chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 90.0
Sex: F
Vaccine: VARZOS
Symptoms: Pain in extremity, Red blood cell sedimentation rate increased, Respiratory disorder, Rheumatoid arthritis, Swelling
Clinical narrative: Information has been received from a 91 year old female patient with an unspecified thyroid disorder, recent diagnosis of hypertension, nitroglycerin allergy and possible Sulfonamide allergy and with a history of glaucoma; who on 26-MAR-2008 was vaccinated with ZOSTAVAX (Lot # 659403/1825U), subcutaneously in the left arm. Concomitant therapy included an unspecified thyroid medication, Lovastatin (manufacturer unknown) and Lisinopril (manufacturer unknown). The consumer reported that on approximately 26-APR-2008, one month after receiving ZOSTAVAX, she developed rheumatoid arthritis. The patient started having pain and difficulty moving her left arm one month after receiving the vaccine. The pain and swelling progressed to her right hand, fingers and knees. The patient's physician prescribed Methotrexate. The patient stated that she was hospitalized on 22-JAN-2009 because the Methotrexate caused to have respiratory problems. Methotrexate was discontinued. On unspecified dates rheumatoid factor, antinuclear antibody and Lyme disease titer tests were performed with unreported results. Multiple blood test performed on unreported dates included sedimentation rate of 34 and cyclic citrullinated peptide antibody of 250. At the time of the report, the patient had not recovered. The patient sought medical attention and visited physician's office. Additional information has been requested.
Age: 64.0
Sex: M
Vaccine: FLUX, PPV
Symptoms: Injection site erythema, Injection site vesicles, Purulent discharge, Skin exfoliation
Clinical narrative: Information has been received from a licensed practical nurse, concerning a 64 year old male patient with no known drug reactions/allergies and no pertinent medical history, who on 25-OCT-2008, was vaccinated with PNEUMOVAX (lot # 659150/1384U) 0.5 ml, intramuscularly. Concomitant therapy included influenza virus vaccine (unspecified) (manufacturer unknown). The nurse reported that after receiving the vaccine, the patient developed blisters, redness and shedding of skin approximately 4 to 5 cm away from the injection site. The patient sought medical attention and was seen by the physician. At the time of this report, the patient was recovering. Follow-up information received from the licensed practical nurse indicated the he was a 64 year old male patient, weighing 226 pounds and 5' 10'' in height, with no known drug reactions/allergies. The licensed practical nurse stated that the patient called office and came for exam on 27-OCT-2008, complaining of increased injection site redness and blistering. The patient was seen again on 28-OCT-2008 and redness and blisters continued. Detected blisters near bottom of affected area with yellowish drainage using SILVADENE cream. On 30-OCT-2008, the patient was referred to a dermatologist. On 05-NOV-2008, a call was placed to the patient who stated that his arm was improving and did not complain of pain. Redness and blisters were considered to be an other important medical event by the reporter. Additional information is not expected.
Age: 25.0
Sex: M
Vaccine: FLUX, PPV
Symptoms: Injection site pain, Necrotising fasciitis, Surgery
Clinical narrative: Information has been received from a registered nurse concerning a 25 year old male with cystic fibrosis and a history of renal transplant and 2 or 3 shoulder muscle removal surgeries who was vaccinated with a dose of PNEUMOVAX (lot # 662662/0979X), intramuscularly. Concomitant therapy included influenza virus vaccine (unspecified). Five days after the vaccination date the patient experienced necrotizing fasciitis. The patient complained of pain at the injection site on his left deltoid. The patient was hospitalized for necrotizing fasciitis and pain at the injection site. He had been in the hospital for 3 weeks. The patient received 2 or 3 surgeries to remove the muscles on his shoulder. The reporter requested a lot check. The patient sought medical attention, he was in the hospital. The patient had not recovered. A lot check has been initiated. Necrotizing fasciitis was considered to be immediately life-threatening, an other important medical event and disabling. Additional information has been requested.
Sex: M
Vaccine: MMR
Symptoms: Autism
Clinical narrative: Information has been received from a consumer concerning two males who were vaccinated with a dose of MMR II. The patients developed autism after received the MMR II. Upon internal review autism was determined to be an other important medical event. Additional information is not expected.
Age: 5.0
Sex: M
Vaccine: MMR
Symptoms: Abnormal behaviour, Aggression, Autism, Crying, Gastrointestinal disorder
Clinical narrative: Information has been received from a consumer concerning her 5 year old son who "a couple years ago" was vaccinated with a dose of MMR II (Lot not reported). There was no concomitant medication. After vaccination her son started having behavioral problems, fever, crying, aggression and a rash. The patient was experiencing that for about 4 months after receiving the vaccine and then he developed digestive problems (can not digest protein) and speech delay. The reporter stated that he has autism. Upon internal review, autism was considered to be an other important medical event. No further information is available.
Age: 5.0
Sex: M
Vaccine: MMR
Symptoms: Pyrexia, Rash, Speech disorder developmental
Clinical narrative: Information has been received from a consumer concerning her 5 year old son who "a couple years ago" was vaccinated with a dose of MMR II (Lot not reported). There was no concomitant medication. After vaccination her son started having behavioral problems, fever, crying, aggression and a rash. The patient was experiencing that for about 4 months after receiving the vaccine and then he developed digestive problems (can not digest protein) and speech delay. The reporter stated that he has autism. Upon internal review, autism was considered to be an other important medical event. No further information is available.
Age: 1.4
Sex: M
Vaccine: MMR
Symptoms: Abnormal behaviour, Autism, Condition aggravated, Constipation, Gastritis
Clinical narrative: Information has been received from a consumer concerning her 18 month old son with gastric issues, reflux and no known drugs allergies, who in approximately August 2005, was vaccinated with a dose of MMR II. A couple of months after received the MMR II the patient started to had repetitive behavior of spinning and not responding to his name. The consumer reported that she did bring her son to the pediatrician's office and he was first diagnosed with autism in May 2006, then he went to the physician's again and was diagnosed with autism for the second time in August 2006. The consumer reported that from the autism the patient had severe constipation, reflux and gastritis. Laboratories studies performed include a blood work done in August 2006. The patient had been hospitalized in November 2006 for two nights because of his gastritis. The patient was doing a little better due to many therapy sessions but he still had a mind set of a two year old. The patient sought medical attention through a pediatrician and a physician visits. Upon internal review autism was determined to be an other important medical event. Additional information has been requested.
