chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 1.34
Sex: M
Vaccine: HEP, IPV, HEP, IPV
Symptoms: Anorexia, Irritability, Pyrexia, Rash, Rash erythematous
Clinical narrative: Rash all over body (raised, red spots) occurred 2 days after vaccinations. Lasted for 5 days and then went to less then mild. Fever 103 occurred same day as vaccinations, loss of appetite (same day as vaccination), very irritable when you touch him (same day as vaccinations).
Age: 12.0
Sex: F
Vaccine: TDAP
Symptoms: Dizziness, Headache, Hearing impaired, Hyperhidrosis, Myalgia
Clinical narrative: Initial report received from a consumer on 12/Jun/2006.  A mother reported that her 12 year old daughter who had no illnesses developed a headache, sore arm, dizziness, difficulty hearing and had sweats 24 hours after receiving the injection of Adacel, lot number not reported in the left deltoid on 09/Jun/2006.  No diagnostic tests or lab work was performed.  Per mom, her daughter was treated with MOTRIN and symptoms resolved.  Follow up report received on 10/Jul/2006 from a health care professional.  The lot number for Adacel vaccine was reported as C2457AA.  It was administered on 09/Jun/2006 at 16:30 pm in the left deltoid.  As per the reporter, the events were not reported to the physician's office by the patient of her mother.  No medical treatment was sought.  Further information is not anticipated.
Age: 32.0
Sex: F
Vaccine: TDAP
Symptoms: Arthralgia, Rash
Clinical narrative: Initial report received from a health care provider on 26/Jun/2006.  A 42-year old female patient had received an injection of Adacel, lot number not reported, on 20/Jun/2006.  Approximately nine hours later, she experienced diffuse joint pain and took TYLENOL 1000 mg.  The following morning, she had developed a rash over her arms and legs and was experiencing intense diffuse joint pain.  She discontinued taking TYLENOL and began taking Ibuprofen and BENADRYL.  The next morning, the rash had resolved, but the joint aches continued.  She continued taking ADVIL.  On the next morning, she was examined by her physician for joint aches and a lymph node that was tender.  She was treated with a Kenalog injection and advised to continue the Ibuprofen for three additional days.  Recovery status was not provided by the reporter related to joint pain or lymph node tenderness.  Follow up report received on 27/Jul/2006 from a health care professional.  The patient's age was corrected to 32 years (previously reported as 42 years).  The lot number for the Adacel vaccine was reported as C2456AA and it was administered intramuscularly in the left deltoid.  The patient's past medical history included migraines and chronic pain.  Following the events on 20/Jun/2006, the patient was seen by a physician on 23/Jun/2006.  She was treated with Kenalog 60 mg.  Her symptoms resolved on 26/Jun/2006.  Further information is not expected.
Age: 11.0
Sex: M
Vaccine: TDAP
Symptoms: Injection site warmth, Swelling
Clinical narrative: Initial information received on 10/Jul/2006 from a health care professional.  An 11 year old male patient received a dose of Adacel, lot number C2457AA, administered intramuscularly in the right arm on 06/Jul/2006.  One day later, the patient developed swelling in his entire right arm.  The area was also hot to touch.  The patient's mother contacted the physician, who prescribed ice and MOTRIN.  At the time of this report, the patient had not recovered from the events.  Follow up received on 18/Aug/2006 from a health care professional.  The patient had no illness at the time of vaccination.  The patient had described the event as "upper arm was swelled the size of his fist".  Relevant diagnostic tests were none. The patient recovered from the events.
Sex: F
Vaccine: TDAP
Symptoms: Unevaluable event
Clinical narrative: A female patient with no current illness had received an intramuscular dose of Adacel, lot number C2457AA, in the left deltoid muscle, on 14/Jun/2006.  It was not reported whether the injection was administered in the right or left deltoid.  Three days post-vaccination, the patient did not seek medical attention, and no relevant diagnostic tests/laboratory data were performed.  It was reported that the patient had previously received a Tetanus Diphtheria vaccination over two years ago, but less than five years ago.  No adverse events were reported with that vaccination.  The recovery status of the patient was reported as recovered. The reporter for this case is the same as for case number reported through case number reported.
Sex: F
Vaccine: TDAP
Symptoms: Injection site pain
Clinical narrative: Initial report was received on 27/Jul/2006 from a health care professional. A female patient with no concurrent illness had received an intramuscular dose of Adacel, lot number C2457AA, in the deltoid. Three days post-immunization, the patient experienced injection site, and soreness in the armpit area and neck.  Per the reporter, the patient did not seek medical attention, and no relevant diagnostic test/laboratory data were performed.  It was reported that the patient had previously received a Tetanus Diphtheria vaccination over two years ago, but less than five years ago.  No adverse events were reported with that vaccination.  The recovery status of the patient was reported as recovered.  The reporter for this case is the same for case number reported and case number reported through case number reported.
Sex: F
Vaccine: TDAP
Symptoms: Injection site pain, Neck pain
Clinical narrative: Initial report was received on 27/Jul/2006 from a health care professional.  A female patient with no concurrent illness had received an intramuscular dose of Adacel, lot number C2457AA, in the deltoid muscle, on 14/Jun/2006.  It was not reported whether the injection was administered in the right or left deltoid.  Three days post-immunization, the patient experienced injection site pain, and soreness in the armpit area and neck.  Per the reporter, the patient did not seek medical attention, and no relevant diagnostic tests/laboratory data were performed.  It was reported that the patient had previously received a Tetanus Diphtheria vaccination over the two years ago, but less than five years ago.  No adverse were reported with that vaccination.  The recovery status of the patient was reported as recovered. The reporter for this case is the same as for case number, case number and case number through case number reported.
Age: 49.0
Sex: M
Vaccine: TDAP
Symptoms: Cellulitis
Clinical narrative: Initial report received on 07/Aug/2006 from a health care professional.  A 45-year-old male patient had received a left deltoid injection of Adacel, lot number C2556AA, on 1/Jul/2006.  Four days later, the patient was examined in the doctor's office and diagnosed with cellulitis.  He was prescribed cephalexin for a ten day course.  A one inch needle was used to administer the vaccine.  At the time of this report, the patient's recovery status was unknown. The reporter in this case is the same as in case number, case number and case number reported.
