chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 23.0
Sex: F
Vaccine: HPV4
Symptoms: Head injury, Laboratory test, Loss of consciousness, Syncope
Clinical narrative: Information has been received from a physician and a medical assistant concerning a 23 year old female patient with no medical history and reported as "free of heart murmur" who on 19-JUL-2010, was vaccinated with the first dose of GARDASIL (Lot # 0450Z). There was no concomitant medication. It was reported that after the vaccination, the patient was instructed to wait in the reception area. Then she went back to the exam area and while standing up, "about 10 minutes" after she had received GARDASIL, she felt dizzy, fell back, fainted and hit her head. The physician stated that she was not sure but the patient may have had a seizure. She also stated that she heard the patient fall and when she went to the reception area the patient was unconscious, on the floor sitting up. According to the medical assistant, the patient was unconscious for less than a minute. The patient had bruised her head (specific area not specified). The physician called the patient's name and she regained consciousness immediately and recovered. It was mentioned that the patient had a brief period of amnesia, when she stood up she was coherent. The patient was taken to the treatment room and was given water. The time from the GARDASIL to the time the patient went to the treatment room was about 15 minutes. The patient remained in the physician's office for one hour and a half, before she went home with her mother. She was sent to the emergency room to rule out head injury and had other screenings (unspecified). The patient had an electrocardiogram (EKG) performed which results were abnormal; she was not admitted to the hospital. The patient was referred to a cardiologist. Upon internal review the patient may have had a seizure was considered another important medical event. Additional information has been requested.
Sex: F
Vaccine: HPV4
Symptoms: Cholecystectomy, Gallbladder disorder
Clinical narrative: Information has been received from a nurse concerning a female patient who on an unknown date was vaccinated with a dose of GARDASIL (lot# not reported). Subsequently the patient started experiencing gallbladder problems and had to have her gallbladder removed. She was hospitalized (length and demographics not reported) and underwent surgery. The patient sought unspecified medical attention. At the time of the report, the outcome of the patient was unknown. The reporting nurse considered "experienced gallbladder problems and had to have her gallbladder removed" to be other important medical event due to surgery. Additional information has been requested.
Sex: U
Vaccine: MMR
Symptoms: Aicardi's syndrome, Drug exposure during pregnancy
Clinical narrative: This case was reported in a published article, regarding a Vaccine court special master in a decision released April 27 rejected the government's contention that a fetus allegedly injured by a vaccine administered to the mother had not "received" that vaccine under the terms of the act. The special master ruled in 2001 that the patient who suffered from Aicardi's syndrome, could not be said to have "received" the MMR vaccine in utero based on the most restrictive plausible meaning of the word as required at the time by the act's waiver of sovereign immunity. The special master said that he held the case on abeyance in the event that Congress addressed the issue, but instead, he said, the petitioners moved for reconsideration based on an intervening Court decision in physician Security Service. Under physician, the special master said, he may rule for the more persuasive definition, rather than the most limiting. Given that the act was a "remedial" statute, under physician, he said the more persuasive interpretation that the developing fetus receives a vaccine given in the mother event though it had neither ingested not been injected with it as described in the act. It was reported that it was concluded in 2001, that the statutory language was ambiguous in its application to this situation, and that both competing interpretations were at least "plausible" by the special master. Therefore, he concluded, that he was not free to choose the interpretation that he found to be more persuasive. He was bound under the 1990s cases rather, to choose the interpretation that would produce the most narrow and restricted waiver of sovereign immunity. In light on the physician opinion, however, the special master stated that he was free to weigh relative merits of the two competing interpretations. Further, physician specified that he was free to consider general principles of statutory construction other than the sovereign immunity canon of narrow construction, he could take into account the statutory consideration of liberal construction of remedial statutes. The special master directed the patient's parents to determine whether they could obtain an expert report that the vaccine likely progressed through the patient's mother body into the fetus she was carrying and, if so, whether it caused the patient's seizure disorder, brain malformation and significant developmental delay. The representing parent patient's information was reported. Additional information is not expected.
Age: 0.5
Sex: F
Vaccine: HIBV
Symptoms: Haemophilus test positive, Meningitis haemophilus, Pyrexia
Clinical narrative: Initial report was received on 23 July 2010 from a healthcare professional. A 13 month old female patient received a third dose of "ACTHIB" (lot number C3479AA was reported, but it is a PENTACEL lot number) in December 2009. The patient had received the first dose of "ACTHIB" (lot number C3428AA) on 06 August 2009 and the second dose of "ACTHIB" on 01 October 2009(lot number C3428AA). The patient experienced a fever on 10 July 2010 and was admitted to the hospital on 15 July 2010 with a diagnosis of H B influenza meningitis. No pre-existing medical conditions and no concomitant medications were reported. Haemophilus influenzae type b, biotype 1 was identified as the organism in the patient's lab sample. At the time of this report, the child was doing well and continues to improve. Documents held by sender: None.
Age: 4.0
Sex: M
Vaccine: DTAPIPV, MMR, VARCEL
Symptoms: Injection site erythema
Clinical narrative: Redness 2 days after vaccines no treatment needed.
Age: 54.0
Sex: M
Vaccine: TYP
Symptoms: Chest discomfort, Disorientation, Dizziness, Drooling, Injection site pain
Clinical narrative: Dizziness, Rash on right side of throat spreading toward left and on right shoulder, oozing from lower left ear lobe, disorientation, pain in right shoulder (area of injection and more), drooling, swollen tongue, itching sensation on face, tightness in chest, swollen lips. These have occurred over the last two days.  Was prescribed Benadryl, Prednisone and Cimetidine at 10:00 am on 08/02/2010.
