chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 72.0
Sex: F
Vaccine: PPV, TTOX
Symptoms: Erythema, Injection site erythema, Injection site swelling, Pruritus, Swelling
Clinical narrative: 8/22/06 RA injection site itched immediately, swelling 1 hr later, 3 hrs later redness on right arm. 8/24/06 redness/swelling to chest, back, neck. Came in for eval at urgent care.
Age: 5.0
Sex: U
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Feeling hot, Injection site swelling
Clinical narrative: Heat, swelling, from top of shoulder to mid arm. Ice pack, Tylenol, Benadryl.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site mass, Injection site swelling, Urticaria
Clinical narrative: Large, red, firm, swelling at site with ? of 2 hives on back. Clearing with Benadryl and ice.
Age: 37.0
Sex: F
Vaccine: MMR
Symptoms: Injection site erythema, Injection site mass, Tenderness
Clinical narrative: MMR given 8/11/06. Report of reaction to hospital on 8/14/06. Area on left upper arm presented with erythema measuring 6x7cm, minimal tenderness, flat with minimal induration. Axillary nodes, nontender, no other red streaks noted.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Feeling hot, Injection site erythema, Injection site swelling
Clinical narrative: 5cm x 5cm reddened, swollen area to R upper thigh, warm to touch, pt was limping on leg 8/22/06. Dtap given at site on 8/21/06.
Age: 50.0
Sex: F
Vaccine: TD
Symptoms: Hypokinesia, Injection site pain, Skin burning sensation
Clinical narrative: Soreness at injection site, especially when extending arm forward and when lifting arm. Shot was administered high in shoulder and burned per pt. Pain developed w/in 30 mins of administration. Soreness is slightly better as of 3/24/06.
Age: 4.0
Sex: M
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Parotitis, Swelling
Clinical narrative: Swelling of left cheek consistent with mild parotitis starting last night (8/20) this AM (8/21)
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site swelling, Pruritus, Tenderness
Clinical narrative: Pt vaccines done 8/9/06. On 8/12/06, pt developed generalized pruritis and area of erythema, tenderness, and swelling of left arm.
Age: 3.0
Sex: F
Vaccine: VARCEL
Symptoms: Pyrexia
Clinical narrative: Fever 103.9 7 days after 2nd varicella shot.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV
Symptoms: Injection site erythema, Injection site swelling, Tenderness
Clinical narrative: Mild local reaction, brightly erythematous, swollen right upper arm with little tenderness.
Age: 0.05
Sex: M
Vaccine: HEP
Symptoms: Crying, Irritability, Pyrexia, Rash
Clinical narrative: Mother of client reports rash appeared late PM (6/29/06) reports rash resembled hives. Ct began temp of 102 which lasted 4 days. Increased fussiness and crying, seen in ER 7/2/06. Told reaction to immunization. Ct's mother reported giving Ct Motrin and Tylenol temp continued at 102.
Age: 1.51
Sex: M
Vaccine: DTAP, HIBV, MMR, PNC
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: 8/24/06 Mom came in. She stated that the child had a reaction to immunizations on 6/21/06. Mom stated child rt leg was very red and swollen (double in size) from thigh to knee. Mom stated that she called Dr and stated Dr told her it was probably reaction from MMR given. Dr advised to give Motrin and apply warm packs to area. Mom stated leg was better in 2 days. Mom stated she forgot to call our office to report reaction.
Age: 1.67
Sex: M
Vaccine: DTAP, HEPA, PNC
Symptoms: Feeling hot, Injection site erythema, Injection site mass
Clinical narrative: Induration, erythema and warmth on both thighs 5cm x 3 cm began 4 hrs after vaccine.
Age: 19.0
Sex: F
Vaccine: HEP
Symptoms: Medication error
Clinical narrative: Adult dose of 1cc given. Should have received Hep B dose 0.5cc, Private pay.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Feeling hot, Injection site swelling
Clinical narrative: Swelling in R arm, hot to touch, no redness.
Age: 66.0
Sex: F
Vaccine: PPV
Symptoms: Erythema, Feeling hot, Swelling, Tenderness
Clinical narrative: Left arm tender on 8/22/06. Noticed swelling 8/23/06. Went on travel on 8/23/06. Used ice packs today 8/24/06, decreased swelling, red, warm to touch.
Age: 1.0
Sex: M
Vaccine: HEPA, HIBV, IPV, PNC
Symptoms: Febrile convulsion
Clinical narrative: Febrile seizure
Age: 1.0
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Dermatitis bullous, Rash papular
Clinical narrative: Pt examined in office 8/22/06. +Papular bumps that progressed from initial date of onset 8/18/06 all over body. No fever. No petechiae, active, no other systemic signs and symptoms. Rash is consistent with varicella like lesions.
Age: 0.18
Sex: M
Vaccine: DTAP, HEP, HIBV, IPV
Symptoms: Pyrexia
Clinical narrative: 2 mo old with reported T 105 by mom within 24hrs of vaccination with Dtap. Mom gave Tylenol x1 and temp went down to 100.8. Pt was referred to the ER for full evaluation/sepsis workup.
Age: 8.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site pain, Medication error
Clinical narrative: Gave Dtap instead of Tdap on 8/7/06 for school entrance vaccination. 8/8/06 13:20 TC to father and client had more soreness at site left arm today. He gave her ibuprofen this AM and daycare hasn't called him.
