chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 41.0
Sex: F
Vaccine: FLU3
Symptoms: Abdominal pain upper, Asthenia, Chest discomfort, Cold sweat, Defaecation urgency
Clinical narrative: Patient experienced wheezing and chest tightness 2 hours after receiving the flu vaccine 8/31/09.  She has not felt well since this episode began and today, 9/1/09, she experienced nausea, stomach cramping and feeling like she needed to go to the bathroom. She fainted while in the bathroom.  She woke up sweating, clammy and very weak.  BP 104/60, BS 132 (1 1/2 hours after eating).  She has a history of hypertension, history of hay fever but no other medical problems nor history of an adverse event to vaccine administration.  No one in her family has history of an adverse event after vaccine administration.  She has been taken to a doctor here in town for evaluation.  She received FLU-CSL 0.5 ml IM left deltoid.
Age: 41.0
Sex: F
Vaccine: FLU3
Symptoms: Hyperhidrosis, Malaise, Nausea, No reaction on previous exposure to drug, Syncope
Clinical narrative: Patient experienced wheezing and chest tightness 2 hours after receiving the flu vaccine 8/31/09.  She has not felt well since this episode began and today, 9/1/09, she experienced nausea, stomach cramping and feeling like she needed to go to the bathroom. She fainted while in the bathroom.  She woke up sweating, clammy and very weak.  BP 104/60, BS 132 (1 1/2 hours after eating).  She has a history of hypertension, history of hay fever but no other medical problems nor history of an adverse event to vaccine administration.  No one in her family has history of an adverse event after vaccine administration.  She has been taken to a doctor here in town for evaluation.  She received FLU-CSL 0.5 ml IM left deltoid.
Age: 41.0
Sex: F
Vaccine: FLU3
Symptoms: Wheezing
Clinical narrative: Patient experienced wheezing and chest tightness 2 hours after receiving the flu vaccine 8/31/09.  She has not felt well since this episode began and today, 9/1/09, she experienced nausea, stomach cramping and feeling like she needed to go to the bathroom. She fainted while in the bathroom.  She woke up sweating, clammy and very weak.  BP 104/60, BS 132 (1 1/2 hours after eating).  She has a history of hypertension, history of hay fever but no other medical problems nor history of an adverse event to vaccine administration.  No one in her family has history of an adverse event after vaccine administration.  She has been taken to a doctor here in town for evaluation.  She received FLU-CSL 0.5 ml IM left deltoid.
Age: 4.0
Sex: M
Vaccine: DTAPIPVHIB, MMR
Symptoms: Wrong drug administered
Clinical narrative: Administered PENTACEL vaccine in error, Patient was supposed to receive KINRIX. No adverse reaction noted. Patients last Hib vaccine was 2006 to complete the 3 series.
Age: 32.0
Sex: F
Vaccine: TDAP
Symptoms: Cellulitis, Injection site erythema, Injection site pain, Pain in extremity
Clinical narrative: 8/5/2009 Soreness of Right upper arm, 8/9/2009 Injection site sore with redness, 8/11/2009 increasing redness and soreness, went to Urgent Care and was put on Bactrim for cellulitis.
Age: 6.0
Sex: M
Vaccine: VARCEL
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: SITE OF INJECTION IS SWOLLEN WITH REDNESS AND PAIN ALSO THE ARM FEELS HOT.
Age: 31.0
Sex: M
Vaccine: ANTH, TYP
Symptoms: Injection site pruritus, Secondary transmission
Clinical narrative: Patient inadvertantly inoculated spouse 4 weeks status post vaccination. Patient admits scratching off scab at week 3 due to pruritis at vaccine site. Spouse reports pustular lesions on erythematous base on neck right arm and right fingers. Denies fever, myalgia, headache.
Age: 46.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Recieved Tdap in L deltoid on 08/29/09.  She noted swelling at injection site on 08/29/09.  Reported to Employee Health on 08/31/09 via phone.  She was seen on 09/01/09 by a nurse practitioner, with noted redness and pain at site.
Age: 54.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site induration, Injection site swelling, Injection site warmth, Pain in extremity
Clinical narrative: Induration and redness/swelling in area where injection given. Warm to touch.Arm sore above and below area where injection given.
Age: 1.25
Sex: F
Vaccine: DTAP, HIBV
Symptoms: Urticaria
Clinical narrative: Diffuse urticaria after receiving DTaP and Hib vaccines.  Recieved diphenhydramine prn, and urticaria resolved after one day.
Age: 32.0
Sex: M
Vaccine: ANTH, TYP
Symptoms: HIV antibody negative, Pain in extremity, Pruritus, Rash erythematous, Rash pustular
Clinical narrative: Patient with pustular lesions on erythematous base beginning on lower legs and spreading below knee as well as few lesion on back and chest 3 weeks status post smallpox vaccination on 6 AUG 2009. Patient with pruritus and pain in feet but without fever, h/a, myalgia.
Age: 1.3
Sex: M
Vaccine: HIBV, MMR, PNC
Symptoms: Diarrhoea, Disturbance in social behaviour, Immunisation reaction, Pyrexia, Unresponsive to stimuli
Clinical narrative: My child suffered severe reactions the night he received his 9 month shots.  He spiked a 103-104 fever that lasted 3 days with explosive diahrea that lasted 4-5 days.  Within 1 week, he lost all eye contact and did not answer to his name. 9/8/09-records received for dates of service: 6/15/06-well visit-6/29/06-bug bite 3 days prior to visit-8/1/06-ear pulling-exam normal. 10/2/06-concerns of autism spectrum disorder. Continues with ear pulling.
Age: 13.0
Sex: F
Vaccine: HPV4
Symptoms: Aura, Computerised tomogram, Electroencephalogram, Fall, Full blood count normal
Clinical narrative: About 5 minutes after receiving Gardasil, patient syncopized with tonic-clonic movements, described an aura and had a brief post-ictal period.  She was standing at the onset and fell backwards hitting her head on the floor.
Age: 13.0
Sex: F
Vaccine: HPV4
Symptoms: Head injury, Laboratory test normal, Postictal state, Syncope, Tonic clonic movements
Clinical narrative: About 5 minutes after receiving Gardasil, patient syncopized with tonic-clonic movements, described an aura and had a brief post-ictal period.  She was standing at the onset and fell backwards hitting her head on the floor.