Age: 33.0
Sex: F
Vaccine: TDAP
Symptoms: Arthralgia, Injection site pain, Injection site swelling, Shoulder pain
Clinical narrative: Initial report received on 14/Aug/2006 from a health care professional.  A 33-year old female patient with an allergy to sulfa, and no current illnesses had received intramuscular dose of Adacel, lot number C2492BA, in the right arm on 08/Aug/2006.  Two days post immunization, the patient experienced injection site swelling and pain.  She had pain in her joints, right shoulder and arm.  Treatments given were not reported.  Two days later, the patient was seen in an urgent care facility with complaints of a right swollen red arm, and malaise.  The patient was treated with KEFLEX and MOTRIN.  Laboratory testing was not reported.  The recovery status of the patient was reported as recovered.
Age: 32.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site erythema, Injection site induration, Injection site warmth
Clinical narrative: Initial report received on 18/Aug/2006 from a health care professional.  A 32-year-old female patient with no current illnesses had received a right deltoid dose of Adacel on 14/Aug/2006, with a 25g 5/8 inch needle. The route of administration was not reported. The next day, the patient developed a 4x5 cm of local redness, induration and warmth at the right deltoid injection site.  Per the reporter, the patient experienced no fever, and a diagnosis of possible cellulitis was made.  The patient was treated with antibiotics.  Diagnostic testing and laboratory data were not reported.  the recovery status of the patient was reported as not recovered.
Age: 30.0
Sex: F
Vaccine: TDAP
Symptoms: Erythema, Injection site warmth, Pruritus, Swelling
Clinical narrative: Initial report received on 18/Aug/2006 from a health care professional.  A 30 year-old female patient with no current illnesses had received a left deltoid dose of Adacel, lot number C2559AA, on 15/Aug/2006.  The route of administration was not reported.  The next day, the patient experienced a left deltoid, 3 x 4 cm area of redness, warmth, swelling and itchiness.  Per the reporter, the patient had no fevers and was seen in the physician's office two days later with persisting symptoms.  Treatment received was not reported.  The recovery status of the patient was reported as not recovered.  The reporter for this case is the same as for case number reported.
Age: 17.0
Sex: F
Vaccine: HPV4
Symptoms: Convulsion, Syncope
Clinical narrative: Information has been received from a nurse practitioner concerning a 17 year old female with no other pertinent medical history, adverse drug reactions or allergies reported. On 9/6/06, at 3:30pm, the pt was vaccianted IM with the first dose of 0.5ml of HPV rL1 6 11 16 18 VLP vaccine yeast (lot 654540/0800F). Concomitant therapy included an unspecified hormonal contraceptives (also reported as birth control). On 9/6/06, the pt developed a mild seizure right after receiving HPV rL1 6 11 16 18 VLP vaccine yeast. The pt came to and immediately fainted again. The pt sought unspecified medical attention. It was reported that the pt had not eaten anything all day. After eating, the pt felt better. On 9/6/06, the pt had fully recovered from the events. Upon internal review, the mild seizure was considered to be an other important medical event. Additional information has been requested.
Age: 1.02
Sex: M
Vaccine: MMRV
Symptoms: Coordination abnormal, Diarrhoea, Irritability, Pyrexia, Rash
Clinical narrative: Information has been received from a physician concerning a 12 month old male with no known medical history or allergies who was vaccinated SC in the right arm with a first dose of MMR II/Varicella (lot 652232/0772R). There was no illness at the time of vaccination. Subsequently, 1 day after receiving the vaccine the pt experienced high fever, 102-103 degrees and ataxia of the legs. A couple of days later the pt developed a rash on the trunk and other parts of the body. Pt outcome was not reported. Follow up information from the physician indicated that on 7/31/06 the pt in the PM had a sudden onset of fever and irritability. Several days later the pt developed a rash, loose stools and ataxia with gradual clearing by 5 days. The pts clearing was complete at 10 days. The pt recovered on 8/10/06. There were no adverse events following prior vaccination. No lab diagnostic tests were performed. The pts adverse events were considered to be disabling. Additional information is not expected.
Age: 60.0
Sex: F
Vaccine: PPV
Symptoms: Laboratory test abnormal, Splenic rupture
Clinical narrative: Information has been received from a physician concerning a 60 year old female who on 05-MAR-1997, 30-OCT-2002, 30-DEC-2002, 27-APR-2004, 12-OCT-2005, 22-MAY-2006 and 17-JUL-2006 was vaccinated with a dose of pneumococcal 23v polysaccharide vaccine (0.5 ml), intramuscularly.  On 17-AUG-2006 the patient had "a positive response against only 2 out of the 23 valents found in (pneumococcal 23v polysaccharide vaccine)." Unspecified medical attention was sought.  Information received on 07-SEP-2006 contained the following adverse experience. "Spleen removed due to rupture" (May of 1997).  Upon internal review "spleen removed due to rupture in May of 1997" was considered to be an other medical event.  Additional information has been requested. (OMIC)
Age: 43.0
Sex: F
Vaccine: HEPA
Symptoms: Headache, Meningitis, Musculoskeletal stiffness, Pyrexia, Visual disturbance
Clinical narrative: Information has been received from a registered nurse concerning a 43 year old female, with no pertinent medical history and no drug reactions or allergies, who on 8/21/06 was vaccinated IM with a 1ml dose of hepatitis A virus vaccine inactivated (lot 653142/1014R). Concomitant therapy included rosuvastatin calcium (Crestor). On 9/1/06 the pt presented with meningitis after receiving hepatitis A virus vaccine inactivated. She had a stiff neck, vision disturbances, headaches and fever. She went to the hospital on 9/2/06 and was released, but she went back to the hospital on 9/5/06 and was admitted. She is till hospitalized. Diagnostic test of a spinal tap and blood work were performed. Meningitis was considered to be disabling. it was reported that the pt is presently recovering. No product quality complaint. Additional information has been requested.
