chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 19.0
Sex: F
Vaccine: HPV4
Symptoms: Facial palsy, Hypoaesthesia, Paraesthesia
Clinical narrative: Information has been received from a physician concerning a 19 year old female who in approximately 2009 was vaccinated with a 0.5 ml second dose of GARDASIL (no lot number provided).  "Few weeks ago", after vaccination, the patient experienced tingling and numbness.  One or two days later, unspecified medical attention was sought and she was diagnosed with Bell's palsy.  At the time of the report, as 14-JAN-2009, the patient was being treated with steroids.  Upon internal review, Bell's palsy was determined to be an other important medical event.  Additional information has been requested.
Age: 70.0
Sex: M
Vaccine: VARZOS
Symptoms: Herpes zoster, Rash
Clinical narrative: Information has been received from a physician concerning a 70 year old male with hypertension who on 05-JAN-2009 was vaccinated with a dose of ZOSTAVAX. Concomitant therapy included lisinopril (manufacturer unknown) and hydrochlorothiazide (manufacturer unknown). On 07-JAN-2009 the patient developed a rash. On 08-JAN-2009 the patient visited the office and was diagnosed with herpes zoster. No laboratory or diagnostics tests were performed. At the time of this report, 15-JAN-2009, the patient's herpes zoster persisted. Herpes zoster was considered to be disabling. Additional information has been requested.
Age: 34.0
Sex: F
Vaccine: MMR
Symptoms: Drug exposure during pregnancy, Induced labour, Oligohydramnios
Clinical narrative: Information has been received from a healthcare worker concerning a 34 year old female who on 02-MAY-2008 was vaccinated with the first dose of MMR II. There was no concomitant medication. On 24-DEC-2008 the patient delivered a healthy newborn. Delivery was induced at 36 weeks gestation due to oligohydramnios. At the time of the report the patient was recovered. The patient sought unspecified medical attention. Induction of labor was considered to be an other important medical event by the healthcare worker. Additional information has been requested.
Age: 5.0
Sex: F
Vaccine: DTAPHEPBIP, MMR, VARCEL
Symptoms: Diabetic ketoacidosis, Type 1 diabetes mellitus
Clinical narrative: DKA New onset juvenile diabetes.  Vaccine given 8/8/08 pt developed symptoms consistent with diabetes over the next few months. Presented with DKA 12/2/08  1/30/09 Received PCP medical records which included hospital medical records of 12/2-12/5/2008. FINAL DX: DKA; new onset DMI Records reveal patient experienced emesis, polydypsia, polyuria, fatigue, difficulty breathing & altered mental status.  Seen in outside ER, found to be hyperglycemic, acidotic w/(+)urine ketones. Transferred to higher level of care & admitted PICU.  Endocrine consult done.  Tx w/IVF, insulin.  Improved & d/c to home on continued insulin & Endo clinic f/u.
Age: 21.0
Sex: F
Vaccine: HPV4
Symptoms: Acute disseminated encephalomyelitis, Antinuclear antibody positive, CSF test normal, Confusional state, Fibrin D dimer increased
Clinical narrative: Soon after Gardasil, pt developed fever, malaise, confusion.  Admitted to hospital and Dx'd with ADEM vs. cerebral vasculitis.  Has made nearly full recovery.  Question of Gardasil-induced vasculitis or immune-related acute CNS/systemic disorder.  3/3/09 MR received for DOS 9/25-29/2008 with D/C DX:  ACute intracranial process, possible immunization related vs vasculitis vs diffuse encephalomyelitis.  Recent Gardasil vaccination-uncertain relationship to this event.  Leukocytosis-most likely r/t steroids.  Mild hyponatremia during hospitalization.  Hyperglycemia 2' to steroid use.  Pt presented with c/o 1 1/2 wk hx fevers, weakness and altered mental status. Several ER visits prior to this admission.  Pt reports sore throat, tiredness, fatigue, H/A, increased HR and bilateral foot numbness. Pt tx with steroids and d/c for outpt f/u.
Age: 21.0
Sex: F
Vaccine: HPV4
Symptoms: Malaise, Nuclear magnetic resonance imaging abnormal, Pyrexia, Vasculitis cerebral
Clinical narrative: Soon after Gardasil, pt developed fever, malaise, confusion.  Admitted to hospital and Dx'd with ADEM vs. cerebral vasculitis.  Has made nearly full recovery.  Question of Gardasil-induced vasculitis or immune-related acute CNS/systemic disorder.  3/3/09 MR received for DOS 9/25-29/2008 with D/C DX:  ACute intracranial process, possible immunization related vs vasculitis vs diffuse encephalomyelitis.  Recent Gardasil vaccination-uncertain relationship to this event.  Leukocytosis-most likely r/t steroids.  Mild hyponatremia during hospitalization.  Hyperglycemia 2' to steroid use.  Pt presented with c/o 1 1/2 wk hx fevers, weakness and altered mental status. Several ER visits prior to this admission.  Pt reports sore throat, tiredness, fatigue, H/A, increased HR and bilateral foot numbness. Pt tx with steroids and d/c for outpt f/u.
Age: 15.0
Sex: F
Vaccine: HPV4
Symptoms: Fall, Feeling hot, Immediate post-injection reaction
Clinical narrative: ON 1/21/2009 APPROXIMATELY @ 9:20 PM PATIENT RECEIVED A SHOT OF GARDASIL 0.5 ML IM.  PATIENT WAS ADVISED TO STAY FOR 20 MINUTES TO MAKE SURE SHE DID NOT HAVE ANY ADVERSE REACTION FROM RECEIVING THE GARDASIL.  ONE MINUTE POST IMMUNISTRATION PATIENT REPORTED FEELING WARM ALL OVER THEN FELL OFF EXAM TABLE.  PATIENT WAS OBSERVED FOR ANOTHER 20 MINUTES.  PATIENT REPORTED WAS FEELING FINE.  NO TREATMENT WAS NEEDED.  BY LEFT OFFICE AT 9:50 PM WITH MOTHER.
