chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 53.0
Sex: F
Vaccine: TDAP, TDAP
Symptoms: Convulsion, Echocardiogram, Electroencephalogram abnormal, Fall, Nuclear magnetic resonance imaging
Clinical narrative: Initial report received on 11 September 2009 from a health care professional. A 54-year-old female patient, who had no concurrent illnesses and medical history of allergy to Penicillin, had received a first intramuscular left deltoid injection of ADACEL (lot number C3248AA) on 30 June 2009. Twenty-seven days post-vaccination on 27 July 2009, the patient presented to the emergency room after falling at home and was admitted to hospital. An EEG was positive for seizure. Other diagnostic tests performed included an MRI of the head, Echocardiogram and carotid ultrasound; however the results of these tests were not reported. The patient was in the hospital two days. The neurologist believes the ADACEL precipitated the seizure on 27 July 2009. The patient recovered; however a recovery date was not provided. Documents held by sender: None.
Age: 53.0
Sex: F
Vaccine: TDAP, TDAP
Symptoms: Ultrasound Doppler
Clinical narrative: Initial report received on 11 September 2009 from a health care professional. A 54-year-old female patient, who had no concurrent illnesses and medical history of allergy to Penicillin, had received a first intramuscular left deltoid injection of ADACEL (lot number C3248AA) on 30 June 2009. Twenty-seven days post-vaccination on 27 July 2009, the patient presented to the emergency room after falling at home and was admitted to hospital. An EEG was positive for seizure. Other diagnostic tests performed included an MRI of the head, Echocardiogram and carotid ultrasound; however the results of these tests were not reported. The patient was in the hospital two days. The neurologist believes the ADACEL precipitated the seizure on 27 July 2009. The patient recovered; however a recovery date was not provided. Documents held by sender: None.
Age: 42.0
Sex: M
Vaccine: FLU3
Symptoms: Blood thyroid stimulating hormone, Full blood count, Metabolic function test, Muscular weakness, Pain in extremity
Clinical narrative: Started feeling tenderness, pain in hands, arms, low grade fever muscle weakness in upper extremities; general muscle weakness all over. Follow up with PCP.
Age: 42.0
Sex: M
Vaccine: FLU3
Symptoms: Prostatic specific antigen, Pyrexia, Red blood cell sedimentation rate, Tenderness
Clinical narrative: Started feeling tenderness, pain in hands, arms, low grade fever muscle weakness in upper extremities; general muscle weakness all over. Follow up with PCP.
Age: 33.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Cellulitis, Erythema, Fatigue, Headache, Hypersensitivity
Clinical narrative: 9/14 - going to bed extremely sore arm.  9/15 - 5 AM to urgent care Rx pain MED.  9/15 - Small amount of redness - pencil eraser size.  9/16 - silver dollar size redness - no discharge, minimal swelling, to ER Rx antibiotics, no explanation given.  To PCP - Dx cellulitis - allergic reaction, viral syndrome.  Fever 102.7 very fatigued, H/A extreme pain.
Age: 33.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Pain in extremity, Pyrexia, Swelling, Viral infection
Clinical narrative: 9/14 - going to bed extremely sore arm.  9/15 - 5 AM to urgent care Rx pain MED.  9/15 - Small amount of redness - pencil eraser size.  9/16 - silver dollar size redness - no discharge, minimal swelling, to ER Rx antibiotics, no explanation given.  To PCP - Dx cellulitis - allergic reaction, viral syndrome.  Fever 102.7 very fatigued, H/A extreme pain.
Age: 71.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site rash, Injection site swelling
Clinical narrative: Rash/swelling at inj site.
Age: 18.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Blindness, Injection site reaction, Musculoskeletal stiffness, Mydriasis, No reaction on previous exposure to drug
Clinical narrative: A cluster of seven patients who all received FLUZONE SV 2009-2010 (lot number U3186AA): One patient experienced blurry vision, ringing in ears, and subsequently became pale and unresponsive; the six other patients all experienced localized injection site reactions. Initial report received on 08 September 2009 from a health care professional. An 18 year old female patient, with no medical history and no illness at the time of vaccination, received first intramuscular injection of FLUZONE SV 2009-2010 (lot number U3186AA) in the right arm on 04 September 2009 at 10:15. The patient had no concomitant medications and no adverse events following prior vaccination. Seven minutes after vaccination, at 10:22, the patient was standing at the check-out window and stated that she couldn't see, her vision blurry and her ears ringing. The patient was asked to sit down and she was given a lollipop since she hadn't eaten breakfast. The patient was talking, and while the physician was examining her, she became pale, unresponsive, her eyes closed, she slumped in her chair and stiffened. Then her eyes opened and her pupils were dilated. Suddenly, the patient became unresponsive again. She then returned to her baseline in less than 30 seconds in total. The patient's outcome was recovered. The same healthcare professional reported the seven events, which are captured in: 2009-03859, 2009-03804, 2009-03805, 2009-03806, 2009-03807, 2009-03808, and 2009-03809.
Age: 18.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Pallor, Tinnitus, Unresponsive to stimuli, Vision blurred
Clinical narrative: A cluster of seven patients who all received FLUZONE SV 2009-2010 (lot number U3186AA): One patient experienced blurry vision, ringing in ears, and subsequently became pale and unresponsive; the six other patients all experienced localized injection site reactions. Initial report received on 08 September 2009 from a health care professional. An 18 year old female patient, with no medical history and no illness at the time of vaccination, received first intramuscular injection of FLUZONE SV 2009-2010 (lot number U3186AA) in the right arm on 04 September 2009 at 10:15. The patient had no concomitant medications and no adverse events following prior vaccination. Seven minutes after vaccination, at 10:22, the patient was standing at the check-out window and stated that she couldn't see, her vision blurry and her ears ringing. The patient was asked to sit down and she was given a lollipop since she hadn't eaten breakfast. The patient was talking, and while the physician was examining her, she became pale, unresponsive, her eyes closed, she slumped in her chair and stiffened. Then her eyes opened and her pupils were dilated. Suddenly, the patient became unresponsive again. She then returned to her baseline in less than 30 seconds in total. The patient's outcome was recovered. The same healthcare professional reported the seven events, which are captured in: 2009-03859, 2009-03804, 2009-03805, 2009-03806, 2009-03807, 2009-03808, and 2009-03809.
