chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 17.0
Sex: F
Vaccine: MNQ, TDAP
Symptoms: Dizziness, Nausea, Vertigo
Clinical narrative: 1.5 hours after vaccination, became dizzy. As time went on, dizziness increased. When she laid down and closed eyes, spinning began and she became nauseated. After calling MD fell asleep.
Age: 58.0
Sex: F
Vaccine: TDAP
Symptoms: Chest pain, Hypokinesia, Injection site induration, Injection site rash, Malaise
Clinical narrative: 6/21 sore arm, swollen arm, fever 6/22, and malaise. Continued 6/23, 6/24 arm worse and couldn't raise arm, rash and induration at site, rash on outer aspect of arm, sore throat 6/25 3:30AM pain upper chest, shoulder blade and down arm.
Age: 58.0
Sex: F
Vaccine: TDAP
Symptoms: Pain, Pyrexia, Shoulder pain
Clinical narrative: 6/21 sore arm, swollen arm, fever 6/22, and malaise. Continued 6/23, 6/24 arm worse and couldn't raise arm, rash and induration at site, rash on outer aspect of arm, sore throat 6/25 3:30AM pain upper chest, shoulder blade and down arm.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, PNC
Symptoms: Chills, Hypertonia, Insomnia, Pain
Clinical narrative: Per mom, patient had "exaggerated shiver" while sleeping four times during the night, after receiving immunizations. Patient shook his whole body. After shaking he tensed all muscles. Episode lasted about 5 seconds. He acted normal after episode. No cyanosis or any other symptoms besides arm pain from shots. Ordered EEG and mom is to observe.
Age: 3.0
Sex: F
Vaccine: DTAP, VARCEL
Symptoms: Erythema, Feeling hot, Injury, Swelling, Tenderness
Clinical narrative: Presented to office with 12.5 cm x 9.5 cm redness and slight swelling, warm and tender to touch. Also a 2.5 cm x 1cm abraded area at center.
Age: 1.02
Sex: M
Vaccine: HEP, HIBV, MMR, VARCEL
Symptoms: Ear disorder, Infection, Rash papular
Clinical narrative: Developed a papule on 06/22/2006, since then papules increased in number from abdomen to back. Also had ear infection and was prescribed Amoxicillin (400mg).
Age: 33.0
Sex: F
Vaccine: MMR
Symptoms: Headache, Lymphadenopathy, Speech disorder
Clinical narrative: Severe headache, like fire, 7 days after vaccine. Swollen lymph nodes in neck, breast, under chin and behind ears, 9 days after vaccine. Trouble talking due to enlarged glands.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV
Symptoms: Injection site pain, Injection site swelling
Clinical narrative: Swelling and tenderness right deltoid lasting 3 days after vaccine.
Sex: M
Vaccine: DTAP
Symptoms: Erythema, Injection site induration, Pain
Clinical narrative: Induration, erythema and tenderness.
Age: 0.18
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Pyrexia, Screaming
Clinical narrative: Three hours after receiving vaccines the patient screamed without stopping for the next four hours. His temperature increased to 100.8F.
Age: 40.0
Sex: F
Vaccine: RAB
Symptoms: Abdominal pain, Diarrhoea, Headache
Clinical narrative: Patient was not ill at all prior to donation on 06/21/06, or at the time of the second rabies shot on 06/23/06. She left the center at 10:30 AM on 06/23/2006, at 03:00 PM on 6/23/2006, she began having horrible diarrhea and a mild headache. She had 15 episodes of diarrhea from 3 PM to 8 PM on 06/23/2006. Today no further diarrhea but her abdomen is sore. On 06/24/2006, there was no redness, heat, swelling or rash present on the right arm. Today BP is 120/66; Pulse 74; could not take temperature because patient had just drank a can of diet coke.
Age: 1.0
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Rash papular
Clinical narrative: Developed papular rash on body. Question of vesicles (hard bumps) versus papules on the trunk.
Age: 1.84
Sex: M
Vaccine: DTAP, HEP, IPV, PNC
Symptoms: Urticaria
Clinical narrative: Welts all over body upon awakening this AM, June 29, 2006.
Age: 0.75
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Convulsion, Hypocalcaemia, Pyrexia, Somnolence
Clinical narrative: Vaccinated on 06/28/2006. Evening of 06/29/2006, developed fever (100-101 degrees per dad) and had approximately 1 minute generalized seizure, sleepy afterward, then acted normal after 10 or more minutes. Parent's called 911 then drove child to walk-in clinic after she was seen by ambulance personnel. Medical record states hypocalemia msv
Age: 1.16
Sex: M
Vaccine: DTAP, HIBV, MMR, VARCEL
Symptoms: Rash macular, Skin discolouration
Clinical narrative: Patient had a diffuse macular blanching rash over his trunk, face and groin.
Age: 6.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: A 4x4 inch area on the right thigh of mild swelling and erythema that is resolving.
Age: 66.0
Sex: M
Vaccine: MMR
Symptoms: Arthralgia, Asthenia, Dyspnoea, Fatigue, Haemoglobin decreased
Clinical narrative: MMR used (off label) intralesional to respiratory papilloma (in larynx). The patient had been on Dapsone for years bid not disclose this until he developed haemolytic anaemia.  The Patient is a 66 year old man with a long history of dermatitis herpetiformis (DH). He has used Dapsone for 52 years with not problems. About 3.5 weeks ago he received injections with "vials of MMR vaccine". He then noted increasing fatigue, Shortness of breath, joint pains and generalized weakness. He turned yellow and went to the Ed where a significant drop in Hgb was noted (Baseline 15-16>6) Dapsone was discontinued and he was transfused with 2U PRBC (one on each of 6/7 and 6/08/06). Prednisone 80 mg daily was started for DH flare and he was advised to pursue a gluten free diet. Multiple radiographic studies and an MRI only revealed a distended bladder. There was no blood in his stool. Follow up Hgb from 06/13/06 was 11.5. Patient resumed Dapsone with 100 mg on 06/13/06 and 50 mg on 06/14/06 with rapid relief of DH symptoms. He decreased the prednisone to 40 mg with the intent to continue a rapid taper. He will follow-up with serial CBC's with is hematologist and was advised to pursue upper GI endoscopy and biopsy. This even seems unlikely to be secondary to Dapsone. Re-introduction of Dapsone is ongoing. The possibility of MMR related serum-sickness should be considered.