Age: 18.0
Sex: F
Vaccine: YF
Symptoms: Difficulty in walking, Feeling hot, Lymphadenopathy, Odynophagia, Pharyngolaryngeal pain
Clinical narrative: 8/24/06: Warm, rosy checks, non pruritic rash on arms and thighs. Over the next few days rash progressed and the palms and soles became tender and began to swell. Walks gingerly. 8/27/06: sore throat, submandibular adenopathy, painful to swallow.  2/5/07 Received medical records from allergist which reveal patient evaluated on 8/29/06.  She had developed facial warmth & tingling hands.  Then developed rash on face which spread to entire body.  Developed swollen glands in throat & mild fever. Exam revealed a diffuse maculpapular rash over trunk, legs & feet with purple cool toes.  Positive lymph nodes were palpable in neck & groin.  Tonsils noted to have exudate.  Treated w/antibiotics & steroids. Final DX: ?strep infection vs ?active viral infection w/yellow fever (doubt).  Return vs on 8/31.  Strep neg, monos not increased.  Patients feet had improved but now w/erythema multiforme on thighs.  Now had diffuse slight macular petechial rash on trunk & increased pharyngitis.  Antibiotics d/c & continued w/tapering prednisone. Return on 9/5/06 revealed old rash on feet, new lesions on lips.  patchy palmar rash (solar line) w/peeling finger tips.  Continued on prednisone.  Further f/u was done by phone on 9/7, 9/8 & 9/11.  Which revealed rash & peeling were almost done. FINAL DX: ?erythema multiforme like reaction c/w yellow fever vax.
Age: 18.0
Sex: F
Vaccine: YF
Symptoms: Rash, Swelling, Tenderness
Clinical narrative: 8/24/06: Warm, rosy checks, non pruritic rash on arms and thighs. Over the next few days rash progressed and the palms and soles became tender and began to swell. Walks gingerly. 8/27/06: sore throat, submandibular adenopathy, painful to swallow.  2/5/07 Received medical records from allergist which reveal patient evaluated on 8/29/06.  She had developed facial warmth & tingling hands.  Then developed rash on face which spread to entire body.  Developed swollen glands in throat & mild fever. Exam revealed a diffuse maculpapular rash over trunk, legs & feet with purple cool toes.  Positive lymph nodes were palpable in neck & groin.  Tonsils noted to have exudate.  Treated w/antibiotics & steroids. Final DX: ?strep infection vs ?active viral infection w/yellow fever (doubt).  Return vs on 8/31.  Strep neg, monos not increased.  Patients feet had improved but now w/erythema multiforme on thighs.  Now had diffuse slight macular petechial rash on trunk & increased pharyngitis.  Antibiotics d/c & continued w/tapering prednisone. Return on 9/5/06 revealed old rash on feet, new lesions on lips.  patchy palmar rash (solar line) w/peeling finger tips.  Continued on prednisone.  Further f/u was done by phone on 9/7, 9/8 & 9/11.  Which revealed rash & peeling were almost done. FINAL DX: ?erythema multiforme like reaction c/w yellow fever vax.
Age: 12.0
Sex: M
Vaccine: VARCEL
Symptoms: Injection site mass, Injection site pain, Pruritus
Clinical narrative: Mother states that patient came here from school yesterday and complained of an almond-sized lump with tenderness to touch at injection site.  Patient had been scratching 2 mosquito bites near site when he noticed the sensitivity of the site.  No fever, no erythema reported.
Age: 1.09
Sex: M
Vaccine: DTAPH, MMRV, PNC
Symptoms: Oral mucosal blistering, Pneumonia, Pyrexia, Rash, Viral infection
Clinical narrative: ON 8-17-06 #4DTAP, #3HIB, #1MMRV, #4PCV. ON 8-19-06 CHILD TAKEN TO E.R. DUE TO 104 FEVER, RASH, & BLISTERS TO MOUTH. DIAGNOSIS OF PNEUMONIA, VIRAL INFECTION, & RASH DUE TO SHOTS. PRESCRIBED ZITHROMAX. 8-29-06 MOTHER REPORTS TODAY RASH ON CHILD FROM HEAD TO TOE AND STILL HAS BLISTERS IN MOUTH. NO FEVER.
Age: 2.0
Sex: F
Vaccine: DTAP, HIBV, MMR
Symptoms: Irritability, Pyrexia, Rash, Rash erythematous, Rash macular
Clinical narrative: Mom reports fever on 8/25 & child did not feel well 8/26. Rash started 8/28 and child is 'fussy at night'.  The rash is raised, red, blotchy and mostly on the trunk and neck.
Age: 19.0
Sex: F
Vaccine: MNQ
Symptoms: Diarrhoea, Diarrhoea haemorrhagic, Myalgia
Clinical narrative: 8/1/06 Client had severe generalized muscle aches and severe diarrhea 8/4/06 Client had bloody diarrhea, went to ED.  Client was given 2 hours of IV fluids, Vicodin, and antibiotic Levaquin.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Eye oedema, Urticaria
Clinical narrative: Approximately 20 minutes after receiving the vaccinations patient developed swelling of the eyes and hives.  The doctor administered Benadryl and called 911.  Patient was transported to an ED (unknown which hospital or what treatment was performed).
Age: 52.0
Sex: M
Vaccine: ANTH, HEP, TYP
Symptoms: Dyspnoea, Headache, Joint swelling, Laboratory test abnormal, Night sweats
Clinical narrative: This 52 year old was vaccinated on 19 July 2005 with Anthrax #1, Hepatitis B #2, and intramuscular Typhoid #1.  Approximately 21 July 2005 he noticed his legs felt "heavy as if loaded with weights" and he had difficulty running. He felt "short of breath as if winded" due to the effort of running. He had never felt this way running before. Within 2-5 minutes after completing the run his shortness of breathe resolved; however his legs still felt heavy. He denies any change in activities, shoes, diet, or weight carried/not carried. Approximately 23 July 2005 he reports swelling to his left elbow with gradual swelling to his right ankle, leg and then the left leg over the next few days. He also noted an 8-10 pound weight gain from 175-183 pounds during these 4-7 days. He denies any paresthesia, weakness or limitation in range of motion of any extremity. He stated he had a 4/10 pain that worsened with exercise due to the swollen joints. He complained that his shoes were tight and could barely tie the right shoe. There was minimal redness about ankle area which he attributed to his clothing. He denies insect bites or trauma known. His roommate advised him his right foot was swollen and said he had "legs of an 80 year old lady."  He reported two days prior to the AVA shot he was playing football and running without difficulty. Concurrently he noted onset of diffuse headaches 1-3/10 that remained a constant non-descript ache to his entire head from 20-24 July 2005.He reported experiencing night sweats from 22-25 July 2005. He stated he would wake up in the morning with his linen wet.  He denies any fever, illness or sleeping in a warm/hot environment.  He complained he just "felt like he was swelling up."  The sweating resolved spontaneously approximately 25 July 2005. He sought medical attention approximately 26 July. He was placed on Motrin and within 24 hours "felt the swelling begin to subside."  All extremity swelling resolved within 1-2 weeks without reoccurrence.
