, vomiting, abdominal pain, HA & myalgias x 1 day.  Tx w/IVF, steroids & pain/nausea meds w/complete resolution.  Instructed not to take further typhoid dose.  D/C to home. FINAL DX: adverse reaction to recent vaccination w/symptoms including nausea, vomiting, abdominal pain, HA & myalgias.
Age: 63.0
Sex: F
Vaccine: TYP, YF
Symptoms: Pain, Vomiting
Clinical narrative: Nausea, vomiting, abd pain, HA - hurtingg all over body, diarrhea.  10/9/07 Reviewed hospital medical records which reveal patient experienced fever,  nausea, back pain, hypotension, pyelonephritis, dehydration.  Admitted 5/29-6/4/2007.  Transferred to ICU & improved.  D/C to home on continued antibiotics & antivirals. LABS: blood & urine c/s (+) e. coli.  Admit creatinine 2.9, d/c 1.1.  Echocardiogram WNL.  Admit WBC 13.9 (H) CT of abdomen revealed diverticulosis & stranding around right kidney. FINAL DX: sepsis, UTI, HTN, acute renal failure, herpes simplex labialis & HA. 10/19/07 Received hospital medical records for 6/28-6/29/07 admisssion which reveal patient experienced nausea, vomiting, abdominal pain, HA & myalgias x 1 day.  Tx w/IVF, steroids & pain/nausea meds w/complete resolution.  Instructed not to take further typhoid dose.  D/C to home. FINAL DX: adverse reaction to recent vaccination w/symptoms including nausea, vomiting, abdominal pain, HA & myalgias.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Pain, Pyrexia, Rash macular, Swelling
Clinical narrative: Extreme swelling (from knee to hip) and splotchy red rash of left leg.  Painful to palpation.  Ran slight fever 99 for a day.  The symptoms started the next day after vaccination.
Age: 49.0
Sex: F
Vaccine: TDAP
Symptoms: Arthralgia, Diplopia, Fatigue, Gait disturbance, Headache
Clinical narrative: Received Tdap on 3/08/07 and on 03/11/07 sudden onset of diplopia followed by months of multiple problems. Headaches, fatigue, generalized muscle weakness in all extremities. Hip pain,lack of ability to climb stairs without pulling self up with railing. Difficulty walking. MRIs done, Neurologist visits, Neuro opthalmalogists, large amount of labwork, retinal specialists.
Age: 49.0
Sex: F
Vaccine: TDAP
Symptoms: Muscular weakness
Clinical narrative: Received Tdap on 3/08/07 and on 03/11/07 sudden onset of diplopia followed by months of multiple problems. Headaches, fatigue, generalized muscle weakness in all extremities. Hip pain,lack of ability to climb stairs without pulling self up with railing. Difficulty walking. MRIs done, Neurologist visits, Neuro opthalmalogists, large amount of labwork, retinal specialists.
Age: 4.0
Sex: F
Vaccine: MEN
Symptoms: Condition aggravated, Convulsion, Electroencephalogram
Clinical narrative: Father reports child had seizure few hours after the vaccine given.  Child has had history of seizure over the past year not related to vaccines.  Child was admitted to hosp.over night.  09/21/2007 MR received for o/n ER admit for a 20 second episode of stiffness reported by parent. Child was standing when both arms flexed and the pt fell to the floor.  Eye deviation R&L. Lips turned white. No post-ictal state noted. D/C DX:  New onset seizures.
Age: 1.31
Sex: M
Vaccine: DTP, HEPA
Symptoms: Allergy test negative, Body temperature increased, Erythema, Muscle spasms, Tremor
Clinical narrative: The dpt shot was administered late morning on July 16, 2007.  By afternoon, our child was running a 104 degree temperature.  He awoke from his afternoon nap red and shaking.  His temperature was 105.  He was put in cold water to bring his temperature down.  He was given motrine continously, every four hours after receiving the shot.  We took him to see the doctor at 5:00pm.  His temperature and shaking had stopped and he was acting normal.  During the early am hours, our child awoke again with a nearly 105 degree temperature.  This time he was shake and having muscle spasms every 15 seconds. Some of these spasms caused him to bounce in his baby bed. (This lasted over an hour.)  We gave him more mortin immediately.  We called the doctor and spoke to a nurse.  We took patient to the emergency room, but by the time we arrived he was acting completely normal again and we were advised not to check him in, but to take him back home because he had no symptoms at that time.  The fever and muscle spasms were gone within 48 hours of the shot.  About a month later our son began to break out with hives.  They are telling us these are due to a viral infection.  My husband and I believe that the hives are due to this shot reaction.  He has had the hives for one month.  Milk, peanuts, and wheat now cause him to break out severely.  He had no allergies to foods prior to this shot.  The allergist says that the foods are unrelated, and that this will pass with time. He said it is a viral induced case of hives that could last 3 or 4 weeks or so. He has had them now for four weeks.  They keep coming and going.  He has taken almost four bottles of benadryl and is now taking zyrtec.  Some hive outbreaks are severe and cause his mouth to water. We are still waiting for the hives to resolve.
