chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 1.1
Sex: F
Vaccine: PNC, MMR, PNC, MMR, PNC
Symptoms: Lethargy, Lumbar puncture abnormal, Meningitis, Pyrexia, Respiratory arrest
Clinical narrative: Information regarding PREVNAR was received from a physician regarding a female patient who received the fourth dose on 05-May-2008 at 12 months of age and experienced neurogenic septic shock, neurogenic respiratory failure, brain dead, pneumococcal bacteria in blood, vaccine failure and pneumococcal meningitis at 13 months of age. On 11-May-2008, the patient was admitted to the intensive care unit brain dead and in neurogenic respiratory failure. Laboratory results revealed pneumococcal bacteria in blood and a large amount of pneumococcal bacteria that grew in less than eight hours in CSF culture, which led to the additional diagnosis of pneumococcal meningitis. Serotype testing was not performed. An antimicrobial susceptibility test was unremarkable. The physician felt "like this is a vaccine failure". The patient also developed neurogenic septic shock. Treatment included ROCEPHIN and VANCOMYCIN. On 12-May-2008, the patient died. The cause of death were reported as meningitis pneumococcal, respiratory failure, septic shock, vaccination failure, brain death and pneumococcal sepsis. No additional information was available at the time of this report.  6/3/08-records received for DOS 5/11-5/13/08-Date of Death 5/13/08. Final DX: Meningitis secondary to Streptococcus pneumoniae. Gram-positive coccal bacteremia. Admission neurologic examination consistent with brain death, subsequently confirmed. Brain death confirmed by repeat examination and confirmatory tests through course of hospitalization. Admitted via emergency room previously well child until 3/10/08, warm to touch temperature 101, listless and febrile with temperature as high as 104.4. Vomited. Became limp, feet cold, apneic. CPR initiated at home. Cyanotic. Pupils dilated and nonreactive. GCS 3. Heart rate 170 but not palpable pulses. No spontaneous respirations. Intubation, mechanical ventilation.
Age: 1.1
Sex: F
Vaccine: PNC, MMR, PNC, MMR, PNC
Symptoms: Vomiting
Clinical narrative: Information regarding PREVNAR was received from a physician regarding a female patient who received the fourth dose on 05-May-2008 at 12 months of age and experienced neurogenic septic shock, neurogenic respiratory failure, brain dead, pneumococcal bacteria in blood, vaccine failure and pneumococcal meningitis at 13 months of age. On 11-May-2008, the patient was admitted to the intensive care unit brain dead and in neurogenic respiratory failure. Laboratory results revealed pneumococcal bacteria in blood and a large amount of pneumococcal bacteria that grew in less than eight hours in CSF culture, which led to the additional diagnosis of pneumococcal meningitis. Serotype testing was not performed. An antimicrobial susceptibility test was unremarkable. The physician felt "like this is a vaccine failure". The patient also developed neurogenic septic shock. Treatment included ROCEPHIN and VANCOMYCIN. On 12-May-2008, the patient died. The cause of death were reported as meningitis pneumococcal, respiratory failure, septic shock, vaccination failure, brain death and pneumococcal sepsis. No additional information was available at the time of this report.  6/3/08-records received for DOS 5/11-5/13/08-Date of Death 5/13/08. Final DX: Meningitis secondary to Streptococcus pneumoniae. Gram-positive coccal bacteremia. Admission neurologic examination consistent with brain death, subsequently confirmed. Brain death confirmed by repeat examination and confirmatory tests through course of hospitalization. Admitted via emergency room previously well child until 3/10/08, warm to touch temperature 101, listless and febrile with temperature as high as 104.4. Vomited. Became limp, feet cold, apneic. CPR initiated at home. Cyanotic. Pupils dilated and nonreactive. GCS 3. Heart rate 170 but not palpable pulses. No spontaneous respirations. Intubation, mechanical ventilation.
Age: 1.1
Sex: F
Vaccine: PNC, MMR, PNC, MMR, PNC
Symptoms: Brain death, CSF bacteria identified, Circulatory collapse, Death, Lethargy
Clinical narrative: Information regarding PREVNAR was received from a physician regarding a female patient who received the fourth dose on 05-May-2008 at 12 months of age and experienced neurogenic septic shock, neurogenic respiratory failure, brain dead, pneumococcal bacteria in blood, vaccine failure and pneumococcal meningitis at 13 months of age. On 11-May-2008, the patient was admitted to the intensive care unit brain dead and in neurogenic respiratory failure. Laboratory results revealed pneumococcal bacteria in blood and a large amount of pneumococcal bacteria that grew in less than eight hours in CSF culture, which led to the additional diagnosis of pneumococcal meningitis. Serotype testing was not performed. An antimicrobial susceptibility test was unremarkable. The physician felt "like this is a vaccine failure". The patient also developed neurogenic septic shock. Treatment included ROCEPHIN and VANCOMYCIN. On 12-May-2008, the patient died. The cause of death were reported as meningitis pneumococcal, respiratory failure, septic shock, vaccination failure, brain death and pneumococcal sepsis. No additional information was available at the time of this report.  6/3/08-records received for DOS 5/11-5/13/08-Date of Death 5/13/08. Final DX: Meningitis secondary to Streptococcus pneumoniae. Gram-positive coccal bacteremia. Admission neurologic examination consistent with brain death, subsequently confirmed. Brain death confirmed by repeat examination and confirmatory tests through course of hospitalization. Admitted via emergency room previously well child until 3/10/08, warm to touch temperature 101, listless and febrile with temperature as high as 104.4. Vomited. Became limp, feet cold, apneic. CPR initiated at home. Cyanotic. Pupils dilated and nonreactive. GCS 3. Heart rate 170 but not palpable pulses. No spontaneous respirations. Intubation, mechanical ventilation.