Age: 1.4
Sex: M
Vaccine: MMR
Symptoms: Gastrooesophageal reflux disease, Laboratory test abnormal, Unresponsive to stimuli
Clinical narrative: Information has been received from a consumer concerning her 18 month old son with gastric issues, reflux and no known drugs allergies, who in approximately August 2005, was vaccinated with a dose of MMR II. A couple of months after received the MMR II the patient started to had repetitive behavior of spinning and not responding to his name. The consumer reported that she did bring her son to the pediatrician's office and he was first diagnosed with autism in May 2006, then he went to the physician's again and was diagnosed with autism for the second time in August 2006. The consumer reported that from the autism the patient had severe constipation, reflux and gastritis. Laboratories studies performed include a blood work done in August 2006. The patient had been hospitalized in November 2006 for two nights because of his gastritis. The patient was doing a little better due to many therapy sessions but he still had a mind set of a two year old. The patient sought medical attention through a pediatrician and a physician visits. Upon internal review autism was determined to be an other important medical event. Additional information has been requested.
Age: 0.17
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Apnoea, Chest X-ray, Computerised tomogram, Culture urine, Influenza serology negative
Clinical narrative: Apnea 12-24 hours after vaccines. In ER. Oxygen, Acyclovir, Rocephin, propofol, succinocholine, endotracheal tube. RSV negative, influenza = negative. From ER - airlifted to hospital. 4/6/09-records received-for DOS 3/6-3/11/09-DC DX:Episodes of apnea. 1 week history of URI with runny nose and congestion. Mutliple apneic events requiring intubation.
Age: 0.17
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Respiratory syncytial virus test negative
Clinical narrative: Apnea 12-24 hours after vaccines. In ER. Oxygen, Acyclovir, Rocephin, propofol, succinocholine, endotracheal tube. RSV negative, influenza = negative. From ER - airlifted to hospital. 4/6/09-records received-for DOS 3/6-3/11/09-DC DX:Episodes of apnea. 1 week history of URI with runny nose and congestion. Mutliple apneic events requiring intubation.
Age: 5.0
Sex: M
Vaccine: FLU3, MMR, VARCEL
Symptoms: Arthralgia, Blood pressure decreased, Gait disturbance, Injection site erythema, Injection site pruritus
Clinical narrative: By 11/28 evening upper left arm was red, swollen, itchy. Following day, more swelling, hot to touch, very itchy. 4 a.m. 12/14, severe swelling in knees, wrists, entire left arm huge and hot, hives over whole body, fever, itchy pain. ER, vomiting, dropping blood pressure, swelling and rash whole body. Dx serum sickness. Symptoms lasted 3-4 weeks. 2 days in hospital. Wheezing, swollen lips, trouble walking. A lot of joint pain.  3/20/09 Received PCP medical records of 12/3/08-3/2/2009. FINAL DX: serum sickness, amoxicillin vs vaccines Records reveal patient w/persistent cough & postnasal drip x 3-4 wks when seen 12/3 w/poor sleep secondary to cough.  Initially had URI w/croup, phlegm now dx w/sinusitis & tx w/oral antibiotics.  Exam on 12/12 was well child, had been seen in OT but stopped some time prior, being watched for social lag.  RTC 12/16 s/p hospital admit visit for swelling of lips, knees & wrists.  Tx w/nebs & antihistamines.  Now had tongue tickling, sleepiness, urticarial rash all over, left arm very swollen, purplish, hot, swollen joints.  Followup w/allergist.  Allergy consult 1/9/09. FINAL DX: serum sickness like reaction likely penicillin allergy Suggested patient have FluMist in future.  Continued to have wheezing & tx w/nebs.  Abdominal distension/discomfort was likely due to constipation.  Had trace proteinuria in hospital & UA repeated but not included.  Was to return in 2 wks.  4/10/09 Received hospital medical records of 12/14-12/15/2008. FINAL DX: serum sickness Records reveal patient experineced pruritic erythematous maculopapular lesions and red swollen left arm, bilateral knee pain w/swelling x 2 days.  Tx w/antihistamines, NSAIDs & nebs.  Had orthostatic hypotension w/dizziness & nausea/vomiting in ER & tx w/IVF w/improvement.  D/C to home w/PCP f/u.  Clinic visit 12/29/2008 s/p hospitalization.   FINAL DX: serum sickness like reaction, suspect amoxicillin reaction Doing well w/rare use of NSAID for joint pain, daily zyrtec & intermittent albuterol for coughing.  Meds were discontinued due to improvement & was to continue albuterol as needed.  Felt to be constipated due to recent illness.  UA was to be repeated.
Age: 5.0
Sex: M
Vaccine: FLU3, MMR, VARCEL
Symptoms: Injection site swelling, Injection site warmth, Joint swelling, Lip swelling, Oedema peripheral
Clinical narrative: By 11/28 evening upper left arm was red, swollen, itchy. Following day, more swelling, hot to touch, very itchy. 4 a.m. 12/14, severe swelling in knees, wrists, entire left arm huge and hot, hives over whole body, fever, itchy pain. ER, vomiting, dropping blood pressure, swelling and rash whole body. Dx serum sickness. Symptoms lasted 3-4 weeks. 2 days in hospital. Wheezing, swollen lips, trouble walking. A lot of joint pain.  3/20/09 Received PCP medical records of 12/3/08-3/2/2009. FINAL DX: serum sickness, amoxicillin vs vaccines Records reveal patient w/persistent cough & postnasal drip x 3-4 wks when seen 12/3 w/poor sleep secondary to cough.  Initially had URI w/croup, phlegm now dx w/sinusitis & tx w/oral antibiotics.  Exam on 12/12 was well child, had been seen in OT but stopped some time prior, being watched for social lag.  RTC 12/16 s/p hospital admit visit for swelling of lips, knees & wrists.  Tx w/nebs & antihistamines.  Now had tongue tickling, sleepiness, urticarial rash all over, left arm very swollen, purplish, hot, swollen joints.  Followup w/allergist.  Allergy consult 1/9/09. FINAL DX: serum sickness like reaction likely penicillin allergy Suggested patient have FluMist in future.  Continued to have wheezing & tx w/nebs.  Abdominal distension/discomfort was likely due to constipation.  Had trace proteinuria in hospital & UA repeated but not included.  Was to return in 2 wks.  4/10/09 Received hospital medical records of 12/14-12/15/2008. FINAL DX: serum sickness Records reveal patient experineced pruritic erythematous maculopapular lesions and red swollen left arm, bilateral knee pain w/swelling x 2 days.  Tx w/antihistamines, NSAIDs & nebs.  Had orthostatic hypotension w/dizziness & nausea/vomiting in ER & tx w/IVF w/improvement.  D/C to home w/PCP f/u.  Clinic visit 12/29/2008 s/p hospitalization.   FINAL DX: serum sickness like reaction, suspect amoxicillin reaction Doing well w/rare use of NSAID for joint pain, daily zyrtec & intermittent albuterol for coughing.  Meds were discontinued due to improvement & was to continue albuterol as needed.  Felt to be constipated due to recent illness.  UA was to be repeated.
