chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 21.0
Sex: F
Vaccine: HPV4
Symptoms: Asthenia, Pyrexia
Clinical narrative: Information has been received from a certified nurse midwife concerning a 21 year old female with lactose intolerance who in November 2006, was vaccinated with a first dose of Gardasil. There were no concomitant medications. Subsequently, 12 to 24 hours after the first, the patient experienced "extreme weakness" and fever > 100 F. Unspecified medical attention was sought. Subsequently, the patient recovered from "extreme weakness" and fever > 100 F. On an unspecified date, the patient was vaccinated with a second dose of Gardasil. Subsequently, 12 to 24 hours after the second, the patient experienced "extreme weakness" and fever > 100 F. Unspecified medical attention was sought. Subsequently, the patient recovered from "extreme weakness" and fever > 100 F. Additional information has been requested.
Age: 12.0
Sex: F
Vaccine: HPV4, TDAP, VARCEL
Symptoms: Head injury, Heart rate normal, Musculoskeletal stiffness, Neurological examination, Pallor
Clinical narrative: Information has been received from a licensed practical nurse concerning a female patient who was vaccinated with a first dose of Gardasil. Concomitant therapy given on the same day included a dose of Varivax and a dose of Tdap on the same day. It was reported that Gardasil was the last in that series of vaccines the patient received. Subsequently, the patient fainted. Unspecified medical attention was sought. On an unknown date, the patient recovered. No product quality complaint was involved. Additional information has been requested. This is in follow-up to report(s) previously submitted on 6/14/2007. Information has been received from a registered nurse concerning a 12 year old female patient with a history of vaginal birth (no complication) who on 09-FEB-2007 at 09:54 was vaccinated IM into the right deltoid with a first dose of GARDASIL (Lot# 654389/0961F). Concomitant therapy given on the same day included a dose of VARIVAX and a dose of Tdap (unspecified) on the same day. It was reported that GARDASIL was the last in that series of vaccines the patient received. After immunization at 09:54, the patient stated the last shot on the right arm was painful. The patient turned pale, went back and hit her head to the wall. The patient stiffened, made some gurgling noise and had her eyes open. It was reported that the patient had a brief episode of fainting on the exam table. It lasted 1-2 seconds. The patient recovered spontaneously. Once the patient came around the patient asked "what happened?" Laboratory diagnostic studies included a "neuro" check. It was reported that the patient was alert to her name, place and was responding appropriately to questions. The patient's vital signs included a blood pressure measurement of 90/60 and a heart rate of 90. The physician was notified, water was offered and tolerated well. The physician examined the patient. The patient walked out of the room without any difficulty. The physician presumed the experience was transient vasovagal episode. The patient was offered an appointment to return to the clinic only if the patient was up to it. At the time of this report, the patient's outcome to the vasovagal episode, turned pale and painful right arm was unknown, however, the patient recovered from fainted. No product quality complaint was involved. Additional information is not expected.
Age: 12.0
Sex: F
Vaccine: HPV4, TDAP, VARCEL
Symptoms: Syncope
Clinical narrative: Information has been received from a licensed practical nurse concerning a female patient who was vaccinated with a first dose of Gardasil. Concomitant therapy given on the same day included a dose of Varivax and a dose of Tdap on the same day. It was reported that Gardasil was the last in that series of vaccines the patient received. Subsequently, the patient fainted. Unspecified medical attention was sought. On an unknown date, the patient recovered. No product quality complaint was involved. Additional information has been requested. This is in follow-up to report(s) previously submitted on 6/14/2007. Information has been received from a registered nurse concerning a 12 year old female patient with a history of vaginal birth (no complication) who on 09-FEB-2007 at 09:54 was vaccinated IM into the right deltoid with a first dose of GARDASIL (Lot# 654389/0961F). Concomitant therapy given on the same day included a dose of VARIVAX and a dose of Tdap (unspecified) on the same day. It was reported that GARDASIL was the last in that series of vaccines the patient received. After immunization at 09:54, the patient stated the last shot on the right arm was painful. The patient turned pale, went back and hit her head to the wall. The patient stiffened, made some gurgling noise and had her eyes open. It was reported that the patient had a brief episode of fainting on the exam table. It lasted 1-2 seconds. The patient recovered spontaneously. Once the patient came around the patient asked "what happened?" Laboratory diagnostic studies included a "neuro" check. It was reported that the patient was alert to her name, place and was responding appropriately to questions. The patient's vital signs included a blood pressure measurement of 90/60 and a heart rate of 90. The physician was notified, water was offered and tolerated well. The physician examined the patient. The patient walked out of the room without any difficulty. The physician presumed the experience was transient vasovagal episode. The patient was offered an appointment to return to the clinic only if the patient was up to it. At the time of this report, the patient's outcome to the vasovagal episode, turned pale and painful right arm was unknown, however, the patient recovered from fainted. No product quality complaint was involved. Additional information is not expected.
Age: 19.0
Sex: F
Vaccine: HPV4
Symptoms: Injection site pain, Pain in extremity
Clinical narrative: Information has been received from a physician concerning a 19 year old female patient who was vaccinated in the arm with a first dose of Gardasil. Subsequently the day after, the injection complained of significant pain in the arm at the injection site and in her upper arm toward her shoulder. The soreness in her arm lasted for one week and then dissipated. However, subsequently the soreness returned and as 30-MAY-2007 the patient was still experiencing pain and soreness. Unspecified medical attention was sought. At the time of this report, the patient had not recovered. No product quality complaint was involved. Additional information has been requested.