Age: 54.0
Sex: M
Vaccine: TYP
Symptoms: Injection site rash, Lip swelling, Musculoskeletal pain, Pruritus, Rash
Clinical narrative: Dizziness, Rash on right side of throat spreading toward left and on right shoulder, oozing from lower left ear lobe, disorientation, pain in right shoulder (area of injection and more), drooling, swollen tongue, itching sensation on face, tightness in chest, swollen lips. These have occurred over the last two days.  Was prescribed Benadryl, Prednisone and Cimetidine at 10:00 am on 08/02/2010.
Age: 54.0
Sex: M
Vaccine: TYP
Symptoms: Swollen tongue, Wound secretion
Clinical narrative: Dizziness, Rash on right side of throat spreading toward left and on right shoulder, oozing from lower left ear lobe, disorientation, pain in right shoulder (area of injection and more), drooling, swollen tongue, itching sensation on face, tightness in chest, swollen lips. These have occurred over the last two days.  Was prescribed Benadryl, Prednisone and Cimetidine at 10:00 am on 08/02/2010.
Age: 30.0
Sex: M
Vaccine: MEN
Symptoms: Arthralgia, Blood test normal, Chest X-ray normal, Culture throat negative, Full blood count normal
Clinical narrative: Pt developed headache and fever 102F, redness and pain at the site of injection. The headache and fever continued, headache worsened into neck stiffness and pain, and upper extremity joint pain. Pt sought care from emergency room. LP, CXR and blood work negative. Treated with pain medication, ibuprofen and Tylenol. Fever and Headache continued x 8 days total.
Age: 30.0
Sex: M
Vaccine: MEN
Symptoms: Headache, Injection site erythema, Injection site pain, Lumbar puncture normal, Monocyte count increased
Clinical narrative: Pt developed headache and fever 102F, redness and pain at the site of injection. The headache and fever continued, headache worsened into neck stiffness and pain, and upper extremity joint pain. Pt sought care from emergency room. LP, CXR and blood work negative. Treated with pain medication, ibuprofen and Tylenol. Fever and Headache continued x 8 days total.
Age: 30.0
Sex: M
Vaccine: MEN
Symptoms: Musculoskeletal stiffness, Neck pain, Pyrexia
Clinical narrative: Pt developed headache and fever 102F, redness and pain at the site of injection. The headache and fever continued, headache worsened into neck stiffness and pain, and upper extremity joint pain. Pt sought care from emergency room. LP, CXR and blood work negative. Treated with pain medication, ibuprofen and Tylenol. Fever and Headache continued x 8 days total.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Injection site red, hot and swollen.
Age: 0.75
Sex: M
Vaccine: HEP
Symptoms: Autism spectrum disorder, Diarrhoea, Erythema, Gluten free diet, Induration
Clinical narrative: Information has been received from a consumer concerning her approximately 9 month old son with digestion issues and no drug reactions or allergies and a history of jaundice at  birth that was treated at the hospital, and horrible spitting up since birth and by 6 months switched to a soy formula and unspecified reflux medication who on approximately 15-AUG-2007 ("at 9 months old"), was vaccinated with a dose of RECOMBIVAX HB. Subsequently the patient developed a bit of a rash and fussy. On an unspecified date, the patient recovered. On approximately August 2007 ("at 9 months old or 10 months old"), the patient experienced a horrible diarrhea that went away and then came back (occurred in a one month period). The patient was switched to a gluten casein free diet which helped resolve the diarrhea. In approximately November 2007 ("shortly before 1 year vaccination"), the patient was very sick. On 15-NOV-2007, the patient was vaccinated with a dose of MMR II (lot # 653481/0424F), a dose of VARIVAX (Merck) (lot # 658430/1183U), and a dose of hepatitis A virus vaccine (unspecified). It was unsure if a flu vaccine was given. On 20-DEC-2007, the patient went to see the physician because of a weird tick (left shoulder would go into the ear area over and over). This occurred for a couple of weeks and then went away. On approximately 15-MAY-2008 ("18 month old"), the patient was vaccinated with a dose of HAVRIX and DAPTACEL. The patient developed a huge red knot. In approximately 2008 ("unspecified time period"), the patient was diagnosed with autism spectrum disorder and now was seeing a specialist. The consumer mentioned that the patient had lost some language and some of the basic things that he learned. The patient was not saying anything. The patient saw the physician until he was 2.5 years old since the family moved because of being in the military. At the time of reporting, the outcome of sick, huge red knot and autism spectrum disorder was unknown. The patient had office visits. Upon internal review, autism spectrum disorder was determined to be an other important medical event. Additional information has been requested.
Age: 0.75
Sex: M
Vaccine: HEP
Symptoms: Irritability, Malaise, Rash, Speech disorder developmental, Tic
Clinical narrative: Information has been received from a consumer concerning her approximately 9 month old son with digestion issues and no drug reactions or allergies and a history of jaundice at  birth that was treated at the hospital, and horrible spitting up since birth and by 6 months switched to a soy formula and unspecified reflux medication who on approximately 15-AUG-2007 ("at 9 months old"), was vaccinated with a dose of RECOMBIVAX HB. Subsequently the patient developed a bit of a rash and fussy. On an unspecified date, the patient recovered. On approximately August 2007 ("at 9 months old or 10 months old"), the patient experienced a horrible diarrhea that went away and then came back (occurred in a one month period). The patient was switched to a gluten casein free diet which helped resolve the diarrhea. In approximately November 2007 ("shortly before 1 year vaccination"), the patient was very sick. On 15-NOV-2007, the patient was vaccinated with a dose of MMR II (lot # 653481/0424F), a dose of VARIVAX (Merck) (lot # 658430/1183U), and a dose of hepatitis A virus vaccine (unspecified). It was unsure if a flu vaccine was given. On 20-DEC-2007, the patient went to see the physician because of a weird tick (left shoulder would go into the ear area over and over). This occurred for a couple of weeks and then went away. On approximately 15-MAY-2008 ("18 month old"), the patient was vaccinated with a dose of HAVRIX and DAPTACEL. The patient developed a huge red knot. In approximately 2008 ("unspecified time period"), the patient was diagnosed with autism spectrum disorder and now was seeing a specialist. The consumer mentioned that the patient had lost some language and some of the basic things that he learned. The patient was not saying anything. The patient saw the physician until he was 2.5 years old since the family moved because of being in the military. At the time of reporting, the outcome of sick, huge red knot and autism spectrum disorder was unknown. The patient had office visits. Upon internal review, autism spectrum disorder was determined to be an other important medical event. Additional information has been requested.