Age: 18.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Musculoskeletal stiffness, Mydriasis, Pallor, Tinnitus, Unresponsive to stimuli
Clinical narrative: A cluster of seven patients who all received FLUZONE SV 2009-2010 (lot number U3186AA): One patient experienced blurry vision, ringing in ears, and subsequently became pale and unresponsive; the six other patients all experienced localized injection site reactions. Initial report received on 08 September 2009 from a health care professional. An 18 year old female patient, with no medical history and no illness at the time of vaccination, received first intramuscular injection of FLUZONE SV 2009-2010 (lot number U3186AA) in the right arm on 04 September 2009 at 10:15. The patient had no concomitant medications and no adverse events following prior vaccination. Seven minutes after vaccination, at 10:22, the patient was standing at the check-out window and stated that she couldn't see, her vision blurry and her ears ringing. The patient was asked to sit down and she was given a lollipop since she hadn't eaten breakfast. The patient was talking, and while the physician was examining her, she became pale, unresponsive, her eyes closed, she slumped in her chair and stiffened. Then her eyes opened and her pupils were dilated. Suddenly, the patient became unresponsive again. She then returned to her baseline in less than 30 seconds in total. The patient's outcome was recovered. The same healthcare professional reported the seven events, which are captured in: 2009-03859, 2009-03804, 2009-03805, 2009-03806, 2009-03807, 2009-03808, and 2009-03809.
Age: 18.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Vision blurred
Clinical narrative: A cluster of seven patients who all received FLUZONE SV 2009-2010 (lot number U3186AA): One patient experienced blurry vision, ringing in ears, and subsequently became pale and unresponsive; the six other patients all experienced localized injection site reactions. Initial report received on 08 September 2009 from a health care professional. An 18 year old female patient, with no medical history and no illness at the time of vaccination, received first intramuscular injection of FLUZONE SV 2009-2010 (lot number U3186AA) in the right arm on 04 September 2009 at 10:15. The patient had no concomitant medications and no adverse events following prior vaccination. Seven minutes after vaccination, at 10:22, the patient was standing at the check-out window and stated that she couldn't see, her vision blurry and her ears ringing. The patient was asked to sit down and she was given a lollipop since she hadn't eaten breakfast. The patient was talking, and while the physician was examining her, she became pale, unresponsive, her eyes closed, she slumped in her chair and stiffened. Then her eyes opened and her pupils were dilated. Suddenly, the patient became unresponsive again. She then returned to her baseline in less than 30 seconds in total. The patient's outcome was recovered. The same healthcare professional reported the seven events, which are captured in: 2009-03859, 2009-03804, 2009-03805, 2009-03806, 2009-03807, 2009-03808, and 2009-03809.
Age: 33.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site pruritus, Injection site rash, Throat tightness
Clinical narrative: Initial report received on 09 September 2009 a nurse practitioner. A 33 year old female patient with a history of asthma, allergies to penicillin, sulfa, latex, and LEVAQUIN developed a reaction two hours post vaccination. On 01 September 2009 at 11 AM the patient received FLUZONE (lot number U3179AA). The number of doses previously received was reported as 10-15 doses, route and site of administration were not provided. At 1 PM the day of vaccination, the patient had pruritus, itching, and a rash at the site of injection. At 9 PM the day of vaccination, the patient had throat constriction which the patient describe as her "throat closing in". Treatment included BENADRYL, ZYRTEC, a five day course of MEDROL. The patient had relief in an hour and a half. The rash and itching lasted for three days. The patient did not have any further reactions. List of Documents held by Sender: none.
Age: 25.0
Sex: F
Vaccine: FLU3
Symptoms: Injected limb mobility decreased, Nausea, Pain in extremity
Clinical narrative: Patient had arm being sore at end of day.  Cannot raise arm above shoulder today.  Patient complains today of nausea but not sure if attributed to health condition patient feels deltoid popping.
Age: 68.0
Sex: F
Vaccine: FLUX
Symptoms: Dizziness, Hyperhidrosis, Hypoaesthesia
Clinical narrative: Diaphoretic, felt faint, numbness in R arm.
Age: 48.0
Sex: F
Vaccine: FLU3
Symptoms: Hypoaesthesia, Immediate post-injection reaction, Injection site anaesthesia
Clinical narrative: Pt complained of numbness in arm down to tips of fingers from vaccine site immediately after administered.
Age: 55.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site erythema, Injection site induration, Injection site oedema
Clinical narrative: Redness, induration at injection site with edema.
Age: 63.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Dermatitis, Erythema, Malaise, Pyrexia, Skin warm
Clinical narrative: Large red area on rt arm is inflamed and hot.  Pt reports feeling feverish and generally ill two days later.   Today is improving but area is still getting larger but less gone using TYLENOLO and BENADRYL.  F/U 9/21/09 pt doing well still little redness but resolving.
Age: 52.0
Sex: F
Vaccine: FLU3
Symptoms: Dysphonia, Dyspnoea, Erythema, Pain, Pain in extremity
Clinical narrative: Arm erythema, painful to the touch, sob, hoarseness, aches, pain, palpitations.
Age: 52.0
Sex: F
Vaccine: FLU3
Symptoms: Palpitations
Clinical narrative: Arm erythema, painful to the touch, sob, hoarseness, aches, pain, palpitations.
