chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 62.0
Sex: F
Vaccine: FLUX
Symptoms: Dizziness, Fatigue, Myalgia, Nausea, Pallor
Clinical narrative: Chills, fever, nausea, diarrhea, dizziness, near fainting, sore muscles all over, sore skin all over, paleness, drainage and coughing, thirst, weakness, inability to sleep, bad dreams during periodic few minutes of sleep. Symptoms persisting after 20 hours are tiredness and weakness.
Age: 62.0
Sex: F
Vaccine: FLUX
Symptoms: Presyncope, Pyrexia, Thirst
Clinical narrative: Chills, fever, nausea, diarrhea, dizziness, near fainting, sore muscles all over, sore skin all over, paleness, drainage and coughing, thirst, weakness, inability to sleep, bad dreams during periodic few minutes of sleep. Symptoms persisting after 20 hours are tiredness and weakness.
Age: 48.0
Sex: F
Vaccine: FLU3
Symptoms: Mobility decreased, Musculoskeletal pain
Clinical narrative: Pt. had severe shoulder pain which effected her mobility in that arm, to the point of needing Cortisone injections. Luckily injections helped. Sought help from Ortho Doc.
Age: 4.0
Sex: F
Vaccine: HIBV
Symptoms: Injection site haemorrhage, Injection site pain, Injection site swelling, Weight bearing difficulty
Clinical narrative: Left leg swollen from thigh to ankle, pain with weight bearing, ecchymosis and petechiae
Age: 0.35
Sex: F
Vaccine: DTAPIPVHIB, PNC, RV5
Symptoms: Body temperature increased, Pyrexia
Clinical narrative: Mom reports she started running a fever around 11 am after receiving her vaccines. Her temp was up to 102.
Age: 12.0
Sex: F
Vaccine: MNQ, TDAP, VARCEL
Symptoms: Dry mouth, Lip dry, Nausea, Pallor, Syncope
Clinical narrative: 01/04/2011 pt received Tdap, Varicella and MCV4 and fainted after last injection (MCV4). Gave patient juice, crackers, sausage and pancakes. Patient had not had anything to eat since the night before.  Mouth and lips appeared dry.  Discharged patient at 10:00 AM patient was pale and nauseated with ambulation. Advised dad to take to ER for eval.  Spoke with dad at 11:10 AM dad stated patient was resting at home.  Spoke with dad at 4:19 PM dad states patient is eating fine and ambulating ok no futher signs and symptoms of reaction.  01/05/2011 at 1:30 PM spoke with mom to check on patient she stated patient is eating and ambulating but still getting pale and nauseated. Advised mom to call patients family physician to be seen, mom stated ok.
Age: 17.0
Sex: F
Vaccine: FLU3, HEPA, MNQ, TDAP, VARCEL
Symptoms: Body temperature increased, Dizziness, Malaise, Nausea, Pain
Clinical narrative: Mother reported that after receiving vaccines on 12/30/2010 daughter complained of dizziness, nausea, body aches, general malaise and low grade temperature 100 degrees (F) oral.
Age: 11.0
Sex: F
Vaccine: MNQ
Symptoms: Injection site erythema, Injection site pruritus, Vaccination site induration, Vaccination site swelling
Clinical narrative: PATIENT COMPLAINED OF RED ITCHY HARD SWELLING OF SIZE 7 INCHES BY 3 INCHES AT SITE OF VACCINATION ON UPPER ARM, ALMOST AFTER 2 DAYS OF RECEIVING MENACTRA VACCINE. WE WERE GOING TO TAKE PATIENT TO EMERGENCY ROOM, BUT TRIED BENADRYL ADVICED BY THE NURSE HOTLINE AND ITCH WENT AWAY AN HOUR AFTER GIVING 25 MG BENADRYL, 2 DAYS LATER THE REDNESS AND SWELLING HAD DECREASED. PATIENT HAS NEVER HAD ANY REACTION TO ANY VACCINE BEFORE. THUS THIS WAS UNUSUAL.
Age: 39.0
Sex: M
Vaccine: FLU3
Symptoms: Ataxia, Autonomic neuropathy, CSF test, Guillain-Barre syndrome, Neurological examination
Clinical narrative: Guillain-Barre syndrome  Progressive quadriparesis and severe posterior ganglionopathy with bilateral ataxia.
Age: 39.0
Sex: M
Vaccine: FLU3
Symptoms: Quadriparesis
Clinical narrative: Guillain-Barre syndrome  Progressive quadriparesis and severe posterior ganglionopathy with bilateral ataxia.
Age: 29.0
Sex: M
Vaccine: BCG
Symptoms: Arthropathy, Asthenia, Chills, Headache, Nausea
Clinical narrative: Strong Heavy Headache, strong nausea, joint weakness, constant chills.
Age: 4.0
Sex: M
Vaccine: DTPPHIB, FLU3
Symptoms: Erythema, Oedema peripheral, Skin warm
Clinical narrative: red warm swollen arm
Age: 1.17
Sex: M
Vaccine: DTAPIPVHIB, FLU3, HEPA, MMR, PNC, VARCEL
Symptoms: Injection site rash, Rash erythematous, Rash generalised
Clinical narrative: Following vaccine administration, client developed a generalized, flat, red rash. No itching noticed. No other adverse signs or symptoms noted. No behavior changes noted. Client was taken by parent to his health care provider per recommendation. No treatment required. Contacted parent at home at 4:00 PM for follow-up. Parent reported child doing fine and that rash was fading and more localized to the areas where vaccines were administered.
Age: 61.0
Sex: F
Vaccine: FLU3
Symptoms: Influenza, Influenza A virus test positive, Influenza like illness, Malaise
Clinical narrative: Flu-like symptoms.  Went to doctor.  He did "nose swab"  and diagnosed her with "Type A"  Influenza.  Is still not well.  Has had many flu shots with no side effects and never got flu after receiving one.
Age: 69.0
Sex: M
Vaccine: FLUX
Symptoms: Immediate post-injection reaction, Myalgia, Myositis, Pain in extremity, Tendonitis
Clinical narrative: Immediate pain in forearm of left arm.  Shot administered in deltoid in that arm.  Pain has not subsided and has expanded further including tendonitis and muscle pain.
