chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 12.0
Sex: M
Vaccine: HPV4, MNQ, TDAP, VARCEL
Symptoms: Injection site erythema, Injection site induration, Injection site pruritus, Injection site swelling, Injection site urticaria
Clinical narrative: April 9, 2010 4:10 PM.  Mother & client came to county Health Department concerned about redness & swelling & itching at VARIVAX injection site.  Noted redness, induration "hive - like" appearance with lighter edge measuring 2" wide & 1 1/2" depth.  R.N., C.N.P. advised ice pack 20 min. on & 20 min. off, if worse or blisters to go to Urgent Care.  April 10, 2010 to Urgent Care due to blisters within the welt.  Triple antibiotic & gauze wrap ordered.  April 15, 2010 per mother blisters gone, swelling decreased, but some redness remains.
Age: 12.0
Sex: M
Vaccine: HPV4, MNQ, TDAP, VARCEL
Symptoms: Injection site vesicles
Clinical narrative: April 9, 2010 4:10 PM.  Mother & client came to county Health Department concerned about redness & swelling & itching at VARIVAX injection site.  Noted redness, induration "hive - like" appearance with lighter edge measuring 2" wide & 1 1/2" depth.  R.N., C.N.P. advised ice pack 20 min. on & 20 min. off, if worse or blisters to go to Urgent Care.  April 10, 2010 to Urgent Care due to blisters within the welt.  Triple antibiotic & gauze wrap ordered.  April 15, 2010 per mother blisters gone, swelling decreased, but some redness remains.
Age: 25.0
Sex: M
Vaccine: HEPAB, TDAP
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth, Joint range of motion decreased
Clinical narrative: Deltoid, shoulder in R arm became painful, swollen, warm to touch, erythema from shoulder to elbow. Limited ROM. Pt. stated Dr in ER told him he could not determine if it was local reaction to Tdap or an infection. RX for CLEOCIN, MOTRIN & LORTAB. S/s resolved by 4/14/10.
Age: 21.0
Sex: M
Vaccine: YF, YF
Symptoms: Erythema, Swelling face, Urticaria
Clinical narrative: Teach from his college called and stated pt had "hives and his face was red and puffy". Was told by health dept. nurse to call ambulance or have someone take him immediately to ER. Nurse called pt about 45 min later - he stated that the ER was giving him "something IV". Unable to contact since. Assume he is out of country.
Age: 21.0
Sex: M
Vaccine: YF, YF
Symptoms: Chest pain, Dyspnoea, Pharyngeal oedema, Urticaria
Clinical narrative: Teach from his college called and stated pt had "hives and his face was red and puffy". Was told by health dept. nurse to call ambulance or have someone take him immediately to ER. Nurse called pt about 45 min later - he stated that the ER was giving him "something IV". Unable to contact since. Assume he is out of country.
Age: 12.0
Sex: M
Vaccine: TDAP
Symptoms: Dyspnoea, Vision blurred
Clinical narrative: Per parent report within 4-6 hrs after immunization began having SOB and blurred vision. Sx self resolved with intervention.
Age: 11.0
Sex: M
Vaccine: TDAP
Symptoms: Injection site erythema
Clinical narrative: Large reddened area L deltoid muscle after receiving Tdap injection at school based clinic.
Age: 10.0
Sex: M
Vaccine: MNQ, VARCEL
Symptoms: Erythema, Nodule, Skin warm
Clinical narrative: 4/16/10 Received VARICELLA shot. That night got red and hot to touch with knot.  Spot 2 1/2 by 3 1/2 inches long.  NC fever.
Age: 53.0
Sex: F
Vaccine: HEPA
Symptoms: Unevaluable event
Clinical narrative: None. No adverse event noted by client or nurse.
Age: 1.5
Sex: M
Vaccine: PNC
Symptoms: Feeling hot, Rash, Tremor
Clinical narrative: Approximately 4 hours after immunization rash on face. Vaccine around noon - that afternoon face rash - the next AM woke up shaking and feverish (felt warm). Over nite 2 hrs rash on (L) leg and (L) arm. Normal exam - to take BENADRYL and Tylenol.
Age: 63.0
Sex: F
Vaccine: VARZOS
Symptoms: Erythema, Pruritus, Swelling
Clinical narrative: Swelling, redness, itchiness started 2 days after injection. Pt seen 4/13/10 Rx triamcinolone cream.
Age: 29.0
Sex: F
Vaccine: ANTH, TDAP, TYP
Symptoms: Asthenia, Erythema, Influenza like illness, Lymphadenopathy, Oedema peripheral
Clinical narrative: Had flu like symptoms, felt weak, left arm was sore, swollen and red. Monday was when I developed swollen lymph nodes on the left side of my neck and underarm. I was prescribed Keflex 500mg, Motrin 600mg, Zyrtec and Flonase. Then taken off of Keflex and prescribed Prednisone 20mg.   --Veronica Mosqueda
Age: 29.0
Sex: F
Vaccine: ANTH, TDAP, TYP
Symptoms: Pain in extremity
Clinical narrative: Had flu like symptoms, felt weak, left arm was sore, swollen and red. Monday was when I developed swollen lymph nodes on the left side of my neck and underarm. I was prescribed Keflex 500mg, Motrin 600mg, Zyrtec and Flonase. Then taken off of Keflex and prescribed Prednisone 20mg.   --Veronica Mosqueda
Age: 48.0
Sex: M
Vaccine: PPV, PPV
Symptoms: Injection site pain, Injection site reaction
Clinical narrative: 48 yo male admitted for PNA and received the pnavax on 3/26. It was noted on 3/28 am that pt had developed a large painful injection site reaction that measured approx 8 inches in diameter per MD. Pnavax was manufactured by Merck, lot # 13124, exp 2/24/11. Pain managed with APAP, Ibuprofen, and morphine as well as cold compresses. No other s/sx of allergic reaction noted.
Age: 48.0
Sex: M
Vaccine: PPV, PPV
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: 48 yo male admitted for PNA and received the pnavax on 3/26. It was noted on 3/28 am that pt had developed a large painful injection site reaction that measured approx 8 inches in diameter per MD. Pnavax was manufactured by Merck, lot # 13124, exp 2/24/11. Pain managed with APAP, Ibuprofen, and morphine as well as cold compresses. No other s/sx of allergic reaction noted.
Age: 18.0
Sex: F
Vaccine: DTAPIPV, HEPAB, JEVX, RUB
Symptoms: Arthritis, Headache, Inappropriate schedule of drug administration, Nuclear magnetic resonance imaging
Clinical narrative: Headaches and Arthritis
Age: 42.0
Sex: F
Vaccine: FLUX(H1N1)
Symptoms: Injected limb mobility decreased, Injection site swelling, Lymphadenopathy, Pyrexia
Clinical narrative: Injection site swollen to the size of a small to medium egg, fever, swollen glands under the armpit of the injection arm, can't lift the arm up too high.
Age: 39.0
Sex: F
Vaccine: ANTH
Symptoms: Injection site erythema, Injection site induration, Injection site warmth, Rash pustular
Clinical narrative: Patient received vaccine nine days prior to coming into the clinic. Patient presented with pustule on upper left arm. Site was surrounded with redness, warm to touch and firm skin around vaccine site.
Age: 22.0
Sex: M
Vaccine: ANTH, TYP
Symptoms: Abscess drainage, Erythema, Rash pustular, Skin warm
Clinical narrative: Patient presented to clinic with a dime size pustule with clear drainage, surrounded by and streaking redness, and warm to touch.
Age: 0.39
Sex: F
Vaccine: DTAPIPVHIB, RV5
Symptoms: Diarrhoea, Irritability
Clinical narrative: FUSSY THE EVENING OF THE VACCINATIONS THEN STARTING 4/14/10, HAD DIARRHEA 5-8 TIMES PER DAY.
Age: 39.0
Sex: F
Vaccine: HEPAB, TDAP
Symptoms: Dizziness, Headache
Clinical narrative: C/o Headache and dizziness, still c/o headache and dizziness when called HD on Monday 4/19/2010.
Age: 23.0
Sex: M
Vaccine: FLU3
Symptoms: Musculoskeletal pain, Musculoskeletal stiffness
Clinical narrative: Shoulder gradually got more sore and stiff around the joint where he received his injection (Left arm). Not terribly painful, just sore and stiff. Most bothersome at night when trying to sleep. Sore for a couple of weeks.
Age: 25.0
Sex: F
Vaccine: TYP
Symptoms: Injection site discomfort, Injection site erythema, Injection site induration, Injection site warmth
Clinical narrative: Patient present with discomfort, firmness, redness, and warm to touch on her upper left arm at vaccine site.
Age: 51.0
Sex: F
Vaccine: FLU(H1N1), FLU3
Symptoms: Pain in extremity
Clinical narrative: Pt. received influenza injection and developed arm pain.
Age: 75.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Vision blurred
Clinical narrative: Woke up at 8:00 AM 12/11/09 - when reading words were blurred and continue to have blurred vision in both eyes.
Age: 14.0
Sex: F
Vaccine: HPV4, MNQ, TDAP, VARCEL
Symptoms: Erythema, Fall
Clinical narrative: After receiving 4 vaccines, patient stood up & sit on exam table waiting for sister to get vaccinated. Pt fell to the floor after sl. waving of arms & legs x approx 3 secs. Nurse called for help v/s assessed, pt alert & reports didn't remember falling to floor. Redness to left shoulder.
Age: 49.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site erythema, Injection site oedema, Injection site reaction, Skin lesion, Swelling
Clinical narrative: Erythema and edema in left deltoid region. Tender to touch. Red lesion at injection site. Developed in evening after afternoon injection, did not apply ice to swelling. RTC at around 24 post injection. Had MD appt @ 1 pm today. 4/2/10 TC to pt. No answer. Work-phone-left msg.
Age: 49.0
Sex: F
Vaccine: TDAP
Symptoms: Tenderness
Clinical narrative: Erythema and edema in left deltoid region. Tender to touch. Red lesion at injection site. Developed in evening after afternoon injection, did not apply ice to swelling. RTC at around 24 post injection. Had MD appt @ 1 pm today. 4/2/10 TC to pt. No answer. Work-phone-left msg.
Age: 23.0
Sex: F
Vaccine: FLU(H1N1), PPV, TDAP
Symptoms: Injection site erythema, Injection site induration, Injection site nodule, Injection site pain, Injection site swelling
Clinical narrative: Hard knot at site. Redness, swelling, fever x 3 days. All Sx gone at 7 days except knot and  tenderness. Site of SQ injection, not TDAP.
Age: 23.0
Sex: F
Vaccine: FLU(H1N1), PPV, TDAP
Symptoms: Pyrexia
Clinical narrative: Hard knot at site. Redness, swelling, fever x 3 days. All Sx gone at 7 days except knot and  tenderness. Site of SQ injection, not TDAP.
Age: 48.0
Sex: F
Vaccine: ANTH, FLUN(H1N1)
Symptoms: Central nervous system lesion, Computerised tomogram abnormal, Haemorrhage intracranial, Malaise, Skin lesion
Clinical narrative: Member was administered two immunizations on 26 MAR 2010 as part of a mobilization process. Became ill HA and vomiting 27 MAR. Ill until seeking care 3/29. Eval'd in E.R. 3/30. Discharged. SIQ, light duty, continued ill, skin lesions appeared 3/30. Cat Scan 4/8=hemorrhagic intracranial lesions. Admitted.
Age: 48.0
Sex: F
Vaccine: ANTH, FLUN(H1N1)
Symptoms: Vomiting
Clinical narrative: Member was administered two immunizations on 26 MAR 2010 as part of a mobilization process. Became ill HA and vomiting 27 MAR. Ill until seeking care 3/29. Eval'd in E.R. 3/30. Discharged. SIQ, light duty, continued ill, skin lesions appeared 3/30. Cat Scan 4/8=hemorrhagic intracranial lesions. Admitted.
Age: 37.0
Sex: M
Vaccine: FLU(H1N1), FLU3, HEPAB, IPV, MMR, MNQ, TDAP, TYP, YF
Symptoms: No reaction on previous exposure to drug, Rash pruritic, Skin discolouration, Swelling
Clinical narrative: Took dose #1 & #2 without incident. Took dose #3 @ 3pm and within one hour developed pink, raised itchy rash on back, trunk, armpits, chest, upper legs and groin area. Pt took antihistamine with positive results. No respiratory system involvement. Denies any other possible source of allergy.
Age: 4.0
Sex: F
Vaccine: DTAPIPV, MMR, VARCEL
Symptoms: Cellulitis, Injection site erythema, Injection site induration, Injection site papule
Clinical narrative: This case was reported by a healthcare professional and described the occurrence of cellulitis in a 4-year-old female subject who was vaccinated with KINRIX (GlaxoSmithKline). Previous and/or concurrent vaccination included MMR II (non-gsk); Merck; unknown; unknown given on 9 April 2010; VARIVAX (non-gsk); Merck; unknown; unknown given on 9 April 2010. On 9 April 2010 between 1500 and 1600, the subject received 1st dose of KINRIX (.5 cc, unknown, right thigh). On 12 April 2010, 3 days after vaccination with KINRIX, the subject experienced red bump, hardness and cellulitis. The subject had a hard, red bump on the thigh, approximately three and half to four inches. The Physician diagnosed the subject with cellulitis and was placed on antibiotics. This case was assessed as medically serious by GSK. The subject was treated with antibiotics. At the time of reporting the outcome of the red bump, hardness and cellulitis was unspecified. The healthcare professional reported two other cases, see case A0855353A and A0855336A.
Age: 32.0
Sex: M
Vaccine: FLU3
Symptoms: Injected limb mobility decreased, Injection site pain, Sleep disorder, Weight bearing difficulty
Clinical narrative: After the shot he had quite a bit of pain for 2 days on upper left arm where injection was given. There was no swelling or redness. The pain went down after 2 days but slowly came back again. Placed hot water pack on couple of times a day for 2 weeks but the pain did not go away. The pain got to the point where he was unable to lift anything heavy with lt hand, could not sleep on lt side, and could not lift arm fully. Dr recommended Motrin 800mg every 8hrs, cold packs to affected area as much as tolerated and limit use of muscle.
Age: 4.0
Sex: M
Vaccine: DTAPIPV, HEPA, MMR, VARCEL
Symptoms: Injection site erythema, Injection site pruritus
Clinical narrative: Child w redness and extreme itching in R arm. No hives present. Mother notes no changes in behavior or condition. Recommended ice/cool compress and/ or children's Benadryl. SE of Benadryl reviewed w mother.
Age: 20.0
Sex: M
Vaccine: ANTH, HEP, HEPA
Symptoms: Injection site discharge, Injection site erythema, Injection site induration, Injection site pustule, Injection site streaking
Clinical narrative: LEFT UPPER ARM AT VACCINE SITE WITH DRAINING PUSTULE REDNESS FIRM AND WARM TO TOUCH AND STREAKING PRESENT.
Age: 20.0
Sex: M
Vaccine: ANTH, HEP, HEPA
Symptoms: Injection site warmth
Clinical narrative: LEFT UPPER ARM AT VACCINE SITE WITH DRAINING PUSTULE REDNESS FIRM AND WARM TO TOUCH AND STREAKING PRESENT.
Age: 20.0
Sex: F
Vaccine: ANTH
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: PATIENT PRESENTED WITH REDNESS AND SWELLING AND WARM TO TOUCH LEFT UPPER ARM AT VACCINE SITE.
Age: 41.0
Sex: M
Vaccine: FLU3
Symptoms: Discomfort, Pain in extremity
Clinical narrative: Left arm pain 4 days later after receiving vaccination. Advised to take Motrin and cold packs and to avoid use of extremity for a couple of days. His discomfort was moderate.
Age: 4.0
Sex: M
Vaccine: PPV, VARCEL
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: LOCALIZED Rxn TO VACCINE SWELLING REDNESS AND WARM TO TOUCH
Age: 25.0
Sex: M
Vaccine: ANTH, TYP
Symptoms: Injection site discomfort, Injection site erythema, Injection site induration, Injection site warmth
Clinical narrative: PATIENT HAD VACCINE NINE DAYS AGO NOW HAS REDNESS, WARMTH, FIRMNESS AND DISCOMFORT AT VACCINE SITE.
Age: 27.0
Sex: M
Vaccine: ANTH
Symptoms: Injection site discomfort, Injection site erythema, Injection site induration, Injection site warmth
Clinical narrative: PATIENT RECEIVED VACCINE 9 DAYS AGO AND NOW HAS REDNESS WARMTH FIRMNESS AND DISCOMFORT @ SITE.
Age: 2.0
Sex: M
Vaccine: HEPA
Symptoms: Body temperature increased, Fatigue, Headache
Clinical narrative: COMPLAINED HEAD HURT, VERY TIRED. NEXT MORNING WOKE WITH 102 TEMPERATURE THAT LASTED FOR 3 DAYS.
Age: 9.0
Sex: F
Vaccine: HEPA, VARCEL
Symptoms: Allergy test, Injection site erythema, Injection site swelling
Clinical narrative: Swelling and redness at site that increased. She had Jello 4/18/2010 increased swelling in am Mother gave Benadryl 12.5 mg at 8 am on 4/19/10 and rubbing alcohol
Age: 72.0
Sex: F
Vaccine: VARZOS
Symptoms: Blood test, Fatigue, Influenza like illness, Malaise, Swelling
Clinical narrative: Friday - Felt very tired. Flu like symptoms Saturday - Flu like symptoms. Started with hives.  Sunday - Worsening of symptoms. Exetensive Hives all over body and slight swelling. Monday-Hive continued to get worse and swelling continued.  Tuesday Morning- Severe swelling and severe hives, fatigue, flu symptoms.  Went to local hospital. Obtained Presidone and Benadryl.  Wednesday - Swelling continued. Went to major medical hosiptial 2 (hours) away for expert treatment. Severe facial swelling and severe highs. Severe flu like symptoms.   Spent two days in hosiptal. No swelling, but still feel severe fatigue and general feeling of not being well!
Age: 72.0
Sex: F
Vaccine: VARZOS
Symptoms: Swelling face, Urticaria
Clinical narrative: Friday - Felt very tired. Flu like symptoms Saturday - Flu like symptoms. Started with hives.  Sunday - Worsening of symptoms. Exetensive Hives all over body and slight swelling. Monday-Hive continued to get worse and swelling continued.  Tuesday Morning- Severe swelling and severe hives, fatigue, flu symptoms.  Went to local hospital. Obtained Presidone and Benadryl.  Wednesday - Swelling continued. Went to major medical hosiptial 2 (hours) away for expert treatment. Severe facial swelling and severe highs. Severe flu like symptoms.   Spent two days in hosiptal. No swelling, but still feel severe fatigue and general feeling of not being well!
Age: 1.5
Sex: M
Vaccine: DTAP, HIBV
Symptoms: Aphasia, Autism, Blister, Fatigue, Multiple allergies
Clinical narrative: Became more restless and tired at the same time.  His poop was extremely "toxic" we had to change him within seconds of bowel movement, otherwise he would get blisters on his bottom.  Started regressing and lost speech later diagnosed with Autism.
Age: 1.5
Sex: M
Vaccine: DTAP, HIBV
Symptoms: Regressive behaviour, Restlessness
Clinical narrative: Became more restless and tired at the same time.  His poop was extremely "toxic" we had to change him within seconds of bowel movement, otherwise he would get blisters on his bottom.  Started regressing and lost speech later diagnosed with Autism.
Age: 1.5
Sex: M
Vaccine: DTAP
Symptoms: Injection site erythema, Injection site induration
Clinical narrative: Redness with induration of about 4-5 cm. on right upper anterior thigh noted per mother 24 hrs. after vaccination
Age: 4.0
Sex: F
Vaccine: DTAP, FLU(H1N1), IPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site induration
Clinical narrative: Erythema, induration right medial thigh developed slowly over a period of 24 hours post-vaccination
Age: 38.0
Sex: F
Vaccine: FLUX(H1N1)
Symptoms: Disinhibition, Dizziness, Somnolence
Clinical narrative: Dizziness, Drowsiness, Loss of inhibitions, Sleepiness,
Age: 0.17
Sex: M
Vaccine: DTAPIPVHIB, HEP, PNC13, RV5
Symptoms: Death
Clinical narrative: None stated.
Age: 1.0
Sex: F
Vaccine: HEPA, HIBV, MMR, PNC, VARCEL
Symptoms: Injection site discolouration, Injection site induration, Injection site inflammation
Clinical narrative: Vaccines given RT IM and SQ next to the MMR SQ site tissue started to turn dark pink with 2x2cm induration. Dr. informed ordered BENADRYL gave orally. Reassessed within 15 minutes inflammation decreased.
Age: 13.0
Sex: M
Vaccine: TDAP
Symptoms: Chills, Injection site erythema, Injection site pain, Injection site rash, Injection site swelling
Clinical narrative: 4-19-10 12:10pm. PC from clients mother. States that on Sat 4-17-10 patient was c/o very sore left upper arm. She stated there was a red "rash" in the injection area but later became "red and swollen" left arm also states he c/o chills during the night. Ibuprofen has been given but arm cont. with redness, swollen and pain. Referred to PMD. States she  will phone his office today for appointment or advice. Mom states she will phone health department with follow-up information. This Tdap was given at a school clinic by health department. P.C. to mother she states Pt is doing much better. The swelling in his arm has subsided except for a spot the size of a quarter around the injection area. He is still taking IBUPROFEN. Mom did not call the Dr. but states she will call the Dr. today to let him know. Denies fever, chills, itching or trouble breathing.
Age: 35.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site nodule, Injection site rash, Injection site warmth
Clinical narrative: At the injection site there is a knot 1" circ and a rash that has spread 3" from sight. Hot to touch. Treatment Zyrtec, Benadryl, cool compresses, Hydrocortisone cream and Ibuprofen TID. for 3 days if fever >101 needs to bee seen.
Age: 1.0
Sex: F
Vaccine: DTAPIPVHIB, MMR, PNC, VARCEL
Symptoms: Injection site cellulitis, Injection site induration
Clinical narrative: Induration and mild cellulitis at vaccine site of PENTACEL.
Age: 43.0
Sex: F
Vaccine: TDAP
Symptoms: Body temperature increased, Chills, Headache, Injection site erythema, Injection site swelling
Clinical narrative: C/O nausea, irritable, nervous, low grade temp with chills, headache. Slightly red raised localized reaction.
Age: 43.0
Sex: F
Vaccine: TDAP
Symptoms: Irritability, Nausea, Nervousness, Rash erythematous, Skin reaction
Clinical narrative: C/O nausea, irritable, nervous, low grade temp with chills, headache. Slightly red raised localized reaction.
Age: 44.0
Sex: F
Vaccine: TDAP
Symptoms: Unevaluable event
Clinical narrative: "None stated".
Age: 4.0
Sex: M
Vaccine: DTAPIPV, MMR, VARCEL
Symptoms: Erythema, Pain, Skin warm, Swelling
Clinical narrative: Soreness, red, swelling. Redness 4" long x 2.5" wide. Began 4-17-10 as light red in color. Progressed to darker red & increased swelling by the next day. When child came in on 4-19-10, the area was light red with swelling - size as above. Warm to touch but no soreness or tenderness.
Age: 0.19
Sex: F
Vaccine: DTAPIPVHIB, PNC
Symptoms: Erythema, Injection site erythema, Injection site swelling, Screaming, Skin warm
Clinical narrative: Patient parent called office approx. 2p. c/o baby hot (no-temp taken) given TYLENOL. Screaming nonstop uncontrollable left thigh extremely swollen and red with redness up to mid abdomen. Epinephrine given in office & sent home on steroids. Sxs resolved within 30 mins.
Age: 46.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site erythema, Injection site pain, Injection site warmth
Clinical narrative: Pt. came in with (L) shoulder red and hot to touch. No hard area noted. Pain is 5/10 on 0-10 scale. Applied ice and advised to take IBUPROFEN and do small stretches.
Age: 62.0
Sex: M
Vaccine: PPV
Symptoms: Muscular weakness, Pain in extremity
Clinical narrative: Pt. c/o left arm pain and weakness started 24 hrs after had PNEUMOVAX in same arm. No redness. No induration.
Age: 5.0
Sex: M
Vaccine: DTAPIPV, HEP, MMR, VARCEL
Symptoms: Body temperature normal, Injection site cellulitis, Injection site erythema, Injection site reaction, Injection site swelling
Clinical narrative: Vaccine given on 4/14/10 - Noticed reaction 4/16/10 - child with temp 100 degrees. Redness, swelling (L) arm - also in (R) but less than (L). Per PCP - cellulitis / acute reaction.
Age: 1.59
Sex: M
Vaccine: DTAP, MMR, VARCEL
Symptoms: Injection site discharge, Injection site erythema, Injection site swelling
Clinical narrative: 4-12-10 immunizations given: DTAP Rt upper leg. MMR Rt lower leg. VARIVAX Lt leg. 4-14-10 mother called office stating Rt upper leg red and swollen - told her to bring child in - Dr looked at leg - states local reaction - inst. to use warm compresses - 4-16-10 KEFLEX rechecked area still red - had drainage (pus) pt. saw Dr.
Age: 2.0
Sex: F
Vaccine: MMR
Symptoms: Cleft lip repair, Dysphemia, Pyrexia
Clinical narrative: Patient is seeing a speech pathologist as part of cleft palate therapy. She received the MMR vaccine on 4/1/10 around 3:15 pm in the afternoon. Had 100.3 degree fever that night; given TYLENOL; acting normally. Slept through the night, but started stammering when she awoke. Has continued to stammer the past couple of weeks, but now it occurs only rarely. Says that patient's weakest area is oral motor so contacted the speech therapist who thought that the stammering may be associated with the vaccine. I advised  that she should bring patient in to be seen. Appt booked for Wed 4/21/10 at 10:00 am for f/u. Also explained to her that out office can complete the vaccine adverse reaction form and submit it to the state program for review. She acknowledged.
Age: 12.0
Sex: M
Vaccine: MNQ
Symptoms: Injection site swelling, Injection site warmth
Clinical narrative: Pt. given vaccine in R deltoid, area had small amount of swelling & warm to touch.
Age: 11.0
Sex: F
Vaccine: TDAP, VARCEL
Symptoms: Cellulitis, Erythema, Injection site pain, Skin warm, Tenderness
Clinical narrative: Large erythema extending 6" x 2" warm and tender to touch. Some burning around injection site about 1 cm.
Age: 11.0
Sex: F
Vaccine: TDAP, VARCEL
Symptoms: Vaccination complication
Clinical narrative: Large erythema extending 6" x 2" warm and tender to touch. Some burning around injection site about 1 cm.
Age: 37.0
Sex: F
Vaccine: TDAP
Symptoms: Blood culture, Blood glucose, Body temperature increased, Full blood count, Injection site erythema
Clinical narrative: Immunization received WED 4/14/10. Following day 4/15/10 right deltoid very red, swollen, extremely painful. Temp increase to 102.3, responded to TYLENOL. On Fri 4/16/10, temp increase to 101.3, redness increase, very painful. Sent to Urgent care, started on KEFLEX 500mg po TID. On Mon 4/19/10, redness increase, continue febrile. Back to MD, Dx = severe reaction. Continue ATBX. Apply ice.
Age: 37.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site pain, Injection site swelling, Vaccination complication
Clinical narrative: Immunization received WED 4/14/10. Following day 4/15/10 right deltoid very red, swollen, extremely painful. Temp increase to 102.3, responded to TYLENOL. On Fri 4/16/10, temp increase to 101.3, redness increase, very painful. Sent to Urgent care, started on KEFLEX 500mg po TID. On Mon 4/19/10, redness increase, continue febrile. Back to MD, Dx = severe reaction. Continue ATBX. Apply ice.
Age: 2.0
Sex: F
Vaccine: DTP
Symptoms: Expired drug administered, Unevaluable event
Clinical narrative: Vaccine date expired on 4/08/2010.
Age: 32.0
Sex: F
Vaccine: ANTH, HEP, SMALL, TYP
Symptoms: Erythema, Pruritus, Rash erythematous
Clinical narrative: Raised rash over hands, elbows, knees, & feet. Pt states rash was itchy. Pt seen on 9APR10 & placed on hydroxyzine. Pt states on 12APR10 that redness still present, itching has lessened.
Sex: F
Vaccine: HEP
Symptoms: Hepatitis A antibody negative, Hepatitis B antibody negative, Seroconversion test negative, Vaccination failure
Clinical narrative: Information has been received from a woman working at a hospital concerning a female, with a penicillin allergy and hypertension, who was vaccinated with a first series of hepatitis B virus vaccine rHBsAg (yeast) (manufacturer unknown).  It was reported that the patient did not convert.  Subsequently the patient was vaccinated with a second series of RECOMBIVAX HB.  It was reported that following the second series of RECOMBIVAX HB, the titer was positive.  Possible vaccine failure was reported.  The patient also experienced a negative titer following vaccination with a dose of VAQTA (MSD) (WAES# 0506USA02299).  Additional information has been requested.
Age: 61.0
Sex: M
Vaccine: FLUX(H1N1), FLU(H1N1)
Symptoms: Feeling cold, Laboratory test normal, Myalgia, Tremor
Clinical narrative: 02/15/10 - Episodes of achiness in evening - MEDROL Dose. 02/23/10 - Feet numbness, increase body aches - Neurology consult. 03/22/10. Neurology consult. 04/13/10. Leg and feet tingling, leg edema at night - EMG ordered.
Age: 61.0
Sex: M
Vaccine: FLUX(H1N1), FLU(H1N1)
Symptoms: Hypoaesthesia, Oedema peripheral, Pain, Paraesthesia
Clinical narrative: 02/15/10 - Episodes of achiness in evening - MEDROL Dose. 02/23/10 - Feet numbness, increase body aches - Neurology consult. 03/22/10. Neurology consult. 04/13/10. Leg and feet tingling, leg edema at night - EMG ordered.
Age: 71.0
Sex: F
Vaccine: DT
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Pain, swelling, redness in area where shot was administered.
Age: 0.34
Sex: F
Vaccine: DTAPIPVHIB, PNC13, RV5
Symptoms: Computerised tomogram, Full blood count, Irritability
Clinical narrative: Uncontrollable fussiness.
Age: 66.0
Sex: M
Vaccine: FLUX
Symptoms: Arthralgia, X-ray limb
Clinical narrative: tremendous joint pain in shoulders, hips & knees...had shoulder x ray, took Prednisone & hydrocodone and went to physical therapy
Age: 4.0
Sex: M
Vaccine: DTAP, FLU(H1N1), HEPA, MMR, UNK
Symptoms: Erythema, Induration, Joint range of motion decreased
Clinical narrative: Right upper arm with violaceous erythema, induration, non-tender to palpation, spares the skin under the deltoid muscle and the medial upper arm, extends down to the antecube.  No ulceration or pustule.  No fluctuence.  Right elbow has about 95% flexion as compared to left.
Sex: M
Vaccine: UNK
Symptoms: Dyspnoea
Clinical narrative: Problems with breathing. Went to hospital was put on oxygen --- a possible anaphylactic reaction? Also suffered by other child who developed eczema, skin reactions.
Sex: F
Vaccine: HPV4
Symptoms: Convulsion, Nuclear magnetic resonance imaging brain abnormal, Partial seizures
Clinical narrative: Patient developed possible lvll computed seizures in Jan 2010 after completing the third GARDASIL in Dec 2009. MRI revealed single area of abnormal signal in right hemisphere white matter. Kug left temporal seizure activity. Unknown if vaccine causative or related. Vaccine administered by pediatrician.
Age: 63.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Arthralgia, Asthenia, Gait disturbance, Laboratory test normal, Myalgia
Clinical narrative: Two days after receiving H1N1 vacc. extreme pain in joints and muscles, could not walk but short distance. Primary care Dr. sent me to a Rheumatologist - complete work up for Lupus and other related diseases. None of tests were positive. Have continued to have severe knee, wrist, hand, feet and leg pain. Have had steroid inj. with some relief but pain returns. Also suffer weakness, no stamina. I have lost my past way of life and am confined to home most of the time.
Age: 63.0
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Pain in extremity
Clinical narrative: Two days after receiving H1N1 vacc. extreme pain in joints and muscles, could not walk but short distance. Primary care Dr. sent me to a Rheumatologist - complete work up for Lupus and other related diseases. None of tests were positive. Have continued to have severe knee, wrist, hand, feet and leg pain. Have had steroid inj. with some relief but pain returns. Also suffer weakness, no stamina. I have lost my past way of life and am confined to home most of the time.
Age: 0.18
Sex: F
Vaccine: DTAPIPVHIB, HIBV, PNC, RV5
Symptoms: Unevaluable event
Clinical narrative: None stated.
Age: 0.55
Sex: M
Vaccine: FLUX(H1N1)
Symptoms: Convulsion, Pyrexia
Clinical narrative: 103 degree fever, seizure, taken to emergency room by ambulence
Age: 24.0
Sex: F
Vaccine: HPV4
Symptoms: Abortion induced, Drug exposure during pregnancy, HIV test, Herpes simplex serology, Treponema test
Clinical narrative: Information has been received from a medical assistant for GARDASIL, a pregnancy registry product; concerning a 24 year old female with no known medical history or drug allergies, who on 09-JAN-2009 was vaccinated with a 0.5 mL first dose of GARDASIL (lot # 661046/0546X), intramuscularly. Concomitant therapy included NUVARING. On 12-JAN-2009 the patient discovered that she was pregnant. On 09-JAN-2009 the patient had an RPR, HIV and herpes 1 and 2 tests. The patient performed a home urine pregnancy that was positive, and the office performed another urine pregnancy test on 12-JAN-2009 that was positive. No adverse effects reported. The patient sought medical attention through an office visit. The reporter stated that the patient was planning to terminate the pregnancy (not due to the vaccine). Follow up information received from a home care coordinator indicated that the patient wasn't pregnant during the GARDASIL vaccination series; (the patient finished the GARDASIL series on an unspecified date). Follow up information received from the home care coordinator indicated that the patient had a termination of her pregnancy on 27-MAR-2009. The patient returned to the office for her follow up evaluation and was considered recovered without complications. Additionally she was provided contraceptions. She also mentioned that the patient returned for the second and third GARDASIL doses (dates and lot numbers not provided). Upon internal review termination of her pregnancy was determined to be an other important medical event. No further information is available.
Age: 24.0
Sex: F
Vaccine: HPV4
Symptoms: Urine human chorionic gonadotropin positive
Clinical narrative: Information has been received from a medical assistant for GARDASIL, a pregnancy registry product; concerning a 24 year old female with no known medical history or drug allergies, who on 09-JAN-2009 was vaccinated with a 0.5 mL first dose of GARDASIL (lot # 661046/0546X), intramuscularly. Concomitant therapy included NUVARING. On 12-JAN-2009 the patient discovered that she was pregnant. On 09-JAN-2009 the patient had an RPR, HIV and herpes 1 and 2 tests. The patient performed a home urine pregnancy that was positive, and the office performed another urine pregnancy test on 12-JAN-2009 that was positive. No adverse effects reported. The patient sought medical attention through an office visit. The reporter stated that the patient was planning to terminate the pregnancy (not due to the vaccine). Follow up information received from a home care coordinator indicated that the patient wasn't pregnant during the GARDASIL vaccination series; (the patient finished the GARDASIL series on an unspecified date). Follow up information received from the home care coordinator indicated that the patient had a termination of her pregnancy on 27-MAR-2009. The patient returned to the office for her follow up evaluation and was considered recovered without complications. Additionally she was provided contraceptions. She also mentioned that the patient returned for the second and third GARDASIL doses (dates and lot numbers not provided). Upon internal review termination of her pregnancy was determined to be an other important medical event. No further information is available.
Sex: U
Vaccine: HPV4
Symptoms: Congenital anomaly, Drug exposure during pregnancy, Patent ductus arteriosus, Urine human chorionic gonadotropin positive, Ventricular septal defect
Clinical narrative: Information has been received from a physician for GARDASIL, a Pregnancy Registry product, concerning a baby. The baby's 19 year old mother with no pertinent medical history or drug reactions/ allergies who on 22-JAN-2009 was vaccinated IM with the first 0.5ml dose of GARDASIL (lot number reported as "0615X"). There was no concomitant medication. On 12-FEB-2009, the mother had her intrauterine device removed. Then the mother discovered that she was pregnant. On 03-MAR-2009, urine pregnancy test was performed at the office with positive result. The mother's last menstrual period was 18-JAN-2009, the estimated delivery date was 25-OCT-2009. On 26-MAR-2009, the mother was vaccinated IM with the second 0.5 ml dose of GARDASIL (661952/1129X). No adverse effect reported. The mother sought medical attention by phone visit. Follow-up information was received from the physician concerning the 19 year old mother with once previous pregnancy and full term delivery and no birth defect in previous pregnancy. Other medication in the pregnancy included prenatal vitamins. Follow-up information has been received from the physician concerning the 19 year mother who on an unspecified date was delivered the "normal infant" baby. The physician also stated that the infant experienced congenital anomaly of small ventricular septum defect and patent ductus arteriosus. The mother's experience has been captured in WAES 0904USA01160. Additional information has been requested.
Age: 5.0
Sex: F
Vaccine: DTAP, HEPA, IPV, MMR, VARCEL
Symptoms: Arthralgia, Blood creatinine, Contusion, Erythema, Full blood count
Clinical narrative: Red unraised spots to arms, legs back, buttocks, and stomach. Swelling to Right knee with pain.  Bruising to legs Right knee and right foot.
Age: 5.0
Sex: F
Vaccine: DTAP, HEPA, IPV, MMR, VARCEL
Symptoms: Joint swelling, Urine analysis
Clinical narrative: Red unraised spots to arms, legs back, buttocks, and stomach. Swelling to Right knee with pain.  Bruising to legs Right knee and right foot.
Sex: F
Vaccine: HPV4
Symptoms: Drug exposure during pregnancy, Labour complication, Neonatal disorder
Clinical narrative: Information has been received from a consumer concerning her newborn son who on 05-JUN-2009 was exposed to a dose of GARDASIL in utero. The patient was also exposed to prenatal vitamins (unspecified). On 11-FEB-2010 the patient developed tongue tie. It was also reported that during labor the baby grabbed the umbilical cord during contractions, resulting in low oxygen intake. The patient's outcome was unknown. The mother's experience has been captured in WAES # 0906USA01565. Additional information has been requested.
Sex: F
Vaccine: HPV4
Symptoms: Drug exposure during pregnancy, Heart rate irregular, Neonatal disorder
Clinical narrative: Information has been received concerning a female who on 02-JUN-2009 was vaccinated with the first dose of GARDASIL (lot # 658271/0558X) while pregnant (WAES 0907USA00225). Subsequently she delivered a health normal baby. On an unspecified date the baby experienced irregular heart rate and was hospitalized for 3 weeks. At the time of the report the patient status was unknown. Additional information has been requested.
Age: 25.0
Sex: M
Vaccine: FLUN3, FLUX(H1N1), HEPAB, MNQ, TDAP
Symptoms: Alanine aminotransferase increased, Antibiotic resistant Staphylococcus test negative, Antinuclear antibody negative, Areflexia, Aspartate aminotransferase increased
Clinical narrative: The pt reported to boot camp on 3/15/10 and was healthy at the time. He received multiple vaccinations on 3/16/10. The pt reported on medical on 3/29/10 with complaints of 4d hx of numbness and tingling in his great toes, back of his legs, finger tips, lower back and gluteus medias. The pt followed-up in medical on 3/30/10 with additional complaints of weakness in his thighs and balance problems. At this time he also mentioned that he had a 5 day history of a productive cough (white mucous; no other symptoms; many other platoon members with cough also). The pt was seen by a civilian neurologist who documented "mild leg weakness in association with absent deep tendon reflexes." See EMG and MRI results below. The pt was admitted to hospital with the diagnosis of lumbarsacral radiculopathy, carpal tunnel syndrome, GUYON's canal syndrome and tarsal tunnel syndrome. The pt was discharged on 3/31/10. On 4/3/10 the pt complained of facial numbness (left > right), no difficulty swallowing or breathing. An LP was performed in the ER and the pt was admitted to hospital with the diagnosis of GBS. He subsequently developed bilateral facial paresis in a peripheral nerve distribution. He did experience very mild dysphagia for thin liquids and was briefly placed on a thickened liquid diet. He received a 3 day course of IVIG at a dose of .8gm/kg/day. The pt did experience a few episodes of orthostasis with nausea, emesis and headache which were attributed to autonomic instability from the GBS. This has resolved. As of 4/16/10 his dysphagia has resolved and his bifacial paresis, ataxia and strength have improved significantly. Remaining deficits included: mild left peripheral facial weakness with diminished strength of lid closure of the left, absent deep tendon reflexes (except for bilateral biceps brachii).
Age: 25.0
Sex: M
Vaccine: FLUN3, FLUX(H1N1), HEPAB, MNQ, TDAP
Symptoms: Asthenia, Ataxia, Autonomic nervous system imbalance, Balance disorder, Blood creatine phosphokinase increased
Clinical narrative: The pt reported to boot camp on 3/15/10 and was healthy at the time. He received multiple vaccinations on 3/16/10. The pt reported on medical on 3/29/10 with complaints of 4d hx of numbness and tingling in his great toes, back of his legs, finger tips, lower back and gluteus medias. The pt followed-up in medical on 3/30/10 with additional complaints of weakness in his thighs and balance problems. At this time he also mentioned that he had a 5 day history of a productive cough (white mucous; no other symptoms; many other platoon members with cough also). The pt was seen by a civilian neurologist who documented "mild leg weakness in association with absent deep tendon reflexes." See EMG and MRI results below. The pt was admitted to hospital with the diagnosis of lumbarsacral radiculopathy, carpal tunnel syndrome, GUYON's canal syndrome and tarsal tunnel syndrome. The pt was discharged on 3/31/10. On 4/3/10 the pt complained of facial numbness (left > right), no difficulty swallowing or breathing. An LP was performed in the ER and the pt was admitted to hospital with the diagnosis of GBS. He subsequently developed bilateral facial paresis in a peripheral nerve distribution. He did experience very mild dysphagia for thin liquids and was briefly placed on a thickened liquid diet. He received a 3 day course of IVIG at a dose of .8gm/kg/day. The pt did experience a few episodes of orthostasis with nausea, emesis and headache which were attributed to autonomic instability from the GBS. This has resolved. As of 4/16/10 his dysphagia has resolved and his bifacial paresis, ataxia and strength have improved significantly. Remaining deficits included: mild left peripheral facial weakness with diminished strength of lid closure of the left, absent deep tendon reflexes (except for bilateral biceps brachii).
Age: 25.0
Sex: M
Vaccine: FLUN3, FLUX(H1N1), HEPAB, MNQ, TDAP
Symptoms: Blood potassium decreased, C-reactive protein normal, CSF cell count normal, CSF culture negative, CSF glucose normal
Clinical narrative: The pt reported to boot camp on 3/15/10 and was healthy at the time. He received multiple vaccinations on 3/16/10. The pt reported on medical on 3/29/10 with complaints of 4d hx of numbness and tingling in his great toes, back of his legs, finger tips, lower back and gluteus medias. The pt followed-up in medical on 3/30/10 with additional complaints of weakness in his thighs and balance problems. At this time he also mentioned that he had a 5 day history of a productive cough (white mucous; no other symptoms; many other platoon members with cough also). The pt was seen by a civilian neurologist who documented "mild leg weakness in association with absent deep tendon reflexes." See EMG and MRI results below. The pt was admitted to hospital with the diagnosis of lumbarsacral radiculopathy, carpal tunnel syndrome, GUYON's canal syndrome and tarsal tunnel syndrome. The pt was discharged on 3/31/10. On 4/3/10 the pt complained of facial numbness (left > right), no difficulty swallowing or breathing. An LP was performed in the ER and the pt was admitted to hospital with the diagnosis of GBS. He subsequently developed bilateral facial paresis in a peripheral nerve distribution. He did experience very mild dysphagia for thin liquids and was briefly placed on a thickened liquid diet. He received a 3 day course of IVIG at a dose of .8gm/kg/day. The pt did experience a few episodes of orthostasis with nausea, emesis and headache which were attributed to autonomic instability from the GBS. This has resolved. As of 4/16/10 his dysphagia has resolved and his bifacial paresis, ataxia and strength have improved significantly. Remaining deficits included: mild left peripheral facial weakness with diminished strength of lid closure of the left, absent deep tendon reflexes (except for bilateral biceps brachii).
Age: 25.0
Sex: M
Vaccine: FLUN3, FLUX(H1N1), HEPAB, MNQ, TDAP
Symptoms: CSF lactate normal, CSF myelin basic protein, CSF protein increased, Carpal tunnel syndrome, Chest X-ray normal
Clinical narrative: The pt reported to boot camp on 3/15/10 and was healthy at the time. He received multiple vaccinations on 3/16/10. The pt reported on medical on 3/29/10 with complaints of 4d hx of numbness and tingling in his great toes, back of his legs, finger tips, lower back and gluteus medias. The pt followed-up in medical on 3/30/10 with additional complaints of weakness in his thighs and balance problems. At this time he also mentioned that he had a 5 day history of a productive cough (white mucous; no other symptoms; many other platoon members with cough also). The pt was seen by a civilian neurologist who documented "mild leg weakness in association with absent deep tendon reflexes." See EMG and MRI results below. The pt was admitted to hospital with the diagnosis of lumbarsacral radiculopathy, carpal tunnel syndrome, GUYON's canal syndrome and tarsal tunnel syndrome. The pt was discharged on 3/31/10. On 4/3/10 the pt complained of facial numbness (left > right), no difficulty swallowing or breathing. An LP was performed in the ER and the pt was admitted to hospital with the diagnosis of GBS. He subsequently developed bilateral facial paresis in a peripheral nerve distribution. He did experience very mild dysphagia for thin liquids and was briefly placed on a thickened liquid diet. He received a 3 day course of IVIG at a dose of .8gm/kg/day. The pt did experience a few episodes of orthostasis with nausea, emesis and headache which were attributed to autonomic instability from the GBS. This has resolved. As of 4/16/10 his dysphagia has resolved and his bifacial paresis, ataxia and strength have improved significantly. Remaining deficits included: mild left peripheral facial weakness with diminished strength of lid closure of the left, absent deep tendon reflexes (except for bilateral biceps brachii).
Age: 25.0
Sex: M
Vaccine: FLUN3, FLUX(H1N1), HEPAB, MNQ, TDAP
Symptoms: Differential white blood cell count normal, Dysphagia, Electromyogram abnormal, Eyelid disorder, Facial paresis
Clinical narrative: The pt reported to boot camp on 3/15/10 and was healthy at the time. He received multiple vaccinations on 3/16/10. The pt reported on medical on 3/29/10 with complaints of 4d hx of numbness and tingling in his great toes, back of his legs, finger tips, lower back and gluteus medias. The pt followed-up in medical on 3/30/10 with additional complaints of weakness in his thighs and balance problems. At this time he also mentioned that he had a 5 day history of a productive cough (white mucous; no other symptoms; many other platoon members with cough also). The pt was seen by a civilian neurologist who documented "mild leg weakness in association with absent deep tendon reflexes." See EMG and MRI results below. The pt was admitted to hospital with the diagnosis of lumbarsacral radiculopathy, carpal tunnel syndrome, GUYON's canal syndrome and tarsal tunnel syndrome. The pt was discharged on 3/31/10. On 4/3/10 the pt complained of facial numbness (left > right), no difficulty swallowing or breathing. An LP was performed in the ER and the pt was admitted to hospital with the diagnosis of GBS. He subsequently developed bilateral facial paresis in a peripheral nerve distribution. He did experience very mild dysphagia for thin liquids and was briefly placed on a thickened liquid diet. He received a 3 day course of IVIG at a dose of .8gm/kg/day. The pt did experience a few episodes of orthostasis with nausea, emesis and headache which were attributed to autonomic instability from the GBS. This has resolved. As of 4/16/10 his dysphagia has resolved and his bifacial paresis, ataxia and strength have improved significantly. Remaining deficits included: mild left peripheral facial weakness with diminished strength of lid closure of the left, absent deep tendon reflexes (except for bilateral biceps brachii).