chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 20.0
Sex: M
Vaccine: SMALL, TYP, TYP
Symptoms: Sensory loss
Clinical narrative: The following information was obtained from the above-referenced literature article received on 14 August 2008.  The author wrote: "A 20-year-old man developed acute disseminated encephalomyelitis after receiving smallpox vaccine and typhoid vaccine (dosages not stated).  He was successfully treated with immune globulin (IVIG).  The man received smallpox vaccine, and 2 days later, received typhoid vaccine.  Twelve days after receiving smallpox vaccine, he developed an ascending , circumferential numbness in his lower extremities that progressed to profound muscle weakness over 24 hours.  He had decreased sensation up to his nipple line, symmetric hyperreflexia with 3-4 beat clonus, and significant lower extremity weakness.  Catheterisation produced 900mL of urine.  Within hours of presentation, he required intubation and, 48 hours after presentation, an MRI revealed multifocal diffuse T2 hyperintensity throughout his brain and spinal cord.  CSF examination revealed 27 leucocytes, 40 erythrocytes, glucose of 80 and protein of 113.  He had an elevated myelin basic protein level (6.0).  Oligoclonal bands were absent.  The man started receiving high-dose methylprednisolone sodium succinate, but remained obtunded and quadriplegic with hyperreflexia.  On day 7 of symptoms, he received a 5% IVIG 2 g/kg infusion over 8 hours followed by steroid taper.  Within 12 hours, he was able to raise his arm and, within 48 hours, he regained spontaneous eye opening.  He was extubated and, 19 days after IVIG therapy, fine motor control had returned to his upper extremities.  However, his recovery plateaued after 2 weeks.  He then received IVIG 150g boluses at weeks 3 and 4, but showed minimal improvement.  By the 4th week, sensory deficits had recovered down to his umbilicus.  He was subsequently transferred to another facility and, at that time, he had good strength and fine motor control of his upper extremities.  He also could move his right lower extremity with gravity, but his left lower extremity remained significantly impaired.  Over the next year, he showed improvement following physical and occupational therapy.  He continued to have detrusor sphincter dyssynergia and required cholinergic receptor antagonists and daily catheterisation."
Age: 11.0
Sex: F
Vaccine: MNQ, TDAP
Symptoms: Loss of consciousness, Syncope, Vision blurred
Clinical narrative: Initial information was received from a health care professional on 19 August 2008.  An 11 year old female patient with no reported past medical history received an injection of MENACTRA (U2550AA) intramuscularly in the left deltoid and an injection of ADACEL (C2904AA) intramuscularly in the right deltoid on 19 August 2008.  "Two minutes after receiving the MENACTRA injection she was found in the exam room with her head down.  She woke up after two minutes and was wringing her hands.  She complained of blurred vision."  Her blood pressure and pulse pre and post vaccination were 80/40 and 68.  No other symptoms were reported according to the physician.  The patient "fainted" and was "unconscious".  The patient's recovery status was unknown.
Sex: U
Vaccine: FLUX
Symptoms: Anaphylactic reaction
Clinical narrative: Initial report was received 11 August 2008 from another manufacturer who received the report from a health care professional.  A patient (age and gender not reported) experienced an anaphylactic reaction after receiving a flu vaccination (manufacturer, lot number, route and site not reported).  No further information pertaining to the event or patient's recovery status were provided at the time of the report.
Age: 17.0
Sex: F
Vaccine: HEPA, HPV4
Symptoms: Fall, Loss of consciousness, Mydriasis, Respiratory arrest, Skin disorder
Clinical narrative: Information has been received from a registered nurse (R.N.) concerning a 17 year old female with no pertinent medical history, drug reactions or allergies who on 04-AUG-2008 was vaccinated with a dose of GARDASIL (Lot #660389/1968U).  Concomitant therapy included Hep A (unspecified).  On 04-AUG-2008, after receiving GARDASIL, the patient stood up, passed out with eyes open and hit the ground.  She did not breathe for 30 seconds, eyes were dilated and still open and skin was terrible.  The patient looked like a corpse.  The nurse called the patient the next day (05-AUG-2008) and the patient said she was fine.  Unspecified medical attention was sought.  Upon internal review, "did not breathe for 30 seconds" was determined to be an other important medical event.  Additional information has been requested.
Age: 22.0
Sex: F
Vaccine: HPV4
Symptoms: Abortion induced, Drug exposure during pregnancy, Pregnancy test positive
Clinical narrative: Information has been received from a medical assistant for the pregnancy registry for GARDASIL, concerning a 22 year old female with no known pertinent medical history or drug reactions/allergies who on 28-MAY-2008 was vaccinated with a first dose of GARDASIL 0.5 ml IM.  Concomitant therapy included ALESSE, LEXAPRO, ZOMIG and phentermine.  On 01-JUL-2008 the patient had a blood test that showed she was 5 to 8 weeks gestation.  Her last menstrual period was approximately 27-MAY-2008 and her estimated due date is approximately 03-MAR-2009.  The patient sought medical attention in the office.  Follow-up information was received.  On 10-JUL-2008 the patient underwent elective termination.  Upon internal review the patient's elective termination was considered to be an other important medical event.  Additional information is not expected.
Age: 4.0
Sex: F
Vaccine: DTAP, HIBV, IPV, MMR
Symptoms: Autopsy, Congestive cardiomyopathy, Deafness, Death, Developmental delay
Clinical narrative: Child developed mutism, deafness, developmental delay and diluted cardiomyopathy possibly following vaccination several years before death.  10/3/08 Autopsy states COD as idiopathic dilated cardiomyopathy & contributing condition of chronic sequelae of encephalomyelitis. 9/26/08 Reviewed hospital medical records of 11/20-12/05/2008. FINAL DX: dilated cardiomyopathy, pulmonary edema, cardiac arrest. Records reveal patient experienced cough, DOE, weakness, extreme fatigue, excessive sleeping, rhinorrhea, sore throat & 1 day of diarrhea x 1 week w/newly dx cardiomegaly on CXR at outlying hospital. Weight loss over 1 month noted by family.  Exam showed holosystolic heart murmur.  Felt to have had dilated cardiomyopathy worsened by or caused by myocarditis.  Tx w/IVIG empiracally for viral myocarditis.  During intubation attempt in cardiac cath lab, had cardiac arrest & expired despite attempted resuscitation.
