chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 21.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Immediate post-injection reaction, Syncope, Unresponsive to stimuli
Clinical narrative: Syncope with possible seizure like activity immediately after IM injection of GARDASIL.  Pt unresponsive approx. 10 seconds.  Dr. was notified, vitals obtained & normal, pt given cool cloth, soda & crackers.  Monitored for 45 minutes prior to leaving office.
Age: 0.4
Sex: F
Vaccine: DTAP, RV5, DTAP, RV5, RV5
Symptoms: Convulsion, Diarrhoea, Pyrexia, Ultrasound abdomen abnormal, Vomiting
Clinical narrative: Patient began vomiting approx 14 hrs after vaccine, vomiting lasted 16 hrs.  Diarrhea began 20 hrs after vaccine.  Continued for 4 days.  Patient had an ultrasound 24 hrs after vaccine to verify no intussusception.  Was told another child with same dose did get intussusception.  Had fever almost daily.
Age: 0.4
Sex: F
Vaccine: DTAP, RV5, DTAP, RV5, RV5
Symptoms: Diarrhoea, Pyrexia, Ultrasound scan, Vomiting
Clinical narrative: Patient began vomiting approx 14 hrs after vaccine, vomiting lasted 16 hrs.  Diarrhea began 20 hrs after vaccine.  Continued for 4 days.  Patient had an ultrasound 24 hrs after vaccine to verify no intussusception.  Was told another child with same dose did get intussusception.  Had fever almost daily.
Age: 0.4
Sex: F
Vaccine: DTAP, RV5, DTAP, RV5, RV5
Symptoms: Diarrhoea, Ultrasound scan, Vomiting
Clinical narrative: Patient began vomiting approx 14 hrs after vaccine, vomiting lasted 16 hrs.  Diarrhea began 20 hrs after vaccine.  Continued for 4 days.  Patient had an ultrasound 24 hrs after vaccine to verify no intussusception.  Was told another child with same dose did get intussusception.  Had fever almost daily.
Age: 28.0
Sex: M
Vaccine: SMALL
Symptoms: Blister, Vaccinia
Clinical narrative: One of my colleagues decided it would be a good idea to engage in bare-chested wrestling with one of his comrades who had recently received the smallpox vaccination on 5/19/2008. (ACAM 2000). Patient subsequently had a eruption of vesicles to his chin, neck, and forearm yesterday, 6/8/08.  He was evaluated by the IDC on duty up  and started on Septra + Acyclovir PO.  Today, 6/9/08, the inadvertent vaccination has progressed so that his entire chin is covered with vesicles.  No lesions up near the eye or in the mouth.  He is non-toxic and lesions are not painful.  I discussed his case with another person up at the ED who did not think he needed to be admitted or any additional treatment was required. I have reviewed the guidance from regulatory authority and the CDC.  I would classify him as having a regional form of Generalized Vaccinia.  We have him under strict contact precautions and isolation in the barracks.  I am in contact with DERM for further guidance.
Age: 21.0
Sex: F
Vaccine: HEP, HEP
Symptoms: Antinuclear antibody negative, Aspartate aminotransferase normal, Carbon dioxide normal, Full blood count normal, Malaise
Clinical narrative: Rash developed several days after vaccine.
Age: 21.0
Sex: F
Vaccine: HEP, HEP
Symptoms: Metabolic function test normal, Mononucleosis heterophile test negative, Pyrexia, Rash, Red blood cell sedimentation rate normal
Clinical narrative: Rash developed several days after vaccine.
Age: 21.0
Sex: F
Vaccine: HEP, HEP
Symptoms: Rash
Clinical narrative: Rash developed several days after vaccine.
Sex: F
Vaccine: HPV4
Symptoms: Abortion spontaneous, Drug exposure during pregnancy
Clinical narrative: Information has been received from a licensed visiting nurse (L.V.N) through the Merck pregnancy registry, concerning a female who on 22-JUN-2007 was vaccinated with the first dose of GARDASIL (lot#, route and dose not reported). On 22-AUG-2007 the patient received the second dose of GARDASIL (lot#, route and dose not reported). The nurse reported that the patient then became pregnant and miscarried at 7 weeks gestation. The patient sought unspecified medical attention. On 03-JUN-2008, the third dose of GARDASIL vaccine (lot#, route and dose not reported) was given. No additional information was provided. Upon internal review, the patient's miscarriage was considered an other important medical event. Additional information has been requested.
Age: 14.0
Sex: F
Vaccine: HPV4, TDAP, VARCEL
Symptoms: Body temperature increased, Electrocardiogram normal, Headache, Pain in extremity, Pyrexia
Clinical narrative: Information has been received from a physician concerning a 14 year old female, who on 27-JUL-2007 was vaccinated with a first dose of GARDASIL (Lot# 658100/0525U) and a dose of VARIVAX. Concomitant vaccination included diphtheria toxoid (+) pertussis acellular vaccine (unspecified) (+) tetanus toxoid. On 28-JUL-2007 the patient called the physician's office to report that she experienced a fever of 101F, a sore arm (unspecified where), and a headache. The patient was treated with over the counter TYLENOL. On 26-SEP-2007 the patient was vaccinated with a second doe of GARDASIL (Lot # 0530U). There was no concomitant therapy. On 17-OCT-2007 the patient went to the emergency room. The patient's "eyes were getting dark" and her vision was fading. The patient experienced syncope. An EKG was performed with normal results except for borderline prolonged QT. The patient was referred to see a pediatric cardiologist on 15-NOV-2007. Another EKG was performed and was normal, and the QTC was also normal. The patient had been monitored. On 20-FEB-2008 the patient was vaccinated with her third dose of GARDASIL (Lot# 659962/1740U). There were no adverse reactions after the third dose. At the time of the report, the outcome of the patient was unknown. Upon internal review "eyes getting dark" vision fading was considered to be an other important medical event. Additional information has been requested.