Age: 20.0
Sex: M
Vaccine: MNQ, TDAP
Symptoms: Arthritis, Chest pain, Hypoaesthesia, Paraesthesia
Clinical narrative: Pt experienced 2 episodes of left chest pain, over 2-3 hours, 2nd episode was associated with numbness and tingling of left arm and left leg. Presented with left chest pain and numbness and tingling of left arm and weakness of left leg on 9/19/06-had mild chest discomfort in past but never had numbness or weakness of any part of his body. Chest pain was not associated with SOB, cough, fever or headaches. on 9/15/06-annual PE WNL except for mild sore throat which resolved in a day or two. Received Menactra on that day. PMH: diagnosed to have mild Ehler-Danlos syndrome at age 11. Characterized with dermatitis and hyperflexible joints. No evidence of any cardiac abnormalities. PE: alert oriented, walking normally. Decreased cutaneous sensation on left forearm and lower left leg. Muscle power, tone, balance and reflexes were normal. EKG and blood normal. Neurological exam normal and was DC from ED with diagnosis of Costochondritis. Follow-up in office on 9/22/06 and 10/2/06. No further episodes of chest pain, tingling, numbness or muscle weakness. On 10/2/06 he mentioned for the first time that for the past several months he has been having mild-moderate morning headaches 5-6 times per week. No nausea, vomiting or visual problems. Referred to neurologist for further evaluation.
Age: 22.0
Sex: F
Vaccine: HPV4, MM
Symptoms: Breast disorder female, Tenderness
Clinical narrative: Extreme Breast tenderness x 4 days.
Age: 22.0
Sex: F
Vaccine: HPV4, MM
Symptoms: Breast tenderness
Clinical narrative: Extreme Breast tenderness x 4 days.
Age: 21.0
Sex: F
Vaccine: MNQ, TDAP
Symptoms: Rash maculo-papular
Clinical narrative: Developed maculopapular rash over extremities and abd 7 days after vaccine given TX with Zyrtec 10 mg PO daily.
Age: 1.23
Sex: M
Vaccine: DTAPH, MMRV, PNC
Symptoms: Blister, Erythema, Pyrexia, Rash papular
Clinical narrative: Red, papular rash with few scattered vesicles spreading from head toward trunk, fever.
Age: 38.0
Sex: M
Vaccine: ANTH
Symptoms: Blood cholesterol increased, Hypertension
Clinical narrative: Blood pressure high, Cholesterol high.
Age: 13.0
Sex: M
Vaccine: MNQ
Symptoms: Cellulitis, Hypoaesthesia, Injection site erythema, Injection site oedema, Oedema
Clinical narrative: Right arm swelling and red. Elbow is also swollen and fingers are numb.
Age: 32.0
Sex: M
Vaccine: ANTH
Symptoms: Abdominal pain, Skin nodule
Clinical narrative: Since I had vaccine I developed a lump or several lump in my arm and my legs overate. 1 year a have abdominal pain and it has increased over the years.
Age: 24.0
Sex: M
Vaccine: ANTH
Symptoms: Headache, Insomnia, Rash
Clinical narrative: Periodically rash in shoulder and back, insomnia, continuous headaches. Duration symptoms since 2002.
Age: 41.0
Sex: F
Vaccine: TDAP
Symptoms: Erythema, Fatigue, Feeling hot, Injection site induration, Injection site oedema
Clinical narrative: Received Tdap on 8/23/06. Reported severe achiness and fatigue. Left deltoid swollen and painful reported to Employee health on 8/25/06. On 8/28/06s welling has extended from deltoid to axillary area with redness and firmness and warmth. Was sent to workers comp DR OTC meds and warm socks TID, 8/29/06 warmth, redness less, but still edematous. 9/5/06 resolved.
Age: 41.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site pain, Oedema, Pain
Clinical narrative: Received Tdap on 8/23/06. Reported severe achiness and fatigue. Left deltoid swollen and painful reported to Employee health on 8/25/06. On 8/28/06s welling has extended from deltoid to axillary area with redness and firmness and warmth. Was sent to workers comp DR OTC meds and warm socks TID, 8/29/06 warmth, redness less, but still edematous. 9/5/06 resolved.
Age: 38.0
Sex: F
Vaccine: TDAP
Symptoms: Back pain, Chills, Pain, Pyrexia
Clinical narrative: Fever, chills, arm sore, backache
Age: 51.0
Sex: U
Vaccine: TDAP
Symptoms: Abdominal pain
Clinical narrative: As of 9/14/06 left arm sore with pain radiation to fingers.
Age: 55.0
Sex: F
Vaccine: TDAP
Symptoms: Oedema, Rash, Tenderness
Clinical narrative: Rash on right forearm with swelling and tenderness. No erythema or lymphangitis. Right deltoid area normal.
Age: 1.27
Sex: M
Vaccine: DTAP, HIBV, MMRV
Symptoms: Abnormal behaviour, Agitation, Apnoea, Choking, Convulsion
Clinical narrative: Fever on 9/8/07 100.2 in AM and throughout the day. Alternating Tylenol and Ibuprofen. Woke up middle of night crying and mumbling and jerking. Seizure lasted less than 1 minute. With jerking, choking and no breathing for several seconds. 911 called no other seizures after that. Fever persisted 72 hours with highest temp at 102.
Age: 1.27
Sex: M
Vaccine: DTAP, HIBV, MMRV
Symptoms: Crying, Dyskinesia, Pyrexia, Viral infection
Clinical narrative: Fever on 9/8/07 100.2 in AM and throughout the day. Alternating Tylenol and Ibuprofen. Woke up middle of night crying and mumbling and jerking. Seizure lasted less than 1 minute. With jerking, choking and no breathing for several seconds. 911 called no other seizures after that. Fever persisted 72 hours with highest temp at 102.