Age: 1.31
Sex: M
Vaccine: DTP, HEPA
Symptoms: Urticaria, Viral infection
Clinical narrative: The dpt shot was administered late morning on July 16, 2007.  By afternoon, our child was running a 104 degree temperature.  He awoke from his afternoon nap red and shaking.  His temperature was 105.  He was put in cold water to bring his temperature down.  He was given motrine continously, every four hours after receiving the shot.  We took him to see the doctor at 5:00pm.  His temperature and shaking had stopped and he was acting normal.  During the early am hours, our child awoke again with a nearly 105 degree temperature.  This time he was shake and having muscle spasms every 15 seconds. Some of these spasms caused him to bounce in his baby bed. (This lasted over an hour.)  We gave him more mortin immediately.  We called the doctor and spoke to a nurse.  We took patient to the emergency room, but by the time we arrived he was acting completely normal again and we were advised not to check him in, but to take him back home because he had no symptoms at that time.  The fever and muscle spasms were gone within 48 hours of the shot.  About a month later our son began to break out with hives.  They are telling us these are due to a viral infection.  My husband and I believe that the hives are due to this shot reaction.  He has had the hives for one month.  Milk, peanuts, and wheat now cause him to break out severely.  He had no allergies to foods prior to this shot.  The allergist says that the foods are unrelated, and that this will pass with time. He said it is a viral induced case of hives that could last 3 or 4 weeks or so. He has had them now for four weeks.  They keep coming and going.  He has taken almost four bottles of benadryl and is now taking zyrtec.  Some hive outbreaks are severe and cause his mouth to water. We are still waiting for the hives to resolve.
Age: 34.0
Sex: M
Vaccine: SMALL
Symptoms: Cellulitis, Local reaction, Skin lesion, Vaccinia
Clinical narrative: Normal Variant of cellulitic local reaction with satellite lesions, also with generalized vaccinia, approximately 30 lesions located on the trunk, primarily on back and left shoulder.
Age: 37.0
Sex: F
Vaccine: FLU3
Symptoms: Arthralgia, Gait disturbance, Myalgia, Pain in extremity, Paraesthesia
Clinical narrative: A report was received from a healthcare professional on 23/Oct/2006 concerning a 37 year old female vaccinee. No details were provided regarding the vaccinee's medical history or concomitant medications. On 13/Oct/2006 the vaccinee received Fluvirin 0.5ml. Two days later the vaccinee experienced severe muscle aches and joint pain which was ongoing at the time of reporting. Further information will be requested. Addendum: We received additional information on 05 SEP 2007: A 37-year old woman, born on 18 FEB 1969, was vaccinated with 1.0 ml Fluvirin, batch-no. 69427, i.m. on 13 OCT 2006. Multiple paresthesia and pain in arms less than legs, blurred vision and trouble walking were reported on 13 OCT 2006. The patient has not yet recovered at the time of report (05 MAR 2007).
Age: 37.0
Sex: F
Vaccine: FLU3
Symptoms: Vision blurred
Clinical narrative: A report was received from a healthcare professional on 23/Oct/2006 concerning a 37 year old female vaccinee. No details were provided regarding the vaccinee's medical history or concomitant medications. On 13/Oct/2006 the vaccinee received Fluvirin 0.5ml. Two days later the vaccinee experienced severe muscle aches and joint pain which was ongoing at the time of reporting. Further information will be requested. Addendum: We received additional information on 05 SEP 2007: A 37-year old woman, born on 18 FEB 1969, was vaccinated with 1.0 ml Fluvirin, batch-no. 69427, i.m. on 13 OCT 2006. Multiple paresthesia and pain in arms less than legs, blurred vision and trouble walking were reported on 13 OCT 2006. The patient has not yet recovered at the time of report (05 MAR 2007).
Age: 19.0
Sex: F
Vaccine: MNQ, MNQ
Symptoms: Abdominal pain, Amputation, Clostridium difficile sepsis, Culture positive, Gastroenteritis
Clinical narrative: Menactra given 8/28/07. 9/6/07 Necrotizing fascitis opposite arm from injection - organism Clostridium Septra resulting in amputation (R) arm, (R) scapula. 11/5/07-records received for DOS 9/7-9/26/07- DC DX: Right upper extremity necrotizing soft tissue infection. Seen in ED with 13 hours increasing pain, swelling redness and bruising RUE, inflammation began in posterior lateral arm prox to distal humerus and down to mid radius. Immediate surgical debridement included four quarter amputation and debridement and irrigation of chest wall musculature with clavicle excision.  Post op day 1 repeat debridement of necrotic tissue and amputation.  Per 60 day follow up: This young lady had Clostridium perfringens sepsis causing a necrotizing fascitis 1 wk after pneumococcal vaccination warranting R upper extremity amputation.
