chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 16.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Pharyngolaryngeal pain, Pyrexia, Supraventricular tachycardia, Syncope vasovagal, Tonsillitis
Clinical narrative: This report was identified from a line listing obtained on request by the Company from the FDA under the Freedom of Information Act. A 16 year old female with mild supraventricular tachycardia and a medical history of dizziness and giddiness, decreased blood sugar, syncope, tonsillitis and nausea, who on 09-JUL-2007, was vaccinated with the first dose of GARDASIL (Lot # 657737/0522U), intramuscularly, into the right arm. On 21-MAY-2007, the patient was complained of passing out from low blood sugar. She also experienced a syncopal episode with nausea. The patient was diagnosed with dizziness and giddiness. On 04-APR-2007, the patient was presented to the emergency dispatch with sore throat and fever. The patient was diagnosed with exudative tonsillitis. A Holter monitor was used to diagnose supraventricular tachycardia. On 16-JUL-2007, the patient experienced sudden unconsciousness and severe abdominal pain on the right side and nausea for 3 days. The patient was also found to have low blood pressure and severe hypoglycemia. The symptoms were treated in ambulance with IV fluids. The patient went into the hospital and had a subsequent doctor visit, and was diagnosed with ventricular tachycardia relating to the event. The patient also experienced diarrhea, lightheadedness, pain when standing, recent bronchitis, migraine headaches, impression syncope vasovagal, hypoglycemia, and abdominal pain intestinal colic. On an unknown date, a urine test and a blood work were performed. The results of the urine test were hemoglobine low 110, glucose urine 1000, nitrite positive. The results of the blood work were glucose 40 and chloride elevated 108. An other test was performed which the result was a normal abdomen. The listing indicated that one or more of the events was considered to be immediately life-threatening. The original reporting source was not provided. The VAERS ID# is 318676. A standard lot check investigation was performed. All in-process quality checks for the lot number in question were satisfactory. In addition, an expand lot checks investigation were performed. The testing performed on the batch prior to release met all release specifications. The lot met the requirements of the center and was released. No further information is expected. This report was filed with the FDA. The VAERS number is 318676. 12/25/2010 Follow up: Dizziness,  headaches, chronic fatigue, irregular and painful menstrual cycles.
Age: 16.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Ultrasound abdomen normal, Ventricular tachycardia
Clinical narrative: This report was identified from a line listing obtained on request by the Company from the FDA under the Freedom of Information Act. A 16 year old female with mild supraventricular tachycardia and a medical history of dizziness and giddiness, decreased blood sugar, syncope, tonsillitis and nausea, who on 09-JUL-2007, was vaccinated with the first dose of GARDASIL (Lot # 657737/0522U), intramuscularly, into the right arm. On 21-MAY-2007, the patient was complained of passing out from low blood sugar. She also experienced a syncopal episode with nausea. The patient was diagnosed with dizziness and giddiness. On 04-APR-2007, the patient was presented to the emergency dispatch with sore throat and fever. The patient was diagnosed with exudative tonsillitis. A Holter monitor was used to diagnose supraventricular tachycardia. On 16-JUL-2007, the patient experienced sudden unconsciousness and severe abdominal pain on the right side and nausea for 3 days. The patient was also found to have low blood pressure and severe hypoglycemia. The symptoms were treated in ambulance with IV fluids. The patient went into the hospital and had a subsequent doctor visit, and was diagnosed with ventricular tachycardia relating to the event. The patient also experienced diarrhea, lightheadedness, pain when standing, recent bronchitis, migraine headaches, impression syncope vasovagal, hypoglycemia, and abdominal pain intestinal colic. On an unknown date, a urine test and a blood work were performed. The results of the urine test were hemoglobine low 110, glucose urine 1000, nitrite positive. The results of the blood work were glucose 40 and chloride elevated 108. An other test was performed which the result was a normal abdomen. The listing indicated that one or more of the events was considered to be immediately life-threatening. The original reporting source was not provided. The VAERS ID# is 318676. A standard lot check investigation was performed. All in-process quality checks for the lot number in question were satisfactory. In addition, an expand lot checks investigation were performed. The testing performed on the batch prior to release met all release specifications. The lot met the requirements of the center and was released. No further information is expected. This report was filed with the FDA. The VAERS number is 318676. 12/25/2010 Follow up: Dizziness,  headaches, chronic fatigue, irregular and painful menstrual cycles.
Age: 16.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Autopsy, Sudden death
Clinical narrative: Information has been received from a physician concerning a 16 year old female who on an unspecified date, was vaccinated with the first dose of GARDASIL. On an unspecified date, was vaccinated with the second dose of GARDASIL. On an unspecified date, was vaccinated with the third dose of GARDASIL. Three weeks after the third vaccination, the patient had pulmonary embolus and died. Her "autopsy revealed her blood sugar was elevated and death occurred due to the pulmonary embolism." Pulmonary embolus and blood sugar elevated were considered to be life-threatening. Additional information has been requested.
Age: 16.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Autopsy, Blood glucose increased, Death, Pulmonary embolism
Clinical narrative: Information has been received from a physician concerning a 16 year old female who on an unspecified date, was vaccinated with the first dose of GARDASIL. On an unspecified date, was vaccinated with the second dose of GARDASIL. On an unspecified date, was vaccinated with the third dose of GARDASIL. Three weeks after the third vaccination, the patient had pulmonary embolus and died. Her "autopsy revealed her blood sugar was elevated and death occurred due to the pulmonary embolism." Pulmonary embolus and blood sugar elevated were considered to be life-threatening. Additional information has been requested.