Age: 1.58
Sex: F
Vaccine: DTAP, HIBV, MMR, PNC, VARCEL
Symptoms: Dry skin, Erythema
Clinical narrative: NEST DAY AFTER INJECTION, 2 SMALL RED/ RUFF DRY PATCH SHOWED UP ON HIS STOMACH, COUPLE DAYS LATER ONE SHOWED UP ON R HAND. TODAY CAN STILL SEE WHERE AREA WAS ON STOMACH AND THE ONE ON HIS R HAND IS STILL THERE.
Age: 0.2
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Diarrhoea, Vomiting
Clinical narrative: No adverse event, just diagnosed with Rotavirus after 3 doses of Rotateq...Vomiting and diarrhea, stool positive for Rotavirus.1/27/09-records received for DOS 1/18-1/20/08-DC DX:Viral gastroenteritis with mild dehydration. otitis media. C/O several days of vomiting and diarrhea.
Age: 59.0
Sex: F
Vaccine: VARCEL
Symptoms: Injection site erythema, Injection site swelling, Pruritus generalised
Clinical narrative: Injection site swelled about the size of an egg with redness x approximately 3 days.  She developed itching all over her body day 2 after shot that lasted 4 days. No vesicles noted.  She was treated with allegra(daytime) and Visteril at night by our employee health physicain which improved symptoms.
Age: 58.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Patient described area around vaccine as red, warm, and swollen on 1/21/09.  I instructed her to see the physician as soon as possible.  I followed up with her the morning of 1/22/09.  She had seen a physician at a walk in clinic the evening of 1/21/09.  The doctor outlined the reaction area with a marker.  She prescribed keflex and benadryl.  The doctor expressed concern that it was possibly cellulitis.  Although it cold also be an allergic reaction.  The patient has been instructed to watch closely and see her regular physician again if it does not resolve soon.
Age: 58.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Injection site pain, Injection site rash, Injection site swelling, Injection site warmth, Rash
Clinical narrative: Patient described area around vaccine as red, warm, and swollen on 1/21/09.  I instructed her to see the physician as soon as possible.  I followed up with her the morning of 1/22/09.  She had seen a physician at a walk in clinic the evening of 1/21/09.  The doctor outlined the reaction area with a marker.  She prescribed keflex and benadryl.  The doctor expressed concern that it was possibly cellulitis.  Although it cold also be an allergic reaction.  The patient has been instructed to watch closely and see her regular physician again if it does not resolve soon.
Age: 65.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Erythema, Flank pain, Herpes zoster, Injection site erythema, Injection site pain
Clinical narrative: Patient was vaccinated on 01/08/2009 with Zostavax (LOT 1553X) in the right tricep.  On 01/14/09, the patient received a follow-up phone call and report minor soreness and redness at the injection site.  On 01/16/09 in the afternoon, the patient reported that she had some soreness and tenderness to touch on the left thigh and flank.  On the morning of 01/20/2009, the patient noticed the appearance of a red spot on her left side.  By evening, there were more spots.  The patient did not have a fever.  On 01/21/2009, the patient saw her physician, was diagnosed with shingles, and received Acyclovir 800 mg 5 times daily for 7 days.  She began taking this medication on 01/21/2009.
Age: 65.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Rash
Clinical narrative: Patient was vaccinated on 01/08/2009 with Zostavax (LOT 1553X) in the right tricep.  On 01/14/09, the patient received a follow-up phone call and report minor soreness and redness at the injection site.  On 01/16/09 in the afternoon, the patient reported that she had some soreness and tenderness to touch on the left thigh and flank.  On the morning of 01/20/2009, the patient noticed the appearance of a red spot on her left side.  By evening, there were more spots.  The patient did not have a fever.  On 01/21/2009, the patient saw her physician, was diagnosed with shingles, and received Acyclovir 800 mg 5 times daily for 7 days.  She began taking this medication on 01/21/2009.
Age: 65.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Herpes zoster, Pain, Skin lesion, Tenderness
Clinical narrative: Patient was vaccinated on 01/08/2009 with Zostavax (LOT 1553X) in the right tricep.  On 01/14/09, the patient received a follow-up phone call and report minor soreness and redness at the injection site.  On 01/16/09 in the afternoon, the patient reported that she had some soreness and tenderness to touch on the left thigh and flank.  On the morning of 01/20/2009, the patient noticed the appearance of a red spot on her left side.  By evening, there were more spots.  The patient did not have a fever.  On 01/21/2009, the patient saw her physician, was diagnosed with shingles, and received Acyclovir 800 mg 5 times daily for 7 days.  She began taking this medication on 01/21/2009.
Age: 0.2
Sex: F
Vaccine: DTAPIPVHIB, HEP, PNC, RV5
Symptoms: Blood culture negative, Catheter placement, Dermatitis diaper, Infection, Laboratory test normal
Clinical narrative: 2 month shots (HepB, Rotavirus, Pneumococcal, Polio, Hib, DTaP) were given on 1/15/2009. On the morning of 1/17/2009 (approximately 9:30 AM), I notice swelling in patient's left hand and left foot. Upon contacting the doctor's office, the nurse stated that she had not heard of this type of reaction before. She spoke with the doctor on duty and called me back, stating that the doctor instructed her to tell me to use cool compresses for the swelling. The compresses did not work and by 6:30 that evening, patient's right hand and right foot also began to swell. After contacting the after-hours line and not getting a call back, I took her to the ED. Triage indicated there was not a fever at the time that we arrived. Upon being taken into the treatment room, the doctor indicated that she does not believe that the swelling was caused by the immunization and that patient has a fever and that she believes the swelling may be a sign of infection. They started IV antibiotics, did a straight catherization, took a chest x-ray, and also took blood for a blood culture. All findings were negative. Patient was hospitalized from 1/17/2009 - 1/19/2009. It was indicated that patient was given one dose of Benadryl on 1/18/2009 at 5 AM. On the evening of 1/18/2009, a rash appeared on patient's right torso and in her diaper area. Shortly after, the rash disappeared. The rash appeared again that evening on patient's left torso and in her diaper area. The doctor stated that she does not believe that the antibiotics caused the rash nor does she believe that the immunizations caused the rash or the swelling. On the afternoon of 1/19/2008, an allergist from the hospital stopped by. She stated that she does not believe that the immunizations caused the swelling because the swelling occurred 2 days after the shots were given. By this time, most of the swelling was gone. There was still swelling in patient's right hand (possibly due to the IV in her right arm) and very slight swelling in her right foot. The IV was removed from her arm and we were discharged shortly thereafter. No diagnosis was ever given. Patient continues to have rashes to appear and disapper, now on her entire torso, diaper area, and sometimes on her legs. Prior to the immunizations and course of antibiotics, she had never had any swelling or rashes. 2/2/09-records received for DOS 1/17-1/19/09-DC DX: swelling of hand/feet. Presented with left food and hand swelling progressing to right foot and hand. Increased fussiness, mild cough. Impression Angioedema,allergic reaction to vaccine.