Age: 12.0
Sex: F
Vaccine: VARCEL
Symptoms: Rash papular, Rash pruritic
Clinical narrative: Outbreak of pruritic small papules on thighs, trunk, arms, face, beginning about two days after Varicella vaccine; no fever or malaise
Age: 0.58
Sex: M
Vaccine: DTAPIPVHIB, HEP, PNC, RV5, DTAPIPVHIB, HEP, PNC, RV5
Symptoms: Erythema, Swelling, Urticaria
Clinical narrative: Vaccines were given and we left Dr office and placed baby in car and drove away. At that time baby had no symptoms. When we got to our destination Approx. 10 mins after routine 6 month vaccines were given, I noticed immediately baby had large white welts covering body and swelling. I didnt get baby out of car but drove back to dr office. Once at Dr office again, approx. 10 mins after initialy seeing baby's reaction, the white welts and swelling were gone with no intervention, but red skin appeared all over. Baby was seen by Doctor and doctor gave 1/4 t. of Benedryl for next 6 hrs for 24 hr time period. White welts went away with no intervention, but some red ones were present for next few hours mostly on baby's legs.  Baby's body turned bright red -sunburn like-for the next 5 hours. Five hours after vaccinations were given baby returned to normal with Benedryl. We have been referred to an allergist.
Age: 0.58
Sex: M
Vaccine: DTAPIPVHIB, HEP, PNC, RV5, DTAPIPVHIB, HEP, PNC, RV5
Symptoms: Urticaria
Clinical narrative: Vaccines were given and we left Dr office and placed baby in car and drove away. At that time baby had no symptoms. When we got to our destination Approx. 10 mins after routine 6 month vaccines were given, I noticed immediately baby had large white welts covering body and swelling. I didnt get baby out of car but drove back to dr office. Once at Dr office again, approx. 10 mins after initialy seeing baby's reaction, the white welts and swelling were gone with no intervention, but red skin appeared all over. Baby was seen by Doctor and doctor gave 1/4 t. of Benedryl for next 6 hrs for 24 hr time period. White welts went away with no intervention, but some red ones were present for next few hours mostly on baby's legs.  Baby's body turned bright red -sunburn like-for the next 5 hours. Five hours after vaccinations were given baby returned to normal with Benedryl. We have been referred to an allergist.
Age: 0.59
Sex: M
Vaccine: DTAPIPVHIB, HEP, PNC, RV5, DTAPIPVHIB, HEP, PNC, RV5
Symptoms: Erythema, Swelling, Urticaria
Clinical narrative: Patient returned to out office very shortly after receiving 6 month old vaccine, with severe hives all over entire body. Given 1/4 tsp of BENADRYL in office and WESCURT 0.2 % to use at home.
Age: 0.59
Sex: M
Vaccine: DTAPIPVHIB, HEP, PNC, RV5, DTAPIPVHIB, HEP, PNC, RV5
Symptoms: Urticaria
Clinical narrative: Patient returned to out office very shortly after receiving 6 month old vaccine, with severe hives all over entire body. Given 1/4 tsp of BENADRYL in office and WESCURT 0.2 % to use at home.
Age: 62.0
Sex: F
Vaccine: VARZOS
Symptoms: Condition aggravated, Diverticulitis, Diverticulum, Suprapubic pain
Clinical narrative: Patient reports that she had a Shingles Vaccination.  Within a day, she experienced suprapubic pain.  Then her diverticulosis got worse.  She was hospitalized for 5 days and treated for diverticulitis. 9/25/09 Medical records received for DOS 8/12/09 to 8/16/09.  Seen in ER for dysuria, LLQ pain, nausea. Assessment: decreased bowel sounds, low grade fever. D/C DX: Diverticulitis, Abscess intestine,  ICD9 codes 582.11, 569.5.
Age: 61.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Chills, Headache, Pyrexia, Rash erythematous, Vomiting
Clinical narrative: developed "headache,chills, fever of 102.7,vommitting," "light red rash on arms, chest", described as "sunburn like". symptoms have not completely resolved. Took benadryl with relief
Age: 61.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Erythema, Herpes zoster
Clinical narrative: developed "headache,chills, fever of 102.7,vommitting," "light red rash on arms, chest", described as "sunburn like". symptoms have not completely resolved. Took benadryl with relief
Age: 61.0
Sex: F
Vaccine: PPV, VARZOS
Symptoms: Blister, Condition aggravated, Oral herpes, Pain
Clinical narrative: Pt developed 5 painful, fever blisters on skin between nose and lips approximately 24 hrs after Zostavax injection. She reports history of herpes simplex eruptions with illness, fever or exposure to extreme temperatures. Vesicles are beginning to dry and heal. Client requested Vaers report merely to inform of possible vaccine adverse event as instructed by VIS provided at time of injection.
Age: 65.0
Sex: M
Vaccine: PPV
Symptoms: Blood test, Chest X-ray abnormal, Cough, Decreased appetite, Feeling hot
Clinical narrative: Patient had pneumovax 9 am on 8/28/09, began feeling achy by 1 pm, warm in evening.  By the morning of 8/29 his temperature was 101, going to 102.4 max.  He also developed a slight cough, wheeze with spasmodic cough, along with a loss of appetite.  He was seen on 8/31 when he was already feeling better.  However, upon examination there was the suspicion of pneumonia, so he was started on bronchodilators (albuterol) and azithromycin, and he was sent for a chest x-ray.  Tonight he reports he is feeling less achy although he still has a slight cough. He states his fever was gone by 9/2 in pm.
Age: 65.0
Sex: M
Vaccine: PPV
Symptoms: Pain, Pyrexia, Wheezing
Clinical narrative: Patient had pneumovax 9 am on 8/28/09, began feeling achy by 1 pm, warm in evening.  By the morning of 8/29 his temperature was 101, going to 102.4 max.  He also developed a slight cough, wheeze with spasmodic cough, along with a loss of appetite.  He was seen on 8/31 when he was already feeling better.  However, upon examination there was the suspicion of pneumonia, so he was started on bronchodilators (albuterol) and azithromycin, and he was sent for a chest x-ray.  Tonight he reports he is feeling less achy although he still has a slight cough. He states his fever was gone by 9/2 in pm.