Age: 52.0
Sex: M
Vaccine: ANTH, HEP, TYP
Symptoms: Oedema peripheral, Sensation of heaviness, Weight increased
Clinical narrative: This 52 year old was vaccinated on 19 July 2005 with Anthrax #1, Hepatitis B #2, and intramuscular Typhoid #1.  Approximately 21 July 2005 he noticed his legs felt "heavy as if loaded with weights" and he had difficulty running. He felt "short of breath as if winded" due to the effort of running. He had never felt this way running before. Within 2-5 minutes after completing the run his shortness of breathe resolved; however his legs still felt heavy. He denies any change in activities, shoes, diet, or weight carried/not carried. Approximately 23 July 2005 he reports swelling to his left elbow with gradual swelling to his right ankle, leg and then the left leg over the next few days. He also noted an 8-10 pound weight gain from 175-183 pounds during these 4-7 days. He denies any paresthesia, weakness or limitation in range of motion of any extremity. He stated he had a 4/10 pain that worsened with exercise due to the swollen joints. He complained that his shoes were tight and could barely tie the right shoe. There was minimal redness about ankle area which he attributed to his clothing. He denies insect bites or trauma known. His roommate advised him his right foot was swollen and said he had "legs of an 80 year old lady."  He reported two days prior to the AVA shot he was playing football and running without difficulty. Concurrently he noted onset of diffuse headaches 1-3/10 that remained a constant non-descript ache to his entire head from 20-24 July 2005.He reported experiencing night sweats from 22-25 July 2005. He stated he would wake up in the morning with his linen wet.  He denies any fever, illness or sleeping in a warm/hot environment.  He complained he just "felt like he was swelling up."  The sweating resolved spontaneously approximately 25 July 2005. He sought medical attention approximately 26 July. He was placed on Motrin and within 24 hours "felt the swelling begin to subside."  All extremity swelling resolved within 1-2 weeks without reoccurrence.
Age: 3.0
Sex: F
Vaccine: HEPA
Symptoms: Anorexia, Fatigue, Headache, Pyrexia
Clinical narrative: 102 degree fever, headache, loss of appetite, and tiredness.  Treated with Tylenol to reduce fever.  Fever and other symptoms stopped after 48 hours.  Called nurse on 8/25/06 and they said they did not think it was because of the vaccine, that she may have picked up another illness while in the office.
Age: 1.02
Sex: M
Vaccine: HBHEPB, HEPA, MMRV
Symptoms: Blister, Erythema, Feeling hot, Pharyngolaryngeal pain, Rash
Clinical narrative: Red based excoriated lesions- 5-6 on abdomen, right wrist with vesicles forming on thigh; sore throat this morning, felt warm to touch last night; received varicella and MMR vacines on 08/21/2006; no treatment at this time.
Age: 0.17
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Decreased activity, Dehydration, Diarrhoea haemorrhagic, Gastroenteritis, Laboratory test abnormal
Clinical narrative: Acute onset bloody (current jelly) diarrhea and shock approximately 12 hours after receiving immunizations.  10/9/06 Received medical records from hospital which reveal patient admitted 7/12/06-7/19/06 with final dx: severe hemorrhagic gastroenteritis with currant jelly stools, resolved; mild-mod dehydration; metabolic acidosis, resolved; Holt-Oram NICU graduate.  Patient with PMH: very inferior & anterior vocal cords requiring special device for intubation; has G-tube.  On night after vax, patient developed diarrhea then grossly bloody currant jelly stools & was pale & hypoactive.
Age: 0.17
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Leukocytosis, Metabolic acidosis, Pallor, Shock
Clinical narrative: Acute onset bloody (current jelly) diarrhea and shock approximately 12 hours after receiving immunizations.  10/9/06 Received medical records from hospital which reveal patient admitted 7/12/06-7/19/06 with final dx: severe hemorrhagic gastroenteritis with currant jelly stools, resolved; mild-mod dehydration; metabolic acidosis, resolved; Holt-Oram NICU graduate.  Patient with PMH: very inferior & anterior vocal cords requiring special device for intubation; has G-tube.  On night after vax, patient developed diarrhea then grossly bloody currant jelly stools & was pale & hypoactive.
Age: 25.0
Sex: F
Vaccine: TD
Symptoms: Chills, Pain, Pyrexia
Clinical narrative: Administered Tetanus/Diphtheria toxoid in left arm during routine physical exam.  Pt felt normal for remainder of day.  Approximately 14hr later, pt awoke with subjective fever, severe chills, and body aches.  Symptoms had nearly resolved and exam normal by the time pt was evaluated 8hrs later.
Age: 11.0
Sex: F
Vaccine: TDAP
Symptoms: Headache, Pain, Pyrexia, Vomiting
Clinical narrative: Fever (temp 102F); vomiting, headache, body aches
Age: 11.0
Sex: M
Vaccine: TDAP
Symptoms: Pruritus
Clinical narrative: Itchy, irreg patches 8/26, 8/28, extremities, trunk. Tdap given 8/25/06.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Redness and swelling on Lt thigh from injection given on 8/24/06. Went to ER for lt leg swelling, redness and pain on 8/26/06.