Age: 4.0
Sex: F
Vaccine: DTAPIPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Swelling, redness.
Age: 11.0
Sex: F
Vaccine: HEPA, HPV4, TDAP, VARCEL
Symptoms: Immediate post-injection reaction, Loss of consciousness, Muscle contracture, Nausea
Clinical narrative: Pt. rec'd GARDASIL in left arm. Immediately following injection pt. passed out while sitting in chair and contracted her arms to chest. Pt. regained consciousness after 10 seconds then became nauseated but had no emesis. Breathing was assessed and pt. rec'd water and peanut butter crackers and rested for ten minutes.
Age: 50.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Activities of daily living impaired, Dyspnoea, Infection parasitic, Joint range of motion decreased, Pain
Clinical narrative: H1N1 influenza shot reaction ringing ears, Parasites infection 3 weeks later. Soreness, couldn't lift right arm or dress self. Arm frozen and lost feeling on one side. Breathing problem. Went to Emergency 3 weeks later still problem. Took x-rays and was given therapy. Allergies other Flu shots.
Age: 50.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Periarthritis, Sensory loss, Tinnitus, X-ray limb
Clinical narrative: H1N1 influenza shot reaction ringing ears, Parasites infection 3 weeks later. Soreness, couldn't lift right arm or dress self. Arm frozen and lost feeling on one side. Breathing problem. Went to Emergency 3 weeks later still problem. Took x-rays and was given therapy. Allergies other Flu shots.
Age: 1.09
Sex: F
Vaccine: PNC13
Symptoms: Injection site nodule
Clinical narrative: Stated a knot a little bigger than the size of a pea at the injection site.
Age: 1.37
Sex: F
Vaccine: DTAP, HIBV, PNC13
Symptoms: Allergy to vaccine, Injection site cellulitis
Clinical narrative: (R) thigh - cellulitis. Allergic rxn to PCV13. Rx Amoxicillin.
Age: 70.0
Sex: F
Vaccine: VARZOS
Symptoms: Erythema, Oedema peripheral, Swelling
Clinical narrative: Started with swelling at 8 pm - by AM red, swollen, took ALEVE. Swelling down to elbow.
Age: 40.0
Sex: M
Vaccine: TD
Symptoms: Abdominal pain upper, Anxiety, Asthenia, Body temperature normal, Diarrhoea
Clinical narrative: On 07/13/10 donor received tetanus injection.  After 15 minute waiting period donor stated no reaction and left the center feeling fine.  Donor states that on 08/01/10 went to work but left arm and shoulder had pain.  Donor states that he felt grumpy, anxious.  He was lightheaded, warm, had a stomach ache and diarrhea.  Today, 08/02/10 donor's left arm at injection site and shoulder area and joint have pain, but no swelling or knot noted.  Donor states still feeling nauseous, stomach ache and weakness.  Donor's blood pressure, pulse and temperature were taken with the following results 113/73, 83 bpm. and temperature of 97.7.
Age: 40.0
Sex: M
Vaccine: TD
Symptoms: Dizziness, Feeling hot, Injection site joint pain, Injection site pain, Irritability
Clinical narrative: On 07/13/10 donor received tetanus injection.  After 15 minute waiting period donor stated no reaction and left the center feeling fine.  Donor states that on 08/01/10 went to work but left arm and shoulder had pain.  Donor states that he felt grumpy, anxious.  He was lightheaded, warm, had a stomach ache and diarrhea.  Today, 08/02/10 donor's left arm at injection site and shoulder area and joint have pain, but no swelling or knot noted.  Donor states still feeling nauseous, stomach ache and weakness.  Donor's blood pressure, pulse and temperature were taken with the following results 113/73, 83 bpm. and temperature of 97.7.
Age: 40.0
Sex: M
Vaccine: TD
Symptoms: Musculoskeletal pain, Nausea, Pain in extremity
Clinical narrative: On 07/13/10 donor received tetanus injection.  After 15 minute waiting period donor stated no reaction and left the center feeling fine.  Donor states that on 08/01/10 went to work but left arm and shoulder had pain.  Donor states that he felt grumpy, anxious.  He was lightheaded, warm, had a stomach ache and diarrhea.  Today, 08/02/10 donor's left arm at injection site and shoulder area and joint have pain, but no swelling or knot noted.  Donor states still feeling nauseous, stomach ache and weakness.  Donor's blood pressure, pulse and temperature were taken with the following results 113/73, 83 bpm. and temperature of 97.7.
Age: 9.0
Sex: M
Vaccine: HEPA, VARCEL
Symptoms: Erythema, Oedema peripheral, Skin warm
Clinical narrative: Swelling from shoulder to elbow, red, warm to touch.
Age: 20.0
Sex: F
Vaccine: HEP
Symptoms: Fatigue, Influenza like illness, Pyrexia, Rhinorrhoea, Vaccine positive rechallenge
Clinical narrative: C/O FATIGUE AND FLU-LIKE SX'S W EXCESS MUCUS (CLEAR) AND LOW GRADE TEMP. HAD SAME SX'S FIRST DOSE AND DID NOT DISCLOSE TO STAFF UNTIL NOW.