Age: 5.0
Sex: M
Vaccine: FLU3, MMR, VARCEL
Symptoms: Pain, Pruritus, Pyrexia, Rash generalised, Serum sickness
Clinical narrative: By 11/28 evening upper left arm was red, swollen, itchy. Following day, more swelling, hot to touch, very itchy. 4 a.m. 12/14, severe swelling in knees, wrists, entire left arm huge and hot, hives over whole body, fever, itchy pain. ER, vomiting, dropping blood pressure, swelling and rash whole body. Dx serum sickness. Symptoms lasted 3-4 weeks. 2 days in hospital. Wheezing, swollen lips, trouble walking. A lot of joint pain.  3/20/09 Received PCP medical records of 12/3/08-3/2/2009. FINAL DX: serum sickness, amoxicillin vs vaccines Records reveal patient w/persistent cough & postnasal drip x 3-4 wks when seen 12/3 w/poor sleep secondary to cough.  Initially had URI w/croup, phlegm now dx w/sinusitis & tx w/oral antibiotics.  Exam on 12/12 was well child, had been seen in OT but stopped some time prior, being watched for social lag.  RTC 12/16 s/p hospital admit visit for swelling of lips, knees & wrists.  Tx w/nebs & antihistamines.  Now had tongue tickling, sleepiness, urticarial rash all over, left arm very swollen, purplish, hot, swollen joints.  Followup w/allergist.  Allergy consult 1/9/09. FINAL DX: serum sickness like reaction likely penicillin allergy Suggested patient have FluMist in future.  Continued to have wheezing & tx w/nebs.  Abdominal distension/discomfort was likely due to constipation.  Had trace proteinuria in hospital & UA repeated but not included.  Was to return in 2 wks.  4/10/09 Received hospital medical records of 12/14-12/15/2008. FINAL DX: serum sickness Records reveal patient experineced pruritic erythematous maculopapular lesions and red swollen left arm, bilateral knee pain w/swelling x 2 days.  Tx w/antihistamines, NSAIDs & nebs.  Had orthostatic hypotension w/dizziness & nausea/vomiting in ER & tx w/IVF w/improvement.  D/C to home w/PCP f/u.  Clinic visit 12/29/2008 s/p hospitalization.   FINAL DX: serum sickness like reaction, suspect amoxicillin reaction Doing well w/rare use of NSAID for joint pain, daily zyrtec & intermittent albuterol for coughing.  Meds were discontinued due to improvement & was to continue albuterol as needed.  Felt to be constipated due to recent illness.  UA was to be repeated.
Age: 5.0
Sex: M
Vaccine: FLU3, MMR, VARCEL
Symptoms: Skin warm, Swelling, Urticaria, Vomiting, Wheezing
Clinical narrative: By 11/28 evening upper left arm was red, swollen, itchy. Following day, more swelling, hot to touch, very itchy. 4 a.m. 12/14, severe swelling in knees, wrists, entire left arm huge and hot, hives over whole body, fever, itchy pain. ER, vomiting, dropping blood pressure, swelling and rash whole body. Dx serum sickness. Symptoms lasted 3-4 weeks. 2 days in hospital. Wheezing, swollen lips, trouble walking. A lot of joint pain.  3/20/09 Received PCP medical records of 12/3/08-3/2/2009. FINAL DX: serum sickness, amoxicillin vs vaccines Records reveal patient w/persistent cough & postnasal drip x 3-4 wks when seen 12/3 w/poor sleep secondary to cough.  Initially had URI w/croup, phlegm now dx w/sinusitis & tx w/oral antibiotics.  Exam on 12/12 was well child, had been seen in OT but stopped some time prior, being watched for social lag.  RTC 12/16 s/p hospital admit visit for swelling of lips, knees & wrists.  Tx w/nebs & antihistamines.  Now had tongue tickling, sleepiness, urticarial rash all over, left arm very swollen, purplish, hot, swollen joints.  Followup w/allergist.  Allergy consult 1/9/09. FINAL DX: serum sickness like reaction likely penicillin allergy Suggested patient have FluMist in future.  Continued to have wheezing & tx w/nebs.  Abdominal distension/discomfort was likely due to constipation.  Had trace proteinuria in hospital & UA repeated but not included.  Was to return in 2 wks.  4/10/09 Received hospital medical records of 12/14-12/15/2008. FINAL DX: serum sickness Records reveal patient experineced pruritic erythematous maculopapular lesions and red swollen left arm, bilateral knee pain w/swelling x 2 days.  Tx w/antihistamines, NSAIDs & nebs.  Had orthostatic hypotension w/dizziness & nausea/vomiting in ER & tx w/IVF w/improvement.  D/C to home w/PCP f/u.  Clinic visit 12/29/2008 s/p hospitalization.   FINAL DX: serum sickness like reaction, suspect amoxicillin reaction Doing well w/rare use of NSAID for joint pain, daily zyrtec & intermittent albuterol for coughing.  Meds were discontinued due to improvement & was to continue albuterol as needed.  Felt to be constipated due to recent illness.  UA was to be repeated.
