chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 1.0
Sex: F
Vaccine: HEP, PNC
Symptoms: Somnolence
Clinical narrative: Within 48 hours: High fever, irritability, drowsiness, loss of appetite, rash (Fever 102.3 Tmax). For 72 hours: Interference with limb movement (shaky walking only after 48 hours).
Age: 10.0
Sex: M
Vaccine: HEPA, VARCEL
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Injection site is warm to touch, red & swollen - right arm.
Age: 13.0
Sex: F
Vaccine: MMR, TDAP
Symptoms: Rash morbilliform
Clinical narrative: Morbilliform rash of trunk.
Age: 11.0
Sex: M
Vaccine: HEPA, TDAP
Symptoms: Blood pressure decreased, Electrocardiogram normal, Loss of consciousness, Pallor, Syncope
Clinical narrative: Pt passed out after receiving vaccines- 15min after vaccines given.  Put in sapine position, gave OJ + crackers, responded, sat up and then again became pale faint.  EMT called BP had gone down to 88/62.  Parents took child (over)
Age: 11.0
Sex: M
Vaccine: HEPA, MNQ, TDAP, VARCEL
Symptoms: Dizziness, Nausea
Clinical narrative: Approx 5 min post vaccine became nauseated.  10 min later, requested to go to restroom.  Stated he felt faint.  Was assisted to floor, eyes closed.  Within 2-3 seconds was alert and talking
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Abnormal behaviour, Crying, Disorientation, Pain in extremity, Pyrexia
Clinical narrative: Pain in leg with TETNUS shot, fever of 103.5, he 'acted strangely'; did not recognize his mother, upset crying & disoriented.
Age: 33.0
Sex: F
Vaccine: FLUX
Symptoms: Cough, Dyspnoea, Pharyngeal oedema
Clinical narrative: Initial report received on 13 August 2009 from a physician. A 33 year old female patient, who had no concurrent illnesses, but who has allergy to NEOSPORIN and a history of childhood eczema and scarlet fever, had received a first dose of influenza vaccine in October 2008. The trade name, manufacturer name, lot number, route and site of administration was unknown. Three to four hours post-vaccination, the patient experienced difficulty breathing, swelling of her throat and coughing. The patient contacted her primary care physician and was directed to take BENADRYL. The patient had no further reactions. The recovery status of the patient was not reported. Documents held by sender: None.
Age: 72.0
Sex: F
Vaccine: IPV, TYP
Symptoms: Poliomyelitis, Typhoid fever
Clinical narrative: Initial report received on 14 August 2009 from another manufacturer (document number 45222761) who had received the original report from pharmacist. A 72-year-old female patient received a Poliomyelitis vaccine inactivated, and Typhoid vaccine on an unspecified date "years ago". An unspecified amount of time later, the patient developed typhoid and polio disease. The recovery status of the patient was not reported. No further information was available. Documents held by sender: None.
Age: 17.0
Sex: F
Vaccine: HPV4, MNQ, VARCEL
Symptoms: Activities of daily living impaired, Computerised tomogram normal, Dizziness, Fatigue, Nausea
Clinical narrative: Information has been received from a physician concerning a 17 year old female patient who on 05-AUG-2009 was vaccinated intramuscular with the first and only dose of 0.5ml GARDASIL (lot # 663452/0671Y). Secondary suspected therapy included VARIVAX administered on 05-UG-2009. Other concomitant therapy included ADVAIR and MENACTRA administered on 05-AUG-2009. On 06-AUG-2009 the patient developed exertional vertigo and extreme fatigue. The patient was a Division 1 softball player and she had not been able to participate due to these symptoms. On 18-AUG-2009 the patient had syncope and ended up in the emergency room. she was not admitted. She will be seen in the office on 19-AUG-2009. The patient had sought the physician for medical attention on 11-AUG-2009. The patient had not recovered. The patient's exertional vertigo, extreme fatigue and syncope were considered to be disabling. Follow up information has been received from the physician concerning the 17 year old female patient who on 15-AUG-2009 had concomitantly received the second dose of VARIVAX (LOT# 664701/0726Y) and MENACTRA (LOT # U291944). On 18-AUG-2009, the patient had syncope and was taken to the Emergency room. The patient had a CT scan and laboratory tests. All testing was negative. The patient was not admitted to the hospital. The patient was seen by the physician on 19-aug-2009. The patient complained of nausea, dizzy and light-headedness on exertion. The physician stated that he was going to refer the patient to a cardiologist for evaluation. Additional information has been requested.  9/3/09 Received ER medical records of 8/18-8/19/2009. FINAL DX: dizziness w/evidence of mild heat exhaustion; possible HPV vaccine side effects.  Remained stable & d/c to home w/PCP f/u. Records reveal patient experienced dizziness & malaise since vaccines, with nausea & vomiting while playing sports on day of admission.  9/8/09 Received PCP record of 8/19/09 & vaccine records. FINAL DX: syncopy & nausea Records reveal seen in ER w/neg w/u.  Recovered. 11/5/09 Medical records received for date 9/18/09 and 10/15/09 Neuro consult. DX: syncopal episodes of undetermined etiology. Poss. Adverse rx to gardasil vax.  Presenting SX: c/o dizziness and sick to stomach since 8/09. h/o syncopal episode seen in ER. c/o at time of onset of episodes of vision changes, hot/sweaty sensation, nausea, just prior to syncope. Pt. also c/o HA. Diagnostics ordered. 10/15/09. Neuro consult. Final DX: vasovagal episode associated with response to vax injection.