Age: 14.0
Sex: F
Vaccine: HPV4, TDAP, VARCEL
Symptoms: Syncope, Visual acuity reduced
Clinical narrative: Information has been received from a physician concerning a 14 year old female, who on 27-JUL-2007 was vaccinated with a first dose of GARDASIL (Lot# 658100/0525U) and a dose of VARIVAX. Concomitant vaccination included diphtheria toxoid (+) pertussis acellular vaccine (unspecified) (+) tetanus toxoid. On 28-JUL-2007 the patient called the physician's office to report that she experienced a fever of 101F, a sore arm (unspecified where), and a headache. The patient was treated with over the counter TYLENOL. On 26-SEP-2007 the patient was vaccinated with a second doe of GARDASIL (Lot # 0530U). There was no concomitant therapy. On 17-OCT-2007 the patient went to the emergency room. The patient's "eyes were getting dark" and her vision was fading. The patient experienced syncope. An EKG was performed with normal results except for borderline prolonged QT. The patient was referred to see a pediatric cardiologist on 15-NOV-2007. Another EKG was performed and was normal, and the QTC was also normal. The patient had been monitored. On 20-FEB-2008 the patient was vaccinated with her third dose of GARDASIL (Lot# 659962/1740U). There were no adverse reactions after the third dose. At the time of the report, the outcome of the patient was unknown. Upon internal review "eyes getting dark" vision fading was considered to be an other important medical event. Additional information has been requested.
Age: 29.0
Sex: F
Vaccine: HPV4
Symptoms: Abortion spontaneous, Blood human chorionic gonadotropin positive, Drug exposure during pregnancy, Inappropriate schedule of drug administration
Clinical narrative: Information has been received through the Merck pregnancy registry concerning a 29 year old female with no pertinent medical history or no drug reactions/allergies who on approximately 20-APR-2007 was vaccinated with a first dose of GARDASIL (lot # unknown) injection. On 20-JUN-2007 the patient was vaccinated with a second dose of GARDASIL. There was no concomitant medication used. The consumer reported that she had a positive pregnancy test on 10-AUG-2007 (home pregnancy test and blood test). Her last menstrual period date was 17-JUN-2007, and the estimated due date was 23-MAR-2008. At the time of the report, the patient reported she had not had any reactions. Initial and follow up information has been received from the nurse practitioner who indicated that the patient did not carry the pregnancy to term. She indicated that the patient "had significant problems and miscarried the pregnancy." No other records were available. Upon internal review, the patient's miscarriage was considered to be an other important medical event. Additional information has been requested.
Age: 20.0
Sex: F
Vaccine: HPV4
Symptoms: Abortion spontaneous, Drug exposure during pregnancy, Urine human chorionic gonadotropin negative, Urine human chorionic gonadotropin positive
Clinical narrative: Initial and follow-up information has been received from a registered nurse for the manufacturing registry of GARDASIL concerning a 20 year old female with bipolar disorder, depression, anxiety, polycystic ovaries and thalassaemia minor who on 28-FEB-2007 was vaccinated with first dose of GARDASIL (Lot #656049/0187U, expiration date 29-SEP-2009).  There was no concomitant medication (client told the nurse she was not taking any medications at the time).  Prior to vaccination on 28-FEB-2007, urine pregnancy test was performed and was negative.  Client presented to the office of 23-MAR-2007 and urine pregnancy test performed was positive for pregnancy.  The patient's last menstrual period was 28-JAN-2007.  Estimated date of delivery was 04-Nov-2007.  Follow-up information indicated that the patient had a miscarriage at approximately 9 weeks gestation on an unspecified date.  It was reported that the pregnancy was a spontaneous triplet pregnancy.  There were three empty gestational sacs.  No fetal heart tones were ever detected and there was no further progression of development.  It was reported that the gestational sac sizes were about three to four weeks of development.  At the time of the report the patient was pregnant again (WAES# 0806USA00961).  The outcome of the patient was unknown.  Upon internal review the miscarriage was considered to be an other important medical event.  This is one of two reports from the same source.  Additional information has been requested.
Age: 19.0
Sex: F
Vaccine: HPV4
Symptoms: Caesarean section, Drug exposure during pregnancy, Laboratory test, Labour complication
Clinical narrative: Initial and follow-up information has been received through the Merck pregnancy registry from a consumer concerning her 19 year old daughter with no pertinent medical history who on approximately 15-OCT-2006 was vaccinated with a first dose of GARDASIL.  There were no concomitant medications.  On 18-DEC-2006, the patient was vaccinated with a second dose of GARDASIL.  On 30-DEC-2006, the patient found out she was pregnant.  Unspecified medical attention was sought.  In September 2007, the patient gave birth to a healthy female via primary cesarean section because she "just couldn't push that baby out."  The baby weighed 9 pounds and 1 ounce.  At the time of the report, both mother and baby were well without any problems.  Upon internal review, "just couldn't push that baby out" was considered to be an other important medical event.  Additional information is not expected.
Sex: F
Vaccine: HPV4
Symptoms: Convulsion
Clinical narrative: Information has been received from a physician concerning a female who was vaccinated with a dose of GARDASIL.  Subsequently the patient experienced a seizure.  At the time of the report the patient's outcome was unknown.  Upon internal review, seizure was considered to be an other important medical event.  Additional information has been requested.
Age: 24.0
Sex: F
Vaccine: HPV4
Symptoms: Drug exposure during pregnancy, Pregnancy test positive, Premature baby
Clinical narrative: Initial and follow up information has been received from a licensed practical nurse and a nurse through the Pregnancy Registry for GARDASIL vaccine regarding a 24 year old female with von Willebrand's disease, seasonal allergies, hypertension, allergies to BENADRYL and aspirin and migraines who on 25-JUL-2007 was vaccinated intramuscularly with her first dose of GARDASIL (Lot # 658094/0524U). Concomitant therapy included OVCON 35, BENICAR and ALLEGRA. The OVCON 35 was discontinued on 24-AUG-2007. On 24-AUG-2007, the patient took a home pregnancy test (test not specified) which was positive (LMP = 20-JUL-2007). No symptoms have been reported. The patient was scheduled for an office visit on 26-SEP-2007. On 25-MAR-2008, the patient delivered a pre-term baby at 35 weeks gestation (not further specified). The baby had some respiratory difficulty at birth and was placed in the ICU, otherwise appeared healthy. No other details available at this time. Additional information is not available.