Age: 19.0
Sex: F
Vaccine: MNQ, MNQ
Symptoms: Necrotising fasciitis, Pain in extremity, Surgery
Clinical narrative: Menactra given 8/28/07. 9/6/07 Necrotizing fascitis opposite arm from injection - organism Clostridium Septra resulting in amputation (R) arm, (R) scapula. 11/5/07-records received for DOS 9/7-9/26/07- DC DX: Right upper extremity necrotizing soft tissue infection. Seen in ED with 13 hours increasing pain, swelling redness and bruising RUE, inflammation began in posterior lateral arm prox to distal humerus and down to mid radius. Immediate surgical debridement included four quarter amputation and debridement and irrigation of chest wall musculature with clavicle excision.  Post op day 1 repeat debridement of necrotic tissue and amputation.  Per 60 day follow up: This young lady had Clostridium perfringens sepsis causing a necrotizing fascitis 1 wk after pneumococcal vaccination warranting R upper extremity amputation.
Age: 19.0
Sex: F
Vaccine: MNQ, MNQ
Symptoms: Arm amputation, Necrotising fasciitis, Pain in extremity, Pyrexia
Clinical narrative: Menactra given 8/28/07. 9/6/07 Necrotizing fascitis opposite arm from injection - organism Clostridium Septra resulting in amputation (R) arm, (R) scapula. 11/5/07-records received for DOS 9/7-9/26/07- DC DX: Right upper extremity necrotizing soft tissue infection. Seen in ED with 13 hours increasing pain, swelling redness and bruising RUE, inflammation began in posterior lateral arm prox to distal humerus and down to mid radius. Immediate surgical debridement included four quarter amputation and debridement and irrigation of chest wall musculature with clavicle excision.  Post op day 1 repeat debridement of necrotic tissue and amputation.  Per 60 day follow up: This young lady had Clostridium perfringens sepsis causing a necrotizing fascitis 1 wk after pneumococcal vaccination warranting R upper extremity amputation.
Age: 0.6
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC, RV5
Symptoms: Drug screen, Gaze palsy, Hypotonia, Lumbar puncture, Scan brain
Clinical narrative: Unresponsive, limp with eyes rolled back in his head (according to grandmother). Entire episode lasted 2-3 minutes. Pt was taken to ER and later transferred.  9/18/07 Received vax record & VAERS database updated w/same.  9/28/07 Reviewed hospital medical records which reveal patient experienced irritability followed by moaning, decreased alertness, eyes rolling back in head, hypotonia, pale then period of postictal unresponsiveness for approx 30 min.  Evaluated at outlying ER & transferred to higher level of care.  Admitted & d/c to home on 9/12/07.  Neuro consult done. FINAL DX: Seizure, likely related to immunizations. 10/2/07 Reviewed ER medical records which reveal patient experienced unresponsive episode.  Family refused LP in ER & requested transfer to higher level of care.  Hypertensive in ER.  Peds consult done. FINAL ER DX: change in mental status; possible seizure; hyperglycemia; borderline HTN for age.
Age: 0.6
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC, RV5
Symptoms: Unresponsive to stimuli
Clinical narrative: Unresponsive, limp with eyes rolled back in his head (according to grandmother). Entire episode lasted 2-3 minutes. Pt was taken to ER and later transferred.  9/18/07 Received vax record & VAERS database updated w/same.  9/28/07 Reviewed hospital medical records which reveal patient experienced irritability followed by moaning, decreased alertness, eyes rolling back in head, hypotonia, pale then period of postictal unresponsiveness for approx 30 min.  Evaluated at outlying ER & transferred to higher level of care.  Admitted & d/c to home on 9/12/07.  Neuro consult done. FINAL DX: Seizure, likely related to immunizations. 10/2/07 Reviewed ER medical records which reveal patient experienced unresponsive episode.  Family refused LP in ER & requested transfer to higher level of care.  Hypertensive in ER.  Peds consult done. FINAL ER DX: change in mental status; possible seizure; hyperglycemia; borderline HTN for age.
Age: 47.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site erythema, Injection site pruritus, Injection site rash, Injection site vesicles
Clinical narrative: Fluid filled blister appeared at injection site approximately 28 hours after injection along with red rash and itching.