Age: 66.0
Sex: M
Vaccine: MMR
Symptoms: Haemolytic anaemia, Urinary tract disorder, Yellow skin
Clinical narrative: MMR used (off label) intralesional to respiratory papilloma (in larynx). The patient had been on Dapsone for years bid not disclose this until he developed haemolytic anaemia.  The Patient is a 66 year old man with a long history of dermatitis herpetiformis (DH). He has used Dapsone for 52 years with not problems. About 3.5 weeks ago he received injections with "vials of MMR vaccine". He then noted increasing fatigue, Shortness of breath, joint pains and generalized weakness. He turned yellow and went to the Ed where a significant drop in Hgb was noted (Baseline 15-16>6) Dapsone was discontinued and he was transfused with 2U PRBC (one on each of 6/7 and 6/08/06). Prednisone 80 mg daily was started for DH flare and he was advised to pursue a gluten free diet. Multiple radiographic studies and an MRI only revealed a distended bladder. There was no blood in his stool. Follow up Hgb from 06/13/06 was 11.5. Patient resumed Dapsone with 100 mg on 06/13/06 and 50 mg on 06/14/06 with rapid relief of DH symptoms. He decreased the prednisone to 40 mg with the intent to continue a rapid taper. He will follow-up with serial CBC's with is hematologist and was advised to pursue upper GI endoscopy and biopsy. This even seems unlikely to be secondary to Dapsone. Re-introduction of Dapsone is ongoing. The possibility of MMR related serum-sickness should be considered.
Age: 67.0
Sex: M
Vaccine: PPV
Symptoms: Injection site erythema, Injection site swelling, Pain
Clinical narrative: Discomfort, redness and swelling in upper arm. Treated with ice and elevation. Seen by physician.
Age: 73.0
Sex: F
Vaccine: PPV, TD
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Redness, swelling, RU extremity down to medical elbow area. No axillary adenopathy. Trt: ice packs, elevation, antihistamines. Seen by Dr.
Age: 1.0
Sex: F
Vaccine: HIBV, MMR, PNC
Symptoms: Erythema, Urticaria
Clinical narrative: Mom stated redness and appeared to bilateral thighs, some welts. Ice applied to bilateral thighs. Rechecked at 15:25 welts decreased, redness continues, mom stated looked better. Pt seen by Dr.
Age: 35.0
Sex: M
Vaccine: RAB
Symptoms: Dizziness, Fatigue, Nausea
Clinical narrative: Lightheaded, nausea, fatigue about 4 hrs.
Age: 42.0
Sex: M
Vaccine: RAB
Symptoms: Diarrhoea, Headache, Injection site pain, Injection site rash, Malaise
Clinical narrative: Prior to donating plasma donor "felt blah", mild headache, diarrhea 2-3 times, didn't tell anyone. Rabies shot given approx 2 hrs after leaving headache worsen, vomited x4 diarrhea x4. Left arm very sore, no areas of swelling, redness, rash noted today. Left arm still very sore, no further vomiting or diarrhea noted today, no fever 6/21 or today at home. Slept well last noc eating and drinking normally today. BP 112/76, pulse 72, didn't take temp as just drank can of soda.
Age: 42.0
Sex: M
Vaccine: RAB
Symptoms: Vomiting
Clinical narrative: Prior to donating plasma donor "felt blah", mild headache, diarrhea 2-3 times, didn't tell anyone. Rabies shot given approx 2 hrs after leaving headache worsen, vomited x4 diarrhea x4. Left arm very sore, no areas of swelling, redness, rash noted today. Left arm still very sore, no further vomiting or diarrhea noted today, no fever 6/21 or today at home. Slept well last noc eating and drinking normally today. BP 112/76, pulse 72, didn't take temp as just drank can of soda.
Age: 1.07
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Cough, Pyrexia
Clinical narrative: 6/11/06 fever, cough
Age: 16.0
Sex: F
Vaccine: HEP, HEPA, TD, TYP
Symptoms: Back pain, Irritability, Pyrexia
Clinical narrative: Got sick 3 times after shots. Back pain and irritated. 5 weeks after shots, bad back pain then fever. Continued back pain and irritation, daily. Rare now (first 3 times had fever).
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Pruritus
Clinical narrative: Left deltoid pain, swelling, redness, itching. Tx with Keflex 125/5ml. 5ml tid x 7 days. Benadryl 6.25mg/5ml. 3tsp q 6-8 hrs.
Age: 5.0
Sex: F
Vaccine: DTAP, MMR, UNK
Symptoms: Injection site mass, Rash erythematous
Clinical narrative: Developed red rash with red induration about 10cm in diameter. Saw MD 6/24/06. No fever, no purulence. Started on Zyrtec. Area cleared after 2 doses of Zyrtec.
