chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 69.0
Sex: M
Vaccine: PPV
Symptoms: Abdominal pain, Asthenia, Chills, Dyspnoea, Headache
Clinical narrative: Developed weakness, chills, shaking rigors, shortness of breath, lower abdominal cramping, headache and low grade fever about one hour after receiving pneumococcal vaccination.  The patient also developed induration and swelling at the injection site by day 2.  The patient was admitted to the hospital about 6 hours after vaccine was administered at patient's clinic.  He was placed on telemetry and treated with IV hydration, and ice packs to injection site.  Phosphorus was also replaced by IV.  Patient improved by day 2 and was released from hospital. 9/15/08-records received for DOS 9/2-9/3/08-DC DX: Pneumococcal vaccine adverse reaction, both local and systemic. Left upper arm induration and swelling secondary to Pneumovax. Transient thrombocytopenia, resolved. Admitted through ED with C/O low grade fever, chills, rigors and generalized weakness 1 hour after receiving vaccines.
Age: 69.0
Sex: M
Vaccine: PPV
Symptoms: Injection site induration, Injection site swelling, Pyrexia, Tremor
Clinical narrative: Developed weakness, chills, shaking rigors, shortness of breath, lower abdominal cramping, headache and low grade fever about one hour after receiving pneumococcal vaccination.  The patient also developed induration and swelling at the injection site by day 2.  The patient was admitted to the hospital about 6 hours after vaccine was administered at patient's clinic.  He was placed on telemetry and treated with IV hydration, and ice packs to injection site.  Phosphorus was also replaced by IV.  Patient improved by day 2 and was released from hospital. 9/15/08-records received for DOS 9/2-9/3/08-DC DX: Pneumococcal vaccine adverse reaction, both local and systemic. Left upper arm induration and swelling secondary to Pneumovax. Transient thrombocytopenia, resolved. Admitted through ED with C/O low grade fever, chills, rigors and generalized weakness 1 hour after receiving vaccines.
Age: 53.0
Sex: F
Vaccine: DTAP, PPV
Symptoms: Chest X-ray normal, Chills, Dehydration, Dizziness, Headache
Clinical narrative: I received a Dtap vaccine in my right arm and a pneumonia vaccine in my left (per facility) on Aug.22 The next day in the afternoon, I started feely a little fuish. By the following day, Sun., Aug. 24, I had a fever of 102, felt faint whenever I stood up, had the chills and the sweats, and became dehydrated.  I went to urgent care that day at 3:30...by then, my fever had broke, and my temp was down to 100 plus. I received two bags of saline to get rehydrated.  BP was very low, Chest x-ray was normal. I felt a little better after the saline, but had a slight fenver and Headache for another day.On the 24th, a rash appeared on my left arm.. it lasted about 4 days..my left arm was sor, the rash was about 1 inch by 2 inches wide.
Age: 53.0
Sex: F
Vaccine: DTAP, PPV
Symptoms: Hyperhidrosis, Hypotension, Influenza, Pain in extremity, Pyrexia
Clinical narrative: I received a Dtap vaccine in my right arm and a pneumonia vaccine in my left (per facility) on Aug.22 The next day in the afternoon, I started feely a little fuish. By the following day, Sun., Aug. 24, I had a fever of 102, felt faint whenever I stood up, had the chills and the sweats, and became dehydrated.  I went to urgent care that day at 3:30...by then, my fever had broke, and my temp was down to 100 plus. I received two bags of saline to get rehydrated.  BP was very low, Chest x-ray was normal. I felt a little better after the saline, but had a slight fenver and Headache for another day.On the 24th, a rash appeared on my left arm.. it lasted about 4 days..my left arm was sor, the rash was about 1 inch by 2 inches wide.
Age: 53.0
Sex: F
Vaccine: DTAP, PPV
Symptoms: Rash
Clinical narrative: I received a Dtap vaccine in my right arm and a pneumonia vaccine in my left (per facility) on Aug.22 The next day in the afternoon, I started feely a little fuish. By the following day, Sun., Aug. 24, I had a fever of 102, felt faint whenever I stood up, had the chills and the sweats, and became dehydrated.  I went to urgent care that day at 3:30...by then, my fever had broke, and my temp was down to 100 plus. I received two bags of saline to get rehydrated.  BP was very low, Chest x-ray was normal. I felt a little better after the saline, but had a slight fenver and Headache for another day.On the 24th, a rash appeared on my left arm.. it lasted about 4 days..my left arm was sor, the rash was about 1 inch by 2 inches wide.
Age: 40.0
Sex: F
Vaccine: HEP, TDAP
Symptoms: Chills, Injection site reaction, Malaise, Pyrexia, Tremor
Clinical narrative: 24-48 hours post vaccination of Tdap (r delt) and Hep B (left Delt) pt became feverish, 104 deg, shakes, chills, in bed with malaise. Artus reaction in Right arm. Pt self treated R arm with "Celestial Seasons" muscle balm, which made it worse-contained menthol.
Age: 40.0
Sex: F
Vaccine: HEP, TDAP
Symptoms: Type III immune complex mediated reaction
Clinical narrative: 24-48 hours post vaccination of Tdap (r delt) and Hep B (left Delt) pt became feverish, 104 deg, shakes, chills, in bed with malaise. Artus reaction in Right arm. Pt self treated R arm with "Celestial Seasons" muscle balm, which made it worse-contained menthol.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site swelling, Injection site vesicles, Injection site warmth
Clinical narrative: 8-20-08 - Late morning - redness, swollen, warm to the touch noted by parent.  8-21-08 early morning - increased redness, swollen, blisters.  Referred to ER for evaluation, recommended by ER for cool compress, ibuprofen.