Age: 4.0
Sex: M
Vaccine: DTAPIPV, MMRV
Symptoms: Herpes zoster
Clinical narrative: varicella zoster left hand and arm pt has had VZVx2, no h/o varicella disease
Age: 62.0
Sex: F
Vaccine: FLU3
Symptoms: Palatal oedema, Pharyngeal oedema
Clinical narrative: severe swelling of throat and uvula; almost blocked;
Age: 12.0
Sex: F
Vaccine: VARCEL
Symptoms: Vomiting
Clinical narrative: severe vomiting for one hour
Age: 80.0
Sex: M
Vaccine: FLU3
Symptoms: Unevaluable event
Clinical narrative: None stated.
Age: 60.0
Sex: M
Vaccine: RAB
Symptoms: Acute disseminated encephalomyelitis, Antibody test positive, Balance disorder, CSF culture negative, CSF oligoclonal band present
Clinical narrative: Initial report was received from health care professional on 19 Oct 2010: This patient with medical history of hypertension was vaccinated with RABIPUR (batch number unknown) 2 ml, intramuscular, in upper arm deltoid in Aug 2010 (date unspecified). The patient experienced demyelinating disease recently and hospitalized in Aug 2010. The patient had paralysis. The disease reason was unknown, the treating physician considered paralysis as suspected to be related with vaccines. Follow up information received from center of disease control on 24 Dec 2010: The patient was bitten on right heel by a dog on 08 Jul 2010 and presented with bleeding from the wound (grade 3 exposure). The patient was vaccinated with one injection of RABIPUR (batch number 1775) on 08 Jul 2010 after informed consent. The patient did not agree to get vaccinated with immunoglobulin. The patient also received next four doses of RABIPUR with last dose on 05 Aug 2010. The patient complained of fatigue during the period of complete vaccination schedule but no other uncomfortable symptoms were reported. Rabies antibody was found to be positive when tested by CDC in the mid of Aug 2010. The patient felt sudden dizziness and presented with vague articulation and right upper limb weakness on 20 Aug 2010. The patient was admitted in hospital on 21 Aug 2010 for cerebral infarction. The patient went to another hospital to identify the cause of disease on 13 Sep 2010 and 22 Oct 2010. Cerebrospinal fluid oligoclonal bands (CSF-OB) were found to be positive on 16 Sep 2010 and 26 Oct 2010 while fungal culture of CSF was negative. MRI done on 05 Nov 2010 revealed multiple bilateral sub cortical abnormal signals. Based on MRI results, acute disseminated encephalomyelitis (ADEM) with demyelinating activity was considered with great possibility. After hospitalization, the patient was treated with symptomatic treatment, such as neurotrophic, hormones, etc. The patient was discharged on 18 Nov 2010 with diagnosis of acute disseminated encephalomyelitis. The patient's status at the time of discharge was reported as mild dizziness, clear consciousness, decreased memory and computing ability, fall orientation, mild left gaze palsy for both eyes (the level of tremor in both eyes), normal limb muscle strength and muscle tone. Sometime the patient was still unconsciousness and had incontinence. The patient was walking with other's help at the time of reporting.
Age: 60.0
Sex: M
Vaccine: RAB
Symptoms: Cerebral infarction, Cognitive disorder, Demyelination, Disorientation, Dizziness
Clinical narrative: Initial report was received from health care professional on 19 Oct 2010: This patient with medical history of hypertension was vaccinated with RABIPUR (batch number unknown) 2 ml, intramuscular, in upper arm deltoid in Aug 2010 (date unspecified). The patient experienced demyelinating disease recently and hospitalized in Aug 2010. The patient had paralysis. The disease reason was unknown, the treating physician considered paralysis as suspected to be related with vaccines. Follow up information received from center of disease control on 24 Dec 2010: The patient was bitten on right heel by a dog on 08 Jul 2010 and presented with bleeding from the wound (grade 3 exposure). The patient was vaccinated with one injection of RABIPUR (batch number 1775) on 08 Jul 2010 after informed consent. The patient did not agree to get vaccinated with immunoglobulin. The patient also received next four doses of RABIPUR with last dose on 05 Aug 2010. The patient complained of fatigue during the period of complete vaccination schedule but no other uncomfortable symptoms were reported. Rabies antibody was found to be positive when tested by CDC in the mid of Aug 2010. The patient felt sudden dizziness and presented with vague articulation and right upper limb weakness on 20 Aug 2010. The patient was admitted in hospital on 21 Aug 2010 for cerebral infarction. The patient went to another hospital to identify the cause of disease on 13 Sep 2010 and 22 Oct 2010. Cerebrospinal fluid oligoclonal bands (CSF-OB) were found to be positive on 16 Sep 2010 and 26 Oct 2010 while fungal culture of CSF was negative. MRI done on 05 Nov 2010 revealed multiple bilateral sub cortical abnormal signals. Based on MRI results, acute disseminated encephalomyelitis (ADEM) with demyelinating activity was considered with great possibility. After hospitalization, the patient was treated with symptomatic treatment, such as neurotrophic, hormones, etc. The patient was discharged on 18 Nov 2010 with diagnosis of acute disseminated encephalomyelitis. The patient's status at the time of discharge was reported as mild dizziness, clear consciousness, decreased memory and computing ability, fall orientation, mild left gaze palsy for both eyes (the level of tremor in both eyes), normal limb muscle strength and muscle tone. Sometime the patient was still unconsciousness and had incontinence. The patient was walking with other's help at the time of reporting.