Age: 25.0
Sex: F
Vaccine: FLU3
Symptoms: Arthralgia, Musculoskeletal stiffness
Clinical narrative: Pain between the spine and shoulder muscle stiffness on left side - neck down to the shoulder. From rate 1-10 (Pt says 8-9) experienced pain after 30 minute of vaccination, last about 48 hours.
Age: 71.0
Sex: M
Vaccine: FLU3
Symptoms: Local swelling
Clinical narrative: 24 hrs after vaccination, pt's neck (both front & back) start to swell and it last about 48 hrs after recovered there is no residual effect.
Age: 50.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Headache, Oedema peripheral, Pain in extremity, Pyrexia, Rash
Clinical narrative: Headache, Fever, Arm Swollen, Arm Pain, Rash.
Age: 66.0
Sex: F
Vaccine: VARZOS
Symptoms: Herpes zoster
Clinical narrative: Got shingles as a result of vaccine.  Diagnosed with on 9-11-09.  Received VALTREX 1GM- 21 Pills on 9-11-09.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site induration, Injection site pain
Clinical narrative: Left arm erythema and induration noted on the day after the DTAP administration involving the lower 1/2 of the left upper arm. Full normal range of motion, mildly tender. No fever.
Age: 10.0
Sex: F
Vaccine: HEPA, HPV4, VARCEL
Symptoms: Fatigue, Injection site erythema, Injection site pain, Injection site swelling, Pyrexia
Clinical narrative: 9-11-09 off @ 2:30p (showing swelling/reddness) tired + in pain @ location.  At midnight fever/hives.  Visited ER @ 9:30AM 9-12-09.  Tx with KEFLEX.
Age: 10.0
Sex: F
Vaccine: HEPA, HPV4, VARCEL
Symptoms: Urticaria
Clinical narrative: 9-11-09 off @ 2:30p (showing swelling/reddness) tired + in pain @ location.  At midnight fever/hives.  Visited ER @ 9:30AM 9-12-09.  Tx with KEFLEX.
Age: 62.0
Sex: F
Vaccine: PPV, TD
Symptoms: Blood creatine phosphokinase, Cellulitis, Erythema, Full blood count, Induration
Clinical narrative: Erythema, induration, fevers, myalgias, cellulitis, red - orange urine.
Age: 62.0
Sex: F
Vaccine: PPV, TD
Symptoms: Laboratory test, Myalgia, Pyrexia, Urine colour abnormal
Clinical narrative: Erythema, induration, fevers, myalgias, cellulitis, red - orange urine.
Age: 63.0
Sex: F
Vaccine: VARZOS
Symptoms: Musculoskeletal pain
Clinical narrative: 3 hrs after shot developed severe left shoulder pain & used Ibuprofen lasted 20-30 min site ok - used ice pack.
Age: 0.2
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Erythema multiforme
Clinical narrative: Erythema Multiforme.
Age: 10.0
Sex: M
Vaccine: VARCEL
Symptoms: Injection site rash
Clinical narrative: Varicella shot given on 9/10/09 at 2:30p woke up on 9/4/09 10 am broke out with spot on L upper arm 30x40 mins.  Given BENADRYL, TYLENOL, Cool pack to site.
Age: 0.2
Sex: M
Vaccine: DTAPIPVHIB, PNC, RV5
Symptoms: Crying, Irritability, Screaming, Vomiting
Clinical narrative: Irritability: "Screaming" "inconsolable" X3 hrs (starting approx. 1-2hrs after vaccination) vomiting X1 approx 4 hrs after vaccination.
Age: 64.0
Sex: F
Vaccine: TDAP, VARZOS
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Two days after shot, there was swelling redness at shot sight.  After about 5 days the red area was about 1 1/2 X 3 or 4 inches.  There was a pink area around it that was much larger.  No self treatment was given.  This was to the left arm area.
Age: 55.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Rash
Clinical narrative: Rash on legs, knees & forearms.  Used BENADRYL gel.
Age: 66.0
Sex: M
Vaccine: PPV, PPV
Symptoms: Hypoaesthesia, Injected limb mobility decreased, Paraesthesia
Clinical narrative: Information has been received from a pharmacist concerning a 66 year old male patient with no pertinent medical history and no known drug allergies/drug reactions who on 15-SEP-2009 was vaccinated with a dose of PNEUMOVAX (Lot # 663888/0627Y) intramuscularly into his left arm. There was no concomitant medication reported. It was reported that on 15-SEP-2009 (in the night) the patient's arm developed tingling/numbness. The patient stated that he had difficulty moving his arm. The pharmacist instructed him go to the emergency room. There were no laboratory diagnostic tests performed. The patient had not recovered at the time of the report. Difficulty moving his arm, numbness and tingling were considered to be disabling. Additional information has been requested.
Age: 66.0
Sex: M
Vaccine: PPV, PPV
Symptoms: Hypoaesthesia
Clinical narrative: Information has been received from a pharmacist concerning a 66 year old male patient with no pertinent medical history and no known drug allergies/drug reactions who on 15-SEP-2009 was vaccinated with a dose of PNEUMOVAX (Lot # 663888/0627Y) intramuscularly into his left arm. There was no concomitant medication reported. It was reported that on 15-SEP-2009 (in the night) the patient's arm developed tingling/numbness. The patient stated that he had difficulty moving his arm. The pharmacist instructed him go to the emergency room. There were no laboratory diagnostic tests performed. The patient had not recovered at the time of the report. Difficulty moving his arm, numbness and tingling were considered to be disabling. Additional information has been requested.
Age: 18.0
Sex: F
Vaccine: HPV4
Symptoms: Hypokinesia, No reaction on previous exposure to drug, Spinal cord paralysis
Clinical narrative: Information has been received from a physician concerning an 18 year old female who within the last month, was vaccinated with a 0.5 mL third dose of GARDASIL, intramuscularly at her ObGyn office. A few days after the patient experienced paralysis from her cervical spine down, she could not move her extremities. The patient came to the physician's office a couple of days later for treatment. The patient had no reactions to the first two doses of GARDASIL. The patient had recovered since. Paralysis from her cervical spine down and could not move her extremities were considered to be disabling. Additional information has been requested.