Age: 18.0
Sex: F
Vaccine: MNQ
Symptoms: Headache, Pyrexia
Clinical narrative: Fever began in afternoon on 7/3/06 as high as 103.0- headache- went to emergency room treated with Tylenol sent home. Called Health Dept. on 7/5/06 recommended trying Motrin and calling private doctor for care. Plans to see private doctor on 7/6/06 at 11:00am.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Atrial septal defect, Dyspnoea, Fatigue, Laboratory test abnormal, Pain
Clinical narrative: 10 dyas after DTaP, Polio, MMR and Varicella were given on 3/1/06, child developed SOB and painful breaths, hospitalized with diagnosis of Pericarditis.  Mother states doctors do not say it was related to vaccines. 9/15/06 Received medical records from hospital which revealed patient experienced ASD w/surgical repair 1/2004 at CHOP who presented to ER with fever, chest & abdominal pain & easy fatigue since 3/8/06, 1 week s/p vax.  Admitted to hospital from 3/10/06-3/15/06 w/final diagnosis of viral pericarditis & s/p ASD repair.  CXR showed LLL pneumonia & that 2nd sternal wire was broken.  Echo revealed septal pericardial effusion.  ID consult done & antibiotics started along with NSAIDs.  Throughout hospitalization WBC decreased but ESR increased from 46 to 74.  All cultures were neg.  Patient was d/c to home with peds cardiology follow up arranged/ss
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Pericardial effusion, Pericarditis, Pneumonia, Pyrexia, Viral infection
Clinical narrative: 10 dyas after DTaP, Polio, MMR and Varicella were given on 3/1/06, child developed SOB and painful breaths, hospitalized with diagnosis of Pericarditis.  Mother states doctors do not say it was related to vaccines. 9/15/06 Received medical records from hospital which revealed patient experienced ASD w/surgical repair 1/2004 at CHOP who presented to ER with fever, chest & abdominal pain & easy fatigue since 3/8/06, 1 week s/p vax.  Admitted to hospital from 3/10/06-3/15/06 w/final diagnosis of viral pericarditis & s/p ASD repair.  CXR showed LLL pneumonia & that 2nd sternal wire was broken.  Echo revealed septal pericardial effusion.  ID consult done & antibiotics started along with NSAIDs.  Throughout hospitalization WBC decreased but ESR increased from 46 to 74.  All cultures were neg.  Patient was d/c to home with peds cardiology follow up arranged/ss
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: White blood cell count increased
Clinical narrative: 10 dyas after DTaP, Polio, MMR and Varicella were given on 3/1/06, child developed SOB and painful breaths, hospitalized with diagnosis of Pericarditis.  Mother states doctors do not say it was related to vaccines. 9/15/06 Received medical records from hospital which revealed patient experienced ASD w/surgical repair 1/2004 at CHOP who presented to ER with fever, chest & abdominal pain & easy fatigue since 3/8/06, 1 week s/p vax.  Admitted to hospital from 3/10/06-3/15/06 w/final diagnosis of viral pericarditis & s/p ASD repair.  CXR showed LLL pneumonia & that 2nd sternal wire was broken.  Echo revealed septal pericardial effusion.  ID consult done & antibiotics started along with NSAIDs.  Throughout hospitalization WBC decreased but ESR increased from 46 to 74.  All cultures were neg.  Patient was d/c to home with peds cardiology follow up arranged/ss
Age: 0.36
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Anaemia, Condition aggravated, Cor pulmonale, Eczema, Hypoglycaemia neonatal
Clinical narrative: Patient received 4 mo vaccine; 24hrs post vaccine was given, pt has progressively needed increased oxygen requirements related to desaturations. Septic workup done and antibiotic therapy started. Within 72hrs, pt was retintubated on 06/24/06 due to respiratory distress. All cultures were negative, antibiotics stopped after 3 days. Pt improved and was extubated on 06/26/06. 10/13/2006 Received medical records which reveal patient was hospitalized from birth 2/12/06 until d/c to home 9/27/06.  Hospitalization included multiple probable episodes of sepsis, treated with antibiotics, multiple episodes of hypoglycemia and pneumonia.  Trached. Eczema.  Received multiple blood transfusions for anemia, and platelet transfusions for thrombocytopenia.  Large PDA treated with fluid restriction.  Multiple episodes of coding. Final Active Dx: bronchopulmonary dysplasia, cor pulmonale./ss
Age: 0.36
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Hypoxia, Lung disorder, Patent ductus arteriosus, Pneumonia, Respiratory distress
Clinical narrative: Patient received 4 mo vaccine; 24hrs post vaccine was given, pt has progressively needed increased oxygen requirements related to desaturations. Septic workup done and antibiotic therapy started. Within 72hrs, pt was retintubated on 06/24/06 due to respiratory distress. All cultures were negative, antibiotics stopped after 3 days. Pt improved and was extubated on 06/26/06. 10/13/2006 Received medical records which reveal patient was hospitalized from birth 2/12/06 until d/c to home 9/27/06.  Hospitalization included multiple probable episodes of sepsis, treated with antibiotics, multiple episodes of hypoglycemia and pneumonia.  Trached. Eczema.  Received multiple blood transfusions for anemia, and platelet transfusions for thrombocytopenia.  Large PDA treated with fluid restriction.  Multiple episodes of coding. Final Active Dx: bronchopulmonary dysplasia, cor pulmonale./ss
Age: 0.36
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Sepsis, Thrombocytopenia
Clinical narrative: Patient received 4 mo vaccine; 24hrs post vaccine was given, pt has progressively needed increased oxygen requirements related to desaturations. Septic workup done and antibiotic therapy started. Within 72hrs, pt was retintubated on 06/24/06 due to respiratory distress. All cultures were negative, antibiotics stopped after 3 days. Pt improved and was extubated on 06/26/06. 10/13/2006 Received medical records which reveal patient was hospitalized from birth 2/12/06 until d/c to home 9/27/06.  Hospitalization included multiple probable episodes of sepsis, treated with antibiotics, multiple episodes of hypoglycemia and pneumonia.  Trached. Eczema.  Received multiple blood transfusions for anemia, and platelet transfusions for thrombocytopenia.  Large PDA treated with fluid restriction.  Multiple episodes of coding. Final Active Dx: bronchopulmonary dysplasia, cor pulmonale./ss
Age: 1.66
Sex: F
Vaccine: DTAP
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: 5x8 cm oval shape and swollen and red area.
Sex: U
Vaccine: HEP
Symptoms: Medication error
Clinical narrative: This case was reported by a healthcare professional via a sales representative and described the occurrence of inappropriate schedule of drug administration in a neonate subject of unspecified gender who was vaccinated with hepatitis B vaccine recombinant for prophylaxis. On an unspecified date, the subject received a birth dose of Engerix B (unknown). The subject received another dose of Engerix B two weeks later in the hospital. The sales representative did not known why the subject was hospitalized for so long. Per the Engerix-B prescribing information, the usual immunization regimen consists of three doses of vaccine given at 0, 1, and 6 months, respectively.