Age: 17.0
Sex: F
Vaccine: HPV4, MNQ, VARCEL
Symptoms: Syncope, Vertigo
Clinical narrative: Information has been received from a physician concerning a 17 year old female patient who on 05-AUG-2009 was vaccinated intramuscular with the first and only dose of 0.5ml GARDASIL (lot # 663452/0671Y). Secondary suspected therapy included VARIVAX administered on 05-UG-2009. Other concomitant therapy included ADVAIR and MENACTRA administered on 05-AUG-2009. On 06-AUG-2009 the patient developed exertional vertigo and extreme fatigue. The patient was a Division 1 softball player and she had not been able to participate due to these symptoms. On 18-AUG-2009 the patient had syncope and ended up in the emergency room. she was not admitted. She will be seen in the office on 19-AUG-2009. The patient had sought the physician for medical attention on 11-AUG-2009. The patient had not recovered. The patient's exertional vertigo, extreme fatigue and syncope were considered to be disabling. Follow up information has been received from the physician concerning the 17 year old female patient who on 15-AUG-2009 had concomitantly received the second dose of VARIVAX (LOT# 664701/0726Y) and MENACTRA (LOT # U291944). On 18-AUG-2009, the patient had syncope and was taken to the Emergency room. The patient had a CT scan and laboratory tests. All testing was negative. The patient was not admitted to the hospital. The patient was seen by the physician on 19-aug-2009. The patient complained of nausea, dizzy and light-headedness on exertion. The physician stated that he was going to refer the patient to a cardiologist for evaluation. Additional information has been requested.  9/3/09 Received ER medical records of 8/18-8/19/2009. FINAL DX: dizziness w/evidence of mild heat exhaustion; possible HPV vaccine side effects.  Remained stable & d/c to home w/PCP f/u. Records reveal patient experienced dizziness & malaise since vaccines, with nausea & vomiting while playing sports on day of admission.  9/8/09 Received PCP record of 8/19/09 & vaccine records. FINAL DX: syncopy & nausea Records reveal seen in ER w/neg w/u.  Recovered. 11/5/09 Medical records received for date 9/18/09 and 10/15/09 Neuro consult. DX: syncopal episodes of undetermined etiology. Poss. Adverse rx to gardasil vax.  Presenting SX: c/o dizziness and sick to stomach since 8/09. h/o syncopal episode seen in ER. c/o at time of onset of episodes of vision changes, hot/sweaty sensation, nausea, just prior to syncope. Pt. also c/o HA. Diagnostics ordered. 10/15/09. Neuro consult. Final DX: vasovagal episode associated with response to vax injection.
Age: 17.0
Sex: F
Vaccine: HPV4
Symptoms: Blood product transfusion, Contusion, Haemorrhage, Idiopathic thrombocytopenic purpura, Platelet count decreased
Clinical narrative: Information has been received from a consumer concerning her 19 year old daughter who in Summer 2007 was vaccinated with the first dose of 0.5ml GARDASIL. No information was provided for the second dose of 0.5ml GARDASIL. On 06-NOV-2007 the patient was vaccinated with the third dose of 0.5ml GARDASIL. There was no concomitant medication. On 31-JUL-2009 the patient developed "Idiopathic Thrombocytic Purpura". The consumer stated that "when blood passes through the patient's spleen the antibodies are killing her platelets causing massive bruising and internal bleeding". The patient was hospitalized on 31-JUL-2009 for 4 days. The patient's platelet count was back up after hospitalization, but was going back down again. Laboratory included blood work without result. The patient had not recovered. Additional information has also received from a medical assistant reported that the patient was vaccinated with the first, second and third dose of GARDASIL separately on 05-MAR-2007 (lot # 655849/0263U), 06-JUL-2007 (lot# 658100/0525U) and 06-NOV-2007 (lot # 655154/1210U). No other vaccines given concomitantly. In September 2008, the patient was placed on birth control. Information has also been received from a physician reported that in November 2007, the patient's blood work was normal. On 03-OCT-2008, the patient's platelet count was 190,000. On 30-JUL-2009, the platelet count decreased to 21,000 and the patient was hospitalized the next day it's on 31-JUL-2009. The patient was treated with IV immunoglobulin and steroids. Patient was currently on the titrating dose of prednisone. The physician considered the condition to be disabling but not life threatening. The physician dose not know if GARDASIL was the cause of this event. The patient referred to a hematologist. The receptionist of the hematologist reported that their office was not treating the patient so that the patient might have been treated elsewhere. Additional information has been requested.
Sex: F
Vaccine: HPV4
Symptoms: Convulsion
Clinical narrative: Information has been received from a Nurse Practitioner (N.P) concerning a teenager female patient who on an unspecified date was vaccinated with the first dose of GARDASIL. It was reported that the patient had a seizure after GARDASIL was given. It was reported that the patient went to the emergency room, but it was unknown if the patient was admitted to the hospital. The patient was not given GARDASIL in this nurse practitioner's office but this nurse will be following up with this patient next week. It was also reported that the patient had a first appointment scheduled with the Nurse Practitioner sometime next week (date unknown). The Nurse Practitioner stated that she had spoken to the patient's mother who explained that 30 minutes after receiving the first dose of GARDASIL, the patient had a seizure in the parking lot. The outcome of the patient was unknown at the time of the report. Upon internal review seizure was determined to be an other important medical event. Additional information has been requested.
Age: 61.0
Sex: F
Vaccine: VARZOS
Symptoms: Heart rate increased, Hyperaesthesia, Injection site pain, Injection site swelling, Lip swelling
Clinical narrative: BREAKOUT IN OOZING SENSITIVE RASH ON FACE, SWELLING IN LEFT ARM AND LYMPH NODES, INCREASE HEART RATE, SWELLING OF LIPS AND PAIN IN LEFT ARM.
Age: 61.0
Sex: F
Vaccine: VARZOS
Symptoms: Lymphadenopathy, Pain in extremity, Rash
Clinical narrative: BREAKOUT IN OOZING SENSITIVE RASH ON FACE, SWELLING IN LEFT ARM AND LYMPH NODES, INCREASE HEART RATE, SWELLING OF LIPS AND PAIN IN LEFT ARM.