Age: 0.2
Sex: M
Vaccine: DTAPIPVHIB, PNC, RV5
Symptoms: Crying, Excessive eye blinking, Gaze palsy, Lumbar puncture, Sleep terror
Clinical narrative: "Night tremor" type incident "weird cry" X 20 min.  Arms flailing, eye looking to left - unfocused.  T101.4  gaze deviating rapid eye blinking.  3/18/09 Received hospital medical records for 3/3-3/55/2009. FINAL DX: a seizure-like episode s/p vaccination Records reveal patient experienced seizure activity consisting of jerky movements of extremities x 1 day.  On exam, fever.  Tx w/IVF & antibiotics.  Neuro consult done & WNL.  Improved & d/c to home w/PCP f/u.
Age: 0.2
Sex: M
Vaccine: DTAPIPVHIB, PNC, RV5
Symptoms: Vision blurred
Clinical narrative: "Night tremor" type incident "weird cry" X 20 min.  Arms flailing, eye looking to left - unfocused.  T101.4  gaze deviating rapid eye blinking.  3/18/09 Received hospital medical records for 3/3-3/55/2009. FINAL DX: a seizure-like episode s/p vaccination Records reveal patient experienced seizure activity consisting of jerky movements of extremities x 1 day.  On exam, fever.  Tx w/IVF & antibiotics.  Neuro consult done & WNL.  Improved & d/c to home w/PCP f/u.
Age: 22.0
Sex: F
Vaccine: HPV4
Symptoms: Cough, Nausea, Oropharyngeal pain, Pyrexia
Clinical narrative: Fever of 103 for 72 hours, severe sore throat and cough lasting more than a week, nausea.
Age: 75.0
Sex: F
Vaccine: VARZOS
Symptoms: Condition aggravated, Neuropathy peripheral, Trigeminal neuralgia
Clinical narrative: Increased her neuropathy symptoms and triggered a flare of her Trigeminal neuralgia.
Age: 5.0
Sex: M
Vaccine: FLU3
Clinical narrative: No adverse effects observed. Father instructed on after care. Look for fever, soreness in thighs. Possible mild case of flu in next 2 weeks.
Age: 53.0
Sex: F
Vaccine: FLU3
Symptoms: Pain in extremity
Clinical narrative: Pt states her Rt arm has been hurting since injection 4 months ago.
Age: 4.0
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Injection site erythema, Injection site induration, Injection site pain
Clinical narrative: Pt received shots Monday afternoon.  Tuesday morning mom noted redness and induration on right thigh around injection site and child complained of pain.  Pt seen by MD on Thursday 3-12-09 and started on oral CLINDAMYCIN.
Age: 1.8
Sex: M
Vaccine: DTAPHEPBIP, HEPA, MMR, PNC, VARCEL
Symptoms: Rash macular
Clinical narrative: Malar rash erupted day post vaccination. -> treated with BENEDRYL.
Age: 35.0
Sex: M
Vaccine: FLU3
Symptoms: Unevaluable event
Clinical narrative: None stated.
Age: 36.0
Sex: M
Vaccine: TDAP
Symptoms: Injection site erythema, Lymphadenopathy
Clinical narrative: lymph node in the deltoid region and lymphadenopathy in the left axillary region.  Some erythema of the injection site.
Age: 66.0
Sex: F
Vaccine: VARZOS
Symptoms: Erythema, Pruritus generalised, Rash generalised, Urticaria
Clinical narrative: Itch: 2-21-09. Severe welts (red, puffy) 2-23-09 to 2-25-09 (peak discomfort) 1 tablet BENEDRYL 2/25.  Itch relief w/ AQUAFLOR topical area : Head (scalp) under eye, mouth chest area, elbows, arms, abdomen, butt, thighs, behind knee's, ankles, legs; ALL OVER.
Age: 56.0
Sex: M
Vaccine: PPV, TDAP
Symptoms: Anxiety, Dyspnoea, Flushing, Headache, Panic attack
Clinical narrative: My back of head left side bottom started aching within about 1hr later that day around noon. I started feeling flush 10:00 am and my throat felt like it was getting tight, hard to breathe, by 6:00pm I was having a panic attack. By midnight, terrible anxiety attack had set in. Called paramedics in early AM taken to ER on Sat. Went back to ER at clinic  Sunday. Dr took a blood sample about 4 days later after injection.
Age: 56.0
Sex: M
Vaccine: PPV, TDAP
Symptoms: Throat tightness
Clinical narrative: My back of head left side bottom started aching within about 1hr later that day around noon. I started feeling flush 10:00 am and my throat felt like it was getting tight, hard to breathe, by 6:00pm I was having a panic attack. By midnight, terrible anxiety attack had set in. Called paramedics in early AM taken to ER on Sat. Went back to ER at clinic  Sunday. Dr took a blood sample about 4 days later after injection.
Age: 12.0
Sex: M
Vaccine: HEPA, MNQ
Symptoms: Dizziness, Injection site pain, Injection site rash, Injection site swelling, Vomiting
Clinical narrative: Began vomiting approx 6-8 hr post injection - vomiting cont with dizziness, lightheadedness & soreness @ site of immunization Sl. swelling, no redness @ R deltoid site rash on R cheek.
Age: 46.0
Sex: U
Vaccine: FLU3
Symptoms: Asthenia, Dizziness, Nausea, Throat tightness
Clinical narrative: Weakness, Dizziness, Mild Nausea - 20 Mins after injection - feeling (mild) of throat closing VP (Briefly)
Age: 55.0
Sex: F
Vaccine: TDAP
Symptoms: Chills, Injection site pain, Injection site pruritus, Injection site warmth, Pyrexia
Clinical narrative: Injection site was warm/hot to touch, touch tender, pt. febrile and chills, oral temp 99.8 after chills. Fever started 29 hours after injection - remained febrile for 60 hours. Normal temp. 97.8. No nausea, no diarrhea. R injection site itches and warm 3/12. No spleen.