Age: 1.11
Sex: M
Vaccine: IPV, MER, TDAP
Symptoms: Unevaluable event
Clinical narrative: No reported adverse reaction(s).
Age: 15.0
Sex: F
Vaccine: TD
Symptoms: Cellulitis, Injection site hypersensitivity, Medication error
Clinical narrative: Vaccine administered incorrectly via the ID route left inner forearm. Patient developed cellulitis to the area and received IV antibiotics as an outpatient for 5 consecutive days.
Age: 2.0
Sex: M
Vaccine: HEPA
Symptoms: Bronchiolitis, Gastritis, Pyrexia, Upper respiratory tract infection
Clinical narrative: Child received hepatitis A #1 6/29/06 in the morning. Child afebrile with a slight cold. Within 24 hours of receiving Hep A #1, child went to ER with fever of 104 F per mother. ER diagnosis: upper respiratory infection - treatment with amoxicillin and Tylenol. Returned to ER 2 days later. Fever 103 F. Diagnosis: gastritis.
Age: 3.0
Sex: M
Vaccine: DTAP, HEPA
Symptoms: Erythema, Injection site induration, Injection site warmth, Swelling
Clinical narrative: Left deltoid - collar bone to half way down arm - red, hard hot, swollen > 2 inches. Most of upper left arm.
Age: 28.0
Sex: F
Vaccine: TTOX
Symptoms: Bacterial infection, Injection site swelling, Injection site warmth, Musculoskeletal stiffness, Myalgia
Clinical narrative: Patient experienced severe pain 10 minutes after vaccine administration. The site of action (the arm) was warm and swollen about 3 inches in diameter and the muscle around it was hard and tender. Patient also experienced locked jaw the next morning on her left jaw, and took her about 10 minutes to feel normal again. The swelling and redness lasted 2 weeks.
Age: 28.0
Sex: F
Vaccine: TTOX
Symptoms: Pain
Clinical narrative: Patient experienced severe pain 10 minutes after vaccine administration. The site of action (the arm) was warm and swollen about 3 inches in diameter and the muscle around it was hard and tender. Patient also experienced locked jaw the next morning on her left jaw, and took her about 10 minutes to feel normal again. The swelling and redness lasted 2 weeks.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Swelling/erythema 10x10 cm left arm.
Age: 29.0
Sex: F
Vaccine: RAB
Symptoms: Arthralgia, Myalgia, Pain, Pyrexia, Serum sickness
Clinical narrative: Patient had received 3 doses of RabAvert 2 months earlier in order to work as a vet tech and had no problem. She was exposed to a rabid cat at work and presented for 2 more vaccines. 12 hours post vaccine, she developed fever, aches, myalgia, joint pains lasting 12 hours. No rash/respiratory distress. Serum sickness like reaction reported with 2nd vaccine.
Age: 0.55
Sex: F
Vaccine: DTAP, HEP, HIBV, IPV, PNC
Symptoms: Rash
Clinical narrative: Generalized skin rashes at 1:30PM.
Age: 1.63
Sex: F
Vaccine: DTAPHEPBIP
Symptoms: Anion gap increased, Asthenia, Blood calcium normal, Blood chloride increased, Blood creatinine normal
Clinical narrative: Parents believe patient's new onset IDDM, diagnosed on 6/08/2006 is related to the Pediarix vaccine received on 5/12/2006. Has lifelong diagnosis of IDDM. Consultation Report: Chief complaint: lethargy and labored breathing. Impression: H&P and lab reports indicate patient is in diabetic ketoacidosis.  Transferred to Hospital -records received  for DOS 06/09-06/13/06 DC DX: New onset diabetes mellitus             Diabetic ketoacidosis HX Present illness: 20month old full term 35 week gestation ex twin (other twin lost early in pregnancy, mother had preeclampsia)who had approximately 1 week of upper respiratory infection with concurrent polyuria, polydipsia and decreased PO intake over 2 days prior to admission. Low grade tactile fever with an episode of emesis. On day of admission noted to have acute decrease in energy and found to have elevated serum glucose. Airlift transfer to this facility from another facility. Initial glucose at hospital 396, sodium 145. Treated with NS and insulin drip. PE: significant for an afebrile toddler female in no acute distress. Exam WNL. RX included IV hydration, and insulin drip and bean subcutaneous insulin glargine on her second day of admission with glucose ranges from 60-306.  DC home on insulin glargine dose 5 units. 01/1/2010 Patient has Type 1 IDDM. Parents originally were concerned that IDDM could be related to vaccine administration. They have since done research and undersand that vaccines are an unlikely cause of their diagnosis IDDM. 60 day Follow-up Information 29-SEP-2006: Parents are now less sure that pt's DM was caused by a vaccine.
Age: 1.63
Sex: F
Vaccine: DTAPHEPBIP
Symptoms: Blood gases abnormal, Blood glucose increased, Blood phosphorus decreased, Blood potassium increased, Blood sodium normal
Clinical narrative: Parents believe patient's new onset IDDM, diagnosed on 6/08/2006 is related to the Pediarix vaccine received on 5/12/2006. Has lifelong diagnosis of IDDM. Consultation Report: Chief complaint: lethargy and labored breathing. Impression: H&P and lab reports indicate patient is in diabetic ketoacidosis.  Transferred to Hospital -records received  for DOS 06/09-06/13/06 DC DX: New onset diabetes mellitus             Diabetic ketoacidosis HX Present illness: 20month old full term 35 week gestation ex twin (other twin lost early in pregnancy, mother had preeclampsia)who had approximately 1 week of upper respiratory infection with concurrent polyuria, polydipsia and decreased PO intake over 2 days prior to admission. Low grade tactile fever with an episode of emesis. On day of admission noted to have acute decrease in energy and found to have elevated serum glucose. Airlift transfer to this facility from another facility. Initial glucose at hospital 396, sodium 145. Treated with NS and insulin drip. PE: significant for an afebrile toddler female in no acute distress. Exam WNL. RX included IV hydration, and insulin drip and bean subcutaneous insulin glargine on her second day of admission with glucose ranges from 60-306.  DC home on insulin glargine dose 5 units. 01/1/2010 Patient has Type 1 IDDM. Parents originally were concerned that IDDM could be related to vaccine administration. They have since done research and undersand that vaccines are an unlikely cause of their diagnosis IDDM. 60 day Follow-up Information 29-SEP-2006: Parents are now less sure that pt's DM was caused by a vaccine.