Age: 13.0
Sex: F
Vaccine: HPV4
Symptoms: Computerised tomogram normal, Syncope
Clinical narrative: Information has been received from a staff member concerning her 13 year old daughter who in February 2007, was vaccinated with a first dose of Gardasil. Subsequently, the patient fainted after receiving the vaccine. It was reported that the patient recovered, but she fainted again 3 weeks later in school. Unspecified medical attention. Laboratory diagnostic studies included a CAT scan and was reported to be normal. On an unspecified date in April 2007 the patient received a second dose of Gardasil and did not faint. At the time of this report, the patient recovered. No product quality complaint was involved. Additional information has been requested.
Age: 18.0
Sex: F
Vaccine: HPV4
Symptoms: Loss of consciousness, Syncope
Clinical narrative: Information has been received from a physician concerning an 18 year old female who on approximately 30-APR-2007 was vaccinated with the first dose of Gardasil. It was reported that as the patient was leaving the medical office, she lost consciousness and fainted. The patient regained consciousness and remained in the office for a period of time for observation and was given liquids. The patient recovered and subsequently left the office. Additional information has been requested.
Sex: F
Vaccine: HPV4
Symptoms: Menstruation delayed
Clinical narrative: Information has been received from a female consumer who on 30-JAN-2007 was vaccinated with the first dose of Gardasil (0.5 ml). Subsequently the patient stated that as of 31-MAY-2007, she had not gotten her periods. At the time of this report, the patient had not received the second and third doses of the vaccine. The patient did not have a physician at the time of this report. No further information is available.
Sex: F
Vaccine: HPV4
Symptoms: Dizziness
Clinical narrative: Information has been received from a registered nurse concerning a female who was vaccinated with Gardasil. Subsequently the patient experienced dizziness. This is one of several reports from the same source. Additional information has been requested.
Age: 15.0
Sex: F
Vaccine: HPV4, MNQ
Symptoms: Blood pressure normal, Dizziness, Fatigue, Loss of consciousness, Vomiting
Clinical narrative: Information has been received from a physician concerning a 15 year old female with no drug allergies and no medical history, who on 30-MAY-2007 was vaccinated intramuscularly into the left arm with a first dose of Gardasil (Lot# 655205/1426F). Concomitant vaccination included a first dose of MENACTRA intramuscularly into the right arm. It was reported that "Patient experienced dizziness, vomiting, burning with injection of vaccine and lost consciousness. The patient turned very pale and began to bob up and down on her legs. Her blood pressure was taken, which was normal. The patient felt very tired and just wanted to lay down for awhile. The color returned to her face, she sat up in the chair and after approximately 15-20 minutes later she walked out of the office on her own. There were no illnesses at the time of the vaccinations. Unspecified medical attention was sought. No further information was provided. Additional information has been requested.  Additional information is not expected.
Age: 16.0
Sex: F
Vaccine: HPV4, MNQ
Symptoms: Asthenia, Dizziness, Dizziness, Pallor
Clinical narrative: Information has been received from a physician, via a company representative, concerning a 12 year old female patient, who was vaccinated with a dose Gardasil (date and dose not specified). The physician reported that the patient experienced dizziness after receiving the vaccination, and subsequently, recovered (duration not specified). Additional information has been requested. 10/08/07 This is in follow-up to report(s) previously submitted on 6/14/2007. Initial and follow up information has been received from a physician, concerning a 12 year old female patient, with no pertinent medical history or illness at the time of vaccination, who on 18-JAN-2007, was vaccinated IM in the right arm, with the first dose of GARDASIL (Lot #654540/1162F). Concomitant therapy included an IM vaccination in the left arm with the first dose of MENACTRA (Lot #U2159AA). The physician reported that the patient became dizzy/lightheaded, felt weak, and became very pale after receiving the vaccination. The patient was helped to a chair, and kept closing her eyes; she was then helped to lie down. Her blood pressure and blood glucose were "within acceptable limits" (values not provided), but each time she tried to get up, she would feel dizzy again and had to lie back down. She was given juice, and within approximately 15 minutes, she had recovered and was able to leave. No futher information is expected.
Sex: U
Vaccine: HPV4
Symptoms: Anogenital warts
Clinical narrative: Information has been received from a Nurse Practitioner (N.P.) concerning three patients who were vaccinated with a dose of Gardasil and developed genital warts within a short period. Additional information is not expected.
Sex: F
Vaccine: HPV4
Symptoms: Injection site pain
Clinical narrative: Information has been received from a certified medical assistant (C.M.A.) concerning a female patient between the ages of 11 to 15 years old who on an unspecified date was vaccinated with a 0.5 mL dose of Gardasil, (Lot # not reported). Subsequently the patient experienced pain at the injection site lasting for about a week. This is one of several reports from the same source. Additional information has been requested
Sex: F
Vaccine: HPV4
Symptoms: Injection site pain
Clinical narrative: Information has been received from a certified medical assistant (C.M.A.) concerning a female patient between the ages of 11 to 15 years old who on an unspecified date was vaccinated with a 0.5 mL dose of Gardasil, (Lot # not reported). Subsequently the patient experienced pain at the injection site lasting for about a week. This is one of several reports from the same source. Additional information has been requested.
Sex: F
Vaccine: HPV4
Symptoms: Injection site pain
Clinical narrative: Information has been received from a certified medical assistant (C.M.A.) concerning a female patient between the ages of 11 to 15 years old who on an unspecified date was vaccinated with a 0.5 mL dose of Gardasil, (Lot # not reported). Subsequently the patient experienced pain at the injection site lasting about a week. This is one of several reports from the same source. Additional information has been requested.
Sex: F
Vaccine: HPV4
Symptoms: Injection site pain
Clinical narrative: Information has been received from a certified medical assistant (C.M.A.) concerning a female patient between the ages of 11 to 15 years old who on an unspecified date was vaccinated with a 0.5 mL dose of Gardasil (Lot # not reported). Subsequently the patient experienced pain at the injection site lasting for about a week. This is one of several reports from the source. Additional information has been requested.