Age: 54.0
Sex: M
Vaccine: TDAP
Symptoms: Cardiac disorder, Cardiac flutter, Fatigue, Feeling hot, Hyperhidrosis
Clinical narrative: After vaccine receipt in the morning, he ran his usual 9 miles before lunch. Later that night, he felt fatigued and experienced diaphoresis with no associated symptoms. His vaccine site was a little tender, but he did not note any significant redness, warmth or lymphadenopathy. He was afebrile. He continued to experience episodes of felling hot and sweaty throughout the week end. He also noted palpitations that started on Friday Pm (around 2200) felt like fluttering in my chest. AT first he noted 1-2 extra beats every 3-5 minutes, on Sunday, the palpitations seemed to be associated with the diaphoresis and he also noted a little bit of nausea associated with the diaphoresis. Service member went to the ER on Sunday pm 9/10/06. He was seen by cardiology on a1 of 9/14/06n He has no previous history of palpitations or arrhythmias. He is non smoker, He notes an increase in stress over the last 3 months, however, the week of vaccine receipt had not been very stressful. No recent changes in medications, supplements or caffeine intake (drinks 1-2 cups of coffee day). No aggravating or alleviating factors identified. At appointment on 9/14/06, service member reported a couple palpitations since getting up that morning. He noted the palpitations seemed to be a lot less an the am and tended to increase in frequency in the evening. The palpitations peaked Monday night when they were coming every minute to two, and have been decreasing frequency since then. He has not experienced any diaphoresis since Monday night. He ahs not run since 9/8/06. He reports generally feeling fine except for being tired. He ahs been working fewer hours than normal (6-7 hours per day), but has been feeling more tired at the end of the day. He reports he has no disruption of his sleep pattern related to palpitations or diaphoresis. He states that if he had a fever he would think that he had a virus. Service member denies personal history of hypertension, diabetes, dyslipidemia, valvular disease ( he was told he has a mild murmur for the first time today), coronary artery disease, obesity, heart failure, peripheral vascular disease, gastrointestinal disease, or lung disease. He does not use tobacco. He denies any personal history of heart attacks, strokes or TIAs, or thrombosis. Service member GF M, who was a heavy smoker, died from a heart attack at age 62. Also his grandfathers son/pt uncle died from a heart attack at around age 70 and he was also a smoker. Other wise no family history of coronary artery disease, drowning, motor vehicle accidents, Seizures, or sudden death.
Age: 54.0
Sex: M
Vaccine: TDAP
Symptoms: Nausea, Palpitations
Clinical narrative: After vaccine receipt in the morning, he ran his usual 9 miles before lunch. Later that night, he felt fatigued and experienced diaphoresis with no associated symptoms. His vaccine site was a little tender, but he did not note any significant redness, warmth or lymphadenopathy. He was afebrile. He continued to experience episodes of felling hot and sweaty throughout the week end. He also noted palpitations that started on Friday Pm (around 2200) felt like fluttering in my chest. AT first he noted 1-2 extra beats every 3-5 minutes, on Sunday, the palpitations seemed to be associated with the diaphoresis and he also noted a little bit of nausea associated with the diaphoresis. Service member went to the ER on Sunday pm 9/10/06. He was seen by cardiology on a1 of 9/14/06n He has no previous history of palpitations or arrhythmias. He is non smoker, He notes an increase in stress over the last 3 months, however, the week of vaccine receipt had not been very stressful. No recent changes in medications, supplements or caffeine intake (drinks 1-2 cups of coffee day). No aggravating or alleviating factors identified. At appointment on 9/14/06, service member reported a couple palpitations since getting up that morning. He noted the palpitations seemed to be a lot less an the am and tended to increase in frequency in the evening. The palpitations peaked Monday night when they were coming every minute to two, and have been decreasing frequency since then. He has not experienced any diaphoresis since Monday night. He ahs not run since 9/8/06. He reports generally feeling fine except for being tired. He ahs been working fewer hours than normal (6-7 hours per day), but has been feeling more tired at the end of the day. He reports he has no disruption of his sleep pattern related to palpitations or diaphoresis. He states that if he had a fever he would think that he had a virus. Service member denies personal history of hypertension, diabetes, dyslipidemia, valvular disease ( he was told he has a mild murmur for the first time today), coronary artery disease, obesity, heart failure, peripheral vascular disease, gastrointestinal disease, or lung disease. He does not use tobacco. He denies any personal history of heart attacks, strokes or TIAs, or thrombosis. Service member GF M, who was a heavy smoker, died from a heart attack at age 62. Also his grandfathers son/pt uncle died from a heart attack at around age 70 and he was also a smoker. Other wise no family history of coronary artery disease, drowning, motor vehicle accidents, Seizures, or sudden death.
Age: 1.02
Sex: M
Vaccine: MMR
Symptoms: Viral infection
Clinical narrative: Break thru Varicella, Previous Varivax administered 4/13/1999.
Age: 0.35
Sex: F
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Crying, Pyrexia, Screaming
Clinical narrative: Excessive crying with temp 103.6, crying continuously x 4 hours onset of SX 12 hours after immunization.
Age: 5.0
Sex: F
Vaccine: PNC
Symptoms: Injection site erythema, Injection site induration, Injection site warmth, Tenderness
Clinical narrative: Left thigh at vaccine site with induration, tenderness, redness, warmth 5x7 cm.
Age: 70.0
Sex: F
Vaccine: PPV
Symptoms: Hypokinesia, Injection site oedema, Injection site pain
Clinical narrative: I suffered a severe local reaction in the arm where the shot was administered. I was unable to move my whole arm, which started at 7:00 pm, four hours after the shot was given. The pain was (on a scale of 1 to 10) past 10. I could not move my arm away from my body. The pain was excruciating, as if my whole shoulder were being pulled backward. That pain lasted for four days. After the fourth day it started getting a little better. After the seventh day I was able to lift my arm all the way up above my head. Today in the ninth day, and has been hurting a little more. There was a little swelling about 3 1/2 inches down from where the shot was administered. Would I ever have that shot again NO.