Age: 12.0
Sex: F
Vaccine: HEPA, HPV4
Symptoms: Arthralgia, Decreased appetite, Dizziness, Eye pain, Headache
Clinical narrative: Immediately after shot, had onset of headache dizziness. Onset of fever 12:00am 3/3/09, temp 103.9. Received Advil, water, cold pack. Headache, nausea, dizziness present AM 3/3/09. Also c/o joint pain, pain behind eyes- joint pain on right side of body. Advil brings fever to 101 measured. Denies headache relief. limited fluid intake while ill limited appetite.
Age: 12.0
Sex: F
Vaccine: HEPA, HPV4
Symptoms: Hypophagia, Immediate post-injection reaction, Influenza serology negative, Nausea, Pyrexia
Clinical narrative: Immediately after shot, had onset of headache dizziness. Onset of fever 12:00am 3/3/09, temp 103.9. Received Advil, water, cold pack. Headache, nausea, dizziness present AM 3/3/09. Also c/o joint pain, pain behind eyes- joint pain on right side of body. Advil brings fever to 101 measured. Denies headache relief. limited fluid intake while ill limited appetite.
Age: 12.0
Sex: F
Vaccine: HEPA, HPV4
Symptoms: Streptococcal identification test negative
Clinical narrative: Immediately after shot, had onset of headache dizziness. Onset of fever 12:00am 3/3/09, temp 103.9. Received Advil, water, cold pack. Headache, nausea, dizziness present AM 3/3/09. Also c/o joint pain, pain behind eyes- joint pain on right side of body. Advil brings fever to 101 measured. Denies headache relief. limited fluid intake while ill limited appetite.
Age: 0.4
Sex: F
Vaccine: DTAP, IPV, PNC, RV1
Symptoms: Asthenia, Diarrhoea, Lethargy, Nausea, Pallor
Clinical narrative: N&V, diarrhea, Pale, Lethargic, Weak, (Per mother) lasting 2 Days.
Age: 0.4
Sex: F
Vaccine: DTAP, IPV, PNC, RV1
Symptoms: Vomiting
Clinical narrative: N&V, diarrhea, Pale, Lethargic, Weak, (Per mother) lasting 2 Days.
Age: 0.8
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Injection site mass, Injection site reaction, Scratch
Clinical narrative: On 3-2-09 parent called and reported that the child had a lump on her right outside thigh area. It was not red or sore. Lump under skin. There is a scratch on the leg in the same area.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Injection site urticaria
Clinical narrative: Half hour after vaccines were administered developed hives on injection site, right deltoid and scattered in the back.
Age: 18.0
Sex: U
Vaccine: MNQ
Symptoms: Asthenia, Dizziness, Pallor, Palpitations
Clinical narrative: Day after injection of MENACTRA. Patient developed palpitations, was dizzy, weak and pale. Symptoms resolved in 24 hours.
Age: 10.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site cellulitis
Clinical narrative: Local cellulitis at site of injection resolving with AUGMENTIN.
Age: 17.0
Sex: F
Vaccine: HPV4
Symptoms: Cervical dysplasia
Clinical narrative: Patient was given 3 GARDASIL vaccines in 2008 by her PMD. PAP smear results on 3/4/09 shows LGSIL with HPV changes.
Age: 21.0
Sex: F
Vaccine: HPV4, IPV, TYP, YF
Symptoms: Chest discomfort, Chest pain, Cough, Dyspnoea, Flushing
Clinical narrative: See attached medical records.
Age: 21.0
Sex: F
Vaccine: HPV4, IPV, TYP, YF
Symptoms: Hypersensitivity, Lacrimation increased, Pharyngeal erythema, Tonsillar inflammation, Wheezing
Clinical narrative: See attached medical records.
Age: 7.0
Sex: M
Vaccine: DTAP, IPV, VARCEL
Symptoms: Wrong drug administered
Clinical narrative: DTaP given to a 7yr old will count as a valid dose, but requested VAERS form submitted. There was not an adverse event. Date of vaccination 2/24/09
Age: 48.0
Sex: M
Vaccine: RUB, RUB
Symptoms: Rash maculo-papular
Clinical narrative: Rubella rash - maculopapular, fine, to chest, back, face & upper extremities no fever, chills, arthralgias
Age: 48.0
Sex: M
Vaccine: RUB, RUB
Symptoms: Rash
Clinical narrative: Rubella rash - maculopapular, fine, to chest, back, face & upper extremities no fever, chills, arthralgias
Sex: F
Vaccine: PPV
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: None - just to report accidental (unintentional) administration of 23-polyvalent (PNEUMOVAX ) vaccine to a 2 1/2 hour old newborn. Infant doing clinically well - post event.
Age: 44.0
Sex: M
Vaccine: TDAP
Symptoms: Abdominal discomfort, Condition aggravated, Diarrhoea
Clinical narrative: Diarrhea, GI upset, "flare of Ulcerative Colitis". Patient reports symptoms began within 1h of vaccine administration.  Patient seen in acute care clinic the following day, and treated with esomeprazole, loperamide, mesalamine.  Patient recovered completely on day following treatment. Today, patient reports that he may have also had GI upset following a Tetanus immunization in the past. (not previously reported)
Age: 15.0
Sex: M
Vaccine: MNQ
Symptoms: Dizziness, Headache, Musculoskeletal stiffness, Pain
Clinical narrative: headache, dizziness, stiff and sore everywhere starting approx 8-12 hours after receiving the Menactra vaccine
Age: 18.0
Sex: M
Vaccine: HEPA
Symptoms: Injected limb mobility decreased
Clinical narrative: Patient informed nurse that he usually faints after receiving injections.  Patient given one injections (Hepatitis A) while lying on exam table.  10 minutes after injection, patient complained that he could not move right arm (arm that received injection). Patient left clinic walking on his own.  Telephone call 3/17/09, reports no complaints about arm when arrived home, did fine throuthout the evening.  Doing well today (3/17/09), no complaints.