Age: 11.0
Sex: M
Vaccine: TDAP
Symptoms: Injection site pruritus, Injection site swelling
Clinical narrative: Pt developed swelling and itching at injection site after administration of Tdap
Age: 4.0
Sex: M
Vaccine: DTAPIPV, MMR, VARCEL
Symptoms: Grand mal convulsion, Musculoskeletal stiffness, Mydriasis, Tremor
Clinical narrative: Had Gma Seizures starting at 10pm on 08-24-09. They lasted about 45sec. He was having a seizure every 2 hours, But they have been every for hours today 08-25-09. There is no focality to the seizures. He becomes stiff and has generalized shaking. His eyes remain open and midline with dilated pupils.  9/9/09 ED records received DOS 8/25/09. Also Labs from 8/28/09. Assessment: Seizure disorder with frequent grand mal seizures. Seizures every hour since 10 pm last night. Stiff, generalized shaking, dilated pupils. Some crying, complains of stomach ache. Not eating well. Seizure in ED office. Not fully alert. Postictal. Ankle clonus. Patellar DTRs brisk. Mild thromocytopenia.
Age: 33.0
Sex: M
Vaccine: FLU3
Symptoms: Flushing, Head discomfort, Nasal congestion, Oropharyngeal pain, Rhinorrhoea
Clinical narrative: This individual received the flu shot in the am of 8/24/09. About 1 hour later, he developed sneezing, a runny nose, and a sore throat. The following day, 8/25/09, he stayed home from work due to sore throat, runny nose, head congestion, and a flushed feeling (temp was normal). Today, 8/26/09, he states that he feels quite a bit better with just a few lingering symptoms: scratchy throat and stuffy nose.
Age: 33.0
Sex: M
Vaccine: FLU3
Symptoms: Sneezing
Clinical narrative: This individual received the flu shot in the am of 8/24/09. About 1 hour later, he developed sneezing, a runny nose, and a sore throat. The following day, 8/25/09, he stayed home from work due to sore throat, runny nose, head congestion, and a flushed feeling (temp was normal). Today, 8/26/09, he states that he feels quite a bit better with just a few lingering symptoms: scratchy throat and stuffy nose.
Age: 12.0
Sex: F
Vaccine: HEPA, HPVX, MEN, TDAP
Symptoms: Erythema, Swelling, Urticaria
Clinical narrative: Multiple Uriticariae Shoulders. Raised red area to back and shoulders.
Age: 20.0
Sex: F
Vaccine: ANTH
Symptoms: Asthenia, Dizziness, Pallor, Vomiting
Clinical narrative: Pt became pale,weak c/o dizziness and began vomiting after anthrax vaccination.
Age: 18.0
Sex: F
Vaccine: HPV4, MNQ, TDAP, HPV4, MNQ, TDAP
Symptoms: Injection site induration, Injection site pain, Injection site swelling
Clinical narrative: Adverse event onset was 8-08-09 - Client noticed a knot and soreness at injection site on (L) arm. By the next day, soreness, swelling, hardness, and vein enlargement were noted at the bend of the arm on the inner aspect. Area today is only slightly swollen, but remains sore to touch. Vein running along the inner aspects of the (L) mid arm is slighly larger and harder than vein in (R) arm. Client has been applying cold compresses and taking OTC pain/inflammatory medication with some noted improvement, but problem is better one day and then worse the next. Client is concerned.
Age: 18.0
Sex: F
Vaccine: HPV4, MNQ, TDAP, HPV4, MNQ, TDAP
Symptoms: Induration, Injection site nodule, Injection site swelling, Oedema peripheral, Pain in extremity
Clinical narrative: Adverse event onset was 8-08-09 - Client noticed a knot and soreness at injection site on (L) arm. By the next day, soreness, swelling, hardness, and vein enlargement were noted at the bend of the arm on the inner aspect. Area today is only slightly swollen, but remains sore to touch. Vein running along the inner aspects of the (L) mid arm is slighly larger and harder than vein in (R) arm. Client has been applying cold compresses and taking OTC pain/inflammatory medication with some noted improvement, but problem is better one day and then worse the next. Client is concerned.
Age: 18.0
Sex: F
Vaccine: HPV4, MNQ, TDAP, HPV4, MNQ, TDAP
Symptoms: Vasodilatation
Clinical narrative: Adverse event onset was 8-08-09 - Client noticed a knot and soreness at injection site on (L) arm. By the next day, soreness, swelling, hardness, and vein enlargement were noted at the bend of the arm on the inner aspect. Area today is only slightly swollen, but remains sore to touch. Vein running along the inner aspects of the (L) mid arm is slighly larger and harder than vein in (R) arm. Client has been applying cold compresses and taking OTC pain/inflammatory medication with some noted improvement, but problem is better one day and then worse the next. Client is concerned.
Age: 54.0
Sex: F
Vaccine: DTP, HEP, HEPA
Symptoms: Abasia, Activities of daily living impaired, Arthralgia, Blood test, Cough
Clinical narrative: Within a few days I became ill with a sore throat and fever, then a cough and wheezing. My cough became worse, I began to have heart burn, sores in my mouth, and then severe pain in the knees.  Soon after there were vaginal sores, and pain in other joints. This progressed until I was unable to walk or take care of myself.  Over time, with medication and various other treatments I was able to walk some, dress myself, and do some other things for myself, but I was not even at 50% of what I was prior.  Since then I have been enduring severe pain in my joints, sores, extreme fatigue, headaches, trouble sleeping because of the pain, and various other ailments.  I have had numerous tests and treatments, and am about to embark on additional treatments, such as gamma globulin shots, anti-virals, thyroid medication, etc., in hope of getting back some of my health and life, if not all.  9/28/09 Clinical summary received from provider.  Within 1 week of receiving Hep B vax, pt developed muscle pain, joint pain, swelling of ankles, severe fatigue and lassitude.  PE (+) for appearing chronically ill, ankle edema, joint and muscle tenderness.  DX:  Acquired autoimmune disease caused by antigen in the Hep B vaccine.