Age: 0.2
Sex: F
Vaccine: DTAPIPVHIB, HEP, PNC, RV5
Symptoms: Oedema peripheral, Pyrexia, Rash
Clinical narrative: 2 month shots (HepB, Rotavirus, Pneumococcal, Polio, Hib, DTaP) were given on 1/15/2009. On the morning of 1/17/2009 (approximately 9:30 AM), I notice swelling in patient's left hand and left foot. Upon contacting the doctor's office, the nurse stated that she had not heard of this type of reaction before. She spoke with the doctor on duty and called me back, stating that the doctor instructed her to tell me to use cool compresses for the swelling. The compresses did not work and by 6:30 that evening, patient's right hand and right foot also began to swell. After contacting the after-hours line and not getting a call back, I took her to the ED. Triage indicated there was not a fever at the time that we arrived. Upon being taken into the treatment room, the doctor indicated that she does not believe that the swelling was caused by the immunization and that patient has a fever and that she believes the swelling may be a sign of infection. They started IV antibiotics, did a straight catherization, took a chest x-ray, and also took blood for a blood culture. All findings were negative. Patient was hospitalized from 1/17/2009 - 1/19/2009. It was indicated that patient was given one dose of Benadryl on 1/18/2009 at 5 AM. On the evening of 1/18/2009, a rash appeared on patient's right torso and in her diaper area. Shortly after, the rash disappeared. The rash appeared again that evening on patient's left torso and in her diaper area. The doctor stated that she does not believe that the antibiotics caused the rash nor does she believe that the immunizations caused the rash or the swelling. On the afternoon of 1/19/2008, an allergist from the hospital stopped by. She stated that she does not believe that the immunizations caused the swelling because the swelling occurred 2 days after the shots were given. By this time, most of the swelling was gone. There was still swelling in patient's right hand (possibly due to the IV in her right arm) and very slight swelling in her right foot. The IV was removed from her arm and we were discharged shortly thereafter. No diagnosis was ever given. Patient continues to have rashes to appear and disapper, now on her entire torso, diaper area, and sometimes on her legs. Prior to the immunizations and course of antibiotics, she had never had any swelling or rashes. 2/2/09-records received for DOS 1/17-1/19/09-DC DX: swelling of hand/feet. Presented with left food and hand swelling progressing to right foot and hand. Increased fussiness, mild cough. Impression Angioedema,allergic reaction to vaccine.
Age: 46.0
Sex: F
Vaccine: FLU3
Symptoms: Hypoaesthesia, Injected limb mobility decreased, Injection site pain, Injection site pruritus, Pain in extremity
Clinical narrative: I have had pain in my Deltoid area the entire muscle since 11/05/09. I have had itching in that area as well as in the back of the shoulder.I have pain all the way down the arm precisley over knuckle of the index finger of the left hand. The hand is sometimes numb and tingling in the palm. Movement is slightly limited in the hand and arm. I am just now reporting because I had believed the soreness was just the regular reaction but I still have the imprint of the Bandaid on my arm from placement on 11/05/08 and the injection site just healed as well. I tried to explain that to the RNP that examined me but she was adamant that the flu shot could not cause the kind of reaction so she refused to listen. I think the virus was very strong and may be still culminating. My arm is aching right now as I type and the left index finger is where the sharpest pain is felt.
Age: 46.0
Sex: F
Vaccine: FLU3
Symptoms: Paraesthesia
Clinical narrative: I have had pain in my Deltoid area the entire muscle since 11/05/09. I have had itching in that area as well as in the back of the shoulder.I have pain all the way down the arm precisley over knuckle of the index finger of the left hand. The hand is sometimes numb and tingling in the palm. Movement is slightly limited in the hand and arm. I am just now reporting because I had believed the soreness was just the regular reaction but I still have the imprint of the Bandaid on my arm from placement on 11/05/08 and the injection site just healed as well. I tried to explain that to the RNP that examined me but she was adamant that the flu shot could not cause the kind of reaction so she refused to listen. I think the virus was very strong and may be still culminating. My arm is aching right now as I type and the left index finger is where the sharpest pain is felt.
Age: 25.0
Sex: F
Vaccine: FLU3
Symptoms: Drug exposure during pregnancy, Wrong drug administered
Clinical narrative: On 15Jan2009, pt was administered the Influenza vaccine, Flulaval, instead of Afluria (approved for the pregnant populaton).
Age: 54.0
Sex: F
Vaccine: FLU3
Symptoms: Breast pain, Discomfort, Insomnia
Clinical narrative: The 2 nights after the inject I was very uncomfortable and wakeful. The third day, I began noticing a soreness in my left breast which during the next several days became much worse. It was a extremely painful searing pain that occured with touch including clothing, turning over in bed. Got worse lasting 2 weeks+.
Age: 17.0
Sex: F
Vaccine: HPV4
Symptoms: Immediate post-injection reaction, Syncope
Clinical narrative: Patient fainted miniutes after the injection was given. Pt came to and we monitored pt and rechecked blood pressure and heart rate.  Patient stayed at clinic for 25 min under observation.