Age: 4.0
Sex: F
Vaccine: DTAP, HIBV, IPV, MMR
Symptoms: Mutism
Clinical narrative: Child developed mutism, deafness, developmental delay and diluted cardiomyopathy possibly following vaccination several years before death.  10/3/08 Autopsy states COD as idiopathic dilated cardiomyopathy & contributing condition of chronic sequelae of encephalomyelitis. 9/26/08 Reviewed hospital medical records of 11/20-12/05/2008. FINAL DX: dilated cardiomyopathy, pulmonary edema, cardiac arrest. Records reveal patient experienced cough, DOE, weakness, extreme fatigue, excessive sleeping, rhinorrhea, sore throat & 1 day of diarrhea x 1 week w/newly dx cardiomegaly on CXR at outlying hospital. Weight loss over 1 month noted by family.  Exam showed holosystolic heart murmur.  Felt to have had dilated cardiomyopathy worsened by or caused by myocarditis.  Tx w/IVIG empiracally for viral myocarditis.  During intubation attempt in cardiac cath lab, had cardiac arrest & expired despite attempted resuscitation.
Age: 0.6
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5, DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Haematochezia, Intussusception
Clinical narrative: Intussusception noted 07/30/2008. Bloody stool, Air intussusception reduction successful, reporting because of association of rotavirus immunization and intussusception.  9/8/2008 MR received for DOS 7/30-31/2008 with D/C DX: S/P Reduction of Intussusception.  Pt presented with abdominal pain, vomiting x10-12 and bloody stool.  IS was noted on Barium Enema following a (+) US and reduced successfully. Admitted for observation o/n with no further problems.
Age: 0.6
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5, DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Abdominal X-ray, Abdominal pain, Barium enema abnormal, Culture urine negative, Enema administration
Clinical narrative: Intussusception noted 07/30/2008. Bloody stool, Air intussusception reduction successful, reporting because of association of rotavirus immunization and intussusception.  9/8/2008 MR received for DOS 7/30-31/2008 with D/C DX: S/P Reduction of Intussusception.  Pt presented with abdominal pain, vomiting x10-12 and bloody stool.  IS was noted on Barium Enema following a (+) US and reduced successfully. Admitted for observation o/n with no further problems.
Age: 0.6
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5, DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Full blood count normal, Haematochezia, Intussusception, Laboratory test normal, Red blood cell count normal
Clinical narrative: Intussusception noted 07/30/2008. Bloody stool, Air intussusception reduction successful, reporting because of association of rotavirus immunization and intussusception.  9/8/2008 MR received for DOS 7/30-31/2008 with D/C DX: S/P Reduction of Intussusception.  Pt presented with abdominal pain, vomiting x10-12 and bloody stool.  IS was noted on Barium Enema following a (+) US and reduced successfully. Admitted for observation o/n with no further problems.
Age: 0.6
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5, DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Ultrasound abdomen abnormal, Urine analysis normal, Vomiting
Clinical narrative: Intussusception noted 07/30/2008. Bloody stool, Air intussusception reduction successful, reporting because of association of rotavirus immunization and intussusception.  9/8/2008 MR received for DOS 7/30-31/2008 with D/C DX: S/P Reduction of Intussusception.  Pt presented with abdominal pain, vomiting x10-12 and bloody stool.  IS was noted on Barium Enema following a (+) US and reduced successfully. Admitted for observation o/n with no further problems.
Age: 64.0
Sex: M
Vaccine: PPV, VARZOS
Symptoms: Asthenia, Erythema, Influenza like illness, Injection site rash, Oedema peripheral
Clinical narrative: (L) upper arm rash day after vaccination, flu-like, weak, swollen arm, red. Had received ZOSTAVAX, PNEUMOVAX.
Age: 22.0
Sex: F
Vaccine: HPV4
Symptoms: Influenza, Pain in extremity, Pyrexia
Clinical narrative: Patient developed flu symptoms (mild) x 3d with fever and some soreness in arm after receiving #1 GARDASIL on June 12, 2008.  Patient reported this on visit when getting #2 GARDASIL 8/14/2008.
Age: 23.0
Sex: M
Vaccine: TDAP
Symptoms: No adverse event, Wrong drug administered
Clinical narrative: Pt came in for a TD and I gave the TDAP on 8/18/200. He returned 8/20/08 to have his PPD read. Pt had no adverse reaction or symptoms noted from TDAP.
Age: 71.0
Sex: F
Vaccine: VARZOS
Symptoms: Headache, Paraesthesia, Rash, Scab
Clinical narrative: Tuesday (2/26) vaccine - Wednesday prickly feeling - Wednesday morning rash involving forehead/eyelid on right side - rash started to crust over on Saturday (3/11), headache the whole time, but patient has h/o cluster headaches.
Age: 18.0
Sex: M
Vaccine: HEPA, MNQ
Symptoms: Chills, Headache, Pain, Pyrexia
Clinical narrative: Immunizations given 8-11-08.  On 8-12-08 patient reports he had fever 100.8, body aches, headache and chills.  Symptoms lasting 1 wk with gradual improvement daily.
Age: 17.0
Sex: U
Vaccine: MNQ, TDAP
Symptoms: No adverse event
Clinical narrative: No adverse events
Age: 12.0
Sex: M
Vaccine: HEPA, MNQ, TDAP, VARCEL
Symptoms: Dizziness, Nausea, Vomiting
Clinical narrative: Approx. 20 min after receiving immunizations patient became faint and felt nauseated. He vomited a small amount of clear liquid. No chest tightness, shortness of breath or skin reactions. Vital signs remained normal throughout. He was observed for 30min and released with symptoms resolved.