Age: 54.0
Sex: F
Vaccine: DTP, HEP, HEPA
Symptoms: Dyspepsia, Fatigue, Headache, Hypothyroidism, Malaise
Clinical narrative: Within a few days I became ill with a sore throat and fever, then a cough and wheezing. My cough became worse, I began to have heart burn, sores in my mouth, and then severe pain in the knees.  Soon after there were vaginal sores, and pain in other joints. This progressed until I was unable to walk or take care of myself.  Over time, with medication and various other treatments I was able to walk some, dress myself, and do some other things for myself, but I was not even at 50% of what I was prior.  Since then I have been enduring severe pain in my joints, sores, extreme fatigue, headaches, trouble sleeping because of the pain, and various other ailments.  I have had numerous tests and treatments, and am about to embark on additional treatments, such as gamma globulin shots, anti-virals, thyroid medication, etc., in hope of getting back some of my health and life, if not all.  9/28/09 Clinical summary received from provider.  Within 1 week of receiving Hep B vax, pt developed muscle pain, joint pain, swelling of ankles, severe fatigue and lassitude.  PE (+) for appearing chronically ill, ankle edema, joint and muscle tenderness.  DX:  Acquired autoimmune disease caused by antigen in the Hep B vaccine.
Age: 54.0
Sex: F
Vaccine: DTP, HEP, HEPA
Symptoms: Nuclear magnetic resonance imaging, Oropharyngeal pain, Pyrexia, Sleep disorder, Stomatitis
Clinical narrative: Within a few days I became ill with a sore throat and fever, then a cough and wheezing. My cough became worse, I began to have heart burn, sores in my mouth, and then severe pain in the knees.  Soon after there were vaginal sores, and pain in other joints. This progressed until I was unable to walk or take care of myself.  Over time, with medication and various other treatments I was able to walk some, dress myself, and do some other things for myself, but I was not even at 50% of what I was prior.  Since then I have been enduring severe pain in my joints, sores, extreme fatigue, headaches, trouble sleeping because of the pain, and various other ailments.  I have had numerous tests and treatments, and am about to embark on additional treatments, such as gamma globulin shots, anti-virals, thyroid medication, etc., in hope of getting back some of my health and life, if not all.  9/28/09 Clinical summary received from provider.  Within 1 week of receiving Hep B vax, pt developed muscle pain, joint pain, swelling of ankles, severe fatigue and lassitude.  PE (+) for appearing chronically ill, ankle edema, joint and muscle tenderness.  DX:  Acquired autoimmune disease caused by antigen in the Hep B vaccine.
Age: 54.0
Sex: F
Vaccine: DTP, HEP, HEPA
Symptoms: Ultrasound scan, Urine analysis, Vaginal lesion, Wheezing
Clinical narrative: Within a few days I became ill with a sore throat and fever, then a cough and wheezing. My cough became worse, I began to have heart burn, sores in my mouth, and then severe pain in the knees.  Soon after there were vaginal sores, and pain in other joints. This progressed until I was unable to walk or take care of myself.  Over time, with medication and various other treatments I was able to walk some, dress myself, and do some other things for myself, but I was not even at 50% of what I was prior.  Since then I have been enduring severe pain in my joints, sores, extreme fatigue, headaches, trouble sleeping because of the pain, and various other ailments.  I have had numerous tests and treatments, and am about to embark on additional treatments, such as gamma globulin shots, anti-virals, thyroid medication, etc., in hope of getting back some of my health and life, if not all.  9/28/09 Clinical summary received from provider.  Within 1 week of receiving Hep B vax, pt developed muscle pain, joint pain, swelling of ankles, severe fatigue and lassitude.  PE (+) for appearing chronically ill, ankle edema, joint and muscle tenderness.  DX:  Acquired autoimmune disease caused by antigen in the Hep B vaccine.
Age: 59.0
Sex: M
Vaccine: PPV
Symptoms: Chronic obstructive pulmonary disease, Condition aggravated, Pneumonia
Clinical narrative: Subject in pneumococcal vaccine trial, with severe COPD, was hospitalized on 6/29/2009 for pneumonia with small cell lung cancer. Vaccination took place on 12/11/2008. According to the physician, the relationship is 'None'. We would be happy to forward the Study's SAE reporting form upon request.  9/2/09 Hospital records received DOS 6/29/09 to 7/10/09. Assessment: Severe chronic obstructive pulmonary disease, emphysema, small cell CA of lung. Patient was admitted with a history of shortness of breath, cough with expectoration. Pneumonia.  ICD-9 Codes: 486 Pneumonia unspecified organism, 491.21 Chronic bronchitis obstructive with (acute) exacerbation.
Age: 4.0
Sex: M
Vaccine: DTAP, HEPA, IPV, MMR, VARCEL
Symptoms: Cellulitis, Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: By 5:30 on the night of his immunizations he started to get redness and swelling, progressively gotten worse, he has been receiving Tylenol at regular intervals. He has been getting ice downs also. Today at 1050am it measures 16.5cm across the L thigh, red and warm. ALSO noted is a 5 cm red but not warm reaction to his varicella vaccine. He was started on a 10 day course of antibiotic for Cellulitis
Age: 5.0
Sex: M
Vaccine: PNC, VARCEL
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: pulled up mcir the night before didn't look at it that day ,look in the chart they need the shots but after looking at mcir noticed that they recieved the shots from the health department
Age: 74.0
Sex: M
Vaccine: VARZOS
Symptoms: Fatigue, Myalgia
Clinical narrative: 4 days after vaccination I experienced fatigue and muscle aches.  There was no fever or injection site swelling or pain.