Age: 17.0
Sex: F
Vaccine: HPV4
Symptoms: Immunisation reaction, Lymphadenopathy, Nausea, No reaction on previous exposure to drug, Throat tightness
Clinical narrative: Information has been received from a medical assistant concerning a 17 year old female with no medical history or drugs allergies, who on 02-JUL-2008 was vaccinated with a 0.5 mL first dose of GARDASIL (lot # 660555/0279X), intramuscularly. The patient received a second dose of GARDASIL vaccine (lot 660612/0229X) on 03-SEP-2008 and a third dose of GARDASIL vaccine (lot # 661046/0381X) on 15-SEP-2009. There was no concomitant medication. The patient experienced reactions after her third dose of GARDASIL vaccine. The patient had vomiting, nauseas, and swollen glands. Her throat tightened also. The patient did not have any reactions from the first and the second doses of GARDASIL vaccine. No laboratories studies performed. The patient went to an emergency room but recovered within 10 minutes. A lot check has been initiated. Throat tightened was considered to be immediately life-threatening. Additional information has been requested.
Age: 17.0
Sex: F
Vaccine: HPV4
Symptoms: Vomiting
Clinical narrative: Information has been received from a medical assistant concerning a 17 year old female with no medical history or drugs allergies, who on 02-JUL-2008 was vaccinated with a 0.5 mL first dose of GARDASIL (lot # 660555/0279X), intramuscularly. The patient received a second dose of GARDASIL vaccine (lot 660612/0229X) on 03-SEP-2008 and a third dose of GARDASIL vaccine (lot # 661046/0381X) on 15-SEP-2009. There was no concomitant medication. The patient experienced reactions after her third dose of GARDASIL vaccine. The patient had vomiting, nauseas, and swollen glands. Her throat tightened also. The patient did not have any reactions from the first and the second doses of GARDASIL vaccine. No laboratories studies performed. The patient went to an emergency room but recovered within 10 minutes. A lot check has been initiated. Throat tightened was considered to be immediately life-threatening. Additional information has been requested.
Age: 67.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Cellulitis, Injection site erythema, Pyrexia
Clinical narrative: Extreme case of cellulitis (according to Dr) that required an E.R. visit on Thursday or Friday 9/17 or 9/18 that progressed to require hospitalization. Pt called and spoke to dispensing pharmacist on Wed 9/16 to report slight fever and redness at site.  10/26/09:  ED Records received for Date of Service 9/17/09 and Medical Record and Discharge Summary received for dates of service 9/18/09 to 9/21/09.  Final Dx:  LUE Cellulitis, hypertension, hypercholesteremia, elevated transmainases.  Assessment:  Presented to the ED on 9/17 with fever, chills, swelling and redness that developed the day following flu shot.  Given ceftriaxone and Keflex and sent home.  On recheck on 9/18 the area of redness was greatly increased and patient was admitted with a low-grade fever and leukocytosis.  Started on IV Vancomycin, and swelling and tenderness decreased, pt. became afebrile.  AST and ALT were mildly elevated.  Blood pressure was fine while in the hospital.  Discharged on Bactrim DS with swelling, erythema, tenderness and warmth greatly decreased in the left deltoid area.  To follow up with PCP in 3-5 days.    ICD 9 Codes:  999.39, 682.3, 401.9, 272.0, 790.5, 530.81, E879.8, E849.6
Age: 0.18
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Bone marrow transplant, Combined immunodeficiency, Failure to thrive, Rotavirus infection, Rotavirus test positive
Clinical narrative: 14 mo girl w/ SCID s/p 1 dose ROTATEQ at 2 months of age admitted to hospital for failure to thrive 10/08 transferred to another hospital in 11/08. Found to be Rotavirus Ag (+) and subsequently diagnosed with SCID. Now s/p bone marrow transplant x 2 with chronic rotavirus shedding/infection.
Age: 0.17
Sex: F
Vaccine: DTAPIPVHIB, HEP, PNC, RV1
Symptoms: Condition aggravated, Depressed level of consciousness, Feeding disorder of infancy or early childhood, Heart rate increased, Oxygen saturation
Clinical narrative: Sustained tachycardia presenting as poor feeding and decreased responsiveness.  10/5/09 Hospital records, DC summary, received DOS 7/2/09 to 7/3/09. Assessment: Viral infection with unknown location, anemia unknown etiology, tachycardia, lethargy, dehydration. Patient became lethargic and had low-grade fever. Fussy. Poor feeding and decreased level of activity. Bandemia. Pallor. Grunting respirations. Labored breathing. Spitting up. Heart rate 200 /min.   ICD-9 Codes: 785.0 Tachycardia NOS, 285.9 Anemia NOS.
Age: 0.17
Sex: F
Vaccine: DTAPIPVHIB, HEP, PNC, RV1
Symptoms: Sinus tachycardia, Tachycardia
Clinical narrative: Sustained tachycardia presenting as poor feeding and decreased responsiveness.  10/5/09 Hospital records, DC summary, received DOS 7/2/09 to 7/3/09. Assessment: Viral infection with unknown location, anemia unknown etiology, tachycardia, lethargy, dehydration. Patient became lethargic and had low-grade fever. Fussy. Poor feeding and decreased level of activity. Bandemia. Pallor. Grunting respirations. Labored breathing. Spitting up. Heart rate 200 /min.   ICD-9 Codes: 785.0 Tachycardia NOS, 285.9 Anemia NOS.