Age: 1.08
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Full blood count normal, Immunoglobulins normal, Immunology test normal, Rash maculo-papular, Scab
Clinical narrative: Routine vaccination for varicella administered (6/19/2008).  No local reactions.  26 days after vaccination, he developed varicella.  This was a typical illness course, not mild.  Last lesion was crusted over by ten days.  After that, he developed a persistent sandpaper-like maculo papular eruption on the trunk and extremities that lasted another three weeks.  A household contact (cousin) started a mild clinical case of varicella 14 days after the onset of his chickenpox. The cousin had no complications.  There is no family history of immune deficiency in the index patient.  His own immune function tests are all normal.
Age: 1.08
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Secondary transmission, Skin lesion, Varicella post vaccine
Clinical narrative: Routine vaccination for varicella administered (6/19/2008).  No local reactions.  26 days after vaccination, he developed varicella.  This was a typical illness course, not mild.  Last lesion was crusted over by ten days.  After that, he developed a persistent sandpaper-like maculo papular eruption on the trunk and extremities that lasted another three weeks.  A household contact (cousin) started a mild clinical case of varicella 14 days after the onset of his chickenpox. The cousin had no complications.  There is no family history of immune deficiency in the index patient.  His own immune function tests are all normal.
Age: 0.17
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Diarrhoea, Irritability, Oral intake reduced, Vomiting
Clinical narrative: Emesis, watery diarrhea, fussiness, decreased oral intake day that he received Rotateq. Symptoms laster 2-3 days. No hospitalization or ED visit. No treatment necessary.
Age: 16.0
Sex: F
Vaccine: HPV4
Symptoms: Influenza like illness, Injection site pain, Lymphadenopathy, Malaise, Oral herpes
Clinical narrative: Within 24 hours my daughter felt really sick, similar to the flu. A small lymph node on her lower jaw area swelled up (appeared like a cyst under her jaw) and she got what appeared to be a large fever blister on her lip, only it didn't hurt. She has never had fever blisters (herpes simplex) before. Her symptoms lasted a few days. My daughter rarely gets very sick, even with common cold/flu, so this was very peculiar. Fortunately, the symptoms only occurred after her first shot, which she said hurt going in. The final two shots were not painful and she did not get sick. Gardasil.
Age: 18.0
Sex: M
Vaccine: HEPA, MNQ, TDAP
Symptoms: Depressed level of consciousness, Oxygen supplementation, Syncope
Clinical narrative: After receiving 3 immunizations, patient fainted in chair, was lowered to the floor and given oxygen. When he was not immediately arousable, 911 was called. After they assessed him, the decision was made to transport to the hospital.
Age: 32.0
Sex: F
Vaccine: HEPAB
Symptoms: Influenza like illness, Pyrexia, Urticaria
Clinical narrative: Pt called on 8/21/08 to report that following the administration of 2nd Hep A & Hep B vaccine, she was fine until the next morning. She then began running a fever and having flu-like symptoms. Developed hives from head to toe. Has had prior hx of hives but has not had them in several years. Was in the process of being treated by the family physician utilizing steroids. Pt's only other reaction to a vaccine was the oral typhoid in which she experienced diarrhea and stomach cramping.
Age: 14.0
Sex: M
Vaccine: TDAP
Symptoms: Lymphadenopathy, Oedema peripheral
Clinical narrative: Swollen upper arm started 24 hours after vaccination, swelling progressed to a large swelling of the upper armand peaked at 72 hours large, Axillary adenopathy by 24-48 hours, also peaked by 72 hours
Age: 1.0
Sex: F
Vaccine: FLU3, HEPA, MMR, VARCEL
Symptoms: Erythema multiforme
Clinical narrative: Erytheme multiforme minor
Age: 3.0
Sex: F
Vaccine: DTAP, HEPA
Symptoms: Injection site rash, Rash, Rash erythematous
Clinical narrative: Patient developed rash over site, as well as other areas of erythematous, patchy lesions over legs and arms. No truncal or oral involvement.
Age: 1.0
Sex: M
Vaccine: DTAP, HEP, IPV, MMR, VARCEL
Symptoms: Abasia, Allergy test positive, Anxiety, Balance disorder, Cold sweat
Clinical narrative: fevers, intermittent with cold and clammy sweating, became very restless, and was waking from sleep crying and distressed with intense abdominal heat and continual thrashing,severe diarrhea,distressed, restless, continual screaming and crying,swelling at injection site, refused food, very thirsty, severe rash with red spots spreading over entire body,urine smelled of strong ammonia odor, purple discoloration on penis,could not maintain previous ability to walk, lost balance and fell down continually,back arching/muscle jerking/rigidity, "staring off into space",hyperactivity, irritability, and low frustration tolerance,inability to sleep, Chemical Sensitivities, which continues to this day                                               "Head banging" on a daily basis, which has now finally discontinued except for occasionally.                                     "Arm flapping", which has gradually reduced, but continues to this day. Failure to respond to his name, which continues to this day. Failure to respond to direction or "No", which continues to this day. Failure to "Look us in the eye", which has gradually improved, but continues to this day. "Staring off into space", which has gradually improved, but continues to this day. Failure to interact with us, which has gradually improved. "Walking on his tip toes", which has gradually improved, but continues to this day. "Separation anxiety", which continues to this day. Loss of language skills, which continues to this day.                                                TREATMENTS: Thus far have consisted of casein free gluten free diet, allergy avoidance diet, nutritional support, homeopathic remedies.  Next goal is to schedule for diagnosis regarding autism spectrum disorders. Lab testing has demonstrated malabsorption, lack of intestinal flora, and multiple food allergies.