Age: 4.0
Sex: F
Vaccine: DTAPIPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site oedema
Clinical narrative: Left deltoid area:  erythema and edema.
Age: 4.0
Sex: F
Vaccine: DTAPIPV, MMR, VARCEL
Symptoms: Rash maculo-papular
Clinical narrative: Maculopapular rash the day after varicella, MMR, and KINRIX vaccination.  Given steroid and Benadryl.
Age: 4.0
Sex: F
Vaccine: VARCEL
Symptoms: Nausea, Respiratory rate increased, Tremor, Vomiting
Clinical narrative: NAUSEA, VOMITING, SHAKING, FAST BREATHING.
Age: 27.0
Sex: F
Vaccine: HEP
Symptoms: Diarrhoea, Influenza like illness, Migraine, Nausea, Similar reaction on previous exposure to drug
Clinical narrative: PATIENT HAD MIGRAINE HEADACHES AND NAUSEA W FLU-LIKE SYMPTOMS AND DIARRHEA FOR 5-7 DAYS. ALSO HAD REACTION TO FIRST VACCINE SIMILAR AND NOT REPORTED UNTIL SECOND VACCINE.
Age: 36.0
Sex: F
Vaccine: HEP
Symptoms: Pain
Clinical narrative: Severe pain.  As of today, pain is less, but still present, particularly when arm is raised above head.
Age: 67.0
Sex: F
Vaccine: PPV
Symptoms: Erythema, Swelling
Clinical narrative: Redness and swelling like hives.
Age: 60.0
Sex: F
Vaccine: TDAP, TDAP
Symptoms: Musculoskeletal pain, Neck pain
Clinical narrative: States that about 5 days after vaccination, she started feeling pain in the left side of her neck radiating to her shoulder.  This pain has been persistent and has required her to take much Advil.  At this point it is not getting better and she is going to see a doctor.
Age: 60.0
Sex: F
Vaccine: TDAP, TDAP
Symptoms: Bursitis, Musculoskeletal pain, Neck pain, Pain in extremity
Clinical narrative: States that about 5 days after vaccination, she started feeling pain in the left side of her neck radiating to her shoulder.  This pain has been persistent and has required her to take much Advil.  At this point it is not getting better and she is going to see a doctor.
Age: 49.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Client reports redness and swelling at the injection site.
Age: 2.0
Sex: F
Vaccine: DTAP, HEPA, HIBV, PNC13
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth, Irritability
Clinical narrative: Redness, swelling, warmth, tenderness locally around vaccine site of Hepatitis A vaccination, about 5 cm in diameter, noted within 48 hours after vaccination. Pain, fussiness, no fever.
Age: 2.0
Sex: F
Vaccine: DTAP, HEPA, HIBV, PNC13
Symptoms: Pain
Clinical narrative: Redness, swelling, warmth, tenderness locally around vaccine site of Hepatitis A vaccination, about 5 cm in diameter, noted within 48 hours after vaccination. Pain, fussiness, no fever.
Age: 60.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Muscular weakness
Clinical narrative: Patient has redness, swelling, and pain at site of injection...patient also feels weakness of the legs.
Age: 2.0
Sex: M
Vaccine: PNC13
Symptoms: Injection site discomfort, Pain, Tremor, Weight bearing difficulty
Clinical narrative: Severe right leg discomfort.  Could not bear weight. Shaking with pain.  Improved about 2 hours after ibuprofen, but still hurt.  Would then bear weight.
Age: 5.0
Sex: F
Vaccine: DTAPIPV, HEPA, MMR, VARCEL
Symptoms: Injection site erythema, Injection site inflammation, Injection site pain, Injection site swelling
Clinical narrative: Pain, inflammation, red swollen lt. deltoid.
Age: 4.0
Sex: F
Vaccine: DTAPIPV, MMRV
Symptoms: Injection site erythema, Injection site swelling, Injection site vesicles, Injection site warmth, Rash macular
Clinical narrative: Red swollen from shoulder to elbow, hot to touch, blisters on bottom half, blotchy. Dr. Dx with chicken pox gave atb. doing BENADRYL and MOTRIN.
Age: 4.0
Sex: F
Vaccine: DTAPIPV, MMRV
Symptoms: Varicella
Clinical narrative: Red swollen from shoulder to elbow, hot to touch, blisters on bottom half, blotchy. Dr. Dx with chicken pox gave atb. doing BENADRYL and MOTRIN.
Age: 4.0
Sex: F
Vaccine: MNQ, TYP
Symptoms: Eyelid oedema, Injection site pain
Clinical narrative: (B) eyes puffy since 7/27/10, c/o pain on (R) thigh. Apply ice pack.
Age: 63.0
Sex: F
Vaccine: VARZOS
Symptoms: Skin discolouration
Clinical narrative: ZOSTAVAX administered on 7/26/10. She came in 8/2/2010. She has skin discoloration on both arms (more on left arm, which is sight of injection). Discoloration is of maroon color, spots, streaks (thin, long) randomly on her arm.
Age: 21.0
Sex: F
Vaccine: HEP, HPV4, TDAP, VARCEL
Symptoms: Erythema, Pain in extremity
Clinical narrative: Patient reported (L) arm soreness and redness day after vaccination administered denies H/A pain.
Age: 1.3
Sex: F
Vaccine: DTAPIPVHIB, MMR, PNC13
Symptoms: Breath holding, Crying, Presyncope, Syncope
Clinical narrative: Pt in for 15 mo PE. Prepared vaccines. Gave PENTACEL and PREVNAR 13. Crying and holding breath. Waited until not holding breath-gave MMR-held breath and fainted-consistent with vasovagal Rxn.