Age: 0.21
Sex: F
Vaccine: DTAPIPVHIB, HEP, PNC, RV1
Symptoms: Culture stool, Intussusception, Stool analysis, Urinary system X-ray, Vomiting
Clinical narrative: Patient received Rotarix oral vaccine on 08/20/09. Taken to ER on 08/24/09 with vomiting. Diagnosed with intussusception.  9/3/09 Received hospital records of 8/24-8/26/2009. FINAL DX: cecal intussusception, surgically reduced Records reveal patient experienced vomiting & fever x 1 day.  Had bloody stool in ER w/abdominal distention & hypoactive bowel sounds.  Tx w/IV antibiotics.  Surg consult done when BE unable to reduce IS.  Progressed well post op & d/c to home. ICD9 codes: 560.0
Age: 16.0
Sex: F
Vaccine: HPV4
Symptoms: Blood glucose normal, Contusion, Electrocardiogram abnormal, Full blood count normal, Paraesthesia
Clinical narrative: Initial near syncopal episode at time of vaccination on 7/30/09.  Approximatley 8/11/09, she began to have intermittent problems with easy bruising, tingling,  9/25/09 Received PCP medical records which reveal patient in good general health on day of vaccination & had brief vasovagal syncope after shot.  RTC 8/28 after symptoms began 8/11/09 of malaise, tiredness, easy bruising & near fainting episodes while driving.  Exam revealed shotty cervical lymph nodes, erythematous throat, macular bruising on arms & nodule on right shin.  9/11 labs revealed + strep & had recent tick bite.  Tx w/oral antibiotics.
Age: 16.0
Sex: F
Vaccine: HPV4
Symptoms: Presyncope, Sinus bradycardia
Clinical narrative: Initial near syncopal episode at time of vaccination on 7/30/09.  Approximatley 8/11/09, she began to have intermittent problems with easy bruising, tingling,  9/25/09 Received PCP medical records which reveal patient in good general health on day of vaccination & had brief vasovagal syncope after shot.  RTC 8/28 after symptoms began 8/11/09 of malaise, tiredness, easy bruising & near fainting episodes while driving.  Exam revealed shotty cervical lymph nodes, erythematous throat, macular bruising on arms & nodule on right shin.  9/11 labs revealed + strep & had recent tick bite.  Tx w/oral antibiotics.
Age: 14.0
Sex: F
Vaccine: HPV4, MNQ
Symptoms: Abdominal pain upper, Appendicectomy, Dizziness, Dysmenorrhoea, Dyspepsia
Clinical narrative: Severe headaches/migraines which cause sleeplessness, stomache aches, painful menstrual periods, nausea, always tired and feels like sleeping all the time, dizziness, heartburn.  Unable to eat certain foods like fast food burgers.  Had appendix taken out October 31, 2008 after one week of fevers above 103 for one week and emergency room visits.  Finally after one week surgeon looked at records and determined appendix should have been removed one week earlier.  9/29/09 PCP records received DOS 1/5/07 to 8/7/09. Assessment: Transferred migraine, rebound analgesic headache, anxiety.  Patient c/o recent headaches. Repeated strep pharyngitis. Plan B emergency contraception. Oral contraception initiated. Flat affect. Anxiety. Pelvic inflammatory disease. Headaches with photophobia and phonophobia. Pharyngitis/laryngitis with productive cough and wheezing. Bronchitis. Dry eczematous rash  skin arms and legs. Abdominal pain, diarrhea, constipation. Gastroenteritis. Depo-Provera initiated. Muscle tension headaches. Insomnia. Painful intercourse.     9/29/09 Hospital records received DOS ER 10/25/08 Inpatient 10/31/08. Assessment: Appendicitis. Patient presented with right lower quandrant abdominal pain. Hematuria. Nauseous, vomited. Discharged from ER. Presents several days later with same complaints. Laparoscopic appendectomy. Pelvic inflammation.  ICD-9 Codes: 540.9 Acute Appendicitis NOS, 784.0 Headache, 305.1 Tobacco use disorder/depend.
Age: 14.0
Sex: F
Vaccine: HPV4, MNQ
Symptoms: Eating disorder, Fatigue, Headache, Insomnia, Migraine
Clinical narrative: Severe headaches/migraines which cause sleeplessness, stomache aches, painful menstrual periods, nausea, always tired and feels like sleeping all the time, dizziness, heartburn.  Unable to eat certain foods like fast food burgers.  Had appendix taken out October 31, 2008 after one week of fevers above 103 for one week and emergency room visits.  Finally after one week surgeon looked at records and determined appendix should have been removed one week earlier.  9/29/09 PCP records received DOS 1/5/07 to 8/7/09. Assessment: Transferred migraine, rebound analgesic headache, anxiety.  Patient c/o recent headaches. Repeated strep pharyngitis. Plan B emergency contraception. Oral contraception initiated. Flat affect. Anxiety. Pelvic inflammatory disease. Headaches with photophobia and phonophobia. Pharyngitis/laryngitis with productive cough and wheezing. Bronchitis. Dry eczematous rash  skin arms and legs. Abdominal pain, diarrhea, constipation. Gastroenteritis. Depo-Provera initiated. Muscle tension headaches. Insomnia. Painful intercourse.     9/29/09 Hospital records received DOS ER 10/25/08 Inpatient 10/31/08. Assessment: Appendicitis. Patient presented with right lower quandrant abdominal pain. Hematuria. Nauseous, vomited. Discharged from ER. Presents several days later with same complaints. Laparoscopic appendectomy. Pelvic inflammation.  ICD-9 Codes: 540.9 Acute Appendicitis NOS, 784.0 Headache, 305.1 Tobacco use disorder/depend.
Age: 14.0
Sex: F
Vaccine: HPV4, MNQ
Symptoms: Nausea, Pyrexia, Somnolence
Clinical narrative: Severe headaches/migraines which cause sleeplessness, stomache aches, painful menstrual periods, nausea, always tired and feels like sleeping all the time, dizziness, heartburn.  Unable to eat certain foods like fast food burgers.  Had appendix taken out October 31, 2008 after one week of fevers above 103 for one week and emergency room visits.  Finally after one week surgeon looked at records and determined appendix should have been removed one week earlier.  9/29/09 PCP records received DOS 1/5/07 to 8/7/09. Assessment: Transferred migraine, rebound analgesic headache, anxiety.  Patient c/o recent headaches. Repeated strep pharyngitis. Plan B emergency contraception. Oral contraception initiated. Flat affect. Anxiety. Pelvic inflammatory disease. Headaches with photophobia and phonophobia. Pharyngitis/laryngitis with productive cough and wheezing. Bronchitis. Dry eczematous rash  skin arms and legs. Abdominal pain, diarrhea, constipation. Gastroenteritis. Depo-Provera initiated. Muscle tension headaches. Insomnia. Painful intercourse.     9/29/09 Hospital records received DOS ER 10/25/08 Inpatient 10/31/08. Assessment: Appendicitis. Patient presented with right lower quandrant abdominal pain. Hematuria. Nauseous, vomited. Discharged from ER. Presents several days later with same complaints. Laparoscopic appendectomy. Pelvic inflammation.  ICD-9 Codes: 540.9 Acute Appendicitis NOS, 784.0 Headache, 305.1 Tobacco use disorder/depend.