Age: 0.2
Sex: M
Vaccine: DTAPIPVHIB, HEP, PNC, RV5
Symptoms: Asthenia, Chest X-ray normal, Electrocardiogram normal, Hypotension, Oxygen saturation normal
Clinical narrative: Within hours of receiving vaccines, patient crying, weak, low grade fever (99.4 rectal), and hypotensive (65/31) with pale episode (pallor). Another child had similar sx, given same lot #.   10/5/09 ER report received, service date 9/10/09 9/11/09. Assessment: Mild Vaccine Reaction. Infant presented for evaluation of prolonged crying associated with facial pallor and decreased activity. Fussy. Overnight observation and discharged.
Age: 0.2
Sex: M
Vaccine: DTAPIPVHIB, HEP, PNC, RV5
Symptoms: Pallor, Pyrexia
Clinical narrative: Within hours of receiving vaccines, patient crying, weak, low grade fever (99.4 rectal), and hypotensive (65/31) with pale episode (pallor). Another child had similar sx, given same lot #.   10/5/09 ER report received, service date 9/10/09 9/11/09. Assessment: Mild Vaccine Reaction. Infant presented for evaluation of prolonged crying associated with facial pallor and decreased activity. Fussy. Overnight observation and discharged.
Age: 7.0
Sex: M
Vaccine: VARCEL
Symptoms: Angiogram, Electroencephalogram, Nuclear magnetic resonance imaging, Partial seizures
Clinical narrative: Partial seizure - new onset 1 week after varicella vaccine. 11/9/2009 hospital records for 9/5-9/10/2009. Patient with c/o's numbness and weakness rt arm and leg, confusion and headache. Neuro and rheumatology consults. Tx: IVF and pain meds. DC DX: Focal neurological deficit most likely related to complex migraine.
Age: 0.13
Sex: F
Vaccine: DTAPIPVHIB, PNC
Symptoms: Blood culture negative, CSF test normal, Crying, Electrocardiogram normal, Electroencephalogram normal
Clinical narrative: About 5 pm pt. was asleep in mom's arms 20-30 minutes after a normal feeding. Made a strange, quiet cry, lost color and tone, unresponsive. No unusual movements. Still breathing, but slower and with some retractions and grunting. Tone and alertness began to return in about 5 minutes, while in car on the way returning to my office. color normal about 30 minutes after start of episode. I witnessed a second episode 5 minutes later, same as above. Pupils unresponsive x 2 min. Afebrile. Feedings unchanged. No emesis. Pallor included mucous membranes.  10/2/09 Received hospital medical records for 9/15-9/16/09. FINAL DX: pale limp spell s/p vaccination Records reveal patient experienced prolonged spell of being pale & limp after received vaccinations.  Seen by PCP & observed recurrent episode w/unresponsiveness & pupils non-reactive.  Pulse ox WNL.  Temp 38.1 in ER but otherwise afebrile.  No further episodes or pale limpness while hospitalized.  Work up & examination WNL except for very quiet heart murmur which was felt to be benign. 10/30/09 ICD 9 codes received: 780.60.
Age: 0.13
Sex: F
Vaccine: DTAPIPVHIB, PNC
Symptoms: Full blood count normal, Grunting, Hypotonia, Oxygen saturation, Pallor
Clinical narrative: About 5 pm pt. was asleep in mom's arms 20-30 minutes after a normal feeding. Made a strange, quiet cry, lost color and tone, unresponsive. No unusual movements. Still breathing, but slower and with some retractions and grunting. Tone and alertness began to return in about 5 minutes, while in car on the way returning to my office. color normal about 30 minutes after start of episode. I witnessed a second episode 5 minutes later, same as above. Pupils unresponsive x 2 min. Afebrile. Feedings unchanged. No emesis. Pallor included mucous membranes.  10/2/09 Received hospital medical records for 9/15-9/16/09. FINAL DX: pale limp spell s/p vaccination Records reveal patient experienced prolonged spell of being pale & limp after received vaccinations.  Seen by PCP & observed recurrent episode w/unresponsiveness & pupils non-reactive.  Pulse ox WNL.  Temp 38.1 in ER but otherwise afebrile.  No further episodes or pale limpness while hospitalized.  Work up & examination WNL except for very quiet heart murmur which was felt to be benign. 10/30/09 ICD 9 codes received: 780.60.
Age: 0.13
Sex: F
Vaccine: DTAPIPVHIB, PNC
Symptoms: Pupil fixed, Respiratory rate decreased, Skin discolouration, Unresponsive to stimuli, Urine analysis normal
Clinical narrative: About 5 pm pt. was asleep in mom's arms 20-30 minutes after a normal feeding. Made a strange, quiet cry, lost color and tone, unresponsive. No unusual movements. Still breathing, but slower and with some retractions and grunting. Tone and alertness began to return in about 5 minutes, while in car on the way returning to my office. color normal about 30 minutes after start of episode. I witnessed a second episode 5 minutes later, same as above. Pupils unresponsive x 2 min. Afebrile. Feedings unchanged. No emesis. Pallor included mucous membranes.  10/2/09 Received hospital medical records for 9/15-9/16/09. FINAL DX: pale limp spell s/p vaccination Records reveal patient experienced prolonged spell of being pale & limp after received vaccinations.  Seen by PCP & observed recurrent episode w/unresponsiveness & pupils non-reactive.  Pulse ox WNL.  Temp 38.1 in ER but otherwise afebrile.  No further episodes or pale limpness while hospitalized.  Work up & examination WNL except for very quiet heart murmur which was felt to be benign. 10/30/09 ICD 9 codes received: 780.60.