Age: 54.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Pain/swelling/erythema at injection site
Age: 16.0
Sex: F
Vaccine: FLU3, HPV4
Symptoms: Dizziness, Fall, Hot flush, Hyperhidrosis, Vision blurred
Clinical narrative: dizziness, hot flushing, sweating, blurry vision 5 minutes after vaccination.  Pt did not pass out but did fall to ground.  Pt felt better immediately upon being placed flat on ground (pt was also placed in trendelenberg position).  Pt had not eaten prior to vaccination.  Staff gave pt water & cookies & pt able to recover s incident.
Age: 0.17
Sex: F
Vaccine: HEPA, PNC, RV5
Symptoms: Wrong drug administered
Clinical narrative: no adverse event at this date and time. patients parent notified
Age: 20.0
Sex: F
Vaccine: HEPAB, IPV, YF
Symptoms: Anxiety, Chest X-ray, Dyspnoea, Pharyngeal oedema, Throat tightness
Clinical narrative: Approximately 10 minutes after receiving immunizations (listed below) the patient C/O difficulty breathing.  Upon examination patient was anxious and throat appeared swollen.  (pt had been sick with sore throat for several days).  Patient was taken to an acute care area, upon exam it was noted that patient had clear lower airways, but seemed to have tightening of upper airways.  Epinepherine given IM, Benadryl 50mg IVP and Solumedrol 120mg IVP.  Pt continued to have o2 sat of 100% on room air.  BP 134/68 HR 64 RR 18.  The patient was transported to ER via ambulance for risk of compromised airway.  The patient was discharged from the ER and was seen in clinic the following day for f/u exam.  Patient is encouraged to follow up with primary care provider for possible allergy workup.
Age: 1.0
Sex: M
Vaccine: HEPA, HIBV, MMR, PNC, VARCEL
Symptoms: Pruritus, Pyrexia, Varicella
Clinical narrative: Mild varicella disease, less than 50 pox, with fever, diagnosed 01/22/09, started 01/20/09 by mother's history. PO Benadryl prn itching
Age: 11.0
Sex: F
Vaccine: FLU3, HPV4, MNQ, TDAP
Symptoms: Dizziness, Loss of consciousness, Nausea, Pallor, Syncope
Clinical narrative: Adolescent became lightheaded then fainted several minutes after receiving immunizations. LOC approx 1 min. and color pale. Remained nauseous and lightheaded 10 mins. Walked on own to parking lot accompanied by mother and nurse. Mother called 2 days later and stated adolescent fine after arriving home.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Skin warm, Swelling, Tenderness
Clinical narrative: Local swelling, erythema, warmth and tenderness.
Age: 61.0
Sex: M
Vaccine: FLU3
Symptoms: Bronchitis, Cough, Fatigue, Influenza like illness, Nasal congestion
Clinical narrative: In the week following the vaccination, patient states he felt very tired.  In the second week, he had a sore throat.  In the third week he had a cough, nasal congestion, and other flu-like aches.  In the fourth week following vaccination, he developed "mild bronchitis symptoms."  After about six weeks, he recovered.
Age: 61.0
Sex: M
Vaccine: FLU3
Symptoms: Oropharyngeal pain, Pain
Clinical narrative: In the week following the vaccination, patient states he felt very tired.  In the second week, he had a sore throat.  In the third week he had a cough, nasal congestion, and other flu-like aches.  In the fourth week following vaccination, he developed "mild bronchitis symptoms."  After about six weeks, he recovered.
Age: 11.0
Sex: F
Vaccine: MNQ, TDAP
Symptoms: Asthenia, Dizziness, Injection site pain, Pyrexia
Clinical narrative: About 12 hrs after vaccines, mild dizziness, weakness, fever, pain @ injection site no treatment
Age: 17.0
Sex: F
Vaccine: HPV4
Symptoms: Musculoskeletal pain, Pain in extremity
Clinical narrative: Vaccine given 6 days ago Pt noticed soreness in shoulder to elbow area.  Then spread to Flexor portion of Forearm only describes as "Arthritic. like pain". 0 numbness 0 tingling 0 loss of use of arm.  Recommend Ibuprofen & follow-up in next few days in office on by phone
Age: 1.26
Sex: M
Vaccine: MMR
Symptoms: Irritability, Pyrexia, Rash maculo-papular
Clinical narrative: Fever to 102, maculopapular rash on trunk, cranky.
Age: 0.6
Sex: M
Vaccine: FLU3
Symptoms: Rash morbilliform, Viral skin infection
Clinical narrative: Neck: normal, supple, no lymphadenopathy, no meningeal signs.  Respiratory exam: normal, no intercostal retractions, movements symmetrical, no wheezes or rhonchi.  Heart exam: normal, pink, no thrill or palpable murmurs, no displacement of PMI, S1, S2, no murmur, rub, or gallop.  Abdomen: normal, benign, no masses, bowel sounds normal.  Skin exam: see above.  Morbilliform rash on trunk>extremities>face, but diffuse, symmetric.  Not rough, no hives.  Minor diagnosis of viral exanthema: enteroviral-like, but wrong season.  D/W mom.  Observe.  Mom advised to call if symptoms worsen, fail to improve, or new symptoms develop.  R/o vaccine reaction: VAERS form completed.
Age: 1.0
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Pruritus, Rash, Varicella
Clinical narrative: Started breaking out 1/19. Itches - rash. No known exposure. No fever. DX: Varicella
Age: 10.0
Sex: F
Vaccine: HEPA, VARCEL
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Left upper arm - hot and swollen, redness to injection site.
Age: 1.1
Sex: M
Vaccine: MMR, PNC, VARCEL
Symptoms: Rash, Varicella
Clinical narrative: Patient received VARIVAX (chicken pox) vaccine on 1/8/09 and came in 1/21/09 complaining of a rash. Dr diagnosed the rash as chicken pox caused by the vaccine.