Age: 60.0
Sex: M
Vaccine: RAB
Symptoms: Dysarthria, Fatigue, Gaze palsy, Incontinence, Loss of consciousness
Clinical narrative: Initial report was received from health care professional on 19 Oct 2010: This patient with medical history of hypertension was vaccinated with RABIPUR (batch number unknown) 2 ml, intramuscular, in upper arm deltoid in Aug 2010 (date unspecified). The patient experienced demyelinating disease recently and hospitalized in Aug 2010. The patient had paralysis. The disease reason was unknown, the treating physician considered paralysis as suspected to be related with vaccines. Follow up information received from center of disease control on 24 Dec 2010: The patient was bitten on right heel by a dog on 08 Jul 2010 and presented with bleeding from the wound (grade 3 exposure). The patient was vaccinated with one injection of RABIPUR (batch number 1775) on 08 Jul 2010 after informed consent. The patient did not agree to get vaccinated with immunoglobulin. The patient also received next four doses of RABIPUR with last dose on 05 Aug 2010. The patient complained of fatigue during the period of complete vaccination schedule but no other uncomfortable symptoms were reported. Rabies antibody was found to be positive when tested by CDC in the mid of Aug 2010. The patient felt sudden dizziness and presented with vague articulation and right upper limb weakness on 20 Aug 2010. The patient was admitted in hospital on 21 Aug 2010 for cerebral infarction. The patient went to another hospital to identify the cause of disease on 13 Sep 2010 and 22 Oct 2010. Cerebrospinal fluid oligoclonal bands (CSF-OB) were found to be positive on 16 Sep 2010 and 26 Oct 2010 while fungal culture of CSF was negative. MRI done on 05 Nov 2010 revealed multiple bilateral sub cortical abnormal signals. Based on MRI results, acute disseminated encephalomyelitis (ADEM) with demyelinating activity was considered with great possibility. After hospitalization, the patient was treated with symptomatic treatment, such as neurotrophic, hormones, etc. The patient was discharged on 18 Nov 2010 with diagnosis of acute disseminated encephalomyelitis. The patient's status at the time of discharge was reported as mild dizziness, clear consciousness, decreased memory and computing ability, fall orientation, mild left gaze palsy for both eyes (the level of tremor in both eyes), normal limb muscle strength and muscle tone. Sometime the patient was still unconsciousness and had incontinence. The patient was walking with other's help at the time of reporting.
Age: 60.0
Sex: M
Vaccine: RAB
Symptoms: Memory impairment, Muscular weakness, Nuclear magnetic resonance imaging brain abnormal, Paralysis
Clinical narrative: Initial report was received from health care professional on 19 Oct 2010: This patient with medical history of hypertension was vaccinated with RABIPUR (batch number unknown) 2 ml, intramuscular, in upper arm deltoid in Aug 2010 (date unspecified). The patient experienced demyelinating disease recently and hospitalized in Aug 2010. The patient had paralysis. The disease reason was unknown, the treating physician considered paralysis as suspected to be related with vaccines. Follow up information received from center of disease control on 24 Dec 2010: The patient was bitten on right heel by a dog on 08 Jul 2010 and presented with bleeding from the wound (grade 3 exposure). The patient was vaccinated with one injection of RABIPUR (batch number 1775) on 08 Jul 2010 after informed consent. The patient did not agree to get vaccinated with immunoglobulin. The patient also received next four doses of RABIPUR with last dose on 05 Aug 2010. The patient complained of fatigue during the period of complete vaccination schedule but no other uncomfortable symptoms were reported. Rabies antibody was found to be positive when tested by CDC in the mid of Aug 2010. The patient felt sudden dizziness and presented with vague articulation and right upper limb weakness on 20 Aug 2010. The patient was admitted in hospital on 21 Aug 2010 for cerebral infarction. The patient went to another hospital to identify the cause of disease on 13 Sep 2010 and 22 Oct 2010. Cerebrospinal fluid oligoclonal bands (CSF-OB) were found to be positive on 16 Sep 2010 and 26 Oct 2010 while fungal culture of CSF was negative. MRI done on 05 Nov 2010 revealed multiple bilateral sub cortical abnormal signals. Based on MRI results, acute disseminated encephalomyelitis (ADEM) with demyelinating activity was considered with great possibility. After hospitalization, the patient was treated with symptomatic treatment, such as neurotrophic, hormones, etc. The patient was discharged on 18 Nov 2010 with diagnosis of acute disseminated encephalomyelitis. The patient's status at the time of discharge was reported as mild dizziness, clear consciousness, decreased memory and computing ability, fall orientation, mild left gaze palsy for both eyes (the level of tremor in both eyes), normal limb muscle strength and muscle tone. Sometime the patient was still unconsciousness and had incontinence. The patient was walking with other's help at the time of reporting.
Age: 1.27
Sex: M
Vaccine: DTAPIPVHIB, PNC13
Symptoms: Febrile convulsion
Clinical narrative: Mother called to report that pt had a febrile seizure at approximately midnight on 1/4/11. Was taken to ED and discharged with Ibuprofen Q 6HR for 2 days.
Age: 0.97
Sex: F
Vaccine: FLU3
Symptoms: Death
Clinical narrative: Details unknown. I was notified by agency that pt expired 12/31/10.
Age: 47.0
Sex: F
Vaccine: FLU3
Symptoms: Nausea, Pain, Pruritus, Rash, Vomiting
Clinical narrative: Itching, body pain, nausea, vomiting, rashes.
Age: 32.0
Sex: F
Vaccine: FLU3
Symptoms: Oedema peripheral, Pain in extremity
Clinical narrative: Swelling & pain in ring finger.
Age: 56.0
Sex: F
Vaccine: FLU3
Symptoms: Chills, Ocular hyperaemia, Sensation of foreign body
Clinical narrative: Chills, red eyes, lump in throat.
Age: 56.0
Sex: F
Vaccine: FLU3
Symptoms: Back pain
Clinical narrative: Back pain, put on medication: PERCOCET & NAPROSYN.
Age: 44.0
Sex: F
Vaccine: FLU3
Symptoms: Chest discomfort, Ocular hyperaemia, Sensation of foreign body
Clinical narrative: Tightness in chest, lump in throat, red eyes.
Age: 66.0
Sex: M
Vaccine: FLU3
Symptoms: Drug administered at inappropriate site, Inappropriate schedule of drug administration, Pain in extremity
Clinical narrative: Pt received a flu shot on 9/23/10 and called in on 10/29/10 to report that shot was given high in arm and had pain in arm. His doctor asked for another shot to be given. This was done. Spoke to pt on 1/4/11 and conts to have pain in arm - possible surgery - has been on steroids x 2.
Age: 48.0
Sex: F
Vaccine: FLU3
Symptoms: Influenza, Influenza A virus test positive
Clinical narrative: Pt had flu shot 10/2/10 and got the flu - taken to hospital 11/3/10 and cultured Type A flu. Husband called in to report that Health Dept will reculture sent vaccine info by e-mail to family.
Age: 64.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site atrophy, Injection site pain
Clinical narrative: Has site soreness and dimpling 1 month after shot.