Age: 48.0
Sex: M
Vaccine: HEP, HEP
Symptoms: Alanine aminotransferase increased, Aspartate aminotransferase increased, Blood alkaline phosphatase normal, Blood bilirubin normal, Cytomegalovirus antibody negative
Clinical narrative: Patient received hepatitis b recombinant vaccine 20 mcg IM to right deltoid on 8/14/08 at an acute care facility. Patient was admitted to our department substance abuse treatment program and had LFTs on 8/26/08 as follows. AST 1516, ALT 390, alk phos 59, and total bilirubin 0.8. Only medication change in time period was administration of the vaccine. Symptoms: 1. Elevated Liver Enzymes
Age: 48.0
Sex: M
Vaccine: HEP, HEP
Symptoms: Cytomegalovirus antibody positive, Hepatitis B surface antigen negative, Liver function test abnormal
Clinical narrative: Patient received hepatitis b recombinant vaccine 20 mcg IM to right deltoid on 8/14/08 at an acute care facility. Patient was admitted to our department substance abuse treatment program and had LFTs on 8/26/08 as follows. AST 1516, ALT 390, alk phos 59, and total bilirubin 0.8. Only medication change in time period was administration of the vaccine. Symptoms: 1. Elevated Liver Enzymes
Age: 48.0
Sex: M
Vaccine: HEP, HEP
Symptoms: Cytomegalovirus antibody positive, Hepatic enzyme increased, Hepatitis B surface antigen negative
Clinical narrative: Patient received hepatitis b recombinant vaccine 20 mcg IM to right deltoid on 8/14/08 at an acute care facility. Patient was admitted to our department substance abuse treatment program and had LFTs on 8/26/08 as follows. AST 1516, ALT 390, alk phos 59, and total bilirubin 0.8. Only medication change in time period was administration of the vaccine. Symptoms: 1. Elevated Liver Enzymes
Age: 1.6
Sex: M
Vaccine: MMR
Symptoms: Body temperature increased, Chills, Cyanosis, Diarrhoea, Laboratory test normal
Clinical narrative: Information has been received from a health professional concerning a 19 month old male who on 05-AUG-2008 was vaccinated subcutaneously with a dose of MMR II (Enders-Edmonston, Jeryl Lynn, Wistar RA 27/3) (lot# 660428/0483X).  There was no concomitant medication.  On 06-AUG-2008 the patient experienced a fever.  The child was seen and given ibuprofen and an unspecified antibiotic (for preventative bacterial infection) on 07-AUG-2008.  The child continued to have fevers of 103-105F for a total of 3 days along with the shakes, 1 episode of diarrhea and blue lips.  The child was taken to the ER on 08-AUG-2008.  ER workup was negative.  Subsequently, the patient recovered on 11-AUG-2008 from a fever, the shakes, diarrhea and blue lips.  Additional information has been received from a nurse indicating that the patient received his first dose of MMR II (Enders-Edmonston, Jeryl Lynn, Wistar RA 27/3) (rHA), SQ in the left leg on 05-AUG-2008.  On 05-AUG-2008, the patient experienced very high fever (104-105 degrees F) for 3-4 days with rigors and questionable febrile seizure.  No convulsions or going limp yet bluish color to lips is reported.  The patient went to the ER and had negative septic work-up.  It was reported that the patient recovered.  Very high fever, rigors, questionable febrile seizure and bluish color to lips were considered to be other important medical events.  Additional information has been requested.
Age: 1.6
Sex: M
Vaccine: MMR
Symptoms: Pyrexia, Tremor
Clinical narrative: Information has been received from a health professional concerning a 19 month old male who on 05-AUG-2008 was vaccinated subcutaneously with a dose of MMR II (Enders-Edmonston, Jeryl Lynn, Wistar RA 27/3) (lot# 660428/0483X).  There was no concomitant medication.  On 06-AUG-2008 the patient experienced a fever.  The child was seen and given ibuprofen and an unspecified antibiotic (for preventative bacterial infection) on 07-AUG-2008.  The child continued to have fevers of 103-105F for a total of 3 days along with the shakes, 1 episode of diarrhea and blue lips.  The child was taken to the ER on 08-AUG-2008.  ER workup was negative.  Subsequently, the patient recovered on 11-AUG-2008 from a fever, the shakes, diarrhea and blue lips.  Additional information has been received from a nurse indicating that the patient received his first dose of MMR II (Enders-Edmonston, Jeryl Lynn, Wistar RA 27/3) (rHA), SQ in the left leg on 05-AUG-2008.  On 05-AUG-2008, the patient experienced very high fever (104-105 degrees F) for 3-4 days with rigors and questionable febrile seizure.  No convulsions or going limp yet bluish color to lips is reported.  The patient went to the ER and had negative septic work-up.  It was reported that the patient recovered.  Very high fever, rigors, questionable febrile seizure and bluish color to lips were considered to be other important medical events.  Additional information has been requested.
Age: 16.0
Sex: F
Vaccine: HPV4
Symptoms: Activities of daily living impaired, Gait disturbance, Laboratory test normal
Clinical narrative: Information has been received from a physician assistant concerning her daughter who on an unspecified date was vaccinated with a second dose of GARDASIL (lot number, injection site and route not reported). Three weeks after the vaccination, the patient experienced paralysis. The patient had to quit the volleyball team because her walking was effected. The patient underwent "a full work up" that was negative for any medical reason for the paralysis. Therapy with HPV was discontinued. The event was transient in nature and completely resolved in four weeks. It was reported that the patient completed the series of GARDASIL last year. Upon internal review, paralysis is considered to be an other important medical event. Additional information has been requested. 9/19/08 Reviewed PCP #2 medical records of 10/10/07-6/26/08. FINAL DX: viral syndrome & polyarthralgia Records reveal patient experienced morning joint pain & stiffness & swelling of hands & feet for approx 2 wks prior to 10/10/07 visit.  Had cold s/s prior to symptoms start.  Received HPV #2 on 3/21/08.  5/5/08 Had finger laceration w/nerve & tendon involvement & was referred to ortho/hand surgeon, required surgery.  Received HPV #3 on 5/22/08 but no Lot # provided.  Seen 6/26 for sore throat, nausea, malaise, fatigue, decreased appetite, body aches & fever x 1 day.  Tx w/ antibiotics for sinusitis & pharyngitis.