Age: 1.0
Sex: F
Vaccine: HEPA, VARCEL
Symptoms: Decreased appetite, Diarrhoea, Fall, Malaise, Pyrexia
Clinical narrative: Received vaccine 1-16-09 - On 1-21-09 came to office c/o mild fever for 1 day- Friday not feeling well post injection- falling a lot- Generalized rash- decreased appetite, some diarrhea
Age: 1.0
Sex: F
Vaccine: HEPA, VARCEL
Symptoms: Rash generalised, Vaccination complication
Clinical narrative: Received vaccine 1-16-09 - On 1-21-09 came to office c/o mild fever for 1 day- Friday not feeling well post injection- falling a lot- Generalized rash- decreased appetite, some diarrhea
Age: 63.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site rash
Clinical narrative: Patient received ZOSTAVAX shot on 01/09/2009.  Five days later, on January 14, 2009 she has noticed a spreading rash at the sight of injection.  She reports is is not bothersome, just concerning because it seems to be spreading.
Age: 1.4
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Pyrexia, Rash vesicular
Clinical narrative: Pt developed fever to 102 degree a chickenpox like rash
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling
Clinical narrative: Pt. scratching at site & next day arm red, swollen. Reactions in arm VARIVAX given.
Age: 2.0
Sex: M
Vaccine: HEPA
Symptoms: Body temperature increased, Upper respiratory tract infection
Clinical narrative: Had temp of 101-102 X 24 hours - se & eating otherwise Review of sy-neg.
Age: 0.61
Sex: F
Vaccine: UNK
Symptoms: Irritability
Clinical narrative: Fussiness in the hours after vaccine. Mother reports patient has typical reaction similar to other vaccination in past.
Age: 57.0
Sex: F
Vaccine: FLU3
Symptoms: Mobility decreased, Neck pain, Nerve injury, Pain in extremity
Clinical narrative: Nerve in arm feel affected. Cannot lift arm without pain. Pain goes up to neck.  I waited to send this in to see if pain subsided. It did not. I cannot lift my arm and it (the pain) goes up my neck. My husband got the flu vaccine on the same day and has the same problem. Please advise.
Age: 27.0
Sex: M
Vaccine: ANTH
Symptoms: Arthralgia, Leukocytoclastic vasculitis, Nasal congestion, Palpable purpura, Pyrexia
Clinical narrative: Denied problems with AVA #1 and # 2.  He reported that 2 days following vaccination with AVA # 3 he had mild joint pain that persisted for one day.  On 01 Dec he reported he had URI symptoms that consisted of fever, and nasal congestion.  He denied joint pain.  He self treated with DAYQUIL.  On Dec 6 he noted the onset of joint pain associated with fever and a rash on his whole torso, including his mouth.  He denied lesions on his face, palms or soles of feet.  He was evaluated by a clvlllan PCM on 09 Dec who described palpable purpure or his lower legs, edematous papules on wrists and few erosions of his mouth.  He was diagnosed as having Leukocytoclastic vasculltis and was treated with steroids and ZITHROMYCIN.  He was seen in follow up on 12 and 15 Dec with improvement in his symptoms.  His final labs were neg for streptocylne and he had a neg throat culture.
Age: 27.0
Sex: M
Vaccine: ANTH
Symptoms: Rash, Upper respiratory tract infection
Clinical narrative: Denied problems with AVA #1 and # 2.  He reported that 2 days following vaccination with AVA # 3 he had mild joint pain that persisted for one day.  On 01 Dec he reported he had URI symptoms that consisted of fever, and nasal congestion.  He denied joint pain.  He self treated with DAYQUIL.  On Dec 6 he noted the onset of joint pain associated with fever and a rash on his whole torso, including his mouth.  He denied lesions on his face, palms or soles of feet.  He was evaluated by a clvlllan PCM on 09 Dec who described palpable purpure or his lower legs, edematous papules on wrists and few erosions of his mouth.  He was diagnosed as having Leukocytoclastic vasculltis and was treated with steroids and ZITHROMYCIN.  He was seen in follow up on 12 and 15 Dec with improvement in his symptoms.  His final labs were neg for streptocylne and he had a neg throat culture.
Age: 0.6
Sex: F
Vaccine: DTAPIPVHIB, HEP, PNC, RV5
Symptoms: Chest X-ray, Culture, Pyrexia
Clinical narrative: 105 fever night that vaccines given.  Vaccines given 1-17-09 @ 3 hours am (approx.  Seen at ED 1-12-09 @ 11pm with 105 fever.
Age: 17.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Joint swelling, Pruritus, Urticaria
Clinical narrative: Swelling in both wrist, itching on palms of hands and soles of feet. Welts on hip bones and on one breast.
Age: 17.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Erythema, Hypersensitivity, Joint swelling, Pruritus, Urticaria
Clinical narrative: Swelling in both wrist, itching on palms of hands and soles of feet. Welts on hip bones and on one breast.
Age: 29.0
Sex: F
Vaccine: UNK
Symptoms: Erythema, Oedema, Pain
Clinical narrative: Large area of erytheima & edema & pain (10 cm diameter) ice, BENADRYL, TYLENOL/ALLEVE for pain
Age: 3.0
Sex: F
Vaccine: HEPA
Symptoms: Crying, Pallor
Clinical narrative: Pt given 1 (HEP A) vaccine/left office - went to wait for bus/reported by doctor that child suddenly turned pale (lasted few sec) taken back to office/child crying - calmed down.
Age: 32.0
Sex: M
Vaccine: HEPAB, TYP
Symptoms: Abnormal dreams, Computerised tomogram normal, Convulsion, Malaise, Pallor
Clinical narrative: Within 2 minutes of vaccination c/o not feeling well pallor observed, full body seizure with unresponsiveness to shake and shout. positive pulse but color quite pale. BP 110/70. Smelling salt with no response. Rescue breathing given and client awoke in 10 minutes. A+0x3. Reported strange dreams. ER/via ambulance CT scan, negative discharged all vaccines.
Age: 32.0
Sex: M
Vaccine: HEPAB, TYP
Symptoms: Unresponsive to stimuli
Clinical narrative: Within 2 minutes of vaccination c/o not feeling well pallor observed, full body seizure with unresponsiveness to shake and shout. positive pulse but color quite pale. BP 110/70. Smelling salt with no response. Rescue breathing given and client awoke in 10 minutes. A+0x3. Reported strange dreams. ER/via ambulance CT scan, negative discharged all vaccines.