Age: 4.0
Sex: M
Vaccine: MMR
Symptoms: Aphasia, Cough, Face oedema, Hypersensitivity, Wheezing
Clinical narrative: Information has been received from a woman concerning a 4 year old white male with a history of grade V kidney reflux, fungal kidney infections and a feeding tube, who on 11/21/05 at approximately 16:30 PM was vaccinated in the left arm with a second dose of MMR (lot # 649671/0237R). There were no concomitant medications. There were no illness at the time of vaccination. Within minutes of vaccination (at 16:30), the patient started coughing, facial swelling, wheezing and was unable to speak. The physician gave him a "neb treatment", cetirizine hydrochloride and epinephrine and was sent to the ER. It was reported that the patient recovered (date unspecified). It was also reported that the patient followed up with an allergist and was found to be allergic to MMR for an unknown reason. No further information was reported. The reporter considered the patient's adverse experiences to be immediately life-threatening. Additional information has been requested.
Age: 43.0
Sex: F
Vaccine: HEP, MMR, HEP, MMR
Symptoms: Cardiac arrest, Convulsion
Clinical narrative: Information has been received from a registered nurse concerning a 43 year old female with no known allergies and a possible thyroid problem (not diagnosed) who on 8/18/06 around 13:45  was vaccinated SC in the left arm with a 0.5mL dose of MMR (lot # 653335/0515F). It was unknown if this was the patient's first dose. Concomitant therapy on the same day in the right arm included a second dose of hepatitis B virus vaccine. There was no other concomitant medication. It was noted that the patient was immunized with MMR because she was a new hire with a rubella titer of less than five. The reporter's facility policy indicates vaccination for a titer of less than 10. It was further noted that the patient had no reaction after the first dose of hepatitis B virus vaccine. At about 22:50 PM, about nine hours post vaccination, the patient was brought to the emergency room. She had experienced a seizure, collapsed, and went into full cardiac arrest. The patient's family called 911 and the patient had no pulse or respiration on arrival to the emergency room. She was dead on arrival. Cardiopulmonary resuscitation was performed. An autopsy was ordered. The medical examiner felt that the event was not related to therapy with MMR. His initial opinion on the cause was a cardiovascular event. No anaphylactic reaction was suspected. The nurse noted that two doses of MMR from the same lot were administered to two other patient's with no adverse events. The reporter, however, did not with to use the remaining doses. A lot check has been initiated. The patient's experiences were considered to be other important medical events, disabling, and immediately life-threatening. Additional information has been requested.
Age: 43.0
Sex: F
Vaccine: HEP, MMR, HEP, MMR
Symptoms: Apnoea, Cardiac arrest, Convulsion, Laboratory test abnormal, Pulse absent
Clinical narrative: Information has been received from a registered nurse concerning a 43 year old female with no known allergies and a possible thyroid problem (not diagnosed) who on 8/18/06 around 13:45  was vaccinated SC in the left arm with a 0.5mL dose of MMR (lot # 653335/0515F). It was unknown if this was the patient's first dose. Concomitant therapy on the same day in the right arm included a second dose of hepatitis B virus vaccine. There was no other concomitant medication. It was noted that the patient was immunized with MMR because she was a new hire with a rubella titer of less than five. The reporter's facility policy indicates vaccination for a titer of less than 10. It was further noted that the patient had no reaction after the first dose of hepatitis B virus vaccine. At about 22:50 PM, about nine hours post vaccination, the patient was brought to the emergency room. She had experienced a seizure, collapsed, and went into full cardiac arrest. The patient's family called 911 and the patient had no pulse or respiration on arrival to the emergency room. She was dead on arrival. Cardiopulmonary resuscitation was performed. An autopsy was ordered. The medical examiner felt that the event was not related to therapy with MMR. His initial opinion on the cause was a cardiovascular event. No anaphylactic reaction was suspected. The nurse noted that two doses of MMR from the same lot were administered to two other patient's with no adverse events. The reporter, however, did not with to use the remaining doses. A lot check has been initiated. The patient's experiences were considered to be other important medical events, disabling, and immediately life-threatening. Additional information has been requested.
Age: 43.0
Sex: F
Vaccine: HEP, MMR, HEP, MMR
Symptoms: Syncope
Clinical narrative: Information has been received from a registered nurse concerning a 43 year old female with no known allergies and a possible thyroid problem (not diagnosed) who on 8/18/06 around 13:45  was vaccinated SC in the left arm with a 0.5mL dose of MMR (lot # 653335/0515F). It was unknown if this was the patient's first dose. Concomitant therapy on the same day in the right arm included a second dose of hepatitis B virus vaccine. There was no other concomitant medication. It was noted that the patient was immunized with MMR because she was a new hire with a rubella titer of less than five. The reporter's facility policy indicates vaccination for a titer of less than 10. It was further noted that the patient had no reaction after the first dose of hepatitis B virus vaccine. At about 22:50 PM, about nine hours post vaccination, the patient was brought to the emergency room. She had experienced a seizure, collapsed, and went into full cardiac arrest. The patient's family called 911 and the patient had no pulse or respiration on arrival to the emergency room. She was dead on arrival. Cardiopulmonary resuscitation was performed. An autopsy was ordered. The medical examiner felt that the event was not related to therapy with MMR. His initial opinion on the cause was a cardiovascular event. No anaphylactic reaction was suspected. The nurse noted that two doses of MMR from the same lot were administered to two other patient's with no adverse events. The reporter, however, did not with to use the remaining doses. A lot check has been initiated. The patient's experiences were considered to be other important medical events, disabling, and immediately life-threatening. Additional information has been requested.
Age: 18.0
Sex: F
Vaccine: MNQ, MNQ
Symptoms: Vaginal haemorrhage
Clinical narrative: An 18 yr old female pt whose past medical history includes the current pregnancy, an allergy to Septra and Augmentin, asthma and ADHD, had received a dose of Menactra, lot number U1750AA, on 13Jul06. The route and site of administration were not reported. The pt did not know she was pregnant at the time of she received the Menactra vaccination in preparation to go to college. Three days post immunization, the pt developed heavy vaginal bleeding and subsequently has a miscarriage. The date of the miscarriage, date of the pt's last menstrual period, the expected date of delivery, and the pt's recovery status were not reported.