Age: 0.13
Sex: F
Vaccine: DTAPIPVHIB, PNC
Symptoms: Use of accessory respiratory muscles
Clinical narrative: About 5 pm pt. was asleep in mom's arms 20-30 minutes after a normal feeding. Made a strange, quiet cry, lost color and tone, unresponsive. No unusual movements. Still breathing, but slower and with some retractions and grunting. Tone and alertness began to return in about 5 minutes, while in car on the way returning to my office. color normal about 30 minutes after start of episode. I witnessed a second episode 5 minutes later, same as above. Pupils unresponsive x 2 min. Afebrile. Feedings unchanged. No emesis. Pallor included mucous membranes.  10/2/09 Received hospital medical records for 9/15-9/16/09. FINAL DX: pale limp spell s/p vaccination Records reveal patient experienced prolonged spell of being pale & limp after received vaccinations.  Seen by PCP & observed recurrent episode w/unresponsiveness & pupils non-reactive.  Pulse ox WNL.  Temp 38.1 in ER but otherwise afebrile.  No further episodes or pale limpness while hospitalized.  Work up & examination WNL except for very quiet heart murmur which was felt to be benign. 10/30/09 ICD 9 codes received: 780.60.
Age: 40.0
Sex: F
Vaccine: FLU3
Symptoms: Pain in extremity
Clinical narrative: On Sep 1 2009 pt received Inactivated INFLUENZA on left deltoid IM. Pt came 9/16/09 and stated she still had a dull pain, or soreness in her arm. There is no redness, itching or swelling at the injection site, asked pt to go to MD. office.
Age: 21.0
Sex: F
Vaccine: FLU3
Symptoms: Dizziness, Loss of consciousness
Clinical narrative: Felt lightheaded about 5 minutes after vaccination. She laid down and passed out for about 5 seconds. Rescue squad checked her over and she left with no trouble.
Age: 15.0
Sex: F
Vaccine: HPV4
Symptoms: Abdominal pain, Chest pain, Dyspnoea, Headache, Heart rate increased
Clinical narrative: Chest pain, trouble breathing, rapid heart beat, abdominal pain, numbness in leg, numbness in jaw, sweating, paleness, headaches, numbness in arm/hand, hives. 12/4/2009 PCP records for visits 5/2009-11/2009. Patient with c/o's headaches, eye pain, per patient went to ED 9/2009 with same c/o's and a neg w/up, no tx noted
Age: 15.0
Sex: F
Vaccine: HPV4
Symptoms: Hypoaesthesia, Pallor, Urticaria
Clinical narrative: Chest pain, trouble breathing, rapid heart beat, abdominal pain, numbness in leg, numbness in jaw, sweating, paleness, headaches, numbness in arm/hand, hives. 12/4/2009 PCP records for visits 5/2009-11/2009. Patient with c/o's headaches, eye pain, per patient went to ED 9/2009 with same c/o's and a neg w/up, no tx noted
Age: 4.0
Sex: M
Vaccine: DTAPIPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site pain, Injection site pruritus, Injection site rash, Injection site vesicles
Clinical narrative: Vaccines administered 9/11/09 LT Anterior thigh. Mother reported swelling and redness of  LT Anterior thigh 9/14/09. Evaluated 9/14/09 12 x 12 cm area of erythema swelling & swelling tenderness - pruritic with central area of papulo vesicles 1 mm 4cm x 4cm. A febrile ambulatory - no lump. BENEDRYL & cool compresses, CEPHALEXIN warm to touch back to normal 9/15/09
Age: 66.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Mobility decreased
Clinical narrative: Pt states she hasn't been able to move her arm since receiving the vaccine.
Age: 10.0
Sex: F
Vaccine: FLUN3
Symptoms: Blood glucose, Confusional state, Full blood count, Laboratory test, Skin warm
Clinical narrative: Confusion lasting < 24 hours 5 days after vaccination, no fever but felt warm. Now back to normal. No other s/s illness.
Age: 19.0
Sex: F
Vaccine: HPVX
Symptoms: Chills, Eye swelling, Full blood count, Hepatic enzyme abnormal, Influenza like illness
Clinical narrative: Pt was given 1st dose of HPV vaccine on 10/8. She experienced flu-like symptoms within two days of dose. She got # 2 dose on 12/17 by 12/4 she woke up with her eyes swollen shut. She had fever, chills, aches, swollen glands, nausea, some vomiting, liver enzymes were off... she was very ill until Jan 22. Flu-like, mono-like symptoms, but it was neither.
Age: 19.0
Sex: F
Vaccine: HPVX
Symptoms: Lymphadenopathy, Malaise, Nausea, Pain, Pyrexia
Clinical narrative: Pt was given 1st dose of HPV vaccine on 10/8. She experienced flu-like symptoms within two days of dose. She got # 2 dose on 12/17 by 12/4 she woke up with her eyes swollen shut. She had fever, chills, aches, swollen glands, nausea, some vomiting, liver enzymes were off... she was very ill until Jan 22. Flu-like, mono-like symptoms, but it was neither.
Age: 19.0
Sex: F
Vaccine: HPVX
Symptoms: Vomiting
Clinical narrative: Pt was given 1st dose of HPV vaccine on 10/8. She experienced flu-like symptoms within two days of dose. She got # 2 dose on 12/17 by 12/4 she woke up with her eyes swollen shut. She had fever, chills, aches, swollen glands, nausea, some vomiting, liver enzymes were off... she was very ill until Jan 22. Flu-like, mono-like symptoms, but it was neither.
Age: 25.0
Sex: F
Vaccine: ANTH, HPV4
Symptoms: Mass, Pruritus
Clinical narrative: Approximately 2 days post vaccination developed small itchy bump on (L) arm and spread to (R) arm, back and both legs.
Age: 10.0
Sex: M
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site inflammation, Injection site warmth
Clinical narrative: Mild inflammation with erythema 8-10cm now spreading down upper arm from site of vaccination (gradual increase erythema spread over 2 days since vaccination) + warmth to site - increase drainage, no pt fever.
Age: 2.0
Sex: M
Vaccine: FLU3, HIBV
Symptoms: Injection site erythema, Injection site induration, Injection site pain, Injection site warmth
Clinical narrative: 9.3 x 6.5 cm area of erythema with a 6.5 x 5 cm area of induration around punctures sites on R upper outer arm, mild tenderness to touch, warm to touch.