Age: 25.0
Sex: F
Vaccine: HPV4
Symptoms: Arthralgia, Body temperature increased, Headache
Clinical narrative: Information has been received concerning a 25 year old female patient who on 09-MAY-2007 was vaccinated intramuscularly in the right deltoid with the third dose of Gardasil (0.5 ml) (lot #657622/0388U). (Dates of the patient's first two injection were not provided). There was no concomitant medication. On 09-MAY-2007, a few hours after vaccination, the patient experienced a headache, knee and joint soreness and a mild temperature (actual temperature not provided). The patient took acetaminophen (Tylenol) for the "nagging headache". It was reported that she did not have shortness of breath, vertigo, nausea or vomiting. It was reported that after 24 hours the symptoms resolved. Additional information has been requested.
Age: 20.0
Sex: F
Vaccine: HPV4
Symptoms: Injection site pain
Clinical narrative: Information has been received from a licensed practical nurse concerning a female patient in her 20's who was vaccinated with a dose of Gardasil and experienced mild soreness at the injection site after the vaccination was given. The same source reported that another had the same reaction (WAES # 0705USA00565). Additional information has been requested.
Sex: F
Vaccine: HPV4
Symptoms: Chills, Dyspnoea, Hyperhidrosis, Injection site swelling, Pyrexia
Clinical narrative: Information has been received from a physician concerning a female with asthma who was vaccinated with the first dose of Gardasil "a few weeks ago." Subsequently, while at home, the patient developed fever, chills, sweating, difficulty breathing and swelling at the injection site. The patient sought unspecified medical treatment. On an unspecified date, the patient recovered. Additional information has been requested. This is one of two reports received from the same source.
Age: 15.0
Sex: F
Vaccine: HPV4
Symptoms: Rash
Clinical narrative: Information has been received from a physician concerning a 15 year old female who was vaccinated with a dose of Gardasil. Subsequently, the patient developed bad rash. The patient visited an urgent care center for unspecified treatment. The patient's outcome was unknown. Additional information has been requested. This is one of two reports received from the same source.
Age: 9.0
Sex: F
Vaccine: HPV4
Symptoms: Syncope
Clinical narrative: Information has been received from a medical assistant concerning a 9 year old female who was vaccinated with the first dose of Gardasil. It was reported that the patient appeared to be nervous prior to vaccination, and subsequently, 5-10 seconds after vaccination the patient fainted. The patient's mother caught her so that she did not fall and incur any additional injury. The patient sought unspecified medical attention. It took 5-10 minutes for the patient to fully recover, and then she was able to leave the office. Additional information has been requested. This is one of two reports received from the same source.
Sex: F
Vaccine: HPV4
Symptoms: Sensation of heaviness
Clinical narrative: Information has been received from a health professional concerning a patient who was vaccinated with a first dose of Gardasil. Subsequently the patient became "lossy" and had a heavy feeling on the arm after the receiving the vaccine. Therapy with Gardasil was discontinued. Additional information has been requested.
Sex: F
Vaccine: HPV4
Symptoms: Loss of consciousness
Clinical narrative: Information has been received from a health professional concerning a female patient who was vaccinated with a first dose of Gardasil. Subsequently the patient passed out after receiving the vaccine. Therapy with Gardasil was discontinued. Additional information has been requested.
Sex: F
Vaccine: HPV4
Symptoms: Sensation of heaviness
Clinical narrative: Information has been received from a health professional concerning a female patient who was vaccinated with a first dose of Gardasil. Subsequently the patient became "lossy" and had a heavy feeling on the arm after receiving the vaccine. Therapy with Gardasil was discontinued. Additional information has been requested.
Age: 36.0
Sex: F
Vaccine: JEV, RAB, TYP, JEV, RAB
Symptoms: Joint swelling, Urticaria
Clinical narrative: Starting 72 hours after immunizations, acute generalized severe urticaria and small/large joint swelling, no respiratory/GI/oral/ neurologic symptoms seen at ED given IM Benadryl/Steroids. Discharged home on 5 days of PO Steroids. On day 4 after start of symptoms, still present but less.
Age: 36.0
Sex: F
Vaccine: JEV, RAB, TYP, JEV, RAB
Symptoms: Joint swelling, Urticaria generalised
Clinical narrative: Starting 72 hours after immunizations, acute generalized severe urticaria and small/large joint swelling, no respiratory/GI/oral/ neurologic symptoms seen at ED given IM Benadryl/Steroids. Discharged home on 5 days of PO Steroids. On day 4 after start of symptoms, still present but less.
Age: 37.0
Sex: F
Vaccine: YF
Symptoms: Back pain, Coordination abnormal, Dizziness, Feeling abnormal, Musculoskeletal stiffness
Clinical narrative: Light-headed at time vaccine administered twelve hours later severe stiff neck two days after shot back pain, feeling "out of it" and uncoordinated. On 6/18/07 reports she is improving.
Age: 19.0
Sex: F
Vaccine: HPV4
Symptoms: Abortion induced, Drug exposure during pregnancy, Papilloma viral infection, Pregnancy test positive, Smear cervix abnormal
Clinical narrative: Initial and follow up information has been received, from a physician and a healthcare professional, concerning a 19 year old white female patient, with no previous pregnancies and a history of an abnormal pap (indicating human papilloma virus, atypical squamous cell of undetermined significance and a low grade squamous intraepithelial lesion; date unspecified), who on 21-NOV-2006, was vaccinated with the first dose of Gardasil (Lot #653650/0702F), and on 22-JAN-2007 with the second dose of Gardasil (Lot #654540/1161F). On 22-MAY-2007, the patient took a pregnancy test in the doctor's office which was positive. The patient was unsure of the date of her LMP. No problems were reported. Follow up information from the healthcare professional indicated the patient "had decided to terminate the pregnancy," although the reason for the decision was not specified, and the date for the procedure was left blank; it was not confirmed that the procedure had actually been completed.  Upon internal review, decided to terminate the pregnancy was determined to be serious as an other important medical event. Additional information has been requested.