Age: 16.0
Sex: F
Vaccine: HEPA, HPV4, MNQ
Symptoms: Abasia, Nuclear magnetic resonance imaging, Pain in extremity, Rheumatoid arthritis
Clinical narrative: Within several days of her second shot - she was unable to walk without much pain to her feet.  Within 2 weeks she was diagnosed with RA and now is on Enbrel shots every week.  3/23/09 MR received from rheum consult 11/14/08-2/9/09.  Pt initially presented with acute onset of joint complaints, beginning in L 5th metacarpal, then bilateral feet.  Joints are tender to touch.  Also c/o of low back pain near the R SI joint and onset of dry scalp, dandruff and excoriation over the elbows, knees.  PE (+) for joint tenderness and seborrhea.  Impression:  Recent onset seronegative inflammatory arthritis. Tx:  Naprosyn, steroids, Embrel.  4/1/09 PCP note recd for DOS 11/11/08. Pt c/o hand swelling and pain, ankle pain which causes pt to limp as well as irregular menses. PE (+) for pain on passive motion. Imp: Irregular menses.  L ankle pain, painful 5th finger L hand.  Swelling L hand.  Referred to rheumatology. HPV#2 given.
Age: 1.01
Sex: M
Vaccine: FLU3, PNC
Symptoms: Blood test normal, Borrelia burgdorferi serology negative, CSF pressure increased, Chest X-ray normal, Chromosome analysis normal
Clinical narrative: 1 week after patient was given the Flu Shot his right eye showed signs of not moving properly. It looked as if he were going crossed-eye. 24 hours later he threw up for no apparent reason and his eye seemed to be even more crossed. After visiting the Pediatrician's office, Dr. concluded that his right eye was not moving outward to the left and we were sent to Hospital. Patient's eye could move inward and to the center but not outward. Over the next 48 hours movement in his right eye became more constrictive and he started turning his head to the right to see straight forward. Acetazolamide was given after a lumbar puncture showed high amounts of pressure in the fluid in his spine causing pressure on his 6th nerve. He took 125mg per day for a month. Improvements were seen within 24 hours and after 5 days patient appeared to have full moevement back in his eye. Treatment was extended to a month due to the 2nd dose of the flu shot.  His doctor kept him on it for 2 weeks following the 2nd dose. We were not aware at the time that this may have correlated with the flu shot.  3/30/09 Received hospital medical records of 1/2-1/5/2009. FINAL DX: right 6th nerve palsy; right conjunctivitis Records reveal patient experienced x 3 days: left crossed eye; right eye immobile.  Saw PCP who found isolated right abducence nerve palsy & referred to Ophthalmology who confirmed same. Exam revealed facial dysmorphism suggestive of Trisomy 21, right eye serous drainage, left middle ear effusion, lack of right eye abduction, heart murmur.  LP revealed increased ICP (opening pressure 26).  Tx w/Diamox.  Remained stable & d/c to home w/Ophtho, Neuro & Cardio outpatient f/u.    Seen in Neuro clinic 1/13/09 s/p viral gastroenteritic.  Additional testing planned r/t dysmorphism after karyotype WNL.  4/13/09 Received vaccine records & Neuro followup of 2/3/2009.   FINAL DX: post viral right 6th nerve palsy, resolving. Exam revealed lack of right eye abduction.  Diamox decreased.  To return for Neuro & Optho clinic visits in couple of mo.
Age: 1.01
Sex: M
Vaccine: FLU3, PNC
Symptoms: Computerised tomogram normal, Electrocardiogram normal, Eye movement disorder, Lumbar puncture abnormal, Nuclear magnetic resonance imaging normal
Clinical narrative: 1 week after patient was given the Flu Shot his right eye showed signs of not moving properly. It looked as if he were going crossed-eye. 24 hours later he threw up for no apparent reason and his eye seemed to be even more crossed. After visiting the Pediatrician's office, Dr. concluded that his right eye was not moving outward to the left and we were sent to Hospital. Patient's eye could move inward and to the center but not outward. Over the next 48 hours movement in his right eye became more constrictive and he started turning his head to the right to see straight forward. Acetazolamide was given after a lumbar puncture showed high amounts of pressure in the fluid in his spine causing pressure on his 6th nerve. He took 125mg per day for a month. Improvements were seen within 24 hours and after 5 days patient appeared to have full moevement back in his eye. Treatment was extended to a month due to the 2nd dose of the flu shot.  His doctor kept him on it for 2 weeks following the 2nd dose. We were not aware at the time that this may have correlated with the flu shot.  3/30/09 Received hospital medical records of 1/2-1/5/2009. FINAL DX: right 6th nerve palsy; right conjunctivitis Records reveal patient experienced x 3 days: left crossed eye; right eye immobile.  Saw PCP who found isolated right abducence nerve palsy & referred to Ophthalmology who confirmed same. Exam revealed facial dysmorphism suggestive of Trisomy 21, right eye serous drainage, left middle ear effusion, lack of right eye abduction, heart murmur.  LP revealed increased ICP (opening pressure 26).  Tx w/Diamox.  Remained stable & d/c to home w/Ophtho, Neuro & Cardio outpatient f/u.    Seen in Neuro clinic 1/13/09 s/p viral gastroenteritic.  Additional testing planned r/t dysmorphism after karyotype WNL.  4/13/09 Received vaccine records & Neuro followup of 2/3/2009.   FINAL DX: post viral right 6th nerve palsy, resolving. Exam revealed lack of right eye abduction.  Diamox decreased.  To return for Neuro & Optho clinic visits in couple of mo.