Sex: M
Vaccine: TDAP
Symptoms: Chills, Dyspnoea, Fatigue, Pain, Pyrexia
Clinical narrative: SERIOUSNESS CRITERIA: OTHER - MEDICALLY SIGNIFICANT; Initial report was received 05 September 2008 from health care professional. A male patient (age not reported) developed body aches, chills, fever, fatigue and shortness of breath within 12-18 hours after he had received an intramuscular (site not reported) injection of ADACEL, lot number C2997AA. The symptom of shortness of breath resolved while the patient was on the way to the hospital, he then went home. The reporter stated the event lasted between three and 12 hours, and the patient recovered from the event. The reporter for this case is the same as for case 2008-02813 which involved a cluster of two additional patients whom ADACEL, lot number C2997AA.
Age: 21.0
Sex: F
Vaccine: HEPAB
Symptoms: Death, Muscular weakness
Clinical narrative: April 2008, started experiencing symptoms of muscle weakness in arms and neck, they progressed to her throat and breathing muscles.  She died 08-21-08.
Age: 1.07
Sex: F
Vaccine: IPV, VARCEL
Symptoms: Abnormal behaviour, Anorexia, Ear discomfort, Irritability, Pyrexia
Clinical narrative: Fever, fussy, loss of appetite, just didn't act right, ears seemed to be bothering her 9/18/08-records received-office visit 3/11/05-C/O fever, evening prior. Fussy, decreased appetite. Right ear erythema. Right otitis media. Office visit 7/15/05-fever, viral exanthem. Office visit 3/25/06-ears pierced few days prior now C/O ears looking red and puff no pain. 1/26/2010 In my opinon, she has not. I've still got to take her every year or two, to see if her hearing loss is progressing. She still breaks out when eating certain processed foods, her eyes still get red with it occassionally.
Age: 16.0
Sex: F
Vaccine: HEPA, VARCEL
Symptoms: Injection site erythema
Clinical narrative: 7x8cm firm, sc - erythematous area over vaccine site.
Age: 13.0
Sex: F
Vaccine: HPV4
Symptoms: Asthenia, Dizziness, Headache, Nausea
Clinical narrative: Dizziness - feeling she will "pass out" if doesn't lie down.  Nausea, weakness, headaches.  9/23/08 Reviewed PCP medical record of 8/15/08. FINAL DX: adverse reaction Record reveals patient experienced dizziness, HA, feeling like passing out daily x 3 wks but now 3-5x/week, nausea/vomiting if doesn't rest & general weakness.  Instructed to increase oral fluids.
Age: 9.0
Sex: F
Vaccine: HEPA, HPV4
Symptoms: Urticaria
Clinical narrative: Hives, 6 hours after vaccination
Age: 49.0
Sex: U
Vaccine: TDAP
Symptoms: Arthralgia, Chills, Fatigue, Headache, Nausea
Clinical narrative: Nausea, H/A, fatigue, joint pains, chills.
Age: 12.0
Sex: M
Vaccine: HEPA, MNQ, TDAP, VARCEL
Symptoms: Blister, Erythema, Oedema peripheral
Clinical narrative: Patient had Tdap and Varicella in right arm.  Patient later experienced redness, swelling and blisters to right arm.  Patient went to ER - received Prednisone and Antibiotics.  Patient seen Friday 9/5/08 in clinic.  Patient contacted Monday 9/8.  Mom reports patient doing better.
Age: 16.0
Sex: F
Vaccine: FLU3
Symptoms: Dizziness, Fatigue, Nausea, Pallor, Visual disturbance
Clinical narrative: Received shot about 5 p.m. - at 7 p.m. appeared pale and complained of being tired; slept 7-10 p.m. at 10 p.m. complained of feeling nauseated, felt dizzy at midnight appeared pale, the "walls looked weird, fuzzy."
Age: 65.0
Sex: F
Vaccine: VARZOS
Symptoms: Herpes zoster, X-ray abnormal
Clinical narrative: Shingles on going - trunk and dental; Treated with pain control, anti viral, neurotin
Age: 1.0
Sex: M
Vaccine: HIBV, MMR, PNC, VARCEL
Symptoms: Injection site urticaria
Clinical narrative: (R) arm hive at site of MMR injection-Dr had BENADRYL administered and ice packs applied to site- ?egg allergy patient is being referred to allergist for testing
Age: 1.54
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Urticaria
Clinical narrative: Child developed hives on right arm immediately after leaving office.  She returned the next day with hives all over.  No wheezing or mucous membrane swelling.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Headache, Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: 8-27-08 - Call from family - Had shots yesterday - Now area is red, swollen, hot to touch. Headache last night and today; Left arm; Ice/Tylenol
Age: 1.0
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Culture throat negative, Hypersomnia, Pharyngitis, Somnolence
Clinical narrative: 9-3-08 - Office visit - states child slept for 15 hours after MMR and Varivax that was given 9/2/08.  Pharyngitis, groggy when awake.
Age: 22.0
Sex: F
Vaccine: TTOX
Symptoms: Dizziness
Clinical narrative: 1410 Donor became light headed - layed donor on bed, gave donor H2O.  Donor sat 20 minutes.  Vital signs at 14:10 117/56, pulse 70, vital signs at 14:30 125/85, pulse 75.
Age: 34.0
Sex: F
Vaccine: DTAP, HEP, PPV
Symptoms: Drug exposure during pregnancy, Full blood count, Inappropriate schedule of drug administration, Injection site erythema, Injection site induration
Clinical narrative: Injection site is erythematous and indurated.