Age: 1.0
Sex: M
Vaccine: DTAP, HEP, IPV, MMR, VARCEL
Symptoms: Crying, Diarrhoea, Diet refusal, Disturbance in attention, Dyskinesia
Clinical narrative: fevers, intermittent with cold and clammy sweating, became very restless, and was waking from sleep crying and distressed with intense abdominal heat and continual thrashing,severe diarrhea,distressed, restless, continual screaming and crying,swelling at injection site, refused food, very thirsty, severe rash with red spots spreading over entire body,urine smelled of strong ammonia odor, purple discoloration on penis,could not maintain previous ability to walk, lost balance and fell down continually,back arching/muscle jerking/rigidity, "staring off into space",hyperactivity, irritability, and low frustration tolerance,inability to sleep, Chemical Sensitivities, which continues to this day                                               "Head banging" on a daily basis, which has now finally discontinued except for occasionally.                                     "Arm flapping", which has gradually reduced, but continues to this day. Failure to respond to his name, which continues to this day. Failure to respond to direction or "No", which continues to this day. Failure to "Look us in the eye", which has gradually improved, but continues to this day. "Staring off into space", which has gradually improved, but continues to this day. Failure to interact with us, which has gradually improved. "Walking on his tip toes", which has gradually improved, but continues to this day. "Separation anxiety", which continues to this day. Loss of language skills, which continues to this day.                                                TREATMENTS: Thus far have consisted of casein free gluten free diet, allergy avoidance diet, nutritional support, homeopathic remedies.  Next goal is to schedule for diagnosis regarding autism spectrum disorders. Lab testing has demonstrated malabsorption, lack of intestinal flora, and multiple food allergies.
Age: 1.0
Sex: M
Vaccine: DTAP, HEP, IPV, MMR, VARCEL
Symptoms: Emotional distress, Erythema, Fall, Head banging, Hyperhidrosis
Clinical narrative: fevers, intermittent with cold and clammy sweating, became very restless, and was waking from sleep crying and distressed with intense abdominal heat and continual thrashing,severe diarrhea,distressed, restless, continual screaming and crying,swelling at injection site, refused food, very thirsty, severe rash with red spots spreading over entire body,urine smelled of strong ammonia odor, purple discoloration on penis,could not maintain previous ability to walk, lost balance and fell down continually,back arching/muscle jerking/rigidity, "staring off into space",hyperactivity, irritability, and low frustration tolerance,inability to sleep, Chemical Sensitivities, which continues to this day                                               "Head banging" on a daily basis, which has now finally discontinued except for occasionally.                                     "Arm flapping", which has gradually reduced, but continues to this day. Failure to respond to his name, which continues to this day. Failure to respond to direction or "No", which continues to this day. Failure to "Look us in the eye", which has gradually improved, but continues to this day. "Staring off into space", which has gradually improved, but continues to this day. Failure to interact with us, which has gradually improved. "Walking on his tip toes", which has gradually improved, but continues to this day. "Separation anxiety", which continues to this day. Loss of language skills, which continues to this day.                                                TREATMENTS: Thus far have consisted of casein free gluten free diet, allergy avoidance diet, nutritional support, homeopathic remedies.  Next goal is to schedule for diagnosis regarding autism spectrum disorders. Lab testing has demonstrated malabsorption, lack of intestinal flora, and multiple food allergies.
Age: 1.0
Sex: M
Vaccine: DTAP, HEP, IPV, MMR, VARCEL
Symptoms: Injection site swelling, Insomnia, Multiple chemical sensitivity, Muscle rigidity, Opisthotonus
Clinical narrative: fevers, intermittent with cold and clammy sweating, became very restless, and was waking from sleep crying and distressed with intense abdominal heat and continual thrashing,severe diarrhea,distressed, restless, continual screaming and crying,swelling at injection site, refused food, very thirsty, severe rash with red spots spreading over entire body,urine smelled of strong ammonia odor, purple discoloration on penis,could not maintain previous ability to walk, lost balance and fell down continually,back arching/muscle jerking/rigidity, "staring off into space",hyperactivity, irritability, and low frustration tolerance,inability to sleep, Chemical Sensitivities, which continues to this day                                               "Head banging" on a daily basis, which has now finally discontinued except for occasionally.                                     "Arm flapping", which has gradually reduced, but continues to this day. Failure to respond to his name, which continues to this day. Failure to respond to direction or "No", which continues to this day. Failure to "Look us in the eye", which has gradually improved, but continues to this day. "Staring off into space", which has gradually improved, but continues to this day. Failure to interact with us, which has gradually improved. "Walking on his tip toes", which has gradually improved, but continues to this day. "Separation anxiety", which continues to this day. Loss of language skills, which continues to this day.                                                TREATMENTS: Thus far have consisted of casein free gluten free diet, allergy avoidance diet, nutritional support, homeopathic remedies.  Next goal is to schedule for diagnosis regarding autism spectrum disorders. Lab testing has demonstrated malabsorption, lack of intestinal flora, and multiple food allergies.