Age: 48.0
Sex: F
Vaccine: HEP, MMR, TDAP, VARCEL
Symptoms: Injection site discomfort, Injection site erythema, Injection site induration, Injection site nodule, Injection site swelling
Clinical narrative: 7/28/10 Client called stating when taking off band-aid noticed red swollen bumps on left arm where both shots were given in left arm. No rash ROM - normal. Will take BENADRYL come in to clinic on 7/29. On 7/29 at 10:00 AM - 20mm knot area with no redness in the upper outer tricep area of left arm. A 40mm X 40mm red swollen area noted on the left deltoid muscle. No fever noted. Client states discomfort when sleeping on that arm. Took BENADRYL last night & will take another today and call back if not better tomorrow. 7/30/10 - client said much better after BENADRYL.
Age: 11.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site erythema, Injection site induration, Injection site oedema, Injection site pruritus, Injection site warmth
Clinical narrative: Erythema and warmth surrounding injection site & induration centrally mild edema, (+) itching.
Age: 0.34
Sex: M
Vaccine: DTAPIPVHIB, PNC, RV5
Symptoms: Urticaria
Clinical narrative: Hives on right arm and cheeks shortly after vaccination. After 1/2 hr. they disappeared, no respiratory symptoms.
Age: 12.0
Sex: M
Vaccine: TDAP
Symptoms: Pruritus, Urticaria
Clinical narrative: Child developed hives approx. 1 3/4 hrs. after receiving TDAP. Hives located on (R) shoulder (1/2 dollar size) (L) base of neck (small), and 4 tiny hives on back. Shot given at approx 2pm, TYLENOL given at 3:10 pm. Hives and itching started at 3:45 p. Mom gave him a 25 mg tablet of BENADRYL. Seems OK. 8-2-10 Spoke with Pt's mom and she said pt woke up at 4am Saturday morning (7-31-10) and complained of being itchy. He was covered pretty much head to toe in hives. She took him to hospital where he was treated with DECADRON and sent home on a MEDROL Pack. Mom states that pt is fine and the hives and itching have resolved.
Age: 1.26
Sex: F
Vaccine: PNC13, VARCEL
Symptoms: Full blood count, Injection site erythema, Injection site induration, Injection site urticaria, Metabolic function test
Clinical narrative: VARIVAX given in R.T. on 7/20/10.  After going home child had hives on both legs.  Advised to give BENADRYL.  PCV 13 given in L.T. on 8/2/10.  Child has 3-4 cm. erythema, induration.
Age: 48.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site cellulitis, Injection site erythema, Injection site pain, Injection site pruritus, Injection site vesicles
Clinical narrative: (R) tricep hot to touch & red within 4 hrs after injection. Then cluster of blisters & expanding redness plus painful & itchy/burning x 3 days. Tenderness extends to (R) axilla with 5 x 2.5cm area of shallow blisters. Dx local rx with cellulitis Rx for KEFLEX given.
Age: 48.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site warmth
Clinical narrative: (R) tricep hot to touch & red within 4 hrs after injection. Then cluster of blisters & expanding redness plus painful & itchy/burning x 3 days. Tenderness extends to (R) axilla with 5 x 2.5cm area of shallow blisters. Dx local rx with cellulitis Rx for KEFLEX given.
Age: 12.0
Sex: F
Vaccine: HEPA, MNQ, TDAP, VARCEL
Symptoms: Injection site erythema
Clinical narrative: Erythema noted on (L) arm at varicella injection site 2.5 in wide 3 in in length.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site mass, Injection site pain, Injection site warmth
Clinical narrative: Lg. amt pain erythema, heat at injection site . - (~ 3 cm).  10 days later still with lump no pain no erythema.
Age: 11.0
Sex: M
Vaccine: TDAP, VARCEL
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth, Pruritus
Clinical narrative: Redness, warmth, and raised at site.  BENADRYL (12.5/5ml) 2 tsp by mouth for itching.
Age: 41.0
Sex: M
Vaccine: TD
Symptoms: Laboratory test, Polymyositis, Reaction to preservatives, Urine mercury abnormal
Clinical narrative: By 1997, I was 44 years old. In September of 1997, I had initial symptoms of polymyositis, a debilitating auto-immune condition. In 1979, at age 26, I had seven large dental mercury-amalgam fillings placed in my mouth. They were not replaced with 'white' composite fillings until June 2007, at age 54. I also had a number of flu-shots and other vaccine shots, containing thimerosal, between 1997 and 2004. I am now permanently disabled, have been in bad shape for at least 2.5 years, and believe the constant inflow of mercury into my body, due to the amalgams, and subsequent exacerbations due to thimerosal have both caused the polymyositis and have been responsible for further deterioration in my health.
Age: 61.0
Sex: M
Vaccine: FLUX(H1N1)
Symptoms: Hypoaesthesia, Nerve conduction studies normal, Paraesthesia
Clinical narrative: 61 y/o male with PMH significant for HTN, HPL, DM, CAD, GAD, PTSD, panic disorder, and depression, reports numbness and tingling in right arm and leg at a visit approximately 1 month after H1N1 injection. He did not mention this complaint at other visits immediately after the injection. He says that a few hours after injection, he developed numbness of the entire right arm and all fingers, which progressed to the point where he could not do buttons with the right hand. This lasted about a month, and now has completely resolved. Nerve conductions were performed. Right median sensory, right median motor and right ulnar motor responses were normal.