Age: 1.01
Sex: M
Vaccine: FLU3, PNC
Symptoms: Vomiting
Clinical narrative: 1 week after patient was given the Flu Shot his right eye showed signs of not moving properly. It looked as if he were going crossed-eye. 24 hours later he threw up for no apparent reason and his eye seemed to be even more crossed. After visiting the Pediatrician's office, Dr. concluded that his right eye was not moving outward to the left and we were sent to Hospital. Patient's eye could move inward and to the center but not outward. Over the next 48 hours movement in his right eye became more constrictive and he started turning his head to the right to see straight forward. Acetazolamide was given after a lumbar puncture showed high amounts of pressure in the fluid in his spine causing pressure on his 6th nerve. He took 125mg per day for a month. Improvements were seen within 24 hours and after 5 days patient appeared to have full moevement back in his eye. Treatment was extended to a month due to the 2nd dose of the flu shot.  His doctor kept him on it for 2 weeks following the 2nd dose. We were not aware at the time that this may have correlated with the flu shot.  3/30/09 Received hospital medical records of 1/2-1/5/2009. FINAL DX: right 6th nerve palsy; right conjunctivitis Records reveal patient experienced x 3 days: left crossed eye; right eye immobile.  Saw PCP who found isolated right abducence nerve palsy & referred to Ophthalmology who confirmed same. Exam revealed facial dysmorphism suggestive of Trisomy 21, right eye serous drainage, left middle ear effusion, lack of right eye abduction, heart murmur.  LP revealed increased ICP (opening pressure 26).  Tx w/Diamox.  Remained stable & d/c to home w/Ophtho, Neuro & Cardio outpatient f/u.    Seen in Neuro clinic 1/13/09 s/p viral gastroenteritic.  Additional testing planned r/t dysmorphism after karyotype WNL.  4/13/09 Received vaccine records & Neuro followup of 2/3/2009.   FINAL DX: post viral right 6th nerve palsy, resolving. Exam revealed lack of right eye abduction.  Diamox decreased.  To return for Neuro & Optho clinic visits in couple of mo.
Age: 21.0
Sex: M
Vaccine: ANTH
Symptoms: Discomfort, Injection site pain, Swelling, Vaccination site reaction
Clinical narrative: Pt is a member on Mobilization Orders. He received his 1st Anthrax Vaccine on 15 Mar 2009 in his left Deltoid Region. He reported to facility complaining of severe pain and tenderness at the injection site. The Chief Medical Officer assessed the injection site and determined a Moderate Vaccine reaction. Pt was ordered Motrin for swelling and discomfort, instructed to monitor the site and return to the clinic within 7 days if the symptoms worsen.
Age: 43.0
Sex: F
Vaccine: ANTH, TYP
Symptoms: Inappropriate schedule of drug administration, Vaccination site reaction
Clinical narrative: Vaccine was administered 15 Mar 2009, during Mobilization Orders activity. Vaccines were administered at the facility.  Pt states, and the immunization record verifies that she received an Anthrax shot #4 (Lot # FAV 159), and a Typhoid Vaccine (Lot # B03472) both vaccines were given in the Left Deltoid Region. The Chief Medical Officer assessed the vaccine region as a Moderate Anthrax Vaccine Reaction, and recommended Motrin for the patient. Immunization records show that the Typhoid vaccine was administered 18 months too early. She received a Typhoid vaccine on 13 Sept 2008 and another dose on 15 Mar 2009. The vaccine booster schedule is every 2 years. A VAERS report will be prepared.
Age: 1.0
Sex: M
Vaccine: MMR, PNC, VARCEL
Symptoms: Erythema, Rash papular
Clinical narrative: pATIENT PRESENTED WITH RED, PAPULAR LESIONS ON FACE,HEAD,TORSO,ARMS AND LEGS
Age: 19.0
Sex: F
Vaccine: HEPA, MNQ, VARCEL
Symptoms: Optic neuritis, Vision blurred
Clinical narrative: Menactra, Varivax, and Havrix administered on 11/6/08. Pt. noted abrubt onset of blurred vision in left eye on 11/26/08. Seen by a neuro-ophthalmologist, diagnosed with optic nueritis on 12/5/08. Follow-up shows some recovery of vision, though still signifigant blurred vision.
Age: 20.0
Sex: F
Vaccine: HEPA, YF
Symptoms: Rash, Rash papular, Rash pruritic
Clinical narrative: Received Yellow Fever vaccine 2/27/09.  According to patient, started having itchy grouped rash on right arm area and continues to spread to other areas.  Rash first started 3/6/09 (8 days after vaccination in left arm).  Denies any new laundry and skin products.  Grouped tiny cream/brown papules with satellite papules all over arms, trunk, legs.  Arrangements made for patient to see dermatologist 3/17/09.
Age: 38.0
Sex: M
Vaccine: TDAP
Symptoms: Asthenia, Muscular weakness, Myalgia, Nerve conduction studies abnormal, Nuclear magnetic resonance imaging
Clinical narrative: Day after administration: myalgias, subjective fever. Starting the second day after administration: muscle soreness in the forearms with weakness and paresthesis in the hands. mild weakness in the legs and upper arms.
Age: 38.0
Sex: M
Vaccine: TDAP
Symptoms: Paraesthesia, Pyrexia
Clinical narrative: Day after administration: myalgias, subjective fever. Starting the second day after administration: muscle soreness in the forearms with weakness and paresthesis in the hands. mild weakness in the legs and upper arms.
Age: 0.83
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Erythema, Eyelid oedema, Rash
Clinical narrative: Rash on neck, swelling and redness of eyelids, lips and ears
Age: 7.0
Sex: F
Vaccine: FLU3, VARCEL
Symptoms: Immediate post-injection reaction, Injection site erythema, Local swelling, Pruritus, Throat irritation
Clinical narrative: Patient is well appearing and presented to clinic for varicella vaccine. Patient received first varicella vaccine too early (before one years old)and rececived a second varicella on 9-17-07. Patient also presented for flu vaccine. Patient has had flu shot in the past and denies any allergies to eggs or egg products. Patient received 0.5cc flu shot into Right deltoid without incidence. Patient received 0.5cc varicella SC into back left upper arm. Approximately 5 mins after injections patient complained of itchiness in left arm. Left arm injection site redden and had localized swelling approximately the size of a half dollar. Dr. was called to evaluate patient. Patient continued to complain of itchiness, but now spreading to throat and rest of body. Orders for benadryl 25 mg po. after 10 to 15 mis no change. Orders for EpiJr given. Patient transported to hospital via ambulance.
Age: 36.0
Sex: F
Vaccine: MMR, TTOX, VARCEL
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth, Pain
Clinical narrative: Immunizations given 3/16/09. Client returned to clinic 3/17/09 stating during the evening of 3/16 her left arm was painful, w/pain radiating down to hand.  On 3/17, upper left arm appeared slightly swollen; red; warm to touch.  Ice packs advised.