Age: 57.0
Sex: M
Vaccine: TD
Symptoms: Borrelia burgdorferi serology negative, C-reactive protein increased, Fatigue, Myalgia, Pyrexia
Clinical narrative: Fever, myalgias, fatigue
Age: 57.0
Sex: M
Vaccine: TD
Symptoms: Red blood cell sedimentation rate increased
Clinical narrative: Fever, myalgias, fatigue
Age: 1.4
Sex: M
Vaccine: HEP, HIBV, PNC
Symptoms: Body temperature increased, Coxsackie viral infection, Culture throat negative, Pharyngitis
Clinical narrative: 9-5-08 T102- Had vaccine 9-2-08 Diagnosed with Coxsackie and pharyngitis on 9-5-08
Age: 4.0
Sex: M
Vaccine: DTAP, FLU3, IPV, MMR, VARCEL
Symptoms: Cellulitis, Erythema, Induration, Pyrexia, Tenderness
Clinical narrative: 9-8-08 "Patient" comes in today after being see at the ER last night for cellulitis. Did receive his 4 year shots on Friday, two days ago. Was given DTaP and the flu vaccine in his left leg. Mom states that there was a small red area on Friday, usual of his immunizations. On Saturday it had grown somewhat and yesterday it spread quite a bit. Was complaining of tenderness and a low grade fever up to 99. Went onto the ER and was placed on Bactrim and Keflex. A circle was drawn around the area. This had not spread any. Is red and indurated when pressed. Is very tender to the touch. Mom states that the redness was much worse yesterday. He does not have a fever currently. Temp is 98.9 A: Cellulitis, possibly secondary to a vaccine reaction. We will go ahead and report this to the vaccine adverse reaction secondary to the large area of cellulitis. He will continue on the Bactrim and Keflex. Mom knows to call me right away if he gets fever or if this area is spreading outside the lines that were drawn at the ER. She will keep a close eye on this and let me know how he does. Otherwise we will see "patient" as needed.
Age: 24.0
Sex: F
Vaccine: TDAP
Symptoms: Dysphagia, Dyspnoea, Full blood count, Nausea, Pyrexia
Clinical narrative: Symptoms started 9-6-08 Sat. approx 7:00 pm. Went to local ER 9 pm 9-6-08 trouble breathing but no SOB, throat felt thick and trouble swallowing n/v, slight fever-was on no meds- no vaccine in last 4 wks and been '98 since last TD 9/18/08-records received for DOS 9/7/08-DC DX: Angioedema, reaction to tetanus, diphtheria, and pertussis shot. Received vaccination on 9/5/08 and the next day became short of air, itching and felt like tongue was swollen and had choking feeling. Presented to ED with expiratory wheezing, generalized swelling of left upper extremity with associated erythema. Pulse rate increased 107. Observed in ICU and released.
Age: 24.0
Sex: F
Vaccine: TDAP
Symptoms: Throat tightness, Vomiting, White blood cell count increased
Clinical narrative: Symptoms started 9-6-08 Sat. approx 7:00 pm. Went to local ER 9 pm 9-6-08 trouble breathing but no SOB, throat felt thick and trouble swallowing n/v, slight fever-was on no meds- no vaccine in last 4 wks and been '98 since last TD 9/18/08-records received for DOS 9/7/08-DC DX: Angioedema, reaction to tetanus, diphtheria, and pertussis shot. Received vaccination on 9/5/08 and the next day became short of air, itching and felt like tongue was swollen and had choking feeling. Presented to ED with expiratory wheezing, generalized swelling of left upper extremity with associated erythema. Pulse rate increased 107. Observed in ICU and released.
Age: 45.0
Sex: M
Vaccine: HPV4
Symptoms: Condition aggravated, Tinnitus
Clinical narrative: After the second dose of study drug on 06/26/2008, the subject had a recurrence of the AE tinnitus on 06/26/2008 (there is no grade 1 tinnitus on the CTCAE.)  The subject stated that this second episode of tinnitus was much milder than the previously reported episode that had resolved on 05/13/2008.  The patient had discussed his tinnitus and the vaccine study with his physician on 5/22/08.  The subject felt strongly that he wanted to continue on study.  This 06/26/2008 episode resolved fully without treatment on 07/09/2008.
Sex: M
Vaccine: HPV4
Symptoms: Injection site pain, Muscle strain
Clinical narrative: Subject received the second course of GARDASIL vaccine on 3/27/2008.  He experienced pain at the injection site, grade 2 on 3/27/08 through 3/29/08.  Then on 3/29/08, he experienced muscle strain grade 2, while performing his yoga routine in the same muscle that was sore from the injection site.
Age: 11.0
Sex: F
Vaccine: MNQ, TDAP, VARCEL
Symptoms: Varicella
Clinical narrative: Vaccine associate chicken pox to neck, arms, trunk, legs.  Interestingly, symptoms started 8/27/08, so may have been an exposure from unkn. source.
Age: 21.0
Sex: F
Vaccine: MNQ, TDAP
Symptoms: Cough, Dyspnoea, Respiratory tract congestion
Clinical narrative: Child received Tdap and MENACTRA during day- Took Doxycycline in evening-Immediately became congested and started coughing and c/o trouble breathing- was given BENADRYL and transported by EMT to ER.
Age: 21.0
Sex: F
Vaccine: TDAP
Symptoms: Diarrhoea, Eye swelling, Nausea, Oedema peripheral, Pain
Clinical narrative: Pt was in clinic 9-5-08 for Tdap for nsg school.  On 9-6-08 pt went to ER - for N/V, diarrhea, slight fever & swollen lf arm & eyes - body aches - pt OK by Dr. as having viral syndrome & discharged. OK since last TD.
Age: 21.0
Sex: F
Vaccine: TDAP
Symptoms: Pyrexia, Viral infection, Vomiting
Clinical narrative: Pt was in clinic 9-5-08 for Tdap for nsg school.  On 9-6-08 pt went to ER - for N/V, diarrhea, slight fever & swollen lf arm & eyes - body aches - pt OK by Dr. as having viral syndrome & discharged. OK since last TD.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site pain, Injection site warmth, Local reaction
Clinical narrative: Left upper arm redness, tenderness, warm to touch. Onset 2 days post vaccination. Localized reaction on site where Varicella was administered.
Age: 39.0
Sex: M
Vaccine: HEP
Symptoms: Antinuclear antibody, Blood thyroid stimulating hormone, C-reactive protein, Chest discomfort, Cough
Clinical narrative: Pt recieved smallpox on 22 Mar 2006. Noticed symptoms a month later. Tightness in chest and difficulty taking deep breaths lasted a week. "Pt has recurrent pericarditis, 5 epsiodes by history in the last two years. Initial trigger may have been viral. Occurred 2-3 months after smallpox vaccination, so not likely to be from that but cannot rule it out. He has ongoing dry cough and ongoing effusion, but symptoms of chest pain have passed. No evidence for tamponade."- 08 Aug 08 doctor visit explanation.