Age: 53.0
Sex: F
Vaccine: TDAP
Symptoms: Body temperature increased, Injection site erythema, Injection site pain, Injection site pruritus
Clinical narrative: Adacel give LD on 9-10-07. Pt. stated on 9-15-07. area became tender, red and itchy, warm to touch but no fever. Pt. came to office 9-17-07 with redness, swelling and tenderness LD area T-96.8 Treatment-Ice and Tylenol Prn
Age: 66.0
Sex: F
Vaccine: VARZOS
Symptoms: Erythema, Pyrexia, Swelling
Clinical narrative: Left arm given Zostavax 09/10/07. Developed small swelling and redness initially at home, erythema got progressively bigger. She had fever when seen at ED on 9/13/07. The erythema and swelling was about 15cm x 10 cm.
Age: 13.0
Sex: M
Vaccine: TDAP, VARCEL
Symptoms: Erythema, Oedema peripheral, Pain in extremity, Skin warm
Clinical narrative: 13 yo male developed pain, redness, and swelling in right arm the morning after receiving a varicella vaccine. Seen in office 9-14-07 with 4 1/2 x 4 1/4 in red, warm, swollen upper arm. Apply cool compresses and give Ibuprofen.
Age: 60.0
Sex: F
Vaccine: TDAP, VARZOS
Symptoms: Blister, Discomfort, Headache, Herpes zoster, Injection site erythema
Clinical narrative: Patient phoned with concerns about events following Shingles vaccination that she received last week 9/1307; vaccine was administered in left upper arm subcutaneously about 45 minutes later she experienced a slight headache and felt nauseated; later that evening the injection site was "red", her dull headache persisted so she took Advil and went to bed; 9/14/07 the injection site was swollen, about diameter of an egg, warm to touch and felt itchy; later that day she felt tingling and itching sensation on right side of neck; 9/15/07 stated little red bumps appeared at right side of neck that "went down to shoulder area," later that evening the bumps had spread to her upper right back, and area was tingly with mild discomfort; 9/16/07 she awakened with discomfort and itching red bumps were then little water blisters; area involved now includes her right neck, shoulder, right chest and right back; she presented to Target Minute care and was told it "looks like classic Shingles." They encouraged her to use over the counter meds for her symptoms but in view of having had the Shingles vaccination on 9/13/07 that she should call Dr this am; I notified Dr by phone and she will in turn call patient-patients home phone number; VAERS reported completed and faxed.
Age: 60.0
Sex: F
Vaccine: TDAP, VARZOS
Symptoms: Injection site pruritus, Injection site swelling, Injection site warmth, Nausea, Paraesthesia
Clinical narrative: Patient phoned with concerns about events following Shingles vaccination that she received last week 9/1307; vaccine was administered in left upper arm subcutaneously about 45 minutes later she experienced a slight headache and felt nauseated; later that evening the injection site was "red", her dull headache persisted so she took Advil and went to bed; 9/14/07 the injection site was swollen, about diameter of an egg, warm to touch and felt itchy; later that day she felt tingling and itching sensation on right side of neck; 9/15/07 stated little red bumps appeared at right side of neck that "went down to shoulder area," later that evening the bumps had spread to her upper right back, and area was tingly with mild discomfort; 9/16/07 she awakened with discomfort and itching red bumps were then little water blisters; area involved now includes her right neck, shoulder, right chest and right back; she presented to Target Minute care and was told it "looks like classic Shingles." They encouraged her to use over the counter meds for her symptoms but in view of having had the Shingles vaccination on 9/13/07 that she should call Dr this am; I notified Dr by phone and she will in turn call patient-patients home phone number; VAERS reported completed and faxed.
Age: 60.0
Sex: F
Vaccine: TDAP, VARZOS
Symptoms: Rash
Clinical narrative: Patient phoned with concerns about events following Shingles vaccination that she received last week 9/1307; vaccine was administered in left upper arm subcutaneously about 45 minutes later she experienced a slight headache and felt nauseated; later that evening the injection site was "red", her dull headache persisted so she took Advil and went to bed; 9/14/07 the injection site was swollen, about diameter of an egg, warm to touch and felt itchy; later that day she felt tingling and itching sensation on right side of neck; 9/15/07 stated little red bumps appeared at right side of neck that "went down to shoulder area," later that evening the bumps had spread to her upper right back, and area was tingly with mild discomfort; 9/16/07 she awakened with discomfort and itching red bumps were then little water blisters; area involved now includes her right neck, shoulder, right chest and right back; she presented to Target Minute care and was told it "looks like classic Shingles." They encouraged her to use over the counter meds for her symptoms but in view of having had the Shingles vaccination on 9/13/07 that she should call Dr this am; I notified Dr by phone and she will in turn call patient-patients home phone number; VAERS reported completed and faxed.
Age: 6.0
Sex: M
Vaccine: DTAP, HEP, HEPA, IPV, MMRV
Symptoms: Decreased appetite, Diarrhoea, Headache, Listless, Pyrexia
Clinical narrative: Fever beginning afternoon of 8/26/07 - 102.9. Other symptoms headache, listless, no appetite. Mother has been giving oral Tylenol. Fever present off and on this week - 102.7 on AM of 8/31/07. Vomited x2 on 8/27. Diarrhea 8/31. Mother consulted doctor by phone.