Age: 73.0
Sex: F
Vaccine: FLU3
Symptoms: Haemorrhage, Injection site mass
Clinical narrative: Gave flu shot, and pt started bleeding. Then almost immediately, hard, big lump at injection site formed. Gave pt ice pack!
Age: 67.0
Sex: M
Vaccine: HEPAB, TYP
Symptoms: Abdominal discomfort, Fatigue, Nausea
Clinical narrative: Client seen 7-29-09 for travel, was given oral Typhoid, 1st dose TWINRIX. On 7-30-09 wife called stating the previous evening, day of immunizations, husband c/o nausea, fatigue with stomach distress. Cancelled business trip and was able to see private MD that day to rule out vaccine reaction vs food poison. Follow-up with private MD, she advised not to administer any additional vaccines. Patient recovered fully 3-4 day after initial symptoms. Patient had not started oral Typhoid. Follow-up with patient after Typhoid completion; admits to no problems.
Age: 10.0
Sex: F
Vaccine: MNQ
Symptoms: Urticaria
Clinical narrative: Pt broke out in hives shortly after the vaccine was administered.  Pt mom gave her BENADRYL and it went away.
Age: 37.0
Sex: M
Vaccine: FLU3
Symptoms: Dizziness, Hyperhidrosis, Hypoaesthesia, Hypoaesthesia facial, Immediate post-injection reaction
Clinical narrative: Within 2 minutes of shot he felt lightheaded & dizzy, sat down and almost passed out.  Also felt "numbness" all over, sat for 10 minutes, still felt numbness/tingling in face.  Sweaty also.  Sat for 10 min. longer.  Felt better drinking water & glucose tablets.
Age: 37.0
Sex: M
Vaccine: FLU3
Symptoms: Paraesthesia
Clinical narrative: Within 2 minutes of shot he felt lightheaded & dizzy, sat down and almost passed out.  Also felt "numbness" all over, sat for 10 minutes, still felt numbness/tingling in face.  Sweaty also.  Sat for 10 min. longer.  Felt better drinking water & glucose tablets.
Age: 14.0
Sex: M
Vaccine: MNQ, TDAP, MNQ, TDAP
Symptoms: Acute disseminated encephalomyelitis, Asthenia, Balance disorder, Coordination abnormal, Decreased appetite
Clinical narrative: On 8/18/09 I took my son to his primary care doctor for the following symptoms: fever, headache, weakness, pain in arms and legs, loss of appetite, neck pain, uncoordinated movement (not being able to walk straight without losing balance), being very tired (sleeping a lot). She diagnosed him with a very bad virus and told us he would be better the following day. The following morning when I went to check on him, I found him incontinent, unable to move, and unable to speak clearly. I called 911 and we were taken to the emergency room hospital and spent 7 days in the Intensive Care Unit and the Pediatric floor. He was treated for (IDEM) with high doses of (IV) methylprednisolone and is currently tapering off orally. He is doing better but not 100%. In physical therapy
Age: 14.0
Sex: M
Vaccine: MNQ, TDAP, MNQ, TDAP
Symptoms: Fatigue, Headache, Incontinence, Intensive care, Mental status changes
Clinical narrative: On 8/18/09 I took my son to his primary care doctor for the following symptoms: fever, headache, weakness, pain in arms and legs, loss of appetite, neck pain, uncoordinated movement (not being able to walk straight without losing balance), being very tired (sleeping a lot). She diagnosed him with a very bad virus and told us he would be better the following day. The following morning when I went to check on him, I found him incontinent, unable to move, and unable to speak clearly. I called 911 and we were taken to the emergency room hospital and spent 7 days in the Intensive Care Unit and the Pediatric floor. He was treated for (IDEM) with high doses of (IV) methylprednisolone and is currently tapering off orally. He is doing better but not 100%. In physical therapy
Age: 14.0
Sex: M
Vaccine: MNQ, TDAP, MNQ, TDAP
Symptoms: Movement disorder, Neck pain, Pain in extremity, Pyrexia, Speech disorder
Clinical narrative: On 8/18/09 I took my son to his primary care doctor for the following symptoms: fever, headache, weakness, pain in arms and legs, loss of appetite, neck pain, uncoordinated movement (not being able to walk straight without losing balance), being very tired (sleeping a lot). She diagnosed him with a very bad virus and told us he would be better the following day. The following morning when I went to check on him, I found him incontinent, unable to move, and unable to speak clearly. I called 911 and we were taken to the emergency room hospital and spent 7 days in the Intensive Care Unit and the Pediatric floor. He was treated for (IDEM) with high doses of (IV) methylprednisolone and is currently tapering off orally. He is doing better but not 100%. In physical therapy
Age: 14.0
Sex: M
Vaccine: MNQ, TDAP, MNQ, TDAP
Symptoms: Acute disseminated encephalomyelitis, Antibody test negative, Antinuclear antibody negative, Ataxia, Blood creatine phosphokinase decreased
Clinical narrative: On 8/18/09 I took my son to his primary care doctor for the following symptoms: fever, headache, weakness, pain in arms and legs, loss of appetite, neck pain, uncoordinated movement (not being able to walk straight without losing balance), being very tired (sleeping a lot). She diagnosed him with a very bad virus and told us he would be better the following day. The following morning when I went to check on him, I found him incontinent, unable to move, and unable to speak clearly. I called 911 and we were taken to the emergency room hospital and spent 7 days in the Intensive Care Unit and the Pediatric floor. He was treated for (IDEM) with high doses of (IV) methylprednisolone and is currently tapering off orally. He is doing better but not 100%. In physical therapy
Age: 14.0
Sex: M
Vaccine: MNQ, TDAP, MNQ, TDAP
Symptoms: Body temperature increased, Borrelia burgdorferi serology negative, C-reactive protein increased, CSF cell count increased, CSF culture negative