Age: 19.0
Sex: F
Vaccine: HPV4, HEP
Symptoms: Blood human chorionic gonadotropin positive, Drug exposure during pregnancy, Umbilical cord around neck
Clinical narrative: Information has been received from the pregnancy registry for GARDASIL, via a registered nurse concerning a 19 year old female who on 01-AUG-2007 was vaccinated with her first dose of GARDASIL, (lot # 658094/0524U) 0.5ml, IM.  Subsequently, a pregnancy test (blood test) was positive (LMP 25-JUN-2007, EDD 30-MAR-2008).  The patient was placed on therapy with a prenatal vitamin, and amoxicillin 500mg for dental work, on an unspecified date.  Follow up information from a physician reported that on 15-APR-2008, the patient delivered a 7.2 pound, normal, baby girl with an Apgar score of 6 and 8.  The baby was delivered with a nuchal cord that was reduced and the baby was sent to the neo-natal intensive care unit for retractions.  It was not reported if the baby was admitted to the NICU.  No treatment or outcome information has been reported.  Upon internal review, nuchal cord reduction was considered an other important medical event.  Additional information has been requested.
Age: 19.0
Sex: F
Vaccine: HPV4, HEP
Symptoms: Candida nappy rash, Dermatitis diaper
Clinical narrative: Information has been received from the pregnancy registry for GARDASIL, via a registered nurse concerning a 19 year old female who on 01-AUG-2007 was vaccinated with her first dose of GARDASIL, (lot # 658094/0524U) 0.5ml, IM.  Subsequently, a pregnancy test (blood test) was positive (LMP 25-JUN-2007, EDD 30-MAR-2008).  The patient was placed on therapy with a prenatal vitamin, and amoxicillin 500mg for dental work, on an unspecified date.  Follow up information from a physician reported that on 15-APR-2008, the patient delivered a 7.2 pound, normal, baby girl with an Apgar score of 6 and 8.  The baby was delivered with a nuchal cord that was reduced and the baby was sent to the neo-natal intensive care unit for retractions.  It was not reported if the baby was admitted to the NICU.  No treatment or outcome information has been reported.  Upon internal review, nuchal cord reduction was considered an other important medical event.  Additional information has been requested.
Sex: F
Vaccine: MMR
Symptoms: Body temperature, Rash, Viral infection
Clinical narrative: Information has been received from a physician concerning a newly hired female employee with no known allergies or pertinent medical history who on an unspecified date was vaccinated SQ with 0.5ml of MMR II (Enders-Edmonston, Jeryl Lynn, Wistar RA 27/3).  There was no concomitant medication.  Subsequently, two weeks after vaccination the patient developed a rash on her trunk and face.  There was no fever involved.  The patient was seen in the emergency room and was admitted for 24-48 hours.  The patient was diagnosed with Viral Syndrome vs. Atypical Measles Syndrome.  It was reported that the patient recovered on an unspecified date.  There was no product quality complaint involved.  Additional information has been requested.
Age: 0.4
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Intussusception
Clinical narrative: Information has been received from a physician assistant (PA) concerning an approximately 6 to 7 month old patient with no medical history or allergies who on unspecified dates was vaccinated po with all three doses of ROTATEQ. There was no concomitant medication. The PA reported the patient experienced intussusception and was hospitalized (no time frame was available). The patient's outcome was not reported. Additional information has been requested.  6/16/2008 MR received for 2 ER visits 1/8/08 and 1/19/2008 with DX:  Intussusception. 2nd visit for not eating well s/p IS. infant presented with 12 hr hx of vomiting as well as crying as if in pain. Taking nothing po. IS noted on Barium enema but uncuccessful at reducing.  Transfered to higher level of care.  7/10/2008 MR received for DOS 1/9-11/2008 with D/C Dx Intussusception s/p reduction and appendectomy. Infant received for transfer s/p unsuccessful BE reduction.  Pt taken to OR for laparotomy and reduction with appendectomy and lymph node biopsy. Did well post-op and d/c home
Age: 17.0
Sex: F
Vaccine: HPV4
Symptoms: Grand mal convulsion, Nuclear magnetic resonance imaging normal
Clinical narrative: Grand mal seizure occurred 1 month after GARDASIL #3.  8/22/08 Reviewed ER medical records of 12/2/2007. FINAL DX: seizures Records reveal patient experienced seizure in car (passenger) on way to school w/LOC & laceration of tongue.  Was postictal & confused.  no incontinence.  Neuro consult by phone.  Loaded w/anti-seizure med & was to be seen in neuro office next day. 4/8/09 Received Neuro consult 6/9-12/15/2008. FINAL DX: idiopathic generalized tonic-clonic & partial seizure disorder Records reveal patient experienced recurrent seizures 4/08 & had stopped antiseizure meds prior.  Meds changed.  Again stopped meds 6/08 & had partial seizure.
Age: 56.0
Sex: F
Vaccine: TDAP, TDAP
Symptoms: Blood product transfusion, CSF immunoglobulin increased, CSF protein increased, Muscular weakness, Paraesthesia
Clinical narrative: Ascending paresthesia & weakness arms & legs.  Presently with significant weakness (atypical Guillain-Barre).  IV immune globulin. 8/21/08-records received for DOS 5/31-6/9/08-DC DX: Atypical Guillain-Barré syndrome with autonomic dysfunction. Admitted with numbness, tingling, dysgeusia as well as unsteadiness, numbness and tingling with one episode of urinary incontinence. Orthostatic hypotension with reduced reflexes, form of peripheral nerve. Back pain, Bell's palsy.Transferred to rehabilitation facility.
Age: 56.0
Sex: F
Vaccine: TDAP, TDAP
Symptoms: Guillain-Barre syndrome, Hypoaesthesia, Muscular weakness, Paraesthesia
Clinical narrative: Ascending paresthesia & weakness arms & legs.  Presently with significant weakness (atypical Guillain-Barre).  IV immune globulin. 8/21/08-records received for DOS 5/31-6/9/08-DC DX: Atypical Guillain-Barré syndrome with autonomic dysfunction. Admitted with numbness, tingling, dysgeusia as well as unsteadiness, numbness and tingling with one episode of urinary incontinence. Orthostatic hypotension with reduced reflexes, form of peripheral nerve. Back pain, Bell's palsy.Transferred to rehabilitation facility.