Age: 6.0
Sex: M
Vaccine: DTAP, HEP, HEPA, IPV, MMRV
Symptoms: Vomiting
Clinical narrative: Fever beginning afternoon of 8/26/07 - 102.9. Other symptoms headache, listless, no appetite. Mother has been giving oral Tylenol. Fever present off and on this week - 102.7 on AM of 8/31/07. Vomited x2 on 8/27. Diarrhea 8/31. Mother consulted doctor by phone.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMRV
Symptoms: Fall, Hyperhidrosis, Pallor, Syncope
Clinical narrative: Approximately 1320 hrs, I gave child DTaP #5, IPV # 4, and MMR #2. Child was sitting in a chair on my left. I gave child's mom a PPD plant and picked up a syringe for another IMMI. Child fell forward onto the floor, face first. Mom and I picked her up and she was conscious but extremely pale. I called for assistance and placed a cold pack on the back of her neck. Pulse 64, resp. 20. I moved child (carried) to an exam room and laid her on the exam table with a cold pack under her neck. Nursing supervisor assisted. Child's pulse 72, resp. 20. Child was slightly diaphoretic, cold cloth applied to face and forehead. Mom became "faint" and pale in color. I talked to mom and had her take deep breaths while child sipped juice and ate crackers. Child's color returned, pulse 84, resp 20. I stayed with child about 15 min and deferred mom's other vaccination. Child stayed in room until 1410 hrs and was walked to the front desk for checkout. Injection sites showed no redness or swelling. No bruising noted on child's face or arms. At 1942 hrs., I called mom and she said the child played normally today and was tired this evening but had no other signs/symptoms.
Age: 38.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema
Clinical narrative: Redness at injection site for flu shot and PPD-No induration.
Age: 3.0
Sex: F
Vaccine: DTAP, MMRV
Symptoms: Accidental overdose, Pain in extremity
Clinical narrative: CRN confused box of Trihibit and Tripedia. Child given 2 doses of Tripedia in Rt. leg. Rt leg is sore, no temp, no longer sore.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMRV
Symptoms: Abdominal pain upper, Diarrhoea, Headache, Oedema peripheral, Pyrexia
Clinical narrative: 8/16/07 - Fever 102, stomach ache, diarrhea and headache. Called HC. Referred to FMD. On 8/17/07 stomach ache and headache gone. In the evening (R) upper arm swollen "big as a baseball. No fever. 8/18/07 Referred to FMD who advised ice packs  every hour and Tylenol. 08/19/07 - no swelling. To see FMD 8/21/07.,
Age: 15.0
Sex: F
Vaccine: MNQ, TDAP, VARCEL
Symptoms: Cold sweat, Feeling cold, Loss of consciousness, Pallor
Clinical narrative: At 16:07 pt received 3 vaccinations. Pt was cool, pale and clammy after vaccination. Mom states she passed out and with blood draw bt not in trenchlenberg position became conscious right away. V/S (1610) 110/80 60-16 (16:20) 100/700 72 189 (16:40) 110/80 78 16. Given crackers and juice. Voiced no complaints color has returned skin W/D. Left in care of mom. Unable to reach by phone later to check increased on pt.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMRV
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Pt given vaccines on 8/29/07. Returned on 8/31/07 with complaint of "bump on leg". Pt with a 6cm by 6cm area to right upper thigh that was red and swollen. No other symptoms. Dx with probable "side effect" of Proquad vaccine vs. mild cellulitis. Treated with Keflex.
Age: 20.0
Sex: F
Vaccine: HPV4
Symptoms: Injection site erythema, Injection site induration, Injection site mass, Injection site pain, Injection site warmth
Clinical narrative: Patient reported right arm at site of injection was tender, warm to touch, and formed a "lump" under the skin approximately 5 days AFTER immunization given. No local/topical treatment. Patient took ibuprofen with symptoms improvement. Examined by me today, 9/11/2007. Area with mild erythema, indurated 10x5 mm, mildly tender to
Age: 14.0
Sex: M
Vaccine: TDAP
Symptoms: Pyrexia
Clinical narrative: Fever to 102.7 within 24 hours following immunization. No other symptoms, no signs of illness. No local immunization reaction
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMRV
Symptoms: C-reactive protein increased, Joint swelling, Oedema peripheral, Pain, Pruritus
Clinical narrative: 5 days after vaccines given, a rash developed at first light several dots,l coalesced and progressed to large raised welts with central clearing, pruritus and arm/wrist/ankle swelling and moderately severe edema with fevers, pain. See at PMD/ER/Consulted with dermatologist. Dx'd "serum sickness"; Rx - Benadryl, Atarax
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMRV
Symptoms: Pyrexia, Rash, Serum sickness, Urticaria, White blood cell count increased
Clinical narrative: 5 days after vaccines given, a rash developed at first light several dots,l coalesced and progressed to large raised welts with central clearing, pruritus and arm/wrist/ankle swelling and moderately severe edema with fevers, pain. See at PMD/ER/Consulted with dermatologist. Dx'd "serum sickness"; Rx - Benadryl, Atarax
Age: 11.0
Sex: F
Vaccine: MNQ, VARCEL
Symptoms: Erythema, Pruritus, Urticaria
Clinical narrative: Mother called stated that her daughter had a "welt" the 1/2 size of the palm of her hand from her chicken pox shot - Mother will try Benadryl and ice - encouraged to see Dr if worsens. Redness went away on Sunday. Did increase to full palm size with itching.