Age: 18.0
Sex: F
Vaccine: MNQ, MNQ
Symptoms: Abortion spontaneous, Unintended pregnancy, Vaginal haemorrhage
Clinical narrative: An 18 yr old female pt whose past medical history includes the current pregnancy, an allergy to Septra and Augmentin, asthma and ADHD, had received a dose of Menactra, lot number U1750AA, on 13Jul06. The route and site of administration were not reported. The pt did not know she was pregnant at the time of she received the Menactra vaccination in preparation to go to college. Three days post immunization, the pt developed heavy vaginal bleeding and subsequently has a miscarriage. The date of the miscarriage, date of the pt's last menstrual period, the expected date of delivery, and the pt's recovery status were not reported.
Age: 5.0
Sex: U
Vaccine: IPV, MMR, PNC, TTOX, DTAP, IPV, MMR, PPV
Symptoms: Hypokinesia, Injection site induration, Injection site pain, Injection site warmth, Pyrexia
Clinical narrative: Pt was given 4th Pneumococcal vaccine, adult type in right deltoid on 8/15/06. Pt was taken to ER on 8/17/06 with complaint of pain in right deltoid described as hardness and hot. Fever at ER was 102.6 no other complaints. ABX and pain meds given.
Age: 5.0
Sex: U
Vaccine: IPV, MMR, PNC, TTOX, DTAP, IPV, MMR, PPV
Symptoms: Tenderness
Clinical narrative: Pt was given 4th Pneumococcal vaccine, adult type in right deltoid on 8/15/06. Pt was taken to ER on 8/17/06 with complaint of pain in right deltoid described as hardness and hot. Fever at ER was 102.6 no other complaints. ABX and pain meds given.
Age: 5.0
Sex: U
Vaccine: IPV, MMR, PNC, TTOX, DTAP, IPV, MMR, PPV
Symptoms: Heart rate increased, Injection site induration, Injection site pain, Injection site warmth, Pyrexia
Clinical narrative: Pt was given 4th Pneumococcal vaccine, adult type in right deltoid on 8/15/06. Pt was taken to ER on 8/17/06 with complaint of pain in right deltoid described as hardness and hot. Fever at ER was 102.6 no other complaints. ABX and pain meds given.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV
Symptoms: Erythema, Pyrexia, Swelling
Clinical narrative: Left arm red and swollen where shots were given on 08/25/2006.  Arm firm, fever.
Age: 44.0
Sex: M
Vaccine: ANTH, HEP, HEPA, TYP, YF
Symptoms: Alopecia, Anxiety, Arthralgia, Asthenia, Bone pain
Clinical narrative: weakness, joint pain, muscular pain, insomnia, numbness, headache, anxiety, skin itch, bone pain, ringing ears, constipation, visual changes, hair loss
Age: 44.0
Sex: M
Vaccine: ANTH, HEP, HEPA, TYP, YF
Symptoms: Constipation, Headache, Hypoaesthesia, Insomnia, Myalgia
Clinical narrative: weakness, joint pain, muscular pain, insomnia, numbness, headache, anxiety, skin itch, bone pain, ringing ears, constipation, visual changes, hair loss
Age: 44.0
Sex: M
Vaccine: ANTH, HEP, HEPA, TYP, YF
Symptoms: Pruritus, Tinnitus, Visual disturbance
Clinical narrative: weakness, joint pain, muscular pain, insomnia, numbness, headache, anxiety, skin itch, bone pain, ringing ears, constipation, visual changes, hair loss
Age: 0.28
Sex: M
Vaccine: PNC, RV5
Symptoms: Diarrhoea, Haematochezia
Clinical narrative: Information has been received from a physician concerning a 15-week-old male with a possible milk allergy and no other pertinent medical history on 01-AUG-2006 was vaccinated with by mouth with a 2.0 ml dose of rotavirus G1 G2 G3 G4 P1 reassortant vaccine live (human-bovine) (Lot#653754/0139F).  Concomitant vaccinations administered on that same day included a dose of pneumococcal 4 6B 9V 14 18C 19F 23F conj vaccine (CRM197) (PREVNAR).  There was no other concomitant therapy.  The physician reported that on 03-AUG-2006, the patient presented with loose stools times 4 which were green and watery with bright red blood specks.  The patient was afebrile and well hydrated.  His abdomen was benign and he was nursing well.  The patient was seen again on 10-AUG-2006 after continuing with diarrhea 4-7 times per day.  At that time, a physical examination was normal.  No laboratory/diagnostic tests were performed.  The patient was treated with dextrose (+) electrolytes (unspecified) (Pedialyte).  At the time of this report, the patient was recovering.  Upon internal review, stools with bright red blood specks was determined to be an other important medical event. (OMIC)
Age: 1.25
Sex: F
Vaccine: HIBV
Symptoms: Cerebellar ataxia, Dyskinesia, Fall, Laboratory test abnormal, Nystagmus
Clinical narrative: Weekend of 8/12/06 mom noted patient to be walking "like a Frankenstein"-jerking and robotic movements. Falling over when walking and standing. Sent to Neurology diagnosed with Acute cerebellar ataxia. U/A, VMA and catecholamines tested. 9/13/06-Records received from Hospital Oncology Consultation 8/24/06-new onset opsoclonus, polymyoclonus with high index of suspicion for neuroblastoma.. 8/31/06-presume opsoclonus and polymyoclonus and mildly low IgG 247.  Recommendation: IgG therapy and consider rituximab therapy in future. HX Present Illness: Previously health 16 month old with progressive onset of ataxia complicated by eye movement abnormalities . Significant problems with gait over last several weeks increasing number of falls and clumsiness. CNS evaluation normal as well as spinal fluid.  ACTH therapy for initiation of treatment of OMS syndrome. PE: HEENT otherwise unremarkable except for bilateral lateral nystagmus and upgoing eye movements that are random. Wide based gait with some significant ataxia upon standing and will fall quickly and wobble when walking. She does not have a predilection for falling left or right and does have truncal ataxia. Also has episodic myoclonic jerks. DTR and Babinski normal.
Age: 1.29
Sex: M
Vaccine: DTAP, MMRV
Symptoms: Rash papular, Rhinorrhoea
Clinical narrative: Left deltoid area with raised pink papular rash on non erythematous base, not pruritic otherwise normal exam except runny clear nose, few papules on left cheek, face scant on torso.