Age: 0.2
Sex: F
Vaccine: DTAPIPVHIB, HEP, PNC, RV5
Symptoms: Blood culture, Full blood count, Lumbar puncture, Pallor, Pyrexia
Clinical narrative: Patient developed fever of 104 in the evening on 8/26/09. Was seen in office on 8/27/09 for fever. Admitted to hospital on 8/28/09 for paleness and unresponsive.  10/15/09 Received Medical Records and Discharge Summary for Dates of Service 8/28/09-8/30/09.  Discharge Dx: Unresponsiveness, fever.    ICD 9 Codes:  7825, 5990, 07999, E9478 Assessment:  Cyanosis,  Urinary Tract Infection, Unspecified viral infection in conditions classified elsewhere and of unspecified site, Other and unspecified complication of medical care, Drug/medical substances causing adverse effects in therapeutic use. Presenting sx:Pt. presented to PCP office cyanotic, pale and unresponsive a couple of days after her two month vaccinations.  She developed a fever to 104 degrees, and had an elevated WBC count.  She was catherized and found to have a UTI, started on Rocephin and discharged to home.  PO intake was decreased.  She subsequently had another event of cyanosis and unresponsiveness and was admitted to  the hospital for a rule out sepsis evaluation and monitoring.  On examination she was lethargic and limp, but did respond to painful stimuli.  Started on IV Ampicillin and ceftriaxone.  The mother stated that the child had a "spell" when she went limp, an electroencephalogram was preformed and was normal.  After 48 hours all cultures were negative.  Discharged to home alert and smiling.
Age: 0.2
Sex: F
Vaccine: DTAPIPVHIB, HEP, PNC, RV5
Symptoms: Unresponsive to stimuli, Urine analysis
Clinical narrative: Patient developed fever of 104 in the evening on 8/26/09. Was seen in office on 8/27/09 for fever. Admitted to hospital on 8/28/09 for paleness and unresponsive.  10/15/09 Received Medical Records and Discharge Summary for Dates of Service 8/28/09-8/30/09.  Discharge Dx: Unresponsiveness, fever.    ICD 9 Codes:  7825, 5990, 07999, E9478 Assessment:  Cyanosis,  Urinary Tract Infection, Unspecified viral infection in conditions classified elsewhere and of unspecified site, Other and unspecified complication of medical care, Drug/medical substances causing adverse effects in therapeutic use. Presenting sx:Pt. presented to PCP office cyanotic, pale and unresponsive a couple of days after her two month vaccinations.  She developed a fever to 104 degrees, and had an elevated WBC count.  She was catherized and found to have a UTI, started on Rocephin and discharged to home.  PO intake was decreased.  She subsequently had another event of cyanosis and unresponsiveness and was admitted to  the hospital for a rule out sepsis evaluation and monitoring.  On examination she was lethargic and limp, but did respond to painful stimuli.  Started on IV Ampicillin and ceftriaxone.  The mother stated that the child had a "spell" when she went limp, an electroencephalogram was preformed and was normal.  After 48 hours all cultures were negative.  Discharged to home alert and smiling.
Age: 0.3
Sex: M
Vaccine: DTAPHEPBIP
Symptoms: Abdominal X-ray, Abdominal distension, Apnoeic attack, Blood culture negative, Bradycardia
Clinical narrative: Patient developed abdominal distension & increased frequency of apneic & bradycardic events requiring vigorous stimulation. Abdominal xrays were obtained & arterial puncture performed to obtain blood for sepsis screen (CBC with diff, CRP, Blood culture) empirically & bladder catheterization performed for urine culture. Patient treated with VANCOMYCIN & CEFEPIME.   9/25/09 Received hospital medical records & transfer summary of 9/13/09. FINAL DX: complications of extreme prematurity, persistent pulmonary HTN, chronic lung disease, ROP stage III, liver failure, cholestasis, thrombocytopenia, IVH, rickets, femur fracture, growth failure, nephrocalcinosis, inguinal hernia bilateral Records reveal patient experienced complicated maternal pregnancy & delivery.  ICU for lengthy complicated stay.  O 8/11 day of vaccination, developed respiratory distress, decreased bowel sounds, lethargy.  Sepsis w/u neg.  Back to baseline by 8/13.
Age: 0.3
Sex: M
Vaccine: DTAPHEPBIP
Symptoms: C-reactive protein increased, Culture urine negative, Haematocrit decreased, Haemoglobin decreased, Lymphocyte percentage decreased
Clinical narrative: Patient developed abdominal distension & increased frequency of apneic & bradycardic events requiring vigorous stimulation. Abdominal xrays were obtained & arterial puncture performed to obtain blood for sepsis screen (CBC with diff, CRP, Blood culture) empirically & bladder catheterization performed for urine culture. Patient treated with VANCOMYCIN & CEFEPIME.   9/25/09 Received hospital medical records & transfer summary of 9/13/09. FINAL DX: complications of extreme prematurity, persistent pulmonary HTN, chronic lung disease, ROP stage III, liver failure, cholestasis, thrombocytopenia, IVH, rickets, femur fracture, growth failure, nephrocalcinosis, inguinal hernia bilateral Records reveal patient experienced complicated maternal pregnancy & delivery.  ICU for lengthy complicated stay.  O 8/11 day of vaccination, developed respiratory distress, decreased bowel sounds, lethargy.  Sepsis w/u neg.  Back to baseline by 8/13.
Age: 0.3
Sex: M
Vaccine: DTAPHEPBIP
Symptoms: Monocyte count increased, Neutrophil percentage decreased, Neutrophil percentage increased, Platelet count decreased, White blood cell count normal
Clinical narrative: Patient developed abdominal distension & increased frequency of apneic & bradycardic events requiring vigorous stimulation. Abdominal xrays were obtained & arterial puncture performed to obtain blood for sepsis screen (CBC with diff, CRP, Blood culture) empirically & bladder catheterization performed for urine culture. Patient treated with VANCOMYCIN & CEFEPIME.   9/25/09 Received hospital medical records & transfer summary of 9/13/09. FINAL DX: complications of extreme prematurity, persistent pulmonary HTN, chronic lung disease, ROP stage III, liver failure, cholestasis, thrombocytopenia, IVH, rickets, femur fracture, growth failure, nephrocalcinosis, inguinal hernia bilateral Records reveal patient experienced complicated maternal pregnancy & delivery.  ICU for lengthy complicated stay.  O 8/11 day of vaccination, developed respiratory distress, decreased bowel sounds, lethargy.  Sepsis w/u neg.  Back to baseline by 8/13.