Age: 39.0
Sex: U
Vaccine: TDAP
Symptoms: Injection site erythema, Injection site pain, Injection site warmth
Clinical narrative: 8x11cm area erythema, warmth and tenderness developed distal to injection site day after injection.
Age: 0.5
Sex: F
Vaccine: DTAPHEPBIP, FLU3, HIBV, PNC, RV5
Symptoms: Depressed level of consciousness, Muscle twitching
Clinical narrative: Was twitching, not as responsive as usual.  No fever or other symptoms.  No definite seizure.
Age: 18.0
Sex: F
Vaccine: MNQ
Symptoms: Eye swelling, Nasal congestion, Oxygen saturation normal, Pharyngolaryngeal pain
Clinical narrative: 2 hrs after MENACTRA and TST (PPD) - puffy eyes, sore throat and stuffy nose.
Age: 18.0
Sex: F
Vaccine: FLUN3, HEPA, MNQ, TDAP, VARCEL
Symptoms: Chest pain, Computerised tomogram normal, Head injury, Headache, Hypoaesthesia
Clinical narrative: Patient syncope when standing after immunization striking head on wall. Patient woke rapidly but had persistent complaint of headache and feeling numb all over. Also complained of chest pain occasionally - All VS - were stable - 120/74 BP immediately after.
Age: 18.0
Sex: F
Vaccine: FLUN3, HEPA, MNQ, TDAP, VARCEL
Symptoms: Syncope
Clinical narrative: Patient syncope when standing after immunization striking head on wall. Patient woke rapidly but had persistent complaint of headache and feeling numb all over. Also complained of chest pain occasionally - All VS - were stable - 120/74 BP immediately after.
Age: 5.0
Sex: M
Vaccine: DTAP
Symptoms: Erythema, Local reaction, Swelling, Tenderness
Clinical narrative: Large local reaction 9cm x 8.5cm, red, raised slightly tender.
Age: 2.0
Sex: F
Vaccine: DTAP, HEP, IPV
Symptoms: Pyrexia
Clinical narrative: Fever x 2 days about 101 after received vaccination.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site nodule, Injection site pain, Injection site swelling
Clinical narrative: Red swelling tender at injection site; both thighs hard nodule (hard nodule)
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Upper (L) arm red, swollen, and warm touch. Symptoms began today 8/21/08. Has appt to see PMD today at 345 PM.
Age: 29.0
Sex: F
Vaccine: MMR
Symptoms: Injection site erythema, Injection site swelling, Pruritus
Clinical narrative: Redness, swelling 50mm to (R) arm injection site, itching. Using HC 1% cream and warm compresses. Afebrile.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Erythema, Induration, Skin warm
Clinical narrative: Erythema, induration and warmth of (L) thigh. Augmentin and cold compresses.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Impetigo, Injection site erythema, Injection site induration, Injection site pain, Injection site warmth
Clinical narrative: Erythema and tenderness of 20x20cm area of (L) thigh which was indurated, warm and tender. Augmentin and cold compress were prescribed.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Otitis media
Clinical narrative: Erythema and tenderness of 20x20cm area of (L) thigh which was indurated, warm and tender. Augmentin and cold compress were prescribed.
Age: 3.0
Sex: F
Vaccine: HEPA
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: Hep A #3 given accidentally on 8/14/08.  Hep A #2 given 3/6/08.
Age: 65.0
Sex: F
Vaccine: PPV
Symptoms: Body temperature, Dizziness, Headache, Injected limb mobility decreased, Malaise
Clinical narrative: Vaccinated approximately 11:30 am - Noon.  By evening, injected arm very sore, shoulder to hand (could barely lift arm).  Next morning, experienced dizziness and vomiting.  Felt bad most of day.  Better in the evening.  Temperature was normal.  Pounding headache.
Age: 65.0
Sex: F
Vaccine: PPV
Symptoms: Pain in extremity, Vomiting
Clinical narrative: Vaccinated approximately 11:30 am - Noon.  By evening, injected arm very sore, shoulder to hand (could barely lift arm).  Next morning, experienced dizziness and vomiting.  Felt bad most of day.  Better in the evening.  Temperature was normal.  Pounding headache.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV
Symptoms: Erythema, Injection site swelling, Joint swelling, Oedema peripheral, Urticaria
Clinical narrative: Hives (urticaria) within hours of shot, red cheeks, ankles, feet and hands swollen, swollen arm at injection site of DTAP.
Age: 12.0
Sex: M
Vaccine: VARCEL
Symptoms: Erythema, Induration, Swelling, Tenderness
Clinical narrative: Swollen, firm, tender, red.
Age: 4.0
Sex: U
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site pain, Injection site warmth
Clinical narrative: (L) deltoid region red - warm and tender - Mother took to ER for evaluation. Put on antibiotics.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling, Rash
Clinical narrative: Rash, swollen, pink right upper arm, non tender without limitation of motion, itchy.  Keflex (250) 1 tsp TID/Motrin/Benadryl.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Blood pressure, Eye disorder, Eye rolling, Heart rate normal, Immediate post-injection reaction
Clinical narrative: Immediately after receiving DTaP, IPV,and Varicella at 10:45am, patient stiffened up, her arms flexed and her eyes rolled back and became glazed. Layed her down and took vitals BP 120/70, AP 84, R 16.  Patient very scared and cried a little. When asked if she had eaten anything yet, mom replied that she had not. Gave patient juice to drink. Patient stood up after about 10 minutes and walked out with her mother. Called and spoke with parent at 4:30pm. Patient has been fine at home today. Running and playing as usual.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Musculoskeletal stiffness, Respiratory rate
Clinical narrative: Immediately after receiving DTaP, IPV,and Varicella at 10:45am, patient stiffened up, her arms flexed and her eyes rolled back and became glazed. Layed her down and took vitals BP 120/70, AP 84, R 16.  Patient very scared and cried a little. When asked if she had eaten anything yet, mom replied that she had not. Gave patient juice to drink. Patient stood up after about 10 minutes and walked out with her mother. Called and spoke with parent at 4:30pm. Patient has been fine at home today. Running and playing as usual.