Age: 1.0
Sex: M
Vaccine: DTAP, HEP, IPV, MMR, VARCEL
Symptoms: Psychomotor hyperactivity, Pyrexia, Rash generalised, Restlessness, Screaming
Clinical narrative: fevers, intermittent with cold and clammy sweating, became very restless, and was waking from sleep crying and distressed with intense abdominal heat and continual thrashing,severe diarrhea,distressed, restless, continual screaming and crying,swelling at injection site, refused food, very thirsty, severe rash with red spots spreading over entire body,urine smelled of strong ammonia odor, purple discoloration on penis,could not maintain previous ability to walk, lost balance and fell down continually,back arching/muscle jerking/rigidity, "staring off into space",hyperactivity, irritability, and low frustration tolerance,inability to sleep, Chemical Sensitivities, which continues to this day                                               "Head banging" on a daily basis, which has now finally discontinued except for occasionally.                                     "Arm flapping", which has gradually reduced, but continues to this day. Failure to respond to his name, which continues to this day. Failure to respond to direction or "No", which continues to this day. Failure to "Look us in the eye", which has gradually improved, but continues to this day. "Staring off into space", which has gradually improved, but continues to this day. Failure to interact with us, which has gradually improved. "Walking on his tip toes", which has gradually improved, but continues to this day. "Separation anxiety", which continues to this day. Loss of language skills, which continues to this day.                                                TREATMENTS: Thus far have consisted of casein free gluten free diet, allergy avoidance diet, nutritional support, homeopathic remedies.  Next goal is to schedule for diagnosis regarding autism spectrum disorders. Lab testing has demonstrated malabsorption, lack of intestinal flora, and multiple food allergies.
Age: 1.0
Sex: M
Vaccine: DTAP, HEP, IPV, MMR, VARCEL
Symptoms: Skin discolouration, Social avoidant behaviour, Speech disorder developmental, Staring, Stool analysis abnormal
Clinical narrative: fevers, intermittent with cold and clammy sweating, became very restless, and was waking from sleep crying and distressed with intense abdominal heat and continual thrashing,severe diarrhea,distressed, restless, continual screaming and crying,swelling at injection site, refused food, very thirsty, severe rash with red spots spreading over entire body,urine smelled of strong ammonia odor, purple discoloration on penis,could not maintain previous ability to walk, lost balance and fell down continually,back arching/muscle jerking/rigidity, "staring off into space",hyperactivity, irritability, and low frustration tolerance,inability to sleep, Chemical Sensitivities, which continues to this day                                               "Head banging" on a daily basis, which has now finally discontinued except for occasionally.                                     "Arm flapping", which has gradually reduced, but continues to this day. Failure to respond to his name, which continues to this day. Failure to respond to direction or "No", which continues to this day. Failure to "Look us in the eye", which has gradually improved, but continues to this day. "Staring off into space", which has gradually improved, but continues to this day. Failure to interact with us, which has gradually improved. "Walking on his tip toes", which has gradually improved, but continues to this day. "Separation anxiety", which continues to this day. Loss of language skills, which continues to this day.                                                TREATMENTS: Thus far have consisted of casein free gluten free diet, allergy avoidance diet, nutritional support, homeopathic remedies.  Next goal is to schedule for diagnosis regarding autism spectrum disorders. Lab testing has demonstrated malabsorption, lack of intestinal flora, and multiple food allergies.
Age: 1.0
Sex: M
Vaccine: DTAP, HEP, IPV, MMR, VARCEL
Symptoms: Thirst, Unresponsive to stimuli, Urine odour abnormal
Clinical narrative: fevers, intermittent with cold and clammy sweating, became very restless, and was waking from sleep crying and distressed with intense abdominal heat and continual thrashing,severe diarrhea,distressed, restless, continual screaming and crying,swelling at injection site, refused food, very thirsty, severe rash with red spots spreading over entire body,urine smelled of strong ammonia odor, purple discoloration on penis,could not maintain previous ability to walk, lost balance and fell down continually,back arching/muscle jerking/rigidity, "staring off into space",hyperactivity, irritability, and low frustration tolerance,inability to sleep, Chemical Sensitivities, which continues to this day                                               "Head banging" on a daily basis, which has now finally discontinued except for occasionally.                                     "Arm flapping", which has gradually reduced, but continues to this day. Failure to respond to his name, which continues to this day. Failure to respond to direction or "No", which continues to this day. Failure to "Look us in the eye", which has gradually improved, but continues to this day. "Staring off into space", which has gradually improved, but continues to this day. Failure to interact with us, which has gradually improved. "Walking on his tip toes", which has gradually improved, but continues to this day. "Separation anxiety", which continues to this day. Loss of language skills, which continues to this day.                                                TREATMENTS: Thus far have consisted of casein free gluten free diet, allergy avoidance diet, nutritional support, homeopathic remedies.  Next goal is to schedule for diagnosis regarding autism spectrum disorders. Lab testing has demonstrated malabsorption, lack of intestinal flora, and multiple food allergies.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Computerised tomogram abnormal, Convulsion, Dyskinesia, Headache, Mental status changes