Age: 0.21
Sex: M
Vaccine: DTAPIPVHIB
Symptoms: Apnoeic attack, Blood caffeine, Bradycardia, Dyspnoea, Haematocrit decreased
Clinical narrative: Increased number of apneic and bradycardic events requiring intervention (stimulation for same PPV x 2), increased work of breathing and baseline O2 support on 2L nc high flow. (anemia stable, caffeine level same as without AS/BS, I:T.27, CRP mildly elevated). Vanco and Cefepime started and baby changed to nasal IMV. Antibx stopped after 3 days. Back to 2L after 4 days. 11/27/2009 notes from NICU dated 8/13-8/14/2009, premie baby with increased apneic, bradycardic events, increased work with breathing, retractions, nasal flaring, tx: supplemental O2
Age: 0.21
Sex: M
Vaccine: DTAPIPVHIB
Symptoms: White blood cell count normal
Clinical narrative: Increased number of apneic and bradycardic events requiring intervention (stimulation for same PPV x 2), increased work of breathing and baseline O2 support on 2L nc high flow. (anemia stable, caffeine level same as without AS/BS, I:T.27, CRP mildly elevated). Vanco and Cefepime started and baby changed to nasal IMV. Antibx stopped after 3 days. Back to 2L after 4 days. 11/27/2009 notes from NICU dated 8/13-8/14/2009, premie baby with increased apneic, bradycardic events, increased work with breathing, retractions, nasal flaring, tx: supplemental O2
Age: 11.0
Sex: M
Vaccine: MNQ
Symptoms: Erythema, Oedema peripheral
Clinical narrative: Swelling & redness in right arm.
Age: 56.0
Sex: F
Vaccine: FLU3
Symptoms: Erythema, Oedema peripheral, Skin warm
Clinical narrative: Patient was given 0.5 mL of flu vaccine on 8-31-09. On the afternoon of 9-1-09, patient came to me with a red, hot to touch spot on left arm. Area is 3inches wide and 2inches long.  Pt did warm compresses.
Age: 12.0
Sex: F
Vaccine: FLU3
Symptoms: Fall, Head injury, Syncope
Clinical narrative: Pt given flu shot (told to hang around store for approximately equal to 10 minutes for signs or symptoms of allergic reaction). Patient and her mother returned in five minutes, they said she fainted and bumped her head on the ground. She didn't remember exactly what happened, but I gave her an ice pack and she sat down as help (911) notified. She left before EMS arrived. However, she said she felt fine other than the bump on her head. Later, called (Incident 3:50 PM) 6:50 PM, and spoke w/ pt who said she felt fine.
Age: 76.0
Sex: F
Vaccine: VARZOS
Symptoms: Induration, Pain, Pruritus, Rash, Skin warm
Clinical narrative: Patient developed large rash that she described as hard, warm, slight itch and somewhat painful. Reported to us on 8/31. Patient was instructed to take ADVIL, BENADRYL and watch closely. Patient was contacted on 9/2 for follow up, rash was getting better, no longer bothersome but still there. Rash getting smaller.
Age: 11.0
Sex: M
Vaccine: MNQ, TDAP
Symptoms: Body temperature increased, Decreased appetite, Fatigue, Headache, Listless
Clinical narrative: 11 am 8/31/09 vaccines administered.  Fatigue & listlessness ensued & increased within few hours.  Late that day & into night vomiting & headache 2 am 9/1/09 temp rose to 103 degrees.  11AM still fatigued, temp 99, anorexic.  9/2/09 SX abated.
Age: 11.0
Sex: M
Vaccine: MNQ, TDAP
Symptoms: Vomiting
Clinical narrative: 11 am 8/31/09 vaccines administered.  Fatigue & listlessness ensued & increased within few hours.  Late that day & into night vomiting & headache 2 am 9/1/09 temp rose to 103 degrees.  11AM still fatigued, temp 99, anorexic.  9/2/09 SX abated.
Age: 51.0
Sex: F
Vaccine: FLU3, HEPAB, PPV
Symptoms: Erythema, Pneumonia, Skin warm
Clinical narrative: Redness, warmth in shoulder and spreading across upper torso. Also implied that she was diagnosed with pneumonia as a result of vaccinations.
Sex: U
Vaccine: TDAP
Symptoms: Erythema, Swelling, Tenderness
Clinical narrative: Redness, swollen tender to touch.
Age: 17.0
Sex: F
Vaccine: HPV4
Symptoms: Condition aggravated, Nausea, Vomiting
Clinical narrative: Pt had nausea & vomiting after GARDASIL vaccine.
Age: 12.0
Sex: F
Vaccine: MNQ, TDAP, VARCEL
Symptoms: Erythema, Oedema peripheral
Clinical narrative: Right arm red, swollen.
Age: 17.0
Sex: F
Vaccine: HPV4
Symptoms: Blood test, Syncope
Clinical narrative: Pt got GARDASIL # 3 given as injection; approximately 5 mins later stood up; was walking out of room and fainted. Pt also had blood drawn as well and hadn't eaten much that day.
Age: 3.0
Sex: M
Vaccine: DTAP, FLU3, IPV, VARCEL
Symptoms: Erythema, Hyperaemia, Oedema
Clinical narrative: Erythema, edema, hyperemia measuring 10 x 12 cm on deltoid area.
Age: 7.0
Sex: F
Vaccine: FLUN3
Symptoms: Cough, Pyrexia, Respiratory tract congestion, Rhinorrhoea, Sneezing
Clinical narrative: Cough, runny nose congestion sneezing fever off and on x 3wks. Albuterol solution 0.083%.
Age: 13.0
Sex: F
Vaccine: MNQ, TDAP
Symptoms: Fatigue, Headache, Injection site swelling, Pain in extremity, Pyrexia
Clinical narrative: Imm  Friday- Saturday had fever 102, headache, swelling at MENACTRA injection site with pain shoulder to elbow, fatigue. Fever resolved Monday. Headache resolved Tuesday.