Age: 0.17
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Haematochezia, Mucous stools
Clinical narrative: stool mixed with blood and mucus x 2
Age: 14.0
Sex: F
Vaccine: HPV4, MNQ
Symptoms: Cold sweat, Dizziness, Gaze palsy, Hypotension, Loss of consciousness
Clinical narrative: Patient received Gardasil and Menactra.  Remained seated for approximately 5 - 10 minutes and was discharged.  Became clammy and faint when walking to check out of office.  Mother noticed she was very pale and asked if she was all right - the child said not.  Mother lowered her to the floor.  At that time the child's eyes rolled back and her lips and mouth were drawn back.  She lost consciousness for a few seconds and then came to on her own.  She was examined by a physician who came immediately.  Her pupils were slightly dilated, her B/P was slightly lower than normal.  When asked if she knew where she was she responded + and she also remembered what had gone on before her syncopal episode.  The patient left the office on her own without further difficulty.
Age: 14.0
Sex: F
Vaccine: HPV4, MNQ
Symptoms: Mydriasis, Pallor, Syncope
Clinical narrative: Patient received Gardasil and Menactra.  Remained seated for approximately 5 - 10 minutes and was discharged.  Became clammy and faint when walking to check out of office.  Mother noticed she was very pale and asked if she was all right - the child said not.  Mother lowered her to the floor.  At that time the child's eyes rolled back and her lips and mouth were drawn back.  She lost consciousness for a few seconds and then came to on her own.  She was examined by a physician who came immediately.  Her pupils were slightly dilated, her B/P was slightly lower than normal.  When asked if she knew where she was she responded + and she also remembered what had gone on before her syncopal episode.  The patient left the office on her own without further difficulty.
Age: 12.0
Sex: M
Vaccine: MNQ, TDAP, VARCEL
Symptoms: Medication error, Wrong drug administered
Clinical narrative: received Chickenpox vaccine mixed with MCV4 as the diluent.  Also received, MCV4 and Tdap on same day.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Injection site inflammation, Pyrexia
Clinical narrative: Left leg inflammation, fever
Age: 10.0
Sex: F
Vaccine: VARCEL
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Immune was placed two days ago , site area appears red, swollen, warm to touch and soreness of the arm. Pt denies fever or head aches. Pt's mom was advise to put cold compreses and to give some Tylenol tx symptoms or to come back if worsening on the next few days.
Age: 46.0
Sex: F
Vaccine: HEPA, TDAP
Symptoms: Influenza like illness, Injection site erythema, Injection site induration, Injection site swelling, Injection site warmth
Clinical narrative: L deltoid region (where Tdap given) with swelling, redness, induration, and warmth x 5 days after vaccine administration.  Flu-like symptoms x 3 days following vaccine administration.
Age: 49.0
Sex: M
Vaccine: PPV
Symptoms: Cellulitis, Erythema, Malaise, Nausea, Pyrexia
Clinical narrative: Cellulitius, , Red, with swelling, nausea, doesn't feel well, low grade fever.
Age: 49.0
Sex: M
Vaccine: PPV
Symptoms: Swelling
Clinical narrative: Cellulitius, , Red, with swelling, nausea, doesn't feel well, low grade fever.
Age: 4.0
Sex: F
Vaccine: DTAP, HEPA, IPV, MMR, VARCEL
Symptoms: Immediate post-injection reaction, Injection site erythema, Injection site swelling, Vomiting
Clinical narrative: On 8/18/08 client got Dtap and IPV in left arm. Got MMR, varicella and Hep A in right arm. Mother states left arm got red right away.  Redness and swelling increased in 1st 24 hours and covered arm from elbow to shoulder.  Started vomiting that night and cont. for about 24 hours.  Took child to doctor on 8/21/08 for well-check and was told by doctor that she should not get tetanus shot in future.  Child has recovered completely as of 8/21/08.
Age: 15.0
Sex: M
Vaccine: MNQ, TDAP, VARCEL
Symptoms: Abasia, Aphasia, Asthenia, Convulsion, Diplegia
Clinical narrative: Mother reported that on 8/5/08 her son began complaining of generalized muscle aches and pains.  She then noticed on the following day his skin tone darkened significantly.  In the early morning hours of 8/7/08 the minor had a seizure and was transported to the emergency room via ambulance. He  also had generalized weakness, paralysis of his  bilateral lower extremities, was unable to bear weight or walk, unable to speak and was vision impaired.  He was admitted to the pediatric unit. As of today the minor is still hospitalized.  9/22/2008 Medical records received for DOS 8/14-20/2008 with DX:  Encephalitis.  Pt presented to ER after 1st seizure witnessed at home and subsequent post-ictal altered mental status (confusion, disorientation, combativeness). Loaded with Dilantin, then Ativan & Versed which reduced the agitiation. Tx with Acyclovir with improvement in mental status, however ataxia/mild hemiparesis and muscle pain persisted. Ataxia resolved by 8/19/08.