Clinical narrative: 8/27: fever, HA, nausea, stiff in joints, throat pain - fever at 102. 8/28: improved. 8/29: evening - altered mental state, not responsive, 3 episodes emesis. 8/30: jerking - to ER - another seizure - transferred to hospital - outpatient (febrile)? 8/31: No trauma; Motrin, Cefataxine. Unknown if related to vaccines at this time.  9/30/08 Reviewed d/c summary of 8/31-9/19/2008. FINAL DX: intraventricular hemorrhage; AV malformation in atrium of right lateral ventricle s/p embolization 9/4/08; seizures; poor oral intake, resolved; pain issues, improving on oxycodone wean. Record reveals patient experienced fever, HA, joint stiffness & nausea approx 2 days s/p vaccination. Night before admit, awoke screaming, crying, inconsolable w/mental status changes, HA, vomiting, jerking movements x 1 min then appeared very sleepy.  Similar episode en route to ER.  In ER had tonic-clonic seizure, responsive to meds.  Transferred from ER to higher level of care.  Continued to have additional seizures.  Abnormal CT & MRI scans as noted in previous records.  Transferred to PICU.  Neurosurg & interventional radiology did embolization of AV malformation & remained intubated s/p procedure w/extubation later same day.  Had ongoing HA pain & oral intake reduced.  Pain management team consulted & parenteral nutrition started.  Improved slowly & d/c to home on tapering steroids, antiseizure meds & pain meds w/neurosurgery, EEG & cerebral angiogram f/u. 9/15/08-records received-patient remains in hospital, admitted 8/31/08 with C/O fever and seizure 36 hours after receipt of vaccines. Disoriented and C/O headache, vomited. C/O stiffness in joints.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Nausea, Nuclear magnetic resonance imaging abnormal, Pharyngolaryngeal pain, Pyrexia, Unresponsive to stimuli
Clinical narrative: 8/27: fever, HA, nausea, stiff in joints, throat pain - fever at 102. 8/28: improved. 8/29: evening - altered mental state, not responsive, 3 episodes emesis. 8/30: jerking - to ER - another seizure - transferred to hospital - outpatient (febrile)? 8/31: No trauma; Motrin, Cefataxine. Unknown if related to vaccines at this time.  9/30/08 Reviewed d/c summary of 8/31-9/19/2008. FINAL DX: intraventricular hemorrhage; AV malformation in atrium of right lateral ventricle s/p embolization 9/4/08; seizures; poor oral intake, resolved; pain issues, improving on oxycodone wean. Record reveals patient experienced fever, HA, joint stiffness & nausea approx 2 days s/p vaccination. Night before admit, awoke screaming, crying, inconsolable w/mental status changes, HA, vomiting, jerking movements x 1 min then appeared very sleepy.  Similar episode en route to ER.  In ER had tonic-clonic seizure, responsive to meds.  Transferred from ER to higher level of care.  Continued to have additional seizures.  Abnormal CT & MRI scans as noted in previous records.  Transferred to PICU.  Neurosurg & interventional radiology did embolization of AV malformation & remained intubated s/p procedure w/extubation later same day.  Had ongoing HA pain & oral intake reduced.  Pain management team consulted & parenteral nutrition started.  Improved slowly & d/c to home on tapering steroids, antiseizure meds & pain meds w/neurosurgery, EEG & cerebral angiogram f/u. 9/15/08-records received-patient remains in hospital, admitted 8/31/08 with C/O fever and seizure 36 hours after receipt of vaccines. Disoriented and C/O headache, vomited. C/O stiffness in joints.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Vomiting
Clinical narrative: 8/27: fever, HA, nausea, stiff in joints, throat pain - fever at 102. 8/28: improved. 8/29: evening - altered mental state, not responsive, 3 episodes emesis. 8/30: jerking - to ER - another seizure - transferred to hospital - outpatient (febrile)? 8/31: No trauma; Motrin, Cefataxine. Unknown if related to vaccines at this time.  9/30/08 Reviewed d/c summary of 8/31-9/19/2008. FINAL DX: intraventricular hemorrhage; AV malformation in atrium of right lateral ventricle s/p embolization 9/4/08; seizures; poor oral intake, resolved; pain issues, improving on oxycodone wean. Record reveals patient experienced fever, HA, joint stiffness & nausea approx 2 days s/p vaccination. Night before admit, awoke screaming, crying, inconsolable w/mental status changes, HA, vomiting, jerking movements x 1 min then appeared very sleepy.  Similar episode en route to ER.  In ER had tonic-clonic seizure, responsive to meds.  Transferred from ER to higher level of care.  Continued to have additional seizures.  Abnormal CT & MRI scans as noted in previous records.  Transferred to PICU.  Neurosurg & interventional radiology did embolization of AV malformation & remained intubated s/p procedure w/extubation later same day.  Had ongoing HA pain & oral intake reduced.  Pain management team consulted & parenteral nutrition started.  Improved slowly & d/c to home on tapering steroids, antiseizure meds & pain meds w/neurosurgery, EEG & cerebral angiogram f/u. 9/15/08-records received-patient remains in hospital, admitted 8/31/08 with C/O fever and seizure 36 hours after receipt of vaccines. Disoriented and C/O headache, vomited. C/O stiffness in joints.
Age: 61.0
Sex: M
Vaccine: VARZOS, VARZOS
Symptoms: Computerised tomogram normal, Eye pain, Eye swelling, Headache, Herpes zoster
Clinical narrative: On Thursday, August 21, 2008 I received the ZOSTAVAX vaccine to prevent shingles. On Sunday, August 24, I started having a headache, each day it was getting worse and no over the counter pain medication would relieve it. On Wednesday August 27, I couldn't stand the pain anymore and I went to the hospital where I was diagnosed as having Shingles. I can give you the report. I have also printed the form out for my doctor to complete for you. They put me on Valtrex 1GM three times a day. I took them for 2 days and then started to get really sick and vomit. I went to my doctor, on August 29 and he gave me something to calm my stomach so I could eat. From the hospital they sent me to my ophthalmologist because the shingles was on my face and all around my eye. They can also tell you about this if you need their input. They said I did have a spot on the cornea and to watch carefully if anything affected my vision. It didn't but my eye became swollen and sore. I have a photo that my wife took today if you should need it to see. This is not a small side effect, it is full blown shingles. 10/17/08-records received for DOS 8/27/08-presented to ED with C/O headache since 8/24/08-now teeth hurting. Two days prior noted rash on scalp and left temple. Impression:headache, rash most consistent with shingles.  DX: shingles. temporal arteritis. 1/27/2010 S/p CVA with residual dysarthmic.