Age: 39.0
Sex: M
Vaccine: HEP
Symptoms: Dyspnoea, Effusion, Electrocardiogram, Laboratory test, Pericarditis
Clinical narrative: Pt recieved smallpox on 22 Mar 2006. Noticed symptoms a month later. Tightness in chest and difficulty taking deep breaths lasted a week. "Pt has recurrent pericarditis, 5 epsiodes by history in the last two years. Initial trigger may have been viral. Occurred 2-3 months after smallpox vaccination, so not likely to be from that but cannot rule it out. He has ongoing dry cough and ongoing effusion, but symptoms of chest pain have passed. No evidence for tamponade."- 08 Aug 08 doctor visit explanation.
Age: 39.0
Sex: M
Vaccine: HEP
Symptoms: Red blood cell sedimentation rate, Rheumatoid factor, Troponin
Clinical narrative: Pt recieved smallpox on 22 Mar 2006. Noticed symptoms a month later. Tightness in chest and difficulty taking deep breaths lasted a week. "Pt has recurrent pericarditis, 5 epsiodes by history in the last two years. Initial trigger may have been viral. Occurred 2-3 months after smallpox vaccination, so not likely to be from that but cannot rule it out. He has ongoing dry cough and ongoing effusion, but symptoms of chest pain have passed. No evidence for tamponade."- 08 Aug 08 doctor visit explanation.
Age: 59.0
Sex: M
Vaccine: PPV
Symptoms: Chills, Injection site erythema, Injection site pain, Injection site swelling, Pyrexia
Clinical narrative: "after i got my pneumonia shot on Friday, my  arm go red and sore and I was chilling and could not get out of bed on Saturday. HPI: vet recieved pneumoccol vaccine on Friday and developed chills, fever,  pain, redness and swelling at injection site within 24 hours of injection..returns today for evaluation. Denies dizziness, fainting, headache,  blurred vision, weakness, fatigue, chest pain, shortness of breath, N/V/D.
Age: 42.0
Sex: F
Vaccine: VARCEL
Symptoms: Herpes zoster
Clinical narrative: Developed varicella zoster
Age: 11.0
Sex: M
Vaccine: MNQ, TDAP
Symptoms: Borrelia burgdorferi serology negative, CSF culture negative, CSF glucose normal, CSF lymphocyte count increased, CSF white blood cell count increased
Clinical narrative: Patient develop Acute Disseminated Encephalomyelitis (ADEM) on 8/18/08 approximately three weeks following Tdap and Meningococcal vaccinations.  He developed a neurogenic bladder and aseptic meningitis and was treated with high dose steroids.  MRI was c/w ADEM.  Hospitalized at Hospital. 12/1/08-records received for DOS 8/18/08-presented with urinary retention symptoms following a recent URI. Symptoms started on 8/18/08 with headache, URI, loss of appetite, fatigue and tactile temp. 8/21/08-headache and difficulty urinating. Sense of urgency. 8/22/08-vomited, developed rash after receiving antibiotic. Received IV Benadryl began shaking, convulsions and delusional. Leg weakness.  Final diagnosis: urinary retention. Encephalopathy. 12/11/08-records received for DOS 8/25-/28/08-DX: Presumed aseptic meningitis. Neurogenic bladder. Unspecified encephalomyelitis versus acute disseminated encephalomyelitis verus demyelinating process.  Developed allergic reaction to ceftriaxone and Toradol developed rash. 1/20/09-records received for DOS 8/28-9/2/09-DC DX: Acute disseminated Encephalomyelitis.
Age: 11.0
Sex: M
Vaccine: MNQ, TDAP
Symptoms: Culture urine negative, Enterovirus serology test negative, Herpes simplex serology negative, Leukoencephalomyelitis, Neurogenic bladder
Clinical narrative: Patient develop Acute Disseminated Encephalomyelitis (ADEM) on 8/18/08 approximately three weeks following Tdap and Meningococcal vaccinations.  He developed a neurogenic bladder and aseptic meningitis and was treated with high dose steroids.  MRI was c/w ADEM.  Hospitalized at Hospital. 12/1/08-records received for DOS 8/18/08-presented with urinary retention symptoms following a recent URI. Symptoms started on 8/18/08 with headache, URI, loss of appetite, fatigue and tactile temp. 8/21/08-headache and difficulty urinating. Sense of urgency. 8/22/08-vomited, developed rash after receiving antibiotic. Received IV Benadryl began shaking, convulsions and delusional. Leg weakness.  Final diagnosis: urinary retention. Encephalopathy. 12/11/08-records received for DOS 8/25-/28/08-DX: Presumed aseptic meningitis. Neurogenic bladder. Unspecified encephalomyelitis versus acute disseminated encephalomyelitis verus demyelinating process.  Developed allergic reaction to ceftriaxone and Toradol developed rash. 1/20/09-records received for DOS 8/28-9/2/09-DC DX: Acute disseminated Encephalomyelitis.
Age: 11.0
Sex: M
Vaccine: MNQ, TDAP
Symptoms: Nuclear magnetic resonance imaging abnormal, Rickettsia antibody
Clinical narrative: Patient develop Acute Disseminated Encephalomyelitis (ADEM) on 8/18/08 approximately three weeks following Tdap and Meningococcal vaccinations.  He developed a neurogenic bladder and aseptic meningitis and was treated with high dose steroids.  MRI was c/w ADEM.  Hospitalized at Hospital. 12/1/08-records received for DOS 8/18/08-presented with urinary retention symptoms following a recent URI. Symptoms started on 8/18/08 with headache, URI, loss of appetite, fatigue and tactile temp. 8/21/08-headache and difficulty urinating. Sense of urgency. 8/22/08-vomited, developed rash after receiving antibiotic. Received IV Benadryl began shaking, convulsions and delusional. Leg weakness.  Final diagnosis: urinary retention. Encephalopathy. 12/11/08-records received for DOS 8/25-/28/08-DX: Presumed aseptic meningitis. Neurogenic bladder. Unspecified encephalomyelitis versus acute disseminated encephalomyelitis verus demyelinating process.  Developed allergic reaction to ceftriaxone and Toradol developed rash. 1/20/09-records received for DOS 8/28-9/2/09-DC DX: Acute disseminated Encephalomyelitis.