Age: 1.25
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Febrile convulsion, Pyrexia, Viral infection
Clinical narrative: 7/30/09 temp 101, febrile sz, seen by pmd, dx with viral illness.  2nd sz 7/31, still fever, seen in ED, no workup, dx viral, sent home.
Age: 11.0
Sex: F
Vaccine: FLU3, HPV4, MNQ, TDAP, VARCEL
Symptoms: Injection site scar, Injection site vesicles
Clinical narrative: mother and client report at this vist (today) that approx. 2 days after the last vaccination (6/4/09), client developed "a bump" with "water" to left arm, posteriorly. this site was site for varicella. Denies "bumps" at other injection sites. Denies other symptoms or problems. now has scar noted to area. soft, nontender today.
Age: 11.0
Sex: M
Vaccine: MNQ, TDAP
Symptoms: Dizziness, Headache, Pyrexia
Clinical narrative: Developed dizziness, high-fever (103), and headache approximately 19 hours after administration of Menactra and Adacel.  We treated the patient with Motrin, Tylenol and watchful waiting
Age: 44.0
Sex: F
Vaccine: PPV, TDAP
Symptoms: Injection site erythema, Injection site induration, Injection site swelling
Clinical narrative: Patient had swelling in the back of the left upper arm and left deltoid.  The back of the left upper arm appeared red and raised (approximately the size of a 50 cent coin).  Both areas were firm to touch.
Age: 75.0
Sex: M
Vaccine: VARZOS
Symptoms: Pruritus, Rash vesicular
Clinical narrative: Pt has been on Humira and methotrexate since at least 10/2006  6/6/2008 - Herpes zoster vaccine given Rash started late August/early September 9/23/2008 - Stop Humira; Start Keflex 10/10/2008 - Rash slowly resolving; Finished abx and still not taking Humira 10/14/2008 - ?eruption not thought to be secondary to Humira? 11/12/2008 - Rash worse; Hold methotrexate; Start another course of Keflex plus silvadene 11/18/2008 - Stopped Keflex plus silvadene; Start A and D ointment 12/19/2008  - Domeboro solution bid starting for oozing rash 2/12/2009 - Rash is improving with Domeboro solution 2/23/2009 - Rash almost completely healed, one small spot on left ankle remains 3/6/2009 - Restart Humira 4/7/2009 - Rash reoccurred dramatically; Stop Humira; Restart Domeboro 4/9/2009 - Pt states restarting Humira 2 times with recurring rash both times 5/6/2009 - Rash is drying with Domeboro; Start Keflex, Silvadene, and Prednisone (16-d taper) 5/27/2009 - Rash returned after stopping antibiotics and prednisone 5/28/2009 - Start Bactrim DS bid X 14 days plus Silvadene 5/29/2009 - UNNA boot placed; Start using Triamcinolone cream 6/1/2009 - Worse itching 6/4/2009 - Good improvement seen; Replaced UNNA boot 6/12/2009 - Restart Triamcinolone cream; Start Medrol dose pack 6/26/2009 - Flare up; Start Triamcinolone and UNNA boot
Age: 17.0
Sex: F
Vaccine: HPV4, TDAP
Symptoms: Depressed level of consciousness, Electroencephalogram, Head injury, Loss of consciousness, Scan brain
Clinical narrative: After a few minutes patient lost consciousness; hit head on table ; unable to rouse; phoned 9-1-1 for EMS transport to Hospital;patient remains hospitalized on date of this report
Age: 63.0
Sex: F
Vaccine: VARZOS
Symptoms: Erythema, Local reaction, Oedema peripheral, Skin warm
Clinical narrative: Local reaction to LT posterior upper arm; Redness, swelling & warmth. Moderate relief noted with Motrin and ice pack.
Age: 1.1
Sex: M
Vaccine: DTAPIPVHIB, HEPA, MMR, PNC, VARCEL
Symptoms: Secondary transmission
Clinical narrative: Pt. vaccinated 7/31/09,  His mother, broke out in a fine raised rash on her right index finger about 1 to 1.5 weeks later.  Pt. never had a rash or otherwise appeared ill.   Mother's itchy progressed from her finger to her arms, legs, chest, soles of feet and palms of hand.  The rash is in various stages with the later stages a flat red-purple irregular shaped rash.  The largest lesion is .5 cm.  The child saw her health care provider and was precribed oatmeal baths and calamine lotion and return if rash gets worse.   A CBC, RPR, IGM, IGG and Varicella were done with the IGM "borderline" at 1.06 and the IgG elevated at 1.85.  The mother understood that this indicated she had contacted varicella from her son's varicella.  Mother had a history of severe chickenpox in her childhood.  CDC was contacted and suggested that a VAERS be filed on the child for the mother as the child had no rash or visible signs of illness
Age: 10.0
Sex: M
Vaccine: VARCEL, VARCEL
Symptoms: Dyspnoea, Swelling face, Throat irritation, Urticaria
Clinical narrative: Within 15 minutes of vaccination, pt complained of trouble breathing and an itchy throat.  Within a few more minutes the patient was completely covered in hives and facial swelling was noted.  30 minutes after vaccine was administered 0.3 ml of epinephrine was administered.  Within 60 minutes of vaccine administration, patient was feeling better and swelling and hives had subsided.