Age: 18.0
Sex: M
Vaccine: MEN
Symptoms: Anorexia, Asthenia, Back pain, Fatigue, Headache
Clinical narrative: Fatigue, headache, neck pain, back pain, loss of strength in muscles, loss of appetite.  Took client to doctor on (July 4) had blood work.  They treated him fro lyme due to symptoms, was on antibiotics til July 25th still not better.  New doctor put him on stronger antibiotics.  He missed (1) dose and doubled next dose, fever 105 degrees F took off he (feels 95% better).
Age: 18.0
Sex: M
Vaccine: MEN
Symptoms: Neck pain
Clinical narrative: Fatigue, headache, neck pain, back pain, loss of strength in muscles, loss of appetite.  Took client to doctor on (July 4) had blood work.  They treated him fro lyme due to symptoms, was on antibiotics til July 25th still not better.  New doctor put him on stronger antibiotics.  He missed (1) dose and doubled next dose, fever 105 degrees F took off he (feels 95% better).
Age: 39.0
Sex: F
Vaccine: HEP
Symptoms: Abdominal pain, Chills, Headache, Nausea, Pain
Clinical narrative: 1 hour after injection developed abdominal cramping, nausea, headache, no emesis, this progressed later in evening to chills, face feeling hot and aching in neck muscles.  1st time lasted approximately 1 week this time only 4 days ago.  Symptoms continue.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Swelling
Clinical narrative: Left leg swollen, red around injection site
Age: 40.0
Sex: F
Vaccine: MMR
Symptoms: Erythema, Injection site swelling, Pain
Clinical narrative: 9/15 1500 noticed pain, redness and injection site by 9/19 area was swollen to approximately 3 inch in diameter area quite painful.  Swollen, redness decreased by 9/17/06.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV
Symptoms: Blister, Erythema, Swelling
Clinical narrative: Left arm red, swollen, not itchy, raised blisters.
Age: 1.01
Sex: M
Vaccine: HEPA, MMR, VARCEL
Symptoms: Rash
Clinical narrative: Rash all over body.
Age: 4.0
Sex: F
Vaccine: DTAP, HEPA, MMR
Symptoms: Erythema, Injection site warmth, Swelling
Clinical narrative: Bad reaction to immunization per nurse.  Left arm really swollen, red, hot to touch per grandmother.
Age: 1.05
Sex: M
Vaccine: HEPA, MMR, PNC, VARCEL
Symptoms: Erythema, Rash
Clinical narrative: Had 12 month vaccines on 9-13-06 MMR, VZV, Prevnar, Hepatitis A.  Broke out with "red, bumpy rash" the day after (9-14-06)
Age: 13.0
Sex: M
Vaccine: VARCEL
Symptoms: Purpura
Clinical narrative: Pruritic rash occurring evening of VZV # 2.
Age: 1.31
Sex: M
Vaccine: DTAPH, HEPA, VARCEL
Symptoms: Injection site warmth, Swelling
Clinical narrative: Right leg swollen, warm to touch.
Age: 1.38
Sex: F
Vaccine: DTAP, HIBV, MMR
Symptoms: Pruritus, Rash
Clinical narrative: Mother called approximately 1 week after MMR vaccine child has pin point itchy rash.
Age: 1.37
Sex: F
Vaccine: DTAP, HIBV, MMR
Symptoms: Rash
Clinical narrative: Mother called describing "bug bite" rash.  No other symptoms.
Age: 1.02
Sex: M
Vaccine: HBHEPB, IPV
Symptoms: Skin ulcer
Clinical narrative: Crusted lesions scalp------> feet
Age: 31.0
Sex: M
Vaccine: ANTH
Symptoms: Meningitis
Clinical narrative: Pt was diagnosed with aseptic meningitis approx 3days after vaccination with anthrax #6.
Age: 34.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site pain, Pain, Radiculitis brachial
Clinical narrative: Employee vaccinated with Adacel within 4-5 hours experienced pain at injection site and radiated from shoulder to neck and also down left arm.  On 9/14/06 employee presented to Occupational Health Services with complaints of severe pain.  Suspect brachial neuritis -- employee currently being followed by Neurology Service
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Injection site inflammation, Urticaria
Clinical narrative: Hives, red, inflammed arm
Age: 12.0
Sex: M
Vaccine: DTAP
Symptoms: Chills, Dyspnoea, Heart rate increased, Neck pain, Pyrexia
Clinical narrative: Day of injection patient had pain at site, next AM developed chills and as day progressed pt had fever (max of 104.0 F) and neck pain.  Sent from school to ER by ambulance who reported shortness of breath, HR 100-130 as well as fever. Treatement in ER was IV fluids, IV Rocephin and acetaminophen.  Recommended spinal tap to r/o meningitis, parents declined. Discharged home in stable condition with recommendation to f/u if worsening sx and to treat with acetaminophen and cool compress to site.
Age: 12.0
Sex: M
Vaccine: DTAP
Symptoms: Sinusitis
Clinical narrative: Day of injection patient had pain at site, next AM developed chills and as day progressed pt had fever (max of 104.0 F) and neck pain.  Sent from school to ER by ambulance who reported shortness of breath, HR 100-130 as well as fever. Treatement in ER was IV fluids, IV Rocephin and acetaminophen.  Recommended spinal tap to r/o meningitis, parents declined. Discharged home in stable condition with recommendation to f/u if worsening sx and to treat with acetaminophen and cool compress to site.
Age: 0.17
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Dehydration, Depressed level of consciousness, Dysuria, Oliguria, Oral intake reduced
Clinical narrative: Received call from mother on 9/19/2006 at about 8:30am that child had not voided since night before. Mom also stated child had had a temp of 102 during night and did not want to take breast but was using pacifier. Was also concerned because child was not as alert as usual.Was advised to take to MD. due to child not voiding and change in mental status and to let me know what arose. Was seen by Dr. at noon on 9/19/2006 and was admitted to Hospital with Dx of Dehydration,Oliguria,r/o UTI and r/o adverse reaction r/t vaccinations. Spoke to Mom 9/21/2006 when she called to notify about child's condition and said child had been rehydrated with IV fluids and would be dismissed today. Said child quickly perked up when IV fluids were started. 9/28/06 Received medical records from hospital which reveal patient experienced fever & no urination since vax.  Admitted for 23 hour observation w/dx: dehydration & fever s/p immunization.