Age: 26.0
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Inappropriate schedule of drug administration, No adverse event
Clinical narrative: Pt was administered 2 vaccines that were not ordered by the physician.  No adverse symtoms have been reported.
Age: 64.0
Sex: F
Vaccine: VARZOS
Symptoms: Blister, Erythema, Pruritus, Skin warm
Clinical narrative: Per client statement:  Local warmth and readness approx 2 inches starting 8/7/08 and lasting 2-3 days.  On 9/9/08 noticed a number of red bumps on legs and ankles with a few on thighs, hip, and hands assumed mosiqito bites.  9/10/08 bumps began to blister.  States multiple on ankles and legs with fewer on thighs and hip, and a couple on hands and arms. Red, itchy blisters, individual no clustering.
Age: 15.0
Sex: F
Vaccine: HPVX, HPVX
Symptoms: Arthralgia, Dizziness, Eye irritation, Myalgia, Pain in extremity
Clinical narrative: High fever up to 103, fainted, dizziness, respiratory problem, muscles and joints hurting, eyes burning,thirsty  and injected arm was  hurting.
Age: 15.0
Sex: F
Vaccine: HPVX, HPVX
Symptoms: Pyrexia, Respiratory disorder, Syncope, Thirst
Clinical narrative: High fever up to 103, fainted, dizziness, respiratory problem, muscles and joints hurting, eyes burning,thirsty  and injected arm was  hurting.
Age: 15.0
Sex: F
Vaccine: HPVX, HPVX
Symptoms: Dizziness, Eye irritation, Hyperhidrosis, Myalgia, Pyrexia
Clinical narrative: High fever up to 103, fainted, dizziness, respiratory problem, muscles and joints hurting, eyes burning,thirsty  and injected arm was  hurting.
Age: 15.0
Sex: F
Vaccine: HPVX, HPVX
Symptoms: Syncope
Clinical narrative: High fever up to 103, fainted, dizziness, respiratory problem, muscles and joints hurting, eyes burning,thirsty  and injected arm was  hurting.
Age: 15.0
Sex: F
Vaccine: HPVX, HPVX
Symptoms: Arthralgia, Dizziness, Eye irritation, Myalgia, Pain in extremity
Clinical narrative: High Fever up to 103, muscle pains, fainting dizziness, eyes burning hot, sweating after pain reliever tablet was given.
Age: 15.0
Sex: F
Vaccine: HPVX, HPVX
Symptoms: Pyrexia, Respiratory disorder, Syncope, Thirst
Clinical narrative: High Fever up to 103, muscle pains, fainting dizziness, eyes burning hot, sweating after pain reliever tablet was given.
Age: 15.0
Sex: F
Vaccine: HPVX, HPVX
Symptoms: Dizziness, Eye irritation, Hyperhidrosis, Myalgia, Pyrexia
Clinical narrative: High Fever up to 103, muscle pains, fainting dizziness, eyes burning hot, sweating after pain reliever tablet was given.
Age: 15.0
Sex: F
Vaccine: HPVX, HPVX
Symptoms: Syncope
Clinical narrative: High Fever up to 103, muscle pains, fainting dizziness, eyes burning hot, sweating after pain reliever tablet was given.
Age: 2.0
Sex: F
Vaccine: DTAP, HEPA
Symptoms: Arthritis, Erythema multiforme, Local reaction
Clinical narrative: ERYTHYTHEMA MULTIFORME RASH ON 9/10/08 WITH LOCAL REACTION STARTED AFTER VACCINATION ON RIGHT THIGH. pATIENT ALSO HAS ANKLE ARTHRITIS FOR 2 DAYS pATIENT WAS ADVICED TO TAKE bENEDRYL 12.5 MG AS NEEDED OTC
Age: 4.0
Sex: F
Vaccine: DTAP, HEPA, IPV, MMR, VARCEL
Symptoms: Cyanosis, Immediate post-injection reaction, Pruritus, Rash, Retching
Clinical narrative: Five minutes after vaccine administration child began to gag, itch and lips looked blue, sob, and severe itching of scalp and skin. Gave Epipen Jr.,orapred 30 mg. Benadryl 12.5mg and monitored x 2 hrs. Rash and hives, no respiratory or mucus membranes symptoms.Follow up by phone in am. and notified allergy specialist.
Age: 4.0
Sex: F
Vaccine: DTAP, HEPA, IPV, MMR, VARCEL
Symptoms: Urticaria
Clinical narrative: Five minutes after vaccine administration child began to gag, itch and lips looked blue, sob, and severe itching of scalp and skin. Gave Epipen Jr.,orapred 30 mg. Benadryl 12.5mg and monitored x 2 hrs. Rash and hives, no respiratory or mucus membranes symptoms.Follow up by phone in am. and notified allergy specialist.
Age: 1.7
Sex: F
Vaccine: DTAP, PNC
Symptoms: Abasia, Computerised tomogram normal, Nuclear magnetic resonance imaging abnormal, X-ray limb normal
Clinical narrative: 1 day after patient received immunizations, she would not walk.  She was taken to the ER, discharged home in stable condition.  5 weeks later, on 3/21/08, she was admitted to Hospital with transverse myelitis C-3-T-3. Treated with Prednisone. Patient now amulatory with AFOs. 9/19/08-records received for DOS 3/21-3/26/08-DC DX: Longitudinal myelitis with positive ANA and double-stranded DNA. On 3/19/08 began to fall backwards, then shaking upper extremities and not able to walk upright. Older sibling while carrying child slipped and fell, sister landed on top of patient. Seen in ER all findings normal.Presented with C/O bilateral leg weakness.  Bladder dysfunction, catheterization. At time of discharge moving lower extremities but unable to stand. Transferred to rehab facility.