Age: 55.0
Sex: F
Vaccine: DTP
Symptoms: Erythema, Swelling
Clinical narrative: 1. Date given- 3/30/2010 2. Dose- 0.5ml 3. s/s of RXN- erythema and swelling 4. previous h/o of similar rxn to this drug or similar agents- none 5. and any other pertinent information- n/a
Age: 6.0
Sex: M
Vaccine: VARCEL
Symptoms: Injection site erythema, Injection site oedema, Injection site papule, Injection site pruritus, Injection site swelling
Clinical narrative: Pt received Varicella booster 7/26/10 (R) arm. 7/27/10 had redness and swelling at the site. No fevers, plus itchy moderate erythema over right upper arm. Some edema and tiny vesicopapular lesions. No actual vesicles or pustules present at time.
Age: 6.0
Sex: M
Vaccine: VARCEL
Symptoms: Injection site vesicles, Skin lesion
Clinical narrative: Pt received Varicella booster 7/26/10 (R) arm. 7/27/10 had redness and swelling at the site. No fevers, plus itchy moderate erythema over right upper arm. Some edema and tiny vesicopapular lesions. No actual vesicles or pustules present at time.
Age: 40.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site erythema, Injection site hypertrophy, Injection site inflammation, Injection site pain
Clinical narrative: Patient received TDAP 07/20/2010 (L) deltoid returned 07/22/2010 - area tender -  inflamed - hypertrophy 3.5 cm diameter. Returned 07/26/2010 unimproved area enlarged to 5.5 cm diameter w/surrounding erythema. Moist heat wrap.
Age: 23.0
Sex: M
Vaccine: SMALL, SMALL
Symptoms: Chest pain, Dyspnoea, Fatigue
Clinical narrative: This is a follow-up to a previously submitted VAERS report 391192-1. This 23 year old (engineer) received his primary smallpox vaccine (ACAMBIS VV04-003A) on 10 June 2010. Prior vaccinations included AVA #2 on 18 May 2010 and AVA #1 with Typhoid booster on 5 April 2010. Approximately 17 June 2010 (day 7) after working outside in 100+ degree heat then working concession at concert (no AC) that evening he began to feel weak, lightheaded, with generalized malaise. He thought he was dehydrated and increased fluid intake over next 24 hours with minimal relief. By Saturday 19 Jun 2010 (day 9) his fatigue worsened being unrelieved with 8 hr sleep and a 4-5 hour nap (never took naps). He began to experience a dull aching chest pain about 1200 noon while at rest. That evening he drank 3 bottles PEDIALYTE, felt better and was able to sleep. He awoke about 4 am Sunday morning sweating profusely feeling weak, groggy, "hot" (subjective fever), and was having difficulty breathing. He stood up, took 2 steps and fell complaining of 10/10 midsternal chest pain. He did not injure himself with controlled fall to knees/ground. He presented to Hospital Emergency Room at 0432 20 Jun 2010 (day 10) complaining of 2 days of increasing fatigue/tiredness with decreased appetite and 16 hours of chest pain. He described his chest pain "as if his chest was on fire". He had an achy, burning, sharp 8-10/10 midsternal chest pain that worsened with inspiration and activity (such as walking). He was short of breath, felt hot, diaphoretic, nauseated, and vomited x 1. He denied any radiation to neck, back or arms, headache, visual changes, rashes, edema or palpitations. Providers documented he was afebrile, moderate distress, pale and diaphoretic otherwise his physical exam was normal. An EKG showed ST elevation in inferior-lateral leads. His cardiac enzymes were significantly elevated (see below). Initial treatment included ASA, Morphine IV, ZOFRAN IV, and NTG drip 5 mg/min. He was taken for emergent cardiac catheterization with an EF 20-25% (see below) and admitted to intensive care unit. He was placed on Carvedilol 3.125 mg, Lisinopril 2.5 mg, Hydrocodone 500 mg, and MOTRIN 400 mg. Subsequent echocardiogram at 0757 on 6/20/10 post cardiac catheterization showed EF at 35% with evidence of inferoposterior wall hypokinesis. He advised his chest pain was not affected by position and eased to 5/10 with medication alone taking 2-3 days to fully resolve. His O2 sats on room air were 98% 6/20/10 despite complaints of shortness of breath. An ABG 6/21/2010 identified PO2 of 67 with O2 sats 93.5 on O2 6 liters per simple face mask (see below). A repeat CXR 6/22/10 showed "development of interstitial pulmonary edema, LLL consolidation and effusion." He was on oxygen for 3 days before complaints of shortness of breath fully resolved with room air O2 sats at 95%. Viral studies completed by Infectious Disease (ID) were positive only for Coxsackie B virus IgG (see below).