Age: 1.63
Sex: F
Vaccine: DTAPHEPBIP
Symptoms: Blood thyroid stimulating hormone decreased, Carbon dioxide decreased, Culture negative, Diabetes mellitus, Diabetic ketoacidosis
Clinical narrative: Parents believe patient's new onset IDDM, diagnosed on 6/08/2006 is related to the Pediarix vaccine received on 5/12/2006. Has lifelong diagnosis of IDDM. Consultation Report: Chief complaint: lethargy and labored breathing. Impression: H&P and lab reports indicate patient is in diabetic ketoacidosis.  Transferred to Hospital -records received  for DOS 06/09-06/13/06 DC DX: New onset diabetes mellitus             Diabetic ketoacidosis HX Present illness: 20month old full term 35 week gestation ex twin (other twin lost early in pregnancy, mother had preeclampsia)who had approximately 1 week of upper respiratory infection with concurrent polyuria, polydipsia and decreased PO intake over 2 days prior to admission. Low grade tactile fever with an episode of emesis. On day of admission noted to have acute decrease in energy and found to have elevated serum glucose. Airlift transfer to this facility from another facility. Initial glucose at hospital 396, sodium 145. Treated with NS and insulin drip. PE: significant for an afebrile toddler female in no acute distress. Exam WNL. RX included IV hydration, and insulin drip and bean subcutaneous insulin glargine on her second day of admission with glucose ranges from 60-306.  DC home on insulin glargine dose 5 units. 01/1/2010 Patient has Type 1 IDDM. Parents originally were concerned that IDDM could be related to vaccine administration. They have since done research and undersand that vaccines are an unlikely cause of their diagnosis IDDM. 60 day Follow-up Information 29-SEP-2006: Parents are now less sure that pt's DM was caused by a vaccine.
Age: 1.63
Sex: F
Vaccine: DTAPHEPBIP
Symptoms: Dyspnoea, Glucose urine present, Glycosylated haemoglobin increased, Haematocrit normal, Hypophagia
Clinical narrative: Parents believe patient's new onset IDDM, diagnosed on 6/08/2006 is related to the Pediarix vaccine received on 5/12/2006. Has lifelong diagnosis of IDDM. Consultation Report: Chief complaint: lethargy and labored breathing. Impression: H&P and lab reports indicate patient is in diabetic ketoacidosis.  Transferred to Hospital -records received  for DOS 06/09-06/13/06 DC DX: New onset diabetes mellitus             Diabetic ketoacidosis HX Present illness: 20month old full term 35 week gestation ex twin (other twin lost early in pregnancy, mother had preeclampsia)who had approximately 1 week of upper respiratory infection with concurrent polyuria, polydipsia and decreased PO intake over 2 days prior to admission. Low grade tactile fever with an episode of emesis. On day of admission noted to have acute decrease in energy and found to have elevated serum glucose. Airlift transfer to this facility from another facility. Initial glucose at hospital 396, sodium 145. Treated with NS and insulin drip. PE: significant for an afebrile toddler female in no acute distress. Exam WNL. RX included IV hydration, and insulin drip and bean subcutaneous insulin glargine on her second day of admission with glucose ranges from 60-306.  DC home on insulin glargine dose 5 units. 01/1/2010 Patient has Type 1 IDDM. Parents originally were concerned that IDDM could be related to vaccine administration. They have since done research and undersand that vaccines are an unlikely cause of their diagnosis IDDM. 60 day Follow-up Information 29-SEP-2006: Parents are now less sure that pt's DM was caused by a vaccine.
Age: 1.63
Sex: F
Vaccine: DTAPHEPBIP
Symptoms: Ketoacidosis, Laboratory test abnormal, Lethargy, Platelet count increased, Polydipsia
Clinical narrative: Parents believe patient's new onset IDDM, diagnosed on 6/08/2006 is related to the Pediarix vaccine received on 5/12/2006. Has lifelong diagnosis of IDDM. Consultation Report: Chief complaint: lethargy and labored breathing. Impression: H&P and lab reports indicate patient is in diabetic ketoacidosis.  Transferred to Hospital -records received  for DOS 06/09-06/13/06 DC DX: New onset diabetes mellitus             Diabetic ketoacidosis HX Present illness: 20month old full term 35 week gestation ex twin (other twin lost early in pregnancy, mother had preeclampsia)who had approximately 1 week of upper respiratory infection with concurrent polyuria, polydipsia and decreased PO intake over 2 days prior to admission. Low grade tactile fever with an episode of emesis. On day of admission noted to have acute decrease in energy and found to have elevated serum glucose. Airlift transfer to this facility from another facility. Initial glucose at hospital 396, sodium 145. Treated with NS and insulin drip. PE: significant for an afebrile toddler female in no acute distress. Exam WNL. RX included IV hydration, and insulin drip and bean subcutaneous insulin glargine on her second day of admission with glucose ranges from 60-306.  DC home on insulin glargine dose 5 units. 01/1/2010 Patient has Type 1 IDDM. Parents originally were concerned that IDDM could be related to vaccine administration. They have since done research and undersand that vaccines are an unlikely cause of their diagnosis IDDM. 60 day Follow-up Information 29-SEP-2006: Parents are now less sure that pt's DM was caused by a vaccine.