Age: 10.0
Sex: F
Vaccine: HPV4
Symptoms: Chills, Culture throat, Malaise, Oropharyngeal pain, Pyrexia
Clinical narrative: FEVER ONSET  9/1 at 9PM,CHILLS, THROAT PAIN, VOMITING TODAY  9/2. General Malaise.
Age: 10.0
Sex: F
Vaccine: HPV4
Symptoms: Vomiting
Clinical narrative: FEVER ONSET  9/1 at 9PM,CHILLS, THROAT PAIN, VOMITING TODAY  9/2. General Malaise.
Age: 0.3
Sex: F
Vaccine: PNC, RV5
Symptoms: Crying, Decreased appetite, Diarrhoea, Hypophagia, Irritability
Clinical narrative: 7/2/09 irritable since 7/01/09 noc ; decrease appetite did TYLENOL. 7 /09 2nd day after vaccine fussy and decrease po 3rd day OK 4th day after vaccine cried a lot friend who is MD looked @ her-gave MOTRIN 2d ago 0500 projectile vomiting suggested MAALOX. Yest projectile emesis x1 pc then diarrhea x1 then fine. Supportive - observe. 7/8/09 vomiting x 2 > diarrhea.., groaning - MD - probably viral and observe.
Age: 0.3
Sex: F
Vaccine: PNC, RV5
Symptoms: Moaning, Vomiting projectile
Clinical narrative: 7/2/09 irritable since 7/01/09 noc ; decrease appetite did TYLENOL. 7 /09 2nd day after vaccine fussy and decrease po 3rd day OK 4th day after vaccine cried a lot friend who is MD looked @ her-gave MOTRIN 2d ago 0500 projectile vomiting suggested MAALOX. Yest projectile emesis x1 pc then diarrhea x1 then fine. Supportive - observe. 7/8/09 vomiting x 2 > diarrhea.., groaning - MD - probably viral and observe.
Age: 1.3
Sex: M
Vaccine: DTAP, FLU3, HEPA, PNC
Symptoms: Rash generalised, Urticaria, Vaccine positive rechallenge
Clinical narrative: Patient administered PCV, Hep A, and DTaP on 9/1/09. Within a few hours patient noted to have hive like rash on body. By 9/2/09, rash all over body. Reports same type reaction after 6 mos shots. No treatment other than BENADRYL.
Age: 62.0
Sex: M
Vaccine: VARZOS
Symptoms: Pruritus, Rash, Swollen tongue, Urticaria
Clinical narrative: Rash, hives, tongue swelling, itching.
Age: 2.0
Sex: M
Vaccine: DTAPHEPBIP, HEPA, HIBV, MMR, PNC, VARCEL
Symptoms: Urticaria
Clinical narrative: Approximately 1/2 hr. after receiving vaccine pt. developed hives.  Pt. put on RONITIDINE & BENADRYL.
Age: 14.0
Sex: F
Vaccine: MNQ, TDAP
Symptoms: Erythema, Oedema peripheral
Clinical narrative: Redness and swollen right arm. AUGMENTIN 87mg one twice a day, BENADRYL 25 mg one every 6 hrs.
Age: 19.0
Sex: M
Vaccine: ANTH, SMALL, TYP
Symptoms: Hypersensitivity, Rash papular
Clinical narrative: 19 y/o male, developed papular lesions single & in small plaques over bilateral hands (dorsal>palmar surfaces), bilateral elbows, knees & lower legs onset 3 weeks days following receipt of SPV, AVA #1, typhoid vaccines given 7/13/2009;  afebrile, no systemic symptoms.  Pt was seen by civillian NP 8/1/2009 (no notes) who contacted military call center;  derm images reviewed by Dr - felt consistent with non-IgE mediated hypersensitivity reaction & recommended oral steroid pulse;  pt was lost to f/u.  Symptoms:  Lesions, papule.
Age: 11.0
Sex: M
Vaccine: MMR, MNQ, TDAP
Symptoms: Wrong technique in drug usage process
Clinical narrative: Pt presented.  Was given TDAP.  When nurse gave MMR she inadvertently reconstituted MMR with the meningococcal vaccine.  Pt was checked on at close of work day, the next day & 2 days after that.
Age: 15.0
Sex: M
Vaccine: HEP, IPV, MMR, TDAP, VARCEL
Symptoms: Arthralgia, Musculoskeletal stiffness
Clinical narrative: Arthalgia of joints.  Stiffness of extremities.  Tx:  Steroid, anti-inflammatory.
Age: 47.0
Sex: F
Vaccine: TDAP
Symptoms: Contusion
Clinical narrative: Severe Bruising.
Age: 46.0
Sex: F
Vaccine: HEP
Symptoms: Diarrhoea, Vomiting
Clinical narrative: Severe GI, vomiting, diarrhea.  Negative fever.
Age: 33.0
Sex: F
Vaccine: HEP
Symptoms: Cardiac monitoring, Chest discomfort, Dyspnoea, Hyperhidrosis, Rash
Clinical narrative: Received Hep B vaccine IM @ 08:30 7/28/09 - Presented to ED @ noon with rash, SOB, pressure to chest and diaphoresis. TX: BENADRYL and SOLUMEDROL Cardiac monitoring. P.O BENADRYL Q6 x 2 days. Follow up with PCP. Advised to take BENADRYL before next Hep B vaccine. Went to PCP- A BENADRYL to Prednisone.
Age: 18.0
Sex: F
Vaccine: HPV4, MNQ, TDAP, HPV4, MNQ, TDAP
Symptoms: Injection site induration, Injection site pain, Injection site swelling
Clinical narrative: Swelling/knot at injection site the day after injection, this moved to lower inner aspects of arm at bend of arm and continues to be sore, vein enlarged and hard, with small amount of swelling.
Age: 18.0
Sex: F
Vaccine: HPV4, MNQ, TDAP, HPV4, MNQ, TDAP
Symptoms: Induration, Injection site nodule, Injection site swelling, Oedema peripheral, Pain in extremity
Clinical narrative: Swelling/knot at injection site the day after injection, this moved to lower inner aspects of arm at bend of arm and continues to be sore, vein enlarged and hard, with small amount of swelling.