Age: 23.0
Sex: M
Vaccine: SMALL, SMALL
Symptoms: Aspartate aminotransferase increased, Asthenia, Base excess decreased, Blood albumin decreased, Blood bicarbonate normal
Clinical narrative: This is a follow-up to a previously submitted VAERS report 391192-1. This 23 year old (engineer) received his primary smallpox vaccine (ACAMBIS VV04-003A) on 10 June 2010. Prior vaccinations included AVA #2 on 18 May 2010 and AVA #1 with Typhoid booster on 5 April 2010. Approximately 17 June 2010 (day 7) after working outside in 100+ degree heat then working concession at concert (no AC) that evening he began to feel weak, lightheaded, with generalized malaise. He thought he was dehydrated and increased fluid intake over next 24 hours with minimal relief. By Saturday 19 Jun 2010 (day 9) his fatigue worsened being unrelieved with 8 hr sleep and a 4-5 hour nap (never took naps). He began to experience a dull aching chest pain about 1200 noon while at rest. That evening he drank 3 bottles PEDIALYTE, felt better and was able to sleep. He awoke about 4 am Sunday morning sweating profusely feeling weak, groggy, "hot" (subjective fever), and was having difficulty breathing. He stood up, took 2 steps and fell complaining of 10/10 midsternal chest pain. He did not injure himself with controlled fall to knees/ground. He presented to Hospital Emergency Room at 0432 20 Jun 2010 (day 10) complaining of 2 days of increasing fatigue/tiredness with decreased appetite and 16 hours of chest pain. He described his chest pain "as if his chest was on fire". He had an achy, burning, sharp 8-10/10 midsternal chest pain that worsened with inspiration and activity (such as walking). He was short of breath, felt hot, diaphoretic, nauseated, and vomited x 1. He denied any radiation to neck, back or arms, headache, visual changes, rashes, edema or palpitations. Providers documented he was afebrile, moderate distress, pale and diaphoretic otherwise his physical exam was normal. An EKG showed ST elevation in inferior-lateral leads. His cardiac enzymes were significantly elevated (see below). Initial treatment included ASA, Morphine IV, ZOFRAN IV, and NTG drip 5 mg/min. He was taken for emergent cardiac catheterization with an EF 20-25% (see below) and admitted to intensive care unit. He was placed on Carvedilol 3.125 mg, Lisinopril 2.5 mg, Hydrocodone 500 mg, and MOTRIN 400 mg. Subsequent echocardiogram at 0757 on 6/20/10 post cardiac catheterization showed EF at 35% with evidence of inferoposterior wall hypokinesis. He advised his chest pain was not affected by position and eased to 5/10 with medication alone taking 2-3 days to fully resolve. His O2 sats on room air were 98% 6/20/10 despite complaints of shortness of breath. An ABG 6/21/2010 identified PO2 of 67 with O2 sats 93.5 on O2 6 liters per simple face mask (see below). A repeat CXR 6/22/10 showed "development of interstitial pulmonary edema, LLL consolidation and effusion." He was on oxygen for 3 days before complaints of shortness of breath fully resolved with room air O2 sats at 95%. Viral studies completed by Infectious Disease (ID) were positive only for Coxsackie B virus IgG (see below).
Age: 23.0
Sex: M
Vaccine: SMALL, SMALL
Symptoms: Blood pH decreased, Blood potassium normal, C-reactive protein increased, Catheterisation cardiac abnormal, Chest X-ray abnormal
Clinical narrative: This is a follow-up to a previously submitted VAERS report 391192-1. This 23 year old (engineer) received his primary smallpox vaccine (ACAMBIS VV04-003A) on 10 June 2010. Prior vaccinations included AVA #2 on 18 May 2010 and AVA #1 with Typhoid booster on 5 April 2010. Approximately 17 June 2010 (day 7) after working outside in 100+ degree heat then working concession at concert (no AC) that evening he began to feel weak, lightheaded, with generalized malaise. He thought he was dehydrated and increased fluid intake over next 24 hours with minimal relief. By Saturday 19 Jun 2010 (day 9) his fatigue worsened being unrelieved with 8 hr sleep and a 4-5 hour nap (never took naps). He began to experience a dull aching chest pain about 1200 noon while at rest. That evening he drank 3 bottles PEDIALYTE, felt better and was able to sleep. He awoke about 4 am Sunday morning sweating profusely feeling weak, groggy, "hot" (subjective fever), and was having difficulty breathing. He stood up, took 2 steps and fell complaining of 10/10 midsternal chest pain. He did not injure himself with controlled fall to knees/ground. He presented to Hospital Emergency Room at 0432 20 Jun 2010 (day 10) complaining of 2 days of increasing fatigue/tiredness with decreased appetite and 16 hours of chest pain. He described his chest pain "as if his chest was on fire". He had an achy, burning, sharp 8-10/10 midsternal chest pain that worsened with inspiration and activity (such as walking). He was short of breath, felt hot, diaphoretic, nauseated, and vomited x 1. He denied any radiation to neck, back or arms, headache, visual changes, rashes, edema or palpitations. Providers documented he was afebrile, moderate distress, pale and diaphoretic otherwise his physical exam was normal. An EKG showed ST elevation in inferior-lateral leads. His cardiac enzymes were significantly elevated (see below). Initial treatment included ASA, Morphine IV, ZOFRAN IV, and NTG drip 5 mg/min. He was taken for emergent cardiac catheterization with an EF 20-25% (see below) and admitted to intensive care unit. He was placed on Carvedilol 3.125 mg, Lisinopril 2.5 mg, Hydrocodone 500 mg, and MOTRIN 400 mg. Subsequent echocardiogram at 0757 on 6/20/10 post cardiac catheterization showed EF at 35% with evidence of inferoposterior wall hypokinesis. He advised his chest pain was not affected by position and eased to 5/10 with medication alone taking 2-3 days to fully resolve. His O2 sats on room air were 98% 6/20/10 despite complaints of shortness of breath. An ABG 6/21/2010 identified PO2 of 67 with O2 sats 93.5 on O2 6 liters per simple face mask (see below). A repeat CXR 6/22/10 showed "development of interstitial pulmonary edema, LLL consolidation and effusion." He was on oxygen for 3 days before complaints of shortness of breath fully resolved with room air O2 sats at 95%. Viral studies completed by Infectious Disease (ID) were positive only for Coxsackie B virus IgG (see below).