Age: 15.0
Sex: M
Vaccine: MNQ, TDAP, VARCEL
Symptoms: Myalgia, Skin discolouration, Ultrasound scan, Visual disturbance, Weight bearing difficulty
Clinical narrative: Mother reported that on 8/5/08 her son began complaining of generalized muscle aches and pains.  She then noticed on the following day his skin tone darkened significantly.  In the early morning hours of 8/7/08 the minor had a seizure and was transported to the emergency room via ambulance. He  also had generalized weakness, paralysis of his  bilateral lower extremities, was unable to bear weight or walk, unable to speak and was vision impaired.  He was admitted to the pediatric unit. As of today the minor is still hospitalized.  9/22/2008 Medical records received for DOS 8/14-20/2008 with DX:  Encephalitis.  Pt presented to ER after 1st seizure witnessed at home and subsequent post-ictal altered mental status (confusion, disorientation, combativeness). Loaded with Dilantin, then Ativan & Versed which reduced the agitiation. Tx with Acyclovir with improvement in mental status, however ataxia/mild hemiparesis and muscle pain persisted. Ataxia resolved by 8/19/08.
Age: 13.0
Sex: M
Vaccine: HEPA
Symptoms: Rash, Urticaria
Clinical narrative: Shot administered on Monday 8/11/2008 my son then had hives rash over his body by Thursday 8/14/08.
Age: 6.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Eye swelling, Pruritus
Clinical narrative: pt given Ipv, DTAP, MMR and Varivax at 9:50am. Mother noticed reaction at 10:05am.  Pt presented with swollen left eye and hand itching.  Pt given ice and 1016 physician's office contacted. Physician prescribed benedryl and 911 to be called. 10:18am 911 was called. Pt was observed and taken to emergency room for further observation.  Pt was released
Age: 0.83
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Blister, Pyrexia
Clinical narrative: Mother called on the afternoon of 8/21/08 and described fever and "fluid filled bumps" on child's legs. She said they "looked like cigarette burns".
Age: 67.0
Sex: M
Vaccine: VARZOS
Symptoms: Myalgia, Sleep disorder
Clinical narrative: 08/04/2008 P/C from client.  C/O constant muscle aching in both legs from hips on down onset two days after receiving Shingles vaccine and continues with same level of discomfort as initially.  Symptoms developed within one day.  Has kept him awake at night.  Rubbing legs doesn't make symptoms worse or better. Denies cramping of legs; denies similar symptoms in the past.   History of discomfort left hip in the past, "not a big problem." Instructed to call private provider is symptoms persist or if he is worried.  Suggested aleeve for discomfort.  P/C to client on 08/08/2008 to see how he is doing.  Left message to call HCHD with update. Client did not call back.  08/18/2008 P/C to client.  States he is doing a lot better now, symptoms were "starting to get quite a bit better" on 08/06/2008.  States still bothers him a little bit, mostly his hips.  He did not call his private provider as "it started getting better on its own."  Instructed we would call him in a week or so to see how he is doing, and to call HCHD as needed for questions or problems.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Dyspnoea, Full blood count normal, Lymphadenopathy, Mononucleosis heterophile test positive, Nasal flaring
Clinical narrative: pt mom stated that evening about 7pm pt presented with tonsil swelling eventually leading to sob nasal flaring and difficulty breathing. pt had lymph nodes swollen down side of face from back of ear to left side of neck-mom brought pt to ER pt given antiinflammatories, tested also for mono spot, was positive. cbc was done and was normal.released to go home. pt remains afebrile at this time-- swelling of tonsils and lymph nodes still present.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Tonsillar inflammation
Clinical narrative: pt mom stated that evening about 7pm pt presented with tonsil swelling eventually leading to sob nasal flaring and difficulty breathing. pt had lymph nodes swollen down side of face from back of ear to left side of neck-mom brought pt to ER pt given antiinflammatories, tested also for mono spot, was positive. cbc was done and was normal.released to go home. pt remains afebrile at this time-- swelling of tonsils and lymph nodes still present.
Age: 18.0
Sex: M
Vaccine: HEPA, MNQ, VARCEL
Symptoms: Blood pressure, Heart rate, Syncope
Clinical narrative: Syncopal episode x 5-10 seconds approximately 3-4 minutes after receiving 3 vaccines.  Client had not eaten all day.  Was given 2 oreo cookies to eat approximately 15-20 minutes prior to vaccination.  BP and pulse monitored.  Ambulated to lobby with nurse assist.  Instructed to wait in lobby x 15 minutes and may be discharged if feeling okay.  P/C to Mom the next day, patient was "fine."  Instructed to make sure he reclines for future immunizations and to eat before coming in.
Age: 36.0
Sex: M
Vaccine: TDAP
Symptoms: Cough, Fatigue, Pyrexia
Clinical narrative: Symtoms began approx. 6 days following vaccine.  Symtoms include straining cough, fever ranging from 100.2-103.3, general fatigue.  Ibuprophen 200mg. 4-6 times to help reduce fever.  Ice applied to head and neck to hel lower temperature.
Age: 22.0
Sex: M
Vaccine: ANTH, SMALL
Symptoms: Nausea, Rash erythematous, Vomiting
Clinical narrative: Nine days after repeat innoculation, pt had nausea and vomiting and next day noticed rash (annular red lesions on chest, abdomen, arms and shoulders)
Age: 40.0
Sex: M
Vaccine: TYP
Symptoms: Mobility decreased, Muscle spasms
Clinical narrative: spasm in the left hand to the point he cannot bend his third left finger for 3-6months, every time he gets a shot.
Age: 12.0
Sex: F
Vaccine: TDAP
Symptoms: Erythema, Eyelid ptosis, Fatigue, Local reaction, Pain in extremity
Clinical narrative: 1. Fever, fatigue - leg pain - 24 hours after vaccination (Fever 100.7).  2.  Small local reaction <1cm - red - no swelling.  3.  3 days after injection slight droopy right eyelid - no fever, no redness or swelling at injection site - no current leg pain.
Age: 12.0
Sex: F
Vaccine: TDAP
Symptoms: Pyrexia
Clinical narrative: 1. Fever, fatigue - leg pain - 24 hours after vaccination (Fever 100.7).  2.  Small local reaction <1cm - red - no swelling.  3.  3 days after injection slight droopy right eyelid - no fever, no redness or swelling at injection site - no current leg pain.