Age: 18.0
Sex: F
Vaccine: HPV4, MNQ, TDAP, HPV4, MNQ, TDAP
Symptoms: Vasodilatation
Clinical narrative: Swelling/knot at injection site the day after injection, this moved to lower inner aspects of arm at bend of arm and continues to be sore, vein enlarged and hard, with small amount of swelling.
Age: 24.0
Sex: M
Vaccine: YF, YF
Symptoms: Pruritus, Rash
Clinical narrative: Rash and itching covering whole body.
Age: 24.0
Sex: M
Vaccine: YF, YF
Symptoms: Pruritus generalised, Rash generalised
Clinical narrative: Rash and itching covering whole body.
Age: 21.0
Sex: M
Vaccine: YF
Symptoms: Abdominal pain lower, Aspartate aminotransferase increased, Chest X-ray normal, Computerised tomogram normal, Granulocyte count increased
Clinical narrative: The patient was febrile to 102.1 with otherwise normal vital signs.  He had 24 hrs of myalgia, fever, and vauge lower abdominal pain prior to presentation.  His WBC count demonstrated a relative granulocytosis.  A CT scan of the abd/pelvis ruled out surgical causes.  All of this started 5 days after vaccination.  He is currently admitted to the hospital. 9/29/09-records received for dates of service 9/2-9/4/09 DC DX Vaccine Reaction. RLQ pain, nausea with vomiting and loss of appetite. Presented with fever. ICD-9 codes 999.5, E798, 789.03.
Age: 21.0
Sex: M
Vaccine: YF
Symptoms: Granulocytosis, Myalgia, Pyrexia, Urine analysis normal, White blood cell count normal
Clinical narrative: The patient was febrile to 102.1 with otherwise normal vital signs.  He had 24 hrs of myalgia, fever, and vauge lower abdominal pain prior to presentation.  His WBC count demonstrated a relative granulocytosis.  A CT scan of the abd/pelvis ruled out surgical causes.  All of this started 5 days after vaccination.  He is currently admitted to the hospital. 9/29/09-records received for dates of service 9/2-9/4/09 DC DX Vaccine Reaction. RLQ pain, nausea with vomiting and loss of appetite. Presented with fever. ICD-9 codes 999.5, E798, 789.03.
Age: 18.0
Sex: M
Vaccine: FLUN3
Symptoms: Chest discomfort, Lip oedema, Ocular hyperaemia, Urticaria
Clinical narrative: Edema of lips, red eyes, hives on arms, back of head, chest tightness. Patient took BENADRYL. Rx for prednisone taper.
Age: 72.0
Sex: M
Vaccine: VARZOS
Symptoms: Blood culture, CSF test, Meningitis, Paralysis
Clinical narrative: Information has been received from a consumer concerning a his father, a 72 year old male patient who "one month ago" (approximately 28-JUL-2009), was vaccinated with one dose of ZOSTAVAX (Merck) (dose, route and lot number not provided). The consumer reported that "2 weeks ago" (on approximately on 14-AUG-2009), his father was believed to have meningitis and the patient was suffering from paralysis in his upper and lower body. Spinal fluid analysis and blood cultures were performed (date and results not reported). The patient was hospitalized on an unspecified date. At the time of the report the patient was not recovered. Meningitis and paralysis in his upper and lower body were considered to be disabling and immediately life-threatening. No further information is expected.
Age: 19.0
Sex: F
Vaccine: HPV4, MNQ, TDAP
Symptoms: Computerised tomogram normal, Contusion, Convulsion, Fall, Headache
Clinical narrative: Information has been received from a physician and the medical assistant concerning a 19 year old female with no known drug allergies who "two weeks ago" on 07-AUG-2009 was vaccinated with her first dose of GARDASIL 0.5 mL, intramuscularly, Lot# 0162Y. Concomitant therapy included ADACEL Lot# UF471AA and MENACTRA U2846AA. On 07-AUG-2009, five minutes after the patient received the vaccinations, she stood up to walk to the waiting room. The patient fell to the floor, face down. The patient had syncope and seizure like activity for 5 minutes. The ambulance was called. The patient regained consciousness and was observed in the office. The patient did not go to the hospital at that time. The patient went home accompanied by her mother and aunt. On 08-AUG-2009, the patient went to the Emergency Room and complained of headache and nausea. The patient had a CT scan with normal results. The patient had bruises of the right elbow and right hip. The patient was not admitted to the hospital. The patient had recovered. The patient had a follow-up visit with the physician on 14-AUG-2009. Syncope and seizure like activity were considered to be disabling. This is one of several reports from the same source. Additional information has been requested.
Age: 19.0
Sex: F
Vaccine: HPV4, MNQ, TDAP
Symptoms: Nausea, Syncope
Clinical narrative: Information has been received from a physician and the medical assistant concerning a 19 year old female with no known drug allergies who "two weeks ago" on 07-AUG-2009 was vaccinated with her first dose of GARDASIL 0.5 mL, intramuscularly, Lot# 0162Y. Concomitant therapy included ADACEL Lot# UF471AA and MENACTRA U2846AA. On 07-AUG-2009, five minutes after the patient received the vaccinations, she stood up to walk to the waiting room. The patient fell to the floor, face down. The patient had syncope and seizure like activity for 5 minutes. The ambulance was called. The patient regained consciousness and was observed in the office. The patient did not go to the hospital at that time. The patient went home accompanied by her mother and aunt. On 08-AUG-2009, the patient went to the Emergency Room and complained of headache and nausea. The patient had a CT scan with normal results. The patient had bruises of the right elbow and right hip. The patient was not admitted to the hospital. The patient had recovered. The patient had a follow-up visit with the physician on 14-AUG-2009. Syncope and seizure like activity were considered to be disabling. This is one of several reports from the same source. Additional information has been requested.