Age: 1.63
Sex: F
Vaccine: DTAPHEPBIP
Symptoms: Polyuria, Protein urine present, Pyrexia, Specific gravity urine increased, Type 1 diabetes mellitus
Clinical narrative: Parents believe patient's new onset IDDM, diagnosed on 6/08/2006 is related to the Pediarix vaccine received on 5/12/2006. Has lifelong diagnosis of IDDM. Consultation Report: Chief complaint: lethargy and labored breathing. Impression: H&P and lab reports indicate patient is in diabetic ketoacidosis.  Transferred to Hospital -records received  for DOS 06/09-06/13/06 DC DX: New onset diabetes mellitus             Diabetic ketoacidosis HX Present illness: 20month old full term 35 week gestation ex twin (other twin lost early in pregnancy, mother had preeclampsia)who had approximately 1 week of upper respiratory infection with concurrent polyuria, polydipsia and decreased PO intake over 2 days prior to admission. Low grade tactile fever with an episode of emesis. On day of admission noted to have acute decrease in energy and found to have elevated serum glucose. Airlift transfer to this facility from another facility. Initial glucose at hospital 396, sodium 145. Treated with NS and insulin drip. PE: significant for an afebrile toddler female in no acute distress. Exam WNL. RX included IV hydration, and insulin drip and bean subcutaneous insulin glargine on her second day of admission with glucose ranges from 60-306.  DC home on insulin glargine dose 5 units. 01/1/2010 Patient has Type 1 IDDM. Parents originally were concerned that IDDM could be related to vaccine administration. They have since done research and undersand that vaccines are an unlikely cause of their diagnosis IDDM. 60 day Follow-up Information 29-SEP-2006: Parents are now less sure that pt's DM was caused by a vaccine.
Age: 1.63
Sex: F
Vaccine: DTAPHEPBIP
Symptoms: Upper respiratory tract infection, Urinary casts, Vomiting, White blood cell count increased
Clinical narrative: Parents believe patient's new onset IDDM, diagnosed on 6/08/2006 is related to the Pediarix vaccine received on 5/12/2006. Has lifelong diagnosis of IDDM. Consultation Report: Chief complaint: lethargy and labored breathing. Impression: H&P and lab reports indicate patient is in diabetic ketoacidosis.  Transferred to Hospital -records received  for DOS 06/09-06/13/06 DC DX: New onset diabetes mellitus             Diabetic ketoacidosis HX Present illness: 20month old full term 35 week gestation ex twin (other twin lost early in pregnancy, mother had preeclampsia)who had approximately 1 week of upper respiratory infection with concurrent polyuria, polydipsia and decreased PO intake over 2 days prior to admission. Low grade tactile fever with an episode of emesis. On day of admission noted to have acute decrease in energy and found to have elevated serum glucose. Airlift transfer to this facility from another facility. Initial glucose at hospital 396, sodium 145. Treated with NS and insulin drip. PE: significant for an afebrile toddler female in no acute distress. Exam WNL. RX included IV hydration, and insulin drip and bean subcutaneous insulin glargine on her second day of admission with glucose ranges from 60-306.  DC home on insulin glargine dose 5 units. 01/1/2010 Patient has Type 1 IDDM. Parents originally were concerned that IDDM could be related to vaccine administration. They have since done research and undersand that vaccines are an unlikely cause of their diagnosis IDDM. 60 day Follow-up Information 29-SEP-2006: Parents are now less sure that pt's DM was caused by a vaccine.
Age: 36.0
Sex: F
Vaccine: TDAP
Symptoms: Anaphylactic shock, Chills, Erythema, Hypotension, Loss of consciousness
Clinical narrative: Anaphylactic Chock N/V Erythema of body Decreased blood pressure Chills LOC loss of consciousness TX Solu-medrol 125mg IV Morphine 5mg Diphenhydramine 50mg IV
Age: 36.0
Sex: F
Vaccine: TDAP
Symptoms: Nausea, Vomiting
Clinical narrative: Anaphylactic Chock N/V Erythema of body Decreased blood pressure Chills LOC loss of consciousness TX Solu-medrol 125mg IV Morphine 5mg Diphenhydramine 50mg IV
Age: 40.0
Sex: M
Vaccine: PPV, TDAP
Symptoms: Hyperlipidaemia, Injection site erythema, Injection site swelling, Nausea, Pyrexia
Clinical narrative: Patient complained of nausea, vomiting, fever (100.1), swelling and redness at sit of injection (left deltoid) IM. Adacel.
Age: 40.0
Sex: M
Vaccine: PPV, TDAP
Symptoms: Vomiting
Clinical narrative: Patient complained of nausea, vomiting, fever (100.1), swelling and redness at sit of injection (left deltoid) IM. Adacel.