Age: 18.0
Sex: F
Vaccine: HPV4, MNQ
Symptoms: Grand mal convulsion, Loss of consciousness, Syncope
Clinical narrative: Information has been received from a physician concerning an 18 year old female with no pertinent medical history who on 04-JUN-2007 received her first dose of Gardasil concomitantly with a dose of Menactra. After administration of the Gardasil on 04-JUN-2007, the patient fainted, was unconscious for 45-60 seconds and exhibited tonic-clonic seizure-like activity. There were no laboratory tests performed. She sought unspecified medical attention. No treatment was required. The patient left the office fully recovered. Upon internal review, tonic-clonic seizure-like activity was considered to be an other important medical event. Additional information has been requested.
Age: 16.0
Sex: F
Vaccine: HPV4
Symptoms: Convulsion, Syncope
Clinical narrative: Information has been received from a nurse practitioner concerning a 16 year old female who on 07-JUN-2007 was vaccinated with Gardasil. The nurse practitioner reported that the patient fainted 45 minutes after receiving Gardasil. The nurse practitioner also reported that the "mother thought she was having a seizure". Medical attention was sought. The outcome of the adverse event is unknown. no further information was provided. Upon internal review seizure was considered to be an other important medical event. Additional information has been requested.
Age: 1.09
Sex: F
Vaccine: MMR
Symptoms: Abnormal behaviour, Autism, Autism spectrum disorder, Cows milk free diet, Developmental delay
Clinical narrative: Autism. Several years ago I requested these forms, but was told the vaccine did not cause the autism. I still believe it did cause it and now thousands of families are in court to prove it when we tried to sue through a class action suit the act stopped it. Now I just want to make sure my child is registered with VAERS and included in any compensation to help her get through life. Patient is a 4year 10month old female who has been diagnosed with Pervasive Developmental Disorder. At present her mother has requested that patient receive no more immunizations due to the literature suggesting linkage between immunizations and PDD/autism. Attached you will find patient immunization record to present and her rubeola titer which shows that she is immune. Patient's history suggests that she was born normally and began developmental changes after reactions she had following immunizations. These unexplained reactions included high fevers, and excessive diarrhea. After her immunizations given at one year, patient stopped using whatever words had been learned to that point, "skated" between furniture, became a fussy eater, irritable and "zoned out". Her developmental delays became more noticeable. She finally began walking at age 20 months. Patient is allergic to gluten. At present she is on a gluten free diet (no wheat) and a dairy free diet and is doing very well. I have been unable to ascertain if any vaccines are gluten free. I am trying to check through the manufacturing companies, as the pharmacist is unable to tell all the ingredients. Due to patient's neurologically impaired and developmental delayed condition, and her allergy to gluten, I would advise at this time that she receive no more vaccines and stay on her gluten free and dairy free diet.   6/20/2007 VAERS report received with records attached.  Records acknowledge child with DX of Pervasive Developmental Disorder/ Austistic Spectrum Disorder.  PMH:  Gluten allergy.  Infant had unexplained high fevers and diarrhea following vax. Child stopped speaking words after 1 year vax, and became a fussy eater, irritable, and appeared to zone out. Neuro eval describes hand flapping and rocking in place behaviors.  PE revealed a wide-based gait and mild global hypotonia.  Child demonstrates delays is both receptive and expressive language skills. Follow-up: Autism. 1/11/2010 Permanently "Autistic".
Age: 1.09
Sex: F
Vaccine: MMR
Symptoms: Diarrhoea, Food allergy, Gluten free diet, Hypersensitivity, Irritability
Clinical narrative: Autism. Several years ago I requested these forms, but was told the vaccine did not cause the autism. I still believe it did cause it and now thousands of families are in court to prove it when we tried to sue through a class action suit the act stopped it. Now I just want to make sure my child is registered with VAERS and included in any compensation to help her get through life. Patient is a 4year 10month old female who has been diagnosed with Pervasive Developmental Disorder. At present her mother has requested that patient receive no more immunizations due to the literature suggesting linkage between immunizations and PDD/autism. Attached you will find patient immunization record to present and her rubeola titer which shows that she is immune. Patient's history suggests that she was born normally and began developmental changes after reactions she had following immunizations. These unexplained reactions included high fevers, and excessive diarrhea. After her immunizations given at one year, patient stopped using whatever words had been learned to that point, "skated" between furniture, became a fussy eater, irritable and "zoned out". Her developmental delays became more noticeable. She finally began walking at age 20 months. Patient is allergic to gluten. At present she is on a gluten free diet (no wheat) and a dairy free diet and is doing very well. I have been unable to ascertain if any vaccines are gluten free. I am trying to check through the manufacturing companies, as the pharmacist is unable to tell all the ingredients. Due to patient's neurologically impaired and developmental delayed condition, and her allergy to gluten, I would advise at this time that she receive no more vaccines and stay on her gluten free and dairy free diet.   6/20/2007 VAERS report received with records attached.  Records acknowledge child with DX of Pervasive Developmental Disorder/ Austistic Spectrum Disorder.  PMH:  Gluten allergy.  Infant had unexplained high fevers and diarrhea following vax. Child stopped speaking words after 1 year vax, and became a fussy eater, irritable, and appeared to zone out. Neuro eval describes hand flapping and rocking in place behaviors.  PE revealed a wide-based gait and mild global hypotonia.  Child demonstrates delays is both receptive and expressive language skills. Follow-up: Autism. 1/11/2010 Permanently "Autistic".