Age: 0.17
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Pyrexia
Clinical narrative: Received call from mother on 9/19/2006 at about 8:30am that child had not voided since night before. Mom also stated child had had a temp of 102 during night and did not want to take breast but was using pacifier. Was also concerned because child was not as alert as usual.Was advised to take to MD. due to child not voiding and change in mental status and to let me know what arose. Was seen by Dr. at noon on 9/19/2006 and was admitted to Hospital with Dx of Dehydration,Oliguria,r/o UTI and r/o adverse reaction r/t vaccinations. Spoke to Mom 9/21/2006 when she called to notify about child's condition and said child had been rehydrated with IV fluids and would be dismissed today. Said child quickly perked up when IV fluids were started. 9/28/06 Received medical records from hospital which reveal patient experienced fever & no urination since vax.  Admitted for 23 hour observation w/dx: dehydration & fever s/p immunization.
Age: 45.0
Sex: F
Vaccine: HEP, TTOX
Symptoms: Abdominal pain, Dyspnoea, Eye swelling, Fatigue, Hypersensitivity
Clinical narrative: EXCRUTIATING ABDOMINAL PAIN, VOMITING, ALLERGIC REACTION, THROAT CLOSED, EYES SWOLLEN SHUT, TROUBLE BREATHING , TOTALLY EXHAUSTED ALL THE TIME
Age: 45.0
Sex: F
Vaccine: HEP, TTOX
Symptoms: Throat tightness, Vomiting
Clinical narrative: EXCRUTIATING ABDOMINAL PAIN, VOMITING, ALLERGIC REACTION, THROAT CLOSED, EYES SWOLLEN SHUT, TROUBLE BREATHING , TOTALLY EXHAUSTED ALL THE TIME
Age: 9.0
Sex: M
Vaccine: HEPA
Symptoms: Injection site discolouration, Injection site rash, Pruritus, Rash maculo-papular
Clinical narrative: Developed rash on Left arm near injection site, spreads to back.  Rash was noticed the morning after the injection.  Itches.  Rash described as fine blanching macular/papular
Age: 20.0
Sex: M
Vaccine: SMALL
Symptoms: Chest pain, Cough, Headache, Influenza like illness
Clinical narrative: Presented to the Medical Clinic on 8/18/06 with c/o HA, cough, and chest pain with deep breathing times three days. Diagnosed as flu like syndrome from SPV and costochondritis. Orders received for fluids, rest and quarters x 24 hours. Motrin 800mg po tid x 7 days.
Age: 28.0
Sex: M
Vaccine: SMALL
Symptoms: Back pain, Chest pain, Cough, Injection site erythema, Injection site reaction
Clinical narrative: Patient presented to the Medical Clinic on 8/18/06 with c/o 3-4 day history of chest/back/neck pain, dry cough, tenderness under L axilla, fever on and off which he had been treating with Motrin. Smallpox vaccination site noted with redness, whitish lesion @ 1cm diameter surrounded by 5cm erythema. Diagnosed as reaction to smallpox vaccination. Orders received for Robitussin DM 1 tsp QID prn, Motrin 400mg po QID prn, rest, fluids and quarters times 24 hours.
Age: 28.0
Sex: M
Vaccine: SMALL
Symptoms: Neck pain, Pyrexia, Skin ulcer, Tenderness
Clinical narrative: Patient presented to the Medical Clinic on 8/18/06 with c/o 3-4 day history of chest/back/neck pain, dry cough, tenderness under L axilla, fever on and off which he had been treating with Motrin. Smallpox vaccination site noted with redness, whitish lesion @ 1cm diameter surrounded by 5cm erythema. Diagnosed as reaction to smallpox vaccination. Orders received for Robitussin DM 1 tsp QID prn, Motrin 400mg po QID prn, rest, fluids and quarters times 24 hours.
Age: 22.0
Sex: M
Vaccine: SMALL
Symptoms: Cough, Eye disorder, Fatigue, Headache, Lethargy
Clinical narrative: Patient presented to the Medical Clinic on 8/24/06 with c/o lethargy, tiredness, elevated temperature. R frontal headache noted. No ear pain, + R eye pressure, + light yellow nasal drainage, dry sinuses, rare cough, occasional nausea, denied vomiting/diarrhea. Smallpox site without inflammation. Diagnosed as fever, fatigue, HA secondary to smallpox vaccination. Orders received for Motrin/Tylenol. Rest and fluids with quarters for the rest of the day. RTC if temp increases >102.
Age: 22.0
Sex: M
Vaccine: SMALL
Symptoms: Nausea, Pyrexia, Rhinorrhoea
Clinical narrative: Patient presented to the Medical Clinic on 8/24/06 with c/o lethargy, tiredness, elevated temperature. R frontal headache noted. No ear pain, + R eye pressure, + light yellow nasal drainage, dry sinuses, rare cough, occasional nausea, denied vomiting/diarrhea. Smallpox site without inflammation. Diagnosed as fever, fatigue, HA secondary to smallpox vaccination. Orders received for Motrin/Tylenol. Rest and fluids with quarters for the rest of the day. RTC if temp increases >102.