Age: 18.0
Sex: M
Vaccine: MNQ
Symptoms: Pallor, Syncope, Vertigo
Clinical narrative: Fainted - vertigo - pallor.  No strida.  No shortness of breath - no rash - no chest pain.
Age: 11.0
Sex: M
Vaccine: MNQ, TDAP
Symptoms: Fatigue, Nausea, Pyrexia
Clinical narrative: Father describes fever 99-100 F, c/o tiredness, s/ nausea. Gave Tylenol.
Age: 36.0
Sex: M
Vaccine: ANTH, SMALL
Symptoms: Rash, Skin lesion
Clinical narrative: This 38 year old AA male has NO eczema or any skin condition other than a personnel and strong family history of dry skin. He received his primary SMPX/AVA vaccine 2 says ago and Hep A/B and typhoid on 8/15/08. Today 8/22/08 found multiple "black lesions" over torso and extremities, nonpruritic, nonpustule. Has a few bumps to right lower leg. Symptoms: Rash, diffuse.
Age: 0.2
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Rash generalised
Clinical narrative: 8/18/2008 noon: Pediarix - Hib, PCV7, Rotavirus (1st) vaccinated.  8/2-/08 2pm: mother said baby started rashes from 8/19/2008 - all over the body - small scattered rashes.  8/21/2008 2pm:  F/u call.  Mother said rashes almost gone.
Age: 11.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: C-reactive protein, Fatigue, Full blood count, Genital cyst, Metabolic function test
Clinical narrative: Mother claims that a cyst developed on her genital area the day after 2nd GARDASIL shot was given. All summer long - been tired.
Age: 11.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Mononucleosis heterophile test
Clinical narrative: Mother claims that a cyst developed on her genital area the day after 2nd GARDASIL shot was given. All summer long - been tired.
Age: 11.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Fatigue, Genital rash, White blood cell count decreased
Clinical narrative: Mother claims that a cyst developed on her genital area the day after 2nd GARDASIL shot was given. All summer long - been tired.
Age: 10.0
Sex: F
Vaccine: HEPA, TDAP
Symptoms: Blood pressure, Musculoskeletal stiffness, Tremor
Clinical narrative: Patient received 2 vaccines. Nurse left room and 5 mins later heard loud noise. Nurse returned to room and found pt on floor, eyes open. Pt stiff not flaccid. Pt had mild tremoring in her extremities. Pt monitored for 20 min. Rechecked BP 110/60, tremor had resolved. Pt was A-Ox 3, EDMI, PERRLA. Pt advised to contact office with any problems.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARZOS
Symptoms: Body temperature increased, Wrong drug administered
Clinical narrative: Patient was given Zostavax 0.65ml SQ in error instead of Varicella.  He was kept in office for 15 minutes, he had no adverse symptoms.  His mother reported temperature 102-103 x 2 days and gave patient Tylenol, with relief.  No other problems reported.  Mother states patient had developed increased temperature with all previous immunizations.  Doing good now 8/22/08.
Age: 11.0
Sex: M
Vaccine: MNQ, TDAP
Symptoms: Dizziness, Headache, Vomiting
Clinical narrative: Dizziness, headache, vomiting.
Age: 65.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Erythema, Fatigue, Nausea, Pain, Skin warm
Clinical narrative: Vaccine given about 11:00 AM - noted onset of redness, warmth, pain about 10:00 PM - Seen 8/21; area of redness, warmth. No vesicles about 10 cm diameter assoc. with nausea, fatigue. Denies SOB, dysphagia, other systemic sx. Tx - Ice, continue allergy - f/u if worse.
Age: 65.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Feeling hot, Herpes zoster, Injection site rash, Injection site vesicles, Skin tightness
Clinical narrative: Vaccine given about 11:00 AM - noted onset of redness, warmth, pain about 10:00 PM - Seen 8/21; area of redness, warmth. No vesicles about 10 cm diameter assoc. with nausea, fatigue. Denies SOB, dysphagia, other systemic sx. Tx - Ice, continue allergy - f/u if worse.
Age: 65.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Viral DNA test negative
Clinical narrative: Vaccine given about 11:00 AM - noted onset of redness, warmth, pain about 10:00 PM - Seen 8/21; area of redness, warmth. No vesicles about 10 cm diameter assoc. with nausea, fatigue. Denies SOB, dysphagia, other systemic sx. Tx - Ice, continue allergy - f/u if worse.
Age: 13.0
Sex: M
Vaccine: MNQ, TDAP, VARCEL
Symptoms: Nausea, Pallor
Clinical narrative: Patient felt nauseated and turned pale, mother stated patient had just gotten up and hadn't eaten all day, 3:15PM.
Age: 28.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site erythema, Injection site induration
Clinical narrative: Large firm red reaction around injection site.
Age: 65.0
Sex: F
Vaccine: VARZOS
Symptoms: Acne, Neuralgia, Nuclear magnetic resonance imaging, Vitamin B12 deficiency
Clinical narrative: 5/8 Sought neurologists treatment for persistent "nerve pain" rotating from back of head across right mastoid region extending to top of head. MRI done to check on known Cervical Rupt. Discs. (No change) (Never relayed information to Dr. of "pimples" on scalp in lower hair line at back of head). Pain has diminished but not disappeared.
Age: 18.0
Sex: M
Vaccine: MNQ
Symptoms: Dizziness, Pallor
Clinical narrative: Received MENACTRA; felt dizzy & became pale - V/S monitored - stable - no treatment.
Age: 14.0
Sex: M
Vaccine: TDAP
Symptoms: Accidental overdose, Inappropriate schedule of drug administration
Clinical narrative: Patient was given 2 Tdap vaccines a week apart.
Age: 8.0
Sex: M
Vaccine: HEPA, TDAP, VARCEL
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: Gave Tdap too early.