Age: 4.0
Sex: M
Vaccine: FLU3, PNC13
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Right upper leg swollen, red and warm to touch.
Age: 4.0
Sex: M
Vaccine: FLU3, HEPA, PNC13
Symptoms: Injection site erythema
Clinical narrative: Erythema area, 75cm x 64cm in (R) deltoid area (24 hr. in duration) Rx: cool compresses & Ibuprofen.
Age: 1.06
Sex: F
Vaccine: DTAP, HEPA, HIBV, MMR, PNC13, VARCEL
Symptoms: Injection site erythema, Injection site rash, Injection site swelling, Pyrexia, Rash
Clinical narrative: On Dec 24 mother noted fever of 100 at 8:00A - shortly after noticed raised red rash on both legs - no apparent itching. Rash became worse over next 2 days & spread to thighs, feet, forearms & face. No further fever after 1st day. No other family members symptomatic. Advised to consult PCP. 1/5/11 child recovered w/o physician exam or treatment - per mother.
Age: 1.26
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Blister, Skin lesion
Clinical narrative: Pt with vesicular lesions x 3 beginning 1/1/11 over 1/4/11.
Age: 27.0
Sex: M
Vaccine: TYP
Symptoms: Blood test, Dyspnoea, Eye pruritus, Eye swelling, Hypersensitivity
Clinical narrative: 35 y/o pt reports allergic reaction to Typhoid ViCPS vaccine x 2. His immunization records have been lost, but he states that the 1st allergic reaction occurred in Jan 2001, prior to his deployment on 16 SEP 2001. He received Typhoid ViCPS, MMR, & Hepatitis (can't remember if A or B) at the same time and denies any difficulty breathing or swallowing, hives, angioedema in the first 3 hours after immunization. He reports local soreness, erythema the size of a nickel and itching at the injection site at 24 hrs post vaccination. He reports chills, body ache and a fever of 104F x 48-72 hrs. He went to Sick Call and was given TYLENOL and MOTRIN. His second, and more concerning allergic reaction to Typhoid ViCPS occurred in JAN of 2003. He did not received any other vaccines at the same time, as with his first episode. He denies febrile or viral illness (GI- no N, V, D- or respiratory sx) up to 6 weeks prior to receipt of his second Typhoid ViCPS. He remembers getting the vaccine around 3PM in the afternoon and had an early dinner and went to bed. He woke up around 04:00AM and noticed that his face was swollen and his eyes were swollen, itchy, & tearing; he also was having difficulty breathing. His wife told him he had hives, but he does not remember where. By that afternoon he developed a fever of 104F, which lasted x 6-7 days, despite three visits to the ER, where they initially treated him with (2) doses of IM BENADRYL 50 mg, with mild relief of his facial & periorbital swelling. The drew blood (CBC w/diff ?); but he does not think that blood cx were drawn. They gave him MOTRIN & TYLENOL for fever, which would go down, but come back up to 104F. He was referred to another ER after (3) visits to his local ER. He says that the whole process was repeated at 2nd ER. They drew blood, but he doubts that blood cx were drawn. They treated his fever with high dose MOTRIN, alternated with TYLENOL 1000mg every 4-6 hours and made him bathe in a cool tub of water. He continued taking MOTRIN and TYLENOL at home, as well as cold showers. His fever eventually broke after 6 or 7 days. To his knowledge no other infectious source was identified for his high fevers. The pt is now preparing to deploy on 15JAN10 and he is required to receive another Typhoid ViCPS vaccine. SRC referred himto Vaccine Healthcare Center for Vaccine Causality Assessment and Recommendations regarding receipt of continued doses of the Typhoid ViCPS.
Age: 27.0
Sex: M
Vaccine: TYP
Symptoms: Lacrimation increased, Pyrexia, Swelling face, Urticaria, Vaccine positive rechallenge
Clinical narrative: 35 y/o pt reports allergic reaction to Typhoid ViCPS vaccine x 2. His immunization records have been lost, but he states that the 1st allergic reaction occurred in Jan 2001, prior to his deployment on 16 SEP 2001. He received Typhoid ViCPS, MMR, & Hepatitis (can't remember if A or B) at the same time and denies any difficulty breathing or swallowing, hives, angioedema in the first 3 hours after immunization. He reports local soreness, erythema the size of a nickel and itching at the injection site at 24 hrs post vaccination. He reports chills, body ache and a fever of 104F x 48-72 hrs. He went to Sick Call and was given TYLENOL and MOTRIN. His second, and more concerning allergic reaction to Typhoid ViCPS occurred in JAN of 2003. He did not received any other vaccines at the same time, as with his first episode. He denies febrile or viral illness (GI- no N, V, D- or respiratory sx) up to 6 weeks prior to receipt of his second Typhoid ViCPS. He remembers getting the vaccine around 3PM in the afternoon and had an early dinner and went to bed. He woke up around 04:00AM and noticed that his face was swollen and his eyes were swollen, itchy, & tearing; he also was having difficulty breathing. His wife told him he had hives, but he does not remember where. By that afternoon he developed a fever of 104F, which lasted x 6-7 days, despite three visits to the ER, where they initially treated him with (2) doses of IM BENADRYL 50 mg, with mild relief of his facial & periorbital swelling. The drew blood (CBC w/diff ?); but he does not think that blood cx were drawn. They gave him MOTRIN & TYLENOL for fever, which would go down, but come back up to 104F. He was referred to another ER after (3) visits to his local ER. He says that the whole process was repeated at 2nd ER. They drew blood, but he doubts that blood cx were drawn. They treated his fever with high dose MOTRIN, alternated with TYLENOL 1000mg every 4-6 hours and made him bathe in a cool tub of water. He continued taking MOTRIN and TYLENOL at home, as well as cold showers. His fever eventually broke after 6 or 7 days. To his knowledge no other infectious source was identified for his high fevers. The pt is now preparing to deploy on 15JAN10 and he is required to receive another Typhoid ViCPS vaccine. SRC referred himto Vaccine Healthcare Center for Vaccine Causality Assessment and Recommendations regarding receipt of continued doses of the Typhoid ViCPS.
Age: 7.0
Sex: F
Vaccine: DTAP, IPV
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Redness & hives-like swelling at and around injection site (L) deltoid developed within 10 min. of receiving injection. Dr. was notified and examined child. Ordered BENADRYL 2 tsp. Parent instructed to apply ice and repeat BENADRYL in am if swelling present. Father called 1-4-11 -> reaction resolved; no further problems.