Age: 0.51
Sex: M
Vaccine: DTAPHEPBIP, PNC, RV5
Symptoms: Dehydration, Diarrhoea, Fluid intake reduced, Intussusception, Ultrasound abdomen abnormal
Clinical narrative: Symptoms started in Feb. 29 08.  Pt came in with emesis and loose stool.  3/17/08 again pt came in with emesis and diarrhea x5 days, no bloody stools.  4 8 08 h/o emesis, not tolerating liquids.  4/10/08 continues with vomiting not tolerating liquids, dehydrated went to ER.  07/02/2008 MR received for DOS 4/10-12/2008 with D/C DX:  Intussusception. Infant presented to ER for 3rd time with c/o 4 day hx of emesis, abdominal tenderness and bloody stools. (+) URI sx-mild productive cough. PE WNL except crying and agitation and periods of staring and difficulty with arousal. Ileocolic Intussusception reduced by BE on 4/11/08.
Age: 0.51
Sex: M
Vaccine: DTAPHEPBIP, PNC, RV5
Symptoms: Vomiting
Clinical narrative: Symptoms started in Feb. 29 08.  Pt came in with emesis and loose stool.  3/17/08 again pt came in with emesis and diarrhea x5 days, no bloody stools.  4 8 08 h/o emesis, not tolerating liquids.  4/10/08 continues with vomiting not tolerating liquids, dehydrated went to ER.  07/02/2008 MR received for DOS 4/10-12/2008 with D/C DX:  Intussusception. Infant presented to ER for 3rd time with c/o 4 day hx of emesis, abdominal tenderness and bloody stools. (+) URI sx-mild productive cough. PE WNL except crying and agitation and periods of staring and difficulty with arousal. Ileocolic Intussusception reduced by BE on 4/11/08.
Age: 0.5
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5, RV5
Symptoms: Intussusception
Clinical narrative: Intussusception, surgical intervention. 7/23/08-follow up visit for DOS 6/18/08-seen for routine follow up after laparoscopic reduction of intussusception and appendectomy. Presented with nonreducible intussusception with uneventful recovery.
Age: 0.5
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5, RV5
Symptoms: Intussusception, Surgery
Clinical narrative: Intussusception, surgical intervention. 7/23/08-follow up visit for DOS 6/18/08-seen for routine follow up after laparoscopic reduction of intussusception and appendectomy. Presented with nonreducible intussusception with uneventful recovery.
Age: 37.0
Sex: F
Vaccine: ANTH, ANTH
Symptoms: Aspiration pleural cavity, Chest X-ray abnormal, Hypertension, Oedema, Pleural effusion
Clinical narrative: 30+ pounds of edema, bilat pleural effusions, HTN requiring treatment, thoracentesis.  Saw ID/pulm/neph. 8/15/08-records received-11/29/07-after 6th dose of anthrax vaccine on 11/3/07 developed moderate arm soreness and headache. Sore thighs, nausea, fatigue, malaise, and generalized weakness over following week. Flu-like symptoms. Two weeks later developed swelling of feet, shortness of breath and neck pain. Possible serum sickness. Impression includes hypertension probably secondary to serum sickness. On 1/17/08-positive for , weight change, night sweats, fevers, hematuria, irregular periods, ringing in ears, heat and cold intolerance, difficulty walking, back pain, change in hair, dizziness, depression, decreased memory.
Age: 37.0
Sex: F
Vaccine: ANTH, ANTH
Symptoms: Proteinuria
Clinical narrative: 30+ pounds of edema, bilat pleural effusions, HTN requiring treatment, thoracentesis.  Saw ID/pulm/neph. 8/15/08-records received-11/29/07-after 6th dose of anthrax vaccine on 11/3/07 developed moderate arm soreness and headache. Sore thighs, nausea, fatigue, malaise, and generalized weakness over following week. Flu-like symptoms. Two weeks later developed swelling of feet, shortness of breath and neck pain. Possible serum sickness. Impression includes hypertension probably secondary to serum sickness. On 1/17/08-positive for , weight change, night sweats, fevers, hematuria, irregular periods, ringing in ears, heat and cold intolerance, difficulty walking, back pain, change in hair, dizziness, depression, decreased memory.
Age: 37.0
Sex: F
Vaccine: ANTH, ANTH
Symptoms: Abdominal pain upper, Alopecia, Aspiration pleural cavity, Blood pressure fluctuation, Chest X-ray abnormal
Clinical narrative: 30+ pounds of edema, bilat pleural effusions, HTN requiring treatment, thoracentesis.  Saw ID/pulm/neph. 8/15/08-records received-11/29/07-after 6th dose of anthrax vaccine on 11/3/07 developed moderate arm soreness and headache. Sore thighs, nausea, fatigue, malaise, and generalized weakness over following week. Flu-like symptoms. Two weeks later developed swelling of feet, shortness of breath and neck pain. Possible serum sickness. Impression includes hypertension probably secondary to serum sickness. On 1/17/08-positive for , weight change, night sweats, fevers, hematuria, irregular periods, ringing in ears, heat and cold intolerance, difficulty walking, back pain, change in hair, dizziness, depression, decreased memory.
Age: 37.0
Sex: F
Vaccine: ANTH, ANTH
Symptoms: Effusion, Fatigue, Flank pain, Headache, Hypertension
Clinical narrative: 30+ pounds of edema, bilat pleural effusions, HTN requiring treatment, thoracentesis.  Saw ID/pulm/neph. 8/15/08-records received-11/29/07-after 6th dose of anthrax vaccine on 11/3/07 developed moderate arm soreness and headache. Sore thighs, nausea, fatigue, malaise, and generalized weakness over following week. Flu-like symptoms. Two weeks later developed swelling of feet, shortness of breath and neck pain. Possible serum sickness. Impression includes hypertension probably secondary to serum sickness. On 1/17/08-positive for , weight change, night sweats, fevers, hematuria, irregular periods, ringing in ears, heat and cold intolerance, difficulty walking, back pain, change in hair, dizziness, depression, decreased memory.