Age: 10.0
Sex: M
Vaccine: VARCEL, VARCEL
Symptoms: Blood test abnormal, Erythema, Pruritus generalised, Swelling face, Throat tightness
Clinical narrative: Within 15 minutes of vaccination, pt complained of trouble breathing and an itchy throat.  Within a few more minutes the patient was completely covered in hives and facial swelling was noted.  30 minutes after vaccine was administered 0.3 ml of epinephrine was administered.  Within 60 minutes of vaccine administration, patient was feeling better and swelling and hives had subsided.
Age: 10.0
Sex: M
Vaccine: VARCEL, VARCEL
Symptoms: Urticaria
Clinical narrative: Within 15 minutes of vaccination, pt complained of trouble breathing and an itchy throat.  Within a few more minutes the patient was completely covered in hives and facial swelling was noted.  30 minutes after vaccine was administered 0.3 ml of epinephrine was administered.  Within 60 minutes of vaccine administration, patient was feeling better and swelling and hives had subsided.
Age: 31.0
Sex: F
Vaccine: TDAP
Symptoms: Bedridden, Fatigue, Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: The patient received the Tdap vaccine on 1/7/09.  It had been 11 years since she last received the Td vaccine.  However, prior to her last Td vaccine the patient had received numerous Td vaccinations through a plasma center while attending college.  She received minor compensation for being involved in a study looking for tetanus titers in plasma.  On the morning of 1/7/09 at 10 am, the patient received her Tdap.  By late that evening, she had pain at the injection site which she attributed to a regular localized reaction.  The next morning though she noticed redness at the site.  Throughout this day she noticed progressive swelling, redness, and the site being hot to the touch.  On the morning of the third day, the arm of her injection hurt so bad she couldn't get out of bed.  She was also very fatigued and had severe weakness in the arm.  The size of the area was 2 1/2 inches wide and 1 1/2 inches long.  That evening, the patient went to a local clinic.  The doctor said for her to ice it and use pain medications as needed.  She was also told to mark the area to notice if the area was growing.  On her own, the patient used ibuprofen, neosporin, and topical hydrocortisone 1%.  None of these agents provided any relief.  The patient noticed the pain and redness subsiding afer about 5 days.  The swelling however took about 7-10 days to subside.  During this whole incident, the patient had contacted employee health where she received the immunization and was told that it probably wasn't due to the vaccination.
Age: 31.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site warmth, Muscular weakness
Clinical narrative: The patient received the Tdap vaccine on 1/7/09.  It had been 11 years since she last received the Td vaccine.  However, prior to her last Td vaccine the patient had received numerous Td vaccinations through a plasma center while attending college.  She received minor compensation for being involved in a study looking for tetanus titers in plasma.  On the morning of 1/7/09 at 10 am, the patient received her Tdap.  By late that evening, she had pain at the injection site which she attributed to a regular localized reaction.  The next morning though she noticed redness at the site.  Throughout this day she noticed progressive swelling, redness, and the site being hot to the touch.  On the morning of the third day, the arm of her injection hurt so bad she couldn't get out of bed.  She was also very fatigued and had severe weakness in the arm.  The size of the area was 2 1/2 inches wide and 1 1/2 inches long.  That evening, the patient went to a local clinic.  The doctor said for her to ice it and use pain medications as needed.  She was also told to mark the area to notice if the area was growing.  On her own, the patient used ibuprofen, neosporin, and topical hydrocortisone 1%.  None of these agents provided any relief.  The patient noticed the pain and redness subsiding afer about 5 days.  The swelling however took about 7-10 days to subside.  During this whole incident, the patient had contacted employee health where she received the immunization and was told that it probably wasn't due to the vaccination.
Age: 19.0
Sex: F
Vaccine: HPV4
Symptoms: Activities of daily living impaired, Disorientation, Hallucination, Schizophreniform disorder
Clinical narrative: First acute schizophrenic episode (disorentation and hallucinations)occurred 3 days after HPV vaccination.  Required hospitalization and continues to need ongoing treatment.  Unable to return to school and usual activites. 11/2/09:  Hospital Records and Discharge Summary received for dates of service 4/16/09 to 5/4/09.  Dx:  Schizoaffective disorder, bipolar type, attention deficit hyperactivity disorder, cannabis abuse, alcohol abuse.   Assessment:  Pt. brought to hospital ED by local police on a certificate of hold after being missing for 1 day and being found wandering, distracted and responding to internal stimuli.  She was anxious, irritable and easily agitated.  She had stopped taking her psychiatric medications several weeks before.  She displayed prominent thought blocking with loose associations and was having visual and auditory hallucinations.  With the help of psychiatric medications, by discharge her affect became broader, mood brighter there was no further thought blocking, thought process was more organized, and she was A&O x 3.     11/2/09:  Hospital Records and Discharge Summary received for dates of service 6/18/09 to 6/23/09.  DX:  Schizoaffective disorder, bipolar type, attention deficit hyperactivity disorder. Assessment:  Brought to the Hospital ED by police after threatening to shoot herself, though she had no access to a gun.  She had stopped taking psychiatric medications 3 days prior.  She was intrusive and tried to escape from the ED, so was medicated with good effect.  On assessment she was paranoid and guarded, however she denied suicidal or homicidal ideations. Appeared to be responding to auditory hallucinations and other internal stimuli.  While hospitalized, her medications were re-started, her thought processes became logical and coherent.  She did not appear to be guarded anymore.  Her insight, judgment and impulse control were improved and fair at time of discharge.
Age: 65.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site irritation, Injection site pruritus
Clinical narrative: Patient developed 2 inch red circle around injection site.  Did not look to be a rash, although patient reported irritation and minor itching.
Age: 8.0
Sex: U
Vaccine: HEPA, MMR, VARCEL
Symptoms: Injection site discolouration, Injection site pain, Injection site swelling
Clinical narrative: Varicella vaccine administered to right arm 8/24 09.  Mom reports that his rt arm was painful that entire day.  They noticed swelling of the arm with increasing pain on 8/25/09 and today (8/26/09) noticed discoloration (red/maroon), increasing pain and continued swelling.  No other symptoms.  Patient is alert, active and having no respiratory symptoms.  She administered ice packs motrin & benadryl. She took him to be evaluated by his PCP, late afternoon 8/26.  No further report on patient condition available at this time.