Age: 23.0
Sex: M
Vaccine: SMALL, SMALL
Symptoms: Chest pain, Coxsackie virus test positive, Cytomegalovirus test negative, Decreased appetite, Dehydration
Clinical narrative: This is a follow-up to a previously submitted VAERS report 391192-1. This 23 year old (engineer) received his primary smallpox vaccine (ACAMBIS VV04-003A) on 10 June 2010. Prior vaccinations included AVA #2 on 18 May 2010 and AVA #1 with Typhoid booster on 5 April 2010. Approximately 17 June 2010 (day 7) after working outside in 100+ degree heat then working concession at concert (no AC) that evening he began to feel weak, lightheaded, with generalized malaise. He thought he was dehydrated and increased fluid intake over next 24 hours with minimal relief. By Saturday 19 Jun 2010 (day 9) his fatigue worsened being unrelieved with 8 hr sleep and a 4-5 hour nap (never took naps). He began to experience a dull aching chest pain about 1200 noon while at rest. That evening he drank 3 bottles PEDIALYTE, felt better and was able to sleep. He awoke about 4 am Sunday morning sweating profusely feeling weak, groggy, "hot" (subjective fever), and was having difficulty breathing. He stood up, took 2 steps and fell complaining of 10/10 midsternal chest pain. He did not injure himself with controlled fall to knees/ground. He presented to Hospital Emergency Room at 0432 20 Jun 2010 (day 10) complaining of 2 days of increasing fatigue/tiredness with decreased appetite and 16 hours of chest pain. He described his chest pain "as if his chest was on fire". He had an achy, burning, sharp 8-10/10 midsternal chest pain that worsened with inspiration and activity (such as walking). He was short of breath, felt hot, diaphoretic, nauseated, and vomited x 1. He denied any radiation to neck, back or arms, headache, visual changes, rashes, edema or palpitations. Providers documented he was afebrile, moderate distress, pale and diaphoretic otherwise his physical exam was normal. An EKG showed ST elevation in inferior-lateral leads. His cardiac enzymes were significantly elevated (see below). Initial treatment included ASA, Morphine IV, ZOFRAN IV, and NTG drip 5 mg/min. He was taken for emergent cardiac catheterization with an EF 20-25% (see below) and admitted to intensive care unit. He was placed on Carvedilol 3.125 mg, Lisinopril 2.5 mg, Hydrocodone 500 mg, and MOTRIN 400 mg. Subsequent echocardiogram at 0757 on 6/20/10 post cardiac catheterization showed EF at 35% with evidence of inferoposterior wall hypokinesis. He advised his chest pain was not affected by position and eased to 5/10 with medication alone taking 2-3 days to fully resolve. His O2 sats on room air were 98% 6/20/10 despite complaints of shortness of breath. An ABG 6/21/2010 identified PO2 of 67 with O2 sats 93.5 on O2 6 liters per simple face mask (see below). A repeat CXR 6/22/10 showed "development of interstitial pulmonary edema, LLL consolidation and effusion." He was on oxygen for 3 days before complaints of shortness of breath fully resolved with room air O2 sats at 95%. Viral studies completed by Infectious Disease (ID) were positive only for Coxsackie B virus IgG (see below).
Age: 23.0
Sex: M
Vaccine: SMALL, SMALL
Symptoms: Dizziness, Dyspnoea, Echocardiogram, Echocardiogram abnormal, Ejection fraction decreased
Clinical narrative: This is a follow-up to a previously submitted VAERS report 391192-1. This 23 year old (engineer) received his primary smallpox vaccine (ACAMBIS VV04-003A) on 10 June 2010. Prior vaccinations included AVA #2 on 18 May 2010 and AVA #1 with Typhoid booster on 5 April 2010. Approximately 17 June 2010 (day 7) after working outside in 100+ degree heat then working concession at concert (no AC) that evening he began to feel weak, lightheaded, with generalized malaise. He thought he was dehydrated and increased fluid intake over next 24 hours with minimal relief. By Saturday 19 Jun 2010 (day 9) his fatigue worsened being unrelieved with 8 hr sleep and a 4-5 hour nap (never took naps). He began to experience a dull aching chest pain about 1200 noon while at rest. That evening he drank 3 bottles PEDIALYTE, felt better and was able to sleep. He awoke about 4 am Sunday morning sweating profusely feeling weak, groggy, "hot" (subjective fever), and was having difficulty breathing. He stood up, took 2 steps and fell complaining of 10/10 midsternal chest pain. He did not injure himself with controlled fall to knees/ground. He presented to Hospital Emergency Room at 0432 20 Jun 2010 (day 10) complaining of 2 days of increasing fatigue/tiredness with decreased appetite and 16 hours of chest pain. He described his chest pain "as if his chest was on fire". He had an achy, burning, sharp 8-10/10 midsternal chest pain that worsened with inspiration and activity (such as walking). He was short of breath, felt hot, diaphoretic, nauseated, and vomited x 1. He denied any radiation to neck, back or arms, headache, visual changes, rashes, edema or palpitations. Providers documented he was afebrile, moderate distress, pale and diaphoretic otherwise his physical exam was normal. An EKG showed ST elevation in inferior-lateral leads. His cardiac enzymes were significantly elevated (see below). Initial treatment included ASA, Morphine IV, ZOFRAN IV, and NTG drip 5 mg/min. He was taken for emergent cardiac catheterization with an EF 20-25% (see below) and admitted to intensive care unit. He was placed on Carvedilol 3.125 mg, Lisinopril 2.5 mg, Hydrocodone 500 mg, and MOTRIN 400 mg. Subsequent echocardiogram at 0757 on 6/20/10 post cardiac catheterization showed EF at 35% with evidence of inferoposterior wall hypokinesis. He advised his chest pain was not affected by position and eased to 5/10 with medication alone taking 2-3 days to fully resolve. His O2 sats on room air were 98% 6/20/10 despite complaints of shortness of breath. An ABG 6/21/2010 identified PO2 of 67 with O2 sats 93.5 on O2 6 liters per simple face mask (see below). A repeat CXR 6/22/10 showed "development of interstitial pulmonary edema, LLL consolidation and effusion." He was on oxygen for 3 days before complaints of shortness of breath fully resolved with room air O2 sats at 95%. Viral studies completed by Infectious Disease (ID) were positive only for Coxsackie B virus IgG (see below).