Age: 37.0
Sex: F
Vaccine: ANTH, ANTH
Symptoms: Musculoskeletal stiffness, Neck pain, Nephritis, Nephropathy, Oedema
Clinical narrative: 30+ pounds of edema, bilat pleural effusions, HTN requiring treatment, thoracentesis.  Saw ID/pulm/neph. 8/15/08-records received-11/29/07-after 6th dose of anthrax vaccine on 11/3/07 developed moderate arm soreness and headache. Sore thighs, nausea, fatigue, malaise, and generalized weakness over following week. Flu-like symptoms. Two weeks later developed swelling of feet, shortness of breath and neck pain. Possible serum sickness. Impression includes hypertension probably secondary to serum sickness. On 1/17/08-positive for , weight change, night sweats, fevers, hematuria, irregular periods, ringing in ears, heat and cold intolerance, difficulty walking, back pain, change in hair, dizziness, depression, decreased memory.
Age: 37.0
Sex: F
Vaccine: ANTH, ANTH
Symptoms: Pain, Pleural effusion, Proteinuria, Renal failure, Sleep disorder
Clinical narrative: 30+ pounds of edema, bilat pleural effusions, HTN requiring treatment, thoracentesis.  Saw ID/pulm/neph. 8/15/08-records received-11/29/07-after 6th dose of anthrax vaccine on 11/3/07 developed moderate arm soreness and headache. Sore thighs, nausea, fatigue, malaise, and generalized weakness over following week. Flu-like symptoms. Two weeks later developed swelling of feet, shortness of breath and neck pain. Possible serum sickness. Impression includes hypertension probably secondary to serum sickness. On 1/17/08-positive for , weight change, night sweats, fevers, hematuria, irregular periods, ringing in ears, heat and cold intolerance, difficulty walking, back pain, change in hair, dizziness, depression, decreased memory.
Age: 17.0
Sex: M
Vaccine: TDAP
Symptoms: Asthenia, CSF test abnormal, Guillain-Barre syndrome, Nerve conduction studies abnormal
Clinical narrative: Developed weakness 5/29/08.  Hospitalized 5/30/08 with Guillain-Barre syndrome.  06/10/2008 MR received for DOS 5/30-6/06/2008 with final DX: Guillain Barre Syndrome.  Pt presented to ER with inability to walk, generalized weakness, tingling of the feet and facial paralysis with tingling of the tongue.  Admitted to ICU with paraparesis, upper extremity weakness and bilateral facial palsy with difficulty managing oral secretions. Vital capacity initially decreased but improved with IVIG so intubation was not necessary. Pt had significant dysphagia and dysautonomia with fluctuating hypertension/hypotension  tachycardia and constipation.  Urinary retention resulted in Foley catheter insertion. Pt was able to walk with a walker prior to d/c to rehab facility.
Age: 4.0
Sex: M
Vaccine: DTAP
Symptoms: Erythema, Pruritus, Swelling, Tenderness
Clinical narrative: Erythema, swelling, tenderness, pruritus x 3 days.  tx: BENADRYL/MOTRIN.
Age: 27.0
Sex: F
Vaccine: DTAP
Symptoms: Wrong drug administered
Clinical narrative: Gave DTaP instead of Tdap.  Pt had stepped on nail day before injection.  No adverse effects reported.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Cellulitis, Injection site pruritus, Injection site urticaria, Injection site warmth
Clinical narrative: Pt's mom noticed a quarter-sized raised, red welt around injection site.  It was hot to the touch, but pt. did not complain of pain.  There was some itching.  Pt. had no fever or any other symptoms.  24 hrs. after 1st onset of reaction, welt had grown bigger.  Pt. was treated with KEFLEX after Dx with cellulitis on left thigh.
Age: 1.0
Sex: M
Vaccine: MMR, PNC, VARCEL
Symptoms: Crying, Erythema, Injection site erythema, Rash macular
Clinical narrative: Reddened area approx 3" diameter around both injection site - face turned red and appeared blotchy when crying.  BENADRYL 118 mg given thru Gtube observation for other signs of rxn for 60 min.  Dismissed from clinic at 1300 - redness reduced to 1 1/2".
Age: 4.0
Sex: F
Vaccine: DTAP, HEPA, IPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Redness and swelling on both arms, at vaccine site no fever, no breathing difficulty.
Age: 0.4
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: Gave Hib too early didn't need yet.  Pt had Hib on 5-5-08 and was given another on 5-20-08.
Age: 0.3
Sex: F
Vaccine: DTAP, HIBV, PNC, RV5
Symptoms: Crying, Injection site erythema, Injection site swelling, Injection site warmth, Irritability
Clinical narrative: LT thigh got swelling & redness down to knee, slight warmth to touch.  Pt very irritable - cried non stop - gave TYLENOL & MOTRIN - cold pack.  Father said that crying began 3 hours after left office - then began crying non-stop.
Age: 20.0
Sex: F
Vaccine: SMALL
Symptoms: Injection site erythema, Injection site nodule, Injection site pruritus, Injection site scar, Injection site swelling
Clinical narrative: 12/8mm keloid developed in smallpox vaccination site scar.  Is erythematous and bulging. Experiences occasional itching in lesion.  Symptoms: Nodule, epidermal, Pruritus.
Age: 20.0
Sex: F
Vaccine: SMALL
Symptoms: Keloid scar
Clinical narrative: 12/8mm keloid developed in smallpox vaccination site scar.  Is erythematous and bulging. Experiences occasional itching in lesion.  Symptoms: Nodule, epidermal, Pruritus.
Age: 20.0
Sex: M
Vaccine: SMALL
Symptoms: Fibrous histiocytoma, Injection site induration, Injection site irritation, Injection site nodule, Injection site pruritus
Clinical narrative: Dermatofibroma (8 mm-raised, hard lesion) in center of exact smallpox vaccination site that has caused extreme itching intermittently for the last 2 years.  Sometimes the pt scratching irritates the lesion breaks the skin the itching is so intense.  Referred to dermatology for biopsy/excisement.  Symptoms: Nodule, epidermal.