Age: 6.0
Sex: M
Vaccine: DTAP, VARCEL
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Immunizations on 1/3/11 DTAP # 5 & VARIVAX # 2 (L) arm. Began 1/4/11 with redness & swelling of (L) arm from shoulder to elbow. Seen in office 1/5/11 am with MD.
Age: 0.18
Sex: F
Vaccine: HEP
Symptoms: Eye swelling, Oedema, Oedema peripheral, Urticaria
Clinical narrative: Urticaria, gross swelling/edema on eyes, hands, and feet.
Age: 32.0
Sex: M
Vaccine: TDAP
Symptoms: Arthralgia, Dyspnoea, Epistaxis, Headache, Inflammation
Clinical narrative: Headache, sinus pressure, dyspnea, runny nose, inflamed, red/mucus pockets, cervical lymph nodes swollen, joint pain.
Age: 32.0
Sex: M
Vaccine: TDAP
Symptoms: Lymphadenopathy, Rhinorrhoea, Sinus headache
Clinical narrative: Headache, sinus pressure, dyspnea, runny nose, inflamed, red/mucus pockets, cervical lymph nodes swollen, joint pain.
Age: 12.0
Sex: F
Vaccine: FLUN3, HEP, HEPA, HPV4, MNQ
Symptoms: Loss of consciousness
Clinical narrative: 5 minutes after vaccines administration, patient passed out.
Age: 49.0
Sex: F
Vaccine: FLU3
Symptoms: Erythema, Swelling
Clinical narrative: Patient chief complaint was redness (swelling).
Age: 74.0
Sex: F
Vaccine: FLU3
Symptoms: Erythema, Swelling
Clinical narrative: Redness swelling.
Age: 1.08
Sex: M
Vaccine: DTAPIPVHIB, MMR, PNC13, VARCEL
Symptoms: Injection site rash, Platelet count, Pyrexia, Rash generalised, Rash pruritic
Clinical narrative: Fever started 12-30-10 x 1 day. Rash started on abdomen on 1-1-11 and has no spread all over body with itching. Pt was treated with BENADRYL Elixir and sent to lab to have platelet count.
Age: 65.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Injected limb mobility decreased, Pain in extremity
Clinical narrative: Patient called around 1pm on 1/5/11 and complained that her both arms still feel painful since 1/2 vaccinated. Especially the right arm. She feels dull pain & hard to lift even she took tramadol. We suggested to check with Dr.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Herpes zoster
Clinical narrative: Second year patient was diagnosed with shingles in a row - 12/22/10 - shingles - treatment Acyclovir 2/28/10 - varicella - treatment Acyclovir.
Age: 26.0
Sex: M
Vaccine: ANTH
Symptoms: Angiogram, Antibody test negative, Antinuclear antibody negative, Asthenia, Blood albumin decreased
Clinical narrative: Received AVA 12/7/2009 c/o fever, ha, nasal/chest congestion, malaise resolving with MUCINEX and TYLENOL 2 days later. In Jan 2010 c/o 4 days mid sternal chest pain worse w/cough, breathing and supine. Unsure if before or after H1N1 IM vaccine. Self treated with NSAID x4day before resolving. Med Records show treated for pharyngitis on PCNVK sometime in Jan 2010. Pt traveled Jan-Mar 2010 c/o URI, fatigue, subjective fevers prn. On prophylactic doxycycline. Tx 3/30/10 for strep throat (GAS +) and c/o SOB, fever, cold sweats, pain left arm w/numbness x 12 hr easing with MOTRIN. No medical care for chest pain, only ST. Approximately 5/21/2010 he was awakened again about 3 am with another episode of chest pain (similar to above). However this pain caused him to "pass out" (pain made him drop to knees, blurry vision, weak). He advised positional changes did not affect his pain. He was taken by ambulance to a nearby ER being treated with IV TORADOL, DILAUDID, NTG SL and INDOCIN. His physical exam was normal with cardiology noting a possible faint pericardial rub. He was admitted for 5 days with diffuse ST elevation on EKG in peripheral leads, a negative echo for effusion/wall motion abnormalities and EF60%, and a negative CTA for dissection. Cardiac lab studies, including Troponin levels, were normal. ESR was elevated at 41. His diagnosis was pericarditis and HTN. He was readmitted 8/28/10, 9/22/10 with cyclic fevers, headaches, chest pain, fatigue, etc. Rheumatology eval neg. As of 12/7/2010, he continued to experience sharp anterior chest pains about every 2 weeks lasting 2 days with fevers of 103 degree F. He treats with VICODIN for pain/sleep and takes colchicine 0.6 mg BID regularly and MOTRIN TID only with flares. Cardiology instructed him to take MOTRIN 800 mg 4 times a day with current medications and then to go to ER with next flare for echo and evaluation for pericardial fluid (consider pericardiocentesis or biopsy).
Age: 26.0
Sex: M
Vaccine: ANTH
Symptoms: Blood immunoglobulin G normal, Blood magnesium normal, Blood phosphorus normal, Blood thyroid stimulating hormone normal, Borrelia test
Clinical narrative: Received AVA 12/7/2009 c/o fever, ha, nasal/chest congestion, malaise resolving with MUCINEX and TYLENOL 2 days later. In Jan 2010 c/o 4 days mid sternal chest pain worse w/cough, breathing and supine. Unsure if before or after H1N1 IM vaccine. Self treated with NSAID x4day before resolving. Med Records show treated for pharyngitis on PCNVK sometime in Jan 2010. Pt traveled Jan-Mar 2010 c/o URI, fatigue, subjective fevers prn. On prophylactic doxycycline. Tx 3/30/10 for strep throat (GAS +) and c/o SOB, fever, cold sweats, pain left arm w/numbness x 12 hr easing with MOTRIN. No medical care for chest pain, only ST. Approximately 5/21/2010 he was awakened again about 3 am with another episode of chest pain (similar to above). However this pain caused him to "pass out" (pain made him drop to knees, blurry vision, weak). He advised positional changes did not affect his pain. He was taken by ambulance to a nearby ER being treated with IV TORADOL, DILAUDID, NTG SL and INDOCIN. His physical exam was normal with cardiology noting a possible faint pericardial rub. He was admitted for 5 days with diffuse ST elevation on EKG in peripheral leads, a negative echo for effusion/wall motion abnormalities and EF60%, and a negative CTA for dissection. Cardiac lab studies, including Troponin levels, were normal. ESR was elevated at 41. His diagnosis was pericarditis and HTN. He was readmitted 8/28/10, 9/22/10 with cyclic fevers, headaches, chest pain, fatigue, etc. Rheumatology eval neg. As of 12/7/2010, he continued to experience sharp anterior chest pains about every 2 weeks lasting 2 days with fevers of 103 degree F. He treats with VICODIN for pain/sleep and takes colchicine 0.6 mg BID regularly and MOTRIN TID only with flares. Cardiology instructed him to take MOTRIN 800 mg 4 times a day with current medications and then to go to ER with next flare for echo and evaluation for pericardial fluid (consider pericardiocentesis or biopsy).