Age: 61.0
Sex: M
Vaccine: VARZOS, VARZOS
Symptoms: Vomiting
Clinical narrative: On Thursday, August 21, 2008 I received the ZOSTAVAX vaccine to prevent shingles. On Sunday, August 24, I started having a headache, each day it was getting worse and no over the counter pain medication would relieve it. On Wednesday August 27, I couldn't stand the pain anymore and I went to the hospital where I was diagnosed as having Shingles. I can give you the report. I have also printed the form out for my doctor to complete for you. They put me on Valtrex 1GM three times a day. I took them for 2 days and then started to get really sick and vomit. I went to my doctor, on August 29 and he gave me something to calm my stomach so I could eat. From the hospital they sent me to my ophthalmologist because the shingles was on my face and all around my eye. They can also tell you about this if you need their input. They said I did have a spot on the cornea and to watch carefully if anything affected my vision. It didn't but my eye became swollen and sore. I have a photo that my wife took today if you should need it to see. This is not a small side effect, it is full blown shingles. 10/17/08-records received for DOS 8/27/08-presented to ED with C/O headache since 8/24/08-now teeth hurting. Two days prior noted rash on scalp and left temple. Impression:headache, rash most consistent with shingles.  DX: shingles. temporal arteritis. 1/27/2010 S/p CVA with residual dysarthmic.
Age: 61.0
Sex: M
Vaccine: VARZOS, VARZOS
Symptoms: Facial palsy, Herpes zoster, Transient ischaemic attack
Clinical narrative: On Thursday, August 21, 2008 I received the ZOSTAVAX vaccine to prevent shingles. On Sunday, August 24, I started having a headache, each day it was getting worse and no over the counter pain medication would relieve it. On Wednesday August 27, I couldn't stand the pain anymore and I went to the hospital where I was diagnosed as having Shingles. I can give you the report. I have also printed the form out for my doctor to complete for you. They put me on Valtrex 1GM three times a day. I took them for 2 days and then started to get really sick and vomit. I went to my doctor, on August 29 and he gave me something to calm my stomach so I could eat. From the hospital they sent me to my ophthalmologist because the shingles was on my face and all around my eye. They can also tell you about this if you need their input. They said I did have a spot on the cornea and to watch carefully if anything affected my vision. It didn't but my eye became swollen and sore. I have a photo that my wife took today if you should need it to see. This is not a small side effect, it is full blown shingles. 10/17/08-records received for DOS 8/27/08-presented to ED with C/O headache since 8/24/08-now teeth hurting. Two days prior noted rash on scalp and left temple. Impression:headache, rash most consistent with shingles.  DX: shingles. temporal arteritis. 1/27/2010 S/p CVA with residual dysarthmic.
Age: 0.53
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Culture stool, Diarrhoea, Hypogammaglobulinaemia, Stool analysis
Clinical narrative: Prolonged diarrhea post rotavirus (Cdiff).  Found out he has hypogammaglobulinemia after getting. 9/16/08-records received-presented to ED on 5/22/08- with C/O fever, temp 101. assessment:Acute febrile illness. Presented to ED on 7/25/08 with C/O ear infection fever, vomiting, cough and diarrhea. Admitted 7/29-7/31/08 DC DX: acute gastroenteritis with dehydration. Hypogammaglobulinemia. Clostridium difficile toxin resolved. Presented to ED with 3 week history of diarrhea.
Age: 20.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Computerised tomogram normal, Full blood count, Headache, Metabolic function test normal, Migraine
Clinical narrative: Severe throbbing headache - mostly one-sided with photophobia and sensitivity to sound started. Diagnosed as migraine. Required pain shot. Patient never had a migraine before.
Age: 20.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Phonophobia, Photophobia, Thyroid function test normal
Clinical narrative: Severe throbbing headache - mostly one-sided with photophobia and sensitivity to sound started. Diagnosed as migraine. Required pain shot. Patient never had a migraine before.
Age: 20.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Headache, Injection site discomfort, Nausea, Photophobia
Clinical narrative: Severe throbbing headache - mostly one-sided with photophobia and sensitivity to sound started. Diagnosed as migraine. Required pain shot. Patient never had a migraine before.
Age: 46.0
Sex: F
Vaccine: TDAP, IPV, TDAP
Symptoms: Arthralgia, Asthenia, Burning sensation, Confusional state, Fatigue
Clinical narrative: Burning in arm, joint aching, loss of deltoid muscle strength, loss of strength in right arm, dropping things. Approximately 5 days of exhaustion and memory confusion. Some aching in leg muscles. Initial swelling (really big) for about 10 days.
Age: 46.0
Sex: F
Vaccine: TDAP, IPV, TDAP
Symptoms: Myalgia, Swelling
Clinical narrative: Burning in arm, joint aching, loss of deltoid muscle strength, loss of strength in right arm, dropping things. Approximately 5 days of exhaustion and memory confusion. Some aching in leg muscles. Initial swelling (really big) for about 10 days.
Age: 46.0
Sex: F
Vaccine: TDAP, IPV, TDAP
Symptoms: Antinuclear antibody, Full blood count, Injection site pain, Muscular weakness, Rheumatoid factor
Clinical narrative: Burning in arm, joint aching, loss of deltoid muscle strength, loss of strength in right arm, dropping things. Approximately 5 days of exhaustion and memory confusion. Some aching in leg muscles. Initial swelling (really big) for about 10 days.