Age: 5.0
Sex: F
Vaccine: DTAPHEPBIP, IPV, MMR
Symptoms: Palpitations, Pyrexia
Clinical narrative: PT. HAD HEART PALPITATIONS AND FEVER FOR 24 HOURS. RESOLVED THEMSELVES WITHIN 24 HOURS.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Anxiety, Hypotonia, Immediate post-injection reaction, Pallor, Syncope
Clinical narrative: 0840-Synocope less than 5 minutes after vaccinations.  Pale, wet pants, limp, no loss of consciousness.  Pt had not eaten breakfast and had been anxious about shots.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Urinary incontinence
Clinical narrative: 0840-Synocope less than 5 minutes after vaccinations.  Pale, wet pants, limp, no loss of consciousness.  Pt had not eaten breakfast and had been anxious about shots.
Age: 14.0
Sex: F
Vaccine: VARCEL
Symptoms: Injection site erythema, Injection site pruritus, Injection site rash
Clinical narrative: Rec'd varicella #1 between ages of 1 & 2, mom reports records lost.  Rec'd #2 11/07, Needed a verified second dose for school, so # 3 given 9-10-08 at 9am.  Pt reports at 1pm began itching at site of injection (Rt upper arm).  Today site was examined by school nurse who sent her back to the Health Dept for evaluation.   Reddened, raised area approximately 6 cm in diameter noted at injection site.  Denies pain, "just itching". Denies fever, illness, dyspnea or any other problems.  Instructed mom to give Benadryl to help with itching.  To call HD or MD if site worsens.  To go to ER immediately for difficulty breathing.  Call HD for questions.
Age: 62.0
Sex: M
Vaccine: PPV, VARZOS
Symptoms: Activities of daily living impaired, Body temperature increased, Headache, Impaired work ability, Lymphadenopathy
Clinical narrative: Elevated temp (100.8), severe headache, swollen lymph nodes under left arm, sore left bicep.  Symptoms were severe enough and prolonged enough to require 2 days off from work.
Age: 62.0
Sex: M
Vaccine: PPV, VARZOS
Symptoms: Myalgia
Clinical narrative: Elevated temp (100.8), severe headache, swollen lymph nodes under left arm, sore left bicep.  Symptoms were severe enough and prolonged enough to require 2 days off from work.
Age: 11.0
Sex: M
Vaccine: MNQ, TDAP, VARCEL
Symptoms: Rash generalised
Clinical narrative: After giving Varicella,Mcv4 and Tdap mo ther called clinic son had moderate rashes all over body reactions mostlikely with var no fever no other major reations so far
Age: 21.0
Sex: F
Vaccine: HPV4, TDAP, HPV4, TDAP
Symptoms: Injection site erythema, Injection site rash, Injection site swelling, Injection site warmth, Musculoskeletal pain
Clinical narrative: pt presented to clinic 9-8-2008 with about a 6 cm red, raised, warm area around injection site.  pt also reported arm pain from shoulder to hand.  pt advised to take ibuprofen 800mg tid and use ice on area tid, if no better follow up in clinic in 2 days.  pt returned to clinic on 9-11-08 with less redness, but still had pain from shoulder to elbow.  diagnosis brachial neuritis.  9/22/08 Office records received for DOS 9/8 & 9/11/2008 with DX: Reaction to Adacel causing Brachial Neuritis.  Pt initially presented 3 days s/p Adacel and HPV vax with c/o injection site redness and arm pain.  Instructed to use ice and ibuprofen and RTO in 48 hrs if not better.  Seen 9/11/08  for recheck.  PE (+) for 8x8cm area of warmth, redness and pain with palpation initially, now reduced in size but with numbness and tingling in the hand
Age: 21.0
Sex: F
Vaccine: HPV4, TDAP, HPV4, TDAP
Symptoms: Pain in extremity, Radiculitis brachial
Clinical narrative: pt presented to clinic 9-8-2008 with about a 6 cm red, raised, warm area around injection site.  pt also reported arm pain from shoulder to hand.  pt advised to take ibuprofen 800mg tid and use ice on area tid, if no better follow up in clinic in 2 days.  pt returned to clinic on 9-11-08 with less redness, but still had pain from shoulder to elbow.  diagnosis brachial neuritis.  9/22/08 Office records received for DOS 9/8 & 9/11/2008 with DX: Reaction to Adacel causing Brachial Neuritis.  Pt initially presented 3 days s/p Adacel and HPV vax with c/o injection site redness and arm pain.  Instructed to use ice and ibuprofen and RTO in 48 hrs if not better.  Seen 9/11/08  for recheck.  PE (+) for 8x8cm area of warmth, redness and pain with palpation initially, now reduced in size but with numbness and tingling in the hand
Age: 21.0
Sex: F
Vaccine: HPV4, TDAP, HPV4, TDAP
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth, Pain in extremity
Clinical narrative: pt presented to clinic 9-8-2008 with about a 6 cm red, raised, warm area around injection site.  pt also reported arm pain from shoulder to hand.  pt advised to take ibuprofen 800mg tid and use ice on area tid, if no better follow up in clinic in 2 days.  pt returned to clinic on 9-11-08 with less redness, but still had pain from shoulder to elbow.  diagnosis brachial neuritis.  9/22/08 Office records received for DOS 9/8 & 9/11/2008 with DX: Reaction to Adacel causing Brachial Neuritis.  Pt initially presented 3 days s/p Adacel and HPV vax with c/o injection site redness and arm pain.  Instructed to use ice and ibuprofen and RTO in 48 hrs if not better.  Seen 9/11/08  for recheck.  PE (+) for 8x8cm area of warmth, redness and pain with palpation initially, now reduced in size but with numbness and tingling in the hand
Age: 21.0
Sex: F
Vaccine: HPV4, TDAP, HPV4, TDAP
Symptoms: Radiculitis brachial
Clinical narrative: pt presented to clinic 9-8-2008 with about a 6 cm red, raised, warm area around injection site.  pt also reported arm pain from shoulder to hand.  pt advised to take ibuprofen 800mg tid and use ice on area tid, if no better follow up in clinic in 2 days.  pt returned to clinic on 9-11-08 with less redness, but still had pain from shoulder to elbow.  diagnosis brachial neuritis.  9/22/08 Office records received for DOS 9/8 & 9/11/2008 with DX: Reaction to Adacel causing Brachial Neuritis.  Pt initially presented 3 days s/p Adacel and HPV vax with c/o injection site redness and arm pain.  Instructed to use ice and ibuprofen and RTO in 48 hrs if not better.  Seen 9/11/08  for recheck.  PE (+) for 8x8cm area of warmth, redness and pain with palpation initially, now reduced in size but with numbness and tingling in the hand