Age: 1.09
Sex: F
Vaccine: MMR
Symptoms: Pyrexia, Speech disorder developmental
Clinical narrative: Autism. Several years ago I requested these forms, but was told the vaccine did not cause the autism. I still believe it did cause it and now thousands of families are in court to prove it when we tried to sue through a class action suit the act stopped it. Now I just want to make sure my child is registered with VAERS and included in any compensation to help her get through life. Patient is a 4year 10month old female who has been diagnosed with Pervasive Developmental Disorder. At present her mother has requested that patient receive no more immunizations due to the literature suggesting linkage between immunizations and PDD/autism. Attached you will find patient immunization record to present and her rubeola titer which shows that she is immune. Patient's history suggests that she was born normally and began developmental changes after reactions she had following immunizations. These unexplained reactions included high fevers, and excessive diarrhea. After her immunizations given at one year, patient stopped using whatever words had been learned to that point, "skated" between furniture, became a fussy eater, irritable and "zoned out". Her developmental delays became more noticeable. She finally began walking at age 20 months. Patient is allergic to gluten. At present she is on a gluten free diet (no wheat) and a dairy free diet and is doing very well. I have been unable to ascertain if any vaccines are gluten free. I am trying to check through the manufacturing companies, as the pharmacist is unable to tell all the ingredients. Due to patient's neurologically impaired and developmental delayed condition, and her allergy to gluten, I would advise at this time that she receive no more vaccines and stay on her gluten free and dairy free diet.   6/20/2007 VAERS report received with records attached.  Records acknowledge child with DX of Pervasive Developmental Disorder/ Austistic Spectrum Disorder.  PMH:  Gluten allergy.  Infant had unexplained high fevers and diarrhea following vax. Child stopped speaking words after 1 year vax, and became a fussy eater, irritable, and appeared to zone out. Neuro eval describes hand flapping and rocking in place behaviors.  PE revealed a wide-based gait and mild global hypotonia.  Child demonstrates delays is both receptive and expressive language skills. Follow-up: Autism. 1/11/2010 Permanently "Autistic".
Age: 6.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Cellulitis, Injection site erythema, Injection site induration, Injection site swelling, Injection site warmth
Clinical narrative: Pt out of town, mom called to report red, hard, swollen warm "saucer-sized" diameter area on (L) leg. no fever, pt. active and alert. R/T pt in another stated, sent to nearest urgent care or ER for eval. Admitted to hosp x 2 days for cellulitis s/p according to mom.  07/02/2007 MR received for o/n hospital stay for L thigh cellulitis.  Child presented with swelling and redness and with c/o itching on the L thigh at the site of vax.  PE WNL except redness and swelling to L thigh.  Asessment:  Left thigh cellulitis.
Age: 58.0
Sex: F
Vaccine: ANTH
Symptoms: Biopsy lung abnormal, Blood immunoglobulin G, Blood immunoglobulin M, Blood test normal, Chest X-ray abnormal
Clinical narrative: August 2006 - Subject reportedly noticed SOB, fatigue, wheeze & "feeling crummy". PMHx includes allergies, hypothyroidism, autoimmune hepatitis, primary biliary cirrhosis and GERD. Treated by PCP with "cortisone shot & inhaler". (She has never used the inhaler). December 2006 CT scan of her abdomen & chest x-ray for continued SOB & fatigue. CT of abdomen and liver enzymes normal. CXR: "scattered nodules" in lungs. Chest CT with contrast & CXR in January 2007 continued to show scattered nodules in lungs and lab results indicated low blood thyroid levels. Thyroid replacement dose was increased. On February 8, 2007 oxygen sats were 95-97% by pulse oximeter. February 8, 2007 and March 8, 2007 lab results positive for Mycoplasma pneumoniae IgG and IgM. Subject was treated with Azithromycin for 15 days. Subject received 17th dose AVA on March 8, 2007 with approval from PCP and pulmonologist. Subject reported symptoms of UTI, including urinary frequency and urinary urgency, first noted on March 10, 2007; she was treated with Bactrim and has recovered. Pulmonology work up May 21, 2007 - lab results reportedly negative for hypersensitivity pneumonitis. Treated with Advair for daily use and Albuterol inhaler prn. Subject was hospitalized June 7, 2007 for open lung biopsy. Subject reports that preliminary pathology results indicate "granulomas." 02/02/2010 As of 10/08/07 Subject repports that she has returned to work. Subject's physicians have agree that her diagnosis is Sarcordosis. She began treatment on 10/5/07 with Prednisone 30 mg po every other day.
Age: 58.0
Sex: F
Vaccine: ANTH
Symptoms: Computerised tomogram normal, Dyspnoea, Fatigue, Granuloma, Hepatic enzyme
Clinical narrative: August 2006 - Subject reportedly noticed SOB, fatigue, wheeze & "feeling crummy". PMHx includes allergies, hypothyroidism, autoimmune hepatitis, primary biliary cirrhosis and GERD. Treated by PCP with "cortisone shot & inhaler". (She has never used the inhaler). December 2006 CT scan of her abdomen & chest x-ray for continued SOB & fatigue. CT of abdomen and liver enzymes normal. CXR: "scattered nodules" in lungs. Chest CT with contrast & CXR in January 2007 continued to show scattered nodules in lungs and lab results indicated low blood thyroid levels. Thyroid replacement dose was increased. On February 8, 2007 oxygen sats were 95-97% by pulse oximeter. February 8, 2007 and March 8, 2007 lab results positive for Mycoplasma pneumoniae IgG and IgM. Subject was treated with Azithromycin for 15 days. Subject received 17th dose AVA on March 8, 2007 with approval from PCP and pulmonologist. Subject reported symptoms of UTI, including urinary frequency and urinary urgency, first noted on March 10, 2007; she was treated with Bactrim and has recovered. Pulmonology work up May 21, 2007 - lab results reportedly negative for hypersensitivity pneumonitis. Treated with Advair for daily use and Albuterol inhaler prn. Subject was hospitalized June 7, 2007 for open lung biopsy. Subject reports that preliminary pathology results indicate "granulomas." 02/02/2010 As of 10/08/07 Subject repports that she has returned to work. Subject's physicians have agree that her diagnosis is Sarcordosis. She began treatment on 10/5/07 with Prednisone 30 mg po every other day.