Age: 0.3
Sex: M
Vaccine: FLU3, FLU3
Symptoms: Irritability, Vomiting
Clinical narrative: Vomiting, fussiness X 24 hrs, vomiting, resolved after 24 hours.
Age: 0.3
Sex: M
Vaccine: FLU3, FLU3
Symptoms: Crying, Inappropriate schedule of drug administration, Vomiting, Wrong drug administered
Clinical narrative: Vomiting, fussiness X 24 hrs, vomiting, resolved after 24 hours.
Age: 0.4
Sex: F
Vaccine: DTAPIPVHIB, PNC, RV5
Symptoms: Blood culture, Body temperature increased, Chest X-ray, Culture urine, Full blood count
Clinical narrative: Pt developed temp to 106 degrees about 4 hrs after vaccines.
Age: 0.4
Sex: F
Vaccine: DTAPIPVHIB, PNC, RV5
Symptoms: Urine analysis
Clinical narrative: Pt developed temp to 106 degrees about 4 hrs after vaccines.
Age: 37.0
Sex: M
Vaccine: ANTH
Symptoms: Dermatitis bullous, Rash, Rash maculo-papular, Skin discolouration
Clinical narrative: 2 days post ava #1 broke out in a rash in his axilliae.  No itching, or pain.  Photo's-confluent maculo-papular light pink rash, with few descrete distal lesions from central axillary confluent rash.
Age: 55.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site pain
Clinical narrative: Patient complains of pain in left deltoid of site of influenza injection
Age: 12.0
Sex: M
Vaccine: TDAP
Symptoms: Haematocrit normal, Haemoglobin normal, Lymphocyte percentage, Monocyte percentage, Neutrophil percentage increased
Clinical narrative: None Stated
Age: 12.0
Sex: M
Vaccine: TDAP
Symptoms: Platelet count normal, Unevaluable event, White blood cell count increased
Clinical narrative: None Stated
Age: 13.0
Sex: F
Vaccine: DTAPIPV
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: No side effect, patient was fine.
Age: 2.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Induration, Nodule
Clinical narrative: 1 cm nodule.  7 cm erythema + induration.  R deltoid.
Age: 12.0
Sex: F
Vaccine: HEPA, TDAP, VARCEL
Symptoms: Loss of consciousness, Pallor
Clinical narrative: After receiving 3 shots, client became pale & "passed out in chair approx. 5 seconds.  Assisted to floor by nurse + father.  Had not eaten yet that day + was "nervous" about shots.  Given a snack + juice.  Felt fine within 10 minutes.  Left with dad.  TC 1/14 to dad.  Client is fine.  They went out to eat after leaving  Health Dept.
Age: 1.9
Sex: F
Vaccine: DTAP, FLU3, MMR, PNC
Symptoms: No adverse event
Clinical narrative: Non stated.
Age: 0.7
Sex: F
Vaccine: FLU3
Symptoms: No adverse event
Clinical narrative: None stated.
Age: 62.0
Sex: F
Vaccine: FLU3
Symptoms: Ear pain, Pruritus, Urticaria, Vision blurred
Clinical narrative: Pt called 10/31/08 said had blurring vision, earache, itching, & hives.  in our conversation pt stated had. hives, & itching previous to shot.  I attribute "reaction" to her previous allergy- not sure all symptom resolved by one week
Age: 70.0
Sex: F
Vaccine: FLU3
Symptoms: Inflammation, Musculoskeletal pain, Pain in extremity
Clinical narrative: 11/27/2006 Patient noticed pain in her left arm/ shoulder that has not resolved since injection.  on 1/21/09 she saw Dr who has noticed inflammation which is now being treated.
Age: 21.0
Sex: F
Vaccine: TYP
Symptoms: Eosinophil count increased, Eye swelling, Headache, Myalgia, Pyrexia
Clinical narrative: Initial report received a 14 December 2007 from a physician.  A 21-year-old female patient, who takes NOVALOG insulin, had received a second intramuscular right deltoid dose of TYPHIM VI (lot number 209602) on 03 December 2007 at 15:10 p.m.  Approximately 36 hours post-vaccination, on 05 December 2007, in the morning, the patient felt feverish and had myalgia and headache.  She was evaluated by a physician the following day and had a normal physical exam.  Diagnostic laboratory date revealed the white blood count to be 8.2 with 11 eosinophiles.  Treatment prescribed was not reported.  Three day later, on approximately 09 December 2007, the patient developed facial peri-orbital swelling, and had no hives.  Treatment received and diagnostic testing performed at the time were not reported.  At the time of this report, it was "unknown" if the patient had recovered.  19 December 2007, A corrective version was created with the same latest received date as the previous version (14 December 2007) for the sole purpose of adding the concomitant medication NOVALOG to the product screen structure field.  No other relevant medically significant information was added to this case.  Follow-up information was received from the health professional on 15 February 2008.  The patient was not taking NOVALOG insulin, as previously reported, correct concomitant medication was "NUVARING".  She was treated with over the counter antihistamines, and the rash resolved on 18 December 2007.
Age: 21.0
Sex: F
Vaccine: TYP
Symptoms: White blood cell count normal
Clinical narrative: Initial report received a 14 December 2007 from a physician.  A 21-year-old female patient, who takes NOVALOG insulin, had received a second intramuscular right deltoid dose of TYPHIM VI (lot number 209602) on 03 December 2007 at 15:10 p.m.  Approximately 36 hours post-vaccination, on 05 December 2007, in the morning, the patient felt feverish and had myalgia and headache.  She was evaluated by a physician the following day and had a normal physical exam.  Diagnostic laboratory date revealed the white blood count to be 8.2 with 11 eosinophiles.  Treatment prescribed was not reported.  Three day later, on approximately 09 December 2007, the patient developed facial peri-orbital swelling, and had no hives.  Treatment received and diagnostic testing performed at the time were not reported.  At the time of this report, it was "unknown" if the patient had recovered.  19 December 2007, A corrective version was created with the same latest received date as the previous version (14 December 2007) for the sole purpose of adding the concomitant medication NOVALOG to the product screen structure field.  No other relevant medically significant information was added to this case.  Follow-up information was received from the health professional on 15 February 2008.  The patient was not taking NOVALOG insulin, as previously reported, correct concomitant medication was "NUVARING".  She was treated with over the counter antihistamines, and the rash resolved on 18 December 2007.