Age: 15.0
Sex: F
Vaccine: HPV4
Symptoms: Head injury, Loss of consciousness, Skull fracture, Syncope
Clinical narrative: Pt was given #2 HPV and left area went to pharmacy, we had a Fire Drill pt walking out to car and fainted. Hit head, LOC, was taken to Hospital found to have a skull fracture was airlifted to another hospital for treatment.  4/2/09 ER report received for DOS 2/18/09  with Final dx:  Syncope. Head bleed. Shortly (~5 min) after receiving vax pt had a syncopal episode where pt fell backwards and hit head on sidewalk. LOC x several minutes. One episode of vomiting en route to ER. PE (+) for hemotypanum of the R ear, vomiting and pain at C4. Transfered to higher level of care for subarachnoid bleed.  5/11/09 MR received from transfer facility for DOS 2/18-19/2009 with dx: R occipital skull fx, L frontal contusion with presentation c/w vasovagal syncope. Cardiac and ENT consults. Systolic murmer noted on PE. Neuro exam WNL. ENT notes conductive hearing loss  and possible R temporal bone fx on R. Will f/u on hearing loss as outpt.
Age: 62.0
Sex: F
Vaccine: VARZOS
Symptoms: Autopsy, Chest discomfort, Death, Dyspnoea, Eosinophilic myocarditis
Clinical narrative: She dies on 12/31/08 - clinicians list hypersensitivity myocarditis of unk etiology - I autopsy case 1-14-09 - confirmed an eosinophilic myocarditis, unk etiology but cannot exclude ZOSTAVAX vaccination given around 12-4-08 - unk where, clinician indicate possible delayed hypersensitivity reaction. (She presented --> to ER 12-20-08 with diaphoresis, chest tightness, SOB). 4/27/09-records received-COD Eosinophilic myocarditis, etiology not established.
Age: 62.0
Sex: F
Vaccine: VARZOS
Symptoms: Hyperhidrosis, Hypersensitivity, Myocarditis
Clinical narrative: She dies on 12/31/08 - clinicians list hypersensitivity myocarditis of unk etiology - I autopsy case 1-14-09 - confirmed an eosinophilic myocarditis, unk etiology but cannot exclude ZOSTAVAX vaccination given around 12-4-08 - unk where, clinician indicate possible delayed hypersensitivity reaction. (She presented --> to ER 12-20-08 with diaphoresis, chest tightness, SOB). 4/27/09-records received-COD Eosinophilic myocarditis, etiology not established.
Age: 24.0
Sex: M
Vaccine: FLUN3, HEPA, MMR
Symptoms: Abasia, Albumin globulin ratio normal, Alpha 1 globulin increased, Alpha 2 globulin normal, Ataxia
Clinical narrative: Service member was a basic trainee and received multiple vaccines at the end of September 2008 and then developed lower extremity weakness and paresthesias in late October-early November 2008 time-frame. First noted tingling in bilateral great toes which then progressed to calves and thighs. SM was admitted in November 2008 and treated with steroids. He was then discharged to Inpatient Rehab x 8 days with ongoing lower extremity weakness and ataxia. He currently is experiencing ongoing lower extremity weakness and paresthesias. He is pending a medical board. Diagnosed as ADEM. 4/2/09-records received for DOS 11/8-11/17/08- DC DX:Acute transverse myelitis versus ADEM. Ataxia secondary to 1st diagnosis. urinary retention resolving. Received immunizations 3 weeks prior and had 1 week of progressive muscle weakness with mostly lower limb involvement and urinary retention. Began with tingling sensation of big toes progressing to legs buckling and no longer able to walk.Transferred to rehabiliation.  Follow up 5/11/10 Last clinical not visible to VHC-April 2009; last contact with patient, 4/30/09 placed on TDRL status with 70% disability.
Age: 24.0
Sex: M
Vaccine: FLUN3, HEPA, MMR
Symptoms: Beta globulin normal, Blood albumin normal, Blood creatine phosphokinase increased, CSF myelin basic protein increased, CSF oligoclonal band absent
Clinical narrative: Service member was a basic trainee and received multiple vaccines at the end of September 2008 and then developed lower extremity weakness and paresthesias in late October-early November 2008 time-frame. First noted tingling in bilateral great toes which then progressed to calves and thighs. SM was admitted in November 2008 and treated with steroids. He was then discharged to Inpatient Rehab x 8 days with ongoing lower extremity weakness and ataxia. He currently is experiencing ongoing lower extremity weakness and paresthesias. He is pending a medical board. Diagnosed as ADEM. 4/2/09-records received for DOS 11/8-11/17/08- DC DX:Acute transverse myelitis versus ADEM. Ataxia secondary to 1st diagnosis. urinary retention resolving. Received immunizations 3 weeks prior and had 1 week of progressive muscle weakness with mostly lower limb involvement and urinary retention. Began with tingling sensation of big toes progressing to legs buckling and no longer able to walk.Transferred to rehabiliation.  Follow up 5/11/10 Last clinical not visible to VHC-April 2009; last contact with patient, 4/30/09 placed on TDRL status with 70% disability.
Age: 24.0
Sex: M
Vaccine: FLUN3, HEPA, MMR
Symptoms: Disability, Electrophoresis protein, Immunoglobulins decreased, Lumbar puncture abnormal, Muscular weakness
Clinical narrative: Service member was a basic trainee and received multiple vaccines at the end of September 2008 and then developed lower extremity weakness and paresthesias in late October-early November 2008 time-frame. First noted tingling in bilateral great toes which then progressed to calves and thighs. SM was admitted in November 2008 and treated with steroids. He was then discharged to Inpatient Rehab x 8 days with ongoing lower extremity weakness and ataxia. He currently is experiencing ongoing lower extremity weakness and paresthesias. He is pending a medical board. Diagnosed as ADEM. 4/2/09-records received for DOS 11/8-11/17/08- DC DX:Acute transverse myelitis versus ADEM. Ataxia secondary to 1st diagnosis. urinary retention resolving. Received immunizations 3 weeks prior and had 1 week of progressive muscle weakness with mostly lower limb involvement and urinary retention. Began with tingling sensation of big toes progressing to legs buckling and no longer able to walk.Transferred to rehabiliation.  Follow up 5/11/10 Last clinical not visible to VHC-April 2009; last contact with patient, 4/30/09 placed on TDRL status with 70% disability.