Age: 23.0
Sex: F
Vaccine: RAB
Symptoms: Pyrexia
Clinical narrative: Morning after vaccine (2:30am) had fever 102.4 degrees F.  Took TYLENOL.
Age: 10.0
Sex: F
Vaccine: VARCEL
Symptoms: Dizziness, Presyncope, Urticaria
Clinical narrative: Hives, dizziness, pre syncope.
Age: 7.0
Sex: M
Vaccine: VARCEL
Symptoms: Pruritus, Wheezing
Clinical narrative: After child left our pediatric office after receiving varicella vaccine, he developed wheezing and itching.  He was given BENADRYL and albuterol.
Age: 8.0
Sex: F
Vaccine: VARCEL
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling, Urticaria
Clinical narrative: Hives-on B legs.  Injection site swollen/red 2 inch x 3 inches in thigh itchy.
Age: 4.0
Sex: M
Vaccine: DTAP, MMR
Symptoms: Injection site erythema, Injection site warmth
Clinical narrative: Redness to site & warm to touch.  Doctor advised for cool compress to be applied and give TYLENOL PRN.
Age: 1.0
Sex: M
Vaccine: HEPA, MMR, PNC, VARCEL
Symptoms: Blood test, Chest X-ray, Diarrhoea, Erythema, Irritability
Clinical narrative: This letter is written documentation of an adverse reaction to a recent vaccine my son received on Wed. April 30, 2008 1. MMR 2. varicella 3. pneumococcal 4. hepatitis A.  Friday May 2, 2008 He began running a fever and fussy.  Sat. May 3, 2008 he awoke with bright red patches over about 45-60% of his body these splotches then progressed to red spots the size of a pea with white centers  not fluid filled as in chicken pox.  His body seemed to be sore he seemed to be in pain not itchy.  fever continued he was given TYLENOL and nothing else.  The next morning he awoke with new places and now covering at least 75% of his body.  Around 2:00 p.m. he began to swell in his hands, feet, and face his hands and feet were turning a pale blue.  We checked his fever it was 101 and his o2 sats were 81 we went immediately to the ER.  He was rapidly progressing with the spots and splotches and swelling.  He had blood work done and a chest xray.  His pediatrician was not able to be reached on a Sunday May 3, 2008.  We were sent home and told to return if his breathing became difficult or blisters in the mouth or eyelids.  Monday, Tuesday old spots became dark purple and brown then progressing to pale yellow while more new spots appeared now the new spots on Monday and Tuesday were looking more like half moon shapes but still all over his body.  Wednesday still running fever and spots still present.  extreme fussiness and body aches runny nose all these continued.  5:00 p.m. May 7, 2008 the spots and redness were completely gone, leaving pale yellow spots like bruises behind.  May 9, he still has fever, low grade, and runny nose and irritability.  He had diarrhea and spitting up throughout this whole time.  I also have 2 other children that received MMR vaccines at different times they ran fever and had small spots that went away after 24 hours this is what I would call mild.  Patient's reaction I would not call mild.  He will not be receiving another MMR vaccine.  I am writing this letter May 9 2008 and I would not say that he is completely recovered from this 100% but my goal is to let it be known that these vaccines are not always helpful and that they can be more harm than good.
Age: 1.0
Sex: M
Vaccine: HEPA, MMR, PNC, VARCEL
Symptoms: Oedema peripheral, Pain, Pyrexia, Rash, Rhinorrhoea
Clinical narrative: This letter is written documentation of an adverse reaction to a recent vaccine my son received on Wed. April 30, 2008 1. MMR 2. varicella 3. pneumococcal 4. hepatitis A.  Friday May 2, 2008 He began running a fever and fussy.  Sat. May 3, 2008 he awoke with bright red patches over about 45-60% of his body these splotches then progressed to red spots the size of a pea with white centers  not fluid filled as in chicken pox.  His body seemed to be sore he seemed to be in pain not itchy.  fever continued he was given TYLENOL and nothing else.  The next morning he awoke with new places and now covering at least 75% of his body.  Around 2:00 p.m. he began to swell in his hands, feet, and face his hands and feet were turning a pale blue.  We checked his fever it was 101 and his o2 sats were 81 we went immediately to the ER.  He was rapidly progressing with the spots and splotches and swelling.  He had blood work done and a chest xray.  His pediatrician was not able to be reached on a Sunday May 3, 2008.  We were sent home and told to return if his breathing became difficult or blisters in the mouth or eyelids.  Monday, Tuesday old spots became dark purple and brown then progressing to pale yellow while more new spots appeared now the new spots on Monday and Tuesday were looking more like half moon shapes but still all over his body.  Wednesday still running fever and spots still present.  extreme fussiness and body aches runny nose all these continued.  5:00 p.m. May 7, 2008 the spots and redness were completely gone, leaving pale yellow spots like bruises behind.  May 9, he still has fever, low grade, and runny nose and irritability.  He had diarrhea and spitting up throughout this whole time.  I also have 2 other children that received MMR vaccines at different times they ran fever and had small spots that went away after 24 hours this is what I would call mild.  Patient's reaction I would not call mild.  He will not be receiving another MMR vaccine.  I am writing this letter May 9 2008 and I would not say that he is completely recovered from this 100% but my goal is to let it be known that these vaccines are not always helpful and that they can be more harm than good.