Age: 58.0
Sex: F
Vaccine: ANTH
Symptoms: Hypothyroidism, Lung neoplasm, Malaise, Micturition urgency, Mycoplasma serology positive
Clinical narrative: August 2006 - Subject reportedly noticed SOB, fatigue, wheeze & "feeling crummy". PMHx includes allergies, hypothyroidism, autoimmune hepatitis, primary biliary cirrhosis and GERD. Treated by PCP with "cortisone shot & inhaler". (She has never used the inhaler). December 2006 CT scan of her abdomen & chest x-ray for continued SOB & fatigue. CT of abdomen and liver enzymes normal. CXR: "scattered nodules" in lungs. Chest CT with contrast & CXR in January 2007 continued to show scattered nodules in lungs and lab results indicated low blood thyroid levels. Thyroid replacement dose was increased. On February 8, 2007 oxygen sats were 95-97% by pulse oximeter. February 8, 2007 and March 8, 2007 lab results positive for Mycoplasma pneumoniae IgG and IgM. Subject was treated with Azithromycin for 15 days. Subject received 17th dose AVA on March 8, 2007 with approval from PCP and pulmonologist. Subject reported symptoms of UTI, including urinary frequency and urinary urgency, first noted on March 10, 2007; she was treated with Bactrim and has recovered. Pulmonology work up May 21, 2007 - lab results reportedly negative for hypersensitivity pneumonitis. Treated with Advair for daily use and Albuterol inhaler prn. Subject was hospitalized June 7, 2007 for open lung biopsy. Subject reports that preliminary pathology results indicate "granulomas." 02/02/2010 As of 10/08/07 Subject repports that she has returned to work. Subject's physicians have agree that her diagnosis is Sarcordosis. She began treatment on 10/5/07 with Prednisone 30 mg po every other day.
Age: 58.0
Sex: F
Vaccine: ANTH
Symptoms: Oxygen saturation normal, Pneumonia mycoplasmal, Pollakiuria, Red blood cell sedimentation rate increased, Rheumatoid factor increased
Clinical narrative: August 2006 - Subject reportedly noticed SOB, fatigue, wheeze & "feeling crummy". PMHx includes allergies, hypothyroidism, autoimmune hepatitis, primary biliary cirrhosis and GERD. Treated by PCP with "cortisone shot & inhaler". (She has never used the inhaler). December 2006 CT scan of her abdomen & chest x-ray for continued SOB & fatigue. CT of abdomen and liver enzymes normal. CXR: "scattered nodules" in lungs. Chest CT with contrast & CXR in January 2007 continued to show scattered nodules in lungs and lab results indicated low blood thyroid levels. Thyroid replacement dose was increased. On February 8, 2007 oxygen sats were 95-97% by pulse oximeter. February 8, 2007 and March 8, 2007 lab results positive for Mycoplasma pneumoniae IgG and IgM. Subject was treated with Azithromycin for 15 days. Subject received 17th dose AVA on March 8, 2007 with approval from PCP and pulmonologist. Subject reported symptoms of UTI, including urinary frequency and urinary urgency, first noted on March 10, 2007; she was treated with Bactrim and has recovered. Pulmonology work up May 21, 2007 - lab results reportedly negative for hypersensitivity pneumonitis. Treated with Advair for daily use and Albuterol inhaler prn. Subject was hospitalized June 7, 2007 for open lung biopsy. Subject reports that preliminary pathology results indicate "granulomas." 02/02/2010 As of 10/08/07 Subject repports that she has returned to work. Subject's physicians have agree that her diagnosis is Sarcordosis. She began treatment on 10/5/07 with Prednisone 30 mg po every other day.
Age: 58.0
Sex: F
Vaccine: ANTH
Symptoms: Sarcoidosis, Thyroid disorder, Urinary tract infection, Urine analysis abnormal, Wheezing
Clinical narrative: August 2006 - Subject reportedly noticed SOB, fatigue, wheeze & "feeling crummy". PMHx includes allergies, hypothyroidism, autoimmune hepatitis, primary biliary cirrhosis and GERD. Treated by PCP with "cortisone shot & inhaler". (She has never used the inhaler). December 2006 CT scan of her abdomen & chest x-ray for continued SOB & fatigue. CT of abdomen and liver enzymes normal. CXR: "scattered nodules" in lungs. Chest CT with contrast & CXR in January 2007 continued to show scattered nodules in lungs and lab results indicated low blood thyroid levels. Thyroid replacement dose was increased. On February 8, 2007 oxygen sats were 95-97% by pulse oximeter. February 8, 2007 and March 8, 2007 lab results positive for Mycoplasma pneumoniae IgG and IgM. Subject was treated with Azithromycin for 15 days. Subject received 17th dose AVA on March 8, 2007 with approval from PCP and pulmonologist. Subject reported symptoms of UTI, including urinary frequency and urinary urgency, first noted on March 10, 2007; she was treated with Bactrim and has recovered. Pulmonology work up May 21, 2007 - lab results reportedly negative for hypersensitivity pneumonitis. Treated with Advair for daily use and Albuterol inhaler prn. Subject was hospitalized June 7, 2007 for open lung biopsy. Subject reports that preliminary pathology results indicate "granulomas." 02/02/2010 As of 10/08/07 Subject repports that she has returned to work. Subject's physicians have agree that her diagnosis is Sarcordosis. She began treatment on 10/5/07 with Prednisone 30 mg po every other day.