Age: 25.0
Sex: F
Vaccine: HPV4
Symptoms: Blood test normal, Condition aggravated, Dizziness, Injection site pain, Injection site swelling
Clinical narrative: Information has been received from an approximately 25 year old female patient with "cysts in the ovaries that were not a problem", papilloma viral infection and an allergy to benzyl peroxide and a history of caesarean section (2002) who in 2008 was vaccinated with GARDASIL. The consumer already had HPV prior to vaccination with GARDASIL. Concomitant therapy included DEPO-PROVERA. The patient reported that she experienced dizziness after each dose of GARDASIL. All 3 doses were given over a 6 month period. The physician assistant recommended GARDASIL because "it would be helpful for her current HPV infection". The dizziness lasted for a couple of weeks after each vaccination. There was swelling at the site of injection after each dose and the site was pretty painful for 2 or 3 days. There was an occasional nausea within 1 week after each dose which seemed to coincide with the dizziness. The dizziness seemed to cause the nausea. The patient also had increased pain with cysts in the ovaries that had gotten worse since she received all 3 doses. ON approximately 28-JUL-2009 one of the cysts that was 2 inches in size ruptured and the patient was hospitalized. The patient still has day to day pain from the cysts. The patient did not have dizziness or nausea that stopped a few weeks after the 3rd dose of GARDASIL. At the time of the report the patient was not recovered from the other adverse events. The patient sought medical attention at office visit. On an unknown date a blood test was performed and it was normal, also a biopsy of cervix prior to vaccinations was performed (results not provided). Additional information has been requested.   9/14/09 PCP medical records received DOS 9/7/07 to 10/18/07. Patient complains of ovarian pain and cyst.
Age: 25.0
Sex: F
Vaccine: HPV4
Symptoms: Nausea, Ovarian cyst ruptured, Pain, Vaccine positive rechallenge
Clinical narrative: Information has been received from an approximately 25 year old female patient with "cysts in the ovaries that were not a problem", papilloma viral infection and an allergy to benzyl peroxide and a history of caesarean section (2002) who in 2008 was vaccinated with GARDASIL. The consumer already had HPV prior to vaccination with GARDASIL. Concomitant therapy included DEPO-PROVERA. The patient reported that she experienced dizziness after each dose of GARDASIL. All 3 doses were given over a 6 month period. The physician assistant recommended GARDASIL because "it would be helpful for her current HPV infection". The dizziness lasted for a couple of weeks after each vaccination. There was swelling at the site of injection after each dose and the site was pretty painful for 2 or 3 days. There was an occasional nausea within 1 week after each dose which seemed to coincide with the dizziness. The dizziness seemed to cause the nausea. The patient also had increased pain with cysts in the ovaries that had gotten worse since she received all 3 doses. ON approximately 28-JUL-2009 one of the cysts that was 2 inches in size ruptured and the patient was hospitalized. The patient still has day to day pain from the cysts. The patient did not have dizziness or nausea that stopped a few weeks after the 3rd dose of GARDASIL. At the time of the report the patient was not recovered from the other adverse events. The patient sought medical attention at office visit. On an unknown date a blood test was performed and it was normal, also a biopsy of cervix prior to vaccinations was performed (results not provided). Additional information has been requested.   9/14/09 PCP medical records received DOS 9/7/07 to 10/18/07. Patient complains of ovarian pain and cyst.
Age: 19.0
Sex: F
Vaccine: HPV4
Symptoms: Lymphoma
Clinical narrative: Information has been received from a health care professional concerning a 19 year old female patient who on an unspecified date was vaccinated with the second dose of GARDASIL. It was reported that after the second dose of GARDASIL she developed lymphoma. It was reported that the parents were trying to associate it with GARDASIL. The patient was no longer a patient with this practice due to her age. It was reported that she was going to an Obstetrician/Gynecologist practice. The outcome of the patient was not reported. Upon internal review lymphoma was determined to be an other important medical event. Additional information has been requested.
Age: 18.0
Sex: F
Vaccine: MNQ, VARCEL
Symptoms: Activities of daily living impaired, Arthralgia, Blood test normal, Hypersensitivity, Mechanical urticaria
Clinical narrative: This case was received from a health care professional, via another manufacturer (reference number WAES 0906USA00846), on 25 August 2009. The following is verbatim from that report: "Initial and follow-up information has been received from a nurse practitioner concerning her daughter, a 18 year old female student who on 06-MAR-2009 was vaccinated with her first dose of GARDASIL, 0.5 ml, intramuscularly into her right deltoid (LOT# 661703/0651X) at 10:40 am." "On 03-MAR-2009, the patient was vaccinated with her third dose of VARIVAX (Lot: 659845/0270X) intramuscularly into her right deltoid at 15:00 pm and with her first dose of MENACTRA (lot # U2669AA) intramuscularly into her left deltoid at 15:00 pm. Concomitant therapy included an unspecified birth control pill." "Subsequently the patient had an "allergic reaction, where you could write on her skin with a pen and still see it 3 hours later". However it was not specified if she meant that she could still saw ink on her skin 3 hours later or if she could still saw the indentation on her skin 3 hours later. The reporter's daughter also experienced joint pain. The nurse practitioner said that her daughter's allergist thought that it was an allergic reaction to MENACTRA (manufacturer unspecified). At the time of reporting the patient's present status was unknown." "Additional information has been received from the medical assistant and provided the following additional details:" "The patient has a past medical history of acne, no known drug allergies." "The exact AE onset date is unknown, but the chart notes show an ER visit on approximately 22-MAR-2009. The patient went into the office on 23-MAR-2009 for blood work (values mostly within normal limits; WBC slightly elevated). The patient was treated with a MEDROL dose pack and BENADRYL. The medical assistant couldn't say if the events were disabling or life threatening. The patient's status was unknown." "The health care professional contacted during telephone follow up could not supply the following information: date of event and recovery status." "Additional information has been received from the nurse practitioner who reported that the adverse events onset date was on 15-MAR-2009, the conditions were diagnosed on approximately 01-MAY-2009 by the physician as "serum sickness and dermographism probably due to MENACTRA". The nurse practitioner reported that the conditions were not life threatening but joint pain was disabling (The patient missed a week of work): currently the patient is being treated with H2 blockers and antihistamines, she was recovering (the nurse reporter that the physician stated that the full recovery would take about six months)." "Follow-up information has been received which reported that the patient with focal seizures experienced joint pain, dermographism and serum sickness on 22-MAR-2009. The outcome of the patient was not reported but she was still taking meds." "No further information is available." Documents held by sender: None.