Age: 1.0
Sex: M
Vaccine: HEPA, MMR, PNC, VARCEL
Symptoms: Skin discolouration, Vomiting
Clinical narrative: This letter is written documentation of an adverse reaction to a recent vaccine my son received on Wed. April 30, 2008 1. MMR 2. varicella 3. pneumococcal 4. hepatitis A.  Friday May 2, 2008 He began running a fever and fussy.  Sat. May 3, 2008 he awoke with bright red patches over about 45-60% of his body these splotches then progressed to red spots the size of a pea with white centers  not fluid filled as in chicken pox.  His body seemed to be sore he seemed to be in pain not itchy.  fever continued he was given TYLENOL and nothing else.  The next morning he awoke with new places and now covering at least 75% of his body.  Around 2:00 p.m. he began to swell in his hands, feet, and face his hands and feet were turning a pale blue.  We checked his fever it was 101 and his o2 sats were 81 we went immediately to the ER.  He was rapidly progressing with the spots and splotches and swelling.  He had blood work done and a chest xray.  His pediatrician was not able to be reached on a Sunday May 3, 2008.  We were sent home and told to return if his breathing became difficult or blisters in the mouth or eyelids.  Monday, Tuesday old spots became dark purple and brown then progressing to pale yellow while more new spots appeared now the new spots on Monday and Tuesday were looking more like half moon shapes but still all over his body.  Wednesday still running fever and spots still present.  extreme fussiness and body aches runny nose all these continued.  5:00 p.m. May 7, 2008 the spots and redness were completely gone, leaving pale yellow spots like bruises behind.  May 9, he still has fever, low grade, and runny nose and irritability.  He had diarrhea and spitting up throughout this whole time.  I also have 2 other children that received MMR vaccines at different times they ran fever and had small spots that went away after 24 hours this is what I would call mild.  Patient's reaction I would not call mild.  He will not be receiving another MMR vaccine.  I am writing this letter May 9 2008 and I would not say that he is completely recovered from this 100% but my goal is to let it be known that these vaccines are not always helpful and that they can be more harm than good.
Age: 65.0
Sex: F
Vaccine: PPV
Symptoms: Erythema, Induration, Oedema peripheral
Clinical narrative: swelling to elbow, hard & red
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth, Pyrexia
Clinical narrative: 5/31-fever.  6/1-fever, redness & swelling, warmth at injection site L deltoid 2 1/2 x 2 cm.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Cellulitis, Injection site erythema, Injection site urticaria
Clinical narrative: Pt's mom noticed a small, raised, red "welt" around injection site on left leg one day after shots were given. Pt. had no fever, and no pain. Pt. was diagnosed with cellulitis and prescribed KEFLEX for treatment.
Age: 16.0
Sex: F
Vaccine: HEP, HPV4
Symptoms: Erythema, Pruritus
Clinical narrative: Vaccines administered at 2 PM.  At 2:20 PM reported intense itching right arm.  Vital signs stable.  BENADRYL liquid given at 2:25 PM orally.  At 2:35 reports itching redness right upper thigh.
Age: 1.0
Sex: M
Vaccine: HEPA, MMR, VARCEL
Symptoms: Erythema, Eyelid oedema, Oedema peripheral, Swelling face
Clinical narrative: 5/22/08 Pt seen well visit received Hep A/varicella/MMR. About 12 hrs after vaccines pt dvpd redness of face and arms swelling of eyelids, puffy face and hands when he awoke in the morning. No difficulty breathing. Mom gave a dose of BENADRYL with decreased swelling of eyelids.
Age: 34.0
Sex: F
Vaccine: HEP
Symptoms: Headache, Hypoaesthesia, Nausea, Pain, Pain in extremity
Clinical narrative: At 9pm on the day vaccine was given patient experienced severe pain in L arm, headache & nausea.  She also had pain & numbness the next day so she contacted me & her physician.  When the doctor called her back the next day, the pain had subsided & doctor told her less than 10% of patients get nausea from vaccine.
Age: 36.0
Sex: F
Vaccine: HEP
Symptoms: Hypoaesthesia, Pain in extremity, Paraesthesia
Clinical narrative: Had vaccine in Tuesday AM - Later in day had tingling in fingers of (R) arm and by the next day her entire arm felt numb. By Friday, her arm was also hurting so she saw physician who put her on anti-inflammatory meds. Next week continued to have problems with numbness and tingling so doctor put her on muscle relaxant, something for nerves and exercises.
Age: 62.0
Sex: M
Vaccine: LYME, UNK
Symptoms: Arthralgia
Clinical narrative: Extreme upper body joint pain (arms-shoulders) for the last 6-months.  No treatment yet!  Severe arthritic symptoms, mostly at night (sleep) and in the early morning.
Age: 1.0
Sex: F
Vaccine: HEPA, PNC
Symptoms: Injection site erythema
Clinical narrative: Erythema 50x40 on (R) arm.
Age: 5.0
Sex: M
Vaccine: DTAP, HEPA, IPV, MMR, VARCEL
Symptoms: Pharyngolaryngeal pain, Respiratory tract congestion, Sneezing, Swelling face, Urticaria
Clinical narrative: Pt received DTaP, IPV, MMR, Hep A, VARIVAX.  Started sneezing after injections.  Within 10-15 min, had facial swelling with scattered hives, congestion & sore throat.  No wheeze or dyspnea.
Age: 0.4
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Breath holding, Crying, Immediate post-injection reaction, Loss of consciousness, Skin discolouration
Clinical narrative: Immediately after PEDIARIX, PREVNAR, HIB - pt was crying - held breath - turned dark red - lost consciousness - 3 seconds and began breathing. Regained sensorium - breast feeding and alert within 2 min.
Age: 5.0
Sex: F
Vaccine: DTAP, HEPA, IPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: L thigh vastus lateralis area red-almost purple-10-12 cm diameter, swollen.  Persisted for >5 days.
Age: 28.0
Sex: F
Vaccine: HEP, MMR
Symptoms: Lymph node pain, Rash
Clinical narrative: Facial rash, pain to lymph glands of neck, appeared 5/27/08. Afebrile. Resolving as of 6/2/08. Took (OTC) Tylenol only with good effect, declined to see physician.
Age: 33.0
Sex: F
Vaccine: MMR
Symptoms: Chills, Lymphadenopathy, Nausea, Pyrexia, Rash generalised
Clinical narrative: Chills, nausea, rash starting on stomach, spreading to face, legs then arms.  Fever of 99 degrees and swollen glands on neck.
Age: 1.01
Sex: F
Vaccine: MMR, PNC, VARCEL
Symptoms: Pyrexia, Rash
Clinical narrative: Fever 102.7 rectally, began 10 days after MMR given.  Rash on trunk began 12 d after MMR.