Age: 19.0
Sex: F
Vaccine: ANTH, SMALL, TYP
Symptoms: Unevaluable event
Clinical narrative: This case was received on 27 November 2008 via a search of the VAERS database under the reference number 308523.  It was originally reported to VAERS by another manufacturer, ACAMBIS, Inc.  A 19 year old female patient, whose medical history was not reported, received an intradermal injection of Acam2000 (lot number not reported), an intramuscular injection of TYPHIM VI (lot number not reported), and a subcutaneous injection of BIOTHRAX (lot number not reported) on 11 March 2008.  On the same day, the patient developed an "unevaluable event" for which she went to the emergency room.  Corrective treatment was not reported.  The patient recovered.
Age: 28.0
Sex: M
Vaccine: ANTH, SMALL, TYP
Symptoms: Chills, Hyperhidrosis, Limb discomfort, Pyrexia, Rash
Clinical narrative: This case was received on 27 November 2008 via a search of the VAERS database under reference number 311967. It was originally reported to VAERS by another manufacturer. Emergent Biosolutions. A 28 year old male patient, whose medical history was not reported, received an injection of ACAM2000 (lot number not reported), an injection of TYPHIM VI (lot number not reported), and an injection of BIOTHRAX (lot number not reported) on 06 April 2008. On the 15 or 16 April 2008, the patient experienced a light fever, night chills, sweats, and swelling and soreness of the right armpit. On 18 April 2008, the patient had a rash on his right shoulder spreading to his chest and abdomen. Corrective treatment was not reported. The patient recovered.
Age: 28.0
Sex: M
Vaccine: ANTH, SMALL, TYP
Symptoms: Swelling
Clinical narrative: This case was received on 27 November 2008 via a search of the VAERS database under reference number 311967. It was originally reported to VAERS by another manufacturer. Emergent Biosolutions. A 28 year old male patient, whose medical history was not reported, received an injection of ACAM2000 (lot number not reported), an injection of TYPHIM VI (lot number not reported), and an injection of BIOTHRAX (lot number not reported) on 06 April 2008. On the 15 or 16 April 2008, the patient experienced a light fever, night chills, sweats, and swelling and soreness of the right armpit. On 18 April 2008, the patient had a rash on his right shoulder spreading to his chest and abdomen. Corrective treatment was not reported. The patient recovered.
Age: 22.0
Sex: M
Vaccine: SMALL, TYP
Symptoms: Cellulitis, Dermatitis allergic, Lymphangitis
Clinical narrative: This case was received on 27 November 2008 via a search of the VAERS database (reference number 316247). It was originally reported to VAERS by another manufacturer ( Acambis, Inc). A 22-year-old male patient, with no reported medical history, received a second intramuscular injection of TYPHIM VI (lot not reported) and an injection of ACAM2000 (Smallpox, Acambis, Inc) on 04 June 2008. Nine days post-vaccination, on 13 June 2008, the patient presented with "robust take vs. cellulitis with lymphangitis". Additionally, he experienced allergic dermatitis of the neck, shoulder, and upper chest. He was treated with oral Benadryl and Dicloxacillin four times daily, and the event resolved. Documents held by sender: None.
Age: 20.0
Sex: M
Vaccine: ANTH, SMALL, TYP
Symptoms: Chills, Headache, Injection site erythema, Malaise, Pyrexia
Clinical narrative: The This case was received on 27 November 2008 via a search of the VAERS database (reference number 322032).  It was originally reported to VAERS by another manufacturer (Emergent Biosolutions).  A 20 year old male patient received an intramuscular injection of TYPHIM VI, an injection of ACAM2000 smallpox vaccine (manufacturer ACAMBIS Inc.) and a subcutaneous injection of BIOTHRAX ANTHRAX vaccine (manufacturer Emergent Biosolutions) on 22 July 2008.  The lot number and site of administration for the vaccines were not reported.  On 31 July 2008, nine days post-vaccination, the patient had complaints of malaise, chills and headache.  The injection site appeared to be red.  Baseline vital signs included a temperature of 102.6, blood pressure 130/80, pulse 88 and respirations 18.  The patient was evaluated by the nurse on duty.  The patient stated that the "medic gave him 500 cc of fluid the previous day with no effect on his symptoms".  The emergency medical squad was notified and the patient was transported to the hospital.  The patient recovered and required an intervention to prevent permanent impairment/damage.  List of Documents held by Sender: None.
Age: 20.0
Sex: F
Vaccine: ANTH, SMALL, TYP
Symptoms: Drug exposure during pregnancy
Clinical narrative: This case was received on 27 November 2008 via a search of the VAERS database under reference number 322461. It was originally reported to VAERS by another manufacturer, Emergent Biosolutions. A 20 year old female patient, whose medical and obstetrical history were not reported, received an intradermal injection of ACAM2000 (Acambis, lot number not reported), an intramuscular injection of TYPHIM VI (lot number not reported), and a subcutaneous injection of BIOTHRAX (Emergent Biosolutions, lot number not reported) on 28 July 2008. On 06 August 2008 the patient found out that she was pregnant. It was determined that she was pregnant at the time of vaccination. Her last menstrual period (LMP) and her estimated date of confinement (EDC) were not reported. The patient had no reported adverse event and the smallpox vaccination site had a normal reaction.
Age: 22.0
Sex: M
Vaccine: ANTH, SMALL, TYP
Symptoms: Pyrexia, Rash papular
Clinical narrative: This case was received on 27 November 2008 via a search of the VAERS database (reference number 322601). It was originally reported to VAERS by another manufacturer (Emergent Biosolutions). Other - Medically Significant. A 22 year-old male patient, with no reported history, received the following vaccination on 23 July 2008: an intramuscular injection of TYPHIM VI, ACAM2000 (smallpox, Acambis, Inc), and BIOTHRAX. Lot numbers and sites of administration were not reported. He developed diurnal fevers "since injection", in addition to systemic papular rash over the upper torso. He was treated with an antihistamine. According to the reporter, the event required intervention in order to prevent permanent impairment or damage. Outcome was not reported.