Age: 18.0
Sex: F
Vaccine: MNQ, VARCEL
Symptoms: Serum sickness, White blood cell count increased
Clinical narrative: This case was received from a health care professional, via another manufacturer (reference number WAES 0906USA00846), on 25 August 2009. The following is verbatim from that report: "Initial and follow-up information has been received from a nurse practitioner concerning her daughter, a 18 year old female student who on 06-MAR-2009 was vaccinated with her first dose of GARDASIL, 0.5 ml, intramuscularly into her right deltoid (LOT# 661703/0651X) at 10:40 am." "On 03-MAR-2009, the patient was vaccinated with her third dose of VARIVAX (Lot: 659845/0270X) intramuscularly into her right deltoid at 15:00 pm and with her first dose of MENACTRA (lot # U2669AA) intramuscularly into her left deltoid at 15:00 pm. Concomitant therapy included an unspecified birth control pill." "Subsequently the patient had an "allergic reaction, where you could write on her skin with a pen and still see it 3 hours later". However it was not specified if she meant that she could still saw ink on her skin 3 hours later or if she could still saw the indentation on her skin 3 hours later. The reporter's daughter also experienced joint pain. The nurse practitioner said that her daughter's allergist thought that it was an allergic reaction to MENACTRA (manufacturer unspecified). At the time of reporting the patient's present status was unknown." "Additional information has been received from the medical assistant and provided the following additional details:" "The patient has a past medical history of acne, no known drug allergies." "The exact AE onset date is unknown, but the chart notes show an ER visit on approximately 22-MAR-2009. The patient went into the office on 23-MAR-2009 for blood work (values mostly within normal limits; WBC slightly elevated). The patient was treated with a MEDROL dose pack and BENADRYL. The medical assistant couldn't say if the events were disabling or life threatening. The patient's status was unknown." "The health care professional contacted during telephone follow up could not supply the following information: date of event and recovery status." "Additional information has been received from the nurse practitioner who reported that the adverse events onset date was on 15-MAR-2009, the conditions were diagnosed on approximately 01-MAY-2009 by the physician as "serum sickness and dermographism probably due to MENACTRA". The nurse practitioner reported that the conditions were not life threatening but joint pain was disabling (The patient missed a week of work): currently the patient is being treated with H2 blockers and antihistamines, she was recovering (the nurse reporter that the physician stated that the full recovery would take about six months)." "Follow-up information has been received which reported that the patient with focal seizures experienced joint pain, dermographism and serum sickness on 22-MAR-2009. The outcome of the patient was not reported but she was still taking meds." "No further information is available." Documents held by sender: None.
Age: 0.17
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Sudden infant death syndrome
Clinical narrative: No known adverse reactions. Aunt reports infant died of SIDS on 8/9/09.  12/29/09 Autopsy report received. DOD 8/09/09. Cause of Death: Consistent with Sudden Unexplained Death in Infancy. Additional Information Abstracted: A. Co-sleeping male infant with parental caregivers. B. Petechia of heart. C. Pulmonary edema. D. No evidence of congenical anomaly. E. No evidence of trauma. F. Postmortem toxicological screen of the postmortem blood negative for drugs and ethanol. II. History of Colic and Thrush per family. A No gross lesions of mouth.  III. Therapeutic Procedures. A. Endotracheal intubation. B. Intravascular and intraosseus catheters.
Age: 11.0
Sex: F
Vaccine: HPV4
Symptoms: Asthenia, Blood glucose normal, Dyspnoea, Electrocardiogram normal, Haemoglobin normal
Clinical narrative: CHILD RETURNED WITH MOTHER ON 9-2-09 DUE TO C/O OF HEART BEATING FAST, DIFFICULTY BREATHING, TURNED GRAY IN THE FACE, AND FELT WEAK. THESE SYMPTOMS OCCURED APPROX. 3 HOURS AFTER RECEIVING THE 2ND GARDASIL INJECTION THE PREVIOUS DAY. WE OBTAINED A PFT, EKG, HGB, BS, AND EXAMINED HER. ALL TESTS WERE NEG AND CHILD LOOKED WELL.
Age: 11.0
Sex: F
Vaccine: HPV4
Symptoms: Heart rate increased, Pulmonary function test normal, Skin discolouration
Clinical narrative: CHILD RETURNED WITH MOTHER ON 9-2-09 DUE TO C/O OF HEART BEATING FAST, DIFFICULTY BREATHING, TURNED GRAY IN THE FACE, AND FELT WEAK. THESE SYMPTOMS OCCURED APPROX. 3 HOURS AFTER RECEIVING THE 2ND GARDASIL INJECTION THE PREVIOUS DAY. WE OBTAINED A PFT, EKG, HGB, BS, AND EXAMINED HER. ALL TESTS WERE NEG AND CHILD LOOKED WELL.
Age: 65.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Erythema, Injection site erythema, Injection site swelling, Oedema peripheral, Skin warm
Clinical narrative: Received Influenza and PPV23 vaccines on 08-31-2009. Began to have swelling and redness at injection site of PPV23 vaccine initially and then redness extended to below elbow and around entire arm. Has been putting cold compresses without releif. Arm is red, warm to touch and swollen extending below elbow .
Age: 17.0
Sex: F
Vaccine: MNQ, MNQ
Symptoms: Blood test, Computerised tomogram, Convulsion, Grand mal convulsion, Tongue biting
Clinical narrative: Recieved menactra on june 24 2009. She had seizure during the night bit tongue severely. Went to doctor next day, said to watch her. She had another seizure on September 1, 2009 during class at college. Was sent to emergency room.They are tonic clonic seizures. No family history of seizures and she was fine up until menactra vaccine.She has seen neurologist who has now put her on seizure medicine.
Age: 17.0
Sex: F
Vaccine: MNQ, MNQ
Symptoms: Electroencephalogram, Epilepsy, Feeling abnormal, Grand mal convulsion, Nuclear magnetic resonance imaging
Clinical narrative: Recieved menactra on june 24 2009. She had seizure during the night bit tongue severely. Went to doctor next day, said to watch her. She had another seizure on September 1, 2009 during class at college. Was sent to emergency room.They are tonic clonic seizures. No family history of seizures and she was fine up until menactra vaccine.She has seen neurologist who has now put her on seizure medicine.