Age: 6.0
Sex: F
Vaccine: HEP, HEPA
Symptoms: Pallor, Rash, Rash papular, Rash pruritic
Clinical narrative: Itchy facial rash - raised pink papules, blanching extending to torso.
Age: 1.3
Sex: M
Vaccine: DTAP
Symptoms: Injection site cellulitis
Clinical narrative: Cellulitis at site of DTaP.
Sex: U
Vaccine: MNQ
Symptoms: Chest pain, Dyspnoea, Wheezing
Clinical narrative: 45 minutes after receiving MENACTRA pt developed chest pain & shortness of breath.  She was seen in ED where wheezing was heard.  She was treated with 1 dose of BENADRYL, prednisone & nebulizer x1.
Age: 53.0
Sex: F
Vaccine: YF
Symptoms: Pruritus generalised
Clinical narrative: Client phoned 4:30 pm said she believes she's having a reaction to yellow fever shot left her around 3 pm. Says this happens to her often from other things whether outside or home. No allergies to eggs. Told LPN This before shot was given and states Benadryl does not help. Told to go to ER or E. med. Awaiting family member in mall, will go to E. med. Itching from head to toe.
Age: 17.0
Sex: F
Vaccine: DTAP, HEP
Symptoms: No adverse event, Wrong drug administered
Clinical narrative: No adverse reaction.  On 4/11/08 pt. given DTaP rather than Tdap.  Pt is 17 yrs old.  Should have received Tdap.  All reported to state and district.
Age: 18.0
Sex: F
Vaccine: DTAP, HEP
Symptoms: Wrong drug administered
Clinical narrative: Client was given DTaP-should have been given Tdap. Not licensed for this age.
Age: 69.0
Sex: F
Vaccine: PPV
Symptoms: Erythema, Oedema peripheral, Pain in extremity, Skin warm
Clinical narrative: Received pneumonia vacc. L arm Tuesday 11/27/07.  Tues. night became painful below injection site with redness & warm to touch, and swollen from below injection site on inner side of upper arm to elbow.  Says better today.
Age: 44.0
Sex: F
Vaccine: YF
Symptoms: Anaphylactic reaction, Laryngospasm, Muscle spasms, Pruritus, Swelling face
Clinical narrative: 5/27/08 states she is nurse practitioner.  Had reaction 3 mins after vacc went to car.  Started itching, throat closing up, face swelling.  Said she had anaphylactic reactions.  Went to urgent care sent to ER via ambulance.  2 more doses of epinephrine.  Still has itching (chronic problem) taking prednisone.  Has had 7 or 8 yellow fevers vac before with no problems.  Last one 2001 in military.  Still having lorengic spasms.  Under care Dr.
Age: 44.0
Sex: F
Vaccine: YF
Symptoms: Throat tightness
Clinical narrative: 5/27/08 states she is nurse practitioner.  Had reaction 3 mins after vacc went to car.  Started itching, throat closing up, face swelling.  Said she had anaphylactic reactions.  Went to urgent care sent to ER via ambulance.  2 more doses of epinephrine.  Still has itching (chronic problem) taking prednisone.  Has had 7 or 8 yellow fevers vac before with no problems.  Last one 2001 in military.  Still having lorengic spasms.  Under care Dr.
Age: 5.0
Sex: M
Vaccine: DTAP, HEPA, IPV, MMR, VARCEL
Symptoms: No adverse event, Wrong drug administered
Clinical narrative: Child received adult HAV instead of childs, no adverse reaction noted. No swelling at injection site.
Age: 0.3
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Diarrhoea
Clinical narrative: 3 days of watery diarrhea since 6/6/08.  Still has watery diarrhea now, abdominal soft. no tenderness, no skin rash, only on PEDIALYTE.  Possible adverse reaction after ROTATEQ #2.
Age: 53.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling, Injection site warmth
Clinical narrative: Redness, swelling and heat at injection site and itchy 70mm x 70 mm - started 6/6/08 after work; started Benadryl 25mg BID. 6/9/08 redness reduced to 20mm x 20mm.
Age: 14.0
Sex: F
Vaccine: HPV4, TDAP
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: Patient was given a Tdap injection previously on 04/03/08 and another Tdap injection today 06/05/08.
Age: 11.0
Sex: M
Vaccine: TDAP
Symptoms: Headache, Immunisation reaction, Pyrexia
Clinical narrative: Developed fever of 103.7 degrees F and headache.  Taken to primary care provider + diagnosed with reaction to Tdap.  No other medical problems identified.  Medical
Age: 0.3
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Injection site erythema, Injection site warmth
Clinical narrative: small red area on (R) thigh slightly warm 1 cm diameter
Age: 0.2
Sex: M
Vaccine: DTAP, HIBV, PNC, RV5, DTAP, HIBV, PNC, RV5
Symptoms: Diarrhoea, Rotavirus test positive
Clinical narrative: Child received ROTATEQ #1 on 5-27-08.  Started with loose stools 5-28-08.  Stool sent out + for rotavirus.
Age: 0.2
Sex: M
Vaccine: DTAP, HIBV, PNC, RV5, DTAP, HIBV, PNC, RV5
Symptoms: Diarrhoea, Faeces discoloured, Rotavirus infection, Rotavirus test positive, Stool analysis abnormal
Clinical narrative: Child received ROTATEQ #1 on 5-27-08.  Started with loose stools 5-28-08.  Stool sent out + for rotavirus.
Age: 27.0
Sex: M
Vaccine: ANTH, SMALL, SMALL
Symptoms: Cardiac stress test normal, Chest X-ray normal, Chest discomfort, Dyspnoea, Electrocardiogram abnormal
Clinical narrative: Pt reported new onset, non-radiating, constant left-sided pressure-type chest pain accompanied by shortness of breath. Onset around 0600 pm 5/17/08 and got progressively worse during the day. Symptoms: Chest Pain, Dyspnea (shortness of breath).  6/20/08 Reviewed medical records including hospital records of 5/18-5/19/2008. FINAL DX: resolved noncardiac chest pain & tobacco abuse Records reveal patient experienced left precordial pain w/SOB.  Cardiology consult done.