Age: 13.0
Sex: M
Vaccine: TDAP
Symptoms: No adverse event
Clinical narrative: No adverse event happened. Read Tdap on 5/4/06 and 8/7/06.
Age: 45.0
Sex: F
Vaccine: TDAP
Symptoms: Chills, Fatigue, Headache, Myalgia, Pain
Clinical narrative: Patient seen day after Tdap, appeared pale, temperature 99.2, blood pressure normal and not orthostatic.  Injection site not swollen or red.  Neurologic exam normal except for somewhat ataxic gait.  Respiratory rate normal, pulse normal.  Headache/skin sensations.  Thursday, July 27th vaccine given around 2:30, 3:00 took 400 mg ADVIL per suggestion of the nurse, no reaction yet. 11:00 or so-went to bed but couldn't sleep, started to develop aches, muscles soreness, skin sensitivity, then chills (around 1:30 am).  1:30-got up to check list of possible reactions.  All of mine were listed as "mild" and I had none of the more serious ones, but I would not have called mine "Mild".  The chills were bad despite the heat and lack of air conditioning.  Didn't sleep at all that night. (Seems like I would have taken something for fever at that point, but I didn't make a note of it, and now I can't remember).  Friday the 28th 8:00 took 600 mg of Advil and slept until 9:30. 9:30-got up and felt better, but then "relapsed" about an hour later and worsened throughout the day.  Still had a low-grade fever and all of the reactions listed above.  Started to develop a mild headache.  Noon-took 2 aspirins for fever (didn't help). 4:00-returned to Health Services.  Once home, I took your dietary advice, I hadn't eaten since the day before.  Fever was 99.4 I think (do you have a note of that?). 10:00-took BENADRYL (25mg) to sleep and also used a topical muscle icer (Bio-Freezer) to ease my back pain (this is chronic pain, worsened but not caused by the vaccine).  Slept well.  Took another BENADRYL when I woke up (maybe around 5:00 am).  Saturday the 29th up early, still achy, easily fatigues and feverish 9slight), but the sensitive skin felt better.  Ate lightly and drank fluids, but didn't really feel better that day.  Headache worsened a little.  It was low and in the back of my head and the pain "surged" when I turned my head from side to side.  Late afternoon, I took 2 ADVIL tablets, and that cleared the headache up finally.  Felt terrible through the evening until around 10:00 or so.  Between 9:00 and 11:00 pm all reactions vanished rather suddenly, it seems.  I didn't notice until I stood up to let the cat in that I felt almost normal.  I haven't had no more reactions.
Age: 45.0
Sex: F
Vaccine: TDAP
Symptoms: Pallor, Pyrexia, Sleep disorder
Clinical narrative: Patient seen day after Tdap, appeared pale, temperature 99.2, blood pressure normal and not orthostatic.  Injection site not swollen or red.  Neurologic exam normal except for somewhat ataxic gait.  Respiratory rate normal, pulse normal.  Headache/skin sensations.  Thursday, July 27th vaccine given around 2:30, 3:00 took 400 mg ADVIL per suggestion of the nurse, no reaction yet. 11:00 or so-went to bed but couldn't sleep, started to develop aches, muscles soreness, skin sensitivity, then chills (around 1:30 am).  1:30-got up to check list of possible reactions.  All of mine were listed as "mild" and I had none of the more serious ones, but I would not have called mine "Mild".  The chills were bad despite the heat and lack of air conditioning.  Didn't sleep at all that night. (Seems like I would have taken something for fever at that point, but I didn't make a note of it, and now I can't remember).  Friday the 28th 8:00 took 600 mg of Advil and slept until 9:30. 9:30-got up and felt better, but then "relapsed" about an hour later and worsened throughout the day.  Still had a low-grade fever and all of the reactions listed above.  Started to develop a mild headache.  Noon-took 2 aspirins for fever (didn't help). 4:00-returned to Health Services.  Once home, I took your dietary advice, I hadn't eaten since the day before.  Fever was 99.4 I think (do you have a note of that?). 10:00-took BENADRYL (25mg) to sleep and also used a topical muscle icer (Bio-Freezer) to ease my back pain (this is chronic pain, worsened but not caused by the vaccine).  Slept well.  Took another BENADRYL when I woke up (maybe around 5:00 am).  Saturday the 29th up early, still achy, easily fatigues and feverish 9slight), but the sensitive skin felt better.  Ate lightly and drank fluids, but didn't really feel better that day.  Headache worsened a little.  It was low and in the back of my head and the pain "surged" when I turned my head from side to side.  Late afternoon, I took 2 ADVIL tablets, and that cleared the headache up finally.  Felt terrible through the evening until around 10:00 or so.  Between 9:00 and 11:00 pm all reactions vanished rather suddenly, it seems.  I didn't notice until I stood up to let the cat in that I felt almost normal.  I haven't had no more reactions.
Age: 5.0
Sex: F
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Injection site erythema, Injection site oedema
Clinical narrative: On 8/21 Pt received vaccination. Mom called on 8/23 to report pt had right arm red and swollen no c/o pain starting on 8/22.
Age: 0.01
Sex: M
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Convulsion
Clinical narrative: Seizure (generalized tonic, clonic) within 24 hours after administration of vaccine.
Age: 1.14
Sex: F
Vaccine: HIBV, MMR, PNC, VARCEL
Symptoms: Blister, Pruritus, Rash maculo-papular
Clinical narrative: On Thursday red, raised, bumps diaper area.  Friday pm fluid filled blisters, itchy, moved to back, chin, legs.