Age: 26.0
Sex: M
Vaccine: ANTH
Symptoms: Cardiac function test normal, Chest pain, Cold sweat, Cough, Cytomegalovirus test negative
Clinical narrative: Received AVA 12/7/2009 c/o fever, ha, nasal/chest congestion, malaise resolving with MUCINEX and TYLENOL 2 days later. In Jan 2010 c/o 4 days mid sternal chest pain worse w/cough, breathing and supine. Unsure if before or after H1N1 IM vaccine. Self treated with NSAID x4day before resolving. Med Records show treated for pharyngitis on PCNVK sometime in Jan 2010. Pt traveled Jan-Mar 2010 c/o URI, fatigue, subjective fevers prn. On prophylactic doxycycline. Tx 3/30/10 for strep throat (GAS +) and c/o SOB, fever, cold sweats, pain left arm w/numbness x 12 hr easing with MOTRIN. No medical care for chest pain, only ST. Approximately 5/21/2010 he was awakened again about 3 am with another episode of chest pain (similar to above). However this pain caused him to "pass out" (pain made him drop to knees, blurry vision, weak). He advised positional changes did not affect his pain. He was taken by ambulance to a nearby ER being treated with IV TORADOL, DILAUDID, NTG SL and INDOCIN. His physical exam was normal with cardiology noting a possible faint pericardial rub. He was admitted for 5 days with diffuse ST elevation on EKG in peripheral leads, a negative echo for effusion/wall motion abnormalities and EF60%, and a negative CTA for dissection. Cardiac lab studies, including Troponin levels, were normal. ESR was elevated at 41. His diagnosis was pericarditis and HTN. He was readmitted 8/28/10, 9/22/10 with cyclic fevers, headaches, chest pain, fatigue, etc. Rheumatology eval neg. As of 12/7/2010, he continued to experience sharp anterior chest pains about every 2 weeks lasting 2 days with fevers of 103 degree F. He treats with VICODIN for pain/sleep and takes colchicine 0.6 mg BID regularly and MOTRIN TID only with flares. Cardiology instructed him to take MOTRIN 800 mg 4 times a day with current medications and then to go to ER with next flare for echo and evaluation for pericardial fluid (consider pericardiocentesis or biopsy).
Age: 26.0
Sex: M
Vaccine: ANTH
Symptoms: Dyspnoea, Echocardiogram normal, Electrocardiogram ST segment elevation, Electrophoresis protein abnormal, Epstein-Barr virus test negative
Clinical narrative: Received AVA 12/7/2009 c/o fever, ha, nasal/chest congestion, malaise resolving with MUCINEX and TYLENOL 2 days later. In Jan 2010 c/o 4 days mid sternal chest pain worse w/cough, breathing and supine. Unsure if before or after H1N1 IM vaccine. Self treated with NSAID x4day before resolving. Med Records show treated for pharyngitis on PCNVK sometime in Jan 2010. Pt traveled Jan-Mar 2010 c/o URI, fatigue, subjective fevers prn. On prophylactic doxycycline. Tx 3/30/10 for strep throat (GAS +) and c/o SOB, fever, cold sweats, pain left arm w/numbness x 12 hr easing with MOTRIN. No medical care for chest pain, only ST. Approximately 5/21/2010 he was awakened again about 3 am with another episode of chest pain (similar to above). However this pain caused him to "pass out" (pain made him drop to knees, blurry vision, weak). He advised positional changes did not affect his pain. He was taken by ambulance to a nearby ER being treated with IV TORADOL, DILAUDID, NTG SL and INDOCIN. His physical exam was normal with cardiology noting a possible faint pericardial rub. He was admitted for 5 days with diffuse ST elevation on EKG in peripheral leads, a negative echo for effusion/wall motion abnormalities and EF60%, and a negative CTA for dissection. Cardiac lab studies, including Troponin levels, were normal. ESR was elevated at 41. His diagnosis was pericarditis and HTN. He was readmitted 8/28/10, 9/22/10 with cyclic fevers, headaches, chest pain, fatigue, etc. Rheumatology eval neg. As of 12/7/2010, he continued to experience sharp anterior chest pains about every 2 weeks lasting 2 days with fevers of 103 degree F. He treats with VICODIN for pain/sleep and takes colchicine 0.6 mg BID regularly and MOTRIN TID only with flares. Cardiology instructed him to take MOTRIN 800 mg 4 times a day with current medications and then to go to ER with next flare for echo and evaluation for pericardial fluid (consider pericardiocentesis or biopsy).