Age: 10.0
Sex: F
Vaccine: HPV4, MNQ, VARCEL
Symptoms: Body temperature increased, Erythema, Oedema peripheral, Pain, Skin warm
Clinical narrative: Evening of 9-10-07 (day of injections) pt mother states pt was running a slight temperature and lt upper became slightly swollen, red, very warm and painful. 9-12-07 pt here in clinic for PPD reading and advised her to apply cool packs to lt arm.
Age: 12.0
Sex: F
Vaccine: HEPA, MNQ, VARCEL
Symptoms: Erythema, Injection site erythema, Injection site mass, Injection site pain, Injection site pruritus
Clinical narrative: 24 hours after vaccine - knot at injection site, erythema, pain, itching, low grade fever. Erythema 10cm warm to the touch and tender with 2cm firm nodule in center.
Age: 12.0
Sex: F
Vaccine: HEPA, MNQ, VARCEL
Symptoms: Pain of skin, Pyrexia, Skin warm
Clinical narrative: 24 hours after vaccine - knot at injection site, erythema, pain, itching, low grade fever. Erythema 10cm warm to the touch and tender with 2cm firm nodule in center.
Age: 0.1
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Abnormal behaviour, Crying
Clinical narrative: Behavioral changes, inconsolable on day 6 after vaccines.
Age: 12.0
Sex: F
Vaccine: MNQ
Symptoms: Wrong drug administered
Clinical narrative: Gardasil 0.5 ml lot # 0930U, Exp 11/10 given IM inadvertently instead of Tdap.
Age: 0.17
Sex: M
Vaccine: DTPHEP, HEPA, HIBV, PPV
Symptoms: Accidental exposure, Wrong drug administered
Clinical narrative: Hep A inadvertantly administered.
Age: 12.0
Sex: F
Vaccine: HPV4, MNQ, TDAP
Symptoms: Abasia, Agitation, Anxiety, Dizziness, Echocardiogram normal
Clinical narrative: Patient fainted at cheerleading practice and was transported to ER.  Patient continued to lose consciousness, shake, become extremely agitated and could not walk.  She complained of prickly feelings in legs.  Patient was admitted to hospital for further tests for 3 days.  Patient gained back use of legs during the last two days in the hospital.  Patient still is having dizziness and is seeking further treatment.  10/15/2007 MR received for DOS 8/21-23/2007 with D/C DX: Syncope.  Conversion Disorder.  Child had syncopal episode preceded by dizziness and lightheadedness.  Was passed out for 15 minutes.  (+) anxiety.  Had several syncopal episodes in the ER.  PE was WNL.  Per 60 day follow: The patient has been advised to not get the 2 remaining GARDASIL vaccinations. Possible medication induced long QT.
Age: 12.0
Sex: F
Vaccine: HPV4, MNQ, TDAP
Symptoms: Electrocardiogram abnormal, Electroencephalogram normal, Loss of consciousness, Loss of consciousness, Paraesthesia
Clinical narrative: Patient fainted at cheerleading practice and was transported to ER.  Patient continued to lose consciousness, shake, become extremely agitated and could not walk.  She complained of prickly feelings in legs.  Patient was admitted to hospital for further tests for 3 days.  Patient gained back use of legs during the last two days in the hospital.  Patient still is having dizziness and is seeking further treatment.  10/15/2007 MR received for DOS 8/21-23/2007 with D/C DX: Syncope.  Conversion Disorder.  Child had syncopal episode preceded by dizziness and lightheadedness.  Was passed out for 15 minutes.  (+) anxiety.  Had several syncopal episodes in the ER.  PE was WNL.  Per 60 day follow: The patient has been advised to not get the 2 remaining GARDASIL vaccinations. Possible medication induced long QT.