Age: 26.0
Sex: M
Vaccine: SMALL
Symptoms: Anhidrosis, Heat exhaustion, Laboratory test abnormal, Myalgia, Myositis
Clinical narrative: Patient presented on 16Aug06 with c/o pain all over. Rectal temp 105. Wheezing with inhalation noted. Reported to HCWs that had cessation of perspiration early in the day. Labwork completed. Given 2L of NS. Nebulizer given and transferred to ER. Hospital admitted patient for observation with diagnoses of smallpox vaccination reaction as well as heat exhaustion. 09/06/06-Facility and clinic records received for DOS 8/16-8/21/06. Seen in ER at Medical Center and transferred to another ER with c/o febrile reaction presumably due to small pox reaction as well as heat exhaustion. Initial temp 105 (patient stated he ceased perspiring) after 2L saline temp 103.9-admitted for observation. No chest pain no SOB, wheezing RX with Nebulized Albuterol. PE revealed a well healed tattoo on left forearm within center a large raised erythematous lesion with mildly necrotic center and small vesicles noted through the circumference of this region.  Assessment: Fever and dehydration UA moderate occult blood and trace ketones Follow-up visit in clinic on 8/18/06-C/O headache, intermittent cough, generalized aches and pains, sudden onset swelling upper lip while sitting in clinic.  Allergic to Penicillin PE:WNL with mild wheezing unilaterally on left at apex DX sinusitis allergic reaction  myalgia and myositis Follow up visit 8/21/06-"feeling good and ready to work: IMP: convalesced from heat injury-no relationship (except coincidental) with smallpox vaccinations. Plan: returns to duty, care with hydration.
Age: 26.0
Sex: M
Vaccine: SMALL
Symptoms: Platelet disorder, Pyrexia, Sinusitis, Vaccination complication, Wheezing
Clinical narrative: Patient presented on 16Aug06 with c/o pain all over. Rectal temp 105. Wheezing with inhalation noted. Reported to HCWs that had cessation of perspiration early in the day. Labwork completed. Given 2L of NS. Nebulizer given and transferred to ER. Hospital admitted patient for observation with diagnoses of smallpox vaccination reaction as well as heat exhaustion. 09/06/06-Facility and clinic records received for DOS 8/16-8/21/06. Seen in ER at Medical Center and transferred to another ER with c/o febrile reaction presumably due to small pox reaction as well as heat exhaustion. Initial temp 105 (patient stated he ceased perspiring) after 2L saline temp 103.9-admitted for observation. No chest pain no SOB, wheezing RX with Nebulized Albuterol. PE revealed a well healed tattoo on left forearm within center a large raised erythematous lesion with mildly necrotic center and small vesicles noted through the circumference of this region.  Assessment: Fever and dehydration UA moderate occult blood and trace ketones Follow-up visit in clinic on 8/18/06-C/O headache, intermittent cough, generalized aches and pains, sudden onset swelling upper lip while sitting in clinic.  Allergic to Penicillin PE:WNL with mild wheezing unilaterally on left at apex DX sinusitis allergic reaction  myalgia and myositis Follow up visit 8/21/06-"feeling good and ready to work: IMP: convalesced from heat injury-no relationship (except coincidental) with smallpox vaccinations. Plan: returns to duty, care with hydration.
Age: 39.0
Sex: M
Vaccine: SMALL
Symptoms: Cellulitis, Injection site erythema, Injection site reaction, Lymphadenopathy, Pyrexia
Clinical narrative: Presented to Clinic on 8/17/06 with c/o fever on 8/14/06 which resolved with OTC Tylenol. Fever was again present on 8/16/06, following up on continues systemic symptoms s/p smallpox vaccination. Smallpox vaccination site assessed and noted to be with increased erythema around vaccination site and extending to axilla. Positive axillary lymphadenopathy. Diagnosed with Cellulitis with systemic s/sx. Orders received for Keflex 500mg bid, Motrin 800mg 1 po q 6 hours prn, Tylenol 325mg alternate with motrin. Quarters ordered.
Age: 64.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Arthralgia, Herpes simplex, Malaise, Pyrexia, Rash erythematous
Clinical narrative: Cold Sores on lips within 24 hours of vaccination, generalized arthralgia, elevated temperature, general ill feeling 3-4 days post vaccination, raised rash on right shoulder 7 days post vaccination.
Age: 64.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Drug ineffective, Viral infection
Clinical narrative: Cold Sores on lips within 24 hours of vaccination, generalized arthralgia, elevated temperature, general ill feeling 3-4 days post vaccination, raised rash on right shoulder 7 days post vaccination.
Age: 31.0
Sex: M
Vaccine: ANTH, TYP
Symptoms: Oedema peripheral
Clinical narrative: Swelling left upper arm into left shoulder and down to elbow.
Age: 0.35
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Pyrexia
Clinical narrative: FEVER 1O3.5 RECTAL.
Age: 8.0
Sex: F
Vaccine: VARCEL
Symptoms: Cellulitis, Injection site reaction
Clinical narrative: Cellulitis on injection site 5mm on left forearm  Rx. Augmentin 1 teaspoon twice a day for ten days.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV
Symptoms: Erythema, Swelling, Thermal burn
Clinical narrative: Vaccinations (IPV, DTaP) given in LA IM. Through night pt arm from elbow to shoulder began to swell with redness and "burning" - seen in clinic this am.
Age: 39.0
Sex: F
Vaccine: TDAP
Symptoms: Feeling cold, Headache, Hot flush, Nausea, Pain
Clinical narrative: Soreness in arm, nauseated, hot/cold flashes, headache.  General body aches for days following vaccine.
Age: 28.0
Sex: F
Vaccine: TDAP
Symptoms: Influenza like illness, Nausea, Pain
Clinical narrative: Very sore arm, entire body soreness the next day, nausea, flu like symptoms, arm soreness from left deltoid to wrist lasting for approximately 1 week.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Swelling
Clinical narrative: Patient came to be seen in the office because of left upper arm redness and swelling.
Age: 35.0
Sex: M
Vaccine: SMALL
Symptoms: Fatigue, Injection site erythema, Injection site hypersensitivity, Injection site oedema, Lymphadenopathy
Clinical narrative: On post-vaccination day #9, patient reported to my clinic with complaints of mild fatigue and localized itching.  He also exhibited moderate errythema/edema extending anteriorly and medially from the innoculation site and into the axillae.  Tender lympadenopathy was also discovered.  His symptoms decreased and susbequently resolved over the next 48 hours.