Age: 1.1
Sex: F
Vaccine: PNC, MMR, PNC, MMR, PNC
Symptoms: Meningitis pneumococcal, Pyrexia
Clinical narrative: Information regarding PREVNAR was received from a physician regarding a female patient who received the fourth dose on 05-May-2008 at 12 months of age and experienced neurogenic septic shock, neurogenic respiratory failure, brain dead, pneumococcal bacteria in blood, vaccine failure and pneumococcal meningitis at 13 months of age. On 11-May-2008, the patient was admitted to the intensive care unit brain dead and in neurogenic respiratory failure. Laboratory results revealed pneumococcal bacteria in blood and a large amount of pneumococcal bacteria that grew in less than eight hours in CSF culture, which led to the additional diagnosis of pneumococcal meningitis. Serotype testing was not performed. An antimicrobial susceptibility test was unremarkable. The physician felt "like this is a vaccine failure". The patient also developed neurogenic septic shock. Treatment included ROCEPHIN and VANCOMYCIN. On 12-May-2008, the patient died. The cause of death were reported as meningitis pneumococcal, respiratory failure, septic shock, vaccination failure, brain death and pneumococcal sepsis. No additional information was available at the time of this report.  6/3/08-records received for DOS 5/11-5/13/08-Date of Death 5/13/08. Final DX: Meningitis secondary to Streptococcus pneumoniae. Gram-positive coccal bacteremia. Admission neurologic examination consistent with brain death, subsequently confirmed. Brain death confirmed by repeat examination and confirmatory tests through course of hospitalization. Admitted via emergency room previously well child until 3/10/08, warm to touch temperature 101, listless and febrile with temperature as high as 104.4. Vomited. Became limp, feet cold, apneic. CPR initiated at home. Cyanotic. Pupils dilated and nonreactive. GCS 3. Heart rate 170 but not palpable pulses. No spontaneous respirations. Intubation, mechanical ventilation.
Age: 0.1
Sex: U
Vaccine: RV5
Symptoms: Haematochezia
Clinical narrative: Information has been received from a physician concerning a 6-12 week old patient who was vaccinated orally with a first dose of ROTATEQ. On an unspecified date the patient experienced bloody stools. The patient sought unspecified medical attention. At the time of the report the patient's status was unknown. A product quality complaint was not involved. Upon internal review, "bloody stools" was considered an other medically important event (OME). This is one of several reports received from the same source. Additional information has been requested.
Age: 0.08
Sex: U
Vaccine: RV5
Symptoms: Haematochezia
Clinical narrative: Information has been received from a physician concerning a 6-12 week old patient who was vaccinated orally with a first dose of ROTATEQ.  On an unspecified date the patient experienced bloody stools.  The patient sought unspecified medical attention.  At the time of the report the patient's status was unknown.  A product quality complaint was not involved.  Upon internal review, "bloody stools" was considered an other medically important event (OME).  This is one of several reports received from the same source.  Additional information has been requested.
Age: 0.1
Sex: U
Vaccine: RV5
Symptoms: Haematochezia
Clinical narrative: Information has been received from a physician concerning a 6-12 week old patient who was vaccinated orally with a first dose of ROTATEQ.  On an unspecified date the patient experienced bloody stools.  The patient sought unspecified medical attention.  At the time of the report the patient's status was unknown.  A product quality complaint was not involved.  Upon internal review, "bloody stools" was considered an other medically important event (OME).  This is one of several reports received from the same source.  Additional information has been requested.
Age: 17.0
Sex: F
Vaccine: HPV4
Symptoms: Caesarean section, Drug exposure during pregnancy, Failed trial of labour
Clinical narrative: Information has been received through the Merck pregnancy registry from the mother of a 17 year old female who on 22-MAR-2007 was vaccinated with GARDASIL. The mother reported that her daughter was pregnant at the time of vaccination. She experienced no adverse experiences. at the time of this report, the patient was 18 weeks pregnant. Date of LMP was 30-DEC-2006, estimated delivery date is 06-OCT-2007. Follow-up phone call information from a registered nurse reported that the patient had spontaneous rupture of membranes and arrest of first stage of labor which led to a primary cesarean section at 37 weeks gestation (full term) on 01-OCT-2007. The patient delivered a healthy, normal, baby. Upon internal review arrest of first stage of labour leading to a cesarean section was considered an other important medical event. No additional information is expected.
Age: 17.0
Sex: F
Vaccine: HPV4
Symptoms: Abortion induced, Drug exposure during pregnancy
Clinical narrative: Information has been received from a health professional concerning a 17 year old female who on 06-NOV-2006 was vaccinated with the first dose of GARDASIL (lot #653735/0688F).  On 03-JAN-2007, the patient was vaccinated with the second dose of GARDASIL (lot #653735/0688F).  On 02-MAY-2007, the patient presented for the third dose of GARDASIL.  Prior to the vaccination, a pregnancy test was performed, which was positive.  The patient last menstrual period was in February 2007, with an expected delivery date of November 2007.  In follow up telephone call to the doctor's office the nurse reported that the patient terminated her pregnancy.  No further information was provided.  Upon internal review "abortion induced" was determined to be an other important medical event.  Additional information has been requested.
Age: 22.0
Sex: F
Vaccine: HPV4
Symptoms: Convulsion, Nervousness, Tongue biting
Clinical narrative: Information has been received from a nurse practitioner concerning a 22 year old female who on 13-MAY-2008 was vaccinated with a first dose of GARDASIL IM. On 13-MAY-2008 the patient experienced a seizure after receiving GARDASIL. The patient was found on the floor, in the fetal position with her hands drawn up to her chest, was shaking and bit her tongue after receiving GARDASIL. The same thing occurred when the patient was at the dentist. The nurse practitioner suggested that the patient go to the emergency room (ER), but declined. The patient was fine before leaving the office and drove home. At the time of reporting the patient had recovered on an unspecified date. Upon internal review seizure is considered to be an other medical event. Additional information has been requested.