Age: 36.0
Sex: M
Vaccine: ANTH, HEP, SMALL, TYP
Symptoms: Injection site discharge, Lymphadenopathy, Pyrexia
Clinical narrative: This case was received on 27 November 2008 via a search of the VAERS database under reference number 322618.  It was originally reported to VAERS by another manufacturer, Emergent Biosolutions.  A 36 year old male patient, whose medical history was not reported, received a first intradermal injection of ACAMBIS, lot number not reported, a fourth intramuscular injection of TYPHIM VI (lot number not reported), a subcutaneous injection of BIOTHRAX (Emergent Biosolutions, lot number not reported) and an intramuscular injection of ENGERIX-B (manufacturer and lot number not reported) on 05 August 2008.  On 14 August 2008, the patient developed extreme swelling of the lymph nodes of the left arm, fever reaching 102 F, and green discharge from the inoculation site.  Corrective treatment was not reported.  The patient recovered.
Age: 71.0
Sex: F
Vaccine: HEP, TYP
Symptoms: Erythema, Pruritus, Rash
Clinical narrative: A 71-year-old female patient experienced bilateral axillary rash and bilateral ear redness and itching within hours after receipt of an intramuscular left arm injection of TYPHIM VI (lot number reported as TA0446-2) and an intramuscular right arm injection of ENGERIX-B (GlaxoSmithKline, lot number AHBVB640AA).  No treatment was administered for the symptoms, which resolved by that evening.  The patient had no subsequent complaints or sequelae.
Age: 15.0
Sex: F
Vaccine: HPV4
Symptoms: Pancreatitis, Parenteral nutrition, Pelvic pain
Clinical narrative: Information has been received from a physician concerning a 15 year old female patient who on 15-DEC-2007 was vaccinated with the first dose of GARDASIL (lot# 655503/0012U).  On 21-MAR-2008 she received her second dose of GARDASIL (lot# xxxxx) and on 09-JUN-2008 she received her third dose of GARDASIL (lot# 659962/1740U).  On September 2008 the patient started to develop pelvic pain and was diagnosed of pancreatitis.  Patient was hospitalized and received total parenteral nutrition and lipids and had an IV port.  Pancreatitis was considered to be an other important medical event by the physician.  Pancreatitis was considered to be disabling.  At the time of this report the patient had not yet recovered.  No further information is available.
Age: 22.0
Sex: F
Vaccine: FLU3
Symptoms: Asthenia, Blood product transfusion, Computerised tomogram, Electromyogram, Hypoaesthesia
Clinical narrative: NUMBNESS, WEAKNESS AND TINGLING TO LEGS, FEET, HANDS, ARMS, AND FACE. TREATMENT OF IVIG FOR FIVE DAYS IN HOSPITAL.
Age: 22.0
Sex: F
Vaccine: FLU3
Symptoms: Lumbar puncture, Nuclear magnetic resonance imaging, Paraesthesia
Clinical narrative: NUMBNESS, WEAKNESS AND TINGLING TO LEGS, FEET, HANDS, ARMS, AND FACE. TREATMENT OF IVIG FOR FIVE DAYS IN HOSPITAL.
Age: 0.5
Sex: F
Vaccine: DTAPIPVHIB, PNC, DTAPIPVHIB, PNC
Symptoms: Death
Clinical narrative: Pt was administered vaccines on 011309 pt was found deceased on 011409.
Age: 14.0
Sex: F
Vaccine: HPV4
Symptoms: Electroencephalogram, Grand mal convulsion, Tremor, Vaccine positive rechallenge
Clinical narrative: Information has been received from a physician concerning a 13 year old female who was vaccinated with the first dose of GARDASIL, 0.5ml. Subsequently the patient experienced a shaking in her leg. After getting the second dose of GARDASIL 0.5ml the same experience occurred for almost 12 hours. The patient got checked for seizure activity however they did not diagnose her with that. The patient was hospitalized and the length of hospitalization was unknown. The patient did video EEG. At time of the report the patient was not  recovered. Follow-up information has been received from a nurse concerning the patient who received two doses of GARDASIL. The nurse reported that the patient had a grand mal seizure (previously reported as the patient was not diagnosed with seizure activity) and was hospitalized. At time of the report the outcome of the patient was unknown. The patient had follow-up appointment scheduled with the physician on 21-JAN-2009. Additional information has been requested.  1/27/09 Rec vaccine records which did not include Lot #s.  HPV #1 given 7/30/08; HPV #2 given 11/18/98.  1/27/09 Reviewed multiple hospital admit medical records: 12/15-12/16/2008 FINAL DX: status epilipticus Records reveal patient experienced seizure of approx 1 hour.  Preceeded by HA & LLL shaking which proceeded to seizure.  Pt w/history of seizures x 3 mo approx 2x/mo; rencently increased to daily & treated w/oral meds.  Continued w/seizures while hospitalized & transferred to higher level of care. PMH: abnormal EEG & seizure disorder x 3 mos prior to current hospitalization.  1/4/-1/5/2009 FINAL DX: partial complex seizures. Tonic-clonic seizure activity began LLE & progressed to RLL & UEs x 10 min.  Loaded w/antiseizure med, observed overnight & d/c to home  1/6-1/7/2009 FINAL DX: focal seizure disorder. Neuro consult done & patient transferred to higher level of care.  1/9-1/11/2009 FINAL DX: complex partial seizures Records reveal patient continued to experience seizures, metallic tast & HA.  W/U at university hospital was WNL , all meds d/c & suggested psych as underlying cause.  Neuro consult restarted antiseizure meds & referred to psych as well.  2/13/09 Received hospital medical records of 12/16-12/19/2008 & 1/7-1/8/2009. FINAL DX: nonepileptic spells; Pseudoseizures Records reveal patient experienced nonepileptic episodes.  Referred to Psych.