Clinical narrative: On 8/18/09 I took my son to his primary care doctor for the following symptoms: fever, headache, weakness, pain in arms and legs, loss of appetite, neck pain, uncoordinated movement (not being able to walk straight without losing balance), being very tired (sleeping a lot). She diagnosed him with a very bad virus and told us he would be better the following day. The following morning when I went to check on him, I found him incontinent, unable to move, and unable to speak clearly. I called 911 and we were taken to the emergency room hospital and spent 7 days in the Intensive Care Unit and the Pediatric floor. He was treated for (IDEM) with high doses of (IV) methylprednisolone and is currently tapering off orally. He is doing better but not 100%. In physical therapy
Age: 14.0
Sex: M
Vaccine: MNQ, TDAP, MNQ, TDAP
Symptoms: CSF glucose normal, CSF myelin basic protein increased, CSF protein normal, CSF white blood cell count increased, Cryptococcus antigen
Clinical narrative: On 8/18/09 I took my son to his primary care doctor for the following symptoms: fever, headache, weakness, pain in arms and legs, loss of appetite, neck pain, uncoordinated movement (not being able to walk straight without losing balance), being very tired (sleeping a lot). She diagnosed him with a very bad virus and told us he would be better the following day. The following morning when I went to check on him, I found him incontinent, unable to move, and unable to speak clearly. I called 911 and we were taken to the emergency room hospital and spent 7 days in the Intensive Care Unit and the Pediatric floor. He was treated for (IDEM) with high doses of (IV) methylprednisolone and is currently tapering off orally. He is doing better but not 100%. In physical therapy
Age: 14.0
Sex: M
Vaccine: MNQ, TDAP, MNQ, TDAP
Symptoms: Dysarthria, Enterovirus serology test negative, Epstein-Barr virus test negative, Fatigue, Gait disturbance
Clinical narrative: On 8/18/09 I took my son to his primary care doctor for the following symptoms: fever, headache, weakness, pain in arms and legs, loss of appetite, neck pain, uncoordinated movement (not being able to walk straight without losing balance), being very tired (sleeping a lot). She diagnosed him with a very bad virus and told us he would be better the following day. The following morning when I went to check on him, I found him incontinent, unable to move, and unable to speak clearly. I called 911 and we were taken to the emergency room hospital and spent 7 days in the Intensive Care Unit and the Pediatric floor. He was treated for (IDEM) with high doses of (IV) methylprednisolone and is currently tapering off orally. He is doing better but not 100%. In physical therapy
Age: 14.0
Sex: M
Vaccine: MNQ, TDAP, MNQ, TDAP
Symptoms: Gram stain negative, HIV test negative, Headache, Herpes simplex serology negative, Hypersomnia
Clinical narrative: On 8/18/09 I took my son to his primary care doctor for the following symptoms: fever, headache, weakness, pain in arms and legs, loss of appetite, neck pain, uncoordinated movement (not being able to walk straight without losing balance), being very tired (sleeping a lot). She diagnosed him with a very bad virus and told us he would be better the following day. The following morning when I went to check on him, I found him incontinent, unable to move, and unable to speak clearly. I called 911 and we were taken to the emergency room hospital and spent 7 days in the Intensive Care Unit and the Pediatric floor. He was treated for (IDEM) with high doses of (IV) methylprednisolone and is currently tapering off orally. He is doing better but not 100%. In physical therapy
Age: 14.0
Sex: M
Vaccine: MNQ, TDAP, MNQ, TDAP
Symptoms: Intensive care, Irritability, Lethargy, Mononucleosis heterophile test negative, Muscular weakness
Clinical narrative: On 8/18/09 I took my son to his primary care doctor for the following symptoms: fever, headache, weakness, pain in arms and legs, loss of appetite, neck pain, uncoordinated movement (not being able to walk straight without losing balance), being very tired (sleeping a lot). She diagnosed him with a very bad virus and told us he would be better the following day. The following morning when I went to check on him, I found him incontinent, unable to move, and unable to speak clearly. I called 911 and we were taken to the emergency room hospital and spent 7 days in the Intensive Care Unit and the Pediatric floor. He was treated for (IDEM) with high doses of (IV) methylprednisolone and is currently tapering off orally. He is doing better but not 100%. In physical therapy
Age: 14.0
Sex: M
Vaccine: MNQ, TDAP, MNQ, TDAP
Symptoms: Nuclear magnetic resonance imaging abnormal, Pain in extremity, Polymerase chain reaction, Red blood cell sedimentation rate increased, Red blood cells CSF positive
Clinical narrative: On 8/18/09 I took my son to his primary care doctor for the following symptoms: fever, headache, weakness, pain in arms and legs, loss of appetite, neck pain, uncoordinated movement (not being able to walk straight without losing balance), being very tired (sleeping a lot). She diagnosed him with a very bad virus and told us he would be better the following day. The following morning when I went to check on him, I found him incontinent, unable to move, and unable to speak clearly. I called 911 and we were taken to the emergency room hospital and spent 7 days in the Intensive Care Unit and the Pediatric floor. He was treated for (IDEM) with high doses of (IV) methylprednisolone and is currently tapering off orally. He is doing better but not 100%. In physical therapy
Age: 14.0
Sex: M
Vaccine: MNQ, TDAP, MNQ, TDAP
Symptoms: Somnolence, Urinary incontinence, Weight bearing difficulty, West Nile virus test negative
Clinical narrative: On 8/18/09 I took my son to his primary care doctor for the following symptoms: fever, headache, weakness, pain in arms and legs, loss of appetite, neck pain, uncoordinated movement (not being able to walk straight without losing balance), being very tired (sleeping a lot). She diagnosed him with a very bad virus and told us he would be better the following day. The following morning when I went to check on him, I found him incontinent, unable to move, and unable to speak clearly. I called 911 and we were taken to the emergency room hospital and spent 7 days in the Intensive Care Unit and the Pediatric floor. He was treated for (IDEM) with high doses of (IV) methylprednisolone and is currently tapering off orally. He is doing better but not 100%. In physical therapy