Age: 58.0
Sex: F
Vaccine: ANTH
Symptoms: White blood cell count decreased
Clinical narrative: August 2006 - Subject reportedly noticed SOB, fatigue, wheeze & "feeling crummy". PMHx includes allergies, hypothyroidism, autoimmune hepatitis, primary biliary cirrhosis and GERD. Treated by PCP with "cortisone shot & inhaler". (She has never used the inhaler). December 2006 CT scan of her abdomen & chest x-ray for continued SOB & fatigue. CT of abdomen and liver enzymes normal. CXR: "scattered nodules" in lungs. Chest CT with contrast & CXR in January 2007 continued to show scattered nodules in lungs and lab results indicated low blood thyroid levels. Thyroid replacement dose was increased. On February 8, 2007 oxygen sats were 95-97% by pulse oximeter. February 8, 2007 and March 8, 2007 lab results positive for Mycoplasma pneumoniae IgG and IgM. Subject was treated with Azithromycin for 15 days. Subject received 17th dose AVA on March 8, 2007 with approval from PCP and pulmonologist. Subject reported symptoms of UTI, including urinary frequency and urinary urgency, first noted on March 10, 2007; she was treated with Bactrim and has recovered. Pulmonology work up May 21, 2007 - lab results reportedly negative for hypersensitivity pneumonitis. Treated with Advair for daily use and Albuterol inhaler prn. Subject was hospitalized June 7, 2007 for open lung biopsy. Subject reports that preliminary pathology results indicate "granulomas." 02/02/2010 As of 10/08/07 Subject repports that she has returned to work. Subject's physicians have agree that her diagnosis is Sarcordosis. She began treatment on 10/5/07 with Prednisone 30 mg po every other day.
Age: 29.0
Sex: F
Vaccine: HEPA, TDAP, TYP
Symptoms: Fluid replacement, Superior mesenteric artery syndrome, Ultrasound abdomen abnormal, Vomiting
Clinical narrative: Started oral Typhoid 5/24/07 - severe prolonged vomiting started 5/28/07 - Tues went to ER given IV fluids, and Reglan - sent home after 6 hours - Wednesday returned to hospital continued symptoms- hospitalized till 6/2/07 - diagnosed with SMA syndrome - not related to oral typhoid product - surgery planned. 7/25/07-records received-Assessment/Impression: Gastric outlet obstruction likely secondary to superior mesesnteric artery syndrome (SMAS) who has failed conservative management.  No fevers, chills, sweats, headache, diarrhea. C/O nausea and vomiting associated with severe abdominal cramping. 9/21/07-DC statement for DOS 6/4-6/12/07 -DC DX: Gastric outlet obstruction SMA syndrome.
Age: 18.0
Sex: M
Vaccine: HEP, MNQ, TDAP, VARCEL
Symptoms: Blister, Rash papular
Clinical narrative: 'In various stages of healing papules with crust, vesicles on face." (per ED note 6/9/07)
Age: 0.59
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Body temperature increased, Dyspnoea, Injection site papule, Irritability
Clinical narrative: 6-18-07 Mom reported increase irritability, T 108.7. Taken to hospital 6-11-07 also reported SOB. Mom states child improved 6-17-07, but "bump" continues at injection sites. Monday 6-18-07 mom reports injection no longer red, warm, tender but "bump" continues. Ask to call MD and relate all information to her.
Age: 12.0
Sex: F
Vaccine: HPV4, MNQ, TDAP
Symptoms: Cold compress therapy, Diarrhoea, Headache, Injection site erythema, Injection site pain
Clinical narrative: 2-3cm area of erythema - right deltoid, warm to touch, tender, vomiting, diarrhea, headache, ice and Benadryl for treatment.
Age: 12.0
Sex: F
Vaccine: HPV4, MNQ, TDAP
Symptoms: Injection site warmth, Vomiting
Clinical narrative: 2-3cm area of erythema - right deltoid, warm to touch, tender, vomiting, diarrhea, headache, ice and Benadryl for treatment.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMRV
Symptoms: Injection site erythema, Injection site induration, Injection site pain, Injection site vesicles, Local reaction
Clinical narrative: Severe local reaction with erythema 10-14cms with induration, tenderness and blisters in the center. No systemic effects. Reaction occurred right lateral thigh at the site of ProQuad Lot 0225U Exp 07/25/08
Age: 69.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site erythema, Injection site urticaria, Injection site warmth
Clinical narrative: Patient first noticed red welt size of quarter at injection site on Sunday 06/10/07, about 2 pm, it spread rapidly after that to become a large hot, red welt extending around mid upper left arm. Patient treated with Prednisone 20mg, 2 PO qd x 4 days and Keflex 250mg QID x 7 days on 06/12/07.
Age: 52.0
Sex: F
Vaccine: DTAP
Symptoms: Chest X-ray, Computerised tomogram, Dyspnoea, Exocrine pancreatic function test
Clinical narrative: One wee after injection, having dyspnea, difficulty breathing normal temp, felt like breathing in smoke, after 3 weeks - went to the doctor - inhaler ordered, chest x-ray, PFT, CT Chest, Echocardiogram. Resolved in 1 1/2 months.