Age: 23.0
Sex: F
Vaccine: MNQ, TYP
Symptoms: Rash
Clinical narrative: Pt. came to the clinic for mgc, ty, ppd shots at noon and around 1300 noticed rash below bilateral breast. Pt. took Benadryl to medicate. Pt. was seen today n clinic acute care w/ the same sx. w no px, no NVD, no lightheadedness, no fever or chills.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Cough, Crying, Eye swelling, Ocular hyperaemia, Rhinorrhoea
Clinical narrative: On 9/2/08 Pt and his mother presented to our regular clinic services at 11:15am.  Was given #2MMR, #4IPV, #2Varicella and #5Dtap without incident and left the clinic and Health Dept. at 11:50 am.  After leaving Mother states while taking older brother back to school with pt sitting in the back seat, he suddenly began to cry and when she turned to look back at him she noticed both his eyes red and very swollen.  Because he had just had his shots less than an hour before she brought him back to the Health Dept.  At 12:40pm at the Health Dept. the Clinic Coordinator observed him crying with both eyes red and very swollen (Rt almost completely shut and Lt swollen slightly less), large amount of mucous draining from his nose, slight cough and audible wheeze.  911 emergency service called and taken to exam room.  Vitals AP100, R28 easy, B/P96/52.  On auscultation bil wheezes in all lobes.  Questioned Mom if he ever had any reaction (ie runny nose, cough etc) after any of his shots which she denied.  Respirations remained unlabored and other than redness of eyes, skin color remained good.  Paramedics arrived at 12:45 assessed briefly and tranported per cart to Ambulance then on to another hospital.  At 2:50pm, Mother returned to the Health Dept to report that he was home resting and stated the ER had said he probably had a reaction to one of the vaccines he had received earlier.  He was given Benadryl in the ER and discharge to home with 2 prescriptions, Orapred 20mg. po x 5 days and Benadryl 12.5mg/5ml 1/2 tsp po QID prn.  He was to follow up with his PCP in 3-5 days.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Wheezing
Clinical narrative: On 9/2/08 Pt and his mother presented to our regular clinic services at 11:15am.  Was given #2MMR, #4IPV, #2Varicella and #5Dtap without incident and left the clinic and Health Dept. at 11:50 am.  After leaving Mother states while taking older brother back to school with pt sitting in the back seat, he suddenly began to cry and when she turned to look back at him she noticed both his eyes red and very swollen.  Because he had just had his shots less than an hour before she brought him back to the Health Dept.  At 12:40pm at the Health Dept. the Clinic Coordinator observed him crying with both eyes red and very swollen (Rt almost completely shut and Lt swollen slightly less), large amount of mucous draining from his nose, slight cough and audible wheeze.  911 emergency service called and taken to exam room.  Vitals AP100, R28 easy, B/P96/52.  On auscultation bil wheezes in all lobes.  Questioned Mom if he ever had any reaction (ie runny nose, cough etc) after any of his shots which she denied.  Respirations remained unlabored and other than redness of eyes, skin color remained good.  Paramedics arrived at 12:45 assessed briefly and tranported per cart to Ambulance then on to another hospital.  At 2:50pm, Mother returned to the Health Dept to report that he was home resting and stated the ER had said he probably had a reaction to one of the vaccines he had received earlier.  He was given Benadryl in the ER and discharge to home with 2 prescriptions, Orapred 20mg. po x 5 days and Benadryl 12.5mg/5ml 1/2 tsp po QID prn.  He was to follow up with his PCP in 3-5 days.
Age: 0.8
Sex: F
Vaccine: FLU3
Symptoms: Urticaria
Clinical narrative: Generalized urticaria, no respiratory symptoms. Seen at hospital.  Had Benadryl.
Age: 4.0
Sex: F
Vaccine: DTAPHEPBIP, HEPA, MMR, VARCEL
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: DID NOT KNOW I COULDN'T GIVE PEDIARIX AT AGE 4 YRS.
Age: 13.0
Sex: M
Vaccine: MNQ, VARCEL
Symptoms: Blood product transfusion, CSF protein increased, CSF white blood cell count, Facial palsy, Headache
Clinical narrative: The patient developed severe headache 13 days after vaccine administration, followed by right-sided facial palsy, then progressive bilateral lower extremity weakness and some intermittent blurred vision.  He was first seen 16 days after vaccine administration, at which time his right facial palsy was the prominent symptom, and was put on acyclovir, prednisone, and artificial tears.  His lower extremity weakness then progressed, and he was re-evaluated 2 days later.  He still had a right facial nerve palsy and sigificant weakness of his bilateral hip flexion, knee extension and flexion, and great toe dorsiflexion and plantar flexion.  Neurology was consulted by phone, the patient was transferred to an ER, and then admitted to Hospital for 4 days, where he underwent a normal brain MRI, an LP that showed 3-4 wbc's, protein of 373, and glucose of 59.  His nerve conduction studies showed absent F waves in median, ulnar, common peroneal, and tibial nerves; normal conduction velocities, but slightly prolonged distal latencies.  He was transferred to another Hospital where he could undergo better monitoring while getting IVIG. 9/17/08-records received for DOS 9/10-9/13/08-DC DX: Guillain-Barre. Treated with IVIG. Presented to ED with C/O right-sided facial weakness and bilateral lower extremity weakness 7 days prior to admission. Symptoms began one week ago with headache with aura on 9/3/08. Next day weakenss on right side of face and face was droopy followed one day later with lower extremity weakness with some difficulty in walking. Diagnosed with Bell's palsy. Two days later developed blurry vision, unable to focus on schoolwork.  Elevated systolic blood pressure.