Age: 12.0
Sex: F
Vaccine: HPV4, MNQ, TDAP
Symptoms: Syncope, Tremor
Clinical narrative: Patient fainted at cheerleading practice and was transported to ER.  Patient continued to lose consciousness, shake, become extremely agitated and could not walk.  She complained of prickly feelings in legs.  Patient was admitted to hospital for further tests for 3 days.  Patient gained back use of legs during the last two days in the hospital.  Patient still is having dizziness and is seeking further treatment.  10/15/2007 MR received for DOS 8/21-23/2007 with D/C DX: Syncope.  Conversion Disorder.  Child had syncopal episode preceded by dizziness and lightheadedness.  Was passed out for 15 minutes.  (+) anxiety.  Had several syncopal episodes in the ER.  PE was WNL.  Per 60 day follow: The patient has been advised to not get the 2 remaining GARDASIL vaccinations. Possible medication induced long QT.
Age: 3.0
Sex: M
Vaccine: DTAP, HEP, HIBV, IPV, MMR
Symptoms: Erythema, Scab, Skin warm
Clinical narrative: Mother states that she noticed a warm, red area on Malachi's right thigh 8-21-07.  She gave him Tylenol and Motrin, alternating.  Mother also states the he seems to be as active as usual.  Area is approx. 3 inches in diameter, redness at outer edge on right thigh.  Three scabs are noted within the area.
Age: 60.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Body temperature increased, Cold compress therapy, Injection site erythema, Injection site pruritus, Injection site warmth
Clinical narrative: Left arm (vaccination site) had erythema, itching, and was warm to touch.  Affected area was 3X7".  It has remained the same size over the last few days, but has not yet resolved. Patient also had 100 degree temp on 9/15/07.  Advised patient to use cold compresses and take Benadryl and to report any changes or new symptoms to us and/or physician. This is in follow-up to report(s) previously submitted on 12/21/2007. Information has been received from a doctor of pharmacy concerning a 60 year old female with sulfa allergy who on 13-SEP-2007 was vaccinated with ZOSTAVAX vaccine (Oka/Merck) (658211/0884U). Concomitant therapy included NEXIUM. On 14-SEP-2007 the patient experienced erythema and itching on the left arm. The injection site was warm to the touch and the reddened area was about 3x7 inches. She developed a 100 F temperature on 15-SEP-2007. The fever resolved although the reddened area persisted without being hot and itchy. The pharmacist advised the patient to apply cold compresses and BENADRYL. As of 04-OCT-2007 she had recovered. This is one of several reports from the same source. Addtional information received indicated that no additional information is available.
Age: 60.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Body temperature increased, Erythema, Injection site erythema, Injection site warmth, Pruritus
Clinical narrative: Left arm (vaccination site) had erythema, itching, and was warm to touch.  Affected area was 3X7".  It has remained the same size over the last few days, but has not yet resolved. Patient also had 100 degree temp on 9/15/07.  Advised patient to use cold compresses and take Benadryl and to report any changes or new symptoms to us and/or physician. This is in follow-up to report(s) previously submitted on 12/21/2007. Information has been received from a doctor of pharmacy concerning a 60 year old female with sulfa allergy who on 13-SEP-2007 was vaccinated with ZOSTAVAX vaccine (Oka/Merck) (658211/0884U). Concomitant therapy included NEXIUM. On 14-SEP-2007 the patient experienced erythema and itching on the left arm. The injection site was warm to the touch and the reddened area was about 3x7 inches. She developed a 100 F temperature on 15-SEP-2007. The fever resolved although the reddened area persisted without being hot and itchy. The pharmacist advised the patient to apply cold compresses and BENADRYL. As of 04-OCT-2007 she had recovered. This is one of several reports from the same source. Addtional information received indicated that no additional information is available.
Age: 60.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Pyrexia
Clinical narrative: Left arm (vaccination site) had erythema, itching, and was warm to touch.  Affected area was 3X7".  It has remained the same size over the last few days, but has not yet resolved. Patient also had 100 degree temp on 9/15/07.  Advised patient to use cold compresses and take Benadryl and to report any changes or new symptoms to us and/or physician. This is in follow-up to report(s) previously submitted on 12/21/2007. Information has been received from a doctor of pharmacy concerning a 60 year old female with sulfa allergy who on 13-SEP-2007 was vaccinated with ZOSTAVAX vaccine (Oka/Merck) (658211/0884U). Concomitant therapy included NEXIUM. On 14-SEP-2007 the patient experienced erythema and itching on the left arm. The injection site was warm to the touch and the reddened area was about 3x7 inches. She developed a 100 F temperature on 15-SEP-2007. The fever resolved although the reddened area persisted without being hot and itchy. The pharmacist advised the patient to apply cold compresses and BENADRYL. As of 04-OCT-2007 she had recovered. This is one of several reports from the same source. Addtional information received indicated that no additional information is available.
Age: 56.0
Sex: F
Vaccine: DTAP
Symptoms: Wrong drug administered
Clinical narrative: Cellulitis, redness, itching, fevered to touch left deltoid area. Approx area sice of hand.