Age: 19.0
Sex: F
Vaccine: TDAP
Symptoms: Local swelling, Pain in extremity
Clinical narrative: Huge local swelling and pain after Tdap injection to left deltoid on 7-16-08. ADACEL C2844AA; See different notes
Age: 1.0
Sex: F
Vaccine: MMRV
Symptoms: Varicella post vaccine
Clinical narrative: Varicella vaccine breakthrough. Had vaccine 2-12-07 at another practice. Diagnosed with varicella in our office on 8-17-08. Had 8-10 lesions. No fever
Age: 18.0
Sex: F
Vaccine: HPV4
Symptoms: Headache, Neck pain, Vaccine positive rechallenge
Clinical narrative: Received 1st vaccine, developed severe headache (possible migraine); Patient never had history of heachache, migraines before vaccine. Headache lasted 3 weeks. Received 2nd vaccine, developed severe headache, lasting for 3 days. Both headache developed within 24-48 hours. Head pain accompanied with posterior neck pain usually over back of head from neck pain
Age: 11.0
Sex: M
Vaccine: TDAP, VARCEL
Symptoms: Headache, Injection site erythema, Injection site pruritus, Injection site swelling, Pyrexia
Clinical narrative: Fever and headache.  Swelling, redness and itching at both injection sites.  Seen in urgent care and given Benadryl.
Age: 14.0
Sex: F
Vaccine: HPV4, MNQ
Symptoms: Dizziness, Headache, Lymphadenopathy, Pyrexia, Vomiting
Clinical narrative: + fever starting 48 hours after the shots.  + HA, + emesis and dizziness 3 hours after shots (emesis x 1).  + enlarged anterior cervical nodes.
Age: 22.0
Sex: F
Vaccine: MNQ, TDAP
Symptoms: Activities of daily living impaired, Asthenia, Dizziness, Fatigue, Headache
Clinical narrative: 8-13-08 still hot feeling well, pain tenderness all over. Fever 100-101 x 5 d nausea, dizzy, H/A, skin hurts, sharp shooting pain throughout body, felt like body bruised. Urgent care 8/20 diagnosed viral infection; Treatment Prednisone 20mg 1d x 5d. Doctor thought symptoms not related to vaccines. 8-21-08 continues to be weak, tired, unable to do daily activities.
Age: 22.0
Sex: F
Vaccine: MNQ, TDAP
Symptoms: Malaise, Nausea, Pain, Pyrexia, Tenderness
Clinical narrative: 8-13-08 still hot feeling well, pain tenderness all over. Fever 100-101 x 5 d nausea, dizzy, H/A, skin hurts, sharp shooting pain throughout body, felt like body bruised. Urgent care 8/20 diagnosed viral infection; Treatment Prednisone 20mg 1d x 5d. Doctor thought symptoms not related to vaccines. 8-21-08 continues to be weak, tired, unable to do daily activities.
Age: 22.0
Sex: F
Vaccine: MNQ, TDAP
Symptoms: Viral infection
Clinical narrative: 8-13-08 still hot feeling well, pain tenderness all over. Fever 100-101 x 5 d nausea, dizzy, H/A, skin hurts, sharp shooting pain throughout body, felt like body bruised. Urgent care 8/20 diagnosed viral infection; Treatment Prednisone 20mg 1d x 5d. Doctor thought symptoms not related to vaccines. 8-21-08 continues to be weak, tired, unable to do daily activities.
Age: 53.0
Sex: F
Vaccine: PPV, TDAP
Symptoms: Body temperature increased, Erythema, Oedema peripheral, Rash macular
Clinical narrative: 8/22/08 patient states whole right arm swollen, blotchy, and red. Temp 100.9. Symptoms resolved 8/24/08 except redness which resolved 8/27/08. Used Motrin and ice with relief.
Age: 14.0
Sex: M
Vaccine: HEPA, MNQ, TDAP
Symptoms: Fatigue, Headache, Mononucleosis heterophile test negative, Nausea, Pain
Clinical narrative: Monday, 08-25-08 at 6:15pm, patient received BOOSTRIX (Tdap), MENACTRA (MCV4) and HAVRIX (Hep A).  Tuesday, 8-26-08, patient had fever 99.5, mild body aches, headache, tiredness, slight nausea.  Given Tylenol at 0730, at 1200 - fever 101.3, by 1300 fever 103.1.  Went to doctor at 1345 fever 104.3.  Test for mono and strep were negative, blood test were ran.  Meds for fever every 3 hours.  Recheck at doctor's 08-27-08, fever normal range.
Age: 14.0
Sex: M
Vaccine: HEPA, MNQ, TDAP
Symptoms: Pyrexia, Streptococcal identification test negative
Clinical narrative: Monday, 08-25-08 at 6:15pm, patient received BOOSTRIX (Tdap), MENACTRA (MCV4) and HAVRIX (Hep A).  Tuesday, 8-26-08, patient had fever 99.5, mild body aches, headache, tiredness, slight nausea.  Given Tylenol at 0730, at 1200 - fever 101.3, by 1300 fever 103.1.  Went to doctor at 1345 fever 104.3.  Test for mono and strep were negative, blood test were ran.  Meds for fever every 3 hours.  Recheck at doctor's 08-27-08, fever normal range.
Age: 5.0
Sex: M
Vaccine: DTAP, FLUN3, IPV, MMR, VARCEL
Symptoms: Lymphadenopathy, Pyrexia, Rash papular
Clinical narrative: Posterior neck lymphadenopathy; Fever (low grade); Papular rash on trunk/lower extremities; Start 24 hours ago
Age: 20.0
Sex: M
Vaccine: ANTH, SMALL
Symptoms: HIV test, Rash
Clinical narrative: I received smallpox on 08-Aug & around the 17th of August I experienced a rash on both arms & spread to my legs, back, torso.