Age: 41.0
Sex: M
Vaccine: ANTH, HEP, SMALL, TYP
Symptoms: Abortion, Abortion spontaneous, Agitation, Alopecia, Amblyopia
Clinical narrative: abortion or miscarriage ache: joints ache:joints and muscles aches:whole body acid reflux blood:high cholesterol blood pressure: spikes and drops agitation alopecia alpha intrusion amblyopia bursitis mood:anxiety heart:arrhythmia cold and flu like symptoms concentration:loss of  concentration:trouble coordination:problmes balance:dizzy upon standing balance:falling balance:problems blood pressure:varies blood pressure:high depression disorder of hepatobiliary system and pancreas dry mouth edema:injection site hearing:ringing in ears energy:low energy:declining hypertension hyperventilation inflam inject site neurological:unable to perform multiple tasks simultaneously neurological:depression neurological:confusion sleep:insomnia mood:anxious neck rigid libido decrease pain: legs, lower back, right shoulder, hips and leg, right hip and chest, back, knees and hips, lower back, throughout his body, at injection site, bone and joint, muscle and joint, joint, near live and where gall bladder was, arthritic, neck, pelvic, back, chest, in feel like electrical shocks, charlie horse skin:itching, dry and flaky skin sleep:insomnia sleep:unable to sleep flat without medication somnolence weight gain testicular failure
Age: 41.0
Sex: M
Vaccine: ANTH, HEP, SMALL, TYP
Symptoms: Anxiety, Arrhythmia, Arthralgia, Arthritis, Asthenia
Clinical narrative: abortion or miscarriage ache: joints ache:joints and muscles aches:whole body acid reflux blood:high cholesterol blood pressure: spikes and drops agitation alopecia alpha intrusion amblyopia bursitis mood:anxiety heart:arrhythmia cold and flu like symptoms concentration:loss of  concentration:trouble coordination:problmes balance:dizzy upon standing balance:falling balance:problems blood pressure:varies blood pressure:high depression disorder of hepatobiliary system and pancreas dry mouth edema:injection site hearing:ringing in ears energy:low energy:declining hypertension hyperventilation inflam inject site neurological:unable to perform multiple tasks simultaneously neurological:depression neurological:confusion sleep:insomnia mood:anxious neck rigid libido decrease pain: legs, lower back, right shoulder, hips and leg, right hip and chest, back, knees and hips, lower back, throughout his body, at injection site, bone and joint, muscle and joint, joint, near live and where gall bladder was, arthritic, neck, pelvic, back, chest, in feel like electrical shocks, charlie horse skin:itching, dry and flaky skin sleep:insomnia sleep:unable to sleep flat without medication somnolence weight gain testicular failure
Age: 41.0
Sex: M
Vaccine: ANTH, HEP, SMALL, TYP
Symptoms: Back pain, Balance disorder, Blood cholesterol increased, Bursitis, Confusional state
Clinical narrative: abortion or miscarriage ache: joints ache:joints and muscles aches:whole body acid reflux blood:high cholesterol blood pressure: spikes and drops agitation alopecia alpha intrusion amblyopia bursitis mood:anxiety heart:arrhythmia cold and flu like symptoms concentration:loss of  concentration:trouble coordination:problmes balance:dizzy upon standing balance:falling balance:problems blood pressure:varies blood pressure:high depression disorder of hepatobiliary system and pancreas dry mouth edema:injection site hearing:ringing in ears energy:low energy:declining hypertension hyperventilation inflam inject site neurological:unable to perform multiple tasks simultaneously neurological:depression neurological:confusion sleep:insomnia mood:anxious neck rigid libido decrease pain: legs, lower back, right shoulder, hips and leg, right hip and chest, back, knees and hips, lower back, throughout his body, at injection site, bone and joint, muscle and joint, joint, near live and where gall bladder was, arthritic, neck, pelvic, back, chest, in feel like electrical shocks, charlie horse skin:itching, dry and flaky skin sleep:insomnia sleep:unable to sleep flat without medication somnolence weight gain testicular failure
Age: 41.0
Sex: M
Vaccine: ANTH, HEP, SMALL, TYP
Symptoms: Depression, Disturbance in attention, Dizziness, Dry mouth, Hepatic function abnormal
Clinical narrative: abortion or miscarriage ache: joints ache:joints and muscles aches:whole body acid reflux blood:high cholesterol blood pressure: spikes and drops agitation alopecia alpha intrusion amblyopia bursitis mood:anxiety heart:arrhythmia cold and flu like symptoms concentration:loss of  concentration:trouble coordination:problmes balance:dizzy upon standing balance:falling balance:problems blood pressure:varies blood pressure:high depression disorder of hepatobiliary system and pancreas dry mouth edema:injection site hearing:ringing in ears energy:low energy:declining hypertension hyperventilation inflam inject site neurological:unable to perform multiple tasks simultaneously neurological:depression neurological:confusion sleep:insomnia mood:anxious neck rigid libido decrease pain: legs, lower back, right shoulder, hips and leg, right hip and chest, back, knees and hips, lower back, throughout his body, at injection site, bone and joint, muscle and joint, joint, near live and where gall bladder was, arthritic, neck, pelvic, back, chest, in feel like electrical shocks, charlie horse skin:itching, dry and flaky skin sleep:insomnia sleep:unable to sleep flat without medication somnolence weight gain testicular failure
Age: 41.0
Sex: M
Vaccine: ANTH, HEP, SMALL, TYP
Symptoms: Hypertension, Hyperventilation, Hypotension, Influenza like illness, Injection site inflammation
Clinical narrative: abortion or miscarriage ache: joints ache:joints and muscles aches:whole body acid reflux blood:high cholesterol blood pressure: spikes and drops agitation alopecia alpha intrusion amblyopia bursitis mood:anxiety heart:arrhythmia cold and flu like symptoms concentration:loss of  concentration:trouble coordination:problmes balance:dizzy upon standing balance:falling balance:problems blood pressure:varies blood pressure:high depression disorder of hepatobiliary system and pancreas dry mouth edema:injection site hearing:ringing in ears energy:low energy:declining hypertension hyperventilation inflam inject site neurological:unable to perform multiple tasks simultaneously neurological:depression neurological:confusion sleep:insomnia mood:anxious neck rigid libido decrease pain: legs, lower back, right shoulder, hips and leg, right hip and chest, back, knees and hips, lower back, throughout his body, at injection site, bone and joint, muscle and joint, joint, near live and where gall bladder was, arthritic, neck, pelvic, back, chest, in feel like electrical shocks, charlie horse skin:itching, dry and flaky skin sleep:insomnia sleep:unable to sleep flat without medication somnolence weight gain testicular failure
Age: 41.0
Sex: M
Vaccine: ANTH, HEP, SMALL, TYP