Age: 78.0
Sex: M
Vaccine: VARZOS
Symptoms: Pruritus, Rash, Skin exfoliation
Clinical narrative: Itching developed on right arm, initially then spread to left arm. Itching progressed to flaking skin to a rash and onto irregular bumps on arms and shoulders developing over the course of 12 hours. No fever but does have itching of entire body.
Age: 24.0
Sex: M
Vaccine: SMALL
Symptoms: Rash
Clinical narrative: Rash on private area x 1 Day.
Age: 20.0
Sex: U
Vaccine: HPV4
Symptoms: Immediate post-injection reaction, Incontinence, Loss of consciousness, Somnolence
Clinical narrative: Patient immediately lost consciousness and became incontinent regained consciousness after 5 minutes but was groggy. Able to sit up/walk after 20 minutes. No history of seizures. Had symptoms for treatment 3 years ago with no further treatment.
Age: 17.0
Sex: F
Vaccine: HEPA, HPV4
Symptoms: Heart rate increased, Palpitations
Clinical narrative: 2 episodes of palpitations - described as onset of fast heart beat, no cause noted (once while sitting) self-resolved in <3min on both occasions, happened 2 days after vaccine.
Age: 2.0
Sex: M
Vaccine: DTAP, HEPA, MMRV
Symptoms: Cellulitis, Injection site cellulitis, Injection site erythema, Injection site oedema, Injection site warmth
Clinical narrative: 5 x 3 inch area of redness, edema, warmth to left upper thigh. Treated with Keflex, Benadryl and Triamcinolone.
Age: 5.0
Sex: M
Vaccine: TDAP
Symptoms: Inappropriate schedule of drug administration, Injection site erythema, Injection site warmth, Local reaction
Clinical narrative: Pt came to office and had a local reaction on the right deltoid it was a spot 4 1/2 x 3 1/2 cm in width/length red, warm to touch. HCTZ cream recommended.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMRV
Symptoms: Injection site erythema, Injection site inflammation, Injection site oedema, Injection site pruritus, Nausea
Clinical narrative: Fever, nausea, injection site edema, red, itching, inflammation size 13 3/4 mm x 12 mm right thigh
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMRV
Symptoms: Pyrexia
Clinical narrative: Fever, nausea, injection site edema, red, itching, inflammation size 13 3/4 mm x 12 mm right thigh
Age: 17.0
Sex: F
Vaccine: HPV4, MNQ
Symptoms: Blister, Herpes zoster, Rash
Clinical narrative: Vaccines given 5/29/07 and "blistering" rash appeared on L back and L abdomen on 5/30/07. Exam consistent with Herpes Zoster
Age: 0.3
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Convulsion, Similar reaction on previous exposure to drug, Vaccine positive rechallenge
Clinical narrative: Pt received 2 mos vacc 2/12/07. Pt had seizure active 2/23/07. Saw Dr he felt vacc were not the cause. Saw 4/12/07 for 4 mos vacc pt had seizure activity the same night.
Age: 50.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site pain, Pain in extremity
Clinical narrative: prolonged pain at injection area; pain with lifting arm over head and certain other movements, has used Ibuprofen p.r.n.; no other treatment
Age: 17.0
Sex: F
Vaccine: HEPA, HPV4
Symptoms: Syncope
Clinical narrative: Patient fainted after 2-3 min. Vitals were normal. After observation for 15 min patient was able to walk on own and left office in care of her mom. No seizure activity. LOC was brief perhaps <10 secs. Exam on departure were normal
Age: 46.0
Sex: F
Vaccine: MNQ
Symptoms: Erythema, Full blood count, Hypokinesia, Pain, Pruritus
Clinical narrative: Vaccinated with Menactra on 6/14/07, 6/15 can't lift arm due to pain, 6/16 redness/pruritus/pain. 6/18 seen by me, redness/pain decreased.
Age: 46.0
Sex: F
Vaccine: MNQ
Symptoms: Ultrasound scan
Clinical narrative: Vaccinated with Menactra on 6/14/07, 6/15 can't lift arm due to pain, 6/16 redness/pruritus/pain. 6/18 seen by me, redness/pain decreased.
Age: 46.0
Sex: F
Vaccine: TDAP
Symptoms: Discomfort, Injected limb mobility decreased, Injection site pain, Injection site reaction, Paraesthesia
Clinical narrative: Pt called from home received Tdap L deltoid 6/6/07; described that she felt a "zing" when injection given. Pain at injection continues especially at night; pt rated pain a "8" on 1-10 scale. Pt states any ROM intensifies pain. Uses 800 mg Motrin with noc for discomfort. Plans to make appointment with local provider for evaluation; has a prickly sensation in fingers only at NOC when pt awakes her.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMRV
Symptoms: Injection site induration
Clinical narrative: 12 x 12 cm round area on Lt thigh indurated. Pt took Benadryl
Age: 15.0
Sex: M
Vaccine: TDAP
Symptoms: Axillary mass, Injection site erythema, Injection site induration
Clinical narrative: Lump in arm pit of left arm. Denies erythema or induration at shot site.
Age: 1.1
Sex: M
Vaccine: HIBV, IPV, MMRV, PNC
Symptoms: Injection site erythema
Clinical narrative: Erythema 2.5 x 3" in diameter immediately following injection of MMR-V
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMRV
Symptoms: Injection site erythema, Injection site inflammation, Injection site oedema, Injection site pruritus, Nausea
Clinical narrative: Fever, nausea, inflammation at injections sites edema at site, redness, itching, size 13 3/4 cm x 12 cm R thigh
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMRV
Symptoms: Pyrexia
Clinical narrative: Fever, nausea, inflammation at injections sites edema at site, redness, itching, size 13 3/4 cm x 12 cm R thigh