Age: 51.0
Sex: F
Vaccine: MNQ
Symptoms: Cellulitis, Erythema, Incorrect route of drug administration, Oedema peripheral, Skin warm
Clinical narrative: Patient given MENACTRA Sub Q instead of IM as prescribed.  By next morning, 24-36 hours, area of arm was swollen and red, warm to touch. Cellulitis was diagnosed by patient's primary care MD.  Advised to rest arm and keep compresses on it along with antibiotic orally.
Age: 55.0
Sex: F
Vaccine: TDAP
Symptoms: Erythema, Headache, Oedema peripheral, Pyrexia
Clinical narrative: Right arm edema, erythema, fever, headache.  Seen ER.
Age: 17.0
Sex: F
Vaccine: HPV4, MMR, MNQ, TDAP
Symptoms: Dizziness, Immediate post-injection reaction, Pallor, Syncope
Clinical narrative: The client was very anxious before the injections.  She was seated on the exam table.  Immediately after the injections, she stated she felt dizzy and she became pale.  She had an episode of syncope.  She reclined on the exam table and was awake/alert within minutes.  No injuries.
Age: 13.0
Sex: M
Vaccine: HEPA, MNQ, TDAP, VARCEL
Symptoms: Headache, Irritability, Pyrexia, Rash
Clinical narrative: On 8/28 mother came to HD reporting "patient" developed headache right after shot, now has severe headache, fever and rash. Mom also reports "patient" had disease (chickenpox) when he was 3 years old (form is marked (yes) but at time of appt was unable to remember if "patient" of his sibling had chickenpox and requested immunization to be given. Mom has only been giving 1 tsp Children's Tylenol for "patient" (see back of form); Mom reports "patient" 5'4". Advised to purchase OTC adult Tylenol tablets and give 1-2 tablets every 6 hours to help with headache and irritability. Encouraged to call PCP for further evaluation.
Age: 15.0
Sex: F
Vaccine: HPV4, MNQ
Symptoms: Dizziness, Dyspnoea, Muscular weakness, Pyrexia
Clinical narrative: Mom reported on 8/21/08 patient feeling dizzy, having difficulty breathing, muscle weakness and fever; temperature 103.7 approximately 12 hours after vaccines given lasting for 24 hours.
Age: 16.0
Sex: M
Vaccine: MNQ, TDAP
Symptoms: Injection site rash, Rash
Clinical narrative: Mom called and stated rash to both arms at injection site.  Rash to abdomen, chest, and back.
Age: 18.0
Sex: F
Vaccine: HPV4, MNQ, HPV4
Symptoms: Activities of daily living impaired, Arthralgia, Asthma, Bronchitis, Bronchospasm
Clinical narrative: GARDASIL and MENACTRA were given 7/8/08. First adverse symptoms appeared around 7/22/08. Numbness and tingling extending down left arm were noted. Nausea, headache, fatigue, arthralgias throughout body were noted on 7/23/08. Complaints of fevers, swollen glands in neck, belching, increased nausea, extreme muscle fatigue on exertion, shortness of breath leading to bronchospasms and asthma type symptoms continued with progression through current day of 8/27/08. Originally treated with antibiotics around 7/28/08 thinking it was bronchitis. Tested for mono, CBC done with mono spot which was negative. Progression continued and course of MEDROL dose pack given for 5 days for breathing difficulty and bronchospasms. Inhaler added 8/7/08. Extreme fatigue is interfering with daily live. Breathing difficulties are interfering with athletics as she is a division I soccer athlete unable to currently participate fully due to fatigue and breathing difficulties.  9/12/08 Reviewed PCP medical records of 7/8/08-8/28/2008. FINAL DX: Records indicate patient was in good health on day of vaccination.  RTC 7/28/08 w/malaise, aches, red throat, lymph node swelling.  Dx w/pharyngitis & tx w/antibiotics.  RTC 8/4/08 w/cough, SOB & fatigue.  Tx w/steroids.  8/7/08 contacted office w/wheezing & tx w/inhaler.  9/23/08 Reviewed student health services records of 8/27-9/10/08. FINAL DX: persistent fatigue, myalgias, bronchospasm, anemia Records reveal patient experienced viral infection & bronchitis approx July, 2008 & tx w/antibiots, steroids & inhaler.  When seen 8/27 had SOB, chest/head congestion, chest tightness, exhaustion & decreased appetite.   Labs revealed mild bone marrow suppression, decreased peak flos & decreased aeration.  Tx w/additional meds.  RTC 9/10 w/persistent extreme fatigue, myalgia & bronchospasm.   4/13/09 received additional student health services records of 11/24/08-3/25/2009. FINAL DX: fatigue, myalgias, bronchospasm, decreased exercise performance, etiology unclear Records reveal patient experienced improvement by 11/24/08 to be able to play collegiate soccer for several minutes w/o respiratory difficulty & muscle pain had improved as well on current med regime.  RTC 1/09 x 2 w/sore throat, body aches & found to have shotty tonsillar nodes.  Dx w/viral syndrome & viral pharyngitis.  RTC 2/20/09 w/sinus congestion, HA, scratchy throat, cough, increased asthma symptoms, fatigue.  Dx w/sinusitis & asthma exacerbation.  Tx w/oral antibiotics & asthma meds.  RTC 3/19/09 w/fatigue & myalgias.