Age: 32.0
Sex: M
Vaccine: FLU3, FLU3
Symptoms: Abdominal pain, Asthenia, Chills, Diarrhoea, Dizziness
Clinical narrative: Within 4 hours of receiving vaccine, patient developed fever to 103, nausea, vomiting, diarrhea.  Illness persisted for 4 days when began abating.  Went to ER for 3 liters IV hydration on day 2 of illness.  Ate possibly contaminated food day prior to onset of illness (and flu vaccine).  10/13/06 Received medical records from hospital which reveal patient seen in ER on 9/15 for fever 102.9, aches, weakness, lightheadedness, HA, malaise, chills, vomiting, diarrhea & abdominal pain & pain at injection site with paresthesias of left arm which began after flu vax same day.  Patient reported had similar s/s after previous flu shots but with longer time in between vax & onset of symptoms.  PMH: HIV +, recent c-diff infection s/p tx for sinus infection.  Kept in ER until following day when released home w/final ER dx: immunization reaction.  10/30/06 Received medical records from provider/reporter which reveal patient called on 9/19 & was seen on 9/20 with continued watery diarrhea, fever, chills & low BP. MD spoke with hospital for lab results & felt episode could be related to possibly contaminated food rather than flu shot; however, since it was patients 3rd negative reaction following flu shot, was not to receive any further flu shots./ss
Age: 32.0
Sex: M
Vaccine: FLU3, FLU3
Symptoms: Headache, Injection site pain, Malaise, Nausea, Pain
Clinical narrative: Within 4 hours of receiving vaccine, patient developed fever to 103, nausea, vomiting, diarrhea.  Illness persisted for 4 days when began abating.  Went to ER for 3 liters IV hydration on day 2 of illness.  Ate possibly contaminated food day prior to onset of illness (and flu vaccine).  10/13/06 Received medical records from hospital which reveal patient seen in ER on 9/15 for fever 102.9, aches, weakness, lightheadedness, HA, malaise, chills, vomiting, diarrhea & abdominal pain & pain at injection site with paresthesias of left arm which began after flu vax same day.  Patient reported had similar s/s after previous flu shots but with longer time in between vax & onset of symptoms.  PMH: HIV +, recent c-diff infection s/p tx for sinus infection.  Kept in ER until following day when released home w/final ER dx: immunization reaction.  10/30/06 Received medical records from provider/reporter which reveal patient called on 9/19 & was seen on 9/20 with continued watery diarrhea, fever, chills & low BP. MD spoke with hospital for lab results & felt episode could be related to possibly contaminated food rather than flu shot; however, since it was patients 3rd negative reaction following flu shot, was not to receive any further flu shots./ss
Age: 32.0
Sex: M
Vaccine: FLU3, FLU3
Symptoms: Paraesthesia, Pyrexia, Vaccination complication, Vomiting
Clinical narrative: Within 4 hours of receiving vaccine, patient developed fever to 103, nausea, vomiting, diarrhea.  Illness persisted for 4 days when began abating.  Went to ER for 3 liters IV hydration on day 2 of illness.  Ate possibly contaminated food day prior to onset of illness (and flu vaccine).  10/13/06 Received medical records from hospital which reveal patient seen in ER on 9/15 for fever 102.9, aches, weakness, lightheadedness, HA, malaise, chills, vomiting, diarrhea & abdominal pain & pain at injection site with paresthesias of left arm which began after flu vax same day.  Patient reported had similar s/s after previous flu shots but with longer time in between vax & onset of symptoms.  PMH: HIV +, recent c-diff infection s/p tx for sinus infection.  Kept in ER until following day when released home w/final ER dx: immunization reaction.  10/30/06 Received medical records from provider/reporter which reveal patient called on 9/19 & was seen on 9/20 with continued watery diarrhea, fever, chills & low BP. MD spoke with hospital for lab results & felt episode could be related to possibly contaminated food rather than flu shot; however, since it was patients 3rd negative reaction following flu shot, was not to receive any further flu shots./ss
Age: 32.0
Sex: M
Vaccine: FLU3, FLU3
Symptoms: Abdominal pain, Abdominal tenderness, Asthenia, Blood test normal, Chills
Clinical narrative: Within 4 hours of receiving vaccine, patient developed fever to 103, nausea, vomiting, diarrhea.  Illness persisted for 4 days when began abating.  Went to ER for 3 liters IV hydration on day 2 of illness.  Ate possibly contaminated food day prior to onset of illness (and flu vaccine).  10/13/06 Received medical records from hospital which reveal patient seen in ER on 9/15 for fever 102.9, aches, weakness, lightheadedness, HA, malaise, chills, vomiting, diarrhea & abdominal pain & pain at injection site with paresthesias of left arm which began after flu vax same day.  Patient reported had similar s/s after previous flu shots but with longer time in between vax & onset of symptoms.  PMH: HIV +, recent c-diff infection s/p tx for sinus infection.  Kept in ER until following day when released home w/final ER dx: immunization reaction.  10/30/06 Received medical records from provider/reporter which reveal patient called on 9/19 & was seen on 9/20 with continued watery diarrhea, fever, chills & low BP. MD spoke with hospital for lab results & felt episode could be related to possibly contaminated food rather than flu shot; however, since it was patients 3rd negative reaction following flu shot, was not to receive any further flu shots./ss
Age: 32.0
Sex: M
Vaccine: FLU3, FLU3
Symptoms: Diarrhoea, Disorientation, Dry throat, Dyspnoea, Faecal incontinence
Clinical narrative: Within 4 hours of receiving vaccine, patient developed fever to 103, nausea, vomiting, diarrhea.  Illness persisted for 4 days when began abating.  Went to ER for 3 liters IV hydration on day 2 of illness.  Ate possibly contaminated food day prior to onset of illness (and flu vaccine).  10/13/06 Received medical records from hospital which reveal patient seen in ER on 9/15 for fever 102.9, aches, weakness, lightheadedness, HA, malaise, chills, vomiting, diarrhea & abdominal pain & pain at injection site with paresthesias of left arm which began after flu vax same day.  Patient reported had similar s/s after previous flu shots but with longer time in between vax & onset of symptoms.  PMH: HIV +, recent c-diff infection s/p tx for sinus infection.  Kept in ER until following day when released home w/final ER dx: immunization reaction.  10/30/06 Received medical records from provider/reporter which reveal patient called on 9/19 & was seen on 9/20 with continued watery diarrhea, fever, chills & low BP. MD spoke with hospital for lab results & felt episode could be related to possibly contaminated food rather than flu shot; however, since it was patients 3rd negative reaction following flu shot, was not to receive any further flu shots./ss