Symptoms: Injection site oedema, Insomnia, Muscle spasms, Myalgia, Neurological symptom
Clinical narrative: abortion or miscarriage ache: joints ache:joints and muscles aches:whole body acid reflux blood:high cholesterol blood pressure: spikes and drops agitation alopecia alpha intrusion amblyopia bursitis mood:anxiety heart:arrhythmia cold and flu like symptoms concentration:loss of  concentration:trouble coordination:problmes balance:dizzy upon standing balance:falling balance:problems blood pressure:varies blood pressure:high depression disorder of hepatobiliary system and pancreas dry mouth edema:injection site hearing:ringing in ears energy:low energy:declining hypertension hyperventilation inflam inject site neurological:unable to perform multiple tasks simultaneously neurological:depression neurological:confusion sleep:insomnia mood:anxious neck rigid libido decrease pain: legs, lower back, right shoulder, hips and leg, right hip and chest, back, knees and hips, lower back, throughout his body, at injection site, bone and joint, muscle and joint, joint, near live and where gall bladder was, arthritic, neck, pelvic, back, chest, in feel like electrical shocks, charlie horse skin:itching, dry and flaky skin sleep:insomnia sleep:unable to sleep flat without medication somnolence weight gain testicular failure
Age: 41.0
Sex: M
Vaccine: ANTH, HEP, SMALL, TYP
Symptoms: Nuchal rigidity, Pain, Pancreatic disorder, Paraesthesia, Pruritus
Clinical narrative: abortion or miscarriage ache: joints ache:joints and muscles aches:whole body acid reflux blood:high cholesterol blood pressure: spikes and drops agitation alopecia alpha intrusion amblyopia bursitis mood:anxiety heart:arrhythmia cold and flu like symptoms concentration:loss of  concentration:trouble coordination:problmes balance:dizzy upon standing balance:falling balance:problems blood pressure:varies blood pressure:high depression disorder of hepatobiliary system and pancreas dry mouth edema:injection site hearing:ringing in ears energy:low energy:declining hypertension hyperventilation inflam inject site neurological:unable to perform multiple tasks simultaneously neurological:depression neurological:confusion sleep:insomnia mood:anxious neck rigid libido decrease pain: legs, lower back, right shoulder, hips and leg, right hip and chest, back, knees and hips, lower back, throughout his body, at injection site, bone and joint, muscle and joint, joint, near live and where gall bladder was, arthritic, neck, pelvic, back, chest, in feel like electrical shocks, charlie horse skin:itching, dry and flaky skin sleep:insomnia sleep:unable to sleep flat without medication somnolence weight gain testicular failure
Age: 41.0
Sex: M
Vaccine: ANTH, HEP, SMALL, TYP
Symptoms: Sleep disorder, Somnolence, Testicular disorder, Tinnitus, Weight increased
Clinical narrative: abortion or miscarriage ache: joints ache:joints and muscles aches:whole body acid reflux blood:high cholesterol blood pressure: spikes and drops agitation alopecia alpha intrusion amblyopia bursitis mood:anxiety heart:arrhythmia cold and flu like symptoms concentration:loss of  concentration:trouble coordination:problmes balance:dizzy upon standing balance:falling balance:problems blood pressure:varies blood pressure:high depression disorder of hepatobiliary system and pancreas dry mouth edema:injection site hearing:ringing in ears energy:low energy:declining hypertension hyperventilation inflam inject site neurological:unable to perform multiple tasks simultaneously neurological:depression neurological:confusion sleep:insomnia mood:anxious neck rigid libido decrease pain: legs, lower back, right shoulder, hips and leg, right hip and chest, back, knees and hips, lower back, throughout his body, at injection site, bone and joint, muscle and joint, joint, near live and where gall bladder was, arthritic, neck, pelvic, back, chest, in feel like electrical shocks, charlie horse skin:itching, dry and flaky skin sleep:insomnia sleep:unable to sleep flat without medication somnolence weight gain testicular failure
Age: 1.0
Sex: M
Vaccine: HEPA, HIBV, MMR
Symptoms: Convulsion, Pyrexia
Clinical narrative: 6/29 Fever began-patient body stiffened and became unresponsive-911 called taken to WP ER. Seizure lasted ~3 minutes, then acted normal. All tests were negative at WP ER. Sent home. (1 week after MMR).
Age: 61.0
Sex: F
Vaccine: HEPAB
Symptoms: Contusion, Hypoaesthesia
Clinical narrative: Twinrix vaccine administered on 4/28/06-reports very large bruise deltoid (R) muscle times 2-3 weeks. Also reports numbness 4 fingers (R) that still remains but has improved. Still c/o numbness in fingers-encouraged client to see MD. Bruising resolving/client stopped taking ASA.
Age: 31.0
Sex: F
Vaccine: MMR
Symptoms: Dizziness
Clinical narrative: Acute dizziness s/p MMR and was prescribed antivert by ER MD and told to follow-up with primary medical provider
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Swelling
Clinical narrative: Swelling and redness on (R) upper arm.
Age: 1.4
Sex: F
Vaccine: VARCEL
Symptoms: Urticaria
Clinical narrative: Quarter size whelp.
Age: 8.0
Sex: M
Vaccine: HEPA, HIBV, IPV, MMR, VARCEL
Symptoms: Medication error
Clinical narrative: Vaccine for a one year old child was administered before their due date. RN misread child's age before administering the vaccines.
Age: 1.03
Sex: M
Vaccine: PPV, VARCEL
Symptoms: Rash vesicular
Clinical narrative: Patient has chickenpox
Age: 66.0
Sex: M
Vaccine: PPV, TD
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Redness, warmth, swelling, pain in right upper arm axillary area.
Age: 51.0
Sex: F
Vaccine: PPV, TD
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Redness, warmth, pain, swelling in right upper arm axillary area.
Age: 23.0
Sex: M
Vaccine: PPV, TD
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Redness, warmth, pain, swelling in right upper arm axillary area.
Age: 55.0
Sex: M
Vaccine: PPV, TD
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Redness, swelling, warmth, pain in right upper arm axillary area.
Age: 42.0
Sex: M
Vaccine: PPV, TD
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Redness, warmth, swelling, pain in right upper arm axillary area.
Age: 44.0
Sex: M
Vaccine: PPV, TD
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Redness, warmth, pain, swelling in right upper arm axillary area.
Age: 49.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Redness, warmth, pain, swelling in right upper arm axillary area.
Age: 34.0
Sex: M
Vaccine: PPV
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Redness, warmth, pain, swelling in right upper arm axillary area.
Age: 36.0
Sex: M
Vaccine: PPV, TD
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Redness, warmth, pain, swelling in right upper arm axillary area.
Age: 31.0
Sex: M
Vaccine: PPV, TD
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Redness, warmth, pain, swelling in left upper arm axillary area.