Age: 35.0
Sex: M
Vaccine: SMALL
Symptoms: Pruritus
Clinical narrative: On post-vaccination day #9, patient reported to my clinic with complaints of mild fatigue and localized itching.  He also exhibited moderate errythema/edema extending anteriorly and medially from the innoculation site and into the axillae.  Tender lympadenopathy was also discovered.  His symptoms decreased and susbequently resolved over the next 48 hours.
Age: 15.0
Sex: F
Vaccine: HEPA, TDAP
Symptoms: Face oedema, Tongue oedema, Urticaria
Clinical narrative: 1 hr post injection hives 2 hours swollen lips and tongue.
Age: 0.36
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Diarrhoea, Pyrexia, Vomiting
Clinical narrative: Went to emergency room with fever and vomiting on Wednesday 8/9/06.  Treated with IV hydration in ER.  Child had diarrhea 3 times on THursday 8/10/06.
Age: 0.34
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Convulsion, Movement disorder
Clinical narrative: 1. Seizures approximately 30 hrs. after immunizations not febrile 2. No PH seizures 3. Normal neuro No reaction to previous vaccines at age 2 mo. 10/13/06-DC Summary for DOS 8/29-8/31/06. DC DX: Movement disorder Presented to PCP office with "jerking episodes", received vaccine 1-2 days prior to presentation. Irritable following vaccines, low grade fevers. Noted to have episodes of "leg flexion and arm flexion with eyes being shut tightly.". Each episode lasted a few seconds at a time and would have 2-3 episode at home approximately 10 minutes apart.  Exam on admission" WNL. Hospital course: No further jerking episodes during stay. Thought that patient had a possible "movement disorder", no underlying etiology was ever identified.
Age: 0.54
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Crying, Injection site erythema
Clinical narrative: Mother returned with pt stating that pt had been crying for about 30 min she thought that he was hunger and tryed to nurse him but he would not feed he had worked up a sweat so she removed his pants and saw that his leg were the inj had been placed was red so she came back to the office. Pt was given tylenol and benadryl the redness went away and pt fell a sleep.
Age: 27.0
Sex: F
Vaccine: MMR, TYP, YF
Symptoms: Decreased appetite, Headache, Hyperhidrosis, Lymphadenopathy, Pain
Clinical narrative: Within 3 days after immunized, developed sweats, fever, body aches in muscles, decreased appetite, headache to look around and a rash over legs and trunk. On exam has five thinly distributed papular rash and subauricular adenopathy feeling better by 12 days after shots.
Age: 27.0
Sex: F
Vaccine: MMR, TYP, YF
Symptoms: Pyrexia, Rash papular
Clinical narrative: Within 3 days after immunized, developed sweats, fever, body aches in muscles, decreased appetite, headache to look around and a rash over legs and trunk. On exam has five thinly distributed papular rash and subauricular adenopathy feeling better by 12 days after shots.
Age: 0.3
Sex: F
Vaccine: DTAPHEPBIP
Symptoms: Convulsion
Clinical narrative: This case was reported by a physician and described the occurrence of seizure in a 4 month old female subject who was vaccinated with diphtheria and tetanus toxoids and acellular pertussis vaccine absorbed, hepatitis B recombinant and inactivated poliovirus vaccine combined for prophylaxis. The subject's medical history, concurrent conditions and concurrent medications were not known. The physician reported that she believes that the subject potentially had a urinary tract infection at the time of vaccination. In August 2006, the subject received the 2nd dose of Pediarix at 0.5ml. The lot number and expiration date were not reported. An unspecified amount of time following administration of Pediarix, in August 2006, the subject experienced a seizure and was hospitalized. The physicians felt that the subject potentially had a urinary tract infection at the time of Pediarix vaccination which could have been the cause of the seizure. In the physician's opinion, the event was not related to vaccination with Pediarix. The event resolved.
Age: 14.0
Sex: F
Vaccine: MNQ
Symptoms: Convulsion, Fall, Hypoxia, Loss of consciousness, Pallor
Clinical narrative: Pt fainted and fell to the floor. Recovered consciousness. Moved back to exam room. Pt lost consciousness again and had seizure activity lasting <30 seconds. Supplemental oxygen provided. Pt regained consciousness. Pt was pale during episodes. Taken to ER via ambulance.
Age: 14.0
Sex: F
Vaccine: MNQ
Symptoms: Syncope
Clinical narrative: Pt fainted and fell to the floor. Recovered consciousness. Moved back to exam room. Pt lost consciousness again and had seizure activity lasting <30 seconds. Supplemental oxygen provided. Pt regained consciousness. Pt was pale during episodes. Taken to ER via ambulance.
Sex: M
Vaccine: TDAP
Symptoms: Injection site pain, Injection site swelling
Clinical narrative: Significant swelling and pain left arm pit with pain radiating down left arm. No joint pain, no fever, took Tylenol after L IM Tdap. 8/24/06 took Tylenol to relieve pain.
Age: 5.0
Sex: F
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Anorexia, Feeling hot, Irritability, Nausea, Somnolence
Clinical narrative: Mother states child immediately began to feel groggy, nauseated, and vomited after shots, Mother states child felt feverish (not documented with thermometer) no appetite and cranky since receiving the immunizations. Mother did not take child for f/u at MD.
Age: 5.0
Sex: F
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Vomiting
Clinical narrative: Mother states child immediately began to feel groggy, nauseated, and vomited after shots, Mother states child felt feverish (not documented with thermometer) no appetite and cranky since receiving the immunizations. Mother did not take child for f/u at MD.
Age: 5.0
Sex: M
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Angioneurotic oedema, Face oedema, Injection site mass, Oedema peripheral, Pyrexia
Clinical narrative: Pt developed hives and mild angio edema of hard areas, face, lower extremities. H/o fever 102 24 hrs after vaccination.
Age: 5.0
Sex: M
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Urticaria
Clinical narrative: Pt developed hives and mild angio edema of hard areas, face, lower extremities. H/o fever 102 24 hrs after vaccination.