Age: 32.0
Sex: M
Vaccine: FLU3, FLU3
Symptoms: Fatigue, Heart rate increased, Hyperhidrosis, Hypoaesthesia, Hypokinesia
Clinical narrative: Within 4 hours of receiving vaccine, patient developed fever to 103, nausea, vomiting, diarrhea.  Illness persisted for 4 days when began abating.  Went to ER for 3 liters IV hydration on day 2 of illness.  Ate possibly contaminated food day prior to onset of illness (and flu vaccine).  10/13/06 Received medical records from hospital which reveal patient seen in ER on 9/15 for fever 102.9, aches, weakness, lightheadedness, HA, malaise, chills, vomiting, diarrhea & abdominal pain & pain at injection site with paresthesias of left arm which began after flu vax same day.  Patient reported had similar s/s after previous flu shots but with longer time in between vax & onset of symptoms.  PMH: HIV +, recent c-diff infection s/p tx for sinus infection.  Kept in ER until following day when released home w/final ER dx: immunization reaction.  10/30/06 Received medical records from provider/reporter which reveal patient called on 9/19 & was seen on 9/20 with continued watery diarrhea, fever, chills & low BP. MD spoke with hospital for lab results & felt episode could be related to possibly contaminated food rather than flu shot; however, since it was patients 3rd negative reaction following flu shot, was not to receive any further flu shots./ss
Age: 32.0
Sex: M
Vaccine: FLU3, FLU3
Symptoms: Hypotension, Malaise, Neuralgia, Pyrexia, Sensory disturbance
Clinical narrative: Within 4 hours of receiving vaccine, patient developed fever to 103, nausea, vomiting, diarrhea.  Illness persisted for 4 days when began abating.  Went to ER for 3 liters IV hydration on day 2 of illness.  Ate possibly contaminated food day prior to onset of illness (and flu vaccine).  10/13/06 Received medical records from hospital which reveal patient seen in ER on 9/15 for fever 102.9, aches, weakness, lightheadedness, HA, malaise, chills, vomiting, diarrhea & abdominal pain & pain at injection site with paresthesias of left arm which began after flu vax same day.  Patient reported had similar s/s after previous flu shots but with longer time in between vax & onset of symptoms.  PMH: HIV +, recent c-diff infection s/p tx for sinus infection.  Kept in ER until following day when released home w/final ER dx: immunization reaction.  10/30/06 Received medical records from provider/reporter which reveal patient called on 9/19 & was seen on 9/20 with continued watery diarrhea, fever, chills & low BP. MD spoke with hospital for lab results & felt episode could be related to possibly contaminated food rather than flu shot; however, since it was patients 3rd negative reaction following flu shot, was not to receive any further flu shots./ss
Age: 32.0
Sex: M
Vaccine: FLU3, FLU3
Symptoms: Tremor, Urine analysis normal, Visual disturbance
Clinical narrative: Within 4 hours of receiving vaccine, patient developed fever to 103, nausea, vomiting, diarrhea.  Illness persisted for 4 days when began abating.  Went to ER for 3 liters IV hydration on day 2 of illness.  Ate possibly contaminated food day prior to onset of illness (and flu vaccine).  10/13/06 Received medical records from hospital which reveal patient seen in ER on 9/15 for fever 102.9, aches, weakness, lightheadedness, HA, malaise, chills, vomiting, diarrhea & abdominal pain & pain at injection site with paresthesias of left arm which began after flu vax same day.  Patient reported had similar s/s after previous flu shots but with longer time in between vax & onset of symptoms.  PMH: HIV +, recent c-diff infection s/p tx for sinus infection.  Kept in ER until following day when released home w/final ER dx: immunization reaction.  10/30/06 Received medical records from provider/reporter which reveal patient called on 9/19 & was seen on 9/20 with continued watery diarrhea, fever, chills & low BP. MD spoke with hospital for lab results & felt episode could be related to possibly contaminated food rather than flu shot; however, since it was patients 3rd negative reaction following flu shot, was not to receive any further flu shots./ss
Age: 57.0
Sex: F
Vaccine: TTOX
Symptoms: Injection site erythema, Injection site pain, Injection site reaction, Injection site swelling, Pruritus
Clinical narrative: PATIENT RECEIVED VACCINATION ON 9/17/06 ON LEFT DELTOID REGION.  PATIENT CAME TO CLINIC ON 9/21/06 TO SEE PRIMARY CARE PHYSICIAN.  PATIENT STATES DAY AFTER, STARTED TO HAVE INCREASED ERYTHEMA AND SWELLING OF INJECTION SITE.  INITIALLY HAD SOME ITCHING OF SITE BUT RESOLVED.  PATIENT HAVE SLIGHT PAIN OF AREA.  DENIES FEVERS, SHORTNESS OF BREATH.  DENIES NUMBNESS, TINGLING OF LEFT ARM. ON 9/21/06, TEMPERATURE 97.2F PATIENT GIVEN BENADRYL 25 MG 1 TABLET EVERY 6 HOURS X 1 WEEK TO REDUCE ERYTHEMA AND SWELLING.  PATIENT HAVE FOLLOW UP WITH PRIMARY CARE PHYSICIAN IN 1 WEEK
Age: 54.0
Sex: F
Vaccine: TDAP
Symptoms: Cellulitis, Chills, Diabetes mellitus, Feeling hot, Injection site erythema
Clinical narrative: Vaccine was administered 8/10/06, patient was subsequently admitted to MC 8/13/06-8/16/06 with cellulitis requiring IV antibiotics. 9/25/06 Received medical records from hospital which revealed patient admitted 8/13/06-8/16/06 w/final Dx: left shoulder cellulitis, diet controlled diabetes, dyslipisemia.  Left shoulder pain, swelling & erythema began day after tetanus injection with fever & chills.  Exam on admit revealed LUE & shoulder erythema, induration & tenderness w/increased warmth.  WBC 6900.  LUE/shoulder X-ray was WNL.  Blood cultures were neg.  Improved significantly & was d/c to home on oral antibiotics./ss