Age: 13.0
Sex: M
Vaccine: MNQ, TDAP
Symptoms: Chills, Full blood count, Haemoglobin normal, Mean cell volume normal, Pyrexia
Clinical narrative: Fever to 102 with chills.  Gave EXCEDRIN and MOTRIN.  Went to hospital ER for evaluation.
Age: 13.0
Sex: M
Vaccine: MNQ, TDAP
Symptoms: White blood cell count decreased
Clinical narrative: Fever to 102 with chills.  Gave EXCEDRIN and MOTRIN.  Went to hospital ER for evaluation.
Age: 17.0
Sex: F
Vaccine: HPV4
Symptoms: Body temperature increased
Clinical narrative: Temp 102 8/15 & 8/16/08.
Age: 10.0
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: 24 hours after injection right arm redness at injection site, increasing redness - now with 6" diameter redness - swollen and warm to touch with darker redness 1 1\3-3" in center. Referred to walk in clinic to see physician.
Age: 14.0
Sex: F
Vaccine: VARCEL
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: 2-3" red swollen around injection site, onset at 24 hours
Age: 55.0
Sex: F
Vaccine: TD
Symptoms: Erythema, Swelling
Clinical narrative: Redness (mild), swelling (R) deltoid.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site swelling, Injection site urticaria
Clinical narrative: Both arms red, swollen, hematoma, hives from site of vaccine down arms.  No resp. issues.  Advised BENADRYL q 6 hours - call if no improvement.
Age: 8.0
Sex: F
Vaccine: HEPA, VARCEL
Symptoms: Skin warm
Clinical narrative: 8x10cm back of L arm warm to touch.  Observe - no other Tx.
Age: 1.6
Sex: M
Vaccine: DTAP
Symptoms: Injection site discolouration, Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Red, swollen right thigh area 19.5cm x 11cm. Discoloration around injection site 3cm x 4cm. Warm to touch. Not tender to touch. No fever.
Age: 6.0
Sex: F
Vaccine: DTAP, HEPA, VARCEL
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling, Injection site warmth, Local reaction
Clinical narrative: Child received on 8/18/2008. Parents report that within 24 hours both vaccine sites became red, warm and swollen. Child complained of itching at sites. Cool compresses applied.
Age: 6.0
Sex: F
Vaccine: DTAP, HEPA, VARCEL
Symptoms: Physical examination
Clinical narrative: Child received on 8/18/2008. Parents report that within 24 hours both vaccine sites became red, warm and swollen. Child complained of itching at sites. Cool compresses applied.
Age: 0.76
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Pyrexia
Clinical narrative: Fever
Age: 3.0
Sex: F
Vaccine: VARCEL
Symptoms: Eye pruritus, Eye swelling, Urticaria
Clinical narrative: Bilateral periorbital puffiness, itchy eyes, (+) hives eyebrows; No wheeze - onset about 5-10 minutes after varicella #2. Had subcut Epinephrine. Prednisolone PO
Age: 4.0
Sex: F
Vaccine: DTAP, IPV
Symptoms: Injection site erythema, Injection site induration, Injection site swelling, Injection site warmth
Clinical narrative: Left leg red, hard, swollen; warm to touch
Age: 10.0
Sex: U
Vaccine: HEPA, VARCEL
Symptoms: Hypersensitivity, Urticaria
Clinical narrative: Golf ball size whelt 24 hours after shot -> baseball size whelt after 48 hours (Left Arm); Diagnosed as allergic reaction today by dr. Treated with Xyzol and Diprolene cream bid 5 mg
Age: 11.0
Sex: M
Vaccine: MNQ, TDAP, VARCEL
Symptoms: Erythema, Oedema peripheral, Skin warm
Clinical narrative: Patient's left arm is swollen from shoulder to elbow hot to touch and red.
Age: 10.0
Sex: F
Vaccine: VARCEL
Symptoms: Erythema, Oedema peripheral, Pain in extremity
Clinical narrative: Upper left arm swollen and red. Sore to touch
Age: 33.0
Sex: M
Vaccine: SMALL
Symptoms: Chest pain, Dyspnoea, Fatigue, Heart rate increased, Injection site erythema
Clinical narrative: Received his primary smallpox vaccine in his left arm (3 jabs). Approximately 2-3 days after receipt of smallpox vaccine, SM woke up around 2 a.m. and went to the Emergency Room because he was having difficulty breathing. In addition to breathing difficulties, he also experienced chest pain. The chest pain described as substernal, sharp pain that was worse with deep breaths and its intensity was rated as 8/10 using pain scale. Pain was accompanied by an increased heart rate and sensation of heart pounding harder than normal. Pain decreased with sitting straight up. Placed on oxygen and placed on monitor, pain resolved without treatment within 60 minutes of arriving at ER. No lab work or diagnostics were completed. He did not recall a specific diagnosis prior to discharge, but he was instructed to return if his symptoms returned. Within 7 days following of vaccine receipt, SM was on a plane, Upon arrival in country, he felt feverish and his hands were shaky. SM also experienced generalized body aches, fatigue and a fever which was 100deg in the local clinic. These symptoms completely resolved within 10 days. Within hours of arrival in " country", SM had a recurrence of chest pain. He did not experience associated problems breathing, but was told that he was ashen and was "not looking good". He was not able to seek medical evaluation or treatment at that time. His chest pain resolved after 24 hours of constant pain (6-7/10). He noted chest pain improved when sitting up, but after 20 minutes, the chest pain felt with living down. Chest pain was made worse with deep breaths. SM does not recall all of details ("kind of out of it"), but denies palpitations, coughing or swelling of feet and ankles. Around post-vaccine day 7, SM noted a "rash" on his left upper arm - "looked like second degree sunburn." He noted increased redness and warmth about the size of an orange which surrounded his smallpox vaccine site and extended up to his left shoulder. The redness was "blotchy" and there was streaking noted on the back of the arm. The majority of his left upper arm was edematous. He could feel tender, swollen lymph nodes under his left axilla and also noted some swollen glands in his neck. The area was tender to touch and the intensity of tenderness/pain is rated as 6-7/10 on pain scale of 0 (=no pain) to 10 (=worst pain ever experienced). After his back pack strap hit his vaccine site bandage and rubbed the site, SM sought evaluation by the local medics. They monitored the site daily and delineating erythema with markers. No lab test or site cultures were obtained. SM received a course of oral antibiotics in addition to his doxycycline. The site began to improve by post-vaccination day 9 or 10 and th local reaction completely resolved by post-vaccination day 16. The scab fell off about 2 weeks later.