Age: 13.0
Sex: M
Vaccine: VARCEL
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling, Injection site urticaria
Clinical narrative: pt recieved vaccine on 8/24/09. Pt started c/o of itching, reddness and swelling at injection site on 8/25/09. 18X12cm wheel noted to left posterior arm. Dr examined pt and no systemic events occured. Dr prescribed benadryl 25mg q 6 hr prn and hydrocortisone cream 2.5%.
Age: 31.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site pain, Joint range of motion decreased, Muscle spasms, X-ray limb normal
Clinical narrative: PATIENT RECEIVED THIS VACCINATION DURING A NEW HIRE HEALTH EXAM. SHE CONTACTED ME 1 WEEK LATER TO REPORT THAT SHE WAS HAVING MILD ARM PAIN AND DCREASED RANGE OF MOTION. TYPICAL SIDE EFECTS WERE DISCUSSED WITH HER AND SHE WAS GOING TO WAIT AN ADDITIONAL WEEK TO SEE IF SYMPTOMS IMPROVED. ON 8/26/09 SHE CONTACTED ME THAT HER ARM PAIN AT THE INJECTION SITE HAD BECOME RATHER SEVERE TO THE POINT SHE COULD NOT SLEEP ON THAT SIDE AND IS HAVING SHARP PAINS AND SIGNIFICANT DECREASED RANGE OF MOTION. SHE WAS SENT FOR TREATMENT BY EMPLOYEE HEALTH SERVICES IN THE ER. AN XRAY OF HER SHOULDER WAS PERFORMED TO RULE OUT OTHER INJURIES. THIS WAS NEGATIVE. SHE WAS PRESCRIBED BIAXIN FOR MUSCLE SPASMS AND MOTRIN FOR PAIN.
Age: 51.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site pain, Injection site swelling, Pain in extremity, Sleep disorder
Clinical narrative: She recieved the flu vaccine on 8-12-09, and that pm felt very sore and swollen at injection site, soreness increased and she stated she could not sleep well because her arm was very painful and swollen, pain radiated to fingers at times. She was seen by an MD on 8-26, and had a lidocaine/cortisone injection. She felt that the vaccination was given too high on her deltoid, almost shoulder area.
Age: 18.0
Sex: F
Vaccine: MNQ, TDAP
Symptoms: Body temperature increased, Injection site erythema, Injection site pain, Injection site swelling, Vomiting
Clinical narrative: Redness and swelling, the size of golfball with pain at vaccine site. Temperature as high as 104 with vomiting.  9/17/09 Hospital records received DOS 8/24/09 to 8/27/09. Assessment: Left upper extremity cellulitis with early sepsis, nausea and vomiting due to drug intolerance to Bactrim.  Patient presented with left upper extremity swelling, recurrent nausea and vomiting. 10/16/09 Additional Hospital Record received, Dates of Service 8/24/09-8/27/09.  Secondary diagnoses:  Adverse effect sulfonamides, adverse effect tetanus vaccine, endocrine/nerv NEO NOS, volume depletion.   ICD:  682.3, 729.81, 787.01, E931.0, E948.4, 239.7, 276.50
Age: 1.42
Sex: M
Vaccine: DTAP, HIBV
Symptoms: Local reaction
Clinical narrative: Extensive local reaction
Age: 48.0
Sex: F
Vaccine: TDAP
Symptoms: Dizziness, Headache, Pyrexia, Throat irritation, Visual acuity reduced
Clinical narrative: Had vaccine at approx 9:30am felt slightly feverish the entire day. (Not concerned). However the following morning, woke at 5am after about 1/2 hr I wasn't able to see anything in the lower left corner of vision. It was severe for about 1/2hr and slowly regained my sight but very dizzy and woozy. Left the house for work at 7:15am and although my sight almost returned to normal I felt like I was going to pass out when I looked up quickly etc... still had trouble evaluating how close people and objects were to me on my left side. Fever 102 and back of my throat felt as though there was something there, I kept clearing my throat. Right now I just feel like a dishrag. Not much life and a substantial headache mostly on the right side of my head. (feel like I am coming down with the flu) I hardly ever get sick and see the eye dr regularly since I got glasses at the age of 8. I sought no treatment. I will if tomorrow I still feel this way.
Age: 66.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site pain, Injection site pruritus, Injection site swelling
Clinical narrative: Large red and swollen area around the site of injection. Patient reported it was painful and itchy.
Age: 13.0
Sex: F
Vaccine: HEPA, MNQ, TDAP
Symptoms: Hypotension, Nausea
Clinical narrative: 1515: Client c/o nuasea after vaccine MCV4; stated "I need to throw up"; BP was 70/40. Placed in a supine position with feet elevated; BP 110/80; sitting position BP 100/80.
Age: 67.0
Sex: F
Vaccine: VARZOS
Symptoms: Herpes zoster, Pain
Clinical narrative: Developed shingles in nose the next day which got progressively worse.  The doctor thought that I had a staph infection until the culture came back and he immediately stated that I had shingles.  Started on Valtrex(1gm)three times a day and had relief from the extreme pain in one day, but still have to recover from lesions.For 21 Caplets it cost $271.00 and I have medicare supplement insurance.  No where on you reactions to the vaccine does it suggest that it might bring on a shingles episode.  The last outbreak that I had was 40 years ago.
Age: 41.0
Sex: F
Vaccine: TD
Symptoms: Headache, Joint stiffness, Muscle spasms, Muscular weakness, Pain in extremity
Clinical narrative: Deltoid muscle weakness.  Pain in deltoid muscle 7/10=best.  Swelling and joint stiffness in  right hand, wrist, fingers.  Muscle spasm in neck and shoulder.  Severe headache.
Age: 41.0
Sex: F
Vaccine: TD
Symptoms: Swelling
Clinical narrative: Deltoid muscle weakness.  Pain in deltoid muscle 7/10=best.  Swelling and joint stiffness in  right hand, wrist, fingers.  Muscle spasm in neck and shoulder.  Severe headache.