Age: 13.0
Sex: F
Vaccine: HPV4, VARCEL
Symptoms: Cold compress therapy, Erythema, Oedema peripheral, Pyrexia, Tenderness
Clinical narrative: Parent states that child's Left arm is bright red and swollen a half inch round in diameter.  Arm is tender to touch. Child ran fever Saturday and Sunday.  Mom states that she has been giving her Tylenol.  Parent contated child's doctor and informed her to bring Hayley in if arm size increases.  Instructed her to use cold compresses.
Age: 17.0
Sex: M
Vaccine: PPV
Symptoms: Fatigue, Injection site pain, Pyrexia
Clinical narrative: Fever 102, injection site pain, fatigue.  Youth kept overnight in outpatient housing unit and discharged self on 9/15/07 AMA.  Follow up on youth, 9/16/07 "no further symptoms"
Age: 6.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Oedema peripheral, Pyrexia, Skin warm
Clinical narrative: Mom said injections received yesterday at TCC around 3:00 pm. Last night she noticed that her son's right arm was swollen and hot from elbow to shoulder.  He had a fever of 101 degrees last night.  She said she did give him tylenol last night.
Age: 56.0
Sex: U
Vaccine: IPV, TD
Symptoms: Allergy test, Pruritus
Clinical narrative: some weeks after the vaccine was administered systemic body itching happened. various drs were consulted but the itching is still present to this day although not a severe
Age: 11.0
Sex: F
Vaccine: HPV4, MNQ, TDAP, VARCEL
Symptoms: Injection site erythema, Injection site swelling, Tenderness
Clinical narrative: Child developed red swellings of both arms where she received vaccination 8/22/07. On exam, there were two 5 x 4 1/2 in red and slightly tender swelling on (Lt) arm and one 8x5mc on (Rt) arm.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMRV
Symptoms: Erythema, Oedema peripheral, Skin warm
Clinical narrative: Redness, warmth, and swelling to right upper arm. Pt's mother instructed to use warm compresses to area several times a day for 5 minutes at a time. Bactrim 40mg TMP component per 5 ml, 10 mg, BID  x 10 days.
Age: 1.0
Sex: M
Vaccine: HEPA, HIBV, MMRV
Symptoms: Skin exfoliation, Streptococcal identification test negative
Clinical narrative: Periungual desquamation.
Age: 12.0
Sex: M
Vaccine: TDAP, VARCEL
Symptoms: Pallor, Syncope
Clinical narrative: Approx 3-5 min after vaccination patient fainted - no verbal warning - lowered to floor, BP, Pulse done - oxygen given - awoke prior to O2 - awoke on his own - knew his name - weak - after a few minutes of O2 - attempted to sit back up - upright for approx 1 min. then pale again and felt as if going to pass out - lowered to floor - stayed conscious - activated EMS - to hospital.
Age: 24.0
Sex: F
Vaccine: HEPA, TDAP, VARCEL
Symptoms: Erythema, Induration, Pruritus, Tenderness
Clinical narrative: Varicella vaccine given 09/07/07. Noticed lump Sat (09/08/07) morning. By 9/10/07 had erythema of 4 3/4" x 4 3/4", induration of 2" x 1 3/4 inch tender to touch and itching. Possible cellulitis - tx Levaquin x 5 days.
Age: 17.0
Sex: F
Vaccine: MNQ
Symptoms: Diarrhoea, Dizziness
Clinical narrative: 45 min after Menactra administration, pt c/o dizziness light headedness and diarrhea. Had 4 episodes of diarrhea none since 4:15 pm -pt. took Imodium.
Age: 12.0
Sex: F
Vaccine: DTAP, HPV4
Symptoms: Wrong drug administered
Clinical narrative: DTaP immune given to pt (12 yrs old) instead of Tdap. No reaction to DTaP noted. Consulted with CDC to see if Tdap should still be given, per CDC not recommended because of possible local reaction
Age: 13.0
Sex: M
Vaccine: MNQ, TDAP
Symptoms: Body temperature increased, Migraine, Muscle rigidity, Vomiting
Clinical narrative: MOC called stating pt. school nurse told to report vaccine reaction. MOC states child has temp of 101, severe migraine, vomiting, muscle rigidity. MOC called 9/7/07 MOC advised to go to ER-pt not seen at this clinic for symptoms
Age: 22.0
Sex: M
Vaccine: HEP, MMR, TDAP
Symptoms: Diarrhoea, Pain
Clinical narrative: diarrhea body aches
Age: 0.2
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Abdominal pain, Bowel movement irregularity, Irritability
Clinical narrative: No BM for 5 days post vaccination. "Infant seemed to have abdominal pain". Stomach gurgled a lot. Fussy and irritable for 24 hrs after vaccination.