Age: 33.0
Sex: M
Vaccine: SMALL
Symptoms: Injection site streaking, Injection site warmth, Lymphadenopathy, Oedema peripheral, Oxygen supplementation
Clinical narrative: Received his primary smallpox vaccine in his left arm (3 jabs). Approximately 2-3 days after receipt of smallpox vaccine, SM woke up around 2 a.m. and went to the Emergency Room because he was having difficulty breathing. In addition to breathing difficulties, he also experienced chest pain. The chest pain described as substernal, sharp pain that was worse with deep breaths and its intensity was rated as 8/10 using pain scale. Pain was accompanied by an increased heart rate and sensation of heart pounding harder than normal. Pain decreased with sitting straight up. Placed on oxygen and placed on monitor, pain resolved without treatment within 60 minutes of arriving at ER. No lab work or diagnostics were completed. He did not recall a specific diagnosis prior to discharge, but he was instructed to return if his symptoms returned. Within 7 days following of vaccine receipt, SM was on a plane, Upon arrival in country, he felt feverish and his hands were shaky. SM also experienced generalized body aches, fatigue and a fever which was 100deg in the local clinic. These symptoms completely resolved within 10 days. Within hours of arrival in " country", SM had a recurrence of chest pain. He did not experience associated problems breathing, but was told that he was ashen and was "not looking good". He was not able to seek medical evaluation or treatment at that time. His chest pain resolved after 24 hours of constant pain (6-7/10). He noted chest pain improved when sitting up, but after 20 minutes, the chest pain felt with living down. Chest pain was made worse with deep breaths. SM does not recall all of details ("kind of out of it"), but denies palpitations, coughing or swelling of feet and ankles. Around post-vaccine day 7, SM noted a "rash" on his left upper arm - "looked like second degree sunburn." He noted increased redness and warmth about the size of an orange which surrounded his smallpox vaccine site and extended up to his left shoulder. The redness was "blotchy" and there was streaking noted on the back of the arm. The majority of his left upper arm was edematous. He could feel tender, swollen lymph nodes under his left axilla and also noted some swollen glands in his neck. The area was tender to touch and the intensity of tenderness/pain is rated as 6-7/10 on pain scale of 0 (=no pain) to 10 (=worst pain ever experienced). After his back pack strap hit his vaccine site bandage and rubbed the site, SM sought evaluation by the local medics. They monitored the site daily and delineating erythema with markers. No lab test or site cultures were obtained. SM received a course of oral antibiotics in addition to his doxycycline. The site began to improve by post-vaccination day 9 or 10 and th local reaction completely resolved by post-vaccination day 16. The scab fell off about 2 weeks later.
Age: 33.0
Sex: M
Vaccine: SMALL
Symptoms: Pain, Palpitations, Pyrexia, Rash, Rash macular
Clinical narrative: Received his primary smallpox vaccine in his left arm (3 jabs). Approximately 2-3 days after receipt of smallpox vaccine, SM woke up around 2 a.m. and went to the Emergency Room because he was having difficulty breathing. In addition to breathing difficulties, he also experienced chest pain. The chest pain described as substernal, sharp pain that was worse with deep breaths and its intensity was rated as 8/10 using pain scale. Pain was accompanied by an increased heart rate and sensation of heart pounding harder than normal. Pain decreased with sitting straight up. Placed on oxygen and placed on monitor, pain resolved without treatment within 60 minutes of arriving at ER. No lab work or diagnostics were completed. He did not recall a specific diagnosis prior to discharge, but he was instructed to return if his symptoms returned. Within 7 days following of vaccine receipt, SM was on a plane, Upon arrival in country, he felt feverish and his hands were shaky. SM also experienced generalized body aches, fatigue and a fever which was 100deg in the local clinic. These symptoms completely resolved within 10 days. Within hours of arrival in " country", SM had a recurrence of chest pain. He did not experience associated problems breathing, but was told that he was ashen and was "not looking good". He was not able to seek medical evaluation or treatment at that time. His chest pain resolved after 24 hours of constant pain (6-7/10). He noted chest pain improved when sitting up, but after 20 minutes, the chest pain felt with living down. Chest pain was made worse with deep breaths. SM does not recall all of details ("kind of out of it"), but denies palpitations, coughing or swelling of feet and ankles. Around post-vaccine day 7, SM noted a "rash" on his left upper arm - "looked like second degree sunburn." He noted increased redness and warmth about the size of an orange which surrounded his smallpox vaccine site and extended up to his left shoulder. The redness was "blotchy" and there was streaking noted on the back of the arm. The majority of his left upper arm was edematous. He could feel tender, swollen lymph nodes under his left axilla and also noted some swollen glands in his neck. The area was tender to touch and the intensity of tenderness/pain is rated as 6-7/10 on pain scale of 0 (=no pain) to 10 (=worst pain ever experienced). After his back pack strap hit his vaccine site bandage and rubbed the site, SM sought evaluation by the local medics. They monitored the site daily and delineating erythema with markers. No lab test or site cultures were obtained. SM received a course of oral antibiotics in addition to his doxycycline. The site began to improve by post-vaccination day 9 or 10 and th local reaction completely resolved by post-vaccination day 16. The scab fell off about 2 weeks later.