Age: 26.0
Sex: M
Vaccine: ANTH
Symptoms: Fatigue, HIV test negative, Haematocrit decreased, Haemoglobin increased, Headache
Clinical narrative: Received AVA 12/7/2009 c/o fever, ha, nasal/chest congestion, malaise resolving with MUCINEX and TYLENOL 2 days later. In Jan 2010 c/o 4 days mid sternal chest pain worse w/cough, breathing and supine. Unsure if before or after H1N1 IM vaccine. Self treated with NSAID x4day before resolving. Med Records show treated for pharyngitis on PCNVK sometime in Jan 2010. Pt traveled Jan-Mar 2010 c/o URI, fatigue, subjective fevers prn. On prophylactic doxycycline. Tx 3/30/10 for strep throat (GAS +) and c/o SOB, fever, cold sweats, pain left arm w/numbness x 12 hr easing with MOTRIN. No medical care for chest pain, only ST. Approximately 5/21/2010 he was awakened again about 3 am with another episode of chest pain (similar to above). However this pain caused him to "pass out" (pain made him drop to knees, blurry vision, weak). He advised positional changes did not affect his pain. He was taken by ambulance to a nearby ER being treated with IV TORADOL, DILAUDID, NTG SL and INDOCIN. His physical exam was normal with cardiology noting a possible faint pericardial rub. He was admitted for 5 days with diffuse ST elevation on EKG in peripheral leads, a negative echo for effusion/wall motion abnormalities and EF60%, and a negative CTA for dissection. Cardiac lab studies, including Troponin levels, were normal. ESR was elevated at 41. His diagnosis was pericarditis and HTN. He was readmitted 8/28/10, 9/22/10 with cyclic fevers, headaches, chest pain, fatigue, etc. Rheumatology eval neg. As of 12/7/2010, he continued to experience sharp anterior chest pains about every 2 weeks lasting 2 days with fevers of 103 degree F. He treats with VICODIN for pain/sleep and takes colchicine 0.6 mg BID regularly and MOTRIN TID only with flares. Cardiology instructed him to take MOTRIN 800 mg 4 times a day with current medications and then to go to ER with next flare for echo and evaluation for pericardial fluid (consider pericardiocentesis or biopsy).
Age: 26.0
Sex: M
Vaccine: ANTH
Symptoms: Hepatitis A virus test, Hepatitis B test negative, Hepatitis C test negative, Herpes simplex serology negative, Hypertension
Clinical narrative: Received AVA 12/7/2009 c/o fever, ha, nasal/chest congestion, malaise resolving with MUCINEX and TYLENOL 2 days later. In Jan 2010 c/o 4 days mid sternal chest pain worse w/cough, breathing and supine. Unsure if before or after H1N1 IM vaccine. Self treated with NSAID x4day before resolving. Med Records show treated for pharyngitis on PCNVK sometime in Jan 2010. Pt traveled Jan-Mar 2010 c/o URI, fatigue, subjective fevers prn. On prophylactic doxycycline. Tx 3/30/10 for strep throat (GAS +) and c/o SOB, fever, cold sweats, pain left arm w/numbness x 12 hr easing with MOTRIN. No medical care for chest pain, only ST. Approximately 5/21/2010 he was awakened again about 3 am with another episode of chest pain (similar to above). However this pain caused him to "pass out" (pain made him drop to knees, blurry vision, weak). He advised positional changes did not affect his pain. He was taken by ambulance to a nearby ER being treated with IV TORADOL, DILAUDID, NTG SL and INDOCIN. His physical exam was normal with cardiology noting a possible faint pericardial rub. He was admitted for 5 days with diffuse ST elevation on EKG in peripheral leads, a negative echo for effusion/wall motion abnormalities and EF60%, and a negative CTA for dissection. Cardiac lab studies, including Troponin levels, were normal. ESR was elevated at 41. His diagnosis was pericarditis and HTN. He was readmitted 8/28/10, 9/22/10 with cyclic fevers, headaches, chest pain, fatigue, etc. Rheumatology eval neg. As of 12/7/2010, he continued to experience sharp anterior chest pains about every 2 weeks lasting 2 days with fevers of 103 degree F. He treats with VICODIN for pain/sleep and takes colchicine 0.6 mg BID regularly and MOTRIN TID only with flares. Cardiology instructed him to take MOTRIN 800 mg 4 times a day with current medications and then to go to ER with next flare for echo and evaluation for pericardial fluid (consider pericardiocentesis or biopsy).
Age: 26.0
Sex: M
Vaccine: ANTH
Symptoms: Hypoaesthesia, Immunoglobulins decreased, Immunoglobulins increased, Immunoglobulins normal, Loss of consciousness
Clinical narrative: Received AVA 12/7/2009 c/o fever, ha, nasal/chest congestion, malaise resolving with MUCINEX and TYLENOL 2 days later. In Jan 2010 c/o 4 days mid sternal chest pain worse w/cough, breathing and supine. Unsure if before or after H1N1 IM vaccine. Self treated with NSAID x4day before resolving. Med Records show treated for pharyngitis on PCNVK sometime in Jan 2010. Pt traveled Jan-Mar 2010 c/o URI, fatigue, subjective fevers prn. On prophylactic doxycycline. Tx 3/30/10 for strep throat (GAS +) and c/o SOB, fever, cold sweats, pain left arm w/numbness x 12 hr easing with MOTRIN. No medical care for chest pain, only ST. Approximately 5/21/2010 he was awakened again about 3 am with another episode of chest pain (similar to above). However this pain caused him to "pass out" (pain made him drop to knees, blurry vision, weak). He advised positional changes did not affect his pain. He was taken by ambulance to a nearby ER being treated with IV TORADOL, DILAUDID, NTG SL and INDOCIN. His physical exam was normal with cardiology noting a possible faint pericardial rub. He was admitted for 5 days with diffuse ST elevation on EKG in peripheral leads, a negative echo for effusion/wall motion abnormalities and EF60%, and a negative CTA for dissection. Cardiac lab studies, including Troponin levels, were normal. ESR was elevated at 41. His diagnosis was pericarditis and HTN. He was readmitted 8/28/10, 9/22/10 with cyclic fevers, headaches, chest pain, fatigue, etc. Rheumatology eval neg. As of 12/7/2010, he continued to experience sharp anterior chest pains about every 2 weeks lasting 2 days with fevers of 103 degree F. He treats with VICODIN for pain/sleep and takes colchicine 0.6 mg BID regularly and MOTRIN TID only with flares. Cardiology instructed him to take MOTRIN 800 mg 4 times a day with current medications and then to go to ER with next flare for echo and evaluation for pericardial fluid (consider pericardiocentesis or biopsy).
Age: 26.0
Sex: M
Vaccine: ANTH
Symptoms: Lymphocyte percentage decreased, Malaise, Metabolic function test, Monocyte percentage increased, Nasal congestion
Clinical narrative: Received AVA 12/7/2009 c/o fever, ha, nasal/chest congestion, malaise resolving with MUCINEX and TYLENOL 2 days later. In Jan 2010 c/o 4 days mid sternal chest pain worse w/cough, breathing and supine. Unsure if before or after H1N1 IM vaccine. Self treated with NSAID x4day before resolving. Med Records show treated for pharyngitis on PCNVK sometime in Jan 2010. Pt traveled Jan-Mar 2010 c/o URI, fatigue, subjective fevers prn. On prophylactic doxycycline. Tx 3/30/10 for strep throat (GAS +) and c/o SOB, fever, cold sweats, pain left arm w/numbness x 12 hr easing with MOTRIN. No medical care for chest pain, only ST. Approximately 5/21/2010 he was awakened again about 3 am with another episode of chest pain (similar to above). However this pain caused him to "pass out" (pain made him drop to knees, blurry vision, weak). He advised positional changes did not affect his pain. He was taken by ambulance to a nearby ER being treated with IV TORADOL, DILAUDID, NTG SL and INDOCIN. His physical exam was normal with cardiology noting a possible faint pericardial rub. He was admitted for 5 days with diffuse ST elevation on EKG in peripheral leads, a negative echo for effusion/wall motion abnormalities and EF60%, and a negative CTA for dissection. Cardiac lab studies, including Troponin levels, were normal. ESR was elevated at 41. His diagnosis was pericarditis and HTN. He was readmitted 8/28/10, 9/22/10 with cyclic fevers, headaches, chest pain, fatigue, etc. Rheumatology eval neg. As of 12/7/2010, he continued to experience sharp anterior chest pains about every 2 weeks lasting 2 days with fevers of 103 degree F. He treats with VICODIN for pain/sleep and takes colchicine 0.6 mg BID regularly and MOTRIN TID only with flares. Cardiology instructed him to take MOTRIN 800 mg 4 times a day with current medications and then to go to ER with next flare for echo and evaluation for pericardial fluid (consider pericardiocentesis or biopsy).
Age: 26.0
Sex: M
Vaccine: ANTH
Symptoms: Neutrophil percentage increased, Pain in extremity, Pericarditis, Pharyngitis streptococcal, Platelet count increased
Clinical narrative: Received AVA 12/7/2009 c/o fever, ha, nasal/chest congestion, malaise resolving with MUCINEX and TYLENOL 2 days later. In Jan 2010 c/o 4 days mid sternal chest pain worse w/cough, breathing and supine. Unsure if before or after H1N1 IM vaccine. Self treated with NSAID x4day before resolving. Med Records show treated for pharyngitis on PCNVK sometime in Jan 2010. Pt traveled Jan-Mar 2010 c/o URI, fatigue, subjective fevers prn. On prophylactic doxycycline. Tx 3/30/10 for strep throat (GAS +) and c/o SOB, fever, cold sweats, pain left arm w/numbness x 12 hr easing with MOTRIN. No medical care for chest pain, only ST. Approximately 5/21/2010 he was awakened again about 3 am with another episode of chest pain (similar to above). However this pain caused him to "pass out" (pain made him drop to knees, blurry vision, weak). He advised positional changes did not affect his pain. He was taken by ambulance to a nearby ER being treated with IV TORADOL, DILAUDID, NTG SL and INDOCIN. His physical exam was normal with cardiology noting a possible faint pericardial rub. He was admitted for 5 days with diffuse ST elevation on EKG in peripheral leads, a negative echo for effusion/wall motion abnormalities and EF60%, and a negative CTA for dissection. Cardiac lab studies, including Troponin levels, were normal. ESR was elevated at 41. His diagnosis was pericarditis and HTN. He was readmitted 8/28/10, 9/22/10 with cyclic fevers, headaches, chest pain, fatigue, etc. Rheumatology eval neg. As of 12/7/2010, he continued to experience sharp anterior chest pains about every 2 weeks lasting 2 days with fevers of 103 degree F. He treats with VICODIN for pain/sleep and takes colchicine 0.6 mg BID regularly and MOTRIN TID only with flares. Cardiology instructed him to take MOTRIN 800 mg 4 times a day with current medications and then to go to ER with next flare for echo and evaluation for pericardial fluid (consider pericardiocentesis or biopsy).
Age: 26.0
Sex: M
Vaccine: ANTH
Symptoms: Protein total increased, Pyrexia, Red blood cell sedimentation rate increased, Respiratory tract congestion, Rheumatoid factor negative
Clinical narrative: Received AVA 12/7/2009 c/o fever, ha, nasal/chest congestion, malaise resolving with MUCINEX and TYLENOL 2 days later. In Jan 2010 c/o 4 days mid sternal chest pain worse w/cough, breathing and supine. Unsure if before or after H1N1 IM vaccine. Self treated with NSAID x4day before resolving. Med Records show treated for pharyngitis on PCNVK sometime in Jan 2010. Pt traveled Jan-Mar 2010 c/o URI, fatigue, subjective fevers prn. On prophylactic doxycycline. Tx 3/30/10 for strep throat (GAS +) and c/o SOB, fever, cold sweats, pain left arm w/numbness x 12 hr easing with MOTRIN. No medical care for chest pain, only ST. Approximately 5/21/2010 he was awakened again about 3 am with another episode of chest pain (similar to above). However this pain caused him to "pass out" (pain made him drop to knees, blurry vision, weak). He advised positional changes did not affect his pain. He was taken by ambulance to a nearby ER being treated with IV TORADOL, DILAUDID, NTG SL and INDOCIN. His physical exam was normal with cardiology noting a possible faint pericardial rub. He was admitted for 5 days with diffuse ST elevation on EKG in peripheral leads, a negative echo for effusion/wall motion abnormalities and EF60%, and a negative CTA for dissection. Cardiac lab studies, including Troponin levels, were normal. ESR was elevated at 41. His diagnosis was pericarditis and HTN. He was readmitted 8/28/10, 9/22/10 with cyclic fevers, headaches, chest pain, fatigue, etc. Rheumatology eval neg. As of 12/7/2010, he continued to experience sharp anterior chest pains about every 2 weeks lasting 2 days with fevers of 103 degree F. He treats with VICODIN for pain/sleep and takes colchicine 0.6 mg BID regularly and MOTRIN TID only with flares. Cardiology instructed him to take MOTRIN 800 mg 4 times a day with current medications and then to go to ER with next flare for echo and evaluation for pericardial fluid (consider pericardiocentesis or biopsy).