Age: 5.0
Sex: F
Vaccine: DTAP, MMR, UNK, VARCEL
Symptoms: Arthralgia, Blood test, Dysstasia, Muscular weakness, Pain in extremity
Clinical narrative: Information has been received from a nurse practitioner (N.P.) concerning a 5 year old female who on 08-MAY-2008 was vaccinated with a dose of VARIVAX (Oka/Merck). It was unclear if this was the first dose of VARIVAX (Oka/Merck). On the same day the patient was also vaccinated with a dose of MMR II and DTaP (+) tetanus toxoid and poliovirus vaccine. The patient was vaccinated in her legs, however it was not certain which vaccine was administered in which leg. At an unspecified time post vaccination, the patient developed bilateral leg and joint pain, muscle weakness and a "few lesions". She was seen at a hospital for the leg pain and had unspecified testing done (no results reported). On 22-MAY-2008 the patient was in the office by the N.P., and was not able to stand by herself. The child reportedly sat on the floor and the mother had to pick her up. She was also "shaky" when walking. Blood work was done (no results reported) and the child was referred to a specialist at the hospital for further testing to occur on 23-MAY-2008. At the time of the report no diagnosis had been made. The patient had not recovered from the events. The reporter felt that it was unknown if the events were related to vaccination or to some other condition. But she believed it was something beyond pain from the multiple injections the child received in the leg. Additional information has been requested.
Age: 5.0
Sex: F
Vaccine: DTAP, MMR, UNK, VARCEL
Symptoms: Skin lesion, Tremor
Clinical narrative: Information has been received from a nurse practitioner (N.P.) concerning a 5 year old female who on 08-MAY-2008 was vaccinated with a dose of VARIVAX (Oka/Merck). It was unclear if this was the first dose of VARIVAX (Oka/Merck). On the same day the patient was also vaccinated with a dose of MMR II and DTaP (+) tetanus toxoid and poliovirus vaccine. The patient was vaccinated in her legs, however it was not certain which vaccine was administered in which leg. At an unspecified time post vaccination, the patient developed bilateral leg and joint pain, muscle weakness and a "few lesions". She was seen at a hospital for the leg pain and had unspecified testing done (no results reported). On 22-MAY-2008 the patient was in the office by the N.P., and was not able to stand by herself. The child reportedly sat on the floor and the mother had to pick her up. She was also "shaky" when walking. Blood work was done (no results reported) and the child was referred to a specialist at the hospital for further testing to occur on 23-MAY-2008. At the time of the report no diagnosis had been made. The patient had not recovered from the events. The reporter felt that it was unknown if the events were related to vaccination or to some other condition. But she believed it was something beyond pain from the multiple injections the child received in the leg. Additional information has been requested.
Age: 1.6
Sex: F
Vaccine: MMR, PNC
Symptoms: Haemoglobin normal, Lymphocyte count abnormal, Neutrophil count, Petechiae, Platelet count decreased
Clinical narrative: 4/28/08 bruises, petechiae-no fever. 06/20/2008 MR received for DOS 4/28-30/2008 with DX: ITP-responsive to 2 doses IVIG.  Mild anemia-etiology?. Infant presented from local hospitala generalized petechial/purpuric rash and marked bruising, mostly on bony prominences. Tx with IVIG. F/U 5/16/08 with continued bruising on arms and and shins, few petechiae on soft palate. Will f/u as outpt.
Age: 1.6
Sex: F
Vaccine: MMR, PNC
Symptoms: White blood cell count
Clinical narrative: 4/28/08 bruises, petechiae-no fever. 06/20/2008 MR received for DOS 4/28-30/2008 with DX: ITP-responsive to 2 doses IVIG.  Mild anemia-etiology?. Infant presented from local hospitala generalized petechial/purpuric rash and marked bruising, mostly on bony prominences. Tx with IVIG. F/U 5/16/08 with continued bruising on arms and and shins, few petechiae on soft palate. Will f/u as outpt.
Age: 64.0
Sex: M
Vaccine: VARZOS
Symptoms: Antinuclear antibody negative, Blood creatine phosphokinase normal, Blood culture negative, Blood immunoglobulin G normal, Brain scan normal
Clinical narrative: The patient received ZOSTAVAX immunization in his left upper arm on 2/18/08. He did satisfactorily until 2/25/08 when he felt a deep aching pain in his left shoulder that cleared about three weeks later. On 3/6/08 he noticed tingling in his left hand and forearm, which lasted until about 4/20/08. On 4/17/08 mild chest tightness started. On 4/26/08 he noticed worsening headache, malaise, aching in shoulders, neck, knees and elsewhere starting. Elevated sedimentation rates and C-reactive protein suggested an inflammation. Headache cleared on its own 7 days later, but rheumatic symptoms required low-dose prednisone for suppression. Polymyalgia rheumatica was diagnosed. The patient felt better by 5/6/08 while taking prednisone.  6/13/08 Received rheumatology office note of 5/23/08. FINAL DX: polymyalgia rheumatica Record reveals patient was pain free & feeling well at that time.  Had previously had pleuritic chest pain, now resolved.  Continued on slow steroid taper. 6/20/08 Reviewed PCP medical records of 4/29-5/6/2008. Records reveal patient experienced arthralgia/myalgia worst in morning w/stiffness in multiple joints, generalized HA 6/13/08 Received additional medical records from patient via email which consisted of labs & healthcare providers contact info.  Treated w/tapering steroids starting 5/23/08.   Follow-up: After 5/23/08 prednisone was tapered and stopped on 1/2/09. Rheumatic symptoms remain absent through 5/21/09.
Age: 64.0
Sex: M
Vaccine: VARZOS
Symptoms: C-reactive protein increased, Chest X-ray abnormal, Chest discomfort, Electrocardiogram normal, Full blood count normal
Clinical narrative: The patient received ZOSTAVAX immunization in his left upper arm on 2/18/08. He did satisfactorily until 2/25/08 when he felt a deep aching pain in his left shoulder that cleared about three weeks later. On 3/6/08 he noticed tingling in his left hand and forearm, which lasted until about 4/20/08. On 4/17/08 mild chest tightness started. On 4/26/08 he noticed worsening headache, malaise, aching in shoulders, neck, knees and elsewhere starting. Elevated sedimentation rates and C-reactive protein suggested an inflammation. Headache cleared on its own 7 days later, but rheumatic symptoms required low-dose prednisone for suppression. Polymyalgia rheumatica was diagnosed. The patient felt better by 5/6/08 while taking prednisone.  6/13/08 Received rheumatology office note of 5/23/08. FINAL DX: polymyalgia rheumatica Record reveals patient was pain free & feeling well at that time.  Had previously had pleuritic chest pain, now resolved.  Continued on slow steroid taper. 6/20/08 Reviewed PCP medical records of 4/29-5/6/2008. Records reveal patient experienced arthralgia/myalgia worst in morning w/stiffness in multiple joints, generalized HA 6/13/08 Received additional medical records from patient via email which consisted of labs & healthcare providers contact info.  Treated w/tapering steroids starting 5/23/08.   Follow-up: After 5/23/08 prednisone was tapered and stopped on 1/2/09. Rheumatic symptoms remain absent through 5/21/09.
Age: 64.0
Sex: M
Vaccine: VARZOS
Symptoms: Headache, Immunology test normal, Malaise, Occult blood negative, Pain
Clinical narrative: The patient received ZOSTAVAX immunization in his left upper arm on 2/18/08. He did satisfactorily until 2/25/08 when he felt a deep aching pain in his left shoulder that cleared about three weeks later. On 3/6/08 he noticed tingling in his left hand and forearm, which lasted until about 4/20/08. On 4/17/08 mild chest tightness started. On 4/26/08 he noticed worsening headache, malaise, aching in shoulders, neck, knees and elsewhere starting. Elevated sedimentation rates and C-reactive protein suggested an inflammation. Headache cleared on its own 7 days later, but rheumatic symptoms required low-dose prednisone for suppression. Polymyalgia rheumatica was diagnosed. The patient felt better by 5/6/08 while taking prednisone.  6/13/08 Received rheumatology office note of 5/23/08. FINAL DX: polymyalgia rheumatica Record reveals patient was pain free & feeling well at that time.  Had previously had pleuritic chest pain, now resolved.  Continued on slow steroid taper. 6/20/08 Reviewed PCP medical records of 4/29-5/6/2008. Records reveal patient experienced arthralgia/myalgia worst in morning w/stiffness in multiple joints, generalized HA 6/13/08 Received additional medical records from patient via email which consisted of labs & healthcare providers contact info.  Treated w/tapering steroids starting 5/23/08.   Follow-up: After 5/23/08 prednisone was tapered and stopped on 1/2/09. Rheumatic symptoms remain absent through 5/21/09.
Age: 64.0
Sex: M
Vaccine: VARZOS
Symptoms: Pain, Paraesthesia, Polymyalgia rheumatica, Red blood cell sedimentation rate increased, Rheumatoid factor positive
Clinical narrative: The patient received ZOSTAVAX immunization in his left upper arm on 2/18/08. He did satisfactorily until 2/25/08 when he felt a deep aching pain in his left shoulder that cleared about three weeks later. On 3/6/08 he noticed tingling in his left hand and forearm, which lasted until about 4/20/08. On 4/17/08 mild chest tightness started. On 4/26/08 he noticed worsening headache, malaise, aching in shoulders, neck, knees and elsewhere starting. Elevated sedimentation rates and C-reactive protein suggested an inflammation. Headache cleared on its own 7 days later, but rheumatic symptoms required low-dose prednisone for suppression. Polymyalgia rheumatica was diagnosed. The patient felt better by 5/6/08 while taking prednisone.  6/13/08 Received rheumatology office note of 5/23/08. FINAL DX: polymyalgia rheumatica Record reveals patient was pain free & feeling well at that time.  Had previously had pleuritic chest pain, now resolved.  Continued on slow steroid taper. 6/20/08 Reviewed PCP medical records of 4/29-5/6/2008. Records reveal patient experienced arthralgia/myalgia worst in morning w/stiffness in multiple joints, generalized HA 6/13/08 Received additional medical records from patient via email which consisted of labs & healthcare providers contact info.  Treated w/tapering steroids starting 5/23/08.   Follow-up: After 5/23/08 prednisone was tapered and stopped on 1/2/09. Rheumatic symptoms remain absent through 5/21/09.
Age: 64.0
Sex: M
Vaccine: VARZOS
Symptoms: Urine analysis normal, Vital capacity normal
Clinical narrative: The patient received ZOSTAVAX immunization in his left upper arm on 2/18/08. He did satisfactorily until 2/25/08 when he felt a deep aching pain in his left shoulder that cleared about three weeks later. On 3/6/08 he noticed tingling in his left hand and forearm, which lasted until about 4/20/08. On 4/17/08 mild chest tightness started. On 4/26/08 he noticed worsening headache, malaise, aching in shoulders, neck, knees and elsewhere starting. Elevated sedimentation rates and C-reactive protein suggested an inflammation. Headache cleared on its own 7 days later, but rheumatic symptoms required low-dose prednisone for suppression. Polymyalgia rheumatica was diagnosed. The patient felt better by 5/6/08 while taking prednisone.  6/13/08 Received rheumatology office note of 5/23/08. FINAL DX: polymyalgia rheumatica Record reveals patient was pain free & feeling well at that time.  Had previously had pleuritic chest pain, now resolved.  Continued on slow steroid taper. 6/20/08 Reviewed PCP medical records of 4/29-5/6/2008. Records reveal patient experienced arthralgia/myalgia worst in morning w/stiffness in multiple joints, generalized HA 6/13/08 Received additional medical records from patient via email which consisted of labs & healthcare providers contact info.  Treated w/tapering steroids starting 5/23/08.   Follow-up: After 5/23/08 prednisone was tapered and stopped on 1/2/09. Rheumatic symptoms remain absent through 5/21/09.
Age: 24.0
Sex: F
Vaccine: TDAP
Symptoms: Erythema, Injection site induration, Pain, Skin warm
Clinical narrative: Approximately 1 week post Tdap injection, presented with half-dollar size knot right deltoid area. 5-8-08 knot same size right deltoid area is now red, hot to tough and painful to touch.
Age: 21.0
Sex: F
Vaccine: TDAP, VARCEL
Symptoms: Induration, Pain in extremity, Pyrexia
Clinical narrative: Received TC from pt. stating "that her arm was hurting with a knot and fever present.  Started 5/14/08.  She has been using cortisone cream on it.  Plans f/u with ER or provider increased discomfort.
Age: 0.4
Sex: F
Vaccine: DTAP, HBHEPB, IPV, PNC, RV5
Symptoms: Decreased activity, Vomiting
Clinical narrative: Vomiting and decreased activity developed within 48 hours of vaccination.
Age: 10.0
Sex: F
Vaccine: HPV4
Symptoms: Urticaria
Clinical narrative: Pt woke up 5/22/08 with hives down the arm she received the vaccine on also her L side of her body.  No resp difficulty.
Age: 43.0
Sex: F
Vaccine: TDAP
Symptoms: Abdominal pain upper, Dizziness, Flatulence, Headache, Nausea
Clinical narrative: Tdap was given 5/19/08 at 1520. She complained of headache next day. On the 2nd after vaccine she complained of headache, dizziness, nausea, GI cramping, gas and pain and small amount of rectal bleeding.
Age: 43.0
Sex: F
Vaccine: TDAP
Symptoms: Pain, Rectal haemorrhage
Clinical narrative: Tdap was given 5/19/08 at 1520. She complained of headache next day. On the 2nd after vaccine she complained of headache, dizziness, nausea, GI cramping, gas and pain and small amount of rectal bleeding.
Age: 48.0
Sex: F
Vaccine: TDAP
Symptoms: Vomiting
Clinical narrative: Pt given Tdap 0.5 ml IM on May 22, 2008 at 1158AM by nurse - R deltoid IM.  Returned May 22, 2008 at 2030pm with c/o vomiting since noon - no other c/o.
Age: 35.0
Sex: M
Vaccine: SMALL
Symptoms: Cellulitis, Erythema, Swelling
Clinical narrative: Possible cellulitis; Probable aggressive immune reaction (Redness/swelling of left shoulder)
Age: 5.0
Sex: F
Vaccine: DTAP
Symptoms: Erythema, Pruritus, Skin warm, Swelling
Clinical narrative: Redness and swelling started 5-24-08 at night; worsened - brought to office on 5-26-08 with redness, swelling, warm to touch, and itching on right thigh - Treatment: advised parent to use BENADRYL, ice, and ibuprofen
Age: 4.0
Sex: M
Vaccine: DTAP, HEPA, IPV, MMR, VARCEL
Symptoms: Eye swelling
Clinical narrative: Phone call from states (L) eye swollen since he received his vaccines this morning. Denies any respiratory distress. Brought to clinic at 10:45 to be evaluated. Assessment: (L) eye swollen and puffy, no distress, V/S 110/70 - 100 - 12 even, no swollen tongue. Sent to ER for evaluation.
Age: 36.0
Sex: F
Vaccine: MMR
Symptoms: Lymphadenopathy
Clinical narrative: Received MMR on 4-22-08.  On 5/8/08 patient noticed swelling of glands on both sides of her face.  Called MD but was not seen.  Swelling gone by 5/9.
Age: 2.0
Sex: M
Vaccine: DTAPH
Symptoms: Injection site erythema
Clinical narrative: Local reaction with redness to 14cm at right thigh after DTaP vaccination. Right thigh = 33cm diameter at mid circumference and left thigh = 31 cm diameter at mid circumference.
Age: 43.0
Sex: F
Vaccine: TD
Symptoms: Hemiparesis, Injection site pain, Joint range of motion decreased, Local reaction, Weight bearing difficulty
Clinical narrative: Received tetanus 2/13/08 L deltoid - presents c/o localized soreness at site, pain continues and c/o L sided weakness in shoulder and discomfort with ROM and weight bearing of the left arm.  c/o weakness of L shoulder and arm day of vaccination and has not completely resolved at this time.
Age: 84.0
Sex: F
Vaccine: VARZOS
Symptoms: Oedema peripheral, Pain in extremity
Clinical narrative: Pain and swelling in right foot, some pain also in right foot
Age: 42.0
Sex: M
Vaccine: ANTH
Symptoms: Hemiparesis, Hypoaesthesia, Joint range of motion decreased, Muscle twitching, Swelling face
Clinical narrative: Pt Chief complain: 42 yo AD male recieved Anthrax vaccine on 24 May 08, fifth Anthrax vaccination. 10 to 15 minutes after her recieved vaccine his right side face swelled up and the right side of the body became numb right arm and right leg became paralyzed. The pt states he had movement back in his leg on 27 May 2008 and some movement in his right arm but still cont. to have finger twitching and unable to fully exted his right arm but some improvement in strenght.The pt states he had similar reaction to anthrax vaccination after last shot one year ago and the adverse reaction lasted for about 1.5 months.
Age: 42.0
Sex: M
Vaccine: ANTH
Symptoms: Vaccine positive rechallenge
Clinical narrative: Pt Chief complain: 42 yo AD male recieved Anthrax vaccine on 24 May 08, fifth Anthrax vaccination. 10 to 15 minutes after her recieved vaccine his right side face swelled up and the right side of the body became numb right arm and right leg became paralyzed. The pt states he had movement back in his leg on 27 May 2008 and some movement in his right arm but still cont. to have finger twitching and unable to fully exted his right arm but some improvement in strenght.The pt states he had similar reaction to anthrax vaccination after last shot one year ago and the adverse reaction lasted for about 1.5 months.
Age: 60.0
Sex: F
Vaccine: TDAP, VARZOS
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: PT STATED THAT SHE NOTICED THAT THE SITE WAS "TENDER TO THE TOUCH" ON 28 MAY 2008.  REDNESS AND SWELLING AT THE SITE WAS NOTICED ON 30 MAY 2008.
Age: 0.34
Sex: F
Vaccine: HEPA, HIBV, PNC, RV5
Symptoms: Inappropriate schedule of drug administration, Wrong drug administered
Clinical narrative: Patient wqas administered Hep A vaccine instead of Pediarix. Reported to DPH and vaccine unit. Parent called. Pt to return for Pediarix next week which was vaccine should have received. MD who saw baby for well child visit today ok'd above.
Age: 20.0
Sex: F
Vaccine: TDAP
Symptoms: Derealisation, Headache, Pyrexia
Clinical narrative: Pt called next day c/o headache, fever 100.8,,"not feeling well"  beginning eveing after injection.
Age: 26.0
Sex: M
Vaccine: HEP, MMR, TD, VARCEL
Symptoms: Injection site haemorrhage, Injection site swelling, Injection site warmth
Clinical narrative: 2 days after vaccination, pt presents to clinic with hot, swollen area to left tricep with some ecchymosis.  denies much pain.  Advised cool compress 4 times daily and anti-inflammatory.  Also advised to return to clinic or call if no improvement in 1-2 days with advised treatment.
Age: 15.0
Sex: F
Vaccine: HPVX, TDAP
Symptoms: Unevaluable event
Clinical narrative: none
Age: 1.42
Sex: F
Vaccine: DTAP, HEPA
Symptoms: Injection site erythema, Injection site papule, Injection site pruritus, Injection site urticaria, Local reaction
Clinical narrative: Site of injection developed multiple erythematous papules, itchy, hive-like, a few hours after vaccine was given.  Reaction was local, no systemic reaction.
Age: 5.0
Sex: F
Vaccine: IPV, MMR, TDAP
Symptoms: No adverse event, Wrong drug administered
Clinical narrative: pt was given tdap instead of dtap.  pt had no sx.pt will be followed up with a Dtap.
Age: 44.0
Sex: F
Vaccine: TYP
Symptoms: Asthenia, Chills, Cough, Fatigue, Nausea
Clinical narrative: 30 minutes after receiving the vaccine at 1500 on 5/27/08, I became nauseous and had chills. I do not know how high my fever became, but I could not get warm - the fever finally broke around 3 am. I continue to work, but feel progressively worse with the symptoms involving fatigue, weakness, sore throat and now a cough with some congestion that clears when I cough. I am not expectorating anything.  I have travelled overseas since I was a child and have never experienced a reaction to typhoid other than a sore arm and low grade temp. Not sure what is going on or even if there is a connection between the two...but I am highly suspect.
Age: 44.0
Sex: F
Vaccine: TYP
Symptoms: Pharyngolaryngeal pain, Pyrexia, Respiratory tract congestion
Clinical narrative: 30 minutes after receiving the vaccine at 1500 on 5/27/08, I became nauseous and had chills. I do not know how high my fever became, but I could not get warm - the fever finally broke around 3 am. I continue to work, but feel progressively worse with the symptoms involving fatigue, weakness, sore throat and now a cough with some congestion that clears when I cough. I am not expectorating anything.  I have travelled overseas since I was a child and have never experienced a reaction to typhoid other than a sore arm and low grade temp. Not sure what is going on or even if there is a connection between the two...but I am highly suspect.
Age: 61.0
Sex: F
Vaccine: VARZOS
Symptoms: Erythema, Headache, Influenza like illness, Mass, Pain
Clinical narrative: Day 1 - Started to get red; light pinksh; head ache all over (flu like). Day 2 - Huge area of redness, 4 inches more down to the elbow.  Area was hot and swollen with one inch lump.  Now (one week later) the area is pink and achy.  Pain resolved 4 days later.  Patient took Celebrex 200mg QD for 4 days starting day 1, and reported that symptoms improved after taking dose.
Age: 61.0
Sex: F
Vaccine: VARZOS
Symptoms: Skin warm
Clinical narrative: Day 1 - Started to get red; light pinksh; head ache all over (flu like). Day 2 - Huge area of redness, 4 inches more down to the elbow.  Area was hot and swollen with one inch lump.  Now (one week later) the area is pink and achy.  Pain resolved 4 days later.  Patient took Celebrex 200mg QD for 4 days starting day 1, and reported that symptoms improved after taking dose.
Age: 11.0
Sex: F
Vaccine: HPV4, MNQ, TDAP, VARCEL
Symptoms: Abdominal pain upper, Dizziness, Fatigue, Headache, Immediate post-injection reaction
Clinical narrative: Immediate pain in arms and dizziness. Chronic stomach pain, chronic fatigue, roaming muscle pain and atrophy to muscle sites (upper extremity, lower extremities, headaches.  6/13/2008 MR received for OVs and consultations beginning 1/22/2008 with a healthy WCC.  Vax given, TDaP, Varicella, Gardasil and Menactra. Seen again 2/13 and 2/28/08 with c/o Flu-like sx, stomach aches, feeling weak and tired, and abdominal pain. DX: URI.  Periumbilical Pain. Fatigue and Malaise. Consult 3/11/08 for above c/o as well as SOB with Impression: Adverse reaction to vaccination-Gardasil. Drug Allergy. Fatigue and Malaise. Seen by PCP again with new c/o pain in the back and calf muscles. Continues to have abdominal pain. Added DX:  Unspecified Myalgia and Myositis. W/U (-) thus far.
Age: 11.0
Sex: F
Vaccine: HPV4, MNQ, TDAP, VARCEL
Symptoms: Muscle atrophy, Myalgia, Pain in extremity
Clinical narrative: Immediate pain in arms and dizziness. Chronic stomach pain, chronic fatigue, roaming muscle pain and atrophy to muscle sites (upper extremity, lower extremities, headaches.  6/13/2008 MR received for OVs and consultations beginning 1/22/2008 with a healthy WCC.  Vax given, TDaP, Varicella, Gardasil and Menactra. Seen again 2/13 and 2/28/08 with c/o Flu-like sx, stomach aches, feeling weak and tired, and abdominal pain. DX: URI.  Periumbilical Pain. Fatigue and Malaise. Consult 3/11/08 for above c/o as well as SOB with Impression: Adverse reaction to vaccination-Gardasil. Drug Allergy. Fatigue and Malaise. Seen by PCP again with new c/o pain in the back and calf muscles. Continues to have abdominal pain. Added DX:  Unspecified Myalgia and Myositis. W/U (-) thus far.
Age: 0.58
Sex: F
Vaccine: DTAPHEPBIP, PNC, RV5
Symptoms: Body temperature, Rash
Clinical narrative: Mother noticed rash on the infants back, chest and face on 5/1/08 in the AM.  Mother called to report the symptoms questioning if due to vaccines given on 4/29/08.  Instructed to observe for changes or worsening of symptoms and instruction given to follow-up in the ER if worse or here at Child Health Clinic on 5/2/08.  Questioned if infant had been given any medication and Mother states gave Tylenol every 5 hours after vaccines given.  Mother did not show for appointment on 5/2/08 and when telephone call made to her she said she remebered that she had given rice cereal and cow's milk to the infant on the evening of 4/29/08, so maybe that was the cause of the rash.  Mother states rash did not get any worse and no other symptoms.  Infants temp 98.1.  Instructed to call if rash continues.
Age: 1.33
Sex: M
Vaccine: DTAP, MMR
Symptoms: Urticaria
Clinical narrative: Urticaria 4 hours after administration of DTap and MMR.
Age: 24.0
Sex: F
Vaccine: HPV4
Symptoms: Fatigue, Groin pain, Lethargy, Mass
Clinical narrative: after first dose:  painful lump in groin area on right side of body, which is the side of injection site.  lethargy and overwhelming fatigue lasting for roughly one week.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site warmth, Local reaction
Clinical narrative: significant local reaction of erythema, seen 3days after vaccination , left thigh with 4.5in x 3in area of redness, sl warm, nontender, advised observation and rto if increase s/s
Age: 59.0
Sex: F
Vaccine: VARZOS
Symptoms: Blister, Inappropriate schedule of drug administration, Neuralgia, Pain, Rash
Clinical narrative: Approximately 3 weeks post vaccination, the patient developed what she thinks to be shingles. Defined borders of back and shoulder with painful rash and blistering along with nerve pain post rash. Nerve pain continues to date 3.5 months post vaccination with still some blistering present on shoulder. This has not been diagnosed by a physician. No treatment has been used to date.
Age: 63.0
Sex: F
Vaccine: VARZOS
Symptoms: Erythema, Induration, Local reaction, Pruritus
Clinical narrative: Initial local erythema developing into 2cm deep erythema with induration and pruritus by day 3. No treatment. Expect it will resolve. Notified MD.
Age: 58.0
Sex: F
Vaccine: PPV
Symptoms: Myalgia, Nausea, Pain in extremity, Vomiting
Clinical narrative: Arm pain, nausea, vomiting, myalgias.
Age: 2.0
Sex: M
Vaccine: HEPA, MMR
Symptoms: Flushing, Local reaction, Pruritus, Pyrexia
Clinical narrative: 4 hrs after receiving MMR and Hep A vaccines, pt's face and arms were flushed and itching at areas, pt was febrile during episode but continued after fever resolved until the next morning. No rash, also large local reaction at (L) thigh.
Age: 11.0
Sex: M
Vaccine: TDAP
Symptoms: Pruritus, Rash
Clinical narrative: Vaccine given approximately 900 AM at school - patient had no symptoms of adverse reactions until 1015 PM - mom states symptoms occurred suddenly with severe itching, rash on back + arms.  Pt was taken to local emergency department.  Given steroid injection, BENADRYL cream, BENEDRYL po + prednisone rx x 9 days.  "Told by ER not to take Tdap again".
Age: 70.0
Sex: M
Vaccine: PPV
Symptoms: Erythema, Skin warm, Swelling
Clinical narrative: Pt. developed gradually increasing swelling, redness and heat over 6 hours with response to icing & XYZAL (antihistamine).
Age: 1.0
Sex: M
Vaccine: HEPA, MMR, VARCEL
Symptoms: Erythema, Eyelid oedema, Oedema peripheral, Swelling face
Clinical narrative: 5/22/08 Pt. seen well visit received Hep A/varicella/MMR.  About 12 hrs after vaccines pt dvpd redness of face and arms swelling of eyelids, puffy face and hands when he awoke in the morning.  No difficulty breathing.  Mom gave a dose of BENADRYL with decreased swelling of eyelids.
Age: 17.0
Sex: F
Vaccine: HPV4
Symptoms: Limb discomfort, Local reaction, Paraesthesia
Clinical narrative: Shot given R arm 5/21.  Had minor local reaction now c/o tingling & strange feeling R arm.  Started 3-5 days after shot.
Age: 64.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site induration, Injection site pruritus, Injection site swelling, Injection site warmth
Clinical narrative: On 5/29 woke up tired at about 2pm noticed that area under injection site was 4*4 raised, red, warm hard, itchy.  Called doctor who recommended ice treatments and BENADRYL.  Today it still is red and warm & a bit itching.
Age: 36.0
Sex: M
Vaccine: RAB
Symptoms: Dizziness, Hyperhidrosis, Nausea
Clinical narrative: "Patient" was given Rabies vaccine and 1 hour later experience nausea, sweating, and dizziness. 45 min later, donor was better.
Age: 83.0
Sex: F
Vaccine: PPV, VARZOS
Symptoms: Injection site erythema, Injection site swelling, Myalgia
Clinical narrative: PNEUMOVAX: Redness in upper left arm quadrant slightly swollen, sore muscle, -> got on BENADRYL QID.
Age: 0.2
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Diarrhoea, Ultrasound abdomen, Vomiting
Clinical narrative: Vomiting, diarrhea, mild x3 days; seen at E.R 5/28/08
Age: 0.3
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Pyrexia, Rash erythematous, Rash macular, Skin lesion, Urticaria
Clinical narrative: Fever, erythematous dull urticarial rash extensive mainly neck and inguinal region as large blotches with small lesions over abdomen and chest blanching with irregular margin
Age: 19.0
Sex: F
Vaccine: TDAP, VARCEL
Symptoms: Arthralgia, Chills, Fatigue, Headache, Heart rate increased
Clinical narrative: Approx 10 hours post-vaccination patient began to have a fever (102.4 F), chills, severe pain at injxn site, headache, joint pain especially in her hands, swollen lymph glands esp. sub-mandibular, nausea, increased heart-rate of 104 beats per minute at rest.  This lasted approx 36 hours and after significant resolution patient still was fatigued and had some hand pain.
Age: 19.0
Sex: F
Vaccine: TDAP, VARCEL
Symptoms: Injection site pain, Lymphadenopathy, Nausea, Pyrexia
Clinical narrative: Approx 10 hours post-vaccination patient began to have a fever (102.4 F), chills, severe pain at injxn site, headache, joint pain especially in her hands, swollen lymph glands esp. sub-mandibular, nausea, increased heart-rate of 104 beats per minute at rest.  This lasted approx 36 hours and after significant resolution patient still was fatigued and had some hand pain.
Age: 14.0
Sex: M
Vaccine: FLU3
Symptoms: Chronic inflammatory demyelinating polyradiculoneuropathy, Death
Clinical narrative: DIAGNOSED WITH CIDP/GUILLIAN BARRE SYNDROME IN MAY 2003 HE RECEIVED THE MENINGITS  VACCINE IN NOVEMBER 2002. Confirmed with parent and vax record concurs Flu vaccine given 12/8/2003, not meningococcal. Onset of sx January 2004, not 2003 as originally reported. 7/14/2008 Death Cert received with Immediate COD listed as Chronic Inflammatory Demyelinating Polyneuropathy. 06/03/2008 MR received for DOS 1/23-28/2008 with D/C DX:  Neuropathy. 2' DX:  Tachycardia.  Respiratory Distress. Pt most recently presented to another facility in December 2007 with GI issues and increasing lower extremity weakness. Pt was discharged and was transferred for further evaluation due to progressive upper extremity weakness and dyspnea, as well as new onset urinary and fecal incontinence, orthostasis, decreased hearing and L hand pain. Pt had initially developed limb weakness and paresthesias 4 years ago. Testing showed widespread sensory motor polyneuropathy. DX: Presumed Chronic Inflammatory Demyelinating Polyneuropathy. Course has been slowly progressing over the years and has had multiple hospitalizations and rehabs. PE (+) for tachycardia, use of accessory muscles for breathing, tachypnea and decreased breath sounds. Bowel sounds decreased. Motor exam showed decreased bulk, tone and strength. Sensation decreased with no proprioception below the elbow. Pt txd with plasmapheresis IVIG over the years without response. Pt now with autonomic dysfunction. BIPAP improved overall energy level. Pt unable to return to rehab facility given questionable prognosis so pt was D/C to home. Per mother pt died at home on 2/17/2008. PMH since 2003: (CIDP dx 2004 with depression, anxiety, osteoporosis.  Sural nerve bx, OSA on CPAP, Recent Gastroenteritis.)
Age: 17.0
Sex: F
Vaccine: HPV4, HPV4, HPV4
Symptoms: Sudden death
Clinical narrative: Information has been received from a physician concerning a "17 year old" female who on an unspecified date was vaccinated with GARDASIL. In April 2008, approximately 6 weeks ago the patient died. The physician reported that one of the patient's mother did not want to agree to the vaccine because her friend's daughter died after receiving it. The 17 year old patient was found dead on the floor by her mother. The autopsy was performed and the outcome was unspecified. The physician only has information on the patient that refused the vaccine. No further information was provided. The reporter felt that the event was disabling and life threatening. Additional information has been requested.
Age: 17.0
Sex: F
Vaccine: HPV4, HPV4, HPV4
Symptoms: Autopsy, Sudden death
Clinical narrative: Information has been received from a physician concerning a "17 year old" female who on an unspecified date was vaccinated with GARDASIL. In April 2008, approximately 6 weeks ago the patient died. The physician reported that one of the patient's mother did not want to agree to the vaccine because her friend's daughter died after receiving it. The 17 year old patient was found dead on the floor by her mother. The autopsy was performed and the outcome was unspecified. The physician only has information on the patient that refused the vaccine. No further information was provided. The reporter felt that the event was disabling and life threatening. Additional information has been requested.
Age: 17.0
Sex: F
Vaccine: HPV4, HPV4, HPV4
Symptoms: Death
Clinical narrative: Information has been received from a physician concerning a "17 year old" female who on an unspecified date was vaccinated with GARDASIL. In April 2008, approximately 6 weeks ago the patient died. The physician reported that one of the patient's mother did not want to agree to the vaccine because her friend's daughter died after receiving it. The 17 year old patient was found dead on the floor by her mother. The autopsy was performed and the outcome was unspecified. The physician only has information on the patient that refused the vaccine. No further information was provided. The reporter felt that the event was disabling and life threatening. Additional information has been requested.
Age: 0.5
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC, RV5, DTAP, HIBV, IPV, RV5
Symptoms: Abdominal pain, Barium enema, Enema administration, Haematochezia, Intussusception
Clinical narrative: Information has been received from a nurse practitioner concerning a 25 week old male who on 01-MAY-2008 was vaccinated PO with a dose of ROTATEQ (lot# 657670/1108U). Suspect vaccination administered that same day included a dose of PEDVAXHIB. Concomitant vaccinations administered that same day included a dose of diphtheria toxoid (+) pertussis acellular vaccine (unspecified) (+) tetanus toxoid and a dose of poliovirus vaccine inactivated (unspecified). On 07-MAY-2008 the patient developed vomiting and rectal bleeding. The patient was hospitalized on 08-MAY-2008 due to an intussusception that was also surgically corrected on that same day. Therapy with ROTATEQ was discontinued. The patient was noted to be recovering. There was no product quality complaint. No other information was available. Intussusception was also considered to be immediately life-threatening and an other important medical event (surgery) by the reporter. A lot